2573NOTE
With
With proppeer,VaIidation' Q'
4
this form(constitutes an 4 CITY OF LA QUINTA A o
encroachment permit
k # APPLICATION FOR PERMIT''
r PUBLIC WORKS CONSTRUCTION' (ENCROACHMENT)
BL,Q,=T PERMIT » 1997 fop
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewer, water mains
and other like public works improvements. in connection.with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit — Class II I
DATE. DeC e1DbCr 109' 1996 Minor Improvement Permit Class IV
LOCATION'OF CONSTRUCTION 11arioutt locAtions within thou Cita of LA Quints
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Maiutauance & rt%paira to Sketch (attach construction plans if appropriate)
exietiniZ Gaa C*IARIV isftlitias ;
DESCRIPTION OF CONSTRUCTION Varies SEE ATTACHED CONDITIONS
SEPARATE. PERMITS REQUIRED FOR
'DIMENSION OF INSTALLATION OR REMOVAL Vstricpa CONSTRUCTION ON MAJOR.STREETS,
NEAR SIGNALIZZD INTERSECTIONS,OR
Aqj'4fon PERb"ORMZD Bi AN OUTSIDE,
SIZE OF EXCAVATION, IF NEEDED Vsxiar% COR'$UCTOR. _
APPROXIMATE TIME WHEN WORK WILL BEGIN 1/2/97 NOTI"Z``'piEai CITY A (*6T�iyy9�)), 711777-*7T0t75
' r ` 48' SOURS PRIOR 40- COJ,�t7. L/. UCTION 30
APPROXIMATE;TIME OF COMPLETION 12/31/97 ' � RECEIVE :WORK AUTHORIZATION N M ER.
ESTIMATED CONSTRUCTION COST $
„(Includingremoval of all obstruction,' materials,. and debris, backfilling, coni'
paction and placing, permanent resurfacing and/or replacing' mprovements)
In considefation'of the granting of this permit, the applicant hereby agrees to:
r
Inderrmnify,-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 pursuarit 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,ithe terms and conditions of the permit and•all.applicable rules and regulaticns of the City of ►
.La Quinta and to *pay for any additional replacement necessary as,the : sult of this work.
'.. .Ton Black)
Signature of Applicant or Agent
Southern Ca11.i£ornia Gas Co. A.O. 'Box 3003 Radla+ ds. CA 92373 (90911 335-7879
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
FEES: Subdivision Improvement Permit — Class I I I
Public improvements: 3% of estimated construction costs•
-Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule.7
Inspection Fee $ PERMIT VALIDATION
Permit Fee ..0— PERMIT NO. 2573
Penalty. 1/2/97
Cash Deposit -Surety Bond DATE APPROVED
if required EXPIRATION DATE 12/31/97
- yd •
TOTAL: $ —0_ DATE ISSUED 1/2/97
Receipt No.
Received by Date �.3'— Administrative Authority
A
Recorded by Telephone: (619) 777-7075
V4
GENERAL. CONDITIONS -- PERMIT NO. 2573
--- The Southern California Gas Company ---
BLANKET PERMIT - JANUARY'l - DECEMBER 31, 1997
In addition to the standard permit conditions, the following shall apply:
1. Work authorized by this permit shall be -limited to the maintenance and repairs of
existing underground equipment, installations, and facilities owned and operated by the
Southern California Gas Company. (the Gas Co.). New equipment, installations, and
facilities shall be authorized through separate, permit. All work shall be performed by
Gas Co. employees.
PRIOR TO COMMENCEMENT OF ALL WORK, the Gas Co. shall notify the City at least
48 hours in advance at (619) 777-7075, giving the location and description of the
work to be performed, the dates and times the work will occur, and the name of the
foreman responsible for the work. Xwork authorization number will be issued for each
occurrence of work., WORK PERFORMED PRIOR TO 'CITY NOTIFICATION AND
WITHOUT A WORK AUTHORIZATION NUMBER IS PROHIBITED.
2. SEPARATE PERMITS ARE REQUIRED FOR ALL OF THE FOLLOWING:
A. Work within any major, primary, or secondary arterial street. Those streets
include, but are not limited to:
Eisenhower Drive, Washington Street, Adams Street, Dune Palms Road,
Jefferson Street,. Madison 'Street, Monroe Street, Fred Waring Drive, Miles
Avenue, Westward. Ho Drive, Avenue 48, Avenue 50, Avenue 52, Avenue 53.,
Avenue 54, Airport Boulevard, Avenue 58, and Avenue 60.
B. Construction of all new equipment, installations, and facilities, and realignments
or changes to existing facilities.
C.. Construction work performed by an outside contractor for the utility company.
D. Construction work performed within 500 feet of any signalized intersection, see
Condition #9.
3. All work shall be performed_ in accordance with the latest edition of the Standard
Specifications For Public Works Construction.
.4. The Gas Co. shall be responsible for providing continuous dust and erosion* control.
5. Streets shall be kept clean. They shall be completely cleaned at the end of each
n
working day ad more frequently if required.
Special Conditions - Permit.No. 2573 Page 1 of 3
GENERAL CONDITIONS -- PERMIT NO. 2573
---The Southern California Gas Company ---
BLANKET PERMIT - JANUARY 1 - DECEMBER 31, 1997
6. The Gas Co. shall comply with the local noise ordinance (LQMC 6.08.050). Operation
and maintenance of equipment within one half mile of human occupancy shall be
performed only during the following time periods:
October 1 st to April 30: Monday -Friday 7:00 a.m. to 5:30p.m.
Saturday 8:00 a.m. to 5:00p.m.
May 1 st 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 and Sundays.
7. The Gas Co. 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.
8. Advance warning signs and traffic control shall be installed and maintained in
accordance with Caltrans Standards or the Work Area Traffic Control Handbook
(WATCH Manual). It shall be the Gas Co.'s responsibility to detour and barricade all
work sites.
9. When the work site is in, or within 500' of, a signalized intersection, additional
planning and coordination is required:
A. The Gas Co. shall submit for City approval traffic control plans for the work
site. -
B. The Gas Co. shall also notify the Riverside County Signal 'Department at
(909) 275-6894 or Caltrans Signal Department at (619) 688-6845 as
appropriate, 48 hours prior to beginning work. .
C. Work shall be restricted to those times when the work will affect the least
amount of traffic during that day, commonly between the hours of 10:00
A.M. to 12:00 P.M. and 2:00 P.M. to 4:00 P.M.
10. Street closures shall not be permitted. A minimum of one travel lane on paved surface
shall be maintained with flagmen at all times.
11. Prior to excavating, the Gas Co. shall contact Underground Service Alert at 1(800)
422-4133. Note: USA does not locate signal conduits or other city owned facilities
such as storm drains, electrical services, median sleeves, etc.
Special Conditions - Permit No. 2573 . Page 2 of 3
GENERAL CONDITIONS PERMIT NO. 2573
---The Southern California Gas Company ---
BLANKET PERMIT - JANUARY 1 - DECEMBER 31, 1997
12. 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 Gas Co. as directed by and to the
satisfaction of the City Engineer at no cost to the City of La Quinta.
13. All work shall be coordinated with the City's inspector and others working within the
area as directed by and to the satisfaction of the City Engineer.
14. Backfill compaction within improved street rights-of-way shall conform with Section
306-1.3 of the Standard Specifications For Public Works Construction (SSPWC).. All
backfill soil shall be crushed aggregate base or crushed miscellaneous base, meeting
the requirements of Sections 200-2.2 and 200-2.4 of the SSPWC. Native soil shall
not be used as a backfill material. Compaction tests (one per 300 linear feet of trench)
shall be provided for areas of excavation large enough to accommodate compaction.
.equipment. For areas of excavation smaller than that which would accommodate
compaction equipment, 'controlled density fill (CDF) or any equivalent sand -slurry
mixture shall be used. As an alternative, CDF or its equivalent may be used for all
areas of excavation, eliminating the need for compaction testing. Material tickets and
compaction test results shall be submitted to the City. The work authorization number
shall be referenced on all correspondence.
15. 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.
16. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be
replaced to its original condition.
17. Access to properties shall be maintained at all times.
18. Permanent pavement replacement section shall be one inch greater than existing and
be paved within seven (7) calendar days from completion of the work. Asphalt
concrete shall be of a mix, design approved by the City. Material tickets and
compaction test results shall be submitted to the City. The work authorization number
shall be referenced on all correspondence.
19. The City has designated by ordinance certain city streets as Truck Routes. The weight
limit for restricted streets (i.e. streets not part of Truck Route network) is three (3)
tons; trucks. exceeding the weight limit may use a restricted street if making a delivery
or pickup on the subject street, or if this permit specifically grants permission to use
the street to deliver street construction materials and equipment.
20. The City reserves the right to revoke this permit upon 30 -day written notice to the Gas
Co. for any reasonable .cause, and reserves' the right to revise conditions by
amendment as may be necessary.
Special Conditions - Permit No. 2573 Page 3 of 3
'-,1
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i
TAtyl 4
78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 — (760) 777-7000
FAX (760) '777-7101
July 24, 1997 TDD (760) 777-1227
VA
Southern California Gas Company
Attn: Lynn Young, Permit Coordinator
Box 3003
Redlands, CA 92373-0306
Dear Lynn: - '
There seems to be some lingering confusion regarding what work is allowed by the blanket permit issued to the
Gas Company. I hope this letter clarifies the terms and conditions attached to the permit.
BLANKET PERMIT:
Work authorized by the blanket permit is limited to the maintenance and repair of existing underground equipment,
installations, and facilities owned and operated by the Gas Company. All work performed under the blanket permit shall
be performed by Gas Company employees.
PRIOR TO COMMENCEMENT OF ALL WORK, the Gas Co. Shall notify the City at least 48 hours in advance at
(760) 777-7075, giving the location and description of the work to be performed, the dates and times the work will occur,
and the name of the foreman responsible for the work. A Work Authorization Number will be issued for each occurrence
of work. WORK PERFORMED PRIOR TO CITY NOTIFICATION AND WITHOUT A WORK
AUTHORIZATION IS PROHIBITED.
SEPARATE PERMITS ARE REQUIRED FOR ALL OF THE FOLLOWING.•
A. Work within any major, primary or secondary arterial street (see attached Permit for partial list).
B. Construction of all new equipment, installations and facilities, and realignments or changes to existing facilities.
j
C. Construction work performed by an. outside contractor for the utility company.
D. Construction work -performed within 500 feet of a signalized intersection.
Please don't hesitate, to call me at (760) 777-7075 if you have any questions or concerns, or need a Work
Authorization Number.
Best regards,
Jodi Austin
Counter Technician
c: Marcus Fuller
(Steve Speer
Chris Vogt
MAILING ADDRESS -
F:IPWDEPTVSTAFFNAUSTfMGASCOMEM. WPD
P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 ��,�
NOTk,'
;a With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit S
APPLICATION FOR PERMIT $
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
ELANKE:T PERMIT — 1997 C��OF•TfiB��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 III
DATE: December 10- 1996 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION — V�.riou-1 location' with'n rhe = i � tine'
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION — Mnitttetia-tce E repair- to
existine Gay -Lc;� j r;-
DESCRIPTION OF CONSTRUCTION Variey<
DIMENSION OF INSTALLATION OR REMOVAL Marie','
SIZE OF EXCAVATION, IF NEEDED Varies
APPROXIMATE TIME WHEN WORK WILL BEGIN I
Sketch (attach construction plans if appropriate)
SEE ATTACHED CONDITIONS
SEPARATE YI R ;iTS Ui QUIRLD FOE
CONSTRUCTION ON tlu1JOR STREETS.
NEAR SIGNALIZED INTERSECTIONS, OR
FOR 1dOPK PERFOLKED EY fU' OUTSIDI:
CO%7RACTOR.
NOTIF•i THE CITY A (619) 777-7075
48 HOURS PRIOP.. TU CONSTRUCTION TC
f
APPROXIMATE TIME OF COMPLETION 1_:'/?11a RECEIVE WOE?: AUTHORIZATION NUXBEFi.
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, 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 esult of this work.
i�� (.io, black.)
Signature of Applicant or Agent
Southern Caliiorric Gxs Co. P.O. Box 3003 Redl'ndo
__C1I 9237' (90P) :3;-7^79
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
FEES: Subdivision Improvement Permit — Class I I I
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
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
$
$ —''—
Date '
?573
PERMIT VALIDATION
PERMIT NO. 2573
DATE APPROVED
EXPIRATION DATE 17./31/97
DATE ISSUED :/2/97
By
Administrative Authority
Recorded by 11 Telephone: (619) 777-7075
GENERAL CONDITIONS -- PERMIT NO. 2573
--- The Southern California Gas Company ---
BLANKET PERMIT - JANUARY 1 - DECEMBER 31, 1997
In addition to the standard permit conditions, the following shall apply:
1. Work authorized by this permit shall be limited to. the maintenance and repairs of
existing underground equipment, installations, and facilities owned and operated by the
Southern California Gas Company (the Gas Co.). New equipment, installations, and
facilities shall be authorized through separate permit. All work shall be performed by
Gas Co. employees.
PRIOR TO COMMENCEMENT OF ALL WORK; the Gas Co-. shall notify the City at least
48 hours in advance at (619) 777-7075, giving the location and description of the
work to be performed, the dates and times the work will occur, and the name of the
foreman responsible for the work. A work authorization number will be issued for each
occurrence of work. WORK PERFORMED PRIOR TO CITY NOTIFICATION AND
WITHOUT A WORK AUTHORIZATION NUMBER IS PROHIBITED.
2. SEPARATE PERMITS ARE REQUIRED FOR ALL OF THE FOLLOWING:
A. Work within any major, primary, or secondary arterial street. Those streets
include, but are not limited to:
Eisenhower Drive, Washington Street, Adams Street,' Dune Palms Road,
Jefferson Street, Madison Street, " Monroe Street, Fred Waring Drive, Miles
Avenue, Westward Ho Drive, Avenue 48, Avenue 50, Avenue 52, Avenue 53,
Avenue 54, Airport Boulevard, Avenue 58, and Avenue 60.
B. Construction of all new equipment," installations, and facilities, and realignments
or changes to existing facilities. '
C. Construction work performed by an outside contractor for the utility company.
D. Construction work performed within 500 feet of any signalized intersection, see
Condition #9.
3. " All work shall be performed in accordance with the latest edition of the Standard
Specifications For Public Works Construction.
4. The Gas Co. shall be responsible for providing continuous dust and erosion control.
5: Streets shall be kept clean. They shall be' completely cleaned at the end of each
working day and more frequently if required.
Special Conditions - Permit No. 2573 Page 1 of 3
GENERAL CONDITIONS -- PERMIT NO. 2573
---The Southern California Gas. Company ---
BLANKET PERMIT - JANUARY 1 - DECEMBER 31, 1997
6. The Gas Co. shall comply with the local noise ordinance (LQMC 6.08.050). 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:OOp.m.
May 1 st to September 30: Monday -Friday 6:00 a.m. to 7:OOp.m.
Saturday 8:00 a.m. to 5:OOp.m.
Work shall be prohibited on legal holidays and Sundays.
7. The Gas Co. shall assume responsibility for repair of an
y Pavement to any
public or private street and for any damage to other City streets or facilities damage
sea result
of work performed under this permit.
8. Advance warning signs and traffic control shall be installed and maintained in
accordance with Caltrans Standards or the Work Area Traffic Control Handbook
(WATCH Manual). It shall be the Gas Co.'s responsibility to detour and barricade all
work sites.
9•. When the work site is in, or within 500' of, a signalized intersection, additional
planning and coordination is required:
A. The Gas Co. shall submit for City approval traffic control plans for the work
site.
B. The Gas Co. shall also notify the Riverside County Signal Department at
(909) 275-6894 or Caltrans Signal Department at (619)'688-6845 as
appropriate, 48 hours prior to beginning work.
C. Work shall be restricted to those times when the work will affect the least
amount of traffic during that day, commonly between the hours of 10:00
A.M. to 12:00 P.M. and 2:00 P.M. to 4:00 P.M.
10. Street closures shall not be permitted. A minimum of one travel lane on paved surface
shall be maintained with flagmen at all times.
1 1. Prior to excavating, the Gas Co. shall contact Underground Service Alert at 1(800)
422-4133. Note: USA does not locate signal conduits or other city owned facilities
such as storm drains, electrical services, median sleeves, etc.
Special Conditions - Permit No. 2573
Page 2 of 3
i
r
GENERAL CONDITIONS PERMIT NO. 2573
--.The Southern California Gas Company ---
BLANKET PERMIT - JANUARY 1. - DECEMBER 31, 1997
12, 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 Gas Co. as directed by and to the
satisfaction of the City Engineer at no cost to the City of La Quinta.
13. All work shall be coordinated with the City's inspector and others working within the
area as directed by and to the satisfaction of the City Engineer.
14. Backfill compaction within improved street rights-of-way shall conform with Section
306-1.3 of the Standard Specifications For Public Works Construction (SSPWC). All
backfill soil shall be crushed aggregate base or crushed miscellaneous base, meeting
the requirements of Sections 200-2.2 and 200-2.4 of the SSPWC. Native soil shall
not be used as a backfill material. Compaction tests (one per 300 linear feet of trench)
shall be provided for areas of excavation large enough to accommodate compaction
equipment. For areas of excavation smaller than that which would accommodate
compaction equipment, controlled density fill (CDF) or any equivalent sand -slurry
mixture shall be used. As an alternative, CDF or its equivalent may be used for all
areas of excavation, eliminating the need for compaction testing. Material tickets and
compaction test results shall be submitted to the City. The work authorization number
shall be referenced on all correspondence.
15. 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.
16. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be
replaced to its original condition.
17. Access to properties shall be maintained at all times.
18. Permanent pavement replacement section shall be one inch greater than existing and
be paved within seven (7) calendar days from completion of the work. Asphalt
concrete shall be ' of a mix design approved by the City. Material tickets and
compaction test results shall be submitted to the City. The work authorization number
_shall be referenced on all correspondence.
19. The City has designated by ordinance certain city streets as Truck Routes. The weight
limit for restricted streets (i.e. streets not part of Truck Route network) is three (3)
tons; trucks exceeding the weight limit may use a restricted street if making a delivery
or pickup on the subject street, or if this permit specifically grants permission to use
the street to deliver street construction materials and equipment.
20. The City reserves the right to revoke this permit upon 30 -day written notice to the Gas
Co. for any reasonable cause, and reserves the right to revise conditions by
amendment as may be necessary.
Special Conditions - Permit N6_2573, Page 3 of 3