14624OTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For theconst
_ rn of
_ construction , public or private wcur•bs, drivew"ays, pa'vemencs,��id,"walks;';.parking: lots;^ •sewers;"`water mains
`hand'otherV'like06blieworks-improvements�in-connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit— Class III
DATE:. June 12, 1992 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move Equipment
DESCRIPTION OF CONSTRUCTION 623 Scraper
14' High, 10' Wide, 110,000 lbs
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Sketch (attach construction plans if appropriate)
Haul Route: Washington to Fred Waring
(East) to Adams (South) 1/4 miles
Haul Dateo 6/15/92 b p i
8118 J1 ?Q 13
�
OTA^i `^p� 10.00
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)lc_ l IQ�QrG�'fL.CU���
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 Applicant or Agent
Piconi Trucking 39723 Old Carriage Rd. Murrieta, CA (714) 67.7-8196
Name of Applicant (please print) Business Address Telephone No.
Nuevo Engineering, Inc. 79-811 Country Club Dr. Bermuda Dunes,.CA 345-1778
Name of Contractor and Job Foreman Business Address Telephone No.
On File
Contractor's License No.
On File
City Business License No.
On File On File
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class III
Public improvements: 3°k of estimated construction costs
Private improvements: 3% of estimated construction costs
f `st1, Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
10.00
Received by Date
Recorded by
14,62"
PERMIT VALIDATION
PERMIT NO. 1462
DATE APPROVED 6/12/92 'y
EXPIRATION DATE 6/15/92
DA E SSUED _ 6/12/92
By
Administrative Authority
TELEPHONE: (619) 564/2246
NOTE:,-''
With �Aloper validation
this form constitutes an
encroachment permit
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 MINO! IMPROVEMENTS and APPROVED SUBDIVISIONS
CITY OF LA QUINTA;
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) �
DATE: June 12, 1992
LOCATION OF CONSTRUCTION Move Equipment
(Street address or Descriptlun or t-ocatlonl
PURPOSE OF CONSTRUCTION 623' Scraper
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL 141H.1 10 TW
110 , 000 )LBS .
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
HAUL ROUTE: Washington to
Fred Waring(EAST) to Adams
(South)'about k -mi .
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 t
happening or occurring as a proximate result of any work undertaken under the o Demons or property
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
La Quints and to pay for any additional replacement necessary as the result of this work.
e of Applicant (please print)
e of Contractor and Job Foreman
On File
tractor's License No.
FEES:
nt's Insurance Company
Signature of Applicant or Agent
s-- i n Ear. -t L
Business Address 6
Telephone No.
—fjtry ('1 uh Dr RPrTYIuda n
Business Address 177 8
Telephone No.
Subdivision Improvement Permit — Class I11
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
ction Fee $
rmit Fee
nalty
sh Deposit -Surety Bond
required
TOTAL: $
ecelpt No.
Led by
Date
by
A
On File
City Business License No.
Policy Number
N0
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: (6.191564-2246