2051NbTE:�+
With proper validation
this form constitutes an ;
I
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:2/3/94
LOCATION OF CONSTRUCTION Rancho La Quinta
Subdivision Improvement Permit — Class I II
Minor Improvement Permit Class IV
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION MOVE EgUIPMENT Sketch (attach construction plans if appropriate)
DESCRIPTION OF O��VSTRUCTION 623 Scraper Haul Route: Washington ra
141H, 1118 W,80,000 LBS N. City Limits to Ave. 48
DIMENSION OF INSTALLATION OR REMOVAL Haul Date: 2/3/94
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:
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 tb_11S wor'k."__1
Signature of Applicant or
PICONI TRUCKING 39723 Old Carriage RD. Murrieta, CA *2362 (714) 677-8196
Name of Applicant (please print) Business Address Telephone No.
NUEVO ENGINEERING 79-811 Country Club DR., Bermuda Dunes, CA
Name of Contractor and Job Foreman
On File
Contractor's License No.
On File
Business Address
Telephone No.
On File
City Business License No.
On File
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class 111
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
10.00
$ 10.00
Receipt No.
Received by Date
iV
( FEB 0 3 log
By
PERMIT VALIDATION
PERMIT NO. 2051
DATE APPROVED 2/3/94
EXPIRATION DATE 2/3/94
DATE ISSUED 7—
By
Ad 'inistrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
I
In
'FEE— :9 4 THU 9 - 1 3 NUE V Ot ENGINEERING
N01'E:
With propct validation
this Point-t>uslitulm an CI-I'y OF LA OUINTA
Cur;1 UaClllnl;tll lua Urlt
- -- -- - APPLICATION FOR PERMIT
i'LlULiC WORKS CONSTRUCTION (ENCROACHMENT)
P _ 0 3
For Ilio c9l),;rlicti.+11 f+f.t,rrl)lic,, of titivate, t:tnbs, driveways, pavements, sidewalks, parking lots, sewers; water mains
and other likq 1,11h1if; wwks imptovotnertts In conftection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
,�, Subdivision improvement Permit — Class III
nntF:--r�L,/- ')I T. - �— inor Improvement Permit Class iV
t_OCATION OF CONS i itUC ION�l Q %A C i/l� A.
tSnect address or brscriptfrm p( t,pf:'1Non) –
PUNPOSE OP CONS I'll UC1ION MOVE £QUII'li>;NT Sketch lattach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION .�e� \
HAUL RO
B0 1p^45 UTE:
91MENSION OF INSTAI. I.A1 ION OR REMOVAL
SIZE OF EXCA_VA T 1 -0-N-1 I; NFFnFn
APPnOXIMATE TIME: WHEN WORK WILL BEGIN
APPROXIMATE TIME Or COMPLETION T -
ESTiMATED CONST RUCTION COST $
{including removal of all Obstruction, materials, and debris, backfilling, com- HAUL DATE:
+action and f7lacitiq perm aitNrt rrsurfacing itnd/or relrtaclrtg (tnprovp.ments)
In coiisidelation of thy: glalrtinfl of this pernsit, the applicant hereby agrees to:
111d,•1,111ily, rll,food earl 9;IV,- air Pity, if-. aulhr,li'sA ag,ints, officers; 14nresrntatives and employees, 111nnlees rlrlm a11rl arfainst ally rr11rl all
r,p11altin,;, Filhili0el. ref 1„c. rrgilrfir.q Imil) elaimc or cuurt action and arlsir,g out of any accident. toss or damage to pC(59n8 or plUperty
harlpr.r;(nq qr plgxirnate result of ar,y work undertaken under the permit granted pursuant to this application.
Notify the Aclnriiiisrtnti-)n nt,thoi;ty 11 least twenty-four 124) hours in advance of the time when work will be started.
cotnt+ly win, :III :nglnr.drlr• City (lfrliu:+uc,:e, 111e it -fills '111(1 cnnditipns Of the permit fend all applicable rules and regulatlons or the City of
1.3 Guintn a,(I to f,.1y 14.11 alit' "ltldkirmal teplacenter4t necessary as the result of this work.
Signature of Applicant or Agent
PICONI TRUCKING -39 O>,b_CAEtRI_AGE 1CtID. MUMUETA. CA 92362 (7141 677�Rt4t�
darn( of Applicant (ftfras� taint} Business Address Telephone No,
_ NUEVO £NCINF.I?,R1NC, INC.—,_79,811 COUNTRY CLUB bit.. BF,Rk[UDA DUNB9CA
Jima of Contractor im(t .J<,h i-fnemarl Business Address Telephone No.
ONFTI,t; �. ON FILE
,ontractor's License No. City Business license No.
ON FILE
ON FILE
1llplirant's Insurdncr? Crpnirfny-- •"-_ -�---,
Policy Number
=EES: S1if)tliyisiun 1rl1ttrpverltcol Petnlit Class III
Public irlrprovr.nrents: 3% of estimated Construction costs
Priva(e linprovr..meats: 3% of estimated construction costs
mi—, I.,..,. nl-.. 1%,. r---..-_,.-�._, . . .
-Minor-l" pcovn.+i,c++t PC( mit —Class IV: Sce attached scherlule
Islip.dinn Fra $ _ f
ermit fe
i<!r t)etin5it $maty ttc+nrf —
+e<pr4ect
'10tAI
'ceiw Ni,.
!Ccivrcl by
Extended Page 2.1
PERMIT VALIDATION
PERMIT NO,
DATE APPROVED
EXPIRATION DATE _
DATE ISSUED
Administrative Authority
TELEPIIONE. (619) 564.2246