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1923NOTE: =` 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: 10/12/93 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION BUY. 111 AND WASHINGTON, NORTH OF BRIDGE (Street address or Description of Location) PURPOSE OF CONSTRUCTION MOVE EQ DESCRIPTION QF.QONSTRYCTION 637 SCRAPER 15 8 H, 14 W, 120,000 LBS DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 30113193 Sketch (attach construction plans if appropriate) APPROXIMATE TIME OF COMPLETION 10/13/93 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: HAUL ROUTE: AVE. 58, MADISON, AVE. 5439JBFFnWN, AVE. 50, WASHINGTON, HWY. 111 (NORTH SIDE OF WASHINGTON & HWY. 111) i" HAUL DATE. -`,.r_10/ OCT 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 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. Signature of Applicant or Agent PICONI TRUCIC2NG 39723 OLD CARRIAGE ROAD, MQRRIBTA, CA 92362 (714) 677-8196 Name of Applicant (please print) Business Address Telephone No. NUSVO ENGUEU=G, INC. 79-811 CODNTRY CLUB DR., BMWA DUNES, CA (619) 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 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. 10.00 $ 10.00 Received by Date 1923 PERMIT VALIDATION PERMIT NO. 1923 k" DATE APPROVED 10/12/93 EXPIRATION DATE 10/13/93 DATE ISSUED /0���-'` By Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 I 3' I t;r. 14 007-1:2-93 TUE 1 0: 1 1, N U E V O ENGINEERING NOTE: C><'[XOFLAQIUTA[>l"� Vith Vow validation OCT , T j9�3 t is form Constitutes an rITY Of LA Ulf INTA encroachment permit fOFi PERMIT PUBLIC WORKS APPLICATION PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) P . 0 2 For the Construction of public or private curbs, drlveways, pavetnents, sidewalks, parking lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SOUDiVISIONS Subdivision Improvement Permit - Class III DATE:. �OctCaber 12, 1gg3 Minor improvement Permit Class IV ----,-----_ LOCATION OF CONSTRUCTION Hwy, 111 & Washington North of Bridge Mtrest Address or Description of Location) PURPOSE OF CONSTRUCTION — 14vp P.141119=ent DESCRII TI©N OF CONSTRUCTION . 637 Scraper,,. i K t A tt w 7 ,1) 1 ),7 '] 7 n Arno i L_ DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, iP NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Sketch (attach construction plans if appropriate) 14AUL ROUTE: 1 -Ave. 58, Madison, Ave. 54, Jefferson, Ave. 500 Washington, Hwy. 111. (North side of Washington & Hwy. 111) HAUL BATE: .10/13/93 APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ -- '; L-0 _F C-fe C32 LA_i (?-ZD (Including removal of all obstruction, materlals, and deb3s, backfilling, com- paction and placing permanent resurfacing end/or replacing improvements) In consideration of the granting of this permit, the applicant hereby agrees to: indemnity, defend " save the City, Its authorlaed agents, officers, representativet and employees, harmless from and Against Any And all penalties, liabilities or loss resutting from: claims or court action and Arising out of Any accident, lost or damage to persons or property happening or occurring as a oroximova result of any work undertaken under the permit pi -anted pursuant to this application. Notify the Adminl;lrative Authority at least twenty-four 1241 hours its advance of the tlrng when work will be started, Comply with ail rrppllcable City Ordinances, the terms and conditions of the permit and all applicable rules and regurationf of the City of LA oulnts and to pay for any additional reprecement necessary at the result of this work. Signature of Applicant or Agent --1. r:nn i ._,1,1• ar-111,2. - Name of Applicant (please print) $2• ?--hone N 6 Business Address Telephone No, L1_neerin>x. Tr),, 7n_R11 Name of Contractor and Job foreman Business Address Telephone No. On File Contractor's License No. --� ��. le City Business License No. Applicant's insurance Company ......... Policy Number FEES: Subdivision Improvement Permlt — Class 111 I 0 I I I t A • •-- .jam fll Iva"t 0 Public Improvements: 3% of estlmated construction casts i Private Improvements: 3% Of estimated construction costs 4s Minor Improvement Permit -» Class IV; See attached schedule Ar pection fee $ 'ermit fee �Ld 'enalty :ash Depgslt-Surety Bond ' re'quired TOTAL: lecelpt No. lecelved by bete tecorded by Extended Page 2.1 N? PERMIT VALIDATION PERMIT NO. I DATE APPROVED 10" 12 13 EXPIRATION DATE DATE ISSUED By Administrative Authority TELEPHONE: (1319) 664.2246 i 00 -r -12-131Z TUE 1 0: 1 1 N U E V O ENGINEERING P.01 NUEVO ENGINEMRING, INC.. 79-811 COUNTRY CLUB DRIVE • BERMUDA DUNES, CA 92201 • 6191345-1778 GENERAL ENGINEERING CONTRACTOR - LICENSE NO. 438834 FAX (619) 345-6704 FAX TRANSMITTAL SHEET PLEASE DELIVER THE FOLLOWING PAGES TO: NAME FAX NUMBER: LOCATION _-� �1 • �� L% r� FROM: Z--3 NUMBER -OF PAGES INCLUDING TRANSMITTAL SHEET o� DATE: TIME: ff--/V Ir YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CONTACT THIS OFFICE AS.SQON AS POSSIBLE AT THE ABOVE PHONE NUMBER.