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2574NOTE: With proper validation this form,constitutes an CITY OF LA QUINTA encroachment permit 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 III DATE: January 8,. 1997 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Various locations, see below. (Street address or Description of Location) PURPOSE OF CONSTRUCTION Make permanent paving repairs on gas patches. DESCRIPTION OF CONSTRUCTION Remove cold mix and install permanent asphalt concrete patches. DIMENSION OF INSTALLATION OR REMOVAL Varies. SIZE OF EXCAVATION, IF NEEDED Varies. Sketch (attach construction plans if appropriate) LOCATIONS: SEE ATTACHED LIST SEE ATTACHED CONDITIONS APPROXIMATE TIME WHEN WORK WILL BEGIN 1/13/97. APPROXIMATE TIME OF COMPLETION 1/31/97 ESTIMATED CONSTRUCTION COST $ uaknown (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 jwhen work will be started. Comply with all applicable City Ordinances, the terms and conditions of theipe emit and all applicable rules and regulations of the City of La Quinta and to pay for any additional replacement necessary as the resu,It.o&is wocky Signature of A.15pl icadt& Agent ARB Inc. 72r-400 Vista Chino Thousand Palms. CA 92276 (619) 343--1190 Name of Applicant (please print) ' Business Address - Telephone No. same Name of Contractor and Job Foreman Business Address Telephone No. ' 194079 566 Contractor's License No. City Business License No. St. Paul Fire & Marine KKO8300277 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class III PAID 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 100. E Penalty Cash Deposit -Surety Bond if required TOTAL: $ Receipt No 100. Received by Date Recorded by ,SAN 0 9 1997 PERMIT VALID LAO PERMIT NO. 2374 DATE APPROVED 1/8/97 Y EXPIRATION DATE 2/1/91 DATEISSUED 41/8/97 By !l//1 111:1 110 rS V Administrative Authority Telephone: (619) 777-7075 NOTE: With proper validation this form constitutes an encroachment permit CITY OF LA QUINTA 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 I I I ,Minor Improvement Permit Class IV (Street address or Description of Location) Sketch (attach construction plans if appropriate) LoCZ1 zaKs '• -- CI1$4.1 .APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $.=BW U46kA&4JVL--- (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 att penalties, liabilities or Ion 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 penis- And all applicable rules ulations of the City, of La Ouinta and to pay for any additional replacement necessary as the result o work. i Name of Applicant (please print) Business Address Tel one No: Name of Contractor and Job Foreman Business Address Telephone No. �°� _79. Contractor's License No. City Business License No. Applicant's Insurance Company GEN. LIASILITy Policy Number FEES: Subdivision Improvement Permit —Class III Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — ClassIV: See attached schedule PERMIT VALIDATION Inspection Fee $ Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: $ Receipt No. Received by Date Recorded by PERMIT NO. DATE APPROVED //9'M7 EXPIRATION DATE 11-7 DATE ISSUED a �7 By Administrative Authority TELEPHONE: (619) 777-7075 2. 3. SPECIAL CONDITIONS --PERMIT NO. 2574 --- ARB .Inc. --- In addition to the standard permit conditions,. the following shall apply: All work shall be performed in accordance with the latest edition of the Standard Specifications For Public Works Construction. Permittee shall be' responsible for providing continuous dust and erosion control. 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 1 st to April 30: t May 1 st to September 30" Monday -Friday Saturday Monday -Friday Saturday 7:00 a.m.' to 5:30p.m. 8:00 a.m. to 5:00p.m. 6:00 a.m. to 7:00p.m. 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. Traffic control plans.'.shall be submitted by permittee for work occurring within any signalized intersection or for work requiring lane closures. Traffic control shall be inspected prior to commencing any work. 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. j Special Conditions - Permit No. 2574 Page 1 of 2 1 > SPECIAL--CONDITIONS---PERMIT NO. 2574 (continued) Y' 9. Should additional work, materials, or modifications of the work be required in order to meet city standards, safetyrequirements, 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's inspector and others working" within the area as directed by and to -the satisfaction of the City Engineer. 1 1. 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, c7 ntrolled density fill (CDF) or any equivalent sand -slurry mixture shall be used. As�a•n alternative, CDF or its equivalent may be used for all areas of excavation, ,elimina'tin'g the need for compaction testing. Material tickets and compaction test results sh6)11(be- submitted to the City. - 12.. All excavations at or near!tFhe^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';"idecorative rock, decorative concrete, lighting etc. shall be replaced to its original conid'itiom 14. Access and egress to all'1o6414 roperties shall be maintained at all times. 15. Permanent. pavement replacement section shall be one inch greater than existing and be paved within seven (7,)-rt"alendar days from completion of the work. Asphalt concrete shall be of a -mixodesign approved by the City. Material tickets and compaction test results shillrbe submitted to the City. 16. The City has designated by'ordinance certain city streets as Truck Routes. The weight limit for restricted streets r(,Le " streets not part of Truck Route network) is three (3) tons; trucks exceeding the" 'eight limit may use a restricted street if making a delivery or pickup on the subject.steet, -.or ,if this permit specifically grants permission to use the street to deliver street, construction materials and equipment. Special Conditions - Permit No. 2574 Page 2 of 2 Location Cut Size : Washington, 225' S/,O Eisenhower 3 - 5,X 2'- 3 54-318 Shoal 4-8X2-3 Via Jordan 184' S/O Via Florence 3 X 2& 4 X 2 Washington 21' N/O Sagebrush 3-8X2-2 Bridgette 18' S/0 Kara Ct. 2 - 11 X 2 - 1 Ave. Tujunga 9' E/O:Calle Paloma ti 2 X 2- 9 Ave. Obregon 90' S/O.Calle Durango 2 - 7 X 1 - 11 & 2 - 2 X 1 - 11 Eisenhower & Ave. '50 14' X 2& 3 X 2 ,& 4 X 2 77-541 Loa Arboles 3 X 2 Mountain Shadow 189'S/0 Painted Cove. 2 - 7 X 1 -8 Ave. Juarez 170' N/O Ave. Montezuma 3 X 2 - 6 Ave. Juarez 1.20' N/O Ave. Montezuma 3 X 2