2619IN
PT
P With proper validation
this form constitutes an CITY OF- LA QUINTA
r encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
Kiri • . ? •,,,j •• . "i, `" • F ~ l"r 0 i •� 7
For; *he 'constructionof 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
DATE: puna 15` 1997
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
'1-865�1� `� Z11' �+' gAftlR! r A�t,ft �cA9met+ ^it ^
(Street address or Description of Location)' r `
PURPOSE'OF CONSTRUCTION l`A RX8 tA Sketch (attach construction plans if appropriate)
019ict'r+ie-al vo*ex to construction aftedr
DESCRIPTION,OF_CONSTRUCTION irtstallation of-temxonar—
a a eta* a(ilillt Simon or. to iab alio ' $99 ATTACM CC#VDIxIOft
,Y
•DIMENSION OF INSTALLATION.OR REMOVAL X300,
1, •• �• J M 3 'h : W ° � �'� ,! - •n � ' • • v + A
' SIZE OF EXCAVATION, IF NEEDED Bit;,h>,► V-1
APPROXIMATE TIME�WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION" - 11/30/97'
A
'ESTIMATED CONSTRUCTION'COST $�
(Including•removal•of all.ob`struction, materials, and debris, backfilling, com _
t,.
paction,and ,4cifig 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 frorr and against any and all
penalties, diabilities�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.
a
'1 Notify the "Administrative Authority at least twenty-four (24),hours"'in advance of the lime when work will be started.` ; r'
` Comply •with al 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.
OPA
Y Signature of,Applicant or Agent "
aR3a'ccaa • 98� itmtiil'byo. S.w. tcaia�
'VA 9J0S06)7+74Q
r ' Name.of Applicant,(please'print) :4 Business Address Telephone No.'
A`uG"+Toah i#lil•e ty"i'16 74-1156 w' Mii 4'r. l A1*% ihAns xr+_ CA 4970 f 7AA) 77'#•,.A77t.
Name of Contractorand Job, Foreman Business Address -Telephone No.
i(f531fiU 3022
ContractIor's'Li'cense•No. City.Business License No. P�kk®
_. �'. ' Str'��'q.+��. �'3.�'@ 8 Mi�x�tza. _ .. 4 • •. .. ,' . C�GOgb•2�9b �r _ .
'1'A6plicant:s InsuranceJCompany t 'Policy,Number;
_ j 7 1997
FEES:Subdivision Improvement Permit =Class III
L C
Public,improvements:'3% of estimated construction costs
Private, improvements: 3% of estimated constructiori.costs
Minor Improvement Permit — Class IV: See attached schedule;
'Inspection -Fee $
PermitFee 1001
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 100.
Receipt No.
Received by Date
Recorded by `
PERMIT VALIDATION f
•. , • ; ,_ •'..
r
PERMIT NO. 261`9
DATE APPROVED 6/16/97
EXPIRATION DATE 12/31197 4.
DATEdSSUED ,, 6/1166/97
Administrative Authority
Telephone: (619) 777-7075
NOTE:
r 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
6 / / ).—/�, Subdivision Improvement Permit — Class I I I
DATE: f p ,,c� 9 / S^ Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION — � � _ 'r 1-11 �A J A y f / l
(Street address or Description of
PURPOSE OF
(attach construction plans if appropriate)
l I? T" t 1
Alf
— DIMENSIO F IN TALI ATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
G- IDl;3
APPROXIMATE TIME OF COMPLETION I/_ 1S U/-? / a
Z
ESTIMATED CONSTRUCTION COST $
(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 alt
penalties, liabilities or lou 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 124) 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 applicabie rules and regulations of the City of
V Ouinta and to pay for any additional replacement necessary as the result of this wor���
�G 1'_?"/9'U LIJ ^^,,C Signature of ApCplican�,t//t ollr//Ageenn 2D6 >
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman _------,Blsiness Address Telephone No.
Contractor's License No.
u 1
M 2 ry r;,e City
License No.
_? 0 2- 2 -
Applicant's Insurance Company GEN. LIASILITy PoLNumberA S�
FEES: Subdivision Improvement Permit —Class III
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
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by Date
Recorded by
PERMIT VALIDATION
OATION
PERMIT NO. `
DATE APPROVED
EXPIRATION DATE
DATE ISSUED C4G
Administrative
Administrative Authority
TELEPHONE: (619) 777-7075
06/17/97 08:29 AZ—TECH ELECTRIC (619) 7?9-8719 -) 6197777155 N0.059 901
i j ROM : I MPER I PL I RR I Gn T I ON
I
� FAX NO,: 7603915999 66-1®-97 12=32P P,02
sr
NOTES.
P) UN 6094f-' IN: 50XVA 7100-120/240-4 A0
3- ,200 1i' . azo JL�h
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UN 6894P p) N.T.S.
U.S. RTA SEC. 30
JOB LOCATION
600' E/0 WA5HINGTON ST,
S/S SIMON A )R.
all
uele�roluool�amnnw7mlr.
• w� 11461A >ul�e� . b o
MAAcus FULLER �0 1100 pp�o c ��� I0 VIL
OF ,IF. ASSISTANT ENGINEER I !27•:1 p � � �� Rp 1p
no to=P.O. BOX 1500 a.
79-40S CALLS TAMPICO IWO) 777.7060
LA 0WAITA, muponNIA 62259 FAX 1019) 777-7155
i
t
s ..
'SPECIAL CONDITIONS --PERMIT NO. 2619
--- Eagle Hardware & Garden ---
In addition to the standard permit conditions, the following shall apply:.
1. This permit authorizes the installation of temporary electrical facilities to provide electrical service
to the Eagle Hardware project site, Site Development Plan #97-605.
2. All work shall be performed in accordance with the latest edition of the Standard Specifications For
Public Works Construction.
3. Eagle Hardware & Garden, "Permittee", shall be responsible for providing continuous dust and.
erosion control. The Permittee shall comply with the provisions and conditions of Fugitive Dust
Control Plan (FDCP) 97-13. The Permittee shall stabilize any soil that is left disturbed as a result .
of work performed under this permit with an approved dust control treatment. The City shall have
the right to stop work in progress in the event dust control standards are not met. The Permittee shall
not proceed withwork until dust levels are reduced and clearance is given by the City Inspector.
4. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and
more frequently if required.
5. The Permittee 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 5:30 P.M.
t
Saturday 8:00 a.m. to 5:00 p.m.
May 1st to September 30: Monday -Friday , 6:00 a.m to 7:00 p:m.
Saturday 8:00 a.m. to 5:00 P.M.
6. 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.
7. 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
working days prior to the desired Saturday.
8. The Permittee 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. Upon notification, the Permittee shall respond immediately to correct said damage at its own
expense.
9. Advance warning signs and traffic control shall be installed and maintained in accordance withCal
Trans Standards or the Work Area Traffic Control Handbook (WATCH Manual). The Permittee
Special Conditions - Permit No. 2619
Page 1 of 3
SPECIAL CONDITIONS --PERMIT NO.2619
--- Eagle Hardware & Garden ---
shall submit a'traffic control plan that. shall provide for a minimum of one travel lane on paved
surface with a flagman as necessary. Access and egress to all local properties shall be. maintained
at all times. It shall be the Permittee's responsibility to detour and barricade the work site.
10. Prior to excavating, the Permittee shall contact Underground Service Alert at 1-800-422-4133.
11. 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 Qui.nta.
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. 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 trench backfill shall be
compacted to a minimum relative density of 90% using native material with a minimum frequency
of one test per every 300 linear feet per lift. 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
approved by the City. All test data shall be submitted to the City, including failing tests and retests.
14. Where trenching is performed in any P.C.C. or A.C. improved area the trench shall be saw cut an
additional Von each side of the excavation area and a buttjoint created. The edges shall be saw cut.
to straight, stable, and.uriyielding edges. Feather joints are�not acceptable. The finished pavement
surface shall be smooth and consistent, and shall conform to the surrounding grades. Trenches in
the street section shall be permanently paved within seven (7) days after completion of the work.
unless otherwise approved by the City.
15. Permanent pavement replacement structural section shall be one.inch greater than existing, or 4"
minimum, which ever is greater. A.C. rnix.design shall -be approved by the city prior to placement.
16. All landscaping, irrigation; decorative rock, decorative concrete, lighting, etc., shall be replaced to
its original condition.
17. The Permittee shall notify the City Engineering Department, a minimum of 48 hours prior to start of
any work at (760) 777-7075.
18. 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
if this permit specifically grants permission to use the street to deliver street construction materials
and/or equipment.
Special Conditions - Permit No. 2619 Page 2 of 3