2187r NOTA:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
f- APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit — Class III
DATE: 5-26-94 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Fred Waring Dr. Between Goldenrod Circle and
Jefferson Street centerline.
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Watermain installation
DESCRIPTION OF CONSTRUCTION Install 12Y D.I.P.
watermain and appurtenances.
DIMENSION OF INSTALLATION OR REMOVAL 1.149 l.f.
SIZE OF EXCAVATION, IF NEEDED 2.5'w x 5 Deep
APPROXIMATE TIME WHEN WORK WILL BEGIN 7-1-94
Sketch (attach construction plans if appropriate)
APPROXIMATE TIME OF COMPLETION 7-15-94
ESTIMATED CONSTRUCTION COST $ 30.000.
(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 PLANS)
SEE ATTACHED CONDITIONS
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 theepermit and all applicable rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the resin of thi work.
Si nature of Applicant or- gent
COACHELLA VALLEY WATER DIST. P.O. BOX 1058, COACHELLA, CA 398-2651 x289
Name of Applicant (please print) Business Address Telephone No.
(TO BE DETERMINED AT A LATER DATE)
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 2181
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
$ 0
Received by Date
PERMIT VALIDATION
PERMIT NO. 2187
DATE APPROVED 5-26-94
EXPIRATION DATE 12-31-94
DATE IS E �!
By
Administrative Authority
Recorded by II TELEPHONE: (619) 564-2246
NOTEq
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
.?,- 6e_ Subdivision Improvement Permit — Class III
DATE: AA&:1 J_ _I!aq:!j Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION v.rA9j&1G N2.ikrE t^&:IWEFt 9
A-hl� . �F��rZ<c�►J .S�-E,F'i:. ��.�'"i"(L�L c^� � .
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION _1-QSMu I2_" b i. P.
WAiER-14A l AJ A>J n A PA) f7_,Tt=w 1 A �.11P_ C
DIMENSION OF INSTALLATION OR REMOVAL fI U -4"I "E•
SIZE OF EXCAVATION, IF NEEDED Z..K' W x 5' fl x P
APPROXIMATE TIME WHEN WORK WILL BEGIN JyI-y 1 , I0kq'-1
APPROXIMATE TIME OF COMPLETION 1i�`%I39Y.
ESTIMATED CONSTRUCTION COST $ 22.cono
(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)
�_.` E A-10^0iEZ �LANS
�� �Tf►�IfFLP CoNL�lTa"lS
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 applications
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.
�:144
��
Signature o Applicant or Ageht
caArk (1A ,/ALLE4 VVA-n ims-r2-i I za, Rz tnSR CoArtie,LA 3`19 2%S1 X ZBnl
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman
Contractor's License No.
Business Address
Telephone No.
City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class 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
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
$
Receipt No.
Received by Date
1 "06
PERMIT VALIDATION
PERMIT NO. (� 7
DATE APPROVED X57 X914
EXPIRATION DATE 12- r3 9
DATE ISSUED
By
Administrative Authority
Recorded by II TELEPHONE: (619) 564-2246
-J
"he totlowina General and Special Provisions are attached to and Insole a Dart of Permit No. 1 O
GENERAL PROVISIONS
he following snail always acpiv:
"ENCROACHMENT ON PRIVATE PROPERTY- 'his oermn autnorizes wax to be accomotisned Mhtnm City of la Quints right of vvav
ONLY. Whenever construction extends within private orooenv, it snail be the resoonsiodiry or the par City
for his is rig t of to
secure permission tram abutting Property owners. Such autnonzation must as secured ov ins oerminee prior to starting wore
TRACKLAYING CONSTRUCTION EQUIPMENT: CleatedtracxlavengcprmructtoneduiDmerttsnail not beoermmeatoocareteonenv
Davao surface unless tinea wit smooth -faced street oaas. All mechanical outrigg ars snail be tetrad with ruboar street amass to protea
:no caving during excavations. Rubber -tired equipment only snail be used in oadkfill operations in Davao areas. If the exist"
Pavement is scarrea. soallea. or broken curing the term of teles contract. or if the Pavement Is marred. City at La Quints {Hall Iequ•at
trial Don
tions these Doons f road be resurtaced aver their entire width. Resurfacing Shall consist of one coat of two inches 12') of A.0
surfacing plus appropriate seal coat as specified above.
PROTECTION OF TRAFFIC: All excavations and work areas snail beoropeny lighted and bemcadap es deemed sec&wary by the City
Engineer or La Quints City Public Works Inspectors. Suitable detours aro detour signs shall be placed arta ememais r tnedfor it try
The City
Of the protea. The City shall be notified 24 Hrs. in advance of any traffic detours or aelineebmn
CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugated metal Pepe, concrete Alpe, steel culvert and
concrete structures encountered during excavation which necessitate removal Shap be replaced in kind. In the eyertCO
t,lt benfe•
necessary to remove or cut existing. drainage structures. City of La Quints Stall be notified pear to commencement of this won.
Drainage structures and open presents shall be kept free of debris at all times for prober drainage,
RIGHT OF WAY CLEANUP: Any surplus material resulting from excavation and backfill operations snau be removes from the right f
way. All Davao surfaces snail bebroamadclean ofeannand other oblocnonabtematerials emmed18te1yafter betitlarocompaction.
Existing gutter line and drainage ditches snail be replaced to their original standard or getter. All excess material shall b& removed
d
immeclatety after backfill.prior paving. Water tanker shall be used. as required, to sprinkle tine lob Sees to keep down dust conditions aro snail be used
dl
DE-WATER OPERATIONS: If de -watering operations are required and pumps are forcing water on City of La Quints roads, it Shall be
the resoonscoclity of the Permetree Icontractorl to control this water and to provide cf-streat bamcades wren ^eelsaary.
CLOSING STREETS: No Street shall be classic. A minimum at one lens at traffic shall be maintained at all times to proved& lim^eo
access far the adjoining property owners aro emergency Vehicles. In the event It i s f alt by tha pentimae that he mustctm • street for
any length of time. Dermittee shall contact this office to obtain the necessary Permission.
SPECIAL PROVISIONS
The follwing shall apply ONLY when Indicated:
R1 NOTIFICATION: Permitree shall notify the City at77'7-77-7d7S
at least 48 hours in advance of starting donstrttettdn
R2 CASH DEPOSITS OR BONDS: A casn bona or an eo
roved surety bond in an amountafrectiesse thn 8
shall be furnished in the name of City of La Quints to cover all worknvolved in ns restoration of the vridim
LS
roads and survey monuments. This bona shall be continuous until cancelled by the City Engineer. This
QuintsPosted prior to commencement of any work on this protea. barW must be
R UTILITY CLEARANCE:(SubstructureslPriortomaltinganyexavauonwithintheCityOfLaQuintsnghtotwey•uthorl:ea
by Permit, the permmee snail contact all concerned utility companies relative to the location of existing s
Damage to existing substructures resulting from operations conduced under this ubuructures.
of the permmee. permit shall be the sal•r*so"ibility
UTILITY CLEARANCE: (Surface structureal No work shall be done under this oermn until all utilities are dear of the
Proposed work site. The permmee snail notify all concerned utility companies of the proposed wort.
RS PAVEMENT WIDENING: Area between the proposed cmicrote
surfaced with inches f A.C. paving placed on gutter line and the existing road p e suibbrt shell be
having an "R" value of not lesstnan inches fclass aggregate in,
IT course
and in conformance With City of La Quints Road Imprmemam Stanasras
and Specifications. Ordinance x481.
R6 PARKWAY GRADING: Area between ins property line ano TOP of the Proposed concretacurb shall be graded to a slope of
1 /4 inch to one foot (11.
R7 GRADES & STAKES: City of La Quints snail establish grades and stakes for the or
construction. oposes concrete corp and gutter
Re GRADE CHECKING: City of La Quints snail check graces upon recerotofplanandprofeleared/or gredesaseatabfishtWby
a lirensea engineer.
Re CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter 1 f•dtlshall be
removed. Curb and/or tura and gutter shall be saw cut prior to removal. Depressed curb, matching concrete goner and
concrete driveway approach shall be constructed in conformance with City of La Quints Standard #207.
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 snail be 2-1/2 inches of A.C. caving placed on 1 _) of class_
aggregate base. Driveway construction snail conform to anachea drawing.
R 11 CULVERTS. A :ncn Diameter c ;culvert snail be installed with tree invert approximately 1-1 /2
inches below and in line with the existing flow line. Culvert installation snail Dontorm to the attached drawing,
12 SIGHT CLEARANCE: Sight clearance of 600 feat in either direction small be assured and maintained.
R13 SOIL STERILIZER: The area to be surfaced shall be treated with soil sterilizer. Rate of application shall ccmplywnh the
manufacturer's specifications.
R 4 , COORDINATE WORK: The proposed work shall be SUDorainatea 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 coordinates Meth the State or
City of La Quints forces to preclude delay or interference with State or City of La Qwnta projects.
R15 SURVEY MONUMENTS: Prior to excavation or beginning of construction. all survey monuments which exist on the
cemerlme of all streets or vrovarivtines when involved shahsro cdtrealy
be replaced by a licensed evil engines► or surveyor at the emeriesll ba eampletefv teed out so they they be reddi011106 permrttey A ocrrrol•te set of noise etowtngtrie
ties to mesa monuments small be turnianea to the City Engineer ortortotne ►emo•el Of ami InORUmerru. Thea oftiM shell
Do notdeep Upon COm®podit of reot•enrn&nt Of all survw morrume nes nor aralow eroreer exxixmrw
_ a --T --yuMtN IS. P• or to etcavation or oeoinni no of construct ton. au sur vev monumen is snail be Ilea out ov Lity
JI La Quints and suitaole Oavment or quafantes or oavment snail be mane as retmoursemem for all wart InvotvSo
R17 1AVEMENT CUTTING: Pavement will be melaianicauv out to a stralgnt edge prior to excavation. Method at Pavement
cutting small be eooroves through the office m me Citv Engineer. (Under no circumstances snail excavating equipment
oe used to excavate or(or to cutting of oavemenh. Excavation material small be Diacea in such a Position as to pest
facilitate ine general now of IraTTIC. Prior to final Paving operations. anv damaoe to oavenent stralgnt edge snail be
corrected.
R18 AVEMENT CUTTING. Pavement snail be saw cut onor to removal. Prior to final paving operations, any damage to
pavement straight sage snail be corrected.
LIMIT OF EXCAVATIONS: Excavations snail be limited to 1.000 lineal feet of open trencn before oacktill operations must
begin. All excavations snail be orooerry barricaded with tiants overnignt. on weexends and rd"Oays for the protection Of
Me traveling pupllc. The Public Works inspector snail determine the suitability Of excavation oarricading in each case. No
excavation snail remain open for a Period exceeding rive 151 days. No excavation snail be mace unless the cOnst►UCtiOn
material is actually on the work site.
R20 BACKFILL MATERIAL Backfill shall be free of brusn, roots or other organic substance detrimenta, ...:s use for purposes
Of producing an adequately consolidated baaddL Any matenal which the City of La Quinta poems unsuitabb (Spongy or
saturated material) which is encountered during excavation snail not be used for backfill. but snail be supplemented or
• remacea by an approved sand or gravel.
R21 BACKFILL SAND: 8501dill shall be approved transit -mix sand or equivalent and shall be placed in liftsof notgresterthan
three feet (3•) and vibrated using vibrotamper or equivalent equipment. Alternate
case a relative Compaction of 95 percent shall be attained within the s:r�tturmetal Section Of the hods may De subsn'tuestinned• but in any
roadway.
R22 BACKFILL PLACEMENT: Backfill shall be applied in lavers of not more than 50 percent of the total depth of the trench
before f1000ing w a maximum of five-foot 151 littewhere trenches are -of excessive depths. Care is to be a:IMdtaed that the
baddill material is not sublected to extreme Swell by flooding Operations. Backfill material shall be placed f0 that the
resulting compeaion she11 be not less than 90 percent or equrvatent to the surrounding ground. whichever Is the greeter
compaction. Where ponding or flooding is useetor a maximum settlement• adequate dikes will be COnstrUCted to retain
the water. Where letting is used. the lets shall be of sufficient length to reagin the bottom of each :aver and the water
Supply shell' be continuous.
/R23/ COMPACTION TESTS: If so required bythe inspector. Compaction tests shall be made at imarvalsof 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 filed artor to making permanent repairs. Compaction tests shall be made as outlined In Section 6.3.01 of the
Standard Specri maim Division at Highways. State of Califomia.
Cdated January 1973.
sti D COMPACTION TESTS: It so required by the inspector, compaction teshall be mage fm sten erossl
l Onetl)copyofseen test she itbeforwarded tothsCity Engineer for approval and filed prior tomakin ng«s��llna.
Compaction tamsna11 be made asotalinea in Section 6.3.01 Piths Standard 9 Dermanem rsoairs.
df Calitcmle. dated January 1973. Speatieatlons.0ivismndfMighwaya,State
R25 TEMPORARY PAVEMENT REPAIRS: After completion Of bacidill and Compaction operations• a temporary patch
Consisting of 2 inches of SC -800 shall be placation a prepared subgrade. The SC -800 temporary paving shall De 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.
R26 PERMANENT PAVEMENT REPAIR: After backtiR and compaction Operations have Dean completed. a temporary patch
"•• ''`" _••' ' `a` consisting of two inches (2-) of SC -800 shall be placed Immediately. A permanent patch of - � inches A.C.
surfacing placed on a inch Class base shall be placed no later than
temporary road repair, days aftercompletion of
R27 PAVEMENT REPAIR: F.A.S.: Upon completion olbacktill and Compaction. a temporary Patch consisting Of twainches 12-)
Of cold mix paving (SC -800) shall be placed immediately. A permanent patch at three inches 13") of A.C. surfacing shall
be placed on six ihcnas 16"1 concrete base as directed• but not later than fifteen 115) days after completion Of tsmocrary
Paving. Concrete base shall be of five -sack mix and shall conform to the City of La Ownta Road ImprovementStandaras
and Specification& Ordinance 0461.
R FOG SEAL: A fog seal coat consisting of an application of asphaltic emulsion shall be applied over all paten reqs as
`ermined 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
where such seat coats existed prior to issuance Of this permit. Seel or armorcoats snail be applied as soaclfiad in Section
37. Standard Specifications. State of California. Division of Highway, dated January 1973. Work of pavement repair to
y� be accomplished by a licensed contractor engaged in the business of pavement repair.
�83➢� STREET RESTRIPING: Where street striping is still vistale on streets to be excavated. such striping shall be replaced upon
completion of permanent repairs.
R31 TREE RELOCATION OR REMOVAL. Tree relocation within the City of La Quints road right of way shall be accomplished
by a licensed. bonded ano insured tree service. and handled safely without Interference or hazard to the traveling public.
It shall be the responsibility of the permmee to maintain the tree in a vigorous growing condition at its new location.
Trees to be removes shall be removed in sectlonswhich can be handled safelywithout Interterenceor hazard to highwav
traffic. The entire width of the tree stump snail be removed and disoosee of so that no debris remains in view Of the
highway. The stump note shall be backfilled and thoroughly compacted as specified in the following paragraph. Where (t
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 protea the traveling public at all times.
Large holes resulting from tree removal shall be baibtfilled and COlnpacted 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. Oivision of Highways. State Of California. dated
January 1973.
R32 TREE TRIMMING:
a. Only the necessary trimming snail be accomatisnea to provide clearance of the facility for
All broken Or weax sections within the trimming small be removed, one calendar year.
b. Where it becomes necessary to restrict traffic. the work shall be restricted to a maximum of 500feet at anyone time.
Adequate signs, flagmen, and/or Darricaaes snail 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. permittee shall make his own
arrangements with adjoining propenv owners for consent to the trimming In addition to the authorization provided
by this Dermn.
d. All tree trimming On EVERGREEN TREES. PALM TREES. and other ORNAMENTALTREES shall be accomplished to
the satisfaction of the City Public Works Inspector.
e. Abutting property owners shall be donated. in all instances. onor to tramming or topping vee&
f. Pruning small• in all uutance& oe at the shoulder Of the oaten to insure even• teat riesling in all /ails a two inches
12') and above in df.. q..mm •t•.0 i� .�_� __ _.. .
SPECIAL CONDITIONS --PERMIT NO. 2187
--- CVWD ---
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. in.
Saturday 8:00 a. in. 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. Permittee shall submit a traffic control plan to the Engineering Dept. for approval prior to
starting work. 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.
Special Conditions - permit No. 2187 Page 1 of 2
SPECIAL CONDITIONS - PERMIT NO. 2187
CONTINUED
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.
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. When 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.
16. Site clearance of 600' in either direction shall be assured and maintained at all times.
17. Street striping that is damaged, removed etc. shall be replaced to its original condition by the
permittee at no cost to the City.
18. 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. ,
19. 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.
20. Ingress and egress for all properties shall be maintained at all times.
21. The City will determine the final limits of asphalt replacement.
22. The pavement replacement width shall be one foot greater on each side of the trench to allow
for compaction of sluffed areas.
Special Conditions - Permit No. 2187 Page 2 of 2