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2244.,. .4. NOTE: 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: 10-17-94 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Washington Street N/0 Calla Tampico (Street address or Description of Location) PURPOSE OF CONSTRUCTION Provide Gas Service Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Bore Street Install 2" Gas Service See attached conditions DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED 4'x4'x36" deep APPROXIMATE TIME WHEN WORK WILL BEGIN Week Of 10-10-94 APPROXIMATE TIME OF COMPLETION 1 day 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 ,M�ime when work will b'� tarted. Comply with all applicable City Ordinances, the terms and conditions of the perm�and all applicable rules an/ regulations of the City of La Quinta and to pay for any additional replacement necessary as the result of �, AUork. 1 Signature of Applicant ARB cco '. 72-400 Vista Chino 1000 Palms o Ag nt 6V619) 343-1180 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. 194079 566 Contractor's License No. City Business License No. Reliance Ins. NG1253560 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class 111 Public improvements: 3% of estimated construction costs Private improvements: 3% of'estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ 120 Permit Fee 10 Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. $ 130 Received by Date 2244 PERMIT VALIDATION PERMIT NO. 2244 DATE APPROVED 10-7-94 EXPIRATION DATE 10-15-94 DATE ISS D - jol q4 By Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 NOTE: With proper validation this form constitutes an encroaatment permit For the construction of public or private curbs, driveways, pavements, sidewalks, parking and other like public works improvements in connection with MINOR IMPROVEMENTS a dAPPROVED c I --,- S/4'*- S�557509z� CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) DATE:—` / LOCATION OF CONSTRUCTION Subdivision Improvement Permit - Class III Minor Improvement/Permit Class IV D - W/4/ c' O (Street address or Description of Lotattoni PURPOSE OF CONSTRUCTION -77���-S�U/�� Sketch (attach construction plans if appropna"I O"STALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED G APPROXIM TE TIME ©ENyyOlil WLL BEGIN APPROXIMATL�f1ME OF COMPLETION ESTIMATED CONSTRUCTION COST S (Including removal removal of all obstruction, materials, and debris, backfilling, cpm. Pachon and placing permanent resurfacing and/or replacing improvements) In consideration of the granting of this permit, the applicant hereby agrees to: 1 4011 mfy, defend and save the City. its authorized agents, officers. representatives and employees, harmless from any Penalties. liabilities or loss resulting from clairns or court action and arising'nrt any end all happening or oeeurring y a proxinme result of a out of any scadent, loss or damage to persona or prOpejty any work undertaken under the Permit granted oursuant to this applicetion. Notify the h all sptratrve Authority at least twenty-four (2N haws in advance of the time when work will be started. Comae with all applicable city ordinances, the terms and conditions of the Rand all apotieabl• V Quints any to pay for any additional replacement necesdry as the resuly�is wort. / / J 4f0 Na Applicant (please print) -e �S ova Name of tr�nd J oreman Contr or' t<cense No. _ f //� -72�� Business Address the City of /ovala c y Telephone No. Business Address // Telephone No. �l� City BuslnessLicense No. r� Applicant's Insurance Company / Z-153`��� Policy Number FEES: Subdlvlslon Improvement Permit -Class Ill 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. PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED .K iii Received by Date -- By — Recorded by TELEPHONE: (619) 564-2246 Administrative Authority y a � � y l r ♦ . y l t-, 'he follovvino lienerst aro Soecigl Provisions are attached to ano mace a cart Ot Permit No. GENERAL PROVISIONS he fallowing snail always away: /y 'ENCROACHMENT ON PRIVATE PROPERTY' This permrt autnorizes watt to oe aeeomolisneo wttnm Citv of La Quints ngnt of way ONLY. Whenever construction extends within private oronenv. it snail be the resoonsioutty of the Dermmee for has Coniractorsf to l secure permission from abunino Dropenv owners. Such autnorizatnon must 0e seeureO by the oermittee prior to f TRACKLAYING CONSTRUCTION EQUIPMENT: Cleated tracluavinq ccnsrrucndh edulbmem spall not be Dermmeotp artinq worn 1 DaWdtURBCe unless lifted WitmlmOOtm-rated street OaOla. All macnantcal Outriggers small be tntsdwan eDer MeattOcerateOn ern ;ria bsvtnq during excavations. Ruboer•tirea eaunoment only shell be uses to Datxtill operations in caves are noes toorotea Pavement is Scarred. Spatted, or broken during the term of this contract, or ti the baVemem Is marred. City Of La es' I} the exitlano that these portions of road be resYrtaeea Over their emlre width. ReaURaang. Anel) COhglat Of one Coat Ot, Qutnta ghsu request surfacing plus eoamonam seal coat as specified stove. two intsles 12"I of AMC PROTECTION OF TRAFFIC: All excavations and work area! snall baorapeny lightoo and bamcnaed as deemeo necessary by the Ciro Engineer or La Quanta City Public Works Inspectors. Suitable Detours aha detour signs snail be placed aro meintatnegtdrtne auratlon of the crolsm The City shall be notified 24 Hrs. in advance of any traffic detours or astinesttmts. CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugated metal pipe. concrete pipe. steel culvert dna concrete structures encountered during excavation wnic-n necessitate renovel !till# be reptaced in kind. In the Steel tt iven and noolassery to remove or cut casting drainage structures. City of La Quanta shall be notified prior ro commencement of this wore. Drainage Structures and coon drain! Snail be kept tree at debris at a# times for proper creating*. RIGHT OF WAY CLEANUP: Any surplus material relauiting from excavation arta backtill operations snail be removed tram the right of way. All paved surfaces snail be groomed cleanot Bann and other Objections" matenals immediately aherbacktill end compaction Existing gutter fine and drainage Intones snail be rectaced to their original standard or better. All excels material snailO removed prior to paving. Water tanxer snail be used, as required, to sprinkle the 100 site to keep down Dust conaitions gro aha# be used imineatstety after backtill. DE -WATER OPERATIONS: If de -watering operations are requires and pumps are forcing water on City of La Quints roads it snail be the resconsianfity Of the perminee icontracton to control inls water and to 0001006 off-street Oamcocas when havessery .CLOSING STREETS: No street shall be closed. A minimum of one Ione Of traffic shall be meintainea at all times to panda hmnea . atZaSa for tele a/{otning prOperty owners and emergency vencles. In Ins event n it felt bvthe permntee that he must etOae a street for any length Of time. Permittee snail contact this Office t0 aOtam the neceagary permission. SPECIAL PROVISIONS The toltweng shall apply ONLY when indicated: . Rl OTIFICATION: Permmee small notify the City at'7 77-1U7S 8 at least 48 hours in advance of starting chtitruction R2 CASH DEPOSITS OR BONDS: A Calan bond Oran approved surety bond in an amount of not less than s shali be furnisnec in the name of City of La Quints to coverall worn involved in she restoration of the vena" LA Quanta roads and survey monuments. This bona shell be continuous until cancelled by the Ci Engineer. This Posted prior to Commencement of any work on this project. bora must be U71LITY CLEARANCE: (Substructuresl Prior to making any exnyation within the City of La Quints right W yiret,aypapri:eo byPermit.t the pi n meesubs anall com ct all EOncsmed utility companies relative to the ideation of eLatingat+bartletut e!. Damage [o existing sfi0structures resulting from operations conducted under tnu of k shall f e hit tits of the Dermtttee. reap"IbIliry R4 UTILITY CLEARANCE: (Surface structures$ No work shall be done under this perm" until all utilities anti dear of the PrOcOsea work ane. The Parmmee snail notdy all concerned utility companies at the aropossd w Is$ RS PAVEMENT WIDENING: Area between me proposed concrete M. Surfaced with inches Of A.C. Paving Dlacadon gutter lint and rite existing road Davemertt shall be having an "R"velus of not less tnen inchif of class aggregate a and in eonformaneewitn Ci La Quints Road Improvement��senneras and Specifications. Ordinance 0461.Stanwras / PARKWAY GRADING: Area between the Property line and 100 at the Proposed concrete Curb Shall begracedtoaglove a, �J 1/4 inch to one foot (1 �. R7 GRADES & STAKES: City of La Quints shall establish grades and stakes far the proposes concrete cure and gutter construction. 1 GRADE CHECKING: City at La Quanta snail cheat graces upon recerot of plan andpfwfile end/o a licensed engineer. r grodea eatagetiahea by R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or Curb and gutter ( feetfahall be romovsd. Curb and/or curd and gutter shall be saw cut prior to removal. Depressed curb, matching conCrete gutter and concrete driveway apOroacn snail be constructed in conformance with City of La Quints Stanoara 4207. RIO DRIVEWAYS. A.C.: Driveways shall be constructed as not to Biter existing Drainage pattern. Surfacing between the property fine and the existing road paving snail be 2-1/2 inches of A.C. paving placed on 1 -"I of W..__ aggregate base. Driveway construction snail conform to attached drawing. R11 CULVERTS. A ' :nen diameter i incmes below ana in line witn to :culvert snail be inStallEd with the raven aoaroximet . e existing flow acne. Culvert installation snail conform to the attacnea et arawmg 1 /2 R1 SIGHT CLEARANCE Sight clearance of 600 few in either direction snail be assured and maintained. R13 . SOIL STERILIZER: The area to be surfaced shall be treated watn soil sterilizer. Rate of application shall COMONwlth the manufacturer's specifications. 14 COORDINATE WORK: The proposed work shall be sucardinated to any operation which the State of California or City of La Quinta may conduct in this area during the period of this permit. Work snail be coorainateo with the State or City of La Quints forces to preclude delay or interference with State or City of La Quinta crajem. Rt 5 URVEY MONUMENTS: Prior to excavation or beginning of construction, all Sur By monuments wntcn eiust an Ins benteftnna Of all streets Or Orottefty lines when involved shall boom. lately ttgd out so ihev may Oe feamiyanocorrgctly be replaced eye ncaRaad Chnl engineer or surveyor at the expanse Of the Oernmtea A ConnOime Set of Rmth s110vaanq the ties t0 map mOrtumente snag be fumigated t0 the City En irww artartainerenrpyglrrarsMmonumems. Thigdntp snail Oe ROtrltee upOr1 comic sapn Of moie0emem Of all Survey at101tum8m ref a roosar creast -r el'"WOM". 16 r_RVEY MONUMENTS. P•vor To excavation or oeainnmo or construction. au survey rrionumen :t la llutnlo ana ,,uttao,o cavmen, or guarantee or ,Iavment snarl oe mane ss resmoursemem for I t I tiedout ovtitty PAVEMENT CUTTING; Pavement will be mernamesnv cut to a work invo^roa• cutting email be approved rnrouan the ortiee of me City Engine nom moo circumstances snail excavating at Pavement oe used to excavate prior to cutttna at oavementy. Excavation material small be placed in such a gequtomest tacmtate Ins general now, of traffic. Prior to final paving accretions. anv cameos to pavement Straight as to oast y correaeo. ight sage snail be j( PAVEMENT CUTTING. Pavement snail be saw cut prior to removal. Prior to final paving operations. • a pavement straignt edge snail be corrected. emir tlamage to LIMIT OF EXCAVATIONS: Excavations snail be iimitec to 1.000lineal feet at open trench before oacktlll anerotions must begin. All excavations snail be property barricadep with Itahts overnigm. an weekends and naltdays for the protection or 1 Ins vavenngpuplte the PubucWorks msoectprsnandate rmmemesuitability atexcavationoarricagm9maaahcctio.No excavation snail remain Doan for a oaring exceeeing I've 151 days. NO excavation snail be made unless tris construction material is actually on the work site. R2 BACKFILL MATERIAL Backfill shall betree atbrush. roots orother Organic substance aetnmenta.,•.;suss r of Practicing an adeouately consoudatea bacidill. Any matenal which tris City of La oil poses saturated materiall which is encountered curing excavation snaltnot ba used for backfl Illabut nail be Supplemented Imented or replaced try an approved sano or gravel. R21 BACKFILL SAND: Bavytfill Shan be eoorovetl tar. mix sand Or equivalent and shall be plated in lihs of ^gtgroaterthan throefeet1 i dnampactiou f vlbrotamperorsouIvatentequipment.Afternatametrioasmaybesubstttctgrbutr. any Cada a relative compaction of 95 percent shall be ettalnetl within the q:rt;ctural section Of the roadway. R22 BACKFILL PLACEMENT: Bac till nail be scollop in lavers of not more man 50 percent of the total dearth at the trench before tloateri lis maximum offlire-loot151lipswnerotrenChasgreatexeessiwdeptna.Careistooee:areipothatthe barJcfill material is not sublease to exveme swell by flopping operations. Backfill materiel shall be placed so trial the comp ng ea. pactionWhere c snan 0e not less than used for h or equivalent to the surrounding ground. whichever isthe greater Compaction. Where bonding or flooding is use0 far a mattimum settlement= adequate dikes will be conavuCted to retain the water. Where letting a used. the lets shall be of sufficient length to reaching bottom of each :aver and the water supply Small- be continuous. COMPACTION TEST'S: If so required the inspector. coin aalontestsshall be made at intervals of not m feet and a minimum of one 111 test on see^ ro�aa One (11 copy of edam test shall be forwarded to the Cl more imam t,0pp approval anatiledcriar to making permanent repairs. Campaaiontestssnatl be me" as Gummed in Sectionty Engineer tar Standard Specifieatlons Division of Highways. State of California, dated January 1973, &3.01 of the COMPACTION TESTS: If so required by the inspector. compaction testa snail be made for each crossing or tigfllrp Imp. One 11) COPY of each test snail be forwarded to the City Engineer for approval and filed prior to making permanem repairs. Compaction testa snail be mace as outlined in Samon 6.3.01 of the Sa naard Spectfications. Division of High"". State �g� Of California. dated January 1973. L^3� TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operaticns. a tehrporery patch Consisting of 2 inches of SC attar shall be placed on a prepared subgrace. The S char a maximum of 3.000 lineal feet Of trench has been excavC•800 temporated and backfill operations comptetea. temporary PavingInthO Casale Placed placement of the temporary pavement exceed a five 15) day limit. plat R26 PERMANENT PAVEMENT REPAIR: After backfill ants compaction overanans have cash completed, a temporary patch Consisting of two inches 12") Of SC -800 shall be placed immediately. A oermanem patch of surfacing placed on a inch class base shall be placed no later than inches A.C. temporary road repair, dayssherocmplettonof R27 PAVEMENTREPAIR:F.A.S.: Upon Completion atbackfill and comaactfgn atemporarypatchconsisting oftwo Inches l2'1 of cold mix paving ISC-800) shall be placed Immeaatety. A permanent patch of three mates 13") of A.C. surfacing shall be phren on six mates l6'1 concrete bass as directed, but nes later than fdteen 1151 days Sher tompletioh ofporory paving• Concrete Paas sinal be 0461 -esti mix and shall conform to the City of La Osuna Road fmprcvsmemStandards • and Sosciheationa. Ordinance °481. R28 FOG SEAL: A fog seat coat consisting at an application of asOnattic emulsion snail be apptietl over all Palm areas as dewrminad by the City Engineer. R29 SEAL ARMOR COAT: A seal coat consisting of an application binder and screenings shall be applied on ail pgteh areas where such seek coats existep prior to issuance of this berm^. Seal or armor t oats small De applied as specified 37. Standard Specifications. State of California. Division of Mighwgvs. rated January be B Works m Section be accomplished by a 11Censed contractor engaged in Ins business at pavep mem repair to 30 knent repair. Completion, of permanent repairs. STREET RESTRIPING: Where street striding is still vesicle on streets [o oe excavated. such striping shall be reptacetl uppn R31 TREE RELOCATION OR REMOVAL. Tree relocation within the City Of La Ouinta road right of way sha11 be aCComolisheo by a licensed. bonded and insured tree service. and hang lea safely without mterterence Or mazard to the traveling public. 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 safelvwifhour interference or hazardto highwev traffic. The entire wictfl at the tree stump snail be removed and disposed of so that no debris remains in view at the highway. The stump note shall be backfilled and thoraughtycompacteo 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 end/or bamcades shall be provided to protea the traveling public at an times. Large holes resulting from tree removal shall be baddilled and compacted to not less than 9O oertent ar equnialent to the surrounding ground. whichever is the greeter compaction as determined by the impact or field method Compaction taxa shall Comply with Section 6.3.01 of the Standard Specdicattons. Division of milact or State ofmethod. CCalifornia. paten January 1973. R32 TREE TRIMMING: a. Only the necessary trimming snail be accomplished to provide clearance of the facility for one calendar Year. All broken or weak sections within the trimming small be removes b. Where it becomes necessary to restrict traffic. the work shall be restrictea to a maximum of 500 feet at anyone time. Adequate signs= Ilagmer=, and/or barricades snail be provided to protect the traveling public at all time& right of way. permitiae shall make his own arrangements with adjoining property owners for consent to the trimming in addition to the authormintin provided C. If tree trunks are partially outside of the City of La Quints road by this permit. d. All tree trimming on EVERGREEN TREES. PALM TREES. and other ORNAMENTAL TREES shall be aeeomptigned to the satisfaction of the City Public Works ingpectpr. e• Abutting property Owners Mail be comiscias. in all inner m:eg. prior to arlmming o►m9 f. Pruning glia- Il. in all InuancaL be, at ms aneulosr of me crotch to insure even. lye .i,rv.., •• ..... --- .- - • - . 'ii+ �•;y.:Mw � .. a.. :•7L�D,'•' : T:A .. ..... i'�•:l� -..':few':.\�. .S.q.. :.J - �. �.} �.�: .J' '�{: ••:: :'f:.>�.� '.. I :i. • :`l'}.:,:•:.r?-�s.Lt s::l:? ��� i ��.�. .. SPECIAL CONDITIONS --PERMIT NO. 2244 --- ARB (MACCO) --- 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 5:30 p.m. Saturday 8:00 a. m. to 5:00 p. m. May 1 st to September 30: Monday -Friday 6:00 a. m..to 7:00 p. m. Saturday 8:00 a.m. to 5:00 p.m. Work shall be prohibited on legal holidays including Sundays. 5. Permittee shall assume responsibility for repair of any pavement breakdown at the haul road access .to any public or private street and for any damage to other City streets or facilities. 6. Permittee shall submit a traffic control plan to the Engineering Dept. - for approval prior to starting work in travel way. 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. Permanent pavement replacement section shall be one inch greater than existing. Existing pavement section on Calle Tampico and Washington Street is 4" of A.C. over 6" of A.B. 9. All.landscaping irrigation decorative rock etc. shall be protected in place as much as possible or replaced to its original condition. 10. Prior to excavating, the permittee shall contact Underground Service Alert at 1(800).422-4133. 11. 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. Special Conditions - Permit No. 2244 Page I of 2 SPECIAL CONDITIONS - PERMIT NO. 2244 CONTINUED 12. 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. 13. 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. 14.. When 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. 15. Site clearance of 600' in either direction shall be assured and maintained at all times. 16. Street striping that is damaged, removed etc. shall be replaced to its original condition by the permittee at no cost to the City. 17. All excavations at or near the travel way shall be backfilled and paved as directed by and to the satisfaction of the City Engineer at the end of each work day for the protection of the traveling public. 18. This permit'authorizes work in. the City,of La Quinta Right -of -Way only. It is the permittee's responsibility to secure permission from any other abutting agencies or property owners.. 19. Ingress and egress for all properties shall be maintained at all times. 20. - The City will determine the final limits of asphalt replacement. 21. The pavement replacement section width shall be one foot greater on each side of the trench. Special Conditions - Permit No. 2244 Page 2 of 2 .. .. __.. .. .. .. .. --_t••._" _----�===c.,--.:.. ...[mac:_=r. ��.�..'. �. ._ ._: .._.. :_.'�.. - .C__. .. _.._—._- _ a� BARRICADES FLASHERS OPTIONAL 1 1 � a 1 HIGH LEVEL tr- WARNING DEVICE OR FLASHING C30 ARROW/SIGN/ DELINEATORS See Chart A v i 1 1 I I i i s