2776NOTE:
With proper validation' ,fes 4 Q
this form,constitutes an
CITY OF LA QUINTA
encroachment permit •,
_"
APPLICATION -.FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
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For .the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water .mainsr
and other like public works improvements in connection with.MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit — Class I I
,,DATE:' AuAuOt '11,,. Minor lmprovement'Per'mit Class IV,• " �•
LOCATION OF CONSTRUCTION SI -375 AmMf.do Bora-
(Street address or Description of Location) r,
UttaU Enid ez�►iz>iYcc�illY.
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
a4o-ltacb (110)• do"Istia water seyvIce line
DESCRIPTION OF, CONSTRUCTION fteay`ate to scar CAIA"
bore across to* orovertr Niue for meter "wits
DIMENSION OF INSTALLATION OR REMOVAL °d'a'l
Wperdu oiic loAtl oa of gates naft)
SIZE OF EXCAVATION, IF NEEDED 4X4
APPROXIMATE TIME WHEN WORK WILL BEGIN 8112198
APPROXIMATE TIME OF COMPLETIONS=' ���� • ;
ESTIMATED CONSTRUCTION COST $ 11,100.00
(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 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' propeny
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 of.. •
La Quinta and to pay for any additional replacement necessary as the result of this work. Oi 1,
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Signature of Applicant or Agent
COACHE1LLA VAMM VAM DIESMCT Pont DitMO ZS 1058„ C04cbs1%, CA 92236 (760)398-2651
Name of Applicant (please print) Business Address Telephone No.
8 . ' f$ x305
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No. City Business License No.
Applicant's Insurance Company Policy Number '
FEES: Subdivision Improvement Permit —Class III r'
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 Feer.... .�_ tip , .-:,,. , • �.y. .�.... _ ,. ... _ ._ .•PERMIT NO. 2776
—0—
Penalty,' '
1998
Cash Deposit-Surety-BondDATE APPROVED
if required —� EXPIRATION DATE AtiDVTt 110 1999
TOTAL: $ -0— DATE ISSUED August I I a 1998
Receipt No. B •''A � -
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#
Received by Date Administrative Authority
Recorded by
Telephone: (619) 777-7075
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•The
following`General and Special Provisions are attached to and made a part of Permit No.
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% r GENERAL PROVISIONS
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The following shall "always apply: L`
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ENROACIDbIEENT ON PRIVATE PROPERTY: This permit autnarizes work to be accomplished within Cit of La
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way, ONLY. Whenever construction extends within private property, it is the responsibility of the permittee for his contractors to ,>aw
secure permission from'abutung property owners. Such authorization must be secured by the permittee prior to starting work.
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TRACKLAYING'CONSTRUCTION EQUIPMENT: • Cleated tracklayiog construction equipment shall be "
' ;''
not permitted to operate on
any paved surface unless tined with smooth -faced street pads. 'All mechanical outriggeis shall be fined with rubber
L
sweet shoes to
protect the paving during 'excavations. Rubber -tired equipment only shall be used in backfill operations in paved areas. If the existing
pavement is scarred, spalled, or broken during the term of this contract, or if the pavement is marred, Cit of 1a
_ ,. Y Quinta shall reques[
l _
that these pottions of road be resurfaced over their entire width!:Resurfacing shalfconsist of one coat of two inches (2') of A.C. '
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 accessary by the '• _
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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. �!` x '"
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'CARE OF DRAINAGE STRUCTURES: An drat a structure including cortu sten metal~ y "
Y nab B B pipe, concrete pipe, steel culvert'and
4
concrete structures encountered during excavation which necessitate removal shall be replaced in kind. In the event it becomes '
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necessary to remove or cut existing drainage structures, City, of Ta Quints 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. ; '
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RIGHT OF WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from the right
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of way. All paved surfaces shall be broomed clean of earth and other objectionable materials immediately after backfill and compaction.
`drainage
«
Existing gutter line and ditches shall be replaced to their original standard or, better. ''All excess material shall be removed
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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 shall be used 11
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• • immediately after backfill. 4> : 3 ,3 d . ; r'• ,v . ,
D1rWATER OPERATIONS: If de -watering operations are required and pumps are forcing water on City of Ta Quinta roads, it^shay
a'' be the responsibility of the perttrittee (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 limited '
' '' ' • �� r,
provide
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.
any length of time, permittee shall contact this office to obtain the necessary permission: j +
: " a SPECTAT:'PROVISIONS'
,
The following shall apply when indicated:
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NOTIFICATION: Permittee shall notify the City u(619)777-7075 at least 49 hours in advance,of starting construction. '
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R2 UTILITY CLEARANCE: a (Substructures) Prior to making any excavation within the City of La Quinta right of way
J
I • authorized by permit, the permittee 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'
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+{s responsibility of the permittee,
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R3. UTILITY CLEARANCE: _ (Surface Structures) No work shall be done under this permit until all utilities are clear
of the f3
Proposed work site. The permittee shall notify all concerned utility companies of the proposed work-; C
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R4 PAVEMENT.IWIDENTNG: Area between the proposed concrete gutter line'and the existing road pavement shall be surfaced
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with > inches of A.C. paving placed on J•J• - inches of class ' aggregate subbase course having an 'R' r ,
-value of rat less than !• and in conformance with City of.Ia Quinta Road Improvement Standards and ` Y
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Specifications, Ordinance #4_61. X:.
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RS ' PARKWAY. GRADING, Area between the r_ line and to of,the!
P.nY P proposed concrete curb shall be to a
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, graded slope of
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_ 1/4 inch to one foot (11.1.
R6 GRADE CHECKING: City of to Quinta shall check grades upon receipt of'plan and profile and/or as by
grades established ,
a licensed engineer.
R7" CURB REMOVAL, FOR DRIVEWAYS: A'portion of the existing concrete curb and/or curb and'gutter Meet) shall'be `
Vii',•-etI . w s,;,: ` e
removed. Curb and/or curb andaw gutter shall be:scut prior to removal. Depressed curb; matching concrete gutter and -
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concrete driveway, approach shall be constructed in conformance with City of La Quinta Standard #207.; -
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RS .DRIVEWAYS: A.C. driveways shall be coastrticted as not to alter existing drainage pattern: Surfacing between the property `
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"r line and the existing road -paving shall be 2 1/2 inches of A.C. paving placed on ( ) of class _ ' aggregate base, i
Driveway construction shall conform to attached drawing.
R9 SIGHT CLEARANCE: _Sight clearance of 600 feet in all directions shall be assured and maint"tiedyat all times.
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Rio SOIL SIERIIIZER: The area to be surfaced shall be treated with soil sterilizer. Rate of application shall commply with the
manufacturer's specifications. :.. .. "s.
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Rll 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, ail 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 furnisbed 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-fdot (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 shall be not less than 90 percent or equivalent to the surrounding ground, whichever ig 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.
RIS 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
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
973.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 RE.STRIPING: 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. 2776 1 Pz� -
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In.addition to the standard permit conditions, the'following shall apply:.
1:. Pursuant to Section 14.16.320 of the La
'Quinta Municipal Code•(Ordinance i10. §' 1, (part), 1982); all
Work shall be performed in accordance with the latest edition of the Standard Specifications Fo'r. �
. , .
` Public WorkskConstruction (SSPWC) and as directed by and to the satisfaction of the City Engineer.
2: M1 . C V WD, hereinafter referred to as `•`Permittee", shall be responsible for providing' continuous dust,
and erosion control.41
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7
-3 Streets, shall. be kept clean.- They shall be completely cleaned at the end.of each working day and
' more frequently if required:
'Y 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 perforriied 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: r Monday-Friday ' 6:00`F
a.rn to 7:00 p.m. T '
Yr r. Saturday. , 8:00 a.m. to 5:00 p.m.. • J.
"' n ..,Work shall be, prohibited,on legal ho days and Sundays.
.
S: L Work performed within 500 feet of a major and/or signalized intersection is restricted. between
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
t
Permittee shall'•contact the Riverside Country Traffic,Signal Maintenance Department at (909) 275-
r
``,6894 if signal operation at the intersection is tolbe altered in any way.-;, -- L
6. Pursuant to Section 14.16.110 of the La Quinta Municipal Code (Ordinance 10 §'1 (part), 4982), ,
Permittee shall'assume'responsibility for-repair of•any pavement.damage to any public or private
v. street and for any damage to'other'City streets or facilities as a result of work.performed under this` `
'permit:• _ -
;Pursuant to Section 14.16.250 of the La Quinta Municipal Code'(Ordinance 10 § 1 (part)".` 1982),-.
I ` '" 'advance warning signs and traffic control shall-be installed and maintained in accordance with' Cal
Trans Standards or the Work Area Traffrc,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 r`evie'w and approval one (1). weekprior to starting any construction: It shall be the
i
' Permittee's responsibility to appropriately detour.and barricade all construction sites. t
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Special Conditions - Permit No. 2776 j s Page41 of 3 '
4
SPECIAL CO_ NDITIONS--PERMIT} NO.2776'r
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-'•8.; j'• Pursuant to Section 14.16.290 of theta 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
ea . =maintained with flagmen at all times.
9. . Prior to excavating, if required, the Permittee shall contact UndergroundService Alert at 1=800-422-
;4133. It shall be the Permittee'sresponsibility 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 Quints.
l l ;Pursuant to Section 14.16.370 of theta Quinta Municipal Code (Ordinance 10 § 1 (part);• 1982),
backfill' compaction within street rights-of-Way shall' conform _with Section'•306-13 of the latest
�.. `� edition of the Standard Specifications For Public Works Construction (SSPWC), and as required
the Public,Works' Department 'Backfill shall be completed in-lifts, not to exceed 1'; compacted to .
90% minitnuin relative compaction. Native materiafmay be used, provided the material is:suitable , ;
5 ti;"•' -for use as�backfill after construction operations. Controlled Density Fill (C:F.) may be used as an'.
.., alternative..
12: j All excavations: within City of La Quints right=of-way'shalf be backfilled, and temporarily paved if
f ' within the existing travel way, at the end of every workday as directed by and to the satisfaction of }
the City En eer 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 trench es.shall not be allowed open
i•, overnight, however, Permittee`may leave a length of excavated trench, not to exceed.twenty (20) feet'-
in
eet'-in length, open overnight at a pointwhere construction will begin the next day, provided that this,
F '. :length of trench is completely covered by steel plating. - '`
1
13 All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc:;. shall be replaced to = y
its original condition: -
114. .Access and'egress to all local properties shall be maintained at all times. , a 7 j
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%� 15,. �Pursuant�to Section 14.16.375 of,the La Quinta Municipal Code,(Qrdinance 10'§ 1 (part); 1982), .
permanent . avement re lacement, shall be' coin leted no .later than seven 7 daysafter. the
completion" of the work. Permanent pavement shall be,replaced as follows: Y' • ..
a). Sawcut and remove existing, a.c..surfaces a minimum distance of one foot (l').beyond'all
trench walls, including any sloughing or cave in•of adjacent soils. •Undermined a.c..surfaces::
shall be-removed. Alla.c: edges shall be straight, clean and vertical. t'
.Provide an existing section (four-and-one-half inches (4'/Z"] minimum) of crushed aggregate
�.• :' + . _ - or miscellaneous base material, compacted to 95% minimum relative compaction:
' Special Conditions - Permit No' 2776! ' r Page 2 of 3 ,
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'SPECIAL CONDITIONS --PERMIT NO.'2776 r . ,
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e) Provide one. inch (1'r)' greater, thickness of existing asphalt" concrete. (four inches [4"] , n
mmimum):in a'niininium of two (2) lifts; the_first lift comprised of a base.course a.c. material,
�r
`of a City approved mix design, meeting the;requiremerits of Greenbook class B-ART4000; the
final 0:10'-1ift comprised of•a wearing}course a.c. material; -of a•City..approved mix;design,
' meeting the requirements of Greenbook clas`sFC2-AR-4000`. All'pavement edges shall be flush ;
Y: with adjacent ax. surfaces. Each'lift'of'a.c. 'material shall,be.compacted to 95% muminim'
.. ~' relative compaction: i y 4 `
d) Additional paving requireriients, including additional grinding and overlay, maybe"required
tip• r
"depend upon the size of the,trench and its location and•layout (i.e. longitudinally or laterally
.,04_ excavated)
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16: 'Permittee shall notify the City of La Quinta•Public Works Department a minimum of 48 hours
Y , prior to commencementof construction at (760) 7.77-7075 -
17.' `Permittee shall -stabilize any soiLlhat was disturbed;:(shoulder, areas; etc.)',as"a result'of work
�i performed under tliis permit with an approved'dust control treatment. Y
a
-18s Pursuant to. Cfiapter l 2.56 of the La Quinta Muizicipal' Code (Ordinance '10 § 1 (part), 1982) the -City
,tr 'has designated certain,city streets as Truck Routes. The:weight limit for restricted streets (i.e., streets
.F
' not part .of the :TruckRoute network) is three .(3) tons; trucks exceeding the weight limit may'use a
restricted street,if making•a'delivery. or pickup on the subiect�street -or if this permit specifically
'
.,grants permission to use the street to deliver street construction materials and/or equipment.-'
19:.. The Cityy`of La Quinta reserves he, right to revoke, suspend"or void this permit at any time.
• Tom' '`' .. , �.
' 20 This perriut authorizesinstallation of A one inch (1.').'domestie water service line at 51-375"Avenida
Bermudas F T. . .
Special Conditions - Permit No. 2776x y
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With, pr'6per validation
;this form constitutes an
*yCiro h CITY 'OFt CA OUINTA'
en ac ment..permit'
APPLICATION-` FOR PER
MIT
7
PUBLIC WORKS CONSTRUCTION .(ENCROACHMENT)
For the t o� public. 6'r p'rivate curbs, drivewaVs' pavements; sidewalks, parking lot'
construction jo,n S, sewers, water mains
like pdblic works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
'Subdivision I r-ri-provernerif Permit.*—` bass III
DATE H
MinomprovementPermit'Class lVo�
LOCATION OF.CONSTRUCTION
41,
(Street address or Description of Lojatiori)
• -PURPOSEOF'CONSTRUCTION Sketch ,(attach con.stru'cti,oln plans if appropriate)
xorvua live
DESCRIPTION OF CONSTRUCTION ftmovatak to vate*
ro "tovertv It" f6r mate* ^6*910_0
DIMENSION OF INSTALLATION OR -REMOVAL _*Arl"i
wAtalt llill"ALnj:
T
OF EXCAVAT16N,"IF NEEDED OMIS,
APPROXIMATE -TIME WHEN WORK WILL BEGIN VIVO&
7'
APPROXI MATE 'TIM E"OF'COMPLETION *106" AA*^
ESTIMATED CONSTRUCTION COST $
(including removal ofalf obstruction, materials, and debris, backfilling, corn
paction and placing; permanent resurfacing and/or replacing i m'!provem'ents)
In 'consideration` of the'grantin'g- of this permit, the applicant hereby agrees to::
Indemnify, defend' I and save"the City, its authorized agents,'offi_cers, representatives .1nd,e1mp'lo'y'ees,' har'm'less'from and against any- I and,all,
penalties, liabilitiesjor- loss resulting from claims or court action and arising out of any accident, loss or,.clamag'e'to persons orproperty
happening or-occurring'as a proximate result of any work undertaken' the, permit granted pursuant- to this ippli6ation. -
Notify theA,Administr6tive Authority at least'twenty-four (24) hours in advance of'the time when work wilhbe, started.
4 ,comply with all applicable City Ordinances, the terms and- conditions of the peimit,and all'applieablj rules..arid regulations of.the City,of
La Quinta.and'to pay for any additional replacement necessary as the result of this.work.
$
sk
Signature of Applicant or Agent SM 4
. .. . , I . �Qft _ — . k . I
Name,pf Applicint (please print) Business Address Teleph . one No.-
am sm $AA X305
Name'of Coritractor,and Job Foreman Business Address Teleph6ne,No.
Contractor's Licerise NO.'' City Business License No.
Applicant's'lnsurah6eCompany .,,Policy Number'
FEES: Subdivision Improvement Permit — Class I I I
Pu,blic improvements: 3% of estimated construction costs
Private improvements': 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fe —0 -
Permit -Fee
Penalty -0-
Cash Deposit -Surety -Bond
if required t —0—
TOTAL: $
Receipt No.
Received by Date
Recorded,by
''t 4
PERMIT VALIDATION'
PERMIT NO. 2776
DATE APPROVED Augmt. 11, 1998
EXPIRATION DATE AU=Wt 11- 1999
DATE . ISSUED August 11, -1998
By
Alkeus vou".— Administrative Authority
Telephone: (619) 777-7075
- +
The following General and Special Provisions are attached to and made a part of Permit No.
'
r GENERAL PROVISIONS
. -
The following shall always apply: . `. .
ENROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within City of La Quinta right of
•
way, ONLY. Whenever construction 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.' r
=•
TRACKLAYING CONSTRUCTION EQUIPMENT: Cleated tracklaying construction equipment shall not. be permitted to operate on
' V.
,
-'any paved surface unless fitted, with smooth -faced street pads. All mechanical outriggers shall be fitted with rubber street shoes to
• . �. r a .
protect the paving during excavations. Rubber -tired equipment only shall be used in backfill operations in paved areas. If the existing Y
pavement is scarred, spatted, or broken during the term of this contract, or if.the pavement is marred, City of La Quints 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.
r -
f surfacing plus appropriate seal cost as specified above. h ; ,
_ �.
r r r
7' PROTECTION OF TRAFFIC: All excavations and work areas shall be proper ly.4i hied and barricaded as deemed necessary by the
t
•City Engineer or La Quinta City Public Works inspectors. Suitable detours and detour signs shall be placed and maintained for the
y duration of the project.. The City shall be notified 24 hours in advance of any traffic detours,or delineations: i
s •
I CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugated metal pipe, concrete pipe, steel culvert and '
<
concrete structures encountered during excavation which necessitate removal shall be replaced is 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.
t
Drainage structures and open drains shall be kept free of -debris at all times for proper drainage.
'
RIGHT OF WAY CLEANUP: Any surplus material resulting from excavition 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.
Existing gutter line and drainage ditches shall be replaced to their original standard or better. All excess material shall be removed.
r
pnor,,to paving. Water tanker, shall be used, as required, to spiinkle 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'
f be the responsibility of the permittee (contractor) to control this water and to provide off-street barricades when necessary,
r t
CLOSING STREETS: No street shall be closed.' A minimum of one Iane'of traffic shall be
maintained at all times to provide limited
access for the adjoining property owners and emergency vehigles. In`the event it is felt by the permittee that he must close it street for
any length of time, permittee shall contact this office to obtain the necessary permission. '.
r ' r
SPECIAL PROVISIONS `
•',
The following shall apply when indicated:
RI NOTIFICATION:. Permittee shall notify the City at (619)777-7075 at least 48 hours in advance,of starting construction.
•�.� • ...
R2 . UTILITY CLEARANCE:, (Substructures) Prior to making any excavation' within the Cit
_ Y of La Quints 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 s resulting'from operations conducted under this permit shall be the sole
responsibility,of the permittee. • . . , `''
R3 UT LM CLEARANCE: (Surface Structures) No work shall be�done under this permit until all utilities are clear of the '' <
proposed work site. The permittee shall notify all concerned utility'compaoies of the proposed work.
R4 PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing road pavement shall be surfaced- -
ti,
with inches of A.C. paving placed on ,- _ inbhes'of class .+ • aggregate. subbase course having an 'R'
rY fs
value of not less than and in conformance with City of La Quinta Road Improvement Standards and
a
Specifications, Ordinance #461' t'
?; • `
.. RS , PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a slope of
'4
1/4 inch to one foot (1').. t
,t • ,�, , nr+, .
'
R6 ,. ;GRADE CHECKING: City of La Quinta shall check grades upon receipt of plan and profile and/or grades as established by
'
a licensed engineer.
_
t R7 , , 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.
'
concrete diiveway approach shall be constructed in conformance with Cit of La
` y Quints Standard #207.
' •
R8 DRIVEWAYS: A.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.
;Driveway construction shall conform to attached drawing.
R9 SIGHT CLEARANCE: Sight clearance of 600 feet in all directions shall be assured and maintained at all times.
RIO SOIL STERIIdZER:. The area to be surfaced shall be treated with soil sterilizer. Rate of application shall comm' with the
':r`h
ply
maitifacturei's specifications.
RI I 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 that 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 idthe 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.
RII
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 thq-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
PAVIIbIEN C CUTTING: Pavement'will be' mechanically saw catto- straight to a straight edge prior to'excavation. Method
"of-pavemenrcutting shall be approved`through the office of the .City -Engineer.-'(Under no circumstances shall excavating .
ouipmenvbe usEd..to excavate!pnorfo"cutting of.p'avement:) :Excavation material shall be placed in such a position as to best
facilitate the generalflow'iiaffic: `Prior to final paving operations, any'damage-to pavement straight edges shall be corrected.
1114
LIMIT OF EXCAVATIONS.- Ezcavations`shall-be'limimd 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 publib. 'The"Public Works' Inspector shall deierntine 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 acivalli bri 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 coasolidated backfill: Any material which the City of La Quinta deems unsuitable (spongy or
saturated material) wirkh'is encounteredduring'excavation shall not be used for backfill, but shall be supplemented or'replaced
by an approved sand or gravel:
" R16
BACKFILL SAND: Backftll'shall be approvedtransit-miz'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 m6dinum of five400t (5'),Iifts' whefe'trenches iuiW excessive• depths. Care is to be exercised that the
backfill material is not subjected'to extreme:swell by flooding operations. Backfill material shall, be_plaeed so that the resulting
compaction shall be noi.less than 90 percent or equivalent to the surrounding ground, whichever is(the gieater 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 reac6'.0 e'bottom of each layer and the water supply shall be continuous.
R18
COMPACTION TEST'S: If so required by the inspector, compaction tests shall be made at intervals of not more than 1000
feet and a ininimum'of one (1) test on each road. One (1) copy of each test shall be forwarded to the City'Engineer for
approval and filed piior 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`
COMPACITON 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.
"Compactiontests shall tie made'as outlined'in Section 6.3.0fof the Stanamd'Specifications, Division of FErghways, State of
'California;' dated January 1973:
R20
' TEMPORARY PAVEMENT REPAIRS: After completion of backfill snd-compaction operations, a temporary patch
1
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 PAVEMENI"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$EALi A' fog seal` coarconsisting`of an applicationof 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'sireets 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 Qtiinta road right of way shall.be
_.'aocompGshed by'a'hceusedi'bonded 'and insured.tree'service,'aod handled safely without interference or hazard to the traveling
public. 'It' be the* resp 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 b'e handled safely without interference or hazard to highway 'traffic. The
�:-e'niire 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'iind-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'alCtimes.
Laige'holes resulting'from'tree removal'shall bebackfilled i n' d 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. 2776 A
--- CVWD .---
i In .addition to the standard permit conditions, the following shall apply: °
1. Pursuant to Section 14.16.320 of the La Quinia 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. CVWD, 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.
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: t
October 1 st to April 30: Monday -Friday. 7:00 a:m. to 5:10 p.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. -
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 damageJo any public.or private
street and for any damage to other City streets,or.facilities as a result of work performed under this '
permit.
7. Pursuant to Section 14.16.250 of the La Quints Municipal Code (Ordinance 10 § 1 (part), 1.982),
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
T -
City for review and approval one (1) week prior -to .starting, any construction. It shall be the
Per responsibility to appropriately detour and barricade all construction sites:
.i
special Conditions - Permit No. 2776 r Page I of 3
SPECIAL CONDITIONS --PERMIT NO.`2776
--- CVWD --- .
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 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.
11. Pursuant to .Section 14.16.370• of the La Quinta, Municipal. Code (Ordinance 10'§ 1 (part), 19,82),
' 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 shall not be allowedopen
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
r length of trench is completelycovered 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) Sawcut and remove existing a.c. surfaces a'minimum distance of one foot (1') 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. .
b) Provide an existing section (four-and-one=half inches [4'/2"] minimum) of.crushed aggregate
or miscellaneous base material,. compacted to 95% minimum relative compaction.
Special Conditions - Permit No. 2776 Page 2 of 3
a ,
SPECIAL CONDITIONS= -PERMIT NO. .2776
= CVWD --
c) Provide one_ inch (17) greater thickness of existing' asphalt concrete (four inches [4']
minimum) in a minimum -,of two (2} lifts; the first Jift comprised of a base course a.c. material,
of a City approved mix design, meeting the -requirements of Greenbook`clas's B=AR -4000; the
final 0.10' lift 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.
d) 'Additional paving requirements, including additional grinding and overlay, may be required
depending upon the size of the trench and its .location and layout (i..e. longitudinally or laterally .
excavated):
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.
17. Permittee shall stabilizeany soil that was disturbed (shoulder areas, etc.) as a result of work
performed under this permit with.an approved 'dust control treatment.
18.1 Pursuant to Chapter 12.56 of the La•Qui.nta-Municipal Code•(Ordinance 10 :§ 1 (part); 1.982) 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.
419. The, City of La Quinta reserves. the right to revoke, suspend or void this permit at any time.
20: This permit authorizes installation of a one inch (V) domestic water service line at 51-375 Avenida
Bermudas.
special Conditions - Permit No. 2776 Page I of 3
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NOTE:
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this form t
05 :
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•consutu es an - , .
encroachment permit CITY OF LA QUINTA
APPLICATION FOR PERMIT�'�is�
�. PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
tj
` 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 III
DATE: O. Minor Improvement Permit Class N .
l' LOCATION OF CONSTRUCTION -�� — 3 �S^ �V �-P� N'1y✓�-S •. `
(Street addressor Description of Location)
PURPOSE OF CONSTRUCTION • / N=ALL •A'Nh /YlA/NTA//V- 2' Sketch lattach construction plans if•appropriate)
ONE INC 4 LIJ QQMES71r_0 LJJA— _=WCE IL1/V&
DESIPTION OI -CONSTRUCTION
OIMEf�SIQON OF �NSTALLA�ION OfR REMCAL Y w +
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION NINETY t 90) Mt4y5 F
ESTIMATED CONSTRUCTION COSTS 11aD.00 ,
{(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 and save the Clty,'its authorized agents, officers, representatives and employees. harmless from and against any and u. ,
penalties. liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or proutrriN
happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application.
s, Notify the Administrative Authority at least twenty -lour (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 Ouinta and to p y for any additional replacement necessary,as the result of this work.
` Signature of Applicant or Agent'
COACHELLA•VALLEY WATER DISTRICT„ P. 0. -Box 1058 COACHELLA, CA. 92236 398=26514 -
Name of Applicant, (please print) Business Address Telephone No.
rq
Name of Contractor and Job Foreman Business Address * Telephone No.
Contractor's License No. City Business, 6cerise No. s
Applicant's Insurance Company Polity Number
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