1090NOTE:
Wi0p'roper validation
this form constitutes an
encroachment permit
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTIO_ N (ENCROACHMENT)X U
0 S
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 I I I
DATE: ;-30-91 `` Minor, Improvement Permit Class IV,
LOCATION OF CONSTRUCTION .
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION MOVE EQUIPMENT j Sketch (attach'construction, plans if appropriate)
DESCRIPTION OF CONSTR1. UCTION A74R WAF.E..T.-DOZER HAUL ROUTE:`
FROM CITY -LIMITS ON-WASAINGT1119•
S/B TO AVE 50 E/B APPROX '
DIMENSION OF -INSTALLATION OR REMOVAL 141.611H 131611W ,110,0001 MILE
1 1 n 9 nnn T.RR
of
'SIZ'E.OF EXCAVATION, IF NEEDED UUL DATE '4-30-91
APPROXIMATE TIM&WHEN WORK WILL BEGIN 'p ONE PLOT C
' 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) , 1 h nn__ _g4 "r to
•
r i SFS `SAL -I--' 10:00,:
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 'alI applicable rules and regulations` of the City of ?'
La Quinta and io,pay for`any additional replacement necessary as the result of this work.
Signature of,Appli a `t or Agent '
NUEVO 'ENGINEERING INC.- 79811 'BBHK1Q -CLUB BERMUDA DUKES
Name of Applicant (please print) Business Address ' _ Telephone No.
•Name of Contractor and Job Foreman _ Business Address Telephone No.' 4
ON FILEONF�LE'
Contractor's License No. `City Business License No.
ON FILE
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit -Class III
Public improvements: 3% of estimated construction costs { ry, _ _ __. .4.0 9 0
Private improvements:; 3% of estimated construction costs ;
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $
Permit Fee
10.00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 10.00
Receipt No.
Received by Date
PERMIT VALIDATION
PERMIT NO. 1090
DATE APPROVED 4-30-91
4-30-91
EXPIRATION DATE -n
D I'S 4-30-91
By
Administrative Authority
Recorded by II TELEPHONE: (619) 564-2246
.1 .. _�.drs-...n-.,.`.+-ter �< _ ... •+�~ ._ ,`.. .,..._.���.
NOTE:'
With311-roper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
I •-
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: 4-30-91
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
Subdivision Improvement Permit — Class II I
Minor Improvement Permit Class IV
PURPOSE OF CONSTRUCTION MOVE EQUIPMENT Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 824E WHEEL DOZER HAUL ROUTE:
FROM CITY LIMITS ON WASHINGTI19
S/B TO AVE 50 E/B APPROX
DIMENSION OF INSTALLATION OR REMOVAL -1416"H 131611W 110,000] MILE
110.000 LBS
SIZE OF EXCAVATION, IF NEEDED
HAUL DATE 4-30-91
APPROXIMATE TIME WHEN WORK WILL BEGIN NEMD ONE PILOT CAR
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) n1% A A enLq4:Cg;A i4
In consideration of the granting of this permit, the applicant hereby agrees to: W— ASN i 1dTAL i -i0.00
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 for any additional replacement necessary as the result of this work.
Signature of Applica t or Agent
NUEVO ENGINEERING INC. 79-811 BBHIdE'!HI CLUB BERMUDA DUNESV
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.
ON FILE
ON FILE
City Business License No.
Applicant'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
Inspection Fee $
10.00
Permit Fee
Penalty
Cash Deposit-Surety{Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
$ 10.00
Date N '�
1090
PERMIT VALIDATION
1090
PERMIT NO.
DATE APPROVED
4-30-91
4-30-91
EXPIRATION DATE
6-30—
-yy
DATE •D�
4-30-91
By
-`'-Administrative Authority
TELEPHONE: (619) 564-2246
■
VOTE: ,.
Nith proper validation*
this form constitutes an CITY OF LA QUINTA
!n&6achment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION IENCROACHMENTI
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
��
(� Subdlvision Improvement Permit — Class 111
DATE:.L2 ! �9 - Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location) n -
PURPOSE OF CONSTRUCTION r Sketch (attach construction plans if appropriate►
DESCRIPTION OF CONSTRUCTION1W CA
,aG�-� ,
DIMENSION OF INSTALLATION'OR REMOVAL Iq L0 14
S1 i3 7U
SIZE OF EXCAVATION, IF NEEDED x
D
-APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST C 0& . • %— ��,
(Including removal of all obstruction, materials, and debris, backfilling,.com- N
paction and placing permanent resurfacing and/or replacing improvements) "
In consideration of the granting of this permit, the applicant hereby agrees to: r
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 Quinte and to pay for any additional replacement necessary as the result of this work.
Signature of A icant Agent
Nuevo Engineering, Inca_ 79-811 Country Club, _.Bermuda.Dunes' 619-345-1778
Name of Applicant (please printl ' Business Address Telephone No.
of�Contraand .lob Foreman
ntractor's License No.
Business Address Telephone No.
. � CJI I � •
City Business.LicenA No. '
applicant's Insurance Company Policy Number
EES: 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 $ !
ermit Fee
enalty 3
ash Deposit -Surety Bond
required -
TOTAL: $
eceipt No.
eceived by Date
ecorded by
{ .
{ N0
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: (619) 564-2246
,
•fir
-
•
t • !f `I' " _ _ _ .. _ t r. _ •' i' a v..�
NOTE:
I With proper validation ' a.
} . this form constitutes an `CITY OF . LA ' QUINTA • ��
encroachment permit :. „•p
APPLICATION FOR`�PERMIT -. fg
` a• - P.UBLIG WORKSCONSTRUCTION (ENCROACHMENT)
�y
... rely :� •y * i F Tl�+ ,
IJ
For the construction of public'or,,private curbs, driveways, *pavements, sidewalks, parking Totts,-sewers, water mains'
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS •, : +
111 �- , a .• ,
4-30=91 K
t a>• Subdivision Improvement Permit — Class.11l
I DATE: ' Minor Improvement Permit Class IV
r LOCATION OF CONSTRUCTION "r } " -` ' r
*.
• r ' •'� (Street address or Description of Location)
EQUIPMENT + c ,t+�
t } PURPOSE OF CONSTRUCTION MOVE F. �� Sketch (attach construction plans if appropriate)
t R94B WHF.F.T. ➢07F.R 'HAUL ROUTE ._ DESCRIPTION OF CONSTRUCTION :';
*' FROM•CITY•LIMITS ON WASHINGTON_?
+'
SIB,T6 AVE 50 E/B APPROX
.. 4 1 4 1 61114 1.11 h'tGl..- i t .
DIMENSION OF INSTALLATION OR REMOVAL } MILE •.w;`': • ' ' ;
1 11n -Mn T.Bf2..
SIZE OF EXCAVATION, IF NEEDED 'HAUL DATE 4=30-91
ya ' ': - +
APPROXIMATE.TIME WHEN WORK WILL BEGIN. NEED ONE PILOT CAR "
ra
�- APPROXIMATE TIME OF COMPLETION Z'
' ESTIMATED CONSTRUCTION COST $ `
(Including removal of all obstruction, materials, and debris, backfilling, com- 5 t r t •" `r L
paction'and placing permanent resurfacing and/or replacing improvements) 0Sj p-,) ' 84-7171-911' 10 ,
S ;i,T AL I 10.00
In consideration of the'granting of this permit, the applicant hereby'agrees,to: r ti
Indemnify,-defend and save the City; its authorized agents, officers, representatives and •employees, harmless from and against any and all
- f 3 penalties, liabilities or loss resulting from claims or court action and arising out of .any accident;, loss or damage to parsons or property
` •'t - .a happening or occurring as a proximate result of any.work undertaken under the permit granted pursuant to.this application. r
1 I
j: Notify the Administrative Authority at least twenty-four-(24)-hours in advance of,the time when work will be started.-
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 and4o pay foranyadditional, replacement necessary as the result of this work. "
r` Signaiur'e of Appli it or Agent 4} a
_NllEyn r.NnTNF.FRING INC_ 79-811'=COUNTRY CLUB}BERMUDA DUNES
Name of Applicant (please print) Business Address .-4 Telephone No. r'
-
"Name of Contractor and Job Foreman � Business Address, `'Telephone No.
+h
t
ON FTLF. " ON FILE ' t
Contractor's License No. City BusinessLicense No..
i . t ON FILE
s.
? Applicant's Insurance Company - Policy Number
FEES: -Subdivision Improvement Permit — Class I I I,.
� Public improvements: 3% of estimated construction costs' r 1 090,
• x-;+ •
'Private improvements: 3% of estimated construction costs
�} Minor Improvement Permit— Class IV: See attached schedule _ �, . • •4 -
Inspection Fee $ >• PERMIT VALIDATION
Permit Fee r •t= ` ' 10.00 .+r ' logo'
PERMIT NO.
• r i Penalty ti
s >
Cash Deposit-Surety Bond DATE APPROVED 4-30-91
• qure" - r $ ` 4-30-91
if reid - .., •
i v EXPIRATION DATE'
TOTAL: $ 10.00J-
V I Receipt No.
Received by, -' Date ° • ministrative Authority
Recorded by- f T `TELEPHONE: (619) 564.2246