1147��' �'1��7't•'�°1f/.�i'i""""�i'+��d't/'""-��'`'�e;'-`.`"'A�"^��pj��d.^I�`"°'� ��G�.�F'�g'T""vrK"°"'""`+�.".�.'s`,�«i%'"'r'���°�:"�:>+'+ry�w?•�i;�r.R.s+.^.s,�'- "`
}. + e
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
July 11, 1991 Subdivision Improvement Permit — Class III
DATE- Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION move equipment
DESCRIPTION OF CONSTRUCTION 3 — 623 SCRAPERS
PS 23-3, 2374, & 23-5
'DIMENSION OF INSTALLATION OR REMOVAL 14'H, 101 W
i
- "'_'SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 7/12/91
Sketch (attach construction plans if appropriate)
HAUL ROUTE;
AVE 50 W/B TO WASHINGTON
S/B TO TAMPICO
,4 FT. -R,
HAUL TO TARE PLACE REV M6. A.M.
AND BEFORE 7 A.M.
a
r•�•, APPROXIMATE TIME OF COMPLETION 7/12/91
ESTIMATED CONSTRUCTION COST $
^'UIRED.
(Including removal of all obstruction, materials, and debris; backfilling, com-
ONE PUM CAR REQ
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
e
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. ;J
Comply with all applicable City Ordinances, the terms and conditions of the pemit and all a plicable rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result of this work. R
Signature of Applicant or gent f
PICONI 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 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
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $
0
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 0
Receipt No.
Received by Date
Recorded by
Q
1147
PERMIT VALIDATION
PERMIT NO. 11447
7/11/91
DATE APPROVED
EXPIRATION DATE 7/12/91
DATE ISSUED 7/11/91
By
Administrative Authority
r TELEPHONE: (619) 564-2246
NOTE.
.With proper validation
this form- constitutes an
CITY OF LA QUINTA
encroachment permit
APPLICATION rL)K PERMIT
PUBLIC
tK H -
PUBLIC WORKS CONSTRUCTION: (ENCROACHMENT)
OF,
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.
July 11 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 3 623 SCRAPERS
UL ROUTE;
PS 23-4, 23-4,.6 23-5
AVEAV56 W TO WASHINGTON_
DIMENSION OF INSTALLATION OR REMOVAL 109, 10' W S/B TO TAMPICO
.4 FTE P_
-HAUL TO TAKE PLACE fifffM6 A.M.
s4'SIZE OF EXCAVATION, IF NEEDED
ANp..BEFORE 7 A9M.-
APPROXIMATE TIME WHEN WORK WILL BEGIN 7/12/91
APPROXIMATE TIME OF. COMPLETION7/12/91.
.ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com- ONE PILOT CAR REQUIRM.
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-fou'r (24) hours in advance'of the time when work will be started.
Comply with.all applicable City Ordinances, the terms and conditions of the pe, it and all a-plicable rules and regula 0 X.
the City •of
La Quinta and to pay for any additional replacement necessary as the result of this work.
Signature of Applicantgent
-PICONI- TRUCKING 39723 OLD CARRIAGE RD MURRIETAip CA, 923627-714-677-8196
Name.of Applicant (please print). Business Address Telephone*No.
NUEVO ENGINEERING, INC 79-811 COUNTRY CLUB DR. -BERMUDA DUNES, -345-1718
Name of Contractor and Job Foreman Business Addre'ss Telephone No:
ON FILE ON FILE
Contractor%. License No. City Business License No.
014 FILE T ON FILE
Applicant's Insurance Company Policy Number
FEES: Subdivision I-niprovement Permit — Class I I I
Publi C'i mprovements: 3% of estimated construction costs
Privat6 improvements: 3% of estimated construction costs 1 4 7
Minor Improvement Permit — Class IV: See attached schedule
.Inspection Fee $ PERMIT VALIDATION
'Permit Fee
PERMIT NO.
Penalty 7/11/91
Cash Deposit -Surety Bond DATE APPROVED
it required. EXPIRATION DATE 7/12/91
0 kr (qX,Ir
TOTAL: $ -7/11/91
DATE ISSUED
Receipt No.
By
Received by Date Administrative Authority
Recorded by TELEPHONE: (619) 564-2246
J U L-11-131 T H U 2 4 N U IE w' 0 ENGINE
NOTE:.
With proper,vaiiriatirrs
this form constittio-, ars CITE( OF- LA QUINTA
encroacltrntau,pe(n!it
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION- IENCROACHMENT9
P 0 2 I
For the eotisimclion of public or private curbs, drivewavt, pavements, sidewalk;, parking tots, sewers,+water.mains
and other iik:2 t,i.11,lic works improvements in connection with MiNOR,IMPROVEMENTS and APPROVED SQBDIVISIONS
' Subdivision. Improvement Permit Ciacs illi
IJ f(_j
DATE:- ! ,i + 1,.. L Minor Im'rovement permit CtatE !V
t
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONST RUCTION J � Sketch iattach construction pians if appropristel
DESCRIPTION OF f`ONSTRUCTION M1_ 1
DIM S ! 'S7r4t_LAT60N OR fiEPJIOVAt_-17-7. 7'��- Av `�'
SIZE OF EXCAVATION IF NEEDED
APPROXIMATE TWE',WHEN WORK WILL BEGIN
APPROXiMATE TIME OF COMPLETION L��' r
ESTIMATED CONSTRUCTION COSTS
Ilnclucting removel of all obstruction, materials, and deb: is, backfilling �coin-
f-'7
pactlon and placing permanent resurfacing aridlor replacing Improvements)
in consideration of the granting of this permit. the appliant hereby agrees to,
fndernnity, detand aril save this City, itt authorized agents, officers, repress rite tivesend AmptoyeAs, hArmleU from surf agA'ntt env et4 all ,
penamet, liahalties or lois resulting from claims or court sttlon and arising out of any accident, toss or damage to peruinn or property
happening or occurring ars a proxinula result of any work undertaken under the permit granted pprsusnt to this application..
Notify the Adrninistrative Authority at leett twenty -tour 1241 hours in advance of the time when work will'ba starttd.
Comply with 0 Fiopilseble City Ordinances, the terms end mtidiilons,of the permit and ail eppllcable rules arid regt✓Ibtionr or the City of
1.4 Oi,inta slid to oey for any sdditlortita +eel;cement necettery as the result of thio work.
Signature of Appl nt o gent
_Q1 r] r� �. r a g �d Mtx Y r �. � r r � L'l
Name of Applicant tplease print) Business Address ~, Telephone No,
a
>Xupaxa._,
Name of Contractor ant) Job foreman Business Address Telephone No.
_ . On F ;l n, - — - On File
Contractor's Lie IN" No. City Business License No.
_._f7C1 _ E!'..i..1t: .. .._ .. �___• - - . ,._. '- (h -t iv' I 'i r� -
Applitant's Insurance. Company �Poiicy Number' —
.^.�'r._. •;.�s.w..���^, .. �.r.T.T r'_'rS�r :'-- +R�'RZ..�ty-'.T�..sir-yt+_AI.T.'a...:••TXm.r.l�0=r„W T�R!•'�tr.�/t-C-_-�--,r-
FEES: Subdivision Improvement Pe►rnit 4 Crass IIi
Public liriptovernents- 3% of estimatart ennaoiri.•rl.,:...
'ruu,wRiu��11r7vNr118f1(f:*�� �d iExtentled Page 2, 1
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�y
troctiott casts
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x> ,. st ucv6 costs: j
rtt. 'Nllrior miovemcnt� Pe(-mjt" bass ' s N41,., IV: Seeattfidclewe
npection Pee
'
'err s`' t PERMIT-VAt.IbA1iON -
nit Feeii 7 �` i /firr r�. �'-� �e _
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`requlrsd 0VED
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-IR ATi�IV.pATP',,
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leceipt tdo,' aG r a DAY Iss
--� -
ved
lece'l" By
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wTELENIONE;' (66.. 564 ;22.40
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r 79-811 COUNTRY CLUS,DRIVE • 8,ERMUDKDUNES, CA 92281 a 6191345-1778 • +
-GENERAL ENGINEERING CONTRACTOR - LICENSE. NO..348834 .,
X.
FAX'(610 345~6704.' • • r
' FAX TRANSMITTAL SHEE'T'.', .' +
I'C,F:AS.E DELVER THE -'.FOLLOWING• PAGES TO: ,
NAME.- - 's.
FAX NUMBER:
LOCATION 41,13G=
' FROM: -�
16
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- SHEET`
DATE: TIME:_
If?' XOU D0, NOT". RECEIVE. ALL THE- PAGES.;' PLEASE
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' (1;,' ABOVE' PHONE. NUMBER-. -
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