3774NOTE:
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
fttober 25, Q82 Subdivision.Improvement Permit — Class I II
DATES Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 44030 CALICG CIRCLE. L&- QVMA
(Street address or Description' of Location)
PURPOSE OF CONSTRUCTION ACSn MSTMG "1'i'i.>h'MS9 Sketch (attach construction plans if appropriate)
CABLE
DESCRIPTION OF CONSTRUCTION 8IG THY SPLICR SEE SPECt" CMILT'IOSS**
PIT TO ACCESS. MSTIRG TEUIO'H NE CAME -
DIMENSION OF INSTALLATION OR REMOVAL I=E
SIZCOF EXCAVATION, IF NEEDED 4 'FT Z 4 PT
�iit.,+�APPR'OXIMATE TIME WHEN WORK WILL BEGIN
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
In consideration,of the granting of this permit, the applicant hereby agrees to:
Indemnify, defend -and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property
happening or occurring as a proximate result of any work undertaken. under the permit granted pursuant to this application.
Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started.
Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result of this work.
r.
Signature of Applicant or Agent
VELIM 295 V,SMU=E WAY, PALL SPRINGS, 06 92262 760/778-1714
Name of Applicant (please print) Business Address Telephone No. ,
ARU~1P=UE
Name of Contractor and Job Foreman Business Address Telephone No.
423545 06"9
Contractor's License No. City Business License No.
ZalCn USUMCE WC 29788502.
Applicant's Insurance Company Policy Number n n n f1
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 $ 45.00
Permit Fee
100.00
Penalty
Cash Deposit -Surety Bond
if required ' -
145.00
TOTAL: $
Receipt No.
Received by
Recorded by
Date
U NOV 01, 2002
CITY OF LA QUINTA
FINANCE DEPT.
PERMIT VALIDATION
PERMIT NO. 3774
DATE.APPROVED )"Oba r '259 2002
EXPIRATION DATE �e2ober 30' 2002
DATE ISSUED
By
Victor Kftzj ►Bsrtt. Engr Adminis a Authority
Telephone: (760) 777-7075
The following Geoeral and Special Provisions an artacbed to and made a part of Permit No. 3774
GENERAL PROVISIONS
The following shall always apply:
ENROACHMENT ON PRIVATE PROPERTY: 71is permit authorizes work to be accomplished within City of La Quinta right of
way ONLY. Wbcoever construction 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 tiecured by the permittee prior to starting work.
TRACKLAYING CONSTRUCTION EQUIPMENT. Cleated tracklaying construction equipment shall not be permitted to operate on
any paved surface unless fined with smootb-faced street pads. All mechanics] outriggers shall be fitted with rubber street shoes to .
protect the paving during excavations. Rubber -tired equipment.ottly shall be used in backfill operations in paved areas. If the existing
pavement is scarred, spalled, or broken during the term of this contract, or if the pavement is marred, City of La Quints shell 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 cost as specified above.
PROTECTION OF TRAFFIC: All excavations and work areas sball be properly lighted and barricaded oa deemed necessary by the
City Engineer or La Quints City Public Works inspectors. Suitable detours and detour signs @ball be placed. and maintained for the
duration of the project. The City sball be ootified.24 hours in advance of any traffic detours or deliDeat am.
CARE OF DRAINAGE STRUCTURES: Any draiDagr structure including corrugated metal pipe, concrete pipe, steel culvert and
coDcrete structures encountered during excavattoD 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 commencement of this wont.
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 backfill 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 sprialde the job site to keep down dust conditions and shaU'be used
immediately after backfill.
DSWATER OPERATIONS: If de -watering operations arc required and pumps are forcing water on City of La Quints roads, it shall
be the responsibility of the permittee (contractor) to control this water and to provide off-street barricades when necessary..
CLOSING STREETS: No street &ball be closed. A minimum of one lane of traffic shall be maintained at all times to provide limited
access for the adjoining property owners and emergency vehicles. In the event it is felt by the permittee that he must close a street for
my length of time, permittee shall contact this office to obtain the necessary permission.
SPECIAL PRO VISIONS
The following &hall apply vrQt 760.777.7097
Rll NOTIFICATION: Perminee shall notify the City &t 006)2RX7CM {st least 48 hours in advance of Starting construction.
RZ LrMJTY CLEARANCE: (Substructures) Prior to making any excavation within the City of La Quinta right of way
authorized by permit, the perminte shall contact all concerned utility companies relative to the location of existing
substructures. Damage to existing substructures resulting from operations conducted under this permit shall be the sole
responsibility of the permittee.
R3 U7niTY CLEARANCE: (Surface Structures) No work shall be done under this permit until all utilities arc clear of The
proposed work site. The permittee shall notify all concerned utility Companies of the proposed work.
R4 PAVF.NJENT µ7DF-N NG: Area between the proposed concrete gutter line and the existing road pavement shall be surfaced
with inches of A.C. paving placed on iocbea of class aggregate subbase course having an'R'
value of not Ie&a than abd in conformance with City of 1.2 Quints Road Improvement Standards and
Specifications, Ordinance 0461.
R'S PARKWAY GRADING: Ares between the property line and top of the proposed concrete curb shall "be graded to a slope of
1/4 inch to one foot (I).
R6 GRADE. CHECKING: City of La Quint, &ball check grades upoD.receipt of plan and profile and/or grades as established by
a licensed engineer. .
R7 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing eoncrete.curb and/or curb and gutter (__feet) shall be
removed. Curb and/or curb and gutter shall be saw cut prior.to removal. Depressed curb, matching concrete -gutter and
concrete driveway approach shall be constructed in conformance with City of La Quint& Standard tl'207.
R8 DRIVEWAYS: A.C. driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the properly
line and the existing road paving shall be 2 1/2 inches of A.C. paving placed on (_____) of class aggregate base. '
Driveway construction shall conform to attached drawing.
R9 SIGHT CLEARANCE: Sight clearance of 600 feet in all directions @ball be assured and maintained at all times.
RIO SOIL SIERIL IMU The area to be Surfaced shall be treated with soil Steriliser. Rate of application shall eotnmply with.the'
manufacturer'@ Specification.
11 COORDINATE WORK: The proposed work shall be subordinated to any operation wbicb the State of California or City of
Ls Quints may conduct in this area during the period of this permit. Work shall be coordinated. with the State or City of La
Quints forces to preclude delay or interference with State of City of La Quints projects.
12 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the
centerline of all streets or property lines when involved shall be completely tied out so they may readily and correctly be
replaced by a licensed civil engineer or surveyor at the expeose of the permittee. A complete set of totes showing the ties to
these monuments shall be furnished to the City Engineer prior to the removal of any monuments.` This office shall be notified
Upon completion or replacement of all survey monuments for proper project clearance. .
13 PAVEMWT' CVT7TNG: Pavement will be mechanically saw cut to a straight to a straigbt edge prior to excavation. Method
of pavement cutting &ball be approved through the office of the City Engineer. (Under no circumstances shall excavating
equipment be used to excavate prior to cutting of pavement.) Excavation material shall be placed in ash a position as to best
facilitate tbc.geoeral flow traffic. Prior to final paving operations, any damage to pavement straight edgea shall be corrected.
14 LIMIT OF EXCAVATIONS: Excavations shall be limited to 1000 linear feet of open trench before backfill operations must
begin. All excavations shall be properly barricaded with lights overnight, on weekeWe and holiday& 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 &ball be made unless the construction
material is actually on the work site.
1_5 BACK►II..L MATERIAL: Backfill sball 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 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 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 cafe,
a relative compaction of 95 percent shall be Attained with the structural section of the roadway.
17 BACKFh.J_ PLACEMENT: Backfill shall be applied. in layers of not more than 30 percent of the total depth of the trench
before flooding or a maximum of five-foot (5� lifts where treocbes 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 so that the resulting
compaction shall be not less than 90 percent or equivalent to the surrounding ground, whichever is the greater compaction.
Where pooding or flooding is used for a maximum settlement, adequate dikes will be constructed to retain the water. Where
jetting is used, the jets shall be of sufficient length to reach the bottom of each ]Byer 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) test on each road: One (1) copy of each test &ball be forwarded to the City Engineer for
approval and filed prior to making permanent repairs. Compscton tests shall be made as outlined in Section 6.3.01 of the
Standard Specifications, Division of Highways, State of California, dated January 1973.
1.9 COMPACTION TESTS: If so requimd•by the inspector, compaction tests shall be made for each crossing or service line.
One (1) copy of each test &ball be forwarded to the•City Engineer for approval and filed prior to makirtg 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.
0 TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch
consisting of 2 inches of SC400 shall be placed on a prepared subgrade. The SC-800 temporary paving shall'be placed after &
Eoaximum of 3000 linear feet of trench has been excavated and backfill operations completed, but in no ease shall the.
placement of the temporary pavement exceed Is five (5) day ]imit.
1 PERMANENT. IPA VEME144 REPAIR: After backfill and compaction have been completed, a temporary patch consisting of
two inches (2') of SC-800 shall be placed immediately. A permanent patch of inebes A.C. surfacing placed on a
iocb class base shall be.placed no 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 &a
determined by the City Engineer.
3 STREET RES'IRIFING: Where street striping is still visible on streets to be excavated, such striping &ball be replaced upon
completion of permanent repairs.
Z4 TREE RELOCATION OR REMOVAL: Tree relocation within the city -of La Quints road right of way shall be
accomplished by a licensed, bonded and insured tree service, and handled safely without interference or hazard to the traveling
public. It shall be the responsibility of the perminee to maintain the tree in a vigorous growing condition at it& new location.
Trees to be removed shall be in sectioas.whicb can be bandied safely without interference or hazard to highway traffic. The
entire width of the -tree stump *ball 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 paragraph. Where is becomes oacessary to
restrict traffic, the work shall be restricted to a maximum of 500 feet at any one time. Adequate signs, flagmen and or
barricades shall be provided to protect the traveling public at all times. "
Large boles resulting from tree removal &hall 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 &ball
comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973.
PERMIT NO. 3776
ARIZONA PIPELINE
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. ARIZONA PIPELINE, 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. lst 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 anyldamage 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 No3776_ Page I of 4
PERMIT NO. 3776
ARIZONA PIPELINE
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 No3776_ Page 2 of 4
PERMIT NO. 3776
ARIZONA PIPELINE
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 No3776_ Page 3 of 4
PERMIT NO. 3776
ARIZONA PIPELINE
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'/z" 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 - Permit No3776_ Page 4 of 4
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CITY OF LA QUINTA
APP L ICAT ION FOR PERM fT
PUBLIC WORKS CONSTRUCTION (ENCROIeQMfiEW•
Fcr the concvuction of public or private cures. drivetaays. Davente 1:3, fiiCOWi's+ PW601 Awe. MOMM16 weir Milk,
and other like public works improvements in connection with MINOR IMPROVEMENZS and Il'P�1f�
���q,� / Subdivison �eesot Tssi — Comes Ill ,�—�
DATE —19T+61 u� Mira k--" res, ch. TV
LOCATION OF CONSTRUCTION 44030 CALICO CIRCLE — t-*q 5" / uv r7g
M%reet address of Oeacriptionof Location) D�IU
PURPOSE OF CONSTRUCTION ACCESS EXI ST�I NG TELE[ CABLE ske;ch c.,=,=:icc paw it pwoprjm3
DESCRIPTION OF CONSTRUCTION P SPLICE PIT TO ,�; iF cScSrE�ir= S`JrGivft_ Ce7eVOI T!O✓ ,S
ACCESS FXTSTTN(�TFI F ['ARI F
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF HEEDED 41 x 4 F1 I SEE ATTACHED
VZ W.O. 0549-9P,R02DR-014
e6 OV� lFltfWRMf}ORICWILLBEGIN
APPROXIMATE MATED CONSTRUCTION 'COSTS
ESTS'T1500 nn RECEIVED
(including removal of all obstruction, materials, and debris, ba&filliny, com-
paction and plating permanent resurfacing and/or replacing improvements)
to consideration of the granting of this permit, the applicant hereby agrees to: OCT 1 5 2002
Indamnifv. defend and aeve the City. its suthorisod agents, ofIrkm fWrawntstivu and thaw ad mer+a cues sued
penaltin, liabilities or loci resulting from claims w court sedan and arising hurt of cry or dlseam tea as*oR ar
happening or owurrifq as a proxi its suit of any work undertaken under the permit .a�t,,s1� WORKS
the Administrstive Authority at least twenty-four (24) hours In advance of Cis time I�_PW�i� KS
Comply with all appliooee City Ordinen411, the tarns and cortdilklm of the Permit &W an w. city of
La Quints and to pay for ashy additional replaea Mnt neeeUry ea the result Of this wart_
Signature of Applicar_ zr Agert
VERIZON 295 N. SUNRISE WAY PALM SPRINGS CA 92262 760/778-1714
Name of Applicant (please print) usinessAddress T ' K0_
ARIZON PIPLINE _� ) _
Applicant's Insuron ny r Prey nta.ac
FEES:
Subdivision Improvement Permit — Clsss 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
4<1z1`
Inspection Fee S 60
Permit Fee 1 0 0' — I
Penalty
Cash Oeposit-Surety Band
if required
TOTAL: S + 4-5
Receipt No.
Received by Date���
Recorded by j
PEPJOT VAIJOATAXN
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FIRST PAGE OF RECENT DOCUMENT TRANSMITTED...
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CITY OF LA (MANTA
APPLICATION FOR PERMIT
PUOLIC MAK8 MMTRUCTION (F.NCROACHML'NT)
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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
DATE
Subdivision Improvement Permit —Class I II
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION "On > ICID CaRm. L& tVINTA
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION ACC"5 MIST=1G T i►M't Sketch (attach construction plans if appropriate)
rS1`5f� ''�ii:r•�i `
DESCRIPTION OF"CO.NSTRUCTION 010 TIM Y SPILXCV an Mc +� ITIONS
DIMENSION OF INSTALLATION OR REMOVAL " ww
SIZE OF EXCAVATION, IF NEEDED 4 " X 4 III'
_-,-,-APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $'
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and -placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify, defend• and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property
happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application.
Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started.
Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result of this work.
L
Signature of Applicant or Agent
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
423545 9
Contractor's License No. City Business License No.
MILCH ISOM= VC 297BOS602
Applicant's Insurance Company
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 ..6 $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Itq:l •illy
Date
Policy Number /A\ IP
NOV Or, 2061 L[J'
CITY OF LA
M
PERMIT VALIDATION
3114 "
PERMIT NO.
DATE APPROVED octobor z5v 2002
EXPIRATION DATE
DATE ISSUED
B.. .ter ' "'°`:►' '—
V�'-Ctor tWU" 4"" r'0*r'Adminiifraativve Authority
Recorded by
Telephone: (760) 777-7075
The following General and Special Provisions are anacbed to and made a part of Permit No. 3774
GENERAL PROVISIONS
Ile following @ball always apply:
ENROACHMFNJ• ON PRIVATE PROPERTY: This permit authorises work to be accomplisbed.within City of U Quints right of
way ONLY. Wbenever construction extends within private property, it is the responsibility of the permits" for his contracton to
secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting worst.
73 ACKLAYING CONSTRUCTION EQUIPMENT: Cleated tracklaying construction equipment @hall not be permitted to operate on
any paved surface unless fined with smooth -faced street pads. All mechanical outriggers shall be fined with rubber street shoes to
protect the paving during, exceva6das. Rubber -tired equipment.ody shall be used in backfill operations in paved areas. If the existing
pavement is scarred, spelled, or broken during the term of this contract, or if the pavement is marred, City of L Quints shall 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 cost as specified above.
PROTECTION OF TRAFFIC: Ali 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. The City shall be ootified.24 hours in advance of any traffic detours or delineations.
CARE OF DRAINAGE STRUCJURFS: Any drainage structure in 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 commencement of this work.
Drainage structures and open drains shall be kept free of debris at all times for proper drainage.
RIGHT OF WAY CLEANUP: Any surplus material resulting from excavation and backfill•operations shall- be remov
of way. All paved surfaces shall be broomed clean of eaad from the right
rth and other. objectionable materiels immediately after backfill and compaction.
Existing guner line and drainage ditches iball be replaced to their original standard or better. All excess material abaU be -removed
Prior to paving. Water tanker 11ball be used, as required, to sprinkle the job site to keep down dust conditions and abaU be used
immediately after backftll.
DE -WATER OPERATIONS: If de -watering operations are required and purlips are forcing water os City of La Quints roada, it shall
be the responsibility of the perminee (contractor) to control this water and to Provide off-street barricades when necessary..
CLOSING SIREiTS: No street shall be closed. A minimum of one lane of traffic shall be maintained at all times to provide limited
access for the adjoining property owners and emergency vehicles. In'the event it is felt by the *permittee that 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
R4 N07MCA71ON: Permits@@ shall notify the City at 47DiXat least 48 hours in advance of etaning construction.
RZ UTILITY CLEARANCE: (Substructures) Prior to making any excavation within the City of LB Quints right of way
authorised by permit, the permittee shall contact all concerned utility companies relative to the location of existing
substructures. Damage to existing substructures resulting from operations conducted under this permit aball'be the Sole
responsibility of the permittee.
R3 1.TIR37Y CLEARANCE (Surface Structures) No work shall be done under this permit until all utilities are clear of the
Proposed work site. The permittee shall notify all concerned utility companies of the proposed work.
R4 PAVEMENT WIDENG N : 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 eourae having an'R'
value of not leas than abd in conformance with City of La Quints Road Improvement Standards and
Specifications, Ordinance $461.
R-5 PARKWAY GRADING: , Area between the property line and top of the proposed concrete Curb ab.all be graded to a slope of
1/4 inch to one foot (11.
R6 GRADE- CHECKING: City of l s 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 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 L Quints Standard I=.
Rg DRIVEWAYS: A.C. driveways &bell be constructed as not to alter existing drainagepattern. Surfacing between the property
line and the existing road paving shall be 2 1/2 incbes of A.C. paving placed on (�, of Class aggregate base.'
Driveway construction &hall conform to attached drawing.
R9 SIGHT CLEARANCE; Sight clearance of 600 feet in all directions aball be assured sad maintained at aU times.
R10 SOIL 57ERIII2E3U The area to be surfaced shall be treated with soil sterilizer. Rate of application @ball eommply with.the
manufacturer'& specifications. ,
11 COORDINA71 WORK: The proposed work shall be subordinated to any operation which the State of California or City of
Ls Quints may conduct in this area during the period of this permit. Work shall be eoordinsted.with the State or City of La
Quints forces to preclude delay or interference with State of City of La Quints projects.
12 SURVEY MONUMENTS: prior to excavation or beginning of construction, all survey monuments which exist on the
centerline of all streets or property lines when involved shall be completely tied out so they may readily and correctly be
replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete act of notes showing 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 PAVEMENT' CU77TNG: Pavement will be mechanically sew cut to a straight to a straight edge prior to excavation. Metbod
of pavement tuning &ball be approved through the office of the City Engineer. (Under no circumstances shall excavating
equipment be used to excavate prior to cutting of pavement.) Excavation material shall be placed in such a position as to best
facilitate the -general flow traffic. Prior to final paving operations, any damage to pavement etraigbt edges shall be corrected.
14 LUMT OF EXCAVATIONS: Excavations shall be limited to 1000 linear feet of open trench before backfill operations must
begin. All excavations shall be properly barricaded with lights overnight, on weekends and holiday& for the protection of the
traveling public. The Public Works Inspector shall detcrmioe the suitability of excavation barricading in each can. -No
excavation shall remain open for a period exceeding five (5) days. No excavation shall be made unless the construction
material is actually on the work site.
15 BAC)URL MATERIAL Backfill shall be free of brush, roou or other organic 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 &and or gravel.
16 BACXYILL SAND: Backfill shall be approved transit -mix sand or equivalent and shall be'placed in lifts of not.greauer than
three feet (3) and vibrated using vibrotamper or equivalent equipment. Alternate methods may be substituted, but in any cafe,
e relative compaction of 95 percent shall be ptut;ned with the structural &ection of the roadway.
17 BACKFiLL PLACEMFNT: Backfill shall be applied. in layers of n
before flooding or a maximum of five-foot (57 lifts ot more than SO percent of the rotal depth of the trench
liftsv+berc treoches 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 so that the resulting
compaction shall be not less than 90 percent or equivalent to the surrounding ground, whichever is the greater compaction.
Where podding or flooding is used for a maximum settlement, adequate dikes will be Constructed to mWo the water. Where
jetting is used, the jets shall be of sufficient length to reach the bottom of each layer and the water supply shall be continuous.
is COMPACTION TESTS: If so required by the inspector, compaction testa shall be made at intervals of not more than 1000
feet and a minimum of one (1) Cot on each road: One (1) copy of each tut &ball be forwarded to the City Engineer for
approval and filed prior to making permanent repairs. Compaction teats shall be made as outlined in Section 6.3.01 of the
Standard Specifications, Division of Highways, State of California, dated January 1973.
1.9 COMPACTION TI:S-n: if so required -by the inspector, compaction testa shall be made for each crossing or 'service line.
Ooe (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 }Iigbways, State of
California, dated January 1973.
0 TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a tempo
rary consisting of 2 incbes of SC400 shall be placed oo a prepared subgrade. The SC-900 tensPo�Y pavingshall be patch
aced after a
maximum of 3000 linear feet of trench has been excavated and backfill operations completed, but in no ease shall the.
placement of the temporary pavement exceed a five (5) day limit.
1 PERMANEN .PAVEMENT REPAIR: After backfill and compaction have been completed, a temporary patch cons
istiog of
two incbes (2') of SC-800 shall be placed immediately. A permanent patch of inches A.C. surfacing placed on a
inch class base shall be.placed oo later than days after completion of temporary road repair.
2 FOG SEAL: A log'" cost consisting of an application of
PP asphaltic emulsion shall be applied over all patch areas as
determined by the City Eogitteei.
13 STREET RFSJRIPING: Where sueet striping is still visible on streets to be excavated, such striping shall be replaced upon
completion of permanent repairs.
24 TREE RELAXATION OR REMOVAL• Tree relocation within the City•of La Quiota road right of way shall be
accomplished by a licensed, bonded and insured tree service, and bandied safely without interference or harard to the traveling
public. It .shall be the responsibility of the permittee to maintain the tree in a vigorous growing condition at its new location.
Trees to be removed shall be in sections.which can be handled safely without interference or hazard to highway traffic. 71e
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 paragraph. Where is becomes neces&ary to
restrict traffic, the work shall be restricted to a maximum of 500 feet at soy one time. Adequate signs, flagmen and or
barricades &ball be provided to protect the traveling public at all times.
Large boles resulting from tree removal shall be backfilled and compacted to not leas than 90 percent or equivalent to the
surrounding ground, whichever is the greater compaction as determined by the impact or field method. Compaction testa abtill
comply with Section 63.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973.
PERMIT NO. 3776
ARIZONA PIPELINE
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.
J
2. ARIZONA PIPELINE, 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 1st 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 No3776_ Page l of 4
PERMIT NO. 3776
ARIZONA PIPELINE
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 No3776_ Page 2 of 4
• 0
PERMIT NO. 3776
ARIZONA PIPELINE
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 No3776_ Page 3 of 4
PERMIT NO. 3776
ARIZONA PIPELINE
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 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 revoker suspend of void this permit at any time.
19. The permittee shall indemnify, hold harmless,(and..a'ssume the defense of the City from all damages,
delay costs, costs or expenses in law or equitypthatrriay arise out of work under this permit.
Special Conditions - Permit No3776_ Page 4 of 4
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