1111NOTE:
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:111
DATE: May 22, 1991 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
.(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move equipment Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION scraper
Haul route:
CiT LtNe9"fes'
'''DIMENSION OF INSTALLATION OR REMOVAL 10- W S/B on Washington to Ave 50
E/B approx'1/2;miles
lbs.
,SI
.
SIZE OF EXCAVATION, IF NEEDED
Haul Date:
- 5/23/91
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION ,e
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 an and'all
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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 A6lican r Agent c
Piconi Trucking 39723.01d Carriage Rd., Murrieta, CA:92362 714 677-8196
Name of AptPlicant (please print) Business -Address Telephone No.
Nuevo Engineering, Inc. 79 811 Country Club Dr. Bermuda Hunes 345-1778
Name of Contractor and Job Foreman Business Address Telephone No.
on file f i A
Contractor's License No. City Business License No.
on file on .file
Applicant's Insurance Company Policy Number
P —
FEES: Subdivision Improvement er mi t Class I II
Public improvements.:. 3% of estimated construction costs
" ` 0 2 5b 5-22-9i
10
.. i� ,051 ��� i1��lTA� i SO•.00
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ PERMIT VALIDATION
Permit Fee PERMIT NO
Penalty
Cash Deposit -Surety Bond
if., required
TOTAL: $
Receipt No.
Received by Date
Recorded by
DATE APPROVED
EXPIRATION DATE
DATE'ISSUED
By
r Administrative Auth6riiy.
TELEPHQN,E: (619) 564-2246
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h
!8'
1
NOTE:
With proper validation
this form constitutes an
encroachment permit
y.t" •:
✓�� .1 �� d f r$ 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
DATE: May 22, 1991
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
Move equipment
DESCRIPTION OF CONSTRUCTION 523 scraper
DIMENSION OF INSTALLATION OR REMOVAL , 1
110,000 s.
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com-
action and placin permanent resurfacing and/or replacing improvements)
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
Pg
In consideration of the granting of this permit, the applicant hereby agrees to:
Haul route:
Fe cAA G tT`( Li *,%1 T5
S/B on Washington to Ave 50
E/B approx 1/2 miles
Haul Date:
5/23/91
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.
o�n�� I aaLTI 1
Signature of Ap , licant,or Agent
Picoa Trucking 39723 Old Carriage Rd., Murrieta, CA 92362 (714) 677-8196
Name of Applicant (please print) Business Address Telephone No.
Nuevo Engineering, Inc. 79 811 Country Club Dr. Bermuda Bunes 345-1778
Name of Contractor and Job Foreman Business Address Telephone No.
on file
Contractor's License No.
on file
on file
City Business License No.
on file
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I I I
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if. required
TOTAL:
Receipt No.
$ /Q . ec
Received by Date
Recorded by
f 805i��1�01i 17AL5 f22-91 i0. QA 10
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED _ �JJ 91
EXPIRATION DATE
DATE ISSUED -5-4) zo/gj
By
Administrative Authority
TELEPHONE: (619) 564-2246
NOTE:
With proper validation
this forrnp),ristitutesan, 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
(�) Q Subdivision Improvement Permit —Class III
DATE: / 1 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 ,
dash
DIM N O INSTALLATION OR'REMOVAL ' _
SIZE OF EXCAVATION IF' NEEDED
S
. I
APPROXIMATE TIME'WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ ,
(Including removal. of all obstruction, materials, and debris, backfilling, corn—,.
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 authorlZed agents, officers, representatives and employees, harmless from and against my 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 1241 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
l.a Quints and to Day for any additional replacement necessary as the result of this work.
0
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:.Pi ('nni ` r-unki ng 3Q723 n1 d C2 r 3gr� PH T Miirri,Pta � rA 92��2 (Zl.h)n. -ZZ-81;16
Name of Applicant (please print) Business Address Telephone No.
Nuevo Engineering, ' Tn6,, 79-811 CountLy 01 iih Dr. Rer'muda. Dunes, X45-1 778
Name of Contractor and Job Foreman Business Address_ ,Telephone No.
On File On� File
Contractor's License No. City .Business License No.
On Pi 1 e C)ni].P '
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class Ill
Public improvements: 396 of estimated construction'costs ,
Private improvements: 3% of estimated construction costs
Minor. Improvement Permit — Class IV: See attached schedule
nspection Fee $ I�
'ermit Fee
'enalty
:ash Deposit -Surety Bond
' required
'.TOTAL: $
leceipt No. '
leceived by Date
iecorded by
PERMIT VALIDATION
PERMIT NO. "
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
I I Administrative Authority
TELEPHONE: (6191564.2246