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2214_ NOT: �With,.proper validation this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit — Class III DATE: &7♦Zf $4 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 78-450 LA FOHDA, SENIOR CENTER Q LA FONDA AND GUATAMALA (Street address or Description of Location) PURPOSE OF CONSTRUCTION IID Power to new building Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Underground trench across La Fonda SEE ATTACHED CONDITIONS DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 4755E14 APPROXIMATE TIME OF COMPLETION 7-12-94 ESTIMATED CONSTRUCTION COST $ (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 result of this work. �G� Signature of Ag lic t or Agent G.R. UNDERGROUND, INC. 56930 Panchita Rd., Tucea Valley, CA 365-1593 Name of Applicant (please print) Business Address Telephone No. SAME Name of Contractor and Job Foreman I Business Address Telephone No. 469553 Contractor's License No. 587 City Business License No. NATIONAL AMERICAN INS. CO. CT 14104102 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 0 Penalty Cash Deposit -Surety Bond if required TOTAL Receipt No $ 0 Received by Date ' 2214 PERMIT VALIDATION PERMIT NO. 2214 DATE APPROVED 7-1-94 EXPIRATION DATE 7-30-94 DATE ISSUED j -7111 1 By A ministrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 3 NOTE: With proper validation this form constitutes an encroachment permit CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENTI For the construction of public or private curbs, driveways, pavements, sidewalks, and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVEDng lots, sewers. mill ns DATE:— LOCATION OF CONSTRUCTION % OLI (Street address o► Oenalption of Locatwl PURPOSE OF CONSTRUCTION—?---z',D Pre 4 9 iA5le) i? u 1 ti U/ /4,6_ DESCRIPTION OF CONSTRUCTION .0,A/E.f r�.�p` �E/VCN Cl e0_"_5L -4 /e0 Nt'i d DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION ----71 4j5' /? L -' ¢ ESTIMATED CONSTRUCTION COST S (Including removal of all obstruction, materials, and debris, backfilling, Com• owtion and placing permanent resurfacing and/or replacing improveme t 1 Subdivision Improvement Permit — Class III Minor Improvement Permit Class IV Sketch (attach construction plans if appropriate) ns 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, hartnlets from and Penaltip, liabilities or Ions resulting from clalnts or court anion and arising out of any accident, loss oris any anal MI happening or occurring as a proximate result of any wort undertaken under the oermn granted Pursuant to tlt s stiolicetrsone or prppeity Notify the Administrative Authority at lam twenty-four 124) hours in advance of the time when work null be started. Comply oath all appliable City Ordinances, the terms and conditions of the perMit and all applicable Tulp and regulations of the City at La Quinta and to pay for any additional replaClimili t necessary as the result of this work. Name of Applicant (please print) v Name of Contractor and Job Foreman- -4,457 oreman —4 6 3 Contractor's License No. n ippli gnature of cant or A nt a vf4 R4 N_el4l d n r ' C1e�J I�66cc 36S iS f'� Business Address Telephone No. Business Address Telephone No. 607 City Business License No. �• a. c rT T r (,/ O 2 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class II I Public improvements: 3% of estimated construction costs Private improvements: 396 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 Recorded by PERMIT VALIDATION PERMIT NO. 2 Z / l DATE APPROVED 711 i7 EXPIRATION DATE DATE ISSUED By �� TELEPHONE: (619) 564-2246 Administrative Authority The following General aro Special Provisions are attached to ane made a can of Permit No. 2__ __� GENERAL PROVISIONS The following snail always appal: ENCROACHMENT ON PRIVATE PROPERTY: This Permit authorizes work to be accomplished within City of La Quints rxgnt of way ONLY. Whenever construction extenas within Private Drooenv. it snail be the resbons1D111ty or the oermntee (or his contractorsi to secure permission from abutting prOPerty owners. Such authorization must be secured by the Permittee prior to starting work. TRACKLAYING CONSTRUCTION EQUIPMENT: Clested trocdavmq construction eoutomerit shall not be oermmedtooverste on ern r Paved surface unless fineawith Smoot n -faced street Peas. All meenanicaioutriggers shall betlneawnhrubberstreatshpestoProtect the oavinq during excavations. Rubber -tired eauioment only snail be uses in backf l operations in pave° areas. If the existing pavement is scarrea. spalled, or Draken curing the term Of this contract, or it the pavement is marred. City Of La Quints shall request that these portions of road be resurfaced over their entire vindth. Resurfacing shall COMM of one coat of two inches 12") of A.0 sudseing plus appropriate seal coat as specified above. PROTECTION OF TRAFFIC: All excavations and work areas shall be progeny lighted andbarncaded as deemed s_ mined ecesaaryby the City �^--•� EngmeerorLaQuints City PublieWorksInspectors. Suitable detours aritldetoursignsshsUbeplaeedanahtamtaecesaMeduraCon of the proleThe City shall be notified 24 Hrs. in advance of any tr and detours or dshneatwro. CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugated metal pipe, concrete pipe, Steel Culvert end concrete structures encountered during excavation which necessitate rempyeI she" !!• repbCed in kind. In the Steel culvert lvertbecoand necessary to remove a cut existing drainage structures. City of La Quints shall be notified prior to Commencement of this work. Drainage structures and open drams shall be kept free of debris at as times fa proper drainage. RIGHT OF WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from the rightdf way. All paved surfaces shall be broomed dean of earth and other objectionable matenab immediately attar backfin and Compaction Existing gutter line and drainage ditches shall be replaced to their original standard or better. All excess material "U be refmoma prior to paving. Water tanker shall be used. as required, to Sprinkle the lob site to keep down dust conditions and shall be used immediately after backfill. DE -WATER OPERATIONS: If de -watering operations are required and pumps are forcigwater on City of La Quints roads, it shall be the responsibility of the permittee (contractor) to control this water and to pr CLOSING STREETS: No street shall be closedovide aff�raet barricades when necessary.. A minimum of oris lane Of traffic shall be maintained at all timet to pravede limited aotess f or the adjoining propertyowners and emergency vehicles, In the event it is felt bvthe permittee that he muRCfoas a S nM for any ktngth Of time, permittee shall contact this office to obtain the necessary parmisimn SPECIAL PROVISIONS The fallwing shall apply ONLY when indicated: NOTIFICATION: Permlttae shell notify the City at Fm 77-707-5 11 R M lean 48 houm in advance of starting Construction. R2 CASH DEPOSITS OR BONDS: A cash bond or an approved surety bond in an amount of not 1093 than s shall be furnished in the name of City of La Quints to cover all work involved of the restoration of the various L, Quints roads and survey monuments. This bond shall be continuous until cancelledby the Ci ry Engineer. This d must b0 bore Posted prior to commencement of any work on this proleCz - R3 TILITYCLEARANCE: (Substructures) Prior to making any exnvaumwithin thaCityoflaQuintanghtofvreyautharized by permit. the perfnmes shell Contact all concamsd utility comp°mes relativet0 the loeaban of exiRingaladWlttmrre Damage to existing substructures resulting from operapons conducted underthis permtt shall be the soleibili8 of the permmee. tog" bstruc R4 /UTILITY CLEARANCE: (Surface structured No wok shay be done under this permit until all utilities am dear of the � Dropmea work sne. The permmee shall notify all concerned utility companies of the proposed wot#, R5 PAVEMENT WIDENING: Area between the proposed concrete surfaced with inches of A.C. paving placed en inches line and the existing road ate sub rtt shall be having an"R'valusofnmle93than i^ct+hCitVaasa agmpromsubbapppurse and in CoMormencs with City Pica Quints Road Improvornent Standards and Speertications. Ordinance #481. R6 PARKWAY GRADING:Ares, between Ins Property line and too of the Proposedconcrete curb shall be graded tog Slope of 1/4 inch to one foot 117. R7 GRADES & STAKES: City of La Quints shall establish grades and stakes for the proposed concrete curb and gutter construction. Re GRADE CHECKING: City ofL-aQuints Shall check grades upon recekptofPlan andprofileand/or grades as0ttablishedby a licensed engineer. R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter 1 100)shall be removed. Curb and/or cub and gutter snail be soca Cut prior to removal. Deprmed curb. matching conrnt0 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 alter existing drainage pattern. Surfacing between the property line and the existing road paving shall be 2-1/2 inches of A.C. pavemg placed on (_) of clang aggregate base. Driveway construction shall conform to attached drawing. R11 CULVERTS: A :rich diameter 1; culvert shall be instased with the invert aaProximatefv 1.1 /2 xnthes below dna in line with the existing flow line. Culvert installation shall conform to the attached drawing. Rl 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 3011 sterilizer. Rate of application shall complywith the manufacturer's specifications. R14 COORDINATE WORK: The proposed work shall be subordinated to any operation which the State of California or i City of La Quints may conduct in this area during the period of this permit. Work shall be Coordinated with the State or City of La Quints forces to preclude delay or interference with State or City of La Quints projects. R15 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the camerline of all streets or property lines when involved shall be Completely tledout so they may tie readily and correctly be replaced by a licerfsap Civil engineer, or surmroydr at the semen* of the 00mutae. A Compi°te set of now Showing the ties to mese monuments Snail be turnienso to the City Engineer aux to tna romavat df env umemS. Thea ohiee anal) mon .. be fNot-sled upon cmnDNWM of rooraonnent of all survekr mommv0nts for ormar torofeet ete0reiro 'F•r='>•.:._ •7 •'.^•-.. ••+�.7�: ._.. "' ...... .. .^a+. __t•_ �t�'.. ._..� .. _ •:e •mss:.. •r-�-:a•. :�.. .. niy: c. __.,..v;�.yZ: � .,':r :Ka:c ��v:•?- A16 -URVEY MONUMENTS. Prior to excavation or oeafnnina of construction. all survev monuments snail betkeeout bvCity of La Quints arm suitaote oavment or guarantee at oavment snail be mace as reimbursement far 811 w41k involved. R17 PAVEMENT CUTTING: Pavement will be mernanicatly cut to s straight Boge prior to excavation. Method of pavement Cutting shall be aparoveo through the office0i the Citv Engineer. (Under no circumstances shall excavating equipment be used to excavate prior to cutting of pavement). Excavation material shall be placed in such a position as td best facilitate the general flow or trarftc. Prior to anal paving operations. anv damage to pavement straight edge snail be corrected. R18 PAVEMENT CUTTING: Pavement snail be saw cut prior to removal. Prior to final paving operations. any damage to pavement straigm edge snail be corrected. Ci) 1 LIMIT OF EXCAVATIONS: Excavations Shall be limited to1.000lineal feetotoven trencnbefore bactfillooerotionsmust begin. All excavations snail be properly barricaded with lights overnignt. on weekends and holidaystor the protection of the traveling public. The Public Works inspector shall determine the Sultablllryof excavation barricatting in earn Case. No excavation snail remain open for a period exceeding rive (5) days. No excavation snail be mace unless the construction r material is actually on the work site. R20 BACKFILL MATERIAL Backfill Shall be free ofbrusn.rootsaOther organic substancedetrimenta.::.;suseforpurposes of producing an adequately consolidated bacdill. Any material which the City of La Quinta deems unsuitable (spongyor saturated material) which is encountered during excavation snarl not be replaced by an approved sand or gravel. used for backfill. but shallbe supplemented or ` \ R21 BACKFILL SAND: Backfill shall be approved transit -mm sand or three feet l31andvibrotedusing vibrotamperorecufvatent egent.Alteruivalent ntems Odsmaye placedbe fisofngtgroatertany equipment. Alternate methods of the roadway but in any case a relative Compaction of 95 percent shall be attained within the s:ri:ctural sexton of the roadway, R22 BACKFILL PLACEMENT: Backfill shall be applied in lavers of not more than 50 percent of the total depth before flooding are maximum of five -foo[ (51 lifts where of the trench are of excessive depths. Care is table exerctsed that the baedill 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 eaufvelent to the surrounding ground. whichever is the greater compaction. Where ponding or flooding is used for a maximum settlemem. adequate dikes will be constructed to retain the water. Where letting is used. the jets shall be of sufficient length to reach the bottom of earn :aver and the water �� supply shall be Continuous. I R73)COMPACTIONTESTS:Itsorequiredbytheinspector.Compaction[estsshallbeM808atintervalsofnotmorethan1,000 �/ 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 prior to making permanent repairs. Compaction tests shall be made as outlined in Section 6.3.01 of the Standard Speclficautins, Division of Highways. State of California. dated January 1973. 24 COMPACTION TESTS: If so required by the inspector. compaction tests shall be made for each Crossing or service line. One 11) Copy of esph test shall be forwarded to the City Engineer, for approval and filed prior to making permanent repairs. Compaction tests shall be made asouthneainSeeuon6.3.01 oftheStandard ndfile priors maimDivisiope manelys.State of California. dated January 1973. R25 TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch consisting of 2 inches of SC -800 shall be placed on a prepared subgrade. The SC_ 800 temporary paving shall be placed after a maximum of 3.000 lineal feet of trench has been excavated and backfill operations completed. but in no case shall the placement of the temporary pavement exceed a five (5) day limit. RI6 PERMANENT PAVEMENT REPAIR: After baddill and compaction operations have been completed. a temporary patch consisting of two inches 12'1 of SC -800 shall be placed immediately. A permanent patch of inches A.C. surfacing placed ana inch Class base shall be placed no later than days after temporary road repair. SEF- Coxln+TiO+J -4 lip ont— 5:+ 'r txmpletionof R27 PAVEMENT REPAIR: F.A.S.: Upon comple[fonofbacdillandcomnaction,atemporarypatchconsisting oftwoinches(2"1 of cold mix paving (SC -800) shall be placed immediately. A permanent patch of three inches 13') of A.C. surtapng shall be placed on six Riches 16') concrete base as directed. but not later than fifteen 115) days after completion of temporary Paving. Concrete base shall be of five -sack mix and shall conform to the City of La Ouinta Road improvement Standards and Specifications. Ordinance 0461. R2 FOG SEAL: A fog seal Coat consisting of an application of asphaltic emulsion shall be applied over all paten areas as determined 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 Seal Coats existed prior to issuance of this permh. Seal or armor coats shall be applied as soecifisd in Section 37, Standard Specifications. State of California. Division of Highways. dated January 1973. Work of pavement repair to be accomplished by a licensed contractor engaged in the business of pavement repair. R30 STREET RESTRIPING: Where street striping 15 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 accomplished try a licensed. banded and insured tree service. and handled safely without mterference or hazard tothe traveling public. It shall be the responsibility of the permntee 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 safety without interference or hazard to highwav traffic. The entire width of the tree stump snail be removed and disposed of so that no debris remains in view of the highway. The stump hole shall be backfilled and thoroughly compacted asspecified in the following paragraph. Where it becomes necessary to restrict traffic. the work shall be restricted to a maximum of 500 feet at anyone time. Adequate signs. flagmen and/or barricades shall be provided to protect the traveling public at all times. Large holes resulting from tree removal shall be backfilled and compacted 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 January 1973. of California.adated R32 TREE TRIMMING: a. Only the necessary trimming snail be accomplished to provide clearance of the facility for one Calendar year. All broken or week sections within the trimming shall be removed. b. Where it becomes necessary to restrict traffic. the work shall be restricted to a maximum of 500feet at anyone time. Adequate signs, flagmen, and/or barricades shall be provided to protect the traveling public at all times. c. If tree trunks are partially, outside of the City of La Quinta 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 comactati in all im[anixa prior to trimming or topping press. f. Pruning shall, in all instances. be at the shoulder of the crotch to insure even. fast healing in ail can of two mcnes 12") and above in sin. Sealant shell he seen i,*d m .0 :[•:. :':*:?'.':.r.^9"_ ":e'.�,.r>'. _ i.A! w•,,•: .. ....?J z •. .. .... .. .. _ ,r•x..{.�sa� w�:n'::' ... >�jg: ql.•y J, :anr;`*r..;1•C--;►': a..•.n-ger_:.. ;v: r..41�: r: •rjanae;r .. .. ';o•r-.c>;; }'•X•.-.Ri'•r..•7:••.-•: ,. ., ... - _ ... .. SPECIAL CONDITIONS --PERMIT NO. 2214 --- G&R UNDERGROUND --- 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 S:OOp.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 shallbe installed and maintained in accordance with Cal Trans Standards or the Work Area Traffic Control Handbook (Watch Manual). 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. 2214 Page 1 of 2 SPECIAL CONDITIONS ---PERMIT NO. 2214 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. 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. 14: All landscaping, irrigation, decorative rock, decorative concrete, lighting etc. shall be replaced to its original condition. 15. Access and egress to all local properties shall be maintained at all times. 16. Permanent pavement replacement section. shall be one inch. greater than existing or a minimum of a 5" deep lift of A. C., whichever is greater, and shall be installed within 72hrs of completion of the work. 17. A.C. replacement shall be 1' greater on each side of the excavation line. Special Conditions - Permit No. 2214 Page 2 of 2