1295'•rrr r� G r�`�_ rrw ----------rr----- ^r..rrrrrrrrrrr.rrr'r'rr�.rrr �rr�rr�.rrr-rrrrr.rrr
With proper validation I
this,•form constitutes an'
z
CITY OF LA QUINTA
encroachment permit
APPLICATIONTPE M
F R
O 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 j
w
Subdivision Improvement Permit — Class I II
DATE November 22, 1991 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Move equipment
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION 623 scraper Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION HAUL RODTB:
Washington to Ave 52 to Monroe.
DIMENSION OF INSTALLATION OR REMOVAL 14% 10'W r
110,000 1••$S
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE-TtIME 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 arid/or ,replacirig 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 twentyfour•(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)tany additional replacement necessary as the result of this work.
Signature of Applicant or Age
Piconi Trucking ` 39723 Old Carriage Rd. Murrieta,`CA 92360 t)(714) 677-8100
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 r Business Address Telephone No.
On file On file �-
Contractor's License No. City Business License No.
On file On file r
Applicant's Insurance Company ti Policy Number h
FEES: Subdivision Improvement Permit —Class III0051 ii0 '10 11-22-91 10
Public improvements: 3%,of estimated construction costs 10 ��SN 3 AL 1 10.00
Private improvements: 3% of estimated construction costs r 1295
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee
Permit Fee
10.00
- Penalty
Cash Deposit -Surety Bond
if required --`
10.00
TOTAL: $
Receipt No.
Received by
Date
PERMIT VALIDATION
"
PERMIT NO. 1295
DATE APPROVED 11/22/91
EXPIRATION DATE 11/22/91
DATE IS UEV 11/22/91
By
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
t•
NOV-_:? 1=91 T:HU Is: 14 NUE V O ENGINEERING P. 01.
NUEVO ENGINEERING, .INSa
79-811 COUNTRY CLUB DRIVE • BERMUDA DUNES, CJS 92201 0.619!345-1778
GENERAL ENGINEERING CONTRACTOR - LICENSE NO. 349834
FAX ( 619) 345-6704
FAX TRANSMITTAL SHEET'
DELIVER :; E FOLLOWING PAGES TO:
NAME ...
PAX NUMBER: � �p.1_-7 _
LOCATION.--
0
OCATION.__
NUMBER OF PAGES INCLUDING TRANSMITTAL
Si•iFE T L52
DATE: 1O4/ -TIME :--y�'�/Z)
DO `i0:' _zECEIi1E ALL THE ?AGES, KLEASE
'!7,'; .0 :' THIS :):'E.CE AS SOON .l?S POSSITJAn
I
J
NOV — 2 1 —191
71-11-1 16 32 NU"A&1c',-'t'o&:%FftR.ITNG
PUBLIC WORKS. CONSTRUCTION (ENCn0ACIJMENT)
1
�ot
For the 0)nstruCunrt of public or private curbs, kltiveways, pavements, sidewalks, parking lots, tri part, water mains
and other tike pulrllc works unprovements in connection with MINpn IMPROVEMENTS and APP110VFr) SiiriblVIS10NS
Subdivislon Improvement Permit -Class III
-�---» Minor Improvement Petrnit Glass IV
I. OCATION OF CONSTRUCTION r � ►- _ 4
1e„eat addtest or Oescripdon of Lacatloh)
PURPOSE OF CONSTRUCTION o ^ n Sketch (attach Constructlan plans it appropriate)
fiF.SCRIPTION OF CONSTRUCTION ---- � > ^. WAU L -F0Lj-rC-
OlAhrNSION OF INSTALLATION OR REMOVAL ��L>� ��Q� ' l�lUr'� C:. _. A\
Sl7.E OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WDLL BEGIN _. �IAAvL.. bt'iTc.
APPROXIMATE TIME OF COMPLETION
f ;T IMATED CONSTRUCTION COSTS
(1,wfuding removal of all obstruction, materials, and debris, backfilling, eoltt•
h.srtion and placing permanent resurfacing and/or replacing improvemehtsl
It, consideration of the granting of this permit, the applicant hereby agrees to:
Ii~2y_`�l
Indemnify, detpnd aro save the City, its euthorlted agents, effleert, repretentatives and employees, harmtets hp,,, 4,.d e,ira.rt any end all.
peneit41. liabltltief or lou resulting frorn claims of court action and arising out of any secirtent. Ims or damage to ner.nnr An pand all.
happening or ,octurring as o proxlmare rdrutt of any work undertaken ut 1er the Permit granted pursuant [0 this et r>NraNnn.
Notity the Administrative Authority at least twenty-four 1241 haute In edvan6e of the tlma when work will be nart►d
Comply with all sapticsble Slty Ordinanree, the terms slid condltlahs of the permit and all applicable rules and regutstir,ns of the City of
t.a 061hta and to pay for anv additional replacemant necastary at the result of this work.
Signature of Applicant or Agent
- 1L -'-CI ..f TIULCki n 9 rml age Ra -i__imur-,ricrr;��77-f? l cls
1 tame of Applicant (please print) Susiness Address Telephone No,
_ lllt�_' �� jtl-t�ll Cotint�rY f'Lllh__1�r f�r�t�rnu 3(f `L
N.q.'ne of Contractor and Job ForemanBusiness Address Telephone Tele _
phone No.
Ut F le
r'r> t,nctor's License No, -
City Business License No.
�-
�,I,I;cant's Insurance Company-�-----
Policy Number
f t'fS: Subdiviflan Improvement Permit - Class III
Public Improvements: 3% of estimated construction costs
Private ltnprovements: 3% Of astithated constructions costs
Minor Improvement Permit -- Class IV: Sae attached schedule
:,tl,•,nrion Fee $ M
N:,:,t pre
y
PlEnmit VALIVA FION
f rr1MI1' r4o.
DAZE APPRt7VFn