2073z NOT:
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
2/22/94 Subdivision Improvement Permit — Class I I I
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Ma3re Equi=ent Sketch (attach construction plans if appropriate)
R PTI F N U TION D6 Dozer Haul Route:
1 ��`'�, �4�,�b� �bs
' _ Ave 48th and Washington to Ave.52
to Jefferson, Jefferson to Ave 54.
DIMENSION OF INSTALLATION OR REMOVAL to Madison to Quarry
Haul Date: 8/22/94
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 this work.
Signature of Applicant or Agent
Pi,rnni Triinkinoy 14771 n1A rprragA RnaAa M»rriarra 4714) 677-81196
Name of Applicant (please print) Business Address Telephone No.
Nuevo Engineering, Inc.
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:
Receipt No
$ 10.00
Received by Date
2073
PERMIT VALIDATION
PERMIT NO
DATE APPROVED
2073
2/22/94
EXPIRATION DATE 2/22/94
DATE I SUE 2/ /94
By
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
s
F E A— 2 2— 9 4 TUE <3:22 N U E v O ENG I NEER I N G
NOTE:
With proper validation
this form constitutes an
encroachment permit
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
P. 02
For the construction of public or private curbs, driveways, pavements, sidewalks, parking tots, sewers, water mains
and other like public works Improvements In connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit - Class III
DATE; --2 Minor Improvement permit Class IV
LOCATION OF CONSTRUCTION
lstreat eddnsl or Owrlprlon of Locatlonl
PURPOSE OF CONSTRUCTION ---L-1011 e Z'.4 LU f1Me 1' appropriate)
Sketch {attach construction plans if a
AVION OF CONSTRUCTION
-, I 1 1 1 1 /`. 11 ).,\ I n n,
DIMENSION OF INSTALLATION OR 111:{1AOVAL r.
SIZE OF EXCAVATION, iF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN _- --
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COSI' $
(including removal of all obttruction, materials, and debris, backtiiltng, com.
paction and placing permanent resurfacing sand/or repist:dn Im rovements)
Loa r\C0nr>,
i -C) NQC 54.
to H R3 icon
to Qu�c�c r�
0 P
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify, defend and save the Chy. Its authorised egeme, officers, representatives and anlployees, harmretl from and against any and alt
penalties, liabilities or loll resulting from claims or court action and $riling out of any accident. Inst or damage to persons or property
happening or occurring as $ proxlmete result of any work undartaken under the permit granted pursuant to this application.
Noilty the Administrative Authority at least twenty-four 1241 hours In advance of the time when work will be tterted.
Comply with all $Rentable City Ordinances, the terms and conditions of the permit and all applicable rural and regulations of the City of
La Quints and to pay for any additional replacament necawry at the r*Wlt of this work.
Name of Applicant (please print) - .
Sigr a?re of App licant or Agent
Old Crl� d. �`iUSCICtt' � ..�-�7-�IQJ
— — t0
Business Address Telephone No.
o-Eaginpering. Inc . 7q-81 1 C..G0U[LtX',iL�� lalLnr.._.�Berm did Digin s 351„12.28
Name of Contractor and .lob Foreman '�
Business Address Telephone No.
QO File
Contractor's license No,
On—File
City Business License No.
OtZFi t 1a ._._ .._.
Applicant's insurance Company policy Number
FEES: Subdivision improvement Permit -Class IIi
0.11.11. "4u .. ..
3
r .,
• Public Improvements: 3% of estimated construction casts
Private Improvements: 3% of estimated construction costs
Minot Improvement Permit - Class IV; See attached schedule
aspection Pee s
'ermit Fee iC7
tenuity
'esh Deposit -Surety Bond
'required
TOTAL:
lecelpt No.
I'. lecelved by - Dote
?@corded by
Extended Page 2.1
N0
PERMIT. VALIDATION
PERMIT NO.
DATE APPROVED Z ' Z
EXPIRATION DATE -z-
DATE: ISSUED
By
Administrative Authority
TELEPHONE: 18191664.x240
a
0
0
i
{
a
0
NOTG:
With proper validation
this form constitutes an CITY OF LA C2UINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) r..r-
For the construction of public or private curbs, driveways, pavements, sidewalks, parking Iota, sewers, water mains
and other like public works Improvements In connection with MINOR IMPROVEMENTS and APPROVE0 SUBDIVISIONS
GATE: 2/22/94 Subdly laM iinornImprovementaIprovement lPermit Clea. IV
LOCATION OF CONSTRUCTION
(6tre.t..ddres. or Oesarlptlen of Lecatlenl '
PURPOSE OF CONSTRUCTION Movg Eouipmant Sketch (attach construction plans If appropriate)
DESCFjIPTION OF CONSTRUCTION 623 Scraper
14 H�1128"W. 80.000 iDs Haui Router Ava•r48t:h And Washington
Zoo Avg 52.To'Ja££areon. Jaffareot:
DIMENSION OF INSTALLATION OR REMOVAL Co Ave 54_ To Madison. to Quarry
Haul Datm: 2/22/94
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST S
(Including removal of all obstruction, material., and debris, backfilling, com-
pactlon and placing permanent resurfacing end/or replacing Improvement.)
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnlfy,•defend and save the City, It. .utherized agents, offlaori, raar.s.ntatives ■nil employ.... hwrmlass from and against any and p11
Penalties, liabilities Or loss ro.ulting from claims or action end arising Out of any ... id.nt, Iota Or damage to persons Or prOa.nv
happening or mccur,l,a a a pro -lm -me reouft of env work undertaken under the permit granud punuent to this appllostlon.
Notlty the Adminlsxretive Auxh orlty at least t enty-fo.r (24) hours In advance of the time when work will be .tarted. -
Comply with ell appiloebl. Clw Ordinances, the terms end oonditiona of the permit and all applicable rules and regulations of the City of
Le 0.1ntp end to pay for any additional replacement nsa.sasry oa the result of this work.
Signature of Applicant or Agent
Yiooai 39723 Old Cmrrimjza Rd_. Murrieta. CA C7143 677-8196
Name of Applicant (please print) Business Address Telephone No.
. Nuevo Engineering. Inc
Name of Contractor and Job Foreman Business Address Telephone No.
On Filg On Fila
Contractor's License No. _ City Business License No.
On Fila Ott Fila
Applicant's Insurance Company Policy Number
PEE.ffi: Subdivision Improvement Permit — Class 111
Public Improvements: 396 of estimated construction costs
Private Improvements: 396 of estimated construction costs
Minor Improvement Permit — Clea. IV: See attached schedule
1netion Fee^ ___.. ffi 10_00
Per—it
It Fae
Penalty
2074
P6RMIT VALIDATION
PC-RMIT NO. -2074
DATE L►PPRr:VBn 2/22/94
TRANSMIS/SIGN REPORT
THIS DOCUMENT (REDUCED SAMPLE ABOVE)
WAS SENT
*** SEND ***
COUNT
2
NO
REMOTE STATION I.D.
START TIME
DURATION
#PAGES
COMMENT
1
619345.1778
2-22-94 11:58AM
1'49"
2
TOTAL 0:01'49" 2
XEROX TELECOPIER 7020