2749NOTE:-
With
OTE:With proper validation
this.form constitutes an CITY OF .LA QUINTA
encroachment permit '
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) v
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 I II
DATE: 'May, 7,, .1988' Minor.lmprovement Permit Class IV
LOCATION OF CONSTRUCTION 51=430 Avenida N"arro
(Street address or Description of Location).
PURPOSE OF CONSTRUCTION Install and maintain a Sketch (attach construction plans if appropriate)
one inch P domestic waxer service line
DESCRIPTION OF CONSTRUCTION Excavate to water
. main— inat:all 1" water service and meter SEE ATTACHED COh°AITIO1vS
-DIMENSION OF INSTALLATION -OR REMOVAL 20 1.i.
SIZE OF EXCAVATION, IF NEEDED 3° 41
APPROXIMATE TIME WHEN WORK WILL BEGIN 5/11 --'•5/15
APPROXIMATE TIME. OF COMPLETION 911 days
ESTIMATED CONSTRUCTION COST $ 1.100.00
(Including 'removal otall 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
happeningor occurrin as a i
g 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.
x Signature of Applicant or Agent
Coachella .Valleey Water District P.O. Box 1058 Co&chella, CA (760).398-2651.
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.
Applicant's Insurance Company Policy Number
P Y Y
FEES:
Subdivision Improvement Permit — Class II I
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 0 "
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ '. 0 "
Receipt No
Received by Date
Recorded by
`�'
PERMIT VALIDATION
PERMIT NO. 2749
DATE APPROVED 5/8/98
EXPIRATION DATE 5/8/99
DATE ISSUED `
By
Administrative Authority
Telephone: (619) 777-7075
SPECIAL CONDITIONS --PERMIT NO. 2749
CVWD
•?� it ..• '• .� . 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 r '
" work shall be,performed in accordance. with the latest edition of the,Staridard Specifications For
.•Public.Works Construction (SSPWC)-and as directed byand to the satisfaction of the City Engineer.
�2. CVWD, hereinafter referred to as "Permittee",, shall befesfor providing -continuous dust'
'and erosion. control. r
3.Streets shall be kept clean. They shall be completely cleaned at the end of each working day and
A
,
more frequently.if required. r
4 •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:
I
October 1 st.to APril 30: Monda -
FrdaY 7:00'a.m. to 5.30p.
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.
r Saturday 8:00 a.m. to 5:00 p.m:
>i• .Work shall be prohibited'on legal holidays and Sundays
5-- Work performed within 500.feei 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. r Pursuant to Section 14.16.110 of the La Quints 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 as a'result'of work performed under this
permit. _.. t.,.
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 -r; .1
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. If shall be the Permittee's
responsibility to appropriately detour and b_ arricade all construction sites. *• ,
Special Conditions -Permit No. 2749• L:. x Pae 1 of 3
t F b c
SPECIAL CONDITIONS --PERMIT NO. 2149 _
t --- CVWD ---
At
8.: r Pursuant to Section 14.16.290 of the La Quinta Municipal Code ,(Ordinance 10§ 1 (part),A 982),
- ; street ' closures shall ' riot be ,permitted. A minimum of one travel lan_ e of paved surface shall be
` [maintained with,,flagmen at all times.
' 9. s 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 . r -
" excavation which impact City facilities, including but not limited to traffic signal conduits and loops, '
irrigation lines, electrical conduits; and storm drain facilities.
1,10. Should additional'work, materials, or modifications of the work be required in order to meet City
y 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: '
11. , Pursuant to Section 14. 16.3 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982),
l • 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"Tublic Works, Department. Backfill shall be completed in lift's, not to exceed F, compactedto
r 90% minimum relative compaction. Native material may be, used, provided the material is suitable
: `for use as -backfill after construction operations. Controlled DensityFill (C.F.) may be used'as an -
alternative. T
., 12:' ..All excavations within City of La° a Quintright-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 t
` that which -can hot be backfilled- in the same, day. Excavated trenches'shall not 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. . -
q.
y
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. . E
;`. 1'5: • Pursuant to. Section 14.16.375 of the La Quinta 1Vlunicipal Code (Ordinance+l0 § -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: Y
a) ; .Sawcut and remove existing a.c. surfaces a distance of one foot. (F) beyond all trench walls;' '
including any sloughing or cave' in of adjacent soils. Undermined a.c. surfaces shall be
`removed. 'All a.c. edges' shall be straight, clean and vertical. -
1 1,A:
b) :' .,Provide four -and -one-half inches (4'/z" )• of crushed aggregate or miscellaneous base material',
compacted to 95% minimum relative compaction.
f Special Conditions - Permit No. 2749 2' 1 n� tPage 2 of 3 - -
SPECIALCONDITIONS--PERMIT NO. 2749 ., • a
�, ,, •.ice • .:r r t.. - - --- GV WD
` c Provide four inches 4'5of asphalt concrete in two (2)- lifts; the first lift comprised bf a base
course a.c. in, of a City approved mix design, ;meeting the requirements of Greenbook
class B -AR -4000; the final 0.10' aift'comprised of a wearing course. a.c: material, of a City
approved. mix design; meeting the requirements of Greenbook class C2 -AR -4000. All ,
pavement edges shall be flush with adjacent a.c. surfaces: Each lift of a.c: material shall be «
'compacted to 95% minimum'relative compaction: '
6 P
- ermittee shall•notify;the City of La Quinta Public,Works Department a minimum_ of 48 hours •
prior to "commencemellit of any construction at (760) 777-7075.
17. Permittee shall stabilize any soil that was disturbed. (shoulder areas; etc:) as 'a result of work , K
performed under this permifwith an approved dust control treatment.
n .
.. 18. Pursuant to Chapter .12 56 of theta Quinta Municipal Code (Ordinance 10`§ 1 (part), 1982) the City
has designated certain city street's as Truck Routes. The:weight limit for restricted streets,(i.e. streets'
E ` not part of -the Truck,Route network) is three (3) tons; trucks exceeding the weight limit may use a
_ iestrict6d 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..i The,City of La' Quint reserve's the right to revoke, suspend or void this permit at any time.
.,This -permit authorizes installation of a one -inch (1 ) domestic water service line at 51-340*Averiida
Navarro.
-ter `t' v ,y` � 'Y .' `'� •{• - � .. °` � - V .. ,• l .
a Special Conditions' - Permit No. 2749 , • ' y a` y r
i J, Page 3 of 3'
NoAE':
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
q Subdivision Improvement Permit — Class III
DATE: ^ / Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION -I' TO A(leAlt,2 /y, 4 I–le41—e g d
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION IN -STALL ANN IYIAINTAI/V A
e
Sketch (attach construction plans if appropriate)
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION /V/UL—TY 15D) DAYS
ESTIMATED CONSTRUCTION COSTS 1Ia0.OD
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvementsl
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 is.
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or proprrt�
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 o,
La Quinta and to pay for any additional replacement necessary as the result of this_Wrk. i
Signature of Applicant or Age t - -
I, COACHELLA VALLEY WATER DISTRICT P. 0. Box 1058 COACHELLA, CA: 92236 .398-2651
. Name of Applicant (please print) - Business Address Telephone No.
Irl
In
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No. City Business Lice se No.'—
Applicant's Insurance Company Policy Number
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