3760NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE: 00texh-r 9 2002
Subdivision Improvement Permit — Class I I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 51-30 Calla P-V==21 Ln QOUft
(Street address or Description of Location)
PURPOSE60F CONSTRUCTION In3tall =4 c3latollm a Sketch (attach construction plans if appropriate)
i d==Uc I�riCE
DESCRIPTION OF CONSTRUCTION
Dy � S V OV. I TA AVTIQN OR OVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION `jam ju, '41UV4
ESTIMATED CONSTRUCTION COST $ i2h
(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
cr,10 P.O. e= 1050 ? c0=1101110, CA 760.390.2651 X 505
Name of Applicant (please print) Business Address Telephone No.
G; ..3
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 Fee
Penalty
Cash Deposit -Surety Bond
if required
"w cu.
TOTAL
Receipt No.
Received by Date
PERMIT VALIDATION
PERMIT NO. 3760
DATE APPROVED C&whr 0,, 2002
EXPIRATION DATE JLl uary 30, 2003
DATE ISSUED
By
/ VictaQ4'I`, r=, 1LaWtarGldmini§ira#iueiAu'thority
L
Recorded by 11 Telephone: (760) 777-7075
PERMIT NO. 3760
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 1st to September 30: Monday -Friday 6:00 a.m to 7:00 p.m.
Saturday 8:00 a.m. to 5:00 p.m.
Work shall be prohibited on legal holidays and Sundays.
5. Work performed within 500 feet of a signalized intersection is restricted between the hours of 9 a.m.
- 3 p.m. Traffic control shall be set up after 9 a.m. and removed before 3 p.m. The Permittee shall
contact the Riverside Country Traffic Signal Maintenance Department at (909) 275-6894 if signal
operation at the intersection is to be altered in any way.
6. Pursuant to Section 14.16.110 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982),
Permittee shall assume responsibility for repair of any pavement damage to any public or private street
and for any damage to other City streets or facilities as a result of work performed under this permit.
7. Pursuant to Section 14.16.250 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982),
advance warning signs and traffic control shall be installed and maintained in accordance with Cal Trans
Standards or the Work Area Traffic Control Handbook (WATCH Manual). A traffic control plan
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 No3760_ Pagel of4
PERMIT NO. 3760
CVWD
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 No3760_ Page 2 of 4
PERMIT NO. 3760
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 - Pennit No3760_ Page 3 of 4
PERMIT NO. 3760
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 %" 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 3/4" max medium asphalt concrete shall be installed from saw -cut edge to
saw -cut edge flush with the existing street surface. The base course lift of paving shall not be left
0.10' low in anticipation of grinding and capping.
F. Any existing lane striping or any existing detour lane striping affected by this resurfacing shall be
replaced in kind by the Permittee, as directed by and to the satisfaction of the City Engineer.
Affected traffic signal loops shall be removed and replaced in kind. The finished pavement surface
shall be smooth, consistent, and shall conform to the surrounding grades.
16. Permittee shall permanently stabilize any and all soil that was disturbed as a result of work performed
under this permit with an approved dust control treatment. Soil stabilization shall be done immediately
after completing the operation.
17. Pursuant to Chapter 12.56 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982) the City
has designated certain city streets as Truck Routes. The weight limit for restricted streets (i.e., streets
not part of the Truck Route network) is three (3) tons; trucks exceeding the weight limit may use a
restricted street if making a delivery or pickup on the subject street, or if this permit specifically grants
permission to use the street to deliver street construction materials and/or equipment.
18. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
19. The permittee shall indemnify, hold harmless and assume the defense of the City from all damages, delay
costs, costs or expenses in law or equity that may arise out of work under this permit.
Special Conditions - Permit No3760_ Page 4 of 4
The following General and Special Provisions an attached to and trade a pan of Permit No. 3760
GENERAL PROVISIONS
The following shall always apply: -
ENROACIMENT ON PRTVAU PROPERTY: This permit sulborizes 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 movers. Such authorization must be secured by the permittee prior to starting work.
7RACKLAYING CONSTRUCTION EQUIPMENT. Cleated tracklaymg construction equipment dial) not be permitted to operate on
any paved surface unless fined with smooth -faced street pads. All mechanical outriggers shall be fitted with rubber stred ahoes to
proteci the paving during excavations. Rubber -tired equipment.only shall be used in backfill operations in paved areas, if the existing
pavement is scarred, spoiled, or broken during the term of this contract, or if the pavement is marred, City of LA Quinta' @ball request '
that these portions of road be resurfaced over their entire width.. Resurfacing shall coastal of one coat of two inches (2' of A.C.
surfacing plus appropriate seal cost as specified above.
PROTECTION. OF TRAFFIC: All excavations and work areas @ball 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. 71e City shall be actificd.24 hours in advance of any traffic detours or delineations.
CARE OF DRAINAGE STRUCfUM-i Anydrainage 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 be
necessary to remove or Cut existing drainage structures, City of La Quints &ball be notified prior to commencement of'thia work'.
Drainage structures and open drains shall be kept free of debris at all times for proper drainage.
RIGHT OF WAY (1EANUP: Any surplus material resulting from excavation and backfWoperations shall' be removed from the -right
of way. All paved surfaces shall be broomed clean of earth and other objectionable materials immediately after back.fW and compaction.
Existing gutter line and drainage ditches shall be replaced to their original standard or better. All exeeas material shall be -removed
Prior to paving. Water tanker Shall be used, as ccqu_rred, to sprinlde the job bite to keep down duet conditionssod @hall -be -used
immediately after b�cldill. — - -
DE -WATER OPERAT)ONS: if de -watering operations are required and pumps are foreing tvatet on City of La Quints roads, it shall
be the responalbillty of the permittee (contractor) to control this water and to provide off-ftreet barricades when necessary..
CLOSING SIREM: No street shall be closed. A minimum of one lane of traffic shall be maintained at all times to provide limited
access for the adjoining property owners and emergency vehicles._ In the event it is tell by the_permittee_that he- um close a street for
asy length of timE, permittee shall costact this office to obtain the necessary permission.
SPECIAL PROVISIONS
71e following shall apply v 760. 777. 7097
Rd - _ N0..TInCA7)ON:..Permittee. &hall notify the -City at (6 ot-)east-48 hours in advance -of starting comwetion.
RZ 1ynIM CLEARANCE: (Substructures) Prior to making any excavation witbin the City of La 44inta right of way
authorized by permit, the permince shall contact all concerned utility companies relative to the location of existing
substructures. Damage to existing substructures resulting from operations conducted under this permit &ball be the @o)e
responsibility of the permittee.
R3 UTILITY CLEARANCE: (Surface Structures) No work shall be done under this permit until all utilities are clew of the
proposed work site. The permince shall notify all concerned utility companies of the proposed worst.
R4 PAVEMENT WIDENING: 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 having an'R'
value of mot less than abd in conformance with City of La Quints Road Improvement Standards and
Specifications, Ordinsoce 0461.
R'S PARKWAY GRADING: Area between the property lioe and top of the proposed concrete curb shall be graded too slope of
1 /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 established 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.. Depressed curb, matching concrete -gutter and
concrete driveway approach shall be constructed in conformance with City. of La Quints Standard OM.
R8 DRIVEWAYS: A.C. driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the property
line and the existing road paving shall be 2 112 inches of A.C. paving placed on of Class aggregate base.
Driveway construction shall conform to attached drawing.
R9 SIGHT CLEARANCE: Sight clearance of 6W feet in all directions shall be assured and maintained at all time*.
RIG SOIL S JULI .gt 7be area to be surfaced shall be treated with soil e►eriliser. Rate of application shall eotttmply wilh.the•
manufacturer's specifications.
11 COORDINATE WORK: The proposed work shall be subordinated 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 coordinated -with the State or City of La
Quints forces to preclude delay or interference with State of City of" Quinta projects.
12 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the
centerline of all streets or property lines wbeo involved shall bt 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 abowing the ties to
these monuments shall be furnisbed to the City Engineer prior to the removal of any monuments.' This office shall be notified
upon completion or replacement of all survey monuments for proper project clearance.
13 PAVLMEN ' CU77ING: Pavement will be mechanically saw cut to a straight to s straight edge prior to excavation. Method
of pavement cutting shall be approved through the office of the City Engineer. (Under so einumstances shall excavating
equipment be used to excavate prior to cutting of pavement.) Excavation material shall be placed in such a position as to best
facilitate the.general flow traffic. Prior to final paving operations, any damage to pavement straight edges shall be corrected.
14 LIMIT OY EXCAVATIONS: Excavations shall be limited to 1000 linear feet of open trench before backfill operations must
begin. All excavations shall be properly barricaded with lights overnight, on weekenda 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.
1-5. BACKYU.L MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimental to its use for purposes
of producing an adequately consolidated backfill. Any material which the City of Le Quints deems unsuitable (spongy or
saturated material) which is encountered during excavation shall not be used for backfill, but shall be.supplemenbed or replaced
by an approved sand or gravel.
16 BACKFTLL SAND: Backfill shall be approved transit -mix sand or equivalent and shall 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 case,
e relative compaction of 95 percent shall be rtwoed with the structural section of the roadway;
17 BACKFIId. PLACEM ISIT. Back fill shall be applied. in.loyers of sot more than .50 percent of the total depth of the trench
before flooding or a maximum of five-foot (5) lifts wbere 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 no that the resulting
compaction shall be not less than 90 percent or equivalent to the surrounding 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. When
jetting is used, the jets shall be of sufficient length to reach the bottom of each layer and the water supply shall be continuous.
18 COMPACTION TESTS: 1f so required by the inspector, compaction testa shall.be_made..at intervals of not more than 1000
feet and a minimum of one (1) teat on each road: One (1) copy of each test shall 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.
L.9 COMPACTION TESTS: If so required -by the inspector, compaction testa shall be made for each crossing or service line.
Out (1) copy of each test sball be forwarded to the City Engineer for approval and filed prior to malting permanent repaln.
Compaction tuts shall be made as outlined in Section 6.3.01• of the Standard Specifications, Division of Rigbways, State of
California, dated January 1973.
Q TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch
consisting of 2 inches of SC-800 shall be placed on a prepared subgrade. The SC400 temporary paving shall be placed after a
maximum of 3000 linear feet of trench has been excavated and backfill operations completed, but in Do case shall the
placement of the temporary pavement exceed a five (S) day limit.
1 PERMANFNf•PAVEMENT REPAIR: After backfill and compaction have been completed, a temporary patch consisting of
two inches (2') of SC-900 shall be plasied immediately. A permanent pateb of inches A.C. surfacing placed on a
incb class base shall be placed.co later than days after completion of temporary road repair.
2 FOG SEAL: A fog seal cost consisting of an application of asphaltic emulsion shall be applied over all patch areas as
determined by the City Eogineer.
3 STREET RFSTRWING: Wbere street striping is still visible on streets to be excavated, such striping shall be replaced upon
completion of permanent mpaira.
14 TREE RELAXATION OR REMOVAL: Tree relocation within the city -of Le Quints road rigbt of way shall be
accomplished by a licensed, bonded and insured tree service, and bandied safely without interference or barard to the traveling
public. It shall be the responsibility of the perntittee 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 have to bigbway traffic. Ile
entire width of the -tree stump shall be removed and disposed of so that no debris remains in view of the highway. Tit stump
bole shall be backfilled surd 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 bole& resulting from tree removal shall 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 testa shall
comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973.
NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE: �r#n#r Sf, 7itlw(1?
Subdivision Improvement Permit — Class I II,
Minor Improvement Permit Class IV x
LOCATION OF CONSTRUCTION 51-380- Wle Huenew,, La Ctlinta
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Iris 1 and IR1aImbi
't n &=�RtAc sami m
DESCRIPTION OF CONSTRUCTION
atlm
DIMENSION OF INSTALLATION OR REMOVAL
Eft x K tt ac rimilm ./replabe
SIZE OF EXCAVATION, IF NEEDED
'APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION 3amury 30, 2002
ESTIMATE D'CONSTRUCTION COST $ 1 t4a.
(Including removal 2#of all obstruction materials, and debris, backfilling, com-
paction and placin
g g permanent resurfacing and/or replacing improvements)
Sketch (attach construction plans if appropriate)
a^ w s ��� �� y •� li
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-thiswork.
f J y
Signature of Applicant or Agent
CVWD P.O. 9= 1058 , CbaChallat C k 760.398.2651 x 505
Name of Applicant (please print) Business Address Telephone No.
ea
Name of Contractor and Job Foreman Business Address Telephone No. '
Contractor's License No.
City Business License No.
aN�#
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class 111
Public improvements: 3% of'estimated construction costs
Private improvements: 3% of estimated construction costs
Minor. Improvement Permit — Class IV: See attached schedule
Inspection Fee
Permit Fee
Penalty.
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No
$ NO FEE
Received by Date -~
Recorded by
PERMIT VALIDATION
PERMIT NO. 3760
DATE APPROVED 00t0ber 9, 2002
EXPIRATION DATE Jammy 30, 2003
DATE ISSUED OctribAr 9. 2002
BAg
�As$ �AarnrLs.t%A hority
Telephone: (760) 777=7075 �!!
PERMIT NO. 3760
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),
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 No3760_ Pagel of 4
PERMIT NO. 3760
CV WD
8. Pursuant to Section 14.16.290 of the La Quinta Municipal Code (Ordinance 10 § I (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.
I 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 No3760_ Page 2 of 4
PERMIT NO. 3760
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 No3760_ Page 3 of 4
PERMIT NO. 3760
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 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 - Penmit No3760_ Page 4 of 4
The following General and Special Provisions are attached to and made a W of Permit No. 3760
GENERAL PROVISIONS
71e following shall always apply: '
ENROAC HMENT ON PRIVATE 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 permittee for his contractors to
aecure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting work.
TJ ACXLAYING CONMUCIION EQUIPM ?4- 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 excavationreas
. Rubber -tired equipmcot.oaly shall be used in backfill operations in paved a, if the existing
pavement is scarred, spelled, of broken during the term of this contract, or if the pavement is marred, City of La Quints shall request '
Oat these portions of road be resurfaced over their entire width. Resurfacing &ball consist of one coal of two inchea (2') of A.C.
surfacing plus appropriate Seal cost as specified above.
PROTECTION OF 7RAMQ All excavations and work areas &'ball be properly lighted sad barricaded as deemed necessary by the
City Engineer or U Quints City Public Works inspectors. Suitable detours and detour signs shall be placed and maintained for the
duration of the project. The City aball be ootified.24 hours in advance of any traffic detours or delineation.
CARE OF DRAINAGE SIRUCTURESt 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 shall be notified prior to commencementof'this work.
Drainage structures and open drains shall be kept free of debris at all times for proper drainage.
RIGHT OF WAY CLEANUP. Any surplus material resulting from excavation and backfill:operations shall' be removed from the -right
of way. All paved surfaces shall be, broomed clean of earth and other objectionable materials immediately after backfsll and compaction.
Existing guner line and drainage ditches shall W replaced to their original standard or better. All excess material shall be•removed
Prior to paving. Water tanker shall be used, as.required, to sprinue.the,job rite to keep down diet eondidons sad aball De used '
immediately after baclM.
DE -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 permiaee (contractor) to control this water and to provide off -west barricades when necessary -
CLOSING SIRF.EFS: No street shall be closed. A minimum of one lane of traffic shall be maintained at all times to provide limited
access for the adjoining property owners and emergency vehicles. In the event it is felt by the permince that he >Must close a street for
any length of time, perminee shall contact this office to obtain the necessary permission.
SPECIAL PROVISIONS
Tee following shall apply of : 760. 777. 7097
R4 NOTIFICATION: Permittee shall notify the City at (b)888SMat least 49 hours in advance of atartmg construction.
RZ UTDSFY C1IEARANCE: (Substructures) Prior to making any,cxcavation within the City of I.a Quints right of way
authorized by permit, the permittee aball contact all concerned utility companies relative to the location of Axial
iag
substructures. Damage to existing substructures resulting from operations conducted under this permit shaU be the sole
responsibility of the permittee.
R3 UTTarrY CLEARANCE: ' (Surface Swctures) No work shall be done under this permit until all utilities are clear of the
proposed work site. The
permittu shall notify all concerned utility companies of the proposed work,
R4 PA VF.MINf WIDENING: Area between -the proposed concrete gutter line and the existing road pavement .hall be sufficed
with inches of A.C. paving placed on inches of class' aggregate subbase course having an'R'
value of not leas than abd in conformance with City of La QuintalZi Improvement Sumdarda and
Specifications, Ordinance 0461.
R'S PARKWAY GRADING: Area between' the property line and top of the proposed concrete curb shall be graded to •slope of
1 /4 incb to one foot (11.
RiS GRADE -CHECKING: City of 1.8 Quints @ball check grades upon receipt of plan and profile and/or grades to established by
a licensed engineer.
R7 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete.curb and/or curb and gutter _feet) shall be
removed. Curb and/or curb and gutter shall be saw cut prior to removal.. Depressed curb, matching concrete -gutter anal
concrete driveway approach shall be constructed in conformanee with City. of La Quints Sutodard I=.
R8 DRIVEWAYS: A.C. driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the property
line and the existinp road paviop shall be 2 M inches of A.C. paving placed an l f oclass -
'
]�riVcwby COOti W0 C00 shall coum torto attached drawing. egptepste bast.
R9 SIGHT CIEARANCE Sight clearance of 600 feet in all directions shall be assured and mainained at all times,
RIO SOIL 51')=a1t-r-FR The area to be surfaced shall be treated with soil steriliser. Rate of application shall eommply with.the
manufacturer's specifications.
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NOTE:
With proper validation
this form constitutes an
encroachment permit
. CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROAGHMEN
For the construction of public or private curbs, driveways, pavements, sidevualks; pal 119``lots, sewers, water mains
and other like public works improvements in connection with MINOR OPNOVEMENTS and APPROVED SUBDIVISIONS
Subdivis}on Improvement Permit — Class I I I
DATE: ® Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF COI,
O TRUCTION
A— /- c? ?I
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION. OR REMOVAL
SIZE OF EXCAVATION, IF N
APPROXIMATE TIME WREN:•;NORKWILL BEGIN
sketch (attach construction plans if appropriate)
(/ n �j►- S
OCT o 1 20g2
WORKS
APPROXIMATE TIME pF COMPLETION
ESTIMATED WNSTRUCTION COST $
(Including r'$moval:,bf all e;b'struction, materials; and debtis, Eia-rkfilling, com
pactiori •and placf'ng permanent resurfacing acid/gr.. rep ?acing emprovements)
In':.conside''ration of the granting of this pemif, th2. appli4anthereby agrees to:
lnclemnify.,'defend and save the City, its aptho<ized..:a pts, officers, representatives and employees, harmless from and against any and all
penalties ''liabilities or loss resulting from `Flairris._of caGrt action and arising out of any accident, loss or damage to persons or property
hp¢pen'ing or occurring as a proximate result.. of any Work undertaken under the permit granted pursuant to this application.
Kf'otify the Administrative Authority at least twmfy-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.
/, d `. Signatur pplicant or Agent
f/ 1/ 0 * / � S� 3 �' - —yG�i
Name of Applicant (please prin*7— Business Address Telephone No.
ame ontractor 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
Recorded by
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Telephone: (760) 777-7075
Administrative Authority
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