1490••Y'Tg.".W�.�jR.f���y"yM'W"�M1:.ri�Y.'.•.+'It„ .:..�-ti;..tri.w�...��'Jyn+.�„"''�.'�'r..Y...r +�..^"'+i.�-.r^�•f ..-+w-�...�,.-.Yrs-�.,,��.-�-� •..-�....i�:iS:"h�--^ . J`�1,�.
-.+-, ...--......----.....-------------..-. ---_..-•--- -----. --yrs--___-....._..�����__.__�
r
NOTE: `y ,
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
i
Subdivision Improvement Permit —Class III
DATE: July 23, 1992 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION. Washington and fty'-1-11
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION _E_lectrical and telephone Sketch (attach construction plans if appropriate)
installation from vault to vault
DESCRIPTION OF CONSTRUCTION
SBE ATTACHED CONDITIONS,
SEE ATTACHED SKETCH.
DIMENSION OF INSTALLATION OR REMOVAL 2001 -of trench '
in right-of-way area .
SIZE OF EXCAVATION, IF NEEDED 5' to 8 deep
APPROXIMATE TIME WHEN WORK WILL BEGIN 7/29/92 p t g p
APPROXIMATE TIME OF COMPLETION -
4 days H518FASH 1-2701917 j9-92170.0013
ESTIMATED CONSTRUCTION COST $_ 3,900.00
(Including removal of all obstruction, materials, and debris, backfilling, corh-
paction and placing s
p g permanent resurfacing and/or replacing improvements)
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify,rdefend 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. i
Notify the Administrative Authority at least twenty-four (2 4) hours in advance of the time when work will be started. s►� ' ""`� '
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 pplicant or Agent .. ,
Near Cal Corp 600 Central Ave. Badg.-A Lake Elsinor, CA (714)245-5400
Name of Applicant (please print) Business Address Telephone No.,"
M,& P Underground P.O. Box 2060• Temucula, CA 92503 926-8060
Name of Contractor and Job Foreman Business Address Telephone No.
M & P 519608 bear Cal A -B230077 752
Contractor's License No. City Business License No.
Continental Insurance Co. CBP6046207-92
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 $
160.00
Permit Fee 10.00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL
Receipt No.
$ 170.00
Received by Date
Recorded by �...
1490
PERMIT VALIDATION
PERMIT NO. 1490
DATE APPROVED 7/23/92
EXPIRATION DATE 8/14/92
DATE IS UE 7/23/92
By
G Administrative Authority
f
TELEPHONE: (619) 564-2246
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: 7 _ d - 9'2 Subdivision Improvement Permit - Class II I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
..i � 57.9-�/.9-7i!!/1. d' T BGG //G" h ,ale 6i v.•�" Co�-� N�f�', (.!/ ��'^ N�'V
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION ���t-������ .��� klea ;f, 2
.Z ,4 ✓o /t IF
DESCRIPTION OF CONSTRUCTION .46cu-9,77
DIMENSION OF INSTALl�4TION OR REMOVAL 200.'-®-ty-,r. k,
t
SIZE OF EXCAVATION, IF NEEDED et.
APPROXIMATE TIME WHEN WORK WILL BEGIN -7-2-?-97,
APPROXIMATE TIME OF COMPLETION yoa/Ay S
ESTIMATED CONSTRUCTION COST $ - `105 -00 oo .
(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:
Sketch (attach construction plans if appropriate)
ff
S2� �/wLtfns SK -r,
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 AKPlicant or Agent J
Name of Applicant (please print) Business Address Telephone No.
y 64pt�r ClIeQ,A k,._ aC sf D. « 0(Q 0 ,,iecc�k 1 Z — O � G
Name of Contractor and;Ywjt�UL
oreman��_� 230 ��7 Business Address '. Telephone No.
(+P l`�40- 7 5 -2 -
Contractor's License No. City'Business License No.
Applicant's Insurance CompanyLC6%l�I_nJ-?��.+I �ySwM.c�.cc� 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 $ —_ % Q 0
D
Permit Fee /
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ /Z D
Receipt No.
Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
7� z3 - f Z%
EXPIRATION DATE
DATE ISSUED
By
TELEPHONE: (619) 564-2246
Administrative Authority
„b"_,_► ADDITION ----ENCROACHMENT PERMIT NO. 1490 ----CONDITIONS
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 Quintals forces
to preclude delay or interference with the City of La Quintals
projects.
R35 Contractor shall comply with the local noise ordinance.
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 April 30: Monday -Friday 7:OOa.m.--5:30p.m.
Saturday 8:OOa.m. - 5:OOp.m..
May 1st to September 30: Monday -Friday 6:OOa.m. - 7:OOp.m.
Saturday` 8:OOa.m. - S:OOp.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 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 to the City Engineer for approval prior. to any
work in the travel way.
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 Ingress and egress for local properties shall be maintained
at all times.
R40 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.
R41 No pavement cutting is permitted .in the traveled section of
the roadway on Washington St.
a Additional Conditions = Encroachment Permit No. 1490
Page 2
R42 All backfill subgrade soil shall be compacted to nothing
less than 90% relative dry density, all backfill soil within
the top 2' of finish pavement'surface shall be compacted to
nothing less than 95% relative dry density, all base
material shall be compacted to nothing less than 95 '
relative dry density..
R43 �In advance of excavation, Contractor/ permittee shall submit to,
the city for acceptance a detailed plan, in accordance with
Labor Code Section 6705, showing the design or shoring,
bracing, sloping, or.other provisions to be made for worker
protection from the hazard of caving ground during the
excavation of trench or trenches five feet or more in depth.
If such plan varies from the shoring system standards, the
plan shall be prepared by a registered civil or structural
engineer. As part of the plan, a note shall be included
stating that the registered civil or structural engineer
certifies that the plan complies with the Cal OSHA
Construction Safety Orders or that the plan is not less
effective than the shoring, bracing, sloping, or other
provisions of the Construction Safety Orders.
R44 Contractor/permittee shall be responsible for the control of
any fugitive dust that is created by his construction efforts
or a result there of.
i IN
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If
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