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1777-NOTE: With proper validation this form constitutes an encroachment permit q - 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 DATE: 6/28/93 LOCATION OF CONSTRUCTION The Quarry (Street address or Description of Location) PURPOSE OF CONSTRUCTION MOM NOuigmwnt DESCRIPTION OF CONSTRUCTION 9150 TrAct_er 14' High, 14' Wide, 60,000 lbs 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) Subdivision Improvement Permit — Class I I I Minor Improvement Permit Class IV Sketch (attach construction plans if appropriate) In consideration of the granting of this permit, the applicant hereby agrees to: Route: Jefferson (N City Limits) to Ave 54 tdoMadison to Ave 58 to the Quarry Date: 6/28/93 PILOT CAR REQUIRED 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 thisis wm* Signature of Applicant OT Piconi Trucking, 39723 Old Carriage Rd Murrieta (714) 677-8190 Name of Applicant (please print) Business Address Telephone No. Nuevo Eng Inc 79-811 Country Club Bermuda (619) 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 OnFile Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I I I 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 10.00 Penalty Cash Deposit -Surety Bond if required TOTAL: $ 10.00 Receipt No. Received by Date PERMIT NO PERMIT VALIDATION 1777 DATE APPROVED 6/28/93 EXPIRATION DATE 6/28/93 DATE-I6SUED X6/'28/93 By S_ .tU.�D Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 Z��: 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, pavernents, 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: atter 2�9.;a.� Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION — The Quarry Golf Course, La Quinta (Street address or Description of Locatlohl PURPOSE OF CONSTRUCTION i4_e;xQ_ Equipment Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION 9150 Tractor Route: Jefferson St. (N. City 14 Nigh- 14' Wide 60.000 lbs Limits) to Ave. 54, to Madison St., to Ave. 58, DIMENSION OF INSTALLATION OR REMOVAL to . The Quarry Date: 6/28/93 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: 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 Quints and to pay for any additional replacement necessary as the result of this work. Signature of Applicant or Agent ..Pi nc)ni q rria�P Rri � Miirri•A1-7 rA Q?Z(.�i Name of Applicant (please print) Business Address 7 Telephone No. Nuevo Eng:i n rine 7y— 1 1 Cotrntry Club -1).r_. RPrinllria Name of Contractor and Job Foremannl]n P , � lI S 17 78 Business Address Telephone No. On File Contractor's License No. On File City Business License No. Applicant's 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 rrspection Fee $ Permit Fee O Penalty :ash Deposit -Surety Bond required TOTAL: $_ 1 D leceipt No. leceived by Date lecorded by N� PERMIT VALIDATION PERMIT NO. DATE APPROVED — o, -7.f3--q 3 EXPIRATION DATE (0 " Zf'k 3 DATE ISSUED By Administrative Authority TELEPHONE: (619) 564.2246