1908NOTE:
`4 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: 9/30/93
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION CAT D -6H DOZER
DIMENSION OF INSTALLATION OR REMOVAL 11' WIDE $.
65' LONG — ALL ELSE LEGAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 10/1/93
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
APPROXIMATE TIME OF COMPLETION 10/1/93
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:
NORTH CITY LIMITS ON JEFFERSON TO
52ND TO MONROE TO 58TH TO KELLER
PIT AND RETURN LADEN VIA REVERSE
ROUTE.
THIS PERMIT AUTHORIZES,T'HE LA QUMA
PORTIONS OF THESE ROADS.
Indemnify, -defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
i
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 thep rere t and 11 applicable rules and°regu tions of the City of
La Quinta and to pay for any additional replacement necessary as the re ult of this w ik.
Sig ature of Applicant or Age.nt'�
JOHNSON MACHINERY CO. 800 EAST
Name of Applicant (please print)
DEKA DR.,
ness Address
CA (909) 686•-4560
Telephone No.
SAME 1'' V
Name of Contractor and Job Foreman Business Address Telephone No.
ON DILE
Contractor's License No.
City Business License No.
ON FILE
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I II
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
.41 Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
10.00
$ 10.00
Date
'ERMIT VALIDATION
PERMIT NO. 1908
DATE APPROVED 9/30/93
EXPIRATION DATE 10/1/93
DATE ISS ED �� f3
By
Administrative Authority
TELEPHONE: (619) 564-2246
TRANSPORTATION PERMIT
CALIFORNIA DEPARTMENT OF TRANSPORTATION
IN COMPLIANCE WITH YOUR REQUEST AND SUBJECT TO ALL OF THE TERMS, CONDI-
TIONS AND RESTRICTIONS WRITTEN BELOW AND THE ATTACHMENTS, PERMISSION IS
HEREBY GRANTED TO:
to A 1m LD1 X113
NAME
Johnson Machinery Co.
PM
ADDRESS
800 East La Cadena Dr.
AND SUNSET /
MOVING AUTHORIZED
YES NO
SATURDAY ❑ [o
CITY/STATE
Riverside, Ca. 92502
SUNDAY ❑ 3
PHONE
HCD.
( 909) 686-4560
NO.
SUNSET TO SUNRISE ❑ 3
AUTHORIZED STATE REPRESENTATIVE
HAUL
LOAD OR EQUIPMENT AND MODEL NO.
TELECOPIED PERMITS NOT VALID WITHOUT SEAL.
❑ DRIVE
CAT D-611 DOZER
❑ TOW
TYPE VEHICLE
3 AX TRAC / 2 AX TRL
KING PIN TO
COMB. VEHICLE
SENDING STATION
STATION
LAST AXLE 40' MAX
LENGTH 65'
08-700
I.RECEIVING
LOADED DIMENSIONS DIFFERENT � !ANOR WEIGHTS EXCEEDING T"GSF,,SHOWN BELOW ARE NOT AUTHORIZED
MAX
HEIGHT, LEGAL
MAXMAX
WIDTH: 11 0
v
OVERALL LENGT 65 �
MAX
OVERHANG: LEGAL
AXLE NUMBER
1
2 3
4
5 6
7
8
9
NUMBER TIRES
AXLE SPACING
AXLE WIDTH
WEIGHT
LEGAL \ \ \ \
ORIGIN
I-10 & JEFFERSON
DESTINATION
KELLER PIT RD.
TRIPS '
AUTHORIZED STATE HIGHWAYS COUNTY AND/OR CITY PERMITS REQUIRED.
e; f52mila 4o M6 o-
Ttf� LA au JnsTi qy -T ol-j s o r Tt (v-s'E-
,AADS
PILOT CAR ❑ YES ❑ NONE REQUIRED
ATTACHMENTS
❑X PERMIT CONDITIONS
❑ CASH
I CERTIFY THAT ALL COUNTY AND/OR CITY TRANSPORTATION PERMITS
❑
❑ CHARGE FEE:
HAVE BEEN OBTAINED IF THIS PERMIT IS FOR TOWING A MOBILEHOME.
❑
❑ EXEMPT $
❑
AUTHORIZED AGENT SIGNATURE DATE
DM-M-P-16(Rev.1-89) ORIG—Permittee 89 86483
!,/
!-JO «
SEEEE@aOH
EE[EER bIl bg`
EEevE
EEevE X4.0
fC,wvx
g vx ±3VC \ S vX Ib[
CVI D -@H DO;EB
B�%@LejgG' CS` 83@03
9OO E22{ F9 C9gGUR DL'
gopEeou W9cPlueLk Co.
@@. . EEeVr
@@, ' O9 -I00
ThANSPORTATION PERMIT
CALIFORNIA DEPARTMENT OF TRANSPORTATION
IN COMPLIANCE WITH YOUR REQUEST AND SUBJECT TO ALL OF THE TERMS, CONDI-
TIONS AND RESTRICTIONS WRITTEN BELOW AND THE ATTACHMENTS, PERMISSION IS
HEREBY'GRANTED TO:
PERMIT VALID BETWEEN
�Se
�u�� \10 3
PM
AND SUNSET
MOVING AUTHORIZED
YES NO
{
SATURDAY ❑ (�
SUNDAY ❑fff
SUNSET TO SUNRISE ❑
AUTHORIZED STATE REPRESENTATIVE
NAME Johnson Machinery Co.
ADDRESS
800 East La Cadena Dr.
CITY/STATE
Riverside, Ca. 92502
PHONE
( 909) 686-4560
HCD.
NO.
HAUL
❑ DRIVE
❑ TOW
LOAD OR EQUIPMENT AND MODEL NO.
TELECOPIED PERMITS NOT VALID WITHOUT SEAL.
CAT D -6H DOZER
TYPE VEHICLE
3 AX TRAC / 2 AX TRL
KING PIN TO
LAST AXLE 40' MAX
COMB. VEHICLE -
LENGTH 65'
SENDING STATION
08-700
RECEIVING STATION
LOADED DIMENSIONS DIFFERENT THAN OR WEIGHTS EXCEEDING THOSE SHOWN BELOW ARE NOT AUTHORIZED
MAX
HEIGHT: LEGAL
MAX
WIDTH: 1 1 \
MAX
OVERALL LENGTH: 65�
t
MAX
OVERHANG: LEGAL
AXLE NUMBER
1
2
�—'p 3,
4
5
6
7
8
9
NUMBER TIRES
AXLE SPACING
AXLE WIDTH
WEIGHT
LEGAL
ORIGIN
I:-10 & JEFFERSON
DESTINATION
KELLER PIT RD.
TRIPS '
AUTHORIZED STATE HIGHWAYS COUNTY AND/OR CITY PERMITS REQUIRED.
01'L�i-�
eve +0 MoAtla
c->eu%Af
LZ ► 2 '9 S A L.� t ij7m o C
vAD5 `
PILOT CAR ❑ YES ❑ NONE REQUIRED
ATTACHMENTS
❑x PERMIT CONDITIONS
°❑
f
❑
❑
❑ CASH
❑ CHARGE FEE:
❑ EXEMPT $
I CERTIFY THAT ALL COUNTY AND/OR CITY TRANSPORTATION PERMITS
HAVE BEEN OBTAINED IF THIS PERMIT IS FOR TOWING A MOBILEHOME.
/ �
AUTHORIZED AGENT SIGNATURE DATE
❑
❑
❑
DM-M-P-16(Rev.1.89) DUP—Accounting 89 86483
TRANSPORTATION PERMIT
CALIFORNIA DEPARTMENT OF TRANSPORTATION
IN COMPLIANCE WITH YOUR REQUEST AND SUBJECT TO ALL OF THE TERMS, CONDI-
TIONS AND RESTRICTIONS WRITTEN BELOW AND THE ATTACHMENTS, PERMISSION IS
PERMIT VALID BETWEEN
HEREBY GRANTED TO:
Set
C 0-%
,�yJ
J`� ?A/
NAME
Johnson Machinery Co.
PM
AND SUNSET /
ADDRESS
800 East La Cadena Dr.
MOVING AUTHORIZED
YES NO
SATURDAY
i
CITY/STATE
Riverside, Ca. 92502
SUNDAY ❑
El
PHONE
(909)- 686-4560
HCD.
NO.
TO SUNRISE
qREPRESENTATIVE
MAUL
LOAD OR EQUIPMENT AND MODEL NO.
TELECOPIED PERMITS NOT VALID WITHOUT SEAL.
❑ DRIVE
CAT D -6H DOZER
❑ TOW
TYPE VEHICLE
3 AX TRAC / 2 AX TRL
KING PIN TO
LAST AXLE 40' MAX
COMB. VEHICLE
LENGTH 65'
SENDING STATION
08-700
RECEIVING STATION
LOADED DIMENSIONS DIFFERENT THAN OR WEIGHTS EXCEEDING THOSE, SHOWN BELOW ARE NOT AUTHORIZED
MAX
HEIGHT: LEGAL
MAXMAX
WIDTH:1 1 0,\
OVERALL LENGTH: 65'\
MAX
OVERHANG: LEGAL
J
�
AXLE NUMBER
1
2
�3
4
5
6
7
8
9
NUMBER TIRES
AXLE SPACING
AXLE WIDTH
WEIGHT
LEGAL \ \ \ \
ORIGIN
I-10 & JEFFERSON
DESNAI
K LLER PIT RD.
TRIPS
AUTHORIZED STATE HIGHWAYS COUNTY AND/OR CITY PERMITS REQUIRED.
4- 'Tef-fe✓tSv-j +o. .5 1'jD moral n0
+ bS$ +� k tr �, �. 2 Ems; -} R a T u R KI c&l
VL is K�VCI:SC' �U�1e,,,
f'7,tGwA i� f� n'ik A�2\► 2 E �� CL L �1 Olt ro", E-fj(LT pni s p t -n f L, --,F_
ti2vnDS .
PILOT CAR ❑ YES ❑ NONE REQUIRED
ATTACHMENTS
❑X PERMIT CONDITIONS
❑ CASH
I CERTIFY THAT ALL COUNTY AND/OR CITY TRANSPORTATION PERMITS
❑
❑ CHARGE FEE:
HAVE BEEN OBTAINED IF THIS PERMIT IS FOR TOWING A MOBILEHOME.
❑
❑ EXEMPT $
❑
AUTHORIZED AGENT SIGNATURE DATE
DM•M-P-16(Rev.1-89) TRIP—File 89 86483