1824.V
NOTE:
With proper 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 III
DATE: 8/4/93 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION N/W Corner of Hyy 111 & Washington
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION IInderRround Cable InxtAlnticm Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
SHE ATTACHED COBVITIONS
DIMENSION OF INSTALLATION OR REMOVAL
1 2' x 5' PVC & Cablel
SIZE OF EXCAVATION, IF NEEDED 24' x 5'
APPROXIMATE TIME WHEN WORK WILL BEGIN 8/4/93
APPROXIMATE TIME OF COMPLETION 2yyetka
ESTIMATED CONSTRUCTION COST $ 400.000.
(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 andall
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 woyk.
Signature of Applicant or Agent
James Christensen PO Box 1010 Taiadk 92234 (619) 398-1505
Name of Applicant (please print) Business Address Telephone No.
Irby Const Same
Name of Contractor and Job Foreman Business Address Telephone No.
163338 2623
Contractor's License No. City Business License No.
Liberty Mugual TRI 151 020527 22.2
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I I I
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 0
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 0
Receipt No.
Received by Date
Recorded by
1 824
PERMIT VALIDATION
PERMIT NO. 1824
DATE APPROVED
8/4/93
EXPIRATION DATE 8/27/93
DATE ISS D 8/4/93
By
Administrative Authority
TELEPHONE: (619) 564-2246
N
i,
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, ,watermains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE:_�/o q�(�_3 p
Subdivision Improvement Permit — Class
Minor Improvement Permit Clair IV._
LOCATION OF CONSTRUCTION -- - ti /W CO /..vc r �{� y I y' w,¢5 4 l.� I
(Street address or Oesc ription of Location)
PURPOSE OF CONSTRUCTION -0 424 e -:5 e g& —)d C q � � e.
z,Js�wL,4-A,0
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLAJ9N OFJ,RFMOVAL
L
SIZE OF EXCAVATION, IF NEEDED All X S'
APPROXIMATE TIME WHEN WORK WILL BEGIN
Sketch (attach construction plans'if aPprdpriate)
��� %�C/ C o,✓� 17-e
APPROXIMATE TIME OF COMPLETION —4�rG S
ESTIMATED CONSTRUCTION COST $ 1/60 - nc7o
(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:
Indammfy, defend and sere the City, its authorized agents, officers, representatives and employees, harmless from and against, any.and all
resulting from claim
Penalties, liabilities or Ions or court action and arising out of any accident, loss or
damage Opersons Oi
happening or occurring a a pros;imsta result Of any wort undertaken under the permit granted pursuant to this app plication. r propety
Notify the Administrative Authority at least twenty-four 124) hours in advance of the time when wort will be started.
Comply with all OPPI Cable City Ordinances, the terns and conditions of the permit and all applicable rules and regulations of 'the City of
La Ouinta and to pay for any additional reWacen%M necessary as the result of this work,
\.f CS f- C— A7 ic 3 �-C �/
C)
of Applicant or Agent
jo�i u z 9 L L .*'I
14
.e
Name of Applicant (please print) Business Address v Telepfions No.
yzz�y
.7 213•/ Cm. /� �� "6L k- %d 9'ex i0/vc.76/)p 5` 4,,e
Name of Contractor and Job Foreman Business Address
Tele0honi No.
3i3 ao Z6,
Contractor's License No. City Business License No.
A-. ire > L %-Q l 4n 1 D 2 Z 2 -
Applicant's Insurance Company Policy Number
FEES: $ubaivision Improvement Permit —Class 111
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 VALIDATION
Permit fee
Penalty
PERMIT NO. i/Fly . "A
Cash Deposit -Surety Bond DATE APPROVED
if required 3
EXPIRATION DATE
TOTAL: $ 8' 7�/
� ? .3
Receipt No. DATE ISSUED
Received by Date
Recorded by
By
Administrative Authority
TELEPHONE: (619) 564.2246
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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 Civ of La Quints right of way
ONLY. Whenever construction extends within private property. it shall be the responsibility of the permmee for his Contractors) to
secure permission from Spurting property owners. Such alltharization must be seetuad by the Pe/matte prior to starting work.
TRACKLAYING CONSTRUCTION EQUIPMENT: Cleeteotracklayrngconstruaroneouromentshallnotbacwmrttsdtooperateonany
Paved surface unless fitted with smooth -faces street Pads. All mechanical outriggers shall be fitted wnh rubber Street shoes to Protect
the paving during excavations. Rubber -tired equipmentt only shell be used in backfill operations in paved areas. If the existing
Pavement is scarred. spelled, or broken during the term of this contrecL or d the pavement is marred. Cifv d La Quints shall request
that these portions of road be resurfaced over their entire width. Resurfacing shall consist of one coat of two riches (2') of A.C.
surfaging plus appropriate anal coat as specified above.
PROTECTION OF TRAFFIC: All excavations and work areas shall be-properiy lighted and barricaded as deemed heeasury by the City
Engineer or La Quints City Public Works Inspectors. Suitable detours and detour signsshall be placed and maintanrdfor the duration
of the projem The City shall be notified 24 Hire. in advance of any traffic detours or defineabortL
CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugated metal pipe, concrete pipe. steal culvert and
concrete structures encountered during excavation which hecessitate removal shag be replaced in kind In cite event -it becomes
necessary to remove or cu[ existing drainage structures City of La Quints stall be ed pnor to commencement of this work.
notified
Drainage structures and open drains shall be kept free at 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 fight of
way. All paved surfaces shall be broomed dean of earth and other objectionable materials immsdAtely dear backfifland 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 cornrtlons and Shall be used
immediately after backfill.
DE -WATER OPERATIONS: If de -watering operations aro required and pumps aro forcing water on City Of La Quints roads. it shall be
the responsibility of the permmee (contractorl to control this water and to provide off.street barricades when ria - ry.
CLOSING STREETS: No street shall be closed. A minimum of one fane of traffic shall be maintained at all times to provide limited
access for the adjoining property owners and emergency vehicles. In the event it isfeh bvthe permmee mathe mustdon a street for
any lengtn of time, permittee shall contact this office to drain the necessary permission.
SPECIAL PROVISIONS
The f�oolllwing shall apply ONLY when indicated:
/ R V NOTIFICATION: Permittee shall notify the City at 564-2246 at least 48 hours in advance of starting construction.
R2 CASH DEPOSITS OR BONDS: A east bond or an approved surety bond in an amount of not lessden a
roads and survey monuments. This bond shall be continuous until cancelled
shall be furnished in the name of City of La Quints to cover 811 work involved in the restoration of the various La Quints
posted prior to commencement of any work on this project. by the City Engineer. This bend must be
is
Ln1;s' UTILITY CLEARANCE. (Substructures) Prior to making any excievationwithintheCityofLsQuirdarightotwoyairthorized
by permit. the Permittee shall contact all concerned utility eompames relative to the location d exi t ngsuba mctures.
Damage to existing sumstrueturea resulting from operouons Conducted under this permit shollbe the apse responsibility
of the Permittee.
UTILITY CLEARANCE: (Surface structures) No work shop be done under this Permit until all utilities are door of the
proposed work site. The permmee shall notify all Concerned utility companies of the proposed work.
R5 PAVEMENT WIDENING: Area between the Prdpossd CC Clots gutter lire and the existing rad pavement shall be
surfaced with inches of A.C. paving placed ori inchesofdass
having an 'R" value of not less than and in conformance with City of LaQuirnaRoa�rove Improvement
tStandards
and Specifications, Ordinance x1461. knprovemontStandards
R6 PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shag be graded to a slope of
1/4 inch to one foot III.
R7 GRADES & STAKES: City of La Quints shall establish grades and stakes for the proposed concrete curb and gutter
construction.
Re GRADE CHECKING: Citvof La Quints shall check grades upon recerpt of plan and PR)file and/or grades asestablished by
a lirensed engineer.
R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and guitar I feetlshail be
removed. Curb and/or curb and gutter shall be saw cut prior to removal. De on curb, matdhuhg concrete gutter and
concrete driveway approach shall be constructed in conformance with City of L3 Quina Stannard ncret
RIO DRIVEWAYS, A.C.: Driveways shall be constructed as not to altar existing drainage pattern. Surfacing between the
property line and the existing rad paving shall le 2-1/2 inches of AC_ paving placed on (_') of class
aggregate base. Driveway construction shell conform to attached drawing.
R11 CULVERTS: A :rich 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.
Rl SIGHT CLEARANCE: Sight clearance of 600 feet in either direction shall be assured and maurtahned.
R13 SOIL STERILIZER: The area to be surfaced shall be treated with soil sterilizer. Rate of application shall comply with the
manufacturer's specifications.
RT 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 propels.
U SURVEY MONUMENTS: Prior to excavation or beginning of construction. all survey monuments which exist an the
camerline of all stre0m or property lines when involved shall be completely tied out so they maybe readily and correctly
be replaced by a licensed civil, angineer o► surveyor at the expense of the permittee. A complete goat notes showing the
ties to these monuments snail be furnished to the City Engineer prior to the removolof ammomrmants. Th ce anal)
I offi
be notified upon conviction of replacement of all survey monuments tar drover aatry
Clearance.
TM •� •���• . of avauon or oedinnino of construction. all survevmonuments shallDedeooutDvGty
of La Quints and suitable payment or guarantee of oavmen[ shall be made as reimpursement for all
R17 PAVEMENT CUTTING: Pavement will be mechanically cut to a straight edge M Imroivem
cutting shall be approved througn the office of the City Engineer. fU der d circumstances ani on, Mid a Pavement
be used to excavate orlor to cuttinr of Pavement). Excavation material shall placem such a avating equipment
faeditate the general flow of traffic. Prior to final paving operations. any damage to pavement Straight �sftlpn as to best
corrected. edge snail be
RIB PAVEMENT CUTTING: Pavement snail be saw cut prior to removal. Prior to final paving operations, any damage to
Pavement straight edge shall be corrected.
R 9
UMIT OF EXCAVATIONS: Excavations snail be limited to 1 .000 lineal feet of opentrencro before backfill Operations must
begin. All excavations snail be Properly barricaded with lights overnight, on weekends and holidays torthe protection of
thetraveling public. The Public Works Inspector snail determine the suitabi ityof excavation barricading to eetfi ease. No
excavation shall remain open for a period exceeding five 15) days. No excavation snail 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 detrimental.:.:suseforpurposes
:
Of producing an adequately consolidated backfill. Any material which the City of La Qulnta deems unsuitable (purposes
saturated material) which is encountered during excavation shaU 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 notgreaterthan
three feet (3') and vibrated using vibrotamper or equ iva tent equipment. Alternate methods maybe substituted, but in any
Casa a relative Compaction of 95 Percent shall be attained within the c:ructural section of the roadway,
R22 BACKFILL PLACEMENT: Backfill shall be applied in lavers at not more tnan 50 percent of the total depth of the trench
before flooding or a maximum of five-foot 151 lifts where trenches erect excessive depths. Care is to be exerbcsad 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 90 oercent or equiva lent 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 :aver and the water
supply shall be continuous.
R2 COMPACTION TESTS: If so required bythe inspector, compaction tests shall be madeat intervals of not more than 1,000
feet and a minimum of one (1) test on each road. One 11) 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 Semon 6.3.01 df the
CR 2Standard Specifications, Division of Highways. State f California, dated January 1973.
R2 COMPACTION TESTS: If so required by the inspector, compaction tests shall be made for each crossing
One 11) copy of each test shall be forwarded to the City Engineer for approval and filed attar to making d►servtepairs.
Compaction tests shall be made as outliner in Section 6.3.01 of the Stadard SpeedicettrnS. Division of H' anent repairs.
of California. dated January 1973. ighways. State
R25 TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations. a temporary patch
consisting of 2 inches of S-8aced on a
epared subgrade. The
attar a maximum of 3.000linealOfe tofshall benlchhas been rexcavatedand badfillope operations mrpleted.but nPavingn no cbe
aseshcaallll
the placement of the temporary pavement exceed a five (5) day limit.
R26 PERMANENT PAVEMENT REPAIR: Atter 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 belaced no laterthan
temporary road repair. o days ahereotthpltfon of
R27 PAVEMENT REPAIR: F.A.S.: Upon completion of backfill and Compaction, a temporarypatch consisting of two inches (2")
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 (15) days after completion of temporary
Daysfg. Concrete base shall be of five -sack mix and shaft conform to the City of La Quinta Road ImprovemerttStandards
and Specifications. Ordinance 0461.
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 coats shallbe 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 Qulnta 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 sections which can be handled safety without interference or hazard to highway
traffic. The entire width of the tree stump snail 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
sigh- flagmen and/or barricades shall be provided to protect the traveling public at all times.
Large holes resulting from tree removal shall be backfilled and compacted to not less than 90 percent or equivalent to the
surrounding ground. whichever is the greater compaction as determined by the Impact or field method Compaction
tests shall comply with Section 6.3.01 of the Standard Specifications. Division of Highways. State of California. dated
January 1973.
R32 TREE TRIMMING:
a. Only the necessary trimming shall be accomplished to provide clearance of the facility for one calendar year.
All broken or weak sections within the trimming Shall be removed.
b. Where It becomes necessary to restrict traffic. the work shall be restricted to a maximum of 500feet at anyone time.
Adequate signs. flagmen. and/or barricades shall be provided to protect the traveling public at all times.
C. It 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 eontacta4 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 at two inches
12") and some in size. Sealant Snell be ebolied to all cut sections as afrected by the City Public
Works Inspeetnr
SPECIAL CONDITIONS --PERMIT NO. 1824
--- Irby Construction ---
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 5:30p.m.
Saturday 8:00 a.m. to 5:00p.m.
May 1st to September 30: Monday -Friday 6:00 a.m. to 7:00p.m.
Saturday 8:00 a.m. to 5:00p.m.
Word: 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 per A minimum of -one travel
lane on paved surface shall be maintained with flagmen at all
times.
B. 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.
Special Conditions - Permit No. 1824 Page 1 of 1
11. Hli lanuscaping, irrigation, aeco
replaced to its original condition.
12. All work shall be coordinated with the City's contractor and
others Iworking within the area as directed by and to -the.
satisfaction of the City Engineer..
13. When thlIe work is within 500' of a signalized intersection, the
permittee shall notify Riverside County Signal Dept. at (714)
275-689114 or Caltrans Signal Dept. at (619) 688-6845 as
appropriate a minimum of 48 hrs prior to starting work.
Special Conditions - Permit No. 1824 Page 2 of 1
61-41-17-1-44) I( P't 4- #--, / / -F 3 - At u
BUSINESS LICENSE CERTIFICATE NOT TRANSFERABLE
CITY OF LA DUINTA
The Licensee named herein having paid to the City of La Ouinta all fees required, license is herebygranted said Licensee to transact the PLEASE POST INA
business herein set forth, for the period stated in conformity with the Provisions of Ordinance No. 2 of this city. This license is issued CONSPICUOUS PLACE
without verification that the licensee is subject to or exempt from licensing by the State of California.
FOR PERIOD :I /iia 9 '3 TO' 1. 2/.3:1 /93 BUSINESS/LICENSE NO. 2623
1...t:i�: 4 :,540'_50 I -•i 86
TYPE OF BUSINESS
:I:I��:i::;Y' I::;I:ti��`:s•i•I��:►..Jr::••i•:f.(:iN (::i:ii�F�rli�(`r
1.* CoX :1.0:1.0
rl••II:::F�:'r�r•11... tf�i t�:�':?•7�i• ii?:f...I:C.;•Y'f::Ct:a^••tl...
61-41-17-1-44) I( P't 4- #--, / / -F 3 - At u
JAMES(CHRIS) CHRISTENSEN
Safety, Training Coordinator
IRBY CONSTRUCTION CO.
_ P.O- Box 1010 Office: 619-398-0526
Thermal, CA 92274 619-398-0276
Mobile: 619-567-5777
Home: 619-775-7700
Fax: 619-398-0335
•
GEORGE H. CHANEY CO.
Inspection Services
TO:
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THE FOLLOWING WAS NOTED:
•
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DATE
47
JOB NO.
PROJECT DESCRIPTION
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WHITE - CLIENT, YELLOW - FIELD FILE,
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PINK - OFFICE FILE
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