3712NOTE
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
Sul 16. 2002 Subdivision Improvement Permit — Class I II
DATE: q. Minor Improvement Permit Class IV
LOCATION OFCONSTRUCTION South of Westward Ro, North of Highway III on Duna Palms Road
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION To aupplq water t0 the Sketch (attach construction plans if appropriate)
project
DESCRIPTION OF CONSTRUCTION 12" atubout connection
,,:..4,DIIyIE�NSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED 5=5X 0
APPROXIMATE TIME WHEN WORK WILL BEGIN July 2002
Sao Attached Special Conditions
�' APPROXIMATE TIME OF COMPLETION August 2002 +
ESTIMATED CONSTRUCTION COST $ 12r000.00
(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.
.r,..
Signature of Applicant or Agent
CVWD Peat Office Box 1058 Coachella, CA 92236 (760) 398-2651
Name of Applicant (please print) Business Address Telephone No.
Carol Pfantukuche (760) 398-2651 x 521
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 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
Permit Fee.
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
$ No Cost
Receipt No.
Received by Date
PERMIT VALIDATION
PERMIT NO. 3712
DATE APPROVED 07/30/02
EXPIRATION DATE 01/30/03
DATEISSUEDBy
�.CYC► d Im nistrative Authority
Recorded by II, Telephone: (760) 777-7075
NOTE:
With proper validation
this form constitutes an CITY OF LA OUINTA
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
1 Subdivision Improvement Permit - Class III
DATE: f r r Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
lelfoe1 addrea at 4414flistlefo 41 I,QpeNenl LL -
PURFpSE OF CONSTRUCTION M S(a�j� W4� 'I� Sketch (attach construction plans if appropriate)
-MID r) i'I );;i,T
IPTIOIy OF CONSTRUCTION
DIMENSION OF INSTALLATION OR R MOVAL
SIZE OF EXCAVATION, IF NEE �O
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION r7)4UQ- -tom
ESTIMATED CONSTRUCTION COST $ Z%J�
(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:
C4oU�lTld/l/�
002G
R�JSI_t� WORKS
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. lost or damage to persons or properly
happening or occurring at a proximate result of any work undertaken under the Permit granted pursuant to this application.
Notify the Administrative Authority at least Twenty-four 1241 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 lhinta and to pay for any additional ►.placement necessary as the result of this work.
Signature of Ap licant or Agent
Name of
vuanreaa muuress
Contractor's License No.
I elephone No.
City Business License No.
Appitcant-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 $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
S /t/ d CO 8 I Q:' —
Date
PERMIT VALIDATION
PERMIT NO. - 1I4-
DATE APPROVED -7- 30 - dZ
EXPIRATION DATE 7 '- .Igy/j-U3
DATE ISSUED - "'�' v
C11X5,;1_t
By
Vj(70,fn/fow,Z Administrative Authority
TELEPHONE: 16191 564-2246
The following General and Speciuil Provisions are attached to and made a part of Permit No. 3-11 Z
GENERAL PROVISIONS
The following shall always apply: '
ENROACEffAF I' ON PRIVATE PROPERTY: This permit authorises work to be accomplished within City of La Quints right of
way ONLY. Whenever constmcdowexteads within private property, it is the responsibility of the permittee for his contractors to
secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting wont.
TRACKLAYING CONSTRUCTION EQUIPMENT: Cleated tracklaying construction equipment shall not be permitted to operate on
any paved surface unless fitted with emootb-faced street pads. All mecbanical outriggers shall be fitted with rubber street oboes to'
protect the paving during excavations. Rubber -tired equipment -only shall be used in backfill operations 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 Quints shall request
[bat 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 cost as specified above.
--::�P PROTECTION OF TRAFFIC: All excavations and work areas shall be properly lighted and barricaded as deemed necessary by the
City Engineer or La Quints City Public Works inspectors. Suitable detours and detour signs shall be placed and maintained for.the
duration of the project. The City shall be notified.24 hours in advance of any traffic detours or delineations.
CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugated metal pipe, concrete pipe, steel culvert and
concrete structures encountered during excavation which necessitate removal shall be replaced in kind. In the event it becomes
necessary to remove or cut existing drainage structures, City of La Quints sball 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.
RIGHT OF WAY CLEANUP: Any surplus material resulting from excavation and backfill -operations shelf be removed from the -right
of way. All paved surfaces shall be broomed clean of earth and other objectionable materials immediately after backU 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.
D&WATER OPERATIONS: if de -watering operations are required and pumps are forcing water on City of L Quints 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.
SPECUL PROVISIONS
The following shall apply when indicated:
NOTIFTCATTON: Permittee shall notify the City at (619)777-7075 at least 49 hours in advance of starting construction.
RZ 1T1'II]TY CLEARANCE: (Substructures) Prior to making any excavation within the City of La Qi►inta 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 aball be the sole
responsibility of the permittee.
R3 1.1IIK..ITY CLEARANCE: (Surface Structures) No work *ball be done under this permit until all utilities are cleat of the
proposed work site. The permittee shall notify all concerned utility companies of the proposed work.
R4 PAVF.hIEKI WIDEN NG: Area between the proposed concrete gutter line and the existing road pavement shall be surfaced
with inches of A.C. paving placed on inches of class aggregate subbase couru having an 'R'
value of not less than abd in conformance with City of La Quints Road Improvement Standards and
Specifications, Ordinance 0461.
R5 'PARKWAY GRADING: Area between the property line and top of the proposed concrete curb sball U graded to a dope of
1/4 inch to one foot (1).
K6 GRADE- CHECKING: City of la Quints shall check grades upon receipt of plan sod profile and/or grades as established by
a licensed engineer.
R7 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing.concrete.curb and/or curb and gutter _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 Quints Standard./207,
Rg DRIVEWAYS: 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 2 1/2 inches of A.C. paving placed on ( ) of ciasa aggregate base.
Driveway construction shall conform to attached drawing.
R9 SIGHT CLEARANCE: Sight clearance of 600 feet in all directions shall be assured and maintained at all times.
R10 SOIL SIERIIdZER: The area to be surfaced shall be treated with soil sterilizer. Rau of application shall commply with.tbe'
manufacturer's specification.
.1 1 COORDINATE WORK: The proposed work shall be subordinated to any operation which the Stated California or City of
La Quints may conduct in this area during the period of this permit. Work shall be coordinated with the State or City of La
Quints forces to preclude delay or interference with State of City of la Quints projects.
12 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the
centerline of all streets or property lines when involved shall b-e completely tied out so they may readily end correctly be
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 project clearance.
13 PAVEMENT' CtnTING: Pavement will be mechanically saw cut to a straight 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 of 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 edge& shall be corrected.
14 LIMIT OF EXCAVATIONS: Excavations shall be limited to 1000 linear feet 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 can. 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 wont site.
1'5. BACKFIII. MATERIAL Backfill shall be free of brush, roots or other organic substance detrimental to its use for purposes
of producing an adequately consolidated backfill. Any material which the City of Le Quints deems unsuitable (Spoup 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.
16 13ACXFELL SAND: Backfill shall be approved trausit-mix sand or equivalent and shall be'placed in lifts of Dot greater than
three feet (31 and vibrated using vibrotamper or equivalent equipment. Alternate methods may be substituted, but in any case,
a relative compaction of 95 percent shall be ottained with the structural section of the roadway.
17 BACIFTLL PLACEMENT: Backfill shall be applied. in layers of not more than 50 percent of the total depth of the trench
before flooding or a maximum of five-foot (51 lifts where trenches are of excessive depths. Care is to be exercised that the
backfill material is Dot subjected to extreme swell by flooding operations. Backfill material shall be placed so that the resulting
compaction shall be not less thaD 90 percent of equivalent to the surrounding ground, whichever is the greater compaction.
Where pooding 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 continuous.
18 COMPACTION TESTS: If so required by the inspector, compaction teats shall be made at intervals of not more than 1000
feet and a minimum of one (1) Cot on each road: One (1) copy of each test &ball be forwarded to the City Engineer for
approval and filed prior to making permanent repairs. Compaction teats shall be made as outlined in Section 6.3.01 of the
Standard Specifications, Division of Highways, State of California, dated January 1973.
(.9 COMPACTION TESTS: If to required -by the inspector, compaction tests shall be made for each crossing or service line.
One (1) copy of each test &ball be forwarded to 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 Higbways, State of
California, dated January 1973.
O TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch
consisting of 2 inches of SC400 shall be placed oo a prepared subgrade. Ile SC-800 temporary paving shall be placed after a
maximum of 3000 linear feet of trench has been excavated and backfill operations completed, but in Do ease shall the
placement of the temporary pavement exceed a five (5) day limit.
1 PERMANENT-FAVEMENf 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 inches A.C. surfacing placed an a
inch class base shall be placed no later than days after completion of temporary road repair.
2 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.
3 STREET RESJ'RWING: Where street striping is still visible on streets to be excavated, such striping shall be replaced upon
completion of permanent repairs.
lA TREE REL40CATION OR REMOVAL: Tree relocation within the City -of Ls Quints road right of way shall be
accomplished by a licensed, bonded and insured tree service, and handled safely without interference or be—rd to the traveling
public. It shall be the responsibility of the permittee 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. 71e stump
hole shall be backfilled and thoroughly compacted as specified in the following paragraph. Where is becomes necessary to
restrict traffic, the work sball be restricted to a maximum of 500 feet at any one time. Adequate signs, flagmen and or
barricades shall be provided to protect the traveling public at all times.
Large boles resulting from tree removal shall be backfilled and compacted to not leas than 90 percent or equivalent to 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.3712
CV WD
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.
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 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 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
shall be prepared in accordance with the WATCH Manual and submitted to the Cityfor 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 No3712 Page] of4
SPECIAL CONDITIONS --PERMIT NO.3712
CV WD
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 two (2) travel lane. of paved surface shall be
maintained 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 14.16.3.70 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 No3712 Page 2 of 4
SPECIAL CONDITIONS--PEFMT NO.3712
CV WD
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.
G. If any compaction test fails, previously placed backfil. (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 fiarnished 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 3001inear 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.
Special Conditions - Permit No3712
Page 3 of 4