2216No E7
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
Subdivision Improvement Permit — Class I I I
DATE: 7-6-94 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION WAS Monroe St. 8/0 AVe55
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Provide Telephone service
to new subscriber
DESCRIPTION OF CONSTRUCTION Dib 2 splice pits and
10' trench
DIMENSION OF INSTALLATION OR REMOVAL 5�x5'x4' pits
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 7-7-94
Sketch (attach construction plans if appropriate)
APPROXIMATE TIME OF COMPLETION 8-30-94
ESTIMATED CONSTRUCTION COST $ 1500
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements) _
In consideration of the granting of this permit, the applicant hereby agrees to:
See attached conditions
Ref GTE Permit No. 2207
1
i G
I J JUL 0 ' 1994
r �V
Indemnify,defend and save the City, its authorized agents, officers, representatives and employees, harmless from andgainst any and all
penalties, liabilities or loss resulting from claims or cour- action and arising out of any accident, loss or damage to p rsons 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.
. - e5:� CM Z , 9!!�
Signature of Applicant or Agent
Henkels & McCoy 155 N. Euclid Ave San Dimas CA 91773 329-7829
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
183393 3049
Contractor's License No. City Business License No.
Liberty Mutual RG2-631-004085-063
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I II
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.
$ 80
10
$ 90
Received by Date
2216
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
2216
7-6-94
8-30-94
DATE ISSUED 7-6-94
By NAR 14JAIII-A��
/ Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
NOTE:
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: - r
Z Subdivision Improvement Permit — Class I I I
r Improvement Permit Class IV
LOCATION OF CONSTRUCTION / � /j6,VW()&j 3) S . /9U1� �,SS-6YI�,lI
(Street address or Deteription of Location)
PURPOSE OF CONSTRUCTION —PrT f�[J/I71� %Pf ?�iketch (attach construction plans if appropriate)
/� 7
D,4n/DPTIOON OT2B 4CTION C 017�Ti+Gr�D COn1D/Tj o&/1'
w
,
DIMENSION OF INS ALLATION OR REMOVAL OJ4 5X S � Y t
�� Ct ?erzM rr f� D� �2.v 7
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN ^ 7—
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COSTS __/•u Q lb , 06
(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,.detand and save the City, its authorized agents, officers, representatives end employees, harmless from and against any and all
,_, P�n�ltl�s, Ij�b�lltles of lots resulting_tcom claims or court action and arising out of any eccident;'1on ai'claMigii-ta persons or propirty
—happening or occurring Is a proximate result of any work undertaken under the permit granted pursuant to this application.
Notify the Adminlstritiva Authority at least twenty-four 1241 hours in advance of the time when work wil, be started.
Comply with ail applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulationaof the City of
LA Quints and to pay 4or any additional replacement 11041sary as the result of this work. '
a
Signature of Applicant or Agent.
��4Y 'NCS
/55 AL, - !9 g ') pir��s CA, g 17.73
Name of Applicant (please print) Business Address Tette
�ho
Name of Contractor and Job Foreman Business Address � � 9Telephone No.
:3 5
Contractor's License No. City Business License No.
_11LSE-RTY 'Myr,/A1 Z D
/ 3j 6
Applicants Insurance Company r2Policy Number
FEES: Subdivision Improvement Permit —Class III
Public Improvements: 3% of estimated construction costs
Private improveinenu: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ ` l® PERMIT VALIDATION
Permit Fee LD q Z/ /
Penalty
Cash Depotit•Surety Bonds ,
If required _
TOTAL: s D
Receipt No.
Received by Date.�,�
Recorded by
PERMIT NO.
DATE APPROVED _774-9q
EXPIRATION DATE
DATE ISSUED
7 r �q
By
Administradvw Authqrlxy , •
TELEPHONE: (618) 664-2246
1' lc.•..•r. t'z9 t a,''ii r Y a.t.. i3t7a'
•M,Di,'yr.ir•�•. ail,�.•�-�`.�!.^''�SS".'�~••'Y'�r.,..R�Y tiji�iy�{i ni,y`.�1j't�. i':�,::yif+".:�.'•Y3�4�.�'.. �b► .a••_yti.iJ,r1::.. .. N 'fv._.i:.::.�
The following General and Special Provisions aro Snaaneo to and mane a Dart of Permn No.
GENERAL PROVISIONS
The following snail always acniv:
" ENCROACHMENT ON PRIVATE PROPERTY This permn autnorizes wars to be accomofisneo within City of La Quints right of way
ONLY. Whenever construction exienas witnin onvale orocenv. it snail be the resoonsioiliry or the oermntee for his contractors) to
secure permission from scuffing prooenv owners. Such auinonzation must be secured by the cermittee prior to starting work.
TRACKLAYING CONSTRUCTION EQUI PM ENT: Cleated tracitlavinq cOrmruettan eauiomem shall not be cormrttedt000er&te an any
Davao surface unless tnted with snlonin-faced street Paas. All rfleenanical otnrlggers snail be f mea wan rubber street shoes to Ofaim
the caving curing excavations. Rubber -area equipment only snarl be used in bacldill operations in caved orcontract, areas, If the existing
surfacing plus ancroonate seal coat as specified above.
Pavement is scarred, soalled. or broken curing the term mis contraor rt Ina pavement is marred- City of La Quinta anal) request
that these Portions of roan be resurfaced over tneir emits wrath. Resurfacing shall corral at of one coat of two inches 12") of A.C.
PROTECTION OF TRAFFIC: All excavations and work areas shall baprooenv lighted and barricaded as deemed neceOarybythe City
Engineer or La Quints City Public Works inspectors. Suitable detours and detour signs mall be placed and maintain for the duration
of the project. The City Shall be notified 24 Hrs. in advance of any traffic detours or dolinasmorm.
CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugated metal vice. concrete pipe, steal culvert and
concrete structures encountered during excavation which neceSSaats removal shag be replaced in kind. In the eyefnt.lt becomes
necessary to remove or cut esistnng drainage structures. City of La Quanta Shall be notified anor to commencement of this wont.
Drainage structures ano open drains shall be kept tree of debris at off times for proper drainage.
RIGHT OF WAY CLEANUP: Any surplus matenst resulting from excavation and backfill operations shag be removed from the right of
way. All paved surfaces snail be broomad dean of eann and other objectionable materiels i mmedute ly atter backfill ana compaction
Existing gutter fine ano drainage etches snail be replaced to their original standard or better. All excess material shag be removed
prior to paving. Water tanker shall be used. as required, to sonrutle the job sits to keep down dust conditions and shag be used
immediately Otter backfill.
DE -WATER OPERATIONS: It de -watering operations are required and Dumps are forcing water on City of La Quinta roads, it shall be
the responsibility of the permittee lcontractorl to control this water and to provide oft -street bameades wren ineeaasery
CLOSING STREETS: No street snail be closed. A minimum of one Ione of traffic shall be maintained at all times to provide limned
access faring enjoining property owners and smargerncli vehk:les. In the everts it is felt by the permmee that no must close astreet for
any length Of time. permittee stall contact this office to obtain the necessary permission.
SPECIAL PROVISIONS
The foltwing shall apply ONLY when indicated:
R1 NOTIFICATION: Permmee shall notify the Ci at777-1075
City at least 48 hours in advance of starting construction.
R2 CASH DEPOSITS OR BONDS: A cash bond or an approved surety bond in an amount of not less than s
shall be turnisned in ins name of City of La Quints to cover eh work involved in the resorauon of the varrous
fonds and survey monuments. This bond shall be continuous until cancelled by the City Engineer.
posted prior to commencement of any work on this prdjsct This bV Quints
must be
is
R3 UTILITY CLEARANCE: (Substructuress Priortamaking any GICIVISILIOn within the CItVat La Quints nghtatweirgutharlmd
TILI YCLEARANCE:(SubstruauressPrioromakinganyexcavOuonwithintheCityofLaQuintsnghtatwayayptdimd
by permn. the permmee shall contact all concerned utility companies relative t0the location O} existmgsi ur
of the permmee. under mail /
Damage to existing substructures resulting from operations conducted this Permit ail be the $ola responsibility
R4 UTILTTY CLEARANCE: (Surface structures) No work shag be done under this owtnn until all utilities art+ dear of the
Proposed work site. The permmee snail notify all concerned utility companies of the proposed work,
R5 ' PAVEMENT WIDENING: Area between the proposed obtncrete
surfaced wnh inches ofA.C- paving placed On -inches gutter line and Me Basting road aggregate Pavement shall be
having an"R"value of not less than hCit ofLlan agmPrOvOsubbasacourse
and in con}ormanee with Cityof La Quints Road ImprovemSIM Standards
and Speertieations. Ordinance a461.
R6 PARKWAY GRADING: Area between thepropanylineandt000ftheproposedconcretecurbshallbegradedtogslopeof
1/4 inch to one loot (17-
17 GRADES & STAKES: City of La Quints shall establish grades and stakes for the proposed concrete curb and gutter
construction.
(85 GRADE CHECKING: City of La Quints snail cheacgradesupon receiptofplan and profileand/or grades asOstablisheoby
f a licensed engineer.
R9 CURB REMOVAL FOR DRIVEWAYS: A acnion of the existing concrete curb and/or curb and gutter 1 faa[Ishall De
removed. Curb and/or caro and gutter shall be saw cut prior to removal. Depressed curbchif:onciets gutter end
concrete dnvewav . matng appreacn shall be constructed in conformance with City of La Quinta Standard a207.
RIO DRIVEWAYS. A.C.: Driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the
property line and the existing road paving snail be 2-1/2 inches of A.C. Paving placed on I _) of clan_
aggregate case. Driveway construction snail conform to attached drawing.
R11 CULVERTS. A :ncndiamwerf
mat
inches oeiaw ano in line witn the existing flow tine.vert) installation naillvert snail be lcon oledirmthe to the atacnedinvert aooroxiGrowing.
l /2
R12 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 vntn sou sterilizer. Rate of application shall com
manufacturer's snecplywilh the
dicatlons.
R14 COORDINATE WORK: The proposed work shall be suoordina[eo 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 be coordinated with the Slate or
City of La Quinta forces to preclude delay or interference with State or City of La Quints proleats.
R15 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments whin east on Ins
centerline of all street or property lines when involved shall be complatety tied out so they may be readityanocorrectly
. _ be rowaceo inti a IlDaftsap Clint engineer Or lutvitiygr at the expense of tnebennnM& A contains saint hales stdwingtne
ties to loose monumOms snail be turnisn to to the City Enipnear ortorotne removal oranvmatii
be fWafted upon comislappA of remcentawr m at all surymanienerRe tar a � i'mmma'sms.Thhohica anew
-. ....... ... .. ... .t •�: ::--.. � . .. !h'�T'! -:>4' .. 'T.:" . � .1.'• .. ... ,...yrs , r.. ..': J' � '.1 . r ...
"0 -V. f . A )NUMENTS. P•'or to P-CC'T;.on Lr oeamn,na Or LJnsiruction. at Sur vsv monuments snail boiled
A La Uulnta and Suetacle cavment or guarantee of oavment snail be made as retmoursemem for aim involved. led.
R17 PAVEMENT CUTTING: Pavement will be macnanecaliv cit to a straight a �� involved.
cumnq snap be approved thrown the office of the City E ricer no �° prior to excavation. Mnail ethod Of pavement
be used to excavate Prior to cutttna of oavementl. Excavation smaill be o cea ircumstances n Sucn a excavating equipment
taeutate the general now of tratfec. Prior to -mal paving operations, anv damage to pavement Straight
as to nest
corrected. edge snail be
R1 PAVEMENT CUTTING. Pavement snail be saw cut Prior to removal. Prior to final navinq Operations, any damage to
Pavement straight edge snail be corrected.
R19 UMITOF EXCAVATIONS: Excavations snail be limited to 1-000 lineal feetot ooentrencn before oaektilloperatlonsmust
begm- All excavations snail be property barricaaea Wim lights overnight, on Weeltenp5 and ^OIIdaVs Torino ravanproteilOn must
excavvelingation
Publicailre.ThePublicWorksinspectorsnarldeterminethesuitabilityofexcavationoarricacingineacncase.Nat
o
mat rias is scall remain open tar a peripp exceeding live t5) days. No excavation snail be mace unless the construction
nitterlal Is aC1uaIIV On the WOfK stile.
R20 BACKFILL MATERIAL-Backflllshallbefreeatbrush.rootsorOtherorganicSubstancedeirimenta...';susgtorpurposes
Of producing an adsquately Cofisoledated backtill. Any matenal which the City of La Quinta deems unsutmblefspongyar
saturated materiel) which is encountered during excavation shall not be used for backfill, but shall be supplememeo or
le0mceo by an approveo sand or gravel. _
R21 BACKFILL SAND: Baddfll shall be approved transn.mlt sand or equivalent and shall be placed in )ifs Of notgreaterthan
throe test 131 and vibrated using vibrolamoor or eaurvaient equipment. Alternate m8thOds may be Substituted.but in any
Casa a relative compaction of 95 percent Shall be attained within the s:ruciurat section of the roadway.
R2 BACKFILL PLACEMENT: Bac till shall be eponed in lavers of not more than 50 percent of the total depot of the trench
before ting or a maximum Of five -loot (51 lifts where trenches areof excessive depths. Care is to be exaretseotnat tne
backfill material is not subjected to extreme swell by flooding operations. Backtill material shall be playa oro that me
reaming compaction shall be not less than 90 OerCem Or equivalent to the surrounding ground. whichever iS the gfeata r
compaction. Where ponding or flooding is used for a maximum settlement. adequate dikes will be constro
the water. Where letting Is used, the jets shall be of Sufficient length to reactatl to rester
ch the bottom of eacn :aver and the retain
supply shall be continuous.
/^23 COMPACTION TESTS: if so required bythe inspector. compaction tests shall be made at 'marvels of not more than I.ODD
rex, and a minimum of one (1) test on eacn road. One 11) Copy of eacn test shall be forwarded to the City Engineer for
approval and filed prior to making permanent repairs. Compaction tests shall be mace as outlined in Section 6,3,01 of the
Standard Specifications. Division of Highways. State of Califomea, dated January 1973.
R24 COMPACTION TESTS: If so recurred by the inspector, compaction tests snail be made for each crossing
One 11) copy of each test snail be forwarded totn$CitvEngineer for approval and filed anortomakin ar tartreamne.
Compaction rests shall be made as outlined in Section 6.3.01 of the Standard g p°rr^a^°^t reoaate
of California. dated January 1973. Specifications. Diviseonot Hipttyvays, State
R25 TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary paten
after a maximum of 3.000 li neer feet of trencn has been excavated and backfill operations completed, buconsisting of 2 inches of SC -800 shall be placed on a prepared subgrade. The SC -800 temporary paving dildo lots placed
the placement of the temporary pavement exceed a five 151 day limit. t in no Case scall
26 PERMANENT PAVEMENT REPAIR: After backfill 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 on a inch class base shall be placed no later than
s4; G
temporary road .coal.. Fo,-D 1! y�l /� O�j fS days aherepmplenonof
R27 PAVEMENT REPAIR: F.A. S.: Upon completion of backfill and compaction. a temporary Patch consisting of Two inches 12
of told mix paving 4SC-8001 shall be placed immediately. A permanent patch of three inches 13' of A C. surfacing shall
be placed on six inches 161 concrete base as directed. but not later than fifteen f 15) days after completion Of temoorary
pavptg. Concrete bass snap be Of five -sack mix and shall conform to the City of La Quinta Road ImprovemamStandards
and Specifications. Ordinance "al.
28 FOG SEAL: A tog seal coat consisting of an application of asphaltic emulsion snail be applied over all patch was$.as
determined by the City Engineer.
R29 SEAL ARMOR COAT: A seal coat consisting of an application binder and screenings shall be applied on ap patch areas
where sucn seal coats existed Prior to issuance of this perm^ Seal or armor coats shall be applied as specdied in Section
be D=mt)lished by a 37. Standard Specifications. State Of California. Division of Highway, dated January 1973. Work of pavemem repair to
ctor
in the
30 sed t9�stPavement RESTRIPING: Where street stong is ssiole onrees to a uch striping Shall bereplaced upon
completion of permanent repairs.
R31 TREE RELOCATION OR REMOVAL. Tree relocation within the City of La Quanta road right of way shall beaaornptlsheo
by aLcensed.bondedandensuredtreeservice.andhandledsafetywithoutInterferenceorhazardtothetrty hngpublic.
It shall be the responsibility of the oermittee 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 highwav
traffic The entire width of the tree stump snail be removed and disposed of so that no debris remains in view of the
hegttway. The Studio hole shall be backfilled and ahorougnlycompactea as specified in the following paragraph Where n
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 arta compacted to not less than 90 percent or equivalent td the
surrounding ground, whichever is the greater compaction as determined by the Impact or field method. Compaction
tests snail comply with Section 6.3.01 of the Standard Specifications. Division of Highways. State of California. dated
January 1973.
R32 TREETRIMMING:
a. Only the necessary trimming snail be accomplished to provide Clearance of the facility for one calendar Veer.
All broken or week Sections within the trimming snail be removed.
b. Where it become$neeessarvtorestrict traffic, the workshallberestriciedtoamaxlmumOf500feetatanyonetime.
Adequate signs, flagmen, and/or barricades snail be provided to protect the traveling public at all times.
C. If tree trunks are oantally outside of the City of La Quinta road right of way, Permenee shall malts his own
arrangements with aOloining property owners for consent to the trimming in addition to the authOtlzavan provided
by this permit.
d. All tree trimming on EVERGREEN TREES. PALM TREES. and other ORNAMENTAL TREES shall be aCCOmPliahed to
the satlsf8clion of the City Public Works Inspector.
°' Abuttingproperty Owners shalt be COntaasa, in all instances, prior to trimming or topping trees
I. Prtmfng snalL in all lrtstancea to at me shoulder of the crotch to ensure even. tax, healing in sit Outset two Inches
f2-1 and aoovwm sae. Seamon Aman ho--
SPECIAL CONDITIONS --PERMIT NO. 2216
--- HENKELS & McCOY ---
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 or the Work Area Traffic Control Handbook (Watch Manual). It shallbe
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. 2216 Page 1 of 2
SPECIAL CONDITIONS ---PERMIT NO. 2216
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. ,
Special Conditions - Permit No. 2216 Page 2 of 2