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NOTE:" With proper validation a' this form constitutes•an o . . .� ` CITY- OF LA" QUINTA ` : w 'encroachment permit *APPLICATION FOR .PERMIT x �� •• PUBLIC' WORKS CONSTRUCTION *.(ENCROACHMENT)' OF 1i For the. construction •of, public or private curbs, driveways, pavements, sidewalks, ,parking lots; sewers, Z water mains ' and other like public works improvements in'connection with MINOR•IMPROVEMENTS and APPROVED SUBDIVISIONS' " Subdivision Improvement Permit — Class III , DAjE_. �a 9^6-9.0 �' ` Minor mp r a I rovernent Permit Class IV LOCATION OF•CONSTRUCTION mtaA'rm am. AnAN4g /FrcirV4, sari nQ • Z,A. nUINTA ' (Street address or Description' of L`ocation),, ` * }' • t < PURPOSE OF CONSTRUCTION 1` GAS' MAIN .AND -SERVICES Sketch (attach construction I t o pans if appropriate) •DESCRIPTION OF CONSTRUCTION .-I'm ya!T3zKtrsr AND, - 'FT7QTAT.•T. ATV ti '.; DIMENSION OF INSTALLATION OR REMOVAL # ► , , '*;6ZE OF•EXCAVATION; IF.NEEDED APPROXIMATEJIME WHEN WORK WIL'L''BEGIN-'9'-10-90:` • ` . 1­'APPROXIM'ATE TIME,OF COMPLIET16N Y, rY o ESTIMATED CONSTRUCTIONnCOST t- (Including removal of aIF obstruction, `ma4terials; and debris, bac filling;tcom �` t , • `t. , -4paction'and`placing.permanent'resurfacing�and�or .replacing improvements) 4 In' `considerition' of, the granting of this,permit', the applicant hereby agrees to: .,lndemnify,.defend and save•the City, its''authorized agents, officers, representatives and employees; harmless -from and against any and all' ,`. Viabilities or, loss, resulting claims or" court action,and�a.rising'out of any. accident, loss or damage tope?sons or property penalties '+ happening or occurring as a proximate result of.any work undertaken under the permit,.granted pursuant to this applicati10. on. .` Notify the,Administrative Authority at least twenty=four (24) hours in advarice-of the time when work'will, be started. ' Comply with all applicable City;OrdinancA,'the terms and conditions'of"the permit and"all applicable ?ules-and regulations of the City of ' La Quinta•andito'pay for'any additional'replacement necessary" as the iesultaof•this work:` l. • ' ^f , .� . `r � - ♦ _ !' l/1�t: iSi A`Aure*ofApplicant,orAgent ` ' MAc'c',n .CnNST . PX; BOX 783 PALM DESERT- Name ESERT'•Name of Applicant.(please print) Business Address • e- Telephone No. `Name of Contractor' and-Job'Foreman - ; Business Address F'Telephone No. - ,Contractor s Ucense,No. { City Business License No. , ' RF.LANCF .INS LIABILITY AUTO GENERAL 161258560• . Applicant's Insurance Company • " ' Policy,Number - t. . .J' FEES: ' "Subdi' isioh.Improvement Permit —Class III 00518 9 Oy—i4-90 ' 10 ' 10 FISH '^i `RT AT i' 180.00 Public improvements: 3% ofestimated construction costs�wY t '* .,Private improvements: 3% of estimated. construction' `costs : i , , r • _ . - , i ;Minor Improvement Permit Class IV: See attached,s'0816 �. f . k 'Inspection Fee' $ *'! Sb ' ,•� r PERMIT VALIDATION Permit Fee PERMIT NO. Penalty Cash Deposit Surety Bond DATE APPROVED if required ` "EXPIRATION DATE TOTAL•• Receipt No. ' Received by Date •Recorded by DATE ISSUED -� 1 i 0 /•� By— Administrative Authority TELEPHONE: (619) 564-2246 a.erMlir�w{+�K��"i„b.� .sa'��-�.a�wx;' rTSwi+�ivs.a'Mwfwr</,i. 9` a �fr r .:..•Y Y.. r �r �. r N1� ?:..w mea r �i. r. r e�+ .�. My q►�.w r eek fie. w�. �w .i .+. w: a: r/1..wr..:.. `.. ic. w> �. M � alb fr 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 II I DACE—.:� 9-6-90 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION LA OUINTA (Street address or Description of Location) PURPOSE OF CONSTRUCTION 1 GAS MAIN AND SERVICES Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION "'TrmIrRIMI H AND TAIC'1'AT.T. PTPr, - DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 9-10-90 APPROXIMATE TIME OF COMPLETION L4 & to '? /X-,) ESTIMATED CONSTRUCTION COST $ v (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 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 Ouinta•and to pay for any additional replacement necessary as the result -of this work. :Signature of Applican'tt or Agent MACCO CONST P.O. BOX 783 PALM DESERT Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. Cont actors License No. r%AF� City Business License No. RELAANCE -INS LIABILITY AUTO GENERAL 061252560 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I II1pQiiSi$ A i PR 5' (,0940--90 00. 00 id- Public improvements: 3% of estimated construction costs ti Private imorovements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule - Inspection Fee Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. $ / sc> ""—a Received by Date Recorded by ��,T! 0 816 PERMIT VALIDATION PERMIT NO. n DATE APPROVED q//o EXPIRATION DATE 171V), DATE ISSUED y ��O� By f'�.fY/�.1.• i Administrative Authority TELEPHONE: (619) 564-2246 a, • • - 7 E [ --::'•.':..: : -. i.. s. xi iw'`Cr! � P .�"' .+' vS:�-Fop<�-'�t�.C7�'aJ"�'i�$w1�S _.. $ i to and made a part.of Permit No. following General and. Special Provisions are attached 'n . t7••'. .,Iv •t,. .fa .. - a - may-- . GENERAL- PROVISIONO j. ` t `The following' shall always apply: ENCROACH MENT,ON- PRIVATE -PROPERTY: 'This permit authorizes work to be accomplished within City of La Quinta rightof w Y ONLY. Whenever construction extends within private property, it shall be the'responsibility of the permittee (or his contractors), . • j secure permission from abutting property' owners. Such authorization must be secured by the permittee prior to starting work !' TRACKLAYING CONSTRUCTION EQUIPMENT: Cleated iracklaying construction equipment shall not be permitted tooperate-on a( z paved surface unless fitted with smooth -faced street pads. All mechanical outriggers shall be fitted with rubber street shoes to prote the paving during excavations., Rubber -tired equipment only shall be used in backfill operations in paved areas. If the existir pavement is scarred, spalled, or broken during the term of this contract, or if the pavement is marred, City of La Quinta shall reque that these portions of road be resurfaced over their entire width.'Resurfacing shall consist of one coat of two inches (2") of A'..'; L ; t 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 Cit Engineer or La Quinta City Public Works Inspectors. Suitable detours anddetoursigns shall beplaced and maintained for the duratio { of the'project..The City shall be notified 24 Hrs: in advance of any traffic detours or delineations.- 1f,•Y } , t. i c '''CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugated metal pipe, concrete pipe, steel culvert ani' concrete structures encountered during excavation which necessitate removal shall be replaced in kind. In the event. it become!. 1 f necessary to remove or cut existing drainage structures, City of La Quinta shall be -notified prior to commencement'of thiiwork `'. Drainage-structures-andopen drains shalt 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 o' 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 materiel;shall be.removec prior.to paving.FWater.tanker. shall be used, as requ!reed: to sprinkle the job. site to keep down dust conditions=and shall be. used immediately, etterbackfill, DE -WATER OPERATIONS' If de=watering operations are required and pumps are forcing water on City of La Quinta'roads, it shalt be the responsibility of the permittee (contractor) to control this water and tom provide off-street barricades when- necessary. 1 CLOSING STREETS: No street .shaII be closed. A minimum of one lane of traffic sha11 be maintained at all 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_ t,. any length of time, permittee shall contact this office to obtain the necessary permission. a SPECIAL PROVISIONS ' The follwin9 apply shall ONLY when indicated: ' P PP Y + 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 art approved surety bond in an amount of not less than s t shall be furnished in the name of City of La Quinta to cover all work involved in the restoration of the various La Quinta K� 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 . = f R3 UTILITY CLEARANCE: (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. + Damage to existing substructures resulting from operations conducted under this permit shall be the sole responsibility f of the permittee. ' N R4 UTILITY 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. t - R5 PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing road pavement shall be v surfaced with inches of A.C. paving placed on inches of class aggregate subbase course ` having'an "R" value of not less than -and "and in conformancewith City of La Quinta Road Improvement Standards and Specifications, Ordinance 9461. ` R6 PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a slope of t 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' z . construction. r RB GRADE CHECKING: City of La Quinta shall check grades upon receipt of plan and grades ' ,Y - f t „ ,a licensed engineer. R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter( - . feet)shall be ' t removed. Curb and/or curb and gutter shall be saw cut prior to removal. Depressed curb, matching concrete gutter and ,.,concrete driveway approachshall 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 r aggregate base. Driveway construction shall conform to attached drawing. F -R11 CULVERTS:A' inch diameter( a `)culvertsh all beinstalled 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, R12 SIGHT CLEARANCE: Sight clearance of 600 feet in either direction shall be, assured and maintained. _ 813 SOIL STERILIZER: The area to be surfaced shall be treated with soil sterilizer. Rate of application shall comply with the manufacturer's specifications. Y R14 COORDINATE WORK: The proposed workshall 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 La Quinta forces to preclude delay or interference with State or City of La Quinta projects. L 5 - it. . ' 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 ' Y 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 v , R16 SURVE VUMENTS: Prior to excavation or beginning of constructil survey monuments shall betiedout by City of La Quinta and suitable payment or guarantee of payment shall be mace 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. 18 PAVEMENT CUTTING: Pavement shall be saw cut prior to removal. Prior to final paving operations, any damage to pavement straight edge shall be corrected. R1 LIMIT OF EXCAVATIONS: Excavations shall be limited to 1,000 lineal feet of open trench 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 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') I ifts 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 isthe 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 intervalsof 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 4i2 inches A.C. surfacing placed on a F3 inchclass -= base shall be placed no later than IS 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 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 interferenceor 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 500feet at any one 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. ADDITION- -ENCROACHMENT PERMIT NO.0816----CONDITIONS R33 ;Survey monuments,,011be protected in place'or ie -established pursuant to City'standards and the State of California Land Surveyor's Act. R34 Work shall be.':coordinated with. the City of La.:Quinta's forces to preclude delay or .interference with the City of'La Quintals projects.• r..` �R35. 'Contractor shall comply with the local noise ordinance and F ' construction operat'ions and maintenance of.equipment•within ' one half.mile of,human occupancy shall be' performed onlyq during the .time periods as follows: October lst to April 30: Monday-Friday-7:OOa.m.-5:30p.m. . Saturday 8:OOa.m.-5:OOp.m. May lst to -September 30: !Monday -Friday 6:OOa:.m.-7:OOp.m. Saturday 8:OOa.m.-5:OOp.m.r Work shall be -prohibited anytime•on.Sunday and Federal i, holiday. ' R36 •Traffic.control'•shall'be as per Cal.Trans.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. A Traffic control'plan shall be submitted for approval by the 'City,Engineer. . R37 All excavation at or near`the'travel way shall be backfilled at the end of the.1work day, for the protection' -of the traveling,�public. '.' R38 ''Street•;closures'shall not be allowed;at any time. i R39. A minimum of one travel lane shall_ be,maintained at all •. times with flagmen during working hours. t �Y R40 All work to be performed. withsectiong paved. ! ` +,- shall be temporary paved and maintained by the Permittee,,}. permanent.pavement*shall'be;placed'no later than. 15 days -after completion 'of the' temporary, road repair: R41 Ingress and egress for local properties shall be.main'tained at all times. r ' - R42 Prior to work. starting, Underground Service! • Alert, shall be ° contacted at 1-800-422-4133 'and an "inquiry.;number" shall'be ' provided to the'City Public Works Inspector.• R43 Pavement. shall .be sawcut prior,to removal. F. } -'ins,, r i, •. .. � r' . s— � _ ` , . , 'tom ;� , I , •.i • v ` ' Additional Conditions - ncroachment Permit No. •086 40 � - f--. Page • :2. ,'. 1�6R44a All backf.i'll.'subgrade soil shall be• compacted .`to=nothing -,'less than `90% ,relative dry density;_ alli backfill soil within the top„2'..of fresh'pavement surfaee'r,shall be compacted to, nothing,'jess than 95% relative dry density, all.base material shall' be compacted to nothing less than 950 . k+. relative dry density`•” R45 Replacement, pavement sections :,shall be 4 1/2•' " ,AC ..over, 8" „ a r ass TI -aggregate base. f -R46 _ •If -the work is"to be' performed by•forces other than that of ' the utility;'company, 'the contracting company will -be required` to•`apply ,for an additional - encroachment • permit' - and. pay. the. appropriate 'fee. , b 14 Mk�f„ A t s,• ,t r ^ z K,c 3 9k pj� �j i X w4t �tq `{ ; sT .•.w j`' C $•i ! "r #"• : .y A x: :;,f " tHr, .: r• .�:, - iJ +'f• rra3x ::'� r U -, . i z' , #s. re ..� 6Cr:1 St.vt. w yMACCO QONBTFiUCTf, ;� = tic Xy <"a' xr x = ORB,.INC. 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