1538NOTE: '
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) ~= www
OS
�M0F w
'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:
LOCATION OF CONSTRUCTION
/S Westward Ho Dr. W
'(Street address or Description of Location)
P RPOSE OF CONSTRUCTIQN Rel oca:ti on of aerial
plant due to street improvement
DESCRIPTION OF CONSTRUCTION Bury 1275 Feet of
telephone cable
DIMENSION OF INSTALLATION OR REMOVAL
SIZE ,F EXCAVATION, IF NEEDED *�►
APPROXIMATE TIME WHEN WORK WILL BEGIN09,-=22-92
APPROXIMATE TIME OF COMPLETION 12-30=(S
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris,
paction and placing permanent resurfacing and/or replacin
In consideration of the granting of this permit, the applic
Indemnify, defend and save the City, its authorized ac
penalties, liabilities or loss resulting from claims or c
happening or occurring as a proximate result of any v
Notify the Administrative Authority at least twenty-fo
�ul:...Iy sfon Improvement Permit —Class I II
Minor Improvement Permit Class IV
Dune Palms Road
filling, com-
hereby agrees to:
Sketch (attach construction plans if appropriate)
W.O. Number 0549-8POOlAU
See attached drawing
s7officers, representatives and employees, harmless from and.against any and all
i7 action and arising out of any accident, lost or damage to persons or property
undertaken under the permit granted pursuant to this application.
(24) hours in advance of the time when work will be started.
Comply with all applicable City Ordinances, the terms an�1d
La Ouinta and to pay for any additional replacement ne
GTE California Inc. 45-590
Name of Applicant (please print)
conditions of the permit and all appticable rules and regulations of the City of
wry as the result of this work.
Lckson
Signature of Applicant or Agent eOse Munoz
St., Indio, CA 619/342-0621
s 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 fr Policy Number
FEES: Subdivision Improvement Permit —Class 111
i
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ 19 11
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
$ 0
V
Date
PERMIT VALIDATION
PERMIT NO. /,15-3$
a DATE APPROVED ::�l- /O, C( Z
EXPIRATION DATE /a' 3 d —ZI
DATE ISSUED 9" /O 9 2
By
Administrative Authority
TELEPHONE: (619) 564-2246
/I
The following General and Special Provisions are attached to and made a pan of Permit No. 15-317.
GENERAL PROVISIONS
The following shall always apply:
ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within City of La Quints 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 n, at be permitted to operate on any
payed surface unless fitted with smooth -faced street pads. All mechanical outriggers shall be fittedwith rubber street shoes to protea
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 Quints 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 Quints 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 Quints 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
l way. All paved surfaces shall be broomed clean of earth andother objectionable materials immediately afterbackfill 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 Quints 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 is felt by the permittee that he must close 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:
JW
R1 NOTIFICATION: Permittee shall notify the City at 564-2246 at least At 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 Quints to cover all work involved in the restoration of the various La Quints
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 Quints right ofwayauthorized
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.
/ R4J 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 lessthan and in conformance with Cityof La Quints Road Improvement Standards
and Specifications. Ordinance #461.
R6 PARKWAY GRADING: Area between the property line and top of the Proposed concrete curb shall begradedtoa slopeof
1/4 inch to one foot (11.
R7 GRADES & STAKES: City of La Quints shall establish grades and stakes for the proposed concrete curb and gutter
construction.
R8 GRADE CHECKING: City of La Quints shall check grades 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. Depressedcurb, matching concrete gutter and
concrete driveway approach shall be constructed in conformance with City of La Quints 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
0inches 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.
813 SOIL STERILIZER: The area to be surfaced shall be treated with soil sterilizer. Rate of application shall comply with the
El��manufacturer's specifications.
H( 74. 1000RDINATE WORK: The proposed work shall be subordinated to any operation which the State of California or
City of La Quints may conduct in this area during the period of this permit. Work shall be coordinated with the State or
City of La Quints forces to preclude delay or interference with State or City of La Quints 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 priorto the removal of any monuments. Thisofficeshall
be notified upon completion of replacement of all survey monuments for proper project clearance.
RD -31
R16 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments shall be tied out by City
of La Quinta and suitable payment or guarantee of payment shall be made as reimbursement for all work involved.
R17 PAVEMENT 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 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
Pavement straight edge shall be corrected.
19 UMITOFEXCAVATIONS: Excavations shall belimited to1,0001inealfeetofopentrenchbefore backfill operations must
6
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
material is actually on the work site.
20 BACKFILL MATERIAL Backfill shall be free of brush, roots or other organic substance detrimental to its useforpurposes
i of producing an adequately consolidated backfill. Any material which the City of La Quinta 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 notgreaterthan
three feet (31 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. CR
BACKFILL PLACEMENT: Backfill shall be applied in layers of not more than 50 percent of the total depth of the trench
before flooding or a maximum off ive-foot (51 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 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 by the inspector, compaction tests shall be made at intervals of notmorethan 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 andfiledpriorto 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 COMPACTION 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 f iled 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.
R25 TEMPORARY 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
the placement of the temporary pavement exceed a five (5) day limit.
R26 PERMANENT PAVEMENT REPAIR: After backfill and compaction operations have been completed, a temporary patch
consisting of two inches (2'1 of -SC -800 shall be placed immediately. A permanent patch of inches A.C.
surfacing placed on a inch class base shall be placed no later than days after completion of
temporary road repair.
R27 PAVEMENT REPAIR: F.A.S.: Upon completion of backfill andcompaction, a temporarypatch 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 (115) 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 #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 SEALARMOR 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 sectionswhich can be handled safelywithout interferenceor 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 tothe
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 maximumof 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 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.
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 E ze. Sealant shall be applied to all cut sections as directed by the Citv Public. Wnrkc IncnRrtnr
I
SPECIAL CONDITIONS --PERMIT NO. 1539
--- GTE ---
In addition to the standard permit conditions, the following shall apply:
1. All work shall be performed in accordance with the the plans submitted by GTE,
2. This permit is only for work within the City of La Quinta and it's R/W.
Permittee/contractor shall aquire a permit from. any other abutting' agency and/or
jurisdiction, ie, Caltrans, CVWD etc..
3. Permittee shall be responsible for providing continuous dust:::and erosion control.
4•. Streets shall be kept clean. They shall be completely cleaned at the end of each
working day and more frequently if required.
5. Contractor shall comply with the local noise ordinance. Operation .and
maintenance of equipment within one half mile of. human occupancy shall be
performed only during the following time periods:
October lst to April 30: Monday -Friday 7:00 a.m. to 5:30 p.m.
Saturday 8:00 a.m. to 5:00 p.m.
May 1st to September 30: Monday -Friday 6:00 a.m. to 7:00 p.m.
Saturday 8:00 a.m. to 5:00 p.m.
Work shall be prohibited on legal holidays including Sundays.
6. Permittee shall assume responsibility for repair of any pavement breakdown at the
haul road access to any public or private street and for any damage to other City
streets or facilities.
7. Advance warning signs and traffic control shall be installed and maintained in
accordance with Cal Trans Standards.
8. Permittee shall notify the City Engineering Dept. at 564-2246 at least 24 hours
in advance of starting construction.
9. 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 any
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 a part of the plan, a note
shall be included stating that the registered civil or structural engineer
certified that the plan complies with the Cal OSHA Construction Safety Orders or
that the plan isnot less effective than the shoring, bracing, sloping, or other
provision of the Construction Safety Orders.
10. If the work is to be performed by forces other than that of the utility company
the contracting company shall apply for an additional• encroachment permit
and pay the appropriate fee.
11. Permittee shall coordinate work adjacent to Westward Ho And Dune Palm Rd. with
the contractor performing improvements to same, and shall provide a schedule that
will not conflict with the La Quinta High School improvements.
Special Conditions - Permit No. 1539 Page 1 of I
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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
r
• Subdivision,lmprovement Permit —Class I I I
DATE: S*Vtel*ber 100 1092 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 14/9 Weatraard 9 Dr. W/0 Durie Palma Road
(Street address or Description of I Location)
PURPOSE OF CONSTRUCTION Eelctation •Of AAri.ai giant Sketch (attach construction plans if appropriate)
due to Street lilorOyaallent. - -
DESCRIPTION OF CONSTRUCTION -Bl ry 1275 feet of
telephone coblef* W.O. Number 0549--89001AU
DIMENSION OF INSTALLATION OR REMOVAL SEE ATTACSED GNAWING.
SEE ATTACHED CONDITIONS.
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN It/22/92
APPROXIMATE TIME OF COMPLETION" 12/30/92
ESTIMATED CONSTRUCTION COST $
'(Including removal of all obstruction, materials, and debris, backXillir
paction and placing permanent resurfacing and/or replain imp ov
In consideration. of the granting of this permit, the ap licant hersI
com-
Indemnify, -defend and save .the City, tits authorize ag ts, of icers, repree efit 'Yves and employees, harmless from and against any and all
penalties, liabilities or loss resulting from claims o Cour act on and /��sii o6t of any accident, loss or damage to persons or property
happening or occurring as a proximate re of an wddk.underta •en u ger the permit granted pursuant to this application.
Notify the Administrative Authority at least t ty- our (•2.4�) Ji urs advance of the time when work will be started.
Comply .with all applicable City' Ordinances, the ter and ondi 'ons of the permit and all applicable rules and regulations of the City of
-La Quinta and to pay for, any additional replacement ne ssary as the result of thislwork.
Signature of Applicant or Agent
t GTE Califoraiok Inn 45-590 Jackson str . , Y»
Name of Applicant (please.print) . 1 Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No. ; f City Business License No.
Applicant's Insurance Company ,} Policy Number
FEES: Subdivision Improvement Permit — Class III
Public improvements: 3% of estimated construction costs• t -
Private improvements: 3% of estimated construction'costs'
Minor Improvement Permit — Class IV: See attached schedule
Inspection -Fee $ I PERMIT VALIDATION
Permit Fee 'PERMIT NO.
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
$ SII
Received by — Date
Recorded by
DATE APPROVED .
1
EXPIRATION DATE
r�
't
PATE ISSUED
; By
TELEPHONE: (619) 564-2246
Administrative Authority