163811
NOTE:
W h I... _.• I.d
It proper va i
on ,
this form constitutes an`
a encroachment permit CITY OF LA QUINTA r
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION, (ENCROACHMENT)
A
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
, ' 1 .4 Subdivision Improvement Permit — Class I
-DATE:. 12-23-92 Minor Improvement•Permit Class IV
LOCATION OF CONSTRUCTION - H,V ca=er of Ave 50;aizd Park Ava
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Cl.tuue ft**,Re'loro'tll; • Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION REQ OUt :L re ttee 04e stt4CR+lsd c n di> id"
including stump
DIMENSION OF INSTALLATION OR REMOVAL.
•F EXCAVATION, NEEDED,
SIZE 0F I-
` !r, .
APPROXIMATE TIME WHEN WORK WILL BEGIN U-24-92. [
APPROXIMATE TIME OF COMPLETION10 dava after start dAte
ESTIMATED CONSTRUCTION COST
(Including removal of all obstruction; materials, and debris, backfilling, com-
paction and placing permanent resurfacingand/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 accidentf loss or damage to persons or property
happening or occurring as a proximate result of any work undertaken under the permit granted"Pursuantto this application.
Notify the Administrative Authority -at least twenty-four (24) hours in advance of the time when work will be started.
i - yo '1 ra
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 y p y {
pay for an additional replacement necessary as the result of this work. •� ; �
7raature,Applicant or AgentBoys And Cirls Club ai Coachella Vality 83100 cjte Atte Indio, GA X47-6715
Name ofApplicant(please print) �y Business Address +� �i Telephone Nyco.
Marty Walton 81-820 Ud �V* Indio CA ,747''„$577 r`
Name of Contractor and Job Foreman Business Address Telephone No. •`
Contractor's License No. City Business License No.
j Coachella Valley Ins, - ULW930094$077
Applicant's Insurance Company Policy Number
iC
r
FEES: Subdivision Improvement Permit — Class III y
'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 $
Permit Fee 0
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 0
Receipt No.
Received by Date
Recorded by
1 G-3 8.
PERMIT VALIDATION
1638
PERMIT NO.
DATE APPROVED 12-23-92 y
EXPIRATION DATE
1-08-93
DATE ISSUE ,12-23-92ILA&
By
Administrative Authority
TELEPHONE: (619) 564-2246
of
0
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
.y.
—9� Subdivision Improvement Permit —Class III
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION NORTHWEST .CORNER OF AVENUE 50 AND PARK AVENUE IN LA QUINTA
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION CITRUS TREE REMOVAL
DESCRIPTION OF CONSTRUCTION REMOVE ENTIRE TREE IN
CLUDING STUMP
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 12-24-92
APPROXIMATE TIINF OF COMPLETION _-0 DAYS AFTER START
ESTIMATED CONSTRUCTION COST $ 2400 ; 00,�_____
(Including reinoval of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing arid/or replacing improvements)
In consideration of the granting of this permit, the applicant hereby agrees to:
Sketch (attach construction plans if appropriate)
,::5m 0WT--T,,.tw> co NO Ti
Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmleu from and against any and all
Penalties, liabilities or lou 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 Ouinta and to pay for any additional replacement necessary as the result of this work.
j L
Signature of Applicant or Agent
BOYS AND GIRLS CLUB OF COACHELLA VALLEY 83-100 DATE AVENUE, INDIO (619) 347-6715
Name of Applicant (please print) Business Address Telephone No.
MARTY WALTON 81-820 MILES AVENUE, INDIO (619) 347-5577
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No. City Business License No.
COACHELLA VALLEY INSURANCE BLW9300345077 .
Applicant's Insurance Company
Pol cy Numbcc•
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: $ U
Receipt No.
Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO. I&
DATE APPROVED Z�Z3 Z
EXPIRATION DATE -08 �—`�
DATE ISSUED - Z ""Z3 "C( Z
By 212��
Administrative Authority
TELEPHONE: (619) 564-2246
The following General and Special Provisions are attached to and made a part of Permit No.3
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 Permntee for 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 tracklayingconstruction equipment shall
not bepermittedtooperate oneny
Paved surface unless fitted with smooth -faced street pads. All mechanical outriggers shall be fitted with rubberstreet
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 Quints shall request
that these portions of road be resurfaced over their entire width. Resurfacing shell consist of one coat of two inches (2^) of A.C.
surfeging plus appropriate seal coat as specified above.
PROTECTION OF TRAFFIC: All excavations and work areas shall be property lighted and barricaded as deemed necessary by the City
' Engineer or la Quinta City Public Works Inspectors. Suitable detours a nd detour signs she if 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 fromthe right of
way. All paved surfaces shall be broomed clea n 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 operationsare 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 i s felt by the permittee that he must dose 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:
NOTIFICATION: Permittee shall notify the City at 564-2246 at lea � hours in advance of starting construction•
R2 CASH DEPOSITS OR BONDS: A Cash bond or an approved surety bond in an amountof 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 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.
UTILITY CLEARANCE: (Substructures) Prior to making any excavation within the City of Le Quinta right of wayouthorized
by permit, the permittee shell contact all concerned utility companies relative to the location of existing Substructures.
Damage to existing substructures resulting from operations conducted under this permit shell be the sole responsibility
of the permittee.
R4 LITY CLEARANCE: (Surface structures) No work shell be done under this permit until all utilities are dear 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 existin road
surfaced with inches of A.C. paving placed on inches of class g pavement shall be
sse course
having an"R'valueofnot fess than and in conformance with City of Le QuintaRoad aggrprrovemennt
mtStandards
and Specifications. Ordinance #461.
Re 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 11 �-
R7 GRADES & STAKES: City of La Quints shall establish grades and stakes for the proposed concrete curb end gutter
construction.
RB GRADE CHECKING: City of La Quints $hall check grades upon receipt of plan and pFofile and/or grades as established by
a lirensed 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.
RIO 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 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.
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 comptywith the
manufacturer's specifications.
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
Citv of La Quinta forces to preclude delay or interference with State or City of La Quinta projects.
R15 URVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist o
centerline of all streets or property lines when involved shall be completely tied out so they may be readilyandhe
corre n the
tly
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
er
be notified upon completion of replacement of all survey monuments for propproject clears men
.. �r.... .' •���_ �. ,. ;•rv:.. Vit.., ... .._, �.�... .. .,.. :.1: x .. — - ,
Tri auHVEYMONUMENTS: Prior to excavation or beomnmq of construction. all survey monuments shall be tied out by City
of La Quinta and suitable payment or guarantee of
R17
payment shall be made as reimbursement for all work invol,red.
PAVEMENT CUTTING: Pavement will be mechanically cut to
a straight edge prior to excavation. Method otIftivement
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.
R19
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 forthe
protection of
the traveling public. The Public Works inspector shall determinethe suitabiliryof excavation barricading in
each case. No
excavation shall remain open for a period exceeding five (5) days. No excavation shall be made unless
material is actually on the work site. the construction
R20
BACKFILL MATERIAL Backfill shall be free of brush• roots or other organic substance detriments,
: , .:s use for purposes
of producing an adequately consolidated backfill. Any material which the City of La Quints deems
unsuitable (spongy or
saturated materiall which is encountered during excavation shad not be used for backfill. but shall be supplemented or
replaced by an approved sand or gravel.
j R21
BACKFILL SAND: Baddill shall be approved transit -mix sand or equivalent and shall be placed in lifts of not greater than
three feat (31 and vibrated using vibrotamper or equ Iva tent equipment.
Alts mate methods may be substituted• but in any
case a relative compaction of 95 percent shall be attained within the c:ructural section of the roadway,
t50
R22
BACKFILL PLACEMENT: Backfill shall be applied in layers of not more inan percent of the total depth
of the trench
before flooding or a maximum of f ive-foot 151 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 greeter
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
supply shall be continuous. each :aye► and the water
R23
COMPACTION TESTS: If so required bythe inspector, compaction tests shall be made at intervalsof 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 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.
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 CityEngi neer 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 California. dated January 1973. of Highways, State
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 (21 of SC -800 shall be placed immediately. A permanent patch of inches A.C.
surfacing inch
placed on a class base shall be days ahercompletionof
temporary road repair.
R27
PAVEMENT REPAIR: F.A.S.: Upon completion of backfill and compaction, a temporary patch consisting of two inches (2 )
of cold mix paving (SC -800) shall be placed immediately. A
permanent patch of three inches 13'1 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
and Specifications. Ordinance #461. Standards
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 issuanceof 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 EE RELOCATION OR REMOVAL: Tree relocation within the City of La Quints
road right of way shall be accomplished
by a licensed. bonded and insured tree service. and handled safely without interfere nce or hazard to the traveling public.
It shall be the responsibility of the permittee to maintain the tree to a vigorous growing condition at its new location.
Trees to be removed shall be removed in sectionswhich can be handled safelywithout 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 thefollowing
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,
January 1973. dated
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 berestrictedto a maximum of 500feetatanyonetime.
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.
I. Pruning shall• in all instances. be at the shoulder of the crotch to insure even, fast healing in 811 cuts of two inches
(2'1 and above in size. Sealant shell be applied to all cut sections as directed by the City Public Works Insoector.
SPECIAL CONDITIONS --PERMIT NO. 1638
--- Boys & Girls Club ---
In addition to the standard permit conditions, the following shall apply:
1. All work shall be performed in accordance with the approved permit.
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, City of Indio 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 ist 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 lst 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 CalTrans•Standards. It shall be the contractor' s/permittee's
responsibility to detour 4nd barricade this site.
8. Permittee shall notify the City Engineering Dept. at 564-2246 at least 24 hours.
in advance of starting construction.
9. 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.
10. Ingress and egress for all local properties shall be maintained at all times.
Property owners in the area shall be notified in advance of any inconvenience.
11. When work is within 500' of a signalized intersection the permittee shall notify
Riverside county Signal Dept. at (714) 275-6894 or Caltrans Signal Dept. at (619)
688-6845, as appropriate, 48 hours prior to beginning work. This is in addition
to the Underground Service Alert (USA) notification.
Note: USA does not locate signal conduits or other city owned facilities such as
storm drains, electrical services, median sleeves, etc.
12. Access or egress shall not be permitted from or onto Ave 50, contractor/permittee
shall use Park Ave.
13. Contractor/permittee shall be responsible for the removing any material from the
site that is a result of his work, such as tree trimmings, leaves, trash, etc.
Special Conditions - Permit No. 1638
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