2746`With proper validation 4 Q'
O
this form constitutes an
- CITY OF LA QUINTA
encroachment permit
APPLICATION -,FOR PERMIT';, Y
PUBLIC, WORKS CONSTRUCTION (ENCROACHMENT)
a Bt.AW PERMIT 1 1908
Forr'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 III,
'r DATE: t.G:APr17.:27:-x.998 ',Minor Improvement Permit Class IV'
LOCATION OF CONSTRUCTION Vaxiou>s loentionn W than' tha - O tw of to nufntA '
(Street address or Description of Location) ' ' -
PURPOSE OF. CONSTRUCTION ,' ML�1rittlriaf>riCe X>ap#r8' gyp` Sketch (attach construction plans if appropriate)
exlet GTB• Paeil3ties ,
'DESCRIPTION OF�CONSTRUCTION '9ariern;c BEE ATTACHED CONDITIONS
a SEPARATE PERTs Ri'QY?IRI? -BAR
'DIMENSION OF INSTALLATION OR.REMOVAL' .CONSTRU I" ON MAJOR STR$ETS;
_Y Yj'4�'!' `++ !. �, L r~ .i� ( f �...r4�• ;. , • a' w.',f•`� - •NEAR`.•SZGNAI,TxE9. 2NT$R3,9CTiONS, OR
.. t 1166 `WORK PBRFORktF,DA BY AN QVTSIDE'
r.
SIZE OF EXCAVATION, IF NEEDED loot rftnrn thffil,n AO' t,,.}`. ' ' CONTRACTOR.
APPROXIMATE TIM&WHEN WORK WILL BEGIN i1 lAA- .NtfT BY TEIS' CTTY- AT (760) 777•'7075
.., 48" HOURS : '#RtdR f 9 O"CONSTItUCTION TO •
_ -APPROXIMATE TIME OF?COIVIPLETION' 12/3114A R$CSIV •WORR'At#THORIZATION'tiftER.
ESTIMATED CONSTRUCTION COST,$ _ i'
:R ..,(Including removal of all-obstru 1 on, materials, and debris,- backfilling, com
<i? paction and' placing permanent resurfacing:and/or replacing improvements) "
In consideration of the "granting of this.permit, the applicant hereby agrees to:
,..
Indemnify, defend rand,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•124) hours'in advance of the.timewwhen'work will be started •''
Comply with all applicable City Ordinances, the terms and conditions of.the permit d F ll•applicable rules and regulations of the City of
La Quints and to'pay for any additional replacement necessary. as the result otthis work.
Signature of Applicant or Agent •
GTE. CalifernU-,. Itic. 45-590 Jackson St. r '•.�ndio.-. CA' (76 �(oi+
Name of Applicant (please print) Business Address Telephone No. �— 171 ,
. Name'of Contractor and Job Foreman _ Business Address Telephone No.
Contractor's'. 'License No. ` ' City Business'License.No. '
i -
i Applicant's Insuraince'Company, f ' 'Policy Number • `
t
FEES: Subdivision' Improvement Permit - Class I I I 1
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 'ii '
Penalty
Cask Deposit -Surety' Bond
if required "
TOTAL:' $ O
Receipt No. y
Received by t` Date
`Recorded by
PERMIT VALIDATION
PERMIT.NO. 2746
DATE APPROVED 4/29/98
EXPIRATION DATE '•12/31/98
•DATE ISSUED
.Bye
Administrative Authority
Telephone: (619) 777-7075
4
NOTE: APR 2 9 9999
With proper validation
this form constitutes an � + ��- '
encroachment permit CITY OF LA .QUINTA ti f%'¢',
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 — Clan III
)ATE: APRIL 27. 1998 Minor Improvement Permit Class IV
-OCATION OF CONSTRUCTION VARIOUS LOCATIONS WITHIN THE CITY OF LA OU,INTA
Street address or Description of Location)
'URPOSE OF CONSTRUCTION MAINTENANCE & REPAIRS TO Sketch (attach construction plans if appropriate)
t. EXISNG GTE FAILITIES.
)ESCRIPTION OF CONSTRUCTION RIES
•IMENSION OF INSTALLATION OR REMOVAL VARIES
IZE OF EXCAVATION, IF NE
PERMIT.
PFAOXIMATE TIME WHEN.WORK WILL BEGIN 01/01/98 -
PPROXIMATE TIME OF COMPLETION 01/99
STIMATED CONSTRUCTION COST S
ncluding removal of all obstruction, materials, and debris, backfilling, com-
iction and placing permanent resurfacing and/or replacing improvements)
consideration of the granting of this permit, the applicant hereby agrees to:
Indemnity, 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 wising 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 `applicatidh. "
.. ..jai. 7,
Notify the Administrative -Authority it lsait i,—A;W •four (241 hours 'in advance of the time when work will be�started....
Comply with all applicablaCity Ordinances; the, terms"and'wnditiom of the permit and al li"I ble ►ules'a' `regulations of the City of
Ouinta and to sur for any additional 'replacernent nepusiry s th of this wor ,
M ANDEL L c
Signature of Applicant or Agent
GTE CALIFORNIA, INC. 295 N. SUNRISE WAY, PALM SPRINGS, CA 92262 (760) 778-3611
me of Applicant (please print) Business Address Telephone No.
me of Contractor and Job Foreman Business Address Telephone No.
itractor's License No. City Business License No.
plicant's Insurance Company Policy Number
ES: Subdivision Improvement Permit —Class 111
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs w
Minor Improvement Permit — Class IV: See attached schedule
Lection Fee : .t$1
nit Fee,. .r. .. ;tr• n•. {»tie;V •••.c ,.r} -F"
(i rix PERMIT„NO.;.•
alty
i Deposit -Surety Bond DATE APPROVED G
quired EXPIRATION DATE 3 f
TOTAL: $
eipt No.
eived by Date `
orded by
DATE ISSUED
By
` Administrative Authority
TELEPHONE: (618) 564-2246
CONDITIONS - PERMT,NO.2746GENERAL v , '
' --- The SouthernCalifornia Gas Company
BLANKET PERMIT - MAY l -.'DECEMBER 31, 1997
In addition to the standard permit conditions, the following, shall apply:
7. 1. M i? Work, authorized by this permit. shall be limited to, the maintenance and, repairs, of existing -
s >. underground equipment, installations,, and facilities owned and operated by the Southem California
Gas Company (the Gas Co.). New equipment, installations, and facilities (except new'gas service'-
` installations for single family residences on local "residential streets) shall be authorized through
separate permit.: All work shall be performed by Gas Co. employees.
PRIOR TO COMMENCEMENT OF ALL WORK, the Gas Co.- shall notify the City at least 48
• hours'in advance at (619) 777-7075, giving the location and description, of the work to be performed,
the dates and times the work• will occur, and the name of the foreman responsible for the work. A.
work authorization number will be issued for each occurrence of work. - WORK PERFORMED ,
- PRIOR .TO CITY NOTIFhCATION AND WITHOUT A WORK AUTHORIZATION
. NUMBER IS PROHIBITED:,: r ��•
2.� SEPARATE PERMITS ARE REQUIRED FOR ALL'OF THE FOLLOWING:
A. Work within any major, primary, or secondary arterial street. Those streets°include, but`ar'e;y . f'
not limited to: -
K Eisenhower Drive, Washington Street; Adams Street, Dune.Palms Road, 'Jefferson Street,,
Madison • Street, Monroe Street, Fred Waring Drive, Miles Avenue, Westward Ho Drive,' ,.' .. f
(: Avenue 48, Avenue 50, Avenue 52, Avenue 53, Avenue 54, Airport Boulevard, Avenue 58,
-� and Avenue 60.,
B. Construction of all new equipment, installations, and facilities, and realignments or `changes
-t to existing facilities, except for construction and, installation of new gas services for single
family residences on local residential streets.
C. Construction work performed by an outside, contractor for the utility company. w �`
;. =
D. Construction work performed within 500 feet of any signalized intersection, see Condition 09. t `
IP
,i
3. All work shall be perfoimed in accordance -with the latest edition of the Standard Specifications For '.
Public Works Construction. ,
4.: ,The Gas Co. shall be responsible fouproviding continuous dust and erosion control.
5...{ Streets shall be kept clean. They shall be completely cleaned at the end of each' working day and , ti
`more frequently if required.
Special Conditions - Permit No. 2746 r f i - Page 1 of 3 4
GENERAL CONDITIONS -= PERMIT NO. •2746,.
The Southern California Gas Com an ---
. `
a p y :
` r k BLANKET PERMIT -MAY1 =DECEMBER 31,'1997,'. •,
6 "The Gas Co. hall "comply with •the local •noise` ordinance •(LQMC 6.08.050).y Operation and .
• '`' ;, maintenance of equipment, within one Half mile of human occupancy shall be performed only. daring - . • .
the following time periods: ' a
October 1 st to April 30:., Monday -Friday .7:00. a.m. to, 5:30p m:
r Saturday 8:OO,a.m.,to 5:00p.m. -
May 1st to September 30: Monday -Friday •6:00 a.m' to 7:OOp:m. r -, • '
A r. Saturday 8:00 a.m: to S:OOp.m., i - • # ; ;
. a t-
Work shall be prohibited on legal holidays And Sundays..`
f 7. The Gas Co. shall assume responsibility for repair of any pavement damage to any public or private
.street'and for any -damage to o_ther'City streets or facilities as a result of work performed under this .
r permit. i + "
8.. Advance warning signs and traffic control shall be installed and maintained in accordance with
` f " Caltrans Standards or the -Work -Area Traffic Control Handbook (WATCH•Manual),..It shaltbe the,', . a.
Gas Co.'s responsibility to detour and barricade All. work sites. -
{4
9. When the -work site is in, or.within 500' of, a "signalized intersection; additional plarining and'.
coordination is -required: - ' -
The Gas. Co. shall submit for,, City approval traffic'control'plans for the work site
B.' jhe Gas Co. -shall` also notify the -Riverside County, Signal Department at (409) 275-
6894 or Caltrans Signal Department at (619) 688-6845 as appropriate,`,48 hours prior to
►' • beginning work. J ` • ,z.•
C. Work,shall be.restricted to those times when the work will affect the least amount of
traffic during fiat day, commonly between' -the hours of 10:00 A.M. io' 12:00 P.M. and
- 2:00 P.M. to 4:00 P.M. ✓ s
.10. Street closures shall not be permitted. A minimum of one travel, lane on paved surface shall ,be
. maintained'witli flagmen_ at all -times. t t
1.1. Prior to excavating,'the Gas Co: shall contact Underground Service Alert at 1(800) 422-413 3 Note: �•
USA does not locateaigrial conduit s. orother city owned facilities such as storm drains, electrical '
services; median sleeves, etc. ;
12. Should additional work, materials, or modifications of the work be required in order to' meet city
jstandards, safety requirements signage requirements' or to fit' actual field conditions the work shall
r _
Special Conditions - Permit No. 2746 t Page 2.of 3 `
•,Y:V , � 4' � ,. `; > .. •.. ! '. ., .— -. �., '� � -, a ,� n+
'•` ,tel s � j.0 ,- - .. —, �� - "
GENERAL CONDITIONS --PERMIT NO. 2746 .
t
--- The Southern California Gas Company
BLANKET -PERMIT = MAY 1 - DECEMBER 31, 1997
`
be .performed by the Gas Co. as directed by • and_ to the satisfaction of the City Engineer at no cost
..to the City of La Quinta. __ ., , i,
13. •
''All work shall be coordinated with the City's inspector and others.working within the area as'directed
•, ` r
by and to the satisfaction of the City' Engineer.
1:4..
Backfill compaction within improved street rights-of-way shall conform with Section 306-1.3 `of the ' " " ;-
': at
Standard Specifications For Public Works Construction (SSPWC). All -backfill soilshallbe crushed
" -
aggregate base or crushed miscellaneous base, meeting the requirements of Sections 200=2.2 and `
.
. ,• ,
-200-2.40"f the SSPWC. Native soil shall not be used -as a backfill material.. Compaction tests (one,
per 300 linear feet of trench) shall be provided for areas of excavation large enough to accommodate
i
compaction equipment. For areas of excavation smaller than that which would accommodate
- .
compaction equipinent, controlledydensity fill (CDF).or any equivalent sand -slurry mixture shall be;`
used., As an alternative, CDF or its equivalent.may be used for all areas of excavation, eliminating r
..the
need for compaction testing. Material tickets and compaction test results shall be: submitted to
the City: The work authorization`number shall'be referenced on,all correspondence..
. 15:.
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.
• 16.
All landscaping, -irrigation, decorative rock, decorative concrete, lighting, etc.,,f shall be replaced to
its original condition.
.,y
.. t
' 17.,
J
Access to properties shall be maintained at all times. j
18.
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, meeting7ihe"requirements of Greenbook B -AR -4000 (3/4" max. medium),. `
or other City approved mix design, shall be installed in'one lift, not to exceed 3
f -
(c) Finish a.c. pavement, meeting -the requirements of Greenbook C2 -AR -4000 ('/Z" max., t•
medium), or other approved mix design, shall be installed in one •lift of 0.10' depth. `
,.
(d) Permanent pavement depth. shall be a minimum of 1" greater than the existing section. All
pavement edges shall be flush with the existing a.c.. surfaces adjacent to it:
,Additional finish pavement requirements',may -be required ,by the .Public Works Department, -
including grinding and capping overlays,'depending upon the location and size of the''excavation' and '
• .
field conditions.
` 19. ' . The'City has designated by ordiriance•certain city streets as Truck•Routes. The weight limit for
`
restricted streets (i.e. streets not part of 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
equipment.
:20: •
The City reserves the right to revoke this permit upon 30-day.written notice to the Gas Co. for any
reasonable cause, and reserves the right to'revise conditions by amendment as may be necessary:
• Special Conditions -Permit No. 2746 } Page 3 of 3