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0650 (2)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 R Subdivision Improvement Permit.— Class 111 DATE: ` — Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION ly 0:/L470 S7A61e, 0,71 AMIM Soa ti0&7/-/ ©�= sr- ..1-o,7/_/ >a 4-1 61�4 (Street address or Description of Location), PURPOSE OF CONSTRUCTION �'Sr�/��r/D" �F Sketch (attach construction plans if appropriate) /VF du DESCRIPTION OF CONSTRUCTION rO R 7'O 2:Ns76 c/_ 94,S Rll�_P DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED 0•/69 "X / X "A' 3'2"DAP APPROXIMATE TIME WHEN WORK WILL BEGIN -TU L 9'7W APPROXIMATE TIME OF COMPLETION SU l.,�9 Z5 ESTIMATED CONSTRUCTION COST $ 1:2; oaa (Including removal of all obstruction, materials, and debris, bar-4cfiiling, 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, 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 properiy . 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 ations of the City of La Quints and to pay for any additional replacement necessary as the result cif this work. Signatur of Applicant or Agent 12, r- L 1.4,, 9-n !s ?;?,5' Pa r) b r P 66A A u (6oroet!) -7/y -9 R8 -3 7s'Li .Name of Applicant (please print) Business Address Telephone No. IqCz:-� Name of Contractor and Job Foreman. Business Address Telephone No. y� 9? y Contractor's License No. City Business License No. (L16yds 6 F 16ti00n) Wkre%NAyT ►Ns (Qe L /$-/) e,'Q 1 0SOO/�y6�•Z Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class II I Public improvements: 31% of estimated construction costs Private improvements: 3%of estimated construction costs *TO' 60 Minor Improvement Permit —'Class IV: See attached schedule Inspection Fee $ Permit Fee Penalty Cash Deposit -Surety. Bond if required TOTAL: Receipt No. . PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED Received by Date Recorded by C TELEPHONE: (619) 5642246 Administrative Authority { First Interstate Bank of California �� . • •+a< < < . ': j Whhier Main -','S PIPELINE COMPANY , �• ;>,:f 16-2? ;`.7202 So. Gfmnla lAe.. +y 4�'. C Colffornla 80602 i S w ;•� 't t'•5' i!' c� ri Gi 3. 1220— ACE 325 Ponderosa Avenue ° > > } V •, O. . Ontario, California 91761 a5r "� DATEt�`��7� CHECK NO • • 'O r ) 9- 3754 j (714 83 1. �' .�. ^j ",n* i Y N l ; , .i.,�'ta. U'*t: 4 fEw tsM•i�>�'Ci' s-� 7r'tz'!`•': Yr r rr'i•: _ ( t 0711.8�907'` r2065,71�tr,, 1'20 00' • - ,t., :r • . , •i r .. � � � '. " o . "fir ,� �� l.Sf �' �� �.�' � "^�y' r c, - ti ` - yc•�`h x ��4 r,.-��*ti�' }�� �j d'ii•,4 4rAjF"9'••• .. { .. r r • M ' ,� ;� 1 moi;.''+, � # r�'1i � �, ��,t Y y'���' ��.• `{`� °�+ tJr ,�.i+L'r -r. '<.�„ k y. 4, r `+.e.•. (r�'"i r Cs �1 �,p, q. ONE HUNDRED,>T,WENTY-DOLL'i4RS AND NO CENTS�`i � y n y L `• - . (1 '1, ` ,r, !rf � �� p%.sl i .e Nr�v, SC . ~r� ��Y1Y''41'.il,�>1 K�`;5��(Y`�5j,`y��Y •'��1r' �Y� .,ll� 1�% i . J� `i .� '•- �-. � j ,`�,,,� ! - * `y � 4 ., -. , � r 4f � �• �� �.�`r'�ri � ci•� Y��t���,�, �c `y '�-`���y,tF�.j�•���� n "A ;_ ' , , .. .r .✓ ¢ 'Ti,`'jr 1J1s. �e iCk VSA"",� �'�r - h � .� >> _ -v' f'._ � ��'�C,.>: �, '•la. r4 t-�' � i' q t•,� !� � /_ �i/1r �YtP�.�i;� s'11�i'���i7`� •�r�.���,�i • PAY" vQUINTA CITY OF L`A TO THE ' -:• '.-, y.v, '''' _ 'ri > frw i ,c` '� 'fi ♦,.7,i . . t 1504:,;CALLE ESTi4D0 OF LLA `QUINTA; CA 92253 `• 11'20657L11' 1: 1220002181:1�6173728911■ LL ' ACE PIPELINE COMPANY 325 Ponderosa Avenue. Ontario. California 91761 (714) 983-3754 206571 1 7 7RnruncrloN' NUMBER , REFERENCE''i DATE DESCRIPTION `? GROSS AMOUNT } i DISCOUNT '{.y4 NET AMOUNT ,.9808,-,,., COD 07/18/90 8122 INSPECTION 120:00 0.00 120.00 ..j f VENDOR NO. 2438 TOTALS 120.00 0.00 120.00 The following General and Special Provisions are attached to ano made a part.ofPermit No. GENERAL PROVISIONS.+ . - fs * ' The following shall always apply. r ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within City of La Quints right of way , ONLY. Whenever construction extends within private, property, it shall be the responsibility of the permittee for his contractors) to > r"; secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting work. _ TRA&LAYING CONSTRUCTION EQUIPMENT: Cleated tracklaying consiruction equipment shall not be permitted to operate on any paved surface unless fitted with smooth-1 aced streetpads. All mechanical outriggers shall be f itted with rubber street shoes to protect' . the peving'during excavations. Rubber-tired equipment only shall be used in backfill operations in paved ar`eas.' If the existing pavement is scarred: spalled, or broken during the term of this contract, or if the pavement is marred, City of La Quints shall request { ithat 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 necessaryby the City r' Engineer or La Quinta City Public Woil�s 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. r t CARE OF DRAINAGE STRUCTURES: Any drainage structure, including corrugated metal pipe, concretetpipe, steel culven'and * , cont rete structures encountered during excavation which necessitate removal shall be replaced in kind. In the event.it becomes. ' ne'cessar'y to remove or cut existing drainage structures, City of La Quinta shall be notified prior to commencement of this work. t{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 brociine'd 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 lcontractorl to control this water and to provide off-street barricades when necessary: F CLOSING STREETS:,No street shall be closed. A minimum of one lane of traffic.shall be maintained at aft times to provide limited ' access for the adjoining property owners and emergency vehicles. In the event it is felt by the permittee that he must close a street for, r any length of time. permittee shall contact this office to obtain the necessary. permission. f SPECIAL. PROVISIONS. • - -The follwing shall apply ONLY when indicated w - - R1 OTIFICATION: 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 Cifyof 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' UTILITYCLEARANCE:(Substructures) Prior to making any excavation within the City of La Quinta right of way authorized • \ by permit, the permittee shall contact all concerned utility companies relative to the,location of existing substructures. t , . •\' Damage tciexisting substructures resulting from operations conducted under this permit shaft/ be the sole responsibility of the permittee. 'N E4.�,,6TILITY CLEARANCE: (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 concrete gutter line and the ex sting road pavement shall be �r proposed ' . ' • surfaced with inches 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 p461r r } R6, PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a slopeof 1/4 inch to one foot (I 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 \moi/ a lirenseclengineer. - ' 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 confomance with Citjof La Quinta Standard #207. R10, DRIVEWAYS, A.C.: Driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the , wb { property line and the existing road paving shall be. 2 1 /2 inches A.C. paving placed on 1 -') of class ' a aggregate base. Driveway construction shall conform to attached drawing. ' Fill CULVERTS: A ' inch diameter ( )culvert shall be installed with the invert approximately 1.1 /2 , inches below and inline with the existing flow line. Culvert. installation shall conform to the attached drawin_g:. % -RI 2�51GHT CLEARANCE: Sight elearance'of 600 feet in either direction shall be assured and maintained. i + OIL STERILIZER: The area to be surfaced shall be treated with soil sterilizer. Rate of application shall comply with the, - „ - manufacturer's specifications. - k R14- COORDINATE WORK: The proposed work shall be subordinated to any operation which the State of California or -'- „ Y /City of La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or r "City of La Quints forces to preclude delay or interference with State or City of La Quinta projects. R15_ SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the C centerline of all streets or property lines when involved shall be completely tied out so they may be 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 priorto the removal of any monuments. This office shall r.:be notified.tipon completion•of replecement'of -all survey monuments for proper project clearance. ' R16 (MONUMENTS: Prior to excavation or beginning of o in. ail survey monuments shati be tied out by City Quina and suitable payment or guarantee of payment snai.. a 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 `__'�orrected. 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. 1'11419 U MIT 0 F EXCAVATIONS: Excavations shal I be I i m ited to 1. 000 Ii nea I feet of open trench before backfi I I 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. q20 ZBACKFILL MATERIAL: Backfill shall be free of brush. roots or otherorganic substance detrimental to its use for purposes of producing an adequately consolidated backfi(l. 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 not greaterthan three feet 131 andvibrated 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 15') lifts where trenches are of excessive depths. Care is to 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 11) 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 'l_'�tandard Specifications, Division of Highways. State of California, dated January 1973. R24CO PACTION TESTS: If so required by the inspector, compaction tests shall be made for each crossing or service line. ;� e11) copy ofeach test shall beforwarded tothe City Engineer for approval and filed prior tomaking 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. R25 TE MPO 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 �, ter a maximum of 3.000lineal feet of trench has been excavated and backfill operations completed. but in no case shall th placement of the temporary pavement exceed a five 15► day limit. R26 P MANENT PAVEMENT REPAIR: After backfill and compaction operations have been completed, a temporary patch consisting of two inches (2" 1 of SC -800 shall be placed immediately. A permanent patch of inches A.C. "/surfacing placed on a inch class �1 base shall be placed no later than days after completion of temporary road repair. �'t i 1� ,�L Q�v✓� stn. ✓�--n--tcti R27 PAVEMENT REPAIR: F.A.S.:Upon completionofbackfill and co paction.atemporarypatchconsistingoftwoinches(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 x461. 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 snall 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 repair to 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 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 sectionswhich 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 the following 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 500 feet 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 (2'1 and above in size. Sealant shall be applied to all cut sections as directed by the City Public Works Inspector. SPECIAL'. CONDITIONS -PERMIT NO., 0650 r The- following -.conditions shall be -met to. the' satisfaction* of ..thee City Engineer.` r ,. 1. Street closures �shall�anot` be ial'lowed, at any, 2. Streets.shall be. kept clean They shall be be completely :. cleaned at.. the e_ nd of. the working ' day ' and' more -,f sequently if' reduired.- 3 . Contractor * shall - comply with :tlie local noise ,ordinance , and.: construction,• operations I, and° maintenance of equipment. within one,half mile - `of human occupancy shall. be •per'forined , only, during the time periods as..follows: { r ".,October lst to April 30.1- Monday -Friday 7 00d.m.-:5:3Op. m. _ SaturdayM.8:00a.m.-5:00p:m. May'lst to September •30:"'Monday-Friday,6:00a.m.-7:00p:m. _L Saturday.,8:OOa.m.-5:OOp.m.. Work. shall be•,­`prohibited.''anytime. 1 on` Sunday and. Federal, holidays.— 4. Advance.'warning signs andtraffic control shall be -installed � r • 1 ,and maintained in, accordance ,with Cal}*Trans. Standards 'and subject :to• the approval of 'the -City Engineer. 5 . Two lanes of . ,traffic on paved , surf ace• shall . remain open - on . Washington ' Street.'at --all times . „ Temporary_ pavement'shall - be placed- following; each working. day_. Traffic control' shall • • `rbe' as ,per Cal Trans Traffic Manual.-' -Field'-adjustments in detouring.shall 'be-accomplished•cis directed in -order to adjust to,actual-field.conditions., It shall -be" the contractor's responsibility to.adequateli bare cade.'and.detour this site,. ` Flagmen shall be required atfall.'times during work on Washing65n Street.;A Traffic"control-plan shall'.be submitted :.prior''to commencing.construction for the approval by.the' City :t Engineer. 6. All -backfill subdrade soil :shall4be compacted to nothing, less { than. 90% relative' dry .density, all' backfill soil. within -the top., -.21 of finish" pavement surface shallt -be compacted to nothing•'less than 95%.relative dry density, all'base material +' -shall-be compacted to nothing. less than 95%- relative`,dry density.. . 7. Permanent replacment-%pavement' shall be 4 1/211 �'AC over 811 -Class, _ II aggregate base:,,. 8. Permittee shall .notify the,Cit 3 y •at, 564-2246 ' at least . 24 hours z in advance of starting construction. 9. If work is to, be'. -performed by others than -those -of the utility' ' company, the -contracting company•wil'l..be required-to,apply for an- additional-. encroachment permit and 'pay the _ appropriate fee.