2632NOTE:
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: Ju],v 10, 1997
LOCATION OF CONSTRUCTION 'TXAct 28340-1. Lots 1 — 14
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Rouah aradiaw Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Sfe 01an
DIMENSION OF INSTALLATION OR REMOVAL Sae ola>n
SIZE OF EXCAVATION, IF NEEDED Ses 1A.un
APPROXIMATE TIME WHEN WORK WILL BEGIN 7/11/97
APPROXIMATE TIME OF COMPLETION N/A
ESTIMATED CONSTRUCTION COST $ N/A
(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:
SBE ATTACHED CONDITIONS
SEE PLANS, TITLED: "PRECISE GRADING
PLANS, TRACT 28540--1, LOTS 1 -- 14,"
BY MDS CONSULTING.
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 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
KS 56-140 PCA, Alvd. LA Q"intft� CA 97753 (760) 564-.1nAg
Name of Applicant (please print) Business Address Telephone No.
A A F Gradin+; A3-864 Av". AS Tndln. CA 92701. (766)
Name of Contractor and Job Foreman Business Address Telephone No.
611.320 1.769
Contractor's License No. City Business License No.
Zurich IAourance Co. GLO 663881502
Applicant's Insurance Company 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 100.
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 100•
Receipt No.
Received by Date
JUL 11 1997
����t tom: L �ls . � � Jam"`
PERMIT VALIDATION
PERMIT NO. 2632
DATE APPROVED 7/10/97
EXPIRATION DATE 8/30/97
DATE ISSUED 7110/97
BY
j�- xlw,�Wo
Administrative Authority
Recorded by 11 Telephone: (619) 777-7075
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:
LOCATION OF CONSTRUCTION
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION %1((u�Q Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION �G�-NI(/`t�Y IP� U14 yL
(T 1133.5
DIMENSION OF INSTALLATION OR REMOVALir ,^(a .,&
SIZE OF EXCAVATION, IF NEEDED File66(
APPROXIMATE TIME WHEN WORK WILL BEGIN IL+ (A nJlDS
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ �J
(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 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 Authorityat 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 applicable rules and regulations of the City of
La Quints and,to pay for any additional replacement necessary as the result of this work.
ILSL- � ,� o
Name of Applicant (please print)
Name Contractor aah Job For man
Contractor's Lit$nse
Si ature of Applicant or Agent
Business Address
Business Address
City Business
Applicant's Insurance Company GEN. LIAISILITy Policy Number
FEES: Subdivision Improvement Permit —Class III
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 I cz>
Penalty.
Cash Deposit -Surety Bond
if required
TOTAL: $
Receipt No.
Received by Date
Recorded by
ro�s8
Telephone No.
Telephon No.
0.
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
TELEPHONE: (619) 777--7079.
SPECIAL CONDITIONS --PERMIT NO. 2632
--- A & F Grading =--
In addition to the standard permit conditions, the following shall apply:
1
Pa
3
4
5
C6i
7
This permit authorizes the rough grading of Lots 1-14 of Tract 28340-1, as shown on the plans,
titled: "Precise Grading Plans, Tract 28340-1, Lots 1-14," by MDS Consulting.
All work shall be performed in accordance with the latest edition of the Standard Specifications For
Public Works Construction (SSPWC). '
A & F Grading, "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.
Streets shall be kept clean. They shall be completely cleaned at the end of each working day and
more frequently if required.
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 1st to April 30: Monday -Friday 7:00 a.m. to 5:30 p.m.
Saturday 8:00 a.m. to 5:OO'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 performed within 500 feet of any signalized intersection is restricted between the hours of S
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 is
signal operation at any intersection is to be altered in any way.
Work shall be prohibited on legal holidays including Sundays. Work is allowed on Saturdays onl}
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.
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
Special Conditions - Permit No. 2632 Page l of 3
SPECIAL CONDITIONS --PERMIT NO. 2632
--- A & F Grading ---
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 Quinta.
12. All excavations within City of La Quirita 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 306-13 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: All trench excavations within existing. paved surfaces shall be saw cut anadditional 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 street sections shall be one inch greater
than existing of asphalt concrete or 4" minimum, whichever is greater, over, 4V21" 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.
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
Special Conditions - Permit No. 2632 Page 2 of 3
SPECIAL CONDITIONS--PERNHT NO. 2632
--- A & F Grading ---
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 any time.
I