2854NOTE:.
With, proper validation
this form constitutes an
encroachment permit.'
CITY OF LA QUINTA
APPLICATION' FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
and other like.public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit — Class I II
DATE: -Minor Improvement Permit Class IV
LOCATIOM.OF CONSTRUCTION South West Community Church, corner of Vashington and Fred Raring.
. .
(Street address. or Description of Location)
PURPOSE OF CONSTRUCTION Traffic Control Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Traffic Control. Only.
SEE ATTACHED CONDITIONS.
DIMENSION OF INSTALLATION OR REMOVAL See at>ZaheC,
SIZE OF EXCAVATION, IF NEEDED 147A
-APPROXIMATE TIME WHEN WORK WILL BEGIN 9r0001 -'
APPROXIMATE TIME OF COMPLETION 4a00PM
ESTIMATED CONSTRUCTION COST $ 80.00 -
y.(Including removal of all obstruction, materials, and debr.'is, backfilling, com-
-- paction and, placing permanent. resurfacing and/or replacing improvements)
In consideration' of the granting of this permit, the applicant hereby agrees'to:
w Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
. x 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 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.
Signature of Applicanrtror Agent
.. 3acobespn Ping. Constr. 74-894 Lennon P14ce, Ste, S-1, Palm Desert, CA 760/340-0194
Name of Applicant (please print) Business Address Telephone No.
Roger La Croix
Name of Contractor and Job Foreman Business Address Telephone No.
650 389 AYE 3026
Contractor's License No. City Business License'No.
]geX n ton ins. % Tri Cities +b
5357137
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit ='Class I
-Public'.improvements: 3% of estimated construction costs . NOV 16 1998
Private improvements:3% of estimated constructlon'costs
J
Minor Improvement Permit — Class. IV: See attached schedule 8 TV OF LA QUINTA .
Inspection Fee. $
Permit Fee 100.00
Penalty
Cash Deposit -Surety Bond
'if required
TOTAL: $ 100.00,
Receipt No. l
Received by Date
Recorded by
1%
PERMIT VALIDATION
2854•
PERMITNO.
DATE APPROVED 11/12/98
EXPIRATION DATE,
5/25/99
DATE ISSUED Q,!
r Administrative Authority
Telephone: (619) 777-7075
— — — — — — —-—-
.
NOTE: CITY OF LAB QUINTA
With proper validation -
this form constitutes anITY OF LA QUINTA
encroachment perrnit ry
" � O ICATION FOR PERMIT, � Ip
TIftWeIWMIRNSTRUCTION (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
1 1 1.8'9 8 Subdivision Improvement Permit —Class III DATE: Minor Improvement Permit Class IV XX
LOCATION OF CONSTRUCTION South West Community Church
Corner of Washington .and :Fred _Waring .
(Street address or Description of Location) ..
PURPOSE OF CONSTRUCTION Traffic Control Sketch (attach construction plans if appropriate)
r
DESCRIPTION ,OF CONSTRUCTION ra I r I C Contro my
DIMENSION OF INSTALLATION OR REMOVAL see Attached
'SIZE OF EXCAVATION; IF NEEDED-
APPROXIMATE TIME WHEN WORK WILL BEGIN AM
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION `COST $ " . 00,
(Including removal of all' obstruction, materials, and debris, backfilling, com-
paction'ond'plecing permanent -resurfacing and/or replacing improvements)
'In consideration of the granting.of this permit, the applicant hereby agrees to:
„ Indemnity,defend and save the City, its authorized agents; officers, representatives and employees, harmless from and against env 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
t happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application.
Notify the Administrative Authority at leasttwenty-four (24) hours In edvartca the time when work will be started.
Complywitfi -ell applicable City Ordinancas,'tha terms and conditions of a perm and all applicable rule and repulatiom�thety of
La Quinta and to Day for any additional replacement necessary as
t result of Is work.
Signature of ppli nt or Agent % 6 0 ) 3 4 0 — 0. 9
Jacobsson Enq....Constr: 74-894 Lennon Ste.B-=1-' Palm, Desert
Name of'Applicant (please print), @usineis Address Tel p o e No.
i Roger.La Croix Palm Desert, CA 92255-4��
Name of Contractor and Job Foreman Business Address Telephone No.
650 389 A/B!uD
Contractor's License No: City Business License No.
HRH Insurance Serv.'"of Coachella Vly. M 0005256
Applicant's Insurance Company Policy Number
FEES:. Subdivision Improvement Permit'— Class III +
Public improvements: 3% of estimated construction costs t
Private improvements: 3% of estimated construction costs
Y -Minor Improvement Permit - Class IV: See attached schedule 2774
r
Inspection Fee $ PERMIT
VALIDATION
Permit Fee PERMIT N0. v �r
Penalty/Z
Cash Deposit•Surety Bond DATE APPROVED
if required EXPIRATION DATE �y
o f1 r .
TOTAL: $ DATE ISSUED '
Receipt No. J
r By
Received by Date Administrative Authority
Recorded by Telephone: (619) 777-7075
' SPECIAL CONDITIONS' -PERMIT NO. 2854.
--- JACOBSSON ENGINEERING---
In addition to the standard permit conditions; the'following shall apply:
P. Pursuant to, Section 14.16.320 of the La Quinta 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. sr Jacobsson,rhereinafter referred to as "Permittee", shall be responsible for providing continuous dust
- and erosion control.
3. rStreets 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 Mur'ucipal Code (Ordinance 18 § 1,1982), throughout
= the work'site,: the Perriiittee 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 1st 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 ,1st to September 30: Monday -Friday 6:00 a.m to 7:00 p.m.'
' `Saturday' 8:00,am. to 5:00 p.m.
. Work shall be prohibited on legal holidays and Sundays
f 5: F Work:performed witluri_SQO feet of_a.signalizediintersectiori-is-restricted between-the-hours_of_9 a:m.
�''" 3 p mm Traffic control�shall be setup after;9, m.-.and-removed`before4 p.m rThe Permittee shall r
contacfi e :ity_of LaQumta.and!Riverside1Country�-Traffic`Sigrial`Maintenance'De-partinent;at
(909) 275 6894 if signalT'operationTat-the-intersectiorir ig to be alteredTin any way
6.._ Pursuant -to Section 14.16.110 of the La Quinta Municipal Code '(Ordinance 10 § 1 (part), 1982), ^
- Permittee shall, assume responsibility for, repair of any pavement damage to any public or private
h y street and for any damage to other City streets or facilities as a result of work performed underthis T
permit:
•7. Pursuant to Section 14.16.250 of the La Quinta Municipal Code. (Ordinance. 10 § 1 (part), 1982),
warning
advance signs and traffic control shall'be installed'and maintained in accordance with Cal
Trans Standards or the Work Area Traffic Control •Handbook"(WATCH Manual). A traffic control
plan,'if required, shall,be prepared in accordance with the WATCH Manual and submitted to the
City for' "review and approval, one 1 week prior to Starting an construction: It shall be the ►
-, Y Pp O P g Y
Per`mittee's responsibility to appropriately'ae'to'4 and barricade all construction sites.
Special Conditions = Permit No. 2854 ,� 4. Pagel of 4
(7
. 4
SPECIAL CONDITIONS --PERMIT NO. 2854
--- JACOBSSON ENGINEERING ---
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 § I, (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 be 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 establish the maximum lift
thickness to be compacted for the remainder of -the project.
Special Conditions - Permit No. 2854 Page 2 of 4
SPECIAL CONDITIONS --PERMIT NO. 2854.
--- JACOBSSON ENGINEERING---
F. In subsequent lengths of trench, the frequency of compaction tests shall equal one per each lift
of backfill, per 300 linear feet of open trench, at randomly selected locations within the open
length of trench.
G. 'The depth of the randomly selected compaction tests "shall also be randomly selected except
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 fails; previously placed backfill (in the same length of open trench or
previous lengths of trench) which is represented by the failing test (as determined by the City
Inspector), shall be tested for compliance 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 Inspector.
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 allowed open
overnight, however, Permittee may leave a length of excavated trench, not to exceed twenty (20) feet
in length, open" overnight at a'point,where construction will begin the next day, provided that this
length of trench is completely covered by steel plating.
13. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to
its original condition.
14. Access and egress to all local properties shall be maintained at all times.
15. Pursuant to Section 14.16,375 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), .1982),
permanent'pavemerit'replacement shall be completed no later than seven (7) days after the
completion of the work. Permanent_ pavement replacement shall conform to the following
conditions:
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
than existing of asphalt concrete over the same existing thickness of crushed aggregate base
or crushed miscellaneous base, 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
material shall be compacted to 95% relative compaction -and respectively tested, for each 300
linear feet of trench. Verify exact structural replacement section thicknesses with the City
prior to installation. .
Special Conditions - Permit No. H54 Page 3 of 4
SPECIAL CONDITIONS --PERMIT NO.2854
--- JACOBSSON ENGINEERING---
C. Permanent pavement. replacement shall be installed.using a City approved 3/4" max medium
asphalt concrete as the base course lift and a City approved '/2" max medium finish course lift
for capping. Asphalt concrete mix design shall be approved by the City prior to its placement.
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', with a "butt"
joint created along each edge of the cold -milled area, and a new 0.10' lift of/2" max medium
asphalt concrete pavement overlay applied throughout the cold -milled area.
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/2" max medium
asphalt concrete pavement overlay applied throughout the cold -milled area.
F. If grinding and capping operations are not performed in the. same day as base paving
operations, the base course lift of 3/4" max medium asphalt concrete shall, be installed from
saw -cut g
edge to saw -cut ed e flush with the existing street surface: The base course lift of
g
paving shall not be left 0.10' low in anticipation of grinding and capping.
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
loops shall be removed and replaced in -kind. The finished pavement surface shall be smooth,
consistent, and shall conform to the surrounding grades.
16. Permittee shall notify the City of La Quints Public Works Department a minimum of 48 hours prior
to commencement of.any construction at (760) 777-7075.
17. Permittee shall stabilize any soil that was disturbed (shoulder areas, etc.) as a result of work
performed under this permit with an approved dust control treatment.
18. Pursuant to Chapter 12.56 of the La Quinta 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.
19. The City of La Quints reserves the right to revoke, suspend or void this permit at any time.
Special Conditions - Permit No. 2854 Page 4 of 4
ROAD I r
S - - CONSTRUCTION
AHEAD - '•
. - I LEFT LANE
KEEP MUST KEEP i ® MUST LFCLED FT E CONSTRUCTION
TURN LEFT - TURN LEFT AHEAD AHEAD
RIGHT RIGHT
FRED WAKING DR
Il-
- — — — — — — — —,- — — — - — — — — — — -- — 3` gvMvril� �J►as''"` _n—�`-� a
46.
LANE.
RIGHT LANE 25 _ E • - 1 I `.
ROAD, CLOSED J -
CONSTRUCTIONAHEAD • " _ ,
AHEAD -
DETOUR *
AHEAD 1
• -• y • � • ( ROAD r -
WMAIMINAff
-
Fred Waring',300' west of Washington" .
° 4 Rpjed Nmre PmOd Number
M an � � �., I SEWER LINE PHASE 1
- �Za1 ndN =t0ddAd=K r T�cConbdContredor
Jacobsson Engineering Tops N Barricades, Inc..
I - ptmm Number Deis
Q� (760) 347-2111 1 of 2 ' 10/29/98
• V I Repamd
By
Ron Fifield
t