2062tNOTE�
With proper validation
this form constitutes an
encroachment 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
2/10/94
LOCATION OF CONSTRUCTION Rancho La Quints.
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Mobs Equipment
DESC�PIPTION Q CONSTRUCTION 623 Scraper
14 H, 11'8, 80,000 lbs
DIMENSION OF INSTALLATION OR REMOVAL
Subdivision Improvement Permit — Class I II
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
Haul Route: Ave,.56 to Madison
WSI600 to Ave 54, Ave 54 to
Jefferson, Jefferson to Ave 50,
Ave 50 Hest to Rancho La Quints.
Haul Date: 2/10/94
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, defendpend 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 tarrd'a1f^appaic ble rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result of this work.
Signature of Applicant or en
Piconi Trucking 39723 Old Carriage Rd. Murrieta, CA 92 U (714) 677-8196
Name of Applicant (please print) Business Address Telephone No.
Nuevo Engineering, Inc. 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
City Business License No.
OnFile On File
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class III
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 40 x'0' goo. 00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ www_ c;r1, 00
Receipt No.
Received by Date
Recorded by
2062
PERMIT VALIDATION
PERMIT NO. 2062
DATE APPROVED 2/10/94
EXPIRATION DATE 2/10/94
DATE IS UE /10/94
11
By
Administrative Authority
TELEPHONE: (619) 564-2246
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.NOTE:
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this 10111% ^^,Islitulr!g an
r:neroachnrcnl Ire l fait
1'71-1101
CITY OF LA OUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
Extended Page 1,1
Fnr file rnnr,tiurair;n of piftr)ic nt private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mallis
and outer like politir w:,,ks iu,proventenis ire connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
a Subdivision Improvement Permit — Class Ill
DATE'— Minor Improvement Permit Class IV
LOCATION OF CONSI'IIUCTiON _ � �
(SStreet. address or Description of Location)
PURPOSE OF CONSt IUCTION--._ HOVE EQUIPMENT
DESCRIPTION OF CONS1 CIUCtION ASC'
j.Y SO
DIMENSiON OF IN$TAI I -Al ION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WI IFN WORK WILL BEGIN ,
Sketch (attach construction plans it appropriate)
RAUL ROUTE: AVL''-. 5e, A-0
-o A ��
�N e. 40
IAPPfIOXIMATE TIME OF COMPLETION
,ESTIMATED CONSTRUCTION COST $ _:-
(incioding removal of all obsn(_ictirsrt, materials, and debris, backfilling, com- HAUL DATE:
unction and Itlacinh pe m cont resurfar.inrt and/or replacing improvements) /
1n r-.olrsirlwatlon of till! nr,urlinll of this permit, the applicant herebyagrees to!
Ind�nurify, Or•tr•m1 arrrf -,rrvr rhe Ciry, if-, agrnls, nflicors, rnpic4nutaiivos ona r!mployrCs, hannlnss Irnne enrf arfalnst 1ny an,l all
p�naflir5, ti;rl,ifjljn, fir Ir:er rrsUifirit) fruit, claims or court fiction anri arising out of any accident, loss or damage to persons of proocrty
hanpnnhrg or or[rinir,lt ar.:r rnoximate resulf of any work Undertaken under the permit granted pursuant to thisapplication.
Notify life Adrnir,is!,;11lv,, Aulhorlty r+t least twenty-four (24) hours in advance of the time when work will be started.
Crrrnply vvkh all ;q,idit•al,lr• City rerdinpnrr!s, rhe, term: ;Prof cnnrtitiom of the permit and all applicabte rules and regulations of the City of
La 6ujnla iml to Puy lot 'fly adrlitionyl replarerr,ent necessary as the result of this work.
Signature of Applicant or Agent
1'ICONI TRUC_K%.NG 39123 b�.D CARRIAGE Rb, MURRIETA_._.CA 92362 (]Ih) 677 A196 _
selaarr of Applicant (plr a ,„ pl iirt) Business Address Telephone No,
NUEVO ENC J Nh.l?R 1 NC; INC. 79-8 L 1 COUNTRY_ _ CLUB DR.- 114rouUDA DUN_RS
Jame of Contrar;tpl arnl :irdt fnirmen Business Address Telephone No.
ON FILE ON FILL
�ontractnt's License No. City $usiness License No.
ON F1 LE — w � - - ON FILE
'hlrtFlicant's (nstfr�ncr Cnntt,<rny Policy Number
, • ..: � - . _ .: <.+r.: - _'---�...rr...=r =_. .....---.�i^�._:::— low•- - -POC= : —.— _. — .— _: �q`�
EES: Subdivision Implovtrr„am Permit — CIaSs 111
Public inihrweuunnlst 3% of estirnawl construction costs
Pr ivate Improvemoms: 3% of estimated construction costs
Minor I1,41rovr'm+v+l Permit — Class IV: See attached Schedule
ermit fee.
ash I7cposit $ui+.ty (34,1111
req,shed
f0T•AI_: S• --- ---
j'cnipt No,
oreived by
PERMIT VALIDATION
PERMIT NO. _
Extended Page
DATE APPROVED
EXPIRATION DATE
DATE ISSUED��
6y
yAdminlstrative Authority
TEIEPIIONE: (6191564.2211;
1. 2
FEB -10-94 T H U 14:09 N U E V O E N G I N E E R I N G P.01
:r
NUEVO ENGINEERING,
7'9-911 COUNTRY CLUB DRIVE • BERMUDA DUNES, CA 92201 • 619/345-1778
GENERAL ENGINEERING CONTRACTOR - LICENSE NO. 438834
Cl FAX (619) 345-6704
EET
PLEASE DELIVER THE FOLLOWING PAGES TO:
NAME.
FAX NUMBER: -%rid- x110
LOCATION: UPJ
c
FROM: .I aAyy l
NUMBER OF PAGES INCLUDING TRANSMITTAL
SHEET �2-
DATE: a�(Q TIME•
IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE
CONTACT THIS OFFICE AS SOON *AS POSSIBLE AT
THE ABOVE PHONE NUMBER.