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2152;NOTE. Witwprope*t alidation this form constitutes an encroachment permit CITY OF LA QUINTA 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 DATE: 4/26/94 LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION Move equipment DESCRIPTION OF CONSTRUCTION 9150 tractor 14'6Y H, 13'6" W, 55,000 lbs. DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Subdivision Improvement Permit — Class I II Minor Improvement Permit Class IV Sketch (attach construction plans if appropriate) HAUL ROUTE: Ave. 50 east city limits to Washington North to Ave. 88 east to Rancho La Quinta HAUL DATE: 4/27/94 APPROXIMATE TIME OF COMPLETION PILOT CAR REQUIRED 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 124) 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. ZTAM 1 E. 4�A t -L.. Signature of Applicant or Agent Piconi Trucking 39723 Old Carriage Rd., Murrieta, CA Name of Applicant (please print) Business Address Telephone No. Nuevo Engineering, Inc. 79-811 Country Club Dr., Bermuda Dunes, CA 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. Received by 10. $ 10. Date 2152 PERMIT VALIDATION PERMIT NO. 2152 DATE APPROVED 4-26-94 EXPIRATION DATE 4-27-94 DATE I SUE 4-26-94 By Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 APR — 2 6— 9 4 TUE 7:10 N U E V O ENGINEERING P.01 J, 101 NOTE: With proper validation this form constitutes an encroachment permit CITY OF LA OUINTA APPLICATION FOn PEnMiT f U13LIC WORKS CONSTRUCTION (ENC110ACHMENT1 For the cnnst►uction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, wator mains and other like Public works improvements In connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS DATE: /26/94 Subdivision Improvement Permit — Class IIi�` Minor itttprovement Permit Class IV LOCATION OF CONSTRUCTION !Street address or Description of Locatlonl PURPOSE OF CONSTRUCTION MOVE EQUIPMEN`i' 14 fDESC RIPTIQN OF CONSTA�PTiON i 2 1 LB DIMENSION OF INSTALLATION OR REMOi►AL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST S f including removal of all obstruction, materiaig, and deb. -Is, backfilling, cora• paction and placing permanent resurfacing and/or replacing Improvements! Sketch fattach construction plans if approprlstej HAUL ROUTE: AVE 50 EAST CITY,LIMITS TO WASHINGTON NORTH TO AVE 48 EAST TO RANCHO LA.AQUTNTA HAUL DATE: 1/27/94 in canslderation of the granting of this permit, the applicant hereby agrees to: Indemnity, defend sial save the City. Its authorlted agents, officers, representatives and emptoyeet, harmless Brom and against any end all penalties, fiabllititt at tots resulting from claims v. court action end ariling out of any accident, Iptt or demege to persons a property haPPtninq pr Oc[urrinq as a prorriWit result of any work undertaken under tha permit granted pursuant to this appllcarlon. Notlty the Administrative Authority at least twenty-four 1241 hours in advance Of the tuna when work will be started. CornPly with ell eVPfl4eble City utdipences, the leans and Conditions of the permit and all applicable lutes and romitartnti. -e .s— ant— La pulnq and to Pay (4r any e00111onal toplecertsant necassary ae Piconi Trucking 39_723 Name of Applicant (please print) Old Carriage Road, Murrieta, CA Business Address Telephone No, Name of Contractor and JobQ---AR1ZMlJda Dunes. I 177a Foreman Business Address Telephone No. On File _ Contractor's License No. On Fi e City Business License No. Applicant's insurance Comparty Policy Number FEES: Subdivision Improvement Permit — Class III prrhlir Irnn.n..n.......►.. Nei -a - .. Public Improvements: 3% of estimated constructlon Casts Privati"hProvements: 3% of estimated construction costs Minor ImPlovement Permit - Class IV: See attached schedule aspectlon Pee $ 'ermit Fee /b 'enalty +sh Deposit-Surety Oond ' required TOTAL. S /� IlecelPt No. tecelved by Date I lecorded by Extended Page 1.1 1� d PERMIT VALIDATION PERMIT NO. - 2 62 - DATE APPROVED 4/- Z �,- 9� � `EXPIRATION DATE '/- Z 7 -fl/ DATE ISWED . Z By Administrative Authority TELEPHONE: (8191684.2249 Date: S M T 13M 1 LH F S City of La Quinta Public Works Engineering Department Inspector's Daily Log Commercial/Residential Development Weather: Clear P�- Cloudy ❑ Rainy ❑ Overcast ❑ Temperature Range: 4 Wind: Still R Moderate ❑ High ❑ By; Title: s Q Page —4— of 4 CADocuments and Settings\jrey\Locs1 Settingffemporary Intemet FileMLK281D\Daily Ingpectors Log.doc