3512NOTE: A i
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
DATE: 8/17/01
LOCATION OF CONSTRUCTION FORBES CIRCLE BEHIND CURB
(Street address or Description of Location)
Subdivision Improvement Permit— Class III
Minor Improvement Permit Class IV
PURPOSE OF CONSTRUCTION TO EXPOSE RTTRIED SPLICE Sketch (attach construction plans if appropriate),
DESCRIPTION OF CONSTRUCTION
INSTALLATION OF SPT.TCF. PTT
SEE ATTACHED SPECIAL CONDITIONS
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
4x5x4
APPROXIMATE TIME WHEN WORK WILL BEGIN
9/09/01
APPROXIMATE TIME OF COMPLETION 8J09/n1
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 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
ITERIZON 995' NORTH SUNRISE WAY R�1-9 SPRINGS 6A 9=66 769 864 1715
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 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
1 11
Receipt No.
Received by Date
Recorded by
3512
PERMIT VALIDATION
PERMIT NO. 3512
DATE APPROVED 8/8/01
EXPIRATION DATE 11/08/01
DATE J,5SUED
i
By
Administra ' e Authority
Telephone: (760) 777-7075
�•..
,4
,_.,
, . .
The following General and Special Provisions are attached to and made apart of Permit No. 351 Z
GENERAL PROVISIONS
The following shall always apply:
ENROACEMENT 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 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 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 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 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:
NOTIFICATION: Permittee shall notify the City at (619)777-7075 at least 48 hours in advance of starting construction.
R2 ITTHdTY 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
/03 responsibility of the permittee.
LT ELJTY 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
L/ 1/4 inch to one foot (1').
R6 GRADE CHECKING: City of La Quints 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.
R9 SIGHT CLEARANCE: Sight clearance of 6W 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.
�R 1 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.
1 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
c
pon completion or replacement of all survey monuments for proper project clearance.
1 PAVEMENT CUTTING: Pavement will be mechanically saw cut to a straight to a straight edge prior to excavation. Method
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.
R1-5 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.
R17 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 depths. 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.
R18 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.
R1: 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.
VR2U 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.
®R 1 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.
2 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.
®Rl]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.
SPECIAL CONDITIONS --PERMIT NO. 3512
---VERIZON ---
In addition to the standard permit conditions, the following shall apply:
1. 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. Verizon, hereinafter referred to as "Permittee", shall be responsible for providing continuous dust
and erosion control.
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 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.
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 - Pennit No.3512 Page 1 of 4
SPECIAL CONDITIONS --PERMIT NO. 3512
---VERIZON ---
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 City 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,
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.3512 Page 2 of 4
W
SPECIAL CONDITIONS --PERMIT NO. 3 512
VERIZON ---
E. 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.
F. 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.
G. 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.
H. 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 1" 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.3512 Page 3 of 4
SPECIAL CONDITIONS --PERMIT NO. 3512
---VERIZON ---
C. Permanent pavement replacement shall be installed using a City approved 3/4" 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. Cold -Mill and Overlay - The existing pavement which was properly protected in place during
the trenching operation located adjacent to the trench saw cut shall be cold -milled to a depth
of 0.10 feet with butt joint created next to the existing unmilled pavement surface. The cold -
milled area and base asphalt concrete in the trench area shall be overlaid with a City approved
C2-AR-4000 asphalt concrete mix. The width of the cold milling area shall be as follows: -
For longitudinal trenches located in a parking lane: two (2)..feet outside the sawcut
removal lines.
For longitudinal trenches located in a traffic lane: two (2) feet outside the sawcut
removal lines, or to the lane line striping, whichever is greater.
• For transverse trenches across existing street: two (2) feet outside the sawcut removal
_ lines.
E. 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 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.
17. 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.
18. Stock pile shall not exceed 3' in total height from the existing surrounding area.
19. This permit allows for the excavation of a 4' x 5' x 4' pit to expose buried splice pit to perform
routine work. This work will be located at Forbes Circle.
20. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
Special Conditions - Permit No.3512 Page 4 of 4
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
j �
Subdivision Improvement Permit— Class III
A yE: r '$/17/O1
DATE: Minor Improvement Permit Class IV
.f
,.
LOCATION OF CONSTRUCTION FORBES CIRCLE BEHIND CURB
,.,.,,.(Street address or Description of Location)
PURPOSE OF CONSTRUCTION TO RXPOSF RTTRTT?T) ;PT.TrF Sketch (attach construction plans if appropriate),
'DESC•R"IPTION OF CONSTRUCTION
INSTALLA,TION OF SPI.TCF. PTT
DIMENSION OF INSTALLATION OR REMOVAL
t SIZE OF EXCAVATION, IF NEEDED
._ 'APPROXIMATE TIME,WHEN WORK<WLA.L\BEGIN
i �•_8/019/nl
SEE ATTACHED SPECIAL CONDZTIONST
y
-PPROXIMAT&TIME',OF COMPLETION Q.jOa/OT
L'ESTIMATED CONSTRUCTION COST $
.�-
(Including removal of all obstruction, materials, and debris, backfilling, com-
II ".X paction and -placing permanent resurfacing and/or replacing improvements)
,,;sr t `e
n consideration of fhe'granting of;this permit, the applicant hereby agrees to:
li. •,_ i
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.
Signature of Applicant or Agent
`1F.RT70M ')q5 MORTA ¢TT_KTPTQR TJAV vgTM SV1DT•rT,r+5Z rn a')') ') 7rd�v cep' ""r
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 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 $ 11
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
$ 0.00
Date
8512
PERMIT VALIDATION
PERMIT NO. 3512
DATE APPROVED 8/8/01
EXPIRATION DATE
11/08/01
4-� DATE JISSUED nRinT
By
Administrat' Ia Authority
Telephone: (760) 777-7075
Al
m
The following General and Special Provisions are attached to and made'a part of Permit No. 5?y
GENERAL PROVISIONS
The following shall always apply:
ENROACHMENT 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 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 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:
Rt NOTIFICATION: Permittee shall notify the City at (619)777-7075 at least 48 hours in advance of starting construction.,
R UTH.ITY 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.
(R� UTILITY 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.
R'S 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.
® 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.
COORDINATE WORK: The proposed work shall be subordinated to any operation which the State of California or City of
La Quints, 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.
12 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.
1 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.
1 - 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.
R17 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 depths. 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.
R18 COMPACTION TEST'S: 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.
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.
2� 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.
Qn//1 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.
(9 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.
0STREET 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 bandied safely without interference or hazard to the traveling
public. It shall be the responsibility of the permitter 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.
SPECIAL ICOND-I'TIONS--IPIEFJV I'T INTO. 3572
--- RJ T Homes/Tidwell Concrete ---
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 (SS PWC) and as directed by and to the satisfaction of the ]City ]Engineer.
2. RJ T Homes/Tidwell Concrete, 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.
Streets shall be kept clean. They shall be completely cleaned at the end of each working day and
more frequently if required.
4. T uirsununtt go Seeflo n 6o00.050 oT the La Quuunu I�Yii uunncenp nD (Code Qarrd5onnunce RO § R, n982),
tt➢nlroughoutr the woirk Bnttce, the Teirmmntteee s➢na➢➢ commpn➢y wntt➢n (Catty iregu➢%ged woirk ➢uouu so
Opncemdo n %nd mmzuuneunn nee Off equipment wnt hi n Ounce-h.%B f° uunu➢e oT ➢ ummpm Occunpmuncy sh-900 ➢ e
pDeTToi°med oun➢y duui ng the Toflowuung ttnmme pnceir5o o-.
(Deac weir Rog go Ap irfl 30o Moundzy-IFu°udmy 7000 aiommo go 5030 p.m.
S.%quiday &.00 .&M. go 5000 P.M.
mzy Rog to Sep aeurmbeir 300 IyIi Ounm➢gay-Ilaidity 6.00 @omm to 7000 p.m.
Szg uirdny &.00 &Iommo 90 5000. P.M.
Workk shnfl ➢ e p irohAbked on ➢ceg@➢ ➢uo➢Admys gaund Sauna➢@yso
5. Workk pen°(fen ned wkhA n 500 Teett Off &I 5ug¢nmHhed nuntteu°oecflo n is n°cesttu°nc gee ➢ ettween tt➢ne ➢noun OT
9 &mmo - 3 p.m. Uir@ uc connmroo 5h@00 be sett ups @I'ttcen° 9 mommo round n°emmoved ➢ eTbi°e 3 p.m. the
IPcen°uu 5nece shorn counaacit tt➢nce RAvenide (COu nttiryy rfirnfffuc ftnzH Mmngeunmancee DepD9antmme na Zit (909)
275-6894 AT ougun.%➢ Opmcemnfnoun za the nuntcetro eeflo n As go he n0eeired An puny w2yo
6. Pursuant to Section 14.16.110 of the La Quinta Municipal ]Code (Ordinance 10 § 1 (part), 1982),
IPermittee shall assume responsibility for repair of pavement damage to any public or private street
and for 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 Quanta 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 WA'TCI-1[[ Manual and submitted to the ]City
for review and approval one (1 ) week prior to starting any construction. It shall be the lPermittee's
responsibility to appropriately detour and barricade all construction sites.
Special Conditions - Pemut No. 3572 Page 1 of 4
SPECIAL CONDITIONS --PERMIT NO. 3572
--- IJT Homes/Tidwell Concrete ---
8. 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 City 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,
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. 3572 - Page 2 of 4
SPECIAIL CONDITIONS--IPIEFJVflT NO. 3572
--- IJT Domes/Tidwell Concrete---
F. In subsequent lengths of trench, the frequency of compaction tests shall equal one per each lift
ofbackfill, 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.
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 root 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 1" 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. 3572 Page 3 of 4
SPECIAL CONDITIONS --PERMIT INTO. 3572
--- RJT Domes/Tidwell Concrete---
C. permanent pavement replacement shall be installed using 9'City approved 3/a" max medium
asphalt concrete as the base course lift and a City approved t/2" max medium finish course lift
for capping. Asphalt concrete mix design shall be approved by the City prior to its placement.
D. Cold -Mill and Overlay - The existing pavement which was properly protected in place during
the trenching operation located adjacent to the trench sawcut shall be cold -milled to a depth
of 0.10 feet with butt joint created next to the existing unmilled pavement surface. The cold -
milled area and base asphalt concrete in the trench area shall be overlaid with a City approved
C2-AR-4000 asphalt concrete mix. The width of the cold milling area shall be as follows:
For longitudinal trenches located in a parking lane: two (2) feet outside the sawcut
removal lines.
For longitudinal trenches located in a traffic lane: two (2) feet outside the sawcut
removal lines, or to the lane line striping, whichever is greater.
For transverse trenches across existing street: two (2) feet outside the sawcut removal
lines.
E. 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 ixisting street surface. The base course lift of
paving shill 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
permlttee, 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 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.
17. 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.
18. This permit allows for the construction of the On -Site Improvements per the approved Rough
Grading, paving & Drainage plans dated May 10, 2001, for Tract 29858-1. This permit work is
located on the south west corner of Ave. 50 and Jefferson Street.
19. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
Special Conditions - Permit No. 3572 Page 4 of 4
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
DATE: ' 8/17j01
LOCATION OF CONSTRUCTION
PORBES CIRCLE BEHIND CURB
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION TO i?XPQSR RTTRTRD QPT.TI V,
DESCRIPTION OF CONSTRUCTION
ZNftTALLATIQN OT SPLTCT: PTT
-DIMENSION OF INSTALLATION OR REMOVAL
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
Sketch (attach construction plans if appropriate)
SEE ATTACHED SPECIAL CONDITIONST
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIM' E WHEN WORK -WILL BEGIN
81Q�/Qt.
*.. APPROXIMATE TIME OF COMPLETION 8104101
"ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com-
'--paction and placing permanent resurfacing and/or replacing improvements)
h 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
yr 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.
Signature of Applicant or Agent
yi7:Ruaw ns h1f1m Q11"TRf7' MAY AATM QADTNrN t1A 74n Q64 1715
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 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
$ 0.00
Date
3512
PERMIT VALIDATION
PERMIT NO. 3512
DATE APPROVED 8/8/01
EXPIRATION DATE
11/08/01
DATE ISSUED
By
r
Administra f Authority
Telephone: (760) 777-7075
a
.r
The following General and Special Provisions are attached to and made's part of Permit No. 3y
GENERAL PROVISIONS
The following shall always apply:
ENROACBNFM ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within City of La Quints 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 titarting•work.
TRACKLAYING CONSTRUCTION EQUIPNIEM: 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, spelled, or broken during the term of this contract, or if the pavement is marred, City of Is Quints shall request
that these portions of road be. resurfaced over their entire width. Resurfacing shall consist of one coat of two inches (27 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 Is 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.
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 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 Quints roads, it shall
be the responsibility of the permittee (contractor) to control this water and to provide off -greet barricades when necessary.
CLOSING 613 EM: 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 be '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.
UTII ITY CLEARANCE: (Substructures) Prior to making any excavation within the City of La Quints 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.
GR U'I'IIdTY CLEARANCE: (Surface Structures) No work shall be done under this permit until all utilities are clear of the
proposed work site. The permince 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 Is Quints Road Improvement Standards and
Specifications, Ordinance #461.
R'S 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 Quints 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 Quints Standard /2C 7.
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 Blase aggregate base.
Driveway construction shall conform to attached drawing.
® SIGHT CLEARANCE: Sight clearance of 600 feet in all directions shall be assured and maintained at all times.
RIO SOIL STERIME L- The area to be surfaced shall be treated with soil sterilizer. Rate of application shall commply with. the
manufacturer's specifications.
4
4
1 tJ COORDINATE WORK: The proposed work shall be subordinated to any operation which the State of California or City of
v La Quints may conduct in this area during the period of this permit. Work shall be coordinated with the State or City of La
Quints forces to preclude delay or interference with State of City of La Quints projects.
12 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.
PAVEMENT CITPIIING: 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.
BACKFILL MATERLAL 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 Quints, 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 BAC)UUX 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.
R17 BACKFILL PLACENIDNT- 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 (51 lifts where trenches are of excessive depths. 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.
RIB 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 testa shall be made as outlined in Section 6.3.01 of the
Standard Specifications, Division of Highways, State of California, dated January 1973.
RZl.� COMPAC770N TESTS: If so required -by the inspector, compaction tests shall be made for each crossing or seiviee 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.
20 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 can shall the
placement of the temporary pavement exceed a five (5) day limit.
Qn//1 PERMANENT. PAVEMENT REPAIR After backfill and compaction have been completed, a temporary patch consisting of
two incbes (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.
RZ 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 Quints road right of way shall be
accomplished by a licensed, bonded and insured tree service, and handled safely without interference or harard 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 boles 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.
4W
SPECIAL CO DI'TIO S--P EI1II'T INTO. 3572
--- IJ'T Homes/Tidwell Concrete ---
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. RJ T Homes/Tidwell Concrete, 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. P uu°suang to Section 6.03.050 of the La Qun6nem Muuuacapap (Coda (Ourdaunmunce ng § n, n982),
throughout the wolrk site, the Ifneirm inee shmoo compHy with (Catty u°eguRatted woirk hour.
Opeumfloun and maintteam'nee of equipment within one-hapff° unfle of human occupancy shaRR he
peKoirmed ounpy dauoi ng the 6oppowing acme peu°aodse
Octtobeir Ilstt to Apirfl 30o Moundoy-IFidday 7.00 a.m. to S030 P.M.
Sattuirday Bo®® n.m. to 5.00 P.M.
May Ist to Sep9embeu° 300 Mondmy-ITa'riday 6-.00 m.m to 7000 p.m.
Sattauu°day ao®® a.m. to Sao® P.M.
Work shaDo be pu°ohAbatted an pegap hopadmys and Sundays.
5. Workk pen4hirmmed within 500 Teett of a sagunaDhed Anteu ecdon as Tres trracctted between the hours. of
9 a.m. o 3 P.M. 'Il'u°a nc counalrop shmoo be sett up afleu° 9 &m. round u°euamoaed beTbire 3 p.m-, -, 'The
Peu°mmaftee shM contact the M venAde ECouunttury 'Tu° FBc SagunmD Maintenance Depau°tttun a ntt att (909)
275-6994 if Agunap opeirmfloun at the ifitenectaoun is to be afteu°ed in any way.
6. pursuant to Section 14.16.110 of the ]La Quinta Municipal Code (Ordinance 10 §.1 (part), 1982),
pernnittee shall assume responsibility for repair of pavement damage to any public or private street
and for 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. 3572 Page 1 of 4
SPECIAL CONDITIONS —PERMIT NO. 3572
--- RJT Domes/Tidwell Concrete ---
8. 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 City 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. (SSPW C), 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 tirries'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 lilts greater thin one foot are attempted in this trial length of trench, compaction tests shall
be taken within the lilts 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 - Peunit No. 3572 Page 2 of 4
GJ
SPECIAL CONDITIONS --PERMIT INTO. 3572
--- RJT Homes/Tidwell Concrete ---
]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.
5
1. 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, pern ittee 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 sha➢l be maintained at all times.
15. pursuant to Section 14.16.375 0f 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 1" 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
lin.ear feet of trench. Verify exact structura➢ replacement section thicknesses with the City
prior to installation.
Special Conditions - Permit No. 3572 Page 3 of 4
SPECIAL CONDITIONS --PERMIT NO. 3572
--- IJ'T Homes/Tidwell Concrete---
C. permanent pavement replacement shall be installed using a City approved V 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. Cold -Mill and Overlay -'The existing pavement which.was properly protected in place during
the trenching operation located adjacent'to the trench sawcut shall be cold -milled to a depth
of 0.10 feet with butt joint created next to the existing unmilled pavement surface. The cold -
milled area and base asphalt concrete in the trench area shall be overlaid with a City approved
cC2-AR-4000 asphalt concrete mix. The width of the cold milling area shall be as follows:
For longitudinal trenches located in a parking lane: two (2) feet outside the sawcut
removal lines.
For longitudinal trenches located in a traffic lane: two (2) feet outside the sawcut
removal lines, or to the lane line striping, whichever is greater.
For transverse trenches across existing street: two (2) feet outside the sawcut removal
lines.
E. 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 sniping 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 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.
17. 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.
18. This permit allows for the construction of the On -Site Improvements per the approved bough
Grading, paving & Drainage plans dated May 10, 2001, for 'Tract 29858-1. This permit work is
located on the south west corner, of Ave. 50 and Jefferson Street.
19. The City of ]La Quinta reserves the right to revoke, suspend or void this permit at any time.
Special Conditions - Pemut No. 3572 Page 4 of 4
FROM (TUE) S. 7' 01 l 1 :38/ST. 11 : 3%/NO. 4860068918 F
this tOrrn constitutes an CITY OF LA C)UINTA
ancroschnsent permit
APPLICATION FOR PERMFT
PUBLIC WORKS CONSTRUCTION (ENCROACHNEPM
For the construction of public or private curbs, driveways, pavements, sidewalks, park lom sewatis, wlato nab
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE: 08/ 07 /01 Subdivision Implroveirm Permit — Class I ll
Minor Improwselasen Patti nit Class IV
LOCATION OF CONSTRUCTION - F/0 FORBES CIRCLE BEHIND CURB
IStreet addrass ae Cescription of Location)
PURPOSE OF CONSTRUCTION TO EXPOSE -BURIED SPLICE
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
Sketch (attach eorez, xXion plans if appropriate)
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN VZ W. 0. # 0549-9P000DR-031
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST 6
(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. haraieas frorn and against any and all
penalties, liabilities or loss resulting from claims or court action and arising out of any accidwal, toe or dmap to pesom or property
happening or occurring as a proximate result of any work undertaken under the permit granted puraxmmt to dha application_
Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when am win be started.
Comply with all applicable City Ordinances, the terms and conditions of the permit and all appfssble races and regurations of the Gty of
La Quints and to pay for any additional replacement necessary as the result of this work.
Signature of Applicant or Agent
VERIZON 295 N. SUNRISE WAY PALM SPRINGS, CA 92262 760/864--1715
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman
Contractor's License No.
Business Address Telephone No.
City Business License No.
Applicant's Insurance Company Po(xy Number
FEES:
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: S —
Receipt No.
Received by
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 $ _v I
_y
Date
PER.10T VALIDATION
PERMIT NO. 3 S( Z
DATE APPROVED 8 8- O I
EXPIRATION DATTE� // 0 %
! DATE ISSUED _8/d / '
By
imative Authority
Recorded by
Telephone: (760) 777-7075
AUG-7-2001 TUE 11:40 TEL:760-777-7155 NAME:PUBLIC WORDS P. 1
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AUG-7-2001 TUE 11:41 TEL:760-777-7155 NAME:PUBLIC WORKS P. 2
NOTE:
With proper validation
this forth 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
8/17/01
LOCATION OF CONSTRUCTION FORBES CIRCLE BEHIND CURB
(Street address or Description of location)
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
PURPOSE OF CONSTRUCTION TO PXPOS)Q RURTPD SP1.TC V.. Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
s. INSTALLATION OF SPLTCF PTT
"mow" SEE ATTACHED SPECIAL CONDITIONST
:DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
-SIZE
,
APPROXIMATE TIME WHEN WORK WILL BEGIN
8/09/01
4" `.APPROXIMATE TIME OF COMPLETION A�A0�41
ESfIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent 'resurfacing and/or replacing improvements)
-I`rr 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.
Signature of Applicant or Agent
VERIZOH 29.E NOR` R SUN3iIgr WAY PAI M RPIt IN(IR PA, 09747 74n PAA 1714
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
r
TOTAL:
Receipt No.
Received by
Recorded by
$ 0.00
Date
3512
PERMIT VALIDATION
s
PERMIT NO. 3512
DATE APPROVED
EXPIRATION DATE
8/8/01
11/08/01
DATE ISSUED 8/08/01 .
� f
i Administrative Authority
Telephone: (760) 777-7075
Y
The following General and Special Provisions are attached to and made's part of Permit No. " 3 57 y '
GENERAL PROVISIONS
The following shall always apply:
ENROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within City "of La Quints "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
protecf.the paving during excavations. Rubber -tired equipment only shall be used in backfill operations in paved areas. If the existing '
pavement is scarred, spelled, or broken during the term of this contract, or if the pavement is marred, City of La Quints shall requeat
that these portions of road be. resurfaced over their entire width. Resurfacing shall consist of one coat of two inches (21) 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 no6W.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 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.
R1GHT.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'immedintely after backfiD 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 Quints 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. 1n.the event it is felt by the permittee, that be '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:
jt1 NOTIFICATION: Permittee shall notify the City at (619)777-7075 at least 48 hours in advance of starting construction.
LTTII.TI'Y 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 ielative to the'location of existing . ' .
substructures. Damage to existing substructures resulting from operations conducted under this permit shall be the sole
responsibility of the per•mince.
'GR
LTTELM 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 Quints Road Improvement Standards and
Specifications, Ordinance #461.
�tt'7 J 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 (11.
R6 GRADE CHECXINIG: City of La Quints 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 Quints Standard #207.
N 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 clans aggregate base.
Driveway construction shall conform to attached drawing.
® SIGHT CLEARANCE: Sight clearance of 600 feet in all directions shall be assured and maintained at all times.
R10 SOIL STEA1LIZER:.The area to be surfaced shall be treated. with soil sterilizer. Rate of application shall commply with. the
manufacturer's specifications.
v'
1 tJ COORDINATE WORK: The proposed work shall be subordinated to any operation which the State of California or City of
v La Quints may conduct in this area during the period of this permit. Work shall be coordinated with the State or City of La
Quints forces to preclude delay or interference with State of City of La Quinta projects.
12 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.
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.
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 Quints 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 BACXTILL 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 can,
a relative compaction of 95 percent shall be attained with the structural section of the roadway.
R17 BACKFII.L 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 depths. 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.
R18 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 teat 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.
COMPACTION TESTS: If so required -by the inspector, compaction tests shall be made for each crossing or service line.
�J One (1) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent repairs.
Compaction testa shall be made as outlined in Section 6.3.01• of the Standard Specifications, Division of Higbways, State of
California, dated January 1973.
2� 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 bar, been excavated and backfill operations completed, but in no case shall the
placement of the temporary pavement exceed a five (5) day limit.
Qn!yl PERMANENT -PAVE 4ENT 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.
R2 STREET REST WING: 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
bole 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.
v
SPECIAL CONDITIONS--IPIERMI'T NO. 3572
--- IJ'T Homes/'Tidwell Concrete ---
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 (SSIPWC) and as directed by and to the satisfaction of the City. Engineer.
2. RJ T Homes/'Tidwell Concrete, hereinafter referred to as " lPermittee", 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. Fuirsnumimtt to Section 6.00.050 of the La Quinntt@ lYiiaun6ce6p.0 (Code (09°d6nnannce n@ § n, n982),
thiroughoutt the work site, the Yeirmm6ttttece shE➢➢ coMp➢y with City iregau➢sated woirk houno
Opeumtionn and m,%iunaeunanncece of equipment within one-ha➢ff mmi➢ce of human occup.%nney §ha➢➢ he
peuloirmed onn➢y duir°ing the ffo➢➢owing time peu°iodso
Getto➢neir Istt to Apm6➢ 300 Moundzy-Fir6day 7e00 a.m. to S030 p.m.
Sat uirdmy &.00 o.m. tto 5000 P.M.
May RsQ to Scepttcenm heir 30, Momiday-Firiday 6-.00 a.mm to 7000 p.m.
Sat uirdty @000 a.m. tto Sa®® P.M.
Woirk sha➢➢ be pirchi➢nitted on ➢ceg@➢ ho➢6days and Sundays.
Work pevTotrmmed within 500 Teel of a sig na➢h ed iunaenection 6s ri esairica ed between the hour of
9 seams. - 3 p.m. . Tirzfff k counttiro➢ sha➢➢ be sea up afftteir 9 &mmo and ircemmovced ➢viceffbire 3 p.m., The
Pen°Qnittttee shah➢ ceonntt ea the Rivemidce ECou nttiry Tumffific SignnaB Maintemonce Department at (909)
275-6894 if siguna➢ opeu°aflonn att the 66ttencecitionn is to he m➢ttceired in any way.
6. Pursuant to Section 14.16.110 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982),
lPermittee shall assume responsibility for repair of pavement damage to any public or private street
and for 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 sighs 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 lPermittee's
responsibility to appropriately detour and barricade all construction sites.
Special Conditions - Permit No. 3572
Page ! of 4
,r
SPECIAL CONDITIONS --PERMIT NO. 3572
--- RJT Homes/Tidwell (Concrete ---
8. 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 1-500422-
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 City of La Quanta.
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 beused 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 .Qeotechnical 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 - Pemut No. 3572 Page 2 of 4
SPECIAL. CONDITIONS--PEIIVflT NO. 3572
--- IJT Homes/Tidwell Concrete ---
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 random➢y 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.
12. All excavations within City of La Quinta right-of-way shall be backfil➢ed, 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 becompleted 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 1" 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. 3572
Page 3 of 4
SPECIAL ICON DITIONS--P EIMT NO. 3572
--- RJT Domes/Tidwell Concrete ---
cC. Permanent pavement replacement shall be installed using a City approved 3/4" max medium
asphalt concrete as the base course lift and a City approved t/2" max medium finish course lift
for capping. Asphalt concrete mix design shall be approved by the City prior to its placement.
D. fold -Dill and Overlay - The existing pavement which was properly protected in place during
the trenching operation located adjacent to the trench sawcut shall be cold -milled to a depth
of 0.10 feet with butt joint created next to the existing unmilled pavement surface. The cold -
nulled area and base asphalt concrete in the trench area shall be overlaid with a City approved
cC2-AR-4000 asphalt concrete mix. The width of the cold milling area shall be as follows:
For longitudinal trenches located in a parking lane: two (2) feet outside the sawcut
removal lines.
For longitudinal trenches located in a traffic . lane: two (2) feet outside the sawcut
removal Hines, or to the lane line striping, whichever is greater.
For transverse trenches across existing street: two (2) feet outside the sawcut removal
lines.
E. 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
Hoops 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 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.
17. ]pursuant to Chapter 12.56 of the La Quinta Municipal Code (Ordinance 10 §. I (part), .19112).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.
18. This permit allows for the construction of the On -Site Improvements per the approved Rough
Grading, Paving & Drainage plans dated May 10, 2001, for Tract 29858-1.. This permit work is
located on the south west corner of Ave. 50 and Jefferson Street:
19. The City of ]La Quinta reserves the right to revoke, suspend or void this permit at any time.
Special Conditions - Permit No. 3572 Page 4 of 4
.
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
DATE
8/17/01
LOCATION OF CONSTRUCTION FORBES CIRCLE BEHIND CURB
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION TO EXPOSE AURI1tD SPI.ICE Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
INSTALLATION OF SPLICE PIT
SIK ATTACHED SPECIAL CONDITIONST
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
4x5x4
APPROXIMATE TIME WHEN WORK WILL BEGIN
8/09/01
APPROXIMATE TIME OF COMPLETION 9/09/01
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 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
VERIZON 295 NORTH SUNRISE WAX PALM STRINGS CA 9:1262 760 AAA 17IS
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman
Contractor's License No.
Business Address
Telephone No.
City Business License No.
Applicant's Insurance Company Policy Number
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:
$ 0.00
Receipt No.
Received by Date
Val 2
PERMIT VALIDATION
PERMIT NO. 3512 r
DATE APPROVED 8/8/01
I
11/08/01
EXPIRATION DATE
DATE ISSUED 8/08/01
By
Administrativ6 Authority
Recorded by 11 Telephone: (760) 777-7075