3757t
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
Subdivision Improvement Permit — Class 111
DATE: Octol= 9 2002 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 36"121 13`Vwdda 14 ftw4a, ja Wirft. CA
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION %il t011 004 M)Ln R A 01M Sketch (attach construction plans if appropriate)
xi= a=11tic vater carv1*0
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
CFO r
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION 90 dayS
ESTIMATED CONSTRUCTION COST $ rQA
(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.
Signature of Applicant or Agent
LWD F.O. DOX 1058 cowhZ3.140 CA 92236 760.396.26S1 x SOS
Name of Applicant (please print) Business Address Telephone No.
t
f
Name of Contractor and Job Foreman
Contractor's License No.
NA
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
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by Date
PERMIT VALIDATION
3757
PERMIT NO.
DATE APPROVED
EXPIRATION DATE ma=y 30, 2003
actobar S, 2002
DATE ISSUED
g
Y V.iLC= L'7t7 Zl P40=tAdministratEveTAuthority
Recorded by 11 Telephone: (760) 777-7075
PERMIT NO. 3757
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, 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 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 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 No3757_ Pagel of 4
PEFMT NO. 3757
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 14.16.370 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 backfillmaterial 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 - Penmvt No3757_ Page 2 of 4
PERMIT NO. 3757
CVWD
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 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,
Permitted 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.
Special Conditions - Pemtit No3757_ Page 3 of 4
PERMIT NO. 3757
CV WD
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 %" 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:
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/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 shallbe
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.
Special Conditions - Permit No3757_ Page 4 of 4
The following General and Special Provisions are attached to and made a pan of Permit No. 3757
GENERAL PROVISIONS
The following shall always apply:
ENROAC HIKENT ON PRIVA7E PROPERTY: 71is permit authorises work to be accomplished within City of La Quints tight of
way ONLY. Whenever construction extends within private property, it is the responsibility of the permittee for bis contractors to
secure permission from abutting property owners. Such authorization must be secured by the permitlee prior to starting work:.
TRAC KLAYING CONMUCJION EQUIPMENT: Cleated tracklaying construction equipment shall not be Permitted to operate on
any paved surface unless fined with smooth -faced street pads. All mechanical outriggers shall be fitted with rubber street shoes to
protect the paving during excavations. Rubber -tired equipment:only shall be used in backfill operations in paved seem. If the existing
pavement is scarred, spelled, or broken during the term of this contract, au if the pavement is marred, City of L Quints eball request
that tbese portions of road be resurfaced over their entire width. Resurfacing #ball consist of ems coal of two inches (!' of A.C.
surfacing plus.appropriate seal cost as specified above.
PROTECTION OF TRAFFIC; All excavation and work areas &ball be properly lighted and barricaded so deemed necessary by the
City Engineer or Ls Quints City Public Works inspectors. Suitable detours and demur 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 STRUC LVM: Any drainage structure iocluding corrugated metal pipe, Concrete pipe, steel culvert and
concrete structures encountered during excavation which necessitate removal shall be replaced in hind, In the event it becomes
necessary to remove or cut existing drainage structures, City of La Quints shall be notified prior to commencement of this wadi,
Drainage ewcturee and open drains shall be kept free of debris at all times for proper drainage.
RIGHT OF WAY CLYANUP; Any surplus material resulting from excavation and backfill:operations dWr be removed from the Tight
of Way., All paved surfaces shall be broomed clean of earth and other objectionable materials immediately aftr.backfrll and compaction,
Existiog gutter line and drainage ditches ahall'W replaced to their original standard or better. All exew material shall be -removed
prior to paving. Water tanker shall be used, as required, to sprinkle the job site to keep dotty dust gonditioos_and_sball be used
immediately after baeldrll.
DE -WATER OPERATIONS: if de -watering operations are required and pumps ate forcing water on City of La Quints roads, it shall
be the responsibility of the perminee (contractor) to control this water and to provide off-street barricades when necessary.
CLOSING STREETS: No street &ball be closed. A minimum of one lane of traffic aball.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 permitteethat he 'must,clo&e. a street for
any length of time, permince shall contact this office to obtain the necessary permission.
SPECIAL PROVISIONS
The following shall apply
760.77.7097
Rd NOTIFICATION:-P.ermittee.sball_noufy-the City -st (6 at least 48 hours in advance of starting comtruction.
RZ Unl M CLEARANCE: (Substructures) Prior to making any excavation within the City of Is Quints right of way
by permit; the permittee shall contact all concerned utility companies relative to the location of existing
substructures. Damage to existing substructure resulting from operations conducted under this permit shall be the mole
responsibility of the permittee.
R3 InUITY CLEARANCE: ' (Surface Structure) No work shall be done under this permit until all utilities are dear of the
proposed work mitt, .719 permitree shall notify all concerned utility companies of the proposed work,
R4 PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing road pavement #ball be @urfaeed.
with inches of A.C. paving placed on inches of class aggregate subbase course having an'R'
value of not less than abd in conformance with.City of La Quint& Road Improvement Standards and
Specifications. Ordinance 0461.
R5 PARKWAY GRADING: Area between the property Line and "of the proposed concrete curb ab&11 be graded to @ dope of
l/4 inch to one foot (I).
R6 GRADE. CHECKING: City of La Quints @ball check grades upon receipt of plan and profile and/or grades as estabr bed by
a licensed engineer.
R7 . CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete.curb and/or curb and gutter (-feet) iball be
removed. 'Curb and/or curb and gutter shall be saw cut prior to removal.. Depreeaed curb, matching Coacrete•gutter and
concrete driveway approach shall be coostructed in conformance with City of Ls Quints Standard f/=_
R8 DRIVEWAYS: A.C. driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the properly
line and the existing road paring shall be 2 1R inches of-A.C. paving placed on �) of class aggregate base.'
Driveway construction shall conform m attached drawing.
R9 SIGHT CIEARANCE: Sight clearance of 600 feet in all directions shall be assured and maintained at all time*.
RIO SOIL STFJtn.IZER The area to be surfaced &hall be treated with &oil sterilizer. Rate of application shall eommply witb.the'
manufacturer'& specification.
11 COORDINATE WORK: The proposed work shall be subordinatid to any operation which the State of California or City of
Le Quints may conduct in this area during the period of this permit. Work shall be eoordinQted.witb the State or City of La
Quints forces to preclude delay or ioterfereoce with State of City of L Quinta proew.
12 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the '
centerline of all streets or property lines wben involved shall be completely tied out so they may readily and 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 mooumeats.' This office shall be notified
Upon completion or replacement of all survey monuments for proper project clearance.
13 PAVEM IT C117TING: 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 eficavatisg
equipment be used to excavate prior to cutting of pavement.) Excavation material shall be placed in such a position as to beet
facilitate the.general flow traffic. Prior to final paving operations, any damage to pavement straight edgea shall be corrected.
14 LIMTT OF EXCAVATIONS: Excavatigns 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 case. -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 work site.
17.5 BACKFILL 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 L Quints deems unsuitable (spongy or
saturated material) which is eDcountered during excavation shall not be used, for backfill, but shall be supplemented or replaced
by an approved sand or gravel.
16 BACKF11L SAND: Backfill shall be approved transit -mix sand or equivalent and shall be'ptaeed in lifts of not greater than
three feet (3) and vibrated using vibrotamper or equivalent equipment. Alternate methods may be substituted, but in any cane,
a relative compaction of 95 percent shall be attained with the structural section of the roadway.
17 BACKFIIL, PLACEMI]ENT: Backfill shall be applied. in layers of not more than SO percent of the total depth of the trench
before flooding or a maximum of five-foot (5) lifts where trenches are of excessive depths. Care is to be exercised that the
backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed ao that the resulting
compaction shall be Dot leas than 90 percent or equivalent to the suRouDding ground, whichever is the greater compaction.
Where ponding 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 COMPAMON1 TESTS: If so required by the inspector, compaction testa shall be made at intervals of not more than 1000
feet and a minimum of one (1) test on each road: One (1) copy of each test &ball be forwarded to the City Engineer for
approval and filed prior to making perruaoenl repairs. Compaction teats &ball be made as outlined in Section 6.3.01 of the
Standard Specifications, Division of Highways, State of California, dated January 1973.
1.9 COMPACTION TESTS: If so required -by the iospector, compaction tests shall be made for eachcrossing or service live.
One (1) copy of each test sball 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 Highways, State of
California, dated January 1973.
O 7IMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch
consisting of 2 inches of SC400 shall be placed on a prepared subgrade. The 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•PAVL ENTf' REPAIR: After backfill and compaction have been completed, a temporary patch consisting of
two iocbe& (2') of SC-800 shall be placed immediately. A permanent patch of inches A.C. surfacing placed on a
iocb class base shall be placed no Ister 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 are" as
determined by the City Engineer.
3 STREET RES73"ING: Where street striping is still visible on streets to be excavated, such striping &ball be replaced upon
completion of permanent repairs.
l4 TREE RELOCATION OR REMOVAL: Tree relocation within the City -of La Quints road right of way shall be
accomplished by a licensed, bonded and insured tree service, and handled safely without interference or hazard to the traveling
Public. It shall be the responsibility of the perminee 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 Dazxrd 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. The stump
bole sball be backfilled and thoroughly compacted as specified in the following paragraph. Where is becomes necessary to
restrict traffic, the work shall 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 Dot lees 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.
NOTE:
y With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
4. APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
1 '
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 I I I
DATE: QCtObnr 9 2002 Minor Improvement Permit Class IV X
.,,LOCATION OF CONSTRUCTION — 78-121 Ayea)dda La Fonft. La Ozdnta, cA
(Street address or. Description of Location)
PURPOSE OF CONSTRUCTION t-811 PAM Mint -Min A rvr�%, Sketch (attach construction plans if appropriate)
1llU% dOMStIc uateW Sexyics
DESCRIPTION OF CONSTRUCTIONsam SBE ABED SPBMM 0=1TTONS
DIMENSION OF, INNSST,ALLATION OR REMOVAL
eksc
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION�0
ESTIMATED CONSTRUCTION COST $ f`tA
(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.
Signature'of Applicant or Agent
CVWD P.O. B= 1058 COWJIS11a, CA 92236 760.398.2651 x 505
Name of Applicant (please print) Business Address Telephone No.
Sam
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No. City Business License No.
NA
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 y «� ENT R
.i/
Minor. Improvement Permit — Class IV: See attached schedule 4°
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
$ No M
Date
Recorded by
PERMIT VALIDATION
PERMIT NO. 3757
DATE APPROVED Octok*r 9,2002
EXPIRATION DATE Jamutry 30, 2003
DATE ISSUED October 9, 2002
Yid tj=` AoAmatiYyuieAuthority
Telephone: (760) 777-7075
C
NOTE:
With proper validation
this form constitutes an
encroachment permit
CITY. -OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROAt13—i— :..
For the construction of public or private curbs, driveways, pavement,
and other like public.works improvements in connection with MINOR t-MP
% DATE: '0 2 � 4'
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRk)CTIAN ,.�2
DESCRIPTION OF CONSTRUCTION
DIMENSION O)r SJALLAT OR REMOVXAL`•'•'yr 60
SIZE OF EXCAVATION, IF
APPROXIMAT
J J LL BEGIN
APPROXIMATE-TINIE•()FCOMPLETION f''' �'`'•
ESTIMATED GO.NSTRUCTIQN COST $V.
(Including r'woval:bf all _.Wstruction, materials;, nd••debtis, 66-ckfilling, com-
pactioi'%-and •'placing permanent resurfacing Arid/gr.• rep lacing'imp raiiements)
Ins consic16.ation of the granting of this peimif, th2. appli-�ani: hereby agrees to:
detiralks; parking' lots, sewers, water mains
/EMENTS and APPROVED SUBDIVISIONS
Subdivislon Improvement Permit — Class I II
Nfinor�rA,p�ovemerjt Pjaf� Class IV
r
Sketch (attach construction plans if appropriate)
lrldemhify.,'defend• and save the City, its authorized age{�ts, officers, representatives and employees, harmless from and against any and all
penalties; -'liabilities or loss resulting from .'Flairris...of court action and arising out of any accident, loss. or damage to persons or property
hpopening or occurring as a proximate result.. of any ,work undertaken under the permit granted pursuant to, this application.
Notify the Administrative Authority at least tviieH'ty-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 f th' work.
Signat re of Applicant or Agent
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 I I I
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 VALIDATION
Permit Fee PERMIT NO.
Penalty
Cash Deposit -Surety Bond DATE APPROVED
if required EXPIRATION DATE
TOTAL: $ DATE ISSUED
Receipt No.
By
Received by Date Administrative Authority
Recorded by Telephone: (760) 777-7075 .
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PERMIT NO. 3757
CVWD
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, 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 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),
Pernvttee 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 City for review
and approval one (1) 'week prior to starting any construction. It shall be the Pernuttee's
responsibility to appropriately detour and barricade all construction sites.
Special Conditions - Permit No3757_ Page] of 4
PERMIT NO. 3757
CV WD
8. Pursuant to Section 14.16.290 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1082), 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 Quints 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 No3757_ Page 2 of 4
PERMIT NO. 3757
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 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.
Special Conditions - Penn -it No3757_ Page 3 of 4
PERMIT NO. 3757
CVWD
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 %" 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:
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/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 a{ 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.
Special Conditions - Permit No3757_ Page 4 of
The following General and Special Provisions arc auBcbtd to and made a pan of Permit No. 3757
GENERAL PROVISIONS
The following awl always apply:
ENROACEN Nf ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within City of La Quints right of
way ONLY. Whenever construction extends within private property, it is the responsibility of the permittee for his contractors to
secure permission from abutting property owliers. Such authorisation must be secured by the permittee prior to starting work,
TRACKLAYING CONSTRUCTION EQUIPMFn. Cleated bwklaying construction equipment shall not be permitted to opetats on
any paved surface unless fitted with smootb-faced street pads. All mechanical outriggers shall be fined with rubber street shoe 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, spelled, or broken during the term of this contract, au if the pavement is marred, City of La Quints shaf! request
that these portions of road be resurfaced over their entire width. Resurfacing shall consist of one coat of two iucbee CV) of A.C.
surfacing plus appropriate seal cost as specified above.
PROTECTION OF TRAMC: All excavations and work aress shall be properly ligbted asd barricaded as deemed necessary by the
City Engineer or 1..2 Quints City Public Works inspectors. Suitable detours and demur signs @ball be placed and maintained for the
duration of the project. The City shall be notified•24 hours in advsince of any traffic detours or delineations.
CARE OF DRAINAGE STRUCTURES: 'Any drainage structure including corrugated metal pipe, concrete pipe. Kew culvert and '
concrete structures CDCOUDIeted during exCSVatiOD Which necessitate removal shall be replaced in kind, In the event it becomes
necessary to remove or cut existing drainage structures. City of JA Quints shall be notified prior to commencement of this work:
Drainage structures and open drains shall be kept fret of debris at all times for proper drainage.
RIGHT OF WAY C1EtNUP: Any surplus material resulting from excavation and backfill:opuatioss shall be removed from the vight
of way. All paved surfaces shall be broomed clean of earth and Other objectionable materials immediately after •backfill and dwmpaction.
Existing gutter line and draiDage ditches ihall'be replaced to their original standard or better. All excess tnamrW shall be -removed
Prior to paving. Water tanker shall be used, as required, to sprinkle the job site to keep down_ dust conditions and. @ball be used
immediately after backfill.
DE -WATER OPERATIONS: If de -watering operations are required and pumps are forcing water on City of La Quints made, it shall
be the responsibility of the permittee (contractor) to control this water and to provide off-street barricades when necessary,.
CWSTNG SJREEFS: No sweet bball be closed..A minimum of one lane of traffic shall be maiWauned at all times to provide limited
access for the adjoining property owuers and emergency vehicles. ]n the. event it is fell by the_ 'permittee that he.'must close a street for
any length of time, permittee shall contact this office to obtain the necessary permission. .
SPECIAL PROVISIONS
711C following shall apply
760.77.7097
R11 NOTI] IC:ATION: Permittee shall notify the City at (63@08ES5 at least 48 hours in advance of starting construction.
RZ UTnITY C IXARANCF- (Substructures) prior to making any excavation within the City of La Quints right of way
authorized by permit, the permittee @ball contact all concerned utility companies relative to the location of existing
substructures. Damage to existing substructures resultiag from operations conducted under this permit shall be the sole
responsibility of the permittee.
R3 tTJUJTY CLEARANCE: ' (Surface Structures) No work shall be done under this permit until all utilities are Clear of the
proposed work site. 71he permittee shall notify all concerned utility companies of the proposed work,
R4 PAVEM3WN IFWIDENING: 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 course paving an 'R'
value of not less than abd in conformance with City of La Quints Road Improvement Sumdarda and
Specifications, Ordinance 0461.
R5 PARKWAY GRADING: Area betweeD the property line and top of the proposed concrete curb ahallbe graded to @ slope of
1/4 inch to one foot (I).
A6 a RARE. CMECM G: City of Le Quinta shall check grades upon receipt of plan and profile and/or grades as esl blued by
engineer.
R7 . CURB REMOVAL FOR DRJVEWAYS: A portion of the existing concrete.curb and/or curb and gutter Meet) iball be
removed. 'Curb and/or curb and gutter shall be saw cut prior to removal. Depressed curb, matching concrete•gunat and
concrete driveway approach shall be cooatrueted in conformance with City of La Quinn Standard /207.
Rg DRJVEWAYS: A.C. driveways shop be constructed as not to alter existing drainage pattern. Surfacing between the property
line and the existin@ road pavior shall be 2 1f2 inches of-A.C. paving placed oo k of claw aggregate bast.
Drivewby coasuuction shall coolorm to attacbed drawing.
R9 SIGHT CLEARANCE: Sight clearance of 600 feet in all directions sball be assured and maintained at all time@..
RIO SOIL S FJt=ER: The area to be surfaced shall be treated with soil steriliser. Rata of application shall commply with.the'
manufacturer's specifications.
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