Loading...
2162P, `NOTE:: With proper validation this form constitutes an encroachment permit I. - 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 Subdivision Improvement Permit — Class III DATE: _5/5/94 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Move Equipment: (Street address or Description of Location) PURPOSE OF CONSTRUCTION 623 Scraper 10H. 11' 8" W. 80.000 lbs. DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Sketch (attach construction plans if appropriate) HAUL ROUTE: WASHINGTON TO AVE. 48 TO ADAMS 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 DATE: 5/6/94 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. 1 cJ` (6oJWly oS oti•r j,� nn% Signature of Applicant or Agent Piconi Trucking 39723 Old Carriage Rd.., Murrieta Name of Applicant (please print) Business Address Telephone No. Nuevo Engineering, Inc. 79811 Country Club Dr., Bermuda Dunes, CA 345-1778 Name of Contractor and Job Foreman Business Address Telephone No. On File Contractor's License No. On file On Pile 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 $ Permit Fee 10. Penalty Cash Deposit -Surety Bond if required TOTAL: $ 10. Receipt No. Received by Date Recorded by 2162 PERMIT VALIDATION PERMIT NO. 2162 DATE APPROVED 5-5-94 EXPIRATION DATE 5-6-94 DATE ISSAD 1 5-5-94 By �q '17 1 04j�."IAA� dministrative Authority TELEPHONE: (619) 564-2246 L 4 j•l. . r't;AY_'3 5_94 THU 9:28 NUE V O ENGINEERING NOTE; With proper validation this form constitutes an CITU OF LA 4UINTA ancroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) P . 0 1 For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewer%, water mins and other like public works improvements In connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS DATE:, _ y Subdivision Improvement Permit --Class 111 l�'-- Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION u ivyient 13tioat addrest or oescriptlon of Loudon) PURPOSE OF CONSTFtUr.Tlnm (0 01 DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL. SIZE OF EXCAVATION, IF NE15000 .�. APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION.. _ ESTIMATED CONSTRUCTION COST i (Including removal of all obstruction, materials, end deb. -Ii, backfilling, com- paction and placing permanent resurfacing and/or replacing Improvements) Sketch (attach construction plans If appropriate) wc'sl1'l nq-k on 1-c) Ave- 4% t b (\a a.ms In consideration of the granting of this permit. the Ilpplicant hereby agrees to: Indemnify, defend and fay. the City, its authoriz penalties, Hebliltles ed apent0, officers, teoresentetivet and employees, hamlets from and against any said alt or loss resulting from claims or court action and arising out of any accident, lost o► damage to parsons or property happening or occurring as a proximate result of any Worst undertaken under the permit granted -four pursuant d this applltytion, Notify the Adeninlstratlya Authority It least e►venty-four lid1 hours in advenee of the time when work will be started, Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable ales and regularions of the City of La Culnta and to pay for any additional replacement necessary as the result of this work. Signayare ��..of Appll nt or Agent .�.1�._-f� �ii� _ 3a�D�d t�c� Lar• Name of Applicant (ptedse print( �—'��`— �— Business Address X C111h Dr- 13p Telephone No. NuevoCl — Name of Contractor and Job Foreman8usiness Address FiXe Telephone No, On _ Contractor's License No, City Business License No. Applicant's Insurance Company Polley Number FEES; Subdlvlsion Improvement Permit — Class iII Public Improvements: 3% of aetima►e./o.....�.,.e.i_. ___._ r Jvm%; improvements! 396 of estimated construction crosls Private improvements: 3% Of estimated construction costs Minor Improvement Permit — Class IV; Sea attached schedule nspection Fee -------------- s errnit Fee "nasty ssh Deposit -Surety Bond requlred TOTAL: s b ecelpt No. '@calved by Date '"corded by Extended Page 1.1 N0 PERMIT VALIDATION PERMIT N0. (e 7, DATE APPROVED 5- r q a EXPIRATION DATE ` 0/ `l DATE ISSUED t3y Administrative Authority TELEPHONE: 08191 864.2x48 NOTE: 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 Subdivision Improvement Permit — Class I II DATE:__ _5/5/94 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Move Equipment (Street address or Description of Location) PURPOSE OF CONSTRUCTION 623 Scraper Sketch (attach construction plans if appropriate) 14'H. 11' 8" W. 80,000 lbs. DESCRIPTION OF CONSTRUCTION HAUL ROUTE: WASHINGTON TO AVE. 48 TO ADAMS DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED HAUL DATE: 5/6/94 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. 1 (C�'�Wz�Z Uri A-O,� ���>✓ Signature of Applicant or Agent i Piconi Trucking 39723 Old Carriage Rd., Murrieta Name of Applicant (please print) Business Address Telephone No. Nuevo Engineering, Inc. 79811 Country Club Dr., 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. 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 10. Post -It'" brand fax transmittal memo 7671 # of pages l, .. T -e— From co. V co. _ Dept. Phone # Fax # Fax # 2162 PERMIT VALIDATION PERMIT NO. —2162 DATE APPROVED 5-5-94 EXPIRATION DATE 5-6-94 DATE IS ED 5-5-9 By dministrative Authority TELEPHONE: (619) 564-2246 ` 8coumoqpm--- ------ ------- ym—'---'-- Li"cs!bzVo* /(}l*r- ^� -.. --^--------' , - ` ' \ ` - ` � _. � NOTE: With proper validation this form constitutes an CITY OF LA OUINTA encroachment permit APPLICATION FOR PERMIT � PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) Zile For the construction of public or private curb., driveways, pavements, sidewalks, parking lots, sewers, water malns and other like public works Irrtprovements In connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS GATE: x/5/94 Subdivision lImprovement Permit — Class 111 Improvement Permit Class IV LOCATION OF CONSTRUCTION Move Equipment (Busse eddies. or Casoriptlon of Location) ' PURPOSE•OF CONSTRUCTION 623 Scraper Sketch (attach construction plans if appropriats) 14 K_ 11. 8•• W. 80_000 iba. OESCRIPTION OF CONSTRUCTION HAUL ROUTE: DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE'fIME WHEN WORK WILL BEGIN WASHMNGTON TO' AVE. 48 TO ADAMS HAUL DATE$ 5/6/94 APPROXIMATE TIME OF COMPLETION ESTIMATEO CONSTRUCTION COST S (including removal of all obstruction, materials, and debris, backflllrng, com- petition and placing permanent resurfacing and/or replacing Improvement.) In conolderatlon of the granting of this permit, the applicant hereby agrees to: Indemnlfy,•defand and save the Clty, IVa Guth Orizad agents, offlears, revresentatives and employees, harmless from and against any and 911 paneltlos, Ilebll itis o lose resulting from .1.1— o urt solo. and arising out of any scolds nt, Ie.e or domgge to persons or property hepp.ning or occurring as aproxlmeto result of any work undertaken Under the permit granted pursuant to this application. Notify the Administ rative Autherlty of Lest twenty-four (24) hours In advance of rho time when work will be started. Comply with all eppilo 1al. City Orolnences, the terms and cendltlone of the permit and all applleablo rule. and ragulatlons cf the City of Le Culnts and to pay for any additional replacement noca.sary as the result of this work. mr`. lid -63o liL C��ion% Slgneture of Applicant or Agent Piconi Truc)cia% 39723 Oid Carriage Rd. a 14 r :LaCn Name of Appllunt (plesee print) Business Address Telephone No. Nuevo En%lasering: 2itc. 79811 Country Ciub Dr.. Sarmuda Duaasaa CA 345-1776 Name of Contractor and Job Foramen Business Address Telephone No. On Fila On Fila Contract—'e Lltisnse No, City Business License No. On Y31a On =11a Applloant's Insurance Company Policy Number FEE&: Subdivision Improvement Permit — Class III Public Improvements: 3% of estimated oonstructlon costs Private Improvements: 396 of estimated construction costs Minor Improvement Permit — Claes IV: Soo attached schedule 2162 Inspection Fee 8 PIERMIT VALIDATION Permit Fee — lO_ �I PERMIT NO. 9t A9 penalty OATE APPROVED 5-5-94 Cash Ogpo.it-Suraty Bond TRANSMISSION REPORT THIS DOCUMENT (REDUCED SAMPLE ABOVE) WAS SENT *** SEND *** COUNT 1 NO. REMOTE STATION I.D. START TIME DURATION #PAGES COMMENT 1 6193451778 1 5- 5-94 11:31AM 1'04" 1 TOTAL 0:01,04" 1 XEROX TELECOPIER 7020 �C4FA. 9 VA— Date: Ll Al S' r0jj JW ITH JE ja City of La Quinta Public Works Engineering Department Inspector's Daily Log Commercial/Residential Development e) 1'/- ,,, Weather: Clear Cloudy ❑ Rainy ❑ Overcast ❑ temperature Range:ZC//" Wind: Still ❑ Moderate ❑ High ❑ .�� z;��t /Sri.-% S e � /O Curl Q�-N ,�4N //�/ S fL%/oiV ��✓ %'� ��p/1„�.S /�' /Z/ Vif u/ GIj�/VEu/�r Grz, ,(•qG c.� �( �v t't�'7 Parts � �c.l<-ST,+.., CaCe�. a/�c.vr l�i L/✓5/O�L��/�J/�//K,/GY�/�� // S�r�sr� %�� Aws`t�!//✓91LN1!Iu✓�L. ��.(A'!J%oC/ G.!//� C�/S[(,�IS T� ClJ�P'rirfP_W's'�, / ��✓iiNf�X.�N! By: Title: e&wtuwUonhwpec n Page of CADocuments and Settings\jrey\My DocumentsUnspector's Log.doc 4 • •� � � .. - .. .. ..