2736l
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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: Anra 1 7.. 1 QQA
Subdivision Improvement Permit — Class I II
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Kn—QnA A"A RA—AAA P^11^ R^1KvA*
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION 1-2-11 ori"11+01r
en r'rnnFAt:h nA�sf x+n
DESCRIPTION OF CONSTRUCTION 1xAr+nnApYAn►hr�rA+-r+ r_r _
DIMENSION OF INSTALLATION OR REMOVAL 79 T '44"
7!c R !Dn
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN Ai4lQA
Sketch (attach construction plans if appropriate)
SES AZTAOM Cf?"ITYONS
PAT
APR 0 9 1998
APPROXIMATE TIME OF COMPLETION "NIWOF LA OUINTA 1
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
� r+
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 (24) hours in advance of the
Comply with all applicable City Ordinances, the terms and conditions of thper it ar
La Quinta and to pay for any additional replacement necessary as thZre.l.�,Otcf this H
Signature of AK�
APR Tm,& _ 77—AOn Ttf KtA. C114vvn rlr.
Name of Applicant (please print) Business Address
e°when work will be started.
I applicable rules and regulations of the City of
nt or Agent —•.
Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
I Q1*n7Q
Contractor's License No.
Slits
City Business License No.
Cis, Prie1 itirA X WArf"A ",,nR'lnn546
Applicant's Insurance Company 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 — Class IV: See attached schedule
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No
Received by
Recorded by
inn_
$
Date
PERMIT VALIDATION
PERMIT NO. 2736
DATE APPROVED b�R/9a
EXPIRATION DATE
DATE ISSUED
By &"L-4.0 S-4-4.
Administrative Authority
Telephone: (619) 777-7075
�+ With proper validation
this form constitutes an t 1�
I CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)��w ;
�. y op
he construction of public or private curbs, driveways, pavements, sidewalks, parking loti, sewers, water mains • '�
d other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
(f. Y a;
Subdivision Improvement Permit — Class III
DATE. Im vement Permit Class IV y
LOCATION OF CONSTRUCTION
�+ (Street address or Description of Location)...
Q E NSTRUd ION-�—�`S� � Sketch (attach construction plans if appropriate)
D 0 C N UCTION CCZCp
Q DIMENSION,OF INSTALLATION OR REMOVAL '
' U a'
SIZE OF EXCAVATION, IF NEEDED �' — J l rn'►LGG{ .0 .
APPROXIMATE TIME WHEN WORK WILL BEGIN
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) r'
In consideration of the granting of this permit, the applicant heieby agrees to:
` Indemnity, defend and, 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 undertaken under the permit granted pursuant to this application. .
• . Notify the Administrative Authority at least twenty-four (24) hours in advance of the timeen rk will be started.
Comply with all applicable City Ordinances, the terms and conditions of the pe i and a ap icable rules and re tions of the City of
La Quinta and to pay for any additional replacement necessary as the result is'wo ,
l ,
. a •,� , , Matti A or?Agent
Name of Applicant (please print) Business Address Telephone No.
Nam of Con recto nd Job �eman Business Address Telephone No. -
7409
o. ,
r V
ntractor s License No. I .a City Business Lio nse No. -
{ . Applicant's In ranceCompany- GEN. LIASILITy• 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 — Class IV: See attached schedule }
• ' . Inspection Fee $ PERMIT VALIDATION = .
Permit Fee /072
PERMIT NO.
• - "` Penalty' S
Cash Deposit -Surety Bond DATE APPROVED °
if required EXPIRATION DATE
TOTAL: $ DATE ISSUED
Receipt No.
By
Received by Date Administrative Authority .
Recorded by TELEPHONE: (619) 777-7075
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t 3 The following General and Special Provisions are attached to and made a part of Permit No. F 2 a
GENERAL PROVISIONS a 4 r ti `! . : ' • r
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. r . __ The following shall always apply: r .. - ? t. ;...,' • , At$, •. ,. f " a
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ENROACHMENP ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within City of La Quints right of,�
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way ONLY. 'Whenever construction extends within private property, it is the responsibility of the permittee for his contractors to
r �t secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting.work.
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ry • < TRACKLAYING CONSTRUCTION EQUIPMENT: , Cleated'tracklaying construction equipment shall not be permitted to operate on
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any paved surface unless fitted with smooth -faced street pads. •All mechanical outriggers shall be fitted with rubber street.shoes to
2 , protect the paving during excavations. Rubber -tired equipment only shall be used in backfill operations in pavedareas. If the existing
pavement is scarred, spelled, or, broken during the term of this contract, or if the pavement is marred, City of La{Quin shall request,
` '
^that these portions of road be resurfaced over their entire width. Resurfacing shall consist of one coat of two inches (2") of A.C.:
s surfacing plus appropriate seal cost as specified above. +,
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_ • PROTECTION OF TRAFFIC:, All excavations and work areas shall be properly, lighted and barricaded as deemed necessary by the '
' �• ' ;^ . ^ '
City Engineer or La Quinta City Public Works inspectors. Suitable detours and detour signs shall be placed and maintained for the
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duration of the project. The City shall be notified.24 hours in advance of any traffic detours or delineations..
,l CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugated metal pipe, concrete Pi e, steel`,culvert and'
' a• ; . , _ '
_. =; concrete structures encountered during excavation which necessitate removal shall be replaced in kind. In the event it becomes
necessary to remove or cut existing drainage structures, City of La Quinta shall be notified prior to commencement of this work.
'Drainage structures and open drains shall be kept free of debris at all times for proper drainage. ,x
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RIGHT OF WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from the right
of way.. All paved surfaces shall be broomed clean ofearth and other objectionable materials immediately after backfill and compaction. ,
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Existing gutter line and drainage ditches shall be replaced to their original standard or better. A11'excess material shall be removed
3
prior to paving.,;Water tanker shall be used; as required, to sprinkle the job site to keep down dust conditions and shall be used _
immediately after backfill.
DE -WATER OPERATIONS: If de -watering operations are required and pumps are forcing water on City of La Quinta roads, it'shall
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", : be the responsibility of the permittee (contractor) to control this water, and to provide off-street barricades when necessary: �•
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CLOSING STREETS: ' No street shall be closed: A -minimum of one lane of traffic shall be maintained at all times f0 provide limited •
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access for the adjoining property owners and emergency vehicles:, In the event it is felt by the permittee that he must close a street for c�
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any length of time, permittee shall'contact.this office to obtain the necessary permission.
SPECIAL PROVISIONS ' r
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The following shall apply when indicated:
R1 ti9 NOTIFICATION:. Permittee shall notify the City at (619)777-7.075 at least 48 hours in advance of starting construction." '
!
R2 , ,,UTILITY CLEARANCE:- (Substructures) Prior to making any excavation within the City of La Quinta`right of way-
'
authorized by permit, the permittee shall contact all concerned utility, companies relative to the location'of existing
substructures, Damage to existing substructures resulting from operatioL conducted' under this permit shall be -the sole -
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responsibility of the permittee. F.
R3.- t UTIIdTY..CLEARANCE: (Surface Structures) No work shall be done under this until all utilities are clear of the '
, permit
proposed work site. The permittee shall notify all concerned utility companies of the proposed work.
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R4 PAVEMENT WIDENING: - Area between the proposed concrete gutter line and the existing road pavement shall be surfaced,
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• i with inches of A.C. paving placed on inches of class * .aggregate subbase course having an "R"
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,� .:'value of not less than and in conformance with City of La Quinta Road Improvement Standards and
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'Specifications, Ordinance #461.1.
R5 }f, PARKWAY GRADING: Area between the,properti Line and top of,the proposed concrete curb shall be graded to a slope of
1/4 inch to one foot (1').
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R6 GRADE. CHECKING:, City of La Quin shall check grades upon receipt of plan and profile and/or grades established by;
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a licensed engineer.
R7 4 ,. CURB REMOVAL FOR DRIVEWAYS: •'A portion of the existing concrete curb and/or curb and gutter'( shall be '
_feet)
removed. Curb and/or curb and gutter shall be saw cut prior to removal.-,, Depressed curb, matching concrete gutter and
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R, . - ; . concrete driveway approach shall be constructed in conformance with City of La Quinta Standard #207.
R8 DRIVEWAYS: .iA.C. driveways. shall be.constructed as not to alter'existing drainage pattern. Surfacing between the property
„line and the existing road paving shall be 2 1/2 inches of A.C. paving placed on of class , aggregate base.
A .,) L Driveway construction shall conform to attached drawing..., t.
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t R9 - SIGHT CLEARANCE: Sight clearance of 600 feet in all directions shall be assured and maintained at all times:'
R10 SOIL STERILIZER: The area to be surfaced shall be treated, with soil sterilizer. Rate of application shall commply with the
,manufacturer's specifications. .•
R11 COORDINATE WORK: The proposed work shall be subordinated to any operation which the State of California or City of
La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or City of La
Quinta forces to preclude delay or interference with State of City of La Quinta projects.
R12 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the
centerline of all streets or property lines when involved shall be completely tied out'so they may readily and correctly be
replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete set of notes showing the ties to
these monuments shall be furnished to the City Engineer prior to the removal of any monuments. This office shall be notified
upon completion or replacement of all survey monuments for proper project clearance.
R13 PAVEMENT CUTTING: Pavement will be mechanically saw cut to a straight to a straight edge prior to excavation. Method
of pavement cutting shall be approved through the office of the City Engineer. (Under no circumstances shall excavating
equipment be used to excavate prior to cutting of pavement.) Excavation material shall be placed in such a position as to best
facilitate the general flow traffic. Prior to final paving operations, any damage to pavement straight edges shall be corrected.
R14 LIMIT OF EXCAVATIONS: Excavations shall be limited to 1000 linear feet of open trench before backfill operations must
begin. All excavations shall be properly barricaded with lights overnight, on weekends and holidays for the protection of the
traveling public. The Public Works Inspector shall determine the suitability of excavation barricading in each case. No
excavation shall remain open for a period exceeding five (5) days. No excavation shall be made unless the construction
material is actually on the work site.
R15 BACKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimental to its use for purposes
of producing an adequately consolidated backfill. Any material which the City of La Quinta deems unsuitable (spongy or
saturated material) which is encountered during excavation shall not be used for backfill, but shall be supplemented or replaced
by an approved sand or gravel.
R16 BACKFILL SAND: Backfill shall be approved transit -mix sand or equivalent and shall be'placed in lifts of not greater than
three feet (3') and vibrated using vibrotamper or equivalent equipment. Alternate methods may be substituted, but in any case,
a relative compaction of 95 percent shall be attained with the structural section of the roadway.
R17 BACKFILL PLACEMENT: Backfill shall be applied in layers of not more than 50 percent of the total depth of the trench
before flooding or a maximum of five-foot (5') lifts where trenches are of excessive depths. Care is to be exercised chit the
backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed so that the resulting
compaction shall be not less than 90 percent or equivalent to the surrounding ground, whichever is the greater compaction.
Where ponding or flooding is used for a maximum settlement, adequate dikes will be constructed to retain the water. Where
jetting is used, the jets shall be of sufficient length to reach the bottom of each layer and the water supply shall be continuous.
R18 ` COMPACTION TESTS: If so required by the inspector, compaction tests shall be made at intervals of not more than 1000
feet and a minimum of one (1) test on each: road. One (1) copy of each test shall be forwarded to the City Engineer for
approval and filed prior to making permanent repairs. Compaction tests shall be made as outlined in Section 6.3.01 of the
Standard Specifications, Division of Highways, State of California, dated January 1973.
R19 COMPACTION TESTS: If so required by the inspector, compaction tests shall be made for each crossing or service line.
One (1) copy of each test shall be forwarded to the City Engineer for approval and filed prior'to making permanent repairs.
Compaction tests shall be made as outlined in Section 6.3.01 of the Standard Specifications, Division of Highways, State of
California, dated January 1973.
R20 TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch
.�' consisting of 2 inches of SC -800 shall be placed on a prepared subgrade. The SC -800 temporary paving shall be placed after a
maximum of 3000 linear feet of trench has been excavated and backfill operations completed, but in no case -shall the
placement of the temporary pavement exceed a five (5) day limit.
R21 PERMANENT PAVEMENT REPAIR: After backfill and compaction have been completed, a temporary patch consisting of
two inches (2") of SC -800 shall be placed immediately. A permanent patch of inches A.C. surfacing placed on a
inch class base shall be placed no later than days after completion of temporary road repair.
R22 FOG SEAL: A fog seal coat consisting of an application of asphaltic emulsion shall be applied over all patch areas as
determined by the City Engineer.
R23 STREET RESTRIPING: Where street striping is still visible on streets to be excavated, such striping shall be replaced upon
completion of permanent repairs.
R24 TREE RELOCATION OR REMOVAL: Tree relocation within the City of La Quinta road right of way shall be
accomplished by a licensed, bonded and insured tree service, and handled safely without interference or hazard to the traveling
public. It shall be the responsibility of the permittee to maintain the tree in a vigorous growing condition at its new location.
Trees to be removed shall be in sections which can be handled safely without interference or hazard to highway traffic. The
entire width of the tree stump shall be removed and disposed of so that no debris remains in view of the highway. The stump
hole shall be backfilled and thoroughly compacted as specified in the following paragraph. Where is becomes necessary to
restrict traffic, the work shall be restricted to a maximum of 500 feet at any one time. Adequate signs, flagmen and or
barricades shall be provided to protect the traveling public at all times.
Large holes resulting from tree removal shall be backfilled and compacted to not less than 90 percent or equivalent to the
surrounding ground, whichever is the greater compaction as determined by the impact or'field method. Compaction tests shall
comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973.
SPECIAL CONDITIONS --PERMIT NO. 2736
=-- ARB Inc. --- r
In addition to the standard permit conditions, the following shall apply:
1: Pursuant to Section 14.16.320 of.the La Quints Municipal Code (Ordinance 10 § 1 (part)', 1982), all
work shall be performed in accordance with the latest edition of the Standard. Specifications For
Public Works Construction (SSPWC) and as directed by and to the satisfaction of the City Engineer.
2. ARB Inc., hereinafter referred to as "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.
A. Pursuant to Section 6.08.050 of the La Quinta 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: 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 7:00p.m.
Saturday 8:00 a.m. to 5:00 p.m.
Work shall be prohibited on legal holidays and Sundays.
5. Work performed within 500 feet of a major and/or signalized intersection 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 intersection is to be altered in any way.
6. Pursuant to Section 14.16..110 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982),
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 ass result.of work performed under this
' permit.
7. Pursuant to Section 14.16.250 of the La Quinta Municipal Code (Ordinance 10 § 1 (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 appropriately detour, and barricade all construction sites.
Special Conditions - Pennit.No. 2736 Page I. of 3
• 7
SPECIAL CONDITIONS --PERMIT NO. 2736' ,
:. --= ARB
-8. Pursuant to Section 14.16.290 of the La Quints Municipal Code (Ordinance 10'§ .11(part), 1982),
Street closures shall -not be permitted. A minimum of one travel lane of paved surface shall be'
maintained with flagmen at all times. t`
9. Prior to excavating, if required,, the Permittee, shall contact Underground Service Alert at 1-800-422-
4133. It shall be the Permittee's responsibility to notify the Public Works 'Department of anticipated
excavation which impact City facilities, including but not limited to traffic signal conduits and loops,
irrigation lines, electrical conduits, and storm drain facilities.
10. 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.
H. Pursuant to Section 14.16.3 70. 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), and 'as required by
the Public Works Department. Backfill shall be completed in lifts, not to exceed 1', compacted to
90% minimum relative compaction. Native material may be used;,, provided ,the material is suitable
for use as backfill after construction operations. Controlled Density Fill (C.F.), may be used as an
alternative.
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 shalltnot be allowed open
overnight, however, Permittee 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.
13. All landscaping, irrigation, decorative 'rock, decorative concrete, lighting, etc., shall be replaced to
its original condition.
14. Access and egress to all local properties shall be maintained at, all times.
15. .-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 shall be replaced as follows:
(a) Existing a.c. pavement shall be'removed~a minimum of 1' outside of all. previously cut edges;
straight, vertical, sawcut edges shall be provided.
(b) Base a.c. pavement; meeting the requirements of Greenbook B -AR -4000 (3/a" max. medium),
or other City approved mix design, shall.be installed in one lift, not to exceed 3".
Special Conditions - Permit No. 2136 Page 2 of 3
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.• SPECIAL CONDITIONS --PERMIT NO:'2736
ARB' Inc.
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- 1 (c) „ , Fmish a.c. pavement, meeting the requirements `of Greenbook' C2-AR=4000 -('h" max. ='
me diu 1),'.or�other approved mix design; shall be installed'in one lift'of 0.10' .depth:
"(d) .k. Permanent pavement'depth shall be la minimum of 1 "'greater than .the existing section. All
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pavement edges shall be•flush'with the existing,a.c: surfaces adj1.acent to it. jr
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' . 4'16: �.f Permittee shall notify the City of La,Quirita Public Works Department:a minimum of 48 hours 'prior
to commencement of any construction at (760)•777-7075: ' " • ;
'I 17 Permittee' shall stabilize'any�soil that was disturbed'(shoulder areas, etc.) as alresult of work }
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performed under this permit with an approved dust control treatment.-
Pursuant
reatment. Pursuant to -Chapter 12•.56 of the La Quinta Municipal Code'(Ordinance-1'0 § �(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{ y'
restricted street,if making a'delivery or pickup on,the'subject street. of if_.this permit'specificallyy .r
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 thus permit at any time. t.
209 This permit authorizes the installation of permanent pavement m`Gas Co. patches at 50-640 and 50-
800 Calle Paloma.
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S eciaLConditions 'Permit No. 2736 � .,1 r �• . , '� � • ` 4 _ s • •
P PageY3 of 3