1825,NOTE:
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: 8/5/93
LOCATION OF CONSTRUCTION
Del Webb
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION, Move EquipMent
DESCRIPTION OF CONSTRUCTION 160 Blade
11'6" Hirth, 10'6" Wide, 53.500 lbg
DIMENSION OF INSTALLATION OR REMOVAL
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)
ROUTE: Ave 58, Madison, Ave 54,
Jefferson, Country Club
DATE: F 8/6/93
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)
i(
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.
e!
c
Signature of Applica rlt r Agent
Ficoni Trucking 39723 Old Carri.gge Rd Murrieta (714) 677-8196
Name of Applicant (please print) Business Address Telephone No.
Nuevo Engineering 78-811 Country Club Dr BermudadDunes 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 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 VALIDATION
PERMIT NO. 1825
DATE APPROVED 8/5/93
EXPIRATION DATE
8/6/93
DATE ISSUED 8/5/93
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
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With proper validation
this form"oonttittrtr t al,
encroachmeltt perinit
W E D 1 5: 3 2 NiJE'• O EV4G I NEER I NG
CITY OF LA QVINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION 1ENCROACHMENT)
P _ 0 3
Fur rt,e construct on 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 APPROVE t) SUBDIVISIONS
fl y / Subdivision Improvement Permit --Class III
!)ATE. _ 1 "�"�., -_ Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION' Del Webb
(Street oddross or Description of Location'
PURPOSE OF CONSTRUCTION Move Equipment
Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 1613 Blade
1+'F� High. I ' " Wide. 53.500 lbs. Ave. 58, Madison, Ave. 54,
Jefferson, Country -Club.
DIMENSION OF INSTALLATION OR REMOVAL
Haul Date: 8/6/93
SlkC, OF EXCAVAT10R, IF NEEDEb
APPHOXIMATE TIME WHEN WORK WILL BEGIN
AP PRJXIMATE TIME OF COMPLETION,
LSTiNikA IED CONSTRUCTION COST $
114110t,6,419 r2movOl of ell obstruction, materials, and debAs, backfilling, com•
F acr-an znd placing permanent resurfacing and/or replacing improvements)
,-i cj.tt.doratron of the granting of this permit, the applicant hereby agrees to: ^` w
i-Acn,n+ry, defend Ind wvc the City, its euthorlted #genie, officers, representstives end employees, harmlen from and ega+nri any and all
pancii,al. I abdiiies or lost resulting from claims or court rction end arising out of any accident, loss or damagf to persons or property
1,mpanonq or oceurrmg es c proximate result of env work undertaken under the permit granted pursuant to this application,
0"y ire a-drn,Mstret+vo Authorlty at least twenty-four 1241 hours In advance of the time when work will be started,
� -pry w,rh fol onPlicabic City Ordinencts, the terms and conditiont of the permit and off applicable rules and rnuiations of the City of
(. Culntc :nd to pay for cny cdditioncl replacement necstwry as the result of this work,
Signature of Applicant or Agent
��:,.1 �_ • q
rxAngp Rd.
Nerno of Applicant (please print)
Business Address6
Telephone No.
Name of Contractor and Job Foreman '�=-�Z$,,.
Business Address Telephone No.
Con u h On i l e
ctof's License No _
..._.. - , . C S ? ci _
App'icani'f Insurance Company f _
Policy Number
FEKS: Subdivision Improvement Permit -- Class III
Public Improvements: 3% of estimated construction costs
Private Improvements: 3% of estimated construction costs �T
Minor improvement Permit — Class IV: See attached schedule ly 0
a
11si ictlon Fca $
'ermrt Fee
l� PERMIT VALIDATION
_ -
=en3lty
:ash Deposit Surety Bond
r required
i
. r TOTAL: S..
\'r
e(pt No.
\ by Date
by ---�
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
r - `DATE ISSUED g,- 5 '53
By
Administrative Authority
TELEPHONE: (6191564-2246