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1793qi 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 Subdivision Improvement Permit — Class II I DATE: 7/7/93 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Avenida Rubio N/Calle Durango (Street address or Description of Location) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 7/13/93 Sketch (attach construction plans if appropriate) To install 100' of 2" medium pressure plastic gas main 10' W/EPL of Avenida Rubio, beginning 45' N/NPL of Calle Durango, continuing north. SEE ATTACHED CONDITIONS SEE ATTACHED SKETCH APPROXIMATE TIME OF COMPLETION 1/13/94 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 agents, officers, representatives and employees, harmless from and against any and all j 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 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. 'A lb/`fG� Signature of Applicant or Agent F*,C^i7 ' Cvn/L4>1N? THE GAS COMPANY P.O. Box 3003 Redlands, CA 92373 (714) 335-7764 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. On File Contractor's License No. On File On File City Business License No. On File 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 0 $ 0 Date 1 793 PERMIT VALIDATION PERMIT NO. 1793 DATE APPROVED 7/6/93 EXPIRATION DATE 12/31/93 DATE UE /,1/7/93 By � Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 I . . 53443-230 NOTE: With proper validation thin form constitutes an encroachment permit CITY OF LA QMNTA i u w 2 91993 CITY OF LA QUINTA PUBLIC WORKS APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or private curbs. driveways. pavements, sidewalks, parking lots. sewars, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Ly I q 3 Subdivision Improrwrwa Permit — Class 111 DATE: I=e -24L' 4iy Minor Improvenw - Permit Class IV LOCATION OF CONSTRUCTION Avenida Rubio N/Calle Durango limes addreu or Dawription of Loeetioal PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION To install 100' of 2" medium pressure plastic gas main 10' W/EPL of Avenida Rubio, beginning 45' N/NPL of Calle DIMENSION OF INSTALLATION OR REMOVAL Durango, continuing north. or'T ops SIZE OF EXCAVATION. IF NEEDED SEE ATTACHED S �rC APPROXIMATE TIME WHEN WORK WILL BEGIN 7/13/93 APPROXIMATE TIME OF COMPLETION 1/13/94 ESTIMATED CONSTRUCTION COST S Ilnciuding removal of all obstruction, materials, and debris, backfilling, cont• 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 sew the City, its authorized agents. officers. representatives and ampicyses, harmless frorn and against env and all penalties. liabilities or loci resulting from doims or court anion and arising out of any accident. loci or dannage to persons or property hap. we or occurring n a proaimata result of any work undertaken under the Permit granted pursuant to this application. mwity du Administrative Authority at hest twenty-four (241 hours in adnrenee of the tutu when work will be started. �, ty u*h all applicable City Ordinances, the arms and conditions of the permit and all appsicome rules and regulations of the City of Yi anima and to pay for aey ad*UWW raplaaenunt neeemry ae ow aault of : -t Rhodesia Ash] e>f Ap/iie�e�t err Agsel�.P RML C04RDI-NATO •:.,. ;�,'T ^ %+^•.y p sax "3nn�' �tnr'atanS� rn '4�'t'f7 {71 i-335_7764 : __� DLnJ-iZlr�n L�aL'itiRir121 IiAA ►■. ..� _ Nensta d /lppiies+rtt Iplesse printf Business Address TNepfto�a No. Nnm of CorAractor and Job Foremen .. .. . wWAss Address Telepltonte No. r Zontraetoes License No. Cky swims: License No. Applicant's Insurance Company fticy Numtbr FEET: Subdivision Improvement Permit - Class 111 Public improvements: 3% of estimated construction costs , private improvnants: 3% of estimated construction cosh Minor Improvanent hermit - Class IV: See attached schedule - MePecdon Fee _ PERMIT VALIDATION Permit Fee PERMIT NO. 1193 DATE APPROVED . % !✓� y 3 Cash Deposit -Surety Sato K recl+ited EXPIRATION DATE 9 `3 TOTAL: "' DATE ISSUED Receipt No. --' - By Administrative Authority Received by Dab Recorded by TELEPHONE: 1619) 564.2246 r t, t, The following General and Special Provisions aro 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 resoonsibility of the Permntee for his contractors) to secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting work. TRACKPaveds AYINGCONSTRUCTIONfittedSmooth Cleated trOcklayingconstructionequipmentshallnotbepermittedtoopersteonany paved surteee unless fitted with smooth -f aced 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, it the existing pavement is scarred• spelled, or broken during the term of this contras, or H the pavement is marred Cit, of la Quints shall request that these portions of road be resurfaced over their entire width. Resurfacing shall consist of one cost of two inches (2"( of A.C. surfaging plus appropriate sea) cost as Specified above, PROTECTION OF TRAFFIC: All excavations and work areas shall be -properly lighted and barricaded as deemed Engineer or La Quints City Public Works Inspectors. Suitabbdetoursanddetour signashallbeplacedand maintaiathe duraon of the project. Tho 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 steal concrete structures encountered during excavation which necessitate removal shed De replaced in kind. In the ssteel t becomes culvert and necessary to remove or cut existing drainage structures. City of La Quints shall be notified Drainage structures and open drains shall be kept free of debris at all times for proper drainage, prior to commencement of this work 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 eanh and other objectionable materials immediately afterbackfill and compaction Existing gutter line and drainage ditches shall be replaced to their original standard or better. All excess material Shad be removed prior to paving. Water tanker shall be used, as required, to sprinkle the job site to keep down dust cond fill, itions and shall be used immediately after back OE-WATER OPERATIONS: If de -watering operations aro required and pumps Quints roads, it shall be aro forcing water on City of la 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 vete 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 must dose 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: 6V NOTIFICATION: Permittee shall notify the City at 6642246 at least 48 hours in advance of starting conatrtra)on R2 CASH DEPOSITS OR BONDS: A cash bond Oran approved surety bond in an amount of not less thanill shall be furnished in the name of City of Le Quints to coverall 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 ® UTILITY CLEARANCE: (Substructures) Priorto making any excavation within the City of La Quints right of wayauthaiz by permit, the permittee shall contact all concerned utility companies relative to the location of etdsting sutratrthor ed d of the permntee. Damage to existing substructures resulting from operations conducted under this permit shall be the $ola responsibility UTILITY CLEARANCE: (Surface structures) No work shad be dome under this permit umil all utilities ars dear of the proposed work site. The permrtee shall notify all concerned utility companies of the proposed work R5 PAVEMENT WIDENING: Area between the proposed comma surfaced with inches of A.C. avin 1 gutter line and the existing road pavement shall be having an "R'velue of not less than p g p at sd on inches of class_ aggregate and in conformance with City of La Quints Road Improve subbase course and Specifications, Ordinance 0461. mpravementStandards R6 PARKWAY GRADING: Area between the property line and top of the proposed concreteeurbsfta(1bef)radedtoas�opeof 1/4 inch to one foot 111. R7 GRADES & STAKES: City of La Quints shall establish grades and stakes for the proposed concrete curb and gutter construction. R8 GRADE CHECKING: City of La Quints shall check grades upon receipt of plan and prafileand/or grades asestablished by a lirensed engineer. R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter ( feat)shall be removed. Curb and/or curb and gutter shall be saw cut prior to removal. Depressed curb, matching concrete gutter and concrete driveway approach shell be constructed in conformance with City of La Quints Standard 0207. RIO DRIVEWAYS. A.C.: Driveways shall be constructed as not to atter 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 (_") of clams aggregate base. Driveway construction shall conform to attached drawing. R11 CULVERTS: A inch diameter) )culvert shall be installed with the invert approximately inches below and in line with the existing flow line. Culvert installation shall conform to the attacheddrawing.l /2 R1 IGHT 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 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. R1 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►eadifyandcorrectly be replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete set of notes showing the ties 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 replecement of all survey monuments for proper projsm clearance, R16 SURVEY MONUMENTS: Prior to excavation or oeoinnino of construction. all survev monuments small Oetiedout gvCity Of La Quints and suitaole payment or guarantee of payment shall be made as reimbursement for all work invOtvecL ment l be ly cut to a straight R17 PAVEMENT tt�g shall tie pp approved tri through htle Office of he' Cilty Engineer, IU der ndo circarior to ums ancesshall exAMd a be used to excavate prior to cutting of pavememl. Excavation material shall be placed in such a as to best eaystin9 equipment facilitate the general flow of traffic. Prior to final paving operations. any damage [o pavement sire position as to best corrected. straight e RIB PAVEMENT CUTTING: Pavement shall be saw cut prior to rem lige shall be pavement straight edge shall be corrected. oval. Prior to final paving operations, any damage to R19 LIMIT OF EXCAVATIONS: Excavations shall be limited to 1.000linealfeetofopen trench before backtillo begin. All excavations shall be properly barricaded with lights overnight. on weekends and holidays for the protection of Operations must the traveling public. The Public Works inspector shall determine the suitability of excavation barricading in each ease. No excavation shall remain open for a period exceeding five 15) days, No excavation shall be made unless the construction chCase.No material is actually on the work site. R2 BACKFILL MATERIAL Backfill shall befree ofbrush. roots orother organic substance detrimema.::.;suseforpurposes Of Producing an adequately consolidated backfill. Any material which the City of La Quints deems unsuitable .'-sus(sp Purposes saturated material) which is encountered during excavation sheLLnot 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 sad or equivalent and shall be placed in lifts of not greeterthan three feet W) and vibrated using vibrota mper or equiva tent equipment. Alternate methods may be substituted but in any case a relative compaction of 95 percent shall be attained within the c;rt ctural section of the roadway, 22 BACKFILL PLACEMENT: Backfill shall be applied in layers of not more tnan 50 percent of the total depth of the trench before flooding of a maximum of five-foot (61 lifts where trenches are of excessive depths. Care is to be exercised that the bac till materiel is not subjected to extreme swell by flooding operations. Backfill material shall be placed go that the resulting compaction shall be not less than 90 percentor 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 :ager end 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 testsshall be made asoutlined in Section 6,3,01 Of the Standard Spaeifications, Division of Highways. State of California, dated January 1973. 224 COMPACTION TESTS: If so required by the inspector, compaction tests shall be made for each crossing 9drserviceline. Compaction tests shall be made as outlined in Seaton 6.3.01 of the Standard Specifications. Division of H 8entrep tate of California, dated January 1973. ighwaya State R25 TEMPORARY PAVEMENT REPAIRS: Atter 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 after a maximum of 3.000 lineal feet of trench has beenexcavated and backfill operations completed, but nocaseplace 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 laterthan temporary road repair. days afteroompletionof R27 PAVEMENT REPAIR: F.A.S.: Upon completion of backfill and compaction, a temporarypatch consisting of two inches (2'1 of old 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 (6'1 concrete base as directed. but not later than fifteen (15) days after ompletion 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. R2B 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 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 mterference or hazard to the traveling public. It shall be the responsibility of the perminee to maintain the tree in a vigorous growing condition at its new location. Trees to be removed shall be removed in sections which 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. surrounding is the Large holes resulting from tree removal shall be backfilled and compacted to not less than 90 percent or equivalent to the testsater compaction as ield methd. Compaction shall complywith Sea onr6.3.01 of the Standard Specdieatio s determined Divis on of High 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. Adequate signs. flagmen, and/or barricades shall be provided to b. Where it becomes necessary to restrict traffic. the work shall be restriprotect cted to a maximum of 500 feet at any one time. the traveling public at all times. c. If tree trunks are partially outside of the City of La Quints road right of way, arrangements with adjoining property owners for consent to the trimpermittee shall make his own by this permit. ming f way, onto the authorization provided d. All tree trimming on EVERGREEN TREES. PALM TREES. and other ORNAMENTAL TREES shall be accomplished to the satisfaction of the City Public Wo -'%S 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 (21 and above -in size. Sealant shell be applied to 811 Cut sections as directed by the City Public Works Insoecrm SPECIAL CONDITIONS --PERMIT NO. 1793 --- The Gas Co. --- In addition to the standard permit conditions, the following shall apply: 1. All work shall be performed in accordance with the latest edition of the Standard Specifications For Public Works Construction. 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. Street closures shall not be permitted. A minimum of one travel lane on paved surface shall be maintained with flagmen at all times. 8. 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. 9. Prior to excavating, the permittee shall contact Underground Service Alert at 1(800) 422-4133. 10. Should additional work, materials, or modifications of the work be required in order to meet city standards, safety requirements, signage requirements, or to fit actual field conditions, the work shall be performed by the permittee as directed by and to the satisfaction of the City Engineer at no cost to the City of La Quinta. 11. All landscaping, irrigation, decorative rock etc. shall be replaced to its original condition. 12. All work shall be coordinated with the City's contractor and others working within the area as directed by and to the satisfaction of the City Engineer. Special Conditions - Permit No. 1793 Page 1 of I Zjt�`ST�?GL TEST 71e,Z�' W1 li��91W 47- Z, ---C 'z 45 -/-9,3 513 PLAN FILE No.. (�'1 BASES ETC CONSTR. Kfi'� COMPI. SKETCH Z17 y / BY: �•f BY: HY: SHEET OF / --- -----�`�. TOTAL.FEET INST'D. .-✓� INSTALL MAIN WITH AT LEAST - "" COVER BELOW TOTAL FEET RETIRED COUNTY / % S/��- �Q 4/F.�/ RETIREMENT REASON m IT ISSUED a� ! (/ PERMIT NO, DATE MOVED. DATE MOVED DATE OF ON JOB - OFF JOB OPER. CREW FOREMAN ��� DISTRICT PLANNED 8Y TRACT - -- - NO. ATLAS ��/� NO. U CATHODICALLY YES ❑ NO❑ STAKED/A�/ ❑ AKING REa'D. ❑ COMPANY, YEAR C.P. INSTALLED OPER. 20% OR OVER ❑ S.M.Y.S.� COMPANY FACILITY: O. CAL. ❑ P.L.S. ❑ DIVISION � �3 ORG R IEWE BY G�'y �(. .L�// AT LESS THAN 20% ❑. NO STAKJ.S NEEDED W,�� O _.. ._ . _. .._ .. PROTECTED DISTRICT • p RVISOR .CODE SOUTHERN CALIFORNIA GAS CO. _2956_4F110 -7E) - - ... ... _. .- , ..:. .... ... _. ... H. :..: ,.-.. . .5:�=. _.. .1 a .. .. y.- at�3m -...3„su.+.4.1w.s.,.8...,.�,..:c....z.....,.... u. �.�. -..