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1862t NOTE: ,With proper validation 'k this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) r - 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: 9/1/93 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Jefferson Street W/S forth of Fiesta Drive (Street address or Description of Location) PURPOSE OF CONSTRUCTION Place buried tel0hone cable DESCRIPTION OF CONSTRUCTION Trench from pole to polo DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED 120% 30" Deep 241t W APPROXIMATE TIME WHEN WORK WILL BEGIN 9/1193 Sketch (attach construction plans if appropriate) W.O. li 340.3Y0011V SEE ATTACHED DRAWING SEE ATTACHED CONDITIONS APPROXIMATE TIME OF COMPLETION 11/30/93 ESTIMATED CONSTRUCTION COST $ 1000.00 (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 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. Signature of Applicant or Agent is" u>F.. !'t *3 1 Q"P. . General. Telephone Company 45.590 Jackson Stro*t Indio 92201 (619) 342-0621 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 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 Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. 0 $ 0 Received by Date 1862 PERMIT VALIDATION PERMIT NO. 1862 DATE APPROVED 9/1/93 EXPIRATION DATE 11/30/93 DATE IS UE 9/1/93 ALY Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 CITY OF LA U0 A NOTE: AUG 2 51993 With proper validation this form constitutes an PUBLIC WORKS encroachment permit CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or private curbs, driveways, pavements, sidewalksi 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: 1993 Minor Improvement Permit Class IV LOCATION OF CONSTPUCT!ON JEFFERSON STREET W/S NORTH OF FIESTA DRIVE IStreet address or Description of Location) PURPOSE OF CONSTRUCTION PLACE BURIED TELEPHONE CABLE Sk ch DESCRIPTION OF CONSTRUCTION TRENCH FROM DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED 20 APPROXIMATE TIME WHEN WORK WILL BEGIN 09/01/93 et (attach construcslon plans if appropriate) W.O. # 540-3P00jFV SEE ATTACHED DRAWING APPROXIMATE TIME OF COMPLETION 11/30/93 ESTIMATED CONSTRUCTION COSTS 1000.00 (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: Indemnity, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and'all Penalties. liabilities or loss rea@Iti.gg !"0'" e!ei!-ts Or ccur: =Uan and :nzi :y ou: a. any accidaa:, :os; od damage to persons or property happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application. Notity the Administrative Authority at least twenty-four 1241 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 epplieable rules and regulations of the City of La Ouinto and to pay for any additional replacement necessary as the result of this work. i Signature of Applicant or Agent GENERAL TELEPHONE COMPANY 45-590 JACKSON STREET INDIO, CA 92201 619/342-0621 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. :ontractor's License No. City Business License No. 4pplicant'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 nspection Fee $ iermit Fee 'enalty :ash Deposit -Surety Bond f required TOTAL: S b leceipt No. leceived by Date lecorded by 1• i PERMIT VALIDATION PERMIT NO. DATE APPROVED 9— l ✓ 93 EXPIRATION DATE DATE ISSUED % l a ti By Administrative Authority TELEPHONE: 181915"2246 V1. ) m!" " - -Li I , - W 10 Is V,Q,%,0 The following Generei anti Spectal'Provisions are attached to and made a part of Permit No. _/ULA GENERAL PROVISIONS 4 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 extenas within private property. it shall be the responsibility of the Permrnee tar his contractorslto secure permission from abutting property owners. Such allthorization must be secured by the permittee prior to starting work. TRACKLAYING CONSTRUCTION EQUIPMENT: Cleated trackleving construction equipment shall not be permitted to operate an any paved surface unless fined with smooth -faces street pads. All mechanical outriggers shall be fitted with rubber street shoes to protect the paving during excavations. Rubber -tired equipment only shall be used in backfill operations in paved areas. If the existing pavement is scarred. spelled. or broken during the term of this contract, or if the pavement is maned. City of La Quints shall 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. surfacing plus appropriate seal coat as spectfied above. PROTECTION OF TRAFFIC: All excavations and work areas shall be properly lighted and barricaded as deemed necessarybythe City Engineer or La Quinta City Public Works Inspectors. Suitable detours and detour signs shall be placed and maintained for the duration of the project. The City shall be notified 24 Hra. 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 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 after backfill and Compaction. Existing gutter line and drainage ditches snail 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. OE -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 (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 limned access for the adjoining property owners and emergency vehicles. In the event it is felt bythe permmeethat he mustdoao 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: Permmee shall notify the City at 5642246 at least 48 hours in advance of starting eonearmion. 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 cover 811 work involved in the restoration of the various La Quinta roads and survey monuments. This bond shall be continuous until cancelled by the City Engineer. This bond must be posted prior to commencement of any work an this project . UTILITY CLEARANCE: (Substructures) Prior to making any excavation within the City of La Quints right of vmyauthorized 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 underthis permit ahallbeth8 oobresponsibility of the permmee. UTILITY CLEARANCE: (Surface structures) No work shall be done under this permit until all utilities are doer of the proposed work site. The permittee 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 course having an "R'valueof not less than and in conformance with Cityof La Quints Road Imrpate rgoveIn St�jnderds and Specifications. Ordinance #461. R6 PARKWAY GRADING: Area between the property fine and top Of the proposed concrete curb shall be graded to a slope of 1 /4 inch to one foot (1 �. 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 chedtgradesupon receipt ofplan and pr)fileand/or grades asasnblishedby a lirensed engineer. R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter I fsotlshall 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 clams aggregate base. Driveway construction shall conform to attached drawing. R11 CULVERTS: A inch diameter ( ) culvert shall be installed with the invert approximately 1-1 /2 nches below and in line with the existing flow line. Culvert installation shall conform to the attached drawing. SIGHT CLEARANCE: Sight clearance of 600 feet in either direction shall be assured and maintained. R13 SOIL STERILIZER: The area to be surfaced shall be treated with soil sterilizer. Rate of application shall comply with the manufacturer's specifications. R 44 COORDINATE WORK: The proposed work shall be subordinated to any operation which the State of California or City of La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or City of La Quinta forces to preclude delay or interference with State or City of La Quinta projects. R15 SURVEY MONUMENTS: Prior to excavation or beginning of construction. all survey monuments which exist on the centerline of all streets or property lines when involved shall be completely tied out so they maybe readily and correctly be replaced by a licensed ofvil engineer or surveyor at the expense of theperMM88. A complete set of notes ohovving the ties to these monuments shall be furnished to the City Engineer prior to the removal of any monumentsall . This office Ch ams be notified upon completion of r8018nt of all survey monuments for Proper wgea cbarenee. R16 SURVEY MONUMENTS: Prior to excavation or oeainnino or construction.all survey monuments snail be tied out by City at La Quints and suftaois oavment or guarantee or Pavment snail be mace as relmoursement tar 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 snail excavating equipment be used to excavate prior to cutting of oavementl. Excavation material shall be Placed in such a position as to best facilitate the general flow of traffic. Prior to final paving operations. arev damage to Pavement straight edge shall be corrected. R18 PAVEMENT CUTTING: Pavement snail be saw cut error to removal. Prior to final paving operations. any damage to pavement straignt edge snail be corrected. 19 LIMIT OF EXCAVATIONS: Excavations shall be limited to 1.000 lineal feet at open trench before oackfill operations must begin. All excavations snail be prooerfv barricaded with lights overnight, on weekends and holidays for the protection of the traveling puolic. The Public Works Inspector snail determine tne'suitability of excavation barrlcaaing in each case. No excavation snail remain open for a period exceeding five f51 days. No excavation snail be mage unless tree construction material is actually on the work site. R20 BACKFILL MATERIAL: Backfill shall be free of brush. roots or other organic substancedetrimenta.::.:suse for purposes of producing an adequately consolidated backfill. Any material which the City of La Quinta deems unsuitable (spongy or saturated material) which is encountered during excavation shall 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 13') and vibrated using vibrotamper or equivalent equipment. Alternate methods maybe substituted, but In any case a relative compaction of 95 percent shall be attained within the ;:rt:cturai section of the roadway, R2 BACKFILL PLACEMENT: Backfill shall be applied in layers of not more than 50 percent of the total depth of the trench before flooding or a maximum of f ive-foot (5') lifts where trenches are of excessive depths. Care is to be exercised that the backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed so that the resulting compaction shall be not less than 90oercent or equivalent to the surrounding ground, whichever is the greater compaction. Where ponding or flooding is used for a maximum settlement. adequate dikes will be constructed to retain the water. Where jetting is used. the jets shall be of sufficient length to reach the bottom of each :aver 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 (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 Section 6.3.01 of the Standard Specifications, Division of Highways. State of California, dated January 1973. R24 COMPACTION TESTS: If so required by the inspector, compaction tests shall be made for each crossing or service line. One 11) copy of each test Shall be forwarded to the City Engineer far approval and filed prior to making permanent repairs. Compaction tests shall be made asoutlinea in Section 6.3.01 of the Standard Specifications. Division of Highways. State at 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 trencn 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 surfacing placed on a inch class inches A.C. baseshallbeplacednolaterthandaysaftercompletionat temporary road repair. R27 PAVEMENT REPAIR: F.A.S.: Upon completion of backfill and compaction, a temporary patch consisting at two inches (2'1 of cold mix paving (SC-8001 shall be placed immediately. A permanent patch of three inches (3") of A.C. surfacing shall be placed on six inches I6") concrete base as directed, but not later than fifteen 115) days after completion of temoorary 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 o` asphaltic emulsion shall be applied over all patch areas as determined by the City Engineer. R29 SEAL ARMOR COAT: A seal coat consisting of an application binder and screenings shall be applied on all patch areas where such seal coats existed prior to Issuanceof this permit. Seal or armor coats shall be applied as specified in Section 37, Standard Specifications. State of California, Division of Highways, dated January 1973. Work of pavement repair to be accomplished by a licensed contractor engaged in the business of pavement repair. R30 STREET RESTRIPING: Where street striping Is still visible on streets to be excavated. such striping shall be replaced upon completion of permanent repairs. R31 TREE RELOCATION OR REMOVAL: Tree relocation within the City of La Quinta road right of way shall be accomplished by a licensed. bonded and insured tree service. and handled 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 sections which can be handled safely without interference or hazard to highway traffic. The entire width of the tree stump snall be removed and disposed of so that no debris remains in view of the highway. The stump hole shall be backfilled and thoroughly compacted asspecified in thefollowing paragraph. 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. 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. RIMMING:a. Only the necessary trimming snail be accomplished to provide clearance of the facility for one calendar year. All broken or weak sections within the trimming shall be removed. b. Where it becomes necessary to restrict traffic. the work shall be restricted to a maximum of 500 feet at any one time. Adequate signs. flagmen. and/or barricades shall be provided to protect the traveling public at all times. c. If tree trunks are partially outside of the City of La Quinta road right of way, permittee shall make his own arrangements with adjoining property owners for, consent to the trimming in addition to the authorization provided by this permit. d. All tree trimming on EVERGREEN TREES. PALM TREES. and other ORNAMENTAL TREES shall be accomplished to the satisfaction of the City Public Works Inspector. e. Abutting property owners shall be contacted, in all instances. prior to trimming or topping trees. I. Pruning snail, in all instances. be at the shoulder of the crotch to insure even, fast healing in all cuts of two Inches (2"1 and aDave In size. 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PaDelda...'. 6q llpqS -34a JDOJ aAT4WjOnap KbuTdwnspuej liv "TT 1 2 3 4 5 6 FORM WOW ("'/) 7 1 2 3 4 5 6 7 1 2 3 4 5 6 FORM WOW ("'/) 7 Vi 9rB5522D � a 3 V 19 LAJ • o 'i C N F i E5TA DR. L (a 5319 cull) NOTES J � = 50� GTE To B ufL�3 CABLE FRDM POLE At 5055 ZZD Ta PoLC # THOMAS Caw DE PAGE 2156kiDZA 3b92n. Lw T' P"D KEKWC &ERtaL Califor�la CFE CRm_%SJnl6 FI sTA DR, AMD _uA,ov E POLE 4V L _x619 Curr' To LOCATION EFF Lsoa sr. Ar F(E.sTA DR, c_LL hR_ C V Ulf D CN R,+LJ 0 F.L \ii Ls, EXCHANGE T uD t p C.O. Dt a ISSUE DATE APPROVALS DWG SIZE A • - AREA GENERAL --MANAGER DWG. NO. RELATED DWGS. PERM rr' �-I.-WORKORDER 5 3P firV 1 2 3 4 5 6 FORM WOW ("'/) 7 VIN8O.::[IlV� ]lS :]AIlV1N]S]8 ]]1lIWH]J ]AI8O VlS]I.::I H18ON S/M 1]]8l3 lV 26/3T/6O NO NOS]8 1SO� SVH 398T ^ON lIW�]� NO A8OM OIONI :�O JIHSNMOl ]Hl NI l8VlS 8]O8O AHOM AO ]3IlON 26/�O/OT A�TOOJ2-O�� :8]O80 W8OM ^ON lIW8]J 2�JJ6 V3 ^p�u�»0 pl ~---'m� ____ p�U" -_opp�s] aIIp3 �OT-8� � � K�� ~ �' O�� A\3q�� pl �o , m City of La Quinta 78-105 Calle Estado La Quinta, CA 92253 12/31/93 / 1 CITY OF LA QUIN A (El JAN 0 51994 PUBLIC WORKS General Telephone Company of California 1500 Crafton Avenue, Box 1-18 Mentone, California 92359. In Reply Refer To PERMIT NO. 1862 WORK ORDE 40-3P001FV 100 % COMPLETION NOTICE IN THE TOWNSHIP OF: INDIO WORK ON PERMIT NO. 1862 WAS COMPLETED ON 12/31/93 AT LOCATION: JEFFERSON STREET W/S NORTH OF FIESTA DRIVE PERMITTEE REPRESENTATIVE: GTE CALIFORNIA A part of GTE Corporation