2575NOTE:
With proper validation
this form constitutes an `
CITY OF LA QUINTA
encroachment permit ,• _-
"'"' APPLICATION FOR 'PERMIT ,
r +. PUBLIC .WORKS CONSTRUCTION (ENCROACHMENT)Iv
OF
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 IMP ROVEMENTS.and APPROVED SUBDIVISIONS
,Subdivision Improvement Permit — Class I I I
DATE: JauugrY b: 1997 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Aith side of Calle Monterey between. Ave. • Villa '
' .
and Ave. Mendoza. by Pols • #0013951) .
s (Street address or Description of Location) t
PURPOSE OF CONSTRUCTION • Install nower aurnlTfmx– � . Sketch (a tach construction plans if appropriate)
now cable* <.,.
DESCRIPTION OF CONSTRUCTION Meter pedestal. w th•
cablim-T.V. •nowgt supply i,•f SEE ATTACHED SKETCH
DIMENSIQN OF INSTALLATION OR EMOVAUnit is 'T
48" tall: is 32" wide X 28t0 thick. SEE ATTUM CONDITION$-
.
SIZE OF. EXCAVATION, IF NEEDED TreAeh 19`.81
APPROXIMATE TIME WHEN WORK WILL BEGIN 1— 16' 27_ °
r ,
APPROXIMATE TIME OF COMPLETION
' ESTIMATED CONSTRUCTION COST $ ' 800
71 (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
Il penalties, liabilities or loss resulting from claims or court action and arising,out`of any accident, loss.or damage to perso-is or property
happening"o, 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'.tlie time when work will be started:'
Comply with all applicable CitV'Crdinances, 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.
I i /•
# Signature of Applicant or Agent
C� tixtPor�tl (`a hl�aia nen
P.O. RA'k 36A Ar+lre nomparfh _ CA 4614) 1A6_1 g11)
Name of. Applicant (please print) Business"Address.. Telephone No.
Cochran Communications Conatz. 36630-6thedral•. Cvn. Dr. (619) 328-6778
'Name of Contractor and Job Foreman + ,. Business Address Telephone No.
4'78543
r' 3 865
Contractor's License No. �. City Business Licen'se No.
CNA I. c} 149174itio
Applicant's Insurance. Company Y Policy Number rAIU
FEES:' Subdivision Improvement Permit —Class III JAN 14 1997
Public improvements: 3% of estimated construction.cost5
Private improvements: 3%of estimated construction costs CITY OF LA QUIIVTA
Minor Improvement Permit — Class IV: See attached schedule +
Inspection Fee $ �. PERMIT VALIDATION
Permit Fee 100. 'PERMIT NO. 2575
-ti
Penalty DATE APPROVED 1/8/97
Cash Deposit -Surety Bond •
if required 'EXPIRATION DATE 2/1/97
TOTAL: $ 1Q0• •1/8/97
DATE ISSUED
Receipt No.By
� /
Received by Date Ad'm,,nistrative Authority
Recorded by Telephone: (619) 777-7075
NOTE:
With Draw •oodauon
Nb farm mnstrt an an
memcni'+anr oanna CITY OF LA QUINTA
APPLICATION FOR PERMIT
-PUBLIC WORKS CONSTRUCTION (ENCROACHMENTI
For the oonsvuaton of pu0lie or tlrt+nn wren. dtiaaweva, oat+arrtrs. sidews" ouku" iota, swan, vwer ttreirsa
use othn like "Ic worts imorprenwrta in cuum :eon wrrt MINOR IMPROVEMENTS and APPROVED SU801Vt=on
OATS: ,� — G C,� 6 subawsion Imptowtun Psrrrtrs —cks 111
Mkw Improtn nom ft u Class IV
LOCATION OF CONSTRUCnon IV, 5 /.41 Q r Car-- Al/'IDT lr4,-
Iltraw aeons r oasevaer aM LAMM"
PURPOSE O eCopwIr ev Install power supply 91.td� lat�eh aoneartr:oon f>tatts it aopropa;etal
OEtSCRIPTION Ot CgWR e o e . ,e s•. a -
w.ith cable tv'-power- uopy SEE ATTACHED
p(� a JKt I L;H
4 ti FMst°3 l �' "'S f'►L'�'PQ JN RoRpgV'1L U
x j L
Name of AOolKant lofaase orrrrrl gimnii ss AddnsTi ophom N0.
XC-achran Communication Const 36630 Cathedral Cyn Dr 3'28-6778
Name atcannsaw Ono Jona Pesetas $Wirtese Addm Td"hww Net
X• " 4785431 865
Canosaars License Na Ckv @smnm Lions m&
�C CNA k C1 14777560
Aoptwnrs Inarano CORM" 0" LI o01 L.1 ry Pblky Nurser
PEES: Swwmaw tm=wwMM Paneir —Class 111
Plr011a �+prorerwrs; 3% of atimand aonsovaion a us
Ptfan =, wavwn w= 3%of amesan ' aortwueaor cors
Minor imaerenw" Panna —CIM IV: See atnrRad atJsdUb
ImOaaton Fee
Pwmn Fee
PartMry
Cash Daoesir-Swarm Aero
if mwww
TOTAL.
Raanot N0.
Reow"d ov Datr.��
Rrameed by
1 30EFS
PERMIT VALIDATION
PERMIT NO, -51
OATE APPROVED
EXPIRATION DATE
DATE ISSUED
I If
Admin some, Aurltatel/
777- 7075
TELEPMW&folmsh" w.
SIZE OF EXCAVAnON: IF NEEDED . r e n C 1
APPROXIMATE TIME, WHEN WORK WILL BEGIN. CITY OF LA QUINTA-
APPROXIMATE TIME OF COMPLETION JA
WMATED ccNssRucnoNcosrs "'` N 0 6 1997
a_. �
. Ilnestidin� rai+etie� ref ass `�: � aeb. me�+tt�,'om.
pscwn ,ns of .�ernoew+� ,ave In or PUBLIC WORKS
"t le. aarWdetieen a! tlai��altOinj: QF 4!h''ONwyt. the appfm" ftywow qor, rax
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raw . �.
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- Slrltt " of Applsastss or App
X Continental- Cablevision P 0 Box, -368 Palm Desert 340-1312
Name of AOolKant lofaase orrrrrl gimnii ss AddnsTi ophom N0.
XC-achran Communication Const 36630 Cathedral Cyn Dr 3'28-6778
Name atcannsaw Ono Jona Pesetas $Wirtese Addm Td"hww Net
X• " 4785431 865
Canosaars License Na Ckv @smnm Lions m&
�C CNA k C1 14777560
Aoptwnrs Inarano CORM" 0" LI o01 L.1 ry Pblky Nurser
PEES: Swwmaw tm=wwMM Paneir —Class 111
Plr011a �+prorerwrs; 3% of atimand aonsovaion a us
Ptfan =, wavwn w= 3%of amesan ' aortwueaor cors
Minor imaerenw" Panna —CIM IV: See atnrRad atJsdUb
ImOaaton Fee
Pwmn Fee
PartMry
Cash Daoesir-Swarm Aero
if mwww
TOTAL.
Raanot N0.
Reow"d ov Datr.��
Rrameed by
1 30EFS
PERMIT VALIDATION
PERMIT NO, -51
OATE APPROVED
EXPIRATION DATE
DATE ISSUED
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Admin some, Aurltatel/
777- 7075
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SPEC IAL"CONDITI0NS--PERMIT NO. 2575
--- Cochrane Communications Construction .-=-
In addition to the standard .permit conditions, the following shall apply:
1. All work shall be perforryi6d ..in accordance with the latest edition of the Standard
Specifications For Public W'or'ks Construction.
2. Permittee shall be responsible for providing continuous dust and erosion control.
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.
r=
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 ori' 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.
r;
Special Conditions - Permit No. 2575 Page 1 of 2
SPECIAL -CONDITIONS --- PERMIT NO. 2575
(continued)
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.
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.
11. 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 2,00-2.4 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.
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 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.
16. 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.
Special Conditions - Permit No. 2575 Page 2 of 2