17434NOTE:
:'..With'prope r validation
,this form constitutes an CITY OF LA QUINTA
encroachment permit
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
Subdivision Improvement Permit — Class II I
DATE: 5/19/.93 Minor Improvement Permit Class IV
'i LOCATION OF CONSTRUCTION (Eisenhower Dr N/Calls Chihuahua
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION To Install Gas Nein Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
To install 105' of 4" medium
pressure plastic gas main 14'
W/EPL of Eisenhower Dr beginning
5' S/S lot line of lot 16 on
Eisenhower Ar cont xt.uiug';:Porth. w
SIZE OF EXCAVATION, IF NEEDED See Attached Condition
APPROXIMATE TIME WHEN WORK WILL BEGIN 5/4/93 '
APPROXIMATE TIME OF COMPLETION 8/4/93 .
ESTIMATED CONSTRUCTION COST $ )
(I•ricluding removal of all obstruction, 'materia Is! and debris,'backfilling, com-
paction and placing permanent resurfacing and/or replacing Improvements)
-In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify, -defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property
happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application.
Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started.
Comply with all applicable City Ordinances, the terms and cbriditions of the permit and all applicable rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary. as the result of this work.
Hot e! -;,i A ASHLJ;�,/
_R Z
Signature of Applicant or Agent
SOUTHERN CALIFORNIA CAS CO POD 3003 REDLANDS CA 92373 (714) 3357764
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
if required
TOTAL:
Receipt No.
Received by
Recorded by
0
$ 0
Date
` PERMIT VALIDATION
PERMIT NO. 1743
DATE APPROVED 5/19/93
EXPIRATION DATE 8/19/93 r.
DATE ISSUE5/19193
By.
Administrative Authority
TELEPHONE: (619) 564-2246
53443-122
MOTE: - CITY OF LA QUINTA
With proper validation
this form constitutes an CITY OF LA OUINTA Apo 2 91993
encroachment permit
APPLICATION FOR PERMIT �� yy��
PUBLIC WORKS CONSTRUCTION (ENCR&"6X)RKS
For the construction of public. or private curbs, driveways. pavements, sidewalks, parking lots, sewers, water mains
and other like public works improvtlTum in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
V14(j- I °I k 3 Suubdivaion Ifmprovarrant ft.. t - Class III
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Eisenhower Dr. N/Calle Chihauhau
lioeet address or Dma don of Location)
PURPOSE OF CONSTRUCTION To install gas main Sketch (attach constvction plans if appropriate)
To install 105' of 4" medium pressure
DESCRIPTION OF CONSTRUCTION
plastic gas main 14' W/EPL of Eisenhower
Dr., beginning 5' S/S lot line of lot 16
DIMENSION OF INSTALLATION OR REMOVAL on Eisenhower Dr., eontinuing north.
SIZE OF EXCAVATION, IF NEEDED
• S•�� �T7'.4-c�D �o��ITo
APPROXIMATE TIME WHEN WORK WILL BEGIN May 4, 1993
APPROXIMATE TIME OF COMPLETION August 4, 1993
ESTIMATED CONSTRUCTION COST S
llncluding removal of all obstruction, materials, and debris, backfilling, corn•
paction and placing permanent raaurfaang and/or replacing improvements)
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify, defend and cava the City, its authorized agents, officers, rep-assntatihues and amplovees, harmless from and against any and all
penalties, liabilities or loss resulting from c1swu or court action and arising out of any accident, log or damage to parsons or property
happening or occurring es a prahirrate result of env work undertaken under the permit granted pursuant to this application.
Notify the Administrative Authority az Hest twentvfour ,121) hours in advenca of the tkne when work will be started.
with all applicsWe City Ordinenras, the terms and conditions of the permit and MI applicable rules end regulations of the City of
061m and to pev for env additional ntpMewnM+t-eoesaary ee dw teeth d 2ho UNWIL
r ..
:• ; Rhodesia:.Ashley . .
j of Appiia�ataii u PERMIT COOR1111dAOR -
714 674SOUTHERN
'
':Nnms of Applicant 4"M Rhitl -_ Iltuakhess Addfrss : Tslapho a filo,
Nine d Contractor and .bb'Foreman ... _ .. Ywinasa Address _ Te_�phone Na
Et:ifhtractors Liana No.. y {` City Businias License No.
-.
Applicants Insurance Company Policy Number
FEES: Subdivision Improvenent Permit - Class 111:
Public improvements: 3% of estimated construction Costs
Private improvements: 3% of estimated corutruction Costs
Minor Improvement Permit - Gass IV: See attached schedule
Inspection Fee S PERMIT VALIDATION _
Permit Fes PERMIT NO. 1-7q.3
7y`3
DATE APPROVED
Cash OspositSurety Bond
if requiled EXPIRATION DATE 3
TOTAL: " S DATE ISSUED
Receipt No. —. By
Administrative Authority
Received by Dew
by TELEPHONE: (619) 564-2246
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 permn 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 for his contractors) to
secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting work.
TRACKLAYING CONSTRUC71ON EQUIPMENT: Cleated trackiaving construction equipment shall not be Pernintedto operate 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 areas. If the existing
pavement is scarred, spatted, or broken during the term of this contractor H the pavement is marred. City of La Quints shell 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 property lighted and barricaded as deemed noes
Engineer the City
pi
Engineer or La Quinta City Public Works Inspectors. Suitable detours and detour signs shall be aced and maintained for the duration
of the project The City shall be notified 24 Hrs. 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 Quinta shall be notified prior to commencsment 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 immediatery after backfill and compaction.
Existing gutter line and drainage ditches shall be replaced to their original standard materials
better. All excess material shall o pacts n.
prior to paving. Water tanker shall be used, as required, to sprinkle the job site to keep down
immediately after backfill. dust conditions and shall be used
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 Icontractorl 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 adjoining property owners and emergency vehicles. In the event it is felt by the permittee that he must Gose 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:
R1 NOTIFICATION: Permittee shall notify the City at 5642246 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 0
shall be furnished in the name of City of La Quinta to cover all work involved in the restoration of the varim a La Quinta
roads and survey monuments. This bond shall be continuous until cancelled by the City Engineer.
posted prior to commencement of any work on this project.
This bond must be
R3 UTILITY CLEARA NCE: (Substructures) Prior to making any excavation within the City of La Quinta right011v41yauthorized
by permit• the permittee shall contact all concerned utility companies relative to the location of exulting substructures.
Damage to existing substructures resulting from operations Conducted under this permit shall be the soleresppntibility
of the permittee.
R4 UTILITY CLEARANCE: (Surface structures) No work shall be done under this permit until all utilities ars 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
having an "R" value of not less than and in conformance with City of La Quinta Road Improve entSandaubbase rds
and Specifications. Ordinance #461, Improvement
R6 PARKWAY GRADING: Area between the property line and top at the proposed concrete curb shall be graded to a slope of
1 /4 inch to one foot I �.
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 lirensed engineer.
R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter ( faegshall 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.
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 I ") of class
aggregate base. Driveway construction shall conform to attached drawing.
Fill 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 snail conform to the attained 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 coordinateo with the State or
City of La Quinta forces to preclude delay or interference with State or City of La Quinta projects.
T.
15 URVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monumentswhich 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 holes showing the
ties to these monuments shall be furnished to theCity Engineer onortothe removeiof anvmonuments. Thisofficeshall
be notified upon completion of replacement of all survey monuments for proper protect clearance.
R16 SURVEY MONUMENTS: Prior to excavation or oeoinninq of construction. all survey monuments snail be tied out by'City
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.
entry PAVEMENT CUTTING: Pavement shall be saw cut prior to removal. Prior to final paving operations, any damage to
pavement straight edge shall be corrected.
R1 LIMIT OF EXCAVATIONS: Excavations shall be limited to 1.000 lineal feet of open trench before backfill Operations must
begin. All excavations shall be property 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.
R20 BACKFILL MATERIAL Backfill shall be free of brush. roots orotherorganicsubstance detrimenta,...;suse for purposes
of producing an adequately consolidated backfill. Any material which the City of La Quinta deems unsuitable (spongyor
saturated material) which is encountered during excavation shall not be used for cebackfill, but shall be supplemented or
replaced by an approved sand or gravel.
R21 BACKFILL SAND: Bacdill shall be approved transit -mix sand or equivalent and shall be placed in life of not greaterthan
three feet (3') 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 c;ructural section of the roadway. .
BACKFILL PLACEMENT: Baddill shall be applied in layers of not more man 50 percent of the total depthof 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
batidill 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 90pe►centor equivalentto 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 layer and the water
supply shall be continuous.
R23 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 11► 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 out) ined 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 days aftercompletion of
temporary road repair.
R27 PAVEMENT REPAIR: F.A.S.: Upon completion of backfill andcompaction, 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 (31 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 -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 issuance of this permit. Seal or armor goats shaft be applied asspecdied 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 Quints 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 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 shall be accomalisned 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 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 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 healing in all cuts of two inches
(2'1 and above to size. Sealant shall be Spoiled to all cut sections as directed by the City Public Works insoectcr
� T —
SPECIAL CONDITIONS --PERMIT NO. 1743
--- Gas Co. ---
In addition to the standard permit conditions, the following shall apply:
1. The gas main shall be installed behind the sidewalk, in earth as dicussed in the
field with Gas Co.'representative John Black on.5-19-93.
2. This permit is only for work within the City of La Quinta and it's .R/W.
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.
S. 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.
s t
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 that of the utility company the
contracting company shall apply for an additional encroachment permit and pay the
appropriate -fee.
10. Pavement replacement section. for the connection potholes shall be 5" of A.C. over
7" of Class II base.
12. All landscaping, irrigation, decorative rock and driveways shall be_replaced to
their.original condition.
13. Prior to excavating, permittee shall contact Underground Service Alert at 1800-
422-4133.
Special Conditions - Permit No. 1743 Page 1 of I.
SOUTHERN CALIFORNIA GAS CO. —2956-4F (10-75)
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TOTAL FEET INST'D.
INSTALL MAIN WITH AT LEAST '° COVER BELOW �/ � TOTAL FEET RETIRED
P_ RETIREMENT RMiZ I S_�ED B PERMIT NO. DATE MOVED. DATE MOVED DATE OF
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W.O. 4,.J CODE
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