1920Va�
NCTE:
With proper validation
th4form 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: 10/12/93
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION VISTA Tom► AND VISTA LACMNA
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION MOVE EQUIPKW
DESCRIPTION OF CONSTRUCTION CAT ML 240 QOM
. ' Y
DIMENSION OF INSTALLATION OR REMOVAL LMC H, 121 W,
65' L, 115,000 LBS
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 10/12/93
APPROXIMATE TIME OF COMPLETION 10/12/93
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
Sketch (attach construction plans if appropriate)
In consideration of the granting of this permit, the applicant hereby agrees to:
UM ROM: NORTH CITY LMTS,
WASHINGTON — MISM MOWER —
VISTA LAGUNA
pUw
, OCT1 2 1993 D
LIM
Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless, from and agai t any and all
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss o;'65mage 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 f24) 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 g nt_
CATTRAC CONSTRUCTION. INC. 15030 SLOVER AVR, FONTANA, CA 92335 (909) 355-1146
Name of Applicant (please print) Business Address Telephone No.
SAHR
Name of Contractor and Job Foreman Business Address Telephone No.
ONE FILE
Contractor's License No.
ON FILM
City Business License No.
ON FIM ON FILM
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I I 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 10.00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 10.00
Receipt No.
Received by Date
Recorded by
PERMIT NO.
192. 0.
92`0
PERMIT VALIDATION
1920
DATE APPROVED 10/12/93
EXPIRATION DATE 10/12/93
DATE ISS ED ` 10,112/93
By
V if Administrative Authority
TELEPHONE: (619) 564-2246
OTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment peiinit
APPLICATION FOR PERMIT
PUBLIC VJORKS CONS1 RUCTION (tNGHOACI-IMENT)
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 III
DATE:_ `� �Z -I Minor Improvement Permit Class IV
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
Sketch (attac c-opt_s-tLr-ves_i9-n-P.l.a.osr-f-appropriate— )
pfw1�5► �5 l� tF , rz'v� � 6� `�
APPROXIMATE TIME OF COMPLETION vo�
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction arid plating permaiu:nt resurfacing a:rii:'or replacing imoroventents) _.......-.._..—........-..--.----...-...-...__.....--------_— in eonsiderator of the yranur,y of this per,rtit, the applicant hereby agrees tc:
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 tirne 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 Ouinta arid to pay for any addmonal replacement necessary as the result of this vyi rk. * 1 pI
Signature of AppUl.. t or Agent V
C�ttrac Construction, Ittc, ].5030 over Ave, Fo t -ana, Ca 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.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class III
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1Zl1111OlcU WnbU UUIIUII �UbLb
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
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED �z� f
EXPIRATION DATE -1 &1 -1 z—q_�—
DATE ISSUED ze �, / Z-03_
By
Recorded byI TELEPHONE: (619) 564-2246
Administrative Authority
l' '
I