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