2427:.NOTE:
t With proper validation- d
this form constitutes an
encroachment permit CITY OF LA QUINTA
' APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
{ i
S
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 II I
DATE: 1* -31-96 f Minor Improvement Permit Class IV �
LOCATION OF CONSTRUCTION Intersection of Bred Waring 6 Washington
(Street address or Description of Location) / r
PURPOSE OF CONSTRUCTION POthOle euistftR u1Cuiti*# Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION KxCsvato,ye>rflY depth '
repave patch mttached•couditions
DIMENSION10F INSTALLATION OR REMOVAL
SIZE OF 'EXCAVATION,'IF NEEDED 34" square hole �
APPROXIMATE TIME WHEN WORK WILL BEGIN 2-1-96
FEB 0 8 1996
APPROXIMATE TIME OF COMPLETION 2-1-96
ESTIMATED CONSTRUCTION COST $ 345.00 By
(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:
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 wiWbe 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 �resu:lt?ofthis work.
Signature of Applic n or Agent
Rendricksou Construction 66379 Kieley Rd. Cathedgel City, CA 92234 321-1747
Name of Applicant (please print) Business Address, Telephone'No.
Walt Kfihall ,Rase Dams �.
Name of Contractor and Job Foreman Business Address Telephone No.
654167 - d J .194
Contractor's License No. t + City Business License No.
Crosby Ins. Co, . W-• 96119885
Applicant's Insurance Company . Policy Number -
� I
FEES: Subdivision Improvement[Permit —Class I I I
r
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs {
Minor Improvement Permit — Class IV: See attached schedule a 2421
' Inspection Fee. $ -160.00 PERMIT VALIDATION =
Permit Fee '10.00 '
ti PERMIT NO. 2427
Penalty 2-7-96
Cash Deposit -Surety Bond DATE APPROVED
if required E P �q�v
TOTAL: $ 170.00
Receipt No.
Received by Date
Recorded by
X (RAT
ION DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: (619) 564-2246 ,r
X
NOTE:
With Proper vaildauon
this form constnum an
enoosotmam cam n CITY OF LA QUINTA
APPLICATION FOR PERMIT
-PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the wrtmcaon of public or privew cutin. drinwm. Dave mem. sidewalks, puking lots. sawn. watr msirn '
and other like public war" improvemeno in eonneetron vnm MINOR IMPROVEMENTS ant APPROVED SUBDIVISIONS
OATS: [%/ Strbdlriaion Ifteprovernattt Permit -Gass 111
Minor Imprownwrt Plum Claw IV
LOCATION OFCONSTAUCTION T, So( / `n a tea( FD /
Istraw saann or cosawPan at Loeaoaa/
PURPOSE OF CONSTRUCTION/��f
fT 7�/, n E:.;r«� it �'i � 9cetds (attach mmouaiort
pim if appro0rietel
DESCRIPTION OF CONSTRUCTION
�e-
OIMENSION OF INSTALLATION OR REMOVAL l zi" --- -�
SIZE OF EXCAVATION. IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN -
A -Iv-_
APPROXIMATE TIME OF COMPLETION 'A-E - 7C
ESTIMATED CONSTRUCTION COSTS 34 S' 1?--
(Including
=(Including nmoval of NI obstruction, materials. and flabris. backfilling. curt. ,
P=0n and Placing parmar ent resurfacing and/or replacing improvemenal
In aonsidefsoon of the granting of .this permit. Vw applicant narebp ages to:
Ineawift. asiaw and wn Ifo C1ty. as auotantaa eeenta. afters. raonaentswas ane ere4repen, formes- traria aro asa min ww art, w
perinea. irhlitiw or row renifu re from etarra err carr actaoa err ariwone out of amp aoDdarw, Ion or ftmPeerne a amurnns r a areawas rrarw of oawree to owswe or oreParq
nw woos raneartataw waw Iw oennw wwmw faaarettewa to on wtlt♦Ip,
Noah ma AWMaOR NS, IwOMM tp K lone Iwoenwaow I2e1 AaWS w.a0ewars aN tM tilt, tanwt Vert wiY be oral
Comer wren an aoolitaws dp Ontinraa w. tna urns era caseations of IM owmw era w soothe s now are revAsuarw of ato cav at
kA Oulnu ane to Pap for ow saaltla o repteerw ent ns=mwv as tie rsot of ad www,
SI ature of Applicant or Agent AR,g Crcli r * z z 3
S Cis 3a���sr�
Nana of APWannt IDlpsa prclKl Buwwu Add" Telephone
Name o*Contractor and Job Foramen 7Btutrteu Address Telephoete Na
X.
Contractors Licanse Ne. city Sum" License Ne.
Aoplleant s lntur Company CICa. L.I erg I L-1 TI Pelky Numbr .
FEES: Subomslon Imorovenrnt Pamir -Clea 111
Public itnprovemattx 3% of estimated conatrucuon emu
Private improwmattr. 3% of *Wnwted fxnstruman ciam
Minor Imorovement Permit -CUM IV: See attached schedule
Insaactlon Fee
Permit Fee
Penalty
Cash Oepout•Surety Bond
if reputred
TOTAL: e
Receipt No.
Roamed by Dam
Raeardei by
138Fi
PERMIT VALIDATION
PERMIT NO. �� 7
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
Adtminisveave Authrity
TELEPHONE:18191686= ►
The following General and Special Provisions are attached to and made a part of Permit No. , / '�
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 CONSTRUCTION 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 the existing
pavement is scarred, spalled, or broken during the term of this contract, or if the pavement is marred, City of La Quinta shall request
thatiftfte 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 ST'REET'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:
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.
UM= 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.
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').
R6� GRADE CHECKING: City of La Quinta shall check grades upon receipt of plan and profile and/or grades as established by
a licensed engineer.
R7 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.
R8 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 (�) 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.
RTO SOIL STERILIZER:. The. m
area to be surfaced shall be treated with soil sterilizer. Rate of application shall comply 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
Quina forces to preclude delay or interference with State of City of La Quinta projects.
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.
R13 PAVENIENT 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 LIlNIT OF EXCAVATIONS: Excavations shall be limited to 1000 linear feet of open trench before backfill operations must
begin. All excavations shall be properly barricaded with tights 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.
R15 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.
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.
CSia� 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 PAVE31ENT 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 PAVEAIENT 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.
FOG SEAL: A fog seal coat consisting of an application of asphaltic emulsion shall be applied over all patch areas 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 impactor 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. 2427
-=- HENDRICKSON CONST.. ---
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.
ontrol: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.
t
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. 2427 Page I of 2
SPECIAL CONDITIONS ---PERMIT NO. 2427
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 materialshall 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; but not less than
3" of A.C. over 4.5"of A.B. Class II base shall not be used.
16. Permanent pavement shall be placed no later than 72 hours from the time the asphalt is cut, or as
directed by and to the satisfaction of the City Engineer.
Special Conditions - Permit No. 2427 Page 2 of 2
"lIGAfF�G
04
C18 or C23-IlIr
A.!
See Chart A HIGH Lsit
WARNING 30Zt
BARRICADES
FLASHERS OPTIONAL 1
- CHART A - I�
MINIMUM RECOMMENDED DELINEATOR AND SIGN PLACEMENT /
SIGN SPACING
TRAFFIC SPEED TAPER LENGTH DELINEATOR SPACING (Advance M Taper ,
(Each Lens) (Taw) (Tangent) an I Signs)
25 MPH 150 FL 25 FL 50 FL 150 FL
30 MPH 200 FL 30 FL 60 FL 2D0 Ft.
35 MPH YSO FL 35 FL 70 FL 250 FL
GO MPH 350 FL 40 FL 80 FL 350 FL
/ '50 MPH 650 FL 5S Ft. 00 FL 550 FL
/e// 'S0 MPH 000 Ft. 50 FL 100 Ft. 800 FL
/ 'SS+MPH 8 fo .h 50 FL 100 Ft. 1000 FL ,
'Nota: See Section 8 tor. high speed ehwUons.
U
FLASHING ARROW
' SIGN ... OR
HIGH LEVEL
WARNING DEVICE
,per
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0 � •
50 Ft. MIN.
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BETWEEN
DELINEATOR;
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"WARNING DEVICE
CHART A —
MINIMUM RECOMMENDED DELINEATOR AND SIGN PLACEMENT
TAPER 1E1107N DEUNEATOR 6PACINO (Adranoa SM ACM0 Taper EC228
1R — aPEED (Each taw) (Tw-) (Tanpant) a 661. 8196) a WORK
25 MPH 150 FL 25 Ft 50 R. 150 Ft AREA
30 MPH 200 FL 30 FL 60 FL , ' . 200 FL Qr
O 35 MPH 250 FL 35 FL 70 Ft 250 FL 350
�+ 40 MPH FL 40 Ft 60 Ft 350 Ft. Q
'45 MPH 550 Ft 45 FL 90 FL 550 FL
00 O
'SO MPH 600 Ft . 50 FL 100 FL 6FL 1
'55+MPH 1000 Ft 50 FL 100 Ft. 1000 FL Ob
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PROJECT
JOB NO. U"1 -f
CLIENT
CONTRACTOR -49
PROJECT MANAGER
DAILY CONSTRUCTION REPORT
DATE v /
DAY 5 M T w g
WEATHER
TEMP.
WINO.
HUMIDITY
Brite
Sun
Cie Overcast Ran Snow
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To 32
Name of Contractor
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Manual
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AVERAGE FIELD FORCE
Name of Contractor
1�2iCIcS00 610 V-Sf.
Non -manual
Manual
Remarks
VISITORS
Time
Representing
Representing
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Remarks
EQUIPMENT AT THE SITE�
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CONSTRUCTION ACTIVITIES
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DISTRIBUTION: 1. Prol. Mgr. PAGE 1 OF-1—PAGES
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