3671E
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
04/11/02 Subdivision Improvement Permit — Class I I I
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 53025/53045 AVENIDA MARTIVEZ
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION TNSTALLATION OF GAS LINKS Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
f
DIMENSI.ON OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(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 per ix nd all applicable rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result o this ork.
Signature of Applicant or Agent
0iPltMtl WM CAT TF4RMTA nAS rA 7SO04 MA'V`t7ATR nPTV7. AATM nRgP.R T CA Q771 1 760 1&6 A7AA
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman
Contractor's License No.
Business Address Telephone No.
City Business License No.
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 $ %P*W
0.00
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
$ 0.00
Date
3671.71.
PERMIT VALIDATION
PERMIT NO. 3671
DATE APPROVED 04/26/02
EXPIRATION DATE 71111102 1
DATE PISU E D
By
Adm.lnistrative Authority
Recorded by 11Telephone: (760) 777-7075
`Sent By: GAS CO;
NOTE:
With proper validation
this form constitutes on
encrolichmont permit
Qirs�
760 773 9243) 11 Apr 02
CITY OF LA GUINTA
APPLICATION FOR PERMIT
9:23AM;Job 705;Page 1/2
00, A
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs, driveways, pavements, aide s, r lots. sowers, water m ins
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDf'lISIONS
— SubdIvItIon Improvement Permit —clan 111
DATE:. / Minor Im�irov�" nt Permit Class IV
LOCATION OF CONSTRUCTION ��,Cf �
(Street addrsw or Descrit►tlon of Lae.tibnl
PURPOSE OF CONSTRUCTION f"r�''tvE.s
SlcetrJt (attach construction plans if apprgpriatel
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED ..
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUMON Cost S
{Including removal of all obetruation, maarlals, and debris, batitfilling, oom-
Paotlon and placing permanent resurfacing arsdlor raplal6ng improvements) ?
In consideration of the granting of this permit, the applicant hareby agrees to-.
I111120nnify,4eHrd end save the City. he elathoriked agents, oHlcim, reprtnentatives and amolOyeN. Mnnlau from and epslnrt eny.eald anpenNtln, IlaWlitlee or haw resulting M1om deiml of Court aexlori and arising out of my saeWent, Ion or damage to personro
s at Pperty
happening at onurrina at a ppanimato eaault of env work undertakan under the permit granted pymwrnt to this appilgtion.
Notify dill Adrninutrative Authority at hurt tmilN.lour (14) faun in edvence of the Jima ..hen wmik will be evrted.
COrhsslY W40 811 eppllpbla City Qnflrarl"s, the tsrme and conditions of this permit trill all epplimebie ru a rmiatlaia of the city ad
Mi Quints end to pay for airy additional replaasrteNJ necessa►ras the relYlt Of a k.
8 nature of A *1 t�oor Aga
Name of Applicant (plane print)
Name of COMactor and Job Foremen
Contractor's License No.
BumIness Address
No.
Business Address Telephone No.
City Butinwa License No.
APPIIranirs insurance Company r.BN. L.IAWLr ry Polley Number
FEES. Subdivision Improvement Permit —Class III
Public Improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Clash IV: See attached schedule
Inspection Fee S O
Permit Fee
Penalty
Cash Qeposit•Sursty Bond
it required
TOTAL: $ ,�
Receipt No.'
Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO. 3G �
DATE APPROVED Z6 D 2
EXPIRATION DATE �/�?
DATE ISS D
By
Adm trative Authority
TELEPHONE: (61D)-77-17076
APR-11-2002 THU 08:41 TEL:760-777-7155 NAME:LA QUINTA PUBLIC WORKS P. 1
Sent By: GAS CC; 760 773 9243;
11
il Apr 02 9:24AM;Job 705;Page 2/2
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BY:
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TOTAL PIEET INRT'D.
TOTAL FELT RETIRED_.._
PERMIT ISSUED BY
PERMIT NO.
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APR-11-2002 THU 08:42 TEL:760-777-7155 NAME:LR QUINTA PUBLIC WORKS P. 2
SPECIAL CONDITIONS --PERMIT NO. 3671
--- SOUTHERN CALIFORNIA GAS CO. --
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. SOUTHERN CALIFORNIA GAS CO., 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 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.
Special Conditions - Permit No. 3671
Pagel of 4
ok
SPECIAL CONDITIONS --PERMIT NO. 3671
--- SOUTHERN CALIFORNIA GAS CO. ---
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. 3671 Page 2 of 4
w
SPECIAL CONDITIONS --PERMIT NO. 3671
--- SOUTHERN CALIFORNIA GAS CO. ---
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.
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:
i
l
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 - Permit No. 3671
Page 3 of 4
SPECIAL CONDITIONS --PERMIT NO. 3671 `
--- SOUTHERN CALIFORNIA GAS CO. ---
C. Permanent pavement replacement shall be installed using a City approved %" max
medium asphalt concrete as the base course lift and a City approved %Z" 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.
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 W 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* udder 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 of 2-2" gas mains to provide service to 53-025 and
53-045 Avenida Martinez.
19. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
Special Conditions - Permit No. 3671 Page 4 of 4