0787 (2)SPECIAL CONDITIONS--PERMIT N0. 0787 '
'> -„ ` • the.
following °.,conditions ,shall: be, met to the satisfaction of ..the '
r -City, Engineer'
ti 1.•
r
Work under this permit-shall-be•coordinated with the.`
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construction' of. the.-Jefferson .Street: Golf Cart,. Tunnel , f
crossing.f'. e. > .
' 2..
Permitteei,shall be responsible'for�dust.;and erosion control'.'
4 .3.
Streets shall be'kept clean. They'shall be be completely,
't,"
,-cleaned
a ;end of the •working day. and more 'frequently.,if
required. _ ;
4.
Contractor-shall comply with'the local noise ordinance and'.'
construction operations and"'maintenance of, equipment within:
'
one half,; mi'l'e of -human, occupancy shall' be•'.performed only
during.thetime periods as follows:
A
OctobertIst to April 30.• Monda Frida 700a.m
' .
y y :.=5.30p.m.
s -
.. Saturday 8:00a.m:-5:OOp.•m:.
May 1st to September 30: Monday -Friday,6:00a.m.-7:OOp.m.
'
,
Saturday 8:00a.m.-5:00p.m.r
work shall be prohibited'*•''anytime on, . Sunday. ' and; Federal' `
holidays .'.F ?.
5.
The Permittee shall, be,,,responsible- for 'the -safety of the work
s
site including but not•limited to the'following items.for the
protection, of • the `facility relating to the construction' of
the tonne 1:',
plan'for traffic control and detour to the
City-Engineer for'approval: Traffic•control plan_,
shall include details-forlall signage
delineator and. guide markers` in accordance• with
Caltrans Standards_. ' �•
: •
f
b) `Street closures • shall 'not be•:allowed. A minimum
;of one travel lane shall be maintained at all times
with flagmen-during working, hours : `
c)r Excavation'at'or near-the travel way shall be,
"backf i l led, at the end . of the ,work day, for' the
'� protection.,of 'the, traveling public.
` d) All work to .be• r r
performed•- within the .existing: paved
section, shall be .temporary ,paved and maintained by
ttthe.Permittee.
`.
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NOTE:
With proper validation
this form oonstitutes.an CITY 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 other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
�/ Subdivision Improvement Permit - Class III
E:
DAT - inor Improvers Permit Class IV
LOCATION OF CON LIC' TION
(Street address or Description of Location)
PURPOSE 06 CONS RUCTirihr Sketch (attach construction plans if appropriate)
DESCRIPTION OF gONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL '
Q7S'7
SIZE OF EXCAVATION, IF NEEDED
-
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION -
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 end 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 124) hours in advance of the time n. rk will be started.
,.
Comply with all applicable City Ordinances; the terms and conditions o1 the permit 4dapti ble:rules and r. ulations of the City of
La Cluinte and to pay Yor any additional replacement necessary as the result o
S nit re O t
Name of Applicant (please print) , Business Ad ress Telephone No. t
Name of Contractor and Job Foreman [� Business Address Telephone No.
Contr cto ;s License No. i f City Business License No.
Irtttb: ,uDclivision Improvement r'ermit — Glass fit
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
NO
Minor Improvement. Permit — Class IV: See attached schedule
Inspection Fee $ PERMIT VALIDATION
Permit Fee PERMIT N0.
Penalty DATE APPROVED
Cash Deposit -Surety Bond %_ - .
if required EXPIRATION DATE '
TOTAL: $ DATE ISSUED }
Receipt No.
BY
Received by Date Administrative Authority
Recorded by f TELEPHONE: (619) 564.2246