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2295a _DOTE: With proper validation this form con.stitutes 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 Subdivision Improvement Permit — Class II I DATE: 1-24-95 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Various locations within the City Limits (Street address or Description of Location) PURPOSE OF CONSTRUCTION Install new Ras services and Sketch (attach construction plans if appropriate) perform routine main service on Ras facilities DESCRIPTION OF CONSTRUCTION Excavate, backfill & repave streets DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED 4' x 4' bell holes See attached conditions Excavations of FAS roads (major roads) are not authorized. A separate permit is required APPROXIMATE TIME WHEN WORK WILL BEGIN January 1, 1995 APPROXIMATE TIME OF COMPLETION December 31, 1995 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. Rhodesia Ashley Signature of Applicant or Agent Permit coordinator Southern California Ga Co. P.O. Box 3003 Redlands, CA 92373 (909) 335-7764 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Contractor's License No. Business Address Telephone 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. Received by Date 2295 PERMIT VALIDATION PERMIT NO. 2295 DATE APPROVED EXPIRATION DATE 1-24-95 12-31-95 DATE SSU D A 1-24-95 By Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 "OTE:. CITY OF LA QUANTA With proper vMidationA 1 91995 ANNUAL BLANKET PERMIT this form constitutes an CITY OF LA QUINTA encroachment permit PUBLIC WORKS 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: DEC. 22, 1994 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION VARIOUS L _0 (_-i i`oN S (Sweat sd*m at Ducrotion of Location) PURPOSE OF CONSTRUCTION """'" ^" " ' _ - AA/ D s r, RatziiJ R it? f}riJ S fri/ c�F N �-�c < 4 DESCRIPTION IPTION OF CONSTRUCTION 4 �rtve_ S-r;e'Cr'75' DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED `{ X Y fel- Zr > Sketch (attach construction plans if appropriate) To -install new-gas-services-and-to-cto routine main -and -service maintenance -on ex-ist.ing-natural gas -facilities within tie ?mit-s=of=L=a-Qui°nta- To -curt 4Lx-41—he11ho-les-es_necessary_at, va•rto,us-locations an-d-to`make-nece-ssa-Yy --street_pavng-repairs. APPROXIMATE TIME WHEN WORK WILL BEGIN JANUARY 1, 1995 APPROXIMATE TIME OF COMPLETION DECEMBER 31, 1995 ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or repiacing 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, hwmleu from and against any and all Penalties. liabilities or loss resulting from claims or court action and arising out of env accident, loss or damege 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 Meet twenty-four (241 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 le r rel and regulations of the City of ti Ouinte and to pav for any additional raplaament wol n V as the result of the .. RHODESIA ASHLEY - Siruwn ofAPWWIjntof PERMIT OR DIN SOUTHERN (7 14 - Name of Applicant (please print) <- _ Business Address Telephone Na Nems of Contrsctar and Job Forsnw► : : :: Business Address Telephone No. City Businsa Llama No Contractor's Llama 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 - Clan IV: See attached schedule Inspection Fee $ Permit Fee J Penalty Cash Deposit -Surety Bond if required TOTAL: W. >� Receipt No. Received by Date Recorded by PERMIT VALIDATION _ PERMIT NO. 0- C/ DATE APPROVED Z'lr pS� EXPIRATION DATE Z ~ Z/ pJ' DATE ISSUED -Z y By Administrative Authority TELEPHONE: (6191564-2246 'h9 tollowlrq tienersl and Soecral r+rovisions are onschsd to aho maog • oar, of Perini" No. GENERAL PROVISIONS 'he touowina snail alwavt apply, ENCROACHMENT ON PRIVATE PROPERTY "his Dermrtautnor,zes work r 0 as ONLY. Whenever construction extenas w'in'n °ovate orocenv. t snail De ins esco a ctisry or me'n secure oermissldn from apuftln City of la Quints right of orae q arocer,v, owners. Sucn authorization must De secured ov Ina 0himee a Ion ills epmvacta to TAACKlAY1NG CONSTRUCTION EQUIPMENT: C:sa[aa tnalawno oermittea prior to Davao surface untess titteawitn smod[n•feceo street oeas.Au mecn Ccm l outs starting were rohstr,fRtOm eaUlpmam snail mat be Oernimed IO operate on ins, :no O9yin0 Durtnq excavations.wltn RubOn-to ea eaeet 08ml Only Shall ba used gnarl snail be rlftedwitm ruOoe►Me Pavement s sesrreo. ensiles. or brown during the term orfnls eon eacttflll ooerstions in �xftoastooratect that mesa S scarce . f �R- Of it the pavement is rnarf °eV40 steal. If the existing pad bg resurfaces over their entire w1aUI. Rgeurtact e4 City Of La Sufficing Plus aoorponste 9941 coat as Specified above. N snail Consixt at one Qllimu tftgll Ieauaat east of two lnchae 12'1 of A.0 PROTECTION OF TRAFFIC: All excavations and work areas snail baorooeriv I, Engineer or La Quanta City Public Worts inspectors. Sortable detours and de[ow tea aro oamca Iep of the protea. rhe Ci a! aeemes necaaart,pt, the an, ry 9na11 be notriied 24 Hrs. in edvana of a gnssmaubeclacedahornaintat ny traffic detours or Delineations. nbfartnedwatlon CARE OF DRAINAGE STRUCTURES. Any aralnage structure inctuatn conctate structures encountered during excava[lon wnien neeaa41tate rgacorru gated metal aloe. concrete ape. steel culvert Dnp Oraine a to r remove Or cut etpatl mavM small bs reclace,'n kind. In the Oralnage structures dna o ►� aralnage structures. City of La Quints snail be nahtied Dnp► to commeneermer" at becomes coon Drains snail be kept tree of Courts at all times for Droner aralnage, RIGHT OF WAY ' mot anis wars. CLEANUP: Any surplus materiae re3ultinq from eicavat, n and backfill p way. All paved surfaces snail Oe broOmes Gears of earth smoother objection _ lectionaDla m9le►iallSmR1 n! SmaY be remOVed from Inc right Of Fi!=Ir!9 gUllef tine and Oroinago pitches small be reolacea to [hal► original Sots are ri Oatter. All sautDiv after oacatlll aro compaction. Prior to Oav'nq. Water tanker shall be uses. as resuires. to sonnkle Inc 'mmaolatity after bacx1lll, excess matertal shall be removes IOD Srta 10 keep aONrt1 CUSI cOmplllOm9 OE -WATER OPERATIONS: If ds-watwnn and Small be used the resoonyoillry or Inc 9 operations are reOulres and pumps ars forcing water on City of La Quenu road.. CLOSING STREETS. pr0vae Ort•atraw a mcapa9 vi'nen nap [ small be Earn No sweet snap be closes. A gorninevvesnturn ai pens lens m trsffte snail be msmtamea at all canes to a¢aa nor tine adiolnin9 Drooer,y avvner! Dnp eme►g9rtcyyann,ctee. In the event It is tel[bytme OOfmmteethai ha m any length of time, Oerfnntea snail ccmtaa this Office to OrOMCe,'mites . Oolalh Ina necesafv permission. uRadgagsiroetrOr SPECIAL PROVISIONS . The fOlMnfiq snail sooty ONLYwhen indicated: NOTIFICATION: Pe►mmee small n 777-7075 otify the City atm at legal 411 ho R2 CASH DEPOSITS OR 80NOS: A rash bona or an urs In sdvenp at starting ctr+ersuaton. Shaft be furnished in the name of CiN of V stOfwed surety bona in an emountat nottgas tnan s rotas dna curve Quints TO rover ail work involved in Inc restoration of the vs y monuments. This bona snail be continuous until cancelled by ins Ci PMOO prior to commencement of an ►tains LA Quint& v work an this proles . ry Engineer. Thla bata must be R3 XITILITY CLEARANCE: (Substructures) P*iorto Ir,; : n by permit, ins pemm hee anal, contact all obncar:t,„n Utility [ I zy xc excavation within ins Citvpf Ls pylrlto rrgrttp} Damage to existing Sioxtructures resufhh from montes role',. to ins location at enaehg woe WlOrrred at the Derrtrittse. g aperatlons mnduagd under tufa barmiri ►uctures. WWII be me moss regOprta,p,l,ry R4 UTILITY CLEARANCE: ISurfaes Pr000lea warn sne• rhe permm a snail notifyctursol worm Shelf be done under tills oefmrt until all utilities ate clear at the nicarRS PAVEMENT WIDENING: Area between the Proposed cones utility ch+rnparileg of the proposes years surfaceo with - inches of A.C.tereze gutter fine and the exlating rasa Ogvem having an "R'valusot not teas tnan Cpaving placation amt Snail be Intoe! Of etas andScecn'cations. ��arialneontarmancewllnCirvatLaQulntaRoadIrm rratem h-Mcourse Ordinance a4g1, p antStanaaras PARKWAY GRADING: Area csrween The property line and apo Of the crocosed concrate curb snail be graced 1/4 inch to one toot (1 �. R7 GRADES &STAKES: City at La Quints Snail establish grades and snakes for the proposes io g mgsloo9ot construction. nvere curb and gurier 8 GRADE CHECKING: City of La Qwnta snail ehacxgrsaea a Ilnenses engineer. upon recerpt of clan and dratlle and/or graces aa9at8blished R9 CURB REMOVAL FOR DRIVEWAY by/9TOye E Curb L FOR/or S: A portion Of the existing concrete cwt) ano/or cwt and gurtOr I rolrb and guner snail be Slur cut prior to removal. OaOressad curb. matcrilmg conersta 1 Shall be concrete ariyewav approach small be constructed in conformance with CiN Of La Quints atching c x207. R10 DRIVEWAYS. A. gutter and Ct existing anal, v CO small bes as not to alter BxiS[Img OralmagO peRsm. Suffacin propene line dna the existing road paving shalt be 2.1 /2 inches of A.0 Cavin aggregate pass. Driveway constructlan shall conform gas -- the to attached Drawing, g placed on I "1 of Ela R 1 1 CULVERTS..: atarrfeterf inches oelow and , nnnaneexisting flow line. Culvert installation snail conform to ins attached drawing, -: Culvert snarl oe'nstaileo wean me invert aocroximatety 1 - l ,•2 SIGHT CLEARANCE: Sight clearance at 600 feet In either direction snail be assured and mamtalnad. R.13 SOILSTERILIZER: The area TO De surracea small be treated wltn 3011 sterilizer. Rate of apalrtatldn snail cdmplywitn the sinariuracturers 300cifications. �COOROINATE WORK; The City of ptOAO want Shaft be sucard[nate t to any operation which the State Of California or La Quints may conduct In this area during the period of this permm• Work snail be coordinated wlin the State or City of La Quints forces to Prectude delay or interference with State or City of La Quinta protects. SURVEY MONUMENTS: Prior to excavation of beginning centenme at all streets a OrOOerty lines when i Of a colin ucticn• all survey monuments writers exist on ins be rsatacsd ov a li involved is". l) be cpmblately tied out so th � _ cems9otswlenginPerorsurvet,d► evmay oer 16::RVEy •.10NUMENTS P—mr to excavation or oeo,nnina or construction. ail survey rtionumenn snail be riep out Ov :1 a humin and sultsots oavmenl or auarantes or oavment snail as mace as to rnonumet fs ria 'orail ware lnvary st l_ity A17 'AVEMENT CUTTING. Pavement will as msemameally cut too strapnt egge onor to e*Cavenon. Methgd M pavement Curtin small os eocroveo tnrouon the Ortice or me Citv Engineer. IUnder no circumstances snail exeavann oe used to excavate odor to cuttina or oavemirmf Excavation rnme►iai snail be Placed m iaeunate rile general now or vamc. Prior to neat Pavan 9 eau,oment q ooera[ians. anv gamage to oavemenln a position as [o nest :orreaea. stral A16 1AVEMENT CUTTING. Pavement snail be saw cut orior to removal. Prior to renal Pavan gilt ergs small be Pavement straignt edge snail be corrected, q operation R1 UMITOF "EXCAVATIONS: Excavations snail oe limited td 1.0001ineal teet of open trencn before oaextilsa any damage to begin. All excavations snail be orooerry barricaded witn Hants overnignt, on weesenas dna noliaays ro►tn Paracone must Ina travelingpuauc. The Public Works Inspectorsnail date rminethesunaomtvarexcavation o lloaysln t excavation small remain Poen tar a Period exceamnq rive rm days s ekcailrvat scall be maae tcao a acn case. m material is actually on Ina work site. 9 n Eden case. fvo R20 BACKFILLss ins construction MATERIAL Backfin Shall be rroe of crusts. racts of ofner organic suastance aetrimema.. , .;s Of Oroqucing an adequatehf consolidated Oaellttil• Any material writers Ing City of La Quinta deems unsuitablelsoon saturated materials wnicn is encountered duringa uaaforpurposes remaBed xeaystian snaLL not pe used for oaextill, but snail Os supplementedgyor w en aooroved sand or gravel. _ R21 BACICFILLSANO: or 8abyddl shall be aovroved transn.miv sand or equivalent and shall be vlaceal in chs of not three feet 13'1 and vibrated uslnq vlorotamoer or eautvaient equipment. Alternate method! may be silo case a relative compaction at 95 percent small be artained within the .•r , greater ?man _ctural section at the roasted• but in any R2 BACKFILL PLACEMENT: Bacxtlll small be eooiieo in lavers at not more Inan 50 Percent of the [oral �av before flooding or a mas,mum at tive•lOat 151 liftswhere nenenea creat a:eeasne aspens. Care is total again barhtill material is not sublsaea [d eimSme swell by trent Oxer at the Lfenna resulting g operations. Bickttll materiel shall be MCtaeglMt the q compaction snail be not less Inan 90 Percem or equivalent to the surroundingpVvo n tiler [lie compaction Where vonainq or flooding is used tar a maximum settlement. adequate elk veal be can vera Me water. Where q I stnegretain learn is Used. the Sts shall be of sufficient lanqtn to reaching bottom of Seen :averst and Ing retain supply snail be eonnnuoua. 7R* COMPA and Ing water CTION TESTS: If so required by the inspector. feet and a minimum Of one 111 test on eacn road. Onea11) Copyofesen lastn tossis lsn a beetotrweraa to tneintervals of tCl approval and tiled char to mailing ore Man I ,000 9 Permanent reoa%a. Compaction testa shall be mans as outlined a S o ty Engineer tar Standard Speufications. Oiviuon of Highways. State at California. dated Janus 1 ®R24 COMPACTION TE on d3 01 of rile STS: If so required by the in January 973. One 111 Cagy of Eden test Small be talYvaraed to tin �ry Engineer tar approval sL! shall be maae far each Ctassl CampaQtan tests small be maae as Oupinea ins and tiledoridrto making ^q or swvro aims. at Caldomis. dated January 1973• ealgn ti•3 01 of the Standard SOSCtticattons. Oivision at H• e�nt ~caul. R TEMPORARY PA ghyaeve.Stats PAVEMENT REPAIRS: After completion of backtill and compaction operations, a t Consisting at 2 inches at SC•800 shall be Placed an a Oreearea subq►7ae. The SC•800 temporary slaving eh+pprery Oaten after a maximum at 3.000lineal feet at trenen nas coon excavated and cacktill operations completed.out in ins, placement of the tempora g tlhau M se snail temporary pavement exceed a five (51 day linter. hO CaM small 26 'PERMANENT PAVEMENT REPAIR: After oacktill and Compaction castrations have coon completed. a to COnslstinq of two incnes (2") at SC-800 shall be Placed immediately A permanent Oatcn of surfacin hWorary Dalen g Placed do a inch c1393 —base snail be placed no later Inan ---- inched A.C. temporary roan repair. us"anerbompletlonot ears li/C� �Y T C�7Y R27 PAVEMENT REPAIR: F.A.S.: Upon completion Of batldill andcomoaction, a temporary paten consisting of cold mix paving (SC-8001 shall be Placed lmmOMately. A permanent Paten of three inettes 13") of A.0 surfaanq snail be placed on six incnes 161 Concrete base es directed. but not later Inan ttheen 1151 days atter completion of temoerary Patting. Concrete case shall beat tive.esta mix and shall conform to the City of WW SOMIrc+uons. Ordinance La Quints Rdea ImprpvememSunargs s1t31. R28 FOG SEAL: A fog seal coat consisting of an avaltcatlan of aspnaltic emulsion snail be applied over all determinea Ov ins City Engineer. Oaten dead as R29 SEAL ARMOR COAT: A Seal coat consisting of an application Pinder and screenings small be applied on all where suets seal coats gaimtions. 0 prior IO ISxWftCe Of MIs perm R. Seal or armor coats snail be availed as soncstiedin Section 37. Standard Specifications. State of patch areas '� be aCmntvlished by a licensed contractor C lif California.r engaged Oivision at Highways. dated January 1973. Work at iwm Ry 5•TREETRESTRIPING. Where street stnoingissnsOleons[reetstoo excaviaeaent rsuchstnpingsnaUbereo«ieeauoan repair to Completion of Permanent repairs. R31 TREE RELOCATION OR REMOVAL. Tree relocation witnin Ina Ciry of La Quanta road right of way snail be seeomolisned by a licensed. concept and insured tree service. and nandled safely witndut nitarterence Or na:ara IO the trn"llnq public. It shall be the responsibility of the permittee to maintain the tree in a vigorous growing condition at its new location. Trees to be removed snail be removed in sections which can be handled safely witneut intenerence or nazardto highway y traffic. The entire width at the tree stumo small be removed and disposed of so trial no Pearls remains in view at the highway. The stump male snail bebacktilledandthdrougntycompactedasspecifiedinthefollowingparagrsph.Whereit becomes necessary to resTnct traffic. aha war% shall be restricted to a maximum Of 500 feet at anyone time. Adequate Signs. flagmen end/or barricades shall be Provided to protect the traveling public at all times. Large holes resulting from tree removal snail be baclttilled and compacted to not less tnan 90 percent or equivalent to the surrounding ground. whichever is the greater compaction as determined by the impact or field metnod• Comoedtion tests snail comply with Section 6.3.01 of the Standard Specifications. Division of Highways. State of California. Pates January 1973. R32 TREE TRIMMING: a• Only the necessary trimming snail be accomalisnea to provide clearance at the faciinv for one calendar year All broken or weak sections witnin [lie trimming small be removed. a. Where it bacomes necassaryto restrict traffic. the wort shall be restrictea to a maximum of 500 feet at anyone time. Adequate signs, flagmen. and/or barricades snail be provided to protect the traveling public at all times. C If tree trunks are partially outside of the City of La Quinta road right at way permittee snail make his own arrangements witn adjoining prOVem owners tar consent to the trimming in audition to the authonfaition provided by this Parma. d. All tree trimming on EVERGREEN TREES. PALM TREES. and other ORNAMENTAL TREES shall be aaedrnpllahed to the satisfaction of the City Public Works Inspegar. e. Abumne rt, . ........�"_ >.. ADDITIONAL CONDITIONS - GAS CO. BLANKET PERMIT PERMIT NO. 2295 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 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 1st - 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. J C