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2287NOTE: S With proper validation this form constitutes an CITY OF LA QUINTA encroaclime'nt perrriit t 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=10-95 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Approx. 1/4 mile n/o Fred Waring on Washington St. (Street address or Description of Location) PURPOSE OF CONSTRUCTION Bus Stop Placement Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Install Pole & Sign paint curb red See attached conditions DIMENSION OF INSTALLATION OR REMOVAL See attached sketch SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN ASAP APPROXIMATE TIME OF COMPLETION 2 days 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 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. lZ_ , Signature of P�Qplicant or Agent Sunline Transit Agency 32-505 Harry Oliver Tr. Thousand Palms, CA 343-3456 Name of Applicant (please print) Business Address Telephone No. N/A Name of Contractor and Job Foreman Business Address Telephone No. X /A 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 $ Permit Fee —0— Penalty Cash Deposit -Surety Bond if required TOTAL: $ —0— Receipt No. Received by Date Recorded by 228" PERMIT VALIDATION PERMIT NO. DATE APPROVED 2287 1-10-95 EXPIRATION DATE 1-27-95 DATE IS UED 1-10-95 By 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 Subdivision Improvement Permit — Class 111 DATE: ��A Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION SEE ATTACHED (Street address or Description of Location) PURPOSE OF CONSTRUCTION BUS STOP PLACEMENT DESCRIPTION OF CONSTRUCTION -14MEATTA01ED I t 15-rA-LA 00-0— v 9 cc, N C�� &-c % 2-Zo DIMENSION OF INSTALLATION OR REMOVAL SEE ATTACHED Sketch (attach construction plans if appropriate) SEE ATTACHED SIZE OF EXCAVATION, IF NEEDED SEE ATTACHED APPROX�MA.TE TIME WHEN WORK WILL JEGIN L9 �n G.5 6 APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ SEE ATTACHED (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 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 ell applicable City Ordinances, the terms and conditions of the permit and all applicable rules end regulations of the City of Le Quinta and to pay for any additional replacement necessary as the result of this work. Si at of Applicant or Ager Thousand Palms. Transit Agency, , 32-505 Harry Oliver Tr., CA 92260 (.619)343=3456 Name of Applicant (please print) Business Address Telephone No. NOT APPLICABLE Name of Contractor and Job Foreman Business Address Telephone No. NOT APPLICABLE Contractor's License No. City Business License No. NOT APPLICABLE 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. Received by Recorded by $ 0 Date PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED / — By Administrative Authority TELEPHONE: (619) 564-2246 r� r� :� •�'fj' i t..� J C��, Cf r .1 r . • I Nb S" L� r U n e �o a 1),6 l 0 No+ a-;gwaWo ' UU....IUV,U�IL'NII ILJ, 1--i4l'1i .•.U, �.,.,.v •., ••••..•I- • AT THE PROPOSED SITE: ❑ Pole and Sign (Refer to attached illustration) Q Ind Trash Receptacle (Refer to attached illustration) ! Q L1 Bench (Refer to attached illustration) Q �( Cement Pad (Refer to attached i lutuation) ❑ i �1 . Existing curb is already Painted red Q ❑ Paint curb red to signify no parking. Q Sidewalk currently exists at this site. Width of sidewalk is: Street width from curb to anter line. SUNLINE TRANSIT AGENCY 32-505 Harry Oliver Trail Thousand Palms, CA 92276.9988 (619) 343-3436 DRAWINO APPROVED BY DATE (For Use by Suol" SndOnly) • 4 urs oue T -.fl_A _.N S I T _A. 9-1- N C V Mr. Hector Guzman City of La Quinta P.O. Box 1504 La Quinta, CA. 92253 Dear Mr. Guzman: MEMBERS: Cathedral City Indian Wells Palm Springs Coachella Indio Rancho Mirage Desert Hot Springs Lo Quints Riverside County Palm Desert Public Agency January 3, 1995 CITY OF LA QUINI'A JAN 0 5 1995 PUBLIC WORKS Attached for your review and approval, please find an encroachment permit application along with descriptive documents requesting the permitting of one (1) SunBus bus stops within the City of La Quinta. SunLine Transit is a government entity and therefore, request that all permit and inspection fees be waived. Thank you in advance for your assistance and if you require any further information, please do not hesitate to call me. Very truly yours, SunLine Transit Agency Leslie sjean Serv' e Development Technician Attachments 32 -SOS Harry Oliver Trail, Thousand Palms, California 92276 Phone 619-343-3456 Fax 619-343-3845 NAME OF APPLICANT: SUNLINE TRANSIT AGENCY NOTE: ALL work will be performed by SunLine Transit Agency. ( l ) 32-505 Harry Oliver Trail Thousand Palms, CA 92276-9988 SunLine Transit Agency agrees to do all bus stop installation work in accordance (619) 343-3456 with your rules and regulations and all work will be subject to your inspection 1 and approval. GATE: PAGE 1 of 1 ( I I I 1 AMENITIES TO BE INSTALLED AT SITE (ESTIMATED COST I I (REFER TO ATTACHED ILLUSTRATIONS) IOF BUS STOP I BUS I I POLE I TRASH I I IPAINT (INSTALLATION I I I IS1GN I RTE(S) I I& I RECEP- I I CEMENT IEXISTINGI(INCLUSIVE OF I IREOUESTED BUS STOP LOCATION ICORNERIFACINGI SERVED I BRIEF DESCRIPTION OF WORK I SIGN I TACLE I BENCH I PAD ICURB REDILABOR/MATERIALS)( I I I I (Within La ouinta city limits, in the County of I I I I I I I I (Riverside, request placement of the below listed stop (s).1 I I I I I I 1 I I 1 (Applicable amenities would be placed leaving sufficient 1 I I I I I I I I I I Iroom for wheelchair and/or pedestrian passage. I I I I I I 1 I.4 14 I I ]A2) I bus s �r- �,� `1� I I I I 1� 00 1 g�.oa I '►�S LAY' I t I I-iC> I Y1�D 1 15 I I I I I I I b I I I I dole_ � CoLk. I I I I I I i I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I i I I I I I I ( I I I I I I I I I I I I 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I i I I I I I I I I I I I I I I I I I•, I I I I I I I I I I I 1 1 I I ISUNLINE TRANSIT IS A GOVERNMENT ENTITY. I 1 I I I I I 1 I I I IREOUEST ALL PERMIT AND INSPECTION FEES BE WAIVED. I I 1 1 1 I 1 I I I I I I I I I I I I .J ti• .' �T-` r `; � .. _ _ r �`� : � . ,� ' '`� r �i � � ^}� �' --'+ ' L Post Installation: All posts will be set/installed at Bus Stop upright 90 -degree angles. Utilizing an approved 1-3/4 ation fic inch square driving cap sign post will be driven into Sign ( Identification x 12 "w) ground approximately 2 feet, leaving hole for the sleeve and sign post connection exposed. The sign post will be inserted and bolted into place with 5/16 inch nuts and bolts. There will be a space of 9 feet between the top of the sign post and the ground surface. Sian Installation for Bus Stoo and Bus Schedule Signs: Signs will be attached to posts with 3/8 inch removable steel rivets. The bus stop identification sign will be affixed to the sign post so that the top edge of the sign meets with the top edge of the sign post. The bus schedule sign will be affixed 2 feet below the bus stop identification sign. There will be a space of 3 feet 6 inches from the lower edge of the schedule sign to the ground surface. In cases where more than one schedule sign is required to be installed on a given post, the second schedule sign will be installed back to back when possible. If more than two schedule signs are required, they will be mounted directly below the first schedule sign. Signs will be installed not less than one foot and not more than two feet in from the edge of curb. Finishing: All sign posts and anchor sleeves shall be y galvanized prior to fabrication. All corner welds shall be zinc coated after scarfing operation. Galvanizing shall conform to the applicable portions of the ASTM specifications for zinc coating (hot dip) on iron and steel hardware. All sign posts and anchor sleeves will be painted brown. Holes: There will be at least nine holes (7/16 inch diameter). Hole locations through all tubing will be so located as to allow for the attachment of one bus stop idenfication sign (per specifications) and up to 3 bus schedule signs (per specifications), coupled with holes suitable for the attachment of the sign post to the anchor sleeve, on each sign/sleeve telescoping assembly. SunLine Transit Agency will be responsible for the maintenance of the benches, trash receptacles, and signs. Trash removal will be provided on a daily basis. Any damaged or graffiti covered benches, trash receptacles, or signs will be cleaned up, replaced or repaired within a 72 hour period. City Street O O O O OO T Bus Schedule 2, gn 0 (1 "x188 " O O O O O O 91 O O O -TO O O O 3' 6" O O O Break O Away O Point O Curb O \ op O y _a n .1. O Ground O E --Anchor O Sleeve Surface 2, M41,FM O SUNLINE TRANSIT AGENCY O P.O. Box 398 O 32-505 Harry Oliver Trail Thousand Palms, CA 92276-9988 SPECIAL CONDITIONS --PERMIT NO. 2287 --- SUNLINE TRANSIT AGENCY --- In addition to the standard permit conditions, the following shall apply: 1.. Streets shall be kept clean. They shall be completely cleaned at the end of each working dayand more frequently if required. 2. 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:OOp. m. May 1 st to September 30: Monday -Friday 6:00 a. m. to 7: 00p. m. Saturday "8:00 a. m. to 5: OOP. M. Work shall be prohibited on legal holidays including Sundays. 3. 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. 4. Prior to excavating, the permittee shall contact Underground Service Alert at 1(800) 422-4133. 5. 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. 6. 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. 7. All landscaping, irrigation, decorative rock, decorative concrete, lighting etc. shall be replaced to its original condition. 8. Access and egress to all local properties shall be maintained. at all times. . 9. If the work is to be performed by forces other than that of the Agency the contracting company shall be required to apply for an additional encroachment permit and pay the appropriate fee. Special Conditions - Permit No. 2287 Page 1 of 1