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0908A . o--("— — .tea .--a .-a r-a .r — .-. — — — — — — .-. — ..- — — r r .-. — — — — — — r .-. ... — — — — r r — — — — — — NOTE: With proper. validation 4 Q' this form"constitutes an encroachment permit •-CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS 'CONSTRUCTION (ENCROACHMENT) 0F�wSw F.or 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 I II November3 1990' • DATE: � Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION ^1R 24890:. Ave: 52 at entranr-a ,t-r) ,TM Prof-e •c 'Prca—:L 1 • (Street address or Description of Location) + PURPOSE OF CONSTRUCTION power for project Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION under"round for DIME SION OF INSTALLATION OR REMOVAL approx. 2001f + oz trench for 41-61," conduits:: SIZE OF EXCAVATION', IF NEEDED approx. 7' deep APPROXIMATE TIME WHEN WORK WILL BEGIN �. APPROXIMATE TIME OF COMPLETION tESTIMATED CONSTRUCTION COST $ 5 0 000 _ 00 (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) r In consideration of the granting of this permit, the applicant hereby agrees to: + Indemnify,-defend and save the City, its authorized agents, officers, represen ives d I ees„harmless from and against any and all penalties, liabilities or loss resulting from claims or court action and aris' u f any accid 't, loss or damage to persons or property happening or occurring as a proximate result of any•work unde t rider the permit granted rsuant to this application. ' Notify the Administrative Authority at least twenty-four (2 ours n advance of the time when work will be started. 3' Comply with all applicable City Ordinances, the terms d co ition of the permit and all applicable rules and regulations of the City of La Quinta and to pay for any additional replacem necessar as t e result of this work. Signature of Applicant or Agent Landmark Land Construction 78.150 .Tampico La Quinta 345-288.8 Name of Applicant (please print) Business Address Telephone No. LML a Name of Contractor and Job Foreman Business Address Telephone No. ' B551449 133 Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I II Public improvements:.3% of estimated construction costs Private improvements: 39/o of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule 1V2 0908 Inspection Fee $ PERMIT VALIDATION Permit Fee PERMIT NO. Penalty DATE APPROVED Cash Deposit-Surety'Bond if required EXPIRATION DATE TOTAL:. $ DATE ISSUED ` Receipt No. r By Received by Date Administrative Authority Recorded by TELEPHONE: (619) 5642246 y f , � - ___ ' ~8- = � ` -_-----�---------_----' __-----_---__-----'----__'--_--__ _---`--- �y>v F., >y 1 � , F. r NOTE: , 'With proper validation this form constitutes an CITY' OF LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) .«•off' �r'nMj�nr,.�..f--•i..'4:.-..x .:�r.-k-,'��e'.; r�• c 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 I II DATE: November 13 1990. Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION TR 24'89.0 . Ave. 52 at- Pntranra #-n ,TM Po v-cz Prni®.•+- (Street address or Description of Location) PURPOSE<OF CONSTRUCTION power for project Sketch (attach constructionlans if appropriate) ppropriate) 11 Y1;A C�rR Yhtt I•^ra ri+� ev DESCRIPTION OF CONSTRUCTION ,, x for DIMENSION OF INSTALLATION OR REMOVAL abnrox. 2001f of trench for V-61" Comddtaits SIZE OF EXCAVATION, IF NEEDED approx. 71 deep APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION s , EST IMATE D�CON'STrR'UCT-1,0 .COST (Including removalEo y@If�opstr ction ateryalvrand� debris, backfilling, corn paction and placing permanent. resurfacing -and/or replacing improvements) 4 In consideration 'of the granting of this permit, 'the applicant hereby agree to: \ /. Indemnify, Aefend and�saye the City, its authorized agents, officers, representativ s and�eployees, harmless from and against any. and all penalties,• liabilities or loss resulting from claims or court actionand a isj.na u f ancident, loss or damage to persons or property happening or occurring asla proximate result of any work uncleJtak n�un��der the. permit granted pursuant to.this application. t`• 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 termsd conditions of the permit and all applicable rules and regulations of the City of La Quinta and to pay for any additional replaceme6-t necessarl as the result of this work. Landmark Land Construction\ Signature of Applicant or Agent 78 150 Tampico La.Quinta 345-2888 Name of Applicant (please print) Business Address Telephone No. LML Name'of Contractor and Job Foreman Business Address Telephone No. B551449 133 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 costs Minor Improvement Permit — Class IV: See attached schedule N2 09, Inspection Fee $ Permit Fee' Penalty Cash Deposit -Surety Bond -if required TOTAL: $ Receipt No. Received by Date PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority Recorded by `� TELEPHONE: (619) 564-2246 L � W r.-r➢.-.te w w+ � M..+ 'r•C +. a 7� M,r-L's+wl..-w..r. M.i...�►.1w.r,-r lir+l►, g rs a'J. �++P�..., .w..�•+.4-.•-'lw.*.w- �• r w ....� �.,w. w.. «f �. 3 NOTE: With proper validation this form :constitutes 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 II I DATE: idovember ' 13 1990 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION TR 2489.0, AVP., 5a st onf•r;;ne- a 4-n .TM Deal-�+re Uri (Street address or Description of Location) PURPOSE.OF CONSTRUCTION poWer for project Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION 4 +-a• for I.I.O. DIMENSION OF INSTALLATION OR REMOVAL aptarox, 2001f of . trench- .for 41-61". coiddaitts SIZE OF EXCAVATION, IF NEEDED approxo 71 deep APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION F ESTI MATED/CONST:RUCTION;.,COST $,-,,°io-- s, 0 n n 0(1 (Including removal �9F.,tpli,obstructionY,rm aerials;&,and. debris, backfilling, com-. paction and placing permanent resurfacing -and/or,. replacing improvements) In consideration ofthegranting of this permit, the applicant hereby agrees to: yprbyees, Indernnify,.defend and save the City, its authorized agents, officers, representatives aridjeharmless from and against any and all penalties,. liabilities or loss resulting from. claims or court action and arising ��of any accident, loss 'or damage to persons or property happening or occurring}as a proximate result of any work und,elfrt k•enyunder the permit granted pursuant to this application. Notify. the Administrative Authority at least twenty-four (2r4.)�hours in advance of the time when work will be started. Comply with all applicable City Ordinances, the terms and coriditions of the permit and all applicable rules and regulations of the City of La Ouinta and to pay for any additional replacernen\ cessa4 as t9e result of this work. OV Signature of Applicant or Agent Landmark Land Construction 78 150 Tampico La Quinta 345-2888 Name of Applicant.(please print), , Business Address Telephone No. LML Name of Contractor and Job Foreman Business Address Telephone No. B551449 133 Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I II 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 Fee Penalty Cash Deposit -Surety Bond if required TOTAL: $ Receipt No. Received by Date Recorded by ° 0 9 10, 9 PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority TELEPHONE: (619) 564-2246 • • -The following General and Special Provisions are attached to and made a part -of Permit No. 017019 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 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 bythe City Engineer or La Quinta City Public Works 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. 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 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 (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 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 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 . RLTILITYCLEARANCE:(Substructures)Priortomaking any excavation within the City ofLaQuinta right ofwayauthorized 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 of the permittee. R4 TILITY CLEARANCE: (Surface structures) No work shall be done under this permit until all utilities are clear of the roposed 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"value of 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. �R�BG ADE 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. R12 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. (E4�XOORDINATE 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 D5RVEY y of La Quinta forces to preclude delay or interference with State or City of La Quinta projects. MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the nterline 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 prior to the removal of any monuments. Thisoff ice shall be notified upon completion -of replacement of. all survey monuments for proper project clearance. RD -31 R16 SURVEY MONUMENTS: Prior to excavation or beqinning of construction, all s_. monuments shall be tied out by City 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. i R18 AVEMENT CUTTING: Pavement shall be saw cut prior to removal. Prior to final paving operations, any damage to pavement straight edge shall be corrected. 9 IMIT OF EXCAVATIONS: Excavations shall be limited to 1,000 lineal feet of open trench before backfill operations must �t'he egin.All excavations shall be properly barricaded with lights overnight, on weekendsand holidays for the protection of 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 B' CKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimental to its use for purposes ,,.ofproducing 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 not greaterthan three feet (3') and vibrated using vibrotamper or equivalent equipment. Alternate methods may be 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 before flooding or amaximum of five (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 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 by the 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 , OMPACTION 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 as outlined in Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973. (j,DR-25TEMPORARY 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 temporar, exueed d fiva ;6) day limit. R26 P' RMANENT PAVEMENT REPAIR: After backfill and compaction operations have been completed, a temporary patch onsisting 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 laterthan —14_� 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 11461. 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 sections which 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 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. NOTE: With proper vaiidabon this form constitutes an encroachment: permit CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) i 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 SU1301VISIONS Subdivision Improvement Permit -Class III DATE: Minor improvement Permit Class IV LOCATION OF CONSTRUCTION 4 -VIE: (Strew address or 0 " a Won of Locationl PURPOSE OF CONSTRUCTION EQ= Fes-- " DESCRIPTION OF • • fm=_ DIMENSION OF INSTALLATION OR REMOVAL Sgt=►.��..� �p 4�: mil ��rc�.� SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN NbU Sketch (attach construction plans if appro ) W W -ES 25'R.9U° UN4295 9. r-� r II _ i 5' 25'R.45° AVF— APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST S SOOr� • �_ �►� (Including removal of all obstruction, materials, and debris, bad*filling, com• 4-6" CND. 110' W -ES 4� paction and placing permanent resurfacing and/or replacing improvements) r In consideration of the granting of this permit, the applicant hereby agrees to: Indemmfv, defend and saw the City, its authorized agents, officers, representatn/es and emolovees. harmless from and against arty and all penalties, liabilities or • loss resulting from claims or court action and arising out of any accident. loss or damage to persons Or plapatty happening or occurring as a proximate result of anv work undertaken under the permit granted pursuant to this application. Notify the Administrative Authonty at least twentvfour 124) hours in advance of the time when work will be started. Comoly with all applicable City ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of La Cluinta and to pay for any additional malacement neceaary as the reap of this work. Sign re of Xppiicant or Agent �.�.� Name of Applicant (please orintV Business Address Telepnone No. L Name or Contractor and Job Foreman Business Address Teiepnons'No.. Contractors L;cense 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 Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No S Received by Date Recorded by �O PERMIT VALl0AT10N ?ERM1T NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority TELEPHONE: (6191664.2246 NOTE: With P.OPW validation this form commutes an encroachment permK CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or private curbs, drivewaVs, pavements, sidewalks, parking lots, sewers, water maim. and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit — Class 111 GATE: 61y / !� 199IZ Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION ICY - Cne (Strut aodreea or Ouxmpon of Laconanl PURPOSE OF CONSTRUCTION � '`� t` - �� Sketch iattach construction plans if approprilliml DESCRIPTION OF CONSTRUCTION F'D _ 1.1. r� • _ W -ES 25'R.9�/u N4295 9' DIMENSION OF INSTALLATION OR REMOVAL �' ❑ �s`�� STT •���t �=L�JT1�� �. SIZE OF EXCAVATION, IF NEEDED "'1r� 25.4,45° APPROXIMATE TIME WHEN WORK WILL BEGIN NbU 5'R. APPROXIMATE TIME OF COMPLETION .ILD TIM ESTIMATED CONSTRUCTION COST S MOM •(!�Z (Including removal of all obstruction, materials, and debris, bar—*filling, com•4-6' CNQ. 110' W—ES paction and placing permanent resurfacing and/or replacing improvements$ In consideration of the granting of this permit, the applicant hereby agrees to:txe Indemnity, defend and Save the City. its authorized agents. offitxrs, representatives and emoov, harmieis tro amnaiga�iti�ti l Penalties. liabilities or Iola resulting from claims or court action and arising out of any accident, loft or damage to persons or propMty happening or 1a erring as a proximate result of any wont undertaken under the Perrmit granted pursuant to this application. Notify the Administrative Audtonty at feast twenty-four 1241 hours in advance of the time when work%"l�}/spited. Comply vnth ail acaiiable City Ordinances, the terms and conditions of the oarinn and all applicable rdla P�ld ngul 7no at the.Clty of La Quints and to pay for any eddK rawaicattis. lt necessary as the resuit of this wart. Sig re of Xpplicant or Agent Name of Aopiicant (please print Business Address . Telepnone No. L ML car- t-tc� C Name or Contractor and Job Foreman Business Address Telepnone No. Contractor's License No. City Business License. No. Applicant's Insurance Company Policy Numoer FEES: . Subdivision imorovement Permit —Class III Public improvements: 3% of estimated construction costs l Private improvements 3% of estimated construction enm SPECIAL.CONDITIONS--PERMIT NO. 0908 I.I.D. UNDERGROUND.CONDUIT. The following conditions shall be met to the satisfaction of`the City Engineer. 1. Street'closures shall not be allowed at any. time. Two paved travelway shall remain open at all times. No overnight -detours will be,permitted.. ` T' 2:'. Streets shall be kept clean: They ;shall be" be completely cleaned at the end of the working day,:and,more frequently if 'required. •. 3. -.Contractor shall comply with the,local noise ordinance and k �; t construction operations, and maintenance of equipment, within <.t ";one half mile of human occupancy 'shall -be performed' .only' during,'the time periods as follows:. October 1st to April -30: Monday -Friday 7:OOa.m.-,5:30p..m. ly' Saturday .8:00a.m.-5:00p'.m." .•.May 1st to September 30: Monday-Friday.6:00a'.m.-7:OOp:m. ' Saturday 8:00a.m.-5:00p.M. •- ' • Work shall be' prohibited anytime- on; Sunday, and Federal' + =holidays Advance warning.signs and traffic control -shall' be installed • 3and.mAintained in accordance with Cal Trans Standards,and ,,subject to the approval. of the City Engineer. A traffic- control plan shall be submitted and approved prior to M commencing with the work under this permit.' •• Field adjustments in detouring shall be accomplished as directed in.order to adjust•to actual field conditions.- It onditions. It shall,be the contractor's responsibility to adequately " barricade'and detour this site. F'lagmen'shall be required t r` at • all `times - 5. All backfill subgrade soil'shall be compacted to nothing less ., 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.materialti shall be compacted to nothing less than 95% relative'dry I ,density. , 6.• Trench pavement ,shall be 5'! 'A.C. over, -811 Class II aggregate ' --, -base. Temporary replacement pavement,shall''be placed each -and ;every work day. Permanent pavement.shall be placed within s• r . 15• days,:of completion of -the work',authorized by this permit. 7: Permittee shall notify the City .at 564-2246 at least 24 hours in advance, of startingconstruction.,,.,. `8: The .entire intersection A.C. surfacing shall be •ground -and• r . 4� removed to a depth• of 111, and shall be resurfaced with asphalt concrete. Limits of grinding and resurfacing shall be subject ` i to the approval .of the City•.Engineer.