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2880NOTE: With proper validation this form constitutes an . CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of .public. or private curbs, 'driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit — Class III DATE: January 12. 1999. Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Pad t'L" O;ie I?_1i?vP_o La Qtvintit Center (Street address or Description of Location) PURPOSE OF CONSTRUCTION Install eewar. lateral . Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION SEE ATTACHED CONDITIONS. DIMENSION,OF INSTALLATION OR REMOVAL 10t X 200 SIZE OF EXCAVATION, IF NEEDED 10' X .201 APPROXIMATE TIME WHEN WORK WILL BEGIN. 1/19/99 l APPROXIMATE TIME.OF COMPLETION 2/15/99, ESTIMATED CONSTRUCTION COST $ 3.000.00 . (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 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: 6 Signature of Applicant or Agent h Tri-Star Construction P.O. "Box 542 Cathedral City. CA (760) 321--0898 Name of Applicant (please print) - Business Address Telephone No. SvttP marry Owens Name of -Contractor and Job Foreman Business Address Telephone No. 475515 3G f� Contractor's License No. City Business License No.' DAID- Applicant's Insurance Company Policy Number JAN 2 n. 1gQQ FEES: Subdivision Improvement Permit - Class III Public improvements:- 3% of estimated construction costs -XY (` LA QUINTA• Private improvements: 3% of estimated construction costs i Minor Improvement Permit —Class IV: See attached schedule. Ins eP. ction Fee PERMIT VALIDATION $ Permit Fee 100.00 PER MIT +NO. 2890 Penalty Cash Deposit Surety Bond DATE APPROVED 1 /13/99 if required EXPIRATION -DATE 3/15/99 i TOTAL: $ I00.00 DATE ISSUED / 1/13/299 Receipt No./�Ld�s!/�^•�'"'" BY Received by Date �w T) �/Admmistrative Authority Recorded by Telephone: (619) 777-7075 SPECIAL CONDITIONS --PERMIT NO.2880 --= Tri-Star- 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. Tri-Star, hereinafter referred to -as "Permittee", shall be responsible for providingcontinuous dust and erosion control: 3. 4 5 W 7 Streets. shall be kept clean. They shall be "completely- cleaned at the end of each working.day and more frequently if required. 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: 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: ' 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. 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 setup 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. Pursuant to Section 14.16.1-10 of the La. Quinta Municipal Code. (Ordinance 'l 0 § 1 (part), 1982), Permittee. shall assume responsibility' -for repair of any pavement damage to any public or_private street and for any damage'"to other. City streets or facilities as a result of work performed under this :permit: ."Pursuant to Section 141.16.250'of the La Quinta•Municipal Code (Ordinance 1'0 § l (part),,1982), 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 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. 2880 Page 1 of 4 SPECIAL CONDITIONS--PEFMT NO: 2880 --- Tri-Star Construction --- 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 Seivice 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 theCity Engineer at no cost to the City`of La Quinta.. . J 1. Pursuant to Section 14.16.370 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), Backfill compaction within" street rights -of -way shall conform. with Section 306-1.3 of the latest edition of the Standard Specifications For Public Works Construction (SSPWC), except as otherwise specified herein. Native material may be used as backfill material provided that minimum compaction, achieved in the manner prescribed herein, is achieved. Backfill shall be performed by mechanical means; no water densified compaction via jetting or flooding' or other means shall be allowed. It shall be the Permittee's responsibility to provide appropriate. geotechnical supervision; testing, and inspection, onsite, at all times during Backfill, operations. Backfill compaction shall be achieved by the.f6llowing 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 backf fled with pipe bedding material. -B..__._B.ackfill-materials_shall be brought.to_.or.mairitained_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 backflled 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. lf.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. 2880 Page 2 of 4 SPECIAL CONDITIONS --PERMIT NO.e2880 --- Tri-Star Construction --- . 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 requiredin 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 shalf 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 15. Access and egress to all local properties shall be maintained at all times. 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 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. 2880 Page 3 of 4 SPECIAL CONDITIONS --PERMIT N0.2880 --- Tri-Star Construction --- 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 'h"..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, theexisting.pavement surface; three (3) feet on either side of the excavated trench, shall be cold -milled to a depthof 0.10', with a "butt" joint created along each edge of the cold -milled area, and a new 0.10' lift of'h" 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 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. 16. Permittee shall notify -the City of La Quinta-Public Works Department a minimum of48 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 ofthe La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982) the'City has designated -certain -city -streets -as -Truck Routes. The-weight-limit-for-restricted_streets_(i.e.,-streets . notpart 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.,, Page 4 of 4 CITY OF LA QUINTA ------------------------------ NOTE: kvuc WORKS" With proper validation this form constitutes an CITY "OF LA , QUINTA _ U encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) � C`n'y0F THB�� For the"construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains ,f and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit — Class I I I DATE: ZLL It tf Minor Improvement/Permit ass IV LOCATION OF CONSTRUCTION -� ©,��f%Q� ' M (Street address or Description of Location) O PURPOSE OF CONSTRUCTION If `tli E Seyt/ t2 �* �'`a'9ketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION' 7 �'p4/DST/O�f DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE, TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ - �mm — (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 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 Quints and to pay for any additional replacement necessary as the result of�this work. \ / Aigns4ure f Applicant or Agent Civ�fil�t1/7e� Q,',z i-�/z 7i % a�9c�r Name of Applicant (please print) Business Address Telephone No. G1J-r , C Name of Contr ctor 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 I I I Public improvements: 3%of estimated construction costs Private improvements: 3%of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule 2774 Inspection Fee, $ PERMIT VALIDATION Permit Fee .100 • t PERMIT NO. Penalty Cash Deposit -Surety Bond DATE APPROVED[ j� if required EXPIRATION DATE TOTAL: $ WIC / DATE ISSUED Receipt No. By ,Received by Date Administrative Authority Recorded by Telephone: (619) 777-7075