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2294NOTE: With proper validation Q.� this form �,onstitutes an CITY OF LA QUINTA encroachment permit o- APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)�� ANNM BLAMM PBIRM - 1995 ' of TF18� 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: January 23, 1995 Minor Improvement Permit Class IV 5 LOCATION OF CONSTRUCTION Within the paved and Earth sections of Various La Quints, roads within the boundaries of CVWD operating area (Street address or Description of Location) PURPOSE OF CONSTRUCTION Blanket Permit DESCRIPTION OF CONSTRUCTION Maintenance and repairs of existing underxround equipment and installations DIMENSION OF INSTALLATION OR REMOVALNot more than 80 linear feet excavated under blanket permit SIZE OF EXCAVATION, IF NEEDED 3' x 4' bell holes and new service installations APPROXIMATE TIME WHEN WORK WILL BEGIN Sketch (attach construction plans if appropriate) See attached conditions Excavation of PAS roads (major roads) is not authorised. A separate permit is required Notify city 24 hours prior to the start of construction APPROXIMATE TIME OF COMPLETION 12-31-95 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, 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. Signature of App i`cant or Agent CVWD P.O. Box 1058 Coachella, CA 92236 398-2651 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 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 —0— Penalty Cash Deposit -Surety Bond if required TOTAL: $ —0— Receipt No. Received by Date Recorded by 2294 PERMIT VALIDATION PERMIT NO. 2294 DATE APPROVED 1-23-95 EXPIRATION DATE 12-31-95 DATE I SU D 1-24-95 By Administrative Authority TELEPHONE: (619) 564-2246 i c a NOTE: Wit' proper validation this form constitutes an encroachment permit CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) AAW k,4 1- 0 L.4Aj/<:T PF_eNtrT 1g4S- 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 1995 Subdivision Improvement Permit - Class III DATE:_ January Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Within the paved and earth section of various -La Quinta roads within the boundaries of CVWD operating areas, (Street address or Description of Location) PURPOSE OF CONSTRUCTION Blanket Permit Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Maintenance and repairs nn of existing underground equipment and installation. JrC DIMENSION OF INSTALLATION OR REMOVAL Not more than f c.GAYh'-r ov 1 O F lf-A-7 80 linear feet excavated under blanket permit. Lvti.PsofL_ V,40 --r A,,7tioVZZ0 SIZE OF EXCAVATION, IF NEEDED 3 -foot by 4 -foot bell sct�of+-2'°'T� P -r L_sQtt t� holes and new service installations. APPROXIMATE TIME WHEN WORK WILL BEGIN Will notify�rtl� City 24 hours in advance of any work. a�,o TiA APPROXIMATE TIME OF COMPLETION Permit to expire 12/31/95 70 ST�a'rCtc �l Cor.�STr:.v<-� 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 app able rules and regulations of the City of La Quinta and to pay for any additional replacement necessary as the result of this work. Signature of Appli/qdnt or Agent Ruth Dearden Coachella Valley Water District Post.-0ffice".Box'_j.1058 Coachella, CA 92236 (619) 398-2651 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 1 CJ U Minor Improvement Permit - Class IV: See attached schedule Inspection Fee $ PERMIT VALIDATION Permit Fee �— PERMIT NO. 2 9 -/ Penalty /-0-3-95- Cash Deposit -Surety Bond DATE APPROVED if required EXPIRATION DATE TOTAL: $ DATE ISSUED Receipt No. By Received by Date Administrative Authority Recorded by TELEPHONE: (619) 564-2246 -'+a roilow,ne tienerat one Soaelsl Nrovlmons are onmenad to one made • Dart of Perrmt No. GENERAL PROVISIONS ne following small aiways aacov, ✓ cNCROACHMENT ON PRIVATE PROPERTY -hi ONLY. Whenever construction extends wicnln of va e►mit DlOcemv.rttSri l be the eork a Do aecomdtlsnea within secure oermissien train acunin City at la Qu,^Ia right of we. 9 prooerry owners. Such SO°nsiouia or the Dermmes for IT is contractors, t, autnorttataon must Ge secured ov the pef"'Ittee prior to TRACICWYING CONSTpUCTION EQUIPMENT. Clsataatraeslawndeon�rtialon eeuioment small n oaveo sumacs unless Imeewith set starting worm. :no Covina aurin°°tn•raceastreetoaOs.Allmeenamealautn not During excavations. Rubner -tired ggerssmallasfitteewitnruobe► ooe►stDanem pavememt is scarred. soalled. of bfOten curing ins term of Tn S connaet used in Oacatill operations in strew s noes to orates tnst mess portions at road ba reaurtaeed over Inelr enure vvt °r it the pavement Is oaveD cress, If the emistin surfacing Gt". Resurtaei ar►eo. City of La Quints small reouas g plus aporoohats seal Cast ea ■necrnad aoove. ^9 Snell cOnLat of one coat Of • _ two inched 12-I Of A.0 PROTECTION OF TRAFFIC: All excavations and wont areas snail baoraperly lighted aro GameaGep Engineer or La Quanta laity Public Worms inspectors. Suitable detours and detour sI at the project. m deemed necessary t e ur GA 1 The City small be notated 24 Mrd. ih atones of a ons small be Olatao aro if+slntai CARE OF DRAINAGE STRUCTURES. any traffic detours or dellnesnons. ^sdtortneaurscaor Concrete slructures encounteredduring excavation wnicnnecincluding corrugsmal motel pipe. concrete necessary to remove or cut eluting drainage structures. ' mayor sneu be r °iDe• stool .lt pec ant Drainage structures and open Grains small be sept tree orQuints �Q11 Umes mall be nmitiedlcr or to commenkind. in cement ant at Oecomei RIGHT OF WAY cer^ent of this warn CLEANUP: Anenst Droner drainage, am excavation and way. All paved sumacea snail be Grommets aasn o resulting and other covet[ onao mete►l Op Imm Existingoeratlona sneu be removed from no rigntol guRef line end drainage se Clichesbesnarl De reOlaCed td their Original standard materials Darter. All • eeutaly amen baettill aro ebmwttton poor to oavinq. Water tantar shall be tiled. as ►eGutfep. to their ori the alh"ImOul aly error bacaflll. scads mate►1a1 Mau be rerttovet lob site to xeap adwn gust conditions and small be use, OE -WATER OPERATIONS: If de-waren^ fns resoonaioiliry of the 9 ot»rstiona are reouirea aro pumps ars forcing permi"ee tcorttractorl to control anis water aro to - in""watean City Gf La Quetta r CLOSING STREETS:Rromae °tt wrest oameaoaa Conan neewarv. s^all be No Scree[ Shall be ewsaa. A minimum of one ,ane pt traffic small Oa maintained at all timet t0 asses tar the edaotning prep avvnera ono an+e►9anevvenat es -on In the avant It fi is felt burns ern any lengm of Ilme. Dehmrtee snail contact this office TO adMda ieetfor main then p meetnatnamuateteaeastrtmror eeeaary vermisnon. SPECIAL PROVISIONS Thisto"w""'? mail apply ONLY when indicated: t R NOTIFICATION: Permmee shall n 177-7075- stay the City at at Iaast 48 hours in advance of starting ce R2 CASH OEPOStTS OR BONDS: A cash Dona at an approved sure nsortraion. SMITH be lurntansO,n Ins name of City of La N frond in an amount of not leu than s roads ano Sufya Quetta to Cover all warm involved in Inc restoration or the ya Y mOnumems. This Dona snail be continuous until cancelled by the Ci postern prior to commencement at a ll bane Quints nY worm on tela amid=. City Engineer. This bora must be UTILITY CLEARANCE. (Subaruaureal Pnorto mailing ganyexcavatianwirnlntnsCityatLsOLtntanghtpt Damage to amaartn ed utility companies relative to the 1 Viiniaubtorizen g atmstrtnerures resurting from operations cone ocation of entering super dthepe►mmee. uaseuroarthatpermflsmallbethesola ruaurea. R4 UT1LtTY 1erooroteluty Str CLEARANCE: The Coaee ee Ina,, No worm shall be Gane under This permit until all utilatlss ars Naar of the .proposed worm sits. ins parmmee sneu notify all concerned utility companies at the proposed worm. R5 PAVEMENT WIDENING: Area between the pr000med concrete gutter line end the canting road pave surfaced Conn inm� of A. r. pan^ having en"R'valYeotnotlessthan gPlaced on�inc"e]afclsssmarashallbe. onoSoeenieationa. wand Incontormer, cal aggregate nau°baasc°ursa Ordinance 4461. p ovemsnt$tancaras PARKWAY GRADING: Area Detween the property line and too of the proposed concrete caro snail bera 1/4 inen to one toot 111. grease to a alone of -15g�70RAOES & STAKES: City of La Quints shall establish grades and states for the proposed concrete curb a^ construction. , RB GRADE CHECKING: Ci at La — a gutter City QuinteSnalleheCtgre0eau00nrecalptOtvlanandOrmfileenG/OrgraeaSaaeagDliaheGby a RADE C engineer. RS CURB REMOVAL FOR DRIVEWAYS: A portion of the etlating concrete turn ano/or curb ano gutter 1 f removed. Curb and/or curb one gutter snail be saw cut prior to removal, Deoramsed curb. matching concrete concrete Driveway approach snail be construct Mtlshell be Constructed In conformance with City at La Quints Standard 4207 gutter and RIO. DRIVEWAYS. A.C.: Oriveways snail be constructed as not to alter existin ptopertV line and the existing roan paving9 oral^age Vattern. Surfacing aggregate case. Driveway construction small contorm Ito attaenea craw npaving plaeee on 1 g OaVireen the "1 of era �_ R 1 1 CULVERTS..: :ncn Diameter I inches Deaow and in line with the existingtIOW i' culvert snail be installed witn the invert aooroximatety 1-1/2 Culvert installation snail conform to the attacneo crawin SIGHT CLEARANCE: Sign clearance Of 600 feet In either direction snail be assured and maintainsa g R13 SOIL SCE rer's s : the area tp oe surtaeed small bs treated witn sou sterilizer. Rate Of application snail earn lywith the manura/aurer's spseNieatloha. COORDINATE WORK, Ths proposed work shall be suCcrmnatea to any operation which the Siete of California r City of La Quints may tonus In tnls area aurin R15�Cin of La Quina forces to preetude delay or interference the od Of thls psrmit. Work snail be cooralnateo Vint" the State or SURVEY M State ar City of La Quints oroleto. MONUMENTS. Prior to excavation Or beginning of construction. all survey monuments wnien exist bcssm�erilms at all swop Or property lines wnen involved snail be on the deco by a I":Wtua Cry^ comptate v tied out so th ariganea►arsunwva►arrn� _... evmay oarumNan..,•,...-_... -16 P—or to excavation or Gecennina 01 construction. au survev monuments snail ae a . -f Us Uumis and sullaOte Claymont or Guarantee at oavment snail be made as re imoufsemem -o out R17 '4VEMENT CUTTING. Pavement will De trtarnanlcaliv cut to a orraronr far i11 wane Involved_ cunlna snail be 800roveo Lnrouan the O"Ice Ot the City Engineer. IUnaer�pcircumstancesna ^elle be used to excavate onor to cutttno dr oavement)ion Method awmem materia iaciutate Ile General now of Iratfic. ?riot to telae Clay ria aoerat ons. anfvsnail beaama colo oavement straight ring o 3 to est acea in such a position as to Desi 'bffeRla. R1 24VEMENT CUTTING. Pavement snail be saw cut onor to r 9n: edge snail be Dawfnent straight edge snail be correeteo, removal. Prior to Anal pOvtnq operations. OMIT OF EXCAVATIONS: Excavations shall oe nmtreo to I . any damage to begin. All excavations snail be Oroberiv barricaded with IIGntOs00pVlmignte on VVesaenos and nolopen trenen le ayskrolr Tri the traveling Deronons muse gpuatic.ThePublicWorksinspectorsnaildetermmeThis suitaDlllwotexcavation oarricamn i eeencationot excavation snail remain open for a period exceealnq live 171 ave No excavation snail be made unto maLaral is actually on the worst Sita. g in seen case. No 02 BACKFI � Ina construction LL MATERIAL Ba0[tiil snail tie tree or brush. rpots or otner organic substance ee[rimenta....;s of producing an adequately consolidated baekt111. Any matenal wnlen the City of La U" tor Purposes saturated material) wnien is encountered Bunn Oulnta deems unsuitablela0ongvor replaced g excavation shaLL not be used tor'Jactd111, but slate be trV 8n approvals whit Sana Of graveluntere _ R21 BACKFILL SAND: Bacttfill snail be a supplefnented or throe feet 13') and vlbreted usingvlorattomppe pa aivai lmnd Or equivalent and shall be placed In Itfts Of n0t Cosa a rotative compaction of 95 Dereerit snarl be attained within nhe t. `ternatemethods may 'Jesu'J grottertnen R 2 BACKFILL PLACEMENT: Sawill Snail be °avors caural Scotian of the roadways but in any before flooding or a maxim urn of tive-fool (51liifts where trenches aat not real a:easslve aeptns.ore inan 50 percent oCar li10121 s to ass: backfill materiel is not sublectad to extreme dwell Dv floodinions.g °Qin df the ttehrn rewitlnq compaction shall be not iose than 9p oo►eent or equivalent ao the surroundingthe tmaterial snail be met Ina C0TD8RI0n Where ClOnail b or of les t is used for a maximum sentiment, ad dread trot ire ground.be cnstruwarisellegreater the water. Where farting Is used. the lets shall be at sutftcient len eOUtte dikes Will d! 1c 0 <� suaptY Snell be continuous. gin t0 reach the bottom df seen :a constructed to tetter COMPACTION TESTS: If so required Y°n °^d the water by the Inspector. compaction tens snail be made at Intervals of not m feet and a minimum of one 111 test On each road. One i l l copy of seen test snail be torwarbed to the Cl appr'Jvalendtiledpriortomakln more than I.pO0 g Dat Hign Permanent reoaus. Ccmpaaion tests shall be made asautllneo In Seero�rk Engineer for Standard Spaeineations Oiveuon of Highway°. Slate of Califontfa. aatsd January 1973. R2 � COMPACTION6.3.01 of Ile TESTS. If so required by the Inspector. compaction tern snail be meas for so crossing OM 1 11 copy of seen can Snell be f 0rwpde0 to tris City Engineer tar approval aro f Ile0 prior TO maklri Compaction tens shall be mace as outlined in Section 6.3.01 of the Stahearo g � aervles lens. of Califomis, dated January 1973 9 De►mertetttrepsate Saecrticattons. Division of Highyilevs, State R � TEMPORARY PAVEMENT REPAIRS: After TEMP�plerlon at haeld111 and compaction operations, a t consisting at 2 inches of SC -800 shall be placed On a Orecara sucgra0e. The SC -800 is pain^ fiery patch ahs► a maximum of a tem lineal teat or trench has'Joan excavated and banttill operation cpm Ietea. but in no the placement Of the tempora g shad be placed temporary oavement exceed a five 15) day Ilmit. a p ease snail 2 PERMANENT PAVEMENT REPAIR: After backfill aria compaction operations rave aeon eomoleted. a to Consisting of two inches 121 Ot $C-800 shall be 17Ciw immeOeroiy A surfacing b maatry Daich 9 Olseea dna inch clan oermenent oaten of inches A.C. twnpdfary road repair.bus snail be placed no later than [7i t +2e -TMJ f �/�C C_i y days aneretompletlon of R27 PAVEMENT REPAIR: F A. �'J�'�i✓t Fre S.: Upon a eta completion Of backlit and compaction. a temeararvoatcn conSlnlr of cold mix paying ISC•8001 shall be 0late0 tmmeOetelY. A Permanent Paten at three Inches 2-1 be Olaf iso On elk lrrnes 161 cohereto base es directed. but not later than trfteen 115) days atter compel Of des dry h 131 of A.C, surtactng snail paring. Concrete case snail bet at fivs.ss� mix aria shall conform to the City of La Ownta Road Imprtrvsm �� and $pe0tications. Ordinance 0461. Cleary / ^�J FOG SEAL: A fog seal coat consisting°r+tStanaaras `� detefminea ot an aopucauon of asphaltic emulsion Snail be appiea over all W the City Engineer. sten cress as R29 SEAL ARMOR COAT: A seal coat consisting of an application binder where such seal costa exls[ea prior is issuance of this Oefmrt. and screenings snail be availed on all 37. Standard Speeitieatfons. $°al or armor ale++ dread be aCCOTDII]hed 0V t ItCerSe0atO Of California. sa cJanuarylbe sported a s ave a nt Section Division in t of business dated January 1973. Work of pavement repair ld 30 .'TREET RESTRIPING. Where street strioinq is still engaged on streets o as excavated. such striping shall be repleted upon Completion at permanent repairs. R31 TREE RELOCATION OR REMOVAL. Tree relocation within the City of La puinta road rignt of way snail be accomplished by a licensed, canoed and insured tree service: and handled satisfy without interference or nazard to the traveling It shall be the responsibility of the permittee to maintain the tree in a vigorous growing condition at its new location. Trees to De removed snail be removed In Sections which can be handled safely without Interference or hazard to hignwev traffic. The entire width of Ina -tree Stump snail be removed and disposed Of so that no dearts remains In view of the highwav rhe slump hole snail be backfilled and tnarougntycompaQld as specified in the following paragraph. Where it becomes necessary nd t0 fesrnc traffic. the work shall be feStflRad to a menmum Of 500 feet at anyone time. Adequate sroro. flagmen end/or bameades Shall be provided to protect the traveling public at all times. note Large surrounding rerouting from tree removal shall be backfilled and Compacted to not less than 90 Percent of ton snail C ground. whichever is the greater compaction as determined by the impact or field metnoc tests snail cClmO1y with $eCttOr 6. dulyal°rir to the on January 1973, 3.01 of the Standard Specifications, Oivlslon of Highways. State of California. aatea caeca R32 TREE TRIMMING: a. only ine necessary trimming snail be accomolisned to provide clearance of the facility for one calendar year All broken or week sections within the trimming snail be removed. Q. Where It becomes necessary to restrict traffic. the work shall be restricted to a maximum of 500 feet at anyone time. Adequate signs. flagmen. and/or barricades snail be provlded to protect the [reveling public at all times. G If tree trunks are ttartelli outside v the City of La puinta road right of way. permittee snail make his own bYthis Tents with adjoining property owner for consent to the trimming in addition to the authorization Drovieed by this oermrt. tl All tree trimming on EVERGREEN TREES, PALM TREES. and other ORNAMENTAL TREES shall be accomplished to the sltistacnan at the City Public Works Inspector. e. Abumne nrni,,_....--- ADDITIONAL CONDITIONS - CVWD BLANKET PERMIT PERMIT NO. 2294 I' January 1, 1995 - December 31, 1995 R33 Survey monuments . shall be protected in place or re-established pursuant to City Standards and the State of California Land Surveyor's Act.- R34 ct. R34 Contractor shall comply with the local noise ordinance. Construction operations and maintenance of equipment within one half mile of human occupancy shall. be performed. only during the. time periods as follows: October 1st - April 30th: Monday - Friday 7:00 A.M. - 5:30 P.M. Saturday 8:00 A.M. - 5:00 P.M. May 1 st - September 30: Monday - Friday 6:00 A.M. - 7:00 P.M. Saturday 8:00 A.M. - 5:00 P.M. Work shall be prohibited anytime on Sunday and Federal Holidays. R35 Traffic control shall be per the CalTrans Traffic Manual. Field adjustments in detouring shall be accomplished as directed in order to adjust to actual field conditions. It shall be the Contractor's responsibility to adequately barricade and detour this site. R36 All excavations at or near the travel way shall be backfilled at the end of the work day, for the protection of the traveling public. R37 This permit is only for work within public street right-of-way: R38 Ingress and egress for local properties shall be maintained at all times. R39 Prior to work starting, Underground Service Alert shall be contacted at 1-800-422-3155 and an "inquiry number" shall be provided to the City Public Works Inspector. R40 Pavement shall be sawcut prior to removal. R41 Replacement pavement shall be existing asphalt thickness plus one inch, but not less than 3 inches of AC pavement shall be placed. Class 2 aggregate base shall be as per existing or 4" minimum (whichever is greater). R42 SEPARATE PERMITS ARE REQUIRED FOR ALL OF THE FOLLOWING: 1) Major streets and FAS routes. 2) Construction of all new mains, extensions and/or relocations. 3) All construction work to be performed by contractor for the utility company. R43 When work is within 500' of a signalized intersection, the permittee shall notify Riverside Co. Signal Dept. at (909) 275-6894 or Caltrans Signal Dept. at(619) 688-6845 as appropriate, 48 hours prior to beginning work. This is in addition to the Underground Service Alert (USA) notification. R44 Note: USA does not locate signal conduits or other city owned facilities such as storm drains, electrical services, median sleeves, etc. .-R45 Permittee shall coordinate work with any contractor performing city improvements and shall provide a schedule that will not conflict with the city improvements. R46 _Mailboxes, landscaping, irrigation, driveways, gravel, decorative rock, etc. shall be replaced to a condition equal to or greater than the original. R47 Street closures shall not be allowed at any time, a minimum of one travel lane on paved surface shall be maintained at all times with flagmen present. R48 All backfill and subgrade soil shall be compacted to nothing less than 90% relative dry density, all backfill soil within the top 2' of finish pavement surface shall be compacted to nothing less than 95% relative dry density, all base material shall be compacted to nothing less than 95% relative dry density.