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2033NOTE: 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 J DATE JANUARY 4, 1994 Subdivision Improvement Permit — Class II I Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION AVENIDA NAVARRO (Street address or Description of Location) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 1/5/94 APPROXIMATE TIME OF COMPLETION 515/94 ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replac;ng improvements) In consideration of the granting of this permit, the applicant hereby agrees to: Sketch (attach construction plans if appropriate) TO INSTALL 150' DN 2" MEDIUM PRESSSRA PLASTIC GAS MAIN 10' W/EPL of AVENIDA NAVARRO, BEGINNING 212' N/NPL of Calle Ensenada, continuinganorth. SEE ATTACHED MAP. SEE ATTACKED CONDITIONS. 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. Z%A�� A At.iA Lf� Signature of Applicant or Agen Ile" � Qrml NOOtz SOUTHERN CALIFORNIA RAS CO. P.O. BOX 3003, RDLANDS, CA 92373 (14) 335-7 64 Name of Applicant (please print) Name of Contractor and Job Foreman Contractor's License No. Business Address Telephone No. Business Address, Telephone 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 2031 Inspection Fee Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. 0 $ 0 Received by Date PERMIT VALIDATION PERMIT NO. 2033 DATE APPROVED 1/4/94 EXPIRATION DATE 27L28/94_' DATE ISS ED 1/4/94 By Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 i r ,c Subdivision Inwovement Permit -»Class, Ill �— DATE, JANUARY 4, 1994 Minor Improvement Permit Gast IV .,. LOCATION OF CONSTRUCTION Aveal a Navarra — igttas admw or Omni"" of Lamkw PURPOSE OR CONSTRUCTION - Sketch (attach construction pians If appropriate) j DESCRIPTION OFCONSTRLICTION To install 150' of '2" medium pressure "'"'^ plastic gas main 10' jd/EPL of Avenida Navarro, beginning 212' WWI, of Calle DIMENSION OF INSTALLATION OR REMOVAL Ensenada, continuing north. SLB ATTACHED MAP �-TGP=22- Him SIZE OF EXCAVATION, IF NEEDED �TCUTjq c H. APPROXIMATE TIME W89EN WORK WILL BEGIN 1/5 J94 APPROXIMA?E TIME OF COMPLETION 115194 ESTIMATED CONSTRUCTION COST S (IncludiM removal of all aMtruetion. materials, and debris, baakfillIM tam pecoon and placing porn anent cawcfacin4 andler replacing impravementt) In oonsideradon of der granting of this permit, the applicant hereby awass to: Ir mmnity, datald and was the City, ha authorirad aeon% anwam reprowntsum and wrokwau, harmlea front and against any and all oww"i". liabilities or leu n lthq from etaitm at aottrt adhere and ww" out of aw OwAo r. top or awnew w perrana or p►opMy hmvpmkq w oowrring al a p"inner rawlt of any wwk urdwa*m Made Ow permit yranwd purs am to this application. Frohn► the Attministntiw nudwkv a feast trrww#-h w 4241 tame in a6was, of Ow tiny whoa work win be started. C 0*v wkb all applicable City Ononwess, tM tarns and ottndltiay of the permit and aN ti and no&IaWns of the City of Ls Cubes gad is ow for a w adrh + t ttaorstMy err tltg cart[ of this ata _ wjW0PESIAL AsH1:EY. sg err PE OORDTNA-, .,. 71 _ Nagy of Applita (plow printf ;= - Otrairnaa Addteea Telephone Na, r Now of Contractor erd Job Foreman • NO. . 6tMirh� Telephone Contractor's Lions No,- City iwinww Lioande No.... Applicant's Inswance Company Policy Number FEES; Subdivision Itthprowmatt Permit - class 111 Public improvements: 3% of estimstad construction eoan t Private improvements: 3% of estimated conmuetion coM Mirror Im t Pwntit Claes IV: See ettadtad adwdu* Inapa�tion fee Z PERMIT VALIDATION Permit Fee O. PERMIT NO. 20 3 3 powty DATE APPROVED ' `-q Carp dgtttuta"W 801ld if re*Ar+ed EXPIRATION DATE Z '� 3 TOTAL: DATE ISSUED Reopipt By PON Administrative Authority Received byRgoortie0 TELEPHONE: (619) 584-22" .K i". .. l z he following General and Special Provisions are anocnee to aro made a Dart of Penn,, No. Z�33 GENERAL PROVISIONS The following snail always apply: ENCROACHMENT ON PRIVATE PROPERTY: This permit autnprizes work to be accomplished within City of La Quints right of way ONLY. Whenever construction extends witnin private property. it shall be the restionstprlity of the permrttee for his contractorsi to secure permission from abutting property owners: Such authorization must be secured by the permittee prior to starting wort. TRACKLAYING CONSTRUCTION EQUIPMENT: Cleatedtracklavmgconstruaronequipmentshallnotbeoermmedtooperateanany Paved surface unless fittedwnh smoan-faces street Paas. All mechanical outriggers shall be fitted with rubber street shoes to protea the paving during excavations. Rubber -tired equipment only shall be used in backfill operations in paved areal. If the existing pavement Is scarred. spelled. or broken during the term of this contract, or if 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 Inches 12") of A.C. surfaging plus appropriate $eal coat as specified above. PROTECTION OF TRAFFIC: All excavations and work areas shall be•propeny lighted and barricaded as deemed Engineer or La Quints City Public Works Inspectors. Suitable detours and detour signs shall be placed and maintained far the t�tion of the protea. 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, stealulvert and c concrete structures encountered during excavation which necessitate removal shall be replaced in kind. In the st"i necessary to remove or cut existing drainage structures. City of La Quints ssial t becomes hall 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 snail be removed tram the right of way. All Paved surfaces shall be broomed dean of earth and other objectionable materials immediate 1y after backfill and compaction Existing gutter fine 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 dawn dust conditions and shay be used immediately after backfill. OE -WATER OPERATIONS: If de -watering operations aro required and pumps aro forcing wate►on City of La Quints roads, it shall be the responsibility of the permmee lcontraaorl to control this water and to provide off -a reset barticaess when nooeaapry CLOSING STREETS; No street shall be closed. A minimum of one lane of traffic shall be maintained at all times to provide limned access far the adjoining property owners and emergency vehicles. In the event it is fele bvthe permittee that he musttdeaa a street for any length of time. permittes shall contact this office to obtain the necessary permission. SPECIAL PROVISIONS The follwing shall apply ONLY when indicated: NOTIFICATION: Pennines shall hat the Ci ,7 70 77 tY atat leas[ 48 hours in advance of starting cordWifKtfon. R2 CASH DEPOSITS OR BONDS: A cash bond or an approved surety bond in an amount of not less than a shall be furnished in the name of City of La Quints to cover all 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 work an this project. UTILITY CLEARANCE. (Substructuresl Priorto making any excavation within the City of Lo Quints right of wayouthorized by permit, the permmee shall contact all concerned utility companies relative to the location of existing submuaures. Damage to existing substructures resulting from operations conducted under this permit shall be the sole responsibility of the permmee. UTILITY CLEARANCE: (Surface structures) No work shall be done under this permit until all utilities are door of the proposed work sits. The permmee shall notify all concerned utility companies of the proposed work. R5 PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing road pavement shall be surfaced with inches of A.0 paving placed an inches of class a mpgaUsubbasecour se having an"R"valueofnot less than and in conformancewlthCltyofLaQuints Road ls and Specifications. Ordinance 0461. mprovsmantStandard R6 PARKWAY GRADING: Area between theproperrylineandtopoftheproposedconcretecurbshallbegradedtosslopeof 1/4 inch to one foot (11. R7 GRADES & STAKES: City of La Quinta shall establish grades and stakes for the proposed concrete curb end gutter construction. R8 GRADE CHECKING: Citvot La Quints shall chock grades upon receipt of plan and apofile and/or grades asestablishedby a licensed engineer. R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter I faetlshall 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 constructed in conformance with City of La Quints Standard 0207. 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 an I ") of clams aggregate base. Driveway construction shall conform to attached drawing. R11 CULVERTS: A :ncn diameter I ) culvert snail be Installed with the Invert approximately 1-1 /2 mcnes below and In fine with the existing flow line. Culvert Installation shall conform to the attached drawing. 12 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 soil sterilizer. Rate of application shall Comply with the manufacturer's specifications. R1 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,, 8 inatOdvwith the State or City of La Quints forces to preclude delay or Interference with State or City of La Quints protects. R15 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the centerline of ell streets or Property lines when involved shall be CMMI*WtV tied out so they may be read)lyandcorrectly be replaced byolitxfnnsaepe► ullenginsorsurveyoratthe elosrwGit"M sinttmmaAcomptemostotnessstwwtngthe ties to mese mdnumor"s shad be furnished to the City Engineer priertotherenlorel W anymarnumernttt Thhoffieashall be named upon esnnAlaass d rfolapmism of 811 survey nwntlrelertts /Pr ttReeererelaetefiiarsrrw. r. = i 6 -RVEY MONUMENTS. Prior to excavation or oeoinnino or construction. ail survev monumenrs shall betieaout ovl:ity ;i La k]uknt8 and suitable oavment or guarantee or oavment snail be made as relmoursemem for 811 work involved. R17 PAVEMENT CUTTING: Pavement will be mechanically cut to a stratgnt edge prior to excavation. Method of pavement cutting shall be aooroved through the orifice or the City Engineer. Woofer in circumstances snail excavating equipment oe used to excavate odor to cutting at pavementl. Excavation material shall be oiaced in such a position as to best facilitate the general flow or traffic. Prior to anal oavina operations. anv damage to pavement straight edge snail be corrected. R18 PAVEMENT CUTTING: Pavement snail be saw cut prior to removal. Prior to final paving operations. any damage to pavement straight edge snail be corrected. ® LIMIT OF EXCAVATIONS: Excavations snail be limited to 1.000 lineal feet or open trencn before backtilloperotfons must begin. All excavations snail be properly barncabed witn lights overnight. on weekends and holidays for the protection of the traveiing public. The Public Works inspector snail determine the suitability of excavation barricading m each case. No excavation snail remain open tar a oerlod exceeding rive l5) days. No excavation snail be made unless the construction material is actually on the work site. R2 BACKFILL MATERIAL Backfill Shall befreeofbrusn. roots orother organic substance detrlmenta.::.;suseforpurposes Of producing an adequately consolidated backfill. Any material which the City of La Quinta deems unsuitable lspongyor saturated materfall which is encountered during excavation shall. not be used for backfill, but shall be supplemented or replaced by an approved sand or gravel. - R21 BACKFILLSAND: Backfill shall be approved transn•mix sand or equivalent and shall be placed in lifts of not greater then throe feet 139 and vibrated using vibrotamper or equ iva rent equipment. Atte mate methods maybe substituted. but in any case a relative compaction of 95 percent shall be attained within the s:ructural section of the roadway. c R� 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 offive-footf51liftswheretrenches are ofexcesstvedepths.Care istobeexarets cithatthe backfill materiel 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 ecuivatent io the surrounding ground. whichever is the greater compaction. Where ponding 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 lengtn to reach the bottom of eacn :aver and the water supply shall -be continuous. R23 COMPACTION TESTS: If so required bythe inspector. compaction tests shall be made at intervalsof notmore 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 made as outlined in Secoon 6.3.01 of the Standard Specifications. Division of Highways. State of California. dated January 1973. <10 COMPACTION TESTS: If so required by the inspector. compaction tests shall be made for eacn crossing or service line. One 11) copy of each test shall be forwarded to the City Engineer tar approval and filed prior to making perrnarsent repairs. Compaction tests shall be made as outlined In Sscion 6.3.01 of the Standard Specifications. Division of Highways, State Of California. dated January 1973. R25 TEMPORARY PAVEMENT REPAIRS: After completion of bacdill 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 nocase shall the placement of the temporary pavement exceed a five 15) day limit. R26 PERMANENT PAVEMENT REPAIR: After backfill and compaction operations have been completed. a temporary patch consisting of two inches 12") 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 days after Co... lotion of temporary road repair. R27 PAVEMENT REPAIR: F.A.S.; Upon comallation of backtill and compaction. a temporary patch consisting of twoinches 42") 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 16") concrete base as directed. but not later than fifteen 115) days after completion of temporary paving. Concrete base shall beat five -sack mix and shall conform to the City of La Quints Road Improvement Standards and Specifications. Ordinance #461. R28 FOG SEAL: A fog seal coat consisting of an application of asphaltic emulsion shall be applied over all paten areas as determined by the City Engineer. R29 SEAL ARMOR COAT: A seal coat consisting of an application binder and screenings small be applied on 811 paten areas where such seal coats existed prior to issuance at this permit. Seal cr armor coats shall be apoliedas soecdiedin 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 sireetstobe excavated. such striping small bereplacedupon completion of permanent repairs. R31 TREE RELOCATION OR REMOVAL. Tree relocation within the City of La Quinta road right of way shall beaxomplished by a licensed. bonded and insured tree service. and handled safely without mterference or hazard to the trawling public. It shall be the resconsfbilitV 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 safelywithout interference or hazwdto highwev traffic. The entire width of the tree stump shall 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 motes resulting from tree removal shall be backfilled ancicompacteo 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 accomolfshed to Provide clearance of the facility for one calendar Veer. All broken or week 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 Quinta road right of way, Pennines 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 an EVERGREEN TREES. PALM TREES. and other ORNAMENTAL TREES shall be eecdmpliahed to the satisfaction of the City Public Works Inspector. e. Abutting property owners shall be Wntacgd. in all inaptness, prior to trimming or topping treat I. Pruning scull. in all irfstancia& be at the ■hgmlej_ s ..._ �.. :_----- --� -•--- -- -.. _ Y _- - SPECIAL CONDITIONS --PERMIT NO. 2033 --- The Gas Co. --- 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 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. m. to 5:00 p.m. Work shall be prohibited on legal holidays including Sundays. S. 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. If the work is to be performed by forces other than that of the utility company 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 1(800) 422-4133. 10. 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. 11. All landscaping, irrigation, decorative rock etc. shall be replaced to its original condition. 12. 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. 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. No pavement cutting shall be permitted, all work shall be performed in earth. Special Conditions - Permit No. 2033 Page l of 1 SENT BY-SO.CAL.GAS CO. 1- 4-94 10:00 SCG REDLANDS HDQi 114 Qty n 'Csl N fA 16197777101;# 3/ 3 is p, flOD i t R G . Y4 �e a i� 14 j.1 e� ` n • aoafao I uuuau U �I 38Hit .