2648 (2)c' t NOTE �... •�,... �!,; ti:. �, • ' ` ,.. , ' '' �
Wlth.proper,validatiori..
th=ormitutes anenent permit CITY, OF ;LA•`QUINTA
. c . APPLICATION;- FOR PERMIT
PUBLIC' WORKS CONSTRUCTION •(ENCROACHMENT)
OF T
For. the; construction' of- public or'.private curb's, driveways; pavements, 'sidewalks, parking ,lots, sewers, water, mains
.and'other like'.public works improvements in`corinection with MINOR IMPROVEMENTS' and APPROVED.SUBDIVI-SI.ONS:;:'rt
•. ,` '. •r'••� ... r .' mprov.. .; .• ;' , .: `• a '}. �f:.'. ..� t ,
t Subdivision Iement Permit —Class
DATE:' `I19. *wat''••?(is-'i997Minor;Improvement,PermitWss'I•V'
:., .
LOCATION OF CONSTRUCTION 78 -680 -Avenida •TSA Jarita.. La OuititEa
(Street addressor Description of Location) _
PURPOSE Provide Sae 86a ice OF CONSTRUCTION Sketch (attach construction plans"if app'ropriste).
DESCRIPTION OF, CONSTRUCTION -install gag maiii•-•and
eeryic(--. SEE ATTACHED'CONI?I.tIOhS
DIMENSION OF INSTALLATION OR REMOVALpe
u ; 4 , qt,SE� ACHED -PLAN
r SIZE OF,,. EXCAVATION, IF NEEDED See 'nlari `
APPROXIMATE TIME°WHEN WORK WILL BEGIN 8/27/97' '
APPROXIMATE TIME OF COMPLETION R/28/97 A ` r
ESTIMATED CONSTRUCTION COST $ tint 'r�iA4: Icth1.� :.• `
(Including removal of4all obstruction, materials,'and debris; backfilling, com --� '
pa' ction and, placing permanent resurfacing and/or 'replacing improvements)
,r• ,•• ;.
In consideration of the 'granting of this permit, the applicant=hereby agrees to.
Inderrnify,•clef end ,and save`the City, its authorized agents, ,officers,:represeniatives and.employe-es harm_ less 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.or4property -.
happening•or-�occurring as 'a proximate result of any;work-undertaken unde'r•the permit granted pursuant to�this application",
Notify the Administrative Authofity.at least twenty-four (24) hourssin advance of thetime when work will be started.
t
~r Comply with all applicable City Ordinances,'the,terms'and conditions of, the; permit, and' I applicable -rules and egulations of the City 'of F
La Quinta'and,to pay for any additional replacement necessary as,the;result of th'swor c
if •,3 Signature of Applicanfor'Agent��
So. California:, Gas' Co. 75.095 Mayfair.iDr •' Palm De' ae�•t, CA (760) 3464248 '�:
Name of Applicant (please print) ":Business Address 'Telephone No. `
:.Name of Contractor"and Job Foreman Business Address Telephone.No.
Contractor's License No. City Business License No.
A,pplicant's Insurance„Company Policy. Number ;
FEES: Subdivision lmp'rovement Permit — Class III �Vt,
Public improvements: 3% of estimated construction costs
Private'impiovements: 3% of estimated construction costs ”
` -Minor Improvement Per
—Class IV: See attached schedule :
Inspection Fee $ PERMIT :VALIDATION
PermitTeef ` `' ' ' . • 2646
PERMIT NO.
Penalty f 8/21/97
f' Cash Deposit -Surety Bond DATE'APPROVED
if required EXPIRATION DATE 12/3I/a37
TOTAL: $ 0 — 8/21/97
DATE ISSUED
Receipt No. _ "Uzh/a./!'�'t��/I
Received by Date �� V Administrative Authority
Recorded by - ���.�':�,�'• ;r.,••,,. '`'• � '
Telephone: (619),777-7075
The Gas Company® J�
Pet►Pck W. Doane Southern California
Gas Company
Field Planner
Distribution 75095 Mayfair Drive
Palm Desert, CA
92211-5102
Hours.
7:00-8:00 a.m. — 2:30-3:00 m. tel 619 346-4248
P• fax 619 773-9243
3
tis —
r
a. NOTE: � f •
With proper validation t r t w
this form constitutes an 4
'CITY OF LA "QUINTA .
encroachment permit _ •
f APPLICATION FOR PERMIT-
PUBLIC
ERMIT-PUBLIC WORKS CONSTRUCTION (ENCROACHMENTY -
For the construction of public or private curbs, driveways, pavements, sidewalks,. parking lots, sewers, water mains
and other like public works improvements in connection vrith MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
` DATE: <;�� " Subdivision Improvement Permit — Class III
y
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION ��� �0 �/' /Y�LI��rlA 'Z09V'
(Street address or Description of Location)
• /• ��9 l'L Y9SaJ41� �/L X71 /t � � � `. _ _
P POSF CON R CTION ��� +
f
P� , G�XV I 'Sketch (attach construction plans appropriate
e
r DESCRIPTION Or2NSTRUCTIO�u, SS
V0� DIMENSION 00 INSTALLATION OR REMOVAL +
f
-SIZE OF EXCAVATION, IF NEEDED' ,, � _�,�-_—^��;.'•,._ ��
4e APPROXIMATE TIME WHEN WORK WILL BEGIN e_x7 ?-1
' APPROXIMATE TIME OF COMPLETION Y-
ESTIMATED CONSTRUCTION COSTS f 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 arid -save the City, its authorized agents, officers, representatives and employees, harmless from and against any and atl
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 undertiken'under the permit granted pursuant to this application.
Notify the Administrative Authority at least twentyfour 124) hours in advance of the time when work will be ed.
Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules a reg ations of the City of
La Quina and to pay for any additional 'replacement necessary as the result of thi rk. `
��� `�S �•Signature of�A/ppiitaMb�r AgeJry�t� '
Name of Applicant (please print) Business Address . + Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
` ..
i Contractor's License No. r City Business License No.
r Applicants I Insurance Company GEN. LIABIL iTy '- Policy Number /
FEES: Subdivision Improvement Permit — Class I I I
' Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs -
Minor Improvement Permit— Class IV: See attached schedule c '~
Inspection Fee $' '
PERMIT VALIDATION
Permit Fee
' PERMIT NO. • --
Penalty f Z�
Cash Deposit -Surety Bond ,� " DATE APPROVED '
if required .EXPIRATION DATE
TOTAL: . $a�
"DATE ISSUED*
Receipt No. ' . ,
By -
Received by Date t , R
_ _ Administrative Authority
Recorded by ' ..TELEPHONE 619 r
r' • 1 ) 777-7075
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132131 130 129 128 a: _ ..
^, LA jARITA • . t
AVENIDA
47 2.,Pr. AA 12,93 `r.
54143-3 4
8. -
133 134 135 136 137 _
w.
V
�01
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h e11,� _
60' -
0000l'
� WR• 338632
TOTAL FEET INST'0
'INSTALL MAIN WITH AT LEAST COVER BELOWe.- 7� / .� L� TOTAL FEET RETIRED
COUNTY RIVERSIDE
RETIREMENT PERMIT ISSUED BY PERMIT NO. DATE MOVED NOTICE OF DATE MOVED COMPLETION
ON JOBS sOPER. DATES OFF JOBS DATE
REASON: —.— —
DISTRICT DESERT CREW FOREMAN
IG LEAK TESTED UNDERGROUND .SERVICE ALER PLANNED�Y - --- - -- - - COMPANY '
P.S.I. CALL TOLL FREE TRACT N0. YEAR: C� P:'
ATLAS INSTALLED STAKED w D COMPANY FACILITY: SO. CAL.D P.L.S.O
HRS... AND/OR MIN 1-800-227-2600 � IND 103 !
SYS. INS. •184.0150) TWO WORKING DAYS NO.. OPER. 20i OR OVER STAKING REO'0 Q INLAND EMPIRE REGION
DATE BEFORE YOU DIG I CATHODICALLY PROTECTED YESD NOD AT LESS THAN 20% DS.M.Y.S. ISTRICT SUPERVISOR NO NEEDED W.O. 54147 - 312 ORG. CODE _
•
r " . SPECIAL CONDITIONS--PERMIT.NO: 26:46 "
�Y' - r Southern California Gas Co. jr
•
^In addition to the standard permit conditions,' the following shall apply:
1:
Pursuant to Section 14.16:320 of the La Quinta MunicipalCode (Ordinance' 10 § r 1 (part), 1982), all
work shall be performed in accordance with the latest edition of the Standard•Specificatioris For
Public Works; Construction'and.as directed by and to the satisfaction of the City Engineer. . '.
R.
2.
Southern. California Gas' Co.' hereinafter. referred to as "Permittee", _shall be responsible for
providing continuous dust and erosion control:- ;
-3.
l
Streets shall be kept clean. They shall be completely cleaned atthe end of each working day and ;
more frequently if required'.
Pursuant to Section 6.08:050 of the La Quinia Municipal Code (Ordinance 18 § 1, 1982), throughout
the .work. site,'- the Permittee shall- comply .with City regulated work hours. '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:p
Monday-Friday • 7:00 a.m. to 5:30. m.
Saturday 8:00 a.m. t`o.'S:OO:p:m. s '
t
May 1st to September 30: Monday=Friday 6:00 a.m to 7:00
Saturday ' � 8:00 a.m. to 5:00 p:m. '
5..,
Pursuant to Section 14.16:110 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982),
-
y'
Permittee shall assume responsibility'for repair of any pavement'damage to any public or°private
r
street and for any damage to other-City streets or fac'ilitie's as a result of work performed under this
�`
..permit:
•'r r
' ` '. f
ate.
y� '. 1 " f �.
Pursuant to Section ,14.1'6;250 of the La Quinta Municipal Code (Ordinance 10 § E(part), 1982), +.
.
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). A traffic control
plan, if required, shall-be prepared in accordance with the WATCH Manual and submitted to the City
for review and approval one (1) week prior to starting any, construction.. It shall be the Permittee's
responsibility, to detour and barricade all'construction"sites. , ' `
7.
(,Pursuant to Section 14.16.290 of the La.QuintarMunicipal Code (Ordinance 10 § 1 (part), 1982), •r
street closures shall'not be permitted. A minimum' of one travel lane of paved surface, shall be '
maintained with .flagmen-at all times.
`
'
_8. ,
'; .' -' -fir ' • • . 4 -r , i i'
Prior to excavating, if required, the permittee shall contact Underground Service Alertat 1-800-422-
4133.
Special
Conditions - Permit No. 2646` 't Page 1 of 3 •
SPECIAL CONDITIONS --PERMIT NO. 2646
--- Southern California Gas Co. ---
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 Quetta.
1.0. Pursuant to Section 14.16.370 of the La Quinta Municipal Code. (Ordinance 10 § 1 (part), 1982),
backfill compaction within street rights-of-way shall conform with Section 306-1.3 of the latest
edition of the Standard Specifications For Public Works Construction (SSPWC), except as otherwise
required by the. City Engineer.
I.I. 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, contractor may leave a length of excavated trench, not to exceed twenty (20) feet
in length, open overnight at a point where construction will begin the next day, provided that this
length of trench is completely covered by steel plating.
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. Pursuant to Section 14.16.375 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982);
permanent pavement replacement shall be completed no later than seven (.7) days after the
completion of the ,work. Permanent pavement replacement shall conform, to the following
conditions:
A. Existing asphalt concrete pavement shall be sawcut one (1) foot beyond trench edges. Edges
shall be straight and clean.
B. Permanent pavement replacement structural section, within all trenches, shall be 1" thicker
than existing, or 4" minimum, of asphalt concrete over the same existing thickness, or 4'/2"
minimum, of crushed aggregate base or crushed miscellaneous base, meeting the requirements
Of Sections 200-2:2 and 200-2.4 of the Standard Specifications for Public Works Construction.
The replaced pavement and base material shall be compacted to 95% relative compaction and
respectively tested, for each'300 linear feet of trench: Verify exact structural replacement
section thicknesses with City prior to replacement.
C. Asphalt concrete mix design shall be approved by the City prior to its placement.
D. For transverse trenches across improved streets, the existing pavement surface, fifteen (15) feet
on either side of the excavated trench, shall be cold -milled to a depth of 0.10', with-a"butt"
Special Conditions - Pennit No. 2646 Page 2 of 3
SPECIAL CONDITIONS --PERMIT NO. 2646
--- Southern California Gas Co. ---
joint created along each edge of. the cold -milled area, and a new 0.10' asphalt concrete
pavement overlay applied throughout the cold -milled area:
E.. For longitudinal trenches within improved streets, -the existing pavement surface, through the
lane width (within lane line striping), shall be cold -milled to a depth of 0.10', with a "butt"
joint created along each edge of the cold -milled area, anda new' 0.10' asphalt concrete
pavement overlay applied throughout the cold -milled area.
F. Any existing lane striping affected by this resurfacing shall be .-replaced in kind by the
Permittee, as directed by and to the. satisfaction of the City Engineer. The finished pavement
surface shall be smooth, consistent, and shall conform to the surrounding grades.
15. Permittee shall notify the City of La Quinta Public Works Department a minimum of 48 hours prior
to commencement of any construction. at (760) 777-7075.
16. 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.
17. Pursuant to Chapter 12.56 of the La Quinta Municipal Code (Ordinance -10 § 1 (part), 1982) the City
has designated 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 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/or -equipment.
18. The,City of La Quirita reserves the right to revoke, suspend or void this permit at any time. "
19. This permit authorizes the installation of 101 feet of 2" plastic, gas main within the.Avenida La Jarita.
right-of-way, as'shown on the plan"for WR#338632 by the Southern California Gas Co.
Special Conditions - Permit No. 2646 Page 3 of 3'
r