0929f
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NOTE: r t t
With proper validation'
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
- PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
t
For ithe 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: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION MAD150N STREET WELL OZ4- AT P&A W E 5T
(Street address or Description of Location)
.ZAISTA. L L R 131DW OF F
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
QRAI N FEK UWD MWI NU NO
DESCRIPTION OF CONSTRUCTION
1&442
DIMENSIONSOFINSTALLATION OR REMOVAL 15tt ATALh1ED
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN ASAP
REF MVERsi DE CU 'STANDARD
APPROXIMATE TIME OF COMPLETION WEEKS Nil). 303 4 303A
ESTIMATED CONSTRUCTION COST $ V J
(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 Quinta and to pay for any additional replacement necessary as the result of this work.
Signature of Applicant or Agent
COACH ELLA VALLEY : WATER 015T R l CT BOX lDSS COACH ELLA, CA 3 9 8- Z &5') Y3&5 -
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 T _
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
N2 00`)9
PERMIT VALIDATION
PERMIT NO. D9 29
DATE APPROVED ( 1- 2 (a' 9D
EXPIRATION DATE 1Z- Z8 _ C10
DATE ISSUED y Z — 9 d
By
v Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
d^ti. +e6..2�,'"'s'"�p-='K •. �� ;:'1'''i1,1"`s�."-i;�i•H^"•;�``'Z°'.`i``r�+w^r%r-�tis`r `�`'�t.-�`L�"�'"' ti;-�.d;,� 't•��-,=•.., .�:... .:..a�,:—�z-:v� ' rv,.:���=_ � Y
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NOTEa, -
With proper validation 4 2
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 and other like public works improvements in conndction with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit — Class III
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION MAD1 M STREET WELL &7L4 AT PCNA W E 5T'
(Street address or Description of Location) I
PURPOSE OF CONSTRUCTION'zNSTA LL A 130AJ OFA Sketch (attach construction plans if appropriate)
DRAIN PER UVO ORAWI N6 NO
DESCRIPTION OF CONSTRUCTION I (0liz. ,
DIMENSION OF INSTALLATION OR REMOVAL 5tt ATTALMED
PLANS
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN A—SAP
APPROXIMATE TIME OF COMPLETION �E){5 NQ.
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com-
.r .
pactlon and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of this permit, the applicant hereby agrees to:
S
R\VER51 DE CU e5TAA1DARD
303 4 303A
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
VACHELLA YAUEY WATER 015TRICT BOK IDS -0 COACHELLA,CA 398—UPTI X3195'
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%a of estimated construction costs'
Private improvements: 3% of estimated construction costs? O
Minor Improvement Permit — Class IV: See attached schedule �`�" 0 9
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL
M
Receipt No.
Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO. D9 79
DATE APPROVED 11 -2 -to -90
EXPIRATION DATE I ~ Z —q0
DATE ISSUED 1/-Z7 ~ U
By
U Administrative Authority
TELEPHONE: (619) 564-2246
. •.p929
. � The following General and Special Provisions are attached to and made a part of Permit No.` ,.
tJ +,N �, 4r Y 'GENERAL'PROVISIONS
The following shall always apply:
w
e
ON PRIVATE PROPERTY:, This ermit authorizes work to be accomplished within Cit' of La Quinta ri ht of way
ENCROACHMENT P Y
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. ,
TRACKLAYINGCONSTRUCTIONEQUIPMENT:-Cleated tracklayingconstruction equipmentshall not bepermitted tooperat on any•
paved surface unless fitted with 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, spatted, or broken during the term of this contract; or if the pavement is marred, City of La Quinta shall request r
' that these portions of road be resurfaced over their entire width. Resurfacing shall consist of one coat of two inches (2") of A.C.
S ' • "" °surfacing plus appropriate seal coat as specified above.
PROTECTION OF TRAFFIC: All excavations and work areas shall tie properly lighted and barricaded as deemed necessary by the City'
a j t;, c • Engineer or La Quinta City Public Works Inspectors. Suitable detours and detour signsshall be placed and maintained for the duration
t of the project. The City shall be notified 24 Hrs. in advance of any traffic detours or delineations. r ti
CARE,OF, DRAINAGE STRUCTURES: Any drainagestructureincluding corrugated metal pipe, concrete pipe, steel culvert and
tconcrete structures encountered during excavation which necessitate removal shall be replaced in kind. In the event.it becomes'
4, necessary to remove or cut existing'drairiage 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.; L, r
` e •: , 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 permiitee (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 by the permittee that he must close a street for
` I any length of time, permittee shall contact this office to -obtain the necessary permission.
SPECIAL PROVISIONS r '
" The follwing shall apply ONLY when indicated: ,
a R1 NOTIFICATION: Permittee shat -1 notify the City at 564-2246 at least 48 hours in advance of starting construction.
'1121 CASH DEPOSITS OR BONDS: A cash bond or an 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
* y roads and survey monuments. This bond •shall be continuous until cancelled by the City Engineer. This bond must be
posted prior to commencement o>; any work on this project'.
,4. 'i •.. /'i3 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 ekisting substructures resulting from operations conducted under this permit shall be the sole responsibility
of the permittee. v
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. ,
- '• "" R5''. PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing road pavement shall be
` ' r surfaced with inches of A.C. paving placed on inches of class aggregate subbase course
It P having an "R" value of not less than and in conformance with City'of La Quinta Road Improvement Standards
and Specifications, Ordinance #461..• f• f
i R6 PARKWAY GRADING: Area between the property line and topof the proposed concrete curb shall be graded to a slope of
r, 1/4 inch to one foot (1').�'-
i.i .
* ' R7 GRADES & STAKES: City of La Quinta shall establish grades and stakes for the proposed concrete curb and gutter
construction. �'•,, ,
r " )
,+ f'' ; R8 GRADE CHECKING: City of La Quinta shallcheckgradesupon receipt ofplan and pFofileand/or grades as established by
4
�. a lirensed engineer. r
J`" •, R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter ( + feet)shall be
„ r; • " 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. ,
y , 4N . ,, - R10 DRIVEWAYS, A.C.: Driveways shall be constructed as not to`alter existing drainage pattern. Surfacing between the '
r { • '„rr •tr t 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.
r' y
R11' CULVERTS:A� inchdiameter( )culvert shall be installed with the invert approximately 1-1%2
pinches 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'surf aced shall be treated with soil.sterilizer. Rate of application shall comply with the
manufacturer's specifications. "
COORDINATE WORK: The proposed work_ shall b_ a"subordinated to any operation which the State of California or
.r ri R 'v " City of La Quinta may conduct in this area during the periob of this permit. Work shall be coordinated with the State or r
r ,
s' 1 g •' �:� ' + r City of La Quinta forces to preclude delay or interference with State or City of La Quinta projects.
r n f
h t. 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,
r ^ be replaced by a licensed civil engineer or surveyor.atthe expense of t'he permittee. A complete set of notes showing the
„ ties to ttiese monuments shall be furnished to the City Engineer prior to the removal of any monuments. This office shall
•' 1be-notified upon completion of replacement of all survey,monuments for proper project clearance. {
t1t... Sr ,' 3. I ' ' L' d ' -i• 4. 0 • 'M . I),
' .: Rn_11
R16 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey 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.
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.
R19 LIMIT OF EXCAVATIONS: Excavations shall be limited tot,000lineal feetofopentrenchbefore backfill operations must
begin. All excavations shall be properly barricaded with lights overnight, on weekends and holidays forthe protection of
the traveling public. The Public Works inspectorshall determinethe 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 may be 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') 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 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 inches A.C.
surfacing placed on a inch class base shall be placed no laterthan days aftercompletion 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 It 5) 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 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 toa maximum of 500feet 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") and above in size. Sealant shall be applied to all cut sections as directed by the City Public Works Inspector.
e
t 'ADDITION--=-ENACHMENT PERMIT'NO.0929--*NDITIONS+'.
eR33
Survey°monuments. shall be protected ,in place. or:
•re-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 • preclude delay ,or interference with the. City of La •
,,to ;
P Quinta I s. -pro .J.ects .
' R35,
' Contractor shall`.=comply. with' the local noise ordinance and
construc`tion',operations.and maintenance of equipment within
r
,'s
•. one half mile of .human occupancy shall be performed ;only
s ,
during the time periods `aas follows
October 1st to April Monday -Friday 7:OOa.m.=5:30p.m: w
Saturday8:00a.m.=5:OOp.m.
a'
May -1st to; September 30.' Monday=Friday,-6:00a,.m.-7:00p.m. ;
..,
Saturda ... - 8:O0a.m. -5:00
y p.m.
_Work shall -be prohibited anytime on.Sunday and'Federal
holiday.
R36
°Traffic control shall be'as per. Cal Trans Traffic Manual.
Field adjustments- in -detouring` shall be a' complished gas '
directed in order 'to}•adjust to actual field •conditions.,, . Itr
shall be -the contractor's responsibility'to adequately_
` .
' barricade - and - detour this site•.: A Traf f ib, control plan shall
a
'.'
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 work ,day, f or the protection `of '`the
•,`
traveling public.,.
R38
Street'closures shall.not be allowed at any time.
i •R39
,,Ac minimum. of one travel 'l'ane, shall -be maintained 'at al -1-, '
times ,with flagmen'' during, working , hours . ' 7"
R40
' All work to be.,peiformed within the 'existing. paved section `,•�1 r }� .
shall beq temporary -,paved rand maintained, by`the, Permittee,
�.' 'permanent pavement ,,shall ,be' placed` 'no' later .than 15- days
of ter- comp_ let 'ion of - the ;temporary road repair.
R41
Ingress'and egress.fpr rlocal•;3p`r6perties shall'Se ,maintained .
h
at all'times. s ,
R42
, ,,Prior . to work starting; Underground; Service 'Alert.. shall be
z
contacted at 1=800-422-4133 arid, an -"'inquiry number" •shall`.,be .�
provided to the City`,Public Works. Inspector: -.
' R43
*Pavement' shall be sawcut prior to' `removal. ,
,.
• •
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•
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1 ' -
Additional Conditions = Encroachment'.Permit,,No. 0929';
_ { gage
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R44
♦
,` AAll' backfill subgrade. soil;rshall. -be', compacted ,toi.nothing
less than ,90 o relative .dry' density., . all,`_backfill soil,within
'',the top 21'�of finish pavement surface shall'•be' compacted to
•
nothing .less 'than '95%L relative dry density; all: base
material shall be`,,compacted to- nothing'', less ,,than 95%
relative dry density`.
R45
Replacement pavement°'sections ;shall', be, 3 " AC` oder. 4" :Class ,
"
II aggregate base.:''- ` ,..
., '.. R4'6
If the work` is ,to be :_performed -by forces other than..t'hat 'of- .,. ....
the utility company, ' the coritracting� company will,. be
-required'to apply,for'an additional encroachment permit ,*
and pay the appropriate' fee. .7 �
�•
r
R47
All landscaping and irrigation shall,be restored:to its -
•
original condition, • .s
NOTE:
With proper validation
this form constitutes an
encroachment permit
R
s .. ..
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
--_ _-I - - - -- Subdivision Improvement Permit - Class I1:1
DATE: II Zb �.�0 Minor Improvement Permit Class N
kp'()15c.1 5VC_C__f wC�� (,1?�4� Ai PGA' '"G5T
LOCATION OF CONSTRUCTION . - •
Y
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION u5r�t�t A DP_A/N Sketch (attach construction plans if appropriate! .
DESCRIPTION OF CONSTRUCTION 1P5tALL A QU1 U10F1%. �� '�'��$CA'F
O1t91u to 0PAW
=A/
scG AT i��1��
DIMENSIO": C:F !NIS?::LLATION OR REMOVAL SCG- PnTAU G -D
SIZE OF EXCAVATION, IF.NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN A5AP v /4~D41,_
APPROXIMATE TIME OF.COMPLETION 5 wL-LW> '
ESTIMATED., CONSTRUCTION COST$ �. 31006
(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, itsauthorized 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 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 or -
La Quinta and to pay for any additional replacement necessary as the result of, this work..
Signature of Applicant or Agent
TR°HJ36 AGE cvwp� BOX 105T 6oA✓KC-W A , C 112N 3g'S-z6 51 X U S
Name of Applicant (please print).
10 b9 . A9X1r0KM IL.�(MEK
Name of Contractor and -Job Foreman
a
Business Address . . Telephone No.
Business Address.
Telephone No.
Contractor's License No. City Business License No.
Applicant's Insurance Company Policy Number
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T AIL "DFLOW � DETAIL "C !
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SEF STD. 303-!A SEE STD.303-A ; ;
SCHEMATIC PLAN VIEW
5--10 TRANSITION 4-10 TRANSITION--.�� •
• i i .NORMAL CURB LINE
NOTE PROTECT70N BAR
USE 4' •'ADE CHECKERED PLATE Rp OFILE
CUT TO CORRECT DIMENSIONS.
THEN , CONSTRUCT FRAME TO , ' .'. County cf Rimmi0n
FIT PLATE AND FASTEN WITH
AN, INTERMITTENT WELD. FLAT OUTLET,
DRAINAGE STRUCTURE,
REVISIONS
STANDARD N0. 303-
9«66 -
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T AIL "DFLOW � DETAIL "C !
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SEF STD. 303-!A SEE STD.303-A ; ;
SCHEMATIC PLAN VIEW
5--10 TRANSITION 4-10 TRANSITION--.�� •
• i i .NORMAL CURB LINE
NOTE PROTECT70N BAR
USE 4' •'ADE CHECKERED PLATE Rp OFILE
CUT TO CORRECT DIMENSIONS.
THEN , CONSTRUCT FRAME TO , ' .'. County cf Rimmi0n
FIT PLATE AND FASTEN WITH
AN, INTERMITTENT WELD. FLAT OUTLET,
DRAINAGE STRUCTURE,
REVISIONS
STANDARD N0. 303-
9«66 -
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NOTE:FRAME SHALL BE CONSTRUCTED:TO STANDARD SPECIFICATIONS
i
OR OF EQUIVALENT STRUCTURAL STRENGTR AND WELDED • t ,
TOGETHER• WITH A. 1/4" INTERMITTENT WELD AT ALL BREAKS,
SEAMS,' SECTIONS, JOINTS, ETC. THE; y • CNECKERED PLATE
SHALL. BE FASTENED' TO FRAME WITH AN INTERMITTENT• WELD.
`
GRATE SHALL BE CONSTRUCTED TO
' -
STANDARD SPECIFICATIONS, WELDED
AT ALL BREAKS, SECTIONS, ETC.,
HINGED TO DRAINAGE PIPE, 'AND _
Bar
_SECURED WITH PADLOCK. GRATE NOT-
REQUIRED.FOR CULVERTS'SMALLER
THAN-I2"4"Ciedwred
jHlnupport
Plate (Golvoni:ed) (»" C"1/4
wPoClock
4
4•"sP3/411
L21&'X 2"X V4" S .
X I/2��Goss
Brace .12" Cpse
3AIL11E11
" spacibg
�2..
�Or
•-
L 1 3/4'X I uta'.X3/161 Eaulvdenr: Section Modulus
-Side' Roil t3•,� 4 1
•
40, I XI/4•Bar
19,
49
Side Roil
3 'X •X3/11;1
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a c2° X 311 X /teM
u
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Face °Angie
DETA I L
0V
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„� 3/41 Bar
a
I/4 Checkered Plate ( GalvoniZed )a:,
'
-
;lv2� ED TAIL11D11
I..X V4'�^Bar. f
V4 li n
3" i
Side ; Roil
«
13/4'X i..j(4; X 3/16"L
1/2" Steel. Anchor Not Shown
COUNTY OF RIVERSIDE
-
! - See 'Detail 11811 1.
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FLAT .OUTLET DRAINAGE
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STRUCTURE DETAILS f '
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STANDARD N0. 303 -A
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NOTE: r /
'With proper validation ..
this form.constitutes an
CITY -OF: LA QUINTA .
encroachment permit
-APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT).
S
�lOp T1�9
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: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION MA D150ki STREET WELL &7Z4- AT FIC WE 57
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION,�ISTA LL. rA [3LOVV OFF Sketch (attach construction plans if appropriate)
DRA1 N f
RER UW0 BRA W1 N 6 N 0
DESCRIPTION OF CONSTRUCTION ,
DIMENSION OF INSTALLATION OR REMOVAL
ELAN1S
SIZE OF EXCAVATION, IF NEEDED
' APPROXIMATE TIME WHEN WORK WILL BEGIN RP
REF R\VERSI`DE CD STAMDARD
APPROXIMATE TIME OF'COMPLETION_ E N0:. 303 $ 303 A
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com
pactionn-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.. l
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 re of this work } .
Signature of Applicant or Agent
CDACHELLA VALLEY WATER 015-T R 1 CT - 30X, )DSS C,0ACH ELLA,-CA'7398-2&5') Y3195'
Name of Applicant (please print) Business Address i, ' 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 a y
FEES: Subdivision Improvement Permit — Class'l l lht ,
Public improvements: 3% of estimated construction costs
Private improvements: 3%o of estimated construction costs i
'. �
Minor -Improvement Permit — Class IV: See attached schedule,. No0 9
Inspection Fee $ PERMIT VALIDATION
Permit Fee D9 Z,9 = '
, PERMIT NO, .
. Penalty - -�
Cash Deposit -Surety F
Bond DATE APPROVED
if required EXPIRATION DATE' �+�l�✓
TOTAL: $
DATE'ISS ED
Receipt No.
k gy'" r'
Received by Date ' Administrative Authority
Recorded by _ TELEPHONE:'(619)'564-2246
Ali ✓/.fes''/!1G�i/OI7� "' f `C�, .. ,,.
.
TR. 20717-2A TR R. 20717-2B
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UNITS A 1�
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TRACT 25500-3—/11!
PARKING
AREA
fP'
LAST ACCOUNT NUMBER:
DELETED NUMBERS: 18. 19. 20
TRACT 20717-2. 2A. 2B.
22432-4.25500-1.2.3.4
6-7-21-1
�F
WELL
6724
6724
f S 64421
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APPROVED:
11 MARCH 1987
DEPUTY CHIEF ENGINEER
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...... 0607164
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6-7-16
- 4
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GENERAL NOTES:
1. EARTH DIKE 4'± HIGH WITH 1:1 SLOPE ON
SIDES TO CONTAIN AREA APPROX.25'WIDE X501AX4Ci,
CONTAINED AREA TO BE EXCAVATED TO .AN"l APPROXIMATE 5DEr-r17-T.
2. BERM TO BE- FORMED FROM MATERIAL ON SITE, AND TO BE
COMPACTED TO A RELATIVE 85% COMPAC 'ION.
3. VERIFY LOCATION AND DEPTH Or ElAmll'
STUB PRIOR TO TIE IN OF PIPELINE.
4. SHADED AREA TO BE COVERED WITH 2" TO 3 (INCHES) :OF 3/4" GRAVEL.
5. EXACT LOCATION OF TRANSFORMER PAD AND ELECTRICAL PANEL SHALL'
BE DETERMINED BY THE ENGINEER IN THE FIELD. HICI-I
. _ VOLTAGE CABLE, TO BE INSTALLED BY I I r�;> FORCES..
-
6: 6" X .375" WALL STEEL . BEND W/WELDED ENDS.
Il
M
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m (6
►-, It
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)00,/e
ASPHALT SPILLWAY
W141 %SLOPE 3.
TOE OI
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EXISTING BLOCK WALL - -�
VARIES
TOP OF BERM 1'�
ASPHALT APRON
BOTTOM OF CONCRETE
y 3 DRAINAGE DITCH
SECTION D -D)
BOTTOM OF POND Q
FLOW
ip:•
DITCH
W/0,1% SLOPE (SEE SECTION D -D)
NO SCALE
CENTERLINE,
I "'�_ Nb TE:
WALL SHALL NOT BE REMOVED.
CHUTE OPENING SHALL BE SAW -CUT,
AND. REINFORCED IN PLACE
Z.
IV
SECTION C -C
NO SCALE
R/W. 9
•y
FUTURE CURB + ^ 4! .
41'
EXISTING LAT,121.6-0,6-0.98
h
EXISTING ;BLOCK WALL L �30-0
"
- t/4"S?EEL PLATE OVER OPENINGj -7-1 6 1'MADISON AVENUE
SEE
NOTE
2 + — E --
I'-0" AIRGAP SEE NOTE 2
I � I
�CONC. SPLASH I 4
1e
COAL TARj
COATED
BEND
DIKE SECTION
-- N I- S
20`I
A
CURB
TE
m
•,:� - REVISIONS: + gate 81 . Acor. Do pod:
COACHELLA VALLEY
n _a '
�OW� `v ''C'''"r'`? COACHELLA. CALIFORNIA
'
b meq' b•'� .O - - + - i'
4 REBAR Drawn: DOMESTIC WATER
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� WELL 6724 SITE PLAN
*�~'gip. o. 230 131193 AND PUMPING PLANT.'
JA'.E P^o)ect Englneert
G lql Clvtt ���' , - -- - -- - -
SECTION D -
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1. OR. OF SEC. 16 T6S.. R7E. S.B.M
..., � U �' `` A�,``.•j' Recommended: v ;✓° , t -. i r r• ��.l�..r.°7' f _ t
DEOUTY CHIEF ENGINEEA R C.E. o. CO28151 fle °-�•
NO SCALE . ,�e�e�.. 0 2 2
f � a , ._,,, OperEt n pt� i 10 . � g 1 � 4 4.6 � NONE.
Approved:. y � , ,I" ,, , " �.• ,r. _. t e.•: � R°_ ^�e: ?r va ..—.�
. _ ,�, > 23 JAN 90 n_ y g --t-16442
GENERAL MANAGER -CHIEF FNGINEER A.C.E. No. 0023078 /' _ t 1 1 0 .
V28 W�
0
N
EXISTING BLOCK WALL - -�
VARIES
TOP OF BERM 1'�
ASPHALT APRON
BOTTOM OF CONCRETE
y 3 DRAINAGE DITCH
SECTION D -D)
BOTTOM OF POND Q
FLOW
ip:•
DITCH
W/0,1% SLOPE (SEE SECTION D -D)
NO SCALE
CENTERLINE,
I "'�_ Nb TE:
WALL SHALL NOT BE REMOVED.
CHUTE OPENING SHALL BE SAW -CUT,
AND. REINFORCED IN PLACE
Z.
IV
SECTION C -C
NO SCALE
R/W. 9
•y
FUTURE CURB + ^ 4! .
41'
EXISTING LAT,121.6-0,6-0.98
h
EXISTING ;BLOCK WALL L �30-0
"
- t/4"S?EEL PLATE OVER OPENINGj -7-1 6 1'MADISON AVENUE
SEE
NOTE
2 + — E --
I'-0" AIRGAP SEE NOTE 2
I � I
�CONC. SPLASH I 4
1e
COAL TARj
COATED
BEND
DIKE SECTION
-- N I- S
20`I
A
CURB
TE
m
•,:� - REVISIONS: + gate 81 . Acor. Do pod:
COACHELLA VALLEY
n _a '
�OW� `v ''C'''"r'`? COACHELLA. CALIFORNIA
'
b meq' b•'� .O - - + - i'
4 REBAR Drawn: DOMESTIC WATER
�.
• ''
r�
1
� WELL 6724 SITE PLAN
*�~'gip. o. 230 131193 AND PUMPING PLANT.'
JA'.E P^o)ect Englneert
G lql Clvtt ���' , - -- - -- - -
SECTION D -
I) hh tl�
1. OR. OF SEC. 16 T6S.. R7E. S.B.M
..., � U �' `` A�,``.•j' Recommended: v ;✓° , t -. i r r• ��.l�..r.°7' f _ t
DEOUTY CHIEF ENGINEEA R C.E. o. CO28151 fle °-�•
NO SCALE . ,�e�e�.. 0 2 2
f � a , ._,,, OperEt n pt� i 10 . � g 1 � 4 4.6 � NONE.
Approved:. y � , ,I" ,, , " �.• ,r. _. t e.•: � R°_ ^�e: ?r va ..—.�
. _ ,�, > 23 JAN 90 n_ y g --t-16442
GENERAL MANAGER -CHIEF FNGINEER A.C.E. No. 0023078 /' _ t 1 1 0 .