2105With 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: 3/22/94 , Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION AVETM 20 E/0 EISENHOWER DRM
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION PTACR IitRil BMFI) CABLR AND
P.0XCRRTF PAD PAIL CROSS •- (XMRM 'i°SRMTNAL
DESCRIPTION OF CONSTRUCTION DIG TRENCH FOR CABLE AND
PLACE CONCRETE PAD
DIMENSION OF INSTALLATION OR REMOVAL 67[6 CONCESTB PAD
2000' X 2' TRENCH
SIZE OF EXCAVATION, IF NEEDED
Sketch (attach construction plans if appropriate)
REFER TO GTS W.O.#0543-7foo1BJ
SEB ATTACHED CONDITIONS
N
APPROXIMATE TIME WHEN WORK WILL BEGIN 03/31/94
APPROXIMATE TIME OF COMPLETION 08/31/94
ESTIMATED CONSTRUCTION COST $ 15.000.00 #
(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 applicaii trhereby 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 gplicable rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result of this work. �/ A A ;
Signature of Applicant or Agent
GTE CALIFImul INC 45-590 JACKM ST. DMT09CA 92201 (619) 342-0526
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 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 0
Penalty
Cash Deposit -Surety Bond
if required
TOTAL
i
$ 0
,
Receipt No.
Received by Date
PERMIT NO
2105
PERMIT VALIDATION
2105
DATE APPROVED 3/22/94
r
EXPIRATION DATE 8/31/94
DATVD 3/22/94.
gy� .
IF Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
r A
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
Subdivision Improvement Permit — Class III
DATE:- MARCH,1994 7, Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION AVENUE 50 E/0 EISENHOWER DRIVE
(Street address or Description of Location)
PLff9?lfDF 5FNPS R U[$TIIS1 PLACE NEW BURIED CABLE AND
CONNECT TERMINAL
DESCRIPTION OF CONSTRUCTION DIG TRENCH FOR CABLE AND
PLACE CONCRETE PAD.
�im MSPA O,FTIf1($YNA� ATION OR REMOVAL 6X6 CONCRETE PAD
SIZE OF EXCAVATION, IF NEEDED N/A
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION kL't4�`!�'4_
ESTIMATED CONSTRUCTION COSTS '
(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)
REFER TO GTE W.O. # 0543-7FO01BJ
I. t^I l U til S
Indemnity, 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 1241 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 Quints and to pay for any additional replacement necessary as the result of this work.
csmc" - — _(_F_L_ SAV -01)
Signature of Applicant or Agent
GTE CALIFORNIA, INC 45-590 JACKSON STREET INDIO CA 92201 619/342-0526
Name of Applicant (please print) Business Address Telephone No.
� Name of Contractor and Job Foreman
Contractor's License No.
Business Address
Telephone No.
City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Clan III -
Public improvements: 3% of estimated construction casts
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee
'ermlt Fee
'enalty
:ash Deposit -Surety Bond
I required
TOTAL:
ieceipt No.
iaceived by _—
lecorded by
L
Date
PERMIT VALIDATION
PERMIT NO. U
DATE APPROVED
EXPIRATION DATE
DATE ISSUED 3 Z Z r 9�
By
Administrative Authority
TELEPHONE: 1619) 564-2246
i "he tollowrna General aro Special Provisions are srtacnea to and made a part of Permit No. Z 1 U S
GENERAL PROVISIONS
The following snail always apply:
ENCROACHMENT ON PRIVATE PROPERTY: This permit autnorrzes work to be accomoltshea within City Of La Quints rrgnt of wav
% .. ONLY. Whenever construction extends witnfn private ar000rty. it snail be the resbonstbllny of the Itermntee for his contractors, to
secure permission from abutting property, owners. Such authorization must be secured by the permittee prior to starting work.
TRACKLAYING CONSTRUCTION EQUIPM ENT: Clestedtrodrlavrngconstructronequtpmenrshall notbeommmedtoopara[eonarry
Paved surface unless fitted with smooth -faces Street pads. All mechanical outriggers snail be fitted wnh rubber street 2hos4 to Protect
:ne paving during excavations. Rubber -urea eoufpment only shell be used in baddill operations in paved areas- If the existing
pavement is scarred, spelled. or broken during the term at this contract. or it the pavement is marred. City of La Quints Shall requsst
that these cORIOns of road be resurfaced over their entire width. Resurfacing Shall consist of one coat oftwo Inch= (21 Of A.C.
surfacing plus appropriate seal coat as specified above.
PROTECTION OF TRAFFIC: All excavations and work areas shall be.properiy lighted and barricaded as deemed
Engineer or La Quints City Public Works Inspectors. Suitable detours and detour signs shall be placed and mama by the City
Of the project. The City shall be notified 24 Mrs. in advance of any traffic detours or delineations. nedforth@duration
CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugated motel pipe, concrete Imps, steel culvert a
concrete structures encountered during excavation which necesattete removal no
necessarshop tis replaced in kind- In the event n becomes
necessary to remove or out existing drainage struauras. City of La Quints shall be notified prior to commencement of this wpm.
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 right of
way. All paved surfaces shall be broomed dean of earth and other objectionable materials immediately alter badtfiU accoon.
Existing gutter line and drainage ditches shall be replaced to their original standard Or better. All excese material ache be removednd anpS
prior to paving. Water tanker shall be used, as required, to sprinkle the job site to keep down dust conditions and they be used
immsdistety after becltfill.
DE -WATER OPERATIONS: If de -watering operations aro required and pumps are forcing wateran City of La Quinn roads it shall be
the responsibility of the permittee Icontractorl to control this water and to provide off-street barricades whsn neeeaary
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 "am it is fah by the permmee that he must d*n a Street for
any length Of time. permittee shall contact this office to obtain the necessary permission.
SPECIAL PROVISIONS
The follvying shall apply ONLY when indicated:
R1
-7i7 707,
NOTIFICATION: Permittee Shell notify the City at
i64 -2M at 16422 48 hours in advance of starting conduction.
R2 CASH DEPOSITS OR BONDS: A cash bond wan approved surety bona in an amount of not 1623 than •
shall be furnished in the name of City of La Quints to cover 611 work involved in the restoration of the vanoue Le Quints
rands and survey monuments. This bond shell be continuous until cancelled by the City Engineer, This band must
posted prior to Commencement of any work on this project.
be
R3 UTILITY CLEARANCE. (Substructures) Prior to making any excavation within the City of La Quinn right ofvvayauth«rzed
by permit, the permntee snail contact all concerned utility companies relative to the location of exishngsubatructures.
Damage to existing substructures resulting from operations conducted under M11 be the 8016 responsibility
of the permmee. this permit 2
R4 UTILITY CLEARANCE: (Surface structured No work shall be done under this permit until all utilities are dear of the
proposed work sne. The permmee shall notify all concerned utility companies of the proposed work.
R5 PAVEMENT WIDENING: Area between the proposed canc..,
surfaced with inches of A. C. paving placed on inch line end the existing riled as sub a shall tis
having an "R" value of not les3tnan inchhCites at elass agpregaa2ubbaseepuras
and in conformance with City of La Quints Road ImprOvemsm $tantlSros
and Specifications. Ordinance 8461.
R6 PARKWAY GRADING:Areabetween the Property line andtopofthepropdSedconcretecurbshallbegradedsdaetopeof
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.
R8 GRADE CHECKING: City of La Quints shall check grades upon recerptofplan andaPatileand/orgradesasestebllshedby
a linensed engineer.
R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter 1 feetlshad 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 #207.
R10 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 1 = 1 of class -
aggregate base. Driveway construction shall conform to attached drawing.
R 11 CULVERTS: A :ncn diameter l
incites below and In line with the existing flow line. Culvert, installation salvert shall bellll on ormwiththe to the attachedinvertrmately drawing. 1 /2
R12 SIGHT CLEARANCE: Sight clearance of 600 feet in either direction shall be assured and malnalns&
R13 SOIL STERILIZER: The area to be surfaced shell be treated with sol sterilizer. Rate of application shall Comply
manufacturer's specifications. with the
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 Quima forces to preclude delay or Interference with State or City of La Quima projects.
15 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 completely tied out oto they maybe re"firandeorrecay
be replaced by a licensed civil engineer or surveyor at the s,rpetmofVMDWMRteaAconfptetesetofttoteatlhengthe
ties totheamOnumemaShall befurnmewdtethe City EngirwworsartotnerentdselofamrmonumentaTMtioffiA the
be noofied upon completiona"
nen a} rectt" of all
survey moriufMner
le for oaereroreet etefmane".
=.16
-.:RVEY MONUMENTS. Print to excavation or oeoinnino of construction. all survev monuments snail be tlsocut OV C,tv
)r La Uuinta ono sultaoia cavment or
R17
/
guarantee of oavment snail be mace as reimbursement for all yy«a Involw0
PAVEMENT CUTTING: Pavement will be mernantcally cut to a straight e dge to
cutting Shall be aPpraved throuqn the office of the Citv Engineer. lUnder no circumstancerior
Pavement
s shall
ex�cavasthting
be used to excavate ortor to cuttino at oavemenn. Excavation material shall be olaceo in Such a kJ equipment
facilitate the general flow of traffic. Prior Intal as to best
w oavino operations. any damage to pavement Straight
corrected. 9nt dogs shall be
RIB
. ._.
PAVEMENT CUTTING: Pavement snail be saw cut Prior to removal. Prior to final paving operations. any damage to
pavement straight edge snail be corrected.
R19
U MIT OF EXCAVATIONS: Excavations snail be limitecto 1.000 lineafteet at open trench before oacktillatterations
must
begin. All excavations snail be property barrfcadeo wtin lights overnight, on weekends and holldays tortne
•
protection of
the traveling puzilic. The Public Works inspector snail determine the sunabdity of excavation barricaomg in seen case. No
excavation shall remain open for a Period exceeding
five 15) days. No excavation snail be made unless the construction
material is actually on the work site.
R2
BACKFILL MATERIAL- Backfill shall be free of brusn. roots or other organic substance d8trimenta, :. -:5 ustator purposes
Of producing an adequately consolidated backfill. Any
material which the City of La Quints deems unsuitable (spongy or
saturated matanell which is encountered during excavation shall not be used for backfill, but snarl be supplemented
replaced
by an approved sand or gravel. - or
R21
BACKFILL SAND: Backfill shall be approved trsrott-mix sand or equivalent and shall be placed in lifts of notgreaterthan
throe feet 131 andvibrated using vibrotamper or eau ivatent
equipment. Alta mate methods maybe substituted, but In any
case a relative cOmpactlon of 95 percent shall be attained within the e:ructural section
R22
of the roadway,
BACKFILL PLACEMENT: Bacdill shell be applied in lavers of not more than 50 percent of the total do=
_
of the trench
before flooding oramaximum offive-toot 151 lifts where trenches are of excessive doping. Care Is lobe exarctaadthat the
bacdill material is not subleaed to extreme swell by flooding
operations. Bac fill material shall be plagd W that the
resulting cdmlualpn shall be not less than 90 pereem or equivalent to the surrounding ground. whichever
lathe greater
compaction. Where ponding or flooding is used for a maximum settlement, adequate dikes will be consuructn
the water. Where lofting is used. the jets shall be •d to retai
R23
Of sufficient length to reach the bottom of each layer and the
supply Shall -be continuous. water
TESTS: If
so requiredbytheinspector,compactiontestsshallbemadeatintervalsofnotmorethant,00p
feet and a minimum of one (1) test on
each road.
d One I1) copy of each test shall be forwarded to the City Engineer for
approvalandficedpriortomakingpermanentrepairs.CompaniontestashallbemadsasputtfinedinSectionEngin a
the
Standard Spetafieatlons. Division of Highways, State of California, dated January 1973.
COMPACTION TESTS: If so required by the inspector, compaction tests shall be made for each crossing orservice line
One (1) copy Of each test shall be forwarded
to the City Engineer for approval and filed prior to making permarnm roasirs.
COmpaction tesla shall be made as outlined In Seaton 6.3.01 of the Standard Specifications. Divisional
of California. dated January 1973. Highwep, State
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 that be placed
after a maximum of 3.000 lineal feet of trench has been excavated and backfill operations completed, but
in noease shall
the placement of the temporary pavement exceed a five (5) day limn.
R26
PERMANENT PAVEMENT REPAIR: After backfill and compaction operations have been completed. a temporary, patch
consisting of two inches 12'1 of SC -800 shall be
placed immediately. A permanent patch of - U1d1es A.C.
Surfacing placed ona inch clap base shall be placed no later then
_
-days aft
temporary road repair.aftercompletion of
R27
PAVEMENT REPAIR: F.A. S.: Upon completion Of backlill and compel: . tton. a temporary Patch consisting of two inches 42")
of cold mix Paying (SC -800) shall be placed
immediately. A permanent patch of three inches 13") of A.C- surfacing shall
be placed On sa inches 161 concrete base as directed. but
net later than fifteen 115) days sitar completion of temporary
paving. Comas bass shall be Of five -sack mix and shall conform to the City of La Ouinta Road
Imprcvemem Standards
and SpecdiCRUW , Ordinance 0461.
R28
FOG SEAL: A tog seal coat consisting of an application of asphaltic emulsion shall be applied over all patch alas$ as
determined by the City Engineer,
R29
SEAL ARMOR COAT: A seal coat consisting of an application binder and screenings shall be applied on ail pooch areas
where such seal cents existed prior to issuance of this permit. Seal or armor coats shatI be applied as
somwilld 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
R30
engaged in the business of pavement repair.
STREET RESTRIPING: Where street striping is still
visible 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 Quints road right of way shall be accomplished
by a licensed. bonded and i nsurea tree service. and ha no led safely without interference or hazard to the trawling public.
It shall be the responsibility of the permtttee 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 safely without interference or hazard to highway
traffic. The entire width of the tree stump snail be removed and diseased Of so that no debris remains in view of the
highway. The stump hate shall be backfilled and thoroughly compacted as specified in the following paragryph, 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 trawling 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 shall 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 tt bsmmea 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 Guinta road right of way, permittee shall make his own
arrangOMOM with adjoining property owners for consent to the trimming in addition lathe auutorizetion provided
by this Penult.
Q 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 atrlaaana in all iruuncea, prior to trfmmmg or topping trees.
I. Pruning sholL in ell irutanesa, be at the shoulder of the crotch to insure even. fan nesting in all arts of tide inches
1719 Anto she � x �rs� C��i..w..«�.. «- - ..
SPECIAL CONDITIONS --PERMIT NO. 2105
--- GTE INC. ---
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 5:30p. 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/contractor shall assume responsibility for repair of any pavement damage to any public
or private street and for any damage to other City streets or facilities as a result of work
performed under this permit.
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 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.
Special Conditions - Permit No. 2105
Page 1 of 2
o
SPECIAL CONDITIONS---PERMIT-NO. 2105
continued
11. 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.
12. 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.
13. Street crossing(s) in A.C., P.C.C., decorative concrete etc. shall be performed by a bore
operation. No pavement cutting shall be allowed.
14. If the work is to be performed by forces other than that of the utility company the contracting
company shall be required to be a co -applicant and pay the appropriate fee.
15. All excavations at or near the travel way shall be backfilled and paved at the end of every work
day as directed by and to the satisfaction of the City Engineer for the protection of the traveling
public.
16. All landscaping, irrigation, decorative rock, decorative concrete, lighting etc. shall be replaced
to its original condition.
Special Conditions - Permit No. 2105 Page 2 of 2