3715NOTE:
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
Subdivision Improvement Permit — Class II I
DATE: �� Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 51-465
Lot I Tract
(Street address or Description of Location)
PURPOSE:O.F-CONSTRUCTION Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
84t !11}rt ch" 8� C.�Imitte"
V,;,` DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN-----
APPROXIMATE TIME OF COMPLETION
EST[ MATED,.C'ONSTRUCTION COST $ 1' � "
(Including removal of all obstruction, materials, and debris, backfilling, com-
~paction and- placing permanent resurfacin and/or re lacin im rovements)
.� 9 p 9 P
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. Y
Signature of Applicant or Agent
C*&dW1U VA"Il ► V A"r VISCTUt POst Wits &K 1050 104sebalAa„ CA 922" (760) 398-2651
Name of Applicant (please print) Business Address Telephone No.
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 ft cost
TOTAL: $
Receipt No.
Received by Date
Recorded by
tki r 3715
PERMIT VALIDATION
3715
PERMIT NO.
DATE APPROVED Aupat S. 2W2
EXPIRATION DATE
DATE ISSUED
Aug"t 3s 2003
By
f Administrative Authority
r «—
Telephone: (760) 777-7075
NOTE:
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: July 35s 200Z Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 51-"5 Celle Hnlrsnear8
Lot 11 Tract
-(Street address or Description of Location)
PURPOSE -OF CONSTRUCTION Install anti aatiutaln a One Sketch (attach construction plans if appropriate)
inch (1°") dooestie watsr aerVice line
DESCRIPTION OF CONSTRUCTION
See Attached Special Conditions
+`•?;•DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
. APPROXIMATE TIME WHEN WORK WILL BEGIN - — --- T.
n._ APPROXIMATE TIME OF COMPLETION Ninety (90)�
. I,111O.00
"
;4-Z ..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 permit and all applicable rules and regulations of the City of
La Quinta and to pay for any addition replacement necessary as the result of this work.
Signature of Applicant or Agent
Caaabslla Valiay hater District Post Office lieu 1058 CoaCballa, Csl1 9ZM (760) 398--2651
Name of Applicant (please print) Business Address Telephone No.
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:
Receipt No.
$ No Cost
Received by ' Date
Recorded by
r 3715 so
PERMIT VALIDATION
PERMIT NO. 3715
DATE APPROVED Al AWt 5, 2002
EXPIRATION DATE AUS"t 50 2003
DATE ISSUED
Administrative Authority
Telephone: (760) 777-7075
NOTE:
With prober validation
tha to corsstltutes an p
enaoachtrterri Derma CITY OF �•
LA OLINTA �' !
C/ to 'UCATION FOR PERNUT
PU
8UC WORKS CONSTRUC71CIN (ENCROApiMEunMa
of �c
For the oonnn=ion of public or pritrate - _
and other like public works imptovenconnectWis
_NOEMENTSaW QED SZJBD Vl IStONS
LOCATION OF CONSTRUCTION 6�
IS set "'" at oaenotson at Locos I tcjjf —
PURPOSE OF CONSTRUCTION / N-STALL ANIb /MA//y1-A/IV A
„
€St.rttPT10N OF CONSTRUCTION T�n = 1A IS
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEE[)EO
APPROXIMATE TIME WHEN WORK WILL RarIwas
fin' WWrowttttnt Permit — Clatt M
ner
diImprovelswu Permit Clm IV
S�tdt (Attach mrauuction plans it amawistel
Scl3 f+rn4c.�fC-tp ��� �d�rjosv�
EIVE®
APPROXIMATE TIME OF COMPL ON�N , f 9�1 Ays, _ JUL 2 6 2002
ESTIMATE[) CONSTRUCTION COS S 1 AA1 C"r
(Including removal of All obstruction. fstaterials* and debris, b&ckfplirtg, come PUBLIC WORKS
paction and placing permanent resurtadn
In consideration of the g and/or repladng imWovementtl
granting of/
f this permit the applicant •
hno•rnwtfv. defend .rte saae tn: �b1► Won to:
0•nau•a. baod�u•t a loss rtt ty^svl a ems. othcen` rtsereumettta$ sue Onwa"es. Aernness Iron+ and opma husenuV or OCYrfI dam" a M" salon am awv ow M
^! an ! pro■Mn•t• ratYlt of ,worn « ottf of anp aeetd$ttt. less o► tt$rrtage to tt•+sons or powA�
Nouty toe Admenntratme+ undertes" wwor toe outoq peace owwou to this aooUcatan.
Atttho►igr 41 (eau twwttt,4ptr 1241 Now$ in advamm of the tint• when aarh will be
suns.
Contav rwtN au aoolk"le, Cott► Ordin•neM fhe
La Cu.nta ano to par for snttr addtttort$t r tenea a" condtstorn so aw
fhttNlNt avid aN aopfisa0le rich arts rspdniom of the Caw
of
mm tt•sssserv. p site nntlt of
COaatgna of Apppioj of Aft
Name of A _
PWtvnt (Please ase�� WATER DISrgI� . S. 0. Box L058 P, CA. 92236 398—
prtntl • . - 265I
6tamess Address Telephone No.
Name of
-"-'wa. rOreman
Contractor's License No-
Avviicant's lntuenw
Busutess Address Teleplhohe No.
City Business License No.
-------------------
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WASHINGTON ,
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6 — 4
SPECIAL CONDITIONS --PERMIT NO.3715
CV)VD
In addition to the standard permit conditions, the following shall apply:
1. 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 Ouinta 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 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.
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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 14.16.370 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.
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SPECIAL CONDITIONS --PERMIT NO.3715
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E. In subsequent lengths of trench, the frequency of compaction tests shall equal one per each lift of
backfll, 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 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 1/4" 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 - Pemut No3715 Page 3 of 4
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SPECIAL CONDITIONS --PERMIT NO.3715
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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:
For longitudinal trenches located in a parking lane: two (3) feet outside the sawcut removal
lines.
For longitudinal trenches located in a traffic lane: two (3) 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 1/4" 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 or any existing detour 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. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
19. The permittee shall indemnify, hold harmless and assume the defense of the City from all damages, delay
costs, costs or expenses in law or equity that may arise out of work under this permit.
20. This permit allows for the installation of one (1 ") water service at 51-465 Calle Hueneme in the City
of La Quinta.
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