0768NOTE: `^
With proper validation
this form constitutes an
encroachment permit
WO 543-31186-R
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: August 3, 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Washington Street and Ave. 47 at Highland Palms Drive
' — -(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Place conduit
DESCRIPTION OF CONSTRUCTION place conduit from
Pxistina manhole to rear of curb
-'DIMENSIO.N OF INSTALLATION OR REMOVAL 153' 'of .2-4"
. conduit
SIZE OF EXCAVATION, IF NEEDED 153' trench, 2'x48"
APPROXIMATE TIME WHEN WORK WILL BEGIN asap
Sketch (attach construction plans if appropriate)
SEE ATTACHED DRAWING
2EF. W0. 543-31186 R'
14
APPROXIMATE`TIME OF COMPLETION Aug. 10,'1990
ESTIMATED CONSTRUCTION COST $ 1.500 c
(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 thi's 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. r
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 wo�rk.
`�,
Signature of Applicant Agent
GTE California 83-793 Dr Carreon Blvd., Indio, CA 92201
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: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ -0-
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by Date
Recorded by
Ing 0768
PERMIT VALIDATION
•�
PERMIT NO. 0768.
DATE APPROVED 8/3/90 1=1,
EXPIRATION DATE 8/10/90
DATE ISSUED 8/3/90
BY
Administrative Authority
TELEPHONE: (619) 564-2246
h,t•.,, � _ ..i..t 'r...r �I»ry—!", ,-�.•,,... •. � � ✓^+.ir���w�.:v..�t� �^r%Y.�k� .•�++:.e`��.`t.•�v �..�.,,. v,r.r r` f.f
r r�
NOTE:
With proper validation
this form constitutes an
encroachment permit
WO 543-31186--R
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
1
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: August 3, 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
Washington Street and Ave. 47 at Highland Palms Drive
r (Street address or Description of Location)
PURPOSE OF CONSTRUCTION - place conduit
DESCRIPTION OF CONSTRUCTION place conduit from
exist-inu manhole to rear of curb
`*_DIMENSION OF INSTALLATION OR REMOVAL 153' of 2-4"
conduit
SIZE OF EXCAVATION, IF NEEDED 53' trench 2'x-48"
- APPROXIMATE TIME WHEN WORK WILL BEGIN asap
Sketch (attach construction plans if appropriate)
SEE ATTACHED DRAWING
TEF. WO. 543-31186 R
APPROXIMATE TIME OF COMPLETION - Aug • 10, 1990
ESTIMATED CONSTRUCTION COST $ 1,500
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
'P 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
G'E'E California 83-793 Dr Carreon Blvd., Indio, CA 92201
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 I I I
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costsTLs n `
Minor Improvement Permit — Class IV: See attached schedule 0
�w
Inspection Fee $
Permit Fee
t
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ _0
Receipt No.
Received by
Recorded by
Date
PERMIT VALIDATION ,
0768
PERMIT NO.
.. `
DATE APPROVED 8/3/90 r �
EXPIRATION DATE 8/10/90
8/3/90
DATE ISSUED
By /
Administrative Authority
TELEPHONE: (619) 564-2246
K:..._. REFERENCE:W.0-,:#543-33 j& -R f +
.•TNOTE.: ---� ..
,With proper validation '
this form constitutes an
_
encroachment PermCITY, OF,4 LA QUINTA..
it � �
' APPLICATION FOR'PERMIT.
= &
PUBLIC WORKS CONSTRUCTION', .'(ENCROACHMENT)
` - 0F,V
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:- t AUGUST -3. 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION WASHINGTON STREET- ANDAVENUE 47AT' HIGHLAND 'PALMS DRIVE
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION PLACE CONDUIT- ` Sketch (attach, construction: plans if appropriate)
EXISTING MANHOLE 0 R)A OF CURSE'
CONDUIT FR M SEE ATTACHED DRAWING
REFERENCE: W.O.'#543-31186-R
DIMENSION OF INS T;%LLATION OR REMOVAL- '1'53' OF (2-4:''
rnNflllTTS f
SIZE OF EXCAVATION, IF NEEDED 153'- OF TRENCH 2x48" H
APPROXIMATE TIME WHEN WORK WILL BEGIN ASAP "
APPROXIMATE TIME OF COMPLETION ASAP
ESTIMATED CONSTRUCTION COST $ '
(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, officers, representatives,and employees, harmless from and against any and all
penalties, liabilities or loss resulting from'claims or'coun action' and arising out of any accident, loss or damage to peisons.or property
happening or occurring as a proximate result of any work -undertaken under the piimit granted pursuant to this. application. t
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 ofhis work...
.. • .. . P
V Signature of A p icant or Agent
a
rTF CAITFORNIA 83-793 DR CARREON BLVD, .INDIO,.CA- 92201
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 Licinse No. ry
Applicant's Insurance Company t �, r •: x 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 VALIDATION cM y
Permit Fee PERMIT NO. • '"
Penalty. - - - _ •
Cash Deposit -Surety, Bond,
DATE APPROVED
•
if required EXPIRATION DATE
TOTAL:. $ t
DATE ISSUED
Receipt No. �.
By
Received by Date r Administrative, Author iq
Recorded by - TELEPHONE: 1619)'564.2246 , " +
;• w
. , The following'General-and Special Provisions are attached to and made a part of Permit No. '
GENERAL PROVISIONS
The following shall always apply:
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.
TRACKLAYING CONSTRUCTION EQUIPMENT: Cleated tracklaying construction equipment shall not be permitted to operate on any
paved surface unless fittedwith smooth-faced street pads. All mechanical outriggers shall be fitted with rubber street shoes toprotect
.the paving during excavations. Rubber-tired equipment only shall be used in'backfill operations in paved areas. If the.existing.
pavement is scarred. spatted, or. broken during the term of this contract, or if the pavement is marred, City of La Quinta shall request
that these onions of road be resurfaced over their entire wi h. Resurfacing It
., P dt sha consist of one coat of two inches 2" of A.C.
r r( 1
* surfacing plus appropriate seal coat as specified above. • '
PROTECTION OF TRAFFIC'All excavations and work areas'shall be property lighted and barricaded as deemed necessary by the City
Engineer or La Quinta City Public Works Inspec'tors. Sui[able'detours and detour signs shall be placed and maintained fortheduration
s- y of the project. The City, shall be notified 24 Hrs. in-advance of any traffic detours.or delineations.. "
a 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 -
a' _ 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.
- r. T e • . '
RIGHT OF WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from the right of
. c way. All paved surfaces shall be broomed clean of earth and other objectionable materials immediately afterbackfill and compaction.-
Existing
ompaction: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
F immediately after backfill:'
J6 ..,•
OE-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 tc provide off-street barricades when necessary,
4 r '
A, CLOSING STREETS: No street shall be closed. A minimum-of one lane of traffic shall be maintained at all times to provide limited
^t
access for for the adjoining property owners and emergency vehicles. to the event it is felt bythe permittee that he must close a street for
w any length of time,'permittee shall contact this office to obtain the nece'ssary'pe'rmission.
J .+ .
SPECIAL PROVISIONS
4, '
The follwing shall apply ONLY when indicated:
R1 OTIFICATION: Permittee shall notify the City at 564-2246 at least 48 hours in advance of starting construction. _
P ASH DEPOSITS OR BONDS: A cash bond or an approved surety bond in an amountof not less than $
ti• ` shall be furnished in the name of City of Le Quinta to coverall work involved in the restoration of the various La Quinta
a roads and survey monuments. This bond shall be coniinuous until cancelled by the City Engineer. This bond must be
posted prior to commencement of any work on this project
R3 TILITYCLEARANCE: (Substructures) Prior to making any excavation within the City of La Quinta right of way authorized
y permit, the permittee shall contact all concerned utility companies relative to the location of existing substructures.
' * amage to existing substructures resulting from operations conducted under this permit shall be the sole responsibility .
oft a permittee. ► - `
j 4• UT ITY CLEARANCE: (Surface structuresl No work shall be done under this permit until all utilities are clear of the
' pioposed work site..The permittee shall notify all concerned utility companies of the proposed work. .
RS PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing road pavement shall be
q surfaced with ` inches of A.C: paving placed on inches of class aggregate subbase course
-• having an ••R'. Jalueof not less than and in conformance with City of La Quinta Road Improvement Standards
and Specifications, Ordinance #461'. `
' a y t .,'' :• r r
2* R6 PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a slope of
w r
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
,• „ ; ,
•otructio~ t
n
Re_
8 nsRAOE n:
CHECKING: City of La Quinta shall check grades upon receipt of plan and profile and/or grades as established by
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.
RIO 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 I -") of class
' aggregate base.'Driveway construction shall conform to attached drawing.
R I 1 CULVERTS: A inch diameter( )culvert shall be installed with the invert approximately 1-1 /2
ches below and in line with the existing flow line. Culvert installation shall conform to the attached drawing.
R12 S GHT CLEARANCE: Sight clearance of 600 feet in either direction shall be assured and maintained.' '
SOIL STERILIZER: The area to be surfaced shall be treated with soil sterilizer. Rate of application shall complywith the'
ufacturer's specifications.
' RDINATE WORK: The proposed work shall be subordinated to any operation which the State of California or
' of La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or
` 1 f La Quinta forces to preclude delay or interference with State or City of La Quinta projects.
+ . p r,
53 VEY MONUMENTS: Prior to excavation or beginning'of construction, all survey monuments which exist on the
t erline of all streets cr property lines'when involved shall be completely tied out so they maybe readily and correctly
placed by a licensed civil engineer or surveyor at the expense of the permittee. A complete set of notes showing the
o^ ;, ties to these monumemishall be furnished to the City Engineer'prior to the removal of any monuments. This office shall
iy be notified upon completion of, replacement of all survey monuments for proper project clearance.
,,r RD-31
R16 RVEY MONUMENTS: Prior to excavation or beginning of •uction, all survey monuments shall be tiedout by City
La Quinta and suitable payment or guarantee of paymL.., ...all 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
'A EM
CUTTING: Pavement shall be saw cut prior to removal. Prior to final paving operations, any damage to
pavement straight edge shaft be corrected.
R19 IMIT OF EXCAVATIONS: Excavations shall be limited to 1,000 lineal feet of open trench before backfill operations must
egin. All excavations shall be properly barricaded with lights overnight, on weekends and holidays for the protection of
the traveling public. The Public Works inspectorshall determinethe suitabilityof 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
aterial is actually on the work site.
R20 B CKFILL MATERIAL: Backf ill shall be free of brush, roots or other organic substance detrimental to its use for purposes
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 ACKFILL PLACEMENT: Backfill shall be applied in layers of not more than 50 percent of the total depth of the trench
fore flooding or a maximum of five-foot (5') lifts where trenches are of excessive depths. Care is to be exercised thatthe
backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed so that the
resulting compaction she 11 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 (11 copy of each test shall be forwarded to the City Engineer for
approval andfiled prior to making permanent repairs. Compaction tests shall be made as outlined in Section 6.3.01 of the
tandard Specifications, Division of Highways, State of California, dated January 1973.
R24 C)OMPACTION TESTS: If so required by the inspector, compaction tests shall be made for each crossing or service line.
ite (1) copy of each test shall be forwardedto 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 MPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch
nsisting 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
e placement of the temporar, F..vei"r,efii tmamd d ii:a ;5) day iimit.
R26 P RMANENT PAVEMENT REPAIR: After backfill and compaction operations have been completed, a temporary patch
nsisting of two inches (21 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 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 insureo tree service, and handled safelywithout 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 sectionswhich can be handled safelywithout 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.
I. 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.'0768 .
The
-following -conditions- shall •be'- met to .the- satisfaction- .of'_ , '
-,the ..
_ -City Engineer
l.'
All'. work must ' be •-completed '.by August- 10 , . 1990.. '
k
-2.
Street +closures' -shall` not be * allowed at any time.
Streets' .shall. be kept .clean.' : They shal•17 be 'be ' completely .'•
cleaned at the. endof the:, working day, and-more'`frequentl " if - •-
-required.
3.
Contractor'..sh,dll-comply,with the local noise ordinance and '
a'
construction operations and, maintenance' -of'-'., equipment within
"
one half ;mile of. human• occupancy, shall' -be performed only,
'
during the. -time -periods as follows: 1 z.
October ;1st to April. 30 z Monday -Friday 7 00a,.m_,'-5:30p.`M.
j .Saturday '8 00a.m.-5:00p.m.' .
May<1st.to September.30': Monday -Friday, 6:00a.m.-7:00p.m.
•'
Saturday 8a00a.m.-5 00p.m.
r
Work shall be ",prohibited anytime on' -,and Federal f '
-holidays.
.'Sunday
. ,.
# 4.
Advance warning signs and traffic control shall...be•installed'
and maintained -in accordance -with Cal Tr.ans'Standards and
-
subject to'the approval.of the Cty.Engineer.
•5 .:
Two lanes ..of' traffic' on ' paved surf ace `shall remain open ; on ,
Washington Street. at all times:: Temporary pavement,shall..w,
be placed "following each working 'day. Traffic.'control •.shall
be as -per Cal --T rans Traffic Manual. Field• adjustments in
-
detouring.shall,be accomplished -as directed in order,to'.adjust ;
to`actual' field conditions. -It shall be the -contractor's
responsibility to adequately barricade and''detour this site. ;4
Flagmen shall be• required at'all.times.during'work on
•
Washington •Street . ~A' Traffic control 'plan shall, be submitted `
t.,
prior to commencing construction for the approval by the City
Engineer
6.
All backfill. subgrade soil shali- be to. nothing less
,compacted
.than-90%'relative.dry.'density, all'backfill soil within the
top'.2'• of. finish. pavement ,surface, shall` be' compacted, to `
.
nothing less than 95%' •relative dry density', all base. material
shall -be -compacted nothing lessa than. 95 %• relative dry
yto
density.,. ,
7
�� 1,�
anent re t
Perm lacmen pavement shall be 4 1 2 AC over 8 Class
P / --
y
II aggregate base.
II
�. 8
Permittee shall notify the , City * at 564-2246 • at' least 24 . hours
in advance of starting construction.. 1w.
.. ..
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EXCHANGE I T A/ -DI d C.O. LA QU(A?TA
'PERMIT COPY
ISSUE DATE APPROVALS RN J B 2 S�
A AREA GENERAL MANAGER r
DWG.
NO. i RELATED DWGS. WORK ORDER. i
543=3 fl;BlcR. S
1 2 3 4' 5 6 `ORM 80954015-" 7
a NOTE: tv,
�. With proper validation
this form constitutes an CITY.OF OF LA QUINTA " • ,
encroachment permit-
APPLICATION FOR .PERMIT '.
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or " private '• curbs, driveways, pavements,` sidewalks; parking lots, sewers, • water: mains.-
and
ains:and other -like public, worksimprovements in. connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS`
' Subdivision Improvement Permit - Class II I
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 'E�S WASH/AJ6712 5T 5,1A sAIA,2461AAW fPaL t
f(Street address or. Description of Location) -
` PURPOSE OF CONSTRUCTION _Y.. ��,^V:a 'rte I Z"�nivnif H71'Sketch (attach construction plans if appropriate)
- _ ANiJ' .ssrPVJ�.s wigs • . �"edl .Sr'/{.s'iT inoO.f?eU6.✓�1luJT— - -
' 'DESCRIPTION OF CONSTRUCTION SFF- C.7 yU; p, Sy3 _ /00 2L3. "
p . Sy3.
(A DIMENSION OF INSTALLATION OR REMOVAL " /2 217
�J
> e 6PC n V 2,44), Ce . kJ.G1/I
' SIZE OF EXCAVATION, IF'NEEDED i�CI'/77< /1/O, O76B
t APPROXIMATE TIME WHEN WORK WILL BEGIN 1? 60 90 /✓O, D�6y. lJ .
APPROXIMATE TIME OF COMPLETION R- 17-96 7-96 >
ESTIMATED CONSTRUCTION COST $
` (Including removal of -all obstruction, materials, and deuris, backfilling, com-
t paction and placing permanent resurfacing and/ replacing improvements) "
f In consideration of the granting of this permit, .the applicant hereby agrees to: r
- Indemnify, defend and save the City. its authorised agents, officers, representatives andemployees. harmless from and against any and all,
.penalties, liabilities or loss resulting from claims or. court action and arising out of ,any accident, lou 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. Ouinta and to pay for anv,edditional replacement necessary as the result of this work. -
Signiffure of Applicant or AgerK��7n
- - ` �A11 ! der /l'J 1VJ /lJlIr JITJ/'A�S.- i'iCfl' � F'•�L�. 'y �ir X�ii�� RJ9i1.�/1 J����Y/. CA. %JY-•A�9-��7
Name of Applicant (please print) - Business Address Telephone No..
"Name of Contractor and Job Foreman ° Business Address
Telephone No.
Contractor's License No. f City Business License No.
f'Nr'lX9X-/,y
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit - Class III; ~"
Public improvements: 3% of estimated construction costs r
Private improvements: 3% of estimated construction costs
M Minor ImprovemenNO
t.Permit - Class IV: See attad d schedule 1V � 4.
Inspection Fee. $ _ PERMIT VALIDATION +
Permit Fee PEflMITNO.
` Penalty' h. . " d .
'Cash Deposit -Surety Bond DATE APPROVED
if requiredEXPIRATION DATE
TOTAL: $ DATE tSSUEO,
4, { Receipt No. By--,
"
Received by Date int tive Authority
~." Recorded by TELEPHONE: (619).564.22