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1744NOTE: - . • M-th proper validation `fhis form constitutes an ";encroachment permit CITY .OF LA QUINTA APPLICATION. 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 Subdivisiori Improvement Permit — Class I II 5/19/93 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION — Ave Mendoza S/Calle Durango '(`Str'eet address or'Description of Location) • ;PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) ?_"DESCRIPT.ION OF CONSTRUCTION To insaall 140' of 2" medium pressure plastic gas main 10' W/EPL of Ave Mendoza, beginning DIMENSION OF INSTALLATION OR REMOVAL 1001 S/SPL of Calle Durango, continuing south. SIZE OF EXCAVATION, IF NEEDED See 'Attached Sketch, APPROXIMATE TIME WHEN WORK WILL BEGIN 7/15/93 See' Attached Conditions 4, APPROXIMATE TIME OF COMPLETION 10/15/93 =ESTIMATED CONSTRUCTION COST'$ ­lricluding 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: Y:Y Indemnify, defend and save the City, its authorized agents, officers, representatives and ,employees, harmless from sand 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: r 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,Quinta and to pay for any additional replacement necessary as the result of this work. Signature of Applicant or,Agent _ - SOUTHERN CALIFORNIA GAS CO i PO'BO% 3003 REDLANDS, CA 9 373 (714) 335-77fi4` 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.`lmprovement 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 " V4 Inspection Fee $ PERMIT VALIDATION Permit Fee 0 1744 - PERMIT NO. Penalty DATE APPROVED 5/19/93 -Cash Deposit -Surety Bond if required. EXPIRATION DATE 10/15/93 TOTAL: $ 0 DATE ISSED 5/19/93 Receipt'No. '> By Received -by -Date Administrative Authority Recorded by TELEPHONE: (619) 564-2246 i 53442-463 CITY OF LA QLgNTA NOTE: MAY 0 71993 With proper validation this form consatutall an CITY OF LA QUINTA PUBLIC W encroachment permit APPLICATION FOR PERMIT OItI�S PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or private curbs. driveways, pavements. sidewalks, parking lou, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit - Class I I I DATE: Mav 1993 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Avenida Mendoza /Gal l e DLranen Iitrsaht ad - or Description of Loo tion) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL Sketch (attach construction plans if appropriate) To install 140'of 2" medium pressure plastic gas main 10' 14/EPL of Avenida Mendoza, beginning 100' S/SPL of Calle Durango, continuing south. SIZE OF EXCAVATION. IF NEEDED g- est-T'7a�2��� c"7 cwt APPROXIMATE TIME WHEN WORK WILL BEGIN 7/15/93 APPROXIMATE TIME OF COMPLETION 10/15/93 ESTIMATED CONSTRUCTION COST $ (Including renwval of all obstruction. materials, and debris, backfilling. com- 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 awe the City, its authorised agents. officers. repmwtetWes and employes, hermlea from and against any and all penalties. liabilities or loss resulting from darns or court action and arising out of any accident. lost 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 Adminatrati a Authority at least danrmtyfour (241 hours in advance of the time what work will be started. OM an applicable City Ordanncaa, the terms and conditions of the permit and MI applicable rules and regulations of the City ofOM G*m and to pay far saw additimul rapier en nt theoenery as tfsa, aewhlt of this warlh. .. ?•. • •: Rhodesia Abhle RMITZOOR f'..l Y' .•,.;;'.,h_.' -',.,;."�,;:: "' Q; p^�'--�� Bnx '�nti�'� `RFLf�G� rt►'A�''>i7�' `(714) .335_77-6:4-�:.: - �`„Jj'n RIY l I )R1Y M-1 M :Nwma d Appliant (pM�'Rb111 lttninew'Add�!ee ; TiNphona No. Y hlaf�a d Contractor and Job•Foreman. - Addresli Tilaphone No. F.ofhtractora Lioefhea No. Applicenri; Insu aim Company. Polio► Number FEET: Subdivision Improvement Permit - Class Public improvemettts: 3% of ad listed construction costs:: Private improvements: 3% of animated construction Goofs Minor Improvenhant pal.nit - Clew IV: Sea sttaend schedule : Inaction Fee _ Permit Fee Pan.lty - Cash DepoeitSurety Bond If repaired TOTAL: Receipt No. —� Realm d by Ooa Recorded by PERMIT VALIDATION _ PERMIT NO. DATE APPROVED _ 3 EXPIRATION DATE t7 IBJ �- 93 DATE ISSUED _ I � - 1� 3 By Administrative Audwrity TELEPHONE: 1619) W2246 e The following General and Special Provisions are attached to and made a part of Permit 'No. GENERAL PROVISIONS The following shall always apply: ENCROACHMENT ON PRIVATE. PROPERTY: This permit authorizes work to be accomplished. within City of La Quints right of way ONLY. Whenever construction extends within private property, it shall be the responsibility of the permmee (or his contractorsl to secure permission from abutting property owners. Such authorization must be secured by the permittee prior to .starting work. :MACKLAYINGCONSTRUCTION EQUIPMENT: CleatedtracklayingconstructionequipmentshallnotbePermittedtoOperateonany paved surface unless fitted with smooth -faced street pads. All mechanical outriggers shall be fitted with rubber street shoes to protea 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 Quinta shall request that these portions of road be resurfaced over their entire width. Resurfacin surfacing plus appropriate seal coat as specified above. g shall consist of one coat of two inches (2") of A.C. PROTECTION OF TRAFFIC: All excavations and work areas shall ba ro rl lighted and barricaded as dee Engineer or La Quints Ci Public Works ins p y mad necessary by the City ry peetors.Suitabledetoursanddetoursignsshallbaplacedarid trteintainedforthe 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 1 concrete structures encountered during excavation which necessitate removal shall be replaced in kind. In the event -it becomes necessary to remove or cut existing drainage structures, City of La Quints shall be notified prior to commencement of this work. Drainage structures and open drains shall be kept free of debris at all times for proper drainage. RIGHT OF WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from the right of way. All paved surfaces shall be broomed dean of earth and other objectionable materials immediately attar backfill and compaction. Existing gutter line and drainage ditches shall be replaced to their original standard or better. All excess material shall be removed prior to paving. Water tanker shall be used, as required, to sprinkle the job site to keep down dust conditions and shall be used immediately after backfill. .DE -WATER OPERATIONS: If de -watering operations are required and pumps are forcing water on City of La Quinta rands. it shall be the responsibility of the permittee (contractor) 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 itisfeltbythepermitteethathi must Pro i delimit d any length of time. permittee shall contact this office to obtain the necessary permission. SPECIAL PROVISIONS i The follwing shall apply ONLY when indicated: I i NOTIFICATION: Permittee shall notify the City at 6642246 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 Quinta to coyer all work involved in the restoration of the various Le Quinta roads and survey monuments. This bond shall be continuous until .cancelled by the City Engineer. This bond must be posted prior to commencement of any work on this project . . UTILITY CLEARANCE: (Substructures) Priorto making any excavation within the City of La Quints right pf wtynuthorized 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 Salerstponsibiliry of the permmee. R4 UTILITY CLEARANCE: (Surface structuresl No wont shall be done under this permit until all utilities ars dear 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 coegate subbase course nformance with City of La Quinta Road improvement tandards and Specifications. Ordinance #461. R6 . PARKWAY GRADING: Area between the property line and top of the proposed conn rete curb shall be gradedto a slope of 1/4 inch to one foot (11. R7 GRADES & STAKES: City of La Quinta shall establish grades and stakes for the proposed concrete curb and gutter R8 GRADE CHECKING: CitYof La Quinta shall check grades upon receipt of Plart and Motile and/or grades as established by a licensed engineer. i R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter ( feetlshall 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 aggregate base. Driveway construction shall conform -to attached drawing. 1 of clew R11 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. R 22 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 fines 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 permmee. A complete Set of notes showing the ties to these monuments shall be furnished to the City Engineer prior tothe removal of anymonumems. Thisoffiee shall be notified upon completion of replacement of all survey monuments for proper protect clearance; R16 SURVEY MONUMENTS: Prior to excavation or oedinninq of construction. all survey monuments shall betted 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. R18 PAVEMENT CUTTING: Pavement shall be saw cut prior to removal. Prior to final paving operations, any damage to Pavement straight edge shall be corrected. R19 LIMIT OF EXCAVATIONS: Excavations shall be limited to 1.000 lineal feet of open trench before backfill operations must 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. excavation shall remain open for a period exceeding five (5) days. No excavation shall be made unless the constructioNo material is actually on the work site. n R2 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 Quints deems unsuitable (spongy or saturated material) which is encountered during excavation shalt 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 not greater than three feet (3') and vibrated using vibrotamper or equiva lent equipment. Altemate methods maybe substituted• but in any case a relative compaction of 95 percent shall be attained within the a;rt:ctural section of the roadway. BACKFILL PLACEMENT: Backfill shall be applied in layers of not more than 50 y the trench before flooding or a maximum of five-foot (61 lifts where trenches are of excessive depths. Care is to be exerc depth fised that the baddill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed so that the resulting compaction shall be not less than 90percem or equivalentto thesurrounding ground. whichever is the greater compaction. Where ponding or flooding is used for a maximum settlement. adequate dikes will be constructed to retain supply shall the water. Where jetting is used, the jets shall be of sufficient length to reach the bottom of each layer and the water 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 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. R2 COMPACTION TESTS: If so required by the inspector, compaction tests shall be made for each crossing or service line. One 0) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent repairs. Compaction tests shall be made asoutlined in Section 6.3.01 of the Standard Specifications. Division of Highways, State of California. dated January 1973. R25 TEMPORARY PAVEMENT REPAIRS: After completion of bac fill and compaction operations. a temporary patch consisting of 2 inches of SC -800 shall be placed on a prepared subgrade. The SC -800 temporary paving shall be placed after a maximum of 3.000 lineal feet of trench has been excavated and backfill operations completed, but in no case shall the placement of the temporary pavement exceed a five (5) day limit. R26 PERMANENT PAVEMENT REPAIR: After backfill and compaction operations have been completed, a temporary patch consisting of two inches (2") of SC -800 shall be placed immediately. A permanent patch of inches A.C. surfacing placed on a inch class base shall be placed no later than days aftercompletion of temporary road repair. R27 PAVEMENT REPAIR: F.A.S.: Upon completibnof backtill and compaction. a temporarvpatch consisting of twoinches (2-1 of cold mix paving (SC -800) shall be placed immediately. A permanent patch of three inches W) of A.C. surfacing shall be placed on six inches (6") concrete base as directed, but not later than fifteen (15) days after completion of temporary paving. Concrete base shell be of five -sect mix and shall conform to the City of La Quints Road Improvement Standards and Specifications, Ordinance 11461. 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 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 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 snail 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 Quints road right of way, permittee shall make his own arrangements with adjoining property owners for consent to the trimming in addition to the authorization provided by this permit. d. All tree trimming on EVERGREEN TREES. PALM TREES, and other ORNAMENTAL TREES shall be accomplished to the satisfaction of the City Public Works Inspector. 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 crotcn to insure even. fast healing in all cuts of two inches (2'1 and above -in size. Sealant shell be scoffed to all cut s -+i --,en, as nirnm~i h,, th. r:. , o...:_ SPECIAL CONDITIONS --PERMIT NO. 1744 --- 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. Permittee shall be responsible for providing continuous dust and erosion control. 3. Streets shall be kept clean. They shall be completely cleaned at .the end of each working day and more frequently if required. 4. 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. 5. 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. 6. 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. 7. 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. 8. All landscaping, irrigation and decorative rock shall be replaced to its original condition. . 9. Prior to excavating, permittee shall contact Underground Service Alert at 1800-422-4133. 10. No pavement cutting shall be permitted, all trenching shall be in earth. - Special Conditions -'Permit No. 1744 Page I of I PLAN FILE NO. BASE BY!� COMPL.'SKETCH DTE V. t � 1 VET /4 f644 g.-:2 7z"Pd �JST 7'�s T 11;7,,5211V�' svc. ' MAIN Coati:. CODE MINT_ - �'r�Cy Tim ,4T 14o)c Isolation Area Affected Yes ❑No C* Pressure District Affected Yes ❑No 0 - Business District Affected Yes ❑No 2"- Supply Line Affected Yes ❑No Valve(s) Required.. ...-. ,_ ,,-Y..—Yes—.❑No. 4-:'Ti� 11V / C.P. Area No. — C.P. Reviewed By: — Reviewed 'By: s,S c is y 2 3 PLAN FILE NO. BASE BY!� COMPL.'SKETCH DTE V. t � 1 VET /4 f644 g.-:2 7z"Pd �JST 7'�s T 11;7,,5211V�' svc. ' MAIN Coati:. CODE MINT_ - �'r�Cy Tim ,4T 14o)c 4-:'Ti� 11V / .. _,-, ..... ,. .. .TOTAL FEET INST'D INSTALL MAIN WITH AT LEASTCOVER BELOW Com/ �' ` - TOTAL FEET RETIRED -. COUNTY—!fir—iYc.�OEJ� RETIREMENT` ... _.. PERMIT ISSUED BY /% - •• 1,7 T%� PERMIT NO. ._ DATE MOVED.,..,... ON JOB DATE MOVED DATE OF OFF JOB OPER DISTRICT REASON CREW FOREMAN � ' �/> ��/`'���" PLANNED BY TRACT _ - COMPANY NO. AAS TL1 N� //] NO. ! ` YEAR C.P. _ INSTALLED STAKED STAKING REQ�D " ' ❑' . ❑ COMPANY_FACILITY: SO. CAL. ❑ P.LS. ❑ � DIVISION 2 ORG. REVIEWED BY yqr— I (/ ` CATHODICALLY YES ❑ NO CI PROTECTED OPER. 20% OR OVER ❑ S.M.Y.S.- AT LESS THAN 20% ❑DISTRICT PERVISOR NO STAKES NEEDED W.O. ,(Z� COD SOUTHERN CALIFORNIA GAS CO. 2958.1-J - '