2087NL -AE:- IL
-With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
ONE TRIP - OVERSIZE LOAD PERMIT
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: 3/1/94
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOS QF CONSTRUCTION Move
1� H,11 8 'W, 80,060 lbs
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
Haul Route: Ave 48th and Adams
to Washington, Washdngton to
Ave 52 East to La Quinta City Limits.
Haul Date: 3/2 ORhru 3/4
SIZE OF EXCAVATION, IF NEEDED One Day One Trip Only
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
Piconi Trucking 39723 Old Carriage Rd., Murrieta, CA 714-677-8196
Name of Applicant (please print) Business Address Telephone No.
Nuebo Engineering, Inc 79-811 Country Club Drive, BermudasDunes 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
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
$ 10.00
$ 10.00
Received by Date
2087
PERMIT VALIDATION
PERMIT NO. 2087
DATE APPROVED 2/3/94 I
J
EXPIRATION DATE 3/4/94
DATE IS UED 3/1/94
By
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
•�
J .�
MAF —• 1 —94 TUE 9 - 32 NUEV O ENG I NEER I NG
NOTE:
With proper validation
this form constitutes an
encroachment Permit CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION JENCROACHMENT)
oNE -r-�2�� �Er�s;zr� i0.4� 1?wtj-r
For the WnstruCtion of pubtic or private curbs, driveways, pavements, sidewalks, parking lots, sewers,
water insint
and other like public works improvements In connection with MINOR IMPROVEMENTS and APPROVIE0 91.18DiVIS ONS
P . es 2
DATE:+�-��
Subdivision Improvement Permit — Ciat,
Minor tmpravement Permit Class iV �+
LOCATION OF CONSTRUCTION
iStieet address Or Description of Location)
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, iF NEEDED
APPROXIMATE TIME WHEN WORK WILL SEGIN
Sketch (attach construction pians if appropriate)
00 -LAA P6U-te- : �-Ue 42 t -b`- 4-
Rc Anc' to t�Q��, rm:000'
APPROXIMATE TIME OF COMPLETION��t�_l��
ESTIMATED CONSTRUCTiON COST $
(including removal of ail obstruction, materlals. vtd debris, backfilling, com-
paction and placing permanent resurfacing end/o7 replacing Improvements) o�
In consideration of the granting of this permit, the applicant hereby agrm to:
Indemnify., defend aro save the City, its authorised agents, olfiean, represenrativet end emptayeet, harmlen from and against any and all
penalties, fieblllties or toes retuiting from claims or court action end arising out or any accident, loft or damage to perions or property
happening or occurring at a proximate result of any work undertaken under the permit grunted pursuant to this eoplicatlon,
Notify the Administrative Authority at least twenty-four 1241 hours In ldvence of the tins when work will be torted,
Comply with all Mplirable City Ordinances, the terms and conditiont Of the permit end III appllcabte rules and regulations of the City of
LA Ouinto and to pay for any additional replacement necettuy at ihs..refult of this work,
Name of Applicant (please print)
t erepnone No.
Name of Contractor and .lob Foreman . Business Address
w
On F le'
Telephone No.
Contractor's License No. 0 Fi 1
City Business License No.
Appricant't Insurance Company
Pollcy Number
FEES: Subdivision Improvement Permit — Clio III
Public