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3115-NOTE:% 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 curb's, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS DATE: 01/05/2000 Subdivision Improvement Permit — Class II I Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION . VARTnrtR T,nrATTnNq TTTTHTN THE rTTY (Street address or Description of Location) PURPOSE OF CONSTRUCTION MAINTENANCE 6 REPAIR TO EXISTING CVWD FACILITIES DESCRIPTION OF CONSTRUCTION VARIES DIMENSION OF INSTALLATION OR REMOVAL VARIES SIZE OF EXCAVATION, IF NEEDED VARIES Sketch (attach construction plans if appropriate) SEE ATTACHED CONDITIONS SEPARATE PERMITS REQUIRED FOR CONSTRUCTION ON MAJOR STREETS, NEAR SIGNALIZED INTERSECTIONS, OR FOR WORK PERFORMED BY AN OUTSIDE CONTRACTOR APPROXIMATE TIME WHEN WORK WILL BEGIN 01/26/2000 NOTIFY THE CITY AT (760)777-7075 48 HOURS PRIOR TO CONSTRUCTION, TO APPROXIMATE TIME OF COMPLETION 12/31/2600 RECEIVE WOR)LZ UTHORIZARTION NR. ESTIMATED CONSTRUCTION COST $ UNKNOWN (Including removal of all obstruction, materials, and debris, backfilling, com- 1 �����^� / paction and placing permanent resurfacing and/or replacing improvements) /� Li...�.�•/ 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 ap, licable rules and regulations of the City of La Quinta and to pay for any additional replacement necessary as the result "of work. Fig -nature of Applicant or Agent CVWD P.O.BOX 1058. COACHELLA. CA.92236 (760)398-2651 EXT. 507 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 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- Receipt No. Received by Date Recorded by PERMIT VALIDATION PERMIT NO. 1411 4 DATE -APPROVED 01/05/2000 EXPIRATION DATE 12/31/2000 DATEIkSU D 0I/05/2000 Administrative Authority Telephone: (760) 777-7075 t ..0 . �h IJ With proper validation this form constitutes an CITY OF LA QUINTA U encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) BLANKET PERMIT — 19P-0 �`�0F7i���s 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 r Subdivision Improvement Permit — Class I II DATE: Dajg99*r 17. Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Various locations trithi,i ' the City of La. Quinta (Street address or Description of Location) PURPOSE OF CONSTRUCTION Maintenance & repairo to Sketch (attach construction plans if appropriate) existing CVWD facilities DESCRIPTION OF CONSTRUCTION Varies. SEE ATTACHED CONDITIONS DIMENSION OF INSTALLATION OR REMOVAL ' Varies SEPARATE PERNTTS REQUIRED FOR. CONSTRUCTION ON MAJOR STREETS, NEAR SIGNALIZY.,D INTERSECTIONS, OR SIZE OF EXCAVATION, IF NEEDED Varies FOR WORK PERFORi1fED BY AN OUTSIDE e, CONTRACTOR. APPROXIMATE TIME WHEN WORK WILL BEGIN 1 2 NOTIFY THE CITY AT (619) 777-7075 APPROXIMATE TIME OF COMPLETION 12/31/OD 48 HOURS PRIOR TO CONSTRUCTION TO ESTIMATED CONSTRUCTION COST $ unknown RECEIVE WORK AUTHORIZATION NUMBER.. (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 persons or property happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to thi application. Notify the Administrative, Authority at least twenty-four (24) hours in advance of the time when work will a started. Comply with all applicable City Ordinances, the terms and conditions of the permit and all app}cable rules and regulati ns of the City of La Quinta and to pay for any additional replacement necessary as the result of this work. 1 i ,-------------- Sign9ti6,ire of Applicant or Agent C.V.N.D. P.O. Box 1058 C:oachdlla, CA. 92236 (619) 398_�O-, 1 ext. 507 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 FEES: Subdivision Improvement Permit —Class I I I Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule iy-p.2 Inspection Fee $ I PERMIT CCVALIDATION Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by Recorded by cm $ 0— Date PERMIT NO S DATE APPROVED 1/,!OP EXPIRATION DATE 1 /`31/61) DATE ISSUED ,)•/�`©� By Administrative Authority Telephone: (619) 777-7075 GENERAL CONDITIONS -- PERMIT NO. 3115 --- COACHELLA VALLEY WATER DISTRICT --- BLANKET PERMIT - JANUARY I - DECEMBER 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 undergrourid,,equipmeni, installations, and facilities owned.and operated by the Southern California Gas Company hereinafter referred to as "Permittee". New equipment, installations, and facilities shall.be authorized through separate permit*, (see Note below). All work shall be performed by the Permittee. *Note: New equipment, installations, and facilities constructed for single family home residential gas services located on local residential streets shall be authorized by the Blanket Permit, provided all construction.is performed behind the existing curb and gutter or edge of pavement, and no cutting of existing street pavement is required, or if street crossings are performed by a bore operation. PRIOR TO COMMENCEMENT OF ALL WORK, the Permittee shall notify the City at least 48 hours in advance at (760) 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*, (see Note above). C. Construction work performed by an outside contractor for the Permittee. D. Construction work performed within 500 feet of any major intersection, see Condition V. 3. 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. 4. Permittee shall be responsible for providing continuous dust and erosion control. Special Conditions - Permit No. 3115 Page 1 of 3 GENERAL CONDITIONS -- PERMIT NO. 3115 --- COACHELLA VALLEY WATER DISTRICT --- BLANKET PERMIT - JANUARY 1 - DECEMBER 31, 2000 5'. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently if required. 6. Pursuant to Section 6.08.050 of the La Quinta Municipal Code (Ordinance 18 § 1, 1982), throughout the ' work site, the Permmttee 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 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. 7. Work performed within 500 feet of a major 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. 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. 9. 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. is responsibility to appropriately detour and barricade all construction. sites. 10. 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. 11. 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. Special Conditions - Permit No. 3115. . . Page 2 of 3 GENERAL CONDITIONS -- PERMIT NO. 3115 --- COACHELLA VALLEY WATER DISTRICT --- BLANKET PERMIT - JANUARY 1 - DECEMBER 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 the Permittee as directed by and to the satisfaction of the City Engineer at no cost to the City of La Quinta. 13. 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); and as required by the Public Works Department. 14.. 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. 15. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to its original condition. 16. Access and egress to all local properties shall be maintained at all times. 17. 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 meet requirements of the Public Works Department. 18. 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. 1.9. 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. 20. 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 Track 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. 21. The City of La Quinta reserves the right to revoke, suspend or void this permit at anytime. Special Conditions - Permit No. 3115, Page 3 of 3 N'OfiE: 4- ' ,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: 01 /05/2000 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 17ART6TT4 T.kATTOWR WTTNTM THR f:TTY (Street address or Description of Location) PURPOSE OF CONSTRUCTION MAINTENANCE & REPAIR TO EXISTING CVWD FACILITIES DESCRIPTION OF CONSTRUCTION VARIES DIMENSION OF INSTALLATION OR REMOVAL VARIES SIZE OF EXCAVAT60N, IF NEEDED VARIES Sketch (attach construction plans if appropriate) SEE ATTACHED CONDITIONS SEPARATE PERMITS REQUIRED FOR CONSTRUCTION ON MAJOR STREETS, NEAR SIGNALIZED INTERSECTIONS, OR FOR WORK PERFORMED BY.AN OUTSIDE CONTRACTOR APPROXIMATE TIME WHEN WORK WILL BEGIN 01/20/2000 NOTIFY THE CITY AT (760)777-7075 48 HOURS PRIOR TO CONSTRUCTION, TO APPROXIMATE TIME OF COMPLETION 12/31/2000 RECEIVE WORK UTHORIZARTION NR. ESTIMATED CONSTRUCTION COST $ UNKNOWN (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 peter it and all applicable rules and regulations of the City of La Quinta and to pay for any additional replacement necessary as the resu t 'of fiis work. Signature of Applicant or Agent C�IWD P.O.BOX 1058. COACHELLA. CA.92236 (760)398-2651 EXT. 507 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 FEES: Subdivision Improvement Permit — Class I II 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— Receipt No. k Received.'by Date Recorded by �115 PERMIT VALIDATION f • PERMIT NO. DATE APPROVED 01/05/2.000 EXPIRATION DATE 12/31/2000 DATEIbSUED 1 01/05/2000 t gy 1 I Administrative Authority Telephone: (760) 777-7075