2023..' MNOTE:�
_r t�;th pr
' er validation
this forrconstitutes an CITY OF LA QUINTA
encroach ment. 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, 12/22/93 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION WE SIDE OF WASMG= STEM, SOIT'1'H OT E'Fg 11' MM
DRIVE TOR TRACT 27860. UWC8D 1A t UnM
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION PROME WATER SERVICE
TO TRACT 27860
DESCRIPTION OF CONSTRUCTION INSTALL 1'18" STMT"
CODiECTI015 30' WEST OF WASHilRGM MEET
CffiITERLnM APPR(M. 70' SOUTH OF E1819130M DR.
DIMENSION OF INSTALLATION OR REMOVAL 10• A 10'
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 12/93
APPROXIMATE TIME OF COMPLETION 3 DAA
ESTIMATED CONSTRUCTION COST $ 19.500.00
(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:
Sketch (attach construction plans if appropriate)
AS S1#M ON ATTACHED DISTRICT
DI iiTING NDS. 20089/20090.
C%ID ,TQ OW. OPERATE AND NAINTAIB
ALL SEWED AUD WATER LICE.
SHE ATTAICBBD COHDITMS
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.
f.41
Signature of Applicant or Agent
COAMLJ.A VALLET.WATER DISTRICT P.O. DU 1058, CDMA, CA 92236 398-2651
Name of Applicant (please print) Business Address Telephone No.
SAIM
Name of Contractor and Job Foreman Business Address Telephone No.
ON FILL Oil TILE
Contractor's License No. City Business License No.
on TILE 0'A TILE
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class 111
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:
403`"$"
Receipt No.
Received by Date
PERMIT NO.
2023
PERMIT VALIDATION
2023
DATE APPROVED 12/22/93
EXPIRATION DATE 1/15/93
DATE ISSUE 12/22/93
By
Administrative Authority
Recorded by II TELEPHONE: (619) 564-2246
IQ! Irli -
fC-"44kY
. tJ
NOTE:
With proper validation
this form constitutes an
encroachment permit
CITY OF LA QUINTA
LU 2 0 1993
APPLICATION FOR PERMIT h),bjLj W0jq_KS
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: ,-�- Subdivision Improvement Permit —Class II I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION w SIDE OF WgSHIfyGTov4 STREET , SO j'T" of Ei sEN14oWE'R
00.AVE )FoPM TRAc.T ZgS46, RAtAILHO LA QuINTA
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION To 9"%6W WATER SERViLC Sketch (attach construction plans if appropriate)
TO 'T%AC.T ZT7BL C)
DESCRIPTION OF CONSTRUCTION XASTALL %-%S" S1v8oj-t cgnmCk�on 30' W -OF NNAS" taC -vo%3
ST. c-Q^kQc\%c\•e,. o.44coX . r10' cF E�SEt4%4 IM IDRWE.
DIMENSION OF INSTALLATION OR REMOVAL 10'X\O'
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN DECEN6E5L-\g0.3
APPROXIMATE TIME OF COMPLETION 3 RPNS
ESTIMATED CONSTRUCTION COST $ 11.500
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements►
A s s\\oov\ arN aA_Ah ed &464
&wzl ocs obs . 2oo8q / Zoo g o .
C V. W. D. TO 0W IA , O V I RXT'E
A R(A mcxin�%V\
w oAec \ % ne.s .
Cm Sewe.c 0 -,Rd
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
COMELL& VALLEY WATEQ DISI i CT '?0-%01,k058 COACMEUAI (A g223fo ie 1���►� ZeS 1
Name of Applicant (please print) Business Address Telephone No.
SR+ME PIS Rzvs.
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
y TOTAL:
Receipt No.
'. Received by
Recorded by
$ Z
Date
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED 12' ZZ' q3
EXPIRATION DATE
DATE ISSUED
By
TELEPHONE: (619) 564-2246
1386
Administrative Authority
Ali— �
` .NATER
r , DISTRI
COACHELLA VALLEY WATER DISTRICT
ROBERT FORD
•. w = TECHNICAL SERVICES TECHNICIAN
F P. O. BOX
105 , COA(6 9)L398-269IF. 92236
TELEPY 41
• w tit
71
iT � r
The following General and Special Provisions are attached to and made apart of Perron No. D 7_3
:r
S t GENERAL PROVISIONS
The tollovong shall always apply:
ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes wale to be eeeomplished within City of La Quints fight of way
ONLY. Whenever construction extends within private property. it small be the responsibility of the permrttee for his contractors) to
secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting war%.
TRACKLAYING CONSTRUCTION EQUIPMENT: Cleatedtraddeyingconstruchonequipmentshallnotbepermmedtooparstoonany
Paved surface unless fitted with smooth -faced street pads. All mechanical outngggrs shall be fitted wnh rubber etreet shoes to protea
the paving during excavations. Rubber -tired equipment only shall be used in bacdill operations in paved areas. H the existing
pavement is scarred• spelled, or broken during the term of this contract or d the pavement is marred. City of La Quint, shall request
that these portions of road be resurfaced over their emir@ width. Resurfacing shall consist of one Coat of two
sudaging plus appropriate seal coat as specified above, inches 121 of A.C.
PROTECTION OF TRAFFIC: All excavations and work areas shell bs.properly lighted and barricaded as deemed neegnry by the City
Engineer or La Quints City Public Works Inspectors, Suitable detours end detour signti shaU be placed and maintained for the duration
of the project. The City shall be notified 24 -Mrs. in advance of any traffic detours or delineations,
CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugated metal pipe, concrete pipe, steel
compita
concrete structures encountered duverC becomes
ring excavation which necessitate removal shay culvert and
be replaced in kind. In the a
necessary to remove or cut existing drainage structures. City of La Quints Shall be notified prior to eommeneemem of this work.
Drainage structures and open drains shall be kept free of debris at SU times for proper drainage.
RIGHT OF WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed fromthe right of
way. All paved surfaces shall bebroomedclean ofearth and other Objectionable materials immediatelyeit f scitigandCotnpaction
Existing gutter line and drainage ditches shall be replaced to their original standard or better. All excess materiel shay be renwved
prior to paving. Water tanker shall be used, as required, to sprinkle the job site to keep down dust Conditions and shay be used
immediately after backfill,
DE -WATER OPERATIONS: If de -watering operations are required and pumps are forcing water an City of La Quints roads. it shall be
the responsibility of the permittee (contraaorl to control this water and to provide olt-erect barricades when neeesaaTv.
CLOSING STREETS: No street shall be closed. A minimum of one lane of traffic shall be maintained at all times to provide limited
access for the adjoining property owners and emergency vehicles. In the event it is felt bythe permittee that he mustooss s stmet for
any length of time. permittee shall contact this office to obtain the necessary permission.
SPECIAL PROVISIONS
The follwing shall apply ONLY when indicated:
d— DI NOTIFICATION: Permittee shall notify the City et 77
at least 48 hours in advance of starting consprtraion,
R2 CASH DEPOSITS OR BONDS: A cash bond or an approved Surety bond in an amount of not less Men s
shall be furnished in the name of City of La Quints to cover all 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 bated must be
posted prior to commencement of any work on this project.
R3 UTILITY CLEARANCE: (Substructures) Prior to making any exnvationwithinthe City ofLaQuints right Ofwsyauthorized
by permit, the permittee shall comsat all concerned utility companies relative to the location of existing aubgrycrores
Damage to existing substructures resulting from operations conducted under qty pertntt shall D@ the sola responsibility
of the permiree.
R4 UTILITY CLEARANCE: (Surface structured No wrork shall be done under this permit until all utilities are our of the
proposed work site. The permittee shall nottfy all concerned utility companies of the proposal worn,
R5 PAVEMENT WIDENING: Area between the proposed CO 1c.. gutter line end the existing road pawrtient shall be
hurfnganaced " h inches ofA.0 paving plateal en inchesofclsss aggregaasubbaseoourso
having an"R'valueofnotleesthan and in conformance with City of La Qui ntaRoadl
and Specifications, Ordinance #481. ntprovamOM tandahla
R8 PARKWAY GRADING: Area betweenthe property line and top of the proposed concrete curb shall be graded Cos stopit of
1/4 inch to one foot 111.
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 reoerptofplanandprofileend/orgradeeas@stabllshalby
a licensed engineer.
R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter ( fWO&hag bo
removed Curb and/or curb and gutter shall be saw cut prior to removal. Depressed curb. matching cone" gutter and
concrete driveway approach shall be constructed in conformance with City of La Quints 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 (—") of Class.—
aggregate base. Driveway construction shell conform to attached drawing.
R11 CULVERTS: A inch diameter)
inches below and in line with the existing flow 1 vert) installation avert shall be llcgon oirmth tto the athe invert e chedkdrawing.-1
ing.l /2
TIGHT 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 sod sterilizer. Rate of application shall comply with the
manufacturer's specifications.
R14 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.
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 invotved shall be Complexly tied out so they maybe readily and correctly
be replaead by a licensed civil engineer or surveyor at the expense of thepermittea A complete Set of notes Showing the
ties to these monuments shall be furnished to the City Engirww prior to the removal of any monuments. This off iee ahaU
be notified upon eomp1stict of reptapm@nt Of ail survey monuments for oredwr croisa efeemrrw.
Alb =01"'Ey TONUMENTS: Prior to excavation or oeamnma of construction. au survev monuments snail be few outovCity
0t La Quints ano suaaole payment or guarantee at cavmen[ snarl be made as retmoursement for all Work involved
R17 PAVEMENT CUTTING: Pavement will be mechanically cut to a straight edge prior to exeaveuon. Method o} pavement
- '^r cutting shall be approved through the office of the City Engineer. (Under no cireumstanees stall eevanno equipment
be used to excavate prior to cutting of pavemehtl. Excavation material shall be placed In general a Wanton as [O best
cortected. facilitate the genet flow of traffic. Prior to final paving operations. any damage to pavement straight edge shall be
18 PAVEMENT CUTTING: Pavement shall be saw cut prior to removal. Prior to final paving operations, any damage to
Pavement straight edge shall be corrected.
19 LIMIT OF EXCAVATIONS: Excavations shall be limited tot.000lineal feetofopen trench before backfillOperations must
begin. All excavations snail be Properly barricaded with lights overnight, on weekends and holidays fortheprotection of
the traveling public The Public Works inspector snail determine the suitability of excavation barricading in each case. No
excavation shall remain open for a period exceeding five 451 days. No excavation shall be made unless the Construction
material is actually on the work site.
R2 BACKFILL MATERIAL Backfill shall be free of brush. roots or other organic Substance detrimenta. :...s useforpurposes
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 shallnot 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 notgresterthan
three feet (31 andvibrated using vibrotamper or sQuivatent equipment. Alf8mate, methods mitYbesubstimeglLbut in any
case a relative compaction of 95 percent shall be attained within the structural section of the roadway,
R22 BACKFILL PLACEMENT: Bac till shall be applied in layers of not more inan 50 percent of the total depth of the trench
backfill material is not subjected to extreme swell by flooding operations. Be before flooding or a maximum of five-foot (51 lifts where trenches are of excessivck}ill material shall les Placed to that the
e depths. Care is to be exeretsad thatthe
resulting compaction shall be not less than 90 percent 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 construaadto retain
the water. Where jetting is used. the jets shall be of sufficient length to react the bottom of each :ager and the water
supply shallbe continuous.
COMPACTION TESTS: If so required by the inspector, compaction tests shall be made at intervals of not more dyn 1 p00
feet and a minimum of one (1) test on each road One (1) 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
Standard Speufications. Division of Highways. State of California, dated January 1973. the
24 COMPACTION TESTS: If so required try the inspector• compaction tests shall be made for each crossing or servile line
One 11) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permaruftt repairs.
Compaction tests shall be made as outlined in Section 6.3.01 of the Standard Specifications. Division of Highway, 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 shay 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
surfacing placed on a inch class base shall be placed no later than days after A.C.
temporary road repair. oartplotionof
R27 PAVEMENT REPAIR: F.A. S.: Upon cam platibn of backfill and compaction. a temporary patch consisting of two inches (2"1
of cold mix paving (SC -800) shall be placed immediately. A permanent patch of three inches 431 of A.C. surfacing shall
be placed on six inches 161 concrete base as directed. but not later than fifteen (15) days after completion of temporary
paving. Concrete base shall be of five -sack mix and shall conform to the City of La Quints Road improvementStsndards
and SDeedicabons• Ordinance 0461.
R28 FOG SEAL A fog seal coat consisting of an application of asphaltic emulsion shall be applied over all paten
determined by the City Engineer. areas as
R29 SEAL ARMOR COAT: A seal coat consisting of an application binder and screenings shall be applied on ay patch areas
where such seal coats existed prior to issuance of this permn. Seal or armor coats shall be applied as specified in Section
37, Standard Spectfications. State of California, Division of Highways, dated January 1973. Work of pavement repairto
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 i'llPiscild upon
completion of permanent repairs.
R31 TREE RELOCATION OR REMOVAL: Tree relocation within the Ciry 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 tr8v@bng 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 safelywithou[ interference or hazard to 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 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 to not less than 90 percent or equivalent lathe
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 shall 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 restrictedto a maximum of 500feet at anyone it
Adequate signs. flagmen. and/or barricades shall be provided to protect the traveling public at all times me.
c. If tree trunks are partially outside of the City of La Quints 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 dentin.
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 Mall be contacted in all instances. prior to trimming or topping trees.
f. Pruntng May, in all instances, be at the shoulder of the patch to insure even. fast healing in all cuts of two menee
121 and above-» size. Seelent Shen he soaked" .0
SPECIAL CONDITIONS --PERMIT NO. 2023
--- 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. 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 1 st to April 30: Monday -Friday 7:00 a.m. to 5: 30p. m.
Saturday 8:00 a.m. to 5:00p. m.
May 1st 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.
A traffic control plan shall be submitted ' to the City Engineer for review and approval prior to
starting work.
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.
r
Special Conditions - Permit No. 2023 Page 1 of 2
SPECIAL CONDITIONS --PERMIT NO. 2023
continued
10. 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.
11. 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.
12. All excavations at or near the travel way shall be backfilled at the end of each work day for the
protection of the traveling public.
13. Contractor/permittee shall not start work in the Washington St. travel way until 9:00am to avoid
rush hour traffic.
14. Contractor/permittee shall take whatever steps necessary to ensure that traffic flow is restored
to normal operation by 4:00pm as directed by and to the satisfaction of the City Engineer.
15. No traffic control devices will be allowed to remain overnight within the travel way.
16. Pavement replacement section shall be one inch greater than existing.
Special Conditions - Permit No. 2023 Page 2 of 2