Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1651
,JNOTE: 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 9 DATE: January 14, 1993 LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION Move Equipment DESCRIPTION OF CONSTRUCTION 637 Cat Scraper 1419" high, 13'6" wide, 85' long, Weight 20,006146,725/60,000/46,725 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- Subdivision Improvement Permit — Class III Minor Improvement Permit Class IV Sketch (attach construction plans if appropriate) Haul Route: Avenue 47, north on Washington to Highway 111 Haul Date: 1/15/93 (2 trips) Pilot Car Required. 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 Iof La Quinta and, to pay for any additional replacement necessary as the result of this work. Signature of Applicant or Agent Dalton Equipment 13560 Whittram Avenue Pontana, CA 92335 (714) 823-0663 Name of Applicant (please print) Business Address Telephone No. Same —'�- Name of Contractor and Job Foreman Business Address Telephone No. M= BUC T. 98.782 Contractor's License No Reliance Ins. Ca. N/A City Business License No. ;. SK 1656205 Exp. 9/1/93 "k Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I II + r Public improvements: 3% of estimated construction costs , ;?8` " e �.� AIR VMTR>k- 20:00'0 Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule " Inspection Fee. Permit Fee $ 20.00 Penalty Cash Deposit -Surety Bond if roniiirorl TOTAL: Receipt No. $ IS= 20.00 Received by Date Recorded by PERMIT VALIDATION PERMIT NO. 1651 DATE APPROVED 1/14/93 EXPIRATION DATE 1/15/93 DAT ISSUED 1/14/93 By Administrative Authority TELEPHONE: (619) 564-2246 •TR6NSIPORTATION PERMIT CA:lI`ORNIA, DEPARTMENT Of TRANSPORTATION IN WITH TvuR RCOIiEST AND SUBJECT TO ALL OF THE TEttM;,, cOtMi14 AND RESTRICTIONS WRITTEN BELOW AND THE ATTACHMENTS, PERMISSION IS PERMIT VALID BETWEEN HEREBY GRANTED TQi (� � � r 6 NAME DALTON TRUCKING, INC pM ADDRESS 13560 WHITTRAM AVE AN0SUN,SE? MOVING AUTHORIZED yr, tv0 CITY/STATE - - FONTANA , CA 9 2 3 3 59Ai'URoa'0 _ D %;'NDAY El PHONE HCU, 714-823-0663 "Q' SUNSET TO 21001,q- El AUTHORIM STATE REPRESENTAT'tE HAU6 LOAD OR EQUIPMENT AND MODEi1Q0- TELECOPIED PERMITS NOT VALID WlTk4OVr SEAL, Q Tow TYPE VEHICLE 3 AXLE TRAC - 2 AXLE JEEP 2 AXLE DOLLY l�7 PIN TO AXLE �j / A COMO. VEHICLE O t ' LENGTH 8 SENDING STATION RECEIVING gtpTION LOADED DIMENSIONS DIFFERMT THAN OR WEIGHTS EXCSEDlt4G' THOSE SHOWN 3ELOW ARENOT AUTHORIZED MAX HEIGHTi ` ` L `.t Iw' DDTI-It l ` ALL LENGTH: 8 5 ' MAX OVERHANG.. LEGAL +'S�ERHANG AXLE NUMBER NUMBER TIRES %. 4 4 8 3 I 4 4 AXLE SPACING (i 1 3 f 7+ 4 6+ 1+ 5 9 1 b1 + -T I AXLE WIDTH $ g $ f 1 0 1 0 $ 8 WEIGHT OI d0 46,725 60,000 46,725 glJ ORIGIN APV 47 DESTINATION r'RIPS !AWTHMOONZED WATE HIGHWAYCOUNTI AND/OR CITY PERMITS RQQL,nRED, 'A s7z IAL f LE Arend t-1 r PILOT CAR YES NONE REQUIRED ATTACHMENTS Q% PERMIT CONDITIONS Ej © CASH / CE �IF7' i71 ALL 'DUNTY ANjC TY FORTATfON PERMITS 0 CHARGE Fl!© WAv ENG INE IF Ht A I ToA MOliIfFNOME, ❑ - EXEMOT s L ' i a O.Ir1 D AGENT SIGNATURE DATE. DM, P-16(Rev.14M CWdfT-,Pem*m - Iiti'd pNIAondl NOIldQ VZ:9Z E6, bT Ndf.