3634NOTE:
1
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
02/25/02 Subdivision Improvement Permit — Class II I
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION AVENUE SO 6 EISENHOWER DRIVE
SEDM HOMES TRACT 30126-1
(Street address or Description of Location) "
PURPOSE OF CONSTRUCTION INSTALT„ATION OF ELECTRICAL Sketch (attach construction plans if appropriate)
r2F.RVTCF T,INRA FUH TRR TRACT
DESCRIPTION OF CONSTRUCTION SEE ATTAACHED SPECIAL CONDITIONS
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN+
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ t J$111 n.AA
(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
SEDONA HOMES INC 77564 COUNTRY CLUB DRIVE SUITE 137 PALM DESERT CA 92211 760 772 8224
Name of Applicant (please print) Business Address Telephone No.
GR UNDERGROUND 77670 SPRINGFIELD LANE SUITE 8 RA 2211
Name of Contractor and Job Foreman Business Address Telephone No.
765654 nC4;R7
Contractor's License No. City Business License No.
EVEREST NATIONAL INSURANCE COMPANY 3700000234421
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I II It� u I
Public improvements: 3% of estimated conson costs
Private improvements: 3% of estimated•cons��lc io* 0 4 �Qo�
Minor. Improvement Permit — Class IV: See att che�ly
Inspection Fee $ 360.00
100.00
Permit Fee
Penalty 1
Cash Deposit -Surety Bond
if required
TOTAL:'
Receipt No
Received by
$ 460.00
Date
t
'IST. PERMIT VALIDATION ,
3634
PERMIT NO.
DATE APPROVED 02/25/02
EXPIRATION DATE
DATE
%ISSUED
/ �,✓
By K �,.,,1
r e Admiriistrative'Authority
Recorded by Telephone: (760) 777-7075
SPECIAL CONDITIONS --PERMIT NO. 3634
-- SIEDONA HOMES ---
In addition to the standard permit conditions, the following shall apply:
1. Pursuant to Section 14.16.320 of the La eta Municipal Code (Ordinance 10 § fl (part), 1982), all
work shall be performed in accordance with the latest edition of the Standard Specifications For
Public Works Construction (SSPWQ and as directed by and to the satisfaction of the City ]Engineer.
2. SIEDONA HOMIES, hereinafter referred to as 6 Pernnittee", shall be responsible for providing
continuous dust and erosion control pursuannt to the Fughive Dust Control ]flan.
3. Streets shall be kept clean. Whey shall be completely cleaned at the egad 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
rimintenance of equipment within one-half mile of Eiseman 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 am to 7:00 p.m.
Saturday 8:00 a.m. to 5:00 P.M.
Work shall be prohibited on legal holidays and Sundays.
Wairk perfomnmed wifflm 500 feet of a mmDom and/or sigma➢naed imaeneetiom us U-Mau°iceted between
n
t➢ne ➢noun of 9 @.mno - 3 p.m. Tnmff ne comtn°o➢ s➢ aDD he scat up aftem 9 a.m. and removed ➢ efbire 3
P-M. Trme ]Peer mince 5h@RD e®mtmct t➢ne Mveni& Coanmtn Y 'II'mffi ue S EMD M2 m9emumc e
Depmu tmmdmt gat (909) 2954094 of aigm@➢ openmfiom 0 tl;De imtenec iom us to be a➢tered im May away.
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 perforrilned 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 trafi"ic control shall be installed and maintained in accordance with Cal
Trans Standards or the Work Area Trafflac Control Handbook (FIAT CHI Manual). A trra9ne conalro➢
p➢zmy if a°eq uimed, 5hmfl he pmpaired im @c coirdence wvnt➢n t➢ e WATCH M.%nua➢ zod 5ubm>nitt¢d
to the ChV Tor irevaew @nd @pprrov@➢ ome (R) week pAoir to sftrrtumE %my comatTue lon. It shall be
the >k ermittee"s responsibility to appropriately detour and barricade all construction sites.
special Conditions - Permit No. 3634 Page I of 3
SPECIAL CONDITIONS —PERMIT NO. 3634
-- 'S1EDONA HOMES ---
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 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 wluch impact City facilities, including but not limited to trafffic 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 14.16.3 %0 of the La Quinta Municipal Code (Ordinance 10 § 1 (past), 1982),
backfll compaction within street rights -of -way shall conform with Section 306-1.3 of the latest
edition of the Standard Specifications For public Works Construction (SSPWC), and as required by
the public Works Department. Backfill shall be completed in lifts, not to exceed V, compacted to
90% minimum relative compaction. Native material may be used, provided the material is suitable
for use as backff fill after construction operations. Controlled Density Fill (C,F.) may be used as an
alternative.
12. All excavations within City of La Quinta right-of-way shall be backfClled, 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 backfnlled in the same day. ]Excavated trenches shall not be allowed open
overnight, however, Per, mittee 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 shall be replaced as follows:
a) Sawcut and remove existing a.c. surfaces a distance of one foot (1 °) beyond all trench walls,
including any sloughing or cave in, of adjacent soils. Undermined a.c. surfaces shall be
removed. All a.c. edges shall be straight,.clemm and vertical.
v
b) provide an existing section (four -and -one-half finches [41/2"1 minimum) of crushed aggregate
or miscellaneous base material, compacted to 95% minimum relative compaction.
Special Conditions - Pesmit No. 3634 Page 2 of 3
SPECIAL CONDITIONS --PERMIT NO. 3634
--- SEDONA HOMES e--
c) provide an existing section plus one inch (I") [four inches (4") minimum] of asphalt concrete
in two (2) or more lilts; the first lift(s) comprised of a base course a.c. material, of a City
approved nrlx design, meeting the requirements of Greenbook class B-Ar-4000; the final 0.10'
1i1 comprised of a wearing course ac. material, of a City approved mix design, meeting the
requirements of cGreenbook class C2-AR-4000. All pavement edges shall be flush with
adjacent a.c. surfaces. Each lift of a.c. material shall be compacted to 95% minimum relative
compaction.
d) s'�or trenches greater than two feet (2') in width, the Permittee shall perform a grind and a.c.
overlay of 0.10' depth for three feet (3') in addition to the pavement replacement specified
above.
16. Pendttee Bh@HU anotnfjv the Chay of IL@ Qaanaaft >P u b& Woirks Depma°taaaeant @ an 5lmhmumm off 40 ➢nou n
pulorr to commmelme>ymmelmt of auny colmstumefloan nt (760) 999-7095o
17. Permittee shall stabilize any soil that was disturbed (shoulder areas, etc.) as a result of work
performed under this permit with an approved dust control treatment.
18. 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 perrnig specifically
grants penrnissnon to use the street to deliver street construction materials and/or equipment.
19. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
20. This permit authorizes work for the installation of conduit to provide power service to the Sedona
Homes Development, Tract 30125-1. This work is located on Ave. 50 east of Eisenhower Drive.
Special Conditions - Pennit No, 3634 Page 3 of
� EB � 0.2002
NOTE:
With proper validation
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
DATE: ?,0'- 02— Subdivision Improvement Permit - Class I I I
Minor Improvement Permit C ass IV
LOCATION OF CONSTRUCTION'_ ,,,,,,'e S
(Street address or Description of Location) ,
�- /
PURP SE OF CONSTRUCTION � �3 Sketch (attach construction plans if appropriate)
Tc_e___0 r .! war D �C
DESCRIPTION OF A ,�l
7��
DIMENSION OF IN TALLAIION OR REMOVAL SZ!
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 2 - Z( - D Z
APPROXIMATE TIME OF COMPLETION Z " Z 3' - JZ
ESTIMATED CONSTRUCTION COST$ J2-1000
(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) hoursin 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.
f=
Aignature of Applicant or Agent e�2z ( t
Name of Applicant (please print) Business Address Telephone No.
6 f-, 0"_L:c, �d 1;_Q_ can O (
Name of Contractor arlob Foreman Business Address n Telephone No.
l`'a.. \V�L � •t-t it �
Contractor's License No. City Business License No.
Applicant's Insurance Company Policy Number,
FEES: Subdivision Improvement Permit -Class I I I
Public improvements: 3% of estimated construction costs
Private improvements: 3%of estimated construction costs
Minor Improvement Permit - Class IV: See attached schedule
Inspection Fee $
Permit Fee /° o O
Penalty _
Cash Deposit -Surety Bond
if required _
TOTAL:
Receipt No.
Received by Date
PERMIT VALIDATION
PERMIT NO. 3
DATE APPROVED
EXPIRATION DATE
DATEellE D
By
ministrative Authority
Recorded by
Telephone: (760) 777-7075
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