2879NOTE:
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
DATE: January 12. 1999
Subdivision Improvement Permit — Class II I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION bred Waring & Wasbineton Street
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Traffic Control Svatem
DESCRIPTION OF CONSTRUCTION Traffic Control. on
Fred Waring b Washington St.
DIMENSION OF INSTALLATION OR REMOVAL Fred Waring on
Wanhinqton e^atCbound 1/2 mils
SIZE OF EXCAVATION, IF NEEDED N/A
APPROXIMATE TIME WHEN WORK WILL BEGIN 1/13/99
APPROXIMATE TIME OF COMPLETION k/15199
ESTIMATED CONSTRUCTION COST $ 700.on
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
Sketch (attach construction plans if appropriate)
SEE ATTACHED CONDITIONS
'5r=C A-174CN. C D, C.IF77-61Z-
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify,defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property
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.
tSignature of Applicant or Agent
Jacobson Construction 74--894 Lennon P1. Suito B-1 Palm Desert. CA 340-0194
Name of Applicant (please print) Business Address Telephone No.
some
Name of Contractor and Job Foreman Business Address Telephone No.
650389
Contractor's License No.
3026
City Business License No.
HRH Insurance Serv. B168146122
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class 111
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
If required
TOTAL:
100.00
$ 1 100.00
Receipt No.
Received by Date
87
"' PERMIT VALIDATION
PERMIT NO. 2879
DATE APPROVED 1113/99
EXPIRATION DATE 1/19199
DATE IS13/98
By C.//�/!af/
JAdministrative Authority
Recorded by 11 Telephone: (619) 777-7075
DAILY CONSTRUCTION
REPORT
DATE .3- 2 3- 9 9
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Report No.
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AVERAGE FIELD FORCE
Name of Contractor
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Manual
Remarks
VISITORS
Time
Representing
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Remarks
EQUIPMENT AT THE SITE
CONSTRUCTION ACTIVITIES
iv Icy
C CIO
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button: L .Project Manager
2. Field Office Pagel of Pages
3. File
4. Client By:. , Title
JACOBSSON•ENGINEERIN
PAGE 02
01/12/1999 15:51 • 760-340-1574
7607777155
CITY OF LA UJINTA PAGE 01
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SPECIAL CONDITIONS --PERMIT NO..2879
--- Jacobsson Construction =--
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, 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. Jacobsson, 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 § I, 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:
October 1st to April 30: Monday -Friday :7:00 a.m. to 530 p.m.
Saturday 8:00. a.m. to 5:00 p.m.
May 1 st to September 30: Monday -Friday , 6:00 a.rn to 7:00 p.m.
Saturday 8:00 a.m.-to 5:00 p.m.
Work shall be prohibited 611 jegal holidays and Sundays.
5. Work performed 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. and removed before 3 p.m. The Permittee shall.
contact the Riverside Country Traffic Signal Maintenance Department* at (909) 275-689.4 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 _r-e'sponsibility;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.
7. Pursuant to Section 14.16.250 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982),
advance warning signs and'traffc 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 any construction.. It shall be the
Permittee's responsibility to appropriately detour and barricade all construction sites.
special Conditions- Permit No. 2879,
Page 1 of 4
8.
9.
10.
11,
SPECIAL CONDITIONS --PERMIT NO.2879
-- Jacobsson Construction --
Pursuant to Section 14.16.290 of the La 'Quinta Municipal Code (Ordinan6e'10 § 1 (part), 1982),
street closures shall not be permitted: — A minimum "of one fravel lane `of paved surface shall be
maintained with flagmen at all times: .
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.
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.
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 maybe 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
Pennittee's responsibility to provide appropriate geotechnical supervision, testing, and inspection,
onsite, at all times during backfill.bperations..
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'lnspector.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 shalf 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
depthof 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 depthof 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. 2879 Page 2 of 4
' SPECIAL CONDITIONS= -PERMIT NO. 2879
Y, --- Jacobsson Construction ---
F. In subsequent lengths of trench, the frequency of compaction tests `shall. equal one per each lift
-- —.F —of backfill', per4300`linear-feet-of-opewtrench; 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
I. All costs incurred due to the conditions above shall be borne by the Permittee. Copies of all
testresults 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 (Ofdinance 10 § 1 (part); 1982),
permanent pavement: replacement shall be completed no later than seven (7) 'days after the
completion of the, work. Permanent pavement replacement shall conformto the following
.. ..._.._...condi.Lions:-,_.___��___:..------.._._.w_.� __.__._._.._._._.:_:..._._._ .�._:.__.._..____... • . _ .._.
•
,
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.mithin 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:
16.
SPECIAL CONDITIONS--PERNIIT NO.2879
--- Jacobsson Construction---
C. Permanent pavement replacement shall be installed using a City approved 3/4" max medium
_.asphalt concrete as the base:course'lift--aiid a City approved'/z'-max-medium finish course lift
for capping.. Asphalt concrete mix design shall'be approved by 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/z" 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 ''/z" 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 edge to saw=cut edge flush with the existing street surface. The base course lift of
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..
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.
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), 1982) the'.City.
ha s•-designated-certairrcity.-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 Quinta-reserves the. right to revoke, suspend or void this permit at any time.
20, Letter dated January 12, 1999 from Chris Vogt, Public Works Director/City Engineer to Jerry W. .
Jensen, M4H Construction Co., Inc, is. hereby incorporated and made a part of this permit.
Special, Conditions - Permit 14o..2879 Page 4 of 4
of ���`' • 78-495 CAL'LE' TAMPICO LA. DUINTA, CALIFORNIA 92253 - (760) 777-7000
y TDD (760) 777-1227
a ; January 12, 1999 VIA FACSIlVfIL,E (760) 772-1581
Jerry Jensen f
HMH Construction Co.,• In_c.. ,
330A Wood Road
Camarillo, CA 9SO10
RE: t Southwest Community Church Project -Request for.Variance `on Construction Time,
for January 14 and 15,.1999
Dear Mr. Jensen: "
`On •January 12, 1999, I received your letter in regard to the above referenced subject. Due
. to the fact that the Bob Hope Chrysler Classic is scheduled to begin next week, it is more
advantageous for the community at large that your woik is completed in a timely fashion. In
your.,`request, you state that your 'work will be dompleted�.on January 14 and 15, 1999 .
regarding the storm'drain crossing for the Southwest Community Church if you were able to
• work during peak`hours of tiaffic. You further stated .that by restricting the work to non-
peak hours, your work would take five days instead of two, which is a greater impact to the
r community.
J Your request for variance of the permit non -peak construction hours, from 9.:00 a.m. to 3:00 -
• p.m. during week days, has been granted for January 14' and 15, 1999 only:' This variance is,
,- grantedcontingent on the following:
•i": 1. 'The traffic signal at Fred Waring Drive. and Washington Street will remain functional
throughout the duration of this project. At no time will this traffic signal be placed.
on red flash or turned off and controlled by stop signs. '
F ' " 2' Your traffic control plan shows that on January 14, 1999, there will be no left turn
movement from westbound ]Fred Waring Drive onto southbound Washington Street.
Your traffic control'must indicate a detour in advanceof Adams Street indicating that y
no left turn on Washington, Street will be allowed. This will provide motorists the
opportunity to utilize Adams Street and Miles Avenue or Adams Street and Highway
111 in order to access southbound Washington Street.. Your subcontractor, JEC,
indicated they may be able -to provide left tum'movement on both January-14, 1999
and January 15; 1999. If this movement is provided, the detour information is not
required..
`.' T:\PWDFFmAFnvorrjz TERmi999woii2wpd
MAILING ADDRESS `- P.O. BOX 1504 - LA QUINTA,' 'CALIFORNIA 92253'
JACOB S S ON
ENGINEERING
CONSTRUCTION, INC
P.O. BOX 14430, PALM DESERT, CA 92255-4430 "
PHONE (619) 340-0194 FAX (619) 340-1574 LIC. NO. 650389
TO:
—tP E_ G j -r --e 0 T~ 'P,�:/+, is V, t rl_ Tea- . .
ATTN: }
GENTLEMEN
WE ARE SENDING YOU ❑Attached
❑Shop drawings ❑Submittals,
❑Copy of letter ❑Change order
LETTER OF TRANSMITTAL
DATE % �'
CONTRACT
NUMBER
SPECIFICATION .
NUMBER
SUBJECT Sn i� 7 4J S i^ i r Jl ii1.r�) I f �•
l T-L 7'J
❑Under separate cover via
❑Plans ❑Samples
13
the following items:
❑Specifications
COPIES
DATE
NO.
DESCRIPTION
TA- >-V >` ..T .i C P.o _ `ram l� [ rt Z S 0 &C__ .s
THESE ARE ANSMITTED as checked below:
- or -approval., ----❑Approved-as-submitted---❑Resubmit- - — --copies—
❑For your. use ❑Approved as noted ❑Submit copies for distrubution
OAS requested ❑Returned for corrections ❑Return corrected prints
[]For review and comment ❑
❑FOR BIDS DUE 19 ❑PRINTS RETURNED AFTER LOAN TO US
REMARKS:
COPY TO:
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