2154�N('1Tfr
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 I II
DATE:. 4/27/94 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION —_Monroe St. N/Airyort Blvd. on the west side
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION ,1
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 4/.27/94
APPROXIMATE TIME OF COMPLETION 7/27/94
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 3,002' of 4V medium
pressure plastic gas main 17' W/CL
of Monroe St., beginning at the CL
of Airport Blvd., continuing north.
To install 33' of 2" medium pressure
plastic gas twain 5' N/NPL of Mountain
View Ln., beginning 17' W/CL of Monroe
St., continuing west.
See attached conditions.
See attached drawings
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.
DF_50 A544L_E
Signature of Applicant or Agent
SOUTHERN CALIFORNIA GAS CO. P.O. BOX 3003, REDLANDS, CA 92373 (716) 335-7764
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 2154
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No
Received by
$ 0
Date
0
PERMIT NO
PERMIT VALIDATION
2154
DATE APPROVED S_q'gq
EXPIRATION DATE —3 1 "q q
DATE ISSUED
By
Ad inistrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
C' � 1
CITY OF LA QUINTA
54143-637
NOTE: - APR 19 Wt
With proper validation
this form constitutes an CITY OF LA QUINTA PUBLIC WORKS
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
o� Subdivision Improvement Permit - Clan 111
DATE: Apri1.5�19, 1994 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Monroe St N/Airport B1 6,,&1 --1-4A-r vc/Is7 51j::
(Soret amass or Description of Location)
PURPOSE OF CONSTRUCTION Sketch construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION To install 31,002' of 4" medium pressure
plastic gas main 17' W/CL of Monroe St.,
beginning at the CL of Airport Bl.,
DIMENSION OF INSTALLATION OR REMOVAL continuing north.
To install 33' of 2" medium pressure
plastic gas main 5' N/NPL of Mountain
SIZE OF EXCAVATION, IF NEEDED View Ln., beginning 17' W/CL of Monroe
'St., continuing west.
APPROXIMATE TIME WHEN WORK WILL BEGIN 4/25/74
� � �T-rf►c N -p -Z::, cc -,^c J71Tr o &J S
APPROXIMATE TIME OF COMPLETION 7/25/94 :%_S
ESTIMATED CONSTRUCTION COST $ -SEE--A=HED= TIJOMAS-BROS
(Including removal of all obstruction, materials, and debris, bickfilling, conn PG -225-D3'
pection and placing permanent resurfacing and/or replacing improvements) -C-UT-EARTH-&,-320!-MAC
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify, defend and we 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 at a proximate result of any work undertaken under the permit granted pursuant to this application.
Notify the Administrative Authority at levet 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 NI applicable rules and regulations of the City of
La OuGrss and to pay for any additions replacement necemrtr as the raerdt of this k. '
i -- RHODESYA ASHLEY.
- -``
Signature of Applicant or -
Agent PE 1T COORDINATOR
-:"SOUTHERN 714--- _7764
Nanta of Applicant (plaprint) . _ Business Address Telephone No: -
Name of Contractor and Job Fdremart Busin se Address Telephone No. :
Contral;Ws License No. City Business license No. .
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit -Clea III
Public improvements: 3% of estimated construction costs ,
Private improvements: 3% of estimated construction costs
Minor Improvement Permit - Class IV: See attached schedule -
Inspection Fee t
Permit Fen
Penalty
Cash DepoutSurety Bond
if required
TOTAL:
Receipt No. --
Received by ate
Recorded by
PERMIT VALIDATION _
PERMIT NO. i y
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: (619) 564-2246
NI If! f'IC Alcoff R?
Vbul I a Ilav,
The followino General and Special Provisions aro attacnea to and made a part of Permit No.
a
GENERAL PROVISIONS
The following snail always acciv:
ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes wo(k. to ce
ONLY. Whenever construction extends waccomplished within City of la Quints right of way
tthm private Prooerty. it snail be the resoonsimiity of The permittee for his contractors) to
secure permission from abutting property owners. Such authorization must De secured by the permittee prior to starting work.
TRACKLAYING CONSTRUCTION EQUIPMENT: Clestedtracklevingconstruction equipment shall notbecermmedtoopereteonenv
paved surface un less f fitted with smooth -faced street peas. All mecnaniea) outriggers snail be f itted wrth rubber street shoes to protea
the paving during excavations. Rubber -tired equipment only shall be used in backfill operations in paved areas. If the existing
Pavement is scarred, spelled, or broken during the term of this contract, or It the Pavement Is marred. City of La Quints shall request
trial these portions of road be resurfaced over their entire width. Resurfacing shall consist of one cost of two inches 12") of A.C.
surtacing plus appropriate seal coat as specified above.
PROTECTION OF TRAFFIC: All excavations and work areas shall be_propeny lighted and barricaded as deemed nawestarybythe City
Engineer or La Quints City Public Worstslnspectom. Suitable detours and detour signssn abeplaeedsrt0ent"me teirtsdfprtheduration
of the proles. The City Shall be notified 24 Hre. in advance of any traffic detours or delineations.
CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugated metal pipe, concrete pipe, steel culvert and
concrete structures encountered during excavation which necessitate removal shall be replaced in kind. I I the st@@i tt ivert and
necessary to remove or cut existing drainage truaures. City Of La Quints shall be notified prior to commencement of thbecomes
is 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 shall be removed from theri
way. All paved surfaces snail be broomed dean of earth and other objectionable materials immediately after bacght of
kfill sm eompaahon
Existing gutter line and drainage ditches shall be replaceo to their original standard or Potter. All excess material Stell be removed
prior to paving. Water tanker snail be used, as required, to sprinkle the lob site to keep down dust conditions and shay be used
immediately after backfill.
DE -WATER OPERATIONS: If de -watering operations are required and pumps ars forcing water on City of La Quints roads, it shall be
the responsibility of the permittee lcontractor) to control this water ant, TO prpype -street barricades when nseestary.
CLOSING STREETS: No street shall be closed A minimum of one lane of traffic shell be maintained at all times to provide limned
access for the adjoining property owners and emergency vehicles. In the event it is felt bvthe permittee that he must etoae a street for
any length of time. permittee shall contact this office to obtain the necessary permission
SPECIAL PROVISIONS
The follwing shall apply ONLY when indicated: '
CRI, NOTIFICATION: Permmes shall notify the City at -7075
at lean 48 hours in advance of starting construction
R2 CASH DEPOSITS OR BONDS: A cash bond Oran approved surety bond in an amount of not less than s
shall be furnished in the name of City of La Quints to cover ell work involved in the restoration of the various La Quints
roads and survey monuments. This bond shall be continuous until cancelled by the City Engineer.
Posted prior to commencement of any work on this project. This bond must be
R3% UTILITY CLEARANCE. (Substructures) Prior to making any excavation within the City of La Quints right of "authorized
by permit, the Permmee snail contact all concerned utility companies relative to the location of existingsubwuctures.
Damage to exfating substructures resulting from operations conducted
of the permttea. under this Permit shall bathe sale responaibiliry
CRI) UTILITY CLEARANCE: (Surface ltructureel No wont shall be done under this permit until all utilities ars dear of the
proposed work site. The parmmes shall notify all concerned utility companies of the proposed work.
R5 PAVEMENT WIDENING: Area between the propoasd.eorterste
surfaced with inches of A.C. paving placed on gutter, line end the existing road pavement shall be
having an"R"value atnot leasthan inehesofelasa aggregatsSubbase course
and in conformance with City of La Quints Road Improvement Standards
and Specifications. Ordinance #481.
R6 PARKWAY GRADING: Area oetweenThe property line and tooatthearoposedconcretecurbshallbegradedtbsslopeof
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 snail checkgradesupon recstotatPlan and Profile and/or grades asOKWished by
a lir:ensed engineer.
R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter 1 f*Mlshall be
removed. Curb and/or curb and gutter shall be saw cut prior to removal. Decreased curb. matching concrete gutter and
concrete driveway approach shall be constructed in conformance with City of La Quints Standard 7207.
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 on 1 ") of clan"
aggregate base. Driveway construction shall conform to attached drawing.
R11 CULVERTS: A :nch diameter I cut
verT sail be installedinches below and in line with the exiting flow's vert in tallation sail co oirm 10 the attachedthe invertitetydraawing •1 /2
(R2 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 soft manufacturer's specifications. sterilizer. pate of application shall comprywith the
(R 14..) 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.
R15 i SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the
cemerlins of all treats or property lines when involved shall be completehi tied out so they may be resdilyarW forr0
be replaced by a licensee cfWi engineer or surveyor at the etherise of the pertnretaR A oorrrolan set of note tl d c*rlg tcity
he
ties to triesm monuments Mail be turnminsia to the City Engineer pi m to in@ remaiiiiiiii at any monumentL This am i esnail
be "cuff ad upon eommoMm at remeatians nt of all survey mpnurnem taw
16 ::RVEY MONUMENTS c-. . To excavation or oeatnnino or construction. all survey monuments snail bl t"eaout Ovcay
La uumia ane sunaote cavment cr auaranree c, navment snail be made as retmoursement for all work involved.
R17 PAVEMENT CUTTING: Pavement will be mechanically cut to a strafgnt edge prior to excaveunn. Method of pavement
cutting snail be aoorovea tnrotion the orfice or the Litv Engineer. Wriaer no circumstances snail excavating equipment
be used to excavate anor to cutuna or oavementi. Excavation material snail be otacea m such a oosmon as to pest
tacnhate the general now at tratnc. Prior to nnaf oaving operations. any aamaoe to oavement straight edge snail be
carrectea.
CR18 1 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) LIMIT OF EXCAVATIONS: Excavations snail be Itmitea to 1.000 lineal feet or open trench oerore paektill operations must
begin. All excavations snail be DtOaeriv barricaded with lights overnight, on weekends and halidays Torino protection or
the traveling puolfc. The Public Works inspector snail determine the suitability of excavation oarricadinq in each case. No
excavation snail remain open Tor a oerfoa exceeding rive 15i days. No excavation snail be mace unless the construction
mat anal is actually on the work site.
R20 BACKFILL MATERIAL: Backfill shall be free of brusn. rootsor other organic sudstance aetrimenta. • , .;s useforpurposes
of producing an adequately consolidated backfill. Any material which the City of La Quints deems unsultaplefspongyor
saturated material) which is encounterea during excavation snail not be used for backfill, but snail be supplemented or
replaced by an approved sand or gravel.
R21 BACKFILL SAND: Backfill shall be approved transit -mix sand or equivalent and shall be placed in lifts of notgreaterthan
three feet 131 and vibrated using vibrotamoer oreaufva tent equipment. Alternate methods maybe substituted, but In any
_case a relative compaction of 95 percent shall be attained within the a;ructural section of the roadway,
R22 BACKFILL PLACEMENT: Backfill snail be applied in lavers of not more Than 50 percent of the total deptn of the trench
before flooding or a maximum of five-foot 151liftswhere trenches are of excessive depths. Care isto be exarcuedthatfhe
backfill 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 90oercent or equivalent to the surrounding ground. whichever Is the greater
compaction. Where oonaing or flooding is used for a maximum settlement. adequate dikes will be constructed to retain
the water. Where letting is used. the lets shall be of sufficient length to reach the bottom of each :ayer end the water
supply shall be continuous.
�R273) COMPACTION TESTS: If so required bythe inspector. compaction tests shall be made at intervals of not more than 1.000
fest 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 filen prior to making permanent repairs. Compaction tests shall be mace as outlines in Section 6.3.01 of the
Standard Specifications. 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 swvlcelin
ife,
One 11) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent top
Compaction tests shall be made asoutlineo in Section 6.3.01 of the Standard Specifications, Division of Highways. State
of California. dated January 1973.
R25t 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 shall be placed
after a maximum of 3.000 lineal feet of trench has been excavated and backfill operations completed. but in no case shall
the placement of the temporary pavement exceed a five 15) day limit.
R261 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
surfacing placed on a inch class base shall be inches A.C.
Placed no later than days ahercompletion of
temporary road raper• f>ti E l N L iY �'-„Lt•a � � Tri
R27 PAVEMENTREPAIR:F.A.S.:Uponcompletionofbackfillandcompactkon.atemoorarypatchconsistingOftwoinches(2"1
of cold mix paving 1SC-800) shall be placed immediately. A permanent patch of three inches (31 of A.C. surfacing shall
be placed on six inches 16") concrete base as directed, but not later than fifteen (15) days after completion of temporary
paving. Concrete.bass snail be of five -sack mix and shall conform to the City of La Quints Road Improvement Standards
and Specifications. Ordinance 0461.
R28 FOG SEAL: A fog seal coat consisting of an application of asphaltic emulsion snail be applied over all patch areas as
determined by the City Engineer.
R29 SEAL ARMOR COAT: A seal coat consisting of an aaoficatfon binder ane screenings shall be scoffed on all oaten areas
where such seal 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 on streets to be excavated. such striping shall be replaced upon
completion of permanent repairs.
R31 TREE RELOCATION OR REMOVAL. Tree relocation wit nin the City of La Quints road right of wav shall be aeeomplkshed
by a licensed, bonged ano insurea tree service. and haneledsafelywithout Interference or hazard to the traveling 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 removes shall be removed in sectfonswhich 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 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.
Large holes resulting from tree removal shall be backfilled ana compacted to not less than 90 percent or equivalent to the
surrounafng 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 accomplisneo to provide clearance of the facility for one calendar year.
All broken or weak sections within the trimming shall be removed.
b. Where it becomes necessary to restrict traffic. the work shall be restricted to a maximum of 500feet at anvone 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 at the City of La Quints roan right of way, permittee shall make his own
arrangements with aa)oining 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. ano other ORNAMENTAL TREES shall be accomplished to
the satisfaction of the City Public Works Inspector.
e. Abutting property owners shall be comacte4 in all instances. prior to trimming or topping trees.
I. Pruning snail, in all instance& be at the shoulder of the crotcn to insure even, test heaunq in 811 cuts to two inches
12'9 ano aoove-tn size. Sealant shall ha annite,,A t,., .0
SPECIAL CONDITIONS --PERMIT NO. 2154
--- 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 1 st 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 1 st 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.
5. Permittee shall assume responsibility for repair of any pavement breakdown at the haul road
access to any public or private street and for any damage to other City streets or facilities.
6. Advance warning signs and traffic control shall be installed and maintained in accordance with
Cal Trans Standards. It shall be the permittee's responsibility to detour and barricade this site.
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. Permanent pavement replacement section shall be one inch greater than existing.
10. All landscaping irrigation decorative rock etc. ' shall be replaced to its original condition.
11. Prior to excavating, the permittee shall contact Underground Service Alert at 1(800) 422-4133.
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.
Special Conditions - Permit No. 2154 Page 1 of 2
SPECIAL CONDITIONS - PERMIT NO. 2154
CONTINUED
13. 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.
14. 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.
15. All excavations at or near the travel way shall be backfilled and paved as directed by and to the
satisfaction of the City Engineer at the end of each work day for the protection of the traveling
public.
16. This permit authorizes work in the City of La Quinta Right -of -Way only. It is the permittee's
responsibility to secure permission from any other abutting agencies or property owners.
17. Ingress and egress for all properties shall be maintained at all times.
Special Conditions - Permit No: 2154. Page.2 of 2
Date: &Y, ZI, ZBD7
S 1 M I T W7 1. TH F S
City of La Quinta.:
Public Works Engineering Department
Inspector's Daily Log
Commercial/Residential Development
Weather: Clear Cloudy ❑ Rainy E] overcast ElTemperature Range: Jr�/OD Wind: Still JP Moderate ❑ High ❑
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