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3638NOTE: 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 02/27/02 Subdivision Improvement Permit — Class I II DATE: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 3ORTH SIDE. OF CAL.LB TEMECMA AND AVENMA OBRMN (Street address or Description of Location) PURPOSE OF CONSTRUCTION RSPZ ACJt RAT) R-TMTIM, 0A TY ANn Sketch (attachiconstructio .,plapsfif appropriate)a, P.PPI.ACK WITH I �AII CI.P DESCRIPTION OF CONSTRUCTION RIME AIM SPLICE 2AQ 60 SEE ATTADCHED SPECIAL CORDITIONS BLTRTRn eART.R ATURP t`' - RFC�I() lRi> f DIMENSIONI2y4DJNSXT10L(;A�T�I*QR REMOVAL SIZE OF EXCAVATION, IF NEEDED STREET f`PAQQTM#-- 1%, w la" WgAN APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION A3132101) ESTIMATED CONSTRUCTION COST $ 170Q-'0n (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 th44 work. 4 of Applicant or Agent ��1�4/sAf C�1►tRir��f1►7��4AT�„E'1Mb` Name of Applicant (please print) Business Address Telephone No. ,. HCI IIC 11201 HARREL STREET PO BOX 487 MIRA LAMA CA 91752 Name of Contractor and Job Foreman Business Address 378387 Contractor's License No. Telephone No. City Business License No. Applicant's Insurance Company Policy Number L� , `,. 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 $ 50.00 11 Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: 100.00 $ 150.00 Receipt No. Received by Date .1 OF Llp►QliIWA PERMIT:" VALIDATION PERMIT NO. 3638 DATE APPROVED 02/27/02 EXPIRATION DATE 05/31/02 DATE ISSUED By inistrative Authority Recorded by 11 Telephone: (760) 777-7075 R 9_MOM 9Iiand UiNIno U-1:314HN (C j :aum4dalaj SSZL-LLL-09L:-131 Sb:t7T 03M 2002-L2-03d Aq papaooalj •�-c=�1' Vie.: Ag SS! 31V0 Q f 3:VIQ NOI1Vkl IdX3 L O L Q3AObddV 31VO c i 'ON 11Wt33d IVOR1T/f1Yt'A i{9[l33d oleo Aq P9nr93alj 'oN 3diaoeb 4 S �1V101 pan nbat ;! puoe A32)nS-l!soda0 WOO Al leusd Q (21 a032!wJad i QS $ $a3 uogoadsul elnpatPs polpalt DOS :AI ssE13 - 1!waad luawaAoJdwl Jou!yl! slsoo uoliosuisuo9 paltwllss to q6-nUeutanoadutl aleAIM sisoa uonannsuoo paimpse;o %C :slusutanoidut! z!lgnd III nelO - 3!wtad luawenojdwl uo!s!A!pgnS :S33d -49—N A3!10d Auedwoo soueinsul s,lue3!IddV -am --xax1 aastang Al!O 'ON M831-1 s,aoiotnuoa L858Li -ON ,3 sseippV tsau!sng uewatod qo(' put 3o3oeuuo3 ;o oweN NOs1IM Abdul aN auDct®vl naippV ssau!sng (3u!Jd astald) lue•D!IdOV R eweN ZSL16 VO `VW01 `bIW L8t X09 '0'd ARiS 13SUH iOZii MI I)H r-QBV ao lueo!lddV;o pimpAIS 1142 l0 3 041 a Attsuaoau tuawa�atdw Iwolt!ppt MA Jot Aed of put mulM on As � sus an _ Sam vow jddt Ile put 3!u"ad MP to tuoll!Puco put swnl e41 'f►�utu!P/o A1!3 ttgtallddt [it 41!M Aldwo3 IPM1t3 a: OOR 4cm MWS ewri SO to ranapt u1 unO4 00M Jncy-Alu*ml "" 14 AI!JO4 inV snll0tlslu!u1pV •tt% AgIoN 'vdj, 1 9 1 as s cis 1aD6=jlrd PmueA 1!uuad a%p Japun ImIr"tpun wom Aut to 11nm Gjam fail t a sups --'.so aulu60084 A"i"'d zo tub as s&a=W = me" 1— ppat Aut +0 am euMA put uo(13s tinoo ao au(tp way lutllnsw not io a!1!1!gt!1 'ao!tlauod g Ica eos >sat,eR PLW %Wq sampaw" 'ImaA,olduis Wa SM.Unuslaidu •awryo 'quaee PoslpW^o 14 'ti!7 eta man pus "top 'Nluwapul :ol taaAe Agsioy l+ueoltddt o[;3 '1!wtod slsp jo bu!IUGA eta to uonvjap!suoo ul (nuowsAoidwl Euorldoi ao/put 8upe;mnw suouswied 8upaid put uopned ium 'eu!Ilgspeq'tugop put 'slslioiew 'uolz*nzLsgo Ile ;o IeAowau eu!pnloul) 4 S 1S00 No=n1d1SN03 031VW I1.S3 ri3d0 314yj -4r(2 7+(��%T / (� N01131dW00 d03W1131dWIXObddV Z�' S NID313111M )MOM N3HM 3W1131VWIXOdddV u u ST i d£ 5 0 �M ZA %L�5£ S 03033N dl'NOIIVAV3X3 d0 3ZIS �--Q Y t - O�N weue is 1Vn0W3lf'J6 N'Oli'11i"T4.LS1110:VNi PSIU Ylo AO AtZ J101dS ORV 33VId Noumn1l1SN0330 N011d1U0S30 319VO 03IH9 OVS 33VIdA Nollont�ll.��o UI dAd (ue116501 so ue!%apassd �a "WPpa 1"13sl NOOR90 3AV oNv vin33W31 311VO S/N N011onH1SN03 d0 NOUV901 ® III — mil voltlAlpgns ZO/LZ/Zo 'UMMP IW S1N3MA0lldYlll MONIW W!M uopasuuoo ui fluaweAoadwo sltaoM o!Ignd a1(!l jeLpo put Awn V" stnestee 's*Rrlep!t •s3owu *Ad '%AeAswlp 'sgjm s1sAUd io ollgno ;o uc)wnmum atp jod - v0"3 MD smwom 011end 1lvmd VC)a NOill onda1V 3 wrad 1u011►tpfaooua v17[IInO v1 :tO J111O .ia s+lnuuuoo uuoy ou: [ d Z08390098t, 'Oi4/bil:ST. '.LS/1V:5i ZO.GZ 'Z i(IgM.) FRCJW . (WED) 2. 27. 02 15:42/ST. 15:41/NO. 4860068302 P 2 1 1 l 1 I I I UKF 300-24 2' r +-240 I .sAw CUT ST. F CAlle Temecdo 35' i( 151, X 3(c" - I w o 30 1 , I t �I CA-776-OC Verizon Ci 1 AREA STATE: CA DIVISION: INLAND VALLEYS I EXCH.: W.C.: 54 3 WO NO.: 3POOIGJ TAX DST: CONTROL NUMBER: TITLE: DATE:C)3'O, REV. DATE: SCALE: FILE: PERMIT DWG, DRWN RF NG �APRVDJ/PRINT rFF y of y FEB-27-2002 WED 14:45 TEL:76O-777-7155 NAME:LA QUINTA PUBLIC WORKS P. 2 SPECIAL CONDITIONS --PERMIT NO. 3638 --HCI, INC. --- 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. HCI, Inc., 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 1st 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 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. 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 Special Conditions - Permit No.3638 Pagel of 4 SPECIAL CONDITIONS --PERMIT NO. 3638 ---HCI, INC. --- 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. 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. Special Conditions -PennutNo.3638 Page 2 of SPECIAL CONDITIONS --PERMIT NO. 3638 ---HCI; INC. --- 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. C. Permanent pavement replacement shall be installed using a City approved W max medium asphalt concrete as the base course lift and a City approved %" 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: Special Conditions - Permit No.3638 Page 3 of 4 SPECIAL CONDITIONS --PERMIT NO. 3638 ---HCI, INC. --- 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 %" 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: Stock pile shall not exceed 3' in total height from the existing surrounding area. 19. This permit allows for the replacement of non -operational conduit and placement of approximately 240' of cable for new service. This work is located Avenida Obregon north of Calle Temecula. 20. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time. Special Conditions - Permit No.3638 Page 4 of 4