2308NOTE:
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
DATE: 2*16-95
LOCATION OF CONSTRUCTION
Subdivision Improvement Permit — Class I II
Minor Improvement Permit Class IV
Miles Ave 1400' west of Dune Parts
Tract 26188 Del Rey Norte
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Install 18" D.I.P. water line
DESCRIPTION OF CONSTRUCTION Excavate & Backfill
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 2-16-95
APPROXIMATE TIME OF COMPLETION 3-15-95
ESTIMATED CONSTRUCTION COST $ 31,940
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
Sketch (attach construction plans if appropriate)
See attached conditions
In consideration of the granting of this permit, the applicant hereby agrees to:
ey 1, 1995
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 propee rty
happening or occurring as a proximate result of any work undertaken under the permit gran ed 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 sand all applicable rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as ihvresult of tis work.
Signature of A
Gouin Excavating 12755 Carding Ct. Victorville, CA
Name of Applicant (please print)
Business Address
(619) 956-7064
Telephone No.
Dennis Frye
Name of Contractor and Job Foreman Business Address Telephone No.
511578
2170
Contractor's License No. City Business License No.
Golden Eagle CCP 262738
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
Penalty
Cash Deposit-Surety^Bond
if required
TOTAL:
Receipt No.
10
$ 968
Received by Date
PERMIT NO
PERMIT VALIDATION
2308
DATE APPROVED 2-16-95
EXPIRATION DATE
3-31-95
DATE IS01JE 2-16-95 t
gy1
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
NOTE:r
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
Subdivision Improvement Permit — Class III
DATE: I , \ Minor Improvem_et Prermit glass IV
LOCATION OF C NSTRUCTION
(Street address or Description of Location) `
PU �SE OF CQN U T N `_ `a Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 17
DIMENSION,PqNSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED to
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION �� 7
ESTIMATED CONSTRUCTION COST $ — I � !E (
(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 ad�the
nce of th time when work will be started.
Comply with all applicable City Ordinances, the terms and conditions of rmit an all applicable rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the ret of this ork.
t
re of Appl
or
Name of'Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Busines Addres Telephone No.
1,� �-
_V1 o
Contractor's License No. L, City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Imorovement Permit — Clacc III
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
190Inspection Fee $
Permit Fee
Penalty
Cash Deposit -Surety Bond:
if required
�r
TOTAL:
Receipt No.
Received by Date
Recorded by
_... . ,, .....TION
PERMIT N0. ��dU
DATE APPROVED �-�� 2' ✓ _
EXPIRATION DATE �!' ✓ �'
DATE ISSUED V'qo�
By
TELEPHONE: (619) 564-2246
Administrative Authority
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he follawtna tienerat and Sceciat Provisions are areaC�
ffsd to and made a part of Permit No. e n
-? Q
GENERAL PROVISIONS
The following snail aiways acoiv:
"ENCROACHMENT ON PRIVATE PROPERTY This oermn autncrizes worked be accomalisnee women Ciry of la Quints regret of wav
ONLY. Whenever construction extends witnn orivate oropenv. it snail as the re SDOnsielllty at the Dernv Of for
secure permission from spurting prooery owners. Such authorization must oe secured by the cermmee prior to
fees conttartorsl to
TRACKLAYING CONSTRUCTION EQUIPMENT: Clestectrackiavin starting work.
Oaved surface unfaSs tRledwitre smooth-Teceo street Deas. All meena ro al of�Qion eaulamertr snail
not be Oe►mRteotO
;ria caving curing excavations. Rubber -Brea eouiament only snail be used finer cKtill bentteawitnrupberstte oberateanenv
pavement is scarred. seallea. or broken curing the term of this contract. or„the Davemem�s arred.iCity bf r of sross to ordtect
that these portions of road be reaurfaeeo over inner entire width. Reaurtetl oaveo areas. It the existing
surfacing plus ancrobnate seal coat as specified above. n9 shall tonslat of one CdaL of Quints snail reduest
two inches 12") of-A.C.
PROTECTION OF TRAFFIC: All excavations and work areas snail be.praveriv lighted aro barncaced as ceemeo n
Engineer or to Quints CiN Public Words Inspectors. Suitable detours and detour signs shah be pieced aro metnta ecessary
of the project. The City shall be nottte d 24 Hrs. in advance of a W the Cory
ray traffic detours or dalinsandns. neafdrmeduration
CARE OF DRAINAGE STRUCTURES: Any drainage structure Lncluaing corrugated metal aide. concrete
concrete structures encountered during excavation wnicn neeessitats remover shall be replaced- in kine. In the
nocenary to remove Q orae. StMI cu1VeR aro
ity
Drainage structures and open uranins snail be keprainage t free OfCdebna e Quints
1 times far Proper tdrainage.
to commencementt•it becomes
of this wont,
RIGHT OF WAY CLEANUP: Any surplus matenal resulting from excavation and backfill o snail be removed from the right of
accretions way. Ail caved surfaces shall be dreamed tlesn of earn and other objectionable materials immediately after backtill anis compaction.
Existing gutter line and drainage ditches snail be replaced to their original standard or caner. All excess material snap be reindyea
prim to paving. Water tanxer snail be used, as required. to sprinkle Ina job site t0 keep down oust rAndltlOns a
immediately after Dacktill.
ria ansa be used
OE -WATER OPERATIONS: If de -watering operations are requirea and Dumps are forcing water an City of to
Quints rands,
the resdonsioility of Ina cermlftes (contractor) to control this water aro t0
prdtrtda Ott -street barncaaes wrien it shall be nscea�ry,
CLOSING STREETS: No street shall be ctoseo. A minimum of tie lane of traffic shall be maintained at all timet to
access tar tree adjoining property owners aro emergency vehicles. to the event It Is feltl b m i nnn ee anal he must
airy lenge of time. permittee shall cORTOEt this office t0 Obtain me neve Ole,, limited
necessary Permission. cbaaastreettor
SPECIAL PROVISIONS
The follwing snail apply ONLY when indicated:
NOTIFICATION: Permntee shell notify the City at
R2 CASH DEPOSITS OR BONGS: A ease bone Oran a least 48 hours to advance of staring eohatruettdn
rety
mount of not less than 6
Shall be furnished in the name of City of La Quinta ttO c�dver ell work nvolvedna if, an en the restaratin a} the va
foods and survey monuments. This bona snail be continuous until cancelled by the City Engineer. This Posted Prior to commencement at any work an this project , swan V must
be
dons must be
UTILITY CLEARANCE. (Substructures, Pridr to making any exeavaticn within tnO City dt La Quinta nght crt"gwao►lzeo
by permit, the Permedes ensll contactall concerned utility companies relative to the IaeatiOn df existing s
Damage to existing substructures resulting from operations cOnduQao unser ms
of the centimes. u ellaw litres.
11 parnR frill be the sore respdMibiliry,
A4 UT1LlTY CLEARANCE: f5urtat:s structureal No
work shall be dons under this permit until all utilities are dear of the
Proposed work site. The permittee shall notify, all concerned Utility companies of the proposao wort.
R5 PAVEMENT WIDENING: Area between the proposb concrete
surfaced with inches of A.C. Pavinggutter line end the existing
xistin road avema
having an"R'valusotnot loss In placedon inches of class g a nt shall be
and In contormance With Ci aggregate atlbbaM course
and Soeciticatfons. Ordinance 0461. tyof La Quinta Road Improvement Standards
RPARKWAY GRADING: Area between free property line and too of the proposed concrete curb shall be ra
1/4 inch to one toot 111,
. g dadtoastave ot
R7 GRADES &STAKES: Cory 0of La Quince shall establish grades and stakes for ane proposed concrete corp and goner
"ion. RB • constrGRADE CHECKING: City of La Quints snail cherxgraaes upon recafct of plan anoorotile and/or grades ass
a licensed engineer. atablishe00y
R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter I
removed. Curb end/or corp and gutter snail be saw fMtlahall be
cut prior to removal: Depressed curb. matching cdncnts gutter and
concrete driveway approach snail be constructed in conformance with City of La Quints Standard 0207.
RIO DRIVEWAYS. A.C.: Driveways snail be constructed as nct'to alter existing drainage pattern. Surfacing between tree
Properev line and the existing road caving snail be 2-1/2 inches of A.C. oaving placed on 1
aggregate base. Driveway construction snail conform to attached drawing. "I of class—.
R11 CULVERTS. ,;��.nen aiamerer L
manes TS. dna n rine Win the existing t10W 1 culvert snail be installed with the invert acaroximatefy, 1 - 1/2
��s Culvert installation snail conform to Ina attacnea drawing.
7 )SIGHT CLEARANCE. Sight clearance of 600 feet in either direction snail be assured and mantanea.
R13 SOIL STERILIZER: The area to be surfaced small be treated with soil sterilizer. Rate of aDolication snail romolvwith the
manufacturers specifications.
R14 OORDINATE WORK: The Proposed work Shall be succrainatea to any operation which the State of California or
City of La Quints may conduct in this area curing the period of this permit. Work snail be 1, a amatea wfm the State or
City Of La Quints forces to preclude delay or interference with State or City of La Quints projects:
cf!
15 RVEY MONUMENTS: Prior to excavation or beginning of construction. all survey monuments wnicti exist on the
eamerune of all streets or oropenv lines wnen involved snap be coRtpretely tied out ad they may OO readily Ono
be reblatYa by • llcwtsm civil engineer Or survsver at ma svoertse art the oenmhaa A rmmpt dot sat or to
drawl
rias to mesa correctly
mOfluTemes snail be turmansd to the City Enainaer OrfOrtotnersirtossl0ranyfilOeeliw..w� TM. natne
Do to the"
uppi
CO11410lbri Ot fsOtsastrtrw w� ... __._ —..
16 -nvtY MONUMENTS. P-or to excavarnn or oeoinnina of construciton, au survey
:r La liuinta and suo[aoie payment or guarantee of monuments snail be "scout ov Ltly
0avrnent snail be mace as relmoursemem tar all wore Involved.
1177, PAVEMENT CUTTING: Pavement wool be mecnanlutty cut to a stratgrtt ecce ortor to exeavaeon, fvtempo a{ pavement
tuning snail be eacroved tnrougn the ortice or the City Engineer. lUnaer no circumstances snau e"ethcxcavatng ep vement
oe used to excavate ortor to cutting or oavementt. Excavation material snail be placed in such a position as to nest
racunate one general now or traffic. Prior to final paving oberations. anv damage to Pavement straight sage snailbe
��� cor
� reeteg. -PAVEMENT CUTTING. Pavement snail be saw cu: prior to removal. Prior to final oavin
Pavement straight edge snail be corrected. g operations, any damage to
R19 UMITOFEXCAVATIONS:Excavationssnailbelomtteato1.000linealteetotodentrencnoeroreciacctilloperationsmust
begin. All excavations snau be broperiv oarricadea with hgftts overnight. an weeKenas and noudays
litrorthe protection of
e traveling Pubde. The WOMS inspector snaildetermine the suitability of excavation oarricaer
excavation snail remain open for a Period exceeding five u►pays, No excavation snail be made unleng m each ease. No
ss lite construction
material is actually on the worK site.
R20.) BACKFILL MATERIAL Backtlll shall be free or crush. roots or other organic substance aetriments....:s use far purposes
Of producing an adsdunteiv consolidated backfill. Anv material which the City at La Quinta deems unsuitable Ispongyor
saturated materoall which is encountered during excavation small, not be used for backfill, but snail be supplemented or
recincea by an approved sand or gravel. _
R21 BACKFILL SAND: Bakktili shall be approved transit-mit sand or equivalent and shall be placed in lifts of ningreatertnan
throe test 131 and vibrated using vobrotamperoreauovatent equipment. Alternate methods may be supst
pease a relative compaction of 95 Percent shall be attained within the c:ructurat section of the roadway.
out in any
R2 )BACKFILL PLACEMENT: Backfill snail be aooiieo in lavers of not more tnan 50 percent of the total devin
before flooding or a maximum at five-toot 151 lifts where trencnes arerat excessive depths. Care is to be ex of, he trench
backfill matenal is not sublected to extreme $well by flooding operations. Backfill materiel shall be erofsadtnattne
resulting comoectton shall be not less than 90 percent or eaurvalent to the surrounding PVA so that the
compaction. Where ponding or flooding is used for a naximum settlement. adequate dikes will be construQ aicnever tgreater
o retain
the water. Where letting is used. the lets shall be of sufficient length to reach the bottom of each :aver and the water
C1 supply shall be continuous.
23) COMPACTION TESTS: )fso.requlredbytheonspecter. compaction tests snail bemade atintervals ofnot more Than 1.000
feet and a minimum of one (1) test on each road. One I 1 I copy of eacn test snail be forwarded to the City Engineer for
approves and filed prior to making permanent repairs. Compaction tests shall be made ascumned in Section 6.3.01 of the
Standard Specification. Division of Highways- State of California. dated January 1973.
R2 COMPACTION TESTS: 1f so required by the inspect
One 11) copy Of each test snail be forwarded to the Cior. comoactlon tests shall be mane for cern crossing Or aeM� ion
ty Engineer for approval and filed a tar to matron s.
Compaction tests snail be made as outlined in Section 6,3.01 of the Standard 9 Permartant rsoa
of California. dated January 1973. Spectfleatfdns. Oivisionof Mighwsis,State
te
R2 .TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a tem
consisting of 2 inches of SC-800 shall be placed on a prepared subgrade. The SC-800 tempora parry paten
after a maximum of 3.000 lineal feet at trench has been excavated and backfill operations eteovbut infno easelsmall
Me he placement of the temporary pavement exceed a five 15) day limit. comp
R26 PERMANENT PAVEMENT REPAIR: After backfill-and compaction operations have been completed, a temporary patch
consisting of two Inches 12") of SC-800 shall be placed immediately. A Permanent patch of
surfacing placed on a inch class base snail be placed no later than inches A.C.
temporary road repair, days after completion of
R27 PAVEMENT REPAIR: F.A.S.: Upon completion of backfill and comoaction. a temporary patch consisting of two Inches (2'1
Of cold mix Paving (SC-800) shall be placea immediately. A permanent paten of three Inches 13"1 of A.C. surfacing shall
be placed on six inches 161 concrete base as directed. but not later tnan fo teen 115) days after completion of temporary
paving. Concrete base snail be at five-secx mix and shall conform to the City of to Quints Road ImprovemettStandards
and SPecificapons. Ordinance #461.
28 FOG SEAL: A fog seal coat consisting of an appitcation of asphaltic emulsion snail be apaiteo over all patch areas as
determined by the City Engineer.
R29 SEAL ARMOR COAT: A seal coat consisting of an application binder and screenings snail be applied on all patch areas
where such seal coats existed prior to Issuance of this Parma. Seal or armor coats shall be applied as soecdied in Section
37. Standard Specifications. State of California. Divisional! Highways, Oated Jan uary 1973. Work of pavement repair to
be accomplished by a Ilcsnsed contractor engaged in the business of pavement repair. .
STREET RESTRIPING: Where street striding Is still vosiole on streets to be excavated. such striping snail be replaced upon
completion of permanent repairs.
R31 TREE RELOCATION OR REMOVAL. Tree relocation witnin the City of La Quinta road right of way snail be accomplished
by a licensed. bonoeo and insured tree service. and handled safely without interference or hazard to the traveling puplic.
It shall be the responsibility of the permittee to maintain the tree In a vigorous growing condition at Its new location.
Trees oo be removed shall be removed on sections which can be handled safely without Interference or Hazard to highway,
traffic. The entire width of the tree stump snail.be removed and disposed of so that no debris remains in view of the
highway. The stump hole snail be backfilled and thoroughly comoactea as specified In the following paragrapn. 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 shall be provided to protect the traveling public at all times.
Large notes resulting from tree removal shall be bacKttlled ano 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 method. Compaction
tests shall comply with Seaton 6.3.01 of the Standard Specifications. Division of Highways. State of California. dates
January 1973.
R32 TREE TRIMMING:
a. Only the necessary trimming snail be accomalisnea to provide clearance of the facility for one calendar year
All broken or week sections within the trimming snail be removed.
0. Where It DacOmes necessary to restrict traffic. the work shall be restricted to a maximum of 500 feet at anyone tome.
Adequate signs, flagmen. and/or barricades snail be provided to protect the traveling public at all times.
C. If tree trunks are pankaliv CUOMO of the City of La Quinta road right of way, permmee snail make his own
arrangements with adloining propem owners for consent to the trimming on addition to the authorization croviaed
by this oermrt.
d. All tree trimming on EVERGREEN TREES, PALM TREES, and other ORNAMENTAL TREES shelf be accomplished to
the satistaraldn of the City Public Works inspector.
e. Abutting property owners artall be contacted, in all instances. onor to trimming or totmtng traaa
f. Pruning VWIL In all onataneea as of the anoulOef at the crosan'to on$lue atetltn. x....................
.. 12"1 Ane ens _ �� c__.___ __ .. .
SPECIAL CONDITIONS --PERMIT NO. 2308
--- GOUIN EXCAVATING ---
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. 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.
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. 2308 Page 1 of 2'
SPECIAL CONDITIONS - PERMIT NO. 2308
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.
Special Conditions - Permit No. 2308 Page 2 of 2