2047NOTE: h
With pru0per validation
tfiis 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
1/26/94
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION MOVE EQUIPMENT
DESCRIPTION OF CONSTRUCTION 6370 SCRAPER
14"8" H, 13' W, 115,000 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
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: SOUTH ON WASHINGTON
TO AVE. 48
HAUL DATE : 1/26/94
PILOT CAR REQUIRED
'oaa
j JAN 2 6
1994
By C -
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 ast e-reTult of this work.
1
nCj
Signaiure of Applicant or Agent
I
CHANNEL AND MARLOW
Name of Applicant (please print) Business Address Telephone No.
NUEVO ENGINEERING, INC. 79-811 Country Club Dr, Bermuda Dunes 345-1778
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 II 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
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
10
$ 10
Date
2041
PERMIT VALIDATION
PERMIT NO. 2047
DATE APPROVED 1/26/94
EXPIRATION DATE 1/26/94
DATE SSUED 1/26/94
By
0 Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
.6.-94 W ED
NgtE:"
I With proper validation
N U E V O ENGINEERING
P _ 0 3
,this form constitutes an 61TY OF LA GUINTA
.encroachment permit
APhICATION FOR PERMIT
PUBLIC VVORKS CONSTRUCTION (ENCROACHMENT)
. op �
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 SUBOOVISIONS
'r
(� Subdivision Improvement Permit — lass I'
DATE- LD + Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
fStreet address or description of Location)
PURPOSE OF CONSTRUCTION ��y—��ti)►'
e.r..
CONST
1-i ), .'
� DIMENSION OF INSTALLATION OR REMOVAL.
j SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST S
Sketch (attach construction plans If approprlstej
to N\j Ll I
�Aa.u_l Uo'� I-rAL0-q,q'
CA -n- , /z-tfilJ
Ilncluding removal of all obstruction, materials, and deb.'Is, backfilling, com-
pactlon and placing permanent resurfacing and/or repfacing Improvements!
In consideration of the granting of this permit, the ipp)Icant hereby agrees to:
Indemnify, .defend and lave the City, Its authorised Lents, officer$, representatOtrat and employees, harmless from and agsintt any and all
peneftiet, liabilities or lots retutting iron claims or court action and arising out of any accident, loss or d#mege to persons or property
happening or occurring as a proximate result of any }+cork undertaken under the pertttlt granted pursuant to this application.
Notify the Administrative Authority at flail twenty-four 1241 hours in advance of the tlrne when work will be started.
Cornpty with all appilcabfe City Ordinance[, the term] end conditlons of the permit and all applicable rut" and regutetions or the City of
t.# Quints and to pay lot any additional replecemene necasary as the result of this work.
Signature of Applicant or Agent
' F
,lame of Applicant Iplease print) ~� Business Address'telephone No.
flame of Contractor and Job Foreman
On File
.ontractor's License No,
kpplicant's Insurance Company
71 -
EFS:
EFS: Subdiylslon improvement Permlt —Class III
.SPIM�aaraegas 9-1 rU[:IBusiness `ltttti�tyt�"Tiai
Address
�..�.0g__U_1 e
City Business License No.
Policy Numb
ipecti
rmit F
nasty
sh De
-equlr
�c®tpe
o-celve
..r•�.�... •••••� — %.go" 111 t
t
;Public Improvements: 3% of estimated Construction oasts
Prlvate Improvements: 3% of esiltnated conslruction costs
Minor Improvement Permit — Class IV: See attiched schedule
on Fee
ee lid
poslt•Surety bond
ed
TOTAL.: s to
No.
d by . _ Dote_
!corded by
Extended Page 3.1
N9
PERMIT VALIDATION
PERMIT NO.
DATE APPROveo
EXPIRATION DATE
—— �y
DATE ISSUED
8�
Administrative Authority
TELEPHONE: 10191564.2248