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1784
j •� NOTE: With proper validation this form constitutes an encroachment permit CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) f` 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: 6/29/93 LOCATION OF CONSTRUCTION West (Street address or Description of Location) r PURPOSE OF CONSTRUCTION Move Equipment DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Subdivision Improvement Permit —Class I I I Minor Improvement Permit Class IV lk Sketch (attach construction plans if appropriate) Load: (5) 631 Scrapers 1010" high, 13' wide, 85' long, 185,000 lbs. Route: From the West end of Keller Pit Rd - 58th Ave to East City Limits & return unladen 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: PILOT CAR REQUIRED 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 wor t Sign re of Applicant or Agent Cattrac Construction Inc 1503b Slover FonZtna (909) Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number FEES: 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 $ Permit Fee' go OW 50• 00 l Penalty Cash Deposit -Surety Bond if required TOTAL: $ Receipt No. Received by Date Recorded by'* 1 784 PERMIT VALIDATION PERMIT NO. 1784 DATE APPROVED 6/29/93 EXPIRATION DATE 7/3/93 DATE,I-SSWE.D '�`6'/e29�/93 gy c:l T �•�C_. Administrative Authority TELEPHONE: (619) 564-2246 1 ~�� l Subdivision Improvement Permit – Class III DATE: – - Minor Improvement Permit Class IV.� LOCATION OF CONSTRUCTIFdea64- gnH of Ve11ar—Tit_1Zd_ (Street address or Description of Location)-' - PURPOSE OF CONSTRUCTION ------ - Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION'OR REMOVAL SIZE OF EXCAVATION, .IF NEEDED APPROXIMATE TiME WHEN WORK WILL BEGIN Transportation Permit Load: 5 631 scrapers Dimensions: 14110" high, 136011 wide, 8510" long Weight; 185,000 lb gross. Route: from the west end of Keller Pit Rd -58th Ave to East: City Limits & return, unladen APPROXIMATE TIME OF COMPLETIONIli'� pT ESTIMATED CONSTRUCTION COST $ - - - '� i (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) conslderoflnn of the granting of.thla pa mit; t-he-appllcottS-#�era�y 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 persona 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 :Ima 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 resultf this work. �19_ VU4 AUP Signature fApplicant or Agent r-aneltril=im-n, Inc. 'jov Aire.. Fontana. CA 92335 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone Nd. Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number FEES; Subdivision Improvement Permit — Class I II Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit – Class IV; See attached schedule Inspection Fee $ o Permit Fee r! Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No, Received by Date Recorded by N Ot PERMIT VALIDATION PERMIT NO. I. 7t� DATE APPROVED EXPIRATION BATE / Z q3 DATE ISSUED By TELEPHONE: (619) 884.2248 Administrative Authority. 8 ' d ' oNI NOIion6iswoD oti�liiuo L©:60 E6, 62 Nnf t w