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a. • NOTE:
With proper validation
this form constitutes an '
I CITY OF LA QUINTA
encroachment permit. + .:>
APPLICATION FOR PERMIT
f PUBLIC, WORKS ,CONSTRUCTION '(ENCROACHMENT)
BLANKET PHRI�IIT 1991(' C� OF fRg9�S
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
fi. Subdivision Improvement Permit = Class Ill - {
DATE: December o 1990 , `, Minor Improvement Permit Class IV
LOCATION OFFCONSTRUCTION Within the paven. and• earth- sections -of'' various . La Quinta
streets within the bouridries of General, Telephone Co.'of California operations
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION blanket permit. Sketch (attach construction plans if appropriate) f
` maintenance & re air'
''DESCRIPTION OF CONSTRUCTION p. _
bf existing' underground equipment'& installation. •.
a ± DIMENSION OF-INSTALLATION OR REMOVAL,not more than, '
THIS AUTHORIZATION DOES NOT INCLUDE
,80-LF=excavated under blanket permit. EXCAVATIONS OF FAS ROADS (major
_ roads)
SIZE OF EXCAVATION, IF NEEDED 4x4 bellhole and PERMITTEE SHALL NOTIFY CITY' HALL
'T installation - • • . ' A MINIMUM OF•'24 -,HOURS ,,PRIOR TO
APPROXIMATE TIME WHEN WORK WILL BEGIN
NOTIFY,.f-. THE START OF CONSTRUCTION
CITY -2 4 . HOURS • IN ADVANCE . OF ANY - WORK t
APPROXIMATE TIME-OF COMPLETION '
'.Dec.31,1991 FEPAROADS. TAED. PERMITS ARE; REQUIRED.f FOR
'ESTIMATED CONSTRUCTION, COST $ _ AS 0 S
(Including removal of,all obstruction; materials, and debris, backfilling, com " `• ",• •� y� ,� {•
: paction and placing permanent resurfacing and/or .replacing improvements) •
{ In consideration of. the granting of this permit, the applicant hereby agrees�to. F•
.. �
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. t0, persons or property _.
happening or occurring as'a proximate result of any work undertaken under the permit granted pursuant to this application. ,
r Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will rbe•started. '•' '�'
Comply with all,applicable City' Ordinances, the terms and conditions ,of the permit and all applicable rules and regulations of;the City of.
r La Quintatand to paylforrany additional replacement necessary as the result of this work. a
'Lee+Stauber,Sr'.=Engineer-Outside Plant
•Signatu're of Applicant or Agent. v
GenetaklTel•ephone,Company�of California' 83-793 Dr .,Carron Blvd.,. Indio,
' Name of.Applicant (please print) ' Busiriess Address :347-2- l � Telephone;No.
Name•of Contractor'and Job Foreman t , Business Address ` . ' ' .1 Telephone No "
Contractors License No: t City Busiriess.License No.
Applicant's Insurance Company y Policy Number
FEES: Subdivision Improvemene,Permit — Class III _
Public improvements: 3% of estimated construction costs e'
R�, • i.
-Private improvements: 3% of estimated'construction costs"-
Minorifmprovement Permit—.CI'ass.IV: See attached schedule + +. v
Inspection Fee' $ Y / ; PERMIT. VALIDATION
•!'Permit Fee
< PERMIT NO.
Sri•+ • ,, ;t'. ` b .,
' Penalty '•� A�� + .. �• - '-DATE APPROVED •,
Cash Deposit-Surety Bond.
if required ~! _ EXPIRATION DATE'-
-TOTAL:,.
ATE' TOTAL:,. ' `$ - + ` DATE ISSUED 1�3�yU ; • '� ..
Receipt No. -' /• • , • . � ,.
Received byr Date '� S ,, Administrative Authority
r
Recorded by ,',tTELEPHONE~ (619),564-2246 ,
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NOTE:
f With proper validation
this form constitutes an
encroachment permit
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
• M BLANKET PERMIT 1991
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: December 3. 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Within the paven and earth sections of various La Quinta
streets within the boundries of General Telephone Co. of California operations
(Street address or Description of Location) C
PURPOSE OF CONSTRUCTION blanket permit Sketch (attach construction plans if appropriate)
DESCRIQTION OF CONSTRUCTION maintenance & repair
of existing underground equipment & installation
DIMENSION OF INSTALLATI N OR REMOVAL riot more than
80 LF excavated under blanket peen t
THIS AUTHORIZATION DOES NOT INCLUDE
EXCAVATIONS OF FAS ROADS (major
roads)
SIZE OF EXCAVATION, IF NEEDED 4X4 be lhole and PERMITTEE SHALL NOTIFY CITY HALL
installation A MINIMUM OF 24 HOURS PRIOR TO
APPROXIMAT TIME WHEN WORK WILL BEGIN
WILL NOTIFY THE START OF CONSTRUCTION
CITY z4 H�URS IN ADVANCE OF ANY WORK
APPROXIMATE TIME OF COMPLETION Dec.31,1991 SEPARATE PERMITS ARE REQUIRED FOR
ESTIMATED CONSTRUCTION COST $ FAS ROADS
(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.
Lee Stauber,Sr. Engineer--Outside.Plant
Signature of Applicant or Agent
GeneteklTelephone Company of California 83-793 Dr. Carron Blvd., Indio
Name of Applicant (please print) Business Address J4 /—L 7 11 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
Minordmprovement Permit — Class IV: See attached schedule
Inspection Fee $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No
Received by Date
0 7
11
PERMIT VALIDATION
PERMIT NO. CX/q/-7
DATE APPROVED
t �
EXPIRATION DATE
r�
DATE ISSUED
By
Administrative Authority
Recorded by 11 TELEPHONE.:- (619) 564-2246
ADDITIONAL.CONDITIONS ,GTE:BLANKET PERMIT"',
'PERMIT NO. ,0947
January' 1, 1991..- December' 31;.. 1991
Survey monuments shall be protected in-place or
re-established pursuant,-to`City standards and the.'State �
of'California Land Surveyor's Act. '
Contractor shall comply with the.local noise ordinance
and construction operations':and maintenance of :equipment
within one half.mile.of human occupancy`shall,be performed
only during.the time periods.as follows:
October 1st to.,April30:'Monday-Friday 7:O6am 5:'30 pm.
Saturday 8 00am+- 5:,00pm
-May 1st to'Sep_t..30: ` Monday-Friday,6:00am - 7:'0.0 pm
Saturday: 8':00am - 5:00 pm.?
Work shall b6 prohibited anytime on -Sunday and•Federal
holidays.
` Traffic control shall be` as per' Cal, Trans '.Traffic. Manual. -
w Field 'adjustments 'in detouring shall be accomplished •as
directed in order to'adjust to actual field conditions. It
shall be`the contractor's.responsiblity`to adequately.
barricade.and.detour•this-site;• ;
All excavations at or near the travel way shall be
backfilled at the end •of- the• work day, ' for the ,protection , • -
of the traveling'
public,.
R37 This permit.is'only for,•work within publi& street right=of-
way.
R38
R39
R40
Ingress and egress for local properties shall be maintained'
.,.•
at, all,. time . ,
Prior,to work;starting;'Underground Service Alert.shall-be
contracted at 1-800`-422-3155 and 'an 'inquiry,number" 'shall'.
be provided to the -.City Public ,Works'• Inspector. 1
Pavement shall. •be sawcut.prior to, removal.
Replacement pavement shall.,be existing asphalt thickness.
plus one inch but not`,,less than „ 3 .,,inches.. of • AC paveinent:=
shall be placed. 'Class'2 aggregate base shall be as per
' existing or•4" minimum (whichever is greater)-.
If work is to' -be performed by forces..other' than the
utility ,.company,, the' contracting company ;,will be required
to, apply for- an .additional encroachment..permi.t- and
pay the appropriate fee.
The following General and SpeciaLProvisions are attached to and Jmade a part. of Permit No. '
GENE RAL_ PROVISIONS,.
{
'
ThefollowingshaII always apply:
ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work -to be accomplished within City of La Quinta right of way
ONLY. Whenever construction extends within private property, it shall be the responsibility of the permittee (or his contractors) to
a 1 r secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting work.
TRACKLAYINGCONSTRUCTION EQUIPMENT: < Cleated tracklayi ng con'sitruction equipment shal I not be permitted to operate on any,
paved surface unless fitted with smooth -faced streetpads. All mechanicaloutriggersshall befitted with rubber street shoes toprotect
the paving during excavations. Rubber -tired equipment only,shall be'used in backfill operations in paved areas. if the existing
pavement is scarred, spelled, 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 by the City -
Engineer•or.La Quinta City Public Works Inspectors. Suitable detours and detour signs shall be placed and maintained_ for the duration
J
+ 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.
v
Existing gutter line and drainage ditches shall be replaced tq their originaltstandard 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 l
` 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. Ayminimum 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 permittee that he mustclose a street for
" any length of time, permittee shall contact this office to obtain the necessary permission.
t
SPECIAL PROVISIONSi "
+
t 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 cashbondor an approved surety bond in an amount of not less than S
shall be furnished in, the name of City of La Quinta to cover all work involved in the restoration of the various La Quinta
t
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 .
(, �R3TILITY CLEARANCE: (Substructures) Priorto making any excavation within theCity of La Quinta right of way authorized
by permit, the permittee shall contact all concerned utility companies relative to the location of existing substructures.
i Damage to existing substructures resulting from operations conducted under this permit shall bethe sole responsibility
of the permittee.
R4 TILITY CLEARANCE: (Surface structures) No work shall be done underthispermit until all utilities are clear of the
oposed 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
x having an "R " va lue of not less than and in conformance with City of La Qui nta Road Improvement Standards
and Specifications, Ordinance #461. ,
R6 PARKWAY•GRADING: Area between the property I ine and top of the proposed concrete curb shall be graded to a slope of
1/4 inch to one foot (1').
n
R7 ,GRADES & STAKES: City of La Quinta shall establish grades and stakes for the proposed concrete curb and gutter
construction.
RB RADE CHECKING: City of La Quinta shall checkgradesupon receiptofplan and pFofileand/or grades asestablished by
n
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 cutprior to removal. Depressed curb, matching concrete gutter and "
concrete driveway approach shall be constructed in conformance.with City of La Quinta Standard #207.
J.
' R1..0 DRIVEWAYS, A.C.: Driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the
i 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.
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.
j
t
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
anacturer's specifications.,
r°
ti R14 OORufDINATE 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
.y
itv of La Quinta forces to preclude delay or interference with State or City of La Quinta projects.
' R15 S RVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the
erline of all streets or property lines when involved shall be completely tied out so they may be readily and correctly
l
be replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete set of notes showing the
t 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' -
R16 :Y MONUMENTS: Prior to excavation or beginning of con ion, all survey monuments shall be tied out by City
)uinta and suitable payment or guarantee of payment s„a„ a made as reimbursement for all -work involved.
R17 PAVEMENT CUTTING: Pavement will be mechanically cut to a straight edge prior to excavation. Method of pav&ment
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
avement straight edge shall be corrected.
R19 IMIT 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
aterial is actually on the work site.
R20 ACKFILLMATERIAL:Backfillshallbefreeofbrush,rootsorotherorganicsubstancedetrimentaltoitsuseforpurposes
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.
22 ACKFILL PLACEMENT: Backfill shall be applied in layers of not more than 50 percent of the total depth of the trench
efore flooding or a maximum of five-foot (5') liftswhere trenches areof excessive depths. Care isto 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 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 andfiled priorto 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.
24 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.
25 EMPORARY 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
e placement of the temporary pavement exceed a five (5) day limit.
R2 RRMANENT 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 bjse shall be placed no later than t'-5 days after completion of
temporary road repair. W
R27 PAVEMENT REPAIR: F.A.S.: Upon completion of backfill and cbmpaction, 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 armorcoats 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 restrictedto a maximum of 500feet atanyone time.
Adequate signs, flagmen, and/or barricades shall be provided to protect the traveling public at all times.
c. If tree trunks are partially outside of the City of La Quinta road right of way, permittee shall make his own
arrangements with adjoining property owners for consent to the trimming in addition to the authorization provided
by this permit.
d. All tree trimming on EVERGREEN TREES, PALM TREES, and other ORNAMENTAL TREES shall be accomplished to
the satisfaction of the City Public Works Inspector.
e. Abutting property owners shall be contacted, in all instances, prior to trimming or topping trees.
I 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.
. � ,
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