1992?NOTE:"
*WIth proper validation
`,4his 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: 11/24503
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION NOVI EQ
UIPMENT
DESCRIPTION IF PONST UCTION 623 SCRAPER, WHO
12 W, 80,000 LBS
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
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 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.
HAUL ROUTE: AVE 58TH TO MADISON,
MADISON TO AVE 54, AVE 54 TO
JEFFERSON, JEFFERSON TO NORTH
CITY LIMITS
HAUL DATE: 11/ 93 a �*
PILOT"CAR REQU
NOV 2 4 1993 +
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.
�4_
S
Signature of Applicant or Agent
PICONI TRUCKING 39723 OLD CARRIAGE RD.
Name of Applicant (please print) Business Address Telephone No.
NUEVO ENGINEERING, INC. 79-811 COUNTRY CLUB DR., BERMUDA DUNES, CA 345-2178
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 FILL
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
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
W
10.00
$ ' 10.00
Date
M
1.992
.f , PERMIT VALIDATION
PER NO. 1992
DATE APPROVED 11/24/93
EXPIRATION DATE 11/29/93
DATE ISSUED 14/24/93
V Administrative Authority
TELEPHONE: (619) 564-2246
NO'�l-24-93 WED 10:49 NUEVO ENG I NEER I NG
NotE:
With proper validation
this form constitutes an
en6roadufient permit CITY OF LA QUINTA
APPLICATION FOR PERMIT
,PUBLIC WORKS CONSTRUCTION IENCROACHMENTI
P . 0:2
for the collstrurtinfi p( p+at)lic or private curbs. rirlvewav', htvements, sidewalks, parkinq Int', icwert, water mans
arid other like 1111(,lic works improvemerrls in Connection with MINOIJ IMPROVEMENTS and APPRQI/ED StJRaIVISIONS
DATE:—_h l Subdivision Improvement Permit -- Class III
LOCATION OF CONSTRUCTION Minor Improvement Permit Class IV
(Street address or pascriptlon of Location)
PURPOSE OF CONSTRUCTIONo�C'-•��i�U.t 1M Sketch iattach construction plans 6t appropriate)
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHIN WORK WILL SEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COSI` $
KC�'u..1'RoU-Ae
Aue- 5Sth t-0
R k 'oso r\ +t -o Aye . bq ,
h ve bq . 1-0
j� /t-7
pnctuding removal of all obstruction, materials, and debris, backfilling, corn. j� t'z-- q2;R� �
paction and placing permanent resurfacing and/or replacing Improvements) \l ( r
In consideration of ttta granting of this permit, the applicant hereby agrees to:
tnderttnify, defend and save the City, Its authorized agents, ofllcars, repretanletiver and emptoyeet, he►miese from and e�aintr any and all
penalties, IietslJlUee or toss rawfting from claims or court action and arising out of any accident, lose or darti8ge, to
happening or occurring ae a proximate result of Inv work undertaken under the persona or property
applica
Notify the Administrative Authority It least twenly4our 1241 hours in advance of t e tirm when uworknwill be started. tion
Comply with all applicable City Ordinancae, the terms and candition9 of the permit and alt applicable rules and regulations of the City of
La 10ulnta and to pay for env edditlonel replacement necerssry as the ►exult of this worts.
Slgna)}sre of Applicant or Agent
v � 2-111.-rl.�t r,�4 a r � (� i rt t�i n !- n
n e I1'
"(,""..` `'r°-- - `" I IM► l r l dni 1vb.'11 ( Til 'I'll
flame of Contractor and Job Forelran
Business Address
On F'i]Telephone No.
.e _
Contractor's License No. On Pile
City Business License No.
Applicant's Insurance Company
Policy Number
FEES:
Subdivision Improvement Permit — Class III
Publlc Improvernents: 3% of estimated construction cos12
Private imnrrsvama,,.., jos _a . - .
mvats Improvements: 3% Of estl"led construction Extended Page 2,1
coats
Minor tmprovc+Hent Perrnit s Class IV: See attached schedule 1�
nspecUon Fee
emit FeO Q
anelty
ash Deposit -Surety Sand
required
TOTAL:
acetpt No.
Date
ecorded by _,__,��.
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED %/ — Z—
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: 161191564-2240
NOS{ -24-93 WED 10:48 NUE V O ENGINEERING P.01
NUEVO ENGINEERING. ING. INC.
79-811 COUNTRY CLUB DRIVE m BERMUDA DUNES, CA 92201 0 6191345-1778
GENERAL ENGINEERING CONTRACTOR - LICENSE NO. 438834
FAX (619) 345-6704
PAX TRANSMITTAL SHEET
PLEASE DELIVER THE FOLLOWING PAGES TO:
NAME 2 d_o'C_ � ( Q n 4
FAX NUMBER:
LOCATION: (Lk 'w OT La a'l-infrx- Lnz�r'l rlC
FROM., c P111 �
NUMBER OF PAGES INCLUDING TRANSMITTAL
SHEET__ _
DATE: Ilia TIME_: /0'5b
IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE
CONTACT THIS OFFICE AS SOON AS POSSIBLE AT
THE ABOVE PHONE NUMBER.