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1872NOTE: - 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 DATE: 9-8-93 ` LOCATION OF CONSTRUCTION Avenida Nuostra (Street address or Description of Location) Subdivision Improvement Permit — Class III Minor Improvement Permit Class IV PURPOSE OF CONSTRUCTION Install Gas Main Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Install 130' of 2" see attached conditions plastic radium pressure main ares attached sketch DIMENSION OF INSTALLATION OR REMOVAL 130' x 2' SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 9-9`93 APPROXIMATE TIME OF COMPLETION 12-31-93 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 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 124) 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 theresul of this work. Signature of Applicant or llfgen/1��"%� The Gas Co. P.O. Box 3003 Redlandss CA 92373 (909) 333-7764 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 PERMIT NO. 1872 PERMIT VALIDATION 1872 DATE APPROVED 9-8-93 EXPIRATION DATE 12-31-93 DATE ISS ED 9-8-93 Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 54143-322 CITY OF LA QUINTA NOTE: With proper validation SEP 0 31993 this form constitutes an CITY OF LA QUINTA wwoschment permit PUBLIC WORKS APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or private curbs, driwways. pevetnents. sidewalks, parking lots, sewers. water mains and othar WW public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision ImpromViern Formit — Class 111 DATE: August 31, 1993 Minor Improve morn Permit Class IV LOCATION OF CONSTRUCTION Avenida Nuestra Inures address or Go orknion of Locations) PURPOSE OF CONSTRUCTION Sketch (attach construction plats if appropriate) To install 130' of 2" medium pressure DESCRIPTION OF CONSTRUCTION plastic gas main 6' S/NPL of Avenida Nuestra, beginning 50' E/EPL of Calle DIMENSION OF INSTALLATION OR REMOVAL Tamazula, continuing east. SEE ATTACHED SKETCH SIZE OF EXCAVATION. IF NEEDED TGP 214 D6 CUT 118' EARTH, JET 12' CONC DRIVE APPROXIMATE TIME WHEN WORK WILL BEGIN 9/9/93 APPROXIMATE TIME OF COMPLETION 3/9/94 ESTIMATED CONSTRUCTION COST: (Including removal of all obstruction, materials, and debris, backfilling, amw pection and placing permanent resurfaclng and/or replacing improvements) In consideration of the granting of this permit, the applicant hereby agrees to: Its authorized officers. rapresantatiws and amployaa. harmbw from end against any and all Insdsrtnify, defend and taw tM City. aaarsts. paneitia. liabilities or loss r wdtirq front claims or court action and aridna out of any acc brit. loss or da to persons or property happening or occurring • a proximats rouk of any work unlartaken under dw permit Granted pursuant to this application. Notity dw Administrative Authority at mm tom tyfour (241 hours in a I , of the One what work wW1 be at ww- Qqm@iy **h sa applicaWe City Ordu m m. ttw terms and conditiorn of the permit and NI apptic 6W rules and mrA tiorn of the City of . , lli bhm and to pay far any additional spleswtent naeatranll as as newdt of Mia wedL r �$ Rhodesia Ashley _ iris 6# A*piip W Aisr!L.PE COORDINATOR,,; ;Qlf17 i 7764 Wax Yti= Newts tw � Irw�1 �y .� _C' r� "�7. ' Telephone No. - ,M Name of Contra000r am/ Job Fcnwtart �. x Bmrnsss AdiMs - Te(epltona No. ' rartraetor'a Liam No. ' . • ?• " V Cky Bruirtaas 9 No. Applicenes Insur ftca ComWY MkV Number FEES: Subdwision Itnprowfttarrt Permit — Claes 111 Public Improvements: 3% of esdmated construction costs Private wtprovemertts: 3% of saki llid construction oosts Mirror Improvement Pwmk — Claes IV: Sea attedwd edwdub - Im----n Fee = Pormk Fee Pttftalty Cash DepoutSuMV Bond N raquind TOTAL: 'n'' Receipt No. -- - Received by Ow Recorded by PERMIT VALIDATION PERMIT NO. le 77- DATE zDATE APPROVED 91' g 9 3 EXPIRATION DATE . �'� 31 _ 93 DATE ISSUED BY Administrativq Authority TELEPHONE: (619) 564.2246 I 44 The following General and Soersar Provisions are attached to aro meas a part of Permn No. --&7Z GENERAL PROVISIONS The following snail always acmy: ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within City of La Quinta right of way ONLY. Whenever construction extends wnnin private property. it shall be lne resoonsiodity at the perinmae'lor hp COnlreCtafal to secure permission from abumng property owners. Such authorization must be secured by the Centimes prior to stamng work. TRACKLAYINGCONSTRUCTION EQUIPMENT: Cleated traciday, - ng construction equipment Shall not becer"IMSOtOoverste on env Paved surface unless tinea with amOath-faces street pads. All mechanical outriggers Shall be fitted with rubber street shoes to prates the paving during excavation. Rubber -area equipment only shall be used in backfin operations in paveo areal If the existing pavement is scarred. Spelled or broken during the term of this contract, or it the pavement is marred. 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 ttKhtes 12^) of A.C. surfaging plus'acOropnatd seal coat as specified above. PROTECTION OF TRAFFIC: All excavations and work areas shall be property lighted and bamcaded as deemed necusery by the City Engineer or La Quints City Public Works Inspectors. Suitable detours a nd detour signs ShaU be placed and maintained for the dura of the prolaca The City shall be notified 24 Hrs. in advance of any traffic detours or delineations, tion CARE OF DRAINAGE STRUCTURES: Any drainage structure Including corrugated metal pipe, concrete spa, staeI culvert and comets structures enccumered during excavation which necessitate removal shelf be replaced in kind. In the eeii becomes nt. necessary to remove Or cut existing drainage structures. City of La Quints shall be notified prior to commencement O. this wort. Drainage structures and open drains shall be kept free of debris at all times for Draper drainage. RIGHT OF WAY CLEANUP: Anysurptus material resulting from excavation and backfill Operations shall be removedfrom the right of way. All paved surfaces shall be broomed dean of earth and other objectionable materiels immediately atter 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 aro shall be used immediately after backfill. DE -WATER OPERATIONS: If de-watenng operations are required and Pumps aro forcing water on Ciry of La Quints meds, it shall be the responsibility Of the permitted (contractor) to control this water and to provide TREETS: No streOff-atraet 6aTadef when rheafsary CLOSING Set shall be closed. A minimum Of one lane of traffic shall be maintained at all times toprovide limited access far the adjoining property owners and emergency vehicles. In the event it is felt bythe permrttae that he mustlan a street for any lengtrn Of time. Pennines shall contact this office to obtain the necessary permission. SPECIAL PROVISIONS The follwing shall apply ONLY when indicated: Rl NOTIFICATION: Permittee shall noify the City at 584-2248 at least 48 hours in advance of starting construction. R2 CASH DEPOSITS OR BONDS: A ash bond or an approved surely bond in an amount of not less than t Shalt be furnished in the name of City of La Quints to cover ell work involved in the restoration of the various Ls 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 wok on this project. R3)bIUTY y Permit, {sshalluetureclPriortomaking any exnvationwithin theCltyofLaQuints rigMofwayautlnoized by permit. the permrttes shall conies all concerned utility companies to to tM location of esisdOf 1`19tt V§Ut apace. at tthege to permmee ng Substructures resuming from operations oorhdpwd under t� permit shall be tM SWsfefparsibility, R4 CLEARANCE (Surface structures) No wok shad be done under this patmit until all utilities are clear of the proomea work site. The permmee anall notify all Concerned utilily compantis at the proposed work. R5 PAVEMENT WIDENING: Area between the proposed parching surfaced with inches of A C, paving placed en _inch line end the existing gra Pavement Subbase shall be having an"R'valueafnotlessthan imchesofelass agmproveme tSt course and in Conf ormenee with Clry of La Quints Road Improvement Standards and Speerfieauona. Ordinance x481. R6 PARKWAY GRADING:Areal between the Property line and too of the Proposed concrete curb shall be gradedtos slopeci 1/4 inch to one foot (11. R7 GRADES 8 STAKES: City of La Quints shall establish grades and stakes for the proposed concrete curb and gutter construction. R8 GRADE CHECKING: City ofLaQuints shall Check grades upon recegnofplanandVFW echo/org rad as seestabliahadby a liranseci engineer. R9 CURB REMOVAL FOR DRIVEWAYS: A portion at the existing concrete curb and/or curb and gutter ( faetlthall 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 COnSVueted in conformance with City of La Quints Standard 9207. 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 (_") of tlau aggregate base. Driveway construction shall conform to attached drawing. Fill CULVERTS: A :nch diameter( -)Culvert shall be installed with the invert approximately 1-1 /2 ncnes below and in line with the existing flow line. Culvert installation shall conform to the attached drawing. R 1 SIGHT CLEARANCE: Sight clearance of 800 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 comptywith the manufacturer's specifications. 14 COORDINATE WORK: The proposed work shall be subordinated to any operation which the State of California or City at La Quints may conduct in this area during the period of this permit. Work shell be coordinated with the State or City of La Quints forces to preclude delay or interference with State or City of La Quints Praia=. R15 SURVEY MONUMENTS: Prior to excavation or beginning of construction all survey monuments which exist on the centerline of all Strem or property lines when involved shall be Completety tied replacedbereplaced by a IiCen9ed civil engineer, or eurveydr atthe expense of" out so they may be readily and aprteRly penmtna A Complete set at nates thawing the ties to mead monumerres shall be furnished to the City Engineer prior to the removal of am monuments. This office Shall be natdiso upon completion of replacement Of 911 survey monuments for at adlor Clearance. n I o = J vt y MUNUMtN I b. Prior to excava l ion or oeoinneno Or construction. all Survev monuments snail be tie0 out by Clly Jr La (lulnia ano sultaole payment or ouarantee of payment snail be mane as relmoursemem for all work involvea. R17 PAVEMENT CUTTING: Pavement will be mechanically cut to a straight eoge prior to excavation. Method Of pavement cutting shall be approved through me Office of the City Engineer. lUntler no circumstances snail excavating equiarnent be used to excavate prior to cutting of oavemenn. Excavation material shall be olacea in such a positron as to pest facilitate the general flow at traThc. Prior to final paving operations. any damage to pavement straignt edge snail be corrected. RIB PAVEMENT CUTTING: Pavement,snall be saw cut prior to removal. Prior to final paving operations. any damage to pavement straignt eage snail be corrected. R19 LIMIT OF EXCAVATIONS: Excavations Shall be limited to 1.000 lineal feet at open trench before backfillaoeranonsmust begin. All excavations snail be property barricaaea with lights overnight. on weekends ana nolioaysfortneProtection of the traveling public. The Public Works inspector snail determine the suitability of excavation oarricading In each case. No excavation snail remain open for a oerioo exceeding live 15) days. No excavation snail be mace unless the construction material is actually on the work site. BACKFILL MATERIAL: Backfill shall be free at brush. roots or Other organic substance oetriment;.::.:s use for purposes of producing an adequately consolidated baCkttll. Any material which the City of La Quinta deems unsuitable (spongyor saturated material) which is encountered during excavation shaU not be used for backtill. but shall be supplemented or replaced by an approved sand or gravel. _ R21 BACKFILL SAND: Bacidill shall be approved transit -mitt sand or equivalent and shall be Placed in lifts Of notgreaterthan three feet 13'1 and vibrated using vibrotamper or eau iva rent equ torment. Alto mate methods may bsu case a relative compaction of 95 percent shall be attained within the c:ructural section of the roaaway. e bstituted-but In any 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 five-foot (51 lifts where trenches are of excessive depths. Care Is to be exeretsed 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 90 percent or eauivalent to the surrounding ground. whichever is the greater compaction. Where ponding or flopping is used for a maximum settlement, adequate dikes will be constructed to retain the water. Where letting 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. Compel; tests shall be mace as outlined in Section 6.3.01 Of the Standard Specifications. Division of Highways. State of California. dated January 1973. 24 COMPACTION TESTS: If so required by the inspector. compaction tests shall be made for each crossing or service lino One (1) copy of each test shall be forwarded lathe 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 Higltwaya. State of California. dated January 1973. R2S TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations. a temporary patch consisting of 2 inches of SC -800 shall be placed on a prepared subgrade. The SC -800 temporary paving shall be placed after a maximum of 3.000 lineal feet of trench has been excavated and backfill operations completed. but in no case shall the placement of the temporary pavement exceed a five (5) day limit. R26 PERMANENT PAVEMENT REPAIR: After backfill and compaction operations have been completed. a temporary patch consisting of'two inches (2") of SC -800 shall be placed immediately. A permanent patch of inches A.C. surfacing placed on a inch class base shall be placed no later than tdaysahereamptenonof temporary road repair. R27 PAVEM ENT REPAIR: F.A. S.: Upon completion of backlill and compaction, a temporary patch consisting of two inches (2) of cold mix paving (SC -800) shall be placed immediately. A permanent patch of three inches 13'I of A.0 stirfaeing shall be placed on six inches I6') concrete base as directed. but not later than fifteen I1 51 days aper Completion Of temporary paving. Concrete base shall be of five -sack mix and shall conform to the City of 41 Quints Road completion temporary 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 try the City Engineer. R29 SEAL ARMOR COAT: A seal coat consisting of an atiplication binder ana screenings shall be applied on all patch areas where such seal coats existea prior to issuance Of this permit. Seal Or armor coats shall be applied as specdied 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 tpaveventr pair. ipingshallbereplaceaupon completion of permanent repairs. R31 TREE RELOCATION OR REMOVAL. Tree relocation within the City of La Quinta road right of way shall be accomplishea by a Itcensed. bonded ana insurea tree service. and hanaled safely without Interference or hazard lathe 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 snail be removed and disposed of So trial 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 t0 not less than 90 percent or equivalent to the 'surrounding ground. whichever is the greater compaction as determined by theimpact or field method. Compaction tests shall Comply with Section 6.3.01 of the Standard Specifications. Division of Highways. State of California. dates January 1973. R32 TREE TRIMMING: a. Only the necessary trimming snail be accompliSned to provide clearance of the facility for one calendar year. All broken or weak sections within the trimming snail beremoved. 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 snail 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 prOviaed 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. f. Pruning snail. in all instance& oe at the shoulder of the cratch t0 insure even. fast meeting in all cuts of two inches 2"1 ano abovr In size. Sealant Snell be appirod to all cut sections as alraCteo by the City Public Wexler• SPECIAL_ COND I T I ONS --PERMIT NO. 1872 --- The Gas Co. In addition additi.orn to the standard permit conditions, the fallowing shall apply: 1. All work: shrall.be performed in accordance with the latest edition of the Standard Specifications For Public Warks 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 -F'rida'y 7:00 a.m. to 5:30p.m. Saturday 8:00 a.m. to 5:00p.m. May I st to Sep tembe'r 30: Monday -Fri day 6:00 a A . to 7 : 00p . m . Saturday 8:00 a.m. to 5:00P.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 ani;+ damage to other City streets or facilities 6. Advance warning signs and traffic control shall be installed and maintained in accordance with Cal Trains Standards. It small 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. B. If the work is .to be pe -formed by forces other- than that of the utility company the contracting company shall apply for air 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 wort:: be 'required in order to meet: city standards, safety requirements,. signage requirements, or tc< fit arctual 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 ouinta. Special Conditions - Permit No. 1872 Page 1 of 2 2 10 2 w6s,j 2LBT *ON 4TWAad - SUOT41PU03 JeToad$ -A4TSUap Alp aATq0ja0 %96 04 PaIDedwaD aq llyqs IeTwa4ew aseq 11v 'AITSUSP Alp aATqejan %96 Oq pa4DedwaD aq jjWqS a0yjAnS qllaWaAwd qsTUTI "0 2 daq OW uTq4TM 110S 11TIlopq Ile 4AITSUPP Alp aATIelal %06 04 pajDTdwaD aq 11sq? ljos apeabqns pue 11T,joeq 11V -tj "1yam bulliels al joTid siq b, ja will TuTw e ajelidaidde se 2589-889 (619i j "Idaa ledbis suejIleD ja t4e9-SL2- (OIL) je "Idaa jeubTS A1.1-na3 apjSJaAj8 411;OU 11eqs aal1jujad aqj imajqmassajul PATIesobis e ja oo2 uTq;Tm sj loom aq4.uaqM -ET -jaautbu3 A11D aqj ja uaj;nejsTjws a4l o4 pue Aq pajnaATp se eaje aq; ujw4Q, Bull iam sAaqqo pue jajnejjua3 s,Ajj3 aq4 qjjm pQeuTpjaaa aq 11eqs ::i -lam 11V 2T uOTqTpUOD jeuTbTno sqT oq paneldaw aq 11eqs -Dja SAOMaAjJP 100i aATjeJ0Dap WOTjYbTWJj ibuTdanspuel 1TV *11 W.9 Sr'y11V6 7-4 "y S� 96 C14LL &-- 7,4 1-1,4 Z,11,1 14 1 3s' 11 1 i'..,.._ UfC Llsnic- OFF- I'` s ❑ No ;N: Cted Yes Cl No tF-/ 1 " T ir- A cteu Yes C]Pdo -� u � '�:.r �� Yes 0 No Yes ❑ No k- r1 — 4 e-lic X13 I MAIN COND.- CODE ORD:CODE IXT—INT_r, 'LAN FILE NO. BASE SKETCH ICONSTR.SKETCH COHPL• SKETCH I- /30 , 2 F' A7 C AZ?,} I Z,4 6? z1 A17,4 76"o 2/ ye 'o - l 5-3 C S S �;dxiy 7- 9 3 Its' • _ TOTAL FEET INST'D. INSTALL MAIN WITH AT LEAST 31- ^ COVER BELOW !0 of a r G !1 iQ,a ` TOTAL FEET RETIRED PERMIT ISSUED BY O) COUNTY "S RETIREMENT PERMIT NO, DATE MOVED DATE MOVED DATE OF ON JOB OFF JOB OPER._ DISTRICT ,(/ V '� REASON CREW FOREMAN TRACT NO. PLANNED BY COMPANY ATLAS �b 3 TONY STAKED NO. YEAR C.P. ❑ CO ANY FACILITY:` SO. CAL. ❑ P.L.S ❑ INSTALLED REVIEWED BY CATHODICALY OPER. 207. OR OVER ❑ STAKING REO'D. ❑ YES ❑ NO ❑ S.M.Y.S. t DIVISION SOUTHERN CALIFORNIA GAS CO. -2956.3) PROTECTED AT LESS THAN 2o1L 0 DISTRICT SUPERVISOR NO STAKES NEEDED V,, O _� �Z T 3 ^ 72G ORG'