1723r
NOTE: /ice i
;s� •
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 connectionwith MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision. Improvement Permit—bass III
DATE: 4/23/93 Minor Improvement Permit Class IV '
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
7. PURPOSE OF CONSTRUCTION _Move Equipment Sketch (attach construction pIan s.if appropriate)
t DESCRIPTIPN OF CONSTRUCTION 623 Scraper 14'Hillzh ROUTE: HWY 111, WASHINGTON,
F
.10 Wide 110,000 lbs AVE 50 & PARK STREET.
DIMENSION OF INSTALLATION OR REMOVAL HAUL DATE: 4/26193':1-
SIZE OF EXCAV,ATION,.IF•NEEDED -
APPROXIMATE TIME -WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED N
I CO STRUCTION COST
`tib? (Including removal of all obstruction,. materials, and debris, backfilling, com-
paction. a I nd
ompaction.and placing permanent resurfacing and/or. replacing improvements)
In consideration of the granting of this permit, the applicant hereby agrees to:
4' Indemnify,defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against an and all
.. . _ g y
penalties, liabilities or' loss resulting from claims or court action and arising out of any accident, loss or damage to person's or property
happen ing`or`occurring as a proximate result of any work undertaken under the permit granted pursuantito this application.
't 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 r
Piconi Trucking .39723'Old Carriage Rd Murrieta Ca 92362 f714JI 677-81.46
Name of•Applicant (please: print). Business Address Telephone No:
Nuevo Engineering inc 79-811 Country Club Dr Bermuda Dunes 345=1778
y.� . Name. ofContractor and Job Foreman Business Address Telephone No.
ON'FILE
ON FILE s
Contractor's License No. City Business`L•icense No:
ON FILE ON Flis
Applicant's Insurance.Company ,Policy,Number• {
"FEES: .`Subdivision Improvement'Permit —Class III• a
,•
pp518 w. 3 93.•..., it?.
h' Public improvements: 3% of estimated construction Costs q' � r `�. TW io 00 .
Private improvements: 3% of estimated construction. costs', .
Minor Improvement Permit =Class IV: See attached schedule {.
'Inspection Fee $ PERMIT VALIDATION
Permit Fee : PERMIT N0. 1723
Penalty : 4/23/93:
Cash Deposit -Surety Bond DATE APPROVED
if required EXPIRATION.DATE' 4/26/93
TOTAL: 4/23/93`
DAT.EASSUED
Receipt No. �-•�c..
. By -
'.'. Received by Date `" Administrative Authority
Recorded by " TELEPHONE: (619) 564-2246-,.
NOTE. ..
With proper–lldetlon ;
thle form eonetltub. en CITY OP LA OULNTA
enoroeohment permit
APPLICATION FOR PERMIT
iPU®LIC WORKS OON®TRUCTION .IHNCROACMMeri-n r
Por the ruetlon of publlo or t--urb., drlvevraye, pavement., elcl—tic., perking IOL, a water m.ln.'
end ,he Ii,
. public werk• Im DroVemen ce In on nAet{on with MINOR IMPROVEMENTS end APPROVED susoly IB10NS
Subdlvb
OATa. 4/21/49 - , MI— improvement p
improvemento Parmlt Clau IV 1
LOCATION OF CONSTRUCTION
lg<re.t .Cdr... Or p..eilPeron et lee.<lonl
PU RPO66 OF CONSTRUCTION MR-0
aeuinn+ o Sketeh (etteoh eenneruetlon plan. 11 opproprlete)
O ESC R I STOlpm OP CONRT RUCTION 6'2e ft" 14 ryt�8l, BOUTS. nwv .ill. WA6RiNOT029.
10 W1da 110.000 ib. AV8 SO '6 BARX ETR88T.
DIMENSION OF INSTALLATION OR REMOVAL HAUL DATE 4/26/93
012E OP EXCAVATION, W NEEOEO
1 APPROXIMATE TIME WHEN WORK WILL REOIN
APPROXIMATE TIME OF COMPLETION ,
ESTIMATED CONRTR UCTION COST 9 ,
(Inolualnp re move1 01 all obatruptlon, materiel., end dsbrl., back11i1lrp, mm• -
Peotlen end .piaol ng
n n.
permanent r .uAsetng and/or r.Pleoing ImProvtwn.nee)
Io id.—lo. o1 the grantingpermit, tof thl. hr.
. appil–.1 h.bV agroe. for _ -
o Intl.mnitv1•Cet.,W .–I rsv ane Oily. 1 erls.d .p.nu, a res w..na.tive..ntl .mp.a e.., r.4.ml.0 • m .nd .p.lmt
V
a PraPebt.nd }
^e Mlal... I.ell nle. er la. NVltlnp k R 1 onP'antl .rl.l rnp O t qt enV s el en , le.. or dMn.p. yp P.r.a,u rV
O..nln0 a np .. • . an a week unq.rtYsn u rtialt i.nt.d per o
N Ot1tV < Admin l.tlretly. Autherlty a V•fepr 1741 hour. In . e1 t alms wh.n werk –.1 be K
1 OOI)rp Ith all . pllc.bl. 01N Prdlna u' a end eendltlen. 'e n'parmn . .11 ePplleabi. –1.i.b rapu .tbM et ens Olty Ot
1 Lw pu nu .ne t eeV ter ..nV .00nlon.l r.Pl. o.T.n< n.e. • ens e1 ahl. werk. '
Signature of App11—t or Agent `
• Diooai' T;up1<><ao 90123 Oid Clst•tr �capra Rw + �11tn, N.M. .1 ^..1 (P I.... Printl Buatnrw Addr..e Telephon. No.
Nt[etl0 EttRiasorla6 ZaC 79-011 COuatry Cicala Da' Bpt�ud0 Daapp ,6e�]71R
N.M. of Contra otor and Job Foreman Bu.i— Ad.6— Telephone Ne.
1.
ON 821.8 �
Centraotor'. Ll—.. No. - City 6uel r.eN L1aan.o No. r
ApplloanYC In.0 rpna. Company - Polioy Number
FEES. Bubdlvl.lon Improvement Permit –Clare 111 '
Publlo Impro--te. 3% of eetime..a eon.truetton sesta � QBSiBG�A$Q 46�aT�<'–X23-93 10.0010
Privet. In.Pro_Ment.r 9% of e.tlmeted P netruetion eoete
Miner Improvemen[ Permit – Cie- IV: 6.. ot--eol eahedula 1723
,
Irt.peoelpn Pve !0 -1 PORINIT VALtOAT10N
Permit Pae 10.00 PERMIT NO. 1749
Psns It
y29/
/99
' C..h D.Pe.l t -Surety Bond GATE APPROVED 6
1Y raqulred RXPIRATION GATE �`/2A/Pe
r TOTAL -I , 10.00 •. O'�•�{--�1 BO .
R-10% No. B J JC�.rYl
R.o.Iv.d bV - •Dab - .edminl.tretive Au<horley
Re—clect by TBLEPHONEI tole) 004.2240'
TRANSMISSION REPORT
THIS'DCCUMENT (REDUCED SAMPLE ABOVE)
�cskKc SEND �kA�
NO
REMOTE STATION I.D.
•
"I
NO
REMOTE STATION I.D.
START TIME
DURATION
#PAGES
COMMENT.
1
6193451778
4—•23-93 3:21 PM'
.0159"
1'
0 00'59 1
/
XEROX TELECOPIER-.7020
NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit .
APPLICATION FOR -PERMIT
PUBLIC WORKS. CONSTRUCTION (ENCROACHMENT)''Sw4�
0
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: 4/23/93 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, 623 Scraper 14'High ROUTE: HWY 111, WASHINGTON,
10' Wide 110,000 lbs AVE 50 h PARK STREET.
DIMENSION OF INSTALLATION OR REMOVAL HAUL DATE: 4/26/93
SIZE•OF EXCAVATION, [F NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 1
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
I• .happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application.
i 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.
Lc�A�dnl<= Wti� I ei2S
Signature of Applicant or Agent
Piconi Trucking 39723 Old Carriage Rd Murripta Ca 92369 (714) 677—RI96 '
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 nN FTT.t:
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class III
Public improvements: 3% of estimated construction costs YQ8518eA�� tbT OTRC-3-93 10:0010
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See,attached schedule 1723
Inspection Fee $ PERMIT VALIDATION ,
Permit Fee 10.00 1723
PERMIT NO.
Penalty •
4/23/93
Cash Deposit- Surety Bond DATE APPROVED
if required EXPIRATION DATE 4/26/93
TOTAL: $10.00
Des G�a u"f ' 1
Receipt No:
Received by Date Administrative Authority
Recorded by TELEPHONE: (619) 564.2246
APR —
x _.93 PR x__1...2.: 4.4 NUE V O ENG F NEER Y NG
NOTE:
With proper validation
this form constitutes an
.encroachment permit CITY OF. LA QUINTA-
APPLiCATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
P. 02
For the construction of public or private curbs, driveways, pavements, sidewalks, 'parking lots, sewers, water mains
and other like, public works Improvements In connection with:MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
OATE:_._,.r Aril 23, 1993
Subdivision improvement Permit _ Gats 111
. Minor Improvement Pa, 1# Clare IV
LOCATION OF CONSTRUCTION
isItest addiass or Description of Location)
PURPOSE OF CONSTRUCTION E ui t Sketdi (attach construction plans It appropriate)
.�_
DESCRIPTION OF CONSTRUCTIONb_?3 Scraper
141 Hit,h. 101 wide 110-,000.lbs.Haul Date: 4/26/93
DIMENSION OF -INSTALLATION OR REMOVAL _., _ Haul Route: Hwy', 111, All of
Washington, Avenue 50 &
Park Street.
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE'TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME` OF COMPLETION
ESTIMATED CONSTRUCTION CO$T $
(Including removal of all obstruction, materials, and deb: ls, backfilltng, cam*
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 CRY, Its authorlsed agents, officers, repreaantative/ and emptoyeea, harmless from and against any and eN
penaities, liabilities o► 1018 resulting from claims or court action and eriaing out of. "any accident, loss or damage to persona or proiwrty.
happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to' this epplictilon.
Noilly the Administretive 'Authority at lean twenty-four (241 hours In advance of. the tune when work will be started.
Comply with all applicable City Ordlnances, the terata and Conditions of the permit and all applicable rules and mlluiatlons 'of the City of
La Quinta shd to pay for any additional replacement neosum as thi result of this work.
Signature of Applicant or Agent
P-cnn!. " r
Name of Applicant (please print)Ruslttess Address Te6
Telephone No,
Name -of Contractor and Job Foreman Business Address ~
Telephone No,
On F 1e
Contractor's license No. On i le
City Business License No.*.
-0
Applicant's Insurancd Company
- Policy Numb®�
FEES: Subdivision Improvement Permit Class III
Public imorovernfinte! 1% of affvlr. bf.A .....,..e,._.f_ . __..._