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1879NOTE: 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 I I I DATE: 9/13/93 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Jefferson St W/S N/b festa Drive (Street address or Description of Location) PURPOSE OF CONSTRUCTION 1'1"* burled teie>jrhouo Sketch (attach construction plans if appropriate) cable DESCRIPTION OF CONSTRUCTION TrOnch frOm2010 to V0141 SEE ATTACUD CONDITIONS SEH ATTACHED SKETCH GTE PEMUT # 1862 DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 9/14/93 D APPROXIMATE TIME OF COMPLETION 11/10/93 SEP 13 1993 ESTIMATED CONSTRUCTION COST $ 1000+ r (Including removal of all obstruction, materials, and debris, backfilling, com- BY 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 t e City of La Quinta and to pay for any additional replacement necessary as the result of this work.A J06 Signature of Applicant or Agent Henkols i MCKOy Inc M N. locia Ave Baa Dime 91773 (909) 592-7733 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. 183393 Contractor's License No. City Business License No. Liberty MUtuel R62-631-004085-062 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: $ 40.00 10.00 $ 50.00 Receipt No. Received by Date PERMIT NO. 1879 PERMIT VALIDATION 1878 DATE APPROVED 9/13/93 EXPIRATION DATE 9/24/93 DATE ISSUED 9/13/93 By /8 Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 ------------------------ NOTE: With proper validation this form constitutes an encroachment permit CITY OF LA QUINTA v APPLICATION FOR PERMIT h: PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) OP, A: For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like publiF works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS —` — Subdivision Improvement Permit — Class I I I DINE:- Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION'xx (Sweet address or Dauriptiori of Location) PURPOSJE OF CONSTRUCTION &&4a AAA941!w Sketch (attach construction plans if appropriate) D IfTIO Z�CO►ySTRTION GOD1� S DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED ' APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION 17 9 . ESTIMATED CONSTRUCTION COST $ 4i ,P tQ ?j ' (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,.dofend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all Ise or. IlabAlidu or. loss resuldng_tsom claims or court action and arising out of any aeeident;'tost Or da'm4194-16 persona or prope'rty happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this appllcet one Notify the Administrethn 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 reguiationi of the City of La Quints and to pay for any additional replacement neussaty as the result of this work. �L Ai J� L&/�� Signature of Applicant or Agent. �rA.; s ' 4- 1YJCC'.�a'y AJ-€ijea Name of Applicant (please print) Business Address Te!>lptretle�Me. 96 'Noma of Contractor and Job Foremen Business Address Telephone No. , / 9'�9_ Contractor's license No. City Business License No. n/F3�2l"Y M1 iLl� 112 Pplicant s Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class 111 Public Improveinenu: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ Permit Fee • s Penalty Cash Deposit -Surety Bond; If required ° TOTAL: $ Receipt No. Received by_.,..�Dots . Recorded by F PERMIT VALIDATION PERMIT NO. �� 1 DATE APPROVED - �- EXPIRATION DATE DATE ISSUED By Administrative �uthgrity TELEPHONE: (819) 6842248 1 Cay �' �},a� �y ;�y �y S S' �::..• � �: � t a ' � �':. :. :t►"�� •�:tQt��r^•�• �':f'�n,'.nq';;ji�`,11`�iai��F',i'�f�,'•,;� ..�•:.:u. .ye�. ,e.. ..�k►?',.... �i'..;%r'.�:::.. �, �'�;::i:: •:•• .. The following General and Special Provisions are attached to and made a part of Permit No. GENERAL PROVISIONS The following snail always apply: ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes wore to be accomplished within City of La Quints right of way ONLY. Whenever construction extends within private property. it shall be the resoonSlOdity of the permittee for his contractors) to Secure permission from a0uning property owners. Such authorization must be Secured by the Permittee prior to starting work. TRACKLAYING CONSTRUCTION EQUIPMENT: Cleated trsckf8vlftg COnanictran equipment snail not be permitted to operate an any Paved surface unless fitted with smooth -f seed street pads. All meenanical ouinggero shall be fitted with rubber street shoes to protect the paving during excavations. Rubber -tired equipment only shall be used In oaddill operations in Paved areas. If the exrsung pavement is scarred. spoiled. or broken during the termof this contract or d the pavemem is maned. City of La Quints shall request that these portions of road be resurfaced over their entire width. Resurfacing shall consist of one cast of two surfaging plus apprat opnete seal coas specified above. lichee (2-) of A.0 PROTECTION OF TRAFFIC: All excavations and work areas shall be.property lighted and bainceded 83 deemed necgssarybythe City Engineer or La Quints City Public Works Inspectors. Suitable detours and detour signs aha Ifbe pieced end maintained fa Me duration of the proles. The City shall be notified 24 Hrs. in advance of any traffic detours or delfrtgauofia 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 bs feplaced in kind. In the event.it becomes necessary to remove or cut existing drainage structures. City of La Quints shall be notified anor to Commencement of this Drainage structures and open drams 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 Shap be removed fromthe right of way. All paved surfaces shall be broomed dean of eann and other objectionable materials immediately attar backfill and Compaction Existing gutter line and drainage ditches shall be replaced to their original standard or better. All excess material shall be removed prior to paving. Water tanker shall be used, as required. to sprinkle the job site to keep down dust conditions and shall be used immediately Otter backfill. DE -WATER OPERATIONS: If de -watering operations are required and pumps aro forcing wateran City of La Quints roads, it shall be the responsibility of the permmes (contractor) to control this water and to provide off-street barricades wxtgn neogsory ro CLOSING STREETS: No street shall be closed. A minimum of one lane of traffic shall be maintained at at prM limited access for the adjoining ppertyowners aroemef9erKyt times to vehieles.IntheeventitisfahbythePerrmnteethathemueteli attest for any length of time. permittee shall Contact this office to obtain the necessary permission. o3g SPECIAL PROVISIONS The follwirg shall apply ONLY when indicated: NOTIFICATION: Permmes shall notify the City at 6642246 at least 48 hours in advance of starting cOngruction. R2 CASH DEPOSITS OR BONDS: A cash bond *ran approved surety bond in an amount of nation than • shall be furnished in the name of City of La Quints to Cover all work involved in the restoration of the w roads and survey monuments. This bond shall be continuous until cancelled sour V Quints Posted prior to commencement of any work on this by the City Engineer. This OorW must be proles. R3 UTILITY CLEARANCE: (SubstruetureslPrior tomaking any excavation within the City ofLaQuints rightptwn,au[horino by permit. the oermmae shall comact all concerned utility companies Damage to erebtivg to the"' onof existing sudstrtrewres. xietlhg substructures resulting from operationsCOrtdtnctad of the permmee. under this permit shall bg the 3010 responsibility R4 UTILITY CLEARANCE: fSurfaea saucturesi No wank Shap be done under this permit umil all utilities are door of the proposed work site. The permittee shall notify all concerned utility Companies of the proposed work. RS PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing road pa vgmght shall be surfaced with inches of A.C. paving placed 0n intoes of else having an "R' value of not less than and in conformancevinhCityofLaQuimaRoadl�egaa3ubbapcourse and Specdicauom, Ordinance #461. niprovemetttStandaros R6 PARKWAY GRADING: Area between the property line and top Of the Proposed concretscurb shall begradWtog slopeof 1/4 inch to one foot I �. R7 GRADES & STAKES: City of W Quints shall establish grades and stake construction. s for the proposed concrete curb and gutter R8 GRADE CHECKING: Citvat La Quints shall Chem grades upon 1`6=1111: of Plan and vFWile and/or grades atenablithedby a licensed engineer. R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and putter I ION)Shall be removed. Curb end/or curb and gutter shall be saw cut prior to removal. Depressed curb. matching Conente gutter and concrete driveway approach shall be constructed in conformance with City of La Quints Standard #207. RIO DRIVEWAYS. A.C.: Driveways shall be Consttucted 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 clan aggregate base. Driveway construction shall conform to attached drawing. R11 CULVERTS: A :nchdiameter()CUlvenShallbeinstalledwiththeinvertapproximatelyt-1/2 inches below and in line with the existing flow line. Culvert installation shall conform to the attached drawing. 1®SIGHT CLEARANCE: Sight clearance of 600 feet in either direction shall be assured and maintained. R13 SOIL STERILIZER: The area to be surfaced shell be treated with soil sterilizer. Rate of application shall Complywith the manufacturer's specifications. R1 COORDINATE WORK: The pradds edwaft 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 comptetety tied out so they may be readily and correctly be re0laeed by a licensed civil engineer a surveyor at the expense of the perm tutee. A apmplata set of notes stowing the ties to ttleae monuments shalt be furnished to the City Engineer PnOrtOthe removgl of anymonumefttt- be notified upon coinalgOpn of reoulcomem of all survey manunNmg ter K prop"eat . This office Mall - . au u�uun. nu survey monuments snail be bes,0ut ov Gtv ,It La Uulnta and sullaole payment or guarantee of payment snail be mace as reimbursement for all work Involved' R17 PAVEMENT CUTTING: Pavement will be mecnanically cut to a atrafgnt edge prior to excavation. Method of pavement Cutting shall be approved through the office of the City Engineer. (Under no circumstances small excavating equipment be used to excavate prior to cutting of pavement). Excavation material shall be placed in such a position as to best facilitate the general flow or traffic. Prior to final paving operations. any oamage to pavement straight sage snail be corrected. R18 PAVEMENT CUTTING: Pavement snail be saw cut prior to removal. Prior to final paving operations. any damage to Pavement straight eoge snail be corrected. R19 LIMIT OF EXCAVATIONS: Excavationssnallbelimireato1.000linealfeetofopentrenchbeforebacktilloberationsmust begin. All excavations snail be orooerty barricaaea with lights overnight, on weexends ana nollaays for the protection of the traveling public. The Public Works inspector snail determine the suitability of excavation oarrlcaaing Ih seen ease. No excavation snail remain open for a period exceeding five 15) days. No excavation snail be mace unless the construction material is actually an the work site. R20 BACKFILL MATERIAL: Backfill shall be free of brush. roots or other organic substance detrlmenta.::.;suse for purposes of producing an adequately consolidated baekfdl. 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 beplaced in lifts of notgreaterthan three feet 131 and vibrated using vlbrotamper or equivalent equipment. Alternate methods maybe $ubstnuted. but In any case a relative compaction of 95 percent shall be attained within the s:?k:ctural section of the roadway, R2 BACKFILL PLACEMENT: Backfill shall be applied in lavers of not more than 50 percent of the total depth of the trench before flooding or a maximum of five-foot 151 lifts where trenches are of excessive depths. Care is to be exercised that the bacdill material is not subjected to extreme $wait by flooding Operations. Backfill ml resulting compaction shall be not less than 90Dercemorequivalenttothe surroundingateriground.shall etl so that the all be placed Isthegreeter late ver compaction. Where ponding or flooding is used for a maximum settlement. atleduate dries 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 atlntervals of not more than 1.000 feet and a minimum of one (1) test on eacm road. One (1) Copy of each test shall be forwarded to the City Engineer for approval ana f iled prior to making permanent repairs. Compaction tests shall be mane asoutlined 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 41) copy of each test sha ll be forwarded to the City Engineer for 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 of 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 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 lmmedietely. A permanent patch of surfacing placed on a inch class base shall beplaced no later than 'mattes A.C. temporary road repair. daysahercompletionof _._..__.__...._....__..._ R27 PAVEMENT REPAIR: F.A.S.: Upon completion of backtill 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 131 of A.C. surfacing shall be placed on six inches I6") concrete base as directed. but not later than fifteen 115) days atter completion Of temporary Paving. Concrete base shall be of five -sack mix and shall conform to the City of La Quints Read ImprovemerttStantiards and Specifications. Ordinance #461. 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 snail be applied on all patch areas where such seal coats existed prior to issuance of this permit. Seel or armor coats shall be applied as speedied 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 visibte 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 Oucnta road right of way shall be accomplished by a licensed. bonded anti insurea tree service. and handled safely without mterterence w hazard to the traveling public. It shall be the responsibility of the permittee to maintain the tree in a vigorous growing condition at Its new location. Trees to be removed shall be removed in sectionswhich can be handled safelywithout imerterence or hazardto 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 5001feet at anyone time. Adequate signs. flagmen and/or barricades shall be provided to protea the traveling public at as 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 Seaton 6.3.01 of the Standard Specifications. Division of Highways. State of California. dated 'January 1973. R32 TREE TRIMMING: 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 Small be removed. b. Where itbecomes necessary torestrict 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 Ouinta road right of way, permittee snail 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. f. Pruning small, in all instances. Oe at the shoulder of the crotch to insure even, fast neannq In all cuts Of two inches 12") and aDdve-in size. Seaiam shall be epolfeo to all cut sections as alrected by the City Public wnrtm iw SPECIAL CONDITIONS --PERMIT NO. ie79 --- GTE --- 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. Sti-eets shall be kept cleain. 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 e:00 a.m. to 5:00p.m. May 1st to September' 30: Monday -Friday 6:00 a.m. to 7:00p.m. Saturday e: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 any damage to other City streets or facilities. b. Advance warning signs and traffic control shall be installed and maintained in accordance with Cal Trains 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. B. If the work: is to be performed by forces other- thin that of the utility coSpa,ny 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 1i800) 422-4133: 10. Should additional wart::, materials, or modifications of the wort:: be required in order to meet city standards, safety requirements, signage requirements, or to fit actual field c_onditioins, the wort:: 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. 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