2117'(VOTE:'
With proper validation
this form constitutes an
encroachment 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
DATE: 4-5-94
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Bast side of Washin'stton s/o Eisenhower Dr.
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Adjust Telephone seanhole
to grade
DESCRIPTION OF CONSTRUCTION rails manholes and pour
concrete collars
DIMENSION OF INSTALLATION OR REMOVALL
SIZE OF EXCAVATION, IF NEEDED 4' diameter
APPROXIMATE TIME WHEN WORK WILL BEGIN 4-7-94
Sketch (attach construction plans if appropriate)
APPROXIMATE TIME OF COMPLETION 5-7-94
ESTIMATED CONSTRUCTION COST $ 1400
(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:
See attached conditions
See attached 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 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. J 11
Signature of Applicant or Agent
Henkels and MCcoy 155 N. Euclid San Dimas CA 91773 329-7829
Name of Applicant (please print) Business Address Telephone No.
Dave Wensel
Name of Contractor and Job Foreman
183393
Contractor's License No.
Business Address Telephone No.
City Business License No. `
Liberty Mutual WC2-631-004085-022
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:
Receipt No.
$ 180
10
$ 190
Received by Date
Recorded by
— Q
►D
APR 0 5 1994
2/,
PERMIT VALIDArtr0
PERMIT NO. 2117
DATE APPROVED
EXPIRATION DATE
4-5-94
5-4-94
DATE ISSUED 5-94
By
Administrative Authority
TELEPHONE: (619) 564-2246
r r,
0
f
NOTE:
With proper validation
this form encroachment
an CITY OF LA QUINTA �C
enoadtmert[ permis t
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
• .. � OP 'T11b
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
D9TE �� S—qui Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
I LOCATION OF CONSTRUCTIONfs
i.
(Street address or Oescnptlon of Location)
PURPOSE OF CONSTRUCTION ML%%A9.6'/ p
� /� Sketch (attach construction plans if appropriate)
'• DESCRIPTION OF CONSTRUCTION Ll
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED 413ek
APPROXIMATE TIME WHEN WORK WILL BEGIN OV— 7-119
APPROXIMATE TIME OF COMPLETION' !» i
ESTIMATED CONSTRUCTION COSTS lYgfd- 0-61 f ,
(Including removal of all obstruction, materials, and debris, backfilling, eons•
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 env and all
penalties, liabilities or lou resulting from claims or court action and arising out of any accident, loss or dsmags to persons or property
happening or occurring es a Proximal* 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 ail applicable City Ordinances, the terms and conditions of. the pjrmit fnd NI jpc`)Icabl.,rt(les, and regulations pf the City of i 1
La Quints and to pay for env additional replecament'necasaary as the result of this work.
Signature of Applicant or Agent
Name of Applicant (please print) Business 'kddress
Name of Contractor end Job Foremen Business Address Telephone No.
/413-5 9_5
Contractor's License No. City Business License No.
_rl! l l�2e1 / cAA� 1u r 7 / 3,1-60 V6 i_ 0 22
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit—Class III
Public improvements: 3% of estimated construction costs
Private Improvements: 3% of estlmated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee S
Permit Fee
Penalty
Cash Deposit -Surety Bond
If required
TOTAL:
Receipt No,
Received by JDAts��
Recorded by
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Adminimtive Authority
TELEPHONE: (819) W2246
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?a>orr•af'!'•' ,".• �1.. !N'•jG.. r.•.7i X'r,..R,l't•rP; n4 ° •r..ry. .•�, vri. ., •: �,ye )::its �:.. ...T• A.'�^�!Y•^"'", .
_, f
09: V(AM FKUM
EISENHOWER DR.
_e
Ali ; •
col I
MH#38 RAISE MANHOLE
LIO TO GRADE
MH#3
RAISE
LID TO
V* • �TI�'IWO •r
ti
.i�«M•Inrrw %vr.r
MANHOLr
GRADE
F02064
CONTROL#94046
r
"!.07E AREA RAISE MANHOLE '.~ .a►;t" sTpT`,
LIDS TO GRADE, CONTACT CITY QF INLAND VALLEY r,;,;t INDIO ;E�n CC.
LA QUINTA BEFORE STARTING '
CONST. ON THIS LOCATIONS CALL--''��'�tja- - i`�w'.
� SA`:
MANUEL G. MONTES AT(619)'342* NO
0526 FOR MORE INF ORMA T 0N. _ ��. ; ��`'�r� '' �'I� a°=vim PR
. •1i•. ..... 1 ••ir,,i•t I 1MOi
-he following General and Soectah Provisions we anaened to and made a part of Permit No. I /
GENERAL PROVISIONS
.he following snail atways aooiv:
ENCROACHMENT ON PRIVATE PROPERTY: This Perm autnorizes worts to be accomottshed within City of La Quints rignt of way
ONLY. Whenever construction extends witnin private Orooeriv. it snail be ine resDOnsiaillty of the permittee for his contractorsl to
secure permission tram abutting property owners. Such authorization must be secured tri the cermmes Prior to Starnng
TRACKLAYING CONSTRUCTION EQUIPMENT: work.
CleatontrecklavingconsmppttenequtpmentshallnotbaDermrltedtoopereteonenv
paved surface uniessfittedwnn smootn.faced street pads. All mechanical outriggers snail be fitteownh rubber street shoes to protect
:no paving during excavations. Rubber -tired equipment only shall be used in baddill operations in Davao areas. If the existing
pavement is scarrea. spaded. or broken during the term of this contrast or it the pavement re marred. City of La Quints shall request
that these portions of road be resurfaced over their entire width. Resurfacing shall txnatR of One coat Of tWp manes 12'1 of A.
surfacing plus appropriate test cost as specified above.
PROTECTION OF TRAFFIC: All excavations and work areas Sall be properly lighted and bameaded 4s deemed neetapry t the City
Engineer or la Quinn City Public Works Inspactars. Suitable deto urs and detour signs shall be placed and maintained for the duration
of the project. The Cigr shall be ndtrfied 24 Hrs. in advance of any traffic detours or delineattdns-
CARE OF DRAINAGE STRUCTURES: Any drainage structure including cortugatsd metal pipe. concrete PIPS, steal culvert and
concrete structures encountered during excavation which necessitate removal shat be replaced in kind. In the event.nt bommes
necessary to remove Or cut existing drainage structures. City of La Quints Shall bs notified prim to commencement of this work.
Drainage structures Intl open drains shall be kept free of debris at at, times for proper drainage.
RIGHT OF WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed f►omthe right of
way. All paved surfaces shall be broemed dee n of earth and other objectionable materials immediately after backfillane compaction
Existing gutter tine and drainage ditches shall be replaced to their original standard or better. All excess material 4111811 be removed
prior to paving. Water tanker shall be used. as required• to sprinkle the lob site to keep down dust conditions and Uta11 be used
immediately after backfill.
DE -WATER OPERATIONS: It de -watering operanons are required and pumps are forcing wateron City of La Quints roads it shall be
the resoonsiniiry of the permittee (contractor) to control this water and to provide Off-street bsmcsdes when necessary,
CLOSING STREETS: No street shall be closed. A minimum of one lane of traffic shell be maintained at all times to prowda limned
amass for the adjilindig property owners and emergencyvefticles. In the event m is Taftbythe permmeethat he must Clpae i street tor
any length of time. permmtee shall contact this office to obtain the necessary permission.
SPECIAL PROVISIONS
The foltwing shall apply ONLY when indicated:
Rl NOTIFICATION: Permmes shall naulythe Ci 777-7075
City at ySl;;2 8 at is 48 hours in edvsnee of starting egmwtrssiOn.
R2 CASH DEPOSITS OR BONDS: A cash bond or an approved surety bend in an amount of ria mesa than •
shall be furnished in the name of Cityof La Quinta to Cover ell work involved in the restoration t the ro
roads and survey monuments. This bond shall be continuous until cancelled none LS Quints
_. _ _ _ ... _ ._ .__ ...._..._... _.._.... posted prior to commencement of any work on this by the City Engineer. This bond must be
proles
UTILITY CLEARANCE. (Substructures) Prior to making any excavation within the City of La Ouinta right of wayeuthorized
by permit. tha permmee snail contact all concemed utility comperues relative to the location at existing substructures.
of the p to miiRing auDRfURurea resulting from operations conducted under this permit shall be the Spic resppnibility
of the perirq[tee.
UTILITY CLEARANCE: (Surface structures) No work shall be done under this permit until all utilities are door of the
proposed work site. The permittee shall notify all concerned utility companies of the proposed worts.
RS PAVEMENT WIDENING: Area between the proposed concrete
surfaced with inches of A.C. gutter line end the existing road ate pavemem shell be
se
having an "R'value otnaleaathan pavingplecetld� inches ofelass aggregatesubbapfxursS
and_and in conformance with Ciry of to Quints Road Improvemor Standards
hay ng an "cations. Ordinance 8481.
R6 PARKWAY GRADING: Area between the property line and top oftheproposedconcrete curb Small begrededtosslope of
1/4 inch to one foot 111.
R7 GRADES & STAKES: City of La Quints shall establish grades and stakes for the proposed concrete sub and gutter
construction
R8 GRADE CHECKING: City of La Quints Snallchedigradesupon receptofplanandprofileand/or grades asestebllshedby
a licensed engineer,
R9 CURB REMOVAL FOR DRIVEWAYS: Aportion of the existing concrete curb and/or curb and gutter 1 feegahall be
removed. Curb and/or curb and gutter shall be saw cut prior to removal. Depressed curb. matching conente 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 on 1 _'1 of cam
aggregate base. Driveway construction shall conform to attached drawing.
R11 CULVERT&A :nendiameteri
n��es Deiow and in line wain the existing flow line. Culvertt installation small ven shall be tcon oled irmth tto the attachedhe invert drawing.
t /2
R12 mately
SIGHT CLEARANCE: Sight clearance of 600 feet in either direction shall be assured and maintained.
R13 SOIL STERIUZER: The area to be surfaced shall be frosted with soil 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 shell be coordinated with the State or
City of La Quints forces to preclude delay or interference with State or City of La Quints projects.
15 SURVEY MONUMENTS: Prior to excavation or beginning of construction. all survey monuments wnich exist on the
centerline of all streets or property lineswhen involved shall be comilletety, tied out so they maybe readffyandcorrectly
be tepl4rxd bra licensed Civil engineer or surwyer R the etmense Of the Permintea A complete set of notes Showing the
ties to these ins tunnerma Mall be furnished to the City Engineer pi to the remolwi of arty monuments. This office shat,
be notified upon eomplaner11 at roptaotmetm of all surview menus whie for Droner nrmect etown"re.
•� �... _.. ... _.�:. .�. it r'�+ .: .. ,.. •:::_-:: �.. ....:x .. .. . -
ir
;16==RVEYMONUMENTS. Prior ro excavation or oedimmno or construction. ail survevmonumenTs snail be 1.1.0 out bv(;,ity
A La Quinta ano sultaole pavmenr or guarantee or oavment snail be made as felmDUrsenlerlt for all work InvolVeo•
R17 °AVEMENT CUTTING: Pavement will be mecnanlcanv cut to a straight edge prior to excavation. Method of pavement
cutting snail be approved lnrouan the office or the City Engineer. (Under no circumstances snail excavannq equipment
13e used to excavate prior to cutting Of oavementl. Excavation material shall be placed In such a position as [o best
facilitate the general flow at irafhc: Prior to 1ina1 oavino operations. anv damade to pavement straight edge 8 0 b be
corrected.
R18 PAVEMENT CUTTING: Pavement small be saw cut prior to removal. Prior to final paving operations. any damage to
Pavement straignt edge snail be corrected.
R1 LIMIT OF EXCAVATIONS: Excavations snail be limiteoto 1.000 lineal feet of open trencn before backfill operations mtrn
begin. All excavations snail be property barricaee3 wim lights overnight. on weekends and holldays Torino protection of
the traveling pualic. The Public Works inspector snail determine tine suitability of excavation barneadhng m each ease. No
t
excavation Shall remain open for a oerldo exceeding tive 15l days. No excavation snail be made unless the construction
material is actually on tine work site.
220 BACKFILL MATERIAL Backtill shall be tree of brush. roots or other organic substance detrimenta,: .:s use for purposes
Of Producing an adequately consolidated backfill. Any material which the City of La Quinta deems unsuitable (spongy or
saturated materiall which is encountered during excavation shall not be used for backfill. but shall be supplemented or
replaced by an epproveo sand or gravel.
R21 BACKFILLSAND: Backfill shall be approved transn-mit sand or equivalent and shell be placed in lifts of notgreaterthan
throe feet (31 and vibrated using vlbrotamper or eau intent equipment. Atte mate methods may be subatmtted. but in any
case a relative compaction at 95 percent shall be attained within the -;:ructural section of the roadway.
R22 BACKFILL PLACEMENT: Backfill shall be applied in layers of not more tnan 50 percent of the total depth Of the trench
before flooding or a maximum of five-foot 151 lifts where trenches are of excessive deptns. Care is to be exer�tsed that the
backfill material Is not subjected to extreme Swell byflooding operations. Baddill materiel shall be placed so that the
resulting compaction shall be not less then 900arcemor eauhralentto the surrounding ground. whichever is the greeter
compaction. Where ponding or flooding is used for a maximum settlement, adequate dikes will be consvuctedto retain
the water. Where letting is used. the jets shall be of sufficient length to reach the bottom of each :ayer and the water
Supply Shall -be cominuous.
COMPACTION TESTS: If so required bythe inspector. compaction tests shall be made at intervals cf not more than 1,000
feet and a minimum of one (1) test on each road. One 11) copy of each test shall be forwarded to the City Engineer for
approval and f iled prior to making permanent repairs. Compaction testa sha II be made as outlined in Section 6.3.01 of the
Standard Specfimuons. Division of Highways. State of California. dated January 1973.
R24 COMPACTION TESTS: If so required by the inspector, compaction tests shall be made for each crossing Or Samoa line.
One (1) copy Of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent repels.
Compaction tests shall be made as outlined in Section 6.3.01 of the Standard Scecdicsticns. Division of Highways. 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 m aN r placed
after a maximum of 3.000 lineal feet of trench has been excavated and backfill operations completed. but In no Casa 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 12' of SC -800 shall be placed immediately. A permanent patch of inches A.C.
surfacing placed ona inch class base shall be placed no later thandaysaher tetlonot
- -' temporary road repair. camp
R27 PAVEMENT REPAIR: F.A.S.: Upon completion of bacidill and compaction, a temporary patch consisting of two inches (2-1
of cold mix paving (SC -8001 shall be placed Immediately. A permanent patch of three themes (3"1 of A.C. surfacing shall
be placed on six inches (6'1 concrete base as directed but not later than fifteen it 5) days after complenon of temporary
Paying. Concrete base shall be of five -sack mix and shall confor
and Specifications. Ordinance #461. m to the City of la Quints Road Improvement:Stendaras
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 application binder and screenings shall be applied on all Patch areas
Whore such Sell coats existed prior to Issuance Of this perms. Seal or armor coats shall be applied as Specified in Section
37. Standard Specifications. State of California. Division of Highways, dated January 1973. Work of pavement repair to
R37be accomplished by a licensed contractor engaged In the business of pavement repair.
Q 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 witnin the City of La Quinta roao right of way shall be accomplished
by a licensed. bonded and Insured tree service. and handled safely without interference or hazard to the trs"fing 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 wh idh can be handled safely without 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 n
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 to the
surrounding ground. whichever Is the greater compaction as determined by the Impact or field method Compaction
tests shall comply with Seaton 6.3.01 of the Standard Specdications. 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 week sections within the trimming small be removed.
b. Where n becomes necessary to restrict traffic. thework 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. permittee shall male 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 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 6Ohtatx4d. in all instances. Prior to trimming or topping trees.
1. Pruning shave in all instances, be at the shoulder of the Crotch to insure evem fast healing in all cuts of two menet
17'1 nnn abaira.
SPECIAL CONDITIONS --PERMIT NO. 2117
--- Henkels & MCcoy ---
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. 2117
Page 1 of 2
41.
SPECIALCONDITIONS---PERMIT NO. 2117
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. Permanent pavement replacement section shall one inch greater than existing.
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. 2117 Page 2 of 2