0955! .F�I.T-�� w.r r w !r •.'r w .....•.....[ .! rw w...•.+. w.'w.�rs,.... .� M+w+•n'•.!. w... w!•,,r},ry,rr ,.. ..+..�.....•-...�.."'� •. .�• •....� ..
NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT '
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
TR11". OVi�RSIZL LOAD PERMIT
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
December 11, 1990
DATE:
LOCATION OF CONSTRUCTION rovct nc.atnr'rkent
Subdivision Improvement Permit — Class I II
Minor Improvement Permit Class IV
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION 623 B Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 10h, 101t% .110,000 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:
Maul Route:
Jefferson n/d Ave. 50 w/b to
Flashington n/b to CityL:imits
Haul date: 12/11/90
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 iC o
1,yucvo Engineering 79-811 Country Clubs berr.uda Dunes 345-1771
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman
on file
Business Address
on Sit e
Telephone No.
Contractor's License No. City Business License No.
on file
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I I I 2 8 0 ` 102 o��lo 2-1 I
c��l� � �� i o 0 0�
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 1Q1 DD
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 10.00'
Receipt No.
Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO. 0955
DATE APPROVED 12/11/90
EXPIRATION DATE 12/11/�)O
DATE,ISSUED °12/11/90
By
y Administrative Authority
TELEPHONE: (6191564-2246
s•
rj4
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�j.
NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
ONE TRIP OVERSIZE LOAD PEF' 11IT
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
December 11, 1990
DATE:
LOCATION OF CONSTRUCTION Irmove ee1,,uoment
Subdivision Improvement Permit— Class III
Minor Improvement Permit Class IV
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION 0" B Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 14'h, 10'W, 110,000 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:
Jefferson n/d Ave. 50 cfj/b to
Washington n/b to CityLimits
Haul date: 12/11/90
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
Nuevo Engineering 79-811 Country Club berr.uda Dunes 345-1770
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
on file on file
Contractor's License No. 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
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
$ 10.00
Received by Date
Recorded by
1?8182CA5N8 `70jA+L11' 90 10.900
PERMIT VALIDATION
PERMIT NO. 0955
DATE APPROVED 12/11/50
EXPIRATION DATE 12/11/0'0
DATE ISSUED 12/11/3.0
0
By
Administrative Authority
TELEPHONE: (619) 564-2246
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
r ti
Subdivision Improvement Permit — Class III
DATE:�l Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location) -
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
'DESCRIPTION OF CONSTRUCTION S HOJJAN
IME�NS,ION OF ffqSTALLATION OR REMOVAL I v'` � } �l � 5D
Cl)I _._ 'Wire '_7) Wk1 P1N67T6Ii!
SIZE OF EXCAVATION, IF NEEDED
:'APPROXIMATE TIME.WHEN WORK WILL BEGIN lit t'J�C
APPROXIMATE TIME OF COMPLETION
EST IMATED "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, east'•twenty-four 1241 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 Quints and to pay for any additional replacement necessary as the result of this work.
s
Signature of Il " nt r Agent
Nuevo Enl;ineeringi Inc., 79-811 Country Club, Bermuda- Dunes 619-345-1778
Name of Applicant (please print) Business Address Telephone No.
Name of Conyaptor and Job Foreman Business Address Telephone No.
Contractor's Licy"Ip pV . City Business Licptse No.
pplicant's Insurance Company
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
nspection Fee $
ermit Fee
i
enalty
ash Deposit -Surety Bond '
required ,
TOTAL:" $
eceipt No.
eceived by Date
ecorded by
PorWy Number
N°
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION ' DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: 1619) 564.2246