1032,ri,4.i a • •
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NOTE:
With proper validation
this form constitutes an CITY OF -LA •QUINTA .
encroachment permit
APPLICATION ' FOR PERMIT $
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)c
OF TfiB�w
For the construction of public or, private curbs, -driveways,, pavements, sidewalks, parking lots sewers, water mains
and other like public'works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit — Class II I
=
15
- 91 ,
DATE:' •�' 3� �'- '' � Minor Improvement Permit Class IV '
,LOCATION OF CONSTRUCTION”
(Street address or Description of Location)
MOVE'EQUIPMENT., P appropriate)
PURPOSE OFCONSTRUCTIONSketch (attach construction plans if
DESCRIPTION 0F'CONSTRUCTION 3 SCARPER
. , HAUL. ROUTE .
HWY 111 AND.WASHINGTON
TO 'AVE ' 4 8 AND WASHINGTON
DL'
IME N F N T L'ATION OR REMOVAL H O' W,
HAUL DATE
.:'
SIZE OFEXCAVATION,'IF, NEEDED 3' '15 -81
APPROXIMATE TIME WHEN WORK WILL BEGIN '
APPROXIMATE TIMEOF,COMPLETION
ESTIMATED CONSTRUCTION COST
•(Including i-emoval'of all obstruction; materials; and'deti'ris, backfilling;com=
s paction and placing'permanent resurfacing -and/or replacing imp;ovements►'
In of the granting-of•this perm it,.theyapplicanthereby'`agrees to:
;. Indemnify;•defend and save the City; its authorized agents, officers, representatives and employees, harmless from and,against any and all
,.
penalties;.liab_ilities or -
loss resulting;fiom claims or court action and arising,outrof any .accident, loss or damage to persons or property
happening or'occurring-'oproximate result of_any-work' undertaken under'the'permit'granted pursuant to this. application.
Notify the Admiriisstrative Authority•at,least'twenty-four (24) hours m',advance of the.time when work will be started.
r
• ' �' .` • `:t .: ..� ,
Comply with all, applicable,City Ordinances, the -terms and conditions of:the permit and all applicable rules "and regulations of the City of
La Quinta and•to'pay for any additional replacement,necessary�as,the result of.this work. `"
• yr .. , _ --
�� .t -' ^ - -'. �� Sig fire of Applicant or Agent
_
ENINEERING IN 8NUEVO '1COUNTRYs. .
CLUB' -BERMUDA-. DUNES : '345-1778
Name of Applicant (please print) Y� °", �t' , '- Business Address Telephone No.
Name of Contractor and 'Job Foreman' - '.'F.,' ;'� Business Address ;F ,' Telephone No.
'oN FTT.F ..
Contractor's License No. r. s . i �' '' a; City Business License No.
ON F11 X
Applicant's lnsurance`Company . ; `' 'Policy. Number,
FEES: Subdivision Improyeinent'Permit — Class ll I U4 �8 iipp bb 0p33 5 ii
i �i'� OTALSi-.9 i' io (M
_Public improvements:,3%of,estimated construction costs T-'�•--� • _, ,t
Private improvements: 3% of estimated construction costs 1,'032
Minor Improvement Permit — Class IV: See attached schedule
Inspection -Fee $ PERMIT VALIDATION
10.00
Permit Fee PERMIT,NO. 1032
Penalty
Cash Deposit Surety Bond DATE APPROVED 3-1b-91
r. 3-16-91
i.f.required � EXPIFjATI DATE: `
10.00 3-15-91
TOTAL: $ DAT IS UE
Receipt No. c'
By.
Received byDate Administrafi"ve Authority.
Recorded by TELEPHONE: (619) 564-2246
. � �*' .- . � '�.�. . '�',vv 1 - 71 i. �F 'i ."`r -T .•��..-r.� �Yi ^{ �.n,;1 � .rl., �, �., ry1.'-y~ _ 7 �_._ ...� � ,� � v�T�,-. T,�,h. , � �K .hs"� . ,�•-r- _�'1 ��}�.•��i" J
A
� � !�
�Prr.:r:� `iffy
NOTE:
With proper validation
this form constitutes an
encroachment permit
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE
3-15-91
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION MOVE EQUIPMENT
DESCRIPTION OF CONSTRUCTION — SC PER
DIMEN N F LATION OR REMOVAL 14' H10' W
1i`b o, 0�" LBb
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Subdivision Improvement Permit — Class II I
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
HAUL ROUTE
HWY 111 AND WASHINGTON
TO AVE 48 AND WASHINGTON
HAUL DATE
3-15-81
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property
happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application.
Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started.
Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result of this work. q
Signat'ure of Applicant or Agent ;t U
NUEVO ENWINEERING INC 79-811 COUNTRY CLUB BERMUA DUNES 345-1778
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
ON FILE
Contractor's License No.
City Business License No.
ON FILE
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class 111 0i0�528�QNO1yOTL; f 791 10.4U4
Public improvements: 3% of estimated construction costs V J 1
Private improvements: 3% of estimated construction costs 1032
Minor Improvement Permit — Class IV: See attached schedule.
Inspection Fee $
Permit Fee _
Penalty _
Cash Deposit -Surety Bond
if required _
TOTAL: $
Receipt No. _
Received by
Recorded by
10.00
10.00
Date
PERMIT VALIDATION
PERMIT NO. 1032
DATE APPROVED 3-15-91
3-16-91
EXPIRATIONIDATE
IS 11F �f 3-15-91
DAT
BY
Administrative Authority
- TELEPHONE: (619) 564-2246
NOTE:
With proper validation
thWiorm constitutes an
encroachment permit
t -
CITY OF LA QUINTA
APPLICATION FOR PERMIT
.PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For, the construction of public or private curbs, driveways, pavements, sidewalks, parking .lots, sewers, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
p
I! n Subdivision Improvement Permit — Class III
DATE: 1 "j Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Locationl
PURPOSE OF CONSTRUCTION W eA� Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
T
DIMENSION OF I�NST LLATION OR REMOVAL 1
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
1+witv�e
o�' Da " `
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST S
(Including removal of all obstruction, materials, and deb:•is, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements►
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property
happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application.
'Notify the Administrative'Authority at least twenty-four 124) hours in advance of the time when work will be started.
Comply with all applicable City Ordinances. the terms and conditions of the permit and all applicable rules and regulations of the City of
La Quints and to pay for any additional replacement necessary as the result of this work.
Signature of Appli. t o gent
Nuevo Engineering, Inc. 79-811 Country Club, Bermuda Dunes 619-345-1778
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor ripp
Job Foreman Business Address Telephone No.
))
_ IL
Contractor's License N,9. City Business License_ Vo.
IApplicant's Insurance Company Policy Number
■ FEES: Subdivision Improvement Permit —Class III
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
nspection Fee $
-mit Fee
natty
ish Deposit -Surety Bond
required
TOTAL: $
No.
eceived by Date
by
• No
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
I � Administrative Authority
TELEPHONE- (619) 564.2246
. d ,' •`.tom • - Lw •'� "+ _ ~' -
NOTE: • f w•f ' -
>. With proper validation ` " • /
r "r this form constitutes an CITY OF LA QUINTA
encroachment permit a -
f ' ..j. "APPLICATION FOR'PERMIT
+ik • PUBLIC `WORKS CONSTRUCTION' (ENCROACHMENT)
OF
For the construction of public 'or _ private curbs, driveways, pavements, sidewalks,. parking lots, sewers, water mains t
s . and other like public works improvements in connection with MINOWIMPROVEMENTS and APPROVED SUBDIVISIONS
t~Subdivision Improvement Permit - Class III
DATE: 3=1591
�-t f
"_ Minor Improvement Permit Class IV -
LOCATION OF CONSTRUCTION 1
(Street addressor Description of Location) t t5-
PURPOSE OF CONSTRUCTIONMOVE_EQUIPMENT
A -•� � , ' Sketch (attach construction plans if appropriate)
e • r tr M1 ' - e DESCRIPTION OF CONSTRUCTION' - SCRAPER r `��� ' • .
HAUL ROUTE
`,HWY 111•-AN15 WASHINGTON
I GTON� ,
14 H' 0 W, TO AVE 48 AND, WASHINGTON
DIMEh1SiQN ?F LNTTALLATION OR REMOVAL . ( :• -
v U U 185 `
~ 'YHAUL'DATE • '
-SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK .WILL BEGIN,' • `r .
APPROXIMATE TIME OF COMPLETION -
. ESTIMATED CONSTRUCTION COST $ •;' r
(Including removal of all obstruction, materials,,and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements) . -
.,,. ;t In consideration of the granting of this permit; the applicant hereby agrees to'
-Indemnify,-defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all ,
• `'r penalties, liabilities or loss resulting from claims or-court'action and arising out of any accident, loss or damage* to: persons or property' _� c
happening or occurring as a'proximate result of any work undertaken under,the permit granted pursuant to this application:,
.`
Notify .the •Administrative Authority at least twenty-four (24), hours in advance of the time when work will be started.
Comply with all applicable City Ordin'aues, the terms and conditions of the permit and all applicable rules and regulations of the City of . -
• , La Quinta and to pay for any additional replacement .necessary,as the .result of this work. • �� - .- '
iS
Sign re of Applicant or Agent'
NUEVO `'ENGINEERING :INC - 79=811 C.' .NTRY...CT,T1R BERMUDA -D.UNES .•.'345-1778
s Name of Applicant (please print) Business Address Telephone No. _
. - t
Name of Contractor and Job Foreman Business Address 't Telephone No.'
6N FTT,E '
Contractor's License No. , , `' City Business License No.
ON PTT;P.
Applicant's Insurance Company r Policy Number , s 1
FEES: Subdi ision Improvement Permit —Class III * O8?��1 ONOQ�L1 -9i 50.00 +
Public improvements- of estimated construction costs
f Private impr.y
ovements: 3% of estimated construction costs K p, y `, 1-.0 3 2 r '
ti Minor Improvement Permit - Class IV: See attached schedule.6
Y
oK t Inspection Fee "$ "" �~ `PERMIT VALIDATION n
,,.Permit Fee
,•PERMIT N0. 1032 .
.' Penalty t. DATE APPROVED 3.-15-91 A
Cash Deposit -Surety Bond r ,, -
�..� r,. 3. 16-91
if required ,'EXPI� DATE
10..00 3 . •k .
TOTAL: $ ' 3-15-91
,�, �• Receipt No..' Bye '�• .r, • r, •,
Received by.`a ' Date ' " Adminlstra'ive Authority ,
` �Rec6rded by ° ,TELEPHONE: (619) 564-2246