2403NOTES- 2
With proper validation'
—=thi` is fo rn constitutes. an. O
`� 'ate. T, CITY OF LA QUINTA
encroachment permit '
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) _�w4
--. OF fR8
. -
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: 12-5-95
LOCATION OF CONSTRUCTION
Subdivision Improvement Permit — Class I II
Minor Improvement Permit Class IV
51-540 Eisenhower
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Install Gas Service
DESCRIPTION OF CONSTRUCTION Cut 31 x 41 bell hole
4 bore pipe to behind curb
DIMENSION OF INSTALLATION OR REMOVAL
Sketch (attach construction plans if appropriate)
See attached conditions
SIZE OF EXCAVATION, IF NEEDED X 4 ` a
APPROXIMATE TIME WHEN WORK WILL BEGIN 12-6-95
APPROXIMATE TIME OF COMPLETION 12-15-95
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, haimless 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 $/ persons or property
happening or occurring as a proximate result of any work undertaken under the Vwo
ursuant to this;�application.
Notify the Administrative Authority at least twenty-four (24) hours in advance owork will be st rted.
Comply with all applicable City Ordinances, the terms and conditions of the �rmPI
rules and egulations of the City of
La Quinta and to pay for any additional replacement necessary as theIresut
ignatur of plica �r Ag/e t
ARB Comet. 72-400 Vista Chf4o 0 a a, CA 343-1180
Name of Applicant (please print) BusineskAddress Telephone No.
George Jaggard
Name of Contractor and Job Foreman Business Address Telephone No.
194079 566
Contractor's License No. City Business License No.
- Reliance Ins. Co.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I II
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ 40
Permit Fee 10
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 50
Receipt No.
Received by Date
Recorded by
PERMIT NO
X403
PERMIT VALIDATION
2403
DATE APPROVED
EXPIRATION DATE
12-5-95
12-15-95
DATE ISSU D 2-5-95
By
dministrative Authority
TELEPHONE: (619) 564-2246
The following General and Special Provisions are attached to and made a part of Permit No. ' v
GENERAL PROVISIONS
The following shall always apply:
ENROACEMIENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within City of La Quinta right of
way ONLY. Whenever construction extends within private property, it is the responsibility of the permittee for his contractors to
secure permission from abutting property owners. 'Such authorization must be secured by the permittee prior to starting work.
TRACKLAYING CONSTRUCIYON EQUIPMENT:. Cleated tracklaying construction equipment shall not be permitted to operate on
any paved surface unless fitted with smooth -faced street pads. All mechanical outriggers shall be fitted with rubber street shoes to
protect the paving during excavations. Rubber -tired equipment only shall be used in backfill operations in paved areas. If theexisting
pavement is scarred, spelled, or broken during the term of this contract, or if the pavement is marred, City of La Quinia shall request
that these portions of road be resurfaced over their entire width. Resurfacing shall consist of one coat of two inches (2") of A.C.
surfacing plus appropriate seal cost as specified above.
PROTECTION OF TRAFFIC:. All excavations and work areas shall be properly lighted and barricaded as deemed necessary by the
City Engineer or La Quinta City Public Works inspectors. Suitable detours and detour signs shall be placed and maintained for the
duration of the project. The City shall be notified.24 hours in advance of any traffic'detours or delineations.
CARE OF DRAINAGE STRUCTURES:. Any drainage structure including corrugated metal pipe, concrete pipe, steel culvert and
concrete structures encountered during excavation which necessitate removal shall be replaced in kind. In the event it becomes
necessary to remove or. cut existing drainage structures, City of La Quinta shall be notified prior to commencement of this work.
Drainage structures and open drains 'shall be kept free of debris at all times for proper drainage.
RIGHT OF WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from. the right
of way. All paved surfaces shall be broomed clean of earth and other objectionable materials immediately after backfill and compaction.
Existing gutter line and drainage ditches shall be replaced to their original standard or better. All excess material shall be removed
prior to paving. Water tanker shall be used, as required, to sprinkle the job site to keep down dust conditions and shall be used
immediately after backfill.
DE -WATER OPERATIONS: If de -watering operations are required and pumps are forcing water on City of La Quinta roads, it shall
be the responsibility of the permittee (contractor) to control this water and to provide off-street barricades when necessary.
CLOSING STREE'T'S:: No street shall be closed. A minimum of one lane of traffic shall be maintained at all times to provide limited
access for the adjoining property owners and emergency vehicles. In the event it is felt by the permittee that he must close a street for
any length of time, permittee shall contact this office to obtain the necessary permission.
SPECIAL PROVISIONS
The following shall apply when indicated:
/R19 NOTIFICATION: Permittee shall notify the City at (619)777-7075 at least 48 hours in advance of starting construction.
/ UTILITY CLEARANCE: (Substructures) Prior to making any excavation within the City of La Quinta right of way
authorized by permit, the 'permittee shall contact all concerned utility companies relative to the location of existing.
substructures. Damage to existing substructures resulting from operations conducted'under this permit shall be the sole
responsibility of the permittee.
(3 [UTILITY CLEARANCE: (Surface Structures) No work shall be done under this permit until all utilities are clear of the
proposed work site. The permittee shall notify all concerned utility companies of the proposed work.
R4 PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing road pavement shall be surfaced
with inches of A.C. paving placed on inches of class _ aggregate subbase course having an "R'
value of not less than and in conformance with. City of La Quinta Road Improvement Standards and
Specifications, Ordinance #461.
R7
RS
l
RIO
PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a slope of
1/4 inch to one foot (1').
GRADE CHECKING: City of La Quinta shall check grades upon receipt of plan and profile and/or grades as established by
a licensed engineer.
CURB REMOVAL FOR DRIVEWAYS:. A portion of the existing concrete curb and/or curb and gutter (_feet) shall be
removed. Curb and/or curb and gutter shall be saw cut prior to removal. Depressed curb, matching concrete gutter and
concrete driveway approach shall be constructed in conformance with City of La Quinta Standard #207.
DRIVEWAYS: A.C. driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the property
line and the existing road paving shall be,2 1/2 inches of A.C. paving placed on C ) of class aggregate base.
Driveway construction shall conform to attached drawing.
SIGHT CLEARANCE: Sight clearance of 600 feet in all directions shall be assured and maintained at all times.
SOIL STERILIZER:. The area to be surfaced shall be treated with soil sterilizer. Rate of application shall commply with the
manufacturer's specifications.
,/�1 COORDINATE WORK: The proposed work shall be subordinated to any operation which the State of California or City of
La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or City of La
Quinta' forces to preclude delay or interference with State of City of La Quinta projects.
�Rl SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the
centerline of all streets or property lines when involved shall be completely tied out so they may readily and correctly be
replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete set of notes showing the ties to
these monuments shall be furnished to the City Engineer prior to the removal of any monuments. This office shall be notified
upon completion or replacement of all survey monuments for proper project clearance.
PAVEMENT CUTTING: Pavement will be mechanically saw cut to a straight to a straight edge prior to excavation. Method
of pavement cutting shall be approved through the office of the City Engineer. (Under no circumstances shall excavating
equipment be used to excavate prior to cutting of pavement.) Excavation material shall be placed in such a position as to best
facilitate the general flow traffic. Prior to final paving operations, any damage to pavement straight edges shall be corrected.
R14 LB41T OF EXCAVATIONS: Excavaiions shall be limited to 1000 linear feet of open trench before backfill operations must
begin. All excavations shall be properly barricaded with lights overnight, on weekends and holidays for the protection'of the
traveling public. The Public Works Inspector shall determine the suitability of excavation barricading in each case. No
excavation shall remain open for a period exceeding five (5) days. No excavation shall be made unless the construction
material is actually on the work site.
BACKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimental to its use for purposes
of producing an adequately consolidated backfill. Any material which the City of La Quinta deems unsuitable (spongy or
saturated material) which is encountered during excavation shall not be used for backfill, but shall be supplemented or replaced
by an approved sand or gravel.
R16 BACKFILL SAND: Backfill shall be approved transit -mix sand or equivalent and shall be'placed in lifts of not greater than
three feet (3') and vibrated using vibrotamper or equivalent equipment. Alternate methods may be substituted, but in any case,
a relative compaction of 95 percent shall be attained with the structural section of the roadway.
R17 BACKFILL PLACEMENT: Backfill shall be applied in layers of not more than 50 percent of the total depth of the trench
before flooding or a maximum of five-foot (5') lifts where trenches are of excessive depths. Care is to be exercised that the
backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed so that the resulting
compaction shall be not less than 90 percent or equivalent to the surrounding ground, whichever is the greater compaction.
Where ponding or flooding is used for a maximum settlement, adequate dikes will be constructed to retain the water. Where
jetting is used, the jets shall be of sufficient length to reach the bottom of each layer and the water supply shall be continuous.
R18 : COMPACTION TESTS: If so required by the inspector, compaction tests shall be made at intervals of not more than 1000
feet and a minimum of one (1) test.on each road. One (1) copy of each test shall be forwarded to the City Engineer for
approval and filed prior to making permanent repairs. Compaction tests shall be made as outlined in Section 6.3.01 of the
Standard Specifications, Division of Highways, State of California, dated January 1973.
R19 COMPACTION TESTS: If so required by the inspector, compaction tests shall be made for each crossing or service line.
One (1) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent repairs.
Compaction tests shall be made as outlined in Section 6.3.01 of the Standard Specifications, Division of Highways, State of
California, dated January 1973.
R20 TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch
consisting of 2 inches of SC -800 shall be placed on a prepared subgrade. The SC -800 temporary paving shall be placed after a
maximum of 3000 linear feet of trench has been excavated and backfill operations completed, but in no case shall the
placement of the temporary pavement exceed a five (5) day limit.
R21 PERMANENT PAVEMENT REPAIR: After backfill and compaction have been completed, a temporary patch consisting of
two inches (2") of SC -800 shall be placed immediately. A permanent patch of inches A.C. surfacing placed on a
inch class base shall be placed no later than days after completion of temporary road repair.
R22 FOG SEAL: A fog seal coat consisting of an application of asphaltic emulsion shall. be applied over all patch meas as
determined by the City Engineer.
®' STREET RESTRIPING: Where street striping is still visible on streets to be excavated, such striping shall be replaced upon
completion of permanent repairs.
R24 TREE RELOCATION OR REMOVAL: Tree relocation within the City of La Quinta road right of way shall be
accomplished by a licensed, bonded and insured tree service, and handled safely without interference or hazard to the traveling
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 shall be in sections which can be handled safely without interference or hazard to highway traffic. The
entire width of the tree stump shall be removed and disposed of so that no debris remains in view of the highway. The stump
hole shall be backfilled and thoroughly compacted as specified in the following paragraph. Where is becomes necessary to
restrict traffic, the work shall be restricted to a maximum of 500 feet at any one time. Adequate signs, flagmen and or
barricades shall be provided to protect the traveling public at all times.
Large holes resulting from tree removal shall be backfilled and compacted to not less than 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 Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973.
SPECIAL CONDITIONS --PERMIT NO. 2403
--- ARB CONST. / THE GAS CO. ---
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. 1 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 Ist 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 an_ y 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.
i
Special Conditions - Permit No. 2403 Page 1 of 2
r
SPECIAL CONDITIONS ---PERMIT NO. 2403
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
workday 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.
16. Trench in the pavement section shall be backfilled with Controlled Density Fill (CDF). Class
II base or native. material shall not be used.
Special Conditions - Permit No. 2403 Page 2 of 2
r
C18 or C2361
-�
0 BARRICADES
0 See Chart'A 0 FLASHERS OPTIONAL
11 WORK AREA
HIGH LEVEL
w, a WARNINOGRDEVICE
0 D FLASHING
Q ARROW SIGN
D DELINEATORS C30. Q
D See Chart A z S
a
D
. D .
z
CHART A —
MINIMUM RECOMMENDED DELINEATOR AND SIGN PLACEMENT a
SIGN SPACING O $
TRAFFIC SPEED TAPER LENGTH DELINEATOR SPACING (Advance of Taper Z
(Each lass) (Taw) (Tangent) a Betareen Signe) a s
25 MPH 150 FL' 25 FL 50 Ft. 150 Ft R
30 MPH 200 Ft 30 Ft. 60 Ft. 200 Ft g
35 MPH 250 Ft. 35 Ft 70 FL 260 FL
40 MPH 350 FL 40 Ft 60 Ft. 350 Ft w
'45 MPH 550 Ft 45 Ft 90 Ft. 550 FL, ~
'50 MPH 600 Ft.' 50 FL 100 FL 600 Ft
D '55+MPH 1000 Ft. 50 FL 100 Ft. 1000 Ft
*Note:, See Swdon 8 for high speed situations.
1 See Chart A
4 C20
(Rt)
See Chart A
C18 or C23 N
UL IN VF`RI A LANE;"r:
NOTE:
With pro0ar validation
this form cornntutp an
onvoao+mant vermis CITY OF LA QUINTA
APPLICATION FOR PERMIT
-PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
d�
For the contwenon of public or private euros. driveweve, pavements. sidewalks, partinq lots. sewers. water mains
and other like public VAN a improvements in connecnon vni t MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
GATE:
LOCATION 0 CO RUCTION ALL-
- team or oaaorvam of t.oaort/
PURPOSE OF CONSTRUCTION — �l�s C
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
von improvement Permit -Cies 111
Minor Improvement permit Class IV
St�lattlicth cnnMcclon plans if appropriti)
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST S
(lneludinq romavd.of all obstruction. materials, and debris, baekfillinq, pori .
Oman and 040119 Permanent resurfacing and/or repwo" improvenetssl
In consideration of the gran" of this permit. the applicant hereby agrees to:
tndn11w'fv. 0818110 No sere me ptv. ria euma- d'evenr. Ofmawe, naeaantouves ens arotaver, niarttrer Irr� este avows antr arse ere
Own�tir. i�a0ilitir or los reavltirty )rem dairn8 or cart oetwn erw anwq ani at acv emdem. for or
ne00anr, or omwrtrq r a Onernete too" at oMova m Oenate or pppeiq
env son uneenaear unser tris orttt0 tunas OtY
Neuh Ne Adis mennitrve AvOwattlr es loam nrenN•taw 1241 Narre a savers W tnie
..al be
Cmary .1108 w oeolireep Ctgr Ordinumoo, uw maria wv mnana o at As orma sop nrlaa anis 01 dee C2tmr of
to amino eM to Oar far a" ed6hlonr np4Onetm neowry w tM mart of >r -
X
Nate of Apaicant (pluse print)
X
mowe w-°,
�S
Badness Address
TOWMU me Na 343
/)0 )0
x «• •, ,- / C/ /sem depfmone Na
Contractors Lion. No.
city Butinsh U' file.
X
Awcant'sInsurance Connpamy Gird. LIASI&-IT,( Policy Number
FEES: Subamsion imorovernam Permit -poo III
Public imolovemmm 3% of estimated eon"r6won ottsp
Private improvemom 3% of estimated construction eosss v �J
Minor 1 morovenwnt Permit - pass I V: Sae attached sdwdule
Inspection Fee S
Permit Fee
Penalty
Cash Oso mt-Surety Bond
if required
TOTAL: t
Receipt No.
Rwneo by Daft��
Receded by
PERMIT VALIDATION
PERMIT NO. qU 3
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By /
AMminisysbve Authority
777- 707T
i ELEPHONE:16191 Sind t