2775.r x.:.`
.rNOTE" N"
�VWith proper validation;
this form constitutesan
encroachment permit
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CITY; -OF SLA.-QUINTA
APPLICATION FOR, PERMIT
PUBLIC ,WORKS CONSTRUCTION (ENCROACHMENT) ,
+ For the construction of :public or' private curbs'driveways; pavements, sidewalks, parking lots, sewers, water',rimains
` and other like public works improvements in connection wi'th.MINOR IMPROVEMENTS arid APPROVED SUBDIVISIONS
7�g8 Subdivision Improvement Permit — Class 111
DATE: _ �' •- :: ri'> e. ,, Minor.lmprovement Permit Class IV
` !•' LOCATION OF CONSTRUCTION wow :i �B ee aex o ► tir h n 1 ,Af1� s4�►t tnzt r��x• il
(Street address or Description of Location)
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j PURPOSE OF CONSTRUCTION $D,QC�C�'-�1~3ti1>t��=3 5 Sketch (attach construction plans if'appropriate)
DESCRIPTION OF CONSTRUCTION' -500' 0f trenchiria
DIMENSION OF INSTALLATION OR REMOVAL- '36* 0648 s
I♦♦' ;- >b; I s5�•"#IRtY>F': ; '� 'M(yJf�F�' /1�jjy�." `p'�yyyry�!�.ye /��/y��}���y •��[/}q� ,
i`5 , ... • .4 r raly �< - + ,�. . • •i 'j'- t'F•• 'rF'Y1MNi-'�M 1�1�i�YK,w"r+..TTwYtlV •RJ'
---SIZE OF,EXCIIAVATIO_ N, IF•NEEDED ^ a L
I d-,.� ^`:: .!�-.rat � _ •. .. ', a ��;__,. , ,`t', t` -
:4�Pe((PR6XIMATE TIME WHEN'.WORK WILL BEGIN
,-APPROXIMATE TIME,OF COMPLETION' '
+ rEST, IMATED, CONSTRUCTION -COST,$
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(Including removal of �all.obstruction; matehals,'and'debris, backfilling; com: "
t '<, paction.and-placing permanent' resurfacing and/or replacing improvements)
-pin consideration' of,'tF a granting of this permit, the applicant. hereby :agrees to:. t' ' , •r*- t • {,
IncJemnify, defend and save the City, its authorized agents; officers;,representatives-an'd'employees, harmless .from and against any.and all
penalties, ;liabilitiesyor loss -'resulting from claims or'court action and,arising'out'of any.accident; loss or damage,to'persons or, property
- •+ t'happening or occurring as,a proximate result of any work undertaken under the' •permit'granted 4 pursuant to this application.
*; ,.Notify the Administrative Authority at least twenty-four (24)+Flours in advance of the time when work will be'started. r
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Comply with all applicable City Ordinances, the terms and conditions. of the permit anidlall applicable rule's.and regulations of.the City'of
La Quinta, aA to pay for 'any additional replacement necessary as•the `result of this, work.
t { i a;, �'• Siig�nature of Applicant or Agent •+'�
�r `f,3gsgi C0 3 I 36-6309Cathtttr4 *on. *' (760) 3284779
;. Na a of'Applicant (please print) t Business Address Telephone No. < .
.-Name-of Contractor.and Job Foreman `' Business Address ' Telephone'No.. '
4704.3 - 86
t. Contractor's,License'No. City Business License No. - a
'• G.1410,A4, Qotk�ftl-Li4bllitY C1021073316301
-Applicak's Insurance'Company Policy Number t, ` s
FEES: .Subdivision IrriprovementaPermit -Class III
Public improvements: 3% of estimated construction costsp, `
4,
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $
Permit Fee 100.00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No
Received by
$ 100.00
Date
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PERMIT NO
PERMIT• VALIDATION
2775
DATE APPROVED 13/7/98
EXPIRATION DATE 12/31/98
DATE ISSUEjD 8171h8
By— ,� *A
Administrative Authority
Recorded by 11 Telephone: (619) 777-7075 0
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The following General and Special Provisions are attached to and made a part of Permit No:`Z'.[ •� ' ' <
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i GENERAL PROVISIONS ' f.
t . The following shall always apply:
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i ENROACHMENT ON PRIVATE. PROPERTY- This permit authorizes work to be accomplished within City of La
p p Y Quints right of.'
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- way ONLY. Whenever'conswction extends within private property, it is the responsibility of the permittee for his contractors to
secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting work.
a TRACKLAYING CONSTRUCTION EQUIPMENT: Cleated tracklaying construction equipment shall oot be permitted to operate on
any paved surface unless fitted with. smooth -faced street pads. All mechanical outriggers shall be fitted with rubber sheet shoes to Y
protectthe paving during excavations. Rubber -tired equipment only shall be used in backfill operations iii paved areas. If the existing
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e pavement is scarred, spalled, or broken during the term of this contract, or'if the pavement is marred. Cit of La
City Quints shall request
that these portions of road be resurfaced over their enure width: Resurtk6ng shall consist of one coat of two inches (2') of A.C.'
surfacing plus appropriate seal cost as specified above.4.
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` PROTECTION OF TRAFFIC: All excavations and work areas shall be properly li -
P P Y ghted and barricaded as deemed necessary bythe-
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.
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'CARE OF DRAINAGE STRUCTURES: -1 Any drainage structureincludingcorrugated metal pipe; concrete pipe, steel culvert and
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t concrete structures encountered during excavation which necessitate' removal shall be replaced in kind—la the event it becomes
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necessary to remove or cut existing drainage' structures, City of La'Quinta shall be notified prior. to commencement of this work.
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Drainage structures and open drains shall be kept tree of debris at all times for propel drainage.'
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 of earth 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: All excess material shall be remove r
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prior to paving. ,Water, tanker shall be used, as required, to sprinkle the job site to keep down dust conditions and shell be used
immediately after backfill. T
a DE -WATER OPERATIONS: If de -watering operations are required and pumps are forcing water on City of La Quint& 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 STREET'S: No street shall be closed. A minimum of one lane of traffic shall be maintained at all times to provide limited
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; access for the adjoining property owners'and emergency vehicles. Is, the event it is felt by the permittee that he moat close a street for
any length'of time, permittee shall contact this office to obtain the necessary permission.
SPECIALPROVISIONS
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' The following shallrapplj when'indicated: j t. M *
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�,r, lit /. !tl/, £ NOTIFICATION: Pertnittee_&hall notify the City at (619)777-7075 at least 48 hours in advance.of e{attiag construction.
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UIII:TTY CT.EARANCE: (Substructures) -Prior to making any excavation within the City of La Quinta right of way
" authorized by permit, the permiaee shall contact all concerned utility companies relative to the location of existing
substructures. - Damage to existing substructures resulting from operations conducted under this permit shall be the sole .
responsibility of the permittee.
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: UIII.ITY CLEARANCE: (Surface Structures) No work shall be done under this permit until all utilities am clear of the
l / ti proposed work site: The permittee shall notify all concerned utility companies of the proposed work. t .
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R4 PAVEMMff WIDENING: Area between the proposed concrete gutter line and the existing road pavement shall be surfaced '
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with inches of A.C.Apaving placed on inches of class aggregate subbase course having in 'R'
value of not less than and in conformeace with City. of La Quints Road Improvement Standards
and
Specifications, Ordinance #461. ,
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_ • PARKWAY GRADING: Area betweenthe property line and top of the proposed concrete curbshall.be giaded to a slope t '
pe of•
1/4 inch to one foot 1 -
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R6 GRADE CIECKIPIG: City of La Quinta shall check grades upon receipt of plan and profile and/or glades as established by
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r a licensed engineer. A•• " �''' -` S -
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R7 CURB REMOVAL FOR DRIVEWAYS:A portion of the existing concrete curb and/or curb and gutter(=fear) shall be
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s removed: -Curb and/or curb and gutter shall be saw cut prior'to removal'•Depressed curb, matching concrete.gutier and
concrete driveway approach shall be constructed in conformance with City of La Quinta Standard #207.
R8 DRIVEWAYS:, A.C. driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the property
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line and the existing road paving shall be'2 1/2 inches of A.C. paving placed on ( ) of class - aggregate base.
Driveway construction1. shall conform tr attached drawing. ;
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00'� SIGHT.CLEARANCE: Sight clearance of 600 feet in all directions shall be assured and maintained at all times.
RIO - SOIL STERILIZER: : The area to be surfaced shall be treated with soil sterilizer. Rate of application shall cammply with the
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+. manufacturer's specificatioasi -, t• ' 'i -
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CRll 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 JiJRVEY 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 thev 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 befurnished 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.
F1,3JPAVEMENT 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 Publics 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.
RIS 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 that the
backfill material is not subjected to extreme swell by flooding operations. Backfill material shall- be placed so that the resulting
compaction sball 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.
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 (l) 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
�q Standard Specifications, Division of Highways, State of California, dated January 1973.
iR191 COMPACITON TESTS: If so required by the inspector, compaction tests shall be made for each crossing or service line.
L/ 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 2inches 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.
6=)STREET RPSTRIPING: 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.
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. SPECIAL: CONDITIONS "PERMIT' NO. 2775 5 y
.�--- COCHRAN COMMUNICATIONS LINC: --- ;
In additiori'to the standard permit conditions, the following shall apply:.,_ t
1.. " Pursuant to Section 14;16.3204of the La Quinta Municipal Code (Ordinance'10 § 1 (part), 1982), all
work shall be performe&in accordance i with the lateivedition of the Standard Specifications For
_ Public Works Construction (SSPWC)' and as, directed by and to the satisfaction of the City Engineer
2. Cochran Communications hereinafter referred to as "Permittee";.shall be responsiblefor providing ,
continuous dust and erosion contro_ t.
3. Streets'shall be kept clean. They shall be completely cleaned at the end of.each working -day and
more frequently if required.
4. Pursuant to Section 6.08.050 of the La Quinta Municipal Code (Ordinance 18 §J 'I 982), thioughout ' ;
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..
:.I a Saturday 8:00 a.m: to 5:00 p.m., ;
• '' - ,µ,t_ A .'' _ .r' - ` ..I _fi .' .} r T• r :',� may! .
Ma -I 1 st to Septemb;er 30: Monday -Friday 6:00 a= to 7:00 p.m. '
Saturday 8:00 a.m.-to 5:00 p.ni:,
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r,Work shall be prohibited on legal holidays and Sundays.
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. 5... ` Workperformed within 500 feet of'a signalized intersection is restricted between the hours of 9 a.m.
• +. - = 3.p m.`,Traffic control shall'be set up after 9 a.m. rand removed before 3 p.m., The Permittee�shall -
icontact 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 Quirita Municipal Code(Ordinance-10 § 1 (part); .1982), f
r 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.
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7. Pursuant to Section'14.16.250 of the La Quinta Municipal'Code (Ordinance 10 § 1: (part); 1982),
,:advance warning signs andtraffic'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 iri accordance with the WATCH Manual and submitted to the r -
E -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. F ,' 4 IF
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Special Conditions Permit No. 2175 +
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SPECIAL CONDITIONS --PERMIT NO..2775
--- COCHRAN COMMUNICATIONS INC. ---
8. Pursuant to Section 14.16.290 of the La Quinta Municipal, Code (Ordinance 10 § 1 (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.
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 10 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.
11. 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
specified herein.
Native material may be used as backfill material provided that minimum compaction, achieved in
the manner prescribed herein, is achieved. 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.
Backfill compaction shall be achieved by the following conditions:
A. When a firm foundation is not encountered due to soft, spongy or other unsuitable material,
such material shall b'e removed to the limits directed by the Geotechnical Inspector and/or the
City Inspector and the resulting excavation backfilled with pipe bedding material.
B. Backfill materials shall be brought to or maintained at an appropriate moisture content for
compaction. The appropriate moisture content range shall be established at the onset of the
project and ensured prior to use of the materials -through progress testing on the stockpiles.
C. The first length of trench backfilled shall be backfilled in the presence of the .City Inspector.
Compaction shall be tested at random depths at approximate three-foot vertical intervals as
backfill is placed to ensure the effectiveness of the compaction methods and to establish the
depth of lift that can be compacted.
D. If lifts greater than one foot are attempted in this trial length of trench, compaction tests shall
be taken within the lifts to ensure that the full depth of the lift is compacted. Upon satisfactory
completion of this portion of trench, the City Inspector shall e.stablish'thel maximum lift
thickness to be compacted for the remainder of the project:
Special Conditions - Permit No. 2775 Page 2 of 4 .
+ SPECIAL CONDITIONS--PEMT NO.'2775 `
--= COCHRAN COMMUNICATIONS INC..---' . +
F. ' In subsequent- lengths of trench, the frequency of compaction tests shall equal one per each lift.'Y t
e. -`. of backfill, per 300 linear feet of open trench, of randomly selected locations within*the. open
_,. length .of trench.
G. The depth of the randomly selected compaction tests 'shall also be randomly selected except
a that where, multiple tests are* required in a given length of trench,.the tests shall be no closer`:
than three feet (vertically) from'each other.
-' H: If any compaction test faits- ; r vi us1Yplaced ackf ll (
in thesam
e lengthof^o •eri trench or r ,
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"previous lengths -of trench) which�is represented by'the failing test (as'deterrriined by the'City
' Inspector), shall be tested for Fcompliance with. compaction -requirements.
I.. All costs incurred due to the conditions above shall be borne by the Permittee: Copies of all„.
test results shall be furnished to,the City 'lnspector.
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..12. -` All excavations within City of La Quinta right-of-way shall.be backfilled,'and temporarily paved'if ', 1
within the existing travel -way,,at the end of every workday as directed by and to the satisfaction of� -
the City Engineer for the protectio4 of the pub Lengths of open trench'shall not.greatly`exceed' '
that which cannot be backfilled iri'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 V'
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.
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13. ,All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc.,.shall be replaced to; r,
w its original condition. . '
14'. `Acces§ a' nd egress tot all local, properties shall be maintained at all times: ' t
15. Pursuant to Section ' 14:16.375 of the La uinta Munici al Code Ordinance 10 1: (0aiij, 19.82),': `
permanent pavement replacement shall ; be completed no later than seven (7) ♦days affteu the R' ;
completion of the work. -,-Permanent pavementreplacement, shally conform- to the following
c_ onditions: r
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
1' ? -,than existing of asphalt concrete over the•same existing thickness of crushed aggregate base
or crushed miscellaneousbase, 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' t
ILI material shall be compacted'to 95% relative compaction and fespectively.tested,-for each'300 ”.
linear feet of trench:' Verify exact structural replacement section thicknesses"with the.Cit
a ; prior to installation. ' ,., k . } Y rZ. n
Special Conditions - Permit No. 2775' '. Page:3 of 4 a
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• SPECIAL CONDITIONS --PERMIT NO: 2775-
. COCHRAN COMMUNICATIONS INC'.,, -'--
C
NC. -'--CPermanent pavement replacement shall be installed using a.City approved'/4"Amax medium
asphalt concrete as'the base course lift and a City approved Y2'� max medium finish course lift;'
. 'for caPPm . Asphalt concrete mix design shall be appioved -by the City Prior,toits lacement: _ •
' D. For transverse trenches across improved streets, the existing pavement surface, three (3).feet -
on either side of the excavated trench, shall be cold -milled to a depth of 0.10', withja "butt" '.
• joint'created along each edge'of the cold -milled area, and a new 0.10' lift of•Y2" max medium
-asphalt'concrete pavement overlay applied throughout the cold -milled area.
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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, and a new 0.'10' lift of / max medium
- ; asphalt concrete pavement overlay applied throughout the cold -milled area. ` y'
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T.' Jf grinding' andcapping operations are 'not performed -iri the -same day • as base`' paving
operations, the base course lift of 3/4" max medium asphalt concrete shall be installed from ;A ,
- saw -cut edge to saw. -cut edge flush with the existing.street surface. The base course lift of
I ItF paving shalt ribt be left 0.10' low in'anticipation_ of grinding and capping. -
J",.
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. Affected traffic signal
"' j• loops shall be removed and replaced in kind. The finished pavement surface shall be' smooth, �
' consistent, and shall conform to the surrounding grades: ` a ' .
16. - 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. '
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17_;.Permittee shall stabilize any soil that was disturbed (shoulder areas, etc.) as: a result of work
' rperformed under this permit with *an approved dust control treatment.
` 18: ; Pursuant to Chapter 12.56 of the La Quetta Municipal Code (Ordinance 10 § 1 (part),.1982) the City
4 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 tthree (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.:
19:•f ''A haul,route'and/or construction access plan shall be submitted to the City for
approval.' ---20. .',Contractor/permittee shall keep project areas watereddown on a daily basis to help prevent. airborne
'.dust and to aid wafer• distributing equipment in keeping the soil moist in the event of high;winds.-_ : r
21. The City of La Quinta reserves the right to'revoke, suspend or'void this permit at anytime.
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Special Conditions'- Permit No . 2775 *" r y+ Page 4 of 4 "° '
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a `NOTE:. { ,
-...;> •_ "R With proper validation
" this form constitutes an
encroachment permit CITY .OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)` F
OP'IT�
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
L,( Subdivision Improvement Permit —Class III
DATE:Minor mprov�j ant Permit Class IV
LOCATION OF CONSTRUCTI Q3� e- ��M �i 4, 1
Y ¢
(Street address or Description of Location) `
PURP • SE OF CQNSTRU T{ON 1 Sketch (attach construction plans if appropriate) x
DESCRIPTION OF CONSTR ,C`ION ,
ISM f7x my%C a
DIMENSION QF INSTALLATION 0.R REMOVAL
1(o GDUQ.0 b" W lh /Se)D' e i
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN OOAK4
APPROXIMATE TIME OF COMPLETION a '_ '
ESTIMATED CONSTRUCTION COST $ "
' (Including removal of all obstruction, materials, and debris, backfilling, com ,
's paetion and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of•this permit, the applicant hereby agrees to:
4 Indemnify, -defend and save the City,'its authorized agents, officers, representatives and employees, harmless from and against any and aft
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 it and all applies a rules and regulations of the City of
La Ouinta and to pay for any additional replacement necessary as the resuo this work.
r
i ature ofpli nt Ir Agent
Name of Applicant (please print) • Business Address. Telephone No.
C
"Q
Name'of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No. ' City Business License No.
Applicant's Insurance Company' GEN. LIA151L.ITy Policy Number '
' FEES: Subdivision Improvement Permit — Class I I
+
-Public improvements: 3% of estimated construction costs -
Private improvements: 3% of estimated construction costs - t 1
Minor Improvement Permit — Class W: See attached scheduleVol
Inspection Fee _ $ PERMIT VALIDATION
Permit Fee �OO PERMIT NO. 0-77
S 7� 98
Penalty - DATE APPROVED ✓ -
Cash Deposit -Surety Bond
if required EXPIRATION DATE ZZ 3�
TOTAL: $ DATE ISSUED
Receipt No.
By
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Received by Date _ Administrative•Authority
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