2304t
NOTE:,
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
Subdivision Improvement Permit — Class III
DATE: 2-10-95 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 78-785 Lowe Dr. Lot 173
Acacia Hones
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Install and wAintain a four Sketch (attach construction plans if appropriate)
inch Douse lateral for sewer service
DESCRIPTION OF CONSTRUCTION Sawcut A.C. excavate
and repave street See attached conditions
DIMENSION OF INSTALLATION OR REMOVAL
Sea attached drawing
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 2-13-95
APPROXIMATE TIME OF COMPLETION 3-15-95
ESTIMATED CONSTRUCTION COST $ 2100
(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 i damage 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 w rk ill be started.
Comply with all applicable City Ordinances, the terms and conditions of the p6rmit and a appli able ruls an reg lations of the City of
La Quinta and to pay for any additional replacement necessary as the result A this wor .
Signature of Applicant or Agent
Coachella Valley Water District 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 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 2304
Inspection Fee $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL
Receipt No.
$ -0-
Received by Date
PERMIT NO
PERMIT VALIDATION
2304
DATE APPROVED 2-10-95
EXPIRATION DATE 3-15-95
DATE ISSUED 2-10-9
By— latA -
f Ir Aclukinistrative Authority
Recorded by 11 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
,/O Subdivision Improvement Permit — Class III
DATE: �� � _5�� Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
LDT / %Z TRACT'
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION INSTALL AND RMAINTA11\E R F0i1IZ
I NCH Cif") /-!OUSE Lf -77F-aAL x"0 2 ScRU ICE _
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION ARNF-Ty L W) DAYS
ESTIMATED CONSTRUCTION COST S ZJOD'D0
(Includino removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
Sketch lattach construction plans if appropriate)
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 a -
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or propend
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 124) 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 o/ / e City o:
La Quinta ano to pay for any additional replacement necessary as the result of this work. A / 0
Si ature of Applicant or Agent
COACHELLA VALLEY WATER DISTRICT P. d. Box 1058 COACHELLA, CA. 92236 398-2651
Name of Applicant (please print)
Name of Contractor and Job Foreman
Contractor's License No.
Business Address
Business Address
I eiephone No.
I elepnone No.
City Business License No.
Applicant's Insurance Company Policy Number
"he foilamno ueneral and Special Provisions aro anacnec to and mete a cart of Permrt No. r •��f�
GENERAL PROVISIONS
The following snail aiways aoply:
"ENCROACHMENT ON PRIVATE PROPERTY .'his eermn authorizes wont to be accom tisnet wnnln Civ of
ONLY. Whenever construction extends within Private croberiv. n snail be the reseonsiowry or me perm La
secure permission tram aounin Quinta frac o way
q probern owners. Succi autnorization must oe secured v the permittee prior Ittlie rtog eonttaczors)to
TRACKLAYING CONSTRUCTION EQUIPMENT: Cla°tso ttacklavirl starting worn.
payetl surface unless tmao Witn smodtn-iacea street uses. All rnacna , a oil r, h edulOment shall not be oermmad t0
the paving curing excavations. Rubaer-tired eauloment only shall be used gn odes gers ail belftt pnsit�ruooersme tseomtooroteR
Pavement is scarred. soatlea• Or broken curing ins term at thissnailbcontract- pr M th davea
that tness cantons at road be resurfaces aver their entire is width. RqgO it a pavement is marred Cary pf yeas. If the existing
surfacing plus appropriate seat coat as s iectijed above. ng !^e11 consist of one mat at Quinn snail reausst
two thanes 12"1 of -A.0
PROTECTION OF TRAFFIC: All excavations and work areas shall be propeny lighted and bameaaed m deemed
Engineer or 6a Quinta Cit, Public Works tnsgisic .Suitable detours dna detour signs and t ll be ade°a and
Of the project The City shall be notified 24 Mrs. in pavane of ° h°ceasary by
the City
try traffic detaura or delineations. maintained fOrtheauratlon
CARE OF DRAINAGE STRUCTURES: Any crainage structure including corrugated metal ciao. concrete
concrete structures encountered during excavation wnicn necessitate fempym lieu be replaced In kms. In the
necesitarv, to remove or cut existing drainage structures. City of lap'0e atN1 culvert and
Drainage structures and open prams shall be kept tree at deans at Quints
snail be notified prior to commen at becomes
tbhtent of this work,
RIGHT OF WAY CDer drainage.
LEANUP: Any surplus material resulting from excavation and backtilll operations snail be ramp
way. All caved surfaces snail be broomeo clean of earn and other objectionable materieta I mmatwtely eater backfill a
Existing gutter line and drainage Outcries snail be replaced to their original stanaartt materials
Defter. All excess material if
tom ins right of
Prior to paving. Water tanker sna11 be used. as r tti eOtrlpaetlan.
immediately attar backfill. required. to sprinkle the lob sate td kee aavyn Nall be retrieved
p Oust Conditions and shall be used
DE -WATER OPERATIONS: If ds -watering operations are requires ono pumps are forcing water on City of La Quints r
the /esoOOs101hty or Inc pefmlRee ICOntraROry to control In13 water and to pr01110e-etfOet OaTeaOaa wnetr naaeaortx
• loos. it shall be
CLOSING STREETS: No street shall be Closed. A minimum of one lane of Iratovifle snail -s maintained at all times necessary.
any la for the calcining protterty owners aro emsrgenevvenieles. In the event It Isfelt bvtne permmee that tie muato providef
any lengfn Of time. Perntines snail contact this office to omaln ins neeeyw hMas unties
ry Permission. cosaatreettdr
SPECIAL PROVISIONS
The folhnnng snail apply ONLY when Indicated:
t NOTIFICATION: Permittee snail,natity the City at�7-7U7S
R2 CASH DEPOSfTS OR BONDS: A men bone Ci an t X48 at least 48 hours in advance of starting mnaRt=ion
Mail be DEPOSITS
in the name of City of La approved surety bond in an amount of not less than s
er ail work
roans and survey monuments. This bond snail be contiis to nnuous until caneleleed by he City Engineer. This
in the r
Posted prior to commencement of any work an this Project. estoration of noon I a Quite
� o leer . baro must be
R3 UTILITY CLEARANCE. (Substructuresl Pricrto making
by Permh, ins permmee snail Contact all concerned utility companies
whin tit°Cityof La Quints right of
Damage to existingtducte relative to the ldcation of exiting s~auNares.
substructures retuning from operations conducted u�t►1e[ures.
at the permmee. ores unosr ins perm" snail be aha sole
h>esortsibility
R4� UTILITY CLEARANCE: (Surface structured No
virll c shall a none unser this carmrt until all utilities ars clear at the
• pr000sea work site. The permmee shall notify ell concerned utility companies of the proposed wort.
R6 PAVEMENT WIDENING: Area between the proposes concrete surfaceo with - inches of A.C. daythefine and the exining road aveme
having an�•R'valuectnotless than Ing placed on inches at class p nta all be
and incontermancewith Cimof La Quinta Road Im"agaete atibba dr
and Soeeiricationa. Ordinance +1481.
p entSnnaard,
Standard,
R6 ) PARKWAY GRADING: Area cerween the property tine and toe of the proposed concrete curbshall be ra
1/4 inch to one foot 11 �.
g asotpasloleof
R7 GRADES & STAKES. City of La Quints shall establish graces and stakes for the proposes concrete
construction.
' curd and gutter
GRADE CHECKING: City of La Quints snail cheat graces upon receipt of plan and profile end/or graces assstablisheo by
a licensed engineer.
RS CURB REMOVALFOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter l festshall be
removed. Curb and/or curb and gutter shall be saw cut prior to removal. Dearessea curb. matching concrete
concrete driveway e 1
pproacn shall be constructed in conformance with City of La Quinta Standard #207, gutter and
RIO DRIVEWAYS. A.C.: Driveways shall be constructes as not to alter existing arainige pattern. Surfacing between the
Property line and the existing road paving snail be 2-1/2 inches of A.C. paving placed on l
aggregate case. Driveway construction snail conform to artachea drawing. 0.1 of clazz__�
R 11 CULVERTS.:,
:nen diameter t
metres Oeipw and in cine win the existing tlOw i culvert shall be metalled with the covert anora I tery 1 •1 ; 2
Culvert installation snail eonrorm m the ettarn
R12 SIGHT CLEARANCE: Sightso Growing
clearance of 600 feet in elther direction snail be assured and maintained.
R13 SOIL STERILIZER: The area to be surfaced shall be treated with soil sterilizer. Rate of application snail comptywith the
manufacturer's saactffcations.
COORDINATE WORK: The proposed work shall be succrainateo to any operation which the State of California or
City of la Quints may conduct In this area curing
City of La Quinta fortes to preclude delay or interference owgtn Statt this e or CityattLa Quintan nail be coordinated
ojeem: nth me State or
16 SURVEY MONUMENTS: Prior to excavation or beginning of construction. all survey monuments which exist an the
be
of all staeia ar Oro00rn linea when Irtyolved °hall bs tbmptetely ties out !O they may Oe ratan/ and be reaaees av • scmism rsO snail
onginew or u Int ones rvevw ay nat s expense
ar arms Oemntee- A comnii s "tar hopes snow inq
Iins
De noomen upon a retliaoonw s— �,, __tin to mase mp atd/tOtneraRlayelaanymonueirw. n."_._
16 i:_:RVEY MONUMENTS. P-or to excavation or oeammno or construction. au survey monuments snail b
:i ,a Uumla ano 5uitaole Oavnient or guarantee of oavmant snail De mace as reihtOursarnent Tor all
in of lea.
R 17 'AVEMENT CUTTING: Pavement will be mechanically cut to a atrotdm edge onor to excavation. Methodarx involved.
CUnlnd snail be aacrovec tnrouan the ortice at the C,tv En Engineer. nal o t no n prior Stances anion .t pavement
be usea to exCavate-ofiof to cutiina Or oavemento. Excavation material snail be olacea in such a excavatingDOSIledUlomerlt
Tacnitate the general tiow or traffic. Prior to final oavinq operations. any aamaoe to pavement siratgnttedgeasto nail be
correctea.
18 'AVEMENT CUTTING. Pavement snail be saw cut onor to removal. Prior to anal paving operon?eta,
Pavement straight adds snail De corrected. any damage to
R19 LIMIT OF EXCAVATIONS: Excavations snail be timited to 1.000lineal feet of poen trench oerore cacxtlllooerations must
begin. All excavations snail be orooerryoarricaaed with itchis overnlgmt. on weekends ano nol10ays for the protection at
the travenng puouc. The Public Works inspector snau cetermme me suitability or excavation oarricaamg in seen case. No
excavation snail remain Oven for a Deftoa exceeding Live 15) eays. No excavation snail be mace unless tna cOflsirUCllOn
material is actually On the work Site.
R2 BACKFILL MATERIAL Backfill shall be free or brush. roots or other organic suastance aetrim ..;sus'star purposes
Of producing an adequately conscocatea backtill. Any materiel whrCh ents the City of La Quinti seems unsuitable IspOhgyOf
saturated material) whish Is encountered during excavation snaLL n
replaced by an aacrovea sane or gravel. _ Of ba used for backfill, but snarl be supplemented or
R21 BACKFILL SAND: Backfill shall be approved transn•mix sand or equivalent and shall be placed in lifts at notgreaterthan
throe feet (3'1 and vibrated using vibr tamper oredurvaientequipment. Alternate methods may besubst
case a relative compaction of 95 percent small be attained Within the a:ructural section of the roadway
noted. but in any
R2 BACKFILL PLACEMENT: Backtlll shall be sopped In lavers at not more Than 50 percent Of the total depth of the trench
Dollars tloeding ar a maximum Of five-foot 151 lips "Ors trsncnes arent excessive depths. Care Is to De exerelsed that the
barktill materiel is not subleaed to extreme swell by flooding operations. Backfill material shall be placed to that the
resulting combaction snail be not less than 900ercem or eauivelent to the surrounding ground, whichever is the greater
compaction. Where dancing or flooding is used for a maximum settlement, adequate dikes will be constructed to retain
the water. Where letting is used. the lets shall be of sufficient length to ieacn trte bottom of each :aver and the water
supply Shall- be cominuous.
COMPACTION TESTS: If so required bythe inspector. Compaction tests shall be mace at intervals of not more than 1.000
feet and a minimum of one (1) test an each road. One 11) copy at each test snail be forwarded to the City Engineer for
approval and tiled prior to making permanent repairs. Compaction tests snail be mace as outlined in Seehan 6.3.01 of the
Standard Specifications. Division of Highways. State of California. datea January 1973.
R2 COMPACTION TESTS: If so required by the inspector, compaction tests snail be made for Bern tossing dr ssrviee kine.
One 11) copy of seen test snail befOfwaroaatotheCity EngineerforapprovetandtfIsopriortomaking crossing
Permanent Compaction tests snail be mace asoutkineain Semon 6.3.01 of the Standard So tiled actor t maxi on of Highways. State
at California. sated January 1973.
25y TEMPORARY PAVEMENT REPAIRS: Akar completion of backfill and compaction operations. a temporary patch
consisting of 2 inches of SC -800 shall be placeo on a Prepared subgraee. The SC. 800 temporary paving small be placed
after a maximum of 3.000 lineal feet of trench has Dean excavated and oac ktill Operations cOfnpletee. but In no case shall
the placement of the temporary pavement exceed a five 15) day limit.
R26) PERMANENT PAVEMENT REPAIR: After backfill and comoaetton operations have coon comoteted. a temporary paten
consisting at two inches a12"�) of SC -800 shall be placeo Immediately. A permanent patch of L/
surfacing placed on a—.a'�iifch class �+—� inches A.C.
tempora base shall be dioses no later than 1Z days after completion of
ry road repair.
R27 PAVEMENTREPAIR:F.A.S.:Uoonccmoletionotbacktillanocamoaction.atemocrarypatchconsistinggftwoinchesl2'1
Of cold mix paving ISC-8001 shall be placed immediately. A permanent paten of three Inches Q-) of A.C, surfacing shall
be Placed an six inches 16'1 concrete base as directed, but not later than fifteen 1151 days after completion of temporary
paving. Concrete pass shall beat five -lack mix and shall conform to the City dt La Quints Road Improvement Standards
and Specifications. Ordinance 0461.
LIR 2'1 FOG SEAL: A fog seal coat consisting at an application at asphaltic emulsion snail be aopueo over all pawn areas as
determined try tne.City Engineer.
R29 SEAL ARMOR COAT: A seal coat consisting of an application binder and screenings snail be applied on all paten areas
where such seal coats existed prior to issuance Ot this permit. Seal or armor coats snail be applied as scecifina In Section
37. Standard Specifications. State of California. Division of Highways, catea January 1973. Work of pavemem repair to
be accomolishad by a licensed contractor engaged in the business of pavement repair.
R3 STREET RESTRIPING: Where street striotng is still visible on streets to oe excavated. such striping snail be repkacee upon
completion at permanent repairs.
R31 TREE RELOCATION OR REMOVAL. Tree relocation witntn trio City of La Qulnta roaa right of way snail be accomplished
by a licensed. Danced ano msurea tree service. and handled satelywundut mterterence or hazard to the traveling public.
It shall be the rasaonsibility of the permittee to maintain the tree in a vigorous growing condition at its new location.
Trees to be removed shall be removes in sections which can be handled safely without mterterence or nazardta htghwav
traffic. The entire width of the tree stump snail be removed and dlsoosea of so that no eebris remains in view at the
highway. The stump hole snail be Oacxfiltea ants thoroughly compacted as specified in the following paragraph. Where it
becomes necessary to restrict traffic. the work 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 notes resulting from tree removal shall be backfilled ana ccmpacteo to not less than 90 Percent or equivalent to the
surrouneing ground. Whichever is the greater compaction as determined by the impact or field metnod. Compaction
tests snail comply with Seaton 6.3.01 of the Standard Specifications. Division of Highways. State of California. eaten
January 1973.
R32 TREE TRIMMING:
a. Only the necessary trimming snail be accomallsnea to provide clearance of the facility for one calendar year.
All broken or week sections witntn trie trimming snail be removed.
P. 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 oarricaees snail be provided to protea the traveling public at all times.
c. If tree trunks are partially outside of the City of LL
arrangements with edlOihthg property owners for consQuanta road right of way, permee snail maze his own
bythisPermit. ant mnt to the trimming In addition to the autnarizatlon crovicea
by this
a. All tree trimming on EVERGREEN TREES. PALM TREES. and other ORNAMENTAL TREES shall be accomplishea to
the satisfaction of the City Public Works inspector.
e. Abutting property Oyyners snail be contactao, in all instances, Prior to trimming or topping trees
t. Pruning soli ih all inatttlrtces os at fns shcukder of ms crown to insur..y..._ ............� _.. _
12"1 inn aes�... �.� �--•--- -- ... � �_.
SPECIAL CONDITIONS --PERMIT NO. 2304
--- 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 1st to April 30: Monday -Friday 7:00 a.m. to 5:30 p.m.
Saturday 8:00 a.m. to 5:00 p.m.
May 1st to September 30: Monday -Friday 6:00 a.m. to 7:00 p.m.
Saturday 8:00 a.m. to 5:00 p.m.
Work shall be prohibited on legal holidays including Sundays.
5. Permittee shall assume responsibility for repair of any pavement breakdown. at the haul road
access to any public or private street and for any damage to other City streets or facilities.
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.
ite:
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. Permanent pavement replacement section shall be one inch greater than existing. Existing
pavement section on Lowe Dr. is 3" of A.C. over 4" of A.B.,
9. All landscaping irrigation decorative rock etc. shall be protected in place as much as possible
or replaced to its original condition.
10. Prior to excavating, the permittee shall contact Underground Service Alert at 1(800) 422-4133.
11. 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.
Special Conditions - Permit No. 2304 'Page 1 of 2
SPECIAL CONDITIONS - PERMIT NO. 2304
CONTINUED
12. 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.
13. 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..
14. Site clearance of 600' in either direction shall be assured and maintained at all times.
15. Street striping that is damaged, removed etc. shall be replaced to its original condition by the
permittee at no cost to the City.
16. All excavations at or near. the travel way shall be backfilled and paved as directed by and to the
satisfaction of the City Engineer at the end of each work day for the protection of the traveling
public.
17. This permit authorizes work in the City of La Quinta Right -of -Way only. It is the permittee's
responsibility to secure permission from any other abutting agencies or property owners.
18. Ingress and egress for all properties shall be maintained at all times.
19. The City will determine. the final limits of.:asphalt replacement.
20. The pavement replacement section width shall be one foot greater on each side of the trench.
J
Special Conditions - Permit No. 2304 Page 2 of 2
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