1100✓ P r
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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)
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:
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION move equipment
DESCRIPTION OF CONSTRUCTION 623 scraper
DIMENSION OF INSTALLATION OR REMOVAL141 H, 101W
110,000 lbs
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
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:
Saul Routes
Hwy 111 & Washington
S/B to Ave 50 E/B approx. 1/2 mi
Haul- dates 5/7/91
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.
Signature of A licant ar Agent
Pi,coni Trucking 39723 Old Carriage Rd., Murrieta, CA 92362 (714) 677-8196
Name of Applicant (please print) Business Address Telephone No.
Nuevo Engineering, Inc. 99-811 Country Club Dr., Bermuda Dunes 345-1778
Name of Contractor and Job Foreman Business Address y_ Telephone No.
on f ile on f ile
Contractor's License No. City Business License No. '
on file on file
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class II I 4051RA0i MA25-06-9ii0.00 10
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs I 1 V
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $
Permit Fee _140-00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $
Receipt No.
Received by Date
Recorded by
L
PERMIT VALIDATION
PERMIT NO. ��dd
s- l,'-
DATE APPROVED 9/
EXPIRATION DATE �— —?/
DATE ISSUED 9
By 7—a�A
Administrative Authority
TELEPHONE: (619) 564-2246
f
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: 5/6/91
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION move equipment
DESCRIPTION OF CONSTRUCTION 623 scraper
DIMENSION OF INSTALLATION OR REMOVAL14r H, 101W
110,000 lbs
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Subdivision Improvement Permit— Class III
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
Haul Route:
Hwy 111 & Washington
S/B to Ave 50 E/B approx. 1/2 mi
Haul date: 5/7/91
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.
/�I a kjV
Signature of Ab licant(r Agent j
Piconi Trucking 39723 Old Carriage Rd., Murrieta, CA 92362 (714) 677-8196
Name of Applicant (please print) Business Address Telephone No.
Nuevo Engineering, Inc. 69-811 Country Club Dr., Bermuda Dunes 345-1778
Name of Contractor and Job Foreman Business Address Telephone No.
on file
Contractor's License No.
on file
on f ile
City Business License No.
on f ile
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class III41054 S�O4i � A�5-06-9140.00 10
Public improvements: 3% of estimated construction costs i V n O
Private improvements: 3% of estimated construction costs f
Minor Improvement Permit — Class IV: See�attached schedule
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
O
$ 140,00 4.,'
Receipt No.
Received by Date
PERMIT VALIDATION
PERMIT NO. 404>
s�
DATE APPROVED &- 9/%
EXPIRATION DATE s+ 7 ` �f
DATE ISSUED -5 `� 9
By ALA
d Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
NOTE:
Withro r
p pe validation
this form constitutes an CITY OF LA QUINTA
encroachment 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 =
/n Subdivision Improvement Permit — Class III
DATE: C.� Minor'lmprovement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Y� ��� �v�x Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION ' �U
��AGDN
DIMENSION OF INSTALLATION OR REMOVAL 1�
13
SIZE OF EXCAVATION, IF NEEDED APPr0x
APPROXIMATE TIME WHEN WORK WILL BEGIN
4A-UL
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ 6 N /I
(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 st,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.
I A/, ., ,. (` , 1
Signature of A,¢4licant6fir Agent
-Pi nc)ni'_T32iirkin_g 3Q72'3 01ri l:arrIaP.- F2�Miirria4a� CA Q2�69 (�14,L.n�7—Rl.a6
Name of Applicant (please print) Business Address Telephone No.
Nuevo Engineering. Inc. 79-811 Country C1uh Dr- Bermuda Dunes, X45-1778
Name of Contractor and Job Foreman Business Address Telephone No.
On File On File
Contractor's License No. City Business License No.
On Fi'l P nn_ Pi 1 P
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
nspection Fee $
'ermit Fee
'enalty
'ash Deposit -Surety Bond
` required
TOTAL:
leceipt No.
leceived by Date
lecorded by
NY / U C)
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
TELEPHONE: (619) 564.2246
Administrative Authority