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1852NOTE:C 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: 8/25/93 Subdivision Improvement Permit— Class III 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 plans if appropriate) DESCPIFTION OF CgNSTRUCTION 657B Scalper 16 6' A, 14'6' W, 75%, 215,000 lbs ROUTE: North City Limits Keller Pit To 58th DIMENSION OF INSTALLATION OR REMOVAL To Monroe St To Ave 50 To Washington St & return unladen SIZE OF EXCAVATION, IF NEEDED 3 APPROXIMATE TIME WHEN WORK WILL BEGIN D Q APPROXIMATE TIME OF COMPLETION AUG 2 5 1993 ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- --� - ;ar'- paction and placing permanent resurfacing and/or replacing improvements) In consideration of the granting of this permit, the applicant hereby agrees to: _ 1 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 --Z, /,& 7 -TL" Signat d re of Applicant or Agent Cattrac Construction *nc 15030 Slover Fontana (909) 355-1146 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. On File Contractor's License No. On File On File City Business License No. On File 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 Pe it Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. 10.00 $ 10.00 Received by + Date 1852 PERMIT VALIDATION PERMIT NO. 1852 DATE APPROVED 8/25/93 EXPIRATION DATE g -Z5 -, L% DAT ISSUED 8/ /93 By Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 z- '- Subdivision improvement rerimt - �toao•t,r 13 DATE: 25 /9-3 Mirror Improvement Permit Class: IV LOCATION OF CONSTRUCTION West End of Keller pit Road. La Uinta (Street address or Description of Location) PURPOSE OF CONSTRUCTION -- DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED .—r.--�— APPROXIMATE TIME -WHEN -WORK WILL. BEGIN APPROXIMATE TIME OF COMPLETION._.,- ESTIMATED CONSTRUCTION COST $ _-.---- (Including removal of all obstruction; materials, and debris, backfilling, coin• taction and pla6fig pel'rnaticnt resurfacing a"C"'Or replacing u'nr)rr..vCrnCntti) Sketch (attach construction plans If appropriate} TRANSPORTATION PERMIT LOAD: 6578 Scraper ; DIMENSIONS: 15'6" hig1j, 1416" i wide, 75' long I. WEIG:iT: 215,000 # , SJti�'�Fv +•� o �_�XC yaM 'V' 'Lit � DESTINATION: North.City.•Lim.its �. ROUTE.:. • Ke11er Pit 1Zd T.& 58tki AV to Monroe 5t t_o _ � GdasYti�,n St and Ave 5 0 �9 g return unladen In consldutatidt of the gtant!rg of this permit, rhe 'ippticant horeby agldes U.. gents, officers, tepresentatives and impleyeas, harmless from and against any and all Indemnify, drtand and race the City, its auUtortced a penalties, liabilities or loss resulting from claims or court action and arising out of any eccuient, loss or damoge 10 parsons or Property wotte undenaW ur+der the permit granted pursuant to this opplication, happening or occurring as a piorrnnate result of any Notify rho Admrnrstratrvu Authority at least twenw-tout 1241 hours in advance of the time when work will be started. Comply with all applrcabie City ordinances, the terms and conditions of the penrit nd all applicable rules and regulations of ins City of a La Cluinta and to pby for any additional repluctiment r,ocesaary as the result of t work, I Signature o licant or gent 15030 "lo er ve ,Foil dna�-ga_92f 5 ,.�_�ti9 55- .1A6 ` Business Address Telephone No. Name of Applicant (please print) Business Address Telephone No, Name of Contractor and Job Foreman Contractor's License No. City Business License No. policy Number _ .v Applicant's Insurance Company FEES:' Subdivision Improvement Permit t - Class III p,�hlir' !t'�)nrr,7urtnj?nts• 7^� .,� .,,tim�tr�l Cnncinir•+in,+ rn•te ..,r -.. nn`+,vdLir,yiit�. ,�.ovi �.otnrratnu t,uriauUl.truu w8ta Minor Im^ provement Permit - Class Iv.: See attached schedule Inspection Fee $ Permit Fee -------- Ib Penalty — Cash Deposit -Surety Bond if required ---�-- TOTAL.,. Receipt No. ..... --- Received by Date—,._._..,,—_ -� Recorded by Z d IN? PERMIT VALIDATION PERMIT NO. 1 SZ DATE APPROVED. _4 �43> ----� EXPIRATION DATE �.�.-----� - -- DATE ISSUED �s q3 Administrative Authority TELEPHONE: (6191664-2246 oNI 'HoiionNiswo3 odcdldo Es:zo E6{ SZ gnu �� J .� ' �. a i 7 'Tatliiyg peteT1me xend �� ,o T nsmiftal Me . . oma► ra pie o men c f ;pe !.Char cellon /� 1 ¢ Telephpne,� �lhone rt ep{ x# ! %i�! plspceN . .... :,... OrlBinel �pe.. Return ,7?L:..,... $tom pall for p{ckup mmsnl9 ian: .....:; ' :_..... �u..8....1,.... �.� NOTE. With proper validation this form Constitutes an CITY OF LA QUINTA wteroachment purnut APPLICATION, FOR PERMIT PUI4LIC WORKS CONS f RUCTION (ENCROACHMENT) For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water trains - end other.like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS 'I Suhdiviaiun Improvement Permit — Class.III �.....—� L 'I a61ed papu04x3