1835NOTE:e:- �-
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: 8/13/93
LOCATION OF CONSTRUCTION The Quarry La Quint&
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move Equipment
DESCRIPTION OF CONSTRUCTION 623 Scraper
14' High, 10' Wide, 80,000 lbs.
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
MAPPROXIMATE 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 II
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: Country Club, Jefferson
Ave 50, Ave 54, Madison
Ave 58
And Return
DATE: &/ 6
O
AUG 13 1993
By
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 permitjand.a p licable rules andel regulations of the City of
La Quinta and to pay for any additional replacement necess the r s is work. \ YI
Piconi
Name of Applicant (please print)
Signature of Applicant or
723 Old Carriage Rd Murrieta
Business Address
Gi
Telephone No.
Nuevo Engineering Inc
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 II
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 _
10,00
TOTAL: $ 10.00
Receipt No.
Received by
Date
I
1 035
PERMIT VALIDATION
PERMIT NO. 1835
DATE APPROVED 8/13/93
EXPIRATION DATE
8/17/93
DATE 'SSUED� v 8/13/93
By Z- U14
1 Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
A U G— I zi— 9 3 F R I 1 0::2:2 N U E V G ENG I NEER I N G
--
NO I E :
With proper v0dation
this for in constitutes an
encioadiment petmit
CITY OF LA CUINTA .
APPLICATION FOR PERMIT
. PLIBI-IC VVORKS CONSTRUCTION (ENCIYOACiI11 ENT)
P _ 0;2
For ilul COnstrUCtion Of PUblie or private curbs, driveways, pavements, sidewalks, parkinq lots, sewers, water it,ahis
and other like OubUC works Itttprovemetnts in connection with MINOR tMPIiOVEMENTS arid APPROVED SOB- DIVIS10NS
Subdivision improvement Permlt — Class 111
DATE, 8/13/93 Minor Improvettierit Permit Class IV
LOCATION OF CONSTRUCTION -- —The Quarry, La Quinta
istreet addrett or Descriptlon of Location)
PURPOSE OF CONSTRUCTION Move Equipment Sketch (attach construction plans If appropriatel
DESCR1PTIQN OFON TR�1CT10 'aper
14 Hi6� l , e ��Eae , 0.000 itis. - --
DIMENSION OF INSTALLATION OA REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
ROUTE: Country Club, Jefferson,
Ave. 50, Ave. 54,
Madison, Ave. 58.
And Return
HAUL DATE: 8/16/93
APPROXIMATE TiME OF COMPLETION - —
ESTIMATED CONSTRUCTION COST S ---
(irrcluding removal of all obstruction, materials, and deb. is, back lilting, com-
paction and placing permanent resurfacing and/or replacing Improvements) —
y
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnity, defend end save fire City, its outhorlted agent,, officers, rep(etenIolives and employees, h8rnrlen troth And egelnst env etrd all
penalties, liabilirie, or ion ►exulting from ctoirnt or court Action and Arising out of oily accident, lost or damage to person, Or property
happening or occurring as a proximate result of env work undertaken under the permit granted pursuant to this epplitstion.
Notify the Administrative Authority at least twenty-four 1241 hours In sdvencs of the firm when work will be tterled.
Comply with all ar,oticable City Ordinances, the terms and condltlortt of the permit end all applicable rutet end regulatioot of the City of
La Ouinto anc) to pay for env edditlonel replacement necessary as tha result of this work.
Signature of Applicant or Agent
-- .1 1�.s?[1-1,_,'1'.r'L1� ()' 'ar=i2gP ELL, !►ri--- j aj-n-- C;A ').31.1.' ��'�.11�.1. �7 iLJi,
Name of Applicant (plr.ase print) Business Address Telephone No.
rJ I, F, y SL1 X1.1 L'•.I 11 x'5:.1'r r, — < r
Name of Cotittactor and Job Foreman Business Address' Telephone No.
—2-r 1 1111 —
Contractor's License No.
_ Ur %i e —
City Business License No,
Applicant's insurance Company Policy Number
FEES., Subdivision Improvement Permit —Class III
Public Irnptoveinentr 1% of 04ttimsta14 w.....e.....r_ _ __.._