1913x
NSTE
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: 10/5/93
LOCATION OF CONSTRUCTION HWY 111 AND WASHINGTON
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION MOVE EQUIPMENT
DESCRIPTION OF CONSTRUCTION 16G BLADE
106"H, 10'6"W, 53,500 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)
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
HAUL ROUTE: ADAMS, 48TH AVE.
WASHINGTON,
HIGHWAY 111
HAUL DATE: � 10/5/•93
r D
OCT 0 5 1993
BY
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
NUEVO ENGINEERING, INC. 79-811 COUNTRY CLUB DR., BERMUDA DUNES, CA 345-1778
Name of Applicant (please print) Business Address Telephone No.
SAME
Name of Contractor and Job Foreman Business Address Telephone No.
ON FILE
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 10.00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
$ 10.00
Date
193
PERMIT VALIDATION
PERMIT NO. 1913
DATE APPROVED 10/5/93
EXPIRATION DATE 10/5/93
DATE ISSUED l-)' ` 3
By
Administ ative Authority
TELEPHONE: (619) 564-2246
OCT— 15-93 TUE J.0--:90 NUE V O ENGINEERING
1►`Orope vallrfatiOtl
.JAfort" constitutes an
0410sd/inent pern►it
CITY OF LA OUINTA
APPLICATION FOR PI~RMIT
,111BLIC WOiiKS CONSTRUCTION (ENCROACHMENT)
P. 01
Ftar tt;r rn++,ttu ave,; a>{ i)l1blic or tuivatP c+►rl,►t, rtriveways, I+avettler►ts, sidcwarks, patkinq tnls Srwerl wllrrr „►air,s
ajid nihrt like i,ul+lir vrri!its I+nrit4vnn+n,nli let cnnr:rction will% MINrjli Ifvll'110VEWfEPjI'Si stat /\I'pA(')VFt) SI.IilU1V151()NS
DATEt a0�Subdivislon improvement Petrnit – Class
.� –� Minor Improvetnentt Pertttit Class IV
LOCATION OF CONS-FRUCTICN Hwy ,l I I & Washington ---------
(street addrest or Cesellption of Locatlonl
PURPOSE OF CONSTRUCTION M6ve Equipment
talrSCfllf TION OF
DIMENSION OF INSTALLATION OR REMOVAL -
SiZE OF EXCAVATION, iF NEEDED
Sketch lattach construction plans II approprlatel
HAUTE ROUTE: Jt1h Ave., Washington,
Highway 111.
HAUL DATE: 10/5/93
APPROXiMATE TRAE WHEN WORK WILL BEGIN
APPROXIMATt TIME OF COMPLETION
ESTIMATED coNs-f-RUCTION COST ffi
tlr►ctuding removal of all obstruction, malarials, and deb; is, backfilling, corn.
Izartion and placing Pesnianent resurfacing and/or teplacing Improvements►
Its consideration of she granting of this perrnit, the applicant hereby agrees to;
indemnify, delend 81%d save tt+e City, its aulhorlgsd 49er►t4. officers, representatives and amproyee,. hatrnlrss (torn and egainll ratty ai,d ail
Ilenetfies, liabllitif-t or loss rasunlhg fret" claims or court action and erislhg out of any occident, lost Or darns!
happthing or occurring as a proxintals tagult Of any wperrrtlt granted pursuant to this
p pArsnns of prt,I�rty
appncatron.
Notify the Adinlnistretwe Authorlry at feast twenty-four f241 hours In advance of the tin" when wotk will ba started,
Comply with all ehptleswe City ordimen s, the terms
and Cpndltione of tha orrntt ar.
La O1�inta end to nev for •hy ariditiot+al replecament necessary as the result of thif work, uppllcrr6le rutH and regutatlo,+s of tha City of
Nalne of /Applicant (Please priilll
Signature of Applicant or Agent
91,111illess Address
Telephone No.
Ifairle of Conti act
o dlJ b e eit+ar ` —f
Business Address
Telephone No.
Co++tractot's License No Urt !�'i_ _ l e
City Business License No
Applicant's Insurance COrnparty
Policy Number
`EES: Subdlvisdon Improvelneftt Pennit Class IiI'�'"—`_
Public Improvements: 3% Of estimated construction costs
Private Improveinenty -4e Aa...r....._ .