2503• • NOTE• ;,
With proper Validation^ .
this•form constitutes an
encroachment permit
CITY OF LA QUINTA .
s -
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 II I
DATE: 22+b • Minor Improvement Permit Class IV
'i LOCATION OF CONSTRUCTION �1•104. W"hinatou , fi 48th Strain
r (Street address or Description of Location)
PURPOSE OF CONSTRUCTION Sketch (attach, construction plans if•appropriate)
DESCRIPTION OF CONSTRUCTION nt111 a series of
boitwlaas�s 10 w 1S' deeb in araets 4ofrd�"fcoad
>a .888 d,'kTA;13 CONDITIONS
DIMENSION OF INSTALLATION OR REMOVAL AOTInItO WORt ed
fttf
AW
SIZEtn>K in�s�.Xe,�,v ''
SIZE OF EXCAVATION, IF NEEDED' 6 11dia. borines.
-APPROXIMATE TIME WHEN WORK WILL BEGIN
E ^` h4tV66h .0/23/96 and 8/27/96 - -
"'+"- APPROXIMATE TIME OF'COMPLETION
` ESTIMATED CONSTRUCTIOWCOST $ ' Pot
(Including removal of all obstruction, materials; and debris, backfilling, com-
paction and placing .permanent resurfacing and/or replacing improvements)
i eln consideration of the granting of this permit, the applicant hereby agrees to: �
Iu, Indemnify, -defend and save the City; its authorized agents, officers, representatives and employees; harmless from and against any andall`.
i penalties, liabilities or loss resulting from claims or court action and arisinglout 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 result
of this work. `
Signature of Applicant or. Agent
Earth Systems Consultants 79811-8 Country► Club Dr. (619) 145-1588 !
H Name of Applicant (please print) Business Address Telephone No.
Hostan wristht e8mit 4 '
r' Name of Contractor and Job Foreman Business Address Telephone No. r
95.2595-951 641
Contractor's License No. (Fed, I.D. ; City Business License No.
Firemana V=d Insunmee Comoany M2C80343874
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I II
Public improvements: 3%'of estimafed,construction costs r
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
5,03,
Inspection Fee $ PERMIT VALIDATION
Permit Fee PERMIT NO. 2503
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $
Receipt No.
Received by Date
Recorded by
DATE APPROVED
EXP RATION DATE
DAT ISSUED
By j5—T W_
Telephone: (619) 777-7075
inistrative Authority
NOTE:
With proper validation
this form constitutes ar.
encroachment permit CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
M
For the Construction of public or pr,vate curbs, driveways, payoments, siCaw'aiks. perking lots, sowers, water mains
And other like public works improvements in connection, with MINOR IMPROVEMENTS and APPROVED SU801 iISiONS
�I�IGr-I�-T ZZ ( Subdh•isior. Improvement Permit - Class III
DAA' ) �� Minor Irnprovement Parmit Class IV
LOCATION OF CONSTRUCTION M(L;e5 k /455 / h) rte/ ! 4,11 STS,
t
latreet 140rion Of Omscriptbn of Location)
RPOSE OF CONSTRUCTION Sort,ry C,�
IPTION OF
DIMENSION OF
REMOVAL
812E OF EXCAVATION, 1F NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
i(arVl7 gj . 2�-• �j(o
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST S
(Irtefudlft nmovel of all obetructlon, matarials, end debris, backfilling, com-
Pwto^ snd Placing Permanent rewrfacing and/or replacing improvements'
In aoe>sldaetion of the.granting of this Derfnit, the applicant heraby agrees to:
Sketch (attach corstructic•n plans if.appropriata) C
•R��1 > -Ya s-P/►GBT� Af3ne�tT �)R.1 (,p't..
Is S r� r
d }ry N
MtL"
(�r��IT�otitS N
Ifaiatem#fv, de}ann emit Wye TN City. its ivrhor•sed eCents, offievn, rtiprmsentativet and empiaraes, riaKn!oat frOm and a•T.i,,r any and ati
Peraertise, h6bitititri or .los resulting from claim: or coup action and tr!nn9 out of any ,ccidant, less or tsemaS•e to parwns or prOpe.�y
hapg3 I60 Or OOCYrrlrae as a prgaim3v
ate relt of any wprb vndMaken vhder the permit gren;ed purwant. to t1tis owNcat:on.
N0110y the Adminiatrstfve Aumority at Im" (vven(y.fa,r-(24) hours in advanCe Of the tihla when »Drat will be-zrlod.
COMOV VAth Oil 13PNko010 Ciry Otdihanams, rho terms and conditions of the permit and ¢I1 aftoliesbie rviat and r"v!otiens of the City of
iJ aatalriu and to pay fcr any additional fWlac ement necessary as the "Nuit of this work,
C /5 J6)r;4;�
Slgnsture of Applicant or Agent
i�(LTN s`�ST�`7^�S �Stit(iTAnri-581 (� Cf.�fui7'ly CtiVlPjDtti Gt� �j�lrj •t�8�0
Narttg of Applicant (Pkem print) Business Addrusa Telephone No.
4-'e',642 51611,r1 a J"t'^ rc
Name of Contractor snd Job Foreman Business Address Telephone No.
2' City Business License No. -�
r't � EN'S 1�-t,11•/D ?.�.Y�,tp,�+vG-E Co,�+ P.o ►� _ � M �GBo 3 3P�'
A001canrs Insurance Company GeN. [.IASILITY Policy Number
REEK: Subdivision Imptovement Perrnit — Cla'ss !Ii
Public improyangntit: 2% of astimatod construction coats
Private imprO"milnts: 3% of mimatod construction COsts
Minor Improvement Permit -- Class IV: Sat attsehdd suied-we
ln*Pwetion Fee S
PirmR Foe
�telty
Cash D%9"R-Surety Bond
If rrquired
TOTAL: s
Reoeipt
Reoehred by a Date
I Recorded M
PERMIT VALIOAT!0N
PERMIT NO. _
DATE APPROVED �®
EXPIRATION DATE
DATE fZUED
By�
Administretwe�Authorit•;
TELEPHONE' (i318) 17.14576
i
The following General and Special Provisions are attached to and made a part of Permit No. V
GENERAL PROVISIONS
The following shall always apply:
ENROACHMENT 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
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 Has and drainage ditches shall be replaced to their original standard or better. All excess material shell 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 aro required and pumps are forcing water on City of la Quints roads, it shall
be the responsibility of the permittee (contractor) to control this water and to provide off-street barricades when necessary.
CLOSING STREETS: 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 49 hours in advance of stetting construction.
® U111LITY CLEARANCE: (Substructi res) 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.
R3 [ iuxrY aEARANCE: (Surface Structures) No work shall be done under this permit until all utilities aro clear of the
proposed work site. The permittee shall notify all concerned utility companies of the proposed wont.
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'
ss
value of not lethan and in conformance with City of La Quinta Road Improvement Standards and
Specifications, Ordinapee #461.
• PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a slope of
l 1/4 inch to one foot (1').
R6 GRADE CHECKING: City of La Quints sbaII 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.
L SOIL STERILIZER: The area to be surfaced shall be treated with soil sterilizer. Rate of application shall commply with the
manufacturer's specifications.
Rll 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.
�) SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the
R012
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 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.
lC LIMIT 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 fights 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.
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 (51 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.
Rig 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 (lj 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 Ffighways, State of California, dated January 1973.
R19 COMPACTION TEST'S: 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 Mghways, 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 gubgrade. The SC -800 temporary paving shall be placed after a
tnexitnum 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.
R2; FOG SEAT.: A fog seal coat consisting of an application of asphaltic emulsion shall be applied over all patch area as
determined by the City Engineer.
R23 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 respoasibility of the permittee to maintain the tree in a vigorous growing condition at its new location.-
Trees
ocation: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.
� 1
SPECIAL CONDITIONS --PERMIT NO. 2503
--- EARTH SYSTEMS CONSULTANTS ---
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. Disturbed -
shoulder areas may require permanent stabilization.
3. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and
I 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. in. to. 5:000.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, signge 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. 2503 Page 1 of 2'
SPECIAL CONDITIONS ---PERMIT NO. 2503
- . 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 sbil 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. Permittee shall notify the City Engineering Department a minimum of 48 hours prior to any work
in the street (i.e. paved. areas) ,at (619) 777-7075 when the work involves lane closure(s) iii a
signalized: intersection or within 500 feet of a signalized intersection. Permittee may be required
to submit a site-specific traffic control plan for review and approval prior to commencing work
at or near, a signalized intersection.
17. Work hours at..signalized intersections or within 500 feet of a signalized intersection are typically
from 9am = 3pm to avoid peak traffic periods but may vary depending on the location of the
intersection. The permittee will be notified by the City of specific work hours (if different) during
the 48 hour notice period.
Special Conditions - Permit No. 2503
Page 2 of 2