1980:PTE:
Wit proper validation
this 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: November 18, 1993 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Rancho La Quinta
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
Move Equipment
DESCRIPTION OF CONSTRUCTION 623 Scrwtmr
IV R, 121 W, 90,000 lha
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Sketch (attach construction plans if appropriate)
Haul Routel Jefferson to Avenue 54,
Avenue 54 to Madison,
Madison to Avenue 58 to the Quarry
:r`
Lr� t
D
NOV 18 1993 -
APPROXIMATE TIME OF COMPLETION
v..
ESTIMATED CONSTRUCTION COST $_
(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.
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. �^
QJ
Signature of Applicant or Agent
Ficoni Trucking 39723 Old Carriage Road Murrieta, CA 92362 (714) 677-8196
Name of Applicant (please print) Business Address Telephone No.
Nuevo Engineering, Inc. 78-811 Country Club Drive, Bermuda Dunes, CA 354-1778
Name of Contractor and Job Foreman Business Address Telephone No.
On File
Contractor's License No.
On File
City Business License No.
On File 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 1980
Inspection Fee $ PERMIT VALIDATION
Permit Fee 10.00 PERMIT NO. 1980
Penalty x.1/18/93
DATE APPROVED
Cash Deposit -Surety Bond 11/18/93
if required EXPIRATION DATE
TOTAL: $ 10.00 DATE ISSUED 11/18/93
Receipt No.
By
Received by Date Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
NOTE:
With Ooper validation
this form constitutes an
enc ,tchment 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 rnains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE: 11-18-93 Subdivision Improvement Permit — Class III
LOCATION OF CONSTRUCTION RANCHO LA QUINTA Minor Improvement Permit Class IV
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION MOVE EQUIPMENT
DESCRIPTION OF CONSTRUCTION _623 SCRAPER
'
141`14_77tta An nnn T__
DIMENSION OF INSTALLATION OR REMOVAL
---------------
SIZE OF EXCAVATION, IF NEEDED
Sketch (attach construction plans if appropriate)
HAUL ROUTE: Jefferson to Ave 54
Ave 54 to Madison
Madison to Ave 58 to Quarry
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)
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 anendand all
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or
happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application. property
Notify the Administrative Authority at least twenty-four 1241 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 Quints and to pay for' any additional replacement necessary as the result of this work.
Signature of Applicant or Agent
.N -I r'.CIYI'1 • r
Name of Applicant (please print) " !
Business Address Telephone No. h
Name of Contractor and Job Foreman h In P S ? LI ri .l
Business Address
On Pile Telephone No.
Contractor's License No.
On F; 1 P
Applicant's Insurance Company
(FEES:
buddivision 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
nspection Fee $
Permit Fee
enalty
;ash Deposit -Surety Bond
'required
TOTAL: $
L
No.
by
Dated by
On Pile
City Business License No.
Policy Number
N�
PERMIT VALIDATION
PERMIT N0:
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: (819) 584-2248