1958OTE:
`With proper validation
lis form constitutes an
encroachment permit
CITY- OF LA QUINTA
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: 11/5/93 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION RMCHtI LA QUMA
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION MOOS EQUIPMENT
DESCRIPTION OF CONSTRUCTION D6 DOZER AND SH S FOOT
101H, 11'10"W, 40,000 LBS
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Sketch (attach construction plans if appropriate)
HAUL ROUYE: 48TH WEST TO
ii�SHINGI'ON, NORTH TO 1-10
,,I,HAUL DATE: 11/8/93
Q
� A
NOV 0 5 1993
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ By
(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: . • `
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.
;l
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 ApolicankoN Agent
JOHNSON TRUC=G P.O. BOX 1618, FALLBROOB, CA 92028 723-8257
Name of Applicant (please print) Business Address Telephone No.
NUEDO III- FLUNG, INC. 79-811 COUNTRY CLUB DB., BERMA DUAES, CA 345-1778
Name of Contractor and Job Foreman Business Address Telephone No.
ON FM
Contractor's License No.
ON FILE
City Business License No.
OA 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
' M
Receipt No.
Received by Date
Recorded by
1958
PERMIT VALIDATION
PERMIT NO. 1958
DATE APPROVED 11/5/93
EXPIRATION DATE 11/8/93
DATE ISSUED 11/5/93
By
Administrative Authority
TELEPHONE: (619) 564-2246
NOV— 5-93
111Pitth proper validation
this form constitutes an
`ie tcroadlrttettt pelntit
finr rltn ,nr,5t,rutrnn nl rNrhlir, r1t Itriv�ta rurht, rlrivew7Ys, t,ivcrnPntt, sidewalks, parkEnq lots, tr,Whrs w ter tnaEr+t
end rylhur lil n t,irlrii, w,+,ks inrptov.r�enent: in ennt+r!ction Wille MIN011 IMMOVEMENTS anti APPI10VEI) S1111U1VISIt7NS
FRI 13:51 N U E V-0 ENGINEERING
CiTY OF LA GUINTA
APPLiCATION FOR PERMIT
PUBLIC WORKS CONSTpUCTiON (ENCROACFIMENT)
P. 02
DATE;
11-5-93 Subdivision Improvement Permit — Class 111
_ ,__... "--� Minor Improvement Permit Class IV �--
LOCATION OF CONSTRUCTION Rancho La Quinta --�—�.
IStreet eddresa Or D@scrlption of t.ocatlon)
PURPOSE OF CONSTRUCTION Move Equipment
DESCRIPTION o i�q���� N D oxer s ee s of
�,0 lbs.
DiMENSION Or: INSTALLATION OR REMOVAL.
SIZE OF EXCAVATION, IF NEEDED '
APPROXIMATE TIME; WHEN WORK WILL. BEGIN _
A*PPROXIMATE TIME OF COMPLETION '
ESTiMAT15D CONSTRUCTIONCOST S
(Including removal of all obstruction. meterlals, and deb. -is, backfilling, corn-
paction and placing permanent resurfacing and/or repiacinq improvements)
In consideration of the granting of this permit, the applicant hereby agrees to:
Sketch tattach construction plans Tproprlate)
HAUL ROUTE: 48tb,✓Washington, 11,04'
to 1-10
HAUL DATE: 11-8-93
tndeel, Iiebilitles ,defend and
penaftlnietLave the City, Itt suthOrlted ap@nts, officers, representatives ant (t
d employees, hartnietorn ar,d egrllryt any end all
OF toss retulling from clalins of court action and othing out of any ateident. IOtt or danta" to persons or property
happening or occurring as I prOttimete result of any work undertakers under the permit granted purtuant to this 4PPllcatlon.
Notify the Administrative Authority at 1@811 twentyiou► 4241 hours in advance of the limp when work will be Started.
Consply wlth an eoollcable City Qrdinencet, the terms and condltions of the permit and all epplleable rules and regulellohs of the Ci
La flulnta $r,d to pay for shy additional replacementee
nefsary at the result of this work, ty or
_ Johnson Trucking
Name of Applicarst (please printl
1131tte of Contractor and Job Foreman
Utl ii'l.lc _
Contrar:tor's License No�
Signature of Applicant or Agent
P.O. Box 1618 Fallbrook, CA 92028 (619) 7238257
Ousittess Address Telephone No,
Business Address — -. -
Telephone No.
On File
City Business License No,
Applicant's Insurance Company
Policy Number
FE:FS: Subdivision Irnproveatent Pertnit Class
Public Improvements: 3% of estimated construction costs
Private Irnproverrlentt: 39A of •.rl...,._�-__....
r
< <<.o�: mlNrovernentt: 396;
Of estlrttated Construction costs
J Minor Improvement P rmlt — Class IV; See attached Schedule
nsn¢Vlon Fee
'erMit Fee
rliAtty
telt benoslt•Surety Bond
required
TO tAL.- � LD
.'ecelpt No.
ircelved
ieeorded by
0
Extended Page 2,1
�0
PERMIT VALWATION
PEnMIT NO.
DATE APPROVED
EXPIRATION DATE �— 3
DATE ISSUED
By
Adrninistiative Auttiorlty
TELEPHONE; 18191664.2748
I
y +
f