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2284NOTE: 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 II DATE: 1-6-95 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION — La Quints. Village Shopping Center Ralphs (Street address or Description of Location) PURPOSE OF CQNSTRUCTION Temporary pumping Sketch (attach construction plans if appropriate) water out or retention assn DESCRIPTION OF CONSTRUCTION water lines into catch , basin on Tampico See attached condition© DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED N/A APPROXIMATE TIME WHEN WORK WILL BEGIN ASAP 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, 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 propee rty 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. 21- .. Signature of Applicant or Agent Moorefield Construction Co. 1950 Sawtelle Blvd #295 L.A. CA 90025 Name of Applicant (please print) Business Address (310) 478-8295 Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. 397892 3235 Contractor's License No. Farmers Applicant's Insurance Company 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 20 Penalty Cash Deposit -Surety Bond if required r TOTAL:-- Zd Receipt No Received by Date City Business License No. 09403-29474, Policy Number 2284 PERMIT VALIDATION PERMIT NO. 2284 DATE APPROVED 1-6-95 EXPIRATION DATE 1-15-95 DATEI9 1-6-95 By Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 SPECIAL CONDITIONS --PERMIT NO. 2284 --- MOOREFIELD CONSTRUCTION --- 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. Street closures shall not be permitted. A minimum of one travel lane.on paved surface shall be maintained with flagmen at all times. 8. All landscaping irrigation decorative rock etc. shall be protected in place as much as possible or replaced. to its original condition.. 9. Prior to excavating, the permittee shall. contact Underground Service Alert at 1(800) 422-4133. 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. Special Conditions - Permit No. 2284 Page 1 of 2 a SPECIAL CONDITIONS - PERMIT NO. 2284 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. 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. A ramp shall be installed over the water lines across the sidewalk- for pedestrian safety. 21. The sidewalk shall be broomed cleaned at, the end of each work day where is it evident that debris was caused due to this operation. 22. This permit does not authorize parking of vehicles in areas marked as "No Parking". Special Conditions - Permit No. 2284 'A Page 2 of 2