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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