1763NOTE:
With proper validation
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 II I
DATE: 6/15/93 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION West End Keller Pit Road
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move Equipment
DESCRIPTION OF CONSTRUCTION 9888 Loader
Sketch (attach construction plans if appropriate)
From East City Limits to West End
Keller Pit Road over 58th & Keller
Pit Road
DIMENSION OF INSTALLATION OR REMOVAL 15110" High,
12 Wide, 80' Long 185,000 lbs
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:
Indemnify, -defend and save the City, its authorized agents, officers, representatives an 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 15030 $lover Fontana (909) 355-1166
Name of Applicant (please print) r____, usiness Address Telephone No.
Name of Contractor and Job Foreman
On File
Contractor's License No.
Busine?;.s Address
City Busi
icense
Telephone No.
On File \ On File
Applicant's Insurance Company\Policy Number
FEES: Subdivision Improvement Permit — lass III\
Public improvements: 3% of esti ated const
c io, costs
Private improvements: 3% of esti,m ted constru Ion cZ
Minor Improvement Permit —Class V,: See atta ed sch e
7
Inspection Fee $ JNO.
D TION
Permit Fee PPenaltyCash Deposit -Surety Bond Dif required E
TOTAL: $ DATE ISSUED
Receipt No.
Received by
Date
By
Recorded by 11 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: 6/15/93
LOCATION OF CONSTRUCTION West End Keller Pit Road
Subdivision Improvement Permit —Class I I I
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 988B Loader From East City Limits to West End
Keller Pit Road over 58th & Keller
Pit Road
DIMENSION OF INSTALLATION OR REMOVAL 15'10" High,
12' Wide, 80' Long 185,000 lbs
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.
Indemnify, defend and save the City, its authorized agents, officers, representatives anolemployees, 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 15030 Slover Fontana (909) 355-1166
Name of Applicant (please print)usiness Address Telephone No.
1
Name of Contractor and Job Foreman Busine AddressTelephone No.
On File On File
Contractor's License No. City Busin s License N .
On File On ile
Applicant's Insurance Company Policy umber
FEES: Subdivision Improvement Per 't — lass III
Public improvements: 3% of a im ted constr c io costs
Private improvements: 3% of est' ted construc on cost
Minor Improvement Permit — Class I ee atta ed sch uleJED
Inspection Fee $ ATION
Permit Fee P
Penalty
Cash Deposit -Surety Bond D
if required ETOTAL: $ D
Receipt No.
Received by
Date
By
Administrative Authority
Recorded by 11 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
DATE: 6/15/93
LOCATION OF CONSTRUCTION West End Keller Pit Road
Subdivision Improvement Permit — Class III
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 988B Loader
From East City Limits to West End
Keller Pit Road over 58th & Keller
Pit Road
DIMENSION OF INSTALLATION OR REMOVAL 15'10" High,
12' Wide, 80' Long 185,000 lbs
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:
Indemnify, defend and save the City, its authorized agents; officers, representatives anfremployees, 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 15030 Slover Fontana (909) 355-1166
Name of Applicant (please print) _ F_- usiness Address Telephone No.
Name of Contractor and Job Foreman Busine Address Telephone No.
On File On File
Contractor's License No. City Busin s License N .
On File. On gile
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Pern),it —'Class II I
Public improvements: 3% of 8tim ted constrecio costs
Private improvements: 3% of est -n -i ted construc ion cost
Minor Improvement Permit —Class I\V,: See atta ed sch le
Inspection Fee $
Permit Fee _
Penalty _
Cash Dep6sit-Surety Bond
if required _
TOTAL: $
Receipt No. _
Received by
Recorded by
Date
PERMIT NO.
lilll�LIDJTION
1763
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
TELEPHONE: (619) 564-2246
Administrative Authority
. �-...
j _ i
j
' �
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: 6/15/93
LOCATION OF CONSTRUCTION West End Keller Pit Road
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move Equipment
DESCRIPTION OF CONSTRUCTION 9888 Loader
DIMENSION OF INSTALLATION OR REMOVAL 1511011 High,
12 Wide, 80' Long 185000 lbs
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
From East City Limits to West End
Keller Pit Road over 58th & Keller
Pit Road
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 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 15030 Slover Fontana (909) 355-1166
Name of Applicant (please print) (---,Business Address Telephone No.
Name of Contractor and Job ForemanBusiness
AddressTelephone
No.
On File
On File /
Contractor's License No.
City Business License No.
On Pile
`
On File t
Applicant's Insurance Company `
.f
PolicyNumber
FEES: Subdivision Improvement Permit —"Class III
Public improvements: 3% of estimated constiru(
Private improvements: 3% of estimated constru
Minor Improvement Permit — Class IV See attached
Inspection'Fee $
Permit Fee
f
Penalty
Cash rDeposit-Surety Bond
if required A
TOTAL: $
Receipt No.
Received by
Recorded by
Date
costs
le
LIDATION
PERMIT NO. 1763
r
DATE APPROVED
EXPIRATION DATE
V
DATE ISSUED
By
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)
0
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: 6/15/93
LOCATION OF CONSTRUCTION West End Keller Pit Road
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move Equipment
DESCRIPTION OF CONSTRUCTION 8H Loader
DI EI S ON OF lySTALLATIpN OR REMOVAL 15 10 High,
Wide, 190 Lang 185,000 The
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
From East City Limits to West End
Keller Pit Road over 58th & Keller
Pit Road
SIZE OF EXCAVATION, IF NEEDED ,
APPROXIMATE TIME WHEN WORK WILL BEGIN
� � 1
APPROXIMATE TIME OF COMPLETION ' ,f
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
Cuttrac Conatruction 15030 $lover Fontana (909) 355-1166
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman
On File
Contractor's License No. I
On File
Applicant's Insurance Company
FEES:
Business Address
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 $ II
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $
Receipt No.
Received by
Date
Telephone No.
On File ,/
City Busin ess L; icense
On Pile
Policy Number
\PERMIT�V)4LIDATION
� 1763
PERMIT NO. �
DATE APPROVED \ `
\ j
EXPIRATION DATE J
DATE ISSUED )
By
Administrative Authority
Recorded by TELEPHONE: (619) 564-2246