2085IN
'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 connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE: 2/25/94
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION _Move Egij#vxAt
DESCRIPTION OF CONSTRUCTION EL 240 Backhoe
12% 65% 105,000 lbs Legal Height
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
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)
Subdivision Improvement Permit — Class I II
Minor Improvement Permit Class IV
In consideration of the granting of this permit, the applicant hereby agrees to:
Sketch (attach construction plans if appropriate)
Haul Route: From Eisenhower &
Vista Laguna
Eisenhower to Washington to
North Citfequired
4
HaulaDate94 0 3- 94
ES 2
Pilot Car 5 1984
one day ordf
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-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 hresult of this work.
Signature of Applicant or Agent
Cattrac Construction, Inc. 15030 Slover ave,�antana, CA 92335 (909) 355-1146
Name of Applicant (please print) Business Address Telephone No.
Same
Name of Contractor and Job Foreman
On File
Contractor's License No.
Business Address Telephone No.
On File
City Business License No.
On File
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class 111
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
2085
PERMIT VALIDATION
PERMIT NO. 2085
DATE APPROVED 2/25/84
EXPIRATION DATE " 3-4-94
DATE ISSL4'ED Q,5
By
Administrative Authority
TELEPHONE: (619) 564-2246
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FEB 25 '94 12:41 CATTRAC CONSTRUCTION, INC. P.2
I
NOTE.: i
' With
proper velidation i
:this form constitutos an ;
encroachrnint permit CITY OF LA QUINTA
APPLICATION FAR PERMIT' �
PUBLIC WORKS CONSTRUCTION- (ENCROAdIHMENT)
Fcrr the construction of public or private CUfb6,` drlyeway9, pavemeMS sidewalks
, perking , lots, sewers, , wetor .rnelnti
and other like public works Improvements in connection with MINpR; IMP .ROVEMENtS and APPROVED SUBbIVISI0N8•
' SUbdivliloo ttti rovement'P r
DATE. .02/28/94 a e. mit Ciaia Ili
Minor Improvement PermitCjass IV i
..., .; '
LOCATION OF CONSTIRLICTION �
:+Street address itr Description of I,oeatlonl ... I
PURPOSE OF CONSTRUCTION . ..._:..,,�..i
Sketch (attach construction plans i.f.appropriatel
DsrSCRIPTION OF CONSTRUCTION : TRANSPORTATION PtRMIT i
EL 240' b
LOAD.:'.. aCkhoe
OF fDZMENIONS: Legiil height
b1MENSlO,
fy NSTALLATION "OR, REMOVAL 12'° 0" wide 65' 'IoriI
WEIGH': 105 r 000 lbs
SI'Z'E OF EXCAVATION, IF NEEIpb:D ;-_, _.. _ ORTGIId::. E i senhoweir &•. Vist,a Lagting;
-- A STT 14Ti0N: North City- liini•tg.
•.' APPROXIMAIE TIME WHEN WORK WILL BEGIN ROUTE
t.isenho'wer to Washington to:
APPROXIMATE TIME OF COMPLETION-- - Nath .Cit'y Limits,
ESTIMATE`0 CONSTRUCTION:COST. i
(Including rer'noval,af ill obstruction*, ma.ia'Halt, end debrlst', b84 1llin , corm
q t(/1:Z j,�wl (ilii 7
Election and Iadn
p g permanent reAur.tecinq. and/or replacing.1rhmovern+entsl'
'consi¢eritlor 15t the 'granting of this Ptignii, the i,pplicant h6reby agrees ter,; rr}
Indemnity, defend avid save the City, its authorized agents; officers, representallves, and ar iployteso harmiall from'end against any and all I`
pai+alties, IfabUltill or lop iesuitfnq ftOm.Cleitri or court aasian and arlsinq,out of any accident, lessor damapa.jp persons or.
happening aP occurring as a tyrortltnate re of any work 'undertaken under the pgrmit yrentad pu+luant to this appliCeUon.
Notify' the Adrninirtralive Authority ai 10011 twenty-four Q41 hours in advance of the time when work will be started. i
Comply with 'ell 00696ble City Qrdinencei;, the tarms and' cooiQl@ns of Ike parMit rind all appllceble rules and tepuletions- of the C11y .of
Let Quir;ta and to pay for any Bdditf00 replai:imant. necessary' as the result o} lh s ork.i
Slgnatury of A can't o, Aeent
ove r, fit gria Ca -1146
Game of: Applicant (please print) business Addr.pst Telephone No,
i
fume of Contractor and Job Fore man >usiners. Address; Te,Iephons No, I
j
Contractor's License No. ' City hi,slnesilfcense No,
;. Apel+cant's Insurance Company Pdlicy Number
FEES: Subdivision Improvement Permit — Class III 1.
' Ai�hlir finnrrwBments�90i r•f notimAtoa rn,�;etritrrinn r,,n�te .
I
Extended Page 2.1
I r\M 1111/1 V.tlw l l Ila I Its. tiru•u. a s►nnak.iiu.Wl mil uviluU j.Jaah o '• a
Minor. Improvement Pormit — Class:IV: $ae Attached schedule N•; '
Inspection'Fee $. _ ;.; -PERMIT VALI'DAiION
Permit Fee
PERMIT NO.
Penalty I.
Cash Deposit,,Surety Bond DATE APPROVED
if required '
'°`® '• EXPIRATION DATE
' ;TOTAL; $
DATE ISSUED
Racelved' by .._, 'Date SV
Administrative Authority.
i
Aecorded by TELEPHONE: (019) 664.2248
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