1778NOTE:
With proper validation
O/4 2
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
Subdivision Improvement Permit — Class II I
Minor Improvement Permit Class IV
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move Equipment Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 824 Dozer Route. Jefferson (N City Limits)
15' High, ti Wide, 109,000 ilbs to Ave 54 to Madison to
Ave 58 to The Quarry
DIMENSION OF INSTALLATION OR REMOVAL
Date 6/28/93
SIZE OF EXCAVATIONjF NEEDED pilot car require>!t
APPROXIMATETIME 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. 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 necessaray s the result of this-werk
Signature of Applica t r Agent
Piconoi Trucking 39723 Old Carr"ge Rd Murrieta (714) 677-8190
Name of Applicant (please print) Business Address Telephone No.
Nuevo Eng Inc 79-811 Country Club Bermuda Dunes 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 111
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
Recorded by
1.778
PERMIT VALIDATION
PERMIT NO. 1778
DATE APPROVED 6/28/93
EXPIRATION DATE 6/28/93
DATFFJ.S. UED 6/28/93
By
Administrative Authority
TELEPHONE: (619) 564-2246
-1; '4
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, pavements, sidewalks, parking loss, sewers, water mains
and other like public works improvements in connection witli MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE:Subdivision Improvement Permit — Class III
�1-}.0 '�� Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION — mhe 0 tarry Golf Course . La Quinta
IStieet address or Description of Location)
PURPOSE OF CONSTRUCTION -- Move Equipment
DESCRIPTION OF CONSTRUCTION — 824 Dozer
I,' High, 14' Wide 109,000 lbs
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Sketch (attach construction plans if appropriate)
Route: Jefferson St. (N—City
Limits) to Ave 54, to
Madison St., to Ave. 58,
to The Quarry
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:
Date: 6/28/93
Pk.,o-17 CA4Z-
Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any end 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 tenni _�I "iirki n(yr �g723 fu rl rarsiagp P Mttrri,at ('n
Name of Applicant (please print) ' x"-' _Q 3h2_ (71h) n-77 l'1
Business Address Telephone No.
NUeyn Engineering Tnn 7(i_S2i •P_ -
Name of Contractor and Job Foreman v Business Address
On File
Contractor's License No.
Telephone 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
nspection Fee $
Permit Fee
Penalty
'ash Deposit -Surety Bond
required
TOTAL: $ I p
leceipt No.
leceived by
Date
lecorded by
N�
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE U ' Zi — 9 3
DATE ISSUED
By
Administrative Authority
TELEPHONE: (819) 684.2248