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2016' NOTE: With proper validation ' this forrnconstitutes an lehcroachment permit CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit — Class I II DATE: 12/17/93 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION SENIOR CENTER SITE (Street address or Description of Location) PURPOSE OF CONSTRUCTION PROVIDE CONSTRUCTION WATER to senior center site DESCRIPTION OF CONSTRUCTION TACH fiCft1oSS STREET AND INSTALL NATER LINE DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED 29 x V ACROSS STREET APPROXIMATE TIME WHEN WORK WILL BEGIN 12/17 APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ - 1,000 (APPRON) (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: Sketch (attach construction plans if appropriate) SEE ATPACSSD CONDITIONS SSS TRAFFIC CONTROL PLAN 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 propetrty 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 �the vaannc�.ofi"fhe time when r will be started. Comply with all applicable City Ordinances, the terms and conditions p permitnd all app cable r les and r ulations of the City of La Quinta and to pay for any additional replacement necessary as t e rult of t s work. %Si4hature of Applicant or Agerj� JAMBS T. DUNM CO. 424 N. HERK4 PAIN SPRINGS, CA 323-1948 Name of Applicant (please print) Business Address Telephone No. SAME Name of Contractor and Job Foreman Business Address Telephone No. 02691111112 ON FILE Contractor's License No. City Business License No. ON FM 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: Receipt No. 0 $ 0 Received by Date 111 2016 PERMIT VALIDATION PERMIT NO. 2016 DATE APPROVED 12/17/93 EXPIRATION DATE 12/22/93 12/17/93 DATEIS•UE• By Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 C? EMU 8 SENT BY:Xerox Telecopier 7020 ;12-10-93 ; 1:15PM ; 16197777101-► 6193204423;# 2 rIlt 'r NOTE: With proper valve tion this form oonstitum an ancr�r� pumb CITY OF LA, QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONRUCTION (ENCROACHMENT) For the construction of publl0 or private curbs, driwwa and other like pubilc works Improvements In co �' Pevamenp, sidewalks, parki IOts f>nkejon w1* MINOR IMPROVEMENTS and APPROVED SU�gD glp S DATE: LOCATION OR CONSTRUCTION �� �riYJ D -(7 - fee— -(7 - fee..... PURPOSE OR C011g'rRUCTION S eA0� o DESCRI CONST CTION ._ ,�-�I-A- Lr DIMENSION OF INSTALLATION OR REMOVAL Si E OF EXCAVATION, IF NEEDED $ubdlvidOn imArovement permit — Clap lit Ml?Or improvement Parmlt am IV ce,Uye,Q,s ,7g Bks` ch (attach construction plant if apptppnagj APPROXIMATE TIME WHEN WORK WILL BEGIN ZZ Z) � APPROXIMATE TIME OF COMPLETIONi�/m ESTIMATED CONSTRUCTION COSTS (Influding removal of all obstruction CPN Oaetlon and •materiels, and debris, bedcfil ft cone. pigging Permanent resurfacing and/or replacing improvcnien I In consideration of the granting of this permit, the applicant lndtleenhv. •dtfane hereby wees, to: sn0 T■Tr the �►. its autleeTi=■e PNtltltt, Ilabilitlq w lora r+TlMtlno from etalltlt OT �� e�R' �tOleeetatirlt std en,ploynt,� hamMea frorA ted ���� � OCTturlfne et a �1t■Ie• Tewlt of tnY TTo� ■C�ton teW ■rbitq Out of any te�ldtnt. Ioq or �R � en0 all ��A1 the Adlninitt unetrnktn under M■ permit ennetd aurawt to� i0 veetant or p�phh ratio Authorltr at leap ew.nry-four (ZII hewn lel avPlkstion- Cw=1v with all appllc■bb Clty Ordin■eeeq edMm of eh■ time en work TMH be ttaet."L V OuMta end fd .the amo eHd aandhiont tri tM O� et end el My for tnr eddltiaal npl,ee,,,,,n n� a the mtyi of t111C , ■ne r■euf■thent of the Gq► of Name of Applicant (Please1 11 01 Printl .5,4 B nag Addross Nerve of Contractor and Job Foreman a Budness Addnm rOntrampps License NO. 2ti applicant's Insurance Company 'EES:Ibarvision Im mens Permit Clara llt Public improveMertb: 3% of estimated construction a= Prtvete improvements: 3% of estimated construction coats Miner improvement Permit — Clap IV: See attached sdsaduta IsPection Fee ermit FN malty ash Deposlt-Suraty Bond roquired TOTAL:, $ O malpt No. COWed bV Data Cw ded by or Telephone Telephone No. City 0%mil to Licensa No. PolICv Number 1386 PERMIT VAuDATION PERMIT NO. I DATE APPROVED 2 n —CL 3 EXPIRATION DATE 2- - 22_-- q 3 DATE ISSUED I Z " r `t 3 8y Adminlstratlye Authority TELEPHONE: (61913i9s.22aa L ~ SPECIAL CONDITIONS --PERMIT NO. 2016 --- DUNPHY CO. In addition to the standard permit conditions, the following shall apply: 2. 3. 4. 5. All work shall be performed in accordance with the latest edition of the Standard Specifications For Public Works Construction. Permittee shall be responsible for providing continuous dust and erosion control. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently if required. 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 5:30 p.m. Saturday 8:00 a.m. to 5:00 p.m. May 1st to September 30: Monday -Friday 6:00 a.m. to 7:00 p.m. Saturday 8:00 a. in. to 5:00 p. in. Work shall be prohibited on legal holidays including Sundays. 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 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. 11. The trench shall be backfilled with asphalt immediately after the installation of the water line. Dirt backfill will not be acceptable. 12. Following completion of the use of the water line the line shall be removed, edges sawcut to straight lines and backfilled with a 5" deep lift of "HOT" asphalt concrete. . 13. Contractor/ permittee shall be responsible for maintaining the crossing during construction as directed by and to the satisfaction of the City Engineer. . Special Conditions - Pennnit No. 2016 Page 1 of 1 Traffic Manual TRAFFIC CONTROLS TRAFFIC CONTROLS 51-69 t -t990 Figure 5-11 TYPICAL LANE CLOSURE WITH C37 C23 REVERSIBLE CONTROL (See note 10) C36 C9A (See notes 3thru5) C14 (See note 6) ~Closure cones or barricades 1 y Advance Warning Signs 500' to 1000' apart. I ! I ( T ; (See note 11) I ( I .— Cones 100' max. spaang — ' L Variable � �. ----- -�- --(--- _..-----� (See notes 9 and 10) Advance Warning Signs 500' to 1000' apart. .-F (See note 2) — — Y (See note 12) 'h -F (See note 2)-15 1f I / f l (See note 11) /I Optional taper (1 001 max.) C30 C23 C9A C36 (See notes 3 thru 5) SPECIAL NOTES: Fkild conditlons could require deviations Imm these plans end accompanying notes. NOTES: 1. This plan does not apply where there are emergency conditions. Under emergency conditions, equipment and personnel which are available should be utilized to implement a closure even though such closure does not meet the stand- ards contained in this plan. As equipment or personnel become available an im- mediate effort should then be made to implement the standards shown on this plan: 2. Where approach speeds are low, signs may be placed at 300 feet spacings and even closer in urban areas. 3. All advance warning signs shall be 48" x 48' minimum on highways with approach speeds of 45 mph or more. When speeds are less than 45 mph the C23 sign shall be 30" x 30" minimum; other advance warning signs shall be 36' x 36" minimum. 4. All warning signs for night closures'shall be illuminated or reflectorized. 5. A C18 'ROAD CONSTRUCTION AHEAD" or C16 'ONE LANE ROAD AHEAD' sign may be used in lieu of the C23. (See Note 3) 6. A C13 'END CONSTRUCTION- sign, as appropriate, may be used in lieu of the C14. The sign is optional if the end of work is obvious or falls within a larger project limit. ORK ARFJ1 moo. h No Scale C14 (See note 6) LEGEND In Cone or Y Flagtree Portable Delineator Sign , Flagger 41111111111 Direction of Travel Flashing Yellow Beacon (Optional) 7. -Warning (W) series signs used in work zones shall be black on orange. Exist - Ing yellow warning signs already in place within these areas may remain in use. 8. All cones shall be internally illuminated or fitted with reflective white sleeves for night closures. 9. The spacing between cones along centerline should be approximately 100 feet throughout the length of the work zone. Centerline cones may be eliminated if a pilot car operation is used. 10. When a pilot car is used a `TRAFFIC CONTROL WAIT FOR PILOT CAR" sign (C37) should be posted at intersecting driveways and roads. Flaggers may be used in lieu of C37 signs. 11. An additional advance flagger should be considered upstream on high ` volume highways, to wam traffic where queues may develop. Flaggers' stations for i work at night shall be illuminated as noted in Section 5-07. 12. Place C30 "LANE CLOSED" sign (30" x 30" minimum) at 500'-1000' intervals throughout extended work zones. They are optional if the work area is visible from the flagger station.