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1792
NOTE: '. 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 DATE: 7/1/93 LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL 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) 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: Load: Date: Route: 245 Backhoe — 16' high, 14' wide, 99'11" long, 210,906 lbs. 7/1/93 From North City Limits Washington to Hwy 111/from Hwy 111 - Dune Palms to Whitewater River & return unladen. THIS PERMIT IF FOR CITY OF LA QUINTA RIGHT OF WAY ONLY. HWY 111 IS NOT INCLUDED. 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 work. Sign �re of Applicant or Agent Cattrac Construction Inc. 15030 Slaver Foi ana 92335 (909) 355-1146 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 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 Penalty Cash Deposit -Surety Bond if required TOTAL 10.00 4 $ 10.00 Receipt No. Received by Date Recorded by -7�' A .7 ID JUL C xog1 1 792 PERMIT VALIDATION PERMIT NO. 1792 DATE APPROVED 7/1/93 EXPIRATION DATE 7/1/93 DATE I SU D 7 ,1/93 By Administrative Authority TELEPHONE: (619) 564-2246 7 ti Subdivision Improvement Permit -• Class III QATE: Minor Improvement Permit Class IV LWATION'0� CONSTRjJCTIO:N r (Street address of Description -of Location) PURPOSE OF CONSTRUCTION__. Sketch (attach construction plans if appropriate) Aero—rl 0,7U DESCRIPTION OF CONSTRUCTION . _.,.�.-,�, 1.zipi P s � � me<to� DIMENSION OF INSTALLATION OR REMOVAL ..^ �f� .kma 5 16�fi"�(�.rh} - �l >f ©,1016 SIZE OF EXCAVATION, IF NEEDEDM Nag:m C'�Y`t �llG�l j /Fol,$A APPROXIMATETIME WHEN WORK WILL ®EGIN ` � --FD 0 ! no APPROXIMATE TIME OF�COMOLETION C� ftJ ;v wit -rF4RI ESTIMATED CONSTRUCTION COST $ (Including removal of all :bstruction, materials, and debris, backfilling, com- paction and plading permanent resurfacing and/or replacing imorcivernen'tse �- 1s ,�" ,�zt t�T...1�. 1� eC�y or- I -A c�t.tfMT C- in consideratlor ?t the .grant'.r g'of this permit, rhe spplf°cont hereby agrees to �� lwt.t:r-A �Ots.�• indemnify, tletend ynd `save th'e City, its autho}i:ea agents, officers, re presentotives end employees, harmless from:snd against any and all Penalties, liablilties 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 thp'A,dministrative Authority at least twsnty-tour (24) hours in advance of the time when work will be started. Comply with all applicabis City prdfnences,-the terms and conditions of the perrnit ind all applicable rules and regulations of the City of LA Qulnta and to pay far any additional reptacamant necessary as the resuit of this work, Signature of Applicant or Agent .o'x3:%A%_. _:Uii, lAle.:r Lau.3y. Q-Lovez- aY�'. Y 7Q 1tF.na, Ca 944,o b (982)355-1146 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman _ Business Address Telephone No, Contractor's Lacense No. City Business License No. Applicant's Insurance Company Policy Number 4� -.w;c.c,ec-::..:annnar�.�-=wvw,rz-===,_-ter-ria:_:_::1-cnr�:n-----•��_aMw.ev�t_�a,�e,,:�-�__�,;•�_e.. ' FEES: Subdivision Improvement Permit -Class III f�'�hllr lmnrr,�remPnra• 'fid: ^s �^1lTArn�1 rnnefrllrriri� rn�fC . ". "'I'j.UV6.1.oirro.. U V„ :.aunIatru UurI's UUUL161I %outIra 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 r �- ....+..ielir:�.T.�if:.L•S•�:.':�i+: N:'ait_�...-: :..D :S A•:...::^t :':. ....V.iT..:NR: Ya_- _. .. .•. •in1:,n�.aY: �:... Z'd N4 PERMIT VALIDATION PERMIT NO. (? 5 Z DATE APPROVED 7 -- EXPIRATION DATE 7 DATE ISSUED _.__T— By l �3 By Administrative Authority TELEPHONE: (619) 564.2246 . .—t.— .,:..._:...:�:.Mll NkW: s: <..a:�.w:.y:.•.::::.:._=.:'aW f,c :::.•::::::qy�;:_:c. _.3 CIJI NOIlonNiswo Ctldlldo Lb : LZ . E6, 0E Nell 0 9 i With proper validation this form constitutes an encroachment: CITY OF LA QU.INTA APPLICATION. FOR PERMIT -PUBLIC WORKS CONSTRUCTION (ENOROACHMENT) 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 l 'I 869d p8pu84x3