1764;%
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
Subdivision Improvement Permit — Class II I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Move Equipment West End Keller Pit Road
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move Equipment
DESCRIPTION OF CONSTRUCTION 988B Loader
DIMENSION OF INSTALLATION OR REMOVAL 1510" High,
12' Wide, 80' Long, 185,000 lbs.
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
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 Appl`icpnt or Agent%f
Cattrac Construction 15030 Slover Fontana (909) 355-1166
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 On File
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class II I
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.
$ /0
Received by Date
Recorded by
485� WA MdAt-15-93 10.00'0
1764
PERMIT VALIDATION
PERMIT NO. 1764
DATE APPROVED �—
EXPIRATION DATE
DATE ISSUED
By
A ministrative Authority
TELEPHONE: (619) 564-2246
'S' - *,.,o
A4 JUN 15 '93 12:13 CATTRAC. CONSTRUCTION, INC.-
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:_.,",. f Subdivision Improvement Permit - Class III
Minor Improvement Pa�gq, �,^_�
it Class iV
LOCATION OF CONSTRUCTION Ind _ 'J `7 L01P P -r- Y r
(Street addrvis or Description of Location)
PURPOSE OF CONSTRUCTION ✓ Vt I wt Sketch (attach Construction pians f a
DESCRIPTION OF CONSTRUCTION 138 g ,+D v -p-
DIMENSION OF INSTALLATION OR REMOVAL -15'/01-W
17-W. 60i_ iA� oo i7 i rz c
SIZE OF EXCAVATION, IF {NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST S
(including removal of all obstruction, materiais, And debris, backfilling, com•
Paction and placing permanent resurfacing and/or replacing improvements)
wr.� + pproprlat*►
Feftt -r- C4-CY
e cD
In consideration of the granting of this permit, the applicant hereby agrees to;
Indemnify, defand and save the City, its authorised agents, officers, rt+pragntatives and ernpiovm, harmless from and against env and all
penalties, liabilities or loss resiting from% claims Or court action and arising out Of any accident, low or damage to persona or propariy
happening or Occurring as a proximate rMit of any work undertaken under the permit granted cursuant to this application.
Notify the Administrative Authority at least twenty-four (241 hours in advance of the time w?,. work will be starmd.
Comply with ail applicable City Ordinances, the terms and conditions of the permit end all 812131i0bie lutes and rbguistipns of the Clty Of
La Quints and to pav for env additional replacement nm=FV as the result of this vmrk,•
Name of Applicant'(please print)
Signature
Business Address
Telephone Wo.
Name of Contractor and Job Foreman Business Address
Telephone No.
Contractor's License No,
LF--
Applicant's Insurance Company
City Business License No.,
T AV/ lc -/
N b
y um er
FEES: 5ubdivislon Improvamt6nt Perrwit -Class I11 Y
Public improvements: 3% of estimated construmtion costs
m
Private Improvements: 3% of estimarew P.nnevMt,r3inn ww��r
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