1999l
,#NOTE:
`With proper validation
($Tthis`form constitutes an
j 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
DATE
12/2/93
Subdivision Improvement Permit —Class I I I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION WIRITNATER, RIVER AT WASHINGTON STREET AND HIGH"Y 111
(BEHIND AM/PM MARKET)
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION MOVE BQMPNM
DESCRIPTION OF CIONSTR CTION 623 SCRAPER
14 H, . 80.000 LBS
DIMENSION OF INSTALLATION OR REMOVAL
1
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
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:
HAUL ROUTE: AVENUE 58 TO MADISON
TO AVENUE 54 To ZEFFERSON STREHT
TOYARESNOW To WANI<INGTOA STREET
MILES6.j r
HAUL DATE: 12/2/93
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.
Signa a of Applicant or Agent
PICONI TRUC MG , 39723 OLD CARRIAGE RD., )KURRIET, ACA 92362 714/677-8196
Name of Applicant (please print) Business Address Telephone No.
NUEVO ENGINEERING, INC. 79-811 COUNTRY CLUB DR.. BERMUDA DUNES, CA 3b5-1779
Name of Contractor and Job Foreman Business Address Telephone No.
ON PUB ON MR
Contractor's License No. City Business License No.
ON FILE
Applicant's Insurance Company
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.
10.00
$ 10.00
Received by Date
Recorded by
ON FILE
Policy Number
199i
R'AM-_
---_ _
DEC0 2 1993
PERMIT VALIDATION V
PERMIT NO. 1999
DATE APPROVED 12/2/93
EXPIRATION DATE 12/2/93
DATE ISSUED 1,7/2/93
By
LJAdministrative Authority
TELEPHONE: (619) 564-2246
_?' _THU S _ 1 o NI–IE'.'r=i ENG I NEER I Fav
15i
NOTE:
With proper vatidatiori
this totrn •rll5titiltCg all
encioachlilelit pr;tit,it
CITY OF LA OUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the comfittcfion of public or private curbs, driveways, pavements, sidewalks, parking tots, sewers, water mains
and other like inrbtic works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
r
Subdivision Improvement Permit —Class III
DATE: �`/ L - ` - Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 1��SL�,1au� !nIYi
Vx A A. .
(Street address or Description oALoeation)
PURPOSE OF CONSTRUCTION - Mon EQUIPMENT
DESCRiPTI0i19FFC jj§TRUC01000 L623 SCRAPER
Ho W*
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
0
Sketch (attach construction plans If appropriate)
HAUL ROUTE, :J P,
HAU1. DATE: 4 -3 I C�3
Com-
APPROXiMATI TIME. OF COMPLETION -- — -- -- - -
ESTiMATED CONSTRUCTION COST $
(Ir ncluding removal of all obstruction, materials, and debris, backfilling, com-
piliction arid plarhig lieririanntil resurfacing and/or replacing improvements)
in rorisiileiaboii of the yranring of this permit, the applicant hereby agrnes to:
Indrrrinily, it fr w.f am) ;;,vr. ilin City, it., aUthnrilyd 7.1chis, officers, represnntatives and employees, harmless from mid agnlnst ally and all
penalises, lirilnlitin; or los; resultinq from claims or court action and arising out of any accident, loss or damage to persons or property -
happrning prAf,!,rrrrin.1 vs a proximate result of any work undertaken under the permit granted pursuant to this eppliratlon,
Notify the Adrninislrill ivrt Authority at least twentv-lout (24) hours In advance of the lime when work will be started.
Comply with au Ciry Orrlirnancos. ilia trims and conditions of the permit and all applicable rules end iegulatioris of the City of
La Uulnta and to nay for any additional reptar-ement necessary as the result of this Work.
Signature of Applicant or Agent
PICONI TRUCK?,NU 39723 OLD CARRIAGE RD, MIRRIETA, CA 9236,2 (714] 677—R196
Name of Appilrant (please print) Business Address Telephone No.
NUEVO ENGINEER I NGz INC. 79-811 COUNTRYCLUB bit. BFMUDA
Name of Contractor and A)b Foreman Business Address Telephone No
ON KLE — ON FILE
Contractor's License No. City Business License No.
ON FILE
_—���..-----------..._�_ ON BILE •
Applicant's Insurance CoinpAriy Policy Number
FEES: S bdivislGn Improvement Permit — Class II
Public improvements: 3% of estirnated construction costs
PiIvate Improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Feo
Permit Fee
Pei,alty
Cash Deposit•Suto.ly Bis
if required
TOTAL:
Itocelpt No.
Received by
Rrrofded by
Of
PERMIT VALIDATION
PERMIT N0:
DATE APPROVED
EXPIRATION DATE �� �Z� z r fZ 3
DATE ISSUED
13y, �.
Administrative Authority r .
`TELEP`I-IONS: (619) 560246 ,
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OEVO ENGINEERING INC.
C
79-611 COUNTRYJCLUB DRIVE • BERMUDA DUNES, CA 92201 • 619/345-1778
ti, GENERAL ENGfNEERING ,CONTRACTOR - LICENSE NO 438834
IAX ('619) 345-6704
FAX 'TRANSMITTAL SHEET
PLEASE DELIVER THE FOLLOWING PAGES TO:
NAME
FAX NUMBER::"
LOCATION;` �� � �Ib-
�(�
ROM_
NUMBER OF PAGES INCLUD NG TRANSMITTAL
SHEET
DATE-,-qTIME
IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE
CONTACT THIS OFFICE AS SOON AS POSSIBLE AT
THE ABOVE PHONE NUMBER.
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