1657,1=111
r'�•
=With. proper validation
this form constitutes an
,encroachment permit
U
j
« CITY OF LA QUINTA
APPLICATION FOR PERMIT f
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 II I
DATE: 1/26/93 Minor Improvement Permit Class IV
u; 8/S CMJ TWICO 1/0 AVWWA BRIDAMAS
h LOCATION OF CONSTRUCTION
(Street address or Description of Location)
t
' PURP% C 8$LOi''ATS �" F�II'ITISS Sketch (attach construction plans if appropriate)DLG Ojew 1W _
s r
DESCRIPTION OF CONSTRUCTION $ SBH ATTACM DRAWNG W.O. ,
0543-3P001CK
DIMENSION OF INSTALLATION OR REMOVAL SHE ATACHSIa CONDiiI083
J 5
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
E `
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 Shy 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_th.e-City of
La Quinta and to pay for any additional replacement necessary as the result of this work.
' Q� 5l� ..k:t�/.( �Gt.: 3N � /c•�-•L.�Lfia%Lr��y�% b ' r
Signature of Applicantor Agent
CTB CA1 UODU 110000M= 45590 JACMN ST M10 CA 92201 (619) 342-0536 • !`
Name of Applicant (please print) Business Address Telephone No.
+gar,
Name of Contractor and Job Foreman Business Address '"•Telephone No.
Contractor's License No. City Business License No. '
Applicant's Insurance Company • Policy Number
""'�"""FEES:'Subdivision Improvement Permit —Class 111` ' ;: ;'*; ' `:':''` t!w"-^� ,«M _ * — ' ' • •; .
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:
Receipt No.
.0
8
Received by Date
Recorded by
`-,;,
PERMIT VALIDATION
PERMIT NO. 1657
1/26/93
DATE APPROVED
EXPIRATION DATE 2/26/93
DATE jSSUFD 11215/93
Administrative Authority
TELEPHONE: (619) 564-2246
h•-
City of La Quince — — — — — — -
NOTE: DEC 1,(), 199Z
With proper validation
this form constitutes an ^
encroachment permit - 3L''C WORIKS 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
._'PuL4AMY Z& ) q 9 3
Subdivision Improvement Permit —Class III
DATE:R4B1-R Zra., t9W Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION - N/S CALLE TAMPICO E/O AVENIDA BERMUDAS
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION 'RELOCATE TEL. FACILITIES Sketch (attach construction plans if appropriate)
DUE TO STREET IMPROVFMFNTS_
DESCRIPTION OF CONSTRUCTION DIG OPEN TWO SPLICE PITS_
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN - - S�
APPROXIMATE TIME OF COMPLETION 5-9-93
ESTIMATED CONSTRUCTION COST $
(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:
m.e
: , ' • •
I=�� 47-Ti4Glf ja(LAIJINC-t
Ste- ATT- .,c wcD C_vNbjT'iofJ 5
Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
Penalties, Inabilities or lou resulting from claims or court action and arising out of any accident, loss or damage to parsons 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 1241 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 applicablestyles and regulations of the City of
La Quints and to pay for any additional replacement necessary as the result of this work. fl
Applicant o—r Agent
GTE CALIFORNIA INCORPORATED 45-590 JACKSK STREET INDIO CA 92201 619/342-0536
Name of Applicant (please print) Business 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 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 $
Permit Fee
Penalty
Cash Deposit -Surety Bond
f required
TOTAL: $
Receipt No.
Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO. Ito 5 7
1
DATE APPROVED
EXPIRATION DATE Z J
DATE ISSUED [—zip " 3
By
Administrative Authority
TELEPHONE: (6191564.2246
The following General and Special Provisions are attached to and made a part of Permit No.
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 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 tracklayingconstruction equipment shall not bepermitted to*
perateonany
paved surface unless fitted with smooth -faced street pads. All mechanical outriggers shall be fitted with rubber street 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. spelled, or broken during the term of this contract, or if the pavement is marred. City of La Quinta shall request
that these portions of road be resurfaced over their entire width. Resurfacing shall consist of one coat of two inches 12") of A.C.
surfaging plus appropriate seal coat as specified above.
PROTECTION OF TRAFFIC: All excavations and work areas shall be -properly -lighted and barricaded es deemed necessary by the City
Engineer or La Quinta City Public Works Inspectors. Suitable detours and detour signs sha ll be placed and maintained for the duration
of the project. The City shall be notified 24 Mrs. 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
way. All paved surfaces shall be broomed dean 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 operations are required and pumps are forcing water on City of La Quinta roads. it shall be
the responsibility of the permittee (contractor) to control this water and to provide off-street barricades when noossury.
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 feltbythe permitteethat he mustclose 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 5842246 at least At
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 s
shall be furnished in the name of City of La Quinta 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.
UTILITY CLEARANCE: (Substructures) Priorto making any excavation within the City of La Quinta right ofwsyauthorized
by permit, the permittee shall contact all concerned utility companies relative to the location of existing substructures.
Damage to existing Substructures resuhing from operations conducted under this permit shall be the sole responsibility
of the permittee.
UTILITY CLEARANCE: (Surface structures) No work shall 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 existing road pavement shall be
surfaced with inches of A.C. paving placed on inches of class
course
having an "R' value of not less than and in conformance with CityofLaQui ntaRoad rprrovemen ta
mStandards
and Specifications, Ordinance #461.
R6 PARKWAY GRADING: Area between the property line and top of the proposed concrete curb Shall begradedtoa slope of
1/4 inch to one foot 111.
R7 GRADES & STAKES: City of La Quinta shall establish grades and stakes for the proposed concrete curb and gutter
construction.
R8 GRADE CHECKING: City of La Quinta 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 I fem)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.
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 I-) 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.
i 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 comply with 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
City of La Quinta forces to preclude delay or interference with State or Cityof La Quints projects.
RIS SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the
centerline of all streets or property linea when involved shall be completely tied out so they maybe 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 prior to the removal of any monuments. This office shall
be notified upon completion of replacement of all survey monuments forr
P oyer project clearance.
R16 SURVEY MONUMENTS: Prior to excavation or beq:mmnq of construction. all survey monuments shall betiediput bvCity.,
of La Quints 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.
R19 LIMIT OF EXCAVATIONS: Excavations shall be limited to 1.000 lineal feet of open trench before backfill operations must
E
begin. All excavations shall be properly barricaded with lights overnight, on weekends and hoiicays for the protection of
the traveling public. The Public Works inspector shall determine the suitabilityof excavation barricading in each case. No
excavation shall remain open for a period exceeding five (5) days. No excavation shall be maC, unless the construction
material is actually on the work site.
R20 BACKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimc - a, use for purposes
y or
of producing an adequately consolidated backfill. Any material which the City of La Quints diems unsuitable for
gses
saturated material) which is encountered during excavation shailnot be used for backfill, Lk- shall be supplemented or
replaced by an approved sand or gravel. -
R21 BACKFILL SAND: Baddill shall be approved transit -mix sand or equivalent and shall bcskaced in lifts of notgreaterthan
three feet 131 and vibrated using vibrotamper or equiva lent equipment. Alternate methru maybe substituted, but in any
case a relative compaction of 95 percent shall be attained within the structural section of the roadway.
R22 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 of five-foot 151 lifts where trenches are of excessive depths. Care is to be exercised that the
baddill 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 seen :aver and the water
supply shall be continuous.
23 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 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.
24 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 filed prior to making permanent repairs.
Compaction tests shall be made asoutlined 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") 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 completibnof backfill andcOmPaction. a temporarypatch consisting of two inches 12'1
of cold mix paving (SC -800) shall be placed immediately. A permanent patch of three inches (3'1 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 bass shall be of five -sack mix and shall conform to the City of La Quints Road Improvement Standards
and Specifications. Ordinance #461.
R28 FOG SEAL: A fog seal coat consisting of an application of asphaltic emulsion shall be applied overall 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 issuance of this permit. Seal or armor coats shall be appliedas 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 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, 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 maximum of 500feet 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 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.
i 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 Size. Sealant shall be applied to all cin awcei....... a ....mow w....._.:_.
SPECIAL CONDITIONS --PERMIT NO. 1657
--- GTE Inc. ---
In addition to the standard permit conditions, the following shall apply:
1. All work shall be performed in accordance with the plans submitted by GTE Inc.
2. This permit is only for work within the City of La Quinta and it's R/W.
Permittee/contractor shall acquire a permit from any other abutting agency.
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 5:30 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. It shall be the permittee's responsibility
to detour and barricade this site.
8. 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 is not less effective than the shoring, bracing, sloping, or other
provision of the Construction Safety Orders.
9. If the work is to be performed by forces other than the utility company's, the
contractor shall apply for an encroachment permit and pay the appropriate fee.
10. Prior to 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.
11. All work shall be coordinated with the City's contractor (92-12) and others
working within the area as directed by and to the satisfaction of the City
engineer.
12. All work shall be completed prior to the paving operations.
Special Conditions - Permit No. 1657 Page 1 of 1
;. .
City of La Quinta
78-105 Calle Estado
La Quinta, CA 92253
PERMIT NO. 1657
WORK ORDER: 543-3P001CK
02/22/93
NOTICE OF WORK ORDER START
IN THE TOWNSHIP OF: LA QUINTA
WORK ON PERMIT NO. 1657 HAS JUST BEGUN ON 02/05/93
AT LOCATION: NIS CALLE TAMPICO E/0 AVENIDA BERMUDAS
PERMITTEE REPRESENTATIVE: GTE CALIFORNIA
CITY OF LA QMNTA
FEB 2 41993
PUBLIC WORKS
City of La Quinta
78-105 Calle Estado
La Quinta, CA 92253
03/02/93
CITY OF LA QUINTA
MAR 0 41993
PUBLIC WORKS,
PERMIT NO. 1657
WORK ORDER: 543-3P001CK
100 % COMPLETION NOTICE
WORK ON PERMIT NO. 1657 WAS COMPLETED ON 02/19/93
AT LOCATION: NIS CALLE TAMPICO E/O AVENIDA BERMUDAS
PERMITTEE REPRESENTATIVE: GTE CALIFORNIA