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2013hNOTE: 'With proper validation t this form constitutes an CITY OF LA QUINTA 'encroachment permit APPLICATION FOR PERMIT iPUBLIC WORKS CONSTRUCTION (ENCROACHMENT) t 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: 12/15/93 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION RANCHO LA QUTA (Street address or Description of Location) PURPOSE OF CONSTRUCTION MOVE EQUEPHIM DESCRIPTION OF CONSTRUCTION D6 DOZER, 101H, 11110"iT, 40,000 LBS DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Sketch (attach construction plans if appropriate) HAUL ROUTE: AVE 58 TO MADISON, MADISON TO AVE 54, AVE 54 TO JEFFERSON, JEFFERSON TO AVE 52, AVE 52 TO WASHINGTON, WASHINGM TO EISENHOWER. HAUL DATIir- 12/16/93 r i APPROXIMATE TIME OF COMPLETION e ESTIMATED CONSTRUCTION COST $ t D (Including removal of all obstruction, materials, and debris, backfilling, com- DEC 15 1.993 paction and placing permanent resurfacing and/or replacing improvements) In consideration of the granting of this permit, the applicant hereby agrees to: gy anc�aga Indemnify,•defend and save the City, its authorized agents, officers, representatives and employees, harmless f m m st any and all penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons •`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 o s wo k'•"'^� t-\ Signature of Applica o Age PICONI TRUCKING 39723 OLD CARRIAGE ROAD, MUI . CA 677-8196 Name of Applicant (please print) Business Address Telephone No. NUEVIO ENGINEERING, INC. 79-811 COMM CLUB DR., BERMUDA DUNES, CA 345-1778 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 FILE Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I I 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 10`00 Penalty Cash Deposit -Surety Bond if required TOTAL: $ 10.00 Receipt No Received by Date 2011 PERMIT VALIDATION PERMIT NO. 2013 DATE APPROVED 12/15/93 EXPIRATION DATE 12/16/93 TE ISSUED_. 12/ Recorded by TELEPHONE: (619) 564-2246 v1�1 v / Administrative Ayk ority D E C- 1 5- '9 3 W E D 11:37 N U E V O E N G I N E E R I N G P.01 NUEVO ENGINEERING, INC. 79-811 COUNTRY CLUB DRIVE a BERMUDA DUNES, CA 92201 • 619/343-1778 GENERAL ENGINEERING CONTRACTOR - LICENSE NO. 438834 FAX (619) 345-6704 FAX TRANSMITTAL, SHEET PLEASE DELIVER THE FOLLOWING PAGES TO: NAME j &QLA') o .FAX NUMBER: (o4 -t%(7 LOCATION: ai i� �� �0.. �lA_in �nq*i nfrinq FROM: C�t'Yi1 e- NUMBER OF PAGES INCLUDING TRANSMITTAL SHEET .DATE: Ia ( TIME: IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CONTACT THIS OFFICE AS SOON AS POSSIBLE AT THE ABOVE PHONE NUMBER. ,P; o- �� � �; � .. �. ,. t$i �� y, DEC -15-93 WED 11:37 N U E V O ENGINEERING 141.1 It!* WM proper valldaiiort this form constitutes an enctoachment permit CITY OF LA OUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION IENCROACNMENT) fOr the cransttirroott of public or Private Curbs, driveways, pavements, si(ewalks, park(nq his, st!wers, wat'r rnalns ar,d other tike rutblic works Irnprovcrttents in connection with MINOi) IMPROVEMENTS and APPROVEn SUi)DIVISIONS P . 6 2 0ATE:1aJ S -q ,a> LOCATION OF CONSTRUCTION _R POO iStreet eddrest Of basalptton of Lmtionl , PURPOSE. OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NFEDEO _ APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION...,_. _ ESTIMATED CONSTRUCTION COST $ tlnciuding removal of all obstruction, materials, and debris, backfilling, com.. paction and placing permanent resurfacing and/or replacing Improvements) Subdivision improvement Permit _'Class Minor Improvement Permit Class IV Sketch (attach construction plans if appropriate) A0.UA Rcu"ie eve s{h fi o 3e p _h eJ �C SDt'1 Ue c� t t o,%V% k In consideration of the granting of that permit, the applicant hereby agrees to: Indemnify, defend and save Ute City, iIt fluth cls afenta, oflicera, "Ottilentalivee and employee$, hern,lest from and agatnst any er d all penalties, IfaDltltlrt or toss retuhing from laim$ or court action end arising out of any accident, lose or damage to persons 0n happening or occurring es a proximate result of any work undertaken under the Permit fronted pursuant to this application. property Notify the Administrative Authority et feast tNAnt -tout Y 1241 hour in advance Of the ttrr,e when work will be started, Comply with oil af+'ttcaila City Ordinences, the farms and conditions of the permit and alt epplic.bla rules end rrguletlo�H of the City of La t]ulnu end to pay for anm y additional replacement necessary ae the result of Chia work, Signature of Applicant Or Agent ..-..1'i- 1� '1'�°11c:.�..Ltlf:- .,.ice , i'R.r r a Name of Applicant (please print) Business Address ho1 — Telepne No. (' Name of Contractor and Job Fmt�S211L2,t.L ore an ll I Ij h Ur- i3Prmt tie s _ -411 i— ' Business Address Ort File Telephone No. Contractor's License No. On Pile City Business License No. Applicant's insurance Company ' _ Policy Number WS: Subdivision Improvement Permit — Class III Public Improvements: 3% Of estimated ennetrr,o-et........_._ - •• r•���•c�n0; alb OT estimated construction costs Private Qnprovements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule CIspac on Fee s etmit Fee. !Welty ash Depaslt-Surety Bond .required . TOTAL: _ eceipt No, ' ecelvedby.._...�.� Date ecorded by 7 . . 0 Extended Page 2.1 No PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority TELEPHONE: (8191664-2240 .