2036�NO \E:L
With proper validation
this 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
f Subdivision Improvement Permit — Class III
DATE: 1/5/94 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move Equipment
DESCRIPTION OF CONSTRUCTION 623 Scraper
141H. 12'W. 80.000 lbs
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
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:
Sketch (attach construction plans if appropriate)
Haul Route : Ave 48th
to Washington
Washington to North City Limits
Haul Date: 1/6/94
PILOT CAR REQUIRED
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 04) 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�re`lt of this work.
Signat'6fre of Applicant or Agent
Nuevo Engineering, Inc. 798-11 Country Club Dr.`Bermuda Dunes, 345-1778
Name of Applicant (please print)
Business Address
Telephone No.
On File On File
Name of Contractor and Job Foreman Business Address Telephone No.
On File On file
Contractor's License No. City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I I I
Public improvements: 3% of estimated construction costs �?D
Private improvements: 3% of estimated construction costs (1 JAN 0 5 1994
Minor Improvement Permit — Class IV: See attached schedule 0
Inspection Fee $ PERMIT VALIDATI6 _
Permit Fee 10 ' 0o �O3(o
PERMIT NO.
Penalty DATE APPROVED
Cash Deposit -Surety Bond
if required EXPIRATION DATE
TOTAL: $ o ' do t DATE ISSU D �' c
Receipt No. `' By --7//&
Received by Date ovAdministrative Authority
Recorded by 4'TELEPHONE: (619) 564-2246
0
With proper validation
this forin constitutes an
encroachment permit
WED 13:14 NUE V O ENGINEERING
CITY OF LA GUINTA
A PLICATION FOn PERMIT
-PUBLIC wont S CONSTRUCTION (ENCROACFIMENT)
For the cnnstI priinn ni piahllc or private
arid other like pl,lilic works improvements it
LOCATION OF CONSTRUCTION
ISOM eddrels Of QescripNon of locatlon)
PURPOSE OF CONSTRUCTION .�
DESCR IPTIYN 9F CONST
I.
DIMENSION OF INSTALLATION OR AFMOVA' L
SIZE OF EXCAVATION, IF NEEDED
P . 0:3
curbs, driveways, P,""ernerlts, sidewalks, parkinq lots, .sewer,. w�1Pr rnairts
cnnr,crtion with MINt7fI IMPitOVEMENTS and APPnOVIED St1fiDIVISIONS
APPROXIMATE TIME WHEN WORK WILL BEG14 .
APPROXIMATE TIME OF COMPLEtiTION.
ESTIMATED CONSTRUCTION COST S
(Including removal of all obstruction, materials, so
paction and placing permanent resurfacing and/or
in consideration of the grantirig of this permit, tE
tndentnify, defend and save the City, Its suthorltt
penalties, liabilities or foss resulting from claims
happening or occurring as a prortirttete result of sr
Notify the Adminlfirative Authority at feast twent
Comply with all eppticabte City Ordlnences, the is
La OUlnto and to pay for any additional tenl■cem
Name of Applicant (please print)
Name of Contractor and Job Foreman
on In
Contractor's License No.
— On
Applicant,$ Insurance Company
Subdivision Improvement Permit — Class III
Minor improvement Permit Class iV
Sketch (attach construction pians if appropriate)
- oL-J-e .n NQ e.
-� o t�Jc�sh t t��- o ►1
, 11 k ENLkolki-,
W Sh l f1q� 0 r1 +0
debris, backfilling, com.
@placing improvements}
applicant hereby agrees to:
agents, officers, representatives and Imployeet: haltnless Prom a,,d arlair,tt env and all
court ection and arising out of any accident, lots or damage to persons or property
work undertaken under the perfnit granted pursuant to this opplipetion.
four 1211 hours in advance of the time when work will be tterted.
is and conditions of the permit and all spplirable rules and re9uiations of the City of
t necestary as the result of this work.
Slgnature of Applicant or Agent
Business Address Telephone No.
(; 21,1.n t.XYom. t _ • .
Business Address Telephone No,
On File
City Business License No,
Policy Number
FEES: Subdivision improvement Permit Class Ili
Public Improvements: 3% of estimated co struction costs
PrlUa10 ln,rvn.,w..,...•.. nni
Extended Page 3.1
t. Improvements: 3% of estirnaled
ccstruction costs
Minor Improvement Permit — Class IV,- See atacked schedule
'IsPection Fee $
lermlit Fee PER 1IT VALIDATION
emalty PERMIT NO.
3sh beposit-Stjretv Bond DATE APPROVED
'recitilred
TOTAL: $ l EXPIRATION DATE
latelpt No. DATE ISSUED
--------------
bate---
lecorded,by— AdmirilstratIve Authority
I TELEPHONE: (619)$64.2'246