2053NOTE,
" i` h --proper validation
this foSm 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
2/3/94 Subdivision Improvement Permit — Class I I I
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 50 Ave. /Park Street
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION MOVE EQUIPMENT
DESCRIPTION OF CONSTRUCTION 106" H,79'8" L
9'7"W 12,500, 38,000, 52,400
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED '
APPROXIMATE TIME WHEN WORK WILL BEGIN
Sketch (attach construction plans if appropriate)
Haul Route: Washinton & Hwy 111
South to 10th East to Park South to
Construction Entrance.
Haul Date 2/3 or 2/4
0 0 , P—
D
FEB 0 3 1994
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com- By
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.
Signature of Applicant or Agent
ZIM INDUSTRIES $545 E. Lincoln, Fresno CA 209-834-1551
Name of Applicant (please print) Business Address Telephone No.
David R. Allacho
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No. City Business License No.
DIBUDUO & DEFENDIS INS. WP9350036504
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 _
Penalty _
Cash Deposit -Surety Bond
if required _
TOTAL:
10.00
$ 10.00
Receipt No.
Received by Date
2053
PERMIT VALIDATION
PERMIT NO. 2053
DATE APPROVED
2/3/94
EXPIRATION DATE 2/4/94
DATE ISS ED 2/4/94
By
Administrative Aut o�ty
Recorded by 11 TELEPHONE: (619) 564-2246
0
R
'.0
�• v .
�""1" � ssu c !vory )
I s t 1 I %. � M t i ( 16LSb DATE (M
z �.�y1 �:1..: r� �^ 1 E DATE MM V
It.
02/01/94
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION-ONLY AND
PRODUCES
CONFER$ NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CEIZITIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
DiBuduo & AeFe>ndis ins.
P E BELOW.
COMPANIES AFFORDING COVERAGE
P.O. Box 5479
Fresno, CA 93755.5479
COMPANY A Hanover Insurance Co.
•
LETTER
r
�nEaNY B Fremont Compensation Insurance
INSURED
......-
COMPANY C
LETTER
Industries Inc.
.,im
Bakersfield Well & Pump Co.
4545 E. Lincoln
COMPANY
LETTER
Fresno, CA 93725
—_____._...__.._..---,.H._....,.............._,..._...-----...___-._..:.�..�M�__..___
COMPANY E
LETTER
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BEASSUEO OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE 89EN REDUCED BY PAID CLAIMS.
CD TYPE OF INSURANCE POLICY NUMBER
POUG' EFFECTIVE POLICY EXPIRATION LIMITS
DATE (MMIDDNY) DATE (MMIDOlYY)
LTR
GENERAL
LIABILITY
GENERAL AGGREGATE .
S 2,000,000
PAODUOTB•COMPIOPAGO.
S —2,000,000
COMMERCIAL GENERAL LIABILITY
PERSONAL A ADV. INJURY
$ X1000,000
A
CLAIMS MADE X OCCUR.
ZDM345966704
11/15/93
IIJ1l5/94
}�
EACH OCCURRENCE
$ 1,000,000
OWNER'S d CONTRACTOR'8 PROT
FIRE DAMAGE (Anyone fire)
$ -- 50,000
MEO. EXPENSE (Any one p0mon)
$ 5 000
AUTDImBILE LIABILITY
BINED SINGLE
$ 1,000,000
X ANY AUTO
LIMIT
BODILY INJURY
$
ALL OWNED •AUTOB
A
SCHEOVLED'AUTOS
AHM350913405
11/15/93
11/15/94
(Pcrosr'on)
X HIRED AUTOS
BODILY INJURY
$
�( NON-OWNED AUTOS
(Per wieeq
PROPERTY DAMAGE
$
^- GARAGE LIABIUTY
EXCESS LIABILITY *
EACH OCCURRENCE
$ 4,000,000
AGGREGATE r
-
$ 4,000,000
A
%
UHM440547600
01/01/94
11/15/94
OTHER THAN UMBRELLA FOAM
STATUTORY UMfTS
( )aVAA. s
WORKER'SOOMPEN3ATION
$ 1000,000
EACH ACCIDENT
B
AND
WP9350036504
08/01/93
08/01/94
_
DISEASE-POLICY LIMIT -
$ 1,000,000
EMPLOYERS' LIABILITY
DISEASE-EACH EMPLOYEE
a 1,000 000
OTHER
DESCRIPTION OF OPEAATIONS/LOCATIONSNEHICLE3JSPECIAL ITEMS
Certificate Holder is named as Additional Insured but only with (respect
to liability arising out of operations performed by or on behalf the
named insured.
City of La Quinta
P.O. Box 1504
78-495 Calle Tampico
La Quinta, CA .92253
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 10 OAY;SN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAdJR6T MAIL SUCH NOTICE $HA�LL IMPOSE NO OBUGATION OR
LIABILITY OF UPON THE QOMPAtya►. I lt; �GFAF OR REPRESENTATIVES.
',�
TRANSPORTATION PERMIT
CQLIFOR T DEPARTMENT OF TRANSPORTATION
ACCURACY or RMIT . RrSpON3IRIIITY 01- Ukikk
IN COMPLIANCE WITH YOUR REQUEST AND SUBJECT TO ALL OF THE TERMS, CONDI-PPERMITALID
TIONS AND RESTRICTIONS WRITTEN BELOW AND THE ATTACHMENTS, PERMISSION ISHEREBY GRANTED TO.
BETWEEN''q_
02 2 94
MOVING AUTHORIZED
YES N
SATURDAY ❑
SUNDAY ❑
SUNSET TO SUNRISE ❑
D I ST. 06'
n'AQADDRESS-0.1 "tJ4545
ORIZED STATE REPRESENTATIVE
NAME
ZIM INDUSTRIES
E. LINCOLN
CITY/STATE
FRESNO, CA 93725
PHONE
209-834-1551
HCD. 1
NO, N A
N
❑ HAUL
❑ DRIVE
Tow
LOAD OR EQUIPMENT AND MODEL NO.
TELA& PERMITS NOT VAUD WITHOUT SEAL
TRAILER MOUNTED WATER WELL RIG
1
SERIAL# 4779D
TYPE VEHICLE
3AX TRAC / 3AX DRILL RIG
KING PIN TO
LAST AXLE 40' MAX
COMB. VEHICLE
LENGTH 73'8"
SENDING STATION
06-024
RECEMNG STATION
1 N/A
LOADED DIMENSIONS DIFFERENT THAN OR WEIGHTS EXCEEDING THOSE SHOWN BELOW ARE NOT AUTHORIZED
MAX
HEIGHT: 14'6"
MAX
WIDTH: 9'7
MAX
OVERALL LENGTH: 79'8"*
MAX
OVERHANG: 6'10 FRONT
AXLE NUMBER
1
2
3
4
5
6
7
8
9
NUMBER TIRES
2
4
4
4
4
4
AXLE SPACING
F: x
17'4
4'9
25'7
5'0
5'0I
A
AXLE WIDTH
8
8
8
8
8
8
WEIGHT
12,500 38,000 52,400
ORIGINDESTINATION
FRESNO
INDIO
TRIPS
1
AUTHORIZED STATE HIGY COUNTY APERMITS REQUIRED. _ O
PILOT CAR ❑ YES NONE REQUIRED
ATTACHMENTS
ERMIT CONDI ONS
El
CASH �{�a,
CHARGE FEE, OU
EXEMPT s
ti
e
I CERTIFY THAT ALL COUNTY AND/OR CITY TRANSPORTATION PERMITS
HAVE BEEN OBTAINED IF IS PERMIT IS FOR TOWING A MOBILEHOME.
v
AUTHORIZED AGENT SIGNATURE DATE
❑
❑
❑
i(Rev.1-69) ORIG—Permittee
89 86x83
' PERMIT CONDITION
REVISED JUNE 1.987
CALIFORNIA DEPARTMENT OF TRANSPORTATION
.Authority -.
Under the appropriate authority of Division 15, Chapter 5, Article 6 of the California Vehicle Code (CVC), the Department of Transportation may, at its
discretion, issue special permits to operate or move a vehicle or combination of vehicles or special mobile equipment of a size or weight of vehicle or load
exceeding the maximums specified in the CVC. Except as specifically provided herein, the requirements of the CVC, including vehicle registration
requirements, signing (CVC 27900) and other applicable laws, must be complied with in all particulars
Possession of Permit:
- This permit shall be carried in the vehicle to which it refers at all times while the vehicle is being moved within the highway limits, and shall be open to
inspection by any peace officer, traffic officer, authorized agent of the Department of Transportation or any other officer or employee charged with the
care and protection of such highways (V.C. 35783).
-Permit Conditions
1.- Volldity of Permit
., This permit is valid only for movement on the assigned State highways and over -
crossing under the jurisdiction of the Department of Transportation and on alternate
routes and detours signed as such and approved by the Department County and/or
City permits where appropriate must be secured for travel on roads and streets under
their respective jurisdictions unless otherwise specified on this permit
2. Vold Permit
This permit is null and void and hereby declared non-existent
a If any portior, part or section is illegible,
h H It Is not signed by an authorized representative of the California Department
of Transportation,
a If any portion, part or section has been altered or if an attempt to alter is
apparent,
d if presented In the form of a reproduced copy, other than an"authorized facsimile
copy'. Annual permits are allowed only in the original form No reproduced copies
are allowed
An "authorized facsimile copy' of the permit is acceptable. Each facsimile permit
shall have the receiving statlon>'s embossed seal firmly Imprinted and an original
signature by the authorized representative of the receiving station certifying it to
be a true copy. The circular embossed seal shall read "NO ALTERATION HAS
BEEN MADE" and display the receiving station's ID Number issued by the
Department of Transportation in the center,
e, if used to represent proper authority for carrying a load and/or moving a vehicle
which is not specifically described on the face of the permit,
f. if used to represent proper authority for carrying a load or moving a vehicle by any
company, crew, or equipment not specifically named or organizationally related to
the company, agency, or firm to which the permit was issued,
g. if presented without the attachments firmly affixed that are, specifically, named
and required upon the face of the permit,
K if used to represent proper authority for carrying a load or moving a vehicle before
and/or after the times and dates authorized,
3. -Permittee Agreement
Acceptance of this permit constitutes an agreement by the permittee to observe and
comply with all of the general and specific conditions on the face of the permit and
attachments thereto
The use of this permit Is prima facie evidence that the driver has checked the load
and/or vehicle and knows it to be within the limits as set forth hereon and has verified
the routing accuracy. The vehicle and/or load authorized under this permit is subject
to Inspection by representatives of the Department of Transportation and costs of
such inspection shall be borne by the permittee.
4. Repslr of Dsmsge
In accepting this permit, the permittee agrees to repair at his own expense and to the
satisfaction of the District Director of Transportation, any damage to highway appur-
tenances or structures Notwithstanding, work or repair may be done by Department
of Transportation forces at the option of the District Director of Transportation, the
cost to be borne by the permittee. In the event of damage to State highway facilities
such as bridges, traffic signals, light standards and other appurtenances, a written
reportmust be filed with the Department within 72 hours after such damage has
been done. Failure to make this report will be considered cause for cancellation of all
permit privileges pending a satisfactory arrangement with the Department for repair
or replacement of the damaged facility.
Usbllitles
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 per-
mittee or the State of California arising from the Issuance of this permit In the event
any claim, suit or action Is brought against the State of California, Its officers,
employees or agents thereof, by reason of, or In connection with any such act or
omission, permittee shall defend, indemnity, and hold harmless the State, its officers,
employees or agents from such claim, suit or action
8. Overbesd Clearonce
When height of load exceeds legal limit, it becomes the responsibility of the permittee
to check all underpasses, bridges, overhead wires or other structures for Impaired
vertical clearance and to bypass or arrange clearance at such locations
7. Reducible Loads
This permit is issued for the movement of an "Extralegal Load" as defined In C.V.C.
320.5 when loaded at its least dimensions
This permit is automatically cancelled if the permitted dimensions and weight can be
reduced to legal limits by repositioning and/or pratical removal of a part, portion, or
unit therefrom
Other items maybe hauled provided they do not exceed the dimensions of the vehicle
or permitted Item and the loaded vehicle Is of legal axle and gross weights
Overheight permits shall not be issued for items transported on a conventional flat
deck trailer unless the deck Is needed to supporta long fragile load or a long load that
would cause unbalanced axle group weights
B. Tire Cspsclty
Permitted axle or axle group weights shall not exceed the rated capacity of vehicle
tires except as allowed by Title 13, Article 14, Section 1085 of the California
Administrative Code. After January 1, 1988, said weights shall not exceed the rated
capacity of the vehicle tires
9. Booster Type Axles
A booster axle is an axle, generally, having an air or hydraulic cylinder suspension
system that can be actuated Independently to assume a portion of the weight that
would otherwise be carried by adjacent axles Booster axles and add-on or"Joe Dog"
axles shall not be used in the movement of overweight permit loads
10. Troweled Woy
Where practical, the vehicle shall be kept in the tar right lane of the highway and shall
not encroach on highway shoulders except where necessary to allow trailing traffic
to pass
11. Movement During Darkness
"Darkness" is defined In Section 280 of the CVC as being ".-any time from one-half
hour after sunset to one-half hour before sunrise..". Reference to "sunset' and/or
"sunrise" on the face of the permit Includes this said one-half hour grace period
before and after sunrise and sunset Movement Is not allowed when visibility Is less
than 1000 feet
12. Holldsy Movement
Unless authorized on the face of this permit, movement is prohibited on the following
holidays (or any of these holidays falling on a weekend and celebrated on a
weekday):
New Year's Day
Washingtor's Birthday (3rd Monday In February)
Memorial Day (Last Monday in May)
hndependence Day
Labor Day
Thanksgiving Day
Christmas Day
When one of the above listed holidays falls on Monday or Friday, permit movements
will not be allowed on the holiday nor the immediately preceding or following
weekend, unless authorized on the face of the permit
Restriction on the time of move may be imposed on certain highways where, due to a
holiday, a substantial Increase In traffic volume is recorded Alternate routes should
be used where available
13. Moving in Inclement Weather
Movement shall not occur In snow, fog, rain or wind when visibility is restricted to
less than 1,000 feet Movement is prohibited when road surfaces are hazardous due
to rain, 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 tow-
ing vehicle. Any accident caused by excessive wind or weather conditions shall be
considered a prima facie violation of this condition
14. For passage over the San Francisco- Oakland Bay Bridge, the California Highway
Patrol (CHP) shall escort all loads over 11 feet in width and all west -bound overheight
loads Permittee shall notify the CHP at (415) 557-0305 of the time the load is to be
moved Loads over 12 feet in width are restricted to the period between 11:00 am
and 1:00 p.m, Monday through Friday. In addition to the time limitations in Na 25
below, no movement will be permitted on the San Francisco- Oakland Bay Bridge bet-
ween the hours of 6:30 am to 9:00 am., and 3:30 p.m to 6:30 p.m nor during rainy
or foggy weather.
15. Movement in Conroy
Movement in convoy shall not,be permitted unless specified on the face of the
permit
16. Load Signa
All loads or vehicles being moved on State highways which exceed 8'-6" in width, 80'
in length, or more than 10' of overhang shall display appropriate warning signs
Signs shall be posted on front and rear and shall read"LONG LOAD" or"OVERSIZE".
The"LONG LOAD" sign shall be used whenever overall length exceeds 100 feet The
"OVERSIZE" sign shall be used for shorter lengths and other oversize features The
more definitive signs reading "WIDE LOAD", "LONG LOAD", "OVERSIZE LOAD",
"EXCESSIVE FRONT OVERHANG" or "EXCESSIVE REAR OVERHANG" may be
substituted for the "OVERSIZE" sign when appropriate The "LONG LOAD" sign
shall have preference when length exceeds 100 feet and other oversize features
exist The lettering shall be a 10 -Inch minimum height with a 1 -5/8 -inch minimum
brush stroke, and a minimum 1 -inch margin all around All signs shall be black letters
on a yellow background, mounted at least 18 inches above the road surface front and
rear. Signs shall be neat, clean, legible, mounted securely and visible from straight
ahead or behind and to 45 -degree either side thereof.
17. Pilot Car and Equipment
It shall be the responsibility of the permittee to ensure that pilot car vehicles and
operators are equipped and briefed as to their duties prior to movement Pilot cars
shall be single vehicles with a minimum of 60 inches in width and may operate with
a nondestructive vertical clearance measuring device with height in excess
of 14 feet
Pilot cars shall be equipped with
a one each STOP/SLOW sign paddle;
h one each orange vest, shirt or jacket;
c one each red hand flag (18" x 18" minimum);
d two-way radio communication between the pilot cars) and the transporting
vehicle;
e top -mounted flashing amber warning light (s). The lights) shall be visiblelo the
front when leading and to the rear when following, and shall be operated at all
times when escorting a permit move Lights shall be removed of covered with
opaque material when not escorting movement described on Permit
(25270 C.V.C.).
f. neat, clean and legible sign(s) visible from straight ahead or behind and to 45 -
degree either side thereof. The bottom of the sign(s) shall be a minimum of 48
inches above the ground The sign shall read "OVERSIZE' when viewed from the
front or rear. The more definitive signs reading "OVERSIZE LOAD",'"WIDE
LOAD", or "LONG LOAD" may be substituted for the "OVERSIZE" sign when
appropriate The sign shall have a bright yellow background with black lettering
and have a minimum projected area of 440 square inches The lettering shall have
a one -inch minimum brush stroke with a six (6) inch minimum projected letter
height
18. Pilot Car location end Responsibility
Pilot cars) are required where indicated on the "Pilot Car Map". When required, the
permit shall list all highways where pilot cars) are required
A pilot car shall:
.y
a precede the load on two- or three -lane conventional roads and follow on four or .
more lane conventional highways and divided highways When two pilot cars are
required one shall precede and one shall follow,
b. remain right of the centerline of the roadway at all times except when prevented
by the physical limitations of the highway. The use of a pilot car does not grant to
the permittee the right to pre-empt the opposing traffic lane. When it becomes
necessary because of physical limitations of the hiohway to use a portion of the
opposing traffic lane, the permit move shall not occupy that lane until It has been
advised by the pilot car that the lane is clear of all on -coming traffic Opposing
traffic is not to be stopped, except in extreme emergencies. It shall be the respon-
sibility of the permit move to stop safely and wait until the opposing lane Is free of
traffic before proceeding;
c maintain proper interval between load and the pilot car to allow passing by
other traffic
d accompany the permitted load over all operational California Highway Patrol
facilities
A pilot car shall not .
e pre-empt opposing traffic;
f. tow another vehicle while being used as a pilot car,
g. display the STOP/SLOW sign paddle out of the window of a moving vehicle;
K stop opposing traffic except in extreme emergencies,
1 convoy more than one toad at the same time;
When necessary to post a flagger in order to warn and direct traffic, the flagging shall
be done in accordance with Title 8, Sections 1598 and 1599 of the California Division ,
of Occupational Safety and Health Construction Safety Orders and Caltrans
"Manual of Traffic Controls". Flaggers shall not be less than 18 years of age
19. Manufactured Housing Axle Weight
Axle weights for "Manufactured Housing" (VC 387) shall not exceed 6,000 lbs
per axle.
20. Manufactured Housing - Tow Vehicle
Tractor units towing manufactured housing as defined in C.V.C. 387 that exceed
legal width and up to 12 feet in width shall be equipped with dual rearwheel and shall
have an unladen weight as defined in C.V.C. 660 of not less than 6,500 lbs.
Tractor units towing manufactured housing exceeding 12 feet in width shall be
equipped as required above with an unladen weight as defined in C.V.C. 660 of not
less than 9,500 lbs
21. Open Side Covering.
Open sided units shall be covered by plywood, hard board or other rigid material In
lieu of rigid material, suitable plastics, or other flexible material may be used Billow-
ing or flapping of plastic or flexible side covering in excess of 6 inches in any one
place will not be permitted
Units open on both sides, such as used for temporary schools, warehouses, offices
etc., may be moved empty with no side covering
22. Scales end Inspection Facilites
Every driver of an extralegal vehicle when operating on a state highway shall be sub-
ject to C.V.C. 2813 and stop at all operational scales and inspection facilities
23. Tow Cera
Disabled legal vehicles or legal combination of vehicles may be towed on State
highways to the nearest appropriate place of repair, or to the nearest secure storage
area that is appropriate for the vehicle or load whichever is closest and most access*,!
Ible. It is not the intent of this permit to allow these combinations to be towed to their,,
ultimate destination for convenience, unless that destination meets the above'
criteria
Disabled legal vehicles or combination of vehicles, when connected to a tow car ma
exceed legal gross weight When one end of a truck or truck tractor of legal welghtlb
elevated by a tow car, the drive axles, the tow car and/or the drive axle or axles of
disabled vehicle may exceed legal axle or axle group weight limitations If anyaxle
axle group exceeds legal weight, movement is limited to the routes or area shown'
the attachment ,r
24. Towing Permit loads and/or Vehicles
Disabled vehicles or combination of vehicles whose movement is author
transportation permit or any disabled vehicle or combination of vehicl
because of damage has incurred distortion in width or height thereby c;
excess in legal dimensions may only be moved at the direction of a peace
single trip permit issued by Caltrans ;
25. Curfew Maps 1'x
Permit movement of loads and/or vehicles over 10 -foot In width is nol
Monday through Friday during the hours Indicated on the following maps
0
c
1O RTE 5 AT RTE. 52
2O RTE 805 AT CLAIRMONT MESA BLVD.
3O RTE. 163 AT CLAIRMONT MESA BLVD.
4O RTE 15 AT RTE: 163
5O RTE 8 AT RTE. 67
6O RTE. 94 AT RTE. 125 AT SPRING ST.
7O RTE 805 AT SOUTH BAY FREEWAY
8O RTE 5 AT E ST. IN CHULA VISTA
9O RTE. 75 AT RTE 282
SAN DIEGO
AND VICINITY
NO
MOVEMENT BETWEEN
7-9 A.M. & 4-6 P.M.
WITHIN SHADED AREA
29
Al
L"nsnmr v a ® 28
• . ® Rumnro�e
2 ,J
, is torcYnllr
Itmte Rro
116 Calm 12 R ^'� WWI, Aunroole "� '
NSA x nva.n.
O fEYSiOfOI
® 116
ACAVILLE
I.w..lw....._..., a.......r.. «...... ......�. .. • . .
CR7ATI
Ml
S
`4
t2
21
Te . a
SM FRAKM
.�s>3�" G ••kis � Awls i x ��,,/,%�'�`
Tlucr
SAN FRANCISCO/OAKLAND��&£'
BAY BRIDGE'>P w :.
FOR RESTRICTIONS SEE
.✓ t h.u�A h La 1 .
REGULATIONS GOVERNING
THE MOVEMENT OF AN,
IY It b0• M
EXTRALEGAL LOADS.
YOlro v
is
om ru[tr
O1 RTE 1 AT POINT REYES STA. 4
5� c [Iror sit
4. O2 RTE 101 AT RTES. 101/116 SEP. IN PETALUMA �"I
} O3 RTE 121 AT SCHELLVILLE 2 15
3 RATE LL[
¢. O RTE 121 AT RTE. 37 ~JSAN 1
AN
RTE 37 AT RTE. 101
O5
56
h
; O6 RTE 80 AT N. END CARQUINEZ BRIDGE [""'"' fs
O7 RTE 680 AT N. END BENICIA BRIDGE -
O RTE 4 AT INTERSECTION OF A STREET IN ANTIOCH
O9 RTE 580 AT VASCO ROAD SEP. IN LIVERMORE
RTE 130 AT WHITE ROAD SAN FRANCISCO
O AND VICINITY
11 RTE 101 AT EAST DUNN AVE. IN MORGAN HILL
s 12 RTE 17 AT GRANITE CREEK RD. NO
13 RTE 9 AT RTE. 35 MOVEMENT BETWEEN
1 14 RTE 84 AT RTE. 35 7-9 AM. & 4-6 P.M.
RTE 1 AT HALF MOON BAY WITHIN SHADED AREA
::an°ray
1O
RTE. 160 AT FLORIN RD.
2O
RTE. 99 AT FLORIN RD.
�+ SAC RAM E NTO
3O
RTE. 16 AT BRADSHAW RD.
AND D VICINI 1 ><
4O
RTE. 50 AT BRADSHAW RD.
NO
O5 .,RTE.
80 AT BUSINESS 80
MOVEMENT BETWEEN
6O
RTt 275 AT RTE. 5
7-9 A.M. & 4-6 P.M.
7O
RTE BUSINESS 80 AT RTE. 5
WITHIN SHADED AREA
5O RTE. 210 AT LA TUNA CANYON RD
6O RTE. 39 AT SIERRA MADRE AVE, CITY OF AZUSA
O RTE. 210 AT SUNFLOWER AVE. IN GLENDORA
O RTE. 10 AT RTE. 57
O RTE. 57 AT RTE. 10 &.210
10 RTE. 60 AT RTE. 71
11 RTE. 90 AT RTE. 57
12 RTE. 91 AT RTE. 90
13 RTE. 5 AT RTE. 405
14 RTE. 133 AT RTE. 405
O5 RTE. 73 AT RTE. 55
16 RTE. 1 AT RTE. 73
LOS ANGELES
AND VICINITY
NO
MOVEMENT BETWEEN
6-9 A.M. & 3-6 P.M.
WITHIN SHADED AREA
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d CALIFORNIA DEPT. OF TRANSPORTATION—TRANSPORTATION PERMIT OFFICES
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01 1656 Union Street 06 1352 West Olive Avenue
Eureka, CA 95501 Fresno, CA 93728
i Phone: (707) 445-6389 Phone: (209) 488-4070
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Redding, CA 96001
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Los Angeles, CA 90012
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Phone: (916) 225-3436
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Phone: (213) 620-3660
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703 B Street
08
247 W. Third Street
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Marysville, CA 95901
San Bernardino, CA 92401
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Phone: (916) 741-4401
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Phone: (714) 383-4637
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150 Oak Street
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San Francisco, CA 94102
Bishop, CA 93514
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Phone: (415) 557-2185
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Stockton, CA 95206
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Phone: (805) 549-3151
Fuel Permit Compliance (916) 322-2010
Phone: (209) 948-7882
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Dept. of Motor Vehicles
Interstate Operations (916) 322-4064
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4080 Taylor Street
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San Diego, CA 92110
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Santa Ana, CA 92705
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Pest Exclusion Unit (916) 445.8314
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Boardof Equalizationli—'�—`•_•—
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Fuel Permit Compliance (916) 322-2010
Dept. of Motor Vehicles
Interstate Operations (916) 322-4064
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Public Utilities Commission
Inter -State Matters (415) 557-3227
Intro -State Matters (415) 557-0377 I
Calif. Highway Patrol !
Misc. Information (916) 4451865•
Motor Carrier (916) 4456211 1
Housing d Community Development0 A r o l¢ o o i I t/ ► r r 1 A►• --
Mobilehome Complaint (916) 323-9801
90 57158
JAN 1 1993 U
THATI.ISIt •MOUNTED � i IN Si_l;(''T10N_ RI?(1(1111.___.____
Inspection Type Inspection Date
ny Name i wt .z--, JM A- 171 Initial Nr Re nPwal
ys-VS E. .L1.Tcn/,r Company Name and Date o Last Inspection.- -
— - - -
GENERAL DATA
Trlr Serial No. Trlr License No. Trlr Company No. Inspection Location:
7-,P79 /Vo H
COMBINATION VEHICLE CONFIGURATION
Kingpin to Center of Rear Axle Trailer Length Overall Width Overall Height
.3B Ft. 0 In. Ft. 9 In. `�Ft.7 In. /-,/Ft. 6 In.
Overall Vehicle Combination ' Overall Length Including Overhang
Length • 73 Ft. g In. %i Ft._In. J�
Rear Overhang From -j; of Rear Axle Front Overhang From Front of Front Tire
to Last Hard Metal l&//9 In. to Last Hard Metal Ft. /D In. •k
'AXLE NUMBER
1
Z
3
4
6
8
7
e.
9
NO. OF TIDIES
.2
(
S,(
y(
AXLE SPACING
/7
AXLE WIDTH
SUSPENSION TYPE
TIRE SIZE
TIRE J"rlNG' '
-
SCALE WEIGHT
,Z 0 .3 3 •j / 6 O
PERMITWEIGHT
2/A a LC ,2el O Z)
NOTES
__�ic..2/ �.2 N�.. Lt ZS • • a�ow`' ..2 0 � �t�C2/ r c�• : �.
54:r-2 ✓2 cA o;� 01-7 104C -k : •f /3 X99 ez of axle
PERMIT DATA (Permit Office Use Only)
Permit Classlllcallon: Single Trip Only ❑ Annual U Rejected For:
Routing Weight Class: ❑ Lega 1 ❑ Green Purple
Tire Ratings Limit Permitted Weights: ❑ Yes No
Caltrans Representative
Title D_
NOTE:
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
,3 ) `� Subdivision Improvement Permit — Class III
DATE: / Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 5 (9 A (Pe- , 1-217-o k 5 11
(Street address or Description of Location) WfOV10— -e---/ fL�fit�/LlC/(�f" -
PURPOSE OF CONSTRUCTION L4) w!/`'"" ����('4'y Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
7
DIMENSION OF INSTALLATION OR REMOVAL �,4-5 14 r N �-,�01-j ` I I
SIZE OF EXCAVATION, IF NEEDED - '—I x
"APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION -1 I _ A
ESTIMATED CONSTRUCTION COST $ / `�
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction
om 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:iind employees, harmless from and against any and all
penalties, liabilities or lou 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.
Signature of Applicant or Agent
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
Applicant's Insurance Company ' Policy Number
FEES: Subdivision Improvement 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 10
Penalty
Cash Deposit -Surety Bond;
if required
TOTAL: $ .0
Receipt No.
Received by Date
Recorded by.
I
PERMIT NO. z
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: (619) 564.2246
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