1645With proper validation 4
O
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT W
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
Subdivision Improvement Permit — Class I I I
1-6-93
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION -_ Washington Square Sound Wall
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Sound Wall
DESCRIPTION OF CONSTRUCTION Masonry B1oCk Wall
DIMENSION OF INSTALLATION OR REMOVAL 1800 l.f. 61 high
SIZE OF EXCAVATION, IF NEEDED
Sketch (attach construction plans if appropriate)
Per the approved block wall plans
see attached conditdws
°39&_?6� 30. ion
APPROXIMATE TIME WHEN WORK WILL BEGIN 1-7-93
APPROXIMATE TIME OF COMPLETION 2-14-93 ,
ESTIMATED CONSTRUCTION COST $ 90,000 '
(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: '
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 nd regulations of the City of
La Quinta and to pay for any"additional replacement necessary as the result t s work. j
Signature of Applicant or Agent
Schaffer Masonry 2291 Business Way Riverside, CA 92501 714-781-4915
Name of Applicant (please print) Business Address Telephone No.
Andy Schaffer
Name of Contractor and Job Foreman Business Address Telephone No.
C-29 474476 02 g
Contractor's License No. ti City Business License No.
Robert Noel & Associates 30870789
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 $ 393.10 II
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
$ 393.10
Date
1 0As
PERMIT VALIDATION
PERMIT NO. 1645
DATE APPROVED
EXPIRATION DATE
1-5-93
2-28-93
DATED ED 1-6-93
Y.. 4" —
Administrative Authority
TELEPHONE-J619J,564 22J4
SPECIAL CONDITIONS --PERMIT NO. 1645
---.Wash. St..Wall ---
In addition to the standard permit conditions, the following shall apply:
1. All work shall be performed in accordance with the plan submitted by ESCO.
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 1st to April 30: Monday -Friday 7:00 a.m. to 5:3Q p.m.
Saturday X8:00 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. Permittee/contractor shall submit a traffic
control plan if there is to be traffic delineation. Failure to submit such plan
shall be cause for contractor to cease work as directed by the engineer until
further notice.
8. 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.
9. Street closures shall not be allowed at any time, a minimum of one travel lane
on paved surface in each direction shall be maintained at all times with flagmen
present if deemed necessary by the City Engineer..
10. Ingress and egress for all local properties shall be maintained at all times.
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. Prior to starting, Underground Service Alert shall be contacted at 1-800-422-315.6
and an "inquiry number" shall be provided to the City Public Works Inspector.
13. All traffic signs shall be protected in place.
Special Conditions - Permit No. 1645 Page I of I
F -E
�y OF Ntv�
MEMORANDUM
TO: Hector Guzman, Engineerings
FROM: Tom Hartung, Building & Safety --P4-
SUBJECT: Sound Wall Near Point Happy Area
Here is one set of the approved plans for the above mentioned sound
wall. We have the other copy and will retain it during
construction of the project. The fee to be charged to cover
inspection is $393.10. I have notified ESCO that they should
contact you for the encroachment permit and to pay the above fee.
Building & Safety will do the required inspections.
Prior to issuance of the permit, please obtain the masonry
contractor's information including: State License number, City
License verification, and verification of Worker's Compensation
Insurance.
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