HomeMy WebLinkAbout2020 Wide Load Permit fillable Revised 02112020CITY OF PALM DESERT
73-510 FRED WARING DRIVE
PALM DESERT, CALIFORNIA 92260-2578
TEL: (760) 346-0611
FAX: (760) 341-7098
PublicWorks@CityofPalmDesert.org
PERMIT VALID:
FROM:
TO:
MOVING AUTHORIZED
SATURDAY:
SUNDAY :
DARKNESS (CVC 280):
THIS PERMIT IS NOT VALID WITHOUT THE FOLLOWING ATTACHMENTS
□Permit Conditions
□Holiday Restrictions
□
NAME
ADDRESS
CITY/STATE/ZIP
OFFICE PHONE NUMBER( Include Area Code) FAX NUMBER ( Include Area Code )
(SHOW A DESCRIPTION OF THE LOAD OR EQUIPMENT AND MODEL NO. – INCLUDE DIMENSIONS OF LOAD)Authorization is granted for the following: □ Haul □ Drive □ Tow
DESCRIPTION OF HAULING EQUIPMENT:
VEHICLE
WIDTH : KINGPIN TO
LAST AXLE:
COMB. VEHICLE
LENGTH:
AXLE NUMBER 1 2 3 4 5 6 7 8 9
NUMBER TIRES PER
AXLE
DISTANCE BETWEEN AXLES
WIDTH OFAXLESAT TIRE SIDEWALL
MAXIMUM ALLOWABLE WEIGHT
LOADED DIMENSIONS GREATER THAN THOSE SHOWN BELOW OR WEIGHTS EXCEEDING THOSE SHOWN ABOVE ARE NOT AUTHORIZED
ORIGIN: (Include Address of Origin) DESTINATION: (Include Address of Destination)
The following routes are not eligible for oversize load routing: Magnesia Falls Drive from Monterey Avenue to Portola Avenue
San Pablo Avenue from Magnesia Falls Drive to Highway 111
REQUESTED ROUTE:
□Yes □No LEADING PILOT CAR REQUIRED- LOADED HEIGHT OVER 14
□Yes □No TRAILING PILOT CAR REQUIRED - LOADED WIDTH OVER 10'
CONTACT PERSON APPLICANT SIGNATURE DATE
NUMBER OF TRIPS DIRECTOR OF PUBLIC WORKS DATE
Wide Load Permit Revised 02/11/2020
WEIGHT CLASS: LOADED OVERHANG: LOADED OVERALL LENGTH: LOADED WIDTH: LOADED HEIGHT: