1922V
1
i
( NOTE:
NWith 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: 10/12/93 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION AVEmA BERMAS AND SDULGA
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION HOVE BQUIPlI W Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 245 BACOOE
HAUL ROUTE: FROM BAST CITY LIMITS
DIMENSION OF INSTALLATION OR REMOVAL 1519" No OVER AVENUE 52 TO SUULOA AND
B AND RETURN ADEN
12.6" W, 99'11" L, 210,906 LBS
SIZE OF EXCAVATION, IF NEEDED PILOT 9Ag REQUIRED
APPROXIMATE TIME WHEN WORK WILL BEGIN 10/12/93
APPR'OXI'MATE TIME OF COMPLETION 10/12/93
Ff
ESTIMATED CONSTRUCTION COST $ 12 1993
(Includingremoval 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 at any and all
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to p sons or property
happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this applic tion. ,
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— �J
CATTRAC
ge t--
CATTBAC CONSTRUCTION, INC. 15030 SLOVER AVE., FONTANA, CA 92335 (909) 355-1166
Name of Applicant (please print) Business Address Telephone No.
SAME
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 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 VALIDATION
PERMIT NO. 1922
DATE APPROVED 10/12/93
EXPIRATION DATE 10/12/93
DATE ISS' ED 10/12/93
By
Administrative Authority
TELEPHONE: (619) 564-2246
J
I
NOTE:
With proper validation
this form constitutes an
encroachment per reit
CITY' OF LA OUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCHOACHMENT)
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:_,_ M3 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 6Iyl�� f
(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 (attach construction plans If appropriate)
5�-
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST
DM i� b'[-eP-
S It'i Pc.uvij (+�c—ccftS
(Including removal of all obstruction, materials, and debris, backfilling, com- `
(taction and pla.:ing petmai,unt resurfacing a:i(l!or replacing iinotr.ventents) _9
In conslderatlor of the granting of this permit, 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 -tour (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 Ouinla and to pay for any additional replacement necessary as the result of t rs work.
ow LU4
Signature of A licant or Agent
Q_dtrac Construction, Inc, :I-5030 Slover Ave, >,outana, Ca 92335__L909) 355-1]_46
Narne of Applicant (please print) — Business Address Telephone No.
Name of Contractor and Jot) 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'.hlir improw.,mentc- 10! ^4 nctirriitnei rnnctrllrtinn r•nctc
Minor Improvement Permit--, Class IV: See attached schedule
Inspection Fee $
Permit Fee -
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by —_—
Recorded by
fid
PERMIT VALIDATION
PERMIT NO
DATE APPROVED /D —1Z - 93
EXPIRATION DATE �0 -�z 9.3 _
DATE ISSUED
By
TELEPHONE: (619) 564.2246
Administrative Authority