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2577NOTE: With roper validation?. this form constitstes 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 DATE: January 15. 1997 Subdivision Improvement Permit — Class II I Minor Improvement Permit Class -IV LOCATION OF CONSTRUCTION Washington Street & La Quinta Village Shopping Center entrance (Street address or Description of Location) PURPOSE OF CONSTRUCTION CTS service to La Ouinta Sketch (attach construction plans if appropriate) Villaae{ Aoartments DESCRIPTION OF CONSTRUCTION Install 2 each 4—inch GTR 0-ernaui>kraR acrapa Wsshinstton St. from W. side SEE ATTACHED CONDITIONS DIMENSION OF INSTALLATION OR REMOVAL 6' R 6' Asohalt SEE ATTACHED PLANS SIZE O'F EXCAVATION, IF NEEDED. 61 X 61 Pit APPROXIMATE TIME WHEN WORK WILL BEGIN 1/17/97 APPROXIMATE TIME OF COMPLETION 1 week ESTIMATED CONSTRUCTION COST $ 3-000 (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 a�n{d 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 applicat on. 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 V & M Cnnstaruction 80-975 Indio Blvd. Indio. CA 92201 (619) 369-9933 Name of Applicant (please print) Business Address Telephone No. Stave Vs,tter same Name of Contractor and Job Foreman Business Address Telephone No. 711113 1956 Contractor's License No. City Business License No. Desart Southwest Insurance BAP 70346 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class III Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated 6nstruction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee Permit Fee 100. Penalty Cash Deposit -Surety Bond if required TOTAL: $ `100• Receipt No. Received by Date PERMIT VALIDATION PE`F3V NO. 2577 4 E APPROVED 1/15/97 EXPIR%\TION DATE 2/1/97 DATE ISSUED # 1/15/97 IV(��'/i f.1i1 A-_,( a/- ' By 4 Administrative Authority Recorded by 11 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 DATE: 1-15-97. Subdivision Improvement Permit — Class III Minor Improvement Permit Class IV • • • • • f, ' • \ _ _ • _ SII :. . • " ► gl►YYgIG glkllY:: (Street address or Description of Location) URPOSE F CO TRU T� N GTE �` �Y'V ICQ Sketch (attach construction plans if appropriate) w DESCRIPTION OF CONSTRUCTYON Install 2 ea. 4 inch n C-Vu�X GTE C ondtti t s a osa waSt-nn hi ng4t from most Side �L( to cen r 1 -in cif wa-;hi ngton Sf DIMENSION OF INSTALLATION OR REMOVAL`ZC� C 61 x 61 ASphalt SIZE OF EXCAVATION, IF NEEDED 61 x 6' Pit APPROXIMATE TIME WHEN WORK WILL BEGIN 1 -17 -97 - APPROXIMATE — APPROXIMATE TIME OF COMPLETION - 1 week ESTIMATED CONSTRUCTION COST $ 3000.00 (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 p�Wu les and regulations of the City of L• Quinta and to pay for any additional replacement necessary as the result o Signature of Applicant or Agent V & M CONSTRUCTION CO., INC. ..80-975 INDIO BLVD INDIO CA 92201 (619)347-3933 Name of Applicant (please prirtt) Business Address Telephone No. STEVE'VATTER 80-975 INDIO BLVD INDIO CA 92201 (619)347-3933 Name of Contractor and Job Foreman Business Address Telephone No. # 711113 1956 Contractor's License No. City Business License No. DESERT SOUTHWEST.INSURANCE BAP 70346 Applicant's Insurance Company GEN. LIAISI[.lTy Policy Number FEES: Subdivision Improvement Permit — Class Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — ClassIV: See attached schedule Inspection Fee $ Permit Fee to Penalty Cash Deposit -Surety Bond if required TOTAL: $ tcc? Receipt No. Received by Date Recorded by PERMIT VALIDPTION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED (,/( r:,,- 1177 By Administrative Authority TELEPHONE: (619) 777-7075 SPECIAL CONDITIONS --PERMIT NO. 2577 --- V & M Construction --- 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. 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:. , October 1 st 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 S:OOp.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. Special Conditions - Permit No. 2577 Page 1 of 2 SPECIAL CONDITIONS ---PERMIT NO. 2577 (continued) 9. Should additional work, materials, ormodifications 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. 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. 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. 2577 Page 2 of 2 77 • ------- 1 . . . ........ -77 tt . ........... T --hr .......... lw --top -A 'LE -C TORS _ ._.. STS LA QUINTA LR A40UNT ?JALSHOPPING _ ' 0 f , `` # R0TATE LUM 26' rR [Q ► - G 12' 12' 18' DETAIL* D I co rl-1 71 2" C. W/PUL LPOPE !FUTURE SERWCE) ao 06 — i 05 3 06P. 06P 4 4 —N 012 . 06 EVPf . --- -- 06 �— 10 z 2 ►� -C - -- 10 - _....14 05 -- 12 '--`� / 2+5 EVP — 02 Lo / I- DETAIL D N 04 041 02 VER HE-, 6 04P �� 04 _._.._. 02 f12. ®�<<� " 2 CON STR U C.TI ON 0 i