0138J r
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
Subdivision Improvement Permit — Class III
DATE: July 10, 1985 Minor Improvement Permit Class IV X
LOCATION OF CONSTRUCTION 'At yariOUS locations in the City of La Quinta.
(Street address or Description of Location)
TO install ser*ices and make p appropriate)
PURPOSE OF CONSTRUCTION Sketch (attach construction lans if
repairs at required.
DESCRIPTION OF. CONSTRUCTION 'ln Cuts 4 X 4 nelimoles
in various locations as needed.
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION', IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN July 31, 1985
APPROXIMATE TIME OF COMPLETION July 31, 1986
ESTIMATED CONSTRUCTION COST $
(Including,removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
BI,ANF�T PERMIT for facility maint.
and repair.
NOTE: The attached General 9 Special
Provisions are included and
made a part of this pennit.
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.
Pager Baughman - Distribution Supervisor
Signature of Applicant or Agent
Southern California Gas Cmpany P.O. Box 2200 Riverside, CA 92516 • 7,14-369-4512
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman • Business Address Telephone No.
Contractor's License No.
City Business License No.
o
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 $ NA
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
$ NA
Date
PERMIT VALIDATION -
PERMIT NO. "138
DATE APPROVED 7-10-85
EXPIRATION DATE 7-31-86'
DATE ISSUED 7710-.85
By/11'� 100"2 ,.
iAdmi wstrative Authority /4
TELEPHONE: (619) 564-2246 �\
The following General and Special Provisions are attached to and made a part.of Permit No. 138
GENERAL PROVISIONS
The following shall always apply:
ENCROACHMENT ON,PRIVATE- PROPERTY: This permit authorizes work to be accomplished within City of La Quinta fightof.way
ONLY. Whenever construction extends within private property, it shall be the responsibility of the permittee (or hiscontractors) to
secure permission, from abutting property owners. Such authorization must be secured by the permittee prior to starting work:
TRACKLAYING CONSTRUCTION EQUIPMENT:. Cleated tracklaying construction equipment shall not be permitted to operate on any
paved surface unless fitted with' smooth -faced street pads. All mechanical outriggers shall be fittedwith rubber street shoes to protect
the paving during excavations. Rubber -tired equipment only shall be used in backfill operations in paved areas. If the existing
pavement is scarred, spalled, or broken during the term of this contract, or if the pavement'is marred, City of La Quinta shall request
that these portions of road be resurfaced over their entire width. Resurfacing shall consist of one coat of two inches (2") of At.
surfacing plus appropriate seal coat as specified above.
PROTECTION OF TRAFFIC: All excavations and work areas shall be properly lighted and barricaded as deemed necessary by the City
Engineer or La Quinta City Public Works Inspectors. Suitable detours and detour signs shall be placed and maintained for the duration
of the project. The City shall be notified 24 Hrs. in advance of any traffic detours or delineations.
CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugated metal pipe, concrete pipe, steel culvert and
concrete structures encountered during excavation which necessitate removal shall be replaced in kind. In the event.it becomes
necessary to remove or cut existing drainage structures, City of La Quinta shall be notified prior to commencement bf this work.
Drainage structures and open drains shall be kept free of debris at all times for proper drainage.
RIGHT OF WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from the right of
way. All paved surfaces shall be broomed clean of earth and other objectionable materials immediately after backfill and compaction.
Existing gutter line and drainage ditches shall be replaced to their original standard or better. All excess. material shall be removed
prior to paving. Water tanker shall be used,'as required, to sprinkle the job site to keep down dust conditions and shall. be used
immediately after backfill.
DE -WATER OPERATIONS: If de -watering operations are required and pumps are forcing water on City of La Quinta roads, it shall be
the responsibility of the permittee (contractor) to control this water and to provide off-street barricades when necessary.
CLOSING STREETS: No street shall be closed. A minimum of one lane of traffic shall be maintained at all times to provide limited
access for the adjoining property owners and emergency vehicles. In the event it isfelt bythe permitteethat he must close a streetfor.
any length of time, permittee shall contact this office to obtain the necessary permission.
SPECIAL PROVISIONS
The follwing shall apply ONLY when indicated:
R1 NOTIFICATION: Permittee shall notify the City at 564-2246 at least 48 hours in advance of starting construction:
`R2 CASH DEPOSITS OR BONDS: A cash bond or an approved surety bond in an amount of not less than $
shall be furnished in the name of City of La Quinta to cover all work involved in the restoration of the various La Quinta
roads and survey monuments. This bond shall be continuous until cancelled by the City Engineer. This bond must be
posted prior to commencement of any work on this project .
R3 UTILITY CLEARANCE: (Substructures) Priorto making anyexcavationwithin the City ofLa.Quinta rightofwayauthorized
'.by -permit, the permittee shall contact all concerned utility companies relative to the location of existing substructures.
Damage to existing, substructures resulting from operations conducted under this permit shall be the sole responsibility
of the permittee.
R4 UTILITY'C.LEARANCE: (Surface structures) No work shall be done under this permit until all utilities are clear of the
proposed work site. The permittee shall notify all concerned utility companies of the proposed work.
R5 PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing road pavement shall be
surfaced'with inches of A.C. paving placed on inches of class aggregate subbase course
having an"R"value'of not less than and in conformance with City of La Quinta Road Improvement Standards
and Specifications, Ordinance #461.
R6 PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a slope of
1/4 inch to one foot (1').
R7 GRADES & STAKES: City of La Quinta shall establish grades and stakes for the proposed concrete curb and gutter
construction.
R8 GRADE CHECKING: City of La Quinta shall check grades upon receipt of plan and pFofile and/or grades as established by
a licensed engineer.
R9._ CURB REMOVAL FOR_DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter ( feet) shall be
removed. Curb and/or curb and gutter shall be saw cut prior to removal. Depressed curb, matching concrete gutter and
concrete driveway approach shall be constructed in conformance with City of La Quinta Standard #207.
R10 .DRIVEWAYS, A.C.: Driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the
property line and the existing road paving shall be 2-1/2 inches of A.C..paving.placed on ( ") of class
aggregate base. Driveway construction shall conform to attached drawing.
R11 CULVERTS: A inch diameter (-)culvert shall be installedwith the invert approximately 1-1 /2
inches below and in line with the existing flow line. Culvert installation shall conform to the attached drawing.
®1 SIGHT CLEARANCE: Sight clearance of 600 feet in either direction. shall be assured and.maintained.
R13 SOIL STERILIZER: The area to be surfaced shall be Treated with soil sterilizer. Rate of application shall comply with the
min ufact urer's`specifications.'
0 Cob RDINATE 'VP/ORK:
R16 SURVEY MONUMENTS: Pric !xcavation or beginning of construction, all s- - y monuments shall be tied out by City
of La Quinta and suitable payment or guarantee of payment shall be made as reimbursement for all work involved.
®j PAVEMENT CUTTING: Pavement will be mechanically cut to a straight edge prior to excavation. Method of pavement
cutting shall be approved through the office of the City Engineer. (Under no circumstances shall excavating equipment
be used to excavate prior to cutting of pavement). Excavation material shall be placed in such a position as to best
facilitate the general flow of traffic. Prior to final paving operations, any damage to pavement straight edge shall be
corrected.
R18 PAVEMENT CUTTING: Pavement shall be saw cut prior to removal. Prior to final paving operations, any damage to
pavement straight edge shall be corrected.
R19 LIMITOF EXCAVATIONS: Excavations shall be limitedto 1,000 lineal feet of opentrench before backf ill operations must
begin. All excavations shall be properly barricaded with lights overnight, on weekends and holidays for the protection of
the traveling public. The Public Works inspector shall determine the suitability of excavation barricading in each case. No
excavation shall remain open for a period exceeding five (5) days. No excavation shall be made unless the construction
material is actually on the work site.
BACKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimentalto its usefor purposes
of producing an adequately consolidated backfill. Any material which the City of La Quinta deems unsuitable (spongyor
saturated material) which is encountered during excavation shall not be used for backfill, but shall be supplemented or
replaced by an approved sand or gravel.
R21 BACKFILL SAND: Backfill shall be approved transit -mix sand or equivalent and shall be placed in lifts of notgreaterthan
three feet (3') and vibrated using vibrotamper or equivalent equipment. Alternate methods maybe substituted, but in any
case a relative compaction of 95 percent shall be attained within the structural section of the roadway.
R22 BACKFILL PLACEMENT: Backfill shall be applied in layers of not more than 50 percent of the total depth of the trench
before flooding or a maximum of five-foot (5') lifts where trenches are of excessive depths. Care isto be exercised thatthe
backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed so that the
resulting compaction shall be not less than 90 percent or equivalent to the surrounding ground, whichever is the greater
compaction. Where ponding or flooding is used for a maximum settlement, adequate dikes will be constructed to retain
the water. Where jetting is used, the jets shall be of sufficient length to reach the bottom of each layer and the water
supply shall be continuous.
R23 COMPACTION TESTS: If so required bythe inspector, compaction tests shall be made at intervals of not more than 1,000
feet and a minimum of one (1) test on each road. One (1) copy of each test shall be forwarded to the City Engineer for
approval and filed prior to making permanent repairs. Compaction tests shall be made as outlined in Section 6.3.01 of the
Standard Specifications, Division of Highways, State of California, dated January 1973.
R24 COMPACTION TESTS: If so required by the inspector, compaction tests shall be made for each crossing or service line.
One (1) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent repairs.
Compaction tests shall be made asoutlined in Section 6.3.01 of the Standard Specifications, Division of Highways, State
of California, dated January 1973.
R25 TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch
consisting of 2 inches of SC -800 shall be placed on a prepared subgrade. The SC -800 temporary paving shall be placed
after a maximum of 3,000 lineal feet of trench has been excavated and backfill operations completed, but in no case shall
the placement of the temporary pavement exceed a five (5) day limit.
®2 PERMANENT PAVEMENT REPAIR: After backfill and compaction operations have been completed, a temporary patch
consisting of two inches (2") of SC -800 shall be placed immediately. A permanent patch of 2 VL inches A.C.
surfacing placed on a # inch class Z base shall be placed no laterthan -S days after completion of
temporary road repair. ^L.L- LOGgT1�'MS
R27 PAVEMENT REPAIR: F.A.S.: Upon completion of backfill and compaction, a temporary patch consisting of two inches (2")
of cold mix paving (SC -800) shall be placed immediately. A permanent patch of three inches (3") of A.C. surfacing shall
be placed on six inches (6") concrete base as directed, but not later than fifteen (15) days after completion of temporary
paving. Concrete base shall be of five -sack mix and shall conform to the City of La Quinta Road Improvement Standards
and Specifications, Ordinance #461.
R28 FOG SEAL: A fog seal coat consisting of an application of asphaltic emulsion shall be applied over all patch areas as
determined by the City Engineer.
R29 SEAL ARMOR COAT: A seal coat consisting of an application binder and screenings shall be applied on all patch areas
where such seal coats existed prior to issuance of this permit. Seal or armor coats shall be applied as specified in Section
37, Standard Specifications, State of California, Division of Highways, dated January 1973. Work of pavement repairto
be accomplished by a licensed contractor engaged in the business of pavement repair.
®3 STREET RESTRIPING: Where street striping is still visible on streets to be excavated, such striping shall be replaced upon
completion of permanent repairs.
R31 TREE RELOCATION OR REMOVAL: Tree relocation within the City of La Quinta road right of way shall be accomplished
by a licensed, bonded and insured tree service, and handled safely without interference or hazard to the traveling public.
It shall be the responsibility of the permittee to maintain the tree in a vigorous growing condition at its new location.
Trees to be removed shall be removed in sections which can be handled safely without interference or hazard to highway
traffic. The entire width of the tree stump shall be removed and disposed of so that no debris remains in view of the
highway. The stump hole shall be backfilled and thoroughly compacted asspecified inthefollowing paragraph. Where it
becomes necessary to restrict traffic, the work shall be restricted to a maximum of 500 feet at any one time. Adequate
signs, flagmen and/or barricades shall be provided to protect the traveling public at all times.
Large holes resulting from tree removal shall be backfilled and compacted to not less than 90 percent or equivalent to the
surrounding ground, whichever is the greater compaction as determined by the impact or field method. Compaction
tests shall comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated
January 1973.
R32 TREE TRIMMING:
a. Only the necessary trimming shall be accomplished to provide clearance of the facility for one calendar year.
All broken or weak sections within the trimming shall be removed.
b. Where it becomes necessary to restrict traffic, the work shall be restricted to a maximum of 500feet at any onetime.
Adequate signs, flagmen, and/or barricades shall be provided to protect the traveling public at all times.
c. If tree trunks are partially outside of the City of La Quinta road right of way, permittee shall make his own
arrangements with adjoining property owners for consent to the trimming in addition to the authorization provided
by this permit.
d. All tree trimming on EVERGREEN TREES, PALM TREES, and other ORNAMENTAL TREES shall be accomplished to
the satisfaction of the City Public Works Inspector.
e. Abutting property owners shall be contacted, in all instances, prior to trimming or topping trees.
f. Pruning shall, in all instances, be at the shoulder of the crotch to insure even, fast healing in all cuts of two inches
(2") and above in size. Sealant shall be applied to all cut sections as directed by the City Public Works Inspector.
I"
-NOTE: ---- - - With proper validation
{ r this form constitutes an
encroachment permit
BLANKET PERMIT.-
'
MAY 0198!
OOMMUNITY DEVECbPMENT
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS .CONSTRUCTION (ENCROACHMENT) .
.For the construction of public or private curbs,' driveways, pavements, sidewalks, parking tlots, sewers, water mains
and other like public works impro.vements•in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS.
•:A Subdivision Improve ment.Permit -- Class I I I
DATE: �c��-�( /�IB.S� Minor Improvement Permit Class IV _
' LOCATION OF CONSTRUCTION AT VARIOUS LOCATIONS IN THE CITY OF LA QUINTA
(Street address or Description of Location).' • .
PURPOSE OF CONSTRUCTION To install servi ces i and make
Sketch (attach construction plans if appropriate)
reoairs'at required
DESCRIPTION OF CONSTRUCTION To cuts 4 X 4 hel 1 hnl pc �cgy>r P'`-2" Fo2 G.4tJL/TY
in various locations as needed M.4�HTF/q✓c� A..:o nF_oaf2.
DIMENSIC": CF !^-IST.-.L!_ATION OR REMOVAL.
Awry : t ttE 'A- rrA-c/Aco jai>..F.f •�c !+�.D
-SPizG/A-�- �RoNSlav> A./L�
SIZE OF EXCAVATION, IF NEEDED 1A4-CL-VCW,0 wi77J.-~f ow
W t T ot= T1drS /mss-`�1�r/ T
APPROXIMATE TIME: WHEN WORK WILL BEGIN "114 .31 1985
APPROXIMATE T.IME`OF COMPLETION i1111Y 3l i 1926, .,
ESTIMATED CONSTRUCTbN,COST'S
(Including removal .of,-allobstruction,', materials, and debris, backfilling, cont
paction and placing permanent. resuefacin.g:and/or replacing -improvements)
In consideration of, the granting of this permit, the applicant hereby.•.agrees to:
1.
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 occurringr,as a proximate result of any -,work undertaken under the permit granted,pursuant to.cthis 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 the City of
La Quinta and to ,pay for any additional replacement necessary as the result of this -work-.. . . ., . .
Name of Applicant (please print) Business Address,:,., Telephone No.
Name of Contractor and Job Foreman ;.:i >,: , Business Address',:: Telephone No.
Contractor's License, No. , City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit = Class.11l.
Public improvements: 3% of estimated•construct;ion costs
Private improvements: 3% of estimated construction costs:
Minor Improvement -Permit —Class IV: See attached schedule
Inspection Fee S_ _�_A* N PERMIT VALIDATION
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
PERMIT NO. X38
DATE APPROVED 7 �Of gs
EXPIRATION DATE
DATE ISSUED % 110tW
By
TELEPHONE: (619) 564.2246
Administrative Authoi