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3836With proper; validation this form constitutes an encroachment.permit CITY OF LA QUINTA APPLICATION• FOR -PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction -of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS., Subdivision Improvement Permit = Class-1 II 'DATE: JAnt arY 30, 2003, Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 51085 Avenida Har inert (Street addressor Description of Location) PURPOSE OF CONSTRUCTION TO construct Parking lot Sketch (attach construction plans if appropriate) far . tenent Parking DESCRIPTION OF CONSTRUCTION Removal 'off eR1 tint. A.C. pave in now, A.C. Construet V1 Curb„ curb 6 ,Mutter DIMENSION OF INSTALLATION OR -REMOVAL 50 cubicyerda SIZE OF EXCAVATION, I•F NEEDED. D p APPROXIMATE TIME WHEN WORK WILL BEGIN Janu8r'v 22, 2003 JAN 31 2003 APPROXIMATE TIME.OF COMPLETION Vebruaxy''8. 2003 ESTLMATED CONSTRUCTION COST $ '26.788.00 CITY OF LACUINTA FINANCEDEPT':' (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 Larence Real 1800 E. Gary Ave..* Santa Anax CA 92705 (949) 2504245 Name of Applicant (please print) Business Address Telephone No. International Pavement Solutions 1199-Opal Ave, Menton, 92359 (909) 794-2101 .Name of Contractor.and Job Foreman Business Address '.Telephone No. 129226 036.48 Contractor's License No. City Business License No. Corlmarcial Associates Insurance. APP 0019926 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 00' y Inspection Fee $ 880.PERMIT VALIDATION Permit Fee .100.00 3836 PERMIT NO. Penalty January 30;, 2003 Cash, Deposit -Surety Bond DATE APPROVED if required EXPIRATION DATE January 31, 2004 TOTAL': $ � 98n.00. 'DATE ISSUED Receipt No. BY .•li,�`�rI"� . • Received by ,Date Administra ivve Authority Victor Moat, Assistant En g I , Recorded by Telephone: (760) 777-7075 1 :{` SPECIAL CONDITIONS PERMIT NO. 3836 INTERNATIONAL PAVEMENT SOLUTIONS 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 in accordance with the latest edition of the Standard Specifications For performed , : Public Works Construction (SSPWC) and as directed by and to the satisfaction of the City Engineer. l f 2. " INTERNATIONAL PAVEMENT SOLUTIONS, hereinafter referred to as "Permittee",1shall be `responsible for providing continuous dust and erosion control pursuant to'the Fugitive Dust Control i Plan. y 3.. " Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently if required. ' 4.. . z 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 'perform' ed'only during the following time periods: - i 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... a ' Saturday 8:00 a.m. to'5:00 p.m. J Work shall be prohibited on legal holidays and Sundays. 5. ":Work performed within 500 feet of a major and/or 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 (9,09) 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. ' i 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 4 Trans Standards or the Work Area Traffic Control Handbook (WATCH Manual). A traffic'control: f plan, if required, shall be prepared in accordance with the WATCH Manual and submitted to the City. _ Special Conditions - Permit No. 3836 Page 1 .of3 f{ '�,• 1 � r �°� �, _ •lam �.r'��. •.t. W�_ .i a w�`f t r� j1[ , • x�1 _ "�}'I. 3 .� �yf SPECIAL CONDITIONS 1 * .oe ' PERMIT NO. 3836 INTERNATIONAL PAVEMENT SOLUTIONS a ,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. ., ' 8. Pursuant to Section 14.16.290 of the La Quinta Municipal Code (Ordinance 10 ,§ 1 (part), 1982), U ; •,street closures shall not be permitted. A minimum of one travel lane of paved surface shall .be t, y maintained with flagmen at all times. _. 9. Prior to excavating, if required, the Permittee shall contact Underground Service Alert at 1-800-422- �' ' F 4133. It shall be the Permittee's responsibility to notify the Public Works Department of anticipated' s excavation which impact City facilities, including but not limited to traffic signal conduits and loops, • f t irrigation lines, electrical conduits, and storm drain facilities. _ ' ,.. •,, - ti ' t "•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 3064.3 of the latest ' edition of the Standard Specifications For Public Works Construction (SSPWC), and as required by • 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 ' a r for use as•backfill after construction operations. Controlled Density Fill (C.F.) may be'used as.an J alternative. • ; •, ' " 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 r ti• 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. j' .. 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 -tlie ` completion of the work. Permanent pavement shall be replaced as follows: Special Conditions - Permit No. 3836 `t _ Page 2 of 3 • ' 1 SPECIAL CONDITIONS 4.• rt ` . PERMIT NO. 3836 + A INTERNATIONAL PAVEMENT SOLUTIONS a) Sawcut and remove existing a.c. surfaces a distance of one foot (F) beyond all trench walls; including any sloughing or cave in of adjacent soils. Undermined a.c. surfaces, shall be° �a removed. All a.c. edges shall be straight, clean and vertical. ,V °;b) . 'Provide an existing section (four -and -one-half inches [4'/z"] minimum) of crushed aggregate • or miscellaneous base material, compacted to 95% minimum relative compaction:' c) Provide an existing section plus one inch (I") [four inches (4") minimum] of asphalt concrete,' _ in two (2) or more lifts; the first lift(s) comprised of a base course a.c. material, of a City j, 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 `, T 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 :r {. .. compaction. A . - ;d) • For trenches greater than two feet (2') in width, the Permittee shall perform a grind and a.c. 4. 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. i 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. , 18. Pursuant to Chapter 12.56 of the La Quinta Municipal Code (Ordinance 10 § 1 (part),'l 982) the Cityhas 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 Al grants permission to use the street to deliver street construction materials and/or equipment.' ' 19, ,The -City of La Quinta reserves the right to revoke, suspend or void this permit at any time t _ ` T. Special Conditions - Permit No. 3836 Y Page 3 of 3 { .•T