1740<:Wioh.Ooper validation
this' -form constitutes an
'3encroachment permit " '. CITY OF LA QUINTA.
APPLICATION FOR PERMIT
i�
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT).
.f I :... OF �w
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
ti
Subdivision.Improvement Permit — Class I II'.. .
DATE: 5"'18"93' Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Jefferson. & 50th Ave
(Street address or Description of Location) s
,PURPOSE OF CONSTRUCTION Update Phone service Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Gte Conditions Apply to .this: permit
_ (attached)
DIMENSIQN OF INSTALLATION OR REMOVAL
Ref GTE .Permit 1708
r r
SIZE OF EXCAVATION, IF NEEDED' + '
.:cr-.'.APPROXIMATE TIME WHEN WORK WILL•BEGIN 0-19-93,'
`APPROXIMATE TIME OF COMPLETION 5-25-93
E
ESTIMATED CONSTRUCTION COST $
f ..',(lnclu'ding removal of all obstruction, materials, and debris, backfilling, com-
•ction 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' an 'work undertaken under the
y: permit granted pursuani`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 rulesand regulations of the City of
La.Quinta and to pay for any additional replacement necessary as the result of this work..
Signature of Applicant or Agent
GTE
Name of:Applicant (please print) Business Address Telephone No.
Valverde Const. Inc. 10918 Shoemaker:(310) 906-18.26-
Name of Contractor and Job Foreman Business Address Telephone:No.
276469 2944 tr.
Contractor's License No., City Business, License No.
Wilson Poroon 0937093-50
E`Applicant's Insurance Company Policy Number
--FEES Subdivision•Improvement• Permit —Class III~ S R0 '„ .cA "aTt�l _110. Q0
+ Public improvements:• 3% of estimated construction costs'
Private improvements: 3% of'estimated construction costs =
Minor Improvement Permit — Class IV: See attached -schedule tj a
4{r
400 f r
Inspection -Fee $ PERMIT VALIDATION.—
Permit
ALIDATION •Permit Fee 1U PERMIT NO. 1740
Penalty
Cash Deposit -Surety Bond
DATE APPROVED >:` 3"18-93'
if•requiredEXPIRATION DATE 6-30-93
TOTAL: $ 410 .5-18-93
a, DATE ISS ED l
Receipt No.
By
Received by Date Administrative Authority
Recorded by TELEPHONE: (619) 564-2246
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.
S" / p Ci Subdivision Improvement Permit — Class III
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION -t5:EZ, .(
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach constructionlans if
P appropriate)
DESCRIPTION OF CONSTRUCTION 0.,.c7C �y L Gvl�, p_T-rA.e� .(-rCO3t/.Di r10&)S
k; i r� ► , .�, � L-_K)l p
DIMENSION OF INSTALLATION OR •REMOVAL
SIZE OF EXCAVATION, IF NEEDED `—m c.'� o ✓Z
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION _F. Ya
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:
Indemnify,defend and save the City, its authorized agems, officers, representatives and employees, harmless from and against any find all
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damageto 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 nuinta and to pay for any additional replacement necessary as the result of this work.
Name of Applicant (please print)
k 1.I _ .n
Name -of Contractor and Job�Rorem n
.276Y..19
Contractor's License No.
1 Signature of Applicant or Agent
Business Address
Business Address
7:�IoZ 406—
Telephone No.
s lO " cr GCI = 1824
Telephone No.
City Business License No.
Applicant's Insurance Company v v Z Cd `7 4 5 0Policy Number
FEES: Subolvision improvement Permit —Class III '
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs 1 v 8 6
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee
� Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by Date
Recorded by
I -
PERMIT VALIDATION
PERMIT NO:
DATE APPROVED _
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: (619) 564-2246
The following General and Special Provisions are attached to and made a part of Permit No. 17
GENERAL PROVISIONS
The following shall always apply:
ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within City of Ls Quints 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: CleatedtrackleyingconstructionequipmerttshallnotbePermittedtooperateanany
paved surface unless fitted with smooth-faceo 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 it 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 cost 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.prope►ly lighted and barricaded as deemed necessary by the City
Engineer or La Quinta City Public Works Inspectors. Suitable detours and detour signs shall 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 necessttate removal shall bs replaced in kind. In the Steel
c becomes
necessary to remove Or cut existing drainage structures. City of La Quints shall be be red acedpriorin commencement t. this work.
Drsinage 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 i mmedietely atter backfill and compaction.
Existing gutter line and drainage ditches shall be replaced to their original standard or better. All excess materiel 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 an City of La Quinta roads. it shall be
the responsibility of the permittee Icontractorl to control this water and to provide off-street barricades when n9c9MrV
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 permittee that 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:
6R NOTIFICATION: Permittee shall notify the City at 5642246 at least 48 hours in advance of starting conl1WUction
R2 CASH DEPOSITS OR BONDS: A cash bond or an approved surety bond in an amount of not less than 8
shall be furnished in the name of City of La Quinta to cover 811 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 bond must be
r posted prior to commencement of any work on this project.
V UTILITY CLEARANCE: (Substructures) Prior to making any excavation within the City of La Quinta right ofwayauthorized
by permit, the permittee shall contact all concerned utility companies relative to the location of existing Substructures.
Damage to existing substructures resulting from operations conducted under this permit shall be the saleresporgibility
of the permmee.
R4 UTILITY CLEARANCE: (Surface structures) No work shall be done under this permit until all utilities are deer of the
proposed work site. The permmee 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
- subbase course
having an"R" value of not less than and in conformance with CityofLaQuints Road Imrprovem ntStandards
and Specifications, Ordinance #461.
R6 PARKWAY GRADING: Area between the property line and top of the or
1/4 inch to one foot 11 oposed concrete curb shall begrededtoaslope of
�.
R7 GRADES & STAKES: City of La Quinta shall establish grades and stakes for the proposed concrete curb end gutter
construction.
R8 GRADE CHECKING: City of La Quinta shall checkgradesuponreceipt ofplan and plwfileand/or grades asestablishedby
a lirensed engineer.
R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curband/or curb and gutter I feet) she [I 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 1 ") of clas
aggregate base. Driveway construction shall conform to attached drawing.
R11 CULVERTS: A inchdiameterI) culvert shall beinstalled with the invert approximately 11/2
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.
R14, 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.
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 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
t ies 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 for proper protect clearance_
R16 SURVEY MONUMENTS: Prior to excavation or oeomnmq of construction. all survey monuments shall be tied out rriCity
of La Quints ano suitable payment or guarantee of payment shall be mace 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.
R1 PAVEMENT CUTTING: Pavement shall be saw cut prior to removal. Prior to final paving operations. any damage to
pavement straight edge shall be corrected.
R 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 for the 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.
R2 BACKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimenta, ::.: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 shallnot 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 pieced in lifts of notgreaterthan
three feet 131 and vibrated using vibrotamper or equivalent equipment. Alternate methods maybe substituted, but in any
case a relative compaction of 95 percent shall be attained within the c:ructural <_tction 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
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 90percem 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 each Bayer and the water
supply shall be continuous.
R2 COMPACTION TESTS: If so required bythe inspector, compaction tests shall be made at intervals of 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.
X92 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 beforwarded tothe City Enginserfor approval andfiled 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 nocase 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 12") 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 laterthan days aftercompletion of
temporary road repair.
R27 PAVEMENT REPAIR: F.A.S.: Upon completion of backfill and compaction, a temporary patch consisting of two inches (2'1
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 115) days after completion of temporary
paving. Concrete base shall be of 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 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 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 safelywithout mterferenceor 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 safely without 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 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 snail 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 any 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.
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 heating in all cuts of two inches
(21 and aoove in size. Sealant shall be spoiled to all cut sections as directed by the City Public Works inspector.
SPECIAL CONDITIONS --PERMIT NO. 1708
--- GTE ---
In addition to the standard permit conditions, the following shall apply:'
1. All work shall be performed, in accordance with -the plans submi.tted.by GTE.
2. This permit is only for work within the City of La Quinta and it's right-of-way.
Permittee/contractor shall acquire 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 1st to April 30: .Monday. -Friday. 7:00 a.mr to 5:30 p.m.`
Saturday. 8:00 atm. 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 for the street crossings prior to any work starting.
8. Permittee shall notify the City Engineering 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.- A11 backfill subgrade soil shall be compacted to nothing less than 90% relative
dry density, all backfill soil within the top 2' of finish pavement surface shall
be compacted to nothing less than 95% relative dry density, all base material
shall be compacted to nothing less than 95%.relative dry -density.
Special Conditions - Permit No: 1708 Page 1 of 2
12. The street crossing 216' east of Park Ave shall .be a bore and jack operation.
Permanent pavement replacement section for the splice pit shall be 1" greater,
than existing. Permanentpavement replacement section on other.crossings shall
also be 1" greater than existing or 3" of A.C. over 4" of A.B. which ever is
greater. All permanent paving shall. be installed within 72 hours of completion.
13. All excavation at or.near the travel' way shall be backfilled at the end of the f
work day, for the protection of the traveling public.
14. Street closures shall not'be allowed at any time, a.minimum of one travel lane
on paved surface shall be maintained at all times with flagmen present.
15. 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..
16.When work is within 500' of a signalized.intersection the permittee shall notify,
Riverside county Signal Dept. at (71.4) 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.
17. All work shall be performed per the latest edition of the Standard Specifications
For Public Works Construction.
18. All work shall be scheduled to cause the least impact on school traffic/bu'ses if ,
applicable.
Special Conditions - Permit No. 1708 Page, 2 of•2