2207NOTE:
S.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
r
,
DATE: 6-17-94
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Monroe Street S/0 Ave. 55 Ext'd.
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Provide service to Sketch (attach construction plans if appropriate)
new subscriber
DESCRIPTION OF CONSTRUCTION Dig two 5x5 x8
splice pits and 10" trench.
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 7-15-44
APPROXIMATE TIME OF COMPLETION 8-30-94
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:
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.
® Ir
Sig ture of Applicant or Agent
GTE CALIF., INC. 45-590 JACKSON ST., INDIO, CA 92201 342-0622
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
on file
Contractor's License No.
on f ile
City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class 111 e
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attadhed schedule
Inspection Fee $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $
Receipt No.
Received by Date
2207
PERMIT VALIDATION
PERMIT NO. 2207
DATE APPROVED
EXPIRATION DATE
6-17-94
8-30-94
DATE ISSUE ZD
By�'�
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
NOTES _
With proper validation � �
this form constitutes an CITY OF Rti4 - -
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
I- FAILURE TO GIVE 24-HOUR
DATE:
06//67%94 NOTICE MAY RESULT IN PENALTY
LOCATION OF CONSTRUCTION MONROE STREET S/0 AVENUE 55 EXT' D
(Street Address or Description of Location)
PURPOSE OF CONSTRUCTION PROVIDE SERVICE'
TO NEW SUBSCRIBER.
DESCRIPTION OF CONSTRUCTION D I G TWO 5' X 5' X 8'
SPLICE PITS AND 10" TRENCH.
DIMENSION OF INSTALLATION; REMOVAL AND/OR
EXCAVATION
Sketch (attach construction plans if appropriate)
SEE ATTACHED DRAWING -
REFER TO GTE W.O. # 0542-5POOIAC
SEGMENT 003
APPROXIMATE TIME WHEN WORK WILL BEGIN
07/15/94 CITY OF LA QUINTA
APPROXIMATE TIME OF COMPLETION 08/30/94
ESTIMATED CONSTRUCTION COST $ JUN 1. 6 1994
(including removal of all obstruction, materials, and debris,
backfilling, compaction and placing permanent resurfacing and/or PUBLIC WORKS
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 or as a result of issuance of this permit.
Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started.
Comply! v.,;th all applicab!e City Ordinames, City standards, the terms and conditions of the permit and all applicable Rules
and regulations of the City of Rancho Mirage, and to pay for any additi replacement necessary as the result of this
work, and to remove or alter such improvement within 10 days if so noti ' the City.
r+ I-I2lS
C.R. BROWN
Signature of Applicant or Agent
GTE CALIFORNIA, INC. 45-590 JACKSON STREET INDIO, CA 92201 619/342-0622
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor
Contractor's License No.
Applicant's Insurance Company
FEES: PER SCHEDULE
Business Address
City Business License No.
FAILURE TO GIVE 24-HOUR NOTICE MAY RESULT IN PENALTY
Inspection Fee $
Permit Fee
Penalty
Cash Deposit -
Surety Bond
if required
TOTAL $
Receipt No.
Received by
Recorded by
7
Date
Policy Number
PERMIT VALIDATION
PERMIT NO. Z_Co " /
DATE APPROVED l0 r / 7
EXPIRATION DATE U .30— 6
DATE ISSUED
By
Telephone No.
Administrative Authority
TELEPHONE (619) 324-4511
WHITE—FILE 9 YELLOW—FINANCE 9 PINK—PERMITTEE • GRFFN—FINANrF . HARn rr)Pv—inicPFr,Tna
The following General arm Special Provisions are attached to and made s part of Permit No. _/ L� "
GENERAL PROVISIONS
% The following shall always apply:
j ENCROACHMENT ON PRIVATE PROPERTY: This Perm it autnorizes wont to be accomplished within City of La Quinta right of way
ONLY. Whenever construction extenos witnin private property. it snail be the responsibility of the permittee for his contractors, to
secure permission from abutting property owners. Such authorization must be secured by the permittee prior 10 starting work
TRACKLPaved
GCONSTRUCTIONfittedSmooth
Cleated
tracklayingConsmtctionequipmemshe
llnotDepermmedtooperatsonarty
paved surface unless fitted with smooth -f aced street pads. All mechanical outriggere shall be fitted with rubber street shoes to protea
the paving during excavations. Rubber -tired equipment only shell be used in backfill operations in Paved areal. if the existing
pavement is scarred, spelled or broken during the term of this contract, or if the pavement is marred. City of La Quints shell request
that these portions of road be resurfaced over their entire width. Resurfacing shall consist of one coat of two inches 121
surfaging plus appropriate seat coat as specified above. of A.0
r
PROTECTION OF TRAFFIC: All excavations and work areas shall be -property lighted and bamcaded as deemed nac
bythe City
Engineer or La Quints City Public Works Inspectors. Suitable detours anddetoursigns shall beplttcedand maintained�the ura on
of the project. The City shall be notified 24 Mrs. in advance of any traffic detours or delineations.
CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugated metal pipe. concrete pipe, still culvert and
concrete structures encountered during excavation which necessitate removal shas be replaced in kind. In the Ste l c becomes
Drainnecesage
to remove n cut existing drainage structures. City of La removal
shall be notified prior to commencement of this work
Drainage structures aril 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 shad be removed fromthe right of
way. All paved surfaces shall be broomed dean of earth and other objectionable ma tens is immediately after backfill and Campsaion
Existing gutter tine and drainage ditches shall be replaced to their original standard or better. All excess materiel shall be removed
prior to paving. Water tanker shall be used, as required, to sprinkle the lob site to keep down dust conditions and &Ase be used
immediately after backfill.
DE -WATER OPERATIONS: If de -watering operations are required and pumps are forcing water an City of La Quints roads, it shall be
the responsibility of the permittee (contractor) to control this water and to Provide off-street bamcades when necessary.
CLOSING STREETS: No street shall be closed A minimum of one lane of traffic shall be maintained at all times to provide limited
access for the adjoining property owners and emergency vehicles. In the event it isfeft byhe permineethat he musttdoeoastreetfor
any length of time. permittee shall contact this office to obtain the necessary permission
SPECIAL PROVISIONS
The follwing shall apply ONLY when indicated:
R1 NOTIFICATION: Permiltee shall n ��
otity the City at st least 48 hours in advance of starting
R2 CASH DEPOSITS OR BONDS: A cash bond or ane fronsttuRton
shall be furnished in the name of City of La Quints to coverall worrkk involved ian n he restount of rationn of the va
roads and survey monuments. This bond shall be continuous until cancelled sons V ut be
by the City Ene
Posted prior to commencement ofEngineer. This bond must b
any work on this project.
R3 UTILITY CLEARANCE: (Substructures) Priorto making any excavation Within the City of La Quints rightofwayouhorized
by permit, the permittee shall contact all concerned utility companies relative to the location of existing aubAfuctures_
Damage to existing Substructures resulting from operations conducted under his permn shall be the sole responafbility
of the permittee.
R4 UTILITY CLEARANCE: (Surface swuaures) No work shall be dome under this permit until all utilities are dear of the
Proposed work site. The permrtee shall notify all concerned utility companies of the proposed work.
R5 PAVEMENT WIDENING: Area between the proposed goncreto gutter line and the existing road pavement shall be
surfaced with inches of A.C. paving placed on inches of class
having an "R" value of not less then and in conformance with City of La Quints Road mrprovementSt�ariodards
and Specifications. Ordinance #461.
R6 PARKWAY GRADING: Area between the property line and top of the Propasedconereteeurbshellbegraded toaslope of
1 /4 inch to one foot Il �.
R7 GRADES & STAKES: City of La Quints shall establish grades and stakeS for the proposed eonctete curb and gutter
construction.
RB GRADE CHECKING: City of La Quints shall Check grades upon rsmiptofplanand prafileand/orgradesssestabfishedby
a licensed engineer.
R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter ( festlshall be
removed Curb and/or curb and gutter 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 #207.
RIO DRIVEWAYS. A.C.: Driveways shall be constructed as not to after 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 I -") of clams
aggregate base. Driveway construction shall conform to attached drawing.
R11 CULVERTS: A inchdiameterl )culvert shall be installed with the invert approximately 1- 1 /2
inches below and in line with the existing flow line. Culvert installation shall conform to the attached drawing.
_I2 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 soil sterilizer. Rate of application shall complywith the
manufacturer's specifications.
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.
R1� SURVEY MONUMENTS: Prior to excavation or beginning of construction• all survey monuments which exist an the
centerline of all streets or property lines when involved shall be completely tied out so they maybe reedityandeorrealy
be replaced by a licensed civil engineer or surveyor, at theexPQnsscfthepermitteeAcompletesetofnousahovrirr hs
ties to these monuments shall be furnished to die City Engineer prior to the removal of any monuments. This office shall
be notified coon epmptebion of rebtacamem of all survey monuments for a am. maim cleamm.
A16 =URVEY MONUMENTS: Prior to excavation or oeoinnina of construction. an survevmonuments snail betieoout pv City
" La Quinta and suitable payment or guarantee of payment snail be mace as redmoursemem for all work Involved.
R17 PAVEMENT CUTTING: Pavement will be mechanically cut to a straight edge prior to excavation. Msthoarof pavement
cutting shall be approved through the office of the City Engineer. (Under no circumstances shall excavating equipment
be used to excavate prior to cutting of pavement). Excavation material shah be Saeed in such a position o [o best
facilitate the general flow of traffic. Prior to tinat paving operations. any damage la pavement straight edge stall be
corrected.
R18 ?AVEMENT CUTTING: Pavement shall be saw cut prior to removal. Prior to final paving operations, any damage to
j Pavement straight edge shall be corrected.
19)
UMITOF EXCAVATIONS: Excavations shelf be limitecto 1.0001inealfeetot opentrencri before oackfilloperallons must
begin. All excavations snail be properly barricaded with lights overnight. on weekends and holidays for the protection of
die traveling public. The Public Works inspector snail determine the suitability of excavation barricading in each case. No
excavation shall remain open for a period exceeding five 151 days. No excavation shall be mace unless the construction
material is actually on the work site.
20 BACKFILL MATERIAL Backfill shall be free of brush, roots or other organic substance detriments, : ; .;s uss forpurposes
Of producing an adequately consolidated backfill. Any materiel which the City of La Quinta deems unsuitable (spongy or
saturated matertali which is encountered during excavation shallnct be used for backfill, but shall be supplemented or
replaced try an approved sand or gravel.
R21 BACKFILL SAND: Backfill shall be approved transit -mix sand or equivalent and shallbe placed in lifts of notgreaterthan
three feet (31 and vibrated using vibrota miler or equiva tent equipment. Alternate methods maybe substituted. but in any
case a relative compaction of 95 percent shall be attained within the %:ructural section of the roadway.
R22 BACKFILL PLACEMENT: Backfill shall be applied in layers of not more than 50 percent of the total depth of the trench
before flooding or a maximum of five-foot (61 lifts where trenches are of excessive depths. Care is to be exercised that the
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 90 percent or equivalent to the surrounding ground. whichever is the greeter
compaction. Where ponding or flooding is used for a maximum settlement, adequate dikes will be constructed to retain
the water. Where jetting is used. the jets shall be of sufficient length to reach the bottom of each :aver and the water
supply shall be cominuous.
R23 COMPACTION TESTS: If so required bVthe inspector. Compaction tests shall be made at intervals of not mom than 1.000
feet and a minimum of one (1) test on each road. One (1) copy of earn test shall be forwarded to the City Engineer for
approval and filed prior to making permanent repairs. Compaction tests shall be madeas outlined in Section 6.301 of the
Standard SPOW61-11111011S. 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 sarvice fine
One (1) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent repairs.
Compaction tests shall be made asoutlined in Section 6.3.01 of the Standard Specifications. Division of Highways. State
of California. dated January 1973.
R25 TEMPORARY PAVEMENT REPAIRS: After completion of batddill 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 shaft be placed
after a maximum of 3.000 lineal feet of trench has beenexcavated and backfill operations completed, but in nocase shall
the placement of the temporary pavement exceed a five (5) day limit.
PERMANENT PAVEMENT REPAIR: After backfill and compaction operations have been Completed, a temporary patch
txmsisung of two inches 12') of SC -800 shall be placed immediately. A permanent patch of
surfacing placed on a inch class inches A.C.
base shall be pieced no later than days after completion of
temporary road repair. t_-�,JE /�KH �' —E.iZ- 77-t/MJ
R27 PAVEMENT REPAIR: F.A. S.: Upon completion of backfill and compaction, a temporary patch consisting of two inches 42")
of cold mix paving (SC -800) shall be placed immediately. A permanent patch of three inches 131 of A.C. Surfacing shall
be placed on six inches (6") concrete base as directed, but not later than fifteen 1151 days after completion of temporary
paying. Concrete base shall be off ive -sack mix and shall conform to the City of La Quints Road Improvement Standards
and Specifications. Ordinance #461.
R28 G SEAL: A fog seal coat consistingof an application of asphaltic emulsion shall be applied over all
determined by the City Engineer. pp pstct areas
R29 SEAL ARMOR COAT: A seal coat consisting of an application binder and screenings shall be applied on 811 patch 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 pavemem repair to
be accomplished by a licensed contractor engaged in the business of pavement repair.
30 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 within the City of La Quinta road right of way shall be soeomplishd
by a licensed. bonded and insured tree service, and handled safely without interference or hazard lathe traveling pubfa
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 Shall 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 any one 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 and compacted to not less than 90 percent or equivalent to the
surrounding ground, whichever is the greater companion 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 shall be accomplished 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 berestrictedtoamaximumof500feetatanyonetime.
Adequate signs. flagmen. and/or barricades shall be provided t6 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 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.
e. Abutting property owners shall be contactea, in all instances. prior to trimming or topping trees.
I. Pruning shall in all instances. be at the shoulder of the Crotch to insure even. fast healing in all cuts of two Inches
121 and above•in size. Sealant Shell he apoltarf rn .it __ 1".. - . ,.
1.
FA
3
SPECIAL CONDITIONS --PERMIT NO. 2207
--- GTE ---
In addition to the standard permit conditions, the following shall apply:
All work shall be performed in accordance with the latest edition of the Standard Specifications
For Public Works Construction.
Permittee shall be responsible for providing continuous dust and erosion control.
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 1st 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.
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. 2207 Page 1 of 2
i
SPECIAL CONDITIONS ---PERMIT NO. 2207
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 one inch greater than existing.
Special Conditions - Permit No. 2207 Page 2 of 2
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