12561 77
J
s 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
Subdivision Improvement Permit — Class I II
DATE: October 16, 1991 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Avenue 50. East of Washington (Job for Strother Construction)
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move Equipment Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION D6 Dozer and Tamper
DIMENSION OF INSTALLATION OR REMOVAL 1O'H x 11'10" W
70,000 lbs
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:
Haul Route: Avenue
North on Washington
Limits.
Haul Date: 10/17/91
50 to Washington
to La Quinta City
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 :Applicant or Agent
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, CA 92201 345-1778
Name of Contractor and Job Foreman Business Address Telephone No.
1
On File On"File
Contractor's License No. City Business License No.
On File On File
Applicant's Insurance Company Policy Number
r
FEES: Subdivision Improvement Permit — Class I II
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.
10.00
$ 10.00
Received by Date
Recorded by
i8"'RSh0i5T6U0i16-91,0.00 i0
1256
PERMIT VALIDATION
PERMIT NO.
1256
DATE APPROVED
10/16/91
EXPIRATION DATE
10/17/91
DAT SSUED
10%16/91
By
Administrative Authority
TELEPHONE: (619) 564-2246
NOTE:,
With propelvalidationthis 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 MINOi; IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE: October 16, 1991 Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Avpriip 50 - East of Washington
Job for Strother Construction
(Street address n. nn. .:...f.._ _.
PURPOSE OF CONSTRUCTION Move Equipment
DESCRIPTION OF CONSTRUCTION
Db Dozer Tamper -
DIMENSION OF INSTALLATION OR REMOVALt_H, l 1 t 10" W
jD , 000 lbs.
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:
Sketch (attach construction plans if appropriate)
HAUL ROUTE -
Avenue 50 to Washington
North on Washington to
La Quinta city limits.
HAUL DATE: 10/17/91
Indemnify, defend and save the City, its authorized agenti, 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 ell applicable rules and regulations
La Quinta and to pay for any additlonal replacement necessary as the result of this work. of the City of
f
Name of Applicant(plea p
Name of Contractor and Job Foreman
On File
Contractor's License No.
Applicant's Insurance Company
lr-ttS:
Business Address
Business Address
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
Inspection Fee
mit Fee
enalty
ash Deposit -Surety Bond
required
TOTAL: $
ecelpt No.
eceived by
Date
ecorded by
.1---1�4 1 a Lei 7 7- i-�_ 6
Telephone No.
les- V1 5 -1 7 7 8
Telephone No.
On File
City Business License No.
Policy Number
'NO
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
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 I I I
DATE: October 16, 1991 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION — Avenue 50. East of Washington (Tnh for Strother Constrtiction)
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION -Move Eouivment
DESCRIPTION OF CONSTRUCTION D6 Dozer .and Tamver
DIMENSION OF INSTALLATION OR REMOVAL WE x 11'10" W
70,000 lbs
SIZE OF -EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Sketch (attach construction plans if appropriate)
Haul:Route: Avenue 50 to Washington
North on Washington to La Quinta City
Limits.
Haul Date: 10/17/91
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 Quints and to pay for any additional replacement necessary as the result of this work.
Signature of Applicant or Agent
Piconi Trucking 39723 Old Carriage Rd.-, Murrieta, CA 92362 (714) 677-8196
Name of Applicant (please print) Business Address Telephone No.
N_ttpvn F.nginPPring- Tnc- 79-811 Country Club Dr., Bermuda Dunes, CA 92201 345=1778
Name of Contractor and Job Foreman Business Address. Telephone No.
On Fi1P 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 111SQ05S�Sf 015�b�A�0.-16-9150.00 10
Public improvements: 3%of estimated construction costs V ry 1
Private improvements: 3% of estimated construction costs t 256
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee
Permit Fee
Penalty _
Cash Deposit -Surety Bond
if raniurarl
TOTAL:
Receipt No.
Received by _
Recorded by
10.00
$ 10.00
Date
PERMIT VALIDATION
PERMIT NO. 1256
DATE APPROVED 10/16/91
EXPIRATION DATE 10/17/91
DASSUED 10/16/91.
By
Administrative Authority
TELEPHONE: (619) 56427246