3631NOTE:: _
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: 02/25/02
Subdivision Improvement Permit —Class I II
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION WASHINGTON STREET @ LAKE LA QUINTA DRIVE FOR
LA QUINTA ARTS FOUNDATION CUP 2000-048
(Street address or Description of Location)
; EXTEND PHONE LINE ACCESS ACROSS
PURPOSEOF CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRtPT10N OF CONSTRUCTION SEE ATTACHED SPECIAL CONDITIONS
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN lt��Xy�-
APPROXIMATE TIME OF COMPLETION Uz/18/U2
ESTIMATED CONSTRUCTION COST $ /,UUU.UU
(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.
S7q'F v Signature of Applicant or Agent
TRI BWTrFr EXCAVATION PO BOX 542 rn ti`�b dk4 l 1V 1,4C/ 321 0898
Name of Applicant (please print) Business Address Telephone No.
same as Above
Name of Contractor and Job Foreman Business Address Telephone No.
475515
Contractor's License No.
IBEX
%2Y1��-
City Business License No.
CAB50488
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class'I II
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor. Improvement Permit — Class IV: See attached schedule
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: '
$ 210�00 -
1_00.00
$ 310.00
Receipt No.
Received by Date
PERMIT NO.
�6w 3631
PERMIT VALIDATION
3631
DATE APPROVED
3/31/02
EXPIRATION DATE %
DATE ISSUED /, Z zz / �'--2—
By
Administrative Authority
Recorded by 11 Telephone: (760) 777-7075
Y '
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
02/25/02 Subdivision Improvement Permit — Class II I
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION WASHINGTON STREET @ LAKE LA QUINTA DRIVE FOR
�A QUINTA ARTS FOUNDATION CUP 2000--048
(Street address or Description of Location)
PU,RPOS,E OF CONSTRUCTION EXTEND PHONE LINE ACCESS ACROSS Sketch (attach construction plans if
p appropriate)
DESCRIPTION OF CONSTRUCTION SEE ATTACHED SPECIAL CONDITIONS
s
k
1
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED`
APPROXIMATE TIME WHEN WORK'WILL BEGIN VYV ry
APPROXIMATE TIME OF COMPLETION ltf/r�1
ESTIMATED CONSTRUCTION COST $ *022.20 4
(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
TRI VU= EXCAVATION PO SOX 542 -j�X/, f%rt / If 1 �i; f 321 0898
Name of Applicant (please print) Business Address Telephone No.
same as above
Name of Contractor and Job Foreman Business Address Telephone No.
47551$ r "
Contractor's License No. City Business License No.
IBEX Q250488
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 $ 210.00
r .w
Permit Fee 100.,00
Penalty
Cash Deposit -Surety Bond
if required
$ 310.00
TOTAL
Receipt No
Received by Date
Recorded by
Kfe
3631
PERMIT VALIDATION
PERMIT NO. 3631
DATE APPROVED
2/25/02
3/31/02
EXPIRATION DATE
DATE ISSUED
/
/ /
Ake
By
Administrative Authority
Telephone: (760) 777-7075
City of L� Quints
{+ The 9o10ovAng oenera0 and SpeciaO Provisi ru$ are attached to and made a part of
Permit Mummber
The fo00owing ZhMH 99MEML a22Ov:
ENCROACHMENT ON PROMATE PROPERTY: This permit authorizes work. to be accomplished within the City of La Quinta's right of way
ONLY. Whenever construction extends within private property, it is the responsibility of the perittee for his contractors to secure permission
from. abutting property owners.'Such authorization must be secured by the permittee prior to starting work.
TRACK -LAYING CONSTRUCTOOEN EOt11Pf�liIEONT: Cleated track -laying construction equipment shall not be permitted to operate on any paved
surface unless fitted with smoother -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 operation 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 coat as specified above.
PROTECTION OF TRAFFOC: All excavations and work areas shall be properly lighted and barricaded as deemed necessary by the City
Engineer or City of La Quinta Public Works Inspectors. Suitable detours and detour signs shall be placed and maintained for the duration of the
project. The. City shall be notified twenty-four hours (24) in advance of any traffic detours or delineation.
CARTE OF DRAOMAOCE STRUCTURES: Any drainage structure to include corrugated metal pipe, concrete pipe, stee'l culvert and concrete
structures encountered during excavation which necessitate removal shall be replaced in kind. In the event A 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.
ROGHT-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 OP[ERTATOOO S: 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.
SPECOAL PROV030ONS
The f §Jowjng1 shafO arorafy when indldcaQed:
MI Rt INOTOFOCATOOM: Permittee shall be notified the City at (760) 777 - 7075 at least forty-eight hours (48) in advance of starting
construction.
® R2 UTOLOTY CLEARANCE: (Substructures) Prior to making any excavations 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.
R3 UTOLMY 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 Mn MEONONG: Area between the proposed concrete gutter line and the existing road pavement shall be surfaced
with ( ** N/A ** ) inches of A.C. paving placed on ( *.* N/A '" ) inches of ( ** N/A ** ) aggregate sub -base course having an
"R" value. of. not less than ( " N/A ") and in conformance with the City of La Quinta Road Improvement Standards and
Specifications, Ordinance #3461.
❑ R6 PARKWAY GRAMGi7o: Area between the property line and top of the proposed concrete curb shall be graded to a slope of
one-fourth inch (W) to one foot (1').
❑ R6 GRADE CHECKOINO: City of La Quinta shall check grades upon receipt of plan and profile and/or grades as established by
a licensed engineer.
❑ i 7 CURD REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter (" N/A "") 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.
❑ RG 0MVEWAYS: 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 two and a half inches (2 %") of A.C: paving on (** N/A *') of class (*' N/A "* )
aggregate base.
Rg 30CHT CLEARANCE: Sight Clearance of six -hundred feet (600') in all directions shall be assured and maintained at all
times.
❑ RIO SO L STIEROLOZER: The area to be surfaced shall be treated with soil strerilizer. Rate of application shall comply with the
manufacturer's specifications.
City of L� Quints
® R11 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 or City of La Quinta projects.
® R12 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the
centerline of all streets or property lines when included shall be completely tied out so they may be readily and correctly,
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 clearance.
® R13 PAVEMENT CUTTING: Pavement will be mechanically saw cut 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 or 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 one -thousand feet (1000') 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.
BACKMLL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimental to its use for purposes
of producing and adequately consolidated backfill. Ant 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 on lifts not greater than
three feet (T) and vibrated using vibrostamper or equivalent equipment. Alternate methods may be substituted, but in any
case, a relative compaction of ninety-five percent (95%) shall be maintained with the structural section of the roadway.
❑ R17 fBACKFILL PLACEMENT: Backfill shall be applied in layers of not more than fifty percent (50%) of the total depth of the
trench before flooding or a maximum of five feet (6) 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 not be less than ninety percent (90%) 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 continuos.
® RIB COMPACTION TESTS: If so required by the inspector, compaction test shall be made at intervals of not more than one -
thousand (1000') feet and a maximum of one (1) test on each road. One (1) copy of each test shall be forwarded tot 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.
® R19 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 Sections 6.3.001 of the Standard Specifications, Division of Highways, State
of California, dated January 1973.
® R20 TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch consisting
of two inches (2") of SC-800 shall be placed on a prepared sub -grade. The SC-800 temporary paving shall be placed after
a maximum of three -thousand linear feet (3000') or 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.
❑ R21 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 ( 4 ) inches of A.0 surfacing placed on a (6 )
inch ( crushed ) aggregate base shall be placed no later than ( 7 ) days after completion of temporary road repair.
❑ R22 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.
® R23 STREET RESTROPINO: Where street striping is still visible on street 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 permitte 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 it becomes
necessary to restrict traffic, the work shall be restricted to a maximum of five -hundred feet (500') at any one time. Adequate
signs, flagmen and or barricades shall be provided to protect the traveling public at all times.
Large holes resulting fromtree removal shall be backfilled and compacted to not less than ninety percent (90%) or
equivalent tot 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.3631
La Quinta Arts ]Foundation
--- Tri-Star (Excavations ---
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. La Quinta Arts lFoundation/Trn-Stan° (Excavations, hereinafter referred to as " Permittee", shall be
responsible for providing continuous dust and erosion control. All areas shall be kepi 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 of required.
4. IIDanm um ntt to Section 6.00.050 off the ILm Q uhnttm RvIi nuunuenpaO Code (Grdnunzunc a RE § R, 198.2),
ahlroushoutt the work since, the IFer m i tiYcece SOnaOO ceompOy with City reg uRmttced work hours.
Opcer2floun round mm@5un9e1n@1n0e off.equnpmenntt wntllnnlm ome--RUT miHe of h uulmma occeaupmacy. sh.%UU be
peTTormmed onUy duidi ng the following time periods -
October R59 to APAR 30. Mounday- FrAdmy io®® @.m. to Sa30 p.m.
Saaurdmy 0o00 &mmo to 5o00 P.M.
Mmy Ilpts tto September 300 Moundoy- Fu°ndzy 6o08 @omm to io®®.. p.m.
Smttuirdmy &.00 M.M. to 5o00 P.M.
Work 5h@RR be prohibited oun llog@l hoRAdmys zffid Sauund@y&
5. Work pcerffbirmced .wid1 uun 500 feet off @ 5AF n@Hinted nrmttcers eceflouu is restricted hcetw eceui the hours of
9 a.m. 3 pomm. Traffic counarroO 5M OO be set up aifft<cer 9 @.time and reuiovced before 3 pounno The
per mtAn ece shmoo corsnttmceg the Riverside Country Mrmffffice Sn&umad `R/iIauunttcei mmuncece IIDcepmr tunneM @a (909)
295-6094 nff 5ngnn@O operz9no>in. @a the hnttcerseeftnoun is to be 0aered inn My wzyo
6. Pursuant to Section 14.16.110 of the La Quinta Municipal Code (Ordinance 10 § I (part), 1982),
Permittee 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.
i. pursuant to Section 14.16.250 of the La' Quinta Municipal Code (Ordinance 10 § I (part), 1982),
advance warning signs and traffic control shall be installed and maintained in accordance with Cal
Frans Standards or the Work AreaTraffic. (Control Handbook (WATCH[ Manual). A traffic control.
plan, if rewired, 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. 3631
Page 1 of 4
SPECIAL CONDITIONS --PERMIT MIT NO. 3631
--- La Ouinta Arts Foundation---
--- Tri-Star ]Excavations ---
8. pursuant to Section 14.16.290 of the La Quinta Municipal Code (Ordinance 10 § I (part), 1982),
street closures shall not be permitted. A minimum of one travel lane of graved surface shall be
maintained with flagmen at all times.
q. Prior to excavating, of 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 fat 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),
backf ll 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. Backfall shall be performed by mechanical means; no
water densifaed 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 backf ll operations.
Backfall 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 Oeotechnical Inspector and/or the
City Inspector and the resulting excavation backtilled 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
backfa➢l 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. 3631 Page 2 of 4
SPECIAL CONDITIONS-1 ERIVAIT NO. 3631
��- La Quanta Arts ]Foundation mee
--- Tri-Star (Excavations ---
]F. In subsequent lengths of trench, the .frequency of compaction tests shall equal one per each lift
of backf ll, per 300 linear feet of open trench, at randomly selected locations within the open
length of trench.
O. 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 baclkfill (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. .
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. A11 excavations within City of La Quinta right-of-way shall be backfiflled, 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 backfulled 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 14.16.3 i5 of the La Quinta Municipal Code (Ordinance 10 § I (part), 1982),
permanent pavement replacement shall be completed no .later than seven (7) days after the
completion of the world. (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..
13. Permanent pavement replacement structural section, within all trenches, shall be I" 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 compactioia 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. 3631
Page 3 of 4
SPECIAL CONDITIONS_-P ERN lT ISO.3631
---1La Quinta Arts ]Foundation
--- Tri-Star ]Excavations ---
C. ]Permanent pavement replacement shall be installed using a City approved'/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. 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 flan: 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
flies.
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 Bush with the existing street surface. The base course lift of
paving shall not be left ®.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 § 1 (park), 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 of phone service across Washington Street and (Lake La Quinta
Drive, for CUP 2000-648, ]La �uinta Arts (Foundation.
19. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
Special Conditions - Permit No. 3631 Page 4 of 4
4
F Eg 19 2002
,,B_,gC W c VIKS
NOTE:
With proper validation Cs,
this form constitutes an CITY OF LA QUINTA
encroachment permit S
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
Sub vision Improvement Permit — Class I I I
DATE: O Z y� /Minino Improvement Permit Class IV
WCATION OF CONSTRUCTION —W� j" t+� f�N ✓ c v'� q a a _t 'V J�
Zo 4`0 - D y fS
(Street address or DescriptionofLocation) 1,,o
PU OSE OF ONSTRU�t {—� „" aN' Sketch (attach construction plans if a
,r ,VJ f M p appropriate)
DESCRIPTION DESCRIPTION OF CONSTRUCTION'- y�/'/n► j
S l
DIMENSION OF INSTALLATION OR REMOVAL 0
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION d U. L
ESTIMATED CONSTRUCTION COST $ 7, O00
(Including removal of all obstruction, materials, and debris, backfilli
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 wo k.
C
igeiture of Applicant or Agent
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Name of Adplicant (please print) % Business Address felephone No.
/2 ( - - C5ZC-4 V 4T7 0AJ
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License o. City Busine s License No.
L(� cX t> CA Q 5`0,109
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 $ 2 1
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
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Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO. 3 6 3 /
DATE APPROVED l Z ZD
EXPIRATION DATE Z
DATEI ED Z ZS 2
By
Ad inistrative Authority
Telephone: (760) 777-7075
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PM10 Dust Control Form
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Project Name: Date:
Tract #: ��- 36�a. Time Notification received: 9 3c/ P.M.
Contact / Phone #: Notification received from: PM10 PGR / Citizen
General Location:
Wind direction: O Roads moist/watered?
Wind speed: -- Site perimeters moist/watered?
Temperature: 78 Dust originating on -site?
# of water trucks available: / Dust originating -off -site?
# of water trucks operating: 1 Chemical stabilization?
Wind fencing maintained?
Sprinkler system?
Track -out observed?
Developer on -site?
Photo's taken?
Notes: it ��rt.c�. ilJ�.u,,t , ',�eo o�760
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TAMDEPT\PM-10 ManagementOust control formAs
Raoul Martinez, Assistant Engineer II
City of La Quinta, Public Works Department