1973PtOT E : r
+' ith proper validation
�` • tFSis form constitutes an ' CITY�OF LA QUINTA
croachment permit " . . _!'
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
1 i
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
and other like public works improvements in connectionwith MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit — Class II I
DATE: 11/15/93 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
N,.
(Street address or Description of Location) j
PURPOSE OF CONSTRUCTION 1UL tOUIPKIRIT`'. rpt W Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 16G'DLADE
1116"H, 10'6"6, 53,500 LBS_ "4 HAUL ROUTE: SOUTH ON JEFFBBSOH
`f TO AVE 546 BAST ON AVE 54 TO
DIMENSION OF INSTALLATION OR REMOVAL MADISOP, SOUTH ON MADISON TO
AVE 58, VEST ON AVE 58 TO THE QUARRY
SIZE OF EXCAVATION, IF NEEDED HAUL DATE. 11/15/93 _
4
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION Nov 15 1993 ,
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements); �y
I �%,(
In consideration of the granting of this permit, the applicant hereby agres to: i' v U -
Indemnify, -defend and save the City, its authorized agents, officers, representatives and employ ees,.harmless\ rom 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.
)i -
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 off this work.
' � A, '.
•PICONI
Name of Applicant (please print)
` Sign u e of Applicant or
Business Address
92362
(714) 677-8196
Telephone No.
]M VO KNINEEU31G, INC. 79-811 Com CLUB DR., R==A DU1M. CA 345-1778
Name of Contractor and Job Foreman Business Address h1 Telephone No.
-Old FILR ON FILE
Contractor's License No. City Business License No.
ON FILE
ON
Applicant's Insurance Company Polic,r;?Number
f
FEES: Subdivision Improvement Permit — Class I I I '.•�f
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
Recorded by
i
�
1973
PERMIT VALIDATION
,
PERMIT NO. fir.
1973
D'
DATE APPROV
11/15/93
EXPIRATION DATE
11/15/93
DATE ISSUED
11115/93
By
w
Administrative Authority
TELEPHONE:,(619) 564-2246
r'
_ ... ., ._ - r �. a. � a..F_ M .4Jd. _�"to x►.w � �Jr1 Xu - _ � .s ~ �.
��.;��..:_.�� � — '3 .' -r•t + •=�� r=. t�,+_t E ' : ,+7 E;t'4 rte. I, 1-4 E E F: I hJ G F 2 .
641'1 - ropet validation
tills 6 constitutes an
ti..
WCroachment permit
tl ,i �ti
'`fCiTY OF LA QUINTA
iAPPLICAT6N FOn PERMIT
.PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the ronstrur:tlot, of pyblic or private curbs, rlri?.vays,`Pavements, sidewalks, parking lots, sn.vvers, water malr+s
and other .like public works imptovements In cnrtinerti i with MIN011 IMPROVEMENTS anti APPPOVED SUBDIVISIONS
DANE:: �11 /15/93
LOCATION OP CONSTRUCTION Ave -481;
IStraat address or Drstription of loceNonl
PURPOSE: OF CONSTRUCTION
- Move equ
DESCRIPTION OF CONSTRVCTIONN�� Blade
T:l t � n � � r n �---ci�,•r,�il1Q, i RC�–
DIMENSION OF INSTAt.t_AT)ON OR REMOVAL
SIZE OF EXCAVATION, IF NEEIDEO
APPFIOXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPI.E-r1ON
ESTIMATI10 CONST RUCTION COST;(including removal of all obstruction, materials and debrisatins bacfcfMin co
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
Sketch (attach construction plans It appropriate)
HAUL ROUTF, : - , ,Sola th on Jeff,
erso:n to Ave 54,
Fast on Ave 54 to Madison
.South on-Madtson to Ave 54
West on Ave 58 to the Quarry
L P47� 1� ,S/- f3
pacilon and p tacln g permanent resurfacing and/or rtp �Q Improvements g'
I
in consideration of the granting of this permit, the Applicant hereby agrees`totndemnrry datend ar>!f savethe City, Its authorized agents, ofjlcarl. rrp►esentativet and+, hsrrnlets horn and egetnit any end all
penatttet, liabilities or toss resulting from ctairns or Court aCtlon and orlsing out of any aCeident, lost or damege to person$ or properly
happening or occurring as a proxirnats result of anywork undertaken under the permit granttrdapurtuant to this apnlits0on.
Notify the Administrative Authority at least twenty-four 1241 hours In advance of- the time whe, work will be started.
Comply wrth an eopticabta City Ordinances, the terms and conditions of the Pvrmlt and alt app bie rules and regulationt of the City of
La Ouinto and to pay for any additional rnpleeernent necessary at the s t of this Z41
Sin ---�-�_:.l` ��\-�..__.•---------.�
g atu a of Applicant or A' t
Flame of Applicant 'rt ru=�'a °' d:-�---- K
pP cant (please print] �Uslness Address
Nuevo Engineerin Inc.
-- 9-87.1 C_ountryr Club Dr.,,,
Natne of Contractor and Job Foreman
Rislness Address
Cor+tractot's License No
Orl-
Appiicant's Insurance Company
IFEES:
Subdivision improvement Permit - Class III
Public Improverrtenls: 3% of estimated construction costs
Private Improvements: 3% of estimated construction costa
Minor Improvement Permit Class IV; See attached schedule
Inspectlon Fee $
ertalry
aeh beposlt Surety Flond
requlred . i
TOT;AL':'*' S %O
,erelpt No.
' �elvtd by
.reccirded by
e. - 4-LrL L-6.7-_z-Blard 6
Telephone No.
Bermuda ries 619--345-177$
Telephont No. ~
_tri? i Z e _
City I;nsiness license No.-~—__—
PolicY Number -
'MIT VALIDATION
PERMIT NO,,.*' �-
DAIE APPROVED
EXPIRATION DATE
f�
DATE ISSUED
®v
r ( Administrative Authority
r' TRiPI-IO�NE:019) 664-2243T,
.r
rv'`�
4