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1915NOTE: 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 Subdivision Improvement Permit — Class III DATE: 10/5/93 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION KAUFMAN & BROAD, SHIELDS ROAD AND 46TH AVENUE (Street address or Description of Location) PURPOSE OF CONSTRUCTION MOVE EQUIPMENT Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION 37 SCRAPER HAUL ROUTES AVENUE 58, MADISON, 18'8"H, 13% 114, 325 LBS 54TH AVENUE TO CITY LIMOTS ON JEFFERSON DIMENSION OF INSTALLATION OR REMOVAL HAUL DATE: 10/5/93 SIZE OF EXCAVATION, IF NEEDED PILOT CARtEQUIRED APPROXIMATE TIME WHEN W©ffK«WILL BEGIN D APPROXIMATE TIME OF COMPLETION OCT 0'5 1993 ESTIMATED CONSTRUCTION COST $ B — (Including removal of all obstruction, materials, and debris, backfilling, com- y paction and placing permanent resurfacing and/or replacing improvements) In consideration of the granting of this permit, the applicant hereby agrees to: ! t Indemnify, -defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all --+ 4 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`5nd to pay for any additional replacement necessary as the result of this work. • ///fir/,i/,�l ,�./'/ Signature of Applicant or Agent NUEVO ENGINEERING, INC. 79-811 COUNTRY CLUB DR., BERMUDA DUNES, CA 845-1778 Name of Applicant (please print) Business Address Telephone No. SAME 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 10.00 Penalty Cash Deposit -Surety Bond if required TOTAL: $ 10.00 Receipt No. Received by Date PERMIT NO. W15 PERMIT VALIDATION 1915 DATE APPROVED 10/5/93 EXPIRATION DATE 10/5/9 DATE ISSUE By Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 With proper valiflation this Ictal annstitilte$ an o'neloadltttent perlrtit .TUE 10 :47 NUEVO ENGI"eaRING CITY OF LA QUINTA APPLICATION ron PERMIT l'tlBLIC VVOtiKS CONSTnUCTION (ENCROACHMEN'Ti P _ 0 1 rot tl,n- #'f )I It I I ut: 11 .,tt t,l t,utitic nr ttrivat¢ curktt, rltiveways, pavettte"Is. Sidewilk%. parkirtq Ints.,arwe(s, 0016!(v„Ier rnalns SIM o,6!r like t„thli,: w„rkt irnttrovemri+ts itr connr<rtiorr with MIN011 IMP110VEMENTS anti /11'1'ftr)VEf) SUI3L)IV1SiU1JS 10—.5-93 Subdivision Improvement Permit — Class III bATO:. __ _" --���-- Mirror Iprove lent Permit Class IV LOCATION OF CONSTRUCTION Kaufman & Broad, Shields Rd. & 4 th Ve. --��, Istreat addrela or 0e9crlptfon of Lmallonl PURFOSi= OF CONSTRUCTION Move Equipment DESCRIPTION OF CONSTRUCTION 637. Scraper 114.,.' 25 lbs DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED •� - APPR()X1MAT1: TIME W14EN WORD WiLL 8EOIN APPnOXIMAAE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ fIncluding rernovel of all obstruction, meteflals, enddeb.At, backfilling, eortt- i traction and rslacing permanent resurfacing randlor reptectng ImProvententsl in consideration of the grattr,ing of this permit, the BpplIcant hereby agrees to; _+~ Indemnirv• defend ar,d rave the e City-, "I 9"'("(46d 80en1t, Olticera, repr®tentotivet 9rtt4 m 1 flenaftiaa, liabillNas t,r lnia re9UI111t� fr�•rt CIO'" OF court action end •ricin P oyeet, hertnteit trot,, ,ertrf er]rlk,ll any end oil Plapp�rfrr.g or or..cUrrtr,q as a proximats result of any twotk undertaken under t o of any ettrdent, togadamage to prltsor,s or property i - - permit frentetD pursuent 4oothlehle eppllGetldn_ r'a0tiry the Ad,nlhlsttaNve ... �„*t..,.,... __.. Sketch lattach constructlon plans If apptoprlalel HAUL ROUTE: Ave. 58, CC'Cy (,►r•-,`1"so,J Madison, 54th Ave.,efferson, HAUL DATE: 10/5/93 ,' Carhply with all ,trntlt®hie Clty OtdirSentes, 11113 fern?a acid eor,dltrons ofthepermltandall all t rules regVIttl be dionf or trt La Quints end ty,) 6�av for any additiongl replec9rr►ew neemary ea the rerun of 16te work, B City of Signature of Applicant or agent - `larne of A.pplicattt Ipiease prirlll 8klsiness Address Telepttotte No. •—��t,��.<.1_+�l,Al.�.L11�"!,P:1„Ill.r__o.�....�ill� s _.}! `Jame of Contractor and Jpb Foseman Business Address t)t) f` t.1 c Telephone No, "entractor't License No,�� City Business License No. Apt, flcant's !nswrarlce Colrtparly Policy Number EES: Subdivislpn Ifrsp,ovemealt Pertllit Class 110 PublIC improvernents: 3% Of estimated constrtrclion costs Private IrrimovernAnto 'I'm oI! _-