2319+t I f' - ,
NOTE:—
With proper, validation
this form constitutes an CITY OF LA QUINTA
encroachmilior permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public — private curbs, driveways, pavements, sidewalks, parking lots, sewers, VVGICI 111a111ZO
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE: 3-9-95
LOCATION OF CONSTRUCTION
Monroe St. N/0 Ave 56
Subdivision Improvement Permit —Class I II
Minor Improvement Permit Class IV
e Tract 26769
(Street address or Description of Location)
PURPOSElans if appropriate) F CONSTRUCTION Install approx 40' of Sketch (attach construction
phone cable plans
DESCRIPTION OF CONSTRUCTION dig splice pit b trench
See attached conditions
DIMENSION OF INSTALLATION OR REMOVALS x 6 pit
40' trench
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 3-15-95
APPROXIMATE TIME OF COMPLETION 6-30-95
ESTIMATED CONSTRUCTION COST $ 1500
(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 resul-t of this work.
Signature of Applicant or Agent
GTE CA Inc. 45-590 Jackson 3t. Indio, CA 92201 342-0526
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
y
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 —a
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ —0—
Receipt No.
Received by Date
Recorded by
PERMIT NO
2319
PERMIT VALIDATION
2319
DATE APPROVED
EXPIRATION DATE
3-9-95
6-3-95
DATIssu D 3-9-95
By Af
Administrative Authority
TELEPHONE: (619) 564-2246
II
X
X
is
NOTE:
With proper validation
this form constitutes an
encroachment peimit CITY OF LA QUINTA
APPLICATION FOR PERMIT
-PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public: or ,private curbs, driveways, pavements, sidewalks, parking lots, sewer, warp mairta
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE: '5 — L 15
LOCATION OF CONSTRUCTION _
AC -
Subdivision Improvement Permit — Clan 111
Minor Improvement Permit Class IV
S (• %V/n
A) tpe- •c i
(Street addnu or Oesaipticn of Location) �—�—
PUQPOSE OF CONSTRU 0
((�� � ..iTL- Cst-3 Lam.
DESC IPTION OF CONSTRUrON 0 1 I 1 ?
'T2 i?N G ri
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
T12 G
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION — --, V ---7
ESTIMATED CONSTRUCTION COST S - �O 0 .
(Including removal of all obstruction, materials, and debris, backfilling, cont
paction and placing permanent resurfacing and/or replacing improvements) _
In consideration of the granting of this permit, the applicant hereby agrees to;
Sketch (attach construction plans if appro'p1riatai) ^
Gl?42,�
1 Oft nth. defen I and ca» the CIN. its authorized agars, offkm. rtpntatntatim and amplayea, harmleo train am against amr and all
pentlti"' liabilitip or lou raultirmg from tlaima or court action and arising Out of arty accident leo a
happening or occurring es a proximate reaun of any wort undertaken under the permit damage to retina a property
granted Derwent to this application.
Notify the Adminittrative Authority at lust twantylour (21) hours in advance of the tins when work will be stared.
Comely with all OPWWable City Ordinanns, theterms and condition of the permit and all
La Quanta and to pay for arty addttlorW replacement Y It of this wosk. rules armd of the CNy of
Signature of Applicant or Ageest 5v7iD(v
9 Z�
1 �e e/Z ('J(� S— S �.y �A Cc5 0o-` ST C 19 - 3 4'2
Nanta of Applicant (pleas* print) Business Address Telephone No.
Business Address
Contractor's License No
K
Telephone Na
City Business License No.
APPlicant'sinsurance Company 1511CU. LIABILITY Policy Number
FEES: Subolvision Improvement Permit —CI ill -
ass
Public improvements: 3% of estimated construction costs
Private improvements: 3%of estinuted construction cont
Minor Improvement Permit —Class IV: See attached schedule
Inspection Fee S
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $
Receipt No.
Received by Date
Recorded by
13) a 6
PERMIT VALIDATION
PERMIT N0. 2 3 ( 1
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By /
Administrative Authority
77
TELEPHONE: (619)5�ib s
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'he IOUowerlo tioneral and Sagami raroylsaone ars artacnee to and meas a Osrt.Of Permn No,
GENERAL PROVISIONS
no following snail always acmr
ENCROACHMENT ON PRIVATE PROPERTY. -his oermrt autnorezes work to as accomeelisned women City of L,
ONLY. Whenever construction extends wainin orevate arooeriv. t snail as the resoonsiouiry or the
secure oermassion iron aburtin Oiiinra rignt of ova.
9 procerrv, owners. Sucre au[normation must to secured try tree Permeates Mee for ries contraaorsr tc
TRACKLAYING CONSTRUCTION EQUIPMENT: Cleated traactavi o►tor to
cseconsf starting work.
Ose0 surface unllS! tmegwitn smontre-rotate street ea.S.All mecYfanacol ptryr[cf ton eOUlOmefrt snail n
:no covered aurin not ruccersoefmire t°ooeraeonam
9 excavations. Rubber -mete eauiomem only snarl be used grgerssnalsberirteowi[nrubberstreR
Pavement is scarfed. spalls°, or oroken curing trio termor only Eon cackfill °oerstions an .Oes[ooro[ec
treat mese teOrti.nt at r convect. or It the cavertaem is marred. City
at L arcate. It the aasunc
gad be resurfaced over sneer entire weave. Resurface N at V
surfacing plus aceraanste seal coat as sOeciiiace above, n9 snail fxinarst O} one Quanta snail reouer
coat of two inched 12� of A.C.
PROTECTION OF TRAFFIC: All excavations and work areas snail bacroporly bghteo aro bartfced
Engineer or ca Quints City it be wars insoectors. Suitable Comm and detour sepfusfsall tis tela �� deameq net
of the proles The CIN snail be notified 24 Mrs, in advance of a eesarlhocur Gn
any traffic detours or cls inexnana- nO maintalrlegfOr thsduratior
CARE OF DRAINAGE STRUCTURES: Any drainage structure including
cdnerme structures encountered during excavation wnicn neeasatau rcorruga[ete mous mos. concrete
nocassery to removal at cut existing drainage Structures. irtdvN ansa be /Qalaced is kms. In the Steel culvert enc
Drainage structures and Coen anims snail be kept free - City Of La Quanta Snell be notified anter to commeneems, caswennat elswoee
Oeone at all limey for Orober drainage. of tnis'worx
RIGHT OF WAY CLEANUP: Any surcaus material resulting from excavation and _
wage All Pavex sun aces ansa bebroomea clean at satin and other oblecttonaole nlalonals lmmedsaleve dren"Mmfill and
aralions snag be
Existent; putter ane and drain 11edfromtne rig ,,t o:
age a l snail be rentaced to their original standard Or Dotter. Alla cOmDacbon
inter di paving. Water tanker snap be used, as required, to =tinkle the xG>s matonal
immedN[eh, anter bsCtllll. IOD Yate rte keep down Oust Cteftdltions and s a rbe usoc
and YfeY De uaec
OE -WATER OPERATIONS: If de -watering operations are Seaweed and Pumps ars roreinq water on City of V
ins resconsaOpitw of the Oarrilmee fccentractorl to can am lois water and 10 Orgvwe CA•
Quenu roses. n snail be
CLOSING STREETS: No street snail be Closed. A menimum of dna a meet oamcaoaa w+en roads.
i
&away far the adwining proparre, owners and a ne at traffic snail be maintained av all tinea to
any longin at time. oermrttee snail contact tars �crelettorve eaees. a,, the asaen} it is Permission.
permittee al at times t orpyros ea,,arfec.
Dotal,, Me eeCssyary PermesslOn. ODraQfalet tar
SPECIAL PROVISIONS
rho fallwing snail sooty ONLYween intimated:
7
NOTIFICATION: Pem "tee snail notify the City is
R2 CASH OEPOSTTS OR BONDS: A use bond or an eoorovea surety
leant a8 hours in advance at sinning gr�ton.
snail be turnesnece in tree name at City of Vall N bona rn of a amount s not teas onan s
Maas and survey monuments. This bond sail be continuous unt 1 cancielledin the n storm gi of the various
Wallace Prior to comm of any work .n tors by [rte Ci ndua La Quanta
Project. City Engineer. This Dona muss Da
R3 TILITYCLEARANCE. ISubstruaureslPriortofralun
byDernert.ins parmmeesnaucdreaetail concem ganYe�vatiOnwnnintheCitvofLaQuints ngntat
Damage to mems sd utility COmPames relative to the soeab.tt of eainR tx'�sulnorized
g substructures resun,ng from operate.,,. conpu ate under t}1R s loac snail be ms ng@ass ud•tructures.
tef the oermmee.
regoOrrubalaty
UTIUIY CLEARANCE: (Surface structuress No work shall be none under tuts oermrt until all utlletiee are detest of the
Pr000sso work site. The oermmee snall notify, all concerned utno cpmr ties of the proposed all loam[
R5 PAVEMENT WIDENING: Area between tree rte
Surtacecewilh inehesatA.C.cavin Proposed concrete gutter line and the exayting road Dave
having an"R'volusatnot leastnan 9Placeopre i„etre!tet class �� snail be
and Soecdacations,Ordinancea46 and ineonformanceweinCi aimprata earalSaeourss
_ twat La Quanta Roadlmproveme,,tSunaaras
q
PARKWAY GRAOING:Aroabetween ins cfcverfvlineandtop°ttheor°oosedconcelecurasnsllbs rte
1/4 incn to one foot I11.
g dadmast.beor
R7 GRACES & STAKES. City at La Quanta snail establish
construction. graded and stakes for the proposed concrete
.aro and puller
RADE CHECKING: City at La Quints snail cneckgraces uoonreceratatclan andprotileand/or gracesasestaDlished W
a laeenseo engineer.
RB
R9 CURB REMOVAL FOR DRIVEWAYS: A P.nion Of the eaating concrete caro and/or curb and putter 1 fseef ,,hall a
removed. Curb ano/or Burp and guner snail be saw cut prim to removal. Oeorsoso curb, matching m
concrete Onveviiav apprdaen snail be Constructed in contorma emace with City see Quints atchi Standard neon”
g tterefe gutter and
0207.
R10 DRIVEWAYS. A.C.: Driveways snail be constructed as not to alter existing drainage Pattern. Surtacali
provenv eine and the Basting road caving snail be 2.1 /2 inches of A.C. pavan g n rile
9 Ptaeea an o
aggregate case. Oraveavav construction snail conform to attached °rawina f ds8�s&__ 1 "I
R 1 1 CULVERTS..;
.nen diameter t
�nrnes oeiow dna in eine wii,, rile existing stow a-��' culvert snail be instaueow,in ins invert aooro:imetely 1- 1,- Z
Culvert installation snail CO,,Torn t0 tree ettaQtea drawing
R12 SIGHT CLEARANCE: Signt clearance at 600 feet in seiner direman snail be assures and main ta nom
manufacturer's soscincatIons,
R13 SOIL STERILIZER: The area to as surfaced snail be treated watn soil sterilizer. Ran at aoolti�tton anallcomaryvwfh the
R1 COORDINATE WORK: The proposed worn shall be sucteratnsted to any ooeratfon which the State of California or
MY of La Quints may conduct in this area during the Period at thisoee State or
City Of La Quints OtOlsevs.
rmrt. Wart snail be can th
GN of La Quints toreas to preclude delay Or, interference wave State Or Ci
15 SURVEY MONUMENTS: prior to excavatian or beginning at construction. ail survey monuments written
esntertme at ail straw or orooenv lines when involved snail be exist
on rile
„ remaeed w • IrCargap ervfa engineer or surii'avar Rrh� act- 1411411v "snout so travel may tea resouven......._...
��
a ;nvay"ONUMENTS.P—or to excavation oroeo,nn,neatconstruction. all survevrrtonumentssnailpe„;.uouiov�
V Uwria. and sultao,e Oavment or ouafihtee Ot cav^lent snail as mace as relmOUfselnem t0r all M,,,l out ovt
R 17 AVEMEHT CUTTING. Pavement will tie mss nan,eaily cut to • sirs
ldret cunlno snail ba sobrovea inrouon the Office of the City Engineer. ,unser noo cle, rices snail eMs� of onwmer
tie used 10 excavate attar to cuitin0 or oavem►ntt Excavation material snail be placed in mann
,sewage lite general now or vamc. ?riot to anal t vino Excavation
_ 9eaulomer
Perations. anv damage to pavement a oo loan as to pea
:orreeteb. stral9nt Boge snail o
1R-1AVEMENT CUTTING. Pavement snail be saw cut prior to removal. Prior to final paving operations.
pavement stralgm edge snail be corn ctea.
any damage
R19 LIMIT OF EXCAVATIONS: Excavations snail belimited to1.000lineal fset atCoen trenenbefore cacktillranonsmu:
begin. All excavations snail be orevern, bameaaoooa
eo Won l,ants overn,gnt. an VileekenpS and nObdaVs for One rsnonilOn r
ins traveling Pupric. The Public Works inspector snail caterm,ne the su,tamitty dt excavation carricaoing In seen case. n
matersexcavationis anal) remain Oben tar i period exceeding 11Veltil aays No excavation snail be made unless ins canstructic
material IS actually On the WOfK site.
R2 BACKFILL MATERIAL:BacKtalShallpolleeatCrush.rootsorotmerorganicsuostancedetrimenta....•
• of producing an adequately consolidated baramll. Any material which ins city at La Qulnta poems unsuitable sporngy c
sstutsted materiell wnien is encountered during excavation snail not be used for baeKttll.'pui shall be SY
na0latbd tale an approved sang or gravel.
R21 BACKFILL SANG: Batnttdl shall Des ppumantea c
throalee[ 13•land v,trationusing v,oratts aero equivalent equipment.
uipmen.Alterr equivalent ntesnailthods caytesup fnpt
ease a relative compaction Of 95 percent snail be attained within it tins Alternate
act may
the sup
gteaief tna
stmnaa. but In an
e22 BACKFILL PLACEMENT: Bacidill snail be eooliso in lavers of not more than 50 percent at
before HOt ooding at a maximum Of fivt•to15'1 liftswof tins total added at the frena:
hers trenches ar"t excessgth
bus0s
llll material is not Sublo00 to extreme well try flooding tvs deaths. Gars Isla pe sxerthat
to
erODatlOns. Backfill material shall tibe plegaq a0 gnat in
resulting compaction snail be not less than 90ogreem or equivalent to the surrounding ground. wmene~ istne greste
the a ter. Where pending is s d. th le is used for a maximum Sonle"'l 3000Yste dikes will be constructed to total.
the water. Where hefting Is used. the lets shall be of sufficient lengin to reach ins bottom of exert ;aver and ins were
suppw small bs edrmnuaus.
/123) COMPACTION TEST'S: It so required
�--� by the InspaetOr. compaction tests snail be made at I marvels at not m
feet and a minimum of one 111 test on seen road. One f 11 copy at earn test snail bs forwarded to In
approval dna thea prior to makingah than 1.00;
StandardSosettiem permanentys.repScateompacugntestsshallbemaseaaoutllneda Section &3.01
arts Division at Highways. State of Glifomla. dated January 1973. 8.3.01 Ot In,
224 COMPACTION TESTS: It so required by the Inspector. conmaction tests snau be mase for earn tossing w sarvtgxr line
One 111 copy of seen test snail belorwaraedtoins City Engineer tar aporgyaland
fileapriort0macros crossing
redline
Comoaaion fasts snau be maw aaowineq in Segtton ti.3 01 of the Standard Sotettieatlons. Oivn,on of Hphyi�ys, Stats
d Caldamia ostia Jamrary 1973.
R TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary pate:
canstsurig at 2 incnes of SC. 800 snail be placed on a prepared subgrade. The SC•800 tem Crary pawn
after a maximum of 3.000 lineal feet of trench has been excavated and Cacktill operations In rin�
the placement of the temoorary pavement exceso a five 15) day limit. eampteteo, but nocam s
R26 PERMANENT PAVEMENT REPAIR: After backfill and compaction operations nave Coen completed.
consisting of two manes 121 Of SC -800 snail be placed ,mmeolately a temporary part: A osr^tanenr oaten of
surfacing placed on a inch class �� inches A C
tampbra base snail be placed no later than days after
ry road repair. oohipletion c
R27 PAVEMENT REPAIR: F.A.S.: Upon completion of baetdlll and compaction. a temporary paten consisting of two Inches 12”
b cold mix paving (SC 16-)
Shall be placed Imrhedlatety. A permanent paten of three Inches 131 of A.C. Surfacing sna,
be Placed on six Darts t81 beat
as directed. but not later roan fifteen 115) da after eomoleutln of ttmoorar
Oath^g. Concrete base snail be of five -seek mix and shall conform to the City of La Ownts Road I-DrdvemeMStanoare:
�� sib Specifications. Ordinance a181.
R FOG SEAL A fog seal coat consisting of an appucatton at asphaltic emulsion snail be applied over all paten arses a:
dttermined by the City Engineer.
R29 SEAL ARMOR COAT: A seal coat consisting at an application binder and screenings small be applied on all Osten area:
wMrssuch sealcosts existed
ons. Sprior td al,lor esottheapermit.SealOrarmorcostssnailbeavalteaassoseafiseinSectlor
37. Standard Specifications. State at Cililwnls. Division of Hignwsys. dated January 1973. Wark of paVemem repair,:
be accomplished by a I,cerise0 contractor engaged in Ins business at pavement repair.
R30 STREET RESTRIPING. Where street striding ,s stns visible an streets to bs excavated. such striping snail be reptaceo ucar
Cemorelian of Permanent repairs.
R31 TREE RELOCATION OR REMOVAL•:Tree relocation witntn the City at La Qulnta road right of way snail be acedol,shec
by a licensed. bonded and Insured tree service. and hanaleasataly Wllnaut mferterence Or nazaro t0 the w Cie 'm mpYpIIC
It shall be the responsibility of the permittee to maintain the tree in a vigorous growlnq condition at Its new location
Trees to be remOVeO snail be removed in sections which can be handled sately wit nowt interference Of nazara to hlgnwav
traffic. The entire wrdtn of ins tree stump snail be removed and disposed of so that no Cob ris remains in view of the
highway. rhestumonotesnailbebackfllledandtnorougnfycompacteassaoepfleglnthe folbwingpainsin paragraph. e
signs. es necessary nnd to restrict traffic. the work shall be restnesea to a msiumum of 500 feet at any one time. Adequate
arena flagmen end/or barricades shall be Provided to protect the traveling public at all times.
Large notes resulting from tree removal shall be backtllled and celmoaettq to not less than 90 percent or equivalent to the
surrounding ground. whichever ,s the greater compaction as Ceterminea by the impact or field method. Compaction
teats snail comply with Section 6.3.01 Of the Standard Specifications. Division at Hignways. State Of California. Called
January 1973.
R32 TREE TRIMMING:
a. Only the nacary trimming snail be accommusnea to 11111"01,108trlge clearance at the factllty fa
essr One calendar year
All broken or week sections within the trimming snail be removed.
a Where It becomes r "cdssary to resfna traffic. the work shall be restricted to a maximum of 500 feet at anyone time.
Adsauate signs. li..imen. and/or barricades snail be provided to protea the traveling public at all times.
t If tree trunks art partially outataa of the City of La QuirrIa road right of way. permits snail make ors own
by this er
arrangements With aal0ihlhg property gwners tar consent to fns trimming in addition to the autndri min n Cravroea
by this oermrt.
d. All tree trimming on EVERGREEN TREES. PALM TREES, and Other ORNAMENTAL TREES shall be accomohshed to
the satisfaction Of the City Public Works inspector.
s. Abutting nrnn............__ ___ , _
SPECIAL CONDITIONS --PERMIT NO. 2319
. --- GTE CA INC. ---
In addition to the standard permit conditions, the following shall apply:
L. 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 5:30p. m.
, Saturday 8:00 a.m. to 5:00p.m.
May 1st to September 30: . Monday -Friday 6:00 a.m. to 7:00p. m.
Saturday 8:00 a.m. to 5:00p.m.
Work shall be prohibited on legal holidays including Sundays.
5. Permittee/contractor shall assume responsibility for repair of any pavement damage to any public
or private street and for any damage to other City streets or facilities as a result of work
performed under this permit.
6. Advance warning signs and traffic control shall be installed and maintained in accordance with
Cal Trans Standards or the Work Area Traffic Control Handbook (WATCH Manual). It shall
be the permittee's responsibility to detour and barricade this site.
7. Street closures shall not be permitted. A minimum of one travel lane on paved surface shall be
maintained with flagmen at all times.
8. ' Prior to excavating, the permittee shall contact Underground Service Alert at 1(800) 422-4133.
9. Should additional work, materials, or, modifications of the work be required in order to meet city
standards, safety requirements, signage requirements, or to fit actual field conditions, the work
shall be performed by the permittee as directed by and to the satisfaction. of the City Engineer
at no cost to the City of La Quinta. ,
Special Conditions - Permit No. 2319 Page 1 of 2
SPECIAL CONDITIONS ---PERMIT NO. 2319
continued
10. All. work shall be coordinated with the City's contractor and others working within the area as
directed by and to the satisfaction of the City Engineer.
11'. All backfill and subgrade soil shall be compacted to 90% relative dry density, all backfill soil
within the top 2' of finish pavement surface shall be compacted to 95 % relative dry density, all
base material shall be. compacted to 95 % relative dry density.
12. All excavations at or near the travel way shall be backfilled and paved at the end of every work
day as directed by and to the satisfaction of the City Engineer for the protection of the traveling
public.
13. All landscaping, irrigation, decorative rock, decorative concrete, lighting etc. shall be replaced
. to its original condition.
14. Access and egress to all local properties shall be maintained at all times.
15. Permanent pavement replacement section shall be -one inch greater than existing. Minimum
pavement replacement section allowed shall be 3" of A.C. over 4.5" of A.B.
16. If the work is. to be performed by forces other than that of ,the utility company the contracting
company shall be required to apply for an additional encroachment permit and pay the
appropriate fee.
Special Conditions - Permit No. 2319 Page 2 of 2
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