2401.NCSTE:
With proper validation Q•
I �c
h this'form-constitutes an
II -� CITY- OF LA QUINTA
encroachment permit ;r r—
APPLICATION FOR PERMIT
u PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)��
o - i.��, • ` - f 'SOF TRB�
04
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
' and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit —Class I I I
11�-3Q95
DATE: • n - Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Tract 29913 Arbdla'Clrcle Lots 10-80
(Street address or Description of Location) '
PURPOSE OF CONSTRUCTIONS ' Sketch (attach construction plans if appropriate)' r
DESCRIPTION OF CONSTRUCTION IosLsll solaerets eLdexR�ke
InstaU atdettal'ka per the approved
>, DIMENSION OF INSTALLATION OR REMOVAL proxe 750 l.f. 'plana for Tract 25913
SIZE OF EXCAVATION, IF NEEDED-
APPROXIMATE
EEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 11-30-95 T '
'APPROXIMATE TIME OF COMPLETION 121 -►95 +.
o• ESTIMATED CONSTRUCTION COST $ i
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction
om paction and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting •of 'this permit, the applicant hereby. agrees to: j
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.
• f �'o
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. i
4.
` Signature of Applicant or Agent '
Rogir 'Snet bergs"r 6 ,Assoc.. '41-865 Boardwalk, #212 pall Dosart. CA 77i-1766 1 j
` Name of Applicant (please print) Business Address TelephoneiNo.
A
i;
Dennie Womoy
ame of Contractor and Job Foreman
8 488294
Contractor's License No.
eri4eb Insurance Co.
Applicants Insurance Company
Business Address
,FEES.Subdivision Improvement Permit _ Class III
Public improvements: 3% of estimated construction costs'
-Private improvements: 3% o_ f estimated construction costs
Min'or"lmprovement Permit — Class IV: See attached schedule
Inspection Fee $ 80
Permit Fee { 14
Telephone No.
• 1!(;58
City Business License No'.
2131634
Policy Number !�\
SIO V
e, 0
91Vs
PERMIT VALIDATION
'PERMIT NO. 2401
Penalty t; '
Cash Deposit Surety Bond DATE APPROVED 1I30"-95
if required
TOTAL: $ 90
Receipt No. y f
Received by Date
f
Recorded by
EXPIRATION DATE-. • 12-1-95
DATE ISSUE3 y
By
Aclnistrative Authority
TELEPHONE: (619) 564-2246
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it
NOO-20-1995 11:41 ROGER SNELLENBERGER & ASS P.02
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SPECIAL CONDITIONS --PERMIT NO. 2401
--- ROGER SNELLENBERGER ---
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 5:30p..m.
Saturday 8:00 a. m. to 5:00p. m.
May lst 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 shall assume responsibility for repair Iof 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. 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.
10. All work shall be coordinated with the City, the City's contractor and/or others working within
the area as directed by and to the satisfaction of the City Engineer.
Special Conditions - Permit No. 2401
Page 1 of 2
e
SPECIAL CONDITIONS --PERMIT NO. 2401
continued
11. When the work is within 500' of a signalized intersection, the permittee shall notify Riverside
County Signal Dept. at (909) 275-6894 or Caltrans Signal Dept. at (619) 688-6845 as
appropriate. a minimum of 48 hrs prior to starting work.
12. 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
i base material shall be compacted to 95 % relative dry density.
13. Work authorized by this permit shall .be as. shown on the approved plan for tract 23913.
14. All excavations at or near the travel way shall be backfilled and paved if necessary at the end
of each work day for the protection of the traveling public.
f
Special Conditions - Permit No. 2401 Page 2 of 2