3804• 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 worksJmprovements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit — Class II I
DATE: •06cember 28. 2002 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 70-190 Calle Cadiz
(Street address or Description- of Location)
PURPOSE'OF CONSTRUCTION Install and maitatain Sketch (attach construction 'plans' if appropriate)
a, 1n. domeatic vater s ervire
DESCRIPTION OFCONSTRUCTION
**See attAched special couditions. '
DIMENSION OF INSTALLATION OR REMOVAL V�� Liv'
SIZE OF EXCAVATION, IF NEEDED' 6' x 6'
APPROXIMATE TIME WHEN WORK WILL BEGIN 12/012002
APPROXIMATE TIME OF, COMPLETION AecOmber 31. 2002
r ESTIMATED CONSTRUCTION COST $ �4
y. (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 Applicaneor Agent 1
Name of,Applicant (please print) Business Address Telephone No.
C.V•.W.D; P.O Box.1258, CoachdlU (760) 398-2651 x503..
Name of Contractor and Job Foreman Business Address Telephone No.
N/A . N/A
Contractor's. License No. Citv'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 I$ D3
Minor. Improvement Permit — Class IV: See attached schedule ' 04 z
Inspection Fee $ II PERMIT VALIDATION
Permit Fee .
Penalty
Cash'Deposit=Surety Bond
if required
TOTAL: $ NO'. FEE
Receipt'No.
Received by Date
Recorded:by*
PERMIT NO. 3804
DATE APPROVED
EXPIRATION DATE 03131M03
-DATE ISSUED. 12/18/'2002 '
By
Administrative Authority
. Vtctor > ong, Abjistant Engtaeert Y
Telephone:4760) 777-7075
r
, t
'NOTE-e Owl
With proper validation
this form oristitutes an
encroachm nt permit CITY OF LA QUINTA
~ - APPLICATION FOR PERMIT
PUBLIC. WORKS :CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs, driveways, pavements, sidewalks, parking dots, sewers, water mains
and. other like public works improvements in connection.with MINOR.IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit — Class I I I
DATE:December 1$, 2002 Minor Improvement Permit Class IV
LOCATION. OF CONSTRUCTION 78—I90 C4110 Cadis
(Street address oe Description of Location)
PURPOSE OF CONSTRUCTION inatnll gad 0410tslt Sketch (attach construction plans if appropriate)
g V domostie otater sarvica z'
DESCRIPTION OF CONSTRUCTION
**Sil dt,tac;had apooiol cooditionaclliw
+�DI.MENSION OF. INSTALLATION OR REMOVAL P 'M
SIZE OF EXCAVATION, IF NEEDED 61
APPROXIMATE TIME WHEN WORK WILL BEGIN 12i8/flt?
APPROXIMATE TIME OF COMPLETION i?acslbesr 31. 2002
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, corn
paction and 'placing permanent resurfacing and/or replacing improvements)
i; 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. t
Signature of Applicant or Agent i
Name of Applicant (please print) Business Address Telephone No.
C.V.W.D. P.O. flax 1258* Loath*114 XWS
Name of Contractor and Job Foreman Business Address. Telephone No.
NJA X/A
Contractor's License No. City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I II
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: $ do FEE
Receipt No.
Received by Date
Recorded by
2,1 �r'03 •
3804,
PERMIT VALIDATION
PERMIT NO. 3804
DATE APPROVED
EXPIRATION DATE 0%91/2003
'DATE'ISSUED
By
Victor `moutt Asotat nt AEbsui rua�ve�Authority
Telephone: .(760) 777-7075
City of La Quinta
The following General and Special Provisions are attached to and made a part of
M1` r 'r ' } o
Permit Number
The following shall always apply:
ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within the City of La Quinta's'right of way ` 4;
ONLY. Whenever construction extends within private property, it is the responsibility of the permittee for his contractors to secure permission, t�
from abutting property owners. Such authorization must be secured by the permittee prior to starting work. '
TRACK -LAYING CONSTRUCTION EQUIPMENT: Cleated track -laying construction equipment shall not be. permitted to operate onxany,paved
surface unless fitted with smoother -faced street pads. All mechanical outriggers shall be fitted with rubber street shoes. to protect the paving
during excavations. Rubber -tired equipment only shall be used in backfill operation in paved areas. If the existing pavement is scarred, spalled;'ti
or broken during the term of this contract or if the pavement is marred, City of La Quinta 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 coat as specified above. w
.PROTECTION OF TRAFFIC: All excavations and work areas shall be properly lighted and barricaded as deemed necessary,by the City
Engineer or City of La Quinta Public Works Inspectors. Suitable detours and detour signs shall be placed and maintained for the duration of the
.project. The City shall be notified twenty-four hours (24) in advance of any traffic detours or delineation.
CARE OF DRAINAGE STRUCTURES: Any drainage structure to include 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 a
cut existing drainage structures, City of La Quinta shall be notified prior to commencement of this work. Drainage structures and open drains i u
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 gutter line
and drainage ditches shall be replaced to their original standard or better. All excess material shall be removed prior to paving. Water tanker �-
shall be used, as required, to sprinkle the job site to keep down dust conditions and shall be used immediately after backfill.
DE -WATER OPERTATIONS: If de -watering operations are required and pumps are forcing water on City of La Quinta 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 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 he must close a street for any length of time, a
permittee shall contact this office to obtain the necessary permission.
SPECIAL PROVISIONS
The following shall apply when indicated:
®, R1 NOTIFICATION: Permittee shall be notified the City at (760) 777 - 7075 at least forty-eight hours (48) in advance of starting
construction.
® R2 UTILITY CLEARANCE: (Substructures) Prior to making any excavations within the City of La Quinta right-of-way authorized
by permit, the permittee shall contact all concerned utility companies relative to the location of existing substructures. J L'
Damage to existing substructures resulting from operations conducted under this permit shall be the sole responsibility of the
+ permittee.
® R3, UTILITY 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.. r '
❑ R4 PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing road pavement shall be surfaced
with (** N/A **) inches of A.C. paving placed on ( ** N/A **) inches of ( *" N/A **) aggregate sub -base course having an
"R" value of not less than ( ** N/A **) and in conformance with the City of La Quinta Road Improvement Standards and ` •�'' '
Specifications, Ordinance #461.
❑ R5 PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a slope of.
one-fourth inch (%") to one foot (1'). `}
® ,R6 GRADE CHECKING: City of La Quinta shall check grades upon receipt of plan and profile and/or grades as established by ` .�
a licensed engineer. '
, S 6
❑ R7 , CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter (** N/A **) feet shall
be removed. Curb and/or curb and gutter shall be saw cut prior to removal. Depressed curb, matching concrete,gutterand
concrete driveway approach shall be constructed in conformance with City of La Quinta Standard #207.
❑ 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 two and a half inches (2 %") of A.C. paving on (.**-N/A-** of class,(. N/A ** )
aggregate base. +
® R9 SIGHT CLEARANCE: Sight Clearance of six -hundred feet (600') in all directions shall be assured and maintained at all
times.
❑ R10 ," ;,, SOIL STERILIZER: The area to be surfaced shall be treated with soil strerilizer. Rate of application shall comply with the
t manufacturer's specifications.`; +
• - -.. 'r. ?y• � � tea'
City of La Quinta .�
® R11. COORDINATE WORK: The proposed work shall be subordinated to any operation, which the State of California or City of
La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or City of La
Quinta forces to preclude delay or interference with State or City of La Quinta projects. F
® R_ 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 included shall be completely tied out so they may be readily and correctly,
replaced by a licensed civil engineer or surveyor at the expense of the permittee' A complete set of notes showing the ties
to these monuments shall be furnished to the City Engineer prior to the removal of any monuments. This office shall be,.'
notified upon completion or replacement of all survey monuments for proper clearance.
® R13 PAVEMENT CUTTING: Pavement will be mechanically saw cut to a straight edge prior to excavation. Method of pavement
cutting shall be approved through the office of the City Engineer. (Under•no circumstances shall excavating'equipment be used to excavate prior to cutting or pavement.) Excavation material shall be placed in such a position as to best facilitate the J , .
general flow traffic. Prior to final paving operations, any damage to pavement straight edges shall be corrected.
® R14 LIMIT OF EXCAVATIONS: Excavations shall be limited to one -thousand feet (1000') of open trench before backfill
operations must begin. All excavations shall be properly barricaded with lights overnight, on weekends and holidays for the
protection of the traveling public. The Public Works Inspector shall determine the suitability of excavation barricading in
each case. No excavation shall remain open for a period exceeding five (5) days. No excavation shall be made unless the:: .
construction material is actually on the work site.
® R15, BACKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimental to its use for purposes ,
of producing and adequately consolidated backfill. Ant material which the City of La Quinta 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.
® R16 BACKFILL SAND: Backfill shall be approved transit -mix sand or equivalent and shall be placed on lifts -not greater than
three feet (3') and vibrated using vibrostamper or equivalent equipment. Alternate methods may be substituted, but in any
case, a relative compaction of ninety-five percent (95%) shall be maintained with the structural section of the roadway.
®. R17 BACKFILL PLACEMENT: Backfill shall be applied in layers of not more than fifty percent (50%) of the total depth of the
trench before flooding or a maximum of five feet (5) lifts where trenches are of excessive depths. Care is to be exercised '
that the backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed so that the
resulting compaction shall not be less than ninety percent (90%) 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. Where jetting is used, the jets shall be of sufficient length to reach the bottom of each layer and the water
supply shall be continuos. '
® R18 COMPACTION TESTS: If so required by the inspector, compaction test shall be made at intervals of not more than one-' .
thousand (1000') feet and a maximum of one (1) test on each road. One (1) copy of each test shall be forwarded tot 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.
® R19 COMPACTION TESTS: If so required by the Inspector, compaction tests shall be made for each crossing or service line.
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 Sections 6.3.001 of the Standard Specifications, Division of Highways, State
of California, dated January 1973.
❑ R20 TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch'consisting
of two inches (2") of SC-800 shall be placed on a prepared sub -grade. The SC-800 temporary paving shall be placed after
_ + • a maximum of three -thousand linear feet (3000') or trench has been excavated and backfill operations completed, but in no
case shall the placement of the temporary pavement exceed a five (5) day limit.
❑ R21 . PERMANENT PAVEMENT REPAIR: After backfill and compaction have been completed, a temporary patch consisting of
two inches (7) of SC-800 shall be placed immediately. A permanent patch of { "" N/A **) inches of A.0 surfacing placed on r '
a ("* N/A "") inch (** N/A ** ) aggregate base shall be placed no later than ("" N/A **) days after completion of temporary
road repair.
❑ R22 FOG SEAL: A fog seal coat consisting of an application of asphaltic emulsion shall be applied over all patch areas as
determined by the City Engineer.
❑ R23 J STREET RESTRIPING: Where street striping is still visible on street to be excavated, such striping shall be replaced upon
completion of permanent repairs.
❑ R24 TREE RELOCATION OR REMOVAL: Tree relocation within the City of La Quinta 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 permitte to maintain the tree in a vigorous growing condition at its new location.
` Trees to be removed shall be in sections, which can be handled safely without interference or hazard to highway traffic. The
entire width of the tree stump, shall be removed and disposed of so that no debris remains in view of the highway. The `
stump hole shall be backfilled and thoroughly compacted as specified in the following paragraph. Where it becomes "r
necessary to restrict traffic, the work shall be restricted to a maximum of five hundred feet (500') at any one time. Adequate
signs, flagmen and or barricades shall be provided to protect the traveling public at all times.
Large holes resulting from tree removal shall be backfilled and compacted to not less than ninety percent (90%) or,
equivalent tot the surrounding ground, whichever is the greater compaction as determined by the impact or field method.
Compaction tests shall comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California,
dated January 1973.
Y.
41
{ SPECIAL CONDITIONS 4. :
PERMIT NO. 3804 M
CVWD
In addition to the standard permit conditions, the following shall apply: ;
L ,, ' Pursuant to Section 14.16.320 of the La Quinta Municipal Code (Ordinance 10 §Ml"(part),` l 982);all •, . " , "
.'
work shall be performed in accordance with the latest edition of the Standard Specifications For
Public Works Construction (SSPWC) and as directed by and to the satisfaction of the City Engineer:'
_ 2. CVWD, hereinafter referred to as "Permittee", shall be responsible for providing continuous dust
and erosion control pursuant to the Fugitive Dust Control Plan.
3. ,. Streets -shall be kept'clean. They shall be completely cleaned at the end of•.each'wor'king day.and
more frequently if required. t '"
14. Pursuant to Section 6.08.050 of the La Quinta Municipal Code (Ordinance 18 § 1,19.82), throughout
the work site, the Permittee shall comply with City regulated work hours. ' Operation and
5 - maintenance of equipment within one-half mile of human occupancy shall be performed only during
,the following time periods:
r 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.ni. ,; t
Work shall be prohibited on legal holidays and Sundays.
• 5. 'Work performed within 5.00 feet of a major and/or signalized intersection is restricted between the
s 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) 2751
r 6894 if signal operation at the intersection is to be altered in anyway. 't,'= •';7 fir' ,�• ` _
' 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 a a result of work performed under this , f
. , permit.
r 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,
a plan, if required, shall be prepared in accordance with the WATCH Manual and submitted to the City
p � q p P ,
4 4 ...for review and approval one (1) week prior to starting any construction. It shall be.the Permittee's Y'
v
'responsibility to appropriately detour and barricade all construction sites.
Special Conditions - Permit No. 3804 Page I of 3
A
SPECIAL CONDITIONS ` : r • `'' `'
r PERMIT NO. 3804
CVWD ,
. 8.
Pursuant to Section 14.16.290 of the La Quinta Municipal Code (Ordinance 10 §'J'(part), 1982),,, .- -;
street closures shall not be permitted. A minimum_ of one travel lane of paved surface shall be s
-
maintained with flagmen at all times.
• 9.
Prior to excavating, if required, the Permittee shall contact Underground Service Alert at 1-8007422- :.'
„
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, 4�
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'
r
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), and as required by..
t
..the Public Works Department. Backfill shall be completed in lifts, not to exceed F, compacted,to
90% minimum relative compaction. Native material may be used, provided the material is suitable
for use as backfill after construction operations. Controlled Density Fill (C.F.) may., be used n.an ,
-
alternative.
�
excavations within Cityof La Quinta right-of-way. shall be backfilled and temporarily aved if., -
Q g Y � p YP
,12°
" '>~ •
,All ,�
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
-
a .
its original condition.
-14.
' -Access and egress to all local properties shall be maintained at all times. '
' 15.::
�Pi suant 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 ' 3`
` t
completion of the work. Permanent pavement shall be replaced as follows:
Special Conditions Permi[ No. 3804 .. t Page 2yof 3
F
` ,..
SPECIAL CONDITIONS
PERMIT NO. 3804
CVWD
• ,a) • Sawcut and remove existing a.c. surfaces a distance of'one foot (1') beyond all,trench.walls, ,.
including any sloughing or cave in of adjacent soils. Undermined .a.c. surfaces, shall -be
• ' removed. All a.c. edges shall be straight,'clean and'vertical.
b) Provide an existing section (four -and -ore -half inches [4'/2"] minimum) of crushed aggregate
` or miscellaneous base material, compacted to 95% minimum relative compaction;•
' c) Provide an existing section plus one inch (1 ") [four inches (4") minimum] of asphalt concrete. N `
in two (2) or more lifts; the first lift(s) comprised of a base course a.c',material, of a City
- approved mix design, meeting the requirements of Greenbook class B-AR _ 4000; the final 0.10,
lift comprised of a wearing course a.c. material, of a City approved mix design, meeting the
Y ' requirements of Greenbook class C2-AR-4000. All pavement edges shall be flush with" , ': '
-" adjacent'a.c. surfaces. Each lift of a.c. material shall be compacted to 95% minimum relative-,, ,,;, '
compaction.
r d) For trenches greater than two feet (2') in width, the Permittee shall perform a grind and a.c'
• overlay of 0.10' depth for three feet (3') in addition to the pavement replacement. specified
above. -
16. Permittee shall notify the City of La Quinta Public Works Department a minimum of 48 hours
• prior to commencement of any construction at (760) 777-7075. a ':
s
17, .= Permittee shall stabilize any soil that was disturbed (shoulder areas, etc.) as a result .of• work - • '
performed under this permit with an approved dust control treatment. r - ' "� ' 1`
18. 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 4^.
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.
rJ9. The City of La Quinta reserves the right to revoke, suspend or void this permit at anytime w,
s
Special' Conditions - Permit No. 3804 ti } Page 3 of 3 '