2138MOTE
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:_ 4/15/94
LOCATION OF CONSTRUCTION 78575 Sagebrush
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
Seger lateral installation
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
DESCRIPTION OF CONSTRUCTION Excavation, Installation
of 4" V.C.P. and Backfill
DIMENSION OF INSTALLATION OR REMOVAL 4' x 40
SIZE OF EXCAVATION, IF NEEDED 4' x 401
APPROXIMATE TIME WHEN WORK WILL BEGIN
7:00 a.m. 4/18/94
APPROXIMATE TIME OF COMPLETION 4:UU p.IIi. 41"1"
ESTIMATED CONSTRUCTION COST $ 3.260.00
(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)
See attached conditions
Indemnify, defend and save the City, its authorized acents, 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 ,g Applicant or Agent
Brooks & Asso. 52275 Ave. Vallejo 564-3535
Name of Applicant (please print) Business Address Telephone No.
Brooks & Asso. Same Same
Name of Contractor and Job Foreman Business Address Telephone No.
674291
Contractor's License No.
on file
654
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
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
$ 210.
10.
$ 220.
Date
2138
PERMIT VALIDATION
PERMIT NO. 21(3f8
DATE APPROVED
EXPIRATION DATE 7 ZZ� V
DATE I SU D - 7 �S _ q /
By ZM AM69e===
Administrative Authority
TELEPHONE: (619) 564-2246
C[1'Y OF LA QLnKt'/ii,
NOPE: CITY OF LA Q�TA APR 1 t) 1991
With proper validation APR 1 1994
this form constitutes an PUBLIC WORKS
encroachment cermrt PUBLIC WORKS CITY OF LA QUINTA_
APPLICATION FOR PERMIT
-PUBLIC WORKS CONSTRUCTION* (ENCROACHMENT)
Ftir the construction of public or private orbs, driveways, pavements, sidewalks, Parking lots, sewers, water msirht
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE:— L% /is-
. l g y
LOCATION OF CONSTRUCTION
Subdivision Improvement Permit — Clan III
Minor Improvement Permit Clan IV
cc g v 4
IStraet address or oaatmion of Loationl
� L �
PURPOSE OF CONSTRUCTION _S-8tW C ✓' /y�� �'h c r����~
Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTIONell
r�" C -(,4cH>] rcv ct�rr� irJ�l
OIMION OF IN;TALLATION OR REMOVAL
tJ k, 4 .
SIZE OF EXCAVATION, IF NEEDED --y
APPROXIMATE Try WHEN IME WWO�tK WILL BEGIN
PI t — _ _.
APPROXIMATE TIME OF COMPLETION ,r u_�_� .
ESTIMATED CONSTRUCTION COST S a D
(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:
Indantni. l defend circ sive the City, its authorised aganq. offion- ndresantativa and wimployey. harntlea front and
hameiin liabilities or loa resuttine front elarrq or court action and aria; out of a '^rt M1► arts ell
MOpanirtq or oavmne as a oro:irrrte Haan of a ny aeudartt, loci or dame" to persons or propaiq
env wort undertaken under the permit grunted oursuant to this sopiiotion.
Notify the Administrative Authority at Nast twenty-four 1241 hour in advanp of the err when worts will tie anted,
Compal with all &°°Hopi@ City ordinanea, the urn» and conditions of the permit and all
V Guinte and to pay for anv additiorri replaonett
tt neeenwV as the result of this worth. applieebla rules and ngt+tatiorr of the CJty Of
13 Signature of °pliant or Agent
Nance of Applicant (please print)
Name of Contracta tln�or,lob
Contractor's Llcense,N .
Business Address
Telephone No.
Address 7 Telephorhe Na
City Business License No.
Applicant's Insurance Company
Policy Number
FEES: Subdivision Improvement Permit — Class ill
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 /
"enalty
ash Oeposit-Surety Bond
f required
TOTAL:
3e0eipt No. .
S e 7,7
D
leceived by Date
lecorded by
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATfON DATE
OATS UED
By
Administrative Authority
TELEPHONE: (619) 564.2246
dw
-he rotloNnno uenerat and Special Provisions aro snacnea to and made a can of Permit No. Q360
GENERAL PROVISIONS
-he following snail always apply:
_NCROACHMENT ON PRIVATE PROPERTY: "his permit autnonzes wgrk to oe accomptisned w,tnin City of La Quinta rtgnt of wav
._. 'NLY. Whenever construction extends witnn private property. II snail be the resoonsiotlity of the Dermattee lot his contractorsl to
secure permission nom abutting property owners. Such authorization must be secured Ov the cermittre br,or to starting wont.
TRACKLAYINGCONSTRUCTION EQUIPMENT: Clsateatreeklavtngconstruction equipment She llnot beaarm mad to
poster, a chaffy
:avec surface unless fm0awitn smogtn-faces street peas. All mechanical outriggers snail be fineawrtn ruoper street shoes loordtert
:rte paving curing excavations. Rubber -urea equipment only shall be used ,n oaatfill operations in paved areal- If the existing
pavement is scarred. spatted. or broken curing the term dt this contract. or d the oevemem is maned. City of La Quints shall request
that these Portions of road be resurfaced over their Smite width. Resurfacing shall Consist of one coat of two inches 12') of A.C.
surfacing plus approonate seal coat as specified above.
PROTECTION OF TRAFFIC: All excavations and work areas shall bapropemy lighted and barricaded as deemed necenguV by the City
Engineer or La Quanta City Public Works Inspectors, Suitable detours and detour signs shall be agree and maintairteptprMa guration
of the project. The City Shall be notdied 24 Hrs. in advance of any tratfiC detours or dalinsnuans
CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugated metal pipe. concrete Alpe, steel Culvert end
Concrete structures encountered during excavation which necessitate removal shall be replaced in kind, In the stssi c becomes
necessary to remove or cut existing drainage structures• City of La Quints shall be nordied prior to commeneemom of
Drainage structures and open drains shall be kept free at debris at all times for proper drainage. this work.
RIGHT OF WAY CLEANUP: Any surplus material resulting from excavation and backfill operations ShaU be removed from the right of
way. All paved surfaces small be Proofread clean of earth and other objectionaple materials immediately atter backfill and compaction
Existing gutter line and drainage patches snail be replaCea to their original standard or better. All excemoved
immediately after oaddill. tits lob site as matenal shall be te
onor to paving. Water tanker small be used, as required, to sprinkle to kelp down oust conditions amp IthaU be used
DE -WATER OPERATIONS: If da -watering operations are required aro pumps are forcing water on City of La Qui
the resCans,olllty of the permittee (ccantfaciort to control this water aro to protide amnta ►ands• it shall be
-stf�eet bamcada0 WhenhicosegrV.
CLOSING STREETS: No street shall be Closed. A minimum of one lane of trz"iC shall be maintained at all times to provide limited
access for the adjoining property owners aro emergency venicles. in the avem it is feft bvthe perm rttee that he must Coag a street for
any length of time, Derrhinee Small contact this office to obtain the necessary permission.
SPECIAL PROVISIONS
The follwing shall sooty ONLY when indicated;
R1 NOTIFICATION: Permnteo shall notify the Ci 777- 7075
City x 8 at least 48 hours in advance of Startin
R2 CASH DEPOSITS OR BONDS: A cash bond or ane g construction.o
n I
shall be fumisned in the name of City of La Quints to Cover all work involved in the restoraturety bona in an amountat not ion of ththe v
roads and survey monuments. This bond shall be continuous until cancelled by the City Engnew. This La Quints
posted prior to commencement of any work on this protect.
Dora must Da
* TILiTYCLEARANCE: (Substructures) Prior to making any extavatidnwithin the City ofLaQuintangMofweyattthwized
by Permit, the pamnmse smell contact all concerned utility Companies relative to the location of extaang illi thori e d
Damage m existing substructures resuming from operations conducted unser times permrt shall be thasey raspdnnbility
%��S of the permmee.
(� UTILITY CLEARANCE: (Surface structurest No work shall be done under this permit until all utilities are door of the
proposed work site. The parmmwork,
ee snail notify all concerned utility companies of the proposed
R5 PAVEMENT WIDENING: Area between the proposed COmCrate
surfaced with inches of A.C. Cavin la gutter line and the existing road pawrtaent shell be
having an"R'valusafnotlesathan 9P Codon inMeso}class aggro area
and in conformance with City of La QuintsRoadl r subbasecourseand Specifications. Ordinance 9461, mprdvemem$tanaards
R6 PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded tog slope 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.
Re GRADE CHECKING: City of La Quints shall check gaaesuponrecelatotplanandprafileand/orgaaesaseatabtisIf
a lirensea engineer.
ad by
R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter I faettshaU be
removed. Curb and/or curb and gutter shall be saw cut Prior to removal. Decreased curb. matching concrete gutter and
concrete driveway approacm shall be constructetl in conformance with City of La Quints Standard 9207.
RIO DRIVEWAYS. A.C.: Driveways small 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 _) of Cis
aggregate base. Driveway construction snail conform to attar -had drawing.
n
R11 CULVERTS: A :ncndiameterl
inches below and in line with the existing flow i-CulVenlvnsta lotions ae" snail be alcon oled irmth tto the attaeneohe invert idreawnng. tely 1- 1 /2
SIGHT CLEARANCE: Sight clearance of 600 feet in either direction shall be assured and maintained.
R13 SOIL STERILIZER: The area to be surfaced shell be treated with soil sterilizer. Rate of application snail Comiplyw,th t
manufacturer's specifications. he
Ci T9 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 snail be Coordinated warm the State or
City of La Quims forces to Preclude delay or interference with State or City of La Quinta prolecp.
06,
SURVEY MONUMENTS: Prior to excavation or beginning of construction. all survey monuments which exist on the
camenine of all Str"" Or Property lines when involved shall be completely tied out so they may be readilyardcoReQly
be rectacaa by a licensed civil en imeor or surveyor at the axP@n= Of the aeftnittee- A complete set at hallo thowirg me
. ties 10 naso monumental attall be furnished
to the City Engiresa ancreotnareme"talpf mrimdn ttmentL Thisoftiaesnall
.. ..
06
ncirfied up= comlp►ap0n at rodiacerrrlrtt at all tutvev monuments fpr erpoererorectfnewrwnnw
16-:RVEYMONUMENTS P•rortoexcayauonoroeolnnmoorconstruction. all survevmonuments snail beIlea out o1vC1tv
%l La Uulnta and sullaole Oavment Or guarantee at payment snail be made as reimoursemem tar all�worx Inv( ivep
R17 °AVEMENT CUTTING: Pavement will be mechanically cut to straight edge prior to excavation. Method Of pavement
tuning snail be approved throuan the Oltice at the Citv Enolnear. (Under no circumstances small exca 'atinq epuloment
pe USCG t0 excavate odor IO cutting of pa VEmentl. Excavation material shall be placed In such a position as to pest
facuitate the general flow of trarilC. Prior to Inial paving operations. anv oamaoe to Pavement straight edge snail be
corrected.
PAVEMENT AVEMENT CUTTING: Pavement snail be saw cut prior to removal. Prior to tlnal paving operations. any damage to
fRI !8
_ pavement straight edge small be corrected.
19 LIMIT OF EXCAVATIONS: Excavations snail be limitea to 1.0001ineal feet of open trencn oelore oaCKtill operations -must
begin. All excavations snail be orooernt barricades with Monts overnignt. on weexenos and notieays tortne orotaction of
tore traveling public. The Public Works inspector snail determine the sultaolllty of excavation barricaeing in seen case. No
excavation snail remain open for a period exceeding live 151 days. No excavation snail be mace unless the construction
materiat Is actually On the worK site.
(f,:20)ACKFLL MATERIAL Backfill Shall be tree at brush. roots or otlierarganic substance Getrimenta..., -:S use torpurposes
of producing an adequately consolidated backfill. Any material which the City of la Quints deems unsuitable Ispongyor
saturated matercall which is encountered during excavation snail not be used for bal:ldill, but shall be supplemented or
• replaced Dv' an approved sand or gravel.
R21 BACKFILL SAND: Bacidill shall be approved trarnrt•mix sand Or equivalent and shall be placed in lifts of notgreaterthan
throe feet 131 anal vibrates u sing vibrotamper or ecurva tent equipment. Alternate methods may be substmned. but In any
case a relative Compaction of 95 percent shall be attained within the s-ructural section of the roadway.
R22 BACKFILL PLACEMENT: Backtill shall be applied in favors of not more than 50 percent of the total depth of the trench
before flomng or a maximum of five -loot (51 lifts where trenches are of excessive depths. Care is to be exwctyd that the
bactfill material 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 acurvatent to 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 toning is used. the jets shall be of sufficient length to reach the bottom of each :aver and the water
Supply shall -be continuous.
6Z COMPACTION TESTS: If so required byline Inspector. compaction tests shall be made at intervals of not more than 1.000
feet and a minimum of one I11 test on each road. One f 1) COPY of each tea shall be forwarded to the City Engineer for
approval and f iled prior to making permanent repairs. Compaction teas shall be made as outlined in Section 6.3.01 of the
Standard Specifications. Division of Highways. State of California, dated January 1973.
24 OMPACTION TESTS: If so required by the inspector. compaction tests Snail be made for each crossing Or service tine.
One f l) copy of each tea shall be forwarded to the City Engmaerfor approval and filed prior to making permanent rodalrs.
Compaction teas shall be made as outlined in Section 6.3.01 of the Standard SPectf ications. Division of Highways, State
of California. dated January 1973.
R25 TEMPORARY PAVEMENT REPAIRS: After Completion of barddill 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 trencn has been excavated and backfill operations c
the placement of the temporary pavement exceed a five (5) day limit. ompleted. but in no ease shall
R26 PERMANENT PAVEMENT REPAIR: After backfill and compaction operations have peen eomoteted. a temporary paten
• consisting of two Inches 12") of SC -800 shall be placed immediately. A permanent patch of
surfacing placed on a inch classbasesnallbeminChes A.C.
placed daysehereopletionof
temporary road repair.
R27 PAVEMENT REPAIR: F.A.S.: Upon completion of bacidill and compaction. a temporary Catch consisting oftwolnchest2"I
Of cold mix paving (SC -800) shall be placed Immediately. A permanent patch of three mcnes (3") of A.C. surfacing shall
be placed on six inches f6") concrete base as directed. but not later than fifteen 0 5) days after completion Of temporary
Paving- COnaete base snail be of five -Sack mix and shall conform to the City of La Quints Road improvement Standards
and SpectficauOns. Ordinance 0461.
R28 FOG SEAL A fog seat coat consisting of an application of asphaltic emulsion shall be applied over alt patch areas as
determined by the City Engineer.
t
R29 SEAL ARMOR COAT: A seal coat consisting of an application bander and screenings shall be applied on all patch areas
where such seat coats existed prior to Issuance of this permit. 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
be accomplished by a licensed contractor engaged in the business of pavement repair.
— R30 STREET RESTRIPING: Where street striping is still visible an streets 10 be excavated. such striping shall be replaced upon
completion of permanent repairs.
R31 TREE RELOCATION OR REMOVAL. Tree relocation within the City of La Quinta road right of way small be accomplished
by a licensed. Conceal and insured tree service. and handled satelywitnout Interference or hazard to the traveling public.
It shall be the responsibility of the oermmee to maintain the tree in a vigorous growing conditional its new location.
Trees to be removed shall be removed In sectionswhich can be handled safelvwltnout lnterferenceor nazardtd 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 slump note shall be backfilled and thoroughly comoactea 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 moles resulting from tree removal shall be backfilled and COmpacted to not less than 90 percent or equlvelent to the
surrounding ground. whichever Is the greater compaction as determined by the impact or field method. Compaction
teas shall comply with Section 6.3.01 of the Standard Specifications. Division f Hi
January 1973, o o ghways. State of California. dates
R32 TREE TRIMMING:
a. Only the necessary trimming snail be eccompllsheo to provide clearance of the facility for one calendar year.
All broken or week sections within the trimming snail be removed.
d. Where it becomes necessary to restrict traffic. the work shall be restricted to a maximum of 500 feet at arty Onetime.
Adequate signs. flagmen, andior barricades shall be provided to protect the traveling public at all times.
C. If tree trunks are partially outside of the City of La Quints road right of way, perminee shall make his own
arrangamenm With adjoining prOpeny owners for consent to the trimming In addition to the aulnarizatlon 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 COnVICZ80. in all instances, prior to trimming or topping trees.
f. Pruning analL in all illWgncea, 09 81 the Shoulder of the eroten to insure wl tan maxima in all eun at n.w .....��
I
SPECIAL CONDITIONS --PERMIT NO. 213.8
--- BROOKS & ASSOC ---
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 1 st 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.
in the travel way.
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.
Special Conditions - Permit No. 2138
Page 1 of 2
SPECIAL CONDITIONS ---PERMIT NO. 2138
continued
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.
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. 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.
15. All landscaping, irrigation, decorative rock, decorative concrete, lighting etc. shall be replaced
to its original condition.
16. Access and egress to all local properties shall be maintained at all times.
17. Permanent pavement replacement section shall be one inch greater than existing.
Special Conditions - Permit No. 2138 Page 2 of 2