2931NCFTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
rs, water mains
For the construction of public or privain connection.with MINOR IMPROVEMENTS and APPROVED curbs, driveways, pavements, sidewalks, Parking. lots, eSUBDIVISIONS
and other like public works improvements
DATE: MAreh ?6 I4Q'Q
Subdivision Improvement Permit —Class II I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION �dAwn St "'�` ncx va
(Street address or Description of Location) f ro riate)
PURPOSE OF CONSTRUCTION P1 Me a twrtnfnnI
g
DESCRIPTION OF CONSTRUCTION nIZ " lcce im t win
trench to B/W I aSA Via^
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
X 6' X 5'
APPROXIMATE TIME WHEN WORK WILL BEGIN 4/5/92
APPROXIMATE TIME OF COMPLETION 4/15/42
ESTIMATED CONSTRUCTION COST $ 000-On
Is and debris backfilling, com-
Sketch (attach construction plans i app p
SEE ATTACKED CONDITIONS.
SEE GTE DRAWING.
k►
(Including removal of all obstruction, materia ,
paction and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of ,this permit, the applicant hereby agrees to:
ss from and
Indemnify, -defend and
or loss the resulting from ity, its authorized
cla ms or court action andeaisingtoulteof any cc ident, loss or damage to persons ornst ypropertand ly
penalties, liabilities
it of any work undertaken under the permit granted pursuant to this application.
happening or occurring as a proximate resu
Notify the Administrative Authority at least twenty-four (24) hours in advance of the time whn work will be started.
Comply with all applicable City Ordinances, the terms and conditions of the permit and all
La Ouinta and to pay for any additional replacement necessary as the esult of this work.
RA 4 A4
Signature of Applicai
Name of Applicant (please print)
Business Address
rules and regulations of the City of
nt
Telephone No.
&Ams Business Address Telephone No.
Name of Contractor and Job Foreman
N/A
Contractor's License No.
N/A
City Business License No.
W/a Policy Number
Applicant's Insurance Company
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' Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ _ 0 r
Receipt No.
Received by Date
Recorded by
2931
PERMIT VALIDATION
PERMIT NO. 2931
DATE APPROVED 4/519
EXPIRATION DATE 4/5100
DATE ISSUED
By '1QAA f G�., -- � D �
Administrative Authority
Telephone: (619) 777-7075
I
NOTE:
With proper validation
this form constitutes an
encroachment permit
CITY OF LA QUINTA
RECEIVE®
MAR. 2 9 1999
PUBLIC WORKS
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
a .
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
)ATE: 03/26/99 Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
_OCATION OF CONSTRUCTION MADISON STREET & AVENU 1�1
Street address or pescription of Location)
'URPOSE OF CONSTRUCTION PLACE A TERMINAL
Sketch (attach constru
IESCRIPTION OF CONSTRUCTION DIG SPLICE PIT AND TRENCH
Tn R/Id I-TNG
-IMENSION OF INSTALLATION OR REMOVAL
SERVICF PpnFCTAI
IZE OF EXCAVATION, IF NEEDED
PPROXIMATE TIME WHEN WORK WILL BEGIN-01/31/99
coon plans if appropriate)
See 6&cu 4 ce4�
lil. O • Sf�3 - `,;OD Ole r..
PPROXIMATE TIME OF COMPLETION Q4/15/99
3TIMATED CONSTRUCTION COST S - 1000.00
ncluding removal of all obstruction, materials, and debris, backfilling, cons-
+ction and placing permanent resurfacing and/or replacing improvements)
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 claim
happemnq :or occurris or court action and arising out of any accident, loss or damage to persons or propeny
ng as a proximate result _of any work undertaken under the permit granted pursuant to this application.
Notity the,�Administrative Authority at least twenty-four 1241 hours in advance of the time when work will be started.
-T•
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.
gftature of. Applicant or Agent -• - -
GTE CALIFORNIA-, „_2.9.5_N,-SUNRISE-WAY ;PALM SPRINGS, CA 92262 760/778=3611
me of Applicant (please print) - -
....< ...,.�.___•.. .. _._.._. ,_.•, Busmen Address ......- Telephone No.
me'of Contractor and Job Foreman
itractor's License No.
Business Address M. "Telephone No.
, I
City Business Lice se No.
Plicant's Insurinee Company
Policy Number
ES: 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
section Fee PERMIT VALIDATION
not Fee 4 a.
alty... _..:... _. ... .._
I Oeposit-Surity Bond
TOTAL:-s _._....• $
eived by Date
arded by -
PERMIT NO. ^'
DATE APPROVED "
EXPIRATION DATE
DATE ISSUED. t�;r.t:"°.. ..�..._.......
By
Administrative Authority
TELEPHONE: (6191564.2246
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The following General and Special Provisions are attached to and made a part of Permit No.�
GENERAL PROVISIONS
The following shall always apply:
ENROACHIVIENT 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 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, 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.
Existinggutter 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:
R NOTIFICATION: Permittee shall notify the City at (619)777-7075 at least 48 hours'in advance of starting construction.
UTHX1rY 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.
UTH= 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 companies of the proposed work. '
R4 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 #461
R5 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 (1').
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.
R7 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 #20.
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.
R10 SOIL STERIIdZER: The area to be surfaced shall be treated with -soil sterilizer. Rate of application shall commply with the
manufacturer's specifications.
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.
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.
4 LUffr OF E AV ONS: Excavations shall be limited to 1000 linear feet of open trench before backfill operations must
begin. All exca ti ns shall be properly barricaded with lights overnight, on weekends and holidays for the protection of the
traveling public. a Public Works Inspector shall determine the suitability of excavation barricading in each case. No
excavation shall em in open for a period exceeding five (5) days. No excavation shall be made unless the construction
material is ac y on the work site.
BACKFILL MA Backfill shall be free of brush, roots or other organic substance detrimental to its use for purposes
of producing an a uately consolidated backfill. Any material which the City of La Quinta deems unsuitable (spongy or
saturated materi whi is encountered during excavation shall not be used for backfill, but shall be supplemented or replaced
by an approve sand or gravel. 5p �
BACKFILL S Backfill shall be approved transit -mix sand or equivalent and shall be'placed in lifts of not greater than
three feet (3') vibrated using vibrotamper or equivalent equipment. Alternate methods may be substituted, but in any case,
a relative co pacti of 95 percent shall be attained with the structural section of the roadway.
BAC L AC NT: Backfill shall be applied. in layers of not more than 50 percent of the total depth of the trench
before flooding a maximum of five-foot (5') lifts where trenches are of excessive depths. Care is to be exercised that the
backfill material is of subjected to extreme swell by flooding operations. Backfill material shall be placed so that the resulting
compaction sh be n t less than 90 percent or equivalent to the surrounding ground, whichever is the greater compaction.
Where pondin or floods g is used for a maximum settlement, adequate dikes will be constructed to retain the water. Where
jetting is use , the jets shall be of sufficient length to reach the bottom of each layer and the water supply shall be continuous.
COMPAOION 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.
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.
4..
SPECIAL CONDITIONS--PERNIIT NO.2931
--- GTE California ---
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: GTE California, hereinafter referred to as "Permittee", shall be responsible for providing continuous
dust and erosion control:
3.1. 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 I and
maintenance of equipment within one-half mile of human occupancy shall be performed only during
the following time periods:
5
31
�7
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 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 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 anyway.
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
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),
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. 2931
Page 1 of 3
rr
SPECIAL CONDITIONS --PERMIT NO: 2931
--- GTE California ---
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), 1982),
backfill compaction within street, rights -of -way shall conform with Section 30643 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 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. 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 distance of one foot(F) 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'/z"] minimum) of crushed aggregate'
or miscellaneous base. material, -compacted to 95% minimum relative compaction.
c) Provide an existing section plus one inch (1") [four inches (4") minimum] of asphalt concrete
in two (2) or more lifts; the first lift(s) comprised of.a base course a.c. material, of a. City
Special Conditions - Permit No. 2931 Page 2 of 3
SPECIAL.CONDITIONS--PERNIIT NO.2931
--- GTE California-_
approved mix design, meeting the requirements of Greenbook class B-AR-4,000; the final 0.10'
lift comprised of a wearing course- a.c.'niaterial,`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 ofa.c:'material shall -be compacted to 95% minimum relative
compaction:
d) For. trenches greater than two feet'(I) in width, the,Permittee shall perform a grind and a c. "
overlay of 0.10' depth, for three feet, (3') in addition to the pavement replacement specified
above:
e) Multiple. trench cuts;.depending upon locationand quantity, will require) complete grinding and
0.1.0' depth asphalt concrete removal and repaving, at the direction of and to the satisfaction
of the City Engineer: Other alternative surfacing, `such as slurry sealing, may be •approved:at
the direction of the appropriate Homeowner's Association and the City Engineer.
16 Pern ittee 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 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. '
18. Pursuant to Chapter 12.56 of the La Quinta MunicipatCode (Ordinance:,10 § 1 (part), 1982) the City has designated certain citystreets 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 'of'void this permit at any time.
20. This permit authorizes -installation of GTE facilities within Madison' Street right of way at Avenue
55; as'shown on the GTE drawing, W.O.'543=8POO1BG. '
Special Conditions - Permit No. 2931. Page 3 of 3