2275_Q
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
12-14-94
Subdivision Improvement Permit — Class I II
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Coldbrook Lane b Miles Ave
Inco Homes "Reunion" Tract 23995
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Install 2" gas main
DfSBCtRIPTION OF CONSTRUCTION Drench in earth to
llll gas main
aa
Sketch (attach construction plans if appropriate)
See attached conditions
DIMENSION OF INSTALLATION OR REMOVAL See attached plans
SIZE OF EXCAVATION, IF NEEDED
Ref So Cal Gas Permit #12248
APPROXIMATE TIME WHEN WORK WILL BEGIN 2-15-94
APPROXIMATE TIME OF COMPLETION 1-15-95
ESTIMATED CONSTRUCTION COST $ D
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements) DEC Q
In consideration of the granting of this permit, the applicant hereby agrees to: I _ INS
Indemnify,•defend and save the City, its authorized agents, officers, representatives and employees, harmless rof rif�"r d all
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to p rsons or pr
happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this appli tion.
Notify the Administrative Authority at least twenty-four (24) hours in advance of the time wherl work will be started. r
Comply with all applicable City Ordinances, the terms and conditions of the permit nd V111alp ficable rules and r ulations of the'City of
La Quinta and to a for an additional replacement necessary as the result/ % '
pay Y P Y 4r sky+r. .%
ARB (Masco)
Name of Applicant (please print)
Signatu
72-400 Vista Chii
Business
CA 343-1180
Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
259616 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 $ 40 II
Permit Fee
10
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 50
Receipt No.
Received by Date
2275
PERMIT VALIDATION
PERMIT NO. 22675
DATE APPROVED 12-14-94
EXPIRATION DATE 1-15-96
DATE SSU 12-14-94
By
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
-he followind General and Special Provision* are at"cned to and made a pan of Permit No.
GENERAL PROVISIONS
The following snail always aooly:
ENCROACHMENT ON PRIVATE PROPERTY. This permit autnorizes work to be aecommrsneo wit oln City of La Qui
ONLY. Whenever construction extends witnm private oroceriv. t small be one resoonsloUnv of the oermntee for n
secure permission from apurtln me right of vvav
g OrOdeny owners. Sucn autnorization must be secured by the permittee proof o 0 c°niog wait, to
TRACKLAYING CONSTRUCTION EQUIPMENT: Clestso [reatlevm taning t ort
paved aurtace unless Tlttedwnn 3mpatn-f eCea stfClea eds. All lavmq Construction
ton Oculomertt small not beoermmedto
trio oeving during excavations. Rubper-cued efutomem only snail be used n packfgers ellooeratio obe lotted perations ooersteonanv
pavement is scarred, sealletl or proton during this term m Inis contract, or it the oavemem is maned. City at La m toorotea
caved areas, If the existing
that these Cantons m road be resurfaced over ineir entire width. Flat is
*hell consist of one coat of
surtectng plus appropriate seal coat as foecfied above. Quiff snail rofusst
�O1^was 12"1 of A.C.
PROTECTION OF TRAFFIC: All excavations and work areas Snell bepropeny lightetl and bamcaded as deemed
Engineer pr La Quinta City Public Works Inspectors. Suitable detours amp detow signs shall DO Olacas and ITlelrl"1
Of the proles. The City small be notified 24 Hrs. in advance of any traffic dstpurs or feliilbOOlac ^°mWtwtn ythe Gty
nodformedwauon
CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugated metal aloe. concrete
CORCfets structures encountered during excavation wnien necessitate romovel tleU be replaced Irl kind Irl the
Olde. steel culvert and
rrotaaeary to remove a cut es,tting drainage structures. City at La Cluinta *nail De notified rotor to eommeneome
Drainage Structures and open drains shall be kept free Of event It becomes
debris a[ all times toll be mat drainage. m of this wort.
RIGHT OF WAY CLEANUP: Any surplus matensl resulting from etcavation and backfill operationS small be remo
way. All paved surfaces small be brdamed dean of earth and other obledtlonacle materials Immediately atter bactfill a
Exiting gutter line and drainage ditches snail be replaced to their original standar* or Metter. All excess material f rem [roe right of
prior to paving. Water tantar ^dca►lmarnon.
shall be used. as required. to sannkle the Job site to keep down Aust conditions sMail be removed
immedoately cher backfill.
nd aha* be used
DE -WATER OPERATIONS: If de -watering operstions are required one Mumps are forcing Waterton City of La Quints
ideas. it shall be
the resoonsicility of the parmines (contractofl to control Ines water and to proved* art -street barnCnget when flikogenry.
CLOSING STREETS: No street shall be closed. A minimum of one lane of traffic shall be maintained at all times to
alxassfortheadtatmngProperty owners and emergency vemoctes.IntheeventItisfaltlb mpermneethatroemu
any lengtn Of time. tAwld* limned
permittee shall contact this office to OM'n the necessery permission. stcweastreettor
SPECIAL PROVISIONS
Ths fotlwing shall apply ONLY when Indicated:
R1 NOTIFICATION: Pe►mmee shall notify the City at 564.2246 at least 48 hours in advance of starting canawuamn.
R2 CASH DEPOSITS OR BONDS: A cash bond or an approved surety bone in an amount of not lean titan a
shall a d Burned in the nems of City of La Ouima to cover all work involved in trio restoration of the varraty La Quints
roads and survey monument*. This bona shall be continuous until cancelled by the City Engineer. This bored must be
posted prior to commencement of tiny wart an this
Oro1aR -
R3 UTILITY
permCLFARAN ittlif bstructuresi
ilcontactPrior tomaking any Oxc vwonwithintheCityOfLaQuintenghtat"aLnorized
by perms. the pennnee shell eomect all concerned utility Companies relative to the location of existing a
Damage to existing substructures resulting from operations conduct" unser thti Permit shall be Me sol*
the permnee. substructures
�Orwbtlity
00f
UTILITY CLEARANCE. (Surface truCTuresl No wort trap be done under this permit until all utilities ere coot of the
p►oPosed warn site. The parmmee snail Wordy all concerned utility companies of the proposed wart
surfR5 PAVEMENT WIDENING: Area between Ire ordpoaeo m
moving a with inches of A.G pawn 1 rrcrate gutter line and the exiting road pavement shall be
havengan"R'
value ofnet ton than Paving in inene3O'cnss
and incontarmaneowith Cityof La Quinta Road impro e t anthi, St course
and Speedicauona. Ordinance r+d81. rnprovemantStan
carat
PARKWAY GRADING: Area oetweenthe Pro pertyline and too otthe pr000sedcpnQmecurOshalibis a
1 /4 inch to one foot 11 1.
A g► aedtdaalop*at
R7 GRADES & STAKES: City of La Quints shall establish grades and stakes for th
construction. e proposed concrete corp and duffer
RB )GRADE CHECKING: City of La Quints small cheek grad**
a lirensed engineer, upon receipt of plan and Crotile,and/or grades at eanblished by
R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the exiting canaete curb and/or Curb and gutter 1
removed. Curb and/or cur* and gutter shall be saw Cut prior to removal. 080/`/08380 curb. matching concrefeepahau be
concrete driveway approach te gutt10f end
shall be constructed in conformance with City of La Quinta Standard x207.
RIO DRIVEWAYS. A.C.: Driveways stall be constructed as not to alter exiting drainage Pattern. Surfacing between ins
proparty line and the exiting road paying snail be 2-1/2 inches of A.C. paving placed on 1 _1 of clam
aggregate ease. Driveway construction Shell conform to attached drawing.
R11 CULVERTS. A-;ncndiameter r
sail be ialled
12)incites below and in tine with ine exiting flow line.vert)vert in tallation ail conforms o tne he e[tacneoinvertiGrowing. h 2
SIGHT CLEARANCE. Sight clearance of 600 feet in either direction snail be assured and malntaonao.
R13 SOIL STERILIZER: The area to tie surfaced Shall be treated with soot sterilizer. Rate of acolication shall comptywitn Ire
manufacturer's sdecficatoons.
1 COORDINATE WORK: The proposed work shall be subordinates to any operation which the State of California or
City of La Quinta may conduct in this area during the porlOp at this permit. Wort shall be coordinated with the State or
City of La Quinta forces to preclude delay or interference with State or City r s Quinta ordinalacts.
al
R15 SURVEY MONUMENTS: Prior to excavation o► beginning of construction all survey monuments which olds
ceme►hne of all tree" Or proQertV tines when invplyep *nail CprhOletety trod out so they mar tie feadi
be r*oraeed 01,10 a ton Inv
1 car"e0 Call engineer or surveyor Nand cOrreRly
Ute to theee mORURleftb Qnap be fu►rtiteted to the C'ry * a Ortfl10 OefrhttRee. A ODfn01!le sitdl ria anfw,nome
00 -he"' 00 upon eommedost 0t reculdntwtt et ■u _ � Ondroomer torewloolop ymonumen". Thisen...ngTne
116-'_RVEY! 0NUMENTS. P•ror to excavation or oeo,nn,n0 of construction. au survev monuments snail bb,�ou �ov�„v
:1 La Uulnti ind suitaOle 08ymem Of guaranies at Oaynient Snail OB made as felTDufSBTeni for al/1 Work ullOvLinvolved.
R 17 'AVEMENT CUTTING: Pavement will be mecnanteauv cut ro a aralgnt sags onto. to euavanon. Mehod of
Oe tinguse snail c eocrvateoved nrouon the 1 pavement,
the City Engineer. funder no ckrcumsta x snail'Method ora used to excavate onion to cu[tin0 or oavemenrf. Excavation marshal snail be disked ,n such a oavpment
tacicorrected.
t to Ind genera, tIOW Of traffic. Prior IO final Paving OOeratlOnS. any 03T80B [O daVBTen1 sinal excavating equipment
postcon as t0 pest
corrected. gat sage snail De
RIB PAVEMENT CUTTING. Pavement snail be saw cut prior to removal. Prior to .lade paving operations.
pavement straight edge snail be corrected.
n I a UMIT OF EXCAVATIONS: Excavations snail be limited to t, any damage to
fet at
begin. All excavations snail be Drooerty barncaaea with fignts llemeq to on Weeken scans olma scolors cackfill for Operations must
ns protection at
me traveling Puout. The Public Works inspector snail determine 'me suitability of excavation carncading in seen case. No
excavation snail remain open for a cerlou exceeding five 15) days. No excavation snail be mace unless the construction
material is actually on the work site.
A20 BACKFILL MATERIAL- Badktill shall be tree at bruin. roots or
crinerorganic substance , -:s Use for Purposes
of producing an adequately consolidated baddill. Any maenai whtth he City Of La Qu ntta deems,uns
fepacBd try an anpraiiea sand or gravet. uitablelapongy or
saturated mater all which is encountered during excavation $hall not be used for backfill, but snail be eupptsmstea or
R21 BACKFILL SAND: 88dditl shall be approved trartst-infix sand or equivalent and shall beotsced in lifts of
three feet 13'1 and vibrated using v,brotamper or eaufva lent equipment Af to mate methods may be SUs O
case a relative compaction of 95 percent shall be attained Wlthtn the 5;rk CtYfa) SBCOOn of the rob notgreater
R22 BACKFILL PLACEMENT: Bactdill shall be apotso In lavers of not more than 50 percent of the total deitlJted but in any
away.
before hooding a a maximum at five -0002151 lifts where venenes areof exeessrve circ n t Cara is t l dbe epth
of the tranen
backfill marshal is not subgected to extreme swell by flooding Operations. Backfill materiel shall be paced that the
resulting compaction shall be not less than 90careem Of e0urva1Btt0 the SUrlOundln
Compaction. Where campingor flooding f0 toot the
915 used for of
setusmet. adequate dikes Wal be constructed 13th• greater
the water. Where getting is used. the lets shall be of sufficiet len
in
supply snail be cmmnuous. gut to .sash the bottom of each :aver anti wato ter
,R23 COMPACTION TESTS: 1f so required
bvthe Inspector, compaction tests shall be made et intervals of not mors than 1.00o
6i
feet and a minimum of one (11 test on each roan. One 111 COPY of each test shall be forwarded to the CI
approval and filed prior to making permanent repairs. Compaction to shall be meas as outlined in Section 8.3.01 of the
Standard specifications. Division of H' N Engineer for
a. dated
R24 nuary 1973.
COMPACTION TESTS: If so required bv�nsoet:tor Compaatonats Of i tests snail be made star each crossing
Ono (1) COPY atseen test snail beforwerasotothe City Engineer tar approval and filed ortortomakin Of//fVlCsllne.
Compaction tests shall be mace asouwnea in Seaton 6.3.01 of the Standard SPeefficatrons, Division of H' sham repairs.
of California. oared January 1973. ighWe”. State
R25 TEMPORARY PAVEMENT REPAIRS: After Compilation of baddill and compaction operations. a temporary p
aten
consisting of 2 inches at SC -800 shall be placed on a prepared $upgrade. The SC -800 temporary paving snap be placed
after maximum of 3.000 lineai feet Of trenen has been excavated and backfill operations
the placement of the temporary pavement exceed a five 15) day itmt. completed. butm oyip Shall
R26 PERMANENT PAVEMENT REPAIR: After backfill and Compaction operations have been completed. a temporary paten
consisting of two inches 12-) of SC -800 shall be placed immeaLstety. A permanent Patch of __,�� irtertes A. C.
surfacing placed Ona inch clan$
tempora roadr base snail be placed no later than
temporary repair. days ahe►eohtptationof
R27 PAVEMENT REPAIR: F.A.S.: Upon completion of backfill and compaction. a temporary patch consisting Of twolnches 12'1
Of cold mix paving ISC-800) shall be placed immediately. A permanent patch of three Inches Q-) of A.C. stErfat7n
be ing- C nc et EDo" 18'1 be
five base as directed. but not later than fifteen 115) days after cam A.0 s of tennoorail
Paving. Concrete bass shall ba at five -sack mix end shall conform to 9 shall
and SCOCiticati0ns. Ordinance #461. the City of La Qttnta RD
aa (nlprdvemam tOr nmfds
R28 FOG SEAL: A fog seal coat consisting of an application of asphaltic emulsion snail be applied over all paten arses as
daterminea by the City Engineer.
R29 SEAL ARMOR COAT: A seal coat consisting of an application binder and screenings shall be applled on all
where sucn $eat Coats existed prior f alifo near thts permit. Seal Or armor Coats shall be applied as specified in Section
37, Standard Spenfieations. State of California.at
of Hi sten area
be accomplished by a licensed contractor ensbusiness
Highways. dated January 1973. Work of pavement repair to
R3 STREET RESTRWING. Where street striping is stilt visioie on streets o ex a aced at pavement •such striping shall be replaced upon
Completion of permanent repairs.
R31 TREE RELOCATION OR REMOVAL. Tree relocation witnin the City of La Quints road right of way snail be eeeomousned
by licensed. bonded and ins urea tree service. and nano led safely without Tto ore
nce Of hazard TO the traveling public.
It !hall 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 safely Without interference or hazard t0 hkgnwav
traffic. The entire width at, the tree Stump snail be removed and disposed of so that no debris remains In view of the
hkgnway. Tho Stump hole shall be backfilled and thOrougntycompactep as specified in the following paragraph. Where it
becomes necessary to restrict traffic, the work Shall be restricted t0
Signs. flagmen and/or bamcades shall be provided to pmaximum Of 500 feet at BAY One time. Adequate
rotect the t a 8 all public at all times.
Large holes resulting from tree removal shall be backfilled and compacted to not less than 90 percent or equivalent to the
surrounding ground, whichever is the greater Compaction as Osterminea by the Impact or field method. Compaction
tests snail comply with Section 6.3.01 of the Standard Specrtications. Oivision at Highways. State of California, dated
January 1973.
R32 TREE TRIMMING:
a- Only the neceSSary trimming Snail be accOmolisned to aroma clearance of the facility for one Calendar Veer
All broken Or Week Sections Within the trimming snail be removed.
Q* Wherehost:OmeSnecessarytorestricttrafic.theworkshallberestrictedtoamaximumof500feetatanyoneifine.
Adequate signs, flagmen, and/or oamcades snail be provided to protect the traveling public at all times.
C. If tree trunks are partially outside of the rs m
of
arrangements With a0)aning pfOpertyownen La Quinta road right of way. permee snail mare nes own
by this permit. for consent t0 the trimming In addition to the auinwiltation provided
CL All tree trimming an EVERGREEN TREES- PALM TREES. and other ORNAMENTAL TREES shall be accomplished to
the satisfarnon of the City Public Wor1Ls Inspector.
e. Abutting property owners Shall be conactem can all
instancialL prior to tramming or topp
!. Pruning wall, In ah i n/tShice& 00 at the snouldt et ms e.......trig [rasa.� --- _ -
SPECIAL CONDITIONS --PERMIT NO. 2275
--- THE GAS CO. ---
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 beprohibited 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. 2275
,y
S 1 � � 7 t Q7F ' F� � b6n•� i ( ti
Page 1 of 2
SPECIAL CONDITIONS ---PERMIT NO. 2275
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 (909) 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.
Special Conditions - Peratit No. 2275
a .,
Page 2 of 2
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