0303NOTE:. �L
With, proper validation
rO
this form constitutes an CITY OF LA QUINTA'
encroachment permit
APPLICATION FOR PERMIT ,
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
` l OF
For' the .construction of public or private curbs, driveways, pavements; :sidewalks, parking Iots,'�sewers,' water mains .
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit — Class II I '
DATE:, 'March -301 1988 Minor Improvement Permit ,Class IV r
.LOCATION OF CONSTRUCTION 'CAlle Sinaloa
• (Street address or Description of Location)
PURPOSE OF CONSTRUCTION To instal. Jr. 1 :19' cif- 211 • Sketch (attach -ton struction plans if appropriate)
plastic medium nrPS-,ure aA-, main 1D' 'N/SPT
DESCRIPTION OF CONSTRUCTION ` Of r A 1 l`a Ainalt a USA INQUIRY
_c P. P. SkPi-nh Trp X94 ni ' rTTT-FART]
DATE:
DIMENSION OF INSTALLATION OR REMOVAL
` SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN Anri 1' 1 F : 1 Q-8 `.
APPROXIMATE TIME OF COMPLETION y
• ESTIMATED CONSTRUCTION COST $
.(Including removal of all obstruction, materials, and debris, backfilling, com-
paction
om paction and'placing permanent resuefacingeand/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
Southern California Gas Co. P. Oe Box 2200. Riverside'. CA" 92516 714-369_•4512'
Name 'of. Applicant (please print) Business Address Telephone No.
Name of Contractorand Job Foreman Business Address Telephone No. }
r
Contractor's License No. - - ' City Business License No. y
Applicant's Insurance,Company Policy Number w .
FEES: Subdivision Improvement Permit — Class II l _
Public improvements: 3% of estimated construction costs y.
Private improvements: 3%of-estirnated construction costs
;303
* Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ �• PERMIT VALIDATION
Permit Fee PERMIT NO. `
Penalty . ,. .
Cash Deposit-'Surety'Bond DATE APPROVED
if required EXPIRATION DATE h — 3o --'r A3
4 TOTAL: $
c DATE, ISSUED
�
Receipt No. ' //.•�.��'�.9_ �`.
- . • By
Received by Date Adm1nistrative Authority
Recorded by, •.-TELEPHONE: (619) 564-2246
r 5'1'248245
1�1AR
3T.19�8
NOTE: ' -- CLQ OF LA QU'6)NITA With proper validation. --------------
PLANNING &,DEVELOPMENT DEPT.
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:_ March 30- 1988 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION CALLE SINALOA
(Street address or Description of Location)..:
PURPOSE OF CONSTRUCTION Sketch (attach .construction plans if appropriate),.
DESCRIPTION OF CONSTRUCTION To insta'l1 139' of 2"
plastic medium pressure gas main, 10" N/SPL of Calle Sinaloa.
SEE SKETCH TGP 224, D1 CUT -EARTH'
lu L�2� N
DIMENSION' ... •.,L!_ATION OR REMOVAL
07'
SIZE OF EXCAVATION,.IF NEEDED :
APPROXIMATE TIME WHEN WORK WILL BEGIN Apri 1.. 16, 1988
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COSTS.
(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:...:..
indemnify, defend and save the City, its authorized agents, officer s, - representatives and employees, harmless from and against?any and all
penalties, liabilities or loss resulting from claims or court action.and arising out ofany'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 124) 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._.
-22%
Signature of Applicant o Agent
• J.M. SNYDER,�DISTRIBUTION �UP RVISOR '.
SOUTHERN CALIF. GAS COMPANY P _ n - ' Rny 2200 R I VERSLDE,—CA Q 516 (714 3 g -'4g f 2
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. .
Applicant's Insurance Company.. Policy Number
FEES: Subdivision Improvement Permit— Class III .
Public improvements: 350 of estimated construction costs,
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
-inspection Fee S _ .. _
Permit Fee —
Penalty
Cash Deposit -Surety Bond
if required —=
TOTAL: S
Receipt No.
Re!^ivedby
Recorded by
Date
PERMIT VALIDATION'
PERMIT NO.
DATE APPROVED .
EXPIRATION DATE
DATE ISSUED
TELEPHONE: (619) 564-2246
Administrative Autho;
78-105 CALLE ESTADO -LL LA QUINTA, CALIFORNIA 92253 - . (619) 564-2246 -_
OF
- ADDITIONAL CONDITIONS
ENCROACHMENT PERMIT NO -303
.R33 Survey monuments shall be protected"in place or re-established
pursuant to City standards. arid_,the State of. California Land ,
Surveyor's Act.
R34 Contractor shall comply with the local noise -ordinance and
construction operations and maintenance of equipment within one
half -mile of human occupancy shall be performed only during the
time periods asifollows:
October•11st to=April 30: Monday -Friday -7:00 a.m. - 5:30 p.m.
Saturday,.- 8:00 a.m. - 5:00 p.m. -
Work shall.be prohibited -,anytime on Sunday or Federal holidays.:
R35 Traffic control shall be as per Cal -Trans Traffic-Manual.'
rafficManual.
Field adjustments in detouring.shall be -accomplished as
directed in order to adjust to actIual.field conditions.- It
shall.be the contractor's responsibility to adequately "
barricade and detour this site.
R36 All excavation at or near the travel way shall be,backfilled at
the end,of the work day, for the protection of the traveling -
public. "
R37 This permit is -only for work within.public street right-of-way.
R38 Ingress.and egress for local properties shall be maintained
at all times.
R39 Thispermit isnot valid `unless the USAInquiry Number is •noted
on the City copy of this permit.
R40 Replacement pavement shall be existing asphalt thickness -plus
` one inch, but not less -than 4 inches of AC pavement shall be
placed. Class 2 aggregate base shall be as_per_ existing or 611
.
minimum (which ever is greater). ,
R41 If work is done by -other than Coachella. Valley Water District ,.
forces,.then an intitial inspection fee deposit shall be made
as determined by the City Engineer. Permittee.shall reimburse ,
City for`all inspection costs at the rate of $30.00 per hour.
(Note: estimate one hour per day during the construction
period.) Any unused funds will be reimbursed.
- F=12. 12MAILING• ADDRESS P.O.' BOX 1504 LA QUINTA, CALIFORNIA 92253
The following General and Special Provisions are attached to and made a part.of Permit No. .
GENERAL PROVISIONS
The following shall always apply',
03.
ENCROACHMENT ON PRIVATE:PROPERTY: This permit authorizes -work to be accomplished within City of La Quinta rightof•way
ONLY. Whenever construction extends within private property, it shall be the responsibility of the permittee (or his contractors) to
secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting work.
TRACKLAYINGCONSTRUCTIONEQUIPMENT: 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 fitted with 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 A. C.
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 andmaintained 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 of 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,afte,r ,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 oche 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 mustclose 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 rDEPOSITS OR BONDS: A cash bond or an approved surety bond in an amount of not less than S
: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 .
S
UTILITY CLEARANCE: (Substructures) Priorto making anyexcavation within the Cityof La O.uinta rightof wayauthorized
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 bethe 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"valueof 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.
utterconstruction.
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 installed with the invert approximately 1-1 /2
inches below and in line with the existing flow line. Culvert installation shall conform to the attached drawing. _
R1 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
manufacturer's specifications.
R1"4" COORDINATE WORK: The proposed work shall be subordinated to,any operation which the State of California or
City of La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or
City of Ea Quinta'forces to preclude' delay or interfLire nce'with State or City of La Quints projects.
R15 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the
centerline of all streets or property lines when involved shall be completely tied out so they maybe readily and correctly
be replaced by.a licensed civil engineer or surveyor at the expense of the•permittee. A complete set of notes showing the
ties to these monuments shall be furnished to the City Engineer prior to the removal of any monuments. This office shall
be notified upon completion of replacement of all survey monuments for proper project clearance.
RD -31,
R16 SURVEY MONUMENTS: Prior 3vation or beginning of construction, all sui ionuments shall betied out by City i
of La Quinta and suitable payment or guarantee of payment shall be made as reimbursement for all work involved.
R17 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 LIMIT OF EXCAVATIONS: Excavations shall be limited to 1,000 lineal feetof opentrench before backfill 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.
R20 BACKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimental to its use for 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 that the
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.
R26 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 inches A.C.
surfacing placed on a inch class base shall be placed no later than days after completion of
temporary road repair.
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.
R30 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 tothe 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 as specified in thefollowing 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 anyone time.
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.
PLAN FILE NO. 011611 IKETCN CONSTR, SKETCH COMPL. CKBTCN
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