1921NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit's
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 II I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION VISTA TERRA AND VISTA LAGWNA
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION PI%VE E111T
DESCRIPTION OF CONSTRUCTION CAT 623 SCRAPER
DIMENSION OF INSTALLATION OR REMOVAL LEGAL H,
12"W9 65' L, 120,000 LBS
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 10/12/93
Sketch (attach construction plans if appropriate)
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) _
In consideration of the granting of this permit, the applicant hereby agrees to:
AAiTt. ROUTE: WASHINGTON —
EISBNHOWHR — VXSTA LAGUNA
La a �i
D
OCT 1 2,1993
WIMUMMS
Indemnify,defend and save the City, its authorized agents, officers, representatives and employees, harmless f�om-e++d-eg
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss •oi 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 t
CATTRAC CONSTRUCTION, INC. 15030 SLOVBR AVE., FONTANA, CA 92335 (909) 355-1146
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman
ON FILE
Contractor's License No.
Business Address
Telephone No.
ON FILL
City Business License No.
ON FILB 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 10.00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
$ 10.00
Date
1
PERMIT VALIDATION
PERMIT NO. 1921
DATE APPROVED 10/12/93
EXPIRATION DATE 10/12/93
DATE ISSUE 10/12/93
By
Ayz��
AAninistrative Authority
TELEPHONE: (619) 564-2246
NOTE:
With proper v ilyditiun
this 101111 consututea do
encroachment permit CI I Y OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC VJORKS LON61 1iUC HON (LNL; iUACHMENT)
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
;,nd other like public wulks iutprovernenta in comiuctiun with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE:_. I D
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
01i►�Gr�l
APPROXIMATE TIME OF COMPLETION— _
ESTIMATED CONSTRUCTION COST $ tl5 `I L4-zC-tW A
(Including removal of all obstruction, materials, and debris, backfilling, com-
Pacil„rr and pla-109 I.relina„ciit iesui facing d:hf'oi replacing rilll)rQvr.IneI115I _ .....
Ill cousideiauut 711 tite gr,utin.y of this per:itil, 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 claums of court action and wising out of any dMd0lit, loss or ddnwge to persons ur property
halipenu'iy or uLcuring as a pioxunate result of any work undertaken under the permit granted pursuant to this applic31101).
Notify the Adrninisirdtive 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 reguldtiuns of the City of
La Quulla :,i,d to pay fur any addinunal WIJILIcemant necessary as the result of this Sik.
0 4cc
Signature of App [ or Agent-
-� r jg C��nsL.rLfc"ti..on, I:II� .I 5030_Slover AyE„ F'o t itn�� �a 92335 9U9 355-.1.7 46
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
p'hlii 11 1 1111),11?nlf?Ilf �' ��' ^r cfinatn•i (•nnclfliftin,rnrtc
Minor Improvement Permit – Class IV: See attached schedule ” U
Inspection Fee $ I PERMIT VALIDATION
Permit Fee
PERMIT NO.
Penalty ---_ — _ /o -iz - 93
Cash Deposit -Surety fanner DATE APPROVED — —
if required EXPIRATION DATE /DTOTAL: DATE
S-- ---- — 3
--- DATE ISSUED
Receipt No. -- -- ...-- —_
Received by –___.._ ................ .._.___ Date--_......_ � Administrative Authority
Recorded by TELEPHONE: (619) 564-2246