3758NOTE:
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 III
DATE: 00tobolt 9. 2002 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 78-635 WA 78-645 SagebrWh Drl"
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION 'M l " "T"10 'tbPO
tail itch "ter I 'V1Wwati*)
DESCRIPTION OF CONSTRUCTION
i�
_DIM EENSION OF INSTALLATION OR REMOVAL
as h6odw
SIZE OF EXCAVATION, IF NEEDED
'»skAPPROXIMATE TIME WHEN WORK WILL BEGIN
Sketch (attach construction plans if appropriate)
f,
APPROXIMATE TIME OF COMPLETION Jam 31• "02
ESTIMATED CONSTRUCTION COST $ OA
(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
Name of Applicant (please print) Business Address Telephone No.
4AW is abm
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 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
$ NO r
Date
PERMIT VALIDATION
3758
PERMIT NO.
DATE APPROVED October 9, 2002
January 30, 2003
EXPIRATION DATE
� 9 .4UV4
DATE ISSUED
By J
VIC=y%l =, 'Adm'inislrative Authority
Recorded by 11 Telephone: (760) 777-7075
In additic
1. Pursuant
work sha
Works C
2. CVWD, ]
and erosi
3. Streets A
4.
PERMIT NO. 3758
CV WD
to the standard permit conditions, the following shall apply:
Section 14.16.320 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), all
: performed in accordance with the latest edition of the Standard Specifications For Public
truction (SSPWC) and as directed by and to the satisfaction of the City Engineer. '
, hereinafter referred to as "Permittee", shall be responsible for providing continuous dust
control.
I be kept clean. They shall be completely cleaned at the end of each working day and more
if required.
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 humanoccupancy shall be performed only, during the following time
periods: I
October l 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 t6 September 30: Monday -Friday 6:00 a.m to 7:00 p.m.
1 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. Paffic 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
Q P ( § ),
Permittee shall assume responsibility for repair of any pavement damage to any public or private street
and for an'y 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.
i
Special Conditions - Permit No3758_ Pagel of 4
PERMIT NO. 3758
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 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 No3758_ Page 2 of 4
PERMIT NO. 3758
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 - Permit No3758_ Page 3 of 4
PERMIT NO. 3758
CV WD
C. Permanent pavement replacement shall be installed using a City approved 3/4" max medium asphalt
concrete as the base course lift and a City approved %2" max medium finish course lift for capping.
Asphalt concrete mix design shall be approved by the City prior to its placement.
D. Cold -Mill and Overlay - The existing pavement which was properly protected in place during the
trenching operation located adjacent to the trench 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 %" 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 Quints 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 No3758_ Page 4 of 4
The following General and Special Provisions are attached to and made a part of Permit No. 3758
GENERAL PROVISIONS
The following shall always apply: '
ENROACEMENTF ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within City of La Quinta rigbi of
way ONLY. Whcoever concoction extends 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 work,
73 ACKLAYING CONMUCIION EQUIPMENT: Cleated awklsying construction equipment Shall not be permitted to operate on
any paved surface unless fitted'with smooth -faced Street pads. All mechanical outriggers shall be fitted with rubber suw shoes to
protect the paving during excavations. Rubberalred equipment.only shall be used is backfill operations in paved +tress. If the existing
Sc pavement is waned, spelled, or broken during the term of this contract, or if, the pavement is marred, City of La Quints sLnll request
that 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 cat as specified above.
PROTECTION OF 73LAMC: 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 ootified,24 hours in advance of any traffic detours or delineations,
CARE OF DRAINAGE STRUCTIIM: Any drainage structure including corrugated metal pipe, concrete pipe, steel culvert and
coDcrete Structures encountered during excavation which necessitate removal sbaU be replaced in kind, In the event it becomes •
accessary to remove or cut existing drainage structures, City of La Quinta Shall 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 C1JEANM. Any surplus material resulting from excavation and backfiWoperations @halt be removed from the light
of way. All paved surfaces shall be broomed clean of earth and other objectionable materials immediately after backfsU and ccmpwdpu.
Existing guner line and drainage ditches 'shall be replaced to their original standard or boner. All excess material Shall be -removed
prior to paving. Water tanker shall be used, as required, to sprinkle the job site to keep doom dust conditions and Shall be used
immediately after bssldrU.
D&WATER OPERATIONS: if de -watering operations are required and pumps are forcing water on City of La Quints roads, it shall
be the responsibility of the permittee (contractm) to control this water and to provide off-street barricades when necessary -
CLOSING MEM: No street shall be closed. A minimum of one lane of traffic shall be maintained at all times so provide limited
access for the adjoining property owners and emergency vehicles. In the event it is felt by_the'pennitte_e that be must close a Street for
any length of time, perminee shall contact this office to obtain the necessary permission.
SPECIAL PROVISIONS
The following shall apply:
760.777.7097
Rd NOTIFICATION: Permittee @ball Dolify the City at 0{at least 48 bourn in advance of starting construction.
R2 I. nI M CLEARANCE* (Substructures) Prior to waking any excavation within the City Of La Quints right of way
authorized by permit, the permittce Shall contact all coDcerned utility companies relative to the location of existing
substructures.' Damage to existing Substructures resulting from operations conducted under Win permit shall be the sole
responsibility of the permittee.
R3 MMJTY CLEARANCE: '(Surface Structures) No work Shall be done under this permit until all utilities are Clear of the
proponcd work Site. The permince shall Dotify all concerned utility companies of the proposed work,
R4 PAVEMENT WIDENMG: Area between the proposed concrete Mutter line and the existing road pavement Shall be Surfaced
with inches of A.C. paving placed on inches of class aggregate subbase course havinj an'R'
value of not less Wan obd in conformance with City of La Quints Road Improvement Standards and
Specifications. Ordinance 1461.
R'5 PARKWAY GRADING: Area betwecD the property line and top of the proposed concrete curb sbaU *be graded to a Slope of
I/4 inch to one foot (I).
M GRADE. CHECKING: City of La Quints Shall check grades upon receipt of plan and profile and/or grades as established by
a licensed engineer.
R7 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing coDcrete.curb and/or curb and gutter(_feet) -shall be
removed. Curb and/or curb and gutter shall be new cut prior to removal. Depresaed curb, matching concrete -gutter and
concrete driveway approach shall be conatructe d in conformance with City of la Quint& Standard I207,
Rg DRIVEWAYS: A.C. driveways shall be constructed as not to alter existing draiDage pattern. Surfacing between the property .
line and the existing road paving shall be 2 1/7 incbes of A.C. pevinp placed on (_� of clam agprepstr bast.
Drivewby conatructioa shall cootorm to attached drawing.
R9 SIGHT CLEARANCE: Sight clearance of 600 feet in all directions shall be assured and maintained at all times.
RIO SOIL S7ERIIIZE3LIle area to be surfaced shall be treated with soil steriliser. Rate of application ,hall eotnmply with.the
manufacturer's specifications,
11 COORDINA7E WORK: The proposed work shall be subordinated to any operation which the State of California or City of
La Quints may conduct in this area during the period of this permit. Work shall be eoordinated.with the State or City of La
Quints forces to preclude delay or interference with State of City of L• Quints projects.
12 SURVEY MONUMENTS: Prior to e)tcavatioo or beginning of construction, all survey monuments wbieb exist on the
centerline of all streets or property lines when involved shall be completely tied out so they may readily and correctly be
replaced by a licensed civil engineer or surveyor at the expeose of the perminee. A complete set of notea showing the ties to
these monuments shall be furnished to the City Engineer prior to the removal of any monumenu: Ilia office shall be notified
upon completion or replacement of all survey monuments for proper project clearance.
13 PAVEM NT' C11771NG: Pavement will be mechanically saw cut to a straight to a straight edge prior to excavation. Method
of pavement tuning shall be approved through the office of the City Engineer. (Under no'circumnances 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.scocra] flow traffic. Prior to final paving operations, any damage to pavement straight edges shall be corrected.
14 LUMT OF EXCAVA7]ONS: Excavatipns shall be limited to 1000 linear feet of open treocb before backfill operations must
begin. All excavations shall be properly barricaded with ligbu overnight, on weekends and holidays for the protection of the
traveling public. The public Works Inspector shall determine the suitability of exeaysdoz barricading in each cast. -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.
15. BACKF Z MAMMAL: 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 IA Quints deems unsuitable (spongy 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 BACKFD.1, SAND: Backfill shall be approved transit -Mix sand or equivalent end shall be'ptced in lift of not g►eater than
three feet 01 and vibrated using vibrotamper or equivalent equipment. Alternate methods may be substituted, but in any case,
a relative compaction of 95 percent shall be pnaioed witb the structural section of the roadway.
17 BACKF M ]PLACEMENT. Backfill shall be applied in layers of Dot more than 50 percent of the local depth of the trench
before flooding or ■ maximum of five-foot (5) His where treDcbu am of excessive depths. Care is to be exercised that the
backfill material is Dot subjected to extreme awell by flooding operations. Backfill material @ball be placed ao that the reautting
compaction shall be Dot leas than 90 percent or equivalent to the surrounding ground, whichever is the greater compaction.
Wbere ponding or flooding is used for a maximum senlement, 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 "I be continuous.
18 COMPACTION TESTS: If so required by the inspector, compaction tests shall be made at intervals of Dot more thaD 1000
feet and a minimum of one (1) test on each road: One (1) copy of each test shall be forwarded to the City Engineer for
approval and filed prior to making permanent repair&. Compaction tests shall be made as outlined in Section 6.3.01 of the
Standard Specifications, Division of lligbway&, State of California, dated January 1973.
1.9 COMPACTION TE I : If so required -by the inspector, compaction• tests shall be made for each crossing or service line.
One (1) copy of each tut shall be forwarded to the City EogiDecr 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 7ENIPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operation, a temporary patch
coosittng of 2 inches of SC400 shall be placed on a prepared subgrade. 71e SC-800 temporary paving shall be placed after a
maximum of 3000 linear feet of trench has been excavated end backfill operations completed, but in Do case shall the
placement of the temporary pavement exceed a five (5) day limit
1 PERMANFNf•PAVEMENT REPAIR: After backfill and compaction have been completed, a temporary pateb consisting of
two inches W) of SC-800 shall be placed immediately. A permanent patch of inches A.C. surfacing placed on a
iDch class bast shall be placed no later than days after completion of temporary road repair.
1.2 FOG SEAL: A fog seal cost consisting of an application of asphaltic emulsion @hall be applied ever all patch areas as
determined by the City EogiDcci.
3 STREET RF.STRIPING: Where suety striping is still visible on streets to be excavated, such striping shall be replaced upon
completion of permanent repairs.
IA TREE RELAXATION OR REMOVAL: Tree relocation within the City -of L Quint road right of way shall be
accomplished by a licensed, bonded and insured tree service, and bandied safely without interfereme or hazard to the traveling
r public. It shall be the responsibility of the penninee to maintain the tree in a vigorous growing condition at it new location.
Trees to be removed &hall be is) sections which can be handled safely without interference or hazard to highway traffic. 71e
entire width of the -tree stump shall be removed and disposed of so that no debris remain in view of the highway. The stump
bole shall be backfilled and thoroughly compacted as specified in the following patr"rapb. Where is becomes accessary to
Its-tr'icl truffle, the Work ahsll b, ltbiricted tO a, ED10i'0uW 01 500 lecl et buy ouc timt. Adequate signs, bagmen &GO or
barricades shall be provided to protect the traveling public at all time&.
Large boles resulting from tree removal shall be backfilled and compacted to Dot less than 90 percent or equivalent to the
surrounding ground, whicbever is the greater compaction as determined by the impact or field method. Compaction teals shall
comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973.
N
NOTE
With proper validation
this form constitutes an
encroachment permit
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit — Class II I
DATE: Octc*ow 9. 2W2. Minor Improvement Permit Class IV x
LOCATION OF CONSTRUCTION 78-635 aW 78r-645 Sash Drive
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Install and Maintain two
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
as rmse& d
c SIZE OF EX�CA.xVATION, IF NEEDED
'.APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION 3n 1AID1
ESTIMATED CONSTRUCTION COST $ N
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
Sketch (attach construction plans if appropriate)
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. 11
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 resultofthis work.
Signature.of Applicant or Agent
CVWD PO Box 1058 Coachella, Ch 760.398.2651 x 505
Name of Applicant (please print) Business Address Telephone No.
sma as .abm
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 111
Public improvements: 3% of estimated construction costs Q
Private improvements: 3% of estimated construction costs
Minor. Improvement Permit — Class IV: See attached schedule#"3758
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
$ NO VW�
Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO. 3758
DATE APPROVED Off' 9. 2002
EXPIRATION DATE `7y 30, 2003
DATE ISSUED October 9, 2002
By / �./%%
Uic;t �� Adm n t ati# Aut
46hority
Telephone: (760) 777-7075
PERMIT NO. 3758
CVWD
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, 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 No3758_ Pagel of 4
PERMIT NO. 3758
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 shallbe the Permittee's responsibility to notify the Public Works Department of anticipated
excavation which impact City facilities, including but not limited to traffic signal conduits and loops,
irrigation lines, electrical conduits, and storm drain facilities.
10. Should additional work, materials, or modifications of the work be required in order to meet City
standards, safety requirements, signage requirements, or to fit actual field conditions, the work shall be
performed by the Permittee as directed by and to the satisfaction of the City Engineer at no cost to the
City of La Quinta.
11. Pursuant to Section 14.16.370 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), backfill
compaction within street rights -of -way shall conform with Section 306-1.3 of the latest edition of the
Standard Specifications For Public Works Construction (SSPWC), except as otherwise specified herein.
Native material may be used as backfill material provided that minimum compaction, achieved in the
manner prescribed herein, is achieved. Backfill shall be performed by mechanical means; no water
densified compaction via jetting or flooding or other means shall be allowed. It shall be the Permittee's
responsibility to provide appropriate geotechnical supervision, testing, and inspection, onsite, at all times
during backfill operations.
Backfill compaction shall be achieved by the following conditions:
A. When a firm foundation is not encountered due to soft, spongy or other unsuitable material, such
material shall be removed to the limits directed by the Geotechnical Inspector and/or the City
Inspector and the resulting excavation backfilled with pipe bedding material. .
B. Backfill materials shall be brought to or maintained at an appropriate moisture content for
compaction. The appropriate moisture content range shall be established at the onset of the
project and ensured prior to use of the materials through progress testing on the stockpiles.
C. The first length' of trench backfilled shall be backfilled in the presence of the City Inspector.
Compaction shall be tested at random depths at approximate three-foot vertical intervals as backfill
is placed to ensure the effectiveness of the compaction methods and to establish the depth of lift
that can be compacted.
D. If lifts greater than one foot are attempted in this trial length of trench, compaction tests shall be
taken within the lifts to ensure that the full depth of the lift is compacted. Upon satisfactory .
completion of this portion of trench, the City Inspector shall establish the maximum lift thickness
to be compacted for the remainder of the project.
Special Conditions - Permit No3758_ Page 2 of 4
PERMIT NO. 3758
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,
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 - Pemut No3758_ Page 3 of 4
PERMIT NO. 3758
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 V" 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 sheet: 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 V max medium asphalt concrete shall be installed from saw -cut edge to
saw -cut edge flush with the existmg 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 pernlittee 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 - Pemut No3758_ Page 4 of 4
The following General and Special Provisions are attached to and made a part of Permit No. 3758
GENERAL PROVLSIONS
The following shall always apply:
ENROACHMFNT ON PRIME PROPERTY: This permit authorises 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 permitter for his contractor to
secure permission from abutting property owners. Such authoritetion must lit.secured by the permiuct prior to starting wo&
73 ACKLAMG CONSTRUCAON EQUIPMENT- Cleated tracklaying construction equipment shall not be permitted to operate on
any paved surface.unless fitted with amooth-faced street pads. All mechanical outriggers shall be fitted with rubber street shop to
protect the paving during excavations. Rubber -tired equipmcot.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, of if, the pavement is marred, City of La Quints shah request
that these portions of road be resurfaced over tbeir entire width. Resurfacing shall consist of one coat of two inches (2' of A.C.
surfacing plus appropriate seal cost as specified above.
PROTECTION OF 7RAFf7C: AU excavations and work areas shall be properly lighted and barricaded as deemed necessary by the
City Engineer or Le Quints City Public Works inspector. Suitable detours and detour signs shall be placed and maintained for the
duration of the project. The City shall be notificd.24 hours in advance of any traffic detour 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 &ball be notified prior to commencement of this work.
Drainage structures and open drains &ball be kept fret of debris at all times for proper drainage.
RIGHT OF WAY CLEANUP. Any surplus material resulting from excavation and backfill:operations shaft be removed from the Tight
of way. All paved surfaces &ball be bloomed clean of earth and other objectionable materials immediately after back *cow compaction,
Existing gutter line and drainage ditches iball be replaced to their original standard or better. All excess material sbsll beTemoved
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 bwidrll.
DE-WA7ER OPERA770NS: if de -watering operations are required and pumps are forcing water on City of Le Quints roads, it shall
be the rupoasibility of the permittee (contractor) to control this water and to provide off-street barricades when necesaw> ..
CLOSING SIREEIS: No street shall be closed. A minimum of oat lane of traffic shall be m&iotained at all tames to provide it
stew for the adjoining property owners sad emergency vehicles. In the event it is felt by,%be permittee that he must close a street for
any length of time, permutes shall contact this office to obtain the necessary permission.
SPECIAL PROVISIONS
71e following shall apply)"MaND& lad:
760.777.7097
Rd N071FICA770N: Permittee shall notify the City &t GUMD09tyal least 48 hour in advance of starting construction,
RZ UT I Y CLEARANCE. (Substructures) Prior to m&king any excavation within the City of La Quints right of way
authorized by permit, the permittce shall contact all concerned utility companies relative to the location of existing
substructures. Damage to existing substructures resulting from operations conducted under ibis permit shaU be the sole
responsibility of the perminee. .
R3 iTI'IIa7Y CLEARANCE: ' (Surface Structures) No work shall be done under this permit until all utilities are clear of the
proposed work site. 71c permittee &bell notify all concerned utility companies of the proposed work;, .
R4 PAVENOWT WIDENING: Area herween 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 having an'R*
value of not less than abd in conformance with City of La Quints Road Improvement Staodwda and
Specifications, Ordinance 0461.
R'5 PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall U graded to a slope of
l/4 inch to one foot (11.
R6 GRADE. CHECKIING: City of Ls Quints shall check grades upon receipt of plan sod profile and/or grades so 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 cow cut prior to removal. Depressed curb, matching concrete -gutter and
concrete driveway approach shall be conewcted in conformance with City of La Quints Standard I=.
RA DRIVEWAYS: A.C. driveways shall be concocted as not to alter existing drainage pattern. Surfacing between the property .
line and the existing road pevinr shall be 7 1f2 incbes of A.C. prvinp plsced on �, of else. s"repstr bast.'
Drivcwsy comu-ucuoo aball cootortu to attached drawing.
R9 SIGHT CLEARANCE Sight clearance of 600 feet in all directions shall be assured and maintained at all times.
RIO SOM S7ER=ER: The area to be surfaced shall be treated with soil sterilizer. Rau of application &ball eolimply witb.tbe'
manufacturer'$ specifications.
1 1 COORDINATE WORK: The proposed work shall be subordinated to any operation which the State of California or City of
La Quints may conduct in this area during the period of this permit. Work shall be eoordioated.with the State or City of La
Quints forces to preclude delay or interference with State of City of I Quints projects.
12 SURVEY MONUMENTS: Prior to excavation or beginning of eoostruction, all 'survey monuments which exist on the
centerline of all Wools or property lints when iovolved shall be completely tied out so they may readily ind eorreedy 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 furnisbed to the City Engineer prior to the removal of any monuments: ilia office shall be notified
Upon completion or replacement of all survey monuments for proper project clearance.
13 PAViM NT' CAT)" ING: Pavement will be mechanically saw cut to a straight to a @uaigbt edge prior to excavation. Method
of pavement cutting @ball be approved through the office of the City Engineer. (Under oo'eircumataaces shall excsv&ting
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 filial paving operations, any damage to pavement straight edges shall be corrected.
Id LUMT OF EXCAVATION'S: Excavatigo 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 bolidays, 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 unlew the construction
material is actually on the wort site.
1� BACKFII.1. MATERIAL: Backfill shall btffree of brush, roots or other otgauic substance detrimental to its use for purposes
of producing an -adequately consolidated backfill. Any material which the City of La Quints deems unsuitable (spongy 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 BACKFILL SAND: Backfill shall be approved trawil-mix sand or equivalent and @ball be'placed in lifts of not greater than
three feet (3) and vibrated using vibrotamper or equivalent equipment. Alternate methods may be substituted, but in any ca@e,
a relative compaction of 95 percent shall be jittsioed with the structural see0on of the roadway.
17 BACKFiLL PLACEMWNT. Backfill shall be applied. in layers of not more tbiin 50 percent of the tnul deptL of the beach
before flooding or a maximum of five-foot (51) lifts where trenches are of excessive depths. Caro is to be exercised that the
backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed sus that the resulting
compaction shall be not less than 90 percent or equivalent to the surrounding ground, whichever is the greer compaction.
Where pooding or flooding is useat
d for a maximum settlement, adequate dikes will be constructed to resit the water. Where
jetting is used, the jets shall be of sufficient length to reach the bottom of each layer and the water Supply ahall be continuous.
is COMPACTION TESTS: if so required by the inspector, compaction tests shall be made at interval of not more than 1000
feet and a minimum of one (1) test on each road., Ove (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 Highways, State of California, dated January 1973.
(.9 COMPACTION TEST'S: 1f so required -by the inspector, compaction• tests sball be made for each crossing or iervice live.
Out (1) copy of each tut &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 Mgbways, State of
California, dated January 1973.
7 U TF-bffORARY PAVEMENT REPAMS: After completion of backfill and compaction operations, & temporary patch
consisting of 2 inches of SC400 shall be placed co a prepared subgrade. T'be 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 no case shall the
placement of the temporary pavement exceed a five (5) day limit.
1 PERMANENT -PAVEMENT REPAIR: After backfill and compaction have been completed, P P . a temporary patch eonsistiag of
two inches (2') of.SC-800 shall be placed immediately. A permanent patch of inches A.C. surfacing placed on a
inch clans bast shall be placed no later than - daya after completion of temporary road repair.
2 FOG SEAL: A fog seal cost consisting of on application of asphaltic emulsion shall be applied over all patch areas &a
determined by the City Engineer.
3 STREET RESMPING: Where street striping is still visible on streets to be excavated, such striping Shall be replaced upon
completion of permanent repairs.
24 TREE RELOCATION OR REMOVALTree relocation within the City -of La Quints road right of way shall be
accomplished by a licensed, bonded and insured tree service, and bandied safely without interference or hazard to the traveling
r 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. The stump
bole shall be backfilled and thoroughly compacted as specified in the following paragrapb. Where is becomes necessary to
restrict traffic, the Worl shall bt feb(ricted to b 111bJUtnum of 500 lee( at boy oue time. Adequate sigva, llagtueu and or
barricades shall be provided to protect the traveling public at all times.
Large boles resulting from tree removal &ball be backfilled and compacted to not less 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 Mghwaya, State of California, dated January 1973.
d
a
ON
NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROAGHMEN
For the construction of public or private curbs, driveways, pavements, sidetiralks.. parki"a 'lots, sewers, water mains
and other like public works improvements in connection with MINOR I-16PROVEM•ENTS and APPROVED SUBDIVISIONS
.'I Subdivision Improvement Permit — Class III
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION ,3 ^L~� �f i S fiI I>r e-
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
--a =-I - G-.-Q22:a, ,cc,,
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION. OR REMOVAL
SIZE OF EXCAVATI09, IF NE.DE
APPROXIMATE..T..IM'E W14fN.VORKVIILL BEGIN
APPROXIPATE TINE OF COMPLETION A=
ESTIMATED CO.NSTRU'CTION COST $
(IncIp4ing eq-moval: bf all 41bitruction, materials;, nc
paetior....and'plactng permanent. resurfacing Arid/Qr..
In` cci siddration of the granting of this permit, th
I
s, 6'ekfilling, com-
ing `impr'oiiements)
hereby agrees to:
Sketch (attach construction plans if appropriate)
6Cj 012002
Irldemnify.;'defend• and save the City, its a�jthdtized ge{�ts, officers, representatives and employees, harmless from and against any and all
Penalties;liabilities or loss resulting from );lainis.-a court action and arising out of any accident, loss or damage to persons or property
hppperi'ing or occurring as a proximate result,, of any ;work undertaken under the permit granted pursuant to this application.
NUptify the Administrative Authority at least t%iMfy-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.
Sigrfature o ppli ant or Agent
Name of App icant (please printj_ Business Address Telephone No.
Name of tractor and Job Foreman Business Address Telephone No.
Contractor's License No.
City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class III
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:. $
Receipt No.
Received by
Date
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
Recorded by I Telephone: (760) 777-7075
DESERT CLUB MANOR TRACT NO.1
LAST ACCOUNT NUMBER, TRACT NO.21555
DELETED NUMBERS.*
n
N
DESEP.T CLUB MANOR TRACT NO.1
LAST ACCOUNT NUMBER, TRACT NO.21555
DELETED NUMBERS-
n
N
LAST ACCOUNT NUMBER,
DELETED NUMBERS- -
DESERT CLUB MANOR TRACT NO.1
TRACT N0.21555
,Sa3eknN Q313130
SSSIZON IDV?J1 lb38NnN 1N11333v 1Svl
l'ON iOV?31 MONVA Sna0 1d3S34