1837NOTE:
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
R_%94
8/13/9'3
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Move Equipment The Pyramids
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION EeaGaa Sketch (attach construction plans if appropriate)
12' Wide, legal Haight, 20,000 lbs Y
DESCRIPTION OF CONSTRUCTION
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)
In consideration of the granting of this permit, the applicant hereby agrees to:
ROUTE: La Quinta portions of
Jefferson, Ave 50
RATE: 8/18/93
pini?
(D
AUG 13 1993 D
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 wort: 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 perT A--61qeIaI'LaaiL1icabIe rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result of this work.
Si nature of Applicant 0, ent
Piconi Trucking �jj
Name of Applicant (please print)
Business Address
Telephone No.
Nuevo Engineering Inc i
Name of Contractor and Job Foreman Business Address Telephone No.
On Til*
Contractor's License No.
On pile I
City Business License No.
On File On bila
Applicant's Insurance Company Policy Number
I
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:
Receipt No
Received by
10.00
$ 10.00
Date
1837
PERMIT VALIDATION
PERMIT NO. 1837
DATE APPROVED 8/13/93
EXPIRATION DATE 8/17/93
DATE//ISSUED 8/13/93
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
AUG — 11 3--3 3 P R I 1 0 2:3 N U E:V 0 E N G I N E E R I N G P_ O's
with prop_ eq v `hrfat.lorr
this for M constitutes Al;i
etiCroadtmcttt permit CITY OF LA CUINTA
APPLICATION FOR PERMIT
PUBLIC . W011KS CONSTRUCTION (ENCROACIiMENT)
dor (lir ('+IrlStr1j
r,1011 Of ntlbtfc or lirivate
nth�r tike prrbiiC works curbs, rlrivr!ways, pwernents, sidewalks, parking Iryrs sr,yvelt
t++d iierprovcrr;¢nts in wltr!
cnrinectiort with MINOil IM(i(iOVEMENIS and APPfi()VF() r trlair+#
Slllll
)IVISIONS
DATE: .�_� x/13/93 Subdivision Improvement Permit — Ci319
CONSMinor irrtproveinent Permit Class IV
LOCATION 01= 1�Rl�CTiON ThePyramiris, La Quj-nta
(Street address or bescriptfon o�ioni
PURPOSE OF CONSTRUCTION Move E ui men(
DESCRIPTION OF CONSTnUCTIqq B�qeGee
_ 12_ Wide_ egal Heim �
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST S
1Ir,cluding rernoval of all abstruption, materials, and deb; is, backfilling, corn,
Pactlon and placing permanent resurfacing and/or- replacing Improvements►
In consideration of the granting of this permit, the. applicant hereby agrees td'
Sketch Qattach construction plans i( approprlatal
ROUTE: La Quinta Portions o -f
Jefferson, Ave, 50.
HAUL DATE: 8/16/93
Pt,,'r C A -a- 1Q �czt,�I /gyp
Indemnity, defend And t4ve the,Clty, Its Authorfled agento, officers; repteteniatfves arid am f
peneltii" liabilities occu or tots resulting from Ctsirnt or court Actlon and prising out of an acCident`,IotQ oredamell 111 to 4110 e'e'nrr erfy ar'd all
f+appenir+p or occurring As a pro>oirnata result of any work Undertaken under the y
9e cartons or prbpalty
Notify the Administrative Authority at leers twenty-four l241 hours In advance oft a tlm* when t gronted Uworknw 111 belnerpti d tion,
Compfy with ail applicable City ordinances, the terms Ind condition# of the permlt slid sl1 applicable rules and regulations or the City Ol
La Ouints and to pay for any additional repisrarrwr necessary as the result of this work.
Signature of App—rl ant or Agent
dame of Applicant (please print)
Business Address'`–��-=�i
_ r Telephone No,
larTle of Conttactor and Jots Foreman,,.��,�
Business Address r —
Uri -l..l. a Telephone No.
:ontractor's License No. U l' i e
City Business License No
•ppl(cant's Insurance Company
Policy Number
Subdivision Improvemertt Perrtiit _Gass Qlf
Public improvement#: 3% Of estimated construction costs
Private Improvements: 3% of estimated construction costs
0