2058x
NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
i
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 II
Minor Improvement Permit Class IV
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Mode Equipment Sketch (attach constructionlans if appropriate)
ppropriate)
DESCRIPTION OF CONSTRUCTION 637D 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
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:
Haul Route: ave, 48 & Washington
North to City Limits.
Haul Date: 2/14/94
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 (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 a�,the result of this work. r ( ^ /-,
Signature of Applicant or Agent v
Nuevo Engineering, Inc 79-811jCountry Club Dr, Bermuda Dunes 345-1778
Name of Applicant (please print) Business Address Telephone No.
On File 4
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
10.00
$ 10.00
Receipt No.
Received by Date
Recorded by
PERMIT NO.
I
FEB 0 S 1994
205 , t_
PERMIT VALIDATION--- -
2058
DATE APPROVED 2/8/94
EXPIRATION DATE 2/14/94
DATE I SU D " 8 �q t
By AA &A1W6V10--
(
Administrative Authority
TELEPHONE: (619) 564-2246
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;;F E — S-94 TUE 1 5: 1 6 N U E V O ENGINEERING
NOTE:
With proper validation
this form txsnstltute$ an
encroachmelit permit CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction Or public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water
and other like public works Improvements In connection with MINOR IMPROVEMENTS and APPROVEt) SU13DIVI remains
SIGNS
P . 0
Subdivision Improvement Permit -- Class 111
Minot Improvement Permit Class IV
LOCATION OF CONSTRUCTION
Istiest adetrilee
--r— V. Lwnonr
PURPOSE OF CONSTRUCTION it I y�
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST S
(Including removal of all obstruction, materials, and debi'is, backfilling, cora•
paction and placing permanent resurfacing and/or replacing Improvements)
Sketch (attach construction plans If appropriate)
4-�a,-L�l 'Rt�-C- .
In consideration of the granting of this permit, the applicant hereby agrees to:
indemnify, defend elmd lave the City. Its authorlted agents, offlears, representatives "employees, harmless from and sgeintt any and ell
penaltlet, fiabllltiat or lots resulting from claims at court actlon and arisins out of any accident, toss Or damage to pentons at property
happening or Occurring a$ a proximate Mull of.any work undertaken under the permit granted pursuant to this appfiatlon.
Noilty the Adminitlrsilve Authority at least twenty-four 1241 hours in advance of the tires when work will be starved,
Comply with all anpllcable City Ordinances, the terms and condition$ of the permll and all applIcable rules and regulatloni of the City of
V Quinti and to pay lot any additional replacement necasary as the result of this work.
Signature of Applicant or Agent
Name of Applicant (please print) _d����"i"�''�"`�
Business Address Telephone No.
Name of Contractor and Job Foreman Buslnets Address
On File
Contractor's License No,
Telephone No.
n Pit
City Business License No.
Applicant's Insurance Company
Policy Number
FEES: Subdivision Improvement Permit — Class III
Public Improvements; 3% of estimated eonstructinn r.,ete