2193NOTE:
With prop0validation
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 I I
DATE: 5-31-94 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION MOOS Equipment Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 9150 Tractor
14'6" H 1316"W, 55,000 lbs.
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
HAUL ROUTE: Ave. 48 & Adana to
Washington North to fty. 111
HAUL DATE: 6-1-94
PILOT CAR REQUIRED
APPROXIMATE TIME OF COMPLETION 41,
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 of Applicant or Agent
PICONI TRUCKING
Name of Applicant (please print) Business Address Telephone No.
NEUVO ENGINEERING, INC. 79-811 COUNTRY CLUB DR, 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 III
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. 1
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 10.
Receipt No.
Received by Date
Recorded by
2193
PERMIT VALIDATION
PERMIT NO. 2193
DATE APPROVED 5-31-94
EXPIRATION DATE 6-1-9ir
DATEIS U D 5-41-94
B
Administrative Authority
TELEPHONE: (619) 564-2246
Nota:
With proper Vatldp[ion
[hi• form mnaaltue•• •n CITY OF LA OUINTA
f watmont p.rmla App L1CAT10N FOR PIRRM1T
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
Y Por she mnKruetlen o, Duellp pr prlve[e urb•, drlv'w'ya. p- --i.. •Id•welk•. 'P'rklne 10[a, a•w wear m In•
and ether Ilka public tevt• ,ov_me In oonneatlon with MINOR IM►ROVaMENTS and APPROVEOaU0OIVIB10 N6
Subdlvl•IOn Improveman[ Permit —Cita 111
Minor Improvement Permit CYaa IV
LOCATION OP CONST RI.Icnchl
' le"R—p,O'dBE Ore••O;'C`0—N'6- T 'tlon or Im•tbnl
PU RPRUCTION M E ui�wnt 8k'eah (etuah Oonatru o<lon Olein If approprlat•)
OEBCR`PTION OF COf.IDT UGOIONi w a't _ AAIM AOIITEf A w.- 46 6 A4-- Co
lbr6� 19 6�,W S 00 Vnwkain Q,tart Ner Ctt t.e Yvy. 111,
OIMENBION OP IN9TALLAT{pN OR RBMOV AL tUVL DATE, 6-1-9A
SIZE OF EXCAVATION. IPNEEOEO PTLOT CAA AEQVI3L'ED
APPROXIMATE TIME WHEN WORK WILL %SOON
A►►ROXIMATD TIME OP COMPLHTION
6aTiMATEO OONaTAUCTION COSTS
Ilnaludln0 r vol of •II ebaauoalon. me aria la, end d•brl•, ,a•o/ef I111nO, mm-
motlen and pleDlna pvrmeMRt r urtseinp end/er replaolnp Improvem'nsa)
In mnaltlereLon of the yrant/na of thl' p'rm it. the apPllaan, herabV ayra•• a
InmmnlfY' e•r•ne end ra.v • OnV. hs eutlrorla.d •m lna. a Ib• .try r.s•m•aly� end .malltlWr.ltsrml•u from •nd'•M..—.r nes •II
.bill<Iw or ,>v him' 1
.—,an Ma Ina a •nes. eas or tlalh�e• to braons o orepartv
1�'MM �e undn +•ken u a. ..•.i� pr.es� ooW •nt m 'wed uen
Nea1N Adnrtnawtiva uaertY ••oMno t m an . will b •n• - r h t
pe G Iv w pDlb•b1e Olty Ortllneneaa. She t .nd o neltlont o th• .n
P--"
r.n t al •I• •pplle•bl•r uIM end •.aul'nen• e • .Olay n
to u nt. ane to p'Y rm anY Wdltlon•1 resp •a•m•nt noe•sury •a
In. result r tnl• wart.
1 Big-- of Appllmnt er Ayvn[
PICOPI TAU IPG
Nem' o} ApPllmne (pl'aw prl.rt) Dualnwa Adtlresa T•Nphens NO.
m WO EIPOIPE$IIIPO �C79 911 OOOPTAY QLDa DY EEAMJDA DltltEB 949-1778
Names e1 Conireater and _b poreman ■u•ln•aa Adtlre•a T•tvph N
OP PILE Off: PILE
Cpn[reetor'a Lleenas No. CItY Dualn•av Llmnw No.
OB ?,LLE OP HTLE
APpllO•nt•• Irtauranm COmp•rry POI oV Number
"OUS, aubtllvlaten ImproveRla a Permit — Ola•a 111
►ublle ImpreventaYl•: ix Of vvtlme<•tl m Yetlen o
Prlvte ImproY'rrr'wtel .3a6 of 'esti matetl mnatr uetlen m[a 2193
nt r�
Minor 2 Imprevomvntfltrmla — Claq 1V 1 ave else..•. aehedule 1 9 9
InapeotlOn Pee a 10. PERMIT VALIOATJON
►'rima F... PERMIT NO. ' 19e
f'enel[Y PATE APPROV eO
Cs,h Oepoai<-BuroN Bend
It —11.d EXPIRATION OATH 6-1'94
TOTAL: B lO• D^T 110tdu'io
R'OOIPt No. gy �
Remlvvd by OO[• Adminl,eretly' Autherlty
R—rdad by TELfiPHONE: (6191 see-za.e
Point -It— brand fox trDlnamlttmi memO 7eTt r er papas e
rom
o.
ap - OM
TRANSMISSION REPORT
THIS DOCUMENT (REDUCED SAMPLE ABOVE)
WAS SENT
*** SEND ***
COUNT
1
NO
REMOTE STATION I.D.
START TIME
DURATION
#PAGES
COMMENT
1
6193451778
5-31-94 4:OOPM
0'58"
1.
TOTAL 0:00'58"
>v
XEROX TELECOPIER 7020
NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT }�
% PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
OFO�S
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 II I
DATE: 5-31-94. Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move Equipment Sketch (attach construction plaits if appropriate)
DESCRIPTION OF CONSTRUCTION 9150 Tractor
14'6" H 13'6"W, 55,000 lbs. HAUL ROUTE: Ave. 48 6 Adams to
Washington North to Hwy. 111
DIMENSION OF INSTALLATION OR REMOVAL
HAUL DATE: 6-1-94
SIZE OF EXCAVATION, IF NEEDED PILOT CAR REQUIRED
APPROXIMATE TIME WHENWORK 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 env 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
PICONI TRUCKING
Name of Applicant (please print) Business Address Telephone No.
NEUVO 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 III
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit - Class IV: See attached schedule 2193
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
Post-Itn' brand fax transmittal memo 7671
# of pages ►
From
Co. kip -AA zo
Co I
4•
Dept.
Phone #
Fax #
Fax"
Date
PERMIT VALIDATION
PERMIT N0. 2193
DATE APPROVED 5-31-94
EXPIRATION DATE 6-1-94
DATEI U D _ 5-
B -
TELEPHONE: (619) 564-2246
Administrative Authority
NOTE:
With proper' validation
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: 5-31-94
LOCATION OF CONSTRUCTION
Subdivision Improvement Permit — Class I II
Minor Improvement Permit Class IV
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION _ Move Equipment Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 9150 Tractor
1416" H 13'6"W, 55,000 lbs.
DIMENSION OF INSTALLATION OR REMOVAL
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:
HAUL ROUTE: Ave. 48 & Adams to
Washington North to Hwy. 111
HAUL DATE: 6-1-94
PILOT CAR REQUIRED
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
PICONI TRUCKING
Name of Applicant (please print) Business Address Telephone No.
NEUVO ENGINEERING, INC. 79-811 COUNTRY CLUB DR, 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. II
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 10.
Receipt No.
Received by Date
' 2193
PERMIT VALIDATION
PERMIT NO. 2193
DATE APPROVED 5-31-94
EXPIRATION DATE 6-1-94
DATE I U D 5-41-94
l
B
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
s �
�. 1
•� \
� �' �
i� i �.�
MAY — 3 1— 9 4 TUE 1z:13 N U E V O ENGINEERING
NOT9:
With proper validation CITY OF LA QU INTA
this form constitutes an
encroachment permit CITY OF LA OUINTA MAY 3 11994
~� APPLICATION FOR PERMIT PUBLIC WORKS
PUBLIC WORKS CONSTRUCTION IENCROACHMENTI
P . 0 1
,,or the construction Of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water
and other like public works Improvements In connection with MINOR IMPROVEMENTS and APPnovED SUBDIVISIONS
DATE: 6Cj �Ct Subdivision improvement Permit — Class IIi�
�{ Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street eddreu or Vskription of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate}
�_.
DESCRIPTION OF: 4�C?NSTRUCSTION
DIMENSION OF IPNMLLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED -. .
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
EStIMATED CONSTRUCTION COST Z
Ilneluding removal of all obstruction, materials, end deb. k, backfilling, com.
pactlon and placing permanent resurfacing and/or replacing Improvements,
4 O.Javrn7 to LLCLDr`qV),Lgt i
in consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify, defend Dad siva the City, Its suthorlred agents, officers, represents tivel end employ@"� hermtett from and against any and alt
Fenelties, liabllitiet or lose resulting from claims or court action and arising Out Of any accident, los/ or damage to parsons or property
happening or occurring at a proximate result of any work undertaken under the permit granted pursuant to this sppllption.
Notlty the Adminsstrerlve Authority at least twenty-four 1241 hours In advance of the time when work will be started.
Comply with all eDpllcable City Ordinances, the terms and conditions of the permit and all swIlcable rules and regulatlons of the City of
La Mints and to Rey for any additional replacement necessary as th�resuIt of this want.
1 1 r A( A /1
Name of Applicant (please printl
Name of Contractor and Job Foreman
On tile-__
Contractor's License No.
of Applicant or Agent
Business Address-`'
'telephone No.
Business Address
Telephone No.
0 F e
City Business License No.
Ota --
Applicant's insurance Company
Policy Number
r.. Tye-zy.
(15118: Subdivision Irnprovemeftt Permit —Class iii
Public imprpvements, 3% of estimated constrnetlnn r^*#&
- .- • •r �,o vi estimate® construction cysts
Prlvetklmproventents: 3% of estimated construction costs
Minor Impiovement Permit w Class IV: See attached schedule
nspection Fee $ ,
armit Fee v
'enalty
:ash beposit•Surety Bond
' required
TOTAL: S ( 0
laceipt No.
teceived byDate..`...
Ie60rded by
Extended Page 1.1
No
PERMIT VALIDATION
PERMIT NO. 3 _
DATE APPROVED
EXPIRATION DATE
DATE ISSUED 31
Ey
I �
Administrative Authority
TELEPHONE: (819). 664.2248