29714 ,.
NOTE: r`
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
DATE: 5-18-99 .
,e
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Various locations within the City of LA Quinta
ANNUAL m Am= PEwT
(Street address or Description of Location)
Maintenance and repairs to
PURPOSE OF CONSTRUC ION Sketch (attach construction plans iflappropriate)
existing UYE faci ities
DESCRIPTION OF CONSTRUCTION Mainta1n and Repair
Annual Blanket Permit
DIMENSION OF INSTALLATION OR REMOVAL No more than 00 ft.
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN -�Yl—
APPROXIMATE TIME OF COMPLETION -17-00
ESTIMATED CONSTRUCTION COST $
(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 appl cable rules an regulations of the City of
La Quinta and to pay for any additional replacement necessary the"result of this wort' . r
y Signature of Applicarft or Agent
GTE CALIFORNIA INC. 295 N. Sunrise Way Palm Springs, CA (760) 778-3610
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No.
City Business License No.
Applicant's Insurance Company Policy Number
t
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:
Receipt No.
Received by
Recorded by
-0-
$ `0-
Date
29TI
PERMIT VALIDATION
PERMIT NO. 2971
DATE APPROVED 5-17-99
EXPIRATION DATE 5•-17•-00
C DATE ISSUED
!J 5-18�-99
V Administrative Authority
Telephone: (619) 777-7075
rr
NOTE: 199�
With proper validation 1
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
17
)ATE:— 05/P/99 Subdivision Improvement Permit — Class III
Improvement
_OCATION OF CONSTRUCTION
VARIOUS LOCATIONS WITHIN THE CITY IOFr LA QUINTA Permit Class IV
Street address or Oucription of Location)
'URPOSE OF CONSTRUCTION MAINTENANCE & REPAIRS TO Sketch )attach construction sans if
EXISTING GTE FACILITIES. p appropriate)
IESCRIPTION OF CONSTRUCTION VARIES
-IMENSION OF INSTALLATION OR REMOVAL M RE THAN ANNUAL BLANKET PERMIT
80. FT.
IZE OF EXCAVATION, IF NEEDED
PPROXIMATE TIME WHEN WORK WILL BEGIN1-7
PPROXIMATE TIME OF COMPLETION 05 00
3TIMATED CONSTRUCTION COST S
ncluding removal of all obstruction, materials, and debris, backfilling, corn.
iction 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 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 (241 hours in advance of the time when will be st d.
Comply with all applicable City Ordinances, the terms and conditions o s permit and all epp rules and r u ation} of the City of
Le Ouinta and to pay for any additional replacement necessary as e r A
91! this work.
Signature of Applicant or Agent
GTE CALIFORNIA, INC. 295 N. SUNRISE WAY PALM SPRINGS CA 92262 760 778-361
me of Applicant (please print) Business Address
Telephone No.
me of Contractor and Job Foreman Business Address
Telephone No.
itraaor's License No. City Business License No.
plicant's Insur'anoe 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
Ilection Fee $ II
nit Fee
alty j
i Deposit -Surety Bond
quired
TOTAL:
eipt No.
eived by Date
3rded by
PERMIT VALIDATION
PERMIT NO. - Z 1 7 i
DATE APPROVED �I
EXPIRATION DATE �( 7_00
DATE ISSUED I ��
By
Administrative Authority
TELEPHONE: (619) 564.2246
0�
The following General and Special Provisions are attached to and made a part of Permit No. (/ 1
GENERAL PROVISIONS
The following shall always apply:
ENROACHIIIENT 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 marled, 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:
®R 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.
/ R3J UTELITY 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.
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 #207.
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.
R9f SIGHT CLEARANCE: Sight clearance of 600 feet in all directions shall be assured and maintained at all times.
R10 SOIL STERILIZER. The area to be surfaced shall be treated with soil sterilizer. Rate of application shall commply with the
manufacturer's specifications.
f
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.
Rl 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.
RI 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 LIMIT 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.
15 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 encountered during excavation shall not be used for backfill, but shall be supplemented or replaced
by an approved sand or gravel.
R16 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.
BACKFILL 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 depth's. 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.
/Rl$ 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.
RL 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.
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.
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.
GENERAL CONDITIONS -- PERMIT NO. 2971
--- General Telephone (GTE) ---
BLANKET PERMIT - May 1, 1999 - May 31, 2000
In addition to the standard permit conditions, the following shall apply:
1. Work authorized by this permit shall be limited to the maintenance and repairs of
existing underground equipment, installations, and facilities owned and operated by
General Telephone (GTE). New equipment, installations, and facilities shall be
authorized through separate permit. All work shall be performed by GTE employees.
PRIOR TO COMMENCEMENT OF ALL WORK, GTE shall notify the City at least 48
hours in advance at (619) 777-7075, giving the location and description of the work
to be performed, the dates and times the work will occur, and the name of the
foreman responsible for the work. A work authorization number will be issued for each
occurrence of work. WORK PERFORMED PRIOR TO CITY NOTIFICATION AND
WITHOUT A WORK AUTHORIZATION NUMBER IS PROHIBITED.
2. SEPARATE PERMITS ARE REQUIRED FOR ALL OF THE FOLLOWING:
A. Work within any major, primary, or secondary arterial street. Those streets
include, but are not limited to:
Eisenhower Drive, Washington Street, Adams Street, Dune Palms Road,
Jefferson Street, Madison Street, Monroe. Street, Fred Waring Drive, Miles
Avenue, Westward Ho Drive, Avenue 48, Avenue 50, Avenue 52, Avenue 53,
Avenue 54, Airport Boulevard, Avenue 58, and Avenue 60.
B. Construction of all new equipment, installations, and facilities, and realignments
or changes to existing facilities.
C. Construction work performed by an outside contractor for the utility company.
D. Construction work performed within 500 feet of any signalized intersection, see
Condition #9.
3. All work shall be performed in accordance with the latest edition of the Standard
Specifications For Public Works Construction.
4. GTE shall be responsible .for providing continuous dust and erosion control.
5. Streets shall be kept clean. They shall be completely cleaned at the end of each
working day and more frequently if required.
Special Conditions - Permit No. 2971 Page 1 of 3
GENERAL CONDITIONS -- PERMIT NO. 2971
--- General Telephone (GTE) ---
BLANKET PERMIT- May 1,1999 -May 31, 2000
6. GTE shall comply with the local noise ordinance (LQMC 6.08.050). 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 5:30p.m.
Saturday 8:00 a.m. to. 5:OOp.m.
May 1 st to September 30: Monday -Friday 6:00 a.m. to 7:OOp.m.
Saturday 8:00 a.m. to 5:OOp.m.
Work shall be prohibited on legal holidays and Sundays.
7. GTE 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.
8. Advance warning signs and traffic control shall be installed and maintained in
accordance with Caltrans Standards or the Work Area Traffic Control Handbook
(WATCH Manual). It shall be GTE's responsibility to detour and barricade all work
sites.
9. . When the work site is in, or within 500' of, a signalized intersection, additional
planning and coordination is required:
A. GTE shall submit for City approval traffic control plans for the work site.
B. GTE shall also notify the Riverside County Signal Department at (909) 275-
6894 or Caltrans Signal Department at (619) 688-6845 as appropriate, 48
hours prior.to beginning work.
C. Work shall be restricted to those times when the work will affect the least
amount of traffic. during that day, commonly between the hours of 10:00
A.M. to 12:00 P.M. and 2:00 P.M. to 4:00 P.M.
10. Street closures shall not be permitted. A minimum of one travel lane on paved surface
shall be maintained with flagmen,at all times.
1 1. Prior to excavating, GTE shall contact Underground Service Alert at 1(800) 422-4133.
Note: USA does not locate signal conduits or other city owned facilities such as storm
drains, electrical services, median sleeves, etc.
Special Conditions - Permit No. 2971
Page 2 of 3
GENERAL CONDITIONS -- PERMIT NO. 2971
--- General Telephone .(GTE) ---
BLANKET PERMIT - May 1,1999 - May 31, 2000
12. 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 GTE as directed by and to the satisfaction
of the City Engineer at no cost to the City of La Quinta.
13. All work shall be coordinated with the City's inspector and others working within the
area as directed by and to the satisfaction of the City Engineer.
14. Backfill compaction within improved street rights -of -way shall conform with Section
306-1-.3 of the Standard Specifications For Public Works Construction (SSPWC). All
backfill soil shall be crushed aggregate base or crushed miscellaneous base, meeting
the requirements of Sections 200-2.2 and 200-2.4 of the SSPWC. Native soil shall
not be used as a backfill material. Compaction tests (one per 300 linear feet of trench)
shall be provided for areas of excavation large enough to accommodate compaction
equipment. For areas of excavation smaller than that which would accommodate
compaction equipment, controlled density fill (CDF) or any equivalent sand -slurry
mixture shall be used. As an alternative, CDF or its equivalent may be used for all
areas of excavation, eliminating the need for compaction testing. Material tickets and
compaction test results shall be submitted to the City. The work authorization number
shall be referenced on all correspondence.
15. All excavations at or near the travel way shall be backfilled and paved at the end of
every workday as directed by and to the satisfaction of the City Engineer for the
protection of the traveling public.
16. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be
replaced to its original condition.
17. Access to properties shall be maintained at. all times.
18. Permanent pavement replacement section shall be one inch greater than existing and
be paved within seven (7) calendar days from completion of the work. Asphalt
concrete shall be of a mix design approved by the City. Material tickets and .
compaction test results shall be submitted to the City. The work authorization number
shall be referenced on all correspondence.
19. The City has designated by ordinance certain city streets as Truck Routes. The weight
limit for restricted streets (i.e. streets not part of 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 equipment.
20. The City reserves the right to revoke this permit upon 30-day written notice to GTE
for any reasonable cause, and reserves the right to revise conditions by amendment
as may be necessary.
Special Conditions - Permit No. 2971 Page 3 of 3