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2204- .41 NiDTE: 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: 6-10-94 Subdivision Improvement Permit — Class II I Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Ave. La Fonda/Calle Guatamala (Street address or Description of Location) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN June 13, 1994 APPROXIMATE TIME OF COMPLETION December 13, 1994 ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) Sketch (attach construction plans if appropriate) To install 28' of 2" medium pressure plastic gas main 6' S/NPL of Ave. La Fonda, beginning 22' E/WPL of Calle Guatamala, Continuing vest. To install 165' of 2" medium pressure plastic gas main 19' E/WPL of dalle Guatamala, beginning 6' S/NPL of Ave. La Fonda, Dontinuing South. SEE ATTACHED CONDITIONS SEE ATTACHED DRAWING 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 Cour- 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. . �. 2& H LE Signature of Applicant or Agent -�(Z/Kh 01� SOUTHERN CALIF GAS CO. Y.O. BOX 3003, REDLANDS, CA 92373 (909) 335-7764- Name 35-776 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 Inspection Fee $ Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: $ Receipt No. Received by Date PERMIT NO. 22©4 PERMIT VALIDATION 2204 DATE APPROVED 6-10-94 EXPIRATION DATE 1 Z o J'r -I L4 DATE ISSUE t'' By Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 J 1 CITY OF LA QMNTA NOTE: - 54143-430 With proper validation MAY 2 619% this form constitutes an CITY OF LA QUINTA encroachment permit PUBLIC WORKS 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 (y 11 t j 0 1 Subdivision Improwment Permit - Class 111 DATE: MAX ,, roz Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION AVENIDA LA FONDA/CALLE GUATAMALA (Street address or Description of Loeetioe) PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION. IF NEEDED Sketch (attach construction plans if appropriate) To install 28' of 2" medium pressure plastic gas main 6' S -/NPL of Avenida La Fonda, beginning 22' E/WPL of Calle Guatamala, continuing west. To install -165' of 2" medium pressure plastic gas main 19' E/WPL of'Calle Guatamala, beginning 6' S/NPL of Avenida La Fonda, continuing south. APPROXIMATE TIME WHEN WORK WILL BEGIN JUNE 13, 1994 A -T T j C,l-j i v ,UT-EARMI- - THOMAS-BROS -PG 214 D6 APPROXIMATE TIME OF COMPLETION December 13, 1994 ESTIMATED CONSTRUCTION COST s (Including removal of all obstruction, materials, and debris, backfilling, coria 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 wising 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 West twenty-four 1241 haws in advance of the time when work will be started. Comply with all applicable City Ordinances. the tams and conditions of the permit and all applicable rules and regulations of the City of V Quints and to fest► for any additional rapeomhent nsoessery as.the result of this 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 pmts Minor Improvement Permit -Clan IV: See attached schedule Inspection Fee S Permit Fee Penalty Cash DepositSurety Bond if required TOTAL: Receipt No. Received by ate PERMIT VALIDATION _ PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority Recorded by __ ' TELEPHONE: 1619) 564-2246 xxnyl PIC, )A()H Ica W, VA. s e I roo cl.,LA QT, rif OPT"o.fLy, . ; he fOIIOwrnO General aro Special Provisions are anacnea to ant maae a part of Permit No. GENERAL PROVISIONS he follovinng snail always apply: ENCROACHMENT ON PRIVATE PROPERTY: 'his permit authorizes Wort to as accomonsneo within City of La Quinta rlgnt of way ONLY. Whenever construction extenas owtnin Private orooenv, it snail De the resoonsiaitiry or file oermntes for his contractorst to secure permission from spurting property owners. Sucn authorization must as securea by the vermittee attar to starting warx TRACKLAYING CONSTRUCTION EQUIPMENT: Cleeteatrocktavingconstruction eclutomemtsnail not becerminedtooaerateonenv Davao surface unless ttttea with smoocn-tactic street paps. All mecnanlcal outriggers snail be tmeo W nh r UODer street &hogs to protect the paving curing excavations. Rubber -urea equipment only snail be usea in Osekfill quotations in Davao areas, If the existing Pavement is scarred. spatted, or broken curing the term at this contract. or it the Pavement is marraa. City of la Quinta snail request that these DOMOns of read be resurfaced Over tneir entire width. Resurfacing shall consist of one coat at lova fnCnea 12'1 O} A.C. surfacing plus aDorconste seal coat as specified above. PROTECTION OF TRAFFIC: All excavations antl work areas snail be.properly lighted and baMeaded as deemed neconain bythe City Engineer or La Quints City Public Works Inspectors. Suitable detours and detour signs snail be placed aro maintained for the duration of.the project. The City snail be notdied 24 Mrs. in advance of any traffic detours or cietinomona. CARE OF DRAINAGE STRUCTURES: Anv Drainage structure including corrugates metal pipe. concrete pati. steel culvert erw concrete structures Or cut exist during excavation which necessitate remoyel shall be replaced in kind. In the eyent.rt becomes necessary to mmove or cut existing drainage strumures. City of La Quints snail be notified prior to commencement of this wan. 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 snail be removed from the right of way. All paved surfaces snail be broomed dean of eann and other objectionable materials immeafstelyafter backfill aro eompacnon. Existing gutter line and drainage Gitcnes snail be re Dlacea to their original stanooro Or better. All excess material shad be fpactio . pnor to paving. Water tanker shall be used, as required, to sprinkle the job site to keep sown pus[ conditions and thsp be used imm ldlatetir attar backfill. OE -WATER OPERATIONS: If dewatering operations are requires and pumps are forcing water on City of La Quints roads, it shall be the resDonsioility of the permittee (contractor) to control this water and tp prOviOe off-street barricades wren holosary CLOSING STREETS: No street shall be closed. A minimum of one lane of traffic shall be maintained at all times to provide limned access for the aapiningProperty owners and smergenevvenicles. in the Otis Iitisfelt bythepermnteatnathemust claw astteetfa any lengtn Of time. permittee shall contact this office to obtain the necessary permission. SPECIAL PROVISIONS The foliwing shall apply ONLY when indicated: NOTIFICATION: Permittee, shall notify the CityatTO-70'j% -et lees, 48 hours in advance of starting ccn=r ctton R2 CASH DEPOSITS OR BONDS: A casn bond or an approved surely bond in an amount of not less than • shall be furnished in the name at City of La Quints to cover all work involved in the restaratian of the various LA Quints roads and survey monuments. This bond smell be continuous until cancelled by the City Engineer. Posted prior to commencemem of any work on this project. This bond must be R3 UTILITY CLEARANCE; (Substructuresi Prior to making any eacavattanwithin the City of La Quints nght atwaysutnorized by permit. the permittee shall Contact all concerned utility companies relative to the (oesuan at existing substfuctures. Damage to existing substructures resulting from operations conducted of the permmee. under Inpermit Nofis permit shall De the so►e&bfbitity � (UTILITY CLEARANCE: (Surface structures) No work shall be done under this permit until all utilities are dear at the prODOsea worx site. The permrtee snail notify all concerned utility companies of the proposed work. R5 PAVEMENT WIDENING: Area between the proposed concrete surfaced with inches at A.C. paving flinch Imo end the existing road aces bbd shall be hawrcq an "R'valueof not less than 9 Dlaged on intoes of class aggregate subbase Bourse and in conformance with City of La Quints Read Improvement Standards and ngan"R'valu Ordinance 11481. R6 PARKWAY GRAOING:Area between trio Property line and too of the Proposed concrete curb shall begradedtoaslopeol 1 /4 incn to one foo, 111. R7 GRADES & STAKES: City Of La Quints shall establish grades and stakes for the prconcrete curb and gutter construction. dpoaetl RB GRADE CHECKING: City of La Quinta shall chedt grades upon recerpt at pian and Pilot its and/or grades as established by a lirens to engineer. R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter ( fOwiahall be • removed. Curb and/or curb and guner shall be saw cut prior to removal. Depressed curb. matching concrete gutter and concrete driveway approach shall be constructed in conformance with City of La Quints Standard 11207. RIO DRIVEWAYS, A.C.: Driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the property line and the existing road paving shall be 2-1/2 inches of A.C. paving placed on 1 _•I Of class - R11 case. Driveway construction snail conform to attacnea Drawing. R 11 CULVERTS. A :ncn Diameter i I culvert snail be installed with the Divert aoeroxlmeteiv I.1 / 2 inches betow and in line with the existing flow tine. Culvert installation snail conform to trio sttacnea Growing. R1 IGHT CLEARANCE: Sight clearance of 600 feet In either direction shall be assuretl and maintained. R13 SOIL STERILIZER: The area to be surfaced shall be treatea with soil sterilizer. Rate of application shall comptywnh the manufacturer's sdegifications. COORDINATE WORK: The propmea work shall be suodrdinatea 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 shall becoardinated with the State or City of La Quints forces to preclude delay or Interference with State or City of La Quints projects. 15 SURVEY MONUMENTS: Prior to excavation or beginning of construction. all survey monuments wnten exist on trio cemenine of all stream or propenytines wnen Involved shall be completay tied out so they may ce reactive nocprfectiv be replaced Div a IiCen&tip civil ehgttteef pr survev*r et the exoanaa of the trermtmee. A complete sat of nota& anowcnq Ing Iles to mese monuments snail be furnl911e0 to trio City Engineer prior to the /'ompYal at aMmaftumemd. This afttce anal) _ DQ notdtsa ucm Compilation of ng cafflemt pf ail survey mmnumfamta fol efa0e►'at am mortar eir n t ti • RVEY MONUMENTS. PnDr fo excavation or Demnnino of construction. au survey monuments snail ;t La Uuinia ano suna°le eavment or quarantee of davment snail be mace as reimoursement to De tteO°tit civ l.rtY R17 PAVEMENT CUTTING: Pavement will be mechanically cut to a Straight sage :' work involvea. cuninq snail be eoorovea tnrouan the office or the City Engineer. lUnaer ne clor at to excavation. esMethod of pavement De used 10 excavate attar to cutting of Davemenh. Excavation mafenai snail be placed in such a excavating equipment taCfutate the general flow or traftic. Prior to ural paving operations. anv aamaae to pavement straight as to best corrected. gilt sage snarl Cie 18 PAVEMENT CUTTING. Pavement snarl be saw cut prior W removal. Prior to tint paving operations, any damage to Pavement straight edge snail be corrected. LIMIT OF EXCAVATIONS: Excavations snail be limited to 1.000linear feet of ooentrencn before oacktill operations must begin. All excavations snail be property, barricaaeo with liahts overnight, on weetkends and holiaays tpf the orataction of the traveling puclic. The Public Works insoector snail determine the suitabdlIV di excavation oarncaaing in earn case. No excavation small remain open for a period exceeding five (5) days. No excavation snail be mace untess the construction material is actually on the work site. R20 BACKFILL MATERIAL Backfill shall be free of brash. roots °r other organic substance eetrimenta.: , .:s use forpurooses Of producing an adequately consolidated backfill. Any material which the City of La Quinta deems unsultablalspdngyof saturated material) which is encountered during excavation shad not be used for backfill, but shall 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 rtgtgreaterthen three feet 13') and vibrated using vibrata miler cr eau rva tent equipment. Alternate methods may be sub case a relative compaction of 95 percem shall be attained within the a:ructural section of the roa��� but in any R22 BACKFILL PLACEMENT: Backfill shall be applied in lavers of not more than 50 percent of the total deNay before flooding or a maximum of five-foot 15'llihswhereTrenches areof excessive mh of the trench backfill material is not subleaed to extreme swell bvftoogin pBackfill deaths. Care is to beexeretsedthat the resulting compaction shall be not less than a SwBlf by floor equivalent lepra at ons. Bathe o ^ll mnaterial shall be placed so that the Compaction. Where Ponaing or flooding is used for a maximum settlement. adequate dikes wiilll be cp ever ad togreater tain the water. Where larting is used. the jets shall be of sufficient length to reach the bottom of each :ayerucit water SuPPty shall be cormnuous. R23 COMPACTION TESTS: If so required bVthe inspector. compaction tests shall be Made at intervals of not more than 1.000 feet and a minimum of one 111 test on each road: One 11) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent repairs. Compaction tests shall be madeasOutlined in Section 8.3,01 of the Standard Specifications. Division of Highways, State of California. dated January 1973. COMPACTION TESTS: If so required by the Inspector, compaction tests shall be made for seen crossing or sartnce line. One (1) Copy of seen test shall be forwarded to the City Engineer for approval and filed prior to making permanent repairs. Campaafon tests shall be made as outlined in Section 6.3.01 of the Standard Spactfieations. Division of Highways. State of California, dated January 1973. R25 TEMPORARY PAVEMENT REPAIRS: After completion of bacffill and compaction operations. a temporary patch consisting of 2 inches of SC -800 shall be placed on a prepared subgrade. The SC -a00 temporary paving Shap be placed after a maximum of 3.000 linear feet of trench has been excavated and backfill operations aomptsted, but in no case shall the placement of the temporary pavement exceed a five l5) day limit. R26 PERMANENT PAVEMENT REPAIR: After backfill and compaction operations have risen completed. a temporary, consisting of two inches (2) of SC -800 shall be placed Immediately. A Der•manem patch ofp paten surfacing placed on a inch class base shall be placed no later than —� inches A.C. temporary road repair. e_4� eo-IC)lT/oAl 76P /7 vThcqT daysahercamplationof R27 PAVEMENT REPAIR: F.A.S.: Upon completion of backfill and compaction. a t�empor ary Patch consisting of two Of cold mix paving ISC-800) shall be placed immediately. A permanent patch of three inches 13"1 of A.C. surfacing ea 121 be placed on six Inches 16') concrete base as directed. but not later than fifteen 1 o shall pawng. Concrete base snail beat five -sack mix and shall conform to the City of La Grin a Road mprovetm m tamicaras and Speelficatlons. Ordinance 09461. P emSanderds R28 FOG SEAL: A fog seal coat consisting of an application of asonaltic emulsion snail be applied over all paten areas as deartnined by the City Engineer. R29 SEAL ARMOR COAT: A seal coat consisting of an application binder and screenings shall be applied on all paten areas where such seek Coats existed prior to issuanceof thiscermm. Seal or armor coats shall be applied as soecdiedin Seaton 37. Standard Specifications. State of California. Division of Highway dateo January 1973. Work of Pavemem repair to be accomplished by a licensed contractor engaged in me business of pavement repair. R30 STREET RESTRIPING: Wherestreet 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 within the City of La Quints road right of way shall be aceomplishe° by licensed. bonded ano Insurea tree service. and handled safely without interference or hazaro to the traveling pub11C. It shall be the responsibility of the permittee to maintain the tree in a vigorous growing condition at its new location. Trees to be removed shall be removed in sections which 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 mat no debris remains r view of the highway. The stump hole shalt be backfilled and thorougnfycompactea as soot so t in l no debris low r g paragraph. Where e becomes necessary to restrict traffic. the work shall be restricted to a maximum of 500 feet at anyone time. Adequatit e Signs. flagmen and/or barricades shall be provided to protect the traveling public at all times. Large holes resulting from tree removal shall be backfilled and compacted to not lessthan 90 percent or equivalent 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 of Highways. State of California. dated January 1973. R32 TREE TRIMMING: a. Only the necessary trimming snail be accomplished to provide clearance of tta facility for one calendar year. All broken or weak sections within the trimming snail be removed. b. Where it becomes necessary to restrict traffic. the won( shall berestricleatoamaxkmumof500feet atanyone time. Adequate signs. flagmen, and/or barricades shall be provided to Protect the trevelmg 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 t arrangements with adjoining property owners for consent to the trimming in addition to the authorization provided by this permit. d. All tree trimming on EVERGREEN TREES. PALM TREES, and other ORNAMENTAL TREES shall be accomplished to the satisfaction of the City Public Works Inspector. a. - Abutting properly owners shalt be cI cted. in all instances, pnar to trimm"M or topping trees. I. Pruning shall. in all irtatancea, be at the shoulder Of the txoten to insure even, test nesting In all arts et two men. t271 and sbdws-m size. Seaiarn until" w......... — _.. _. SPECIAL .CONDITIONS --PERMIT NO. 2204 --- 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 5:30p. m. Saturday 8:00 a.m. to 5:00p.m. May 1st to September 30:. Monday -Friday 6:00 a.m. to 7:00p. m. Saturday 8:00 a.m. to 5:00p. m. Work shall be prohibited on legal holidays including Sundays. 5. Permittee/contractor shall assume responsibility for repair of any pavement damage to any public or private street and for any damage to other City streets or facilities as a result of work performed under this permit. 6. Advance warning signs and traffic control shall be installed and maintained in accordance with Cal Trans Standards. It shall be the permittee's responsibility to detour and barricade this site. A traffic control plan shall be submitted to the Engineering Dept. for approval prior to any work 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. 2204 Page 1 of 2 YV SPECIAL CONDITIONS ---PERMIT NO. 2204 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. If the work is to be performed by forces other than that of the utility company the contracting company shall be required to be a co -applicant and pay the appropriate fee. 14. 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 a minimum of 3 inches of A.C. over 4 inches 1. of A.B., or a 5" deep lift of A. C. Special Conditions - Permit No. 2204 Page 2 of 2 F 10 ?� ,.. . » .. .. ...-. «:.._� ...r.m-.-,._ ».�..:-... - r .. . Y e .,. 'e+c ..,. i. .. , .. ..� ,: -. .. ..... .,�.. • .. -......r. ra;:. > i...... �r1`lt�'.. 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