1959NOTE:
With proper validation
t9,is form constitutes an _ CITY OF LA QUINTA
encroachment permit
w
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
DATE: 11/5/93
LOCATION OF CONSTRUCTION RANCHO LA
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION 11109E EQMMMT
DESCRIPTION 9F CONS1
TRUCTION 623 ONWE
14 H, 12 W, 80,000 LBS
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
Subdivision'',Improvement Permit — Class III
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
HAUL ROUTE: 48TH 'WEST TO
WASHINGTON, SOUTH TO 50TH
HAUL DATE: 11/8/93
PILOT CAR_RBQUIREO
�. u
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ NOV 0 5 1993
(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, har�I�fmdd a®a nst 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.
ay
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 thYi k.
Signature of Applicanor gent
JOHNSON TRUCKING P.O. BOX 1618, FALLBROOK, CA 9W8 723-8257
Name of Applicant (please print) Business Address Telephone No.
S WO ENGINEERING, INC. 79411 COUNTRY CLUB DR., BEUMDA DUNES, CA 345-1778
Name of Contractor anc.Job Foreman Business Address Telephone No.
ON FM
Contractor's License No. t,
ON FILE
ON FM
City Business License No.
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:
Receipt No.
Received by
Recorded by
$ 10.00
a
Date
1957
PERMIT VALIDATION
PERMIT NO. 1959
DATE APPROVED 11/5/93
r
EXPIRATION DATE 11/8/93
DATE ISS ED /^
By
4W4
Administrative Authority
TELEPHONE: (619) 564-2246
CEVE
NOV— '5-93
, 4.
w proper valwAtior'
ahfs tot" constitutes all
oachmeel pe++nit
FRI 13:51 N U E V O ENGINEERING
CITY OF LA GUINTA
APPLICATION FOR PEAMIt
,111BLIC WOhKS CONSTROCTION IENCROACHMENT)
For sten
gird nrr>r,sni'r.lrnn rpt f►ublic nr ntivete curbs, driveways, plvernents, sidewalks, parkinq tots, %(I
llu!t,saki I?,il,li�; works tm'trpvr!rnents in cnn►'r.r..tion Mill MINOII 1tv1PI10VEMENTS and AIlPI1ov U Sllftvvl
UIVISIOMS
P _ 0 3
BATE: 11-5-93 Subdivision Improvement Perrnit -- Class III
+` Minor Improvement Permit Class I V
LOCATION OF CONSTRUCTION Rancho La Quanta
----------
MIMI address or naterir,ri— .9
w.rwnr
PURPOSE OF CONSTRUCTION Move Equipment
DESCRIPTION Of�ppSTIgr*VON, 23 ScrapeU losr
DIMENSION OF INSTALLATION OR RE1410VAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WF1EN WORK WILL g1;GIN
APPROXIMATE TIME OF COMPLETION
EStIMATED CONSTRUCTION COSTS
llncluding removal of ill obstruction, mptertals, and deb -It, back tilling. com-
paction and placing permanent resurfacing and/or replacing improvements)
Its consideration of the granting of this permit, the applicant hereby agrees to. -
Sketch (attach construction plans if a
-}-- vJs pproprlate) KTif
HAUL ROUTE: 48ths Washington,
to .50th
HAUL DATE: 11-8-93
penalties. , defend III. and leve tree Cffy, tie authorized agents, officers, repretentat(ves ar,d aril to
penalties. Iir acelt Qr toll resulting (torr' cteirnl of court action and •rising out of any eceid@nte�tofsroredarnell rn arrd against ■ny mod all
happening or occurring as a pros'fnw'a result of any work undertakefl under the Qe to p@rigor Of r
permit granted pursuant to this application. p °r)arty
Notify the h all fi srra'ive Authority at 1@011 twentyfour 1241 hours In advar'ce of the tims when work will ha started.
Comply with all apprcet,le Clry Ordinances, Illi 'arms grid conditions of the pettait and all appiltable rvlel and rtgul@tions at the City of
is Oulnta Cid to f,av for ar,y arlditlonaf rr!plecernent necessary as this tasull of this work.
--��
Signature of App i gen
At
,Johnson Trucking P.O. Sox 1618, Fallbrook, CA � (61Q} 723-$257
Maine of Applicant Iplease pr inti
Busiftess Address
Telephone No,
flame of Contractor arid Job Forem3tj
Business Address
Uri Pile _ Telephone No,
Contractor's License No.
Applicant'1 Insurance Cgrrrparly
1=I:ES:
Subdivision Ilnprovetnettt Permit -- Class 110
Public Improvetnents' 3% of estimated construction costs
Private Inn.........._._...».
On ELI
CI1V Business License No
Policy Number
Private lmprovc+Hants: 396 of estimated consttuctlon costs
I
Minor
s°Srrip,overnent Permit --Class IV: See attached schedule
Minot r
111ec116n Fee S �.
r
irniie fee
r1otty
Tilt Oeposit•Surety 80,1(1
►equlred
TOTAL: S�
�celpt No. ��
°calved by Datav
?corded by.
0
a
0
Extended Page 3.1
PERMIT VALIDATIOIu
PEnMIT NO.
DATE APPROVED
EXPIRATION DATE 93
DATE ISSUED
ev
Adtnttt{str Iva Aut�lior{ty
TELEPIJONE: (8{91.554-2246
I