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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