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2215NOTiz!_ 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 tonne --tion with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS DATE: 7-1--94 Subdivision Improvement Permit — Class I II Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION CALLS PATAM i WASHINGTON ST. [ (Street address or Description of Location) PURPOSE OF CONSTRUCTION TE", POM DESCRIPTION OF CONSTRUCTION CROSS WASHINGTON WITH 3/0 TRIPLXX TKMP. SERVICE DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 6747-94 APPROXIMATE TIME OF COMPLETION One HOnth ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replazing improvements) In consideration of the granting of this permit, the applicant hereby agrees to: Sketch (attach construction plans if appropriate) SEE ATTACHED CONDITIONS See Attached Dravi.ng Indemnify, Aefend 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 wo-k undertaken under the permit granted pursuant to this application. Notify the Administrative Authority at least twenty -foul (24) hours in advance of the time when work will be started Comply with all applicable City Ordinances, the terms and conditions of the ermit and all applicable rules and regulations of the City of La Quinta and to pay for any additional replacement necessary as the resuI f�ta�s w ignature of Applicant or A ent IID 81-600 AVE. 58, LA QUINTA, CA 92253 398-5854 Name of Applicant (please print) Business Address �"'`-. Telephone No. IID Name of Contractor and Job Foreman Business Address Telephone No. An PTT.TC OIR PILR Contractor's License No. City Business License No. ON PILE ON PILE 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 2215 Inspection Fee $ PERMIT VALIDATION Permit Fee A PERMIT NO. -215 Penalty Cash Deposit -Surety Bond DATE APPROVED 7-1-94� if required if 4-30-94 0 TOTAL: $ EXPIRATION DATE i DATE IS UED 7-1-94 1 Receipt No.y , B Received by Date Administrative Authority Recorded by TELEPHONE: (619) 564-2246 JUL— 1-94 FRI 8:30 IID COA ENGINEERING P.02 SENT BY:Xerox Telecopier 7020 ; 7— 1-94 ; 8:18AM 16187777101♦ 1 Norte With proptr niidstlon this form °°"wM"''" CITY 0' L4 awNTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT! For the 4emtr4etifn of P4014 or 0"M ouft drMewtve, pevIMMM, sidewelke, pa** -lob, eewm. ww mow end other like pub8e Warns lalproyeawrM In oonneuvon whh MINOR IWIPROVLhti Nyj the APPROVED NLJSOIVIIIWI Q� d ( a Subdlrielon IMprWaman Permit Clo III DATl: - - MI+► Im t Fonitlt Cu IV LOCATION OR CONSTAtJCfiON �-�- - aa" ,.&. r�L/ �1�a•t-j (1..1 G'Tj� Ai 1 )c X Uqm Gant$ v Dewlrom of Laced") PURPO11 OF CONSTRUCTION Sk�e{ot" pormmevian pl m"o popritn) o f' I N of o RucTsos+_ 123 loc--irol I. �'oN��To►J S DIMENSION OF INSTALLATION OA PIWOOVAL All 6121 Of EXCAVATION, IF N11010 % AMAOXIMAT9 TIME WHEN WORK WILL 111101N d2� APPROXIMATE TIME OF COMPL 1 rno"7w. 11ITIMATED CONSTRUCTION CM I llnoludkrq rem i of ell exon. RZOP NI, end dela8k, bedeflliln& CC& awaen and Plednq PIMMAent M rftdne a-Afor replWnq ImprevMt+entel In M04vretion d the grtntMtq of this pwmh. the epplkrint hersW Ww to: lad.onjrr,•eefw»t w an ON Sly. Mt webbleej tante, @Rims, A0rwwMwM end rr*ltyeee. hMnNert here eli/ eeewt NIY Ilw til parm", IwAlwu v Im *w" HBA da"o M MI" werr M+0 eridne ew el eMr etel/ent. fere M dUrree N lenene er M�eerfr hN*Wve sr omur" a 1 Omxbmtt Menet Of Mr V MW VA*""" bnW ft Peenh "nbd WjnvM■t to We s MU0 h. Ned fV try ndn+Inhr W.V Awowdgr 0 OW teem 4zw 1341 hail in Ww= et da t w tint ir" viii be PMOL CLT*v .dw w /alleew air 904"Aft " tenrr end romkiwo of M1 rnn.K am et: awwabb nuM en/ "OdwMr *100 air of 4 W"is eb r4 w fa ter adaww saim w Aseswv 0 tw newt of this AWIL 0 1 ­. SWWt4A of Apowent or AWMI Contremor'f I,Iana Np, Cilr Iuewet Ussm Na Appl+bnt & Ift1ureng Company [3�Ll. 1.I�a t LtYY Pbliey Number fists Iubdirtdan tmprWyement hrfnet — C44 III Pubila I nprovernena; 3% of aetimnW ammuctlon tont Priwte Imweyermrt", 3% of gtllneted Gonetr„';tan Cosa r Minor I m1mment Pvmh — Ctep IV: W etuatw Mhedule Inroeeuen fee t Permit Fee Penalty Cull 0eoosit-Suety Bond If MOuked TOTAW i Reeelpt Na , NO 1388 Fy -911 "he foltowina General and Specyt Provisions are attached to and mace a Dart of Permit No. GENERAL PROVISIONS I The following snail always apply: / ENCROACHMENT ON PRIVATE PROPERTY This permit autnorizes wont fo be accomplisned wimin City of La Quinta rtgnt of wav ONLY. Whenever construction extends within private oroDenv. it snail be the resoonsiciliry of th0 permittee IOr hi3 COntrlfctd►Sl to / secure permission tram abutting prodenv owners. Such authorization must De secured by the permittee prior to / TRACKLAYING CONSTRUCTION EQUIPMENT: Cleated traeslavin con starting wore. Davao surface untessfineownnsmoorn-faceastreet Daas.All mechanica� outriggers ailbrrtshe wrinebermmeptooperatuDDer streetePhony :tie paving curing excavations. Rubber-tires eautpmem oniv snail be used in daUAilllaperanonsnnrpa ed areas. It thto cratact e existing Pavement Is scarred, spelled. or oration ouringtne term w tuts Contract. ar dthe pavement is marred City at La Quints snail request trial these portions of road be resurfaced over their entue width. Resurfacing shall consist of one coat at two inches 12'1 of AC. surfacing plus ancivanato seal coat as specified above. PROTECTION OF TRAFFIC: All excavations andwora areas shall be.propergrlightea and barricaded asaeemed n�eaa►vbythe City or La Quints City Public Works Inspectors. Suitable Detours and detour signs ends be D18Ced dna memtainea for the piston of the proles. The City shall be notified 24 Hm in advance of any traffic detours or delineations, CARE OF DRAINAGE STRUCTURES: Any Drainage structure including corrugated motel pipe. concrete pipe, staei culvert aro c0rk"te structures encountered during extavauon wnicn necessitate removal shall be replaceo n kind, In the event.ft becomes netxssan to remove a cut existing drainage structures. City of La Quints shall be notified anor to comme pe Drainage structures and on drains shall be kept free of debris at all ones for proper drainage. ncement at this work. RIGHT OF WAY CLEANUP: Any surplus matenal resulting from excavationanfrom the right at d backfill operations Shap be removed way. All paved surfaces snail be broomed cleanat earth and other objectionable materiaU immeoiateryeher backfill aro cpmpaCtioa Existing gutter line and drainage ditches snail be replaced to their original standard Of better. All excess material Shap be roma"d prior to paving. Water tanker shall be used. as required, to spnnkle the lob site to k immediately after tiatldill. eep down dust eonaitians and alias be used DE-WATER OPERATIONS: If de-watering operations are required and pumpsare torcing wateron City of La Quinta roads• it shall be the resDonsiolllry of the permittee Icantractofl to control this water and to pravlde off-street bamcadas when necessary. CLOSING STREETS: No street shall be closed. A minimum of one lane of traffic shell be maintained at all times to provide Ilmned access tar the aajoirang Property owners and emorgenevvenicies. In them, tit isfeh bvthe permirtes that he must Close a street for any length of time. permittee Shall contact this office to obtain the necessary permission. ' SPECIAL PROVISIONS The folMnng shall apply ONLY when indicated: R1 NOTIFICATION: Permittee shall not the Ci at7 )-7075 dY ry B at least 48 hours in advance of starting censwillcttan. _ ... R2 CASH DEPOSITS OR BONDS: A cash bond or an approved surety bond in an amount of not less than • shall be furnisned in the name of Cityot La Quints to cover all work involved in the restoration of the vanatis LA Quints rands aro survey monuments. This bond shall be continuous until cancelled by the City Engineer. Posted onor to commencement of any work an this protect - This pprb must be R3 UTILITY CLEARANCE: (SubstruLtures) Prior to malting anyOxcilvatilOnvinthin theCitivat La Quints right at vvoy author, zed TILI YCLEARANCE:ISubstructureslPriortomatinganyeseavaponvihthintheCltvatLaQuintsrightatvvoyauthorized by permit• the permme mes snail coaall concerned utility companies relative to the location a} slating subatrueuues. m Damage to existing substructures resuningfrom operationsconducted underthispermitshallbathew1atsapptabi, of the Perntee. i R4 UTILITY CLEARANCE: (Surface structauesl No work shall be dobe under this permit until all utilities are door of the Proposed work site. The permntee snail notify all concerned utntily eampames of the proposed wort• RS PAVEMENT WIDENING: Area between the proposed concrete Surfacedytnh inches of q C-Oavin gutter line and the existing gee pavement shall be having an'R'value of not less than-and g Placed n inches of class aggregate subbase ubbawcourss and Specifications. Ordinance 0481. rhProemsntStandards PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a elope of 1/4 inch to one fool 11 �. R7 GRADES 6 STAKES: City of La Quints shall establish grades and stakes for the proposed concrete curb and gutter construction. ' , G GRADE CHECKING:CityatLaQuintssnailcheckgradesuponreceiptafpianandpiwfileand/orgradesasesubliMedby a liaensea engineer. R9 CURB REMOVALFOR DRIVEWAYS: Aportion of the existing concrete curb and/or curb and gutter ( festlshali be removed Curb and/or cure and guttershall be saw cut prior to removal. Depressed curb, matching concrete gutter and concrete DrtvewaY lfpproacn shall be constructed in conformance with City of La Quinta Standard 0207. RIO DRIVEWAYS. A.C.: Driveways shall be constructed as not to altar existing drainage pattern. Surfacing be Property fine and the existing road paying Shall be 2-1/2 inches of A.C. paving tween the placed ant _•) of Ga�� aggregate case. Driveway construction snail conform to attached drawing. R11 CULVERTS. A :ncnDiameterl_ inches Detow and in line with the existing flow i vertlVnstacation naert sna It be il conralled irmth tto tie ettarneort iareavmngIV -1 te /2 R 12 SIGHT CLEARANCE. Sight clearance of 600 feet in either direction snail be assured and maintained R13 SOIL STERILIZER: The area to be surfaced shall be treated with soil sterilizer. Rate of anDitcation shall Comply with the manufacturer's specifications. _ ® 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 Shelf during the penoo of this permit. Work shall be c' - inatea with the State or City of La Quints forces to preclude dabv or interference with State or City of La Quints projects, R1 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments wnien exist on the cef lerl ins al all streets or oropenv f inns W nen involved shalt be completely tied out so they readily Dnp Carrectl V be reDyced ov a IlCefeed ener a enol enginesurveyor n the ex mlfY oe enip alike oertnittea A tomtits& sat of noes Sf Wm tq into te ties to tnesu monuments snail be furnt=eea to the City Engineer anorto this nmovei or envmanumenes. oe namisd dawn ccnm etlon ai re=c@u em cf ell survey nw nun erns tar oromw en"a ewowmw!e T}tisgrtica aneii i l tj =:ri Vty MONUMENTS. P -or to e:cavatlon or oeoinnin0 of construction, an survey monuments snail be 1100 out OV Lw, ii La Uuinta and Suitacie oavment Or quarames df oa Valent Snail be made as reimbursement far all ,ifOrtt fnVOlVatl. R17 PAVEMENT CUTTING: Pavement will be mecrunicaily cut to a s[rofgnt cutting snail be aoaravea thrown Ins attics or me Citv Engineer. r3lgtt r n ecircumstances ior to na excavation. Method of Pavement be used to excavate prior to cuttino at Davementl. Excavation material snail be placed in such a excavating egUlDmern facilitate the general now or tramc. Prior to ttal paving operations. anv camade to pavement st position as to best Corrected. tgnt Sage snail as R18 PAVEMENT CUTTING. Pavement snail be saw cut prior to removal. Prior to final caving operations, any damage to pavement stratgnt sage snail be corrected. R1 LIMIT OF EXCAVATIONS: Excavations snail bellmiteato1.000lineetfee[ofooentrencnbeforebackfullODerationsmust begin. All excavations snail be oraDeriv barilCadea Winn lights overnight, on weekends and nolfaaystor the protection Or the traveling puollc. The Public Works Inspector snail determine ins suitability Ot excavation Darricacing Irl eacn case. No excavation snail remain open for a period exceeding live 151 days. No excavation snail be mace unless the construction material is actually On ins work site. BACKFILL MATERIAL- Backf ll l shall be free of brusn. roots Or Other organic Substance aatrimenta.: • .;s use for purposes Of producing an adequately consolidated backfill. Any material which the City of La Quints seems unsuitable uselelapoposes saturated materfall which Is encountered during excavation shall not be used for backfill, but snail be supplemented or replaced by an appravea sand or gravel. _ R21 BACKFILL SAND: Baddill shall be avarcy transit -mix sand orequivalent and shall bePlaced inlifts atnot greater than three feat 131and vitiated umng vibrotamper a ecuiva fent equipment. Altemate me[n003may be s subtituted. but In any ctUra1 sealOh at the case a relative cOmPM10n of 95 percent shall be attained within the S;r1:rubsitut R22 BACKFILL PLACEMENT: Backfill snail be awhe0 in lavers of not more inan 50 Percent of the total depth of the trench before hooding or a maximum Of five -fact (5'1 lifts where trenches areof exess7rve aeptns. Cars Isla be ekerclsed that the backfill material is not subjected to extreme swell by flooding Operations. Backfill material shall be plated ao that the resulting compaction snail be not less than 90 percent or eauivalent to the surrounding ground. whichever is the greater compaction. Where bonding or flooding Is used for a maximum settlemem. ace qua[e dikes will be consvuaedto retain the water. Where letting is used. the jets shag be of sufficient length to reach the bottom of eacn ;dyer and the water supply shall- be continuous. R23 COMPACTION TESTS: If so required by the inspector. compaction less Shall be made at intervals of not more then 1.000 feet and a minimum of one I11 test on each road One I1) COPY Of each test shall be fOrwaree0 Engineer for the City Engin approval and filed ortartomaking permanent repairs. Compaction testsshaaDemaneasoutlinedIO In Section &3.01 of the Standard Specifications, Division of Highways. State of California. dated January 1973. R24 COMPACTION TESTS: If so required by the inspector. Compaction tests shaft be made for east crossf One 11) COPY of each test shall befOrwarded lO The City EnglneerfOr apprOvaland }ilea prior 10 making ng Or service fine. Compaction tests shall be made as outlined in Section 6.3.01 of the Standard 9 permerrm roods. of California. dated January 1973. Speefieatlons.OiviswnofHphyvsq,State R25 TEMPORARY PAVEMENT REPAIRS: Atter connotation of backfill and compaction operations, a temporary patch consisting of 2 inches of SC -800 shall be placed on a prepared subgrads. The SC -800 temporary paving snail be placed after a maximum of 3.000 lineal feet at 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. R26 PERMANENT PAVEMENT REPAIR: After backfill and compaction operations have been completed, a temparary patch Consisting of two Inches (2") of SC -800 shall be placed immediately. A permanent patch of surfacing placed ona inch class baseshallbePlacednolaterthan inches A. C. temporary road repair. daysahercompletionof R27 PAVEMENT REPAIR:F.A.S.: Upon COmOlationotbacidill and COmoaction. aternpararypatcti consisting of two inches 42-1 of cold mix caving (SC -800) shall be placed Immediately. A permanent patch of three inches 131 of A.C• surfacing shall be Placed on six incites (61 concrete base as directed. but not later than fifteen (15) days after completiOn Ot tamoorary Paving. Concrete baso snail be of five -sant mix and shall conform to the Cityof La Quinta Road Imprcvernwn Stanaaros and -SPOCificanons. Ordinance 0461. R28 FOG SEAL A fog seal coat consisting of an application of asphaltic emulsion snail be applied over all determined by the City Engineer. Patch areas as R29 SEAL ARMOR COAT: A seal coat consisting of an application binder and screenings shall be applied on all Pataf areas where such seal coats existed prior to issuance at this permit. Seal or armor coats shall be applied as sosedied in Section 37, Standard Specifications. State of California Division of Highway, dated January 1973, Work of pavementrepair to be aecomolished by a licensed contractor engaged in the business of pavement repair. Where R30 STREEtionof Permanent entrap ins. riomgisstnlwsioleonsveetstobeexcavated.such stripmgshallbereplaced upon comoletidn of permanent repairs. R31 TREE RELOCATION OR REMOVAL. Tree relocation within the City of La Qumta road right of way shall be aceomplisheo by a licensed, bonded ano Insured tree service. and hanated safely without mterterence er nazara to the trat"111119public. It shall be the restionstbiliry of the permittee to maintain the tree In a vigorous growing condition at Its new location. Trees to be removed shall be removed in secttorewhich can be handled safelywithout interferenceor hawrd to highwav traffic. The entire width of the tree stump small be removed and disposed of so that no debris remains in view of the hlghway. 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 maamum of 500 feet at any one time. Adequate Signs. flagmen end/or barricades shall be provided to protea the traveling public at all times. Large holes resulting from tree removal shall be ttacktilled and eampaced tont less than 90 percent er equivalent to the surrounding ground. whichever is the greater Compaction as determined by tris impact or field method Compaction January 1973. tests shall comply with Seaton 6.3.01 of the Standard Specdications. Division of Highways. State of California, dated R32 TREE TRIMMING: a. Only Ins necessary trimming snail be accorhplisned to provide clearance of the facility for one calendar year. All broken or wast sections within the trimming snail be removed. b. Where it becomes necessary to restrict traffic, the work shall be restrictedto a maximum of 500feet at envons time. Adequate signs. flagmen. and/or barricades snail be provided to protea the traveling public at all times. C. If tree trunks are partially outside of the City of La Quinta road right of way, permntee snail make his own arrangements Mtn adjoining property owners for consent to the trimming by this permit. min addition to the BULnOri[IOn PfOVidetl CL 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 shalt be Oomaaad in all instances prior to trimming or towing trees.f2"1 and aaovret tris I. Pruning ansa, m as inataw, nas n the Shoulder of the troten to Insure even. fast neannq In ail cuts 01 two inches . Sedum ehmu iti ._ . .. ... •.. y w�. .-. :.•: ...: :--.sem.:.: ,.-. .v .. ,..,:.y,..,1 •i-.. �..: .a .!•r• y •:21 � ',r �. c•T�. Al:a'1^ ... �. SPECIAL CONDITIONS --PERMIT NO. 2215 -- IMPERIAL IRRIGATION DISTRICT --- 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 1st to April 30: Monday -Friday 7:00 a.m. to 5:30p. m. Saturday 8:00 a.m. to 5:00p.m. May 1 st 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 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. 2215 Page 1 of 2 SPECIAL CONDITIONS ---PERMIT NO. 2215 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. When the temporary power is no longer required the permittee shall be responsible for removing all items from the Right -of -Way and restore the atea(s) to the original condition. Special Conditions - Permit No. 2215 Page 2 of 2 m WASIMVGTON STREET. RIW. 1 E7� J EXIST, BLOCK WALL, -EXIST. POWER POLE Rv*w CALLE PALOMA 4---R/W R/W 0 20 40 80 RIW stlt� � a* UL Hoo 422--41M ao wae� oArs ww rau m CONSTRUCTION NOTES.• lO PLACE DOWN GUY. © PLACE 35' POLE O PLACE TRIPLEX SERVICE VIRE GENERAL NOTES: 1a ALL WORK SHALL BE PERFORMED IN ACCORDANCE WITH CITY PERMIT CONDITIONS, 02 ALL WORK SHALL BE PERFORMED OUTSIDE PAVED AREAS AND NO PAVING WILL BE DISTURBED. �3 SINAGE AND LANE CLOSURES SHALL BE APPROVED BY THE CITY IN THE FIELD PRIOR TO STAST OF YORK. OF f POW APPUGAMN aRAww, f. ]A QUVfTA varAGt mnova r mom c■osma