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3584NOTE: With proper validation this form constitutes an encroachment permit • • CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the. construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit — Class III DATE: 11/28/01 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 78-715 sancta drive LOT #95 TRACT #23269 (Street address or Description of Location) PURPOSE OF CONSTRUCTION INSTALL AND MAINTAIN A Sketch (attach construction if a plans ONE INCH (1") DOMESTIC WATER SERVICE LINE P appropriate) DESCRIPTION OF -CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED (SEE ATTACHED CONDITIONS) APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION NIFTY (90) PAYS ESTIMATED CONSTRUCTION COST $ 1.100.00 (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 of the City of La Quinta and to pay for any additional replacement necessary as the result of this work. 0.1 Signature of Applicant or AgentD s CO,A,CMLA. VA LEX WATER)DISTRICT P.O. BOX 1058 COACCHELLLA. CA 92236 (760) 398-2651 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 Per — Class I I I Public improve ments."z3% cf'estimated construction costs Private improvements: 3016 of estimated construction costs Minor. Improvement Permit — Class IV: See attached schedule Inspection Fee $ nin Permit Fee .00 Penalty Cash Deposit -Surety Bond if required TOTAL: $ .00 Receipt No. Received by Date Recorded by PERMIT VALIDATION PERMIT NO. DATE APPROVED 11/29/01 EXPIRATION DATE 05/29/02 DATE ISSUED By Raoul Martinez Administrative Authority Telephone: (760) 777-7075 _ .IL NOTE: With proper validation this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or private curbs, driveways, pavements, sidewalks, parking.lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit— Class II DATE: 11/28/Ol Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 78-7151 aanita drive LOT #95 TRACT #23269 (Street address or Description of Location) PURPOSE OF CONSTRUCTION STALL AND MAINTAIN A ONE INCH (1") DOMESTIC WATER SERVICE LING DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION PINM (90) DAYS ESTIMATED CONSTRUCTION COST $ 1-100-00 (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) Sketch (attach construction plans if appropriate) In consideration of the granting of this permit, the applicant hereby agrees to: (SEE ATTACHED CONDITIONS) Indemnify, defend• and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application. Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started. Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules,and regulations of the City of La Quinta and to pay for any additional replacement necessary as the result of this work. Signature of Applicant or Agent D COAC,RMLA VALLEY r WATER "DISTRICT P.O. Boa 1058 COACHErLA, CA 92236 (760) 398-2651 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 $ -00 Permit Fee .00 Penalty Cash Deposit -Surety Bond if required TOTAL: $ '00 Receipt No. Received by Date Recorded by ,4 8584 PERMIT VALIDATION PERMIT NO. 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NI m ' .' FOP.BES CIRCLE �� N p :�:i �Y��{'� n : ^ n n .•, n n � n � n n r• w n �I m � � ^ � nI ? n ilI � fJ rI � •� nI � • o� m' n I � I IN •° (oI © n oI m' • m oI � I 181 80 79 I�ir•_t__93Tt,�;, 04 93 92 91 90 @9 28 @7 @5 83 84 83 82 33 32 31 30 29 29 27 26 23 24 23 22 o d a g $ Ij / O• mI^ ^ ^ =1m ^ ^ ;Im ;Im .Im :Im :Im w •Im �m ^oIm �I, �I, , ♦Im 7B"B e•Dlo-91 t1i030> Do1V4E 4�ID 0) 1B9 WEST HA -?LAND III •✓6 7e4 C 1 ► - - The following General and Special Provisions are attached to and made a part of Permit No. GENERAL PROVISIONS The following shall always apply: ENROACHMFM 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 perminee for his contractors to secure permission from abutting property owners. Such authorization must be secured by the perminee prior to starting work. TRACKLAYING CONSTRUCTION EQUIPMENT. Cleated tracklaying construction equipment shall not be permitted to operate on any paved surface unless fined with smooth -faced street pads. All mechanical outriggers shall be fitted with rubber street oboes 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 Lo Quints abau 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. PROTECITON OF TRAFFIC: All excavations and work areas shall be properly ligbted and barricaded as deemed necessary by the City Engineer or La Quints City Public Works inspectors. Suitable detours and detour signs shall be placed and maintained for the duration of the project. The City shall be notified.24 hours in advance of any traffic detours or delineations. 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 shalt 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 iball 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 ere 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. 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 following shall apply when indicated: �d NOTIFICATION: Permittee shall notify the City at (619)777-7075 at least 419 hours in advance of starting construction. / UTILITY CLEARANCE: (Substructures) Prior to making any excavation within the City of Le Quints right of way authorized by permit, the perminee 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. ITTII.TT1' 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 0461. R'S PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a elope of I/4 inch to one foot (I). R6 GRADE CHECKING: City of Le 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 approich 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. RIO SOIL S7ERTLIZER: The area to be surfaced shall be treated with soil sterilizer. Rate of application shall commply with.the manufacturer's specifications. *U61 Xjenuel palep'atujoj!(s3 jo 71els'9Xemg8!ll jo uo!s!A!Q'suopeay!aadS pJapuslS aql jo lo'E'9 uotlaas ql!m Ctdmoo llegs sisal ao!13edmo0 •pogiam play jo Jaedmt aql Xq paa!mjalap se uo!lasdmoa jataail aql 9! ma%aga!gA%'panoil 8atpanojjns aql of laa(aA!nba to luawad 06 OUT seal loa of Palaedmoa pun pallyilaeq aq llsgs IsnowaJ aan coot; out lnsaj saloq a8js l 9amp lie is a!lgnd 8a11aAeJ3 agt laalad of pap!Aoid aq (1eg9 eapeop-q jo pas aamBeU eu8ts alenbapy amp aao (as is laa; 00; jo mnwtxsm a of pala!jlsaj aq pegs jjom agi'oyjejl 13!13"1 o; Xje99aaaa samoaaq 91 aja% •gdwlvjsd 8atA%olioj aql a! pay!aads se pajaedwoa Xlglnojogi pug pallf;43eq aq [legs aloq dmnls acLL-AamgS!q aqi jo ma!A at su!amaj sugap ou iegl os jo pasodstp pas panomaJ aq llegs dmrus aan.agJ jo gipim ajpua agy 'gyjan Xemg2!q of pzmq to aaaajajjala! lnogl!m Xlajes palpueq aq aso go!gm suo!laa9 at aq 11sgs panomaJ aq of 9aaJ.b aopeao( coati sJ! to aop!paoa 8atmoj8 enojOR1A s a! aan agl a!mu!am of aau!uuad aql jo dl!l!q!saodsai aqt aq ilsg9 11 'a!(gnd 8atlansn aqi 01 pjuzoq io aaaajojjaiu! ino(p!m kla;es palpueq pae'aa!AJa9 aan p3mau! pus papuoq'pasuaaq a Xq pags!ldmoaae aq hugs Xem jo lgau p-.i eia!no B3jo. 4!3 aql a!gi!m uopeaolaj aaiL-1VA0W3H 110 NOLLV30'13H 3MU VLH •snedai luaasmjad jo no!ialdmoa aodn paae(daJ aq [legs 8atdtns gone 'paleneaxa aq of slaaJi9 ao alq!stA ll!19 9! 8aiduls laans ajagM :9NIdIHLS31i I332LIS £ •iaaut ua 4!3 aqi Xq paulmJalap se seats gated lie jano pa!ldde aq llsge ao!slnwa arylegdse jo uo!jea!ldda us jo 8a119!suoa ieoa leas Vol y -IvaS f)(M Z •uadai psoJ Cjwodw2i jo ao!ialdmoa Jaya 9'Xep . aegj mel ou paaald ag llsg9 asaq sash qaa! 9 ao paae(d Sataajins •3•y 9sg3at jo galed wauemjad y •Xlale!pamm! paasld aq Ileg9 oo8-JS jo (.la 9agaa! omi jo 8atie!suoa gored bwodmaj a 'pajaldmoa uaaq aneg ao!iaadwoa pas llyi(aeq jayy �HIVd3H LN31H3Atld' I1t13NVI^[H3d GZ/ llmg Xep (s) any a Paaaxa luawaeed XJejodwat aqi jo luamaaeid aql l(sge asea ou at inq'palaldmoo suopejado (Iyilasq pug palaeaaxa uaaq 9eq gmaji jo iaaj jeaa!( 000E jo wom!xem s jays paaeld aq I(eg9 SUMUe Xjsjodmai 00g-,3 aq•l• •apej8gn9 pandaid a ao paaa(d aq llegs 008-,5 jo sagas! 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Wnpaoa Sam ma!no n jo X1t3 jo 9-oj!ls3 jo almS aql go!gm uo!mado Xas of paieu!pjogns aq (legs jjom pasodoid aq.L :XXOM 3LtlNL(IH003 T21 SPECIAL CONDITIONS --PERMIT NO.3584 --- COACHELLA VALLEY WATER DISTRICT --- 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. CVWD, hereinafter referred to as "Permittee", shall be responsible for providing continuous dust and erosion control. All areas shall be kept watered down daily including weekends. 3. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently if required. 4. Pursuant to Section 6.08.050 of the La Quinta Municipal Code (Ordinance 18 § 1, 1982), throughout the work site, the Permittee shall comply with City regulated work hours. Operation and maintenance of equipment within one-half mile of human occupancy shall be performed only during the following time -periods: October 1 st 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. 5. Work performed within 500 feet of a signalized intersection is restricted between the hours of 9 a.m. - 3 p.m. Traffic control shall be set up after 9 a.m. and removed before 3 p.m. The Permittee shall contact the Riverside Country 7raffic Signal Maintenance Department at (909) 275-6894 if signal operation at the intersection is to be altered in any way. 6. Pursuant to Section 14.16.110 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), Permittee shall assume responsibility for repair of any pavement damage to any public or private street and for any damage to other City streets or facilities as a result of work performed under this permit. 7. Pursuant to Section 14.16.250 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), advance warning signs and traffic control shall be installed and maintained in accordance with Cal Trans Standards or the Work Area Traffic Control Handbook (WATCH Manual). A traffic control plan, if required, shall be prepared in accordance with the WATCH Manual and submitted to the City for review and approval one (1) week prior to starting any construction. It shall be the Permittee's responsibility to appropriately detour and barricade all construction sites. Special Conditions - Permit No. 3584 Page 1 of 4 SPECIAL CONDITIONS --PERMIT NO. 3584 --- COACHELLA VALLEY WATER DISTRICT =-- 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. 3584 Page 2 of 4 SPECIAL CONDITIONS --PERMIT NO.3584 --- COACHELLA VALLEY WATER DISTRICT--- F. In subsequent lengths of trench, the frequency of compaction tests shall equal one per each lift of backfill, per 300 linear feet of open trench, at randomly selected locations within the open length of trench. G. The depth of the randomly selected compaction tests shall also be randomly selected except that where multiple tests are required in a given length of trench,. the tests shall be no closer than three feet (vertically) from each other. H. If any compaction test fails, previously placed backfill (in the same length of open trench or previous lengths of trench) which is represented by the failing'test (as determined by the City Inspector), shall be tested for compliance with compaction requirements. I. All costs incurred due to the conditions above shall be borne by the Permittee. Copies of all test results shall be furnished to the City Inspector. 12. All excavations within City of La Quints 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, opeh 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 - Pennit No. 3584 Page 3 of SPECIAL CONDITIONS --PERMIT NO.3584 --- COACHELLA VALLEY WATER DISTRICT--- C. Permanent pavement replacement shall be installed using a City approved %" 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 - nulled 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 Quints 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 installation and maintenance of one (1) one inch (I") domestic water service lines. This service is located at 78-715 %s Sanita Drive. 19. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time. Special Conditions - Pemut No. 3584 Page 4 of 4