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2155
V t- % - NOTE: With proper validation this form constitutes an encroachment. l5ermit 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 lik6 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 50th Ave. & entrance of Montero Estates Two potholes ' (Street address or Description of Location) PURPOSE OF CONSTRUCTION potholes for exposing Sketch (attach constructionlans if appropriate) ppropriate) utilities. DESCRIPTION OF CONSTRUCTION 10" to 12" hole to obtain information. SEE ATTACHED CONDITIONS. DIMENSION OF INSTALLATION OR REMOVAL 12" Diameter SIZE OF EXCAVATION, IF NEEDED 12" Diameter D APPROXIMATE TIME WHEN WORK WILL BEGIN Thurs. 4-28-94 APR 2 7 1994 APPROXIMATE TIME OF COMPLETION ZThurs.4-28-941 ESTIMATED CONSTRUCTION COST $ 600.00 (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: 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 +es It oythis worms n WWM N / I V Si ature of pplicant i SOFT DIG UTILITY SURVEYS INC. P.O. BOX 1578 ALM DESERT, CA Name of Applicant (please print) Business Address Telephone No. JOHN P. MARSINGER 360-3343 Name of Contractor and Job Foreman Business Address Telephone No. N/A 3032 0 Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I I I Public improvements: 3% of estimated construction costs' Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ 40. Permit Fee 10. Penalty Cash Deposit -Surety Bond if required TOTAL: $ 50. Receipt No Received by Date Recorded by q PERMIT NO .2155 PERMIT. VA LI DATION 2155 DATE APPROVED 4-27-94 EXPIRATION DATE 5-6-94 DATE ISSUE 4-2 -94 By X&"-, Administrative Authority TELEPHONE: (619) 564-2246 O ' l t NOTE: 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 lou, sewers, water fryine and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS DATE: _ 9'li LOCATION OF CONSTRUCTION �a tStreet addnu oro LO_ t B0 Description of Loct;on) PURP0$OF CONSTRUCTION _W -FH O t~ E p 7©5rt,4(, (rrt_1 ?-4-1 T-_ Lou 0 i, 6 T p DIMENSION OF INSTALLATION OR REMOVALD(A►[t!1- SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Subdivision Improvement Permit — Clesa 111 Minor Improvement Permit Class IV A?,3,r,e oT-- (at&IcCt?c Sketch (attach construction plans if appropriate) APPROXIMATE TIME OF COMPLETION >Z g ESTIMATED CONSTRUCTION COSTS (Including removal of all obstruction, materials, and debris, backfilling, com- paetion and placing permanent resurfacing and/or replacing improvements) In corsiderauon of the granting of this permit, the applicant hereby agrees to: Indulm Ify, defend and saw the City. Its authonzed a" - officen, representatives and anOloyM. harmfou from and Paneitees, liabilities or Ions resulting from aslms or court action end arising out of any aeeldant, lou or agalnsc any ert0 MI f1aODenenq or oetvmrq u a Orostirrtete remit of any wort undertaken under the Derrnrt granted Ourauent to age to i rm" or � y Notify the Adminlstratrve Authority at bast twenty-four (24) hours In advance of the time when wort well be started. COfnply with all aoWicebb City Ordinances, the term$ and condetKm of the permit and all aOplitibl0 rNles and ngutatiOM of the City Of La Guinia and to pay for any additlonal replacement necessary as the � of t" work. 0C>CTOta Ort(,, Nanta of Applicant (please print) 16 W -P 'f? AIR C'l V a Name of Contractor and Job Foreman f__(4 Contractor's License No. I Si"t e of Applicant or Agent 0 z M �,( 16 7A -A Business Address Telephone No. Business Address Telephone No. L5z City Business License No. Applicant's Insurance Company Policy Number jFEES: Subaiwsion Improvement Permit —Class 111 Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated constriction costs Minor Improvement Permit — Class IV: See attached schedule I nspection Fee $ �U Permit Fee /0 Penalty ash Deposit -Surety Bond -f required TOTAL: Receipt No. . Received by Date Recorded by PERMIT VALIDATION PERMIT NO. ,// 5 S DATE APPRdVED 7 ^ / `7 DATE By ION DATE WED ' Z 7 —cl c6 TELEPHONE: (619) 564-2246 Administrative Authority i -ie tollow)no tienerel and Special Provisions are ansenea to and made a can of Permn No. Z S S f GENERAL PROVISIONS J / '-!fie follovnno snail always aopry: /=NCROACHMENT ON PRIVATE PROPERTY: This permit authorizes worn to be accomCllsned within City of La Quints rlgnt of wav 2NLY. YVhenever construction extends within orlvate Drooenv. It snail be the re soonslolllty of the oermttee for h s contractors, to secure Permission tram aeuning prooenv owners. Such authorization must tie secured ov the Derrmnea Prior to TRACKLAYING CONSTRUCTION EQUIPMENT: Cleatea tractlevtn starting work. aveosurtaceunlessftteawknsmootn-faceastreetDads.Allmenanea Rrssounail ailbe ihallnonruntit be erstreart mmetltshoerteonenv :rte oavinq curing excavations. Rubber -tired eoulpment only shall be used outriggers;n badcf lllocaratto al inDavaoareal_ If tithto Protect e axls[Ing pavement Is scanea. $Callao, or broken during the term of this conrracL or tf the pavement n marred. City of La Quina shall request met mess porPlus o c of road be reoal assd over tnetr emlre wrath. Resurfacing shall eortsmt of one coat of two Inches (2-) of A C. surfacing plus aoorooriete seal goat as specified above, PROTECTION OF TRAFFIC: All excavations and wart, areas shall ba progeny lighten and bameaded as asemetl EnglneerortaQulntsCityPublicWorkslnspecors.Suiarteiha bledetoursariddetourslgnssnailbeplacedand nirybytheCity of the project. The City shall be notified 24 Hrs. in advance of arty traffic dteum or delinestans, lhedfOrtheduraun CARE OF DRAINAGE STRUCTURES: Any drainage structure Including corrugated metal pipe, concrete pipe steal culvert aro concrete SZfUCttiteS ehcOtimered during excavation which neceaytate removal Shall be replaced In kind. In the avent,rt becomes necessary to remove or cut ex+st ng drainage structures. City of La Quina shell be notified prior to commencement of this work. Drainage structures and open drams shell be kept free of debris at el times for proper drainage. RIGHT OF WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from the right of way. All paved surfaces snail be broomed dean of eartn and otherobjecnonaole materials immediately after backtilland compaction. Existing gutter line and drainage ditches snail be replaced to their original Standard or better. All excess material shay be ramirvec pnor to paving. Water tanker shall be used. as required, to sprinkle the lob site to keep down dust conditions and sham be used immediately after oaeefil. DE -WATER OPERATIONS: It de-weronng operations are required and pumps are forcing wateron City of La Quints roads it shall be the responsibility at the psrmmee Icontractorl to control this water and to provide - Sit barricades when rteeea�ry am CLOSING STREETS: No street shall be closed. A minimum of one lane of traffic shall be maintained at all times to provide limned accass for the adjoining property owners aro emergancy vehleles. In the avant It is felt by me parmmes that hereQ[ fen TUR dela a at any langth of time. permittee snail contact this office to obtain the necessary Permission. SPECIAL PROVISIONS The follwing shall apply ONLY when indicated: R1 -777-707 NOTIFICATION: Permmee shell nen dy the City at at lean 48 hours in advance of startin R2 CASH DEPOSITS OR BONDS: A cash bond or an approved surety g construction. shall be fumtsned In the name of City of La Quina o cover all worm involved in tthe restooap n of the ve roads and survey monuments. This bond shall be continuous until cancelled the City Enginhound Quints Posted prior to commencement of any work on this project. Engineer. TAI$ bondmust 0e (f3) UTILITY CLEARANCE: (Substructures) Prior to making any excavation within the CityofLaQuinaIn atvreyauthorised by permit. the permittee snail contact all concerned utility companies relative o the location of existingCf aubmthors d Damage to ewsting substructures reauhing from operetions mrlductsd under this permit shall be the sale SM ability of the permmee. R4 UTILITY CLEARANCE: (Surface structures, No work shall be done under this permn until 811 utilities are dear of the proposed work site. The Committee snail notlty all concerned utility companies of the proposed work. RS .PAVEMENT WIDENING: Area between the proposed m surfaced with inches of A.C. paving placed on ntrere gutter line and the exiting road ate su ba shall be hmngan-R-valueofno, lessthan inCheCityofs at class aggregatest+bbasancs as and in conformance with City of la Qui ilia Road Improvement Sandartis and SCecrficauons. Ordinance a461. R6 PARKWAY GRADING;Area betweanthe property line and top of the Proposed concrete curb shall bO gradedto a slope of 1/4 inch to one foot (11. R7 GRADES 8 STAKES:.City of La Quints shall construction. establish grades and stakes for the proposed concrete curb and gutter R8 GRADE CHECKING: City of La Quints small chedcgradesupon recelotofPlan and osafileand/or grades esesablisheaby a licensed engineer. R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the exiting concrete curb and/or curb and gutter 1 faetlthe 11 be removed. Curb and/or curt) and gutter shall be saw cut prior to removal. Depressed curb. matching concrete gutter and concrete dnveway approach shall be constructed in conformance with City of La Quints Standard 6207, RIO DRIVEWAYS. A.C.: Driveways shall be constructed as not to alter exiting drainage pattern. Surfacing between the Property line anti the existing road paving shall be 2-1 /2 inches of A.C. paving placed on I _ I of dam aggregate Case. Driveway construction shall conform to attached drawing. R 11 CULVERTS: A :ncn diameter l inches below and In line with the existing flow line.ventinste installation ed aven small be iallcon olrmthe o to the at acneInvent ldraawing. 1 /2 12 SIGHT CLEARANCE: Sight clearance of 600 feet In either direction shall be assured and maintains& R13 SOIL STERILIZER: The area to be surfaced shall be treated with soil sterilizer. Rate of application Snell cdmplywlth the manufacturer's spedfictlons. 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 prolmm. R1 S SURVEY MONUMENTS: Prior to excavation or beginning of construction. all survey monuments which crust centerline of all streets or prt)pem linea when Involved shat be comajazah teed out so on the they may be reatlihrande directly be htrolatea by s licensed crvfl engineer or surveyor n the ermertse et the trWmntaa A complete set of nota$ Wwmng the ties to tnees mnuments enol be turniensc o the City Engirow artorothe r "TICII lr.lot anymorerrnerim TAhoffica shall be haat ad upon eanplRpn of rema or all survev menurim"" re► areosrerorecff:iwaranr•e 16 �• _:RVEY MONUMENTS. P•inr to excavation or oeotnnmo of construction. au survey monuments snail be flea out OvGty :t La Uuinta ana surtaola oavment or Guarantee at payment snail be mace R17 as relrnoursemem for all W'Grx Invalvoit "AVEMENT CUTTING: Pavement well be mecnantcally cut to a straiant edge prior to excavation. Method of pavement cun,no small be abprdvea througn tele office or the City Engineer. (Under no circumstances snail excavating equipment ce used to excavate prior to cunmq or oavemenn. Excavation material snarl be olaced In sucn a ooshlon as to nest facmtate the genera, now or traffic. Prior to anal oavino operations. any damage 10 pavement corrected. stralgnt edge snail be RIB PAVEMENT CUTTING: Pavement snail be saw cut prior to removal. Prior to final oavinq j' pavement straight edge snail be corrected. operations. any damage to 19 LIMIT OF EXCAVATIONS: Excavations small be limned to 1.000 lineal feet of open trench before oacxtlllooeranons must begin. All excavations snail be orooerly barrlcacea Wiln Itonts overnignt. on weekenos and nahcays fortme protection Ot the traveling puolic. The Public Works Inspector snail determine the sulraplllry of excavation barrlcaeing In eacn case. No excavation shall remain Open for a oerloo exceeding live f 5l days. No excavation snail be mace unless the construction material Is actually On the work site. R20 BACKFILL MATERIAL Backfill shall be tree of brush. roots Or otner organic substance - detriment;. ; ; .;s use for purposes Of producing an adequately consolidated backfill. Any material which the City of La Quinta deems un -:S usbfor p rposes saturated material) which is encountered incivor - during excavation smaLL not be used for backfill. but shall be supplemented or replaced by an approved sand Or gravel. - R21 BACKFILL SAND: Backfill shall be approved tramp-mni sand or equivalent and shall be placed in lifts of notgreaterthan three feet 131 and vibrated using v,brotamooror eaurva tent equipment. Attemate Methods May besuastrtuted. but in any case a relative compaction of 95 percem shall be artalned within The t:ructural section of the roa L^f' away. BACKFILL PLACEMENT: Backfill shall be applied in lavers of not more tnan 50 _ percent of before flooding orama>umumoffive-foot 1511ihswherethe total depth of the trench Trenchesareofexcessivedepths.CareIStobeekercaadthatthe backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed 60 that the resulting compaRton shall be not less than 900arcem or ecurvalenttd thesurrdunding ground. whtcnever lathe greater compaction. Where conning or flooding is used for a maximum settlement. adequate dikes will be construtsedto retain the water. Where letting is used. the jets shall be of sufficient length to reach the bottom supply shall be continuous. of each :aver and the water COMPACTION TESTS: If so required bytne Inspector. compaction tests shall be made at,ntervalsot not morethan 1.000 feet and a minimum of one (1) test on each road. One I11 copy of each test shall be forwarded to the City Engineer for approval andtiled prtarto making permanent repairs. Compaction tests shall be mane asoutlinec in Seaton 6.3.01 of the Standard Specifications. division of Highways. State of California. dated January R24 1973. COMPACTION TESTS: If so required by the insoeagr. compaction tests Shall be made for each crossing or semen line One (1) copy of each test shall be forwardea to the City Engineer for approval and filed prior to making permanom repairs. COMPSCITOn tests shalt be mace as outlined in Section 6.3.01 of the Standard SPOCrf ications. of California. dated January 1973. Divisional, Higfwlrew. 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 an a prepared subgraoe. The SC -800 temporary paving Shall be placed after a maximum of 3.000 lineai feet at trench has been excavated and backfill operations completed. but in no case shall the placement of the temporary R26 pavement exceed a five (5) day limit. PERMANENT PAVEMENT REPAIR: After backfill and compaction operations have been completed. a temporary paten consisting at two Inches (2") of SC•800 shall be placed immediately. A permanent patch of surfacing placed on a inch clad A.C. base shall beplaced nolaterthan temporary road report. days ahereompleuonof rMleti R27 PAVEMENT REPAIR: F.A.S.: Upon completion of backfill and compaction. a temporaryvatcm consisting of?wo inches (2-) of cold mix paving ISC-8001 shall be placed Immediately. A permanent patch of three inches 131 of A.C. surfacing shall be placed on six Inches (6'1 concrete base as directed. but not later than fifteen '�,� (15) days after completion of temporary Paving. Concrete base shall be of five -sack mix and shall conform to the City of La Quints Road ImprovememStanaards and Specifications. Ordinance #461. ^L 2 ) 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 appflcation binder and screenings shall be applied on all paten areas where sueh seal coats existed prior to issuanceot this cernlR. Seal or armor coats shall be applied as soaafied in Seaton 37. Standard Specifications. State of California. Division of Highways. dated R3 January 1973. Work of pavement repair to be accomplished by a licensed contractor engaged In the business Of pavement repair. STREET RESTRIPING: Where street striping Is still visible on streets tape excavated. such striping shall be replaced upon completion of permanent repairs. R31 TREE RELOCATION OR REMOVAL. Tree relocation witnin the City of La Quinta road right of way shall be accomplished by a licensed. boned and Ins urea tree service. aliphatic led safelywltmout interference Or hazard to the traveling public. It shall be the responsibility of the oermrnee to maintain the tree in a vigorous growing condition at its new location. Trees to be removea shall be removed In sectionswMeh can be handled safelywitnout Interference or nazardto highway traffic. The entire wrath Of the tree stump small be removed and disposed Of s0 that no debris remains In view Of the highway. The stump hole small be backfilled ana thorougnty ccmvacted as saecified 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 bamcades shall be provided to protea the traveling public at all times. Large holes resulting from tree removal shall be batndllled and compactea to not less than 90 percent or equivalent to the surrounding ground. whichever is the greater compaction as determined by the Impact or field method. Compaction tests shall comply with Section 6.3.01 of the Standard Specifications. Division of Highways. State of California. dated January 1973. R32 TREE TRIMMING: a. Only the necessary trimming snail be accomplished 10 provide clearance of the facility for one calendar year. All broken or week sections within the trimming snail be removed. b. Where IT becomes necessary 10 restrict traffic. the work shall be restricted to a maximum of 500 feet at any Adequate signs. flagmen. and/or barricades shall be provided to protan one time. file traveling public at all times C. If tree trunks are partially outside of the City of La Quinta road right of way, perminee shall make his own arrangements with adjoining property owners for consent to the trimming in addition to the authorization provided by this permit. Q All tree trimming on EVERGREEN TREES. PALM TREES. and other ORNAMENTAL TREES shall be aCCOmOltshed to the satisfaction of the City Public Works Inspector. e. Abutting property owners spall be comaasd In a# instances. prior to armnhing or topping trees. f. Pruning shall. in all rnsnnees. be at the Shoulder of the crotcn to insure Ovem tae nestina In ail cuts SPECIAL CONDITIONS --PERMIT NO. 2155 --- SOFTDIG --- 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 1st to September 30: Monday -Friday 6:00 a. m. to 7:00 p.m. Saturday 8:00 a. m. to 5:00 p. m. Work shall be prohibited on legal holidays including Sundays., 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. 2155 Page I of 2 SPECIAL CONDITIONS - PERMIT NO. 2155 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. 2155 Page 2 of 2 t