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0410`%"NOTE: With proper validation _ = this form constitutes an encroachment. permit �r ' • Lt. �t 9 CITY. OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) ' For the construction of_ public curbs, ,drivewa,sublic y, pavements, sidewalks, parking lots, sewers, water mains p . a ' and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED, SUBDIVISIONS Subdivision Improvement Permit — Class III ' DATE: June, 12, 1989 s Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Washinaton - TheGrove (Street address or Description of Location) PURPOSE OF CONSTRUCTION Transport 97 Dozer Sketch (attach construction plans if appropriate) from the•Grove to outside_ Citv limits DESCRIPTION�OF CONSTRUCTION SEE ATTACHED RIVERSIDE COUNTY REGULATIONS HAUL ROUTE- Washington Street. & wDIMENSION OF INSTALLATION OR REMOVAL Avenue 50 ;•' ONE TRIP -PERMIT SIZE OF EXCAVAT16N,'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 resurfacin and/or replacing improvements), Ali .: 9 P g P ,s y ,In consideration of the granting of this permit, the applicant hereby agrees to: r Indemnify; defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and;all+ ' S penalties, -liabilities or loss resulting from claims or court action and arising out of any accident, loss 'or damage to'persons or,,property. ',y + happening or occurring as•a proximate result of any' work undertaken under the permit granted pursuant;to this application. S„'+... Notify. the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started.. y + �*' L u,' 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 resu t of this work. r ° c S gnature�of Applicant or rent,%r, r fX F,'.Wj.-'St�1We,111S Jr. PO Box 1059 _Indio. CA (92201 r '?7 M1 �i' �` .> *{•.� Name of -Applicant (please print) Business Address .'Telephone No �t� 5` (- � same •, �,. •, �.f3itri���i,���i� _Name of Contractor•and Job Foreman.: Business Address +tee 'r �+Fa z Telephone No4”{ � Cit Business• License No. + ,� x Contractor s License No R •• '. 'a1a.f©rniat Farm - ,^ rt `6��• , n`1k.A licant% Insurance Company PP � J P Y ,. Policy Number . • � t � ` �' d �. k FEES.,'*, Subdivision Improvement Permit — Class IIIjo � _ '.� . Public' improvements: ts; 3/0 of estimated construction costs *.�-+. A, r A N, Private Jmprove ments:'3% of estimated construction costs „Mi nor`Improvement Permit =Class IV: See attached schedule • s e� .Inspection Fee' $ _+ 0 _ `� *• �' a • , ,� +r i PERMIT VALIDATION -Permit Fee 10.00 y 410 k ' PERMIT NO. �' �, • ,. y +'Penalty.. 6/x/89 ' Cash Deposit' -Surety Bond - �, • r DATE APPROVED w ,lrti if'required. F. +� r Fj. J ,• { ,—EXPIRATION DATE f_6/12/89 . 1 $ `], A n In ' �' �i" TOTAL: r r _ DATE ISSUED ';/16/12( 89 ' t �,�h r � Receipt No. � BY��, ��� ,M ,• -•�F. •- /,i' \ .+'., f,- •-�.r....-w- cam......-- v . ,+�-.� Received by Date �' , Administrative Authority Recorded by ' _� # TELEPHONE: (619) 564-2246 • ' ••' {,y•,�TM '3 r: a f�, * , � r NOTE: With 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 DATE' LOCA ION OF CONSTRUCTION Subdivision Improvement Permit — Class III Allinor Improvement Permit Class IV (Street address or Description of Location) --- PURPOSE OF CONSTRUCTION 114' 2-7 ,CZd3 �_ Sketch (attach construction plans if appropriate) _r . — -, —_ - - — — . i ,-% _ i . >. ti. DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN loeiV- (23- /���v 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 applicant hereby agrees to: 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 result of this work. Name of Applicant (please print) Signature of Applicant or Agent Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. All Applicant's Insurance Company Policy Number FEES: Subdivision Irnprc!yPment-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 A�5 - �G Penalty Cash Deposit -Surety Bond if required TOTAL: $ Z-42- D Receipt No. Received by Date Recorded by N° �� PERMIT VALIDATION PERMIT NO... DATE APPROVED U1,425g;4 4":2 EXPIRATION DATE DATE ISSUED 6 �9 t By Administrative Authority TELEPHONE: (619) 564-2246 • • -4 t- .t . ,1. • • - ', '; � . :µ .`•, +^ � • •• •! �'• • may'' r ''; ' . . - x't` ' NOTE: With proper validation; , ": ' _ - •� / Q this form constitutes an _ F ' encroachment permit CIT -Y. 'OF!^LA QUINTA rrt APPLICATION - FOR PERMIT•I•` ;PUBLIC WORK,S CONSTRUCTION (ENCROACHMENT) I•`�:. ww `_ r� . ``tii r - r, .., `,• .' s 4 .. " •'' t b' ,- y C���F. 1 N'�wS • .. ' ." For the construction of public? or privatecurbs,, driveways, pavements,. sidewalks, parking lots, sewers, water. mains and other like public works'improv`ements in connection With 'M[,NOR IMPROVEMENTS and APPROVED SUBDIVISIONS' ' r f ' Subdivision Improvement �Permit'- Class I11, DATE: June .' 12 19 8 9 ` ' 1. t' . Mi"nor Improvement Permit Class I V, ' LOCATION OF CONSTRUCTION - Washinctton TheGrove r (Street address or Description of'Location) PURPOSE OFtCONSTRUCTION ,Transport 97 `Dozer Sketch a + "' • ` ( ttach°construction plans if appropriate)V ` from. the -, Grove. to `ou-IE sidb 'City limits'' DESCRIPTION OF CONSTRUCTION ISEE. ATT�iCHED' `RIVERSIDE, COUNTY REGULATIONS ' HAUL. ROUTE'.Washington Street & DIMENSION OF INSTALLATION OR REMOVAL r t. :ONE, 'TRIP "PERMIT. SIZE OF EXCAVATION, IF NEEDED• +• ' „� ` APPROXIMATE TIME WHEN WORK WILL'BE.GIN APPROXIMATE TIME OF CO MPLETIO I N r-• ,ESTIMATED CONSTRUCTION COST (Including removal of all obstruction, 'materials, and debris; backfilling, com , paction and placing permanent resurfacing and/or replacing improvements)- In mprovements) In consideration' of the, granting of this permit, the ,applicant hereby agrees to: Indemnify, and saJe'the City; .itswauthorized agents, officers; representatives and'employees;'harmless from�and`again$t any and all penalties` liabilities or loss resulting from claims•or cour%actionarid 'arising -out of any raccident, loss or damage to persons;or property'• happening or occurring as a proximate result of any work-un6%rtaken, under thepermit 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 necessaryr,as'the,resu t f t rk. tu're' f.Applicant or nt,. , •, F...3,. Stgwe] Is Jr. .PO. 'Box 105`9 Indio' `CA' 92201 774-1359 Name,of Applicant print) '° Buiness Address PP P _ _ � 'Telephone No. same ; ' ' r . ' sam All .. Name of, Contractor and Job Foreman - •'° „'Business Address " Telephone No: Contractor's License,No., ''-'City Business License No. California'-Fa`r'm . r Applicant's Insurance Company" '. r Policy Number„ FEES: : Subdivision Improvement Permit — Class 111° ' '_ ii0p74b06i y Public improvements: 3%of estimated construction costst 0518�ASN1 SiTOTAL ii -89 i0.ppi0 Private improvements: 3% of estimated construction costs - . • Minor Improvement Permit — Class IV: See' attached schedule ` i ' .r' +• • -410 i -Inspection_ Fee $ 0. r. PERMIT .VALIDATION' f Permit'Fee f - 1'0.:.0'0 pit y 4I0 y, PERMIT•NO. Penalty _ 0 _ : ` r , • Cash Deposit Surety Bond t DATE APPROVED 6'/ 12'/ 8 9 `` if required Y EXPIRATION6%12/89 DATE TOTAL: $ 10 00. �r 6:/12/89 ` DATE ISSUED _ Receipt No. t Received,by' '' Date .,. •f dminisfrative Authority Reco*d,by ' TELEPHONE: (619) 564-2246 ' REGULAT IOtlS0 TO BE USED IN CONJUNCTION WITH RIVERSIDE COUNTY ORDINANCE N 524 REGULATING OVERSIZE AND OVERWEIGHT VEHICLES AND LOADS 3eneral 1. Acceptance of Permit. The moving of any load or the doing of any work on the county road in accordance with a )ermit shall be regarded as an acceptance by.the Permittee of all terms and conditions of a permit. A permit is effective mly between the hours stated on the face of the permit or as may be specified in additional regulations. A permit is valid )nly for equipment owned or leased by the Permittee. Work authorized under a permit is subject to inspection by representatives of the Riverside County Road Department and :osts of such inspection shall be borne by the Permittee. 2. Comply with Applicable Laws. A permit is issued pursuant to Section 35780 of the Vehicle Code. Except as speci- fically provided herein, the requirements of the Vehicle Code and any vehicle registration requirements and other applicable laws must be complied with in all particulars. 3. Safety to Other Traffic. Permittee shall at all times give strict attention to the safety and rights of the traveling public. 4. Yield Right of Way. Except as provided under Regulation 5, when being passed by vehicles traveling in either direction, no portion of equipment or trailers shall extend beyond the centerli- of pavement or traveled way.. 5. Protection on Bridges or Narrow Roads.. When crossing bridges or on roaub so narrow that it is impossible to comply with Regulation 4, a flagman shall be posted ahead of such equipment to warn and direct approaching traffic. (See Regulation, 24, 25, and 26). 6. Night Moving. No night moving allowed unless specifically so stated on the face of the permit. If any moving is permitted at night, necessary warning lights must be displayed and flagmen employed in such a manner as to thoroughly protect traffic in either direction. 7. Moving in Foggy, Rainy or Windy Weather. No moving shall be done in foggy, rainy or windy weather when.visibility is restricted to less than 1,000 feet except on special authorization. Movement is prohibited when road surfaces are hazardous due to ice, snow or frost or when use of tire chains is mandatory. No moving shall be done when the velocity of the wind is such that it causes the vehicle being towed to.whip or•swerve from side to side or fail to follow substantially in the path of the towing vehicle. Any accident caused by excessive wind conditions shall be considered a prima-facie violation of this restriction. 8. Parking on Roadway. If necessary to park equipment or load on the county road at night, it shall be moved off the traveled way or pavement so as not to interfere with passing traffic in any way. Warning lights shall be displayed so as to fully protect said traffic. 9. No Moving during Heavy Traffic. Equipment or load covered by this permit shall not be moved over the county roads on Saturday afternoons, Sundays or holidays (Lincoln's Birthday, Good Friday, Columbus Day, Admission Day and all Election. Days excepted), unless specifically so stated on the face hereof. 10. Responsibility for Bridges. A permit does not authorize crossing any posted bridges with gross load exceeding posted limits. Permittee shall comply with all rules posted on any bridges over which he shall pass and shall assume all risks relative thereto. Where there are no posted limits upon.a bridge, a Permittee is under a duty to ascertain from the Road Commissioner what is a safe gross load for the particular bridge. 11. Overhead Clearance. When height of load exceeds legal limit, it becomes the responsibility of the Permittee to cneck all underpasses, bridges, overhead wires or other structures for impaired vertical clearance and to bypass-or•arrange clearance at such locations. .12. Permit Subject to Inspection. The permit must be carried on the equipment or load at all times while,ft.is being coved within the roadway limits. It shall be submitted for inspection on demand of an authorized employee of.the Riverside County Road Department or of any law enforcement officer. 13. Repair of Damage. In accepting a permit, the Permittee agrees to repair at his own expense and to the satisfaction of the Road Commissioner any damage to the county roads or structures. Work of repair may be done by Riverside -County Road Department forces at the option of the Road Commissioner. The cost is to be borne by the Permittee. In the -event of damage to Riverside County road facilities such as bridges, traffic signals, light standards and so forth, a written report must be filed with the Riverside County Road Department as soon as practical after -such -damage has been done and in•any,event within 24 hours after such damage has been done. Failure to make this report will be considered cause for cancellation of -t11-permi- privileges pending a satisfactory arrangement with'the Riverside:County Road Department.for repair or.replacement.of the damaged facility. Damage to property outside of road rights of way shall also be,reported-to the Road Department..and.to:the owner of the property affected. 14. Liability for Damages. The Permittee is responsible for all liability for injury to or death of any person or damage to property which may occur -through any act or omission of either the Permittee or Riverside County. In -the event.any claim, suit, or action is brought against Riverside County,.its officer, or employee thereof. by reason of. or in connection with any such act or omission. Permittee shall defend, indemnify, and hold harmless the County of Riverside, its officers and employees from such claim, suit,. or action. 15. Trip Limit. Unless specifically stated on;the face of the pernit,.a permit is.good for only one trip,between..the points designated. "' i.l.F 16. Limit of Authorization. A permit only covers portion of move on County roads under jurisdiction of the Riverside County Road Department. State and/or city permits must otherwise be secured for travel on roads and streets•�under=respective jurisdiction. 17. Riverside County Road -Department policy does not authorize overlegal dimension(s) by -loading side by•sidc, by- stacking nor by loading end to -end. Overlegal weight is not authorized if two or moreseparate items are transported as a, single load. This permit is automatically cancelled if the load can be reduced to all legal limits by repositioning and/or removal of a part, portion or unit(s) therefrom.. If .load.cannot be.reduced to..legal or permitted dimension(s), movement may be continued if legal weight limitations are achieved by removal of a part, portion, or unit(s) therefrom. Conversely, additional small items related to the permitted load but not listed on the permit may be hauled provided they do not exceed legal dimensions and the laden carrier is of legal axle and gross weights. All tampers ballasted with water, earth or metal must have such ballast removed unless all axle and -gross weights do not exceed Vehicle Code legal maximums. 18. It is prohibited for any tractor or truck towing a house trailer under permit to transport as an extra load~ any vacation trailer, camper, utility trailer, motor vehicle (other than a motorcycle or motor scooter), cabana, tool shed, awning, porch, fencing, freight, household goods, or other bulky item(s). Steps and piers may be transported. An exception will be made in the case of a private individual towing his own legal width, overlength trailer coach. If equipped with suitable truck, he may transport his own cabana, porch, fencing, household goods, steps and/or piers. 19. Road Commissioner will designate road routings for moves not compatible with existing road width and geometric design. Weight and Size of Loads 20. Maximum Weight and Size. The maximum limits for weight and size of vehicles and loads set forth in the Vehicle RD 10 i40 -i `y -2- Code 2 -Code shall not be exceeded except as specifically stated on the face of this permit. 21. Trailers and/or Dollies. Not more than two trailers or one trailer and one dolly in combination shall be moved'over the county road at any one time behind the towina eouipment. Exceptions will be considered if transported item is of an unreducible weiqht and extra axles are mandatory to achieve weight limitations. Vehicles used as pilot cars shall not also be used to tow any other vehicle when operating as a pilot car. 22. "Booster Axles" attached to trailers shall have an indicating gage, light, buzzer, or horn installed in the cab to alert the driver when the cylinder pressure is 15% or more from its intended setting. 23. Rearview Mirrors. Adjustable rearview mirrors on power unit may extend on each side not over 6 inches beyond the permitted width. This does not authorize additional width of mirrors when operating without a wide load. Flagman, Pilot Cars, Signs 24. Flagman. When necessary to post a flagman or flaqmen in order to warn and direct approaching traffic, each flagman must be wearing a red jacket or vest and equipped with a red flag and paddle reading "STOP" in white letters with red back- ground. Flagmen shall not be less than 18 years of age and capable of carrying out flagging responsibilities. 25. Pilot Cars. Pilot cars when specified on the face of a permit shall be furnished by the Permittee. They shall be no smaller than a jeep nor larger than a 1-1/2 ton truck and shall display appropriate red flags and warning signs. Signs shall be removed promptly upon completion of escort duty. Flashing amber lights when specified on the face of the permit must meet California Highway Patrol requirements. The interval to be maintained between pilot car(s) and convoyed load is: Mountain roads - 300' minimum, 600' maximum Roads in other rural areas - 600' minimum, 1000' maximum Roads in urban areas - 100' mimimum, 200' maximum When a pilot car is required, it shall precede on two or three lane roads or follow on four or more lane roads. Exceptions to this provision will be specifically stated on the permit and this does not preclude the addition of extra pilot car(s) if the character of the roadway so requires. Pilot cars shall comply with provisions of Section 21650 of the Vehicle Code with regard to driving upon the right side of roadway. Convoying will not be permitted unless specifically authorized. When the front or rear overhang exceeds 25', a front or rear pilot car will be required (See Provision 25). In congested traffic, the pilot car shall immediately precede or follow the load. If the width of the vehicle or load exceeds 12'0", a pilot car or pilot cars will be required. 26. Permittee's responsibility for Proper Piloting and Flagging Procedures. It shall be the responsibility of the Permittee to ensure that pilot car vehicles, operators, and/or flagmen employed to carry out the provisions of this permit meet the requirements as established in regulations 24 and 25, and all personnel are properly equipped and briefed as to their responsibilities prior to the movement. Failure of pilot car operators and flagmen to comply with these provisions in properly warning -and directing traffic is considered a violation of the terms of this permit. 27. Signs. All loads or vehicles in,excess of 8' wide must display wide load signs. When a wide load.is transported, the signs shall be promptly removed upon completion of work. The minimum size warning signs shall be 6' by 12" with 5" black letters of 1-1/2" minimum stroke on yellow background. The signs shall read "WIDE LOAD" or as appropriate for -long loads or excessive overhang, front or rear. Warning signs shall be neat, clean and mounted securely. Signs shall be displayed only when necessary and "WIDE LOAD" shall have precedence over "LONG LOAD" in question of which to use. Other warning signs shall be of 12" x 6' dimension with above letter size. Any vehicle -load combination of legal width but exceeding 80 feet in length will require "LONG LOAD" signs. Exception to this will be specifically stated on the permit. When the overhang to the front exceeds 10', a warning sign reading "EXCESSIVE FRONT OVERHANG" must be"displaye.d.on the rear of the overhang. Buildings and Other Structures 28. Before start of a house move authorized by this permit, the Permittee shall notify the California Highway Patrol and other local law enforcement agencies of the proposed move. 29. Kind of Equipment. Buildings are to be moved with regular: house moving equipment. 30. Interference with:.Traffic. The moving shall be done at the timeof day and in a manner which will cause the least interference with traffic, 31. Cleaning Up Right of Way. Upon completion of the moving work, all timbers and equipment shall be removed .and the - right of way left in the same condition as before the work started. 32. Do Not Disturb Roadway Surface. No wedge, bar or spike shall be driven in the surface of the County road. 33. Care of Trees. No trees shall be cut, trimmed, used for attaching cables or in .any way disturbed. :.,,,;_ :,• 34. Care of Overhead Lines. Permittee must notify the owner of all overhead lines subject to disturbance or -damage by his operations at least twenty-four hours in advance of such work and mutually agreeable arrangements shall be made between the parties affected. (This provision does not authorize owners of overhead lines to limit work allowed under this, pernrit.) 35. Crossing Railroad Tracks.• Permittee must notify the railroad company 'at least 36 hours in advance of crossing railroad tracks pursuant to Section 35789 of the Vehicle Code. Fee Schedule, Bonds and Insurance - 36. Fees for the Issuance of a Permit. In accordance with Section 15 of the Ordinance, the Board of Supervisors shall from time to time establish fees for the issuance of permits and the minimum amogit.of insurance or bonds to be required by the Road Commissioner. Copies of the current resolutions are on file in the office of the Road Commissioner.-`­`­ 37. ommissioner.37. Deposits and Other Securities. As required by Article 4 of the Ordinance, the Road Commissioner may .from -time to time require a cash deposit or other securities to be delivered by the Permittee to the Road Commissioner as a condition of issuance of a particular permit. Said cash deposit or other securities will be held in trust by the Road Commissioner until such time as the permitted activity has been completed, at which time the cash deposit or other security will be applied in whole or in part for the payment of fees, costs and other charges which may have become due to the County by reason of the permitted activity. The remaining amount of the cash deposit or the security will thereupon be -returned to Permittee.