1112Mr•
NOTE:
With proper validation
this form constitutes an CITY OF LAS, QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS /CONSTRUCTION (ENCROACHMENT)
For the construction of public . or private curbs, driveways, pavement's, sidewalks,: parking lots, sewers, water mains
and other like public works improvements in connection with MINOR'IMPROVEMENTS and APPROVED SUBDIVISIONS
Mays: 22o y1991' - - Subdivision lmprovement Permit — Class III
DATE: -Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description Af Location)
PURPOSE OF CONSTRUCTION move equipment Sketch.(attach construction plans if appropriate)
R ''DESCRIPTION.OF CONSTRUCTION 16G Blade Haul Route",. '
' 'From,city limits on Washington
*DIMENSION OF INSTALLATION OR REMOVAL 11' .6" 'H,`10' 6't W 's /Y. to Ave '50 e/b approx..-1/2 mile
83,500 lbs. 3
k -Haul date: 5%23/9^1
SIZExOF'EXCAVATION; IF NEEDED '
APPROXIMATE TIME WHEN WORK'WILL BEGIN A.,
APPROXIMATE TIME OF COMPLETION J `
ESTIMATED CONSTRUCTION COST. $
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction
om 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, itsauthorizedagents, officers, representatives and employees,•harinless 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: f
h ! 2 L14Q 6 b L�'' L 0 A
- Signature of Appy nt o gent -
Piconi Trucking 39723 Old -Carriage Rd. Murileta,`CA•92362 (714}677-8196 '
Name of Applicant,(please print) ...'Business Address z Telephone No. _
Nuebo Engineering,'Inc 79 811`Couniry Club Dr. Bermuda Dunes; 345-1778
Name of Contractor•and Job Foreman Business Address Telephone No.
on'file on file
Contractor's License�No. City Business License No.
on file. on, .file.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit - Class"111.
12 Public improvements: 3% of estimated construction costs :•... �; __ _ .
'Private improvements: 3% of estimated construction costs
8pp ii p -►_
F i1511 % 1 i2 i5g TQTALS-1 � 9i 10:00 0
-Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ PERMIT VALIDATION
Permit Fee PERMIT NO. '
Penalty � / 91
Cash Deposit -Surety Bond DATE APPROVED f
if required EXPIRATION DATE
TOTAL: $ ,� DATE ISSUED
Receipt No. 7/t,
By
Received by Date Administrative Authority
Recorded by .TELEPHONE: (619) 564-2246
NOTE:
With proper validation
this form constitutes an
encroachment permit
CITY OF LA QUINTA
APPLACATION FOR PERMIT
PUBLIC WORKSICONSTRUCTION (ENCROACHMENT)
P
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
May 22, 1991 Subdivision Improvement Permit — Class I I I
DATE: 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 16G Blade Haul Route"
From city limits on Washington
DIMENSION OF INSTALLATION OR REMOVAL 11' 6" H, 10' 6" W s/b to Ave 50 e/b approx. 1/2 mile
83,500 lbs.
Haul date: 5/23/91
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-
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.
Signature of Appli ant d gent
Piconi Trucking 39723 Old Carriage Rd. Murrieta, CA 92362 (714)677-8196
Name of Applicant (please print) Business Address Telephone No.
Nuebo Engineering, Inc 79 811 Country Club Dr. Bermuda Dunes 345-1778
Name of Contractor and Job Foreman Business Address Telephone No.
on file on file
Contractor's License No. City Business License No.
on file 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.
Received by
$ � / 4. 0?1
Date
1112
1Q0"HAAO i2 MAP -1311--91i0.00 SO
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED -5/
.a.3
EXPIRATION DATE
DATE ISSUED
{
By
Administrative Authority
Recorded by II TELEPHONE: (619) 564-2246
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
Subdivision Improvement Permit — Class III
DATE:l Minor Improvement Permit Class IV
.LOCATION OF CONSTRUCTION
(Street address or Description of Locationl
PURPOSE OF CONSTRUCTION Sketch lattach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION LOU dl(1717i
��.�
DIMENSION OF INSTALLATION OR REMOVAL l 1t Gti '
�I ,r�
SIZE OF EXCAVATION, IF NEEDED FL V� 6V
APPROXIMATE TIME WHEN WORK WILL BEGIN ,
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ 5(2
./including removal of all obstruction, materials, and debris, backfilling, com- -
3 1
,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 proximity. result of any .work undertaken under the permit granted pursuant to this,application.
Notify the. Administrative Authority it least twenty-four1241 hours in advance of the time when work will be started.
Comply with all applicable City Ordinences,"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.
Signature 'of 4f ilica4i or Agent
Pi -oni T)2ji(,kinQ Y P n I d Carr; a gP Rd )j�(irrri•a; a PA q?2h� C71 4) 67Z-81 6
� r --s v i
Name of Applicant (please print) Business Address Telephone No.
Nuevo Env—ineeringi Inc. 79-811 ,o untrv- Cluh Dr. RQrmiida 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.
O Fi1P on. Ei1P
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: $
teceipt No.
leceived by Date
lecorded by
PERMIT, VALIDATION
PERMIT NO. i
DATE APPROVED
_ EXPIRATION DATE
DATE ISSUED
By
TELEPHONE: (619) 664-2246
Administrative Authority