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1719NOTE:. _. 4 2� With ,proper walidation � •, ' : , •. �•� this form constitutes an ` :? t CITY OF,.'LA,QUINTA .r f ericroachment permit � ,. • • -_ J, _ ., • ,� APPLICATION FOR =PERMIT• � ,r , PUBLIC WORKSCONSTRUCTION \(ENCROACHMENT) S OF TIi89ti . For the construction,o ; public or private curbs ` driveways, pavements; sidewalks, parkirigi lots, , sewers, water mains .t. f .' . ari&otherlike public works improvements in.connection with ,MINOR IMPROVEMENTS and -APPROVED SUBDIVISIONS '•{.1 i " " " " d ; � "- • Subdivision Improvement Permit'— Class I I I t � 'DATE: �f;�©/� - Minor Improvement Permit Class IV ' LOCATION'OFCONSTRUCTION AVe'0''/eN� 1 ^` r'*•' f , •'` (Street'address`or Description'of Location)'` , '' ;. �' cr r'. �• f "PURPOSE OF•CONSTRUCTION N W t Sketch (attach construction plans if appropriate)" r DESCRIPTION OF CONSTRUCTION 1 �o et.�1i .200r of 2"'>0dlalx t. . ,t � _ • ! " -. ��811YR 'gl�t,`�C ; 8811 1 �» '' ' ,Hy, , •• e ! - Q by DfaRs� begili#tg . DIMENSION' INSTALLATION OR REMOVAL ''/" �5 i s/�F� p> Calf iCucsteni " '" a .< : , •x �. , tXaguUj*g t9otbi, ` +• SIZE OF EXCAVATION; IF NEEDED -�"2� �h w AMC M.." 4. . S' i . r' n •..! -1 £.' • ~ + N.r - f� MR. `�_.'1'■'i� ■M� �1{�'a�� 1�F Q� r ' • J '.�' �!.imiJLiMYV: 1 p Y APPROXIMATE TIME WHEN WORK_ WILL BEGIN f F , y�• -y .�y.i Y + � - :t f • ; 1 y e- 3 ! j,• t r" . 112/93 i - •�'�*• APPROXIMATE TIME'OF COMPLETION 8112/93 r ESTIMATED CONSTRUCTION COST,$ (Including removal of all'obsiruction, materials, and debris; backfilling; com •- .. _Jk :+\+ 1 , +�• r .• i \. r " r h .S. r {� ♦ - r, ~'paction and placing permanent 'resurfacing and/or, replacing,lmprovements) �' s, In. consideration of,.the he granting of;this+permit, the applicant reby,'agrees to: ' ;,+"- 'k Indemnify, d6fend.and-save the`City,'its authorized" agents officers;rrepresentatives and employees harmless from and against any and all 1 *� `• penalties, liabilities or; loss resulting from ,claims or court action"and arising out, of any accident, loss or damagetopersons or•)Iproperty, ' r happening or occurring,as, a proximate result `of any work undertaken under the permit granted pursuant to: 4hris application. ; v Notify'the Administrative,Authority at least twenty-four (24)4hours in a8vance of the time when work will:be"starred'. * Comply with all applicable City Ordinances; theaerms:and•conditions,of -the permit and al applicable rules,and!regulatibns of,the City of ! • ` �'` La Quinta'and to pay for any additional replacement necessary as- the result oft is.work L �/_ + x 1 "k'N',Y 1 ^ t ..t ,4 • � LS f- „ Yh `- +. F ,',• t ♦ � y-fCT''t - , ,L .. ` - l' `Y '-/ �.+ is :,rj,1 4G - ti't '• �• i. Y, '� - � r 't;� Ja1 •'i .j, .7��"'J4 ` Signat re of Applicant�or'Agent } � t n. 11! 0-M,'>�c' 30D3 ° iLed$nnda;: 'Cd 92373' •_ t114� X315-�77bri f _ ,Name of'Applicant (please print) `' Business Address' Teleplione:No. }I 40 :Name of* Contractor and Job Foreman :Business Address ,� i E .'Telephone �. tiCity Contractor's License No. Business License No. _ Applicant's Insurance Company' r -^Policy Number • ' a FEES: Subdivis on,lmprovertient Permit =Class III `. '''/• '' '� " 'w• _ " 'Public improvements: 3% of estimated construction costs J: Private improvements: 3% of estimated construction costs •� :w ' w . " Minor lmprove'ment;Permit — Class IV: See attached schedule 1" TITI 9 ``• '+ r Inspection Fee PERMI VALIDATION Permit Fee PERMIT NO. • 1119' ` Penalty Cash Deposit -Surety Bond if required TOTAL: $ } . Receipt No Received by Date Recorded by DATE APPROVED 4/20/93 EXPIRATION DATE 7/12/93 _ 4/, 0/93 DATE IS UE By v Administrative Authority TELEPHONE:.(619) 564-2246 ,/' `5344-100 - NOTE: With proper validation this form constitutes an emoschment permit CITY OF LA QUINTA .11 CITY OF LA QUINTA APR 1 APPLICATION FOR PERMIT PUBLIC PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or private curbs, driveways, pevements, sidewalks, parking lots, sewers, water mains and other like public Marks improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Z 0 Subdivision Improvement Permit — Class 111 DATE: April 1993 Minor Improvenw- Permit Class IV —_ LOCATION OF CONSTRUCTION Avenida Diaz S/Calle Yucatan )street address or Oaaerkubon of Loeatfon) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL Sketch (attach construction plans if appropriate) To install 200' of 2" medium pressure plastic gas main 8' W/EPL of Avenida Diaz,.beginning 95' S/SPL of Calle Yucatan, continuing south. SEE ATTACHED SIZE OF EXCAVATION, IF NEEDED 200 X 2' Sj5c 4T-r?4COr"'D APPROXIMATE TIME WHEN WORK WILL BEGIN 5/12/93 APPROXIMATE TIME OF COMPLETION 8/12/93 ESTIMATED CONSTRUCTION COST S llncluding 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: SI✓ —rZ'4 CDT EARTH C-C'mbl-ri P45 Indemnify, defend and raw the City, its authorised agents, officers, romentatiws and employes, hermlan from and against any and all panaltia. li@Wliti $ or lots resulting from claims or court action and arising out of any accident, low or damage to persons or property heapening of occurring as a proximad result of any wok undertaken under the permit granted pursuant to this application. Notify the Administrative Authority at lacer tmntyfour 1241 hour in advance of the time wham work will be started. y wish all applicable City Ordinaimm. the tarnon s and conditions Of the permit and all applicable rules and regulations of the City of 'tillMtr and to pay far y addition i raplaaamant naoareery as the ra ult of Ilei work. MV - •Rhode•sia?`Ash1e k ::.. s r of A�pliaint-��� PER Nt�� CQORD��pTflR Via.. _ .i•'• — - ... _ ..y— - • - P^ $' 43 3 5_77. SOIITiiEl�ta tai• i�'QRN ann;_ tzn mar` rn '4��7�' i71 3 64'' - rd Applicent(piam print) Address T laphone No. Minna at ContractorJob-_ atltiftses:Addnsss . . r:, T!wphaw No. and Forwfwt. a. Ctsfroraetore Liww No. Y Citlt.Wl�nees Liafese'No. Applicefnt's Insurance Company Policy Number FEE=: Subdivision Improvement Permit — Claw 111: Public improvements: 3% of estimated oonstruCtion costs Private improvements: 3% of esdneted construction oast: Minor Improvement Permit — Clad IV: See attached sdeduN Ilnspeetion Fee ' $ Permit Fee C26-, iAryi;: i-Surti'ty Bono It required TOTAL: rr'• i Receipt No. -- -- Received by Dere Re�oded by PERMIT VALIDATION _ PERMIT NO. l� DATa Ari%nOvcu " Zo - Q - EXPIRATION DATE DATE ISSUED y Z 9 8y --- Administrative Authority TELEPHONE: (819) 564-2246 The following General and Special Provisions are attached to and made a part of Permit No, L 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 resoonsibilitv of the permittee for his contractorsl to secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting work. TRACKLAYING CONSTRUCTION EQUIPMENT: Cleated trackleying construction equipment shall not bepermittedtooperate on any 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 arena. 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 shall consist of one coat of two inches (2^) 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 as deemed Engineer or La Qct, uinta City Public Works inspectors. Suitable detours annecessary by the City d detour signs shell be placed and maintained for the duration of the projeThe City shall be. notified 24 Hrs, in advance of arty 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 shaft be replaced in kind. In the event.it becomes necessary to remove or cut existing drainage structures, City of La Ouinta 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 shaft 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 (contraciorl 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 adjoinerproperty-owners ntandemergencyvehicles.Intheeventitisfeltbythepermmeethathemustcloseastreetfor any length of time, permittee shall contact this office to obtain the necessary permission. SPECIAL PROVISIONS The follwing shall apply ONLY when indicated: R1 NOTIFICATION: Permittee shall notify the City at 6642246 at least 48 hours in advance of starting Conttruetion. R2 CASH DEPOSITS OR BONDS: A cash bond Oran approved surety bond in an amountof not less thane shall be furnished in the name of City of La Quinta to cover all work involved in the restoration of the various La Quinta roads and survey monuments. This bond shall be continuous until cancelled by the City Engineer. This bord must be posted prior to commencement of any work on this project. UTILITY CLEARANCE: (Substructures) Prior to making any excavation within the City of La Quinta right Of wayauthorized by permit, the permittee shall contact all concerned utility companies relative to the Damage to existing substructures resulting of existing substructures. of the permittee. Conducted from operations Conducted under this permit shall be the sole responsibility R4 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 eompemsa of the proposed work R5 PAVEMENT WIDENING: Area between the proposed concrete gutter fine end the existing road pavement shell be surfaced with inches of A.C. paving placed on inches of class having an "R"value of not less than aggregate subbase sparse and in conformance with City of La Quinta Road Improvement Standards and Specifications, Ordinance #461. R6 PARKWAY GRADING: Area betweentheProperty line andtopofthepr 1/4 inch to one foot (1l. oposedconcrete curb shall begraded tpaslope of R7 GRADES & STAKES: City of La Quinta shell establish grades and stakes for the proposed concrete curb end gutter construction. R8 GRADE CHECKING: City of La Quinta shall checkgradesupon receipt ofplan and profileand/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 ( fast)shall be removed. Curb and/or curb andgutter shall be saw cut prior to removal. Depressed curb. rematching concretegutter 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 ( 1 of clasp aggregate base. Driveway construction shall conform to attached drawing. Fill CULVERTS: A nch 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. 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 City of La Quinta projects.. 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 maybe readily and correctly be replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete set of notes Mowing the ties to these monuments shall be furnished to the City Engineer ortor to the removal at any monuments. This office snail be notified upon completion of replacement of all survey monuments for proper project ciearenCe. R16 SURVEY MONUMENTS:. Prior to excavation oroegmnengatconstruction, ail Survey monuments Shall betied outbycity of La Quinta and suitable payment or guarantee of payment shall be made as reimbursement for all work involved R17 PAVEMENT CUTTING: Pavement well 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. RIB PAVEMENT CUTTING: Pavement shall be saw cut prior to removal. Prior to final paving operations. any damage to pavement straight edge shall be corrected. ,-A_5_�'UMIT OF EXCAVATIONS: Excavations shall be limited to 1.000lineal feet of opentrench 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 determine the suitability of excavation barricading in each case. No excavation shall remain open for a period exceeding five f5) days. No excavation shall be made unless the construction .BACKFILLatenal is actually on the work site. 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 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 f3') and vibrated using vibrotemper or equ iva tent equipment. Alternate methods maybe substituted, but in any case a relative compaction of 95 percent shall be attained within the c:ructural section of the roadway, BACKFILL PLACEMENT: Bacdill 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 (51 lifts where trenches are of excessive depths. Care is to be exweised that the backfill material is not subjected to extreme await by flooding operations. Backfill material shall be placed so that the resulting compaction shall be not less then 90percentor equivalent to the surrounding ground. whichever is the greater compaction. Where ponding or flooding is used for a maximum settlement, adequate dikeswill 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 bVthe 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 end 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. COMPACTION TESTS: if so required by the inspector, compaction tests shall be made for each ctosseng 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 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") of SC -800 shall be placed immediately. A permanent patch of surfacing placed on a inch class inches A.C. base shall beplecednolaterthan—days ahereomple[lohof temporary road repair. R27 PAVEMENT REPAIR: F.A.S.: Upon completion of backfill andcompaction. a temporarypatch consisting Of two inches (2'1 of cold mix paving (SC -800) shall be placed immediately. A permanent patch of three inches 131 of A.C. surfacing shall be placed on six inches (61 concrete base as directed, but not later than fifteen (15) days after completion Of temporary paving. Concrete base shall beat 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 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 Issuanceof thisoormit. 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 mterference 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 500 feet at any onetime. . 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 hes 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 size. Sealant shall be applied to ell cut sections as directed by the City Puhlic wnl* SPECIAL CONDITIONS --PERMIT NO. 1719 ---.Gas Co.. --- In addition to the standard permit conditions, the following shall apply: 1. All work shall. be performed in accordance with the plans submitted The Gas Co. 2. This permit is only for work within the'City of.La Quint& and it's R/W. Permittee /contractor shall acquire 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 5:30 p.m. Saturday 8:00 a.m. to 5:0.0 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. Permittee shall notify the City Engineering Dept. at 564-2246 at least 24 hours in advance of starting construction. 9. 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. , 10. No pavement cutting shall be permitted. 11. All landscaping, irrigation decorative rock Etc.. shall be replaced to its original condition. 12.. Permittee shall take the necessary measures to.prevent damaging the asphaltic emulsion with heavy equipment, trucks Etc. in the roadway. - 13. All work shall be "completed p prior to the start of city project Assessment District 92-1 Phase V. 14. Prior to excavating, permittee shall contact Undergound Service Alert at 1800- 422-4133. Special Conditions -. Permit No. 1719 Page 1 of 1 I 24 SOUTHERN CALIFORNIA GAS CO.- 2911-41' t I U -/Z) .2,' .- ww" MA IN CO N D. CODE EXT— INT_ 2 -1 isolation Area Affe,ted Yes 0 No a, Pressure District Affected Yes 13 No ff, Business District Affected Yes L� No D'I Supoy Line A'fc^.',,,,d Yes ONo Valve's) Required Yes C) No Cr C.P. Area No. � C.P. Reviewed P -Y, Reviewed BY: I cv 17-Z!EF TOTAL FEET I NST'D. INSTALL MAIN WITH AT LEAST COVER BELOW .A��/4-�7/�)4 TOTAL FEET RETIRED /zz 1 ?x -1 isolation Area Affe,ted Yes 0 No a, Pressure District Affected Yes 13 No ff, Business District Affected Yes L� No D'I Supoy Line A'fc^.',,,,d Yes ONo Valve's) Required Yes C) No Cr C.P. Area No. � C.P. Reviewed P -Y, Reviewed BY: I cv 17-Z!EF TOTAL FEET I NST'D. INSTALL MAIN WITH AT LEAST COVER BELOW .A��/4-�7/�)4 TOTAL FEET RETIRED