0962M' ' 0.r. _ t .. , ... - • f+
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4 .
Jrµ .- ,„n - • ` • _ .{ ..• � l- � •, 4
•.
.'NOTE:.'
proper validation
tFiis form constitutes an _ CITY OF LA *"QUINTA `
encroachment permit
APPLICATION FOR PERMIT
ft -
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
•' - �' OF
For 'the construction of, public orprivate' curbs; driveways, pavements, sidewalks, parking lots, sewers, water mains.
and other'like.public works• improvements • in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS '
Subdivision.lmprovement Permit'— Class III:
DATE: `• Decor' 00. 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION AiTPni7A 47 r. Pi3,tt cif-WAshi_h a -Soft- Tr 24230, '
x (Street address or Description of Location)
0.
12" abandon ' existing'
PURPOSE'OF CONSTRUCTION aSketch -(attach.constructlon plans if appropriate) .
domestic water .p11 ine - "
DESCRIPTION OF:CONSI .... ON pipeline to.be abandoned. as''shown an attached'Dist. Plat t
_;. in place _ Sheet 5-7-30-1
' "�•� 'CVWD to operate and maintain all
• DIMENS,IO.N OF, INSTALLATION OR REMOVAL -sewer and' water fines r
SIZE OF EXCAVATION;dF NEEDED ' }
A.
_. APPROXIMATE TIME WHEN WORK WIL"L BEGIN,• •1/91 F' ,
APPROXIMATE TIME OF COMPLETION
'ESTIMATED CONSTRUCTION COST $ 2+500 L
',-,(Including removal of all obstruction, materials, and debris, backfilling, com-„
.�..- i
., pactiow and placing. permanent resurfacing and/or ,rep(acing improvements)
In' consideration of the granting of this permit, :thetapplicant.hereby agrees to:. Y s'
.Indemnify,' defend and. save the City, its authorised agents, off icers,,representaiives and employees,, harmless, st from. and againany and all
F ' 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 yapplication. 4 F,
Notify. the Administrative. Authority at least twenty-four (24) f ours,'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:regulation.s,of the City of
La Quinta and -to pay for any additional replacement necessary'as the result of this'work. y'
P. Vnrd f -
„ . >. Signature'of Applicant or Agent
- Coachella -Valley water.District PO Box 1058 Coachella'+' CX'692236 398-2651', ext -265
Name.' of Applicant `(please print) xx Business Address Telephone No:, '
Name of Contractor and Jo Foreman , �, Business Address � Telephone No''
Contractor's License, No. City'Business4License No. -
f
Applicant's Insurance Company ';' �` Policy Number ..
FEES: Subdivisionlmprovement Permit;- Class III
Public improvements: 3% of estimated constructioncosts
Private improvements: 3% of estimated construction costs
Minor' Improvement"Permit_- Class IV: See attached schedule
� _ � , .• " r ,.., " .max "
Inspection Fee, PERMITS VALIDATION
Permit Fee f 1 PERMIT N0- 0962
Penalty 4• 12/20/90
,Cash Deposit -Surety Bond
DATErAPPROVED'
if required EXPIRATION DATE 3/31/91
"-0-
TOTAL: $ DATE IS.D 12/20/90
Receipt No. j
i By -
`Received by Date Administrative Authority ,
Recorded by TELEPHONE: (619) 564-2246
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: D20—Mber 00. 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Azromis- 47- f3m-,t- of washa.nc7t0n Tr 24230
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION abandon existing 12" Sketch (attach construction plans if appropriate)
dumstic water pipeline
DESCRIPTION OF CONSTRUCTION 2122"no "o 22 avanaonea
in place
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 1/91
N
APPROXIMATE TIME OF COMPLETION 1/91
ESTIMATED CONSTRUCTION COST $ 2,500
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements) _
Inconsideration of the granting of this permit, the applicant hereby agrees to:
as shown as attached Dist. Plat
Sheet 5-7-30-1
OW to operate and maintain all
sewer and water lines
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.
R,. F01ry1
Signature of Applicant or Agent
Coachella Valley Tiater District PO Pox 1058 Coachella, CA 92236 398-2651, ext 265
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'
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
$ _0_
Received by Date
PERMIT VALIDATION
PERMIT NO. 0962
DATE APPROVED 12/20/90
EXPIRATION DATE 3/31/91
DATE ISSUED 12/20/90
By
Administrative Authority
Recorded by II TELEPHONE: (619) 564-2246
.fK+�M-�►�.'�..r�►ws-�!�w+s.e!+�
�'+r+tr ... w. tl+ .-.e a4 w �.+m w... w w n_., w .a+-+!� ¢.-.w w w � .+ria. �M"M� .o. +a �.....y.� .n �. 4-e,rrr .......ter r .. s ns .r' .!� r ...
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: D20—Mber 00. 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Azromis- 47- f3m-,t- of washa.nc7t0n Tr 24230
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION abandon existing 12" Sketch (attach construction plans if appropriate)
dumstic water pipeline
DESCRIPTION OF CONSTRUCTION 2122"no "o 22 avanaonea
in place
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 1/91
N
APPROXIMATE TIME OF COMPLETION 1/91
ESTIMATED CONSTRUCTION COST $ 2,500
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements) _
Inconsideration of the granting of this permit, the applicant hereby agrees to:
as shown as attached Dist. Plat
Sheet 5-7-30-1
OW to operate and maintain all
sewer and water lines
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.
R,. F01ry1
Signature of Applicant or Agent
Coachella Valley Tiater District PO Pox 1058 Coachella, CA 92236 398-2651, ext 265
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'
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
$ _0_
Received by Date
PERMIT VALIDATION
PERMIT NO. 0962
DATE APPROVED 12/20/90
EXPIRATION DATE 3/31/91
DATE ISSUED 12/20/90
By
Administrative Authority
Recorded by II TELEPHONE: (619) 564-2246
r
The following General and Special Provisions are attacned to and made a part of Permit No. 0q(,
»
s + GENERAL PROVISIONS
L,
The following shall 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
secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting work.
r
TRACKLAYINGCONSTRUCTION EQUIPMENT: Cleatedtracklayingconstructionequipmentshallnotbepermittedtooperateonany
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. spalled. or broken during the term of this contract. or if the pavement is marred. City of La Quinta shall request
4
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
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.
• s.
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
I
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 is felt bythe permittee that he mustclose a street for
any length of.time, permittee shall contact this office to obtain the necessary permission.
'
SPECIAL PROVISIONS
`
The follwing shall apply ONLY when indicated:
ONOTIFICATION: 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 coverall work involved in the restoration of the various La Quinta.
roads and survey monuments. This bondshall be continuous until cancelled by the City Engineer. This bond must be
` �'•
posted prior to commencement of any work on this project
R3 LIT ILITYCLEARANCE: (Substructures( Prior to making any excavation within the City of La Quinta right of way authorized
-
by permit, the permittee shall contact all concerned utility companies relative to the location of existing substructures..
Damage to existing substructures resulting from operations conducted under this permit shall be the sole responsibility
of'the permittee.
®R4UTILITY CLEARANCE: (Surface structures) No work shall be done under this permit until all utilities are clear of the
4
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
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 $1461.
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�GRADE CHECKING: City of La Quinta shall checkgrades upon receipt of plan and profile 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.
+
R10DRIVEWAYS, A.C.: Driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the
r 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.
t
811 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.
+
SIGHT CLEARANCE: Sight clearance of 600 feet in either direction shall be assured and maintained.
VR13
SOIL STERILIZER: The area to be surfaced shall be treated with soil sterilizer. Rate of application shall comply with the
t
a
manufacturer's specifications..,
'
R14 COORDINATE WORK: The proposed work shall be subordinated to any operation which the State of California or
Y
City of La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or
City of La-Quinta forces to preclude delay or interference with State or City of La Quinta projects.
115 S RVEY MONUMENTS: Prior to excavation or beginning of construction, all surveymonuments which exist on the
nterline of all streets or propertyf ines when involved shall be completely tied out so they maybe readily and correctly
_ I
be replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete set of notes showing the
ties to these monuments shall be furnished to the City Engineer prior to the removal of any monuments. This office shall '
be notified upon completion of replacement of all survey monuments for proper project clearance.
.I' :.........' -.. .I
RU -31
R16 SURVEY MONUMENTS: Prior to excavation or beginning of c uction. all survey monuments snall be tiedout by City
a Quinta and suitable payment or guarantee of paymei.. ...all be made as reimbursement for all work involved.
R17 EMENT 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 circurr'stances 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.
R� LIMIT OF EXCAVATIONS: Excavations shall be limited to 1,000 lineal feet of open trench before backfill operations must
begin. All excavations shall be properly barricaded with lights overnight, on weekends and holidays for the protection of
the traveling public. The Public Works inspector shall determine the suitability of excavation barricading in each case. No
excavation shall remain open for a period exceeding five (5) days. No excavation shall be made unless the construction
aterial 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 Quints deems unsuitable (spongy or
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 131 andvibrated using vibrotamper or equivalent equipment. Alternate methods maybe substituted, but in any
case a relative compaction of 95 percent shall be attained within the structural section of the roadway.
R22 ACKFILL PLACEMENT: Backfill shalt 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') 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 isthe greater
compaction. Where ponding or flooding is used for a maximum settlement, adequate dikes will be constructed to retain
the water. Where jetting is used, the jets shall be of sufficient length to reach the bottom of each layer and the water
supply shall be continuous.
R23 COMPACTION TESTS: If so required bythe inspector. compaction tests shall be made at i ntervals 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 andfiled 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.
tR25�after
EMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations. a temporary patch
onsisting of 2 inches of SC-800 shall be placed on a prepared subgrade. The SC-800 temporary paving shall be placed
r a maximum of 3,000 lineal feet of trench has been excavated and backfill operations completed, but in no case shall
RCthe placement of the temporary p,.vd�T,ai�i exceed a fi:a (b) day iimit.
26R26 ERMANENT PAVEMENT REPAIR: After backfill and compaction operations have been completed, a temporary patch
onsisting of two inches 121 of SC-800 shall be placed immediately. A permanent patch of inches A.C.
surfacing placed on a -inch class s ba�allbeplaced nolater than �days after completion of
temporary road repair. t/tiQ_L� n�
R27 PAVEMENT REPAIR: F.A.S.: Upon completion of backfi I I and cdmpaction, a temporary patch consisti ng 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 Quints 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 sections which can be handled safely without 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 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 Quints 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.
t ADDITION- NCROACHMENT PERMIT NO.09 '----CONDITIONS.
R33
.Survey monuments shall be 'protected in place -or.
re-established pursuant to City standardsand,the-State of
California Land Surveyor's Act.
R-34`
Work 'shall be' -coordinated with the City of La. Quintals
forces to•preclude'delay or interference with the City of La
'Quintals projects. .
" R'35
Contractor 3sha1°l cofnply with the .local ;noise' ordinance ,and
'construction operations•'.and-maintenance of equipment'within
one,half mile of human occupancy' -shall be performed'only
follows: -
during the time"periods as
October ls't•to April`30: 'Monday-.,Friday,,7:OOa.m.-5:30p.m.
.Saturday- s. 8:OOa:m.-5:OOp.m.
May -19t to -,September -30: Monday, -Friday 6:_00a -.m. -7:00p m.
Saturday 8:00a.m.-5:OOp.m.
Work'shall�be.prohibited anytime on Sunday and Federal
holiday.
R . R36
Traffic control shall be as per' Cal 'Trans Traffic Manual. .�
,
Field adjustments in-detouring'shall be accomplished as
-.directed,,in order_ to. -adjust to :actual •'field conditions. It
shall be the contractor's responsibility,:to adequately
barricade and -detour this site. -A Traffic control plan shall
be :submitted for- approval by the City Engineer,.
' R37
,.All excavation"at or^.near tle travel way shall be backfilled
,at the end of"the-work day, forthe.protection of'the .
traveling public.
R38
Street closure`s .shall not be,allow: any time':
R39
'.A minimum of.one travel.,lane shall be:maintained at all
times with flagmen during working hours. '
R40
All work to be performed within the existing paved section
•shall be temporary,paved arid'maintained,by;the Permittee, '
•
permanent pavement shall be -placed no'later than 15 days
-
after completion of -,the temporary road• ,repair ..'
t
R4i",
Ingress,and�egress for'locai properties shall be maintained
' .
at all times ,
'R42
Prior to work, starting, 'Underground. Service` Alert:: shal•1 be' <;
contacted' at':1-800-422-4133 ,and ..an -,"inquiry .-number" shall be,
f
provided to`the City'Public Works. Inspector..
•R43
Pavement. shall .be sawcut prior to removal,. '
•.
as
Z.
in
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sir ��
-
•. `"
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in
NOTE:
With proper validation
this form constitutes an
encroachment permit
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs. driveways, pavements, sidewalks, parking lots, sewers, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit - Class III
GATE: , Z- kq -�� Minorlmprovement Permit Class,IV
LOCATION OF CONSTRUCTION Ay ENVE 149 - EAST UG W As\4�t'4(-T7ptJ e:_T
-'C c G Lrk 2y 2 3 O --
(Street address or Description of Locsuon)
PUPOSE OF CONSTRUCT ION
�OY-4ES'T
OES RIPTION OF CONSTRUCTION " P \�'EL-� N E \3 Zy 8E
A�'o vN66CN e � a P \ a -cc -
DIMENSION: CF IN:ST:.LLATION OR. REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN \ Ck \
Sketch- (attach construction plans if appropriate)
A S S�(N o v.9
C —\Ij - b : �C) oresGNe.
APPROXIMATE TIME OF COMPLETION q
ESTIMATED CONSTRUCTION COST S 2, 500
(Including removal of all obstruction-, matarisis; and debris, backfilling, com-
paction and placing permat em resurfacing and/or replacing improvements)
In consideration of the granting of this permit, the applicant herebyagrees•to:
Indemnify, defend and -awe the City, its authorized "sates; Officers, representattva•end employees, hwmless from and against env and all
penalties. Iisbilities or low, raultirtg- from- claims°or court scion and arising out of any accident; lots or damageaci persons or prooerry
happening or occuff" as a pro:irnste,rewit, of uw-work undertakNher:undMe permit jrsnted� pursuant to this application.
Notity the Administratne Authority at least twenty-four (24)- hours in advance of the until when work will be started.
Comply with all applicable City Ordinances; the tarns and conditions of the permit and &III soplicable rules and regulations of the Cuv or
La Quints and to pay for env additional retilacement•necessery as the resuit.at this work.
Signature of Applicant or Agent
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Name of Applicant (please print) Business Address Telephone No.
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Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No.
City Business License No.
Applicant's Insurance Company Policy Number