13052See below for Finance Revenue Codes
Titt4 a a 4,
.ENCROACHMENT PERMIT
PUBLIC WORKS CONSTRUCTION
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
Minor Improvement Permit - Class IV
DATE: 5/13/2013
LOCATION OF CONSTRUCTION: Imperial Irrigation District; Adams Street Bridge at Whitewater Channel
PURPOSE OF CONSTRUCTION: Undergrounding Overhead Facilities for Relocation Due to Bridge
DESCRIPTION OF CONSTRUCTION: Undergrounding Overhead Facilities
DIMENSION OF INSTALLATION OR REMOVAL: Installation of 3,000' of Cable. Removal of Distribution Wire Over Bridge
APPROXIMATE TIME WHEN WORK WILL BEGIN: 5/8/2013
TIME OF COMPLETION: 1/31/2014
ESTIMATED CONSTRUCTION COST: $600,000 (Including removal of all obstruction, materials, and debris, backfilling, compaction and placing
permanent resurfacing and/or replacing improvements)
COMMENTS For CIP 2006-06
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 occuring 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 at (760) 777-
7097. To submit an inspection request, leave a message on the Inspection Request Hotline at (760) 777-7097 prior to 1:30 P.M. at
least twenty-four (24) hours prior to the anticipated inspection.
Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and
of La Quinta and to pay for any additional replacement necessary as the result of this work.
Signature
Imperial Irrigation District (IID) - Jason Hernandez 81600 Avenue 58, La Quinta, CA 92253
Name of Applicant Business Address
Imperial Irrigation District (IID) - Timothy Dickerson 81600 Avenue 58, La Quinta, La Quinta 92253
Name of Contractor and Job Foreman. Business Address
N/A
Contractor's License Number
Self -Insured
Applicant's Insurance Company
FEES Subdivision Improvement Permit -Class I
Minor Improvement Permit - Class I
Finance Revenue Code
Inspection Fee EE=1
0.00
Permit Fee EE=1
0.00
As -Built Deposit E-A
0:00
Cash Deposit -Surety Bond, E—B
$0.00
if required
TOTAL
$0.00
nt
(760)398-5885
Telephone No
(760)398-5885
Telephone No.
N/A
City Business. License No
Self -Insured
Policy Number
Public Improvements: 3% of estimated construction costs
Private Improvements: 3% of estimated construction costs
PERMIT NUMBER: 13052
DATE ISSUED: _
EXPI ION DATE:
BY: I�7r.0
WORK INSPECTED BY:
PERMIT COMPLETION DATE*:
If the work is covered bya Subdivision Improvement Agreement, Subdivider
shall request final acceptance of improvements from the City Council.
See below for Finance Revenue Codes
ENCROACHMENT PERMIT
PUBLIC WORKS CONSTRUCTION
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
Minor Improvement Permit - Class IV
DATE: 5/13/2013
LOCATION OF CONSTRUCTION: Imperial Irrigation District; Adams Street Bridge at Whitewater Channel
PURPOSE OF CONSTRUCTION: Undergrounding Overhead Facilities for Relocation Due to Bridge
DESCRIPTION OF CONSTRUCTION: Undergrounding Overhead Facilities
DIMENSION OF INSTALLATION OR REMOVAL: Installation of 3,000' of Cable. Removal of Distribution Wire Over Bridge
APPROXIMATE TIME WHEN WORK WILL BEGIN: 5/8/2013 TIME OF COMPLETION: 1/31/2014
ESTIMATED CONSTRUCTION COST: $600,000 (Including removal of all obstruction, materials, and debris, backfilling, compaction and placing
permanent resurfacing and/or replacing improvements)
COMMENTS For CIP 2006-06
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 occuring 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 at (760) 777-
7097. To submit an inspection request, leave a message on the Inspection Request Hotline at (760) 777-7097 prior to 1:30 P.M. at
least twenty-four (24) hours prior to the anticipated inspection.
Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and r - t' of t it
of La Quinta and to pay for any additional replacement necessary as the result of this work.
Signaturof Applic t or Ag
Imperial Irrigation District (IID) - Jason Hernandez 81600 Avenue 58, La Quinta, CA 92253 (760) 398-5885
Name of Applicant Business Address Telephone No
Imperial Irrigation District (IID) - Timothy Dickerson 81600 Avenue 58, La Quinta, La Quinta 92253 (760) 398-5885
Name of Contractor and Job Foreman Business Address Telephone No.
N/A N/A
Contractor's License Number City Business License No
Self -Insured Self -Insured
Applicant's Insurance Company Policy Number
FEES Subdivision Improvement Permit - Class I
Minor Improvement Permit - Class I'
Finance Revenue Code
Inspection Fee E_1
$0.00
Permit Fee E_1
$0.00
As -Built Deposit E-A
$0.00
Cash Deposit -Surety Bond, E=B
0.00
if required
TOTAL
$0.00
Public Improvements: 3% of estimated construction costs
Private Improvements: 3% of estimated construction costs
PERMIT NUMBER: 13052
DATE ISSUED:
EXPIRATION DATE:
BY:
WORK INSPECTED BY':
PERMIT COMPLETION DATE':
If the work is covered by a Subdivision Improvement Agreement, Subdivider
shall request final acceptance of improvements from the City Council.
650 (fA)
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2. TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED. ADDITIONAL TRAFFIC CONTROL MAY BE REQUIRED TO FACILITATE PUBLIC SAFETY AND TRAFFIC FLOW IF DEEMED NECESSARY BY
CITY OF LA QUINTA REPRESENTATIVE.
3. THROUGHOUT EACH WORK PERIOD, CONTRACTOR SHALL INSPECT TRAFFIC CONTROL (SIGNS, BARRICADES AND DELINEATORS) AND MAINTAIN SAME IN ACCORDANCE WITH TRAFFIC CONTROL PLANS.
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6. THIS TRAFFIC CONTROL SHALL BE IN PLACE DURING WORK HOURS ONLY. AT END OF THE WORK HOURS, THE ROAD SHALL BE CLEAR OF DEBRIS AND TRAFFIC RETURNED TO NORMAL.
7. THIS IS ATYPICAL AS THE MAY NEED TO MOVE FURTHER ALONG THE ROAD OR TO THE OPPOSITE SIDE.
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2. TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED. ADDITIONAL TRAFFIC CONTROL MAY BE REQUIRED TO FACILITATE PUBLIC SAFETY AND TRAFFIC FLOW IF DEEMED NECESSARY BY
CITY OF LA QUINTA REPRESENTATIVE.
3. THROUGHOUT EACH WORK PERIOD, CONTRACTOR SHALL INSPECT TRAFFIC CONTROL (SIGNS, BARRICADES AND DELINEATORS) AND MAINTAIN SAME IN ACCORDANCE WITH TRAFFIC CONTROL PLANS.
4. CONTRACTOR SHALL MAINTAIN A MINIMUM 10'(1 2'TYR) TRAFFIC LANE WIDTH AT ALL TIMES. THERE SHALL BEA MINIMUM 2' BETWEEN THE EDGE OF CUT AND THE NEAREST TRAFFIC LANE.
5. "ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINED AT ALL TIMES.
6. THIS TRAFFIC CONTROL SHALL BE IN PLACE DURING WORK HOURS ONLY. AT END OF THE WORK HOURS, THE ROAD SHALL BE CLEAR OF DEBRIS AND TRAFFIC RETURNED TO NORMAL.
7. THIS IS ATYPICAL AS THE MAY NEED TO MOVE FURTHER ALONG THE ROAD OR TO THE OPPOSITE SIDE.
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Traffic Canted Design by Prepared 13y Checked 4
Tops N Barricades, Inc. Matt Upp
Phone speed Um0 Date Sheet N
(800)852 -TOPS 06/07/13 1 REV B