2614NOTE:, l '"; ��. .. ,. • , .. �� � ,
With proper validation
' this form constitutes an
I CITY OF LA QUINTA }
encroachment permit"
- APPLICATION FOR PERMIT
J PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)�� I' wSww�
'{ "• ,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
�•. a Minor Improvement Permit Class IV "
-LOCATION ^OFrCONSTRUCTION ' 'BAtt•t aide of vash tstt=. AortWof Calle T40pico
(Street address or Description of Location),
PURPOSE OF CONSTRUCTION RAMOVAI of '461Ul Cabl Sketch (attach constructionlans if appropriate)
PPropriate)„,
DESCRIPTIONLOF4CONSTRUCTIGN $tarp condnit '4 cable An"
[� y`' a`
A BSA
f*--DIMENSION'OF INSTALLATION OR REMO_ VAL ' -
M1. 80 ATTTACHM
X 30” dea>a _ f
'F ..SIZE OF EXCAVATION, IF NEEDED """"' i tm>`E Mali ♦� { ��y�l�mo �����,'w'f_' :��♦yi'�I�(.IKy: $E
' '` •M • t . - I a . . i • + 1 s"1!r 30" �il�`M`•4 ' cO! NrIR ;
r�
APPROXIMATE, -TWE -WHEN WORK WILL'BEGIN 6/3/97_ ` AS-BUUT Du, tN( B' An' uQat tE).
1
i APP.ROXIMATE.TIME OF COMPLETION •6/12/9 '
ESTIMATE&CONSTRUCTION COST $ _C116 4
(Including removal of'all obstruction materials, an` d debar s; backfill i g�com`'�•-+�^t*i^""'^""""` r:
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, -off 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 prommate` result of any work undertaken under the permit grarite'd pursuant to this application.
;I Notify the Administrative Authority at least twenty-four•(24),hours' in advance of the,time when work will,be started.. T ,
t '� =Comply with, alI�applicable City Ordinances, the terms+and conditions of the perVit and all applicable rules and regulations of the City of
La Quinta' and tofpay for any additional replacement necessary„as the resuli of this work.
fJ %�
l %a'"t. +
Signature of Applicant or Agent
;•
` Cochfan C6160 n ,cattdnts Cottatzxtctiott• Gib,we rill Cita,. CA 928-.6778
s -
Name of, Applicant'(please'print) 'Business Address ,Telephone No
Doze
'Name of Contractor and-Job,Foreman ;Business Address Telephone'No.
865
Contractor's.License No.,.City Business License No:
71. Applicant's Insurance Company' `” •Policy. Number - 1
,FEES- 'Subdivision Improvement Permit—'Class III JUNr ,
Public improvements: 3% of.estimated construction costs • 9: 1997
r` Private improvements: 3%, of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule -+� 00,
Inspection, Fee ; r $� PERMIT VALIDATION'ti�
` Permit Fee" _ 10o. : , r 2614
PERMIT NO.
Penalty `
Cash Deposit -Surety Bond
if required
TOTAL: $ 100•
Receipt No.
Received by Date
Recorded by
DATE APPROVED 6/5/97 ,r
EXPIRATION DATE 6/20/97
DATE ISSUED / 6/5/97
Administrative Authority
Telephone: (619) 777-7075
NOTE:+
With Droner valtdatlon
this
ancform constitutes an
enamrt CITY OF LA QUINTA VIM
oacremertt oer
APPLICATION FOR PERMIT
-PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) 40
For the construction of public or prance curot, driveweye, pavements, tidewalka, parking -lots, uewen, water mains
and other like public wants improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISICNS
DATE:- 6— Q — % Subdivision Improvement Permit —Clan III
Minorimprovemant Parma Clan IV
LOCANT RN OF CONSTRUCTION - .J /� F DF UVASNIId Td /`U .
eLf Gi4L_LE 7—AM04/t:0
(Street adGrtu or 000MOUOn of L*=b%U
PURPOSE OF_CONSTRUCTION'— P e M VA 4 Z2,-
DESCRIPTION
iF
DESCRIPTION OF CONSTRUCTIO /s UR y ./1/ F_ W
C4)NB/2 /'r.4 ,ABLE
MMENNSiN OF'INv 2 ION REMOVAL T r
SIZE.OF EXCAVATION. IF NEEDED.
APPROXIMATE TIME WHENWORK.WILLBEGiN 6-S- 97'
Sketch (attach construction plants nif appropi ienl
ATTACHED SKETCH
APPROXIMATE.TiME.OF.COMPLETION , — 7 �y1►` r/C/� Itehii)WW4r,
ESnMATED;CONSTRUCTION.COSf i
(Intludln4RfMMi/.0}-tU:Ob>Rllit9prt;,nfitelfals, >1rhQ Qebflf; bidC:firinq, Com• `
oactiort:nsd;otas7ihq,partrnnuht teaarfadng-rh or-reotaoitq�imt
In.00h+dderayon;a} tttP ota,t}ths perrnit;atn.appbont hffvb agrem-to:
:=eea!!!�araa�leeaiaeO�s•re_artYtY i4cauaharab.+O�R, :;noepa�ne�.ano rt�ovea:.namws Naar ano.eptm= am am. so
�a0aa�tagc Nae s�ar.has;.isrbnf.,fresh,..ets arj.murcaem�igael.arsiM.wt-ad.agr.atadent-ba.v scope-ta careens or am" v
' ;� �eopiu'n j;an:aasaeey;is.a:oitmrmnrirs=atarwwrmieet�aewer ttn � oenwR •Ortam>wrsuwe: ts. aur.aoalvaan.
�-:MotlAfalta::As��A�IIforigrc�Gte�s;nruavaorratZai:i�ws:rsaw+aaol:tM.ta+e:wnwa:wors..w�ll.be-corm -
Comoihr.wa:en:aoohioeee Ctgr;Grain.eaaa .w trme;aw:maetitloae:okau wm+a ane en eoaimM.nuea ane repiwaois.of 010 Ctv or
. 6a, 0e4ea. rsa td• oar• tar ty►, eoaMoeua:reaseoearnt: ne<amen. u:ahe. isrc:.�WPWIL.
%W&i m of Applicant
tion _
Name at App►ennt (please print! S eines Address Telephone No.
Coch�t�mIII u*Ga tAJQ§ onst Cathedral City. 328-6778
Name of Contractor and Job Foramen Business Addrts Telephone No.
X .4.78543 C-7 x 865
Contractors License No. CRY Busmen Liens No.
a7�
Applicant's Insurance Company OCkL LIAIDII.,ITY Policy Numbs
FEES: Subdivision (morovement Permit —Clan III
Public improvementx 3% of estimated construction oasts
Private improvements. 3% of estimated construction costs
Minor imttroverient Permit —Class IV: See attached ucheoula
Inspection Fee
?ermit Fee
Penalty
Cash Oeoos,r•Surety aond
if squired
TOTAL:
Retaiot No.
Received by
Retarded by
Oats
PERMIT NO.
DATE APPRO
EXPIRATION
DATE ISSUES
By
Adminuuawe Authorrty
7-77- 7075
TELEPHONE: l61915&6d9W .
13086
PERMIT VALIDATION
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SPECIAL CONDITIONS --PERMIT NO. 2614
--- Cochran Communications 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 l'st to April 30: Monday -Friday 7:00 a.m. to 5:30 p.m. .
Saturday 8:00 a.m. to 5:00 p.m.
May 1 st to September 30: Monday -Friday 6:00 a.m to 7:00 p.m.
Saturday . 8:00 a.m. to 5:00 p.m.
Work shall be prohibited on legal holidays including Sundays. Work is allowed on Saturdays only
if special arrangements, including payment of overtime inspection fees, have been made two (2) _
working days prior to the desired Saturday.
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. Contractor shall. note that underground traffic signal utilities exist in the area of
proposed construction.
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.
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.
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.
Special Conditions = Permit No. 2614 Pagel of 3
SPECIAL CONDITIONS --PERMIT NO. 2614
-- Cochran -Communications Construction ---
10. Backfill compaction within improved street rights -of --way shall conform with Section 306-1.3 of the
Standard Specifications For Public Works Construction (SSPWC). Native material may be used as
backfill material, as long as minimum compaction requirements are met.
11. 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.
12.' All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to
its original condition.
13: Access and egress to all local properties shall be maintained at all times. .
14. Permanent pavement replacement structural section. shall be one inch greater than existing, or 4"
minimum, which ever is greater. A.C. mix design shall be approved by the city prior to placement.
15. Permittee shall notify the City Engineering Department a minimum of 48 hours prior to any work
in the street (i.e. paved areas) at (760) 777-7075 when the work involves lane closure(s) in a
signalized intersection or within 500 feet of a signalized intersection. Permittee may be required to
submit a site-specific traffic control plan for review and approval prior to commencing work at or
near a signalized intersection.
16. Work hours at signalized intersections or within 500 feet of a signalized intersection are typically
from 9 a.m. - 3 p.m. to avoid peak traffic periods but may vary depending on the location of the
intersection. The permittee will be notified by the City of specific work hours (if different) during "
the 48 hour, notice period.
17. All backfill shall be mechanically compacted in lifts of eight (8) inches or less. Jetting or flooding
of backfill material will not be allowed unless otherwise specified by the City.
18. Contractor/permittee shall stabilize any soil that was disturbed (shoulder areas, etc.)"as a result of
work performed under this permit with an. approved dust control treatment.
19. . Trenches in the street section shall be permanently paved within seven (7) days after completion of
the work unless otherwise approved by the City.
20. . Where trenching is performed in any P.C.C. or A.C. improved area the trench shall be saw cut an
additional V on each side of the excavation area and a butt joint created. The edges shall be saw cut
to straight, stable; and unyielding edges. Feather joints are not acceptable. The finished pavement
surface shall be smooth and consistent, and shall conform to the surrounding grades.
21. The city has designated by ordinance certain city streets as Truck Routes. The weight limit for"
restricted streets (i.e. streets not part of the Truck Route network) is three (3) tons; .trucks exceeding'
the weight limit may use the restricted street if making a delivery or pickup on the'subject_ street, or
Special Conditions -Permit No. 2614 Page 2 of 3
h -
I
SPECIAL CONDITIONS--PERMIT NO. 2614
--= Cochran Communications Construction ---
if this permit specifically grants permission to use the street to deliver street construction materials
and/or equipment.
22. A traffic control plan shall be prepared in-accordance with the Work Area Traffic Control Handbook
(WATCH), and submitted to the Engineering Dept. for review prior to starting any construction.
23. The City of La Quinta reserves the right to revoke, suspend or void this permit at any.time.*
24. This permit authorizes the installation of underground conduit for Continental Cablevision (Media
One) facilities.' The conduit shall be installed with a minimum cover of thirty-six (36) inches.
Contractor shall. submit to the. City "As-Built" record drawings showing the locations of the,
underground conduit in relation to the back of .curb within seven (7) days of completion of the
construction.
Special Conditions - Permit No. 2614 Page 3 of 3