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1949NOTE:. With proper validation .tthis 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: 10/29/93 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION ?!"$3S CALLE TUWTCO LOT: 9 A 10 TRA=: SANTA CllM0=A BIA : 124 (Street address or Description of Location) PURPOSE OF CONSTRUCTION I31STALL AND N&INTAIN A Sketch (attach construction plans if appropriate) SIX MW (6") HOUSE LUTES PO2 SENSE SYMVICE DESCRIPTION OF CONSTRUCTION SEB ATlACHBD COHDITIOHS DIMENSION OF INSTALLATION OR REMOVAL SRM ATTAIa= SYB'TCH SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN !1/1/93 APPROXIMATE TIME OF COMPLETION 90 DAYS ESTIMATED CONSTRUCTION COST $ 2,250.00 (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 j penalties, liabilities or loss resulting from claims or couri 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 COACHELLA VALLEY WATER DLSTBICT P.O. BOX 1058, COAG, CA 92236 398-2651 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 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 0 Penalty Cash Deposit -Surety Bond if required TOTAL: $ 0 Receipt No. Received by Date Recorded by 1949 PERMIT VALIDATION PERMIT NO. 1949 DATE APPROVED 10/29/93 EXPIRATION DATE 11/12/93 DATE IS UE 1/1/93 By Administrative Authority TELEPHONE: (619) 564-2246 a 1/94(7 0 E �G_2`lr9 3 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 a % Subdivision Improvement Permit — Class III DATE: /o Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 7 35 L CT; 9 '¢" /0 1 TLAGT' --vW 7A B LO I I ;U (Street address or Description of Location) PURPOSE OF CONSTRUCTION I N 57Au- AMID M PO N7AI N A 5? X I M F_h ! A5 J I-f6U & Ll17T"L FUR S`E.W F 12 .3�1ZU tGF✓ . DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION NINT,TY L9D) DAYS ESTIMATED CONSTRUCTION COSTS 2-1ffQ _')o (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) Sketch (attach construction plans if appropriate) 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 al penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or propend 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 o. La Quinta and to pay for any additional replacement necessary as the result of this work. COACHELLA VALLEY WATER DISTRICT Name of Applicant (please print) Name of Contractor and Job Foreman Contractor's License No. Signature of Applicant or Agent 6®s P. 0. Box 1058 COACHELLA, CA. 92236 398-2651 Business Address Telephone No. Business Address Telephone No. City Business License No. Applicant's Insurance Company Policy Number The following General aro Special Provisions are attached to and made a part of Perm" No. GENERAL PROVISIONS The following snail always apply: ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within City of La Quints right of way ONLY. Whenever construction extends within Private property. it shall be the r8soohstbdlN Of the permntOf (or Quints Cs fight f way secure permission from abuning property owners. Such authorization must be secured by the permittee prior t0 Starting work. TRACKLAYING CONSTRUCTION EQUIPMENT: Cleatedtroddavrngconstructionequipmentshallnotbepermmedtoopwaleonany Paved surface unless fitted with smooth -faced street pads. All mechanical outriggers shall be fitted wnh rubber street shop to protea ins paving during excavations. Rubber -tired equipment only shall be used in baddill operations in paved areas, If the existing Pavement is scarred. 3palled. or broken during the term of this contract or rf the pavement Is marred. City of La Quints shall request that these portions of road be resurfaced over their emirs width. Resurfacing shall consist of one cost of two inch" 12') of A.0 surfaging plus mooroonste s"1 cost as specified above. PROTECTION OF TRAFFIC: All excavations and work areas shall be -properly lighted and barricaded as deemed n«auarybythe City Engineer or La Quints City Public Works Inspectors. Suitable detours and detour signs shad be placed and meintainedforthedurstion of the orotic The City shall be notified 24 Mrs. in advance of any traffic detours or dslinen"M& CARE OF DRAINAGE STRUCTURES: Any drainage structure Including corrugated maul pipe. concrete Pipe, steel culvert and concrete structures encountered during excavation which necessitate removal shall be replaced in kind. In the a-" 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 fromthe rightof way. All paved surfaces shall be broached dean of earth and other objectionable materials immediately atter backfill and compaction Existing gutter line and drainage ditches shall be replaced to their original standard or better. All excess material shay be removed Prior to paving. Water tanker shall be used. as required, to spnnkle the job site to keep doyen dust conditions and shay be used immedisteh after backfill. DE -WATER OPERATIONS: If de -watering operations are required and pumps aro forcing water on City of La Quints roads it shall be the responsibility of the permittee (COntraCtOr) to control this water and to provide Off-street Oamcades when neaaary. 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 any length 'Staff by the permmee that he must does • street for Of time. perminee shall Contact this office IO obtain the necessary permission. SPECIAL PROVISIONS The follwing stall apply ONLY when indicated: NOTIFICATION: Permmes shall notify the City at 664-2248 at least 48 hours in advance of starting Construction. R2 CASH DEPOSITS OR BONDS: A cash bond Oran approved surety bond in an amount of not fess than s _ shall be furnished in the name of City of La Quints to cover ell work involved in the restoration Of the various LA Quints roads and survey monuments. This bond shell be continuous until cancelled by the City Engineer. This bond must ct posted prior to commencement of any work on this proje. be UTILITY CLEARANCE: (Substructures) Prior to making any excavation within the City of La Quints right of way authorized by permit. the permgtee snail comact all concerned utility companies relative to the location Of existing substructures. Damage to existing substructures resulting from operations conducted of the permittee. rriunder this perrt shall be the sola ras" isibility ® UTILITY CLEARANCE: (Surface structures) No was shay be done under this permit until all utilities sit Clear of the proposed work site. The pennmee shelf notify all concerned utility compantea of the proposed work R5 PAVEMENT WIDENING: Area between the proposed Concrete gutter time and the existing road pavement shall be surfaced with inches of A.C. paving placed en inches of class having an'R'valueofmat less than and in conformance with City of La Qui me RoadImpratesubbapOpurse and Speedicauons. Ordinance "61. imprdvemamStandards 4 R6 PARKWAY GRADING: Area between the property time and topafthe proposed concrete curb Shall begradedtasslope of 1/4 inch to one fool I1 �. R7 GRADES & STAKES: City of La Quints shall establish grades and stakes for the proposed concrete curb and gutter construction. RB GRADE CHECKING: City of La Quints shall check grades upon recstptofPlan andprofileand/or grades asestablishedby a licensed engineer. R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter I (eet►shall be removed. Curb end/Or curb arid gutter shall be saw Cut prior to removal. Depressed curb. matching ccncrate guttera d concrete driveway approach shall be constructed in conformance with City of Ls Quints Standard +h cret 207. RIO DRIVEWAYS. A.C.: Driveways shall be constructed as not to alter existing drainage pecten. Surfacing between the property line and the existing road paying 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 :nch diameter 1 ) 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. R12 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 3011 sterilizer. Rate of application shall complywith the manufacturer's specifications. ®COORDINATE WORK: The proposed work shall be subordinated to any operation which the State of California or City of La Quints may conduct in this area during the period of this permit. Work shall be coordinated with the State or City of La Quints forces to preclude delay or interference with State or City of La Quints projects. 5SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the centerline Of all streets or property fines when involved shall be COmpleten, tied out so they may be readilyand correctly be replaced by a licensed Civil engineer Or surveyor at the expense Of the vermittea A Complete eet of ria" shovnng the teest0 thele monuments shall be furnished to the City Engineer prior to the removal at any monuments. This Office shall be notified upon eomptetim of roptacierrieril Of sit survey monuments for clause WaIleet Clowanee. 0- aitSurvevmOnuments JI La Quints and suitaole Oavment Of Guarantee Or Oavment snallcbe mane as re1mDU SlmernsiOri alle!vd nvovc.t R17 PAVEMENT CUTTING: Pavement will be mechanically cut to a straight edge prior to excavation, Method at pavement cutting shall be approved tnrouqn the office or the City Engineer. (Under no Circumstances shall excavating equipment be used to excavate prior TO Cutlind of pavement). Excavation material shall be placed in sucn a GOSllion as to pest facilitate the general flow or trattic..Prior t0 final paving operations. anv cameos to pavement stralg I edge snail De corrected. R18 PAVEMENT CUTTING: Pavement shall be saw cut prior to removal. Prior to final paving operations, any damage to Pavement straignt edge snail be corrected. LIMIT OF EXCAVATIONS: Excavations snail be limited to 1.000 lineal feet of open trench before Oackfill Operations must begin. All excavations snail be orooerly barricaded with lights overnight. on weekends and nolidays for the protection of the traveling public. The Public Works insoector snail determine the suitability of excavation barricading in eacn case. No excavation snail remain open for a Period exceeding five i51 days. No excavation snail be mace unless the construction . material is actually on the work site. R2 BACKFILLMATE RIAL8aekfiIIshaIIbefree of1)rusn. roots orotherarganicsubatarice 0air imanta.. Of Producing an adequately consolidated backfill. Any material which the City of ..:suse for Purposes La Qi saturated materrell which is encountered during excavation shall not be used foQuints deems unsuitable (Purposes r backfill, but snarl be supplemented or recIBCed by an aoproveo sand or gravel. - R21 BACKFILL SAND: Backfill shall be approved transit -mix sand or equivalent and shall be placed in lifts of not greater than three feet (3') and vibrated using vibrotamper or equivalent equipment. Alternate methods maybe substituted, but in any <:27case a relative Compaction of 95 percent shall be attained within the c:rcctural section of the roadway, 22) .BACKFILL PLACEMENT: Backfill shall be applied in lavers of not more than 50 percent of the total depth of the trench before flooding are maximum off ive-foot 151 lifts where trenches are of excessive depths. Care is to be exerctsecithat the backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed to that the resulting Compaction shall be not less than 90oarcent or eauivalentt0 the surrounding ground. whichever IP the greater compaction. Where cording 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 eacn :aver and the water supply shall be Continuous. 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 11) 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 mace 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 eacn crossing or service line. One 11) CODY Of each test shall'be forwarded to the City Engineer for approval and filed prior to making permanent repairs. COmpaQtOh tests shall be made asoutlinea in S'ectlon 6.3.01 of the Standard Specifications. Division of Highways. State of California, dated January 1973. TEMPORARY PAVEMENT REPAIRS: After Completion of bacidill 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 151 day limit. PERMANENT PAVEMENT REPAIR: After backfill and compaction operations have been completed. a temporary patch Consisung of two inches (2") Of SC -800 shall be placed immediately. A permanent patch of 3 inches A.C. surfacing placed on a _ inch Class '� base shall be placed no later than temporary road repair. days aftercomPletion of R27 PAVEMENT REPAIR: F.A.S.: Upon completion of backfill and compaction, a temporary patch consisting Of twotnches Q-) of cold mix paving (SC -800) 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 tsmoorary Paving. Concrete base snail be of five -sack mix and shall conform to the City of La Quinta Road Improvement Standards 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 apolication binder and screenings shall be applied on all patch areas where such seal Coats existed prior to issuance of this permit. Seal or armor coats shall be applied as Specified in Section 3be accomplished by a 7. Standard Specifications. State of California. Division of Highways, dated January 1973. Work of pavement repair to ness of 30 STREET RESTRIPING: Where street std o nig is salol engaged on streets lone excavated ent •such striping shall be replacer upon Completion of permanent repairs. - R31 TREE RELOCATION OR REMOVAL. Tree relocation within the City of La Quinta road right of way shall be accomplishes by a licensed. bonded and insured tree service. and handled saf ely witnout mterference 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 bs removed shall be removed in sections which can be handled safely without interference or hazard to highwav traffic. The entire width Of the tree stump snail be remover and disposed of so that n0 debris remains in view Of the highway. The stump hole shall be backfilled and thoroughlycompacteo 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 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. 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 snail be removed. b. 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. c. If tree trunks are partially outside of the City of La Quints road right of way, permittee snail make his own arrangements with adjoining property owners for consent t0 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 the satisfaction of the City Public Works Inspector. be accomplished to 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 meeting in all cuts Of two incnes 12") and apovrin size. Sealam shall be 8001** to ell cut Sections as dlret:rea Ov the Citv Public Works Iniiin- SPECIAL CONDITIONS --PERMIT NO. 1949 --- CVWD --- 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. Pertrrittee 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 let to April 30: Monday -Friday 7:00 a.m. to 5:30p.m. Saturday 8:00 a.m. to 5:00p.m. May let to September 30: Monday -Friday 6:00 a.m. 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 any damage to other City streets or facilities. 6. Advance warning signs and traffic control shall be installed and maintained in accordance with Cal Trans Standards. It shall be the permittee's responsibility to detour and barricade this site. 7. Street closures shall not be permitted. A minimum of one travel lane on paved surface shall be maintained with flagmen at all times. 8. Prior to excavating, the permittee shall contact Underground Service Alert at 1(800) 422-4133. 9. 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. 10. All landscaping, irrigation, decorative rock, & driveways etc. shall be replaced to its original condition. 11. All work shall be coordinated with the City's contractor and others working within the area as directed by and to the satisfaction of the City Engineer. 12. When the work is within 500' of a signalized intersection, the permittee shall .notify Riverside County Signal Dept. at•(714) 275-6894 or Caltrans Signal Dept. at (619) 688-6845 as appropriate a minimum of 48 hrs prior to starting work. 13. All backfill and subgrade soil shall be compacted to 90% relative dry density, all backfill soil within the top 2' of finish pavement surface shall be compacted to 95% relative dry density, all base material shall be compacted to 95% relative dry density. 14. Permanent pavement replacement section shall be one inch greater than existing, but not less than 3" of AC over 4" of Class II AB, which ever is greater. Permanent pavement shall be installed within 72hours uless otherwise approved by the City Engineer. 15. All excavations at or near the travel way shall be backfilled and/or temp. paved at the end of each work day for't'he`pzotection of the traveling public. Special Conditions - Pero it No. 1949 Page 1 of 1 • � ..lo (� Id I� �o :ice u 4 C. 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