1776NOTE:
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
DATE: 6/28/93
LOCATION OF CONSTRUCTION The Quarry
(Street address or Description of Location)
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
PURPOSE OF CONSTRUCTION Move Equipment Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 623 Scraper Route:
14 High, 10' Wide, 80,000 lbs
DIMENSION OF INSTALLATION OR REMOVAL
1' h.
Date:
` 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:
Jefferson St (N City
Limits) to Ave 54 to
Madison to Ave 58 to
The Quarry
6/28/93
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 thisyw�lc
Signature of Applicant o gent
Piconi Trucking 39723 Old Carriage Rd Murrieta 92362 (714) 766-8190
Name of Applicant (please print) Business Address Telephone No.
Nuevo Eng Inc 79-811 Country Club Bermuda.Dunes (619) 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 III y:
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.
Received by
10.00
$ 10.00
Date
1776
PERMIT VALIDATION
PERMIT NO.. 1776
DATE APPROVED 6/28/93
EXPIRATION DATE 6/28/93
D•A;FE-+SSUED 6/28/93
4)Z—
By
Administrative Authority
Recorded by 11 TELEPHONE.:..(619) 564-2246
NOTE: '
With proper validatign
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 III
DATE: June 28 , 1993 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION — Th --e Quarry Golf Course, La Quinta
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move Equipment Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 623 Scraper
-I h t u; mI, l n 1 fli.1„ao Rn nnni 1—
DIMENSION OF INSTALLATION OR REMOVAL
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:
Route: Jefferson St. (N.
City Limits) to
Ave. 54, to Madison
St., to Ave. 58,
to Th:e,Quarry
Date: 6/28/93
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 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 Ouinta and to pay for any additional replacement necessary as the result of this work.
Signature of Applicant or Agent
. -Pi arm . T Q I r-r–laap RF7 Miirri,at2I (`l1 ( 7 1. ).. -jZ 81 Q
Name of Applicant (please print) Business Address Telephone No.
Nuevo FoRineeringinc. 79-811 Counf-ry _C111h Dr Rarmijda Dttnac - X49-1778
Name of Contractor and Job Foreman Business Address Telephone No.
On File On File
Contractor's License No. City Business License No.
On Fila nn Fila
Applicants Insurance Company Policy Number
FEES: 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
nspection Fee $
Permit Fee
Penalty
:ash Deposit -Surety Bond
required
TOTAL:
lro
leceipt No.
leceived by Date
lecorded by
N0
PERMIT VALIDATION
PERMIT NO
DATE APPROVED __ (1-018-93
EXPIRATION DATE 4e - Z & " 13
DATE ISSUED (> - Zb - q 3
By
Administrative Authority
TELEPHONE: 1619) 564-2246