3642NOTE:
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
DATE: 03/11/02
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 51 405 & 51 395 MLE MIMA
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION INSTALL AND MAINTAIN 2 ONE INCH Sketch (attach construction plans if appropriate)
DOMESTIC WATER SERVICE LINE S
DESCRIPTION OF CONSTRUCTION SAME AS ABOVE SEE ATTACHED SPCIAL CONDITIONS
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
�"• APPROXIMATE TIME WHEN WORK WILL BEGIN
h.� APPROXIMATE TIME OF COMPLETION-INBTY DAYS
ESTIMATED CONSTRUCTION COST $ 1-14Da.00
(Including removal of all obstruction, materials, and debris, backfilling, com-
pactiori, 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.
Signature of Applicant or Agen
Name of Applicant (please print) Business Address Telephone No.
SAME AS ABOVE
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 $ 0)0111)
uluu
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by Date
N- 36422
PERMIT VALIDATION
PERMIT NO. 3642
DATE APPROVED 01 /07 /0?
EXPIRATION DATE e,, ,, .rwr ,ee
war
DATE IS§ ED
By �r�. it N_ ./ , . ...
r Administrative Authority
Recorded by I Telephone: (760) 777-7075
SPECIAL CONDITIONS --PERMIT NO. 3642
--- COACHELLA VALLEY WATER DISTRICT ---
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. 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 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 betweenthe 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 anticipated
Special Conditions - Permit No. 3642 Page 1 of 4
SPECIAL CONDITIONS --PERMIT NO. 3642
--- COACHELLA VALLEY WATER DISTRICT ---
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.
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.
Special Conditions - Permit No. 3642 Page 2 of 4
SPECIAL CONDITIONS --PERMIT NO. 3642
--- COACHELLA VALLEY WATER DISTRICT ---
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 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 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.
Special Conditions - Permit No. 3642
Page 3 of 4
a r_l
SPECIAL CONDITIONS --PERMIT NO. 3642
--- COACHELLA VALLEY WATER DISTRICT ---
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. This permit allows for the installation and maintenance of two (2) one inch (1") domestic water
service lines. These services are located at 51.-395 and 51-405 Calle Kalima.
19. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
Special Conditions - Permit No. 3642 Page 4 of 4
NOTE;
With Groper validation
.114115 form constitutes an
encroachment permn CITY OF LA GUINTA
APPLICATION FOR PERMIT
�5 PUBLIC WORKS CONSTRUCTION (ENCROACHNIENTI
For the construction of public or private _ .
and other like public works im drama' pavements. sitimmiks. Parking loss. tellies. mains
provements in cpntlation with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE; Subdivision Improvement Permit — Chm III
LOCATION OF CONSTRUCTION — `7 /'' q oS �-- JMinor Inspravement Permit CL= N
LET"
"aamss dr O ;
aettpuon of t.oeat:onl
OF CONSTRUCTION
r.e,4. • - - - --
/ A .TrALL AMh InA/NTA//V
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REM
OVAL
Sketch !attach construction plans if appropriate)
MAR 0 1 2002
SIZE OF EXCAVATION. IF NEEDED PUBLIC lvcC iKS
APPROXIMATE TIME WHEN WORK WILL BEGIN �L L �TTa2�CJ iph
S
APPROXIMATE TIME OF COMPLETION-NIAI t 991 DAYS
ESTIMATED CONSTRUCTION COSTS 1140.00
llnctuding removal of all obstruction. materials. and debris. pactlon and placing permanent resurfacing and/or replacing
eo
In consideration of the granting of this g improatnentsi
permit, the aapplicant-
hereby agrees to:
Indantntly. defend hereby
hew the City. its atttltoresd aprMs. oflteera. tepresemattws one wnpl � front and apMtsl ahv and w
pavattton occurring
ccu a. lots rewlund brit elawtts nv court action and WMM Ow of My astttdatu. RM Or asnu," to penom or ptownt
happen the
A minist at at a ptoainta/e /esYll 01 atttr wOts ttttdfrlssew YnOer the penlM! 7rettle0 ottrwtattt to this spalwatto u
Nottly the Administrative Authority al 'eggs twonq fpN 1241 hours Iw sdvsnw of the lathe 1Mee !sill be started.
Comolv min all applicable Gtv Otdinancu. the harm mid tonchlione a# the perthn attd an applinble tailw and te4ulatiaq of the Gw at
La Quints and to par for any additional toolaeemeel nvicesssry q the result of phis VOW06
✓ i� t
Signat of Applicant or Agent
COACHELIA VALLEY WATER DISTRICT.
Name of Applicant (please print) • Bus , P • us iness Adtftess Box 1058 CDACi�ZSA. CA_ 92236 398-2651
Telepnone No.
Name of Contractor and Job Foreman
Business Address Telephone No.
Contractor's License No.
City Business License No.
Avpt#cant's Insurance Company
Policy Numoer
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