2089'E:
_'�~ With proper validation
this form constitutes an
encroachment permit
CITY OF LA QUINTA
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)
Subdivision Improvement Permit — Class I II
Minor Improvement Permit Class IV
PURPOSE OF CONSTRUCTION Move Equipment Sketch (attach construction plans if appropriate)
623 Scraper. 14"H.11'8"W.80.000lbs
DESCRIPTION OF CONSTRUCTION
Haul Route: The Quarry, to Ave 58
East to City Limits,
DIMENSION OF INSTALLATION OR REMOVAL
Haul Date: 3/2 thru 3/4
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 term:• 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 Road$► Murrieta CA 714-677-8196
Name of Applicant (please print) Business Address Telephone No.
. Nuevo Engineering, Inc. 79-811 Country Club Drive, Bermuda Dunes 345-1778
Name of Contractor and Job Foreman Business Address Telephone No.
On File
Contractor's License No.
On File
On file
City Business License No.
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 $ 10.00
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
$ 10.00
Date
PERMIT VALIDATION
PERMIT NO. 2089
DATE APPROVED 3/1/94 +
EXPIRATION DATE 3/4/94
DATE ISSUED 3/1/94 `
By
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
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t R— 1— 9 4 T U E 9::3Z N U E V O ENG I NEER I NG P_ 0 3
NOTE;
With proper validation
this form constitutes an
enctoachrrtent permit
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTpUCTION (ENCROACHMENT)
Forth-
and
he construction of public or private curbs. driveways. Pavements, sidewalks
andred other ng lots, sewers, wat" main$
like public works Improvements in connection vvith MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DAIS,
Subdlvlslort Improvenient Permit — Class III ��
out" -,.Improvement Permit Class IV ,,,,_�,
LOCATION OF CONSTRUCTION
ISOM address or Description of Location)
PUP E OF C IST UC ON u
Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION , 1 i�-
CL.L
c� 1'
DIMENSION OF INSTALLATION OR REMOVAL v U e__ O C �� . '�Q
WE OF EXCAVATION, IF NEEOE() q
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPAOXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST S
(including removal of all obstruction, materials, and deb. -Iii, backfilling, Com-
paction and placing permanent resurfacing and/or replacing Improvementel
In consideration of the granting of this permit, the applicant hereby agrees to..
Indemnify, defend and We the City, IiI authort:ed &Cents, Olfica+a, representatives and em to
P"611141, liabilities or lots retultlnQ irarrt clAims o+ court action end Arlstn p yes. hArmlets from and againtt any and atl
happening or occurring as a proxlrnat' result o0 an g out of any Accident, lotto► darnege 10 persons or oroparty
Y worts undertaken under the permit granted pursuant to this application,
Notlty the Administrative Authority At ill/t twenty-four 1241 hours In advance of the time when work will be started,
Comply with all applicable Cit, Ordinances, the terms and conditions of the permit And all Applicabte rules and rtgu1811ans of the City of
iJ 001% and to pay for any additional replacarmnt necasaary as thj 'Tu
of this work.
1 A
P1 old tr r c�._KI r1g
Name of Applicant (please print)
Name of Contractor and Job Foreman
on File
Contractor's License No.
P""
of Applicant or Agent
�r,lnnl
7tqAddress
Tt ephon�No.
nn 7o—Ri i n—._-_
business Address Telephone No.
oF.I. le
City Business License No,
'plicant's Insurance Company
PolicyNumber
ES: Subdivision improvement Permlt —Class III
Public lmnrnua M...a.. 7N
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' M- A R- --9 4 T.,LLE.. E.. 9 3 1 N U E V O. ENGINEER I N G
P . 0 1
NUEVO ENGINEERING, INC.
78-811 COUNTRY 4;LU13 DRIVE • BERMUDA DUNES, CA 92201 • 6191345-1778
GENERAL ENGINEERING CONTRACTOR - LICENSE NO. 438834
FAX (619) 345-6TO4
PAX TRANSMITTAL SHEET
PLEASE DELIVER THE FOLLOWING PAGES TO:
NAME �7
FAX .NUMBER:
LOCATION:
FROM:
NUMBER,pF PAGES INCLUDING TRANSMITTAL
SHEET 7 n
DATE: t TIME; ! •yy
IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE
CONTACT THIS OFFICE AS SOON AS POSSIBLE AT
THE ABOVE PHONE NUMBER.