3078NOTE:
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: 1.1-05-99 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION ON AVE 48 APPX. 747' WEST OF DUNE PALMS ROAD CENTER LINE AND APPX.
15' N OF AVE 48 CENTER LINE
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION TIE IN FOR CONTRACTOR TO Sketch (attach construction plans if appropriate)
INSTALL 12" SERVICE TO WELL SITE FOR CATELLUS.
DESCRIPTION OF CONSTRUCTION EXCAVATE AT EXISTING 18"
MAIN. MARE A 12" CONNECTION INCLUDING A 12" GATE, VALVE 8Y
AND FLANGE.
DIMENSION OF INSTALLATION OR REMOVAL 12"
SEE ATTACHED CONDITIONS
SIZE OF EXCAVATION, IF NEEDED 10'x.10I
APPROXIMATE TIME WHEN WORK WILL BEGIN NOV. S
APPROXIMATE TIME OF COMPLETION 2 DAYS
ESTIMATED CONSTRUCTION COST $ 15.000-27.000
(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 r suit o this work. / �,/�
�� _ o�/lF'�,4 v
Signature of Apph1bant,-6.1 Agent
TODD JORGENSON P.O. BOX 1058, COACHELLA, CA 398-2651 each 221
Name of Applicant (please print) Business Address Telephone No.
COACHELLA VALLEY WATER DISTFLICT ,
Name of Contractor and Job Foreman Business Address Telephone No. i
WA N/A
Contractor's License No. City Business License No.
SELF INSURED
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 Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
$ 0:00
$ 0.00
Date
PERMIT NO
0TS
PERMIT VALIDATION
3078
DATE APPROVED
EXPIRATION DATE
DATE ISSUED) ji-7- C
By
Administrative Authority
Recorded by �I 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
Subdivision Improvement Permit — Class II I
DATE: 11-05-99 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION ON AVE 48 APPX. 747' WEST OF DUNE PALMS ROAD CENTER LINE AND APPX.
15' N OF AVE 48 CENTER LINE
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION TIE IN FOR CONTRACTOR TO Sketch (attach construction plans if appropriate) +a+r
INSTALL 12" SERVICE TO WELL'SITE FOR CATELLUS.
DESCRIPTION OF CONSTRUCTION EXCAVATE -AT EXISTING 18"
MAIN. MAKE A 12" CONNECTION INCLUDING A 12" GATE VALVE
AND FLANGE.
DIMENSION OF INSTALLATION OR REMOVAL 12"
SEE ATTACHED CONDITIONS
SIZE OF EXCAVATION, IF•NEEDED 10'X10'
APPROXIMATE TIME WHEN WORK WILL BEGIN' NOV. 8
APPROXIMATE TIME OF COMPLETION 2 DAYS
ESTIMATED CONSTRUCTION COST $ 15. 000-27. 000
(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 properrty
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 o Eihis work. �y/�
Signature of Appl: cant GAgent
TODD JORGENSON P.O. BOX 1058. COACHELLA, CA 398-2651 extk 221
Name of Applicant (please print) Business Address Telephone No.
COACHELLA VALLEY WATER DISTRICT.
Name of Contractor and Job Foreman Business Address ~Telephone No.
N/A N/A
Contractor's License No. City Business License. No.
SELF INSURED
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
.i
Inspection Fee • $ 0.00
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL
Receipt No.
$ 0.00
Received by Date
Recorded by
S
i3
PERMIT VALIDATION S
PERMIT NO. 3078
DATE APPROVED I I.11ril
EXPIRATION DATE
DATE ISSl7'ED�
B,yj�
��.�JtN i
Telephone: (619) 777-7075
pnrm�
Administrative Authority
ur W I-AuIN 1 A
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APPLICATION FOR PF-RUIT
PUBLIC WORKS COMTRUCTION (ENCROACHMENT!.
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FE111IN���4ATION
PERMITNU.
DATE APpROvEO
EXPIRATION DATE
DATEI=UED
by
Adminnust1we Awhm tv
T�a+ofolr: (6�0) 7rr-MIS
Vd ATEO
a/STRIC'
COACHELLA VALLEY WATER DISTRICT
`TER.
Post Office Box 1058
Coachella, California 92236
JOISTRIC1
File: U`fLy. /ICJ
Name P'i a C+a
Firm _
City
Telecopier No. �() —777/5a or Speed Dial No.
i
r From CQ : 0 Authorized by
Total number of pages. sent (including transmittal) .
Please review and call Original to follow by mail
Yes
No
Per your request
For your information
r
. Remarks: l
14 a-Ve ar-U SU4- =L—s
If vou'do not receive all pages or they are not legible, please call as soon as possible.
Telephone .(760) 398=2651
Ask for) L- .1
Date l -r �- qd Time �� U
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(Rev. 2/49)
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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:
ENROACHMENP 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 EQ1JIPD3TI1: 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 befitted with rubber street shoes to
protect the paving during excavations. RubberAired 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 Quints, 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. t
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 Quints. 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,tie 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:r 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.
t SPECIAL PROVISIONS
The ollowing shall apply when indicated:
R11 NOTIFICATION: , Permittee shall notify the City at (619)777-707S at least 48 hours in advance of starting construction.
R2 [T xry 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 substrttcturei resulting from operations conducted under this permit shall be the sole'
i responsibility of the permittee.
R3 UIIL M 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. paviag 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
®R-5
Specifications,.Ordinance #461,
PARKWAY GRADING: 'Area between the property line and top of the proposed concrete curb sballbe graded to a slope of
1/4 inch to one foot (11).
R6 GRADE CEWAXING: 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.
Rg 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 directionsshall be assured and maintained at all times.
RIO SOIL S7 RIIdZER: The area to be surfaced shall be treated with soil sterilizer. Rate of application shall commply with. the
manufacturer's specifications.
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SPECIAL CONDITIONS --PERMIT NO. 307.8
---C.V.W.D. ---
In addition to the standard permit conditions, the following shall apply:
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. C.V.W.D., hereinafter referred to as "Permittee", shall be responsible for providing continuous dust
and erosion control. All areas shall be kept watered down daily including weekends.
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, 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 5:30 p.m.
Saturday 8:00 a.m. to 5:00 p.m.
May 1st 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.
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=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 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 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. 3078 .
Page 1 of 4
:X
SPECIAL CONDITIONS--PEFMT NO. 3078
---C.V.W.D. ---
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 Cify 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 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, t
onsite, at all times during backfill operations.
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 Inspector 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 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 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
depth of 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 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. 3078
Page 2 of 4
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SPECIAL CONDITIONS --PERMIT NO. 3078
9---C.V.W.D. ---
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 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. All costs incurred due to the conditions above shall be borne by the Permittee. Copies of all
test results 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 (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. I" 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., 3078
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SPECIAL CONDITIONS --PERMIT NO. 3078
---C.V.W.D. ---
C. Permanent pavement replacement shall be installed using a City approved %" max medium
asphalt concrete as the base course lift and a City approved %2" 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, 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 %" 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 0.101, 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 of 48 hours prior
to commencement of any construction at (760) 777-7075.
17. Permittee shall permanently stabilize any and all soil that was disturbed as a result of work
performed under this permit with an approved dust control'treatment. Soil stabilization shall be done
immediately after completing the operation.
18. Pursuant to Chapter 12.56 of the 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
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. This permit is to install a.12" service to well site per the permit description
20. The. City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
Special Conditions - Permit No. 3078
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