2084NOTE:
.With p3*oper 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
DATE:_ - 2/25/94
LOCATION OF CONSTRUCTION
Subdivision Improvement Permit — Class II I
Minor Improvement Permit Class IV
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Move E"Ipment Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 623 Crranpr
12' W,651 T, 115.01110 1hR all r?Iqo T-Pg,i Haul Route: From Sagebrush & Date Palm
ntaaa■*es
vv a vv�aava.vavuaavvcaiag av
DIMENSION OF INSTALLATION OR REMOVAL to Eisenhower & Vista
Haul Date? 2/28/94
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
Pilot gar Required. FEB 2 5
/BY—
APPROXIMATE TIME OF COMPLETION Sagebrush"-- 6JCI Sl
ESTIMATED CONSTRUCTION COST $n rQ�
(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:
1994DI
S+.
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 propee rty
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 res t of this work.
Signatr of Applicant or Agent
Cattrac Construction, Inc 15030 Slover Ave, Fon na CA 92335 (909)355-1146
Name of Applicant (please print) Business Address Telephone No.
Same
Name of Contractor and Job Foreman Business Address Telephone No.
On File On File
Contractor's License No. City Business License No.
On File
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class 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
2084
PERMIT VALIDATION
PERMIT NO. 2084
DATE APPROVED 2/25/94
EXPIRATION DATE 2/28/94
DATE ISSU D a1,41-1.4 AIA
By
Administrative Authority
TELEPHONE: (619) 564-2246
6-
J
FEB 25 '94 1.2:40 CATTRAC•,CONSTRUCTION,' INC.
dart -u.• prarQTax tran9M.ittal'IT16fTt0.7i MotpAgaa
i opt.
NOTE: ' " IOaa
With proper valid
P.1
anon r
ithis. form co{ stllutes an
encroachment pein,it i ClTy, b.F# LA QUINTA
APPLICATION FOR kRMI't'
i PUBLIC WORKS CONSTRUCTION ' tl NCROACHIVIMT)
rFor '.the constru i 1 � !
c'c on of. public. or. private euibs, 'dr.iveways, . paiiemeni$, ildeweiks
parking 'Iota, sewers, water 'Me I'll
and bihor Hke pulriic'worki impro.vernen.is in connection with MINOR IMPROV MENTB'and gPPRtyVEDSUBOIVISION5
i
i Subdivision .im
4ATE: 02/2$9� provr3meitt Permit = Chais Ill..
Minor.Impiovement: f?ermhG Clau IV �,:.
EOCATION OF;CONSTRUCTION :„„r;_�.
i8tieet address or Deseripilon of I.ocetiane
OU:RPOSE bF CONSTRUCTION
Sketch Iattech construction pians'if approprletei
DESCRIPTI6N OF CON'ST'RUCTION
TRANSPORTATION PERMIT
LOAD: 623' -scraper
PIMENSION:OF.-INSTA;zI.ATION OFt RBMOv.AI_ DTMEN xONS: ' i,trga h�lr�tit,
1210" wide, 65' long'
WEIGHT. 115r000 lbs
SIZE OF EXCAVATION, IF NEEDED ;ORIGIN: Sage :bruAh .t` Dattgt�Pa'1m.
&TINATIt7N: Eisenh6Wer7 & Vista'. "
APPR•OXIMA'TE TIME wHEN WOROC >rILt. BEGIN eb
Sa ROUTE: .Laguna
—
' g to li Washington
�#PhFiOXIMATE;TIfNE OF ;OMpLE7i0N. ' EiSe i dwer. t`o destination..
ES
APP
CONSTRUCTION COST ffi
' Iincludinq rernoval'af all oti ruction, matierialsi,end debris, backfIIling;.com• ,
pection and pladnq .permanent' resurfecinp; andlor replasirip irnl�kovemeht'.
!
tri conaltieratior qt tttie gtantir,g of..tl,ie pt'rrnit,. ihti' appitt:8nt hereby:'
i fndemhrfv, defend;
w4 save the City, fts author1:6dipentt, olllceis,.reprastintatives end erv►pfayeas, harmless from ani aatiir+st any and all
penalties; Hablfitits at (ots resulting Irons chime or court action end arising out of:Any ktident, lost or darnage to parkont or property
i happening or occurriho as.a prgaimate result of any work underteken: under th.e permlt g4nted.puriuAnt to.fhis applrcatlatt,
Na111y the Adminituativa AtiI -WHY- At.ieesf twaitiyifour 1141 houti-.in ridvanae of the time wheel svarfl will be started. '
Comply wrth all epp(icabla City Ordlnancis. the tesmi and condfilons of iha Pemit and all erppllcablo rules and reyu1811arji of the tate .af
Le Quints and to pay for any edditionef rephicement n®chary a/ the result of this work,
Signature 9 a faptican't or Agent I
(Name of Applicant (please print)' , 335 1 ' " 6 I
Business Address Telephone No.,
Nerve bf Contractor and. Job ForemanBusiness Atdfess
Telgph.tyne No. .
Cgntractor's 'Ljcan.ee No,
City .Susinew'.Licensa No,
Applicant's Insurance Company
+.�•,.�„ Polley Number
FEES: Subdivision Improvement Permit Claee III
I P�rhlir IMnrnv1PMAnH- gat n$ rt.vt....v..i .....»•...,:e_ . ! J
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I N' ►+lir lmnrouemgmtit'?°c.�f?fim�re!irnrbstrirrflnti.rn.p� i
npr�vowuo�ll�.'w$vul iaaUiuc'ttl11.l.UluUY4t1U1r-41ib�®
Minor Irdp►ovementiPerrnit — Class IV; See egtached 10hedule
Inipectlon F.ee $
Parml't�Fe®
Penalty
Cash bepoali•Surety Bond
itegUfred ;..
TOTAL;
ftceipt °No.
nelcaWid by :Date
'Recorded by
aroma :-awa: r. r_: t�-.w:..:az•:ne•�:�.•e.:a:x...y,•e.••:-��ca•.a.veiumirsr��_::':.a,'-u,i: •.t'ttsc_arv�auve•t�.
Extended Page 1, 1
O
PERMITVALIDA7`10N !
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PERMIT NO. i :�'•'.
DATE, APPROVED � :I
EXPIRATION DATE
DATE ISSUED
fay :• l
Admfniat►etive �Authorfty.•�.:: �
TELEPHONE, {616).-U4.2248 ..
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