1985i
` NOTE:
With proper validation
this form 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 connectio'ri with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE
11/18/93
Subdivision Improvement Permit — Class I II
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION EISENHOWIM AND WASHINGTON
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION MOVE RQ
MYKMT
DESCRIPTION OF CONSTRUCTION 235 BACKHOE
DIMENSION OF INSTALLATION OR REMOVAL 14W H, 12%
65-L, 126,725 LBS
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Sketch (attach construction plans if appropriate)
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 appl'cant hereby agrees to:
HAUL RODTE: FROM NORTH CITY LIMITS
ON WASHINGTON TO WASHINGTON AND
BISENHOVER
HAUL DATE: 11/19/93
PIIrMlAR BQ�
D �
s NOV 19 1993 #
f
Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and a any and all
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss;or damage to peons 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 124) 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 nd regulations of the City of
La Quinta and to pay for any additional replacement nec>ssary as the r sult of _ work.
Signature of Applicant or Agent
GATTRAC CONSTRUCTIWN, INC. 15030 SLAVER AVE., FONTANA, CA 92335 (909) 355-1146
Name of Applicant (please print) Business Address Telephone No.
SALE
Name of Contractor and Job Foreman Business Address Telephone No.
ON FILE
Contractor's License No.
ON IFM
City Business License No.
ON FILE ON FM
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
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
10.00
$ 10.00
Received by Date
9,v
PERMIT VALIDATION
PERMIT NO. 1985
DATE APPROVED
EXPIRATION DATE
11/18/93
DATE ISSUED
By—
ArJOKinestrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
LC
NOV 18 '93 16:10 CATTRAC CONSTRUCTION, INC.
NOTE:
With proper validation
this form constitutes an
encroachment permit
CITY OF LA GUINTA
APPLI'CATiON FOR PtRMIT
PUBLIC WORKS CONSTRUCTION; (ENCROACHMENT)
is
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:Minor Improvement Permit Cass IV
LOCATION OF C NST UCTIQN�(�I ltx.-r^ –1 C*1
(Streat.address or Description of Location)
PURPOSE OF CONSTRUCTION t +' j ! Sketch (attach construction ians'0 appropriate)
P.1
DESCRIPTION bF CONSTRRUCTION � �#
I
r
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION', IF NEEDED
APPROXIMATE' TIME' WHEN WORK WILL BEGIN �
/AGS+ j
. � IU1�! vU�l�
APPROXIMATE: TIME OF COMPLETION r (ll� l—%�
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling,comm-
pacti6n and plating permanentirisurfacing and/or replacing im6r.0vementsl'
in consideraUor' of the granting of this perrnit, the applicant horeby, agrees:tt:-:
Indemnify, defend and save the City; its authorized agents, officers, represent'stives and employees, harmless from and against any and 'all I
penalties, liabilities or loss resulting from claims or court.action and arising out of any accident, I;oss or damais to persons or property
happening or occurring as a proximate result of any work undertaken under the permit granted putsuant to this application. !
I
Notify the Administrative Authority at least twenty -foul 1241 *hours in advance -of the time!when.work will be started, I
Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of''
'La Quints and to pay for any additional replacement necessary as the result of:lhia wor !
I
Signature of Applica r Agent
Cat trac 'Construction, Inc, 1.5030 Slover Aire, Fontana, ! Ca 9233.5 (909)3,55-1146
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. '
i I
Applicant's Insurance Company Policy Number .
FEES: Subdivision. Improvement Permit -- Class Ili !
P-thlir imnr6vernenti- 'M nt eetirn;%tprl r.rnrtctmr, lnn rnrtt
t
f
�'
J�
Extended Page 1.1
r/r P-ohlir imm''ovemente- �vtirt+atai/ c.mnctrllrtinn rn.tc j
.'+...:.......p�vvul449ilL.a. v.0 v, cautltgLCU %;Ul IbIl UVCIQ, I wait ..
I Minor lmprovement Petmit — Class IV: See attached schedule
N 00
Inspection Fee $ PERMIT VALIDATION ..
Permit Fee PERMIT NO.
Penalty. .
Cash Deposit -Surety Bond DATE APPROVED 1 { g..�•�. 3
if required ; :EXPIRATION DATE
TOTAL: $ ! (✓
Receipt No.
i'Received by' Date
Recorded by
DATE ISSUED
!BY
Administrative Authority-.
TE LEPH ON E : 16191 664.2246
I