1826NOTE:
Vl�th 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
Subdivision Improvement Permit — Class II I
Minor.lmprovement Permit Class IV
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move Equipment Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION BeeGee
12' Wide, legal height, 20,000 lbs
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
ROUTE: 58, Madison, Ave 54,
Jefferson, Country Club
DATE: 8/6/93
PILOT CAR REQUIRED
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 angainst 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 term's and conditions of the permit and all applicable rules and regulations of the City of
La Quinta and t • o pay for any additional replacement necessary as the result of this(we
v
Sign ture of Applicant o ent
,a
Piconi Trucking.r'39723 Old Carriage Rd Murrieta (714)677-8196
Name of Applicant (please print) Business Address Telephone No.
Nuevo Engineering, Inc
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
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:
10.00
$ 10.00
Receipt No.
Received by Date
PERMIT VALIDATION
PERMIT NO. 1826
DATE APPROVED 8/5/93
EXPIRATION DATE 8/6/93
DATE ISSUED 8/5/93
By
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
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_ Ark Moper validation
this forrn'constitujes an
_ encroachment perratit
For the construction of public or private Curbs, driveways, pavements• sidewalks, parking lots, sewers,
and other like public works improvements In connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS water mains
WED 15:31 Mt_tE%'Q E"G I NEER I FIG
CITY OF LA OUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACIAMENT)
F _ R 21
DATE:
a/4 X93 Subdivision Improvement Permit -- glass III
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Del Webb
(Street address or Description of Loutionl
PURPOSE OF CONSTRUCTION Move Equipment
Sketch (attach construction plans if appropriate)
DESCRIPTIQ WiF CON leRU TI '
12 de, ga, L lbs. Ave, 58, Madison, Ave. 54,
Jefferson, Country�Club.
DIMENSI$N OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED Haul Date: 8/6/93
APPROXIMATE TIME WHEN WORK WILL BEGIN__��_,_
APPROXIMATE TIME OF COMPLETION _
ESTIMATED CONSTRUCTION COST S .,
(including remQQ of all obstruction, materials, and deb. -Is, backfilling, com-
pactlan and pladng permanent resurfacing and/or replacing Improvements)
In conslder�ption of'the granting of this permit, the applicant hereby agrees to: `
1;! fy;tdefend and save the City, Its authorized agents, officers, representatives and employees, harmless
rndri7from and against any end ell
penaltig; liabilities of lost resulting (forts claims or court action and arising out of any accident, lost or damage to against or property t
happening Or Occurring as a proxlmese Mult of any work undertaken under the permit granted pursuant to 11111 application.
Notity the Administrative Authorlty at least twenty-four 124) hours In advance of the time when work will be started.
Comply with t.ti sppticable City Ordinances, the terms and conditions of the permit and all sppllcnbie rules and regulations of the Clty of
La Ouints and to pay for any additional replacement neceisary e1 the result of this work.
i
' S
i
Signature of Applicant or Agent
1,
Name of Applicant (please print)1
$artiness Address z Telephone No.
Name of Contractor and ,fob foreman
Business Address
On _11le
Telephone No.
Contractor's license No. On Pi le
City Business License No. i
Oil -Ela-p—' ---------------�
Applicant's Insurance Company '
� _---t.—,-, Policy Number
FEES: Subdivision Improvement Permit — Class III z
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
nspection Fee $
'ermit Fee
'enalty
:ash Deposit -Surety Bond
' requlred
TOTAL: $,_�___�-1 d
tacelpt No,
lecelved by
recorded by
l
�0
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED (;�3 C1 3
EXPIRATION DATE 3
a,ATE ISSUED
r
8y /
Administrative Authority r
TELEP14ONE. (et9)664.2248
im