1962NOTE,
;RWith Aper 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
DATE
11/8/93
LOCATION OF CONSTRUCTION RANCHO ILA QUMU
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION MOOR BQ
MMMT
DESCRIPTI Pi, C $TRUCTION 623 $CRAP$R
W, 809000 LBS
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
0
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
Subdivision Improvement Permit —Class I I I
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
NAUL ROUTS: WASHINGTON TO
NORTH CITY LDUTS
BAUL DATE. 11/099
PILOT CAR1
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a
NOV 0 S 1993
BVV
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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.
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 ofthiswork.
Signature of Applicant or Agent
PICONI TRACKING 39723 OLD CARRIAGE RD, HURRIETA. CAZ 92362 (714) 677-8196
Name of Applicant (please print) Business Address Telephone No.
NWO ENGINEBxING0 INC. 79-811 COUNTRY CLUB DR., BERMUDA DUNES, CA 343-1778
Name of Contractor and Job Foreman Business Address Telephone No.
ON FILE
Contractor's License No.
ON FM
City Business License No.
ON FILE ON FM
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class 111
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.
Received by
10
$ 10
i
Date
62 -PE1962—
PERMIT
RMIT VALIDATION
PERMIT NO. 1962
DATE APPROVED 11/8193
EXPIRATION DATE + 13
DATE ISSUED ll—.g— q3
By
/—
By .t/VO�
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
33
g;te — 8-9Z MON 1 5 1 1 N U E V O ENG I NEER I NG
tNo t+
With proper valldatlon
this 101m4onstitutes all
en'i:rosQhment perrrtit
For the
and other
CITY OF LA QUINTA
APPLICATION ._FOR PERMIT
.PUBLIC WORKS CONSTRUCTION (ENCROACIiMENT)
P _ 0 4
construr.Cinn of public of Private curbs, rtriveways, pnvemems, sidewalk's, Parkinq lots, sewert, water maims
like Pl,hiic works il"Wovernetlts In connection with MINOfl IMPROVEMENTS and APPt10VEb SUBDIVISIONS
OATS;Nov . $ 1
9$ Subdivision Improvement Permit — Class 111
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Rancho La Quinta
(Street address ar b;scription of Location)
PURPOSE OF CONSTRUCTION Move Equipment
IOESCRIPTiON OF Gt) S1RU2 Scraper
44 H 1
DIMENSION OF INSTALLATION OR REMOVAL
SIZE"OF EXCAVATION, IF NEEDED_
APPROXIMATE TIME WHEN WORK WILL BEGIN
Sketch[ !attach construction plans If appropriate)
HAUL ROUTE: Washington to
Gi rt � Lt % A t?"s
HAUL DATE: 11-•9-93
APPROXIMATE TIME OF COMPLETION
(ESTIMATED CONSTRUCTION COST S
(including removal of all obstruction, materials, and deb. -le, 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 at%d save the Clty, Its authorized agents, officers, represantall"' and employees, harmless from circ against any circ all
penalties, liabilities or toff resulting born claims or court action and arising out of any wident, 1011 or dams ge to o
happening or occurring as I proximate result of persons r property
any work undertaken under the permit punted pursuant to this application.Motlfy the Adminitrrative Authority at least twenty-four 1241 hours In edvsnE@ of the time when work will be started.
Comply with all a'npltceble City Oiditiances, the terms and conditions at the permit end all applicable rules and regulations or the City or
La Oulnta and to pay lor' any additional replacement ne"$$gry as the result of this work.
Signature of Applicant or Agent
--tu?�w�1'.1!ll�.i�l r t)' ' a
Name of Applicant (please printj r
Business Address Telephone No.
Name Of Contractor and Job Foreman
On F11e___
_
Contractor's License No,
Business Address Telephone No.
0 F 1e
City euslness License No,
Applicant's Insurance Company Qn 1114
��`°Qar*•-.. _ POlicy Number
FEES: Subdi0slon Improvement Permit — Class III
Public improvements; 396 of estimated construction costs
`u',Prlvate Improvements: 3% of astirtrated Construction costs
MInOr IIMProve`nent Permit — Class IV: See attached schedule
11spectlon Fee 3 ��
°ermit Fee
ertalty
ash Deposit -Surety Bond
required
TOTAL: $ 1D
ecelm No:
ecelved by . Date
ecorded by
Extended Page 4.1
N
PEAMIT VALOATION
PERMIT NO,
DATE APPROVED l 1— �b — a3
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: (619( 664.2246
t
r
e, .