0855i ,?vr� • i
NOTE:
With proper validation
this form constitutes an
CITY OF .LA QUINTA
encroachment permit ^
APPLICATION FOR ,PERMIT -
'' ,• PUBLIC WORKS CONSTRUCTION"(ENCROACHMENT)c
c�,t10F
ONE, TRIP OVERSIZE LOAD PERMIT
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 ` -October 2, '1990 : * .'' Minor+lmprovement Permit Class IV
w. move'f egwi went
': w ,
•' ti�:LOCATION OF,CONSTRUCTION - Y
r . r 5 (Street address'orDesc`ription of Location), '
• PURPOSE OF. CONSTRUCTION. `y ' , Sketch (attach construction plans if appropriate)
'DESCRIPTION OF -CONSTRUCTION Cat 623B- scraber HAUL ROUTE: .FROM AVENIDA
�xh' l4' 6" •,2-12 :' , legal` l nath: I dkle FERNANDO AND EISENHOWER DRIVE
r 2 axle txaaler TO WASHINGTON `STREET NORTH TO
;• ;
DIMENSION,OF INSTALLATION OR REMOVAL t HIGHWAY 111
Haul. date': October :3; ,1990 ;
t SIZE OF EXCAVATION;.IF NEEDED `
t APPROXIMATE'TIME WHEN?WORK WILL BEGIN y' '
APPROXIMATE TIME•OF COMPLETION
1�;ESTIMATED CONSTRUCTION COST $ 3 !
y . ,(Including` removal oa'all7obstruction; materials, and debris, backfilling, com-
' paction' and placing permanent resurfacing and/or. rep lacing. improvements) f
;a'..+Inconsideration of-the•granting.of this permit, the applicant hereby, agrees to: '
'- Indemnify, defendand,save the City, ,its authorized agents,officers, representatives and employees,'harmless from and against any and all
c-
+ r ti penalties, liabilities or loss resulting' from claims or. court'a`tion and arising out,of any accident, loss or damage to persons or property
' happening or" ccurring as a proximate -result- oflany.ti6rk undertaken under the.permit.gr ant ed pursuant to this application.
_Notify the' Adm inistrative•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 conditionsof.the permit and all applicable rules -and regulations of the City of
-� La Quinta,arid to pd" for any additional ''replacemenrriecessary•asahe result of this' work*
..(• , , - a,�t'.... `rhe. 't.' ; ' ^ ''.. ~_ i ,
Signature of ApplGnt-or Agent r
Y 'Winterton 'Txuckingy ." i PO BOX 1'123 Riversid4,%CA 92502 714/683-4917 :
`Name of,Applicant (please print).,' .. •Business A8cctress Telephone No.
Name of Contractor and Job Foreman , ; Business Address Telephone No.
'Contractor's License,No:. City Business License No. "
"mon _�i1e.
'^ Applicant's Insurance Company ., • , L Policy Number '
i FEES: F Subdivisionlmprovement P.erinii — Class III• r •' r
+: �;�;: . • �, S'` ;Public improvements:'3%of estimated construction costs ,...00051B2 0 73 4''ig p3-90 SO
r r CA H i TOTAL 'i i0.00
P.rivate,improvements: 3% of estimated construction costs ' 1
855
Minor Improvement Permit —'Class IV: See attached schedule o
Inspection Fee `� $ PERMIT VALIDATION
�r110.00 ..
Permit Fee PERMIT NO. 0855
Penalty DATE APPROVED 10/2/90
Cash Deposit -Surety Bond 10/3/90
if required = EXPIRATION DATE _L '
TOTAL: $ • 10.00 DATE ISSUED, 1013•%9'U
Receipt No.
.Received by Date Administrative Authority
Recorded by TELEPHONE: (619) 564-2246
r, '^`rFd'1L,3i'1�y7.i '•-.rar.sJ N-J:+r>�n�n :Y.•i t �''{'.4..::''i�i`�N^vi<Liran•+F•'L74w �WjY4✓J c'r,M.::•�r y.xy'+i 'W'.<_,y`'.,_..a .�.r _n .H _'A.. ..... in•:IY ""'
'�+ iCiGii•.0 :A'4X'`,aw�.:wi'�; l;r'ti.. :.k' .-r."" .� `T''� - Y- ••:..
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` ' I_ � �i'.(d."A'!^ ♦Y �. �+bw:. I,ne. w'Y'��•W.M W•� Y"rt 'Yi Y er: �+N A Y1'16"W Ib r W •,r•u. M'•f1. r rr `•T — .�.a r.y.'r,. �w'M 1+-FS•w
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NI
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NOTE:
With proper validation •� . �.��
this form constitutes an . CITY .OF LA QUINTA
encroachment permit t., .
* APPLICATION FOR PERMIT - - -
Y •ZT. PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)��
OF
r ONE ,TRIP • OVERSIZE ,LOAD• PERMIT '
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: Qctobqis' 2, 1990 ' " Minor Improvement Permit Class IV
zr•: move • equipment' .
'' ,_, �LOCATION'OF CONSTRUCTION
' '(Street address o� Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION -OF CONSTRUCTION ;. Cat 623B scraper HAUL ROUTE: - FROM AVENIDA
h 14"Z". '2-12'': -1eaal 'length3 axle ' FERNAKDO AND EISENHOWER. DRIVE
2 axle"trailer 14"` TO WASHINGTON STREET NORTH TO
DIMENSION OF INSTALLATION OR REMOVAL HIGHWAY 111-
t , Haul date: October 3, 1990 '
SIZE OF.•EXCAVATION IF,NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
+APPROXI MATE TIME;OF COMPLETION
ESTIMATED CONSTRUCTION COST $
.(Including, removal of all obstruction, materials, and debris, backfilling, com-
I, - pactio'n and placing .permanent resurfacing and/or replacing improvements)
-Inconsideration of.the`granting of "this permit, the applicant hereby agrees to -
Indemnify, defends. 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
I 'happening or occurring.as`a'proximate-result of any work undertaken under -the permit granted pursuant to this application.
Notify the.tAdministrative Authority at least twenty-four (24) hours in advance of the time when work will be started.
t Comply with all applicable City Ordinances,'the terms and conditions of the permit and all applicable rules and regulations of the City of
La Quir to and to pay for any additional replacement necessary as the 'result of this worki
&Ad
'Signature of Applicant or Agent
•ti.
�:�� " .Wiitertonjrucl:my x' PO Bcix 1123 RiversidCA 92502' '714/683-4917'
Name of'Applicant.(please print) Jx Business Address - ' Telephone'No.
' Name of Contractor and Jobfo e'man Business Address Telephone No.
Contractor's License No:
' `City Business License No.
Applicant's,Insurance company'.'.'* Policy Number
* ' 1r Jem n� P m:
FEE ,
S: Subdivision Imp o e t Per it — Class I II ,
U 518'', 731A iCJ�03 5'0.., 10
t t Public improvements: 3% of estimated construction costs' i �.,) :.DTAL 10,Q0
tPrivate improvements:•3% of estimated construction costs p
55-
Minor Improvement Permit —'Class IV: See attached schedule. ®`�
Inspection Fee PERMIT VALIDATION,
10.00 ..
Permit Fee y.. .0855
• ., PERMIT NO.'
Penalty' J 10/2/90
Cash Deposit -Surety Bond ' DATE APPROVED
f 7 -
if required EXPIRATION DATE 10/3/90
TOTAL:' $ 10..00
DATE ISSUED 10/3/9
Receipt No. BY
Received by Date—Administrative Authority
Recorded by TELEPHONE: (619) 564-2246
a
RCV_BY:Xerox'Telecopier 70 ;10-2-90 2:12PM_; V1 818162 5645617;# 2.-
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' WM ®ITY OR IA- IQUINTA F,
APPLICAM PQAPVW '
KHMA WORK2
t ti no saw (f polo =ft WORMSM M affAMM 0go 1111U1t 111AMMMwas MW NPPGVIID lux
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Avd. Fernando: & Bisenhowei fir.
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Pi p
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Transport Cat 623-B' Scraper
from Avd. Fernando & Eisenhower
` D1MI3NItONOP1M1'a1Dr. over'Eisenhotvex Dr. to.
- Washington St. & over Washingtoi
snap �l6VA'b�N.1�1�� St. .to HWY.. 111.
Height 141611 - Width, 12
y WM1kAMIna WHIN pIMlp ML6Up#M Legal Length, On' 3 axle truck,
2 axle trailer. As per CalTrans
AEPRtf�i�iAtCl�PtO� Permit `accompanying this.
, , . • . �tfMA1e'10 .Og'IR �
` I Mae"10d dowbk MuNjew 1>1s 1W*i11 %asp . 2 Machines being moved.
' soy Otf�isp �JbP rhe® I� •,. '
In ," Ifft 1 M! N aN pMq, of 1°011U4 huffy. Wa at A,
a1Vr er tlla (hrof IN W4MOM& ►M1EW 1 111 WA 1"nM IAd a°rill
r sM+o,1s4 lrai116ats +� alb" M ftm ftm W aM nroft Wd M of sa aafts" 1t1M b M~ is PENN ar WOMM.
mom1 V 16 a �ifObq qP oMl r up9lff IAI > M f�N �P1111difr
�M1119 IRfa Amy sq =a ► ( MW M WMM N ** OW 1111 wlill eln 01 w.r®!.
r o°OP0 we ao mom Isar , f1 sft am =mom sl t" MM at W owl=1 sura ale ,"""IN of 0111 ft ®4
1A vQ
fm at�plpe rMforM MAN
Np
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Winterton Trucking, °PalOdlllllt°r:Ag111t
,.• -P.'O; Box 1123' Riverside; Ca. 92502 (714)683--4917
' ` . N11°. °I AOau�1A1 IplaeA p�N+ll �wll�la A� �
Nems al Baluffl °p 1n° job Iwlm TfAi
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mow
Pon" pit
r, , . P11bNt LRIpe911A1Nll�t 1� �! @ iOAIA ' ,�
' p®RMIT No,
aw1y DA" ~vOU
MUTO DAT!
'Aid i
RCV BY:Xerox Telecopier 7020 ;10— 2-90 ; 2:12PM ;
171 818152-4
5645617;# 3
TRANSPORTATION PERMIT
CALIFORNIA DEPARTMENT OF TRANSPORTATION .
IN COMPLIANCE WITH YOUR KKIMT AND 6UIUOCT TO ALL OP THE TERMS, CONDI RMIT V
TIONS'" AND ,RESTRICTIONS WRITTEN BELOW. AND THE ATTACHMENTS, PERMISSION IS
IID B@ SEN
HUM GRANTED TOTNAME
'AM
Winterton Truciciug�..
P
/
' DRESS
AND SUNAFr.
P l0 a BOX 1123 MOVING AUTFIORIPO YES No
6W/`STATE
JJ''��)
LJ 1 S ( �•�'
t
RiverWq Cao 92502 SATURDAY
❑
PHONE NCO. SUNDAY
❑
(714>68 3.4917 NO• WNSET TO SUNRIU ' ❑
A OMI) STATE REPRESENT
HAUL LOAD OR EQUIPMINT AND MODEL NO.
TELECOPIED PERNJTS NOT VALID WITHOUT BEAL.
Cat 623-B Scraper
❑ DRIVE ,
TOW
TYPE VEHICLE
' 3 axle truck; 2 axle trailer
RING PIN TO COMB, VEHICLE
SENDINO•STATION R1 CEIVINO STATION
LAST AXIL Legal LENOYH Legal
LOADED DIMENSIONS DIFFERENT THAN OR WEIGHTS EXCEEDING THOSE SHOWN BELOW ARE NOT AUTHORIZED
MAX MAX MAX
MAX
HEIGHTS 1416" WIDTHi 121 OVERALL LENGTH:
Legal
OYERHANO: Legal
AXLE NUMBER - 1 2 3 4 S
i
d,
7• R' 9
NUMBER rIREa 2 4. 4 8 8
o
AXLE SPACINGF1 S Y 4! 6t1 Bo 1 69
AXLE WIDTH 81 81 81 10 t 10 T
"'E10KT Purplej. 1,2. S00 44 725 60, 000
ORIGIN" DESTINATION
TRIPS
La. uintag & _1 Riverside
_wv. fill Rnhq
Anti1
A COUNTY ANDjOR CITY PERMITS REQUITED.
011
i
•
PILOT CAR YES " " ONE REQUIRED ,
•
ATTACHMENTS
"
PERMIT CONDI NS
cl
❑
❑ COSH I CERTIFY THA ALL COUNTY ANOIOR CHY. TRANSPORTATION PiRMITS
❑
HAVE BEEN o AZND P TN►S PERMIT r5 FOR TOWING A MMEHOME. ,
® CHARGE FEE,
f�
❑
®EXEMPT 15 0 00
S
101 -1190
0
❑
AUTHOR AbENT SIONAW ,
DATE
- -
H B04Y8
RCV BY:Xerox Telecopier 7020 ;10— 2-90 + 2:13PM 17147818162-+
9®— i0-02 11157 MASS INSURANCE TGL-7141�389G
s
MMSEY INSURANCE" SERVICES
930 S. Xt. Vernon, Suits 090
P. c. Box 1407
Colton, Cay 92324
714/824-3570
Avm
Dale D. Wintorton
YO Box 1123
1080 Brown Ave
Riverside CA 92303
MAY
A&140
r4MOFN1UPAM0i I PmmvNumm
56456174 4
Paz
THIS CERTIFICATE 16 ISSUED AS A MATTEFI OF INFORMATION ONLY AND CONFIAS
NO RIGHtS UPON THE CERTIFICATE HO, DER. THIS CERTIFICATE DOES Noi' AMEN
EMND OR ALTER THE COVERAGEAFFbM= ELY THS PCUCILM BELOW
C0MPAN198 AFFORDING COVERAGE
OpMPANY M
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W HAV EN IIt13UE0 TO TME INSURED NAME0 ABOVE FOR THE POLICY PERIOD
IT10N 9VANY I: ONTRAl f' OJ QTHER DOCUMENT WITH RESPECT Tp WHICH THIS
IAAYDHAAV19 BEEEN REDUCED SY PAID CLAIMs IN IS SUBJECT TO ALL THE TERMS,
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FM OF QWT=jL7l{fl916/�17 M x196
AS PER VEHICLE SCRIDULE ON FILE WITH COXPANY
CxTY OF LA QUTNTA
ATTR` I S>` MON ENGINBBRING DEPT.
78105 CALLS ESTADL
LA QUINTA, CA 92253
Q W A'yDIDWW—#1$6
ON A�'OLICv UMIIT
60 iG•6Am 6m,
SHOULD ANY OF THE ABOVE DESCRI11 0 POLICIES BE CANCELLEO BEFORE THE
EXPIRATION DATE THEREOF, TWE ISSUING COMPANY WILL. ENDEAVOR TO
MAIL.: >= DAYS WRITTEN NOTCI E TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, MM FAILURE TO MALI. SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
L,IMRSry OF ANY KIND UPON THE COMPANY, ITS AOENTS OR AEPREBENTATIVE6
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AS PER VEHICLE SCRIDULE ON FILE WITH COXPANY
CxTY OF LA QUTNTA
ATTR` I S>` MON ENGINBBRING DEPT.
78105 CALLS ESTADL
LA QUINTA, CA 92253
Q W A'yDIDWW—#1$6
ON A�'OLICv UMIIT
60 iG•6Am 6m,
SHOULD ANY OF THE ABOVE DESCRI11 0 POLICIES BE CANCELLEO BEFORE THE
EXPIRATION DATE THEREOF, TWE ISSUING COMPANY WILL. ENDEAVOR TO
MAIL.: >= DAYS WRITTEN NOTCI E TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, MM FAILURE TO MALI. SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
L,IMRSry OF ANY KIND UPON THE COMPANY, ITS AOENTS OR AEPREBENTATIVE6