2113E
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
march 28 1994 Subdivision Improvement Permit — Class I II
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION The Quarry
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move Equipment
DESCRIPTION OF CONSTRUCTION 623 scraper
14' H. 11'8" W. 80.000 lbs
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Sketch (attach construction plans if appropriate)
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:
Haul Route: Jefferson Street, north
city limits to Avenue 54, east to
Madison, south to Avenue 48, then west
to the Quarry.
Haul Date: 3/28/94
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
Blackmore Company 2880 Del Rio Road, Temecula, CA 92590 (909) 676-2994
Name of Applicant (please print)
Business Address
Telephone No.
Nuevo Engineering 79-811 Country Club Drive, Bermuda Dunes, CA 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.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class III f
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.
Received by
Recorded by
10.00
$ 10.00
Date
213
PERMIT VALIDATION
PERMIT NO. 2113
DATE APPROVED 3/28/94
EXPIRATION DATE 3/28/94
DATE ISSUED 3/28/94
By
Administrative Authority
TELEPHONE: (619) 564-2246
MAR -2S-94 MON 9:!50 N U E V O ENGINEERING
NOTE -
With proper validation
this loin% "fill 11111lot :111 erry OF LA OUINTA
eri�Igal:It111nttt (1rrFn,l1
APPLICATION FOn PERMIT
I'VOLIC WORKS CONSTRUCTION II`NCROACHMENT)
P _ 0 2
For the consirtsCtiun of public of plivate curbs, driveways, pavements; sidewalks, parking lots, sewers, water mains
and other like public works Improvements In connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS'
BATE: v I
LOCATION OF CONS 1-IiUCTION
ISiteet address or bescrihtivn fit 1_tw.1 011)
PLIAPOSE OF CONSrRUCTION MOVE mulpiliat
bESCRIPTION OF CONSTRUCTION23 SMER --- -
,
DIMENSION OF INSTALLATION OR REMOVAL.
SIZE OF EXCAVATION, IF NEEDED .
APPROXiMATE TIME WiZEN WORK WILL BEGIN
Subdivision improvement Permit — Class IIi
Minor irilprovemeni Permit Clots IV
Sketch (attach consttuctlon Glans It appropriate)
MAUL ROUTE.- S, -6 -f -N
APPROXIMATE TIMI= OF COMPLETION
ESTiMATED CONST ROCTiON COST $
(Including temoval of all.p4souctinii, materials, And debrls, backfilling, com• HAUL DATE: 3 baa l
pactipn nod placing llermaiwot resurfaclllh and/or reptacing Improvements) r
In corrsidelatiott of Ilia gianlirttl of this permit, Ilio Applicant hereby agrees to:
h+drrnnifY, 1G0rn.l air! �,1vr. flit, (;ity, it9 all tlit)ri..rKf ;Ihcnrs, nificrre, rrlpresantarivv.s anti ontployecs, harmless (runt mill ollitnsl ally n,+tl all
pertalliel. Ilahiritis+- nr lost resullirtrl fro,n claims or court action and arising out of any accident, loss or damage to persons or probity
happening or rxi!wrirul ac a proximile result of any work undertaken under the permit granted pursuant to this application.
Notlly Oho Adittir+ioralive Mtihq,hy 91 least twPnty-four 1241 hours in advance of the tlma when work will be started.
Crr!!+pty with , 11 :yy,iir:,,Llr City Ordina+srr!c, the tvrrns -1114 cnnriitions of the Perritt and all applicable rules and regulations of the City of
La 60111.1 and In nay Ir+, rn,y orldlNonal teptacetiietrt necessary as the result of this work.
f {rrlC LC 1MC�r� �.
Name of Applicant 1hlfine. Itrlrlt)
NUEVO ENCINIsFAM4
Nance pf Cuntiaclol ;1110.1111) r oilman
ON FILE_ -
Contractor's License Nn.
ON FILE
7
l�lg►tatuFO a1 `
Business Address
"LUB DR.. B
Business Address
— � IS4.
Telephohe No.
elephone No.
ON FILE
City, Business License No,
ON FILE
Applicant's Itmirancrt Crtrulrwy Policy Number
(" S: Subdivision Inlprov_OInent Permit — Class III
Public Iittprovements. 344 of estimated construction costs
Private tmptovements: 3% of estimated ennetrurtinn rAtil.
i
M
r^
��
1 f
.. Yy''[' n ..
MA{` -25-94
MON S - 49 NU.E V O EMG I NEER I NG
P. 01
NUEVO ENGINEERING, INC.
79-011 COUNTRY CLUB DRIVE . BERMUDA DUNES, CA 92201 - 619/345-1778
GENSRAL ENGINEERING CONTRACTOR • LICENSE NO, 438934
FAX (61.9) 345-6704
FAX TRANSMITTAL SHEET
PLEASE DELIVER THE FOLLOWING PAGES T0:
NAME'
,��
FAX NUMBER: 'Tl - a
LOCATION'* _ _ l., u tn, I'A ct__
FROM: em V\ el
ez-
NUMBER OF WES INCLUDING TRANSMITTAL
SHEET
DATE: TIME: :a c
IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE
CONTACT THIS OFFICE AS SOON AS POSSIBLE AT
THE ABOVE PHONE NUMBER.
t
f
i
f/
�a watt improvements: J% 61 estimated construction costs
j Minor I'll1
p ovement Permit — Cless IV; See Attached schedule
nspection rim, $
lermit rep
4nai l y--
ash Depnsil•Sluely nmol
requhPd
rorAL:
"Colot No'
ecelvedbY.��--�.,._—,�____
Extended Page 2,1
PERMIT VALIDATION
PERMIT N0..�._�
DATE APPROVE[)
EXPIRATION DATE
DATE ISSUED
y dn►Inlstratire Authority
TEUPFIONE:16191564.2248
3.
" s
REQUEST FOR INSPECTION
Mof o� 24 HOUR ADVANCE NOTICE
DATE .7
PROJECT
PROJECT LOCATION /
Bzs- ��z����
PERMIT NUMBER
z���
CONTRACTORS NAME
PHONE NUMBER
COMPACTION TEST COMPACTION TEST
Subgade.................. ❑ Base ........................ ❑
Grading ....................
0
Curb & Gutter .......... ❑ Drainage .................. ❑
Formwork..................
0
Trenches ................ ❑ Striping ....................
❑
Structural Steel ........
0
Paving (Asphalt) ...... ❑ Signing ....................
0
Backfill ......................
0
Paving (Concrete) .. ❑ Landscaping
............ ❑
Excavation ................
0
Driveway Approach
/ T 3
_ 0—,0,e -
MONDAY TUESDAY WEDNESDAY > THURSDAY FRIDAY
78-105 CALLE ESTADO • LA QUINTA-CL-I•F'6RANIA 92253 • (619) 564-2246