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2293E: - With proper validation/ 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 i Subdivision Improvement Permit —Class II I DATE: 1-18•-95 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Eisenhower Dr. Between Washington St. i Ave 50 (Street address or Description of Location) PURPOSE OF CONSTRUCTION Replace concrete collars on valves DESCRIPTION OF CONSTRUCTION $awcut A.C. and place concrete DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 1-19-95 APPROXIMATE TIME OF COMPLETION 1.30-95 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: Sketch (attach construction plans if appropriate) See attached conditions I 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 ill be s rted. Comply with all applicable City Ordinances, the terms and conditions of the permit and all applica pules an regulations of the City of La Quinta and to pay for any additional replacement necessary as the result of th'fs work.�j CVWD Name of Applicant (please print) Sign ;&e of ApWcant or Agent P x 1058 Coachella, Ca 92236 398-2651 Business Address Telephone No. J. Miranda # 709 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 $ ��0— Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: $ —0— Receipt No. Received by Date Recorded by 2293 PERMIT VALIDATION PERMIT NO. 2293 DATE APPROVED 1-18-95 EXPIRATION DATE 1-31-95 DATE USSUDD 1-18-95 By Administrative Authority TELEPHONE: (619) 564-2246 s NOTE: With proper validation diis form constitutes an encroachment permit CITY OF LA OUINTA APPLICATION FOR PERMIT -PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or private curbs, driveways, pavements, sidewalks, parking Iota. sewn . water mains and other like public works Improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS DATE: '- % 15— Subdivision Improvement Permit - Gas III / Minor Improvement Permit Casa IV LOCATION OF CONSTRUCTION _ ��.c/ o:r✓ t,,( �1 4 , c e^J Isam address or D_ w- n of t.oeation) p ' PURPOSE 9fi CONSTRUCTION /c t �e �m✓ctc �c Sketch (attach construction Gs6 q S plans if appropriate) DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION 3 - ESTIMATED CONSTRUCTION COST S (Including removal of al( obstruction, materials, and debris, backfilling, com paction and placing permanent resurfacingand/or 'replacing improvememal In consideration of the granting of this permit, the applicant haretry agrees to: Indwnnih,.defend stew save ow ate. iU annor49d &corm. officers. representatives and anpweW Mantel ham and agarol end all penalties. IieWIiN p , pmucas Limate resuhaol or eowt action and arising out of strep e=kwm. loss or dar, to per�one'oi prap�rty naopenine or am wort undartaken under in# permit grafted pursuant tools apprlotlwr / Nalty tM Adminirtre " Auihoritr at 1881 tvm TY -four (21) hows in advanca of tM time wAan wort w II pe etrttd�/ La IllyOul wi81 all spp(ieabla l]ty Ordina+eea tM tams ane conditioro of permit a�ln all appl /ia ane repda/tiero of the Cler a V t]ulnta and to par far env eddltlonal replaotrnant nepsssry as tha Of this w¢rk. .. - _ / . x J , 4/I.s,-1 c� 5igrliture of Applicant or Agm 4,/ 41 Ir- y- ��& - NamofAPplij(please print)ozit X �usnes Address Telehone Ne. L4A/ `jy LA. Name of Contractor and Job Foroman Biu Address r x Telephone No. Contractors License No. City Butinim License No. Applicant's Insurance Company G1CU. L1I)gILITY Polley Number FEES: Suborvision Improvement Permit -Class III Publie•improvemenu: 3%of estimated construction costs Private improvements: 3% of estimated construction con Minor Improvement Permit - Class IV: See attached schedule Inspection Fee S Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: S Receipt No. Received by' Date Recorded by 13 8 Fj PERMIT VALIDATION PERMIT NO. DATE APPROVED . EXPIRATION DATE DATE ISSUED — BY Administrative Authority TELEPHONE: (619) 5642246 . ` -he totl~no tieneraf ane Sadao Nrowstons are acechao to aro moos a part of Permh No. `rC^ l GENERAL PROVISIONS The following snail always acpry "ENCROACHMENT ON PRIVATE PROPERTY 'his arm& autnorizes welt to De aaomolfaned wimin ONLY. Whenever construction extends witnin onvaie cracenv. it snail De Iris re secure permission tram Chv of La Quints .qm at we abumg cracem owners. Sucn autnorizauon must no ecuredubv the Dermm of tif 9 Dorm mss 'Or n TRACKLAYING CONSTRUCTION EQUIPMENT: Closma Ireea 's contractors tc M prim to stamnq wore. Dowd surface unless fttteowrtn sm ' I cOnstniCTron ecutcrosnf snatl not ba perm ;rte onvinq aurin ootn-tacee streetDws• Au meenanlcal Ou[rtggers snail be lmscwnn rubber Mr.,to q elfcaysudns. Rubber-tlrec aculbmem Only snail pe u�erataonarf. Dave-ent Is scar►ea. soalloo. or broken curing the term m Ings m ee �n eactcfill aoarallons In tu'onlooratee that these portions Or rasa be rteraet• ora the Davop areas If the skuurrc ►e$urtaeeo over tries emtn vvidtn. Resurtsa pavement is marred City of la surtagnp plus aborabrlste goat coat as tDetttied soave, ng shall consist Of one cast of D�nc a snail repuec PROTECTION OF TRAFFIC:roc chair t21 of A.0 All akcavatiOns arta want areas snail be. OrOpeny Iignta0 aro baTcad Engineer m V Oulnu City Public Worts insDmters. Suttabla detour] aro ae[our Ta of itis pro(act Tho Ci ed n aeamap etK�ry �, the Cut City snail be natinad 24 Hrs. in Omna of a gOr dolill baolacea aro CARE OF ORAINaGE STRUCTURES: any tnttie Detours or dalineasrmes, mai^n'^eOtprlheauratmr cprrcrete structures encounterea during excavation wnlcn structure ineitwinq corrugated metal otos, eprieroto poll, steel culvert arc . naceseary to remove lir silt otpsl ^�anitan romovst snail be r Drainage structures eno m9 orminage structures. City at V educed In kind. In the event.tl Oscornee Open mains snail be kept tree m Cll times snag crop, nmitied prior to cemmanceni RIGHT OF WAY C debris at all times rc proper drainage.ant of its won CLEANUP: AM surplus material restmtng from akEavanon and bapkhll o way. All Davao surfaces snail be broomea clean of metal and other Op cation nd materials operations wrstwns snail be removed from tna ngnt o•. PriortExisting putter line eno linker a m[cnea snail be retsacep to their original slanaaru m batter. All okeess ma4nal Prior t0 paving. Water tartest ttacktillarocpmGeuon Immealataty attar asclaill, snail be uses. as regtered, to smnkle tris lob sits [o keep sown oust conmato s s shag be remove. DE -WATER OPERATIONS: If de-wsten rid snail be usec the resconwati,ty or tris ng cperetionaare reputrea aro oumps ars forcing water an Ci Dermlftm tcmttractorl to control In's water aro to ly of V CLOSING STREETS:wovipa pts- Quimo also r n snail be No street shall be closed. A mi tmaet osmoses vwfan ^�aaarv. access tar me aofotnln tinum of ons lane a► traffic small be maintain any le r In" smOwna►a aro emargapuy»n,cya& In trio everts rt isfelt byths arm ea at all rung to n9ttt of time. permittee snail contact this office [o Immo a hmmoe Deism the necemry permisluan. p &tee trial nsmlgttlpaaastreat fpr rhe fatMn SAL PROVISIONS n9 shall apply ONLY when indicate*: NOTIFICATION: Permmen snail not 7 7 %'2O7 itV Ina C+tY air 79wa -t INR 48 h0 R2 CASH DEPOSITS OR BONDS: A casn bona can urs in advance of startin shall be turnisnaO In the bast ed surely bona in an amount of not less tnan a ��7lQtdn. name Of City Of La DLtrito t0 cover ell wereinvolved lA tie /es[Oiabpn Of the v roads ane survey monuments. This bond coated onar to cprnmoncom em at a snail be cdminupw until cancelled tilt ins City Engineer. This Quiw2ma LA ma any wag t an tots irolact . bdrW must Oa UTILITY CLEARANCE; ISubsructtuesl Prim by oermR. Ina OennrttN ntmaking any eseayappnwtnun Ina City at La snail contact otk+eamstl �� 0bmwnies native to Met at thepe to s:laellp tlwaoueturs$ resulting tram OOerm Quints n of w'eI'euetariteo ant Ipeaban of etaatlnp pe►mmee. ceriauwoundarmtsDorm" ghatlbatna au�►ucwna. R UTILITY CLEARA n�bniftwuly NCE: IS08fm strtsnail t tip vvark snag be Olins under Int$ oermh until all utilities O=pposed wan she. The pertnmee ansa noufy all cOncprnso 1114y COInvamos of the praposod aro scoot Of the R5 PAVEMENT WIDENING: Area betwaon trio arcocalso vista surfaced wnth inches of A.C. aavingptaD�of, artetste gun tins and the ekisting road pa having an"R'valuaofnottea$tnen 'nche$Ofclass imam shall be andSDecnications.Ordinancea461. Min�ormaaew'InCityattaQuintsRoaalmp�subbase ~COWs3 mprOeemertt StanOarag R6 PARKWAY GRADING: Arca between the r 1/4 inen to one too (11, p ops""no arm too Ofthe creamed concratecurbsnail be a R7 GRADES & STAKES:Q °aoaaastaceat Citi of La Quints snag establish grosso and stakes tar the proposep conveu quo and tbhstrES & RB GRADE CHECKING: City of La Quinti snail cnsat gutter a Imenseo engineer. �aayup°nrecerotofotenanaorafileend/orgraamna R9 CURB REMOVAL FOR DRIVEWAYS: APortion Of the ekruin atabfitheptly rentOved. Curb and/or cure and gutter snail ba , concrete corp and/or curb and gutter ( f concrete anvewa ted in anal, ro removal. Depreaad curb. matching Mtlaheu bs Y aoorwrn $rials be Cbnsttasap in Cmttarmence with Ci gtnereta RIO DRIVEWAY ly of La Quints Standard #207, arena S. A.C.. Driveweve snail be ce++mvcted as not to alter existing propem line and trio etusnng road caving shall be 2.1 /2 inrnes at A.0 p wit maps pattern. Surfacing aggregate pass. 0rrvewav construction shall g Pat ill* the centum to attarrea drawing. g Duces an (�10} class Fill CULVERTS..: manes oelow enc t ur�meameter I m sting iipsriine. �: culvert shall be installed with the Invert aotlro:imststy I -1; 2 SIGHT C Culvert mstauauon snag conform to trio attaalad prav,,,ng. CLEARANCE- Sista Clearance of 600 fret in either direction snail be assured dna maintains& R 13 SOIL STERILIZER: The area to oe surfaced manutacturer•s scettneaemt$. shall be treated wotn eau stOntgur. Rate at aoatcstion shag x14 COORDINATE mihoIVWI he Tris WOu sass be stidordinated to any operation which the State at California m C of La Quanta may ccnauct in this area du Citi of La Quints toren TO preefude delay or � the Pea Of this perrr_ Wort snail be cOadinateowntn the State or x15 SURVEY MONUMENTS:orins uaatarntn to excavation ones with State or City of La Quints protects. r ceMartine at all ptrambe Or prOpIllm fines Wnen,,Gv6d pf -nurucuon• all survey monuments wiaan aloft on the t p f �� • ItcartgaD awl/ ettgrnaar lir surywtor at the etrebe -ffml@tety tied Out 90 they itfey as readevanacorreaW ca rtdetiea ubdn 'rta�eatumranaeeotssC;r, nNbnprm Aopmmateaatatnaceobwinptne <16-RVEV%`f0NUMENT5 P••ortoexcavation ofaeoinnineorconstruction.ailsurveymonuments n :r w Uumta and su,tatne davmem ora 't`' uaranfee er oavmem small be mane as rermoursememsrar 0erteodut bvt,iv R17 "AVEMENT CUTTING. Pavement win ba marnanically cut to a cudina snail be eoaroveo tnrouan the Pairs or the vkrark tnvoiwao City En t. lUnce no circumstances nor tones s non. M be used to excavate Prior to cutting a oavementi gf^t°r. iU^Per no cireumsLanees Snail e: aMoo of Pavement iacunaie the general now or tramc. Prior to final paying avatrgn material snap be oiaeea m excavating eOTUOmam corrected. operations. any oama*e to Pavement a position as to oast R18 PAVEMENT CUTTING. Pavement snail be saw cut Prior to r stratgnt edge Sham be Pavement stratgnt sage snail be corrected. removal. Prior to final paying operations• any damage to EXCAVATIONS: Excavations snail be timiTea to 1.000 lines, feet of ooen trench before oacktlll0 begin. An excavations snail be cro°erty barricaded wim l gnts overntgnt, on weekenas and noudays torte (no traveling Public. The Public works inspector snail astermatetnesuita0mrymexeavationnolioaagfn in ot excavation Snail remain open for a cerloo exceeding ave l5)da a each case. No materia, is actually an the work site. �' Na excavation snail be made unle g ^Been ease. on R2 BACKFILL a the construction LL MATERIAL Backtill shall be free of brusn. roots Or Omer organic substance aetrimema. • ;s of Produang an adequately COnsbnaatea becktill. Any material whim the CIry of l a Quinta pexins-- -:S Use tar purposes satufate matenell Which IS ecCOUPTefea *uric a unsuitable lar purposes reouceq 9 excavation SftaLL not be used for bactctill, but small be try st adorovec sane or gravel. R21 BACKFILLSANO: supplemented or 8acktill shaft be approved "nSft-mly sand or equivalent and snail be placed in Irhs W Three fest 431 and vibrated using viermamoer or equivalent case a relative compactlan of 95 percent small be anaine vn�th the itematemetnoosmavbeSuo �eroaterrany R2 BACKFILL PLACEMENT: Baciddt snail be applied in lavers ttf n �ctura, section of the roaaway. • but in any before r of more tnan 50 percent of the Tota, q way boding or amaximum m five extreme 151 "its wnere treixhes areof excessive depths. Care is to bs a: backtill material is not imam f f to extreme Swell eOth at the trench ine resulting combacttan snail be not less t^an 90pa� m oreau °� o the surroutnla material snail be p Ina no comoactron. Where oonainq gr flooding is used for a maxim aD °O t^°t me the water g ground. wit icnsver y the greater Where lofting is used. the lets shall be of SYfflciertt'emem. adeauate dikes will be con Suppty snail be continuous. length to reach the bottom of each :a aT►uaa0 to retain COMPACTION TE yet Ind the water tact and a minimum TESTS: flone 11 l test any each the roe.One (r. I)copyoftec shall be made at lmervslsot not more than l.0'00 approval dna tiled Prior to makin One 11) copy of each test snail be forwarded to the CI Standara Speutleat,ans Oivtalon aemMenent reoarrs. Compacucn tesiS mall b° made asoutlinea in Section Engineer for 24 COMPACTION TESTS: If so rewired by the insa Stare at bac i ny. dated January 1973 6.3.01 at me One l11Copy oreach lost snail befgrwardedtotintCityE 9compaction inpeertar a snail be made for earncrossin COMOCIOntestssnailbemadeasouu,neotoSeaton6.3.01attheStandardridtiledpriortomaking aatrtaeine' of "'tomta, dated January 1973. SOeRticatlons.Divisionatiijianeme._ R25 TEMPORARY PAVEMENT REPAIRS: Attar per~ State consisting at 2 inches of SC -800 shall be Ptacco on etion Of o t Will and grand TI s SC -800 tem era after a maximum at 3.000lineal feet at trench ad onhas excavated Oerafionry paying temporary be tPatch acea the placement of the temporary ed and backfill operations completed. butinnnoyaelsnul R26 PERMA p ry pavement exceaa a five 15) day limit. HENT PAVEMENT REPAIR: Attar backfill and compaction operations nave been complete*. a to consisting of Two inches 12") of SC -800 shaft be lacca Surfacing plated an a p immediately. A Permanent patch of �or°ry Patch ihchclass baaeShaabaplacedc0late►than--�i^O^eaA.C. temporary road re0an. days atter R27 PAVEMENT REPAIR: F.A.S.: Upon comotetron of backtlll and oomptetionot of Cold mix Paving ISC-8001 shall be Place* immedlstel . A Permanent p a temporary patch consistin be Place* on six Inches 16'1 con y pahnaeant paten of three inch 9 of two scenesnail Oalrmg. Concrete testa ease as arreaed. but not fuer than ftheen 115) days attar camp pPn to ng small base shall be at five -sack mix and shall conform to the City Of L.a Oumy Road Improvement Wild Speancebons. Ordinance #461. temporary R28 FOG SEAL: A fog seat coat consisting of an application of a p olem«+tSrecoards dayrefmad the the City Engineer. sanaltie emulsion snail be applied over all paiCt pigs as R29 .SEAL ARMOR COAT: A seat coat consisting of an application binder and screenings shall be applied on ail where such seat coats existed prior to issuance at this permn. Seat or armor g 37. Standard Speciticat ons. State Of Calitarnis• casts snap be applied as soscdiedmnSection be 8CCOMatished by a licensee contractor engaged in I of business acted January I repair. Wore at R30 STREET RESTRIPING. 9 gee in the business of Pavementrepairfa G. Where street striping is stilt visible on streets to Pe a:cavietedsuch striping snail be replaced upon comEET RE of Permanent re street s. R31 TREE RELOCATION OR REMOVAL. Tree relocation within the city of La Quinta road rignt of way snail be accomplished by a licensed. Donde* and insured free service. and handled sate, without ititenerence or ria:era to the oavelfn90ublic It Shall be the responsibility of the permittee to maintain the tree in a vigorous growing Trees to as removed shall be removes in sections watch can be handled lately witnou t i nfenerence or na s new ligation. traffic. The entire width at the tree stump snail be removed and disdosea of so tnat no debris remains In view at the hlghway. The stump hole snail be backfilled and thorou n taldt0highwev baeon+es necessery to restncr traffic. me work shop be restricted oaman as m in the following slglis. Ila paragraph.Wheren flagman and/or barricades snail be provided to protect the tramaxi 500 foot at any one time. Ad 9 public at all times, equate Large nota resulting from tree removal snail be backfilled and camOaRBa to not less man 90 percent or surrOundmg ground. Whichever is the greater compaction as determinea by Ice impact or field method. tests snail comply with Section 6, equivalent t0 the January 1973. 3.01 of the Standard Specifications. Division of Highways. State of California, a aleo R32 TREE TRIMMING: a. Only rola necessary, trimming snail be accomplished 10 prays*a clearance of the fadlny for one c8lenclar All broken Week sections Wimm the trimming snail be removed. p. Wheroaoeeomesn veer e0e n. a LOfe4mRLrades the WOfk Shap be fe4tnROO to mBXlmum Of 500 }pet atarty One time. Adequate signs. flagmen. anaior barricades snarl be provided to protect the traveling public at all times. fz II trop trunks ars partially ourslde of the City of La Quints road right of way parmmee snail mate his awn �^s norm s lNllfl adjoining prOOetty Owners for consent o the trimming In addition o the autnoriation provides by this norm". d. All tree trimming an EVERGREEN TREES- PALM TREES. and other ORNAMENTAL TREES shall be aCCMDtyhaa to Ute samfacpon of the City Public Worry inspector. e. Abutdnp p GWW owners Shay be mhaaed an all Instance, f• Prunrrgarray, Yf.ay twe.....�..� ��- -- Orldr t0 trifttrtling ar tOpplftg tree.. SPECIAL CONDITIONS --PERMIT NO. 2293 --- CVWD --- 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 &: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. 2293 Page 1 of 2 SPECIAL CONDITIONS ---PERMIT NO. 2293 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. 2293 Page 2 of 2