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2268.`NOTE: With,prbper 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 II DATE: 12"'1'94 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Washington / Ave 50 & Washington / Tujunga (Street address or Description of Location) ' PURPOSE OF CONSTRUCTION Reset Valve Stands DESCRIPTION OF CONSTRUCTION Dig up stand and reset DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED 3'7-3' APPROXIMATE TIME WHEN WORK WILL BEGIN 12-5-94 Sketch (attach construction plans if appropriate) See attached conditions APPROXIMATE TIME OF COMPLETION 12-3-94 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: DECO l 1994 D 1 B ,_ 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 applical5l rules and regula 'ons of the City of La Quints and topay pay for any additional replacement necessary as the result of/this��ork. re of A'ppli ARB Inc. (Macco) 72-400 Vista Chino Thousand PAIn i, W/ 343-1180 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. 259619 566 Contractor's License No. City Business License No. Reliance Ins N61253560 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 $ 80 II 10 Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: $ 90 Receipt No. Received by Date 2268 PERMIT VALIDATION PERMIT NO. 2268 DATE APPROVED 12-1-94 EXPIRATION DATE 12-31-94 DATE SUED q71-94 Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 _a 1 11 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 lou, sewers, water main$ and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit — Class III DATE: _ Minor 1 ovem /t Permit su IV—V■ LOCATION OF CONSTRUCTION (Street address or 0ascription of PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) D2RIP,T}N OF CANST41CTION DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION — '— 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. office". representative 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 prespe"y Happening or occurring as a proximate result of any wort undertaken under the Permit granted pursuant to this applisnow. Notify the Administrative Authority at lam twanty-four (241 hours in advance of the time when work will be Comply with NI spplieabla City Ordinaneea. the terns and condition, of the palm I applicable rules and lsq� of fM �twof IJ Quints and to pay for Wry additional replaeefNnt neftugry as the result of / // Signature of Applin A / XName om se primT !/ loe Businessg Telephone No. x Name of CAnt�°r agd��reman Business Address � Tyephome No. Contrjz3bscrise No.�G`!/1 /� /y City Business License/' Applicant's Insurance Company Gg'V, L 143 11-1 TPolicy Number FEES: Subolvision Improvement Permit —Class III Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs v 2 Fj Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ ( PERMIT VALIDATION Permit Fee �� / Penalty Cash Oeposit-Surety Bond if required TOTAL: $ �zd Receipt No. Received by Recorded by Date PERMIT NO. DATE APPROVED p EXPIRATION DATE J Z 3 4.1 DATE ISSUED Z f By / Administrative Authority TELEPHONE: (619) 564-2246 . IN• _ c _ \ ` `M • `t 't '.R ` 1, \ \ .i `♦ ` t "ha toaowino usnerai enc Stxeui Provisions ars attached to aro meas a can of Peimrt No. GENERAL PROVISIONS The following snail always ao)ty: I "ENCROACHMENT ON PRIVATE PROPERTY- "his oermn autnorizes wore io be aecomttiisned within City of La Quints right of way ONLY. Whenever construction extends wotnon private oropertv. t snail be the resoonstoish d the jn C'tv Of tar n secure )ermisston from abutting prooern owners. Sucn autncrization must Do perm"lsecures try Ina ce1`mthee dfifo Or to a eonfractorsl to TRACKLAYING CONSTRUCTION EQUIPMENT: Cleatadtreeklewn starting work. ., Deyed surface Unl6Slim60w1In lmOpth-Takeo S[fee[paOs. Ackiamll nanciea truc ion eautoment shall not cocefmtttedt0 . :no caving curing excavations. Rubber -area ecutoment only snail be used in oaers still ac rmedwnnrua ocalaoersteonanv Devilment Is Scarfed. 50311613. Of broken curing Ins farm of this contract. or It the 0 vement is atRe4 City d �� street shop lO existing Thai mase Portions of road be resurfaced over their emir@ width. Resurface p• If the existing ty la Quint snail reouast surtaem9 Plus aooroprtete seal east ea specified above, n9 shell editstst of one son of two nrh p 12') of A.C. PROTECTION OF TRAFFIC: All excavations and work areas snail be oroperty lighted and aameaaed ea seemed neo@ Engineer or to Quanta Citv Public Warks InsDecom. Suitable detours and detour signs snail be clacea and Min tel of the protea. The Ci asarvbvthe City City anall be notrhed 24 Mrs. in advance of any traffic detours or dating scone. na'diOrtheewation CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugates metal pipe. concretecotxrete Structures encountered during excavation wnicn neceawtate fora.. chap be repgaed in kind: In fps steal culvert and necessary to remove Or cut existing drainage structures. City of to Quina shall bel be red anor to commencement thee Drainage structures and open crams shall be kept free Of debris at all time tw @yeat becomes proper drainage, 01 this wont. RIGHT OF WAY CLEANUP: Any surplus matenal resulting from excavation and backfill operations snail be removea from the right of way. All paved surfaces snail be broomea dean Of Bann and other eblectionsble materials Immediately atter backfill Existing gutter line and drainage ditches snail be reeiaced to their Original standardasp edmpacttOn. prior diazelr cher baactill.Of Getter. All excess metarl■I shall be removed to paving. Water Tanker emshall be used, as required, to sprinkle the lob site to keep doyen Oust conditions a immll. ' ria shall be used DE -WATER OPERATIONS: If de -watering operations are requirea and pumps are forcing water on City of La Quints roads Ise responsibility at IAO )ermmme IcOntraaOf) to control this water arta to Pfovic6 Off -strew barricades' it shall be yynen rtaceasry CLOSING STREETS: No street snail be ctosee. A minimum of one lane of traffic shall be maintained at all times to access tar the aafaimng property owners and emergency venRyes. In the event rt is }alt b1` the p6rmm6s loaf Pie muni . arty to PrDNOe limned n9th of time. permittee shall COntaet tots office to Obtain the necessary permission. elOMl, afrewtor SPECIAL PROVISIONS The Whiffing shall apply ONLY when Indicated: NOTIFICATION: Permmee snail notify the City at777^7075 arml 22 R2 CASH DEPOSITS OR BONDS: A cash bond or an a m least 48 hours in advance of starting ccnavuaton Shall be furnished in the name c City of to Quintor a [p � 811 ty bona in an amount of not less than a roads and survey monuments. This bona shall be continuous until cancelledw the a City ngi of the his bon La Duthie Posted )nor to commencement of any work on this b1` the City Engineer. This bone mutt be protea . UTILTY R by Parma. esnailucontactaliorw oncern ng artyexmvatonwiMtnthearVofLAQuintangfttatweyauthorized by oermn. taw Dennmtes shalt restos all mnom 0 d utility companies relative m the location of exlanng a • Damage to awaiting aubttnfauroa resulting from OpentlOnt COndual,p under thio of the centimes. relax tures. Danns snail be tri@ sale rsapdrotbiliry R4 UT1LRY CLEARANCE. (Surface structureal No Procosec work site. The vvark shall be done under this oermn until all utilities ars ezl,er of the permnteanal) notity all R5 PAVEMENT WIDENING: Ana bet concerned utility companies of the proposed rt. wowoen the proposed m Surfaced with inches of A.C. pavthe Draped do ncrsre gutter line and the existing road pavement shall be inches of class aggregate aubbaal,course having en"R'velueotnot less tnen —_and to eonformencewith Ciry of la Quints Road Improvement Standaras ' and Speed¢aitona. Ordinance 0481. R6 PARKWAY GRADING: Area between the property line and too of the craposea concrete curb shall be gracile to a sl 1/4 inch to one foot I1 I. doe of R7 GRADES & STAKES: City of La Quints shall establish grades and stakes for the proposed concrete euro and construction, gutter Re GRADE CHECKING: CitiratLaQuints snail check gracesuponreceiptofplanandorafileana/orgrades esaatapliaheapy a licensed engineer. R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter 1 twtlshau be removes Curb and/or euro and gutter snail be saw cut prior to removal. Depressed curb. matening concrete gutt concrete onveway epdroacn shall be constructed in conformance with City of La Quints Standard 0207. stand RIO DRIVEWAYS. A.C.: Driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the ptOPenv line and the existing road paving snail be 2-1/2 inches of A.C. paving placed on 1 _•) of class. aggregate case. Driveway construction snail conform to attached drawing. R11 CULVERTS. A :nen diameter t acnes below ana in fine worn the existing flow tins.vent installation ailverf sail be confled ormtthe o the et achedinvenimatenGroow ng. 1 2 SIGHT CLEARANCE Sight clearance of 600 feet in etcher direction snail be assured and maintained. R13 SOIL STERILIZER: The 81`68 to as surfaced shall be treated witn sou sterilizer. Rate of application shall comply with the manufacturer's soer5fications. COORDINATE WORK: The prO00380 work shall be sueordnatea to any operation which the State of California or City of La Quints Tay conaucT in this area during the period of the permit. Work shall be Coal inatea with the State or City of La QUlma forces to preclude delay or interference with State or City of La Quints dfofects. R1 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all sury camerllns at all streets ter oropenv lines when in vdW9dshoo cbmdlatsh neo out so they may oil feeatly ampey monuments which exist an the . be n'blece0 dr • IicaRaed etvrl eflglnee/ Or surveyor at tail, exo@nm df Int@ ewmmK A aom lwo sat at mdtas hdyvt ealy -. ---.... .., . .. tip to these m anumin>f thaU be turnt@ned to the City Enptne@r ancetoi n@ reetovera nrhngtne tw naafteo upon cOnumebon w rdovacer rant w ell sun _ vwmtenufn@m & iscmaii ii 1 o e ..50NUMEN TS. P"or io excavation or oemnntria Of construction. au survey monuments snill be uepe�t cry l.it y, %t W Uuinta and suitable payment or guarantee 01 Oavment snail be maps as felmourSement fOf all wOfa I^VOtvep R17 -IAVEMENT CUTTING: Pavement will be mecnanicaliv cut to a atralgnt e0gs prior to excavation. M cutting snail be approved tnrougn the office or the City Engineer. Whiter no Circumstances snail ex eMad Of Devilment oe used 10 excavate prior to cuttlno of oavemenfl. Excavation material snail be placed in Such a ccs t pit to to nest tacmtate me general tioty or tramc. Prior to final paving operations. any pomade to. g e s tomest corrected, pavement straight R1 ?AVEMENT CUTTING. Pavement snail be saw cut prior to removal. prior to renal paVlrt sags snail de Pavement suaignt edge snail be corrected. g operations, R19 UMITOFEXCAVATIONS: Excavations snail belimited to1.0001inealfeetOtcDentrencnderoreoackftlle�ranonsny geto begin. All excavations snail be orcoehir barricadeo Witn lights Overnight, on weekends and hOltdaVS for the OtOtacton at the travels aerations must ^9 pupae. the Public Works tidector xce snarl determine the suitability or excavation oalloays'orrricacing th seen Case. No excavation snail remain open for a OeriOp exceeaing clue 1'J) day. No excavation snail ti made unless the achcaconstrse. No material Is actually On the work Site.' 8ACKFILL MATERIAL Baticful snail be free of crush. facts Of Other organic at producing an adequately consolidated baftdcll. Any material whiche City Of j„ace getrlMehtu.. , .:S fixe for saturated materfall Whlch is encountered during excavation shall not be used torp uintapL mall be spoems ill purposes or reOlaceO by an apptOved Sano or gravel, ablelspoh a or R2 BACKFILL SAryp; Baddill shall be a DDlarne^tom or oOTOved trarts^-mix sand Or equivalent and shall be placed in lifts of three feet (31 and vlbl ated using vibrOtamaer dr equivalent equipment. Altemate methods maybe sub case a relative Compaction of 95 percent shall be attained inti ^gtgroatertnan R22 BACKFILL PLACEMENT: Bacldlll snail be eoouad in lavers df ithinot The than zu percenral ion Of oral droadway. btrt in any bNorefl material or alis maximum offiw•foot151liftswheretrenchesaredfexcessivede backfill material is not subjected to exvsltro swell eMh of the ire^eh by }IOddtrt otos. Care is 10 be ekert:gum that the resulting cpfhaection shall je not Iasi man 90de it by fl oiling o�ea the surrounding aerial shall be Compaction. Where n shall b or of103Over Is e0 hat the flooding is used for a maximum settlement. as g ground, whieneyet istM greeter dik the water. Where )ening is used. the Isis shall be of sufficient length to reectt hetboRo s will be tic ayman0 the retain water rilppty shap-be Continuous. constructedto water COMPACTION TESTS: If so required bythe inspector, compaction tests shall be made at intervals of not more feet end a minimum Of one 0) test on each road. One 11 Co of each test snail be forwarded to the Cl approval and filed Prior tomakl n ) nl'000 Standard Spectt�tlons. Division of permanent Highways. airs. ComPacuOn tests shall be for meds to in Serndn Engineer ngin a he i9hway. State of California. dated January 1973. COMPACTION TESTS: It so required buns inspector, cpMosaton tests shall be made for each aossln One 11) CODY of earn test snail be forwarded to trio City Engineer tar approval and fit ed prior t0 making Compaction tests snail be Maas as outlined In Seaton 6.3.01 of ha Sa g or aelhw airs. of California, dated January 1973. 9 permarrn". a to ^lord Spectf ieattons, Division of Highyye�-Sale R2 TEMPORARY PAVEMENT REPAIRS: After consisting of 2 inches of SC -800 shell be erCco pale ionPreofep�ill and compaction operations. a temporary nacelle temporary paving shall be placed the placement of the temporary pavement exceed'a five 15) day limit. ll R26 PERMANENT PAVEMENT REPAIR: Atter batydifl anti compaction operations have been completed. a to consisting of two inches 12') Of SC�800 shall be laced immediately. A Permanent catch of surfacing D p ^tAprary paten 9 Otaeetl on a inch class base small be plaeeO tip later shah utChPa A. C. temporary road repair, day cher �fetlon pf R27 PAVEMENT REPAIR: F.A.S.: Upon complation of backfill and comdaction, a temporarypatch consistingof of cold Mix Paying ISC-800) shall be plated immediately. A permanent patch of three mitres 13'1 of A.C. gut}acrn ^noutettesl2"1 be Placed on six lncnes 18") concrete base as directed. but not later than fifteen 115) day after rnmplsuon of tem paving, Concrete flaw snail be at five -sack mik a snail and Spectfica lona Ordinance 0461. a1r0 shall Conform to the City of La Quinia Road ImprOvISM aorary R2 FOG SEAL: A tog seai coat consisting of an application of a�^OBfdg determined by the City Engineer. Sphaitle emulsion snail be applied over all paters areas as R29 SEAL ARMOR COAT: A seal coat consisting of an application binder and screenings shall be applied on al( where such seal coats existed pater to Issuance at hts permit. Seal or armor coats snail be applied as specified in Seaton 37. Standard pawn arses Specifications. Stale 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. 30 STREET RESTRIPING: Where street striving is still vissole 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 snail be accomplished by a licensed. bonded and insured tree service. and handled safelywitnout interference or hazara to the travehng public. It shall be the responsibility, of the permmee 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 safelvwithoul interference or ha traffic. The snare width of the tree stump snail be removed and dtsOOSed of so that no debris remains in view of the highway. rho slump hole snail be Oackftlleo and horougnly Compacted as specified in the followinggraph W highway becomes necessary to restrict traffic. the work shall be restncted to a maximum of 500 (est at anyone ctrl • Where it signs. flagmen acid/or barricades shall be provided to protect the travelingAdequate Large holes resulting from tree removal shall be backfilled and cont n public at all times. surrounding ground. Whichever is the greater CompaRlOh a$determmed not ie ss than 90 percent or equlvaigm tome by 'no impact or field iasis sha11 Comply with Seaton 6.3.01 of the Standard Speedications. Division of Highways. State of Callifoorrn a, dated January 1973. R32 TREE TRIMMING: a. Only the necessary trimming snail be accomatished to All broken week S@CtlOns within he.trlMMln PrOme clearance of the facility for one calendar ocL b. Where it tlemmes necessary to restrict traffic. the workshallbe rbe estrictec to a maximum of 500 feet at a year. 1 Adequate signs, flagmen and/Or barricades shall be provided to protea the traveling C- If tree trunks are meS. time. partially Outside of the City o} � Quints road fight of Pact g public at all tinea by this perms with adjoining propertyowners for consent to the trimming In addition to he authorization provideminee snail maze his d by this bannrt. d. All tree trimming on EVERGREEN TREES. PALM TREES. and other ORNAMENTAL TREES Shall be he satisfaction of the City Public Works Inspector, atxo^►puaftea to ^ e. AAbutang aWOMW 11 nets snail be caa l. cmm In all inancM prtor to tnmminq rIL --- - andshoulder el, ba or the shoder at he cane" or topping trees .,, SPECIAL CONDITIONS --PERMIT NO. 2268 --- ARB CONST. (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.: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 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. 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. 10. All work shall be coordinated with the City, the City's contractor and/or others working within the area as directed by and to the satisfaction of the City Engineer. Special Conditions - Permit No. 2268 �. ,:,,_'., Via. ���N�7. e;..••y•, f n. Page 1 of 2 wd ' SPECIAL CONDITIONS --PERMIT NO. 2268 continued 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 of near the travel way shall be backfilled and paved if necessary at the -end of each work day.for the protection of the traveling public. 14. Pavement replacement section on Washington Street shall be 5" of A.C. over 7" of A. B. Pavement replacement section. -on Avenida Tujunga shall be 4" of A.C. over 5" of A.B. Special Conditions - permit No. 2268 Page 2 of 2