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2281r 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 Subdivision Improvement Permit — Class I I I DATE: 12-27-94 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION N/W corner of Desert Club Dr. and Avenida La Fonda (Street address or Description of Location) PURPOSE OF CONSTRUCTION Repair possible leaf Sketch (attach construction plans if appropriate) on Fire Hydrant run DESCRIPTION OF CONSTRUCTION Excavate to repair vossible leak See attached conditions DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 12-29-94 9:00 am 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: USA # 0904050 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 applicable rules and regulations of the City of La Quinta and to pay for any additional replacement necessary as the result of this work. Signature of Applicant or Agent Coachella Valley Water District P.O. Box 1058 Coachella, CA 92236 (619) 398-2651 Name of Applicant (please print) Business Address Telephone No. Lance Young — Supervisor Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. 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 $ Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. -0- $ -0- Received by Date 2281 PERMIT VALIDATION PERMIT NO. 2281 DATE APPROVED EXPIRATION DATE 12-27-94 1-31-95 DATE ISS ED 12-28-94 By191oe Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 NOTE: Whh Proper validation this form constitutes an encroadtment'permit CITY OF LA OUINTA APPLICATION FOR PERMIT -PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or private curbs, driveways, pavements. sidewalks. parking lots. sewers, water #Ming and other like public works Improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS DATE: /V- a 7 / / Subdivision Improvement permit — Clara III Mina Improver Permit Clara IV LOCATION OF CONSTRUCTION Lcx (Street address or Description of location) PURPOSE OF CONSTRUCTION.►ass41e le li/L Sketch (attach construction plans if s �h filo lr,.dr4rr�' i'uat Dpr)Prieta) DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED v APPROXIMATE TIME WHEN WORK WILL BEGINU�- i APPROXIMATE TIME OF COMPLETION v ESTIMATED CONSTRUCTION COST S� (Including removal of all obstruction, materials, and debris, backfilling, coma paction and Placing permanent resurfacing and/or replacing improvements) In consideration of the Van" of this permit, the applicant hereby agree to: Indar-dV. def$M and me Yw qty. its aurrorirad ap m. officers. reprawrtaUvea and arroloyea, hamda tion+ and against anyand el Penalties, liabilltles Or I" restating from daft or corm and d arisirq out of any aceidant, loss or damapa to paraoru a property happening oe or ouninp o • Proxima. rerun of say wort undertaken under the parmh Wanted Mwa+ant to this spplkatlon. Notify the Adminirtmvs AuOw;ty at ksess twntvfour 1211 hours in advWo, of tM time when wort wiu be started Coiner with all cep ay for qty Ordions, eg,re the arms ane eonc"'ru of the Permis arta 811 applleadla rtdas and repdedons of the City of V Ouln. and .pay for assts addltlonal replaprrynt naoeary a$ the result of fhb work.. Srpnattm of Appicent or Apert X Goc�� / c /�� 1/c�!%:> GJa �"�r l�. S?- Rjox /:75� NI�fGG(il4; �A Ja- Name of Applicant (please print) r Business Address Telephon ^Nei. Namb of Contractor and Job Foremen Business Address x Teltapltwr No. Contractor's License No. City Business Litxnst N,. X Applicant's Insurance Company 1516U. LIA8tL1'TY Policy Number FEES: Subdivision Improvernent Permit —Clan 111 Public improvements. 3% of estimated construction cosh Private improvements: 3% of estimated construction emu Minor Improvement Permit — Clan IV: See attached schedule Inspection Fee S Permit Fee Penaltv .Cash OePosit•Surety Bond if required TOTAL: Receipt No. Received by Date Recorded by PERMIT VALIDATION PERMIT NO. -0-7,61 DATE APPROVED v r EXPIRATION DATE _ DATE ISSUED - /,L/ f -f By TELEPHONE: (619) 564-2140 . 1386. Administrative Authority . �;3 ws-/ -he toeowina uenern One Soactar Provisions are Olfaction to and meas a Dart at Pemyrlf No. GENERAL PROVISIONS ,he following snap always acciv: ENCROACHMENT ON PRIVATE pROPERTy. 'his Dermn authorizes war% to De aeeommisnea wimin ONLY. Whenever construction extends wiintn private property. t snap be tree re secure Whenever iron construction City 01 La Quinta right of wav alluding procahv, owners. Such auincrization must be secured tine h.e cartr±mas tin MIS Contra f0 +/ TRACKLAYING CONSTRUCTION EQUIPMENT: Clastsa O0A^tRe prim [d payee surtace unless thteow^n smomn•ieceat[rC'eset t pt m� lMn�Rlan eau�oment shall n avrting want. •ria Caving ounng excavations. Ruboer•tireo eauipmem amy.eman0e l m►iggerssma en'tS �aw nouDDerstr atooaefeteanenv Pavement is scatiea. stalled. or broken curing the term at this en 3°O '^ oactttill oberstions in eaL It the existing that these eortrons Of roan be resurfaced over their @mire retract. Or n the oavem Caved °rasa, If the reisung surfacing wrath. Or e^t la maned City at V Quina sftall reduso g Dtw aaprapnate sear coat as sasctfietl above. �^g shall consist of one eon a1 PROTECTION OF TRAFFIC: All excavations and wan areas Snell ba re two menet, 12'I of A.0 Engmeer or La Quinti City PuDOc Won! Inapeerors. SuitaDla OetOur! Ono nY lignteo aro baRrcaOep n deemed Of the prot@a- ThO City sha11 be notared 24 Mrs. in advanceO�slgnsshallbeplacedand n�esservbytne City at any traffic amours or m°ihui^°Ofortnstltuaun CARE OF DRAINAGE STRUCTURES: Any arsine a sir 0e11nssttprq, concrete structures encountered during excavation wnin structure including corrugated metal pipe. concrete necessary to remove or cut casting drainage struauna, necessitate remevsr snap be 01pO duel culvert and Orainago- structures arra Open arams snail be kept tree at deity of La Quina ansa be notified chair to commencekind. in the ms. becomes debris at all times far Ofacor drainage. °^t of min work. RIGHT OF WAY CLEANUP: Any, material resulting from excavation way. All payetl surtace! shall be bloomed clean of satin and Other tib and backtitl Operations tacttOnabl° materiasimmsOytaiv alter removed llOng Bright of Existing gutter tine end drainage ditches snail be reotacea IO their original standero dr better. All • Prior to paving. Water tanker small be used- as r acttmllOrpcpmparnon. immatlraety attar oaadill. e0uttetl' ld sprinkle the excess material Shap be renwvad lob site to keep down dust conditions and shat, be uses OE -WATER OPERATIONS: If de-watenng opennns are r In* resbonsipllny or the perntmee lccntracwrl to central this Wolof rea nd pumps to ars arcing wsteron Ciry d} � Quints reeds, it ana11 be CLOSING STREETS; No street shall be elosso, q minimum of Orovpe -Strom barricades when �H access for ins adldintng property owners aro a one 'one of traffic small be maintained at air times to any rengm of time. Dermmee shsU contatx min office to In ins event m isfettbvthe �rtle iimnetl aouin trio pem+meelnatnemuncil,"0etre„tor necessary pertnlssian. This follwn SPECIAL PROVISIONS ng shalt apply ONLY when indicated: ' R1 NOTIFICATION: Permmee shall no[ 777-7075 iW the City at68,� at least 48 h0 ' R2 CASH DEPOSITS OR BONDS: A nen bona m an urs in advance Of starting caitRu%=fon Shap be turnisne° in In name of City of U QuinaPprovn $1111401Vbond in an amount at nit less man a r ►OOM and survey monuments. This bond snail be continucovous e11 wok involved in the restoration Ot the Ya to posted prem to etlmmencamem of a °� Until ca^eetied by the Ci rtt>w La Quinta rry work n this Protea . ty Engmew. This perp must ba R3 UTILITY CLEARANCE1SubstrucnueslPriortomafun by pefTrih, [h spermmes shall COmact all concernedgame�vannw^thintn°Citvaf{apyLMnghtof Damage to exishn utility campatrup fel/live to the tOCiben Of existing w�auatOriteO g aYbaVUaure7 relulfing from Opo/atrOna CphOYaep under ma �mlf M@p D° me tON °f the pa►n+mes. substructures. R4 �SOorraibiliry LITY CLEARANCE; ISurtaee struetureal No 5)—LM- wan sets. The Permitting snail not work hep be done under this Oermft until all utilities are ctesr at the ny et, concern be uldity companies at the proposed want R5 PAVEMENT WIDENING: Area tieerveers the prgpdaep surface* with inchesotq.CDavtroplacaddn ml'r�ts guttsr line and the existing road pave having an "R' value of not less than-�i^Mea of crag muni shall be and Speertieationa. Ordinance r+481. aft inconformancewithCi apgregatesudDesesourse Not la Quints Road lmprovemeR Standards PARKWAY GRADING: Ares oatwaen msro e 1 /4 inch to one f p D rty line and top d} the OrOpoaeO concrete curb shall be Qratlatl to a slope o} pot I 1 �, R7 GRADES & STAKES: City of La Quinta shall establish races construction. 9 and stakes for thepropose° concrete _ curb anti guitar RB GRADE CHECKING: City at La Quintsotgrades I licensed engineer. snalleheuponreceptatPlanandprdfileend/or graces esaatsbliamedp R9 CURB REMOVAL FORORIVEWgyS;q y ramcvea• Curb and/or aro anti gutter small be saw rtion at the et prior concrete remov euro ane/ar euro Ono gutter I f Concrete driveway approach shell be con cut Dflm ro removal. OeOraased curb. matching Concrete lehall be strut lea in conformance with City of La Quints Standard 0207. cr@gutter and R10 DRIVEWAYS. A.C.. Driveway snail be constructed as not ro alter existing drainage pattern. Surfacing Droperty tine and the existing road caving Snell be 2.1 /2 inches at A.G. Davin aggregate base. Driveway construction snail contorm g D°^"'°°^ tree to alfached drawing• g ptscatl on 1 —_-1 of tlan_� R11 CULVERTS. A :nen claimer er i 'Culvert snail De installed with the invert accrox inches oetow and in tine witn the existing flow line. Culvert installation snail conform to the attached icrowing.—��matery 1.1; 2 R12 SIGHT CLEARANCE: Sign clearance of 600 feet in .either dir R13 SOIL STERILIZER: The area to o° surfaced shall °ch°^ snarl be assured and mainuineo mahuiaQuref's ad.eClftcattortl. be R00[ed with SOU lteriliLpr• Rats o1 appltt:atlOh Thal) COm R14� OORDINATE WORK: The phtairn [rte City °} proposed work shall be subordinated to any operation which the State of California or La Quints may ccnauet in this area during Ne perlad dt this Dermn, Wdlh shall be eoorpinatea win the State or City of La Quints forces to preclude delay or interference with State or City at La Quints proteeo. R15 SURVEY MONUMENTS: Prim to excavation m beglnning'af construction. all survey monuments which ea eertteriine cl all streets Or Oropertv lines when involved shall be Co.. mop Out ad they bs replaced by a tsat rr the ties to these CMI sffgtRaer ar surrsydr m the 1e ttsrrnmsra A mhtofsts fineamMsno enrrealy ^m comidts snap De turmanea to are City En D°^O�'°°upartaanrdreeer.e.i� ---- --.. mr+eertredrtotn.ra..�— .�..�._ RO°est1p'rr^4tne -16 a LAul ur and ENTS s ca toe ? 0 non Or oeammno of cOmsifUctlOn, all survey monuments shale Called.' ela La Uumtt and suitaoie oavment of Ouafantee of oavmenf small as mace as re,rttoursemem r A17 "AVEMEN7 eo din OV involved CUTTING. Pavement WIII be mecnam,Cally cut to a atrolgnt add& prior to ext Or all wqa InVO1Vea curtln0 snau Ce 80crovea 1hrouan the Office of 'me City Engineer. lUnaer no circumstances snail ext avaton. Method of oavemem ce used TO excavate odor to cuttlna or oavementt Excavation material snail be mated In such a !acn,tate the general how or traffic. Prior to rmat Cavin �a^^9 eOwomenr 'Orfeaeq, g Operall0,ls. driv gamaOe l0 OaVlmGnt str Position as to cast R18 ?4VEMEN7 CUTTING. Pavement shall be saw cut prior to rem ane cage spall be pavement sualgnt edge small be corrected. oval. Prior to Anal Caving ' ® UMITOF�y�.� q operations. any damage tic E�=VAT10NS: Excavations snail be limited to 1.000lineal feet at OOen trench before backtill q begin. All excavations snail be orooerrybameadea wltn lights OVernigmt• on `NeeKehdS dna n011payg lOrin ineiraveu oePgtons must at ^9 ail re ain ocen or a ae none exceeding fiv erm,netne sultabmrvat excavatlonoarncaaln ° acn caSO. No excavation Shall f!mllh Open rOr a peftOp excalalnq five 171 days,NO excavation shall be mac! utile material Is actually On fns WOIK SITS. g i^each case. Na R2 BACKFILLq � [tie construction MATERIALSacKtiushanbefreeofCrush.rootsorotneror anicsudstaneeaetrlmenta,•..;s of Pfdducingan adadustaly consolidated bacitttl. Any materiel which [tie City of La Quint$ deems unSW se for ouraosdr saturated materiel) which ,s encountereo during llsa far ocrigves replaced g ekravation snail not be used far backtlll. but snail be Supplemented ov an aoarovec Sano or gravel. _ R21 BACKFILL SAND: 8ackfdl shall be eooroved , or three feet 131 arm virated using VIOn"Amoe oequivalent o are tnd Or Ment.edumlent and shall be Dtacatl ih lifts Of C330 a reiatire compaction of 95 peracid small be site had w�ninnne llemate metnotlamavpe$ub ^digroa[ertnan RI BACKFILL �aurau Seaton Of the roadway. .tutoo but in any PLACEMENT: a maxi um all snail be copied m lay of not more tnan 50 percent Of the total d before t matwg or s maximum at five-roat 15') lifts wnere trenches areal excessive ceptns. Cares to De ex bacrfdl malanel is not subjected to extreme aweu e0tn of the trench reatlllinq camDaaton snailbe lanot lean man90Dv"i mfloodi or eolee Inecktateriel snail be arclaadthaitne eomoeaidn. Where cone,nq or flooeing is used for a maximum dlaew so that ens surrounding ground. be never Is the greater Me water. Whare letting Is used. the lata snail be Of sufficient length to reacn [ns bottom of each :agar and the r water SGRlemeht. adeputite dikes WIII DG COh$trilQad t0 felalh snooty small be continuous. R23 COMPAL-TlO1,fTESTS: lfsdrequired bytneinspector. compaction tests shall be mace at Intervals Of not m 00 tact and a mmimum of one (1) test on seen road. One 11) copy at each test snail be forwarded to the C! approval andhleo crlor to making4Engin EnI.gineer for Standard S permanent repatrs. Compaction lases snall be mac° as outlined In S6010116-3.0111 Engineer for paatieations- Division of Highwava. State of California. Dated January 1973. R2 COMPACTION TESTS. If SO required by the inspector compaction to of [tie One 111 copy Ot eecn test snail be tarwaroad to the City Engineer for tests shall be mace tar seen crossing gortentrepairs. e airs. approval and filed prior to malting at California. Gated January 1973. 9 permanent rod tate Specifications. Oivis,on of Hplttxtaya, State i TEMPORARY PAVEMENT REPAIRS: After complattdn of bacttfill and compaaton operations, a [ "orarV Catch ta^sis[ing at 2 inenes of SC- 800 shall be clacea on a prepares subgraee. The SC•800 tem ora after a maximum of 3.000 lineal feet or trench has been excavated and oackfal operations completed. Cult in nO case snail the Placement Of the temporaryp rypaving stns" be placed pavement silicified a five 15) day l,mt. R28 PERMANENT PAVEMENT REPAIR: Atter oacktill and compaction operations have peen completed. a to consisting Of two Inches 121 of SC-800 shall be placed Immo surfacing placed on a alaeW. A permanent patch of l^POrary paten inch class basesnallbeplaceenolatertnan—�aln�°aA'C. at temporary rasa repair. GnIE j�cH Lia-E,a days attar R27 PAVEMENTREPAIR:F.A.S.:Upon cam pletionofbaekfllland eam� �rr57-AA.-ft, completion at Of cold mix paving (SC-800) shall be placed Immediately.q 0°ctipn' a temporarypatch consisting t be WacQd On sex mases 161 concrete base as directed. but not later than fifteen 115) days atter comolaoan inches (21 permanent patch of three Inches 131 of A.C. surtapng snail odyn^g. Concrete baso shall be of five-$ack mix arts shall conform to ins City of L a Quints Road lm r std Soeaticaaona Ordinance 0481. of temporary R28 FOG SEAL: A fog seat coat consisting of an application of a p dn'ef^arftaendaras determined try the City Engineer, sbhatuc emulsion snail be applied over all Patctl areas as R29 SEAL ARMOR COAT: A seal coat consisting of an acOl,caf,on Cinder and screenings snail be acallee on all wherendrl seat coats eklsl. priorto Issuance Of this Oermn. Seal or armor coats small be applied as Spal:dlad In deacon 37. Standard Specifications. State of California. Oaten creed be acmmetished by a I,cehSlc to Of contractor rengagedDivision Of Highwav$ 03TOG Jan uary 1973. Work Ot pavan) air to R30 STREET RESTRIPING.Where street strlaingisstiloleonstrees�ao Pavemexcavaentrevair.ed. such r,pingsnallbereOsaceapuoon completion of permanent repairs. R31 TREE RELOCATION OR REMOVAL. Tree relocation within me City Of La Quinta road right of Way snailbe aceOmpushed by • licensed. Pontiac dna insures tree service, and handled safely without Interference or hazard to the trawling public. It shall t theremoved sallbresponsibility of the permittee to maintain the tree In a vigorous growing condition at its now location Trees to De removed shall be removed in sections which can be handled safely w,tn Out interference or mazard to highway traffic. The lntlf! wlpth Of the tree stumo small be removed and disposed Of so trial n0 debris remains in view at the hlgnway. The stump hale small be backfilled and t^orougntvcdmpactea assceat1w in fhetallow,n becomes necessary to restna traffic. the work shall be restricted to a maximum of anyone signs. flagmen end/or barricades shall be provided to protea the traveling4roph. Where If 500 feet at any one time. Adequate Large holes redwing from tree removal snail be bactchlled and cpm public at all times. Laequivalent to the genoteSurrounding ground. whichever Is the greater corn Compacted To not less than 90 percent or tests snail comouv with Seaton 6.3.01 Of the paction as determined by the ,moan or field metnocL Compaction January 1973. Stannard Specifications. Division or Highways. State of California. Oates R32 TREE TRIMMING: a. Only ins necessary trimming snail be acccmollsnea to provide clearance at the facility for one calendar e[ at anyone feet All broken Or weak sections Within The trimming snail be removed. ,7. Where t becomes necessary to restrict traffic. the Work shall be restricted to a maximum Of 500 ImG• Adequate signs• flagmen. and/or barricades snail be provided to protea t C If sea trunks are partially outside of the City of La he [raveling Public00 e all limas. arrangements with adtdmIng prove Ouima road right Of way, permittee snail male nes own by this oermrt. 'TV Owners for consent to the [rimming In addition to the authorization provided I d. All tree trimming on EVERGREEN TREES, PALM TREES. and the satisfaction of the City Public Works InsDgctw. rimer ORNAMENTAL TREES shall be aCCOmpllahe0 t0 Abutting nod WMIL In au ........rte la f PPrur In all in=anpR prior to trimming or looping trona SPECIAL CONDITIONS --PERMIT NO. 2281 --- COACHELLA VALLEY WATER DISTRICT --- In addition to the standard permit conditions, the following shall apply: 1. All work shall be performed in accordance with the latest edition of the Standard Specifications For Public Works Construction. 2. Permittee shall be responsible for providing continuous dust and erosion control. 3. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently if required. 4. Contractor shall comply with the local noise ordinance. Operation and maintenance of equipment within one half mile of human occupancy shall be performed only during the following time periods: October -1st to April 30: Monday -Friday 7:00 a.m. to 5:30 p.m. Saturday, 8:00 a.m. to 5:00 p.m. May 1st 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.. 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. ite: 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. 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 CityEngineer. Special Conditions - Permit No. 2281 Page 1 of 2 a _ .:'4:.. -. - al. �' ��� retie.-�f C ;'?(fi �.1 +•�: SPECIAL CONDITIONS - PERMIT NO. 2281. 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. Site clearance of 600' in either direction shall be assured and. maintained at all times. 15.Street striping that is damaged, removed etc. shall be replaced to its original condition by the . permittee at no cost to the City. 16. 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. 17. 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 and/or property owners. 18. - Ingress and egress for all properties shall be maintained at all times. 19. The City will determine the final limits of asphalt replacement. 20. The pavement replacement section width shall be one foot greater on each side of the trench. 21. Trenches shallbe backfilled with a slurrymix approved by the City Engineer. The mix design shall be submitted to the Engineering Department for approval. Special Conditions - Permit No. 2281 Page 2 of 2