1718"'_JNOTE tr—
With proper'Avalidation ( o Q
j this form constitutes an
A.CITY OF LA QUINTA
'encroachment permit $
sl �" APPLICATION FOR PERMIT
`S PUBLIC WORKS CONSTRvUICTION (ENCROACHMENT)
`SOF IRB
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
' ;.and other like public vv'rks improvements in.connectiornwith MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit — Class III
DATE: 4/20/.93 Minor Improvement Permit Class IV
- , LOCATION'OF.CONSTRUCTION Keller Pit S/0 58th
(Street address or Description of Location)
' • PURPOSE OF CONSTRUCTION Move Equipment Sketch (attach construction plans if appropriate)
i ,.DESCRIPTION. OF CONSTRUCTION '� EQUIPMENT MOVED P.RIOR�TO PERMIT
. ISSUANCE SEE APPLICATION POR
DIMENSIONS
DIMENSION OF INSTALLATION OR REMOVALSe6 Application—
SIZE OF EXCAVATION.- IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN Done << 'Y`
L� 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)
Ir 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
I 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,jwith 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
Cattrae'Construction Inc 15030 Slover Ave Fontana (909) 355-1146
Name,of,Applicant (please print) Business Address. Jelephone'No.
u Simon Const. Co
<� Name of Contractor and Job Foreman . Business Address Telephone'No.
On, :JiJ4 On Pile
Contracto'r's License No. City Business License No. - .
Golden.Eagle Ins CCP194870`'
Applicant's Insurance Company Policy Number
•FEES. Subdivision Improvement Permit'— Class 111 +$q�� 'j`''0 "g3 '10_d0W.
4 Public improvements: 3% of estimated `construction costs .31
Private improvements,: 3% of estimated construction costs .
i' Minor Improvement Permit — Class IV: See'attached-scheduleI IS
Inspection Fee $ 10.00 PERMIT VALIDATIONM
Permit Fee PERMIT NO. 1718
Penalty i 4/13/93.
Cash Deposit -Surety Bond DATE APPROVED
if required EXPIRATION DATE.4/13/93
TOTAL: $ 10.00 4/13/93
DATE ISSUED
Receipt No.
B�5
Received by Date Administrative Authority;
. i
Recorded by TELEPHONE: (619) 564-2246:
Eli
JAMES E. SIMON CO.
General Contractors.
35905 DILLON ROAD • 60X-10990 • INDIO, CALIFORNIA 92202 • 619/347-5399 • FAX 619/347-6572
April 13, 1993
City of La Qu i n t a CYT_ Y OF LA QUINPA
78-105 Calle Estado i
La Quints, CA ,92253 APR 1 91993
Attn: Fred R. Bouma PUBLIC WORKS
Re: La Quinta Quarry
Dear Mr. Bouma:
In response to your letter of April 9, 1993, we have completed
some minor clean up work on the.above project under the direction
of •the property owners. They will be in contact with you prior to
•continuing any clean up of the proposed construction area.
Four pieces of equipment have been delivered to the project
which would be subject•to the city permitting requirements. Three
of these were delivered by CATTRAC. They will contact you to get "
the proper permits.
We moved one load with our own truck_ which would be
permitted. Since we thought Avenue. 58 off of Highway 86 was a
county road, we didn't contact the city.
Enclosed is our application for encroachment permit and check
in the amount of $10.00 to cover the load hauled by our company..,
GAM/kr
Enclosures:.Two
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02511
2-
CE RTT, I FINSURIANCE",--
yiISSUE DATE (MM/DD/YY)
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
PRODUCER
The Harry A. Koch Co.
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
2121 South 44th Street
PnL IC'IF:q RFI QW
P.O. Box 6215
Omaha, NE 6e106
COMPANIES AFFORDING COVERAGE
COMPANYA
LETTER
COMPANYB
I LETTER
INSURED y
S-t..—.P-a.u-1,.-F-i-r-e,--&_ISI a.r-i.n-e.
COMPANY
James E. Simon Co.
LETTER
P.O. Box 10990
COMPANY
D
Indio CA 92201
LETTER
Ma
COMPANYE
LETTER
__0
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
Col POLICY EFFECTIVE POLICY EXPIRATION
I TYPE OF INSURANCE POLICY NUMBER
LTRLIMITS
DATE (MM/DD/YY) DATE (MM/DD/YY)
A
GENERAL LIABILITY IBIND101e120 3!01 /93 3 -0 1 94 i GENERAL AGGREGATE $ 2,0 -0 -0 -0 -0 -0 --
COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG
20-Q0.0-0-011
—
I CLAIMS MADEX OCCUR] PERSONAL & ADV. INJURY o0_0_0_QQ_.
OWNER'S & CONTRACTOR'S PROTtz
;EACH OCCURRENCE
1— 11-1-1-0-0-0-0-0-0—
J_EIRE DAMAGE (L ny 2
�- f4
-- — -$-1-0-0-0-0-0--
3 MED. EXPENSE An one personf $ 50on
B 1 AUTOMOBILE LIABILITY !BIND198120 3/01/93i 3 0 1 94 11 1000000
COMBINED SINGLE$
iC ANY AUTO LIMIT
ALL OWNED AUTOS
BODILY INJURY
- $
S,: ULED AUTOS (Per person)
X HIRED AUTOS
BODILY INJURY $
NON -OWNED AUTOS (Per accident)
HX
GARAGE LIABILITY
, PROPERTY DAMAGE
C EXCESS LIABILITY BIND 198119 3/01/93i 3/01/941 EACH OCCURRENCE 2.0-0-0-0-0-0—
UMBRELLA FORM AGGREGATE20-0-0.0-0-0--
$
OTHER T4AN UMBREL'_.:, FORM
DB IND198122 s 3/01/93 j 3/01/94 tX i STATUTORY LIMITS .......
WORKER'S COMPENSATION
LEACH ACCIDENT i $
AND
DISEASE—POLICY500000
EMPLOYERS' LIABILITY L]Mr__
DISEASE—EACH EMPLOYEE; $
.900000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
Project: Improvement of Avenue 52 from
Washington Street to Avenida Bermudas Project 91-13
�A
Rfi (Q _ItE6`!.CANCELLATION._
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
City of LaQuinta 10
MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
Yi AUTHORIZED REPRESENTATIVE
S 71, "QACQR[) CC [ON 1990
2-
BUSINESS LICENSE CERTIFICATE NOTTRANSFERABLE
CITY OF LA QUINTA
The Licensee named herein having paid to the City of La Quinta all fees required. license Is hereby granted said Licensee to transact the PLEASE POST INA '
buslness herein set forth, for the period stated In conformity with the Provisions of Ordinance Na 2 of this city. This license is issued CONSPICUOUS PLACE
without verification that the licensee is subject to or exempt from licensing by the State of California
FOR PERIOD 1/01/93. TO 12/31/93 BUSINESS/LICENSE NO. 1217
LOC -0 35905 UILLON ROAL
INDIO CA 9220.
TYPE OF BUSINESS
JAMES E. SIt�ON COMPANY
F-11.0. BOX 10990
INUIO CA 92201 GENERAL CONTRACTOR
L_
�+ CONTRACTORS STATE LICENSE BOARD
License Number s
- 9:5
CORP
;,r. jtyte 'R .'r
JAMES, E'Si'MON 'C0
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tratlos hate
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