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2173c 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 DATE: 5-13-94 LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION Move Equipment DESCRIPTION OF CONSTRUCTION 623 Scraper DIMENSION OF INSTALLATION OR REMOVAL 14111 11'81, W 80,000 lbs SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Subdivision Improvement Permit — Class II I Minor Improvement Permit Class IV Sketch (attach construction plans if appropriate) Haul Route: Ave. 48 & Adams to Washington North to City Limits Haul Date: 5-16-94 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 Q4) 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 on file Signature of Applicant or Agent Piconi Trucking Name of Applicant (please print) Business Address Telephone No. Nuevo Engineering, Inc. 79-811 Country Club Dr., Bermuda Dunes, 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 I I I 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. $ 10. Received by Date 2173 PERMIT VALIDATION PERMIT NO. 2173 DATE APPROVED EXPIRATION DATE 5-13-94 5-16-94 DATE 5- 3-94 By Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 MAY -1z—<=)4 PRI 1z:04 N U E V O ENG I NEER I N G NOTE: With proper validation this form constitutes an encroachment_ permit CITY OF LA OUiNTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) P. 101 For the construction pf 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 — Cle:s III Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION _ (Stieet address or Detcrlption of Locatlonl �' ,, PURPOSE OF CONSTRUCTION �L—�-���me-� „s Sketch (attach construction plant if approprilite) OES I2'1� N OF CONSTAU TION y am'.r---+— tf - -- - _ - 1 j. it DIMENSION_^OF INSTALLATION OR REMOVAL `� H ,! �gW ado v v o L_6 S SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN c M L jy� to wo;lf nqtyn tD �� h .LtrYU�C� APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ (including removal of all obstruction, materials, and debAs, backfilling, cam• paction and placing permanent retyrfacing and/or replacing improvements) In consideration of the granting of this permit, the applicant hereby agrees to: Indernnify, defend and cave the City, lit authorlied agents, officers, representatives rind employees, harmlels from and sgelnst any and sit penallies, liabilirles or loss resulting from Claims or court action and arising out of any Accident, loll or damage to persons or property happening or ocrurring at ■ proximate result of any work undertaken under the permit granted pursuant to this applkollon, Notify the Administrative Authority at feast tmnty•four 1241 hours In advance of the rim! when work wilt be started. CChlpty wish all applicable City Ordinancss, the terms end conditions of the permit and lit applicable rules and regulations of the City of La Dutnte and to pay for any additional reprecement ntcassary as th! r t of shit work. 'L qlas Signa re of Applicant or Agent Narne of Applicant 1please print) Business Address Telephone No. Nuevo Enel Mame of Contractor and Job Foreman Business Address Telephone No. On F11e 0 Fi e finntririnr41 ironro life . _ ._ ._THP10 AriNticant': insurance Company Policy Number FEES: Subdivision Improvement Permit — Class III T Public improvemetitt: 3% of estimated e6nstmetinn P.9ate • '/ 1 1 i 1 c •✓ 3L_ ` WWI ?% nnV'UYClllumv: 470 or estimated construction Gists Private Imp►ovements: 3% of estimated Construction costs Mino� r Improvement Permit — CIAss IV: See attached schedule 1,=15ection Fee 3 'ermit Fee 'enalty :ash Deposlt•Surety Bond ' required TOTAL: s lecelpt No.- lecelved by ^._ Date Worded by Extended Page 1,1 NO PERMIT VALIDATION PERMIT NO. 2 I ? —5 DATE APPROVED `' — EXPIRATION DATE '5l /& DATE ISSUED 5-I.f -- "? L/ . 13y _ Administretive Authorlty TELEPHONE: 16191664.2240 I f ' . 7 .d NOTE: With proper valldation this form constitutes an CITU OF LA OUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or private curbs, driveways, pavements, sidewalks, perking Iota, sewer,, water mems end other like public works Improvements In connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subd ivlsion Improvement Permit — Class 111 DATE: 3-19-94 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION (Street address or Desorlptlon of Losatlon) PW RPOSE OF CONSTRUCTION va nt Sketch (attach construction plena If appropriate) DESCRiPT10N OF CONSTRUCTION 623 Sc'.v^oar Haul Routat Ava. 48 b Adam, to Washington North to t 2C _ T_4 -4:t DIMENSION OF INSTALLATION OR REMOVAL 14 K I1 8 W 80.000 iba Haul Dates 5-16-94 SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF. COMPLETION ESTIMATED CONSTRUCTION COSTS (Including removal of all obstruction, materiels, and dobrl,, backfllling, com- Pebtlon and placing permanent resurfacing and/or replacing improvements) In consideretlon of the granting of this permit, the applicant hereby agrees to: Indemnlfy,•defand and save the City, its suthorland agents, offlaers, reOrasgntetivos and employees, harmless from and against any and ?11 penaltlas, Ilabll lties or loss ra sultlna from claims or court action and arising out of any accident, loss or damage to persons or property heppenln* or ocou rrIng e. a Proxlmate result of any work undertaken under .the permitnted pre pursuant to Trite aPPllaetlOn. Notify the Adminlserative Authorlty at least twenty-four (24) hour. in .dye nee of the time when work will be started. Comply with all appllosble City Ord)nansaa, she term. and conditions of the permit end all applicable rules and reaulatlon. of the City of V Qulnte and to any for any additional replacement necessary as the result of this work. S:Lwnazura on YYia Signature of Applicant or Agent Riooal TrucicYna Name of Applicant Wastes print) Bualneee Address Telephone No. Nuevo 2nc. 79-811 CouaLry Club Dr. Sarmtsda Dtaaaa 3431778 _ Name of Contractor and Job Foramen Business Address Telephone No. On P11a On 911a Contractor's License No. City Business License No. On YYia Oa 2Y1a Applloant'e Insurance Company Polley Number FEES: Subdlvrslon Improvement Permit — Close 111 Public rmprovements: 396 of estimated construction costs Private improvements: 3% of ost)mated construction coats Minor Improvement Permit — Claes IV: $ea attached schedule 2173 Inspection Fee S PERMIT VALIDATION Permit Fee -10• PERMIT NO. 217Q _ Penalty CashOepoal t-SurDATE APPROVED 3-13-94 ' at' Bond TRANSMISSION REPORT THIS DOCUMENT WAS SENT ** COUNT # 1 *** SEND *** (REDUCED SAMPLE ABOVE) NO REMOTE STATION I.D. START TIME DURATION #PAGES COMMENT 1 6193451778 5-13-94 3:03PM 1'04" 1 TOTAL 0:01'04" 1 XEROX TELECOPIER 7020 N 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 DATE 5-13-94 LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION Move Equipment DESCRIPTION OF CONSTRUCTION 623 Scraper DIMENSION OF INSTALLATION OR REMOVAL 14'H 11'8" W 80,000 lbs 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. 48 & Adams to Washington North to City Limits Haul Date: 5-16-94 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 on file Signature of Applicant or Agent _Piconi Trucking Name of Applicant (please print) Business Address Telephone No. Nuevo Engineering, Inc. 79-811 Country Club Dr., Bermuda Dunes, 345-1778 Name of Contractor and Job Foreman Business Address Telephone No. On f ile Contractor's License No. On file 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 10. Penalty Cash Deposit -Surety Bond if required TOTAL Receipt No. $ 10. Received by Date Recorded by 2173 PERMIT VALIDATION PERMIT NO. 2173 DATE APPROVED EXPIRATION DATE 5-13-94 5-16-94 DATE IS UE 543-94 By Administrative Authority TELEPHONE: (619) 564-2246 z # ! '.� c� . _ .. "...,'