3219NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
I
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: 6/12/00
LOCATION OF CONSTRUCTION 77-920 Calle Ensenada
Subdivision Improvement Permit —.Class II I
Minor Improvement Permit Class IV
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Block Wall Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Eloek wall In R/W
on Ensenada frontage only
DIMENSION OF INSTALLATION OR REMOVAL
12" x 21" concrete in 1R/W
"''X••'iSIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 6/13/00
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ 51,000
(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:
see Attatirhed Conditions
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 themes it of this work.
L.
Signatur Vof Applicant or Agent
.David Alkenbern 77-920 Calle Ensendda
Name of Applicant (please print) Business Address Telephone No. _
All American 10004 Center (909)789-7242
Name of Contractor and Job Foreman Business Address Telephone No.
543627
Contractor's License No.
06132
City Business License No.
on file
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
,t
Minor. Improvement Permit — Class IV: See attached schedule
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
100
$ ion
Received by Date
Recorded by
S
t
12141
PERMIT VALIDATION
PERMIT NO. 3219
DATE APPROVED 6/13/00
EXPIRATION DATE nR
DATE ISSUED 4/13/00
By
% Administrative Authority
Telephone: (760) 777-7075
NOTE:
With proper .validation.
this form constitutes an
encroachment permit
CITY OF LA QUINTA
APPLICATION FOR. PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
C`A'y0Fo
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
fz
I O^ Subdivision Improvement Permit —Class I I I
DATE: U ,� Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION �� ?1� 0�1�' ^T sl 4,1—
(Street address or Description of Location( i, �
PURPOSE OF CONSTRUCTION co T— Sketch (attach construction plans if appropriate)
�j � ArC?r?tiN�� C • JC%T!�%dS
DEW,RIPTION OF CONSTRUCTION
I LA
D'y 9AI>f&A/40/1 fs2ont Alt d.1L.%y��• '� �-
DIMENSION OF INSTALLATION OR REMOVAL VA Ta F 'c e �:ro l
z ,a ct.b
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN. -WORK WILL BEGIN o a —• 4
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ S(rb6
(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:
Indemnity, -defend and save 'the City, its authorized agents, officers, representatives and employees, harmlen 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 Administnnith,e Authority at lean twenty-four 124) hours in advance ;of the time when work will be started.
Comply with all applicable City Ordinances, the terms and conditions of permit and all applicable rules end regulations of the City of
La Ouirits and to pay for any additional replacement necessary es th result o thU work. I A
V
Signature of 4plicant or Agent
J76�tf� 1 A•-h. g.e.a_-
..1-1 A 20 r
Name of Applicant (please print) Business Address Telephone No.
��n �c�tur✓ ' .� ra>tiLas Ca,.ti-i Ls�t, 4 (...,k --I,- C109 ) 91'7
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License. No. City Business License No.
c!)
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
too
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No. .
Received by Date
2774
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE'
DATE ISSUED
By
Administrative Authority
Recorded by
Telephone: (619) 777-7075
a
a�
w
+3
'
♦
7
.
SPECIAL CONDITIONS --PERMIT NO. 3219
--- 77-920 ENSENADA ---
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. The applicant, 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 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.
5. 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.
6. 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.
7. 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,
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.
Special Conditions - Permit No. 3219 Page 1 of 3
SPECIAL CONDITIONS --PERMIT NO. 3219
--- 77-920 ENSENADA ---
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.
F. In subsequent lengths of trench, the frequency of compaction tests shall equal one per each lift
of backfill, per 3001inear 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.
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.
8. 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.
9. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to
its original condition.
10. Access and egress to all local properties shall be maintained at all times.
Special Conditions - Permit No. 3219 Page 2 of 3
SPECIAL CONDITIONS --PERMIT NO. 3219
--- 77-920 ENSENADA ---
11. 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.
12. This permit allows for the footing on the block wall to encroach into the R/W 21 ".
13. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
f
Special Conditions = Permit No. 3219
Page 3 of 3