10731'
J , y
NOTE 3
rt,fi�,ij�A.��wr�rwrn�..�:.-.�
L
With proper validation
"this form constitutes an CITY OF LA QUINTAo
encroachment permit s°t
APPLICATION FOR PERMIT
,wP,UBLIC WORKS -CONSTRUCTION (ENCROACHMENT)
• �' A , "�^' .4. . ,{ SOF TRg�
For the construction yof public or private curbs, driveways; pavements, sidewalks, parking lots,' sewers, water mains
sand otherlike.public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
,,Subdivision Improvement Permit = Class 111
'DATE: Minor Improvement Permit lLIs IV
y LOCATION'OF CONSTRUCTION 6/w tyKNE R bF i-Err—FER,5aN t 5Z WE A,V>�' • r
(St d
et add or Descriptiori of Location) w „
. � v - R E. PA I K DAMAGED,-',- , _ r . ,. �� � - ° ' •, -_
PURPOSE -OF CONSTRUCTIONSketch (attach construction plans if appropriate) ..r
DESCRIPTION OF CONSTRUCTION REF�eEIUGE'' 'Cy,T'' . PERMIT
t"
NO, 0147"
,DIMENSION OF INSTALLATION OR REMOVAL
^SIZE OF EXCAVATION,iIF NEEDED 'X X S'EE Pt '
1`W, ASPHALT, A DL .- 127 18,' Pis - 0M ' �
q �s.APPROXIMATE TIMEWHEN WOR�K•WILL BEGIN -
APPROXIMATE TIME OF COMPLETION
Y ESTIMATED CONSTRUCTION 'COST $ * ;.
(Including removal of. all obstruction,' materials, and debris,- backfilling, com-
paction
om paction and placiiig permanent resurfacing and/or replacing:' provements)
.
'In consideration of the granting of this permit, the applicant hereby agrees to: `
11
IndemnifyAefend and save the City, its authorized agents, off icers,`.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. "i ` e
+ Notify .the Administrative Authority at least twenty-four (24 hours in advance of the time -when work will be started. u
r _ Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable .rules and regulat ons 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. i 1
HERMA4: ,'W.E1y5KER 'INC. �SZD 'IN06TRIAL DR 13LWMINGT MCA 4 3'Ilo:' 1
Name of•Applicant'(please print) Business.Address,. r Telephone No.
i$ARY W 16S E R `.(7) 4)- 677- •147o
'Name of Contractor and�Job Foreman Business Address Telephone No.
Contractor's License No. + City Business License No.
`\Applicant's Insurance Company • Policy Number
L
+ '
r _ -
� TEES: Subdivision Improvement Permit — Class I I I y • .
Public improvements: 3% of estimated construction costs
. TO 7 3:..
,
Private improvements: 3% of.estimated construction costs {
s Minor Improvement Permit .— Class IV: See attached schedule f
9
Inspection Fee $ g�' �� • PERMIT VALIDATION +
Permit Fee /O' 00 - 1,073 4-25-91
"
.•+�' PERMIT NO. -
Penalty_ ,~ "
Cash Deposit -Surety Bond DATE APPROVED
if required EXPIRATION DATE �0 9Y
TOTAL: $ 9O • DD 1• 4 ''Z D - q DATE ISSUED
r
Receipt No.
By
Received by Date Administrative Authority
Recorded by TELEPHONE: (619) 564-2246
i
. 1 n'P
CY2b. 4� I
M• �'
NOTE.
With propervalidation
this form constitutes an
encroachment permit
0
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PyUBLIC 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
4_25 'q 1 Subdivision Improvement Permit — Class I II
DATE- Minor Improvement Permit:Class IV
LOCATION OF CONSTRUCTION 6/W CbK N E R OF `EFF ERSON t 52 ^=° AVF_
(Street address or Description of Location) ,.
PURPOSE OF CONSTRUCTION REPA1 D� MACE D Sketch (attach construction plans if appropriate)
D T FDR. TFLE PHME CABLE-
DESCRIPTION
A LE REFE.eEtULE CITE '• PERMIT.
DESCRIPTION OF CONSTRUCTION N0. 01-47�
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, I
APPROXIMATE TIME WHEN WORK WILL BEGIN
N
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(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:
a
o bbyy44 5
i005fp'Shl,llgiAUh-Ai26-9!90.00 a4
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.
/-.�4 e 4 A t 1, A-rx
Signature o'f pp.licant or Agent
HERMAN .WE165KER INC. 2820 INDDSTRIAL DR- BLOOMINGTON CA qZ3110
Name of ApplicanP (please print) Business Address . Telephone No.
GARY W15SER (714) 077-Z470
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
Inc ection Fee $ 100.00 - 1I
p
Permit Fee
10,00
Penalty
Cash Deposit -Surety Bond,
if required
TOTAL:
q0. 00 tif..•:. .
$
Receipt No.
Received by
Recorded by
Date
1073
PERMIT VALIDATION
PERMIT NO. !073
DATE APPROVED C4' ZS- cI/
EXPIRATION DATE : 901
DATE ISSUED 4 —Zin q it
By^^"^''J&O'W��1 I
JV Adm istrative Authority
TELEPHONE: (619) 564-2246
t_ �,
NOTE: • 7,: i ; yw' ,
With proper validation
this form constitutes an
o r'
CITY OF LA QUINTA ,'
• encroachment permit ' , • .
APPLICATION. FOR PERMIT - ' 7'+, r ; 98
' PUBLIC WORKS CONSTRUCTION- (ENCROACHMENT) -Co 0 ,
For the construction of public or private curbs, 'driveways, pavements,.sidewalks, parking lots, sewers, water,mains
t and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit— Class II I ,
4- 25,91
,. DATE: "- Minor. Improvement Permit Class IV'
`LOCATION OF CONSTRUCTION S/W 'CaRNER• OF' SEFFER5DN 4 52 N' AVE"'
. (Street address or Description of Location) . ` - • . t, ' - V - , - yi
PU P S F...CONSTRUCTION. .'REPAI K ,DAMAGED ` , " « • '
Sketch (attach. construction plans if appropriate)
DU YYFDR TEE PHUH- CABLE •s
'DESCRIPTION OF CONSTRUCTION REFEeEW-E ,. GTE . PERM,IT •, , •,
NO. 0`19.7- ,
DIMENSION OF INSTALLATION OR REMOVAL
•� ;SIZE OF EXCAVATION, IF NEEDE X 5_ EE 1 051 —26-91 14
IN' •AGRALT .'NEXT 18 PAs 1 g aL i 90.00.
APPROXIMATE TIME WHEN WORK WILL BEGIN ; ?:
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ i �� '" �•.
(Including removal of all obstruction, materials,'and debris, backfilling, com ` ` `, r -•ti ,.
paction and placing permanent resurfacing' and/or replacing improvements) 4
,In.consideration of.the granting of -this perrnit, the applicant hereby agrees to:
' •,tIndemnify, -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 i
• happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application.
NotifytheAdministrative 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.
r _ La_Quinta •and to pay for any additional replacement necessary as the result of this work. ,
' --{�•
v Signature o pplirant or Agent
HERMAN ; WEIZ25KER• INC: •2820 MOSTRIALDR BLODMINUON CA gZ3110
Name of Applicant (please print) , ` Business Address Telephone No..
GARY W15SER ' ' '"`' "
01-1
(714) 877-Z470
Name of Contractor and Job.Foreman x�. . -Business Address -.'Telephone No.
,... •
Contractor's License No. r 7 ,' . -City Business License No.,.
Applicant's Insurance Company "_: :.,r Policy Number
FEES: Subdivision Improvement Permit —Class I I I'
' Public improvements: 3% of estimated construction costs '7 ".
Private improvements: 3% of estimated construction costs cth ` .1 07 «
3 ` • •, %
Minor Improvement Permit = Class IV:.See attached schedule �rti _ ;» t
L
•� L+
Inspection Fee $ ' y. r } ' ' PERMIT VALIDATION'- ' >
Permit Fee, 10.0Q 14073 J
r' t PERMIT NO.
Penalty 4: 25= 9l '
DATE APPROVED
Cash Deposit -Surety Bond _
if required . , y i • _ f — �r7 — 907 t
y +" 1 g0.OD
TOTAL:• .• EXPIRATION DATE t
$ , +
.z. — C,1.
DATE ISSU D"
Receipt No
V : , y t.
r , , By <.. -
r
. Received(by M1 Date , t *. -Administrative Authority '-
Recorded by , '" .,4.. '3 -TELEPHONE: (619)56 .1 4-2i4,6
"'
Provisions
At.' y
".�.
The following General and Special are attached to and made a part.of Permit No.
GENERAL PROVISIONS
•�
The following shall always apply:;
s-•.;°�,
ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within City of La Quinta right of way.
,. • i .R f R a`- , ONLY' Whenever construction extends within private property, it shall be the responsibility of the permittee (or his contractors) to
�`' r• • - +'
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 operateon any. +
, F a ! , T '+ 1•.
paved s u rface u n less fitted with smoot h -faced street pads. AlImechani' Ioutriggersshallbefitted wit hrubberstreet shoes toprotect -
V t
<,,
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
.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.
r . "
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. Suitiible detours and detour signs shall be placed and maintainecl for t" duration'
:•-
of the project. The City shall be notified 24 Hrs. in advance of any traffic detours of 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.
} e
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
mediately after backfill. ' " ° "
rt.W
DE -WATER OPERATIONS: If de=watering operations arerequired 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 Iane'of traffic shall tie maintained at all times to provide limited,
r "'•
, for the adjoining property owners and emergency vehicles. In the event it is felt by the permittee that he must close a street for
t + ,
•access
any length of time, permittee shall contact this office to obtain the necessary permission:`A. •��! 4�
Y"�
+ SPECIAL PROVISIONS _ • <
The foltwing shall Sipply ONLY when indicated:
NOTIFICATION: Permittee shall notify the City at 564-2246 at least 48 hours in advance of starting construction. r'
R2' CASH DEPOSITS OR BONDS: A cash bond or anapproved 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
5' y
`►tY. 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
UTILITY CLEARANCE; (Substructures) Prior to making anyexcavationwithinthe City ofLaQuinta right ofway authorized•
by permit, the.permittee shall contact all concerned utility companies relative to the location of existing substructures.' -
y . _
. , ..,.
• Damage to existing substructures resulting from o erations conducted under this permit shall be the of
9 9 9 P P e s a responsibility, ,
of the permittee.
"� •'
R4 UTILITY CLEARANCE: (Surface structures) No work'shall be done under this until all utilities r•
t `.,-
permit are clear of the
proposed worksite. The permittee shall notify all concerned utility companies of the proposed work. + - -
,r-*•
' '
`PAVEMENT�WIDENING: Area, the proposed concrete gutter line and the existing road shall be
R5 pavement
surfaced with inches of A.C. paving placed on inches of class aggregate subbase course -
..
having an"RCvatueof not less than and in conformance with City of LaQuinta Road Improvement Standards =,
t . • .,
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
r,
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
V,
construction. '7 ;
' «•r
` RS GRADE CHECKING: City of LaQuinta shall checkgradesupon receiptofplanandprofileand/or grades asestablished by
*
a lirensed'engineer. ` t
'
:+ R9CURB 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 '
u - i
concrete driveway approach shall be constructed in conformance with City of La Quinta Standard #207.' `
-
r.• - •. _ - •i
e:."'- ;, ,' ,
�• R10 DRIVEWAYS, A.C.: Driveways shall be constructed as not to alter existi %g"drainage pattern' Surfacing"between the
property line and theexisting road paving shall be 2-172 inches of A.C. paving placed on ( ") of class '
"
aggregate base. Driveway construction shall conform to attached drawing.
R11 CULVERTS:A inchdiameter( )culvert shall be installed with the invert approximately 1-1/2. `
rY- .
inches below and in line with the existing flow Iine..Culvert installation shall conform to the attached drawing.
" -" ^ +
• R1 SIGHT, CLEARANCE: Sight clearance of 600 feet in either direction shall be assured and maintained.
a•+ r a . ',
} R13 SOIL STERILIZER: The area to be surfaced shall be treated with soil sterilizer. Rate of application shall comply w6 the
manufacturer's specifications:
,COORDINATE WORK:.The proposedworkshall be subordinated to any operation which the State of California or
City of La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or
.City of La Quinta forces to preclude delay or interference with State or City of La Quinta projects.
_
R15 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the '(
T •a !.
centerline 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. This office shall
be'notified upon completion of replacement of all survey monuments for proper project clearance.
L .'
The following General and Special Provisions are attached to and made a part.of Permit No. 1073
GENERAL PROVISIONS
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.
TRACKLAYING CONSTRUCTION EQUIPMENT: Cleated tracklaying construction equipment shall not be permitted to operate 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, 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 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.
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 permittee that he must close 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:
(5 NOTIFICATION: Permittee shall notify the City at 564-2246 at least 48 hours in advance of starting construction.
R2 CASH DEPOSITS OR BONDS: A cash bond or 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
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 .
R3 UTILITY CLEARANCE: (Substructures) Prior to making any excavation within the City of La Quinta right of way authorized
by permit, the permittee shall contact all concerned utility companies relative to the location of existing substructures.
Damage to existing substructures resulting from operations conducted under this permit shall be the sole responsibility
of the permittee.
R4 UTILITY CLEARANCE: (Surface structures) No work shall be done under this permit until all utilities are clear of the
proposed work site. The permittee shall notify all concerned utility companies of the proposed work.
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"valueof not less than and in conformancewith Cityof La Quinta Road Improvement Standards
and Specifications, Ordinance #461.
R6 PARKWAY GRADING: Area between the property line and topofthe proposed concrete curbshall be gradedto 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.
R8 GRADE CHECKING: City of La Quinta shall check grades upon receipt of plan and profile and/or grades asestablished 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 installedwith the invert approximately 1-1 /2
inches below and in line with the existing flow line. Culvert installation shall conform to the attached drawing.
R1 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.
R14 COORDINATE 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
City of La Quinta forces to preclude delay or interference with State or City of La Quinta projects.
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 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 priortothe removal of any monuments. Thisofficeshall
be notified upon completion of replacement of all survey monuments for proper project clearance.
_Z1
MENT.PERMIT NO.107Y3=:---C ITIONS F' -
r.
rADDITION----ENCRO
'R33
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'Qui'nta's
forces to'preclude•delay or,interference with the City of La
Quintals projects.,
r
R35
Contractor shall -comply with' the local"noise ordinance and
construction operations and maintenance of equipment within,
one half mile of human occupancy;shall be _performed only--
during. the time periods- is follows:. Y `
October 1st to• April•.'30: , Monday -Friday 7'00a.m.-5:30p.m. .
Saturday 8.00a.m..-5:00p.m.
May`lst to September 30: Monday -Friday 6:00a.m.-7:00p.m.
Saturday` 8:00a.m:-5:00p.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 detour ing.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 . . =
F R37;-`
All excavation at or near the travel way shall be backfilled
at the'end of the -work -day, for the protection of the
'.
—traveling public. ,
R38
.Street closures shall not be'allowed at 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
shallr be temporary paved and maintained by. the Permittee,,
permanent pavement shall- be placedeno later.than 1.5 -days-
after completion of the temporary' road "repair.
R41
Ingress and egress for.local properties shall'be maintained
at all times. �.
R42
Prior -to work -starting, 'Underground Service Alert shall be
contacted :at 1=800-422-4133 and an "inquiry number" shall be
provided"to the City Public Works Inspector.
.. 1 � a' - f. '7'�',, ` t, �.�. 1. �
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y, YI'•t., ..,- 'xY • . _F'? T* a I2x 1 sem' SS J i.
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Additional; Conditions - Encroachment.Permit. No. 1073
3Page
2
4 R43
;All .backfill subgrade soil. shall be compacted to s;nothing
:t
,
less than 9'0 % 'relatiw'e'dry' density; a11'backfll 'soil 'within``
f
top. 2'' of ,f inish pavement`surfac-e shall'.be
.compacted `to
nothing `-less than` 95% relative- dry density, all+<'base
i
material. shall ' be compacted' nothing' less" 95%
�to
relative . dry density.
R44
"Pavement shall•••be 'sawcut prior to,. removal-.-., �'•3, t ..
t
r J
t ' R45Y
•Replacement -'r=pavement - sections'shall by deep strength '
.
operation ' of 9" ' of A. C ..
_
R46 '
= If -' the . workF isI to be performed, by forces: •other_'than of
,that' .'
the uti•iity•'. company, the contracting company will; 'be :
yy
A.
required'' to,, apply for fan additional encroachment, permit
a
~and •pay 'the appropriate fee. �r. ;` . ' . '� _ • ,: .
•
3 },
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11100-`Y1_-41
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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
DATE: 9/Z4
LOCATION OF CONSTRUCTION
Subdivision Improvement Permit — Class 111
Minor Improvement Permit Class IV
CA f Ee s flet Q . /-(-t/! �Z
(Street address or Description of Location)
PU POSE CONSTRUCTION EPA/� UAi`�JA6 TC �P�o.J� Sketch (attach construction plans if
.� OF .. _ appropriate)*
DESCRIPTION OF CONSTRUCTION VIA LT_ 1/9 "ILR U?
SY erz 6
DIMENSION OF INSTALLATION OR REMOVAL 4 X SSPK,azT
SIZE OF EXCAVATION, IF NEEDED 4�X R K-5 prf
APPROXIMATE TIME WHEN WORK WILL BEGIN 2 S 9I
APPROXIMATE TIME OF COMPLETION Z 9
ESTIMATED CONSTRUCTION COST $ 2, 00 O
(including removal of all obstruction, materials, and debris, bac(filling, 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 resuit.of this wor
Signature of Applicant or Agent "w!
MA•�t/ Wr�/S'�1� ��ll 2! goo I/JP,)g ijej+C 1�2 �ca9M�,s(/SAI �l 92316 (9#,1897-242i
Name of Applicant (ple se 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 *TO
Minor Improvement Permit - Class IV: See attached schedule
Inspection Fee S �i PERMIT VALIDATION
Permit Fee PERMIT N0.
Y -
Penalty °
Cash Deposit -Surety Bond
if required
TOTAL: $
Receipt No:
Received by - I I. Date
Recorded by
DATE APPROVED t
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE:.(619) 564.2246