1728K
NOTE: ;
With proper validation
- O
this form constitutes an f CITY OF LA QUINTA
.. encroachment permit
APPLICATION FOR -PERMIT
' •PUBLIC WORKS: CONSTRUCTION. (ENCROACHMENT)
OF I f169wS
For the construction of public or private -curbs, driveways, pavements, sidewalks, parking;,lots, sewers; water• mains
and other like public works improvements in co'nnectio'n vvi;K MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision dmprovement Permit —Class III
4-30-93
DATE: s Minor Improvement Permit Class IV
• • LOCATION OF CONSTRUCTION Avenida .Herrera N10',Montezuma " '
(Street address or Description of Location) ,
Y>n'stall New Gas -Main' ' ,
PURPOSE OF CONSTRUCTION i Sketch (attach construction; plans if,appropriate)
DESCRIPTION OF CONSTRUCTION, I *ed 'pressure give See attached' conditio''
v See attached.dravin8
DIMENSION OF INSTALLATION OR REMOVAL 150' 1'
'SIZE OF'EXCAVATION, IF, NEEDED 150' $'2' t
> ti 'APPROXIMATE TIME WHEN,WORK WILL BEGIN 5-15-43 ±. •' " =
APPROXIMATE TIME OF COMPLETION _ - ••
`'",, ESTIMATED CONSTRUCTION' COST $
(Including removal of all obstruction,.` materials,;and•debris, backfilling; com + R
paction and placing permanent resurfacing and/or replacing improvements)
r`j't:1n'conside'ration of the granting,of'this tpermit, the applicant ,hereby. agrees to: "
Indemnify, defend' and save the City, its authorized agents, 'officers` rep resentatives 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).'h6urs in•advance of theitirne°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
•e, ,, La'Quinta,and to pay for any, additional• replacement'necessary as.the result!of this work:
X
I - r
Signature of'Appl,icant or Age �dKD/,v�Tve
So Cal Gas' .Coy ,"' PiO. BOI .3003 Redlmnde,t CA 92373 ?' ' (714) 3351--7 64 t
'.'Name of Applicarit_'(plpase,print), Business Address` Telephone No,
..�,' • .,. ' ♦ ( •- -1 t - 1. .
I Name of Contractor and Job- Foreman' Business Address ' ` . ' ••Telephone N'o.
Contractor's License No " ' City Business License No.
s
Y Applicant's Insurance Company: ' r Policy Number r
:FFEES: Subdi'vision I'm proJement Permit—4CIassAlll +.
Public improvements:` 3% of estimated `construction costs , ' • ., t'�
Private improvements: 3% of estimated construction costs 1 -
Minor Improvement Permit — Class IV:'See attached schedule `
t Inspection Fee $ },_ PERMIT VALIDATION; •`Y
Permit Fee 0 PERMIT NO.
Penalty 1728
:. 4..30-93
Cash Deposit Surety Bond
F DAT&APPROV ED
4 if -required
TOTAL: $ 0
Receipt No.
Received by Date
Recorded by
EXPIRATION DATE 8-15-93
DATE IS UE 4"30-93''
By
Administrative Authority
TELEPHONE: (619) 564-2246 -
`•M
t53443a111
NOTE:
With proper validation
this form constitutes an
emoadtment permit
MY Op �A• Qi1iNTA
CITY OF LA CUINTA` 2 9 1993
APPLICATION FOR PERMITp� c wORKS
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs, driveways, pavements, sidewalks, pwking lots, sewers, water mains
WW oyer tike public works improvements in connection with MINOR IMPROVEMENTS and i. APPROVED SUBDIVISIONS
- 30
DATE: April 1993
LOCATION OF CONSTRUCTION Avenida Herrera 11 fy
Subdivision Improvament Permit — Class II I
Minor Improvenien Permit Class IV
(street address or Description of Location)
PURPOSE OF CONSTRUCTION- FA -LL (7—A5 44-(A Sketch construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION To install 150' of 2" medium pressure
plastic gas main,14' W/EPL of Avenida
Herrera, beginning at the N/lot line
DIMENSION OF INSTALLATION OR REMOVAL of lot 21 on Ave. Herrera, continuing
south.
SIZE OF EXCAVATION. IF NEEDED 150 X 2
C�t4v'& I D
SEE ATTACHED CUT 130 EARTH
�j JET 20 MAC
APPROXIMATE TIME WHEN WORK WILL BEGIN�j(�
May 15, 1993
APPROXIMATE TIME OF COMPLETION August 15, 1993
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, cont•
pection and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify, defend and saw the City, its authorized agents, officers, representatives and employees, hen dm from and against env and all
penalties, liabilities or loss resulting front claims or court action and wising out of any accident. loss or damage to persona or property
happening or occurring as a proximate result of any work undertaken under dw permit granted pursuant to this application.
Notify dw Administrative Authority at Nest twenty-four (241 hours in cedar— of dw time when work will be started.
*Uh all applicable City Mdinantces. the terrra and oonditiora of Uta permit and MI applicable ruin and regulations of the City of
dlialts and to pav iar any additions lapbsernelt Mfg.
} _. r F �i�srlwii o� Ip far FERN OOQlt
, _
fIr- -. 714 _
....
'tAIasne of Applicant -(phase print)_ Yy- ," Blnillees Addtws - TilapltortrNo.
Nine of Contractor and Job fotwmart - : �miftass.•Addn s Td�pl�otte No. -
.�ontractora �ioanaa No. ' :� -. t - City,Wsiritiiss Ltoafna.No. _ .
:Applicant's Insurance Company Pdiry Nwnber
FEEL: Subdivision Improvente U Permit — Ctass 111:
Public improvements: 3% of sahvm d oomtruction ooso
Private improvements: 3% of animated construction Goss
Minor Improvement Permit — Clens IV: See attached sdwdule
Formit Fee 4
Penalty
Cash DepositSurety Bold
N required
TOTAL:
Receipt No.
Received by 'Dow
Recorded by
PERMIT VALIDATION _
PERMIT NO. '7Z8
DATE APPROVED
EXPIRATION DATE
DATE ISSUED 7 — 3� ct5
BY Administrad" Authority
TELEPHONE: (619) 684-3246
The following General and Special Provisions are attached to and made a part of Permit No. ' 7� 77
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 for his contractors) to
secure permission from abutting Property owners. Such authorization must be secured by the permittee prior to starting work.
TRACKLAYINGCONSTRUCTIONEQUIPMENT: Cleatedtrecklayingconstruction equipment shall not bePermitted tooperate onany
paved surface unless fitted with smooth -faced street pads. All mechanical outriggers shall be fitted with rubber arrest 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 maned, 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 12") of A.C.
surfacing plus appropriate seal coat as specified above.
PROTECTION OF TRAFFIC: All excavations and work areasshall be.properiy lighted and bameaded as deemed naceasarybythe City
Engineer or La Quinta City Public Works Inspectors. Suitable detours and detour signs shall be placed and
of the project, The City shall be notified 24 Hire. in advance of any traffic detours or delineations. maintairtedfar the duration
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
necesDrainage
to remove or cut existing drainage structures. City debris
la Quints shall be notified prior to commencement of this work.
Oroinage 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 atter backfill and compaction
Existing gutter line and drainage ditches shall be replaced to their original standard or better. All excess material shell 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 Icantractor) to control this water and to provide Off-street barricades when nett rV
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 bythe 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:
6? NOTIFICATION: Permittee shall notify the City at 664-2246 at least 48 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 s
shall be furnished in the name of City of La Quints to cover ell 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.
iP UTILITY CLEARANCE: (Substructures) Priorto making any excavation within the City of La Quints right of waysuthorized
by permit, the permittee shall contact all concerned utility companies relative to the location of existing substructures.
Damage to existing substructures resulting from operation Cc
conducted under this permit shall be the sole responsibility
of the permittee.
Ra
UTILITY CLEARANCE: (Surface structures) No work shall be done under this permit until all utilities are dear of the
l/ proposed work site. The permittee shall notify all concerned utility companies of the proposed work,
RS 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
having an"R" value of not less than and in conformance with City of LaQuintaRoadlmregatsaubbesecourse
and Specifications. Ordinance #461. P OvementStandards
R6 PARKWAY GRADING: Area between the property line and topof the proposed concrete curb shall be graded toa 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 and gutter
construction.
RB GRADE CHECKING: City of La Quints Shall checkgradesupon receipt ofplanand 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 1 fewlshell 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 Quints 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
aggregate base. Driveway construction shall conform to attached drawing. ") of clean
R l l 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.
R12 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.
R14 COORDINATE 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 readilyandcorrectly
be replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete $at of notes showing the
ties to these monuments shall be furnished to the City Engineer prior to the removal of any monuments. Thisoftiee snail
be notified upon completion of replacement at all survey monuments tar proper oroiect_cleanncn
R16 SURVEY MONUMENTS: Prior to excavation or bettinninq or construction. ail survey monuments small betiedout tw0ty
of La Quints and suitable payment or guarantee of payment shall be made as reimbursement for all work invaived.
R17 PAVEMENT CUTTING: Pavement will be mechanically cin to a straight edge prior toexcavation. 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 paying operations, any damage to
// pavement straight edge shall be corrected.
/ 9 LIMIT OF EXCAVATIONS: Excavations shall be limited to 1.000lineal 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 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.
R20 BACKFILL MATERIAL Backfill shall be free of brush. roots or other organic substance detrimenta.::.:suse for purposes
of producing an adequately consolidated backfill. Any material which the City of La Quinta deems unsuitable (spohgyor
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 notgreaterthen
three feet 131 and vibrated using vibrotamper or equivalent equipment. Alternate methods may be substituted, but in any
case a relative compaction of 95 percent shall be attained within the s:rvctural section of the roadway,
2 BACKFILL PLACEMENT: Backfill shall be applied in layers of not more than 50 percent of the total depth of the trench
before flooding Ora 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 plated so that the
resulting compaction shall be not less than 90percentor equivalentto the surrounding ground. whichever isthe 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 eacn :aver and the water
supply shall be continuous.
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 ss outlined in Section 6.3.01 of the
Standard Specifications, Division of Highways, State of California. dated January 1973.
R2 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 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 ___ inches A.C.
surfacing placed an a inch class base shall be placed no later than
temporary road repair. days ahercompletion of
R27 PAVEMENT REPAIR: F.A.S.: Upon completion of backfill and compaction, a temporary patch consistingof two inches (2.1
of cold mix paving ISC-800) shall be placed immediately. A permanent patch of three inches 13'1 of A.C. surfacing shall
be placed on six inches IV) concrete base as directed, but not later than fifteen (15) days after completion of temporary
paving. Concrete base shall be of five-sadt 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 snail 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 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 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 interference or hazard to highwav
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 anv one 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.
a. 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 heating in all cuts of two inches
(2'1 and noovo,in size. Sealant shall be Spotted to all cut sections as directed by the City Public Works inspector.
SPECIAL CONDITIONS --PERMIT NO. 1728 ,
-- 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 Quinta 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 tithe 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. Permittee shall notify the City Engirieering 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 is not 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. No pavement cutting shall -be permitted.
12. All landscaping, irrigation and decorative rock shall be replaced to its original
condition.
13.. Prior to excavating, permittee shall contact Underground Service Alert at 1800-
-422-4133.
Special Conditions - Permit No. 1728 Page 1 of I
SOUTHERN CALIFORNIA GAS CO. -2988.3)