3116NOTE: • •
Wnh;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
t Subdivision Improvement Permit — Class III
DATE: 01 /051200o Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION VARIOUS CITY LOCATIONS
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION MAINTENANCE & EMERGENCY Sketch (attach construction plans if appropriate)
REPAIR OF GAS UTILITY LINES
DESCRIPTION OF -CONSTRUCTION CUT 4'x 4' BELLHOLES SEE ATTACHED CONDITIONS .
AT VARIOUS LOCATIONS & MAKE NECESSARY STREET SEPARATE PERMITS REQUIRED FOR
REPAIRS.FROM JAN.01 TO AEC.31 2000
DIMENSION OF INSTALLATION OR REMOVAL VARIES CONSTRUCTION ON MAJOR STREETS,
NEAR SIGNALIZED INTERSECTIONS,
OR FOR WORK PERFORMED BY,AN
SIZE OF EXCAVATION, IF NEEDED VARTRS OUTSIDE CONTRACTOR
APPROXIMATE TIME WHEN WORK WILL BEGIN VARTF;S
APPROXIMATE TIME OF COMPLETION I1ARTRS
ESTIMATED CONSTRUCTION COST $ N/A "
(Including removal of all obstruction, materials, and debris, backfilling, com-
pactioni,and placing permanent resurfacing and/or replacing improvements)
In consideration .of the granting of this permit, the applicant hereby agrees to:
...,may
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 withNall 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 of this work.
— Signature of Applicant or Agent it )TCM
Q>i (/4—��(,
R0-rAT. GAR CO P-0-R07 1001- RRDT.AMq. ('A- 99171 (9C191 115-7956
Name of Applicant (please print) Business Address Telephone No.
)2
S AMR ) ,
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
Inspection Fee $ PERMIT VALIDATION
Permit Fee �`�,-0— 3116
,y :;, Zell, �. PERMIT NO.
Penalty O1/05/2000
DATE APPROVED
Cash Deposit -Surety Bond � if required EXPIRATION DATE •12/31/2000
TOTAL: $ —0—
Receipt No.
Received by Date
DATE ISSUED l O1/05/2000
113y ,�,l,�►�
Administrative Authority
Recorded by
Telephone: (760) 777-7075
i
�• N(3TE:
'With pripervalidaton
this form constitutes an CITY OF LA QUINTA
encroachment permit "
APPLICATION FOR PERMIT r•
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: 01 f 05l7000 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION VARIOUS CITY LOCATIONS
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION MAINTENANCE & EMERGENCY
REPAIR OF GAS UTILITY LINES
DESCRIPTION OF CONSTRUCTION CUT Vx 4' BELLHOLES
AT VARIOUS LOCATIONS & MARE NECESSARY STREET
REPAIRS.FROM JAN.01 TO DEC.31 2000
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 VARIES
`s
APPROXIMATE TIME OF COMPLETION VART? R
ESTIMATED CONSTRUCTION COST $ NSA
(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 claim's 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 result of this work.' /QQ
Signature of Applicant or Agent ��LN�) �171>10F1&L
SO -CAT. GAS CO P_O.'ROX 3003. RVDLAMS. CA. 92373 (909) '33.5--7956
Name of Applicant (please print) Business Address Telephone No.
SAMP
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 —O— `z±.
Penalty
Cash Deposit -Surety Bond`
if required
TOTAL: $ —0"
Receipt No.
Received by
Recorded by
Date
11. 6
PERMIT VALIDATION
PERMIT NO.
3116
f DATE APPROVED 01/05/2000
EXPIRATION DATE 12/31/2000
/+
DATE ISSUED // 01/05/2000
By rAA
Administrative Authority
Telephone: (760) 777-7075
NOTE.- �
With proper validation
oe
this form constitutes an CITY OF LA. QUINTA
encroach ment;permit.
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION" (ENCROACHMENT) 6
I$W BLANKET PERMIT 0 TFl$9�S
zoC>o
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
Z ySY,
�A^�H AAJ
DATE: December 16; 1998
Subdivision Improvement Permit - Class II I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Various Citv locations
(Street address or Description of Location)
-"PURPOSE OF CONSTRUCTION Mainten.ance and' emergency
reR air of gas:"utility Liners
DESCRIPTION OF. CONSTRUCTION. Cut 4' .X wt Bellholes
'repA"irs frotin-jin: I. to Doc. 31,
DIMENSION "OF -INSTALLATION OR. REMOVAL -- Vciries.. .
SIZE OF EXCAVATION, IF NEEDED Varit>.ta.
Sketch (attach construction plans if appropriate)
SEE" ATTACHED CONDITIONS.
SEPARATE PERMITS REQUIRED FOY
CONSTRUCTION ON PMJOR STREETS,
NEAR SIGNALIZED INTERSECTIOtuS,
OR P'OP, WORK PF,RFOIZKED BY AN
OUTSIDE CONTRACTOR.
APPROXIMATE TIME WHEN WORK WILL BEGIN Varies,
APPROXIMATE TIME, OF COMPLETION -- Varies
ESTIMATED CONSTRUCTION COST $ N/A
(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 result of this work.
s}'r2(Gle4 pinI�"
Permit Coorrinacor
Signature of Applicant or Agent
Sour,hern California Gate Co. P.O. Box 3003 lkedlatsdsi CA. (909) 335-7556
Name of Applicant (please print) Business Address 92T7 3 3: Telephone No.
same.
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 $ - 0
Permit Fee
Penalty. _
Cash Deposit -Surety Bond
if required _
TOTAL: $ 0 -
Receipt No.
Received by Date
Recorded by
2870.
PERMIT VALIDATION
PERMIT NO.�
DATE APPROVED
EXPIRATION DATE
12/31./91) 00
DATE ISSUED
1 /1/99
By
Administrative Authority
Telephone: (619) 777-7075
GENERAL CONDITIONS -- PERMIT NO. 3116
--- The Southern California Gas Company ---
BLANKET PERMIT - JANUARY 1 - 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
underground equipment, installations, and facilities owned.arid 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 #7.
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. 3116 Page 1 of 3
c
GENERAL CONDITIONS -- PERMIT NO. 3116 .
--- The SouthernCalifornia Gas Company --=
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 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.
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.
8. 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's
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. 3116 Page 2 of 3
GENERAL CONDITIONS -- PERMIT NO. 3116
--- The Southern California Gas Company ---
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.
19. 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 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. .
21. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
Special Conditions- Permit No. 3116 Page 3 of 1
Monthly . Blanket Permit Activity Report
La Quinta
ednesday, April 05, 2000
Inland Empire Region
1981 W. Lugonia Avenue
Redlands, CA 92374-9720
Work Thomas
Request Permit No. Job Location Type of Work Guide Account No. Completed P.R.O. # Permit Fee
375869 U9750-0003 MERRION X/ST RIVIERA New Business Service 5530 B6 54100-996 1/11/2000 99-08141
No. of Carts Size of Cuts Square Footage Thickness Type Location
1 2ft
6in X
lft
6in
3.75
1 2 ft
6 in X
l ft
6 in
3.75
1 2ft
6in X
lft
6in
3.75
1 2ft
6in X
lft
6in
3.75
1 2ft
6in X
4ft
6in
11.25
1 3ft
3in X
lft
Tin
5.15
1 4ft
Din X
lft
9in
7.00
1 2ft
6in X
lft
Bin
4.17
1 3ft
Din X
2ft
Din
6.00
1 3ft
4in X
lft
tin
3.89
1 2 ft
6 in X
l ft
6 in
3.75
1 2ft
6in X
lft
6in
3.75
1 2 ft
6 in X
l ft
6 in
3.75
1 2 ft
6 in X
l ft
6 in
3.75
1 2ft
6in X
lft
6in
3.75
1 2ft
6in X .
lft
6in
3.75
1 2ft
6in X
1ft
Bin
4.17
1 3ft
5in X
2ft
kin
7.12
86.24
4 in
MAC
702' W/WPL RIVIERA
4 in
MAC
280' W/WPL RIVIERA
4 in
MAC
373' W/WPL RIVIERA
4 in
MAC
455' W/WPL RIVIERA
4 in
MAC
582'W/WPL RIVIERA
4 in
MAC
125' E/EPL INTERLACHEN
4 in
MAC
52' E/EPL INTERLACHEN
4 in
MAC
509' E/EPL INTERLACHEN
4 in
MAC
427' E/EPL INTERLACHEN
4 in
MAC
266' E/EPL INTERLACHEN
4 in
MAC
820' W/WPL RIVIERA
4 in
MAC
834' W/WPL RIVIERA
4 in
MAC
917' E/E INTERLACHEN
4 in
MAC
854' ELEPL INTERLACHEN
4 in
MAC
799' E/EPL INTERLACHEN
ti 4 in
MAC
738' E/EPL INTERLACHEN
4 in
MAC
610' E/EPL INTERLACHEN
4 in
MAC
367' E.EPL INTERLACHEN
384847 �167950 DUNE PALMS RD New Business Main 849 J2 54174-470 3/31/2000 00-002822
Size of Carts Square Footage Thickness Type Location
1 5 ft 3in X 2ft 0 in 10.50 4 in ASPHALT 1425' N/NPL AVE 48
10.50
r Page I of 3
Monthly Blanket Permit Activity Report
La Quinta
ednesday, April 05, 2000
Inland Empire Region
1981 W. Lugonia Avenue
Redlands, CA 92374-9720
Work
Thomas
Request
Permit No. Job Location
Type of Work
Guide
Account No.
Completed
P.R.O. # Permit Fee
603806
2913 AVENIDA HERRERA
New Business Service
849 E7
54100-996
1/6/2000
99-10458
No. of Cuts Size of Cuts
Square Footage Thickness
Type
Location
1 3 ft 3 in X 2ft 0 in
6.50 6 in
MAC
51' N/NPL CALLE DURANGO
6.50
605673
2913 AVENIDA VELASCO
New Business Service
849 E7
54100-996
1/6/2000
99-10457
No. of Cuts Size of Cuts
Square Footage Thickness
Type
Location
1 4 ft 1 in X 3ft 2 in
12.93 4 in
MAC
152' N/NPL CALLE HIDALGO .
12.93
914197
2870 LOMA VISTA X/ST VISTA VENTURA Abandon Service
819 E5
54118-996
1/20/2000
00-00521
No. of Cuts Size of Cuts
Square Footage Thickness
Type
Location
1 3ft 2 in X 2ft 0 in
6.33 4. in
MAC
6.33
921585
3116 AVENIDA VELASCO X/ST AVE SONO New Business Service
879 F1
54100-996
1/25/2000
00-00707
No. of Cuts Size of Cuts
Square Footage Thickness
Type
Location
1 3ft 3 in X l ft 8 in 5.42 4 in MAC
5.42
922493 3116 52300 AVENIDA JUAREZ X/ST CALLE New Business Service ]849 E2 54100-996 1/25/2000 00-00711
No. of Cuts Size of Cuts Square Footage Thickness Type Location
1 2ft 5 in X 2ft !in 5.03 4 in MAC
1 2ft 9 in X 2ft 1 in 5.73 4 in MAC
10.76
Page 2 of 3
Monthly Blanket Permit Activity Report
La Quinta
ednesday, April OS, 2000
Inland Empire Region
1981 W. Lugonia Avenue
Redlands, CA 92374-9720
Work Thomas
Request Permit No. Job Location Type of Work Guide Account No. Completed P.R.O. # Permit Fee
924123 3116 47730 VIA MONTANA Abandon Service 1111 11 54118-996 3/27/2000 00-02607
No. of Cuts Size of Cuts Square Footage Thickness Type Location
1 3ft 4 in X 3ft 3 in 10.83 5 in MAC 160' N/NPL VIA FLORENCE
10.83
Rev' wed by Date
Total Number of Record 8
i
Page 3 of 3
The Gas Company®
Date: April 5, 2000
TO City Of LA QUINTA
RECE
®®
APR 10 2000
pU8LtC C`1jC�KS
Attached please find a'list of various locations where "blanket permits were used. Please
supply the "Permit Fee" next to each location in the space provided.
When sending your invoice for payment, please include a copy of this report. If you have
any questions, I can be reached at the phone number below.
Sincerely,
Southern California Gas Company
Mary Cooke
Permit Coordinator
(909) .335-7.863
Phone Number
I
Southern California
Gas Company
1981 Lugonia Avenue
Redlands, CA
Mailing Address:
Box 3003
Redlands, CA
92373-0306