2052NOT�:
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
Subdivision Improvement Permit — Class I II
DATE: 2/3/94 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION RANCHO LA QUINTA
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION MOVE F.OUIPMENT Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 673 Scraper Haul Route: Washington St
141ye 111811W, 80,000 7hra 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 , is wo .
Signature of ApplicantAgent
PICONI TRUCKING 39723 OLD CARRIAGE RD., MURRIETA, CA 362 (714) 677-8196
Name of Applicant (please print) Business Address Telephone No.
NUEVO ENGINEERING 79-811 COUNTRY CLUB DR., BERMUDA DUNES, CA 345-1778
Name of Contractor and Job Foreman Business Address Telephone No.
On File
Contractor's License No.
On File
On File
City Business License No.
On File
Applicant's Insurance Company Policy Number r- ^
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
Recorded by
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20
PERMIT VALIDATION
PERMIT NO. 2052
DATE APPROVED 2/3/94
EXPIRATION DATE 2/3/94
DATE ISSUED Z r
By—
AcOninistrative Authority
TELEPHONE: (619) 564-2246
3-9-,4 THU 9:12 NUEVO ENGINEERING
P - 0 1
NUEVO ENGINEERING. INC.
79-811 COUNTRY CLUB DRIVE o BERMUDA DUNES, CA 92201 s 8191345-1778
GENERAL ENGINEERING CONTRACTOR - LICENSE NO. 438834
FAX (619) 345-6704
FAX TRANSMITTAL SHEET
PLEASE DELIVER THE FOLLOWING PAGES TO:
NAME
FAX 'NUMBER: a
LOCATION: 0 �tJl��
FROM t
NUMBER OF GES INCLUDING TRANSMITTAL
SHEET
DATE: TIME:
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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EE73--,..3-94 T H U 9 0 1 2. NUE V O ENG I NEER I NG
'NOTE:
With prnpf,t validation
this torn, nslitutn� :rn CITY OE LA OUINTA
t;nuuadrluant In;rulit
"" "—'�--- -- APPLICATION FOR PERMIT
i'UBLIC WORKS CONSTRUCTION (ENCROACHMENT)
P _ 0 2
For thn rnn5tlurtiryn rrr Imblic, of ivivate curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
and other like I,uhlic works improventeuts in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE:
LOCATION OF CONSTIIUCTION
(Street address or Oascrit)tir„ r or t_or.'Itionl
PURPOSE OF CONSrnucTION MOVE EQUIPMENT
DESCfI ION OFtC(?(VST RUCTI N
1�. .. At _ -
DIMENSION OF INSi-AI-i_Al ION Oil NEMOVAL
SIZE OF EXCAVATION, IF NEEUEU
APPROXIMATE TIME WIiFN WORK WILL BEGIN
Subdivision Improvement Permit — Class Irl
Minor Improvement Permit Class IV
< l
Sketch (attach construction pians If appropriate)
IRAUL .ROUTE:�--
ACPtIOXIMATE TIME Or COMPLETION
ESTIMATED CONSTRUCTION COST $
[including removal of all ohsttuctiolt, materials, al,d debris, backfilling, com- HAUL DATE:
f,artinn and placinrl Irr.rrnanenl resurfacing and/or reWacitrg improvements) ---_=,—
h, crn,sideiation of the, llianting of this l etmit, file 4l,frlicant hereby agrees to:
loijen,r+ify, ,11,11.1"I :,nal -.:tvr 111r city, il5 iUfhnrited ;ut4nls, nffirp.rs, rppres^ntsflveg and engrloyres, harmless ftUtrt Ind against any said alt
prnsfYins, li;il,ititira n, InS; rn;uttin.1 Ira>in efalrns or court actian and atising out of any accident, loss or damage to persons of protlCrty
hairf,rninq,0+ prruninrt n� q p,pxir'n;ite re5t,11 of any work undertaken under rhe permit granted pursuant to this application,
Notify the Ajwin,.,n,tfiv,• A++,hority at least twenty-four (241 hours in advance of the time when work will be started.
C—tivIv ,rri,h i+u ;.r,i+ri .+lda r'ity Ordim-mr:+a, the 1-mis m,d conditions of the permft 9t,d all applicable rules and regulations of the City rif
11,3 0"41to anti fu riv for soy additinnml replacement necessary os the result of this work.
Signature of Applicant or Agent
_ PICONI TRUCKING _ 39723 OLD CARRIAGE RD, MUiLRIETA. CA 92362 l71 h)_ 671 819
Jatnp of Applicant (phrase. print) Business Address Telephone No,
Pii1CV0 ENCINtiF,RINGt_INC.
�79-811 COUNTR_T_CLUB DR_ BERMUDA D-UNES, CA 465 11,I78
Jame of Commcini :out .)+,tt rt'ts`u,an Business Address — Telephone No,
ON FILL; ON FLLE
;Uhtractor's License No. City Business License No.
_ON FILE ON FILE
1pPlicant+s InsuranCt> f;rlM11.1ny Policy Number
• : �, ; ,
'EES: Subdivisicfr, IU,prpventt>lrt Permit —Class IIi
Public ir,ri,tnvetnrrits: 3% of estimated Construction Costs
Pr ware iniptoverncttts: 3% of estimated Construction costs
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