2292NOTE:,
With proper validation 2
this form constitutes an
CITY OF LA QUINTA
encroachment permit
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: 1-18-95
Subdivision Improvement Permit — Class I II
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Acacia Homes Tract 23268
Lots 1,3,5,7 on North Harland Dr.
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Abandon gas stubs Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 4 — 3'x 2' asphalt cuts See attached conditions
and repave street
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 1-18-95
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 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 rpsuil of this work.
Name of Applicant (please print)
ignature of Applicant or Agent
, CA 341-9581
Business Address
Telephone No.
John Black
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 II 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-
$ -0-
Received by Date
Recorded by
2292
PERMIT VALIDATION
PERMIT NO. 2292
DATE APPROVED 1-18-95
EXPIRATION DATE 2-15-95
DATE ISSU D 1- 8-95
By
Administrative Authority
TELEPHONE: (619) 564-2246
-hs fallOwine tioneral and'oeCial Provisions are attached to and made a Carl at Perim, No.
GENERAL PROVISIONS
"he following snail always apply:
EENCROACHMENT ON PRIVATE PROPERTY. -his perm" auinerires wore to be accomaiisneo wifnih
ONLY. Whenever construction exientis wimin private orocenv. it snail De the re
secure oermisston from Clty of la Quints right of wa•
abutting ptOOerty, owners. Such autnoriratldn must ge secureo lttt the he 0,,M,,ee for h
TRACKLAYING CONSTRUCTI permittee odor tan contractors, r.
ON EQUIPMENT: a eato a. A,, swnaeb starnn9 wmx
oswo aurtaCa finless tined Wttn sin rn"ftiR[On eaUlOment Snell nm be germ
:ata oavind aurinamn•reeedstreetoads.Apmeemanicargmrtggerssloamne Sm8llm tnrugo mmeat
q excavations. Rubper-nreg edulbmem omv snail be used in °ogerateontu
pavement is scarred. spalled. or protan curing ins [arm m thea eontroct. u eche oavemlent Ia maned.
n . it th exlzu e
That [nese ocnions at road be /ea"rt8ced oyer their entire oaVed a/aaa, If the exlstinc
7urfactng ptua aoOrconate agar Eclat an tOverspecified above. �mh" Resurtact City of La Quints snail reauee
^9 small consist of one coat of two Inc.,, 12'1 at A.0
PROTECTION ON OF TRAFFIC: All excavations and work areas snail baoropenv fronted and bamrsded m seemed n
Engineer Or La Qulnta City Public Worts Inspectors. Suitable aeroura anti detour ted armed be oueaa a
of the proles rhe City shall be mourned 24 Hrs. In advance of a ecet�ryf s lila Cin
any traffic detours Of delinesndma. rig m°invi^bfortneauratro,
CARE OF DRAINAGE STRUCTURES: Any Graineae structure incivatn '
tattcrete structures encountered during atOyatlO- Wtruh q corrugated motel Olde._ Concrete
nsmswfv to remove or cut existing drainage structures. Gnacssmtata remove snail be r dice.Staa, ewvert arc
0/`8111890 structures and °pen Grsins'small be kept tree at debty ris a all [Imes tar educed to king 111 the avant it Oacpmar
f La Oumu seal be nmihed prior ro commencement of [ilia wore
RIGHT OF WAY CLEANUP: Anaterial Orcoer drainage.
w8y. All paved sunacea sna11 be brOOmaa clean at and mer Oblecto able materials Immopytety anafOaCxflll a
resulting and backfill Operations snail be remOyed from ins home
Existing gutter line and drainage ditches snail be reatacea To their original standard or garter. All e
Prior to Davina. Water ranter snarl be uses• as r rbcompaction
i riot to
agar Water
oac3dill. equired. to sprinkle Ina x�>2 m8iarial a"a" be for ilium
lob site to kea.0 cc" Gust conditions and shall be uses
OE -WATER OPERATIONS: If de-
watering Operations to ltocontrol
l In's ea and oumpa are forcing water on Ci
the raapOnsloillly or rile 'DermiRee ICOtliract0rl to cOn[r01 Ihia water erg to
ty of la Quints rasda. it shall be
CLOSING STREETS: provide Off-street camcaaes When ^�mrv.
Eoun No supe[ shall be eased. A minimum ncyvo m one Ione m traffic small be maintained at au times to
anvle t°1` [ate ims' e1` ITTeO ryownersampemergencyvemittas.Ini"aeventItIsfOltbymeparmmaetnatatemu
aM bng[m of time. DefTittRee email contact [hIa office t0 rr'ovraa IImrtK
obtain lila noteaaary Permission. atCtoieastreet for
The fGllyvtng snail apply ONLYwhen indicated:SPECIAL PROVISIONS
R1 OTIFICATION: Perm 777-��
fRM shall notify the Ciry at
R2 CASH DEPOSITS OR BONDS: A cash bona or an Rat feast 48 hours in advance at starting cp
shall be turnisnod to the name of City at W approved surety bona to an amount at not leas than a pion.
roads dna survey monuments. This bond snail be toncnuow untlt C volved i by the 31
er 811 wort tnvoiveo In the res[oration at 'he various V Quina
posted prior t0 commencement of any wart on thea continua
ry Engutee►. This boric must ba
UTILITY CLEARANCE: ISubartlRureal Prior to making
act all concernedgame�vauonw'thmtheCtvofLaCwunangtttof
Demsgs to existing subitructurss resuRl11 from Utlliry cOmpahip nlatiye t0 ins 1 w~s af2ea
of the oermmee. g perations ca oeanon of etiaing a
mdusad unser tflti au perm" snail be the sole "aQ►treturea.
64 TILr1Y reapdrWbdiry
Proposed wart site. rhe snail notif
CLEARANCE: ISurface Structures, No worst snap be Clone under this germ" until utihnea ars seer of the
oermmee notify all concerned utlllry Companies of the prOpall U wars,
RS PAVEMENT WIDENING:Ails between lila pr
surfaced with inches at A. b001on m+iC+tts incn tine and
the existing road pays
haling an"R'valueat nmleastnan caving placed On memt shall be
��i1`nehea at class
and Stlecrftcations. Ordinance 9481. anoint°nformanca withImprove
Qulnta Rana Ime taycbwse
P °VeTant$tandards
(176 PARKWAY GRADING: Area between ins property line and too of theor000sea concrete
1 /4 incn to one toot concrete curb shall be graaaota a hops of
R7 GRADES & STAKES: City of La
construction. Quints shall establish grades and stakes for the proposed concrete
R8 RADE CHECKING: City of La Quints snarl cheat grades upon rete Euro a11O auger
a Ilcenseg engineer. iotofolananOorofileend/orgredeaeteatabliarnedpy
R9 CURB REMOVAL FOR DRIVEWAY$: q ppRion of the aicistin
removed. Curb and/or pure and auger sine" be SSW th g Concrete curb and/or curd and gutter I t
concrete Grivewev eppCoarn snot to constructed be m�prior to removal. Depressed curb. matching concrete Ishall be
RIO DRIVEWAYS. A.C.. Driveways shall be constructed aahconformance 1terEt City at La Quints Standard 9207. gutter and
Property line and trio existing road caving small be 2-1/2 inches of A.C.q araineac d a ern. Surfacing
aggregate case. Drivewev construction snail conform to attached °raw ngavin batyvsan rile
g Placed on 1 _� 1 of eta=�
R 11 CULVERTS. .:,
diameter t
inenea Pillowand in tine wiin Ins existing flow tine. CUI:cuvert tertsnan D snap conform r0 invert
rttactnab drawing.
1
—�_: culvert shall be installed with the raven aporo:lnietaiv 1- t -2
R12 SIGHT CLEARANCE: Sight etearanee of 600 feet in 811her direction snail be assured and maintamen
R13 SOIL STERILIZER: The area to 08 surtacea snail be G eaeo.witn sop aterilixer. pate or application snail eon
manufacturer's saeclflestlons.
COORDINATE WORK: The ptywithtne
City at La 17►opothis want urinSmalth Perio at In,ated to any Operation which the State of California or
Quints may eb11auR 111 this area during the period p}lata permit Wort small be cowInated vintn the State or
Ciry Of La Quina forces to preclude daisy Or interference with State or City at La Quints projects,
SURVEY MONUMENTS: Prior to excavation
comertme at all stream or property tis when Ir beginning of construction. all survey monuments Wniefl aLat On lila
be reasaso ov • uprtsso em, engineer or surf Yuri@, m�u w Can
tied out so mev may os rsadllyero Gdrrapts
utas to mese enonurtiernta aria" be hrr*tisnep td the
as notudar+carnprsaew .. .� =iry Eti4tnow dr10rm rye.u1`.—CL"`tol -swat not"an'- rrngtne
Z16 :''RVEY!.10NUMENTS P-•Irtoexcavenonarcea,nninaOiconstruction.a„ survey
fmonumennsnaitOatleaoudOvt.I;
u uuNT an° su,LNG. P a Payment will
0'I'MGuaranteean w cavmem small
as mads as reimoursement to, aU ware ,nvervet
R17 °AVEMENT CUTTING. Pavement vela ae macinanreapv cut to a aragnt sopa onor.to ezeayanon. M
Cuftina smell be aooravea tnrouan the office of the City Engineer.lunaer no circumstances snag .
De used to excavate Prior 10 cuttln0 at oaVemerfti� pavement
facilitate me denerar now of varve. ? ,or to nmol Paving avanon materia, snau be CiaeeP m such excavating ell°'omen
carrecteo. operations. env 00mede t0 pavement straight pos tion as to Des
R1 IAVEMENT CUTTING. Pavement snag be saw cut odor to re edge snail a
- pavet►lent straigm edge snail be corrected. mOU71. Prior to final Cavin
19
LIMIT OF q operanona, any tlamage t.
ea
e9 exxcavattio Qs snail e orooemrbarr capeaExcavations snail be ,witth Pl,ont0s .000 lineal
on Ppen staffers weestenas and male, cacktill
tie
begin.
the traveling Pudlic. The PUbl,c Warts inspector snail Determine me suitatimly, of excavation oarr,capltt i seen
smus
excavation snail remain open for a 0 ordtectione
er10a exceeding five 161 days. Na excavation snail be made unle g n eaen Case. Nt
material s actually on me wore she.
R2
BACKFILL � rhe eonstrutt,or
LL MATERIAL Baattlll snail be ase ar trusts. roots or otheromantcsuostance detrimema. , , ,;q
of oroductng an aeepuataly cans011ditap baaDlll. Any material wheels the City Ot
saturated materials wnicn ,s encounteredntsuta ler purpd5or
during excavation snaunot be used for eckttllabut nail beunsuu p le supplemented
remacea Dv an approved sono or graver.
' R21 BACKFILL SAND: 8actei1l chess be supplemented or
throe tem 131 and Bacavibrated using v,papproved trash-rnm sand Or equivalent and shall be placed In lifts of
ase a relative compaction at 95 percent snail be attained
wi n rine `rematemetnoaamavbesub ^atgrearerthan
BACKFILL PLACEMENT: 8atxtiil snail W �ttural section of the roadwayed. but in any
be all aablla0 in layers Of not mere than 50 percent of the fatal d
°°"oramastmumotfrve-lual15'llihswneretranenestueatexcessrvsde eutn Of the tram=
biea}dl matonal ,s not sualeaea to as, me owes, by fiood,n pini. Care Isto beat
resulting cdmancion snail be not less trgh g Operations. 9acktal mateor ecurvelantrarial shall be erCiaed that the
compaction. Where dancing or ficooing Is used for a mum settlethe ment. a s dikes will be constructedVeep a0 that the
surrounding ground. whichever Is the greeter
the water. Where letting Is used. the lea shall be of sufficient length to reach me bottom of earn :a
supply snail be !aver
and t e retain
eominudua. yar ■ntl the wafer
COMPACTION TESTS: If so reauireD ovine in
teat and a minimum of one 11) test on each rocas. One�tupy of
snail be made at Intervals pf not m
approval anat'lea prior to maxin 1 �' cr each test snail be forwarded to the Cityore than er1.000
for
Standard$ goat mighntr .Sta. ofCaQotasu smallbe ora/aatdutllnepung Engineer for
awtleauona Division of Highways. Stats of COC Omte, aatetl January 1973.ectron e'
COMPACTION TE3.01 of the
STS: If so required bs to byme inspector, eomoactton tests shall be masa for each crossing Ona 11) copy tN earn test mall be torwatmd to fns City Engineer far avordval and tiled odor to maxim
Compaction taste shall be Ruda asouu gar ent re tine.
Of California. et°° m Savo e.3 01 of the Standard Specifications. Oivis,on oPermanent
H antis rod tate
Owed January 1973,
R25 TEMPORARY PA 'gllvyaYa. State
PAVEMENT REPAIRS: Apar orholetron of backhfl and compaction o
afterconsistingma df 2 at 3. df SC• 800 shall be placed On a prepared S
_ aerations. a temporary patrn
ahera maximum of 3.000 lineal feet Ottrench has been excavated and back}lel Operatic s completea. but In naeaee lhati
the placement of the temporary Paving temporary hep be placed
p ry pavement exceed a five 15) day limit.
2 PERMANENT PAVEMENT REPAIR: Aha backfill and eomoattian �arations nave oven completed. a [a
Consisting at two Inches 12") of SC -800 shall b uceo ,nirffeaiateiv. A permanent paten of
surfacing plated o a rntiOrory petcn
inch tYarpbare mall � inches A. C.
temporary tbatl repair. be pfacea no later than days after
R27 PAVEMENT REPAIR: F.A. �r^po1OmO1
d colo mix porn S•: Upon c°motation of bacluilland Compaafon. a temporary patch Consisting
9 ISes 10-1 shall concrete Pieced immea,atehr. A permanent patch Of three Inches 13") of A.C, surfacin es 12'^,
be Placed on sit bassi 18 it beat base as directed. but not later than fdtOan 115) days char Compteban of temoorarv,
Paying. Covets Dasa sMll bs of fiye-oaat mis arta shall conform 9 snau
and ScOmficamns. Ordinance #461. m the City of La Oufnta Road lm
RZB FOG SEAL A f prOVemarrtStanoards
oq seal Coat Consisting of an application of asohaltrc emulsion snail be atwnsa over all
datG SEA a by fag
City Engoat conr.
sisting
paten areas as
R29 SEAL ARMOR COAT: A seal coat consisting of an application Cinder and screenings snail be availed on all
""hare such 3a21 cacti existed prior to issuance of this perimn. Seal or armor coats shall be applied as sOecdied in Seaton
37. Standard Specifications. State at California. Division of Mi Catch areas
repair to
be accamoilshed by a licensed contractor engaged Highways. date° January air. Werk of pawn
Wher
of
R30 STREEtionatPermahIPING. entre airs. triotngisstillviis,aeonsieetssinesstoDoexa atedment rsucnstno,ngshallberepeace°upon
eomolet'on of Permanent repairs.
A31 TREE RELOCATION OR REMOVAL. Treere,ocation within iris City of La Quinta road right of way snail beeccompuaheo
by a licensed. Danced and insured tree Service. antinanale° safely without niterierence ar marafP td the 0
It shall be the responsibility of the permmee to maintain the tree in a vigorous growing condition at its now location
Trees to be removed shall be rem atom On
removed s@vlcns wn,cn can be ha nd,ed sateiv without i nterterence or marartl to hi
traffic. The entire width df Imo tree ckumn snail be removed and dlsoosea at so Inas no Debris remains in view n the
higftway. The stump hofs small be backf,l 9hvvev
becomes meeessary to restrict traffic. theme and [norougnrycompactea as s0lCrfied in Inefollow,ngpara
Signs, flagman worst shall be restricted to a assimum of paragraph. Where it
gman ane/or bameaees shall be praylded to 500 feet at any one rima. Ad
protea rhe travelingepuete
Large Holes resulting from tree removal small be bacitfilletlantl cpm public at all times.
surrounding ground. whichevertre ,s the compacted to not less than 90 percent or
Surto shall c0 greater COhmacnon as determined by the Irmana or field metmd, Com equivalent m the
mory with Section 6.3.01 of the Standard SOeclfications. Division of Highways. oact,on
January 1973. g ays. State of California. ate°
R32 TREE TRIMMING:
a. Only the necessary trimming snail be accormaflsned to provide Clearance of the facility for one calendar year
All broken or week sections within die trimming small be removea.
,. Ade e it trate siomes .flagm n. anorestncttraffie thevworkshallberestrictectoamaximumof SOOfeetata
Adequate mgrs. flagmen. anaior bamcades snail be provided to protect the traveling G If tree trturts are rlyonetime.
partially ouaWe of the City of La Quima road right of way. permItto snail masa his own
by this morns an times.
villin adjoining propel aMnroro for consent to the trimming in audition to the autndrtatlon proviced
by this vermis,
d. All tree trimming on EVERGREEN
the Satisfaction Public Wleta inspector.,
on of the Ci ,PADA TREES.and Omer ORNAMENTAL TREES shall be accomplished to
e. Abutting property ownero snau be cone""• in all i
I. Prunmp aflM1 _In.al►.tneaw+.._.r�. ---. Prior to tnmrning ar moping vasa
SPECIAL CONDITIONS --PERMIT NO. 2292
--- 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:OOp..m.
May 1st to September 30: Monday -Friday 6:00 a.m. to 7:00p.m.
Saturday 8:00 a.m. to S:OOp.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 - Pemtit No. 2292 Page 1 of 2
SPECIAL CONDITIONS ---PERMIT NO. 2292
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. ddkawdkidUAtay enabeertfiwz dstic"y el6aBdie bjidU lcdwthplke ionMien".Ilw k*p912Y
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. Existing section
on North -Harland Dr. is 3" of. A.C. over V of A.B.
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. 2292 Page 2 of 2
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