1082�, ; .1. • N" L'. �,i. _ MV,n nY w aL,r • J -i .moi.- 'Y'r' 'Yiy a.r:� 4 , v .... �.,...w� „ . •.. . f ...-�.Y..r '.+' hF. .,:.�. + f ..G 4:L• ,..i.1.
NOTE
With proper validation rt
this form constitutes an
CITY- OF • LA QUINTA
encroachment permit
APPLICATION FOR,PERMIT
'PUBLIC WORKS CONSTRUCTION .(ENCROACHMENT)
Ch1 pF$��S
For the construction of public or private curbs, driveways, .pavements, sidewalks, parking lots,,sewers, water mains
: and other like public works improvements in, connectiomwith MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
`-Subdivision Improvement Permit = Class III
DATE: April 25, 1991' Minor Improvement Permit Class IV.
::• LOCATION,OF CONSTRUCTION
(Street address or Description of Location) z
}. move equipment
PURPOSE OF CONSTRUCTION'.* Sketch (attach construction plans if,appropriate).
DESCRIPTION,OF CONSTRUCTION 11 6 H 10 6. W haul chute
u':• 83:500 lhs Vahingeon & Frid Waring
,a to Ave 50 E/B , . ;U
DIMENSION`OF INSTAL
L'ATdON OR REMOVAL Appros }Mile.' ,
1 Haul,-Date4-25-R91
"ESIZE OF EXCAVATION; IF NEEDED
' -.APPROXIMATE TIME WHEN .WORK WILL BEGIN7.
,
APPROXIMATE TIME OF COMPLETION
ESTIMATED' CONSTRUCTION COST $
(Including removal- of,all 'obstruction, materials; and debris, backfilling, com-
paction
om paction and placing permanent,` resurfacing and/or replacing improvements) f
i .consideration of the grantirig of this 'permit, the applicant hereby agrees to:
in
h ,
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 Ouinta and. to pay 'forany additional replacement necessary.as'the result of this work.
wj,(� 4 C)0,h
Signature of A plicant r Agent
Nue'veoEnftneering; Inc. 79-811 -Country. Vlub• Bermuda'sWnes
Name`of'Applicant (please print) Business Address Telephone Nor
on*ifah
..Name. of Contractor and Job Foreman.Business Address Telephone No,
on. f 11e 4 on . f iU _
e No. City `Business'L'
Contractor's License No.
' :r
x Applicant's lnsuiance Company Policy Number
r,
FEES: Subdivision Improvement. Permit - Class 111. 051 ' 0 .1 4-25-91 - 10
a g i
' Public improvements: 3 of estimated construction costs.,;i0 CSH i; i 50.00
J' Private improvements: 3' of estimated `construction costs 1-082-
ucz
Minor Improvement Permit -•Class. IV_:.See.attached schedule .�
in Fee $ 10.00` P PERMIT VALIDATION
Permit. Fee t PERMIT NO.. ' 1082
Penalty
'Cash Deposit Surety Bond 3 - DATE APPROVED 4$i5-91
if, required.. ., - 4-25-91 �.
5 a EXPIRATION DA
$ •10.00; ,
TOTAL: .;: DAr SS
E, ,25=91
1 = Receipt No. `
t By
77
r `Received by Date Administrative Authority
' Recorded by TELEPHONE:.(619) 564-2246 ,
. �, .- .-'.i ..:}; r _.c 1" .-• .. Y .. �A�,+ ' �• � ..r'"t �_• X+.. h..+ ..--.".i+aa.- .� -, ir-'f'C:
=tj
-P"•"�b� �IfG'+l@F ,; �.�1aM:!•1a�+•.'�ilai; `� 3 • �'L.`��:1s � IYMy. �� i Y � rY �' '�? , �, �� �!N'' _ :.#" -'w _
Ilk
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
Subdivision Improvement Permit — Class III
DATE: April 25, 1991 Minor Improvement Per Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
move equipment
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION 11'6"H 10' 6Y W
83,500 lbs
DIMENSION OF INSTALLATION OR REMOVAL
j
5f SIZE OF.EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Sketch (attach construction plans if appropriate)
haul saute
VdIdngeon & FrEd Waring
to Ave 50 E/B
Approa } Mile
Haul ._Date 4-25-91
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris,ibackfilling, com-
paction I
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.
NueveoEnggneering, Inc. 79-811 Country glub BermudasBUnes
Name of Applicant (please print) Business Address Telephone No.
on ff&a
Name of Contractor and Job Foreman Business Address Telephone No.
on file on fi&&
Contractor's License No. City Business License No.
r
Applicant's Insurance Company Policy Number .
FEES: Subdivision Improvement. Permit — Class III p051Qg22 Vi 1 �1 Vp!25-41 X10
Public improvements: 3% of estimated construction costs 14 CASH 1 i Al 1 MOO
Private improvements: 3% of estimated construction costs J 1082
Minor Improvement Permit —. Class IV: See attached schedule
Inspection Fee $ 10.00 PERMIT VALIDATION
Permit Fee 1082
PERMIT NO.
Penalty
Cash Deposit -Surety Bond
if required
r,,•
TOTAL: $ 10.00
Receipt No.
Received by Date
Recorded by
DATE APPROVED 4545-91
EXPIRATION DA E4-25-91
L25-91
DATE'S :U,
By
Administrative Authority
TELEPHONE: (619) 564-2246'
VOTE:
Nith proper validation
:his 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
L/'� 1 Q, Subdivision Improvement Permit — Class III
DATE: I '/ - Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach -construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION'OR REMOVAL 1 l 1
It
(19 Lcx�1h�
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
UY / L
Ai
1h2-
APPROXIMATE
/2
APPROXIMATE TIME OF COMPLETION ,
ESTIMATED CONSTRUCTION COST $
(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 Quinta and to pay for any additional replacement necessary as the result of this work.
f.
Signature of Applicant r Agen
Nuevo Engineering, Inc. 79-811 Country Club, Bermuda Dunes 619-345-1778
Name of Applicant. (please print) Business Address Telephone No.
of Contractor and Job Foreman
Lice
's Insurance Company
Business Address /elephone No.
City Business License No.
EES: Subdivision Improvement Permit — Class•111
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Fee L $
�rmit Fee
!natty
Ish Deposit -Surety Bond
required
TOTAL:
eceipt No.
by Date
by
Policy Number
N°
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE .ISSUED
By
- Administrative Authority
TELEPHONE: (619) 564.2246
I
•
NOTE:`
+
With proper validation
"
a
this form constitutes an -'CITY QU{NTA
"CITY OF.
�.l
"•
"
ch �
x encroachment permit
;1 '+- APPLICATION' FOR PERMIT
p • 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
`
Subdivision Improvement Permit — Ciass III
April 25,'.1991,
'.
•
DATE: Minor Improvement Permit Class IV
r
LOCATION OF CONSTRUCTION
(Street -address or Description of Location) ~' _
move equipment. •
PURPOSE OF CONSTRUCTION Sketch (attach constructionlans if a
p appropriate). .
'
'
DESCRIPTION OF CONSTRUCTION 11' 611H 10' 6'.':' w"' haul route ti� ,' A
"
r
83.500 the Wahington &'Fred Waring '
fa
" to Ave 50 E/B
".
t
-A
DIMENSION } Mile
DIMENSION OF INSTALLATION OR REMOVAL
> .. 1 ` g'•
Haul"•Date:+4-25-91
.
t� .5
SIZE OF EXCAVATION, IF NEEDED !
1�
'
APPROXIMATE TIME WHEN WORK WILL BEGIN
'
APPROXIMATE TIME OF COMPLETION
^`
ESTIMATED`CONSTRUCTIONCOST $ ` .•
-
(Including removal of all obstruction, materials, and debris, backfilling, com- ., •�
,
,f `"' ,.-
paction and placing, permanent resurfacing and/ora replacing improvements)
r '
l a
In consideration of the granting of this permit; the applicant hereby -agrees to:
+
' t
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 appl cable rules end regulations of the City of
,La Quinta and to 'pay for any additional replacement necessary, as the result of this work.
1
+ Signature of plica t r Agent E
f
Nuevo,)EnAineerinf;,• Inc. 79-811 Country Club Berm-da
r �
Name of Applicant (please print) Business Address..," r Telephone No.
,t
p
on file. ... . t '
Name of, Contractor and Job Foreman Business Address ` Telephone•No.
' t
t
r ?on
on file file~
.,
Contractor's License No. ,# A City Business License No. -
+ r
Applicant's Insurance Company ,. Policy Number-
�
FEES:es r. - F . . , �. � •..
"`Subdivision Improvement Permit— Class Ill' 082 i6 7 p4 -25-9i
` '18511
10.00•
,, + '
SO
CASH0 i TO�AL 1
Public improvements: 3% of estimated construction costs p
' '+ 1 0 8 2 ',.
Private improvementsi 3% of estimated construction costs ? t
'
Minor Improvement Permit —Class IV: See attached schedule; _ L`
i J �„
Inspection Fee $ 10.00 PERMIT VALIDATION
Permit Fee 1082 -
rs> PERMIT NO.
t:.
'
Penalty '
+ :DATE APPROVED 4=25-91
' : �•
Cash Deposit -Surety Bond .
-if required .- _25-91,
' � EXPIRATION DA+
5
-
10:00
TOTAL: $ nA 5-91.•
y
1.1
Receipt No...'r' E
By
• , Ftl
by Date Administrative Authority
i .Received
PW,
Recorded by ` 'TELEPHONE_(619) 564.2246 • "
-� `-
4
41
• `
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to ., �
� �., ., '
• • ,
•