1871t
NOTE:r
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 I II
DATE: 9/8/93 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 79-255 Westward Ho Drive
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move Equipment Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 108%, 12'W. 00111" L.
190,000 lbs ROUTE: North City limits --
DIMENSION OF INSTALLATION OR REMOVAL Westward No. Jefferson &
return unladen
SIZE OF EXCAVATION, IF NEEDED DATE: 9/8/93 or 9/9/93
OND DAY ONLY
APPROXIMATE TIME WHEN WORK WILL BEGIN
PILOT CAR REQUIRED
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, Inc. 15030 glover YontanA 92335 (909) 355-1146
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.
on file !
Applicant's Insurance Company Policy Number If11 6 _ f
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
i ..
Inspection Fee $
Permit Fee 10.00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL
Receipt No.
$ 10.00
Received by Date
SEP 0 8 1993
1 BTI I.
s
PERMIT VALIDATION
PERMIT NO. 1871
DATE APPROVED 9-8-93
EXPIRATION DATE
909-93
DATE ISSUED
By
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
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Post -it.", brand tax transmittal memo 7671 N Of 000*6 I f -
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F LA ®UINTA
mrraL1%,A I iON •- FOR PERM -IT
PUBLIC WOHKS .PONS•l AUCTION (ENCHUACHMENT)
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water maims
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE;— r __ _s = Subdivision Improvement Permit —Class I11
—4+aq-3r J f Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION --=
(Street address or Description of LOCationl
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL*
SIZE of EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Sketch (attach construction plans if appropriate!
61F
e r"ltrAj r � �� Y boll -S
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ �.,.._
(Including removal'of all obstruction, materials, and debris, backfilling, com•
!taction and placing perinarrent resui fecina ar)d'or replacing iml7rcivamentsl
in consideratlot of iliayrantl.r,g of this permit, the applicant hereby agrees tc., C>Klcr flA( r_> &I L_\/ ' ..... _�...�.e.� .._ _..,_
�J t �--c� 2✓�Q2 D
Indemnify, defend and cavo the City, its authorized agents, officers, reprosenlatives and rnployees, harmless tom and against any andnd all
penalties, liabilities or loss resulting from cloims or court action and arising out of any accidttm, loan or damage to persons or property
nat,pening of octurnng as a proximate result of any work undertaken under :ria permit granifid 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 oerrnit end all applicable rules and regulations of the City of
La Quints and to pay for any additional r40tacemant necessary as the reswt of this work.
"Qttra4. C00tIU$ti
Name of Applicant (please print)
Signature
Business Address
icant or Agent
Telephone No,
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No.
City Business License No,
71146
Applicant's Insurance Company Policy Number
..._ s•.M-:WCAe,.w•�rr:..•_...___.___c�:•n:'1-il��daranna:c.�_.._r.:__a.'_. �:,. ,u:,..._..:u., _: ..._. _ .�.�.�. +•,c.�r ..�....._:_�:'14.it�a
FEES, Subdivision Improvement Permit — Class III
P'lhlir netin6;%rriri hnnatrrtr+inr, rnrta
..•.•.. �„ra.w�nrcnts. ..�� yr �ourrratau t.uhaUtl�tluu �uata
. '.ji�y .. 11W,uv6111G111.1.. M,4 w, V4LIiildwu %.UI1!kL1UUL1V11 %,VOta
Z'Wrior Improvement Permit -- Class IV: See attached schedule
Inspection Fee $
Permit Fee
Penalty
Cash Deposit -Surety Bond
-if required
TOTAL:
Ruceipt No.
Received by . Date ..
-Recorded by�.---
Extended Page 1.1
PERMIT VALIDATION
PERMIT N0.
DATE APPROV60 ._..w� �L — F3
EXPIRATION DATE
DATE ISSUED
13y .
Administrative Authority
TELEPHONE. (6191 564.224$