2912NOTE:
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 III
DATE: Ablirch- 4.1999 _ . .. Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 51-33Q Avenida Bermudas
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION In$tall and. maintaia a'• Sketch (attach construction plans if appropriate)
due •ihch (1") domestic wa.tex service .line.
DESCRIPTION'.OF CONSTRUCTION Excavates to Mainline,
install watex mexvice
SEE ATTACKED CONDITIONS.
DIMENSION OF INSTALLATION OR REMOVAL Varies..' '
SIZE -OF EXCAVATIONJF-NEEDED .31 41
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION' 90 davg
ESTIMATED CONSTRUCTION COST $ 1..-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
i
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 ofthe 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 duinta and 4o pay for any additional replacement necessary, as the result of this work.
w.. • `;r''`Y��r
Signature of Applicant or Agent `
-COACRELLA VALLEY WATER DISTRICT ( P.O.'Box 1058 Coachella, CA' 398-2651
Name of Applicant (please print) Business Address_ Telephone No.
same
Name of Contractor and Job Foreman.. Business. Address Telephone No.
'N/A NCH
Contractor's License ,No.' City Business License No.
N/A
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class III
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
Permilt :Fee .. _0912.
PERMIT NO.
Penalty
Cash Deposit -Surety Bond DATE APPROVED 3/Rl99
if required 41 EXPIRATION DATE 318/00
TOTAL: $ 0
Receipt No.
Received by Date
Recorded by
DATE ISSUED
By' r 1cEi.f.3�tvJ
Administrative Authority
Telephone: (619) 777-7075 .
NOTE:
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
!! G Subdivision Improvement Permit — Class I I I
GATE: �7 ' mot' l Minor Improvement Permit Class IVLOCATION OF CONSTRUCTION �� _3 / _ G''1c/ G('/� l S
L_'t71' "T R/gGT:
Mbeet address or Description of Location)
PURPOSE OF CONSTRUCTION / M.STALL ANh /YIAINTAIAI A
NE mcm crul2l/iCZ LdA15
DESCRIPT,IO,N OF CQN�TRUCTION
DIMENSION OF INSTALLATION OR REMOVAL 4i"10C,_
SIZE OF EXCAVATION, IF NEEDED ^-
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION NNI=Y f 90) LAYS
ESTIMATED CONSTRUCTION COSTS 1 1i30.a0
(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)
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 is.
penalties. liabilities or loss resulting from claims or court action and arising out of any accident, loss or oamage to persons or proprrt�
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 1241 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 Ouinta and to pay for any additional replacement necessary as the result of this work
Signature of Applicant or Agent L7l 7S
COACHELLA VALLEY WATER DISTRICT P. 0. Box 1058 COACHELLA, CA. 92236 398-2651
Name of Applicant (please print)
Business Address
Telephone No.
512. ore `
Name of Contractor and Job Foreman Business Address Telephone No.
Nl�- .- 0A .
Contractor's License No.
r IA, -
City Business License No. 2
I 1A
Applicant's Insurance Company t� E� Policy Numoer
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The following General and Special Provisions are attached to and madea part of Permit No. 2- l I
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.
TRACKLAYING CONSTRUCTION EQUIPMENT: Cleated tracklaying construction equipment shall not be permitted to operate on
any paved surface .unless fitted with smooth -faced street pads. All mechanical,outriggers, shall be fitted with rubber street shoes'to
protect the paving during excavations. Rubber -tired equipment only shall be used in backfilloperations in paved areas.. If the existing;
pavement is scarred, spalled, or' broken during the term of this contract, or if the pavement is marred, ' City of La Quinta 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.
surfacing plus appropriate seal cost.as specified above.
PROTECTION OF TRAFFIC: All excavations and work areas shall. be properly lighted and barricaded as deemed necessary by the
City Engineer or. La Quinta City Public Works inspectors. 'Suitable detours and detour signs shall be placed and maintained for the
duration of the project. The City shall be notified.24 hours in advance of any traffic detours or, delineations.
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 in 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.
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 excavation.and backfill operations shall be removed from the right
of way. All paved surfaces shall be broomed clean.of earth and other objectionable materials immediately after backfill and compaction
Existing gutter line and drainage ditches shall be replaced to their original standard or better: All excess material shall be removed
prior to paving. Water tanker shall be used, as required, to sprinkle 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
be the responsibility of the permittee (contractor) to control this water and to provide. off-street barricades when necessary..
CLOSING, STREETS: No street shall be closed. A minimum of one lane of traffic shall' be; maintained at all times to provide limited
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.
SPECIAL PROVISIONS
The following shall apply when indicated:
. NOTIFICATION:. Permittee shall notify the City. at (619)777-7075 at least 48 hours in advance of starting construction.
UTILITY CLEARANCE: (Substructures) Prior to,making any excavation within the City of La Quinta 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 resulting from operations conducted• under this permit shall be the sole
responsibility of the permittee.
R4
6-
R7
R8
R9
10
UTILITY CLEARANCE: (Surface Structures), No work shall be done under thispermit until. all utilities are clear of the
proposed work site. The permittee shall notify all concerned utility companies,of the'proposed work.
PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing road pavement shall be surfaced
with inches of A.C. paving placed on inches of class aggregate subbase course having an "R"
value of'not less than and in conformance with. City of La Quinta Road Improvement Standards and
Specifications, Ordinance lt461. .
PARKWAY GRADING: Area between the property line and top of.the proposed concrete.curb shall be graded to a slope of
1/4 inch to one foot (P).
GRADE. -CHECKING: City of La Quinta shall check grades upon receipt of plan and profile and/or grades as established by
a licensed engineer.
CURB•REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter (_feet) shall be
removed. Curb and/or curb and gutter shall be, saw cut prior to removal. Depressed curb, matching concrete, gutter and
concrete driveway approach shall be constructed in conformance with City of La Quinta Standard /1207.
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.. .
SIGHT CLEARANCE: Sight clearance of 600 feet in.all directions shall be assured and maintained at all times.
SOIL STERILIZER: The area to be surfaced shall be treated with soil sterilizer. Rate of application shall commply with the
manufacturer's specifications:
11 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
Quints forces to preclude delay or interference with State of City of La Quinta projects.
12 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.
13 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 LIlVIIT 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.
FJ 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 encounter xcavation shk n be use fo • backfill, but shall be supplemented or replaced
by an approved sand or gravel. ( G L
lam° 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.
V7 BACKF' ,L 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 is the greater compaction.
Where ponding or flooding is used for a maximum settlement, adequate dikes will be constructed to retain the water. Where
jetting is used, the jets shall be of sufficient length to reach the bottom of each layer and the water supply shall be continuous.
COMPACTION TESTS: If so required by the inspector, compaction tests shall be made at intervals of not more than 1000
feet and a minimum of one (1) test on each road. One (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.
19 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.
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.
6)PERMANENT PAVEMENT REPAIR: After backfill and compaction have beeE
pleted, a temporary patch consisting of
tw ''�°ches (2") of SC-800 shall be placed immediately. atch ofinches A.C. surfacing placed on a
41, _inch class base shall be placed no later th days er comp of temporary road repair.
tZl_
—`T�
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.
SPECIAL CONDITIONS==PERMIT NO. 2912
--- CVWD
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 § j (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, 1,982), 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 lst to April 30: Monday -Friday 7:00 a.m. to 5:30 p.m.
Saturday 8:00 am: •to 5:00 p.m.
May'lst 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 s. prohibited on le al holidays and Sunda
P g Y Y
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.repairof 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:
o
7. Pursuant to Section' 14.16.250 of the La Quinta Municipal :Code (Ordinance 10 § 1 (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. 2912 Page 1 of 3,
SPECIAL CONDITIONS --PERMIT NO. 2912
--- CV WD ---
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 I4.16.370 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982);
•backfilt 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.
12. All excavations within. City of La Quints 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 pavement replacement shall be completed no later thanseven- (7:) days after the
completion of the work. Permanent pavement shall be replaced as required by the Public Works
Department.
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 stabilize any soil that was disturbed (shoulder areas, etc.) as a result of work
performed under this permit with an approved dust.control treatment and provide continuous dust
control measures as indicated in the Fugitive Dust Control Plan, if applicable.
Special Conditions - Permit No. 2912 Page 2 of 3