1928kUith proper validation
this form constitutes an
encroachment permit
t`
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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
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
l
�^ Subdivision Improvement Permit — Class III
DATE: 10/14/93 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 48TH AND WASHINGTON
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION I MOVE HQUIPMW
DESCRIPTION OF CONSTEIUCTION', 623 SCRAPER
141H, 10-W, 80,000 LBS
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 10/18/93
APPROXIMATE TIME OF COMPLETION 10/18/93
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
Sketch (attach construction plans if appropriate)
HAUL ROUTE: 48TH, WASHINGTON,
NORTH ON WASHINGTON
TO CITY LIMITS
pOCT a15 1993 D
- f
In consideration of the granting of this permit, the applicant hereby agrees to: a:
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 TRUCK31NG 39723 OLD CARRIAGE RD., MQRRIETA, CA 92362 (714) 677-8196
Name of Applicant (please print) Business Address Telephone No.
NUEVO ENGINEEMIG, INC. 79-811 COUNTRY CLUB DR., BERMODA DUNES, CA (619) 345-1778
Name of Contractor and Job Foreman Business Address Telephone No.
ON FILE
Contractor's License No.
ON FILE
ON FILE
City Business License No.
ON FILE
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I I I
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
Recorded by
128
PERMIT VALIDATION
PERMIT NO. 1928
DATE APPROVED 10/14/93
EXPIRATION DATE 10/18/93
DATE ISSUED
By SAAC J
ddministrative Authority
TELEPHONE: (619) 564-2246
g7GT— 1 4-93 7HU
N Uwt E:
N'Rh;proper validation
INVIartrt collstitutes all
4"Croacilm011t perinit
S: 3 s N U E:V O ENG I NEER I N G
CiTY OF LA CUINTA
APPLICATION FOR PERMIT
PUBLIC WOnKS CONSTRUCTION (FNCnOACtIMF-NT1
P . 0 1
Fnr tl+e !'01'struG1011 of publir or private curbs, driveways, pavetnents, sidewafks, narkinq lots, sewrrs, watr!r tnalh,
and othr.r like public works improvements in connection with MINORIMPROVEMEENTS and Ai'PnQVEb SUpt)IV151t]NS
10-13-93 Subdivision improvement Permit — Class iII
DATE.
-6— Minor Improvement Permit Class IV
LOCATION OF CONSTnUCTION - 48th & Washington
-16
IStrest address or Desctiplion of Location)
PURPOSE OF CONSTRUCTION Move Equipment
UESCRIP IQV OP �$N!UpiJg'Ont 6s3 Scraper
DIMENSION OF INSTALLATION OR REMOVAL
Sketch (attach construction pians if approptiatel
HAUL ROUTE: 48th, Washington,
/jv,1c,T.K B'd, Washington,
HAUL DATE:
SIZE OF EXCAVATION, iF NEEDED
APPROXIMATE TIME W14EN WORK WILL. BEGIN
APPROXIMATE TIME OF COMPLETION
tSTIMATED CONSTRUCTION COSTS
(including removal of ail obstruction, materials, and deb: ig, backfilling, com-
paction and placing permanent resurfacing end/or replacing Improvements)
In consideration of the granting of this permit, the applicant hereby agrees to:
10-18-g3
TY r
lndeinnefy, defend and rave the CITY, Its authorized agents, offleers, repretentalive I end employees, harp+let/ !roll, and ageinrt any and all
penarllel, liablIhiel or loss resulting from Claims of court action and arising out of any accident, foil or dan+ege to persons or property
happening or occurring ar a proximate r:rutt Of any work Undertaken under the permit granted pursuant to thle ebpllCation.
Notify the Adminittrstive Authority at least twenty -tout 1241 hours In advance of the tit t7 when ivork will be ltartrd.
Comply with all aript+ceblw City Ordinances, the term® and conditions of the permit and all applicable ruler and r
La Quints and to any for any additional reptacernent necettary ae the result of this work. rguhtlons of the City or
Signature of Applicant or Agent
Name of Applicant (please print) Business Address
Telephone No.
—
Name of Contractor and Job Foreman
Ort ti' i :l e_
Cor+tractor't License No.
Business Address Telephone No.
On File
City Business License No.
Applicants Insurance Company '
Policy Number
PEES: Subdivision improvement Permit Class III
Public Improvements! 3% of estimated eonsttuctinn rnete
• .. i
-9m ut citimateo construction costs
Private Improvemente: 3% of estimated construction costs
Miner improvernerit Permit — class IV: See attached schedule
nspection Fee s
'ermit Fee
'enahy
:ash Depotit•Surety Bond
required
TOTAL! $
leceipt No.
lecelved by pate
Worded by —__-_„__
..e
19
Extended Page 1.1
N�
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
�y
Administrative Authority
TREPfIONE; (6191664-2246
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�7CT- 1 4-93
T H U 8:35 N U E V O ENGINEERING
P . 0 1
UEVO ENGINEERING, INC.
79-811 COUNTRY CLUB DRIVE V BERMUDA DUNES, CA 92201 • 619/345-1778
GENERAL ENGINEERING CONTRACTOR - LICENSE NO. 438834
PAX (619) 34576704.
FAX TRANSMITTAL SHEET
PLEASE DELIVER THE FOLLOWING PAGES TO:
NAME
FAX NUMBER:
LOCATION:
FROM:
NUMBED OF PAGES INCLUDING TRANSMITTAL
SHEET . 02
DATE: /Q TIME: 9'.c�y
IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE
CONTACT THIS OFFICE AS SOON AS POSSIBLE AT
THE ABOVE, PHONE NUMBER.
q�,Q Q Ame�l� T� T
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