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2622NOTE: 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 II I DATE:' June .17 x..1997 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Mountain Shadow: Road'. Avenida Herrera (Street address or Description of Location) PURPOSE OF CONSTRUCTION Make permanent A.C. repairs Sketch (attach construction plans if appropriate) to tae patches DESCRIPTION OF CONSTRUCTION Remove cold mix and install perraanent paving SEE ATTACIiED CONDITIONS DIMENSION OF INSTALLATION OR REMOVAL See attached sheet- SIZE OF EXCAVATION, IF NEEDED See attached sheet APPROXIMATE TIME,WHEN WORK WILL BEGIN 6/20/97. 'APPROXIMATE TIME OF COMPLETION 7/5/97• 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 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. t 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 a2p: pcrules and regulations of the City of La Quinta and to pay for any. additional replacement necessary as the result of this Signature of Appl cant/o Agent Name of Applicant (please print) sauce Business No. Name of Contractor and Job Foreman Business Address Telephone No. . 394079 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 I I I AIDIPublic improvements: 3% of estimated construction costs P Private improvements: 3% of estimated construction costs 'Minor Improvement Permit — Class IV: See attached schedule. UL' 2 1997 6' Inspection Fee Permit Fee 100.. Penalty .Cash Deposit -Surety Bond if required TOTAL: $ 100. Receipt No. Received by Date .Recorded by PERMIT ' V9W A QL111tyi PERMIT NO. 2622 .DATE APPROVED 6/18/97 EXPIRATION DATE 7/31/97 ' 6/18/97 DATE ISSUED. . By` Administrative Authority Telephone: (619) 777-7075. SPECIAL CONDITIONS --PERMIT NO. 2622 --- ARB Inc. --- In addition to the standard permit conditions, the following shall apply: 1. This permit authorizes the installation of permanent asphalt concrete repairs to Avenida Herrera and Mountain Shadow Road. 2. All -work shall be performed in accordance with the latest edition of the Standard Specifications For Public Works Construction (SSPWC). 3. ARB Inc., "Permittee", shall be responsible for providing continuous dust and erosion control. 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 with work 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. . 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 performed within 500 feet of the signalized intersection of Eisenhower Drive and 50th Avenue and within the intersection of Eisenhower Drive and Calle Tampico is restricted between the hours of 9 a.m. - 3 p.m. Traffic control shall be set up after 9 a.m. and removed before 3 p.m. The Permittee shall contact the Riverside Country Traffic Signal Maintenance Department at (909) 275- 6894 if signal operation at the Eisenhower Drive/50th Avenue intersection is to be altered in any way. 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 (2) 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. Special Conditions - Permit No. 2622 Page 1 of 3 v M SPECIAL CONDITIONS --PERMIT NO.2622 --- .ARB Inc. --- 9. . 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). The Permittee 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 Alertat 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 Quinta. 12. All excavations within City of La Quinta right-of-way shall be backfilled, and temporarily paved if within the existing travel way, at the end of every workday as directed by and to the satisfaction of the City Engineer for the protection of the public. Lengths of open trench shall not greatly exceed that which can not be backfilled in the same day. Excavated trenches shall not be allowed open overnight, however, the Permittee may leave a length of excavated trench not to exceed twenty (20) feet open overnight at a point where construction will begin the next day, provided that this length of trench is completely covered by steel plating. 13. Backfill compaction within improved street rights-of-way shall conform with Section 306-1.3 of the SSPWC. Native material may be used as backfill material provided that all trench backfill up to subgrade level is compacted to a minimum relative density of 90% 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. Backfill shall be performed by mechanical means; no water densified compaction via jetting or flooding or other means shall be allowed. It shall be the Permittee's responsibility to provide appropriate geotechnical supervision, testing, and inspection, onsite, at all times during backfill operations. The Permittee shall pay all costs for geotechnical testing of backfill required by the City. All test data shall be submitted to the City. 14. Where trenching is performed in any P.C.C. or A.C. improved area the trench shall be saw cut an additional 1' 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. 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 sections within Avenida Herrera and Mountain Shadow Road shall be one inch greater than existing of asphalt concrete or 4" minimum, whichever is greater, over 41/2" of aggregate base material. The asphalt concrete and base material layers shall be compacted to a minimum relative density of 95%. The asphalt concrete mix design shall be approved by the city prior to placement. Special Conditions - Permit No. 2622 Page 2 of 3 SPECIAL, CONDITIONS --PERMIT NO. 2622 --- ARB Inc. --- 16. All landscaping, irrigation' lines, decorative rock, decorative concrete, lighting, etc., shall be replaced : to its original condition. Existing.curb and gutter; sidewalk, medians or other existing improvements shall be protected in place to the extent possible. If removal is required, approval shall be granted by the City Inspector prior to removal. Improvements removed shall be replaced in kind by the Permittee as directed by and to the- satisfaction of the City Engineer no later than seven (7). days after the completion of the work authorized by this permit. 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. 19. The City of La Quinta reserves the right to revoke, suspend or void this permit at anytime. " Special Conditions - Permit No. 2622 - Page 3 of 3 _ NOTE: ' 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 ` DATE: 6-=-;/ 11 ' / / / LOCATION OF PONSTRUCTION r (Street address or Description of Location) PUR SE OF CONSTRUCTAN 4501, OESf, PT19N ORCONS_LRUCTION DIMENSION OF INSTALLATION nR c� SIZE OF EXCAVATION, IF NEEDED Subdivision Improvement- Permit — Class I I I Sketch (attach construction plans if appropriate) .APPROXIMATE TIME WHEN WORK WILL BEGIN Z --ZZ=: Z APPROXIMATE TIME OF COMPLETION 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 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 (241 hours in advance of the time n work will be started. 01 Comply with all applicable City Ordinances, the terms and conditions of the penn't all li ble rules and r j,,s�_tions of the Ci of V Quints and to pay for any additional- replacement necessary as the result gyztdo k / City i ur _ —1 me Naof Applicant (please print) Business Telephone No. SamP Name of Contractor and Job Foreman Business Address Telephone No. 194079 566 Contractor's License No. City Business License No. _St. Paul Fire & Marine KK08300277 Applicant's Insurance Company GEN. LIASILITy Policy Number FEES: Subdivision Improvement Permit —Class 111 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 � E5a TOTAL: $_ Receipt No. Received by Date Recorded by PERMIT VALIDATrnN PERMIT NO. --1 DATE APPROVED L ' EXPIRATION DATE 31 /9G�� DATE ISSUED g / ! / By Administrative Authority TELEPHONE: (619) 777-7075 �� �•:a� -. e. - �_�' -, �� .e � - r'V r, _��. ''" .�t�r ���,� .. - �...t�: �'^�•e ,�,• rte• :t b. ��- �. � a.. r - F t 'a � t � - f!. , ` «v . ',tr.� +ra _. �7 .. "t r = - •T - r ' 6 =7Nt ol l � . 1. #. « . r - � • .-.�..r ♦ -��. ars •� � _ : � � i�. 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