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2286A- E: 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 II I DATE: 1-10-95 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION S/S of Miles Ave W/O Adams Street Tract 23995 Inco homes "Reunion" (Street address or Description of Location) PURPOSE OF CONSTRUCTION Manhole Grade Adjustment Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Adjust manhole to grade and place false curb DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 1-15-95 APPROXIMATE TIME OF COMPLETION 2-15-95 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: See attached conditions See attached drawing "A” Ref: GTE W/O # 0549-9P408MS-950000 A, 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. C, / Sign ure of Applicant or Agent GTE CALIFORNIA INC 45-590 Jackson Street Indio, CA 92201 342-0622 Name of Applicant (please print) Business Address Telephone No. 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 I I I 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- Received by Date Recorded by 2286 PERMIT VALIDATION PERMIT NO. 2286 DATE APPROVED 1-10-95 EXPIRATION DATE 2-25-95 DATE IS ED -10-95 By An�� tl Administrative Authority TELEPHONE: (619) 564-2246 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: JANAURY 10, 1995 Subdivision Improvement Permit — Class III Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION S/S MILES AVENUE W/O ADAMS STREET IStreet address or Description of Location) PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION ADJUST EXISTING MANR= TO GRADE AND PLACE FALSE CURB. SEE ATTACHED DRAWING "A" DIMENSION OF INSTALLATION OR REMOVAL SHOULD YOU HAVE ANY QUESTIONS PLEASE CONTACT C.R. BROWN AT 619/.342-0527. REFER TO GTE SIZE OF EXCAVATION, IF NEEDED W.O. # 0549-9P408MS-950000 APPROXIMATE TIME WHEN WORK WILL BEGIN 01/15/95 APPROXIMATE TIME OF COMPLETION 02/15/95 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. Inabilities 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 1241 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 Ouinta and to pay for any additional replacement necessary as the remit of this work. (F.L. SAVOY) Signature of Appli or Agent GTE CALIFORNIA, INC. 45-590 JACKSON STREET INDIO, CA 92201 619/342-0622 Name of Applicant (please print) Business Address Telephone No. 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 III -- Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ Fee Q'ermit lenalty :ash Deposit -Surety Bond f required TOTAL: $ ieceipt No. ieceived by Date iecorded by PERMIT VALIDATION PERMIT NO. Zzg� DATE APPROVED / 169- 9� EXPIRATION DATE 2 — Z 15 - DATE ISSUED /_/0 r F-5, By Administrative Authority TELEPHONE: (619) 564.2246 -he talinw,me tionergl aria'oectal tirovisions are attsenee to aro mania • Part of Penn" No. GENERAL PROVISIONS -he following snail always aaow ENCROACHMENT ON PRIVATE PROPERTY 'his cermrt autncrizes wont to be accomolisnea wftnan City o} ONLY. Whenever construction extends wifnin crlvate crOcOnv. t snail be the resoonsioulty or Ina perm secure Permission from adurtan La Quints right at we, g prOOerty owners. Such autnarltatlan must ne secured Dv Ina �iee lar his contractors, is 1AACKLAYING CONSTRUCTION EQUIPMENT: Claa[so traealawnq eonsrry? dermmee drier to paved surface unless T'rtedwnn smoatn-recoo Street Pada. Allen Starting Wang t tron eaulamem snail not ba Dermihe0 to opersts on a rn :no oavmq during e:esvauons. Rubber-nre0 sen@niealotrtnggerasnail be ntteowrtn runner straw pavement IS ScarreP. saalloo. or aroxon curing ins aurin^Of this commLL pt n he oavoniv small b9' Sao in amisrt[ la alne0. Ci sr*es roararea that tneae oorbdns at road be resurfaced over their emirs Paved areae. If file eequ st surtacng plus apbrotmaa sant wleth. Re N of V Qwme anal reouea coat at aoacttled above. ng smelt consist at one con of PROTECTION OF TRAFFIC: All excavations and work arena small ba ra two 'men" 12'1 of A.0 Engineer or La Quinta Citv Publtd Woes Insoeetors. or aeroura ono ae[our tad arta bsrnesaea m deemed . of Me are'-- The City Shall be howled 24 Hra. an savonev at a gnsanaube 1 ^eeerarinse Ciry o reed arta maintains* tar mduraflan CARE OF DRAINAGE STRUCTURES: any traffic de[oure or dahneastorts. Carteret@ Structures enecumgrgo during exca lidrainon which nue sutallnq cIniva, too metal aide. concrete nf=$Wry to remove or cut existing dminagg RfuQufea. e4satats nmova shag be replaced in kind. In the ager culvert arta Drainage structures and p0@fl amino snail be kept free at door's a1 La QuOU11 small be notified pryer To commence r It 0@epmN DIGHT OF WAY C door'• at all times for proper Drainage, e t W this wont. CLEANUP: Any surplus material resulting from excavation and backfill o way. All pavea aunacea snail be broomeo dean at earth and other objectionable mater'aq Immedq[aly after Oaetivoid wratrana snaU Defame ved from tna right of Ild Existing gutter line and drainage Patches snail be reblacea to their original stamearo or ostler. All • Prior to Paving. Water tanker snail be used, as r and cDml)acnan. Immediately after nacktill. required. to sonnkte the 7Cey rhgtg►nal snail be remove, lob site to keep down oust conditions aria snag be usea DE -WATER OPERATIONS: If da-wetenng oPermlona are required erto sumps are forcing wafer on City o} La Quints r the resoanslodlry or the permlhse Icantracton to Ca11[f01 Ihq water erne to Pare fO atfq wale ba Ci tv of when ne�rv. CLOSING STREETS:oats. 113 hall be oiNo Strew shall be cloaca. A minimum at one lane of traffic small be maintained at all timet to any le tar the time- Der illeO small contaroarrtergencyvenkNea In the eve,"rtlifahbvtne arm antl'engm of rime. permittee sMll contact mq office t0 p►ovlae timrtw abtan ins nee p mee that n@ must dpi♦ a Street for eerary Permission. The folftw -- � %JvIbIONS ^9 shalt ,DOW ONLY when Indwlso: RV NOTIFICATION: Permmee snail notdy file City ar777-7075 R2 CASH DEPOSITS OR BONDS: A cash bond or an aopr re least 48 hours In advance of starting consaualdn. shall be furnished in the name at Ciry at La Qulms to ry �^d i^ an amount at not IeSa than a roads and survey monuments. This bona snail be continuousticover all cait ne 11 In by file City Engutser This �` Dostsd prior to cammeneert*m of any work on this nava V Qua 6R UTILITYCLEARAN proles . bond must be CE ItubstrucurealPriortornalunganye>a7vauanwnnmtheCityofLaOumtan br Pgrmrt, the pertnmee anal come Is all ccncwnad utlliry com'=- raatrve to rhe Oamagetoexisting Substructures resurtrn from Ohtofva'el'aubtoriz.a of the perm g oerabons adn et exlamg SYbWrtuctures. mee. c0nduca,a underfries oermrt ansa be the sole reroor*10Plty R4 U111JTY CLEARANCE. ISurfsp Or000sea war[ site. The Permmepsnail u�mmoldy a work Shad be ear* unser this Derthrt Until all Utilities are dear of the PAVEMENT WIOENING. Area all concerned doincd uubry et>moamea 0f the aropasso wpm, R5 between rile proppeep m albfacep with inches of A.C. OINhg Dlapopry mr:rea Outter rine and the existing road Pave having an -R, valueat not less than '^Mea of class rnenr Shall be and ScOcnacauans. �_anOlncentormaftee Vvifh t:itv0}L.a Quante Roan Sudden course Ordinance rr4f11. Improvement St and R6 PARKWAY GRADING: Area UsTween the props 1/4 inch to one foot I11. rty line and too at The proposed concrete curb Shall be grange too appsat R7 GRADES &STAKES: Ciry of La eonatrucuon. Quarte shall esraelish graces ane Stakes for the Propoaea concrete euro and GRADE CHECKING: Ciry of La Quints snail enact raced upon re gutter alieensooengineer. g ea'otofotenanoorwfaleend/orgraaeseagetapfianeppy R9 CURB REMOVALFOR DRIVEWAYS: A Portion removed. Curb ander curb and gutter anal, baof the existing concrete curd and/or curb ane gutter 1 favi concrete onvew saw cut Prior to removal. Oeorenae curb. thatching conch"1 (anallbe w epmoaen snarl be Construcrea in conformance with Ciry of La Quinta Standard 0207. RIO DRIVEWAYS. A.C.. Oriveways snarl be ccnstru glitter and PrO06mv, line and the existing road cavingdao sa ^nit td alter existing drainage pattern. Surfacing aggregate ease. Driveway construction snail '7811 ncdnte 2-1/2 inches of A.C. Davin assbettna to attacrion Growing, g placed on r __"1 of eta R 11 CULVERTS..: ' :nen Diameter i ert inches below and in line v in ins existing ?low i- ulyertl l�nstauation snail lton olea lrmth tto the attached n @invert iarayyin9 1-1,'2 •2 R12 IGHT CLEARANCE: Sight clearance of 600 feet in @'that direction snail be assured and maintainea. R 13 SOIL STH rer*s 3 : The eros to 0e surtacea snall be treated wan 3011 sterilizer. Rate of appltcarion sna, COm nanuracurer•s speertieattons. R14 OORDINATE prywitntne WORK: The ct in this s area Gunn work shah be Sun CiIY of La Quints may eontluc m g ins beardtnalec to any operation which the Stela Of California or riou his snail be cow Citv of La Quima forces to Preclude delav or Imerterenee want Statile o C'ry at La Qu moa Craig=. VA the Staa or RIS RVEY MONUMENTS: Prior, to eseavauon ar beginning of consiruccon. all Survey monuments wnien behanme d all atrem or Orobertv tines WRen invalyeO Shad rte aen+otstety tree out ani than nay Os wnfc SIU Per en"'S' ova east on file ties to these nlorrtpr*rle arca be harmew Or' Owe— sting gai enae oath...... A Oer►eQty 0e nea*e gdert dorrtibressw .. ++remote bre Ciry EsiPrrtaer drtormtrre.�..�. Sar or notes a*weng me' =16 : _RVEY "AONUMENTS. P••nr to excavation or peoinnino of construction. all survev nionumems snarl =t La lauents ano sunacle oavmem or guarantee ar oavmem snail be mage as rel e ride gut adv utv R 17 '4yE1ENT CUTTING. Pavement iota beralifint nibunemem 'or all were onvoi+ee- CuTM!♦ anstl be a ernMO City n lab a at'Unca edge ortor to a7saynon. Method "1 aoprovee [nrown the ortite m me City Engineer. 'Uncap n° eireumstnees snap excavatingoavemem be used to excavate °nor to cultina or pavememt Excavation material snail be otaeeo in suet a facilitate the general now of tramc. Prior ro final Oavinq ation at any damage to pavement staio eauteam correoeo. cosign as t° ods[ RI °A�BNT CUTTING. Pavement snail be saw cut °nor to removal. Prior to anal pawn A9nt edge snail be -• pavement straight edge snail be correct", g operation R19 UMITOF EXCAVATIONS: Excavations stall be itmited to t. s any damage to begln,All excavations snail be Drccerty barncaaeo with I,onttss0overni fit or abet Trench a before ba s'Or O Ino traaaiin q weeRengs dna nOliOiVs tart petati0^S must 9 Duoua The oven or a oe nsoeCc exceur eding toyil ermine" swtaotietvOr excavation barricaden , e unprocase. at No ekeavaoon snail remain oxen to a Dorton exceeoing rive toil gay. No excavation stall be made title mstwm is actually on the wort site. 9 team case. NO R20 BA ss the construction MATERIAL Baactdl snail be gee of brusn. root °r Other organic substance detrtmema. , ..; s 1d producing an adequately consolidated ft, Ill. Any melena, "ten the City at La lstunwo material) which Is encountered aurin a usstppurit"Os 9 xeavation smaLL not be used for °at�ft�ll. but snail be supe, itable mor temam w an approved sane a grave,. _ R21 BACKFILSAND: eacklill shall be s pptamemea or thm@'fit f3') an"vwatd um y,prot�e ��rt•mtx sand or equivalent and shall beplaces to hfta p} n9 mneroreaurvaientequlpment.Alternate melnadsmavbesub ndtgmterrnan cage • relative cOrtpactlan at 95 cOrcent shall be attained within the c:n;ctural section a} the tOe°WeY. R22' BAC aw". riot in any BACKFILL PLACEMENT: BarJdiu stall tiG appliaa in lavers of not more Than 50 percent of the total dept, of the trench bac tilts uteri l lama:tmumoffive-ra01151liftsvvnerstienenesarwatexcessrvsdepths.Gilestobee OalfteLL materiel is not sublecuo to extreme "well by flooding overations, Sac ktlll materiel snail beculloatente rerun=4 cpmbactlan snail be not lass than 9pper dtnattne Compampn. Where Dancing or flooding is used forto s@Rlto the , aQounclon °wed ,,graso that the 9 ground, whichever lsthe greater Me water. Where letting is use", the lets shall be of sufficient length to ream •ttns a dates will be can SU130ty3haO be continuous. btmom Of earn :aver the rater COMPACTION TE y end the water STS: If so required by the Inspector, cahPGRIOn tests shall be mala at 'marvels of n het aura minimum Of one 11) test on earn road. One 11) copy at each [est stall De f a=avasnd filed Drtor to maxim not more than l.ppp 9 Permanent reoaus. CbmwRion tests snail W me" orwarded 10 the City Engineer for Standard Specifications. Diffusion at Highways. State of California. aaoutlAneden5etaonf3,301 at the R24 COMPACTION TESTS; If so reoulred by the tnso dated January 1973. One I l )copy of earn test snail be tawaroedto tne�Civ. comaactten tests snail be made tar earn crosser CatiOamoh tGsq stall be made aZOutieneGinS Air Engineer ter apptovelehdfiled 9Ofias ,ma. smai ti 301 Of the St Dna to makm9 Dstmati@nttepees. °f �da+iie. dat/l"January 1973 ^at'dSpetMteatta,s.0iviawnotH' R25 TEMPORARY PA i9tiwer@.SntG _ PAVEMENT REPAIRS: Aha Completion of bftWill are Campa,, .an an a Prepared operations- a Tehtppary patch attar a eaalomum W 3.000 ne t test of trench figs been excavatsu ode. The SC -800 temporary paw the placaete- of the tem edandOaekh Ioperationscompleted-buti� derail pilary pavement exceed a five 15) day limit. neCiiGZhall R26 PERMANENT PAVEMENT REPAIR: After baadilI and compaction consisting of two inches 12') of SC•800 shall be placed immoperations nave °den completed. a teiii0aary paten ewataly. A permanent paten of • _ tAMtWi atdrig placed on a inch clans — bas@snail �'�-- inches A.C. pad► road repief. be placed no later than _qday @Iter R27eeniptetion of PAVEMENT REPAIR: F.A. S.. Upon completion of bacldill and wmoealon, a temporary paten consisting at Cold ttR: Dawnq ($C.8001 snap be plated •mmedytely, A permanent patch Of three enemas 131 of A.C. surtimm be Placed an slat 9 of two inches 121 iit7te! 16�) eetiveee burse a! detected. but hat later than ftftOan 1151days attar completion cls 9 snail Dav,ng Concrete Daae anal) beat five sack mix and shall conform to the City of V Ctl11nO read" frhp►p„@ and SOGWIC811MM Ordinance x461. Shiner cs A FOG SEAL A f inentStangaras d9 sea, Eng neercons. log of an applicatlpn of aspnallic emulsion snail be applied over all pate, Wass as d@tnnmGd W TING CAN Engineer. R29 SEAL ARMOR COAT: A $eal east constsenq of an application binder and screenings shall be atlpltea on an where slain silo, coat GRAZING ardor to issuance a, this permit. Seal or armor teats snarl be l be Sp it d an a' eas 37. Staroard SOecttAcations. Stat of California. Division of Hi paaen "tion be accuratbshed by a licensed contractor e a guess . darted January 1 wdm5ection R ^9 god m lame lay 973. Wort lot pavGinent repair to STREET Of PermaING.nent a nee airsH stuping is still of onstreetss to pe excavated.t repair. striving stall be replaeeo upon ent emnpeetietn of Dsrmanenc repairs. R31 TREE RELOCATION OR REMOVAL. Tree relocation within the City Of La Quinta road right of way snail be accartbllshed by a licensed. boncea and insured tree service, and handled safely without mterterence or hazard to the Peyehng public. It shall be me responsibility, of the Permittee to maintain the tree In a vigorous growing conattion at its new location Trees tone removed small be removed in sectionswhich can be handled safetyvvernout interference Or nil traffic. The entire weath Of the tree stur10 snail be removed and disposed of so trial no debris remains in view at the highway. The stump note snail be backfilled and tharou n tarot highwev becomes necessary to restrict traffic. the wort 9 ly eomDactec as specified in the following paragraph, Where it slgta. fhgmen and/or barricades shall be a shall be restnaep to a maximum of 500 feet at any One time Adequate p dad to protect the traveling public at as times. Large Maids resulting from tree removal shall be backfilled and compacted to not less than 90 percent or edurya "uAOurldatg ground. whichever is the greater tam0action as determinep is= Snau Comply with Semon 6.3.01 of the Standard ien[lcine on hoard Specifications. � the impact or field method- Compaction January 1973. rations. Division of Highways. State of California. dated R32 TREE TRIMMING: a, Only the necessary Trimming snail be accompllsnea to prpwOe clearance at Th. All brakan or weak sections within to trimming snailbe removed, e factltty for one CilMdar year Q. Where rt becomes necessary to restnet traffic, the work shall be restricted to a maximum of 500 feet at anyone b AdedtaW signs. flagmen, anclor barricades snail inebe provided to protect the traveling puptee at all bmaa C If tragi men are partially Pr ps of the City o} La Quints road right of way. Perm-ee snail mail@ nil own by this tiwm ad�ahthg ppO°� O� news far cense-10 trio Trimming to adtbtion to the autnort=uOn Drewdeo by the parmrt. d All trts@vtmmtng on EVERGREEN TREES, PALM TREES, gpad to the saDsfaedon elf the City pubtie Wpb Inap@ap, ano ether ORNAMENTAL TREES shall be aoemttt s' Abutaing Or Op@rty owntale Snag be cotta3em in as i (. PntmtgQ!�t4lh_MLavairaaxea.�..�..� ��.. _ nmtioM• prior to trrrmntng or mpOG,g treed -n _� n •.. ,� •.,. ... _._, _ .. ...� _r>.. .v., .. , _. .., ... .: ,.,, .-..... •.. .--,.-'r-ria'-.': .w .... � :�.._. - .. �. � ..--....e•r� ...- SPECIAL CONDITIONS --PERMIT NO. 2286 — GTE CA INC --- 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 Land 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/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. 2286 Page 1 of 2. k SPECIAL CONDITIONS ---PERMIT NO. 2286 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. 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. 12. 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. 13. All landscaping, irrigation, decorative rock, decorative concrete, lighting etc. shall be replaced to its original condition. 14. Access and egress to all local properties shall be maintained at all times. 15. Permanent pavement replacement section shall be one inch greater than existing. 16. If the work is 'to be performed by. forces other than' that of the utility company the contracting company shall be required to apply for an additional encroachment permit and pay' the appropriate fee. Special Conditions - Permit No. 2186 Page 2 of 2 f