2056NOTE:
2
With proper validation X04
this form constitutes an CITY OF LA QUINTA U
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: 2/8/94
LOCATION OF CONSTRUCTION
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move Equipment Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION D8L Dozer
1219"H, 1318"W, 90,000 lbs
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Haul Route: Ave. 58th
to Madison, Madison to Ave. 54,
Ave. 54 to Jefferson, North to
City Limits
Haul Date: 2/9/94
Pilot Car Required.
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 this work.
Signaiure of Applicant or Agent
Channel & Marlow 8466 E. Amberwood St. (714) 921-8440
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
On File
Contractor's License No. City Business License No.
On File 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 10.00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL
10.00
$ 10.00
Receipt No.
Received by Date
Recorded by
10
FEB 0 S 1994
26 6
PERMIT VALIDATION -
PERMIT NO.
DATE APPROVED
2056
2/8/94
EXPIRATION DATE 20/9/94
DATE ISSUED Zw Qr
By
Administrative Authority
TELEPHONE: (619) 564-2246
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:-- 8-94 TUE 15:14 N U E V O ENGINEER I N G
NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
enoroarhment permit
A.PPLiCATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
P. 01
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:�4 Subdivision Improvement Permit — Class ill„_
f— — Minor Improvement Permit Class IV
LOCATION Or CON STAUCTION
(Siren address or Descriodon of Location)
DIMENSION OF INSTALLATION OR REMOVAL.
Sketch (attach construction plant If appropriate)
�AOLJ.-` Al,)e. t5% -1h
to
+u
SIZE OF EXCAVATION, IF NEEDED A-C)
APPROXIMATE TIME WHEN WORK WILL BEGIN
i4.PPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCT10N COST -e
H Ind-tson , HAA. ,0 Y%
m�A'-�,
c �
(including removal of all obstruction, materials, and deb., -It, backfiffrng, cam\ `w I Z., L.4,1 2Z,
paction and placing permanent resurfacing ,Ind/or replacing Improvements)
In consideration of the granting of this permit, the applicant hereby agrees to,
Indemnify, defend and save the City, Its yulhorltad agents, olflcars, representnlvet and employees, harmless from and against ally Ind oil
Penalties. liabllllles or lose resulting iron claims or court action and arising out of any accident, foss or damage to person; or property
happening or occurring as a proximate result of any work undartekan under the permit !pentad pursuant to this spoliation.
Notify the Administrative Authority at least twentydour 1241 hours in advance of the time when work will be started.
Comply with .rl •Poilcable City Ordinances, the terms and conditions of the permit and all applIcAbte rules and regulations of the City of
U Ouints and to pay for any additional replacement neumpy at the result of this work.
Signature of Applicant or Agent
��—�!�, `� ���'1Ou.� � �'�lo � . �mbe.t- �5�'• 1��-Qat-SSy�O
Name of Applicant (please pr(lit) r Busfntxst Address
Telephone No.
Nueva Englou, 9 Inc. 12y Club Dr
79-811 RP
Name of Contractor and ,lob foreman Business Address
Telephone Nn.
OnFile
Contractor's License No,
_ OnFile _
Clty Business License—�"
No.
Applicant's Instirance Company Policy Number
FEES: Subdivision Improvement Permit - Class IIi