1101NOTE:
r off.
!i!!i!h'Qtcaper validation ,r
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, driveway's, 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 111
DATE: SI "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(Q
DIMENSION OF INSTALLATION OR RftAOVq L 2
Rue- 5-0 li
1�' �" I ► ��h >.� (?tel �tG,►� - �a� L- m E't
SIZE OF EXCAVATION, IF NEEDED.
APPROXIMATE TIME WHEN WORK WILL BEGIN N
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 snd'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 (241 hours in advance of,ths, 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 tluinte and to pay for. any,additional replacement'necessary as the result of this work.
Signature of Applicant or Agent
Pi con; `l�ni.rking - 32223 Old r,arigPRr T._�t, r��j.c��' (A Q7�FiP (-7i ALL nZZ-81 a6
Name of, Applicant (please print) Business Address . Telephone No. ,
Nuevo Engineering Inc . 79-811 Country Cl iih Dr - Rermuda Diines - 345-1_778
Name of Contractor and Job Foreman Business Address Telephone No.
On File
Contractor's License No.
On File
City Business License No.
Qn Fi 1e
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class 111
Public improvements: 3% of estimated construction costs ,
Private improvements: 3% of estimated construction costs d 0
Minor, Improvement Permit — Class IV: See attached schedule N
nspection" Fee $,
'ermit Fee
y
tensity
:ash Deposit -Surety Bond ,
` required
TOTAL:, $ `
leceipt No. i
leceived by Date
lecorded by
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
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)c
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
DATE: 5-7-91 ; Minor Improvement Permit Class`IV.
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF, CONSTRUCTION HAUL D 8K DOZER Sketch (attach construction plans if appropriate)
GROSS WT 120,000 LBS
DESCRIPTION OF CONSTRUCTION 13'6 -WIDE LEGAL' HT HAUL ROUTE AVE 50 TO WASHINGTON''
NORTH TO CITY LIMITS
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
2 PILOT CAR' REQUIRED f
'APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $+
(In`cluding removal of all obstruction, materials, and debris, backfilling, com
pacfion and placing permanent resurfacing and/or, replacing; improvements)
In consideration of the granting of this permit, the applicant hereby agrees to: . =
Indemnify, -defend and' save the City, its authorized agents, officers, representatives and employees; harmless from and against any and all
penalties; liabilities or -loss, resulting from claims or court action and arising out .of: any accident, loss or. damage to persons or property .
happening or. occurring as .a proximate result of any work undertaken under the permit granted pursuant to this application.
Notify the -,Administrative Authority. at least twenty-four_124f hours in advance of the time when work will be started. ?
;.
Comply with.all .applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of
La Quinta and to pay for.any additional replacement necessary as the ult of this work.
Sin ure of Applicant or Agent
PICONI TRUCKING' 39723 OLD CARRIAGE RD
Name of Applicant (please print) Business Address Telephone No.
NURRIETA, CA 714-677781:96
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No. City Business License No.
Applicant's Insurance Company Policy Number'
FEES: Subdivision Improvement Permit —Class III
. Q05i$'' j,0 i 5107-91 � iQ_ .
Public'improvements: 3% of•estimated construction costs 10 G� N� 011 TAL 10:00
Private improvements: 3% of estimated construction costs .
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ PERMIT VALIDATION
10.00 PERMIT NO.
Permit Fee '" 110.1
Penalty . �. 5-7-91
Cash Deposit -Surety Bond DATE.APPROVED
if.required EXPIRATION DATE 5-7-91
10.00 5-7-91
TOTAL: $ DA E I S
Receipt No.
By
Received by Date --Administrative Authority .
Recorded by TELEPHONE: (619) • -4-2246
19
71 *
7- Y...�-�S�i•. .�T� .. I,'. �-w., � : ✓,a'µ•,+N'.; a
M J +y.T}`•��•' � - � 4 X11 t�.
1• „
`NOTE:'
" With proper validation
this form constitutes an
encroachment permit
rt'-0`i� t( sok..°1. i•�y ✓a1 •k.n" n .� r .. "� y�,' .. -
• .. -..� ", . _AiY-' �_ ., rw a, -..I. /�l.hi..�`, a+i,��w�. ..H6%
'- CITY OF LA QUINTA '
APPLICATION FOR PERMIT
dike r
,1.r4�J fa...�.i� •,. n.H �,YS.a�3•L:vn .� o�.
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) ; o�sw�
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: 5-7-91 `�, Minor Improvement Permit Class IV '
LOCATION -OF CONSTRUCTION *`
2, ..21
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION HAUL D 8K DOZER' °Sketch (attach construction plans if appropriate)
GROSS WT 120,000 LBS F
DESCRIPTION OF CONSTRUCTION 13'6: WIDE LEGAL HT f 'HAUL ROUTE AVE 50 TO WASHINGTON
` NORTH TO CITY LIMITS 7 '
". DIMENSION OF INSTALLATION OR REMOVAL
., , {
Z P]7= CAR REQDYRBD 4 ,
SIZE OF EXCAVATION, IF NEEDED `^
-APPROXIMATE TIME WHEN WORK WILL BEGIN
w,
APPROXIMATE.TIME OF COMPLETION a L`,.
a {ESTIMATED CONSTRUCTION COST
om
(Including removal of all obstruction, materials, and debris, backfilling; com-
paction and placing -,,permanent resurfacing and/or replacing improvements)
paction
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.
`the
4r .
Notify the. Administrative Authority at least twenty-fou�(24) hours in advance of the time when work will be started.
1
Com ,I with all applicable Cit Ordinances, the terms and conditions of the permit and all applicable rules and re ulations of Cit of
PY. PP Y P PP 9 Y
4.�
_
-La Quinta and to pay for any additional replacement necessary as the It of this work.
•
Si na ure of. Applicant or Agent
-:: `PICONI TRUCKING •39723 OLD CARRIAGE -RD
"Name of Applicant (please print) Business Address Telephone No. ~.
MURRIETA, CA 714-67778196
Name of Contractor and Job Foreman Business Address Telephone No. •
Contractor's License No. City Business License No.
` Applicant's Insurance Company. Policy Number
FEES:. Subdivision Improvement Permit — Class l l l
Q05ign 0 i 05-07-91
P UAL•
14
a Public improvements: 3% of estimated construction costs �1 C i: 0.00'
1.0
Private improvements: 3% of estimated construction costs 1 q
Minor Improvement Permit — Class IV: See attached schedule
• ct; ,
:`Inspection Fee $ PERMIT VALIDATION
Permit Fee 10.00 - 1101
'
PERMIT NO.
+ - 5-7-91 '
' • PenaltyDATE
r APPROVED
Cash Deposit -Surety Bond
if, requiredEXPIRATION DATE 5-7-91
TOTAL: $ 10.00 — —
DA E.I Sli
Receipt No. I
By
y; • �.�,R�1t �f �� . , Administrative'`Authoi•ity
Received b Date "~ `1 >' t
__. Recorded by =''' ,TELEPHONE:, (619)• 64 2246 '
NOTE:
With'proper.validation '
this form constitutes an
CITY OF LA DUiNTA'
encroachment permit
- APPLICATION FOR PERMIT
PUBLIC WORKS "CONSTRUCTJON :(ENCROACHMENT) - cg
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: < / Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or.Description of.Location) t '
PURPOSE F CONSTRUCTIONvIZ
�� `' Z��Sketch' (attach construction plans if appropriate)
0 S*'S IO p _
DESCRIPTION OF CONSTRUCTION
14
DIMENSION OF INSTALLATION OR, REMOVAL
_ryA17
SIZE OF EXCAVATION, IF NEEDED L '
APPROXIMATE TIME WHEN WORK WILL BEGIN
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: f '
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 441 -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'Applicant.or Agent
Nam of Applicant (please print) Business Address Telephone No. G
Name of Contractor and Job Foreman, , Business Address Telephone No.
Contractor's License NO. City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit -Class III
Public improvements -. 3% of estimated construction costs a. -
Private improvements' 39'0 of.estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule V
Inspection Fee $ PERMIT VALIDATION
Permit Fee .. PERMIT NO.
- „ Penalty
Cash Deposit -Surety Bond DATE'APPROVED
if required EXPIRATION DATE
TOTAL:. $ .•.
DATE ISSUED'
Receipt No.
By
Received by .Date {.' a ' "i Administrative Authority
s Recorded by TELEPHONE:. (619) 5642246
NOTE:
'.t'_
With proper'validation
this form constitutes an
• tt:r.
t
-CITY OF LA QUINTAa
encroachment permit - 1
�� •• ;
APPLICATION ,FOR • ,
,PERMIT
' •. PUBLIC;WORKS CONSTRUCTION '(ENCROACHMENT),
For the construction of public or private curbs, driveways, pavements, sidewalks;' parking lots, sewers, water mains'
ti I
t-. ' and other Iike'pub_lic works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS r
Subdivision Improvement Permit - Class I II •-
r i
.'f
DATE: 5-7-91 - Minor Improvement Permit Class IV `
�ri
r
LOCATION' OF CONSTRUCTION
A.
(Street address or Description of Location)
*�
+•
r PURPOSE OF CONSTRUCTION HAUL.- D 8K DOZER 'Sketch (attach construction plans if a -
P PPropriate)
r *y
GROSS WT 120,000 LBS i
^
DESCRIPTION OFfCONSTRUCTION 13' 6 WIDE LEGAL, HT" ' ��HAUL ROUTE, AVE *50 tTO WASHINGTON ^
Y NORTH TO.CITY LIMITS 43
DIMENSION OF INSTALLATION OR REMOVAL` °? ,
r
'
CAR REQIIIRED .'
oILOT
SIZE OF EXCAVATION, IF NEEDED /j
• r .
APPROXIMATE TIME WHEN WORK-WILL'BEGIN
• ..�. '
APPROXIMATE TIME OF COMPLETION • * •''' . r
c
; } ,
ESTIMATED CONSTRUCTION COST $ "
(Including removal of all obstruction; materials, and debris, backfilling, lcom* f
paction arid'placing permanent resurfacing and/or replacing improvements) '
t'.
In consideration of the.granting of this'permit; the applicant hereby agreis to:
'and
Indemnify defend `save the .City, its.,authorizedagents,-officers, representatives and employees, harmless from and against any and all .•4
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 anywork undertaken undei the, permit granted pursuant'io this application.
a,
.r - r.
' -
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 .'
f r,
La Quinta and to pay, for 'any additional,replacemenrnecessary a's the It of thi's work. _ `r`'r• -•.� i• .4
..
,- _ ��:
• - `' - f - � .�� 'fir s
v,
.`. ,
, • S, n ure of Applicant or Agent
•- A`
PICONI TRUCKING -,39723 OLD CARRIAGE RD-
+.
Name of Applicant (please print) �'. " r Business Address 1. - -� ` Telephone No.
Ze r .MURRIETA,`-CA 714-677=8196 �^
Name of Contractor and J Foreman < i ;` „ z' Business Address ' '-' t Telephone No.
a
" `"'
License No. i • ' City Business License No.
/Cdntractor's r
Applicant's Insurance Company `- ! Policy Number.
FEES: Subdivision -Improvement Permit - Class III r • `�. r .
ti5iy'1 i0 ir'cr 05-07--91 1_
•
i. •.
Public improvements: 3% of estimated construction costs s is.., CASH i TOTAL. i - t `0.r00
i 1
O 1
�.•.
I Private improvements: 3%of.estimated construction costs J +I; f
r
4
Minor Improvement Permit - Class IV: See attached schedule.
Y
Inspection Fee r$ t
PERMIT VALIDATION
Permit Fee 10.00 .'�
•r
`+
' 1101
.. ^PERMIT
'Ps,
� k
N .
0
•
• ..
enat
CashlDeposit•Surety Bond• " '•:� ` ? 1
r 10%
DATE APPROVED` 'S-7-91 t
*
1
-
if required ,
EXPIRATION DATE a `5-7=91 ,
"
'•,
,TOTAL: `. $ «� 10.00
5-7-91
.r
{<
DATE ISS
�• a
Receipt No.
i
F
f
rs.
Received by t Date
+•—Administrative Authority
r
~ a
a
w,r
Recorded by
TELEPHONE: (619) •2246
S- .. -
-
- 1 ♦ _ -