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1721NOTE: With proper validation. O _this form constitutes'an encroach ment'permit, CITY OF LAQUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION ENCROACHMENT, 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 1. Subdivision Improvement Permit.— Class III 'rr DATE: 4/23/93 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION West End. of Keller: Pit Road (Street address or Description of Location) PURPOSE OF CONSTRUCTION Move Equipment Sketch (attach construction pians if appropriate) l DESCRIPTION,OF`CONSTRUCTION TRANSPORT OVERSIZE LOAD 633 Cat Waterpull 16' High, 13111" wide,. DIMENSION OF INSTALLATION OR REMOVAL 99111" long, 185,.000lbs EAST CITY LIMITS OVER 58th AVE SIZE OF EXCAVATION, IF NEEDED & KELLER PIT RD. TO THE EAST END OF KELLRR PIT RD & RETURN UNLADEN. APPROXIMATE TIME WHEN WORK'WILL BEGIN . PILOT CAR REQUIRED 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) ' ~� G, In consideration., of the .granting of this permit, the applicant: hereby agrees to: P 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 6e.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) h'oucs" in advance of the time when work will be started. t ,.,. 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. S gnatur of Applicant or Agent Cattrac Construction Inc. 15030 Slover a o c a CA 9233% 155-114A Name of Applicant. (please print) BusinelFs 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. Golden Eagle Ins CC194870. ►. Applicant's Insurance Company Policy Number. FEES: Subdivislon`Improvement Permit -Class III Public improvements: 3% of estimated construction costs g' u - ,._�• -Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $'�' # t?' ,`. „� T PERMIT VALIDATION t Permit -Fee W �.. r." M;.:s PERMIT NO." Penalty� DATE APPROVED Cash Deposit Surety Bond y} ,. t ',x *,l4 p 3 S' f• ��, ' t 'xF.,. Ti"` �1r11 _7- jt�,�t�-• 4" ,4 �,.,.�s t�;' �sr�.t�S:if 'required yr��b�`ty�,'t.""�r� Ff dr�fY;` t r •,.t �4�4 , '�'{f . 2 5;«EXPIATIO7DATE $ TOTAL: tDATEISSUED s' - r � -_ �• a. f�"'s� r� of f. �aie j,.�'`+• �M M� ;;y"�*t r x '+ +" � 'r, No. Receipt j.. , a,.•y, .•r. Vis_ �• ,� � ti r tr2 A k r3 By- • Received by ,5 Dai e f y ., rt'. t ra,. a Administrative Authority �n� - ' { w• �: rr . Y. �� � � �ati is '<� Recorded by �' `' "'-� _�"�-`��� "�'`"��,; 3# ,,�TELEPHONE:'(619156422464 L , t' T i'- 'R«"�+ i .ti/. � .? ,`p i. -M .�� _ l.Sv'.5 �• « �3-''J.- y • �. r�a • t. � h 4• ' � r+Kt � t .,.+ 4 ka a`.�i r+rh t .�, �,?4Y' "l �ii f' 7' �1• i; - .,.' � .. r � ti �!+ ti ..1' � � :1T' y '' - .1 i .� i•y, .' P,t `' Y ii �, � i ., yy �' 4 it o S. PPR 22 '93 16:17 CATTRAC CONSTRUCTION, INC. Pott,31' braNl. fax transmittal memo 787"1 1 e of miss > 1 ] wnuW\1,J M.' CITY OF LA QUINTA encroachment permit - APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) P.1 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: 4/2.3/93 Subdivision Improvement Permit — Class III Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION mt and of -K-110= Rif jad (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION TpANspORT oVERS^IZE LOAD DIMENSION OF INSTALLATION OR REMOVAL 633 Cat Waterpull Dimensions: 16 high, 1311" wide0 99'11" long/ 1850001 SIZE OF EXCAVATION, IF NEEDED From East City Lents over 58th live and Feller Pit Ind APPROXIMATE TIME WHEN WORK WILL BEGIN to the east end of Seller Pit Ed and return unladen. APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COS' $ yO�( Com- p nil 'D (Including removal of all obstruction, materials, and debris, backfilling, coat• 1 1, 1✓ paction and placing permanent resurfacing and/or replacin® improvements) !n coli' imraiit�r,` 6f' the'gra nting of this pef,mit, ihr aPRiii ht liereby "agreed to. indemnity, defeno 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 parmlt granted pursuant to this apptlestion. Notify the Administrative Authority at least twenty-four (241 hours in advance of the time when work will be Iterted. Comply with all applicable City Ordinances, the terms and conditions of the permit end 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. Signature of Applicant or Agent tr ion Inic a 15030 gloeer Ave Fontataa Cr, 92335 Name of Applicant (pleas® print) Business Address Telephone No. (909)35.5-1146 Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. olden Ea le Insurance CC194870 Applicant's Insurance Company, Policy Number FEES:. Subdivision Improvement.Permit -- Class III Pliblin imnrovementis; 3% of me�imAfpfi rrnatrl)rtifsn nncfS Post -It' bijq nd fax t'rans_mittal memo,7671 #of pages ► ToFrom —1 Co. Co. Dept.// � Phone # n� Fax X56 Fax # q 35,5 _.3 , encroachment permit CITY-0"F—LA QUI NTA 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: 4/23/,93 Subdivision Improvement Permit — Class III Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION West end of Keller Pit R'rl (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sketch.(attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION TRANSPORT OVERSIZE LOAD DIMENSION OF INSTALLATION OR REMOVAL 633 Cat Waterpull Dimensions: 16' high, 13.111" wide, 99'11" long, 185,000# SIZE OF EXCAVATION, IF NEEDED From East City Limits over APPROXIMATE TIME WHEN WORK WILL BEGIN 58th Ave and Keller Pit Rd to the east end of Keller APPROXIMATE TIME OF COMPLETION Pit Rd .and return unladen. ESTIMATED CONSTRUCTION COST $ w (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/cr replacing improvements) ;•, sem,, _,—z .. �� " irr, corisidetatiai fth`e`grariting ofihls'peri iit, I u appllcisi;c Iteiet5y agrees f&-.- yi Indemnify, defend and`sa"ve 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 Cattrac Construction, Inc. 15030 Slover Ave, Fontana, CA 92335 y Name of Applicant (please print) Business Address Telephone No. (909)355-1146. Name of Contractor and Job.Foreman Business Address Telephone No. Contractor's License No. City Business License No. Golden Eagle Insurance CC194870 Applicant's Insurance Company Policy Number w FEES: Subdivision.,lmprovement;Permit —Class III Pt!bllr inibroverne.ntS: 1% of nctil—nt�rl rr+netntrt;inn _^,^etc •:..vui.:�1.p:i vwciilc�li��.J>Uu. cl�inia lCU GUIISII'UCLIUfI t'U�l� �O Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ ' Permit Fee Penalty Cash Deposit -Surety Bond if required *. TOTAL: $ Receipt NO.' Received by Date Recorded by t '. PERMIT VALIDATION F PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED r By Administrative Authority 'TELEPHONE: (619) 564-2246 ` . . . . lap: , C, ,, + . . I,,