3850aw
NOTE-"4 •
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 SUBDIVISI.ONS
Subdivision Improvement Permit - Class 1.11
DATE: FebruirY 11. 2003 Minor -Improvement Permit Class IV
LOCATION OF CONSTRUCTION 51423 Dessert Club Drive, Lot '2' 'C
(Street addressor Description of Location)
Y' PURPOSE OF,CONSTRUCTION Abandon .Water servvice Sketch (attach..construction, lans,if
P, appropriate) .
gDESCRIPT.ION OF:CONSTRUCTION 4 $ 4 pothole to
�tTtaAnaoli t4a°xyirac�' axx Desert Club Dr.
$ee ',Attachad Special: Cotiditiorwe
' DIMENSION OF INSTALLATION OR REMOVAL.—' .*USA` #A5420157
} SIZE -OF EXCAVATION, IF NEEDED
4 APPROXIMATE TIME WHEN WORK WILL.BEGIN
APPR,O)(IMATE .TIMEpF,COMPLETION'--- ninety' (00) daye
ESTIMATEDCONSTR`UCTIONCOST_.$' ,1R100.00
(Including. removal of all obstruction, materials, and debris, backfill.ing,.com
paction and placing permanent resurfacing and/or replacing. improvements)
In consideration` of the `granting- of this permit, the applicant hereby agrees to:
Indemnify,'.d0endand save -the City, its,authorized agents, officers, representatives and employees, harmless from and against any and all
penaities; 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.wheri.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 Odinta and to pay for any .additional replacement necessary as the resin fd f this work.
Signature of Applic nt or.Agent
Coachella.' Malley 'Water District B.O. Box 1058 Coachill:a 92236 (760) •398-2,651
Name'of.•Applicant (please print) Business Address •Telephone No.
Name'of. Contractor and Job Foreman' Business Address Telephone No.
Contractor's'License:No. City Business License No.
Applicant's ,Insurance Company Policy.Number
FEES:.: Subdivisionjmprovement Permit — Class I I I .
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs 3
�D
Minor Improvement Permit -Class IV: See attached schedule
'tea.
Inspection Fee $ PERMIT VALIDATION '
Permit Fee PERMIT NO. 3$Sii
Penalty y � •
Cash Deposit Surety Bond DATE.APPROV.ED February 13, 2003
if required EXPIRATION DATE February 28.. 2004
TOTAL: $ NO FEE
DATE ISSUED.
Receipt No.
Received by Date Administrative Authority
Victo Mouz,. "sistant EnginedY
Recorded by Telephone:,(760) 777-7075
_ ;}� i1J?r �►a { — _ ------ -------
ia 4k"."h
NO.TE1 d= .
With proper validation 4 2
this form constitutes an CITY. OF LA QUINTAo 0
, encroachment^permit
APPLICATION FOR PERMIT i$
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) . ''nn
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 I I I
DATE:,. iif4bruary 13, 2003 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 51-623 Desert Club Drive, Lot 2
1 -
' (Street addressor Description•of Location)
}
PURPOSE OF CONSTRUCTION Abandon hater ag)Cylea Sketch (attach construction plans if appropriate)
4,
1 ;D'ESCRIPTION OF CONSTRUCTION .4 X 4 vothole to
' �t..:..�..,. w. reba.d w.. w.w i�e...a,w�. P` n�. 45�. •
DIM ENSION'OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
r . APPROXIMATE TIME WHEN WORK WILL BEGIN
1. .
*Soo WaCW Speoial, cohditic��k.
. eta 4 #A5420157
APPROXIMATE TIME OF COMPLETION niaety (90). days -
ESTIMATED CONSTRUCTION COST $ .1.-100-00
(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 io persons or property
happening or occurring as a proximate result of any work undertaken under the permit grantedpursuant 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. .f`r
Signature of Appllcarit or Agent
. Coachel,U Valley Water Diatriat P.O.. Box 1058 Coachella 92236 (760) 398-26$1 .
Name of Applicant (please,print) Business Address Telephone No.
Name of. Contractor and Job Foreman' Business Address Telephone No.
Contractor's License No. City'Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class Ill
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor., lmprovement Permit — Class IV: See attached schedule z�► �103
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ NO 7199
ReceiptAo.
Rece� ed by Date
Recorded by �
,PERMIT. VALIDATION
PERMIT NO. 3850
DATE APPROVED ftbruary 13, 2003
EXPIRATION DATE Febslant'Y 28. 2004
''','DATE ISSUED
By
Administrative Authority
�34>rc�r Moab. Aat�isaC+t 1>taS�.nd"er�'Y
Telephone: (760) 777-7�075
With prow validation
this form cdnsututes an CITY OF LA MANTA
enacachment permit
• APPLICATION FOR PERMIT . -.. =
PUBLIC WORKS CONSTRUCTION* tENCAOACHMEun
For the construction of public or private Cubs. drivnvaM PINNININIM sides. 0"9 1M
and other like public works improvemems in eannmion wish MINOR IIIAPROVEiI IRMAnd APPROVED SUBDIVISIONS
f Prat clan fit
DATE: - - / 0 3 Impmy Marts Permit hiss IV
LOCATION OF CONSTRUCTION Ste': ? ='•';: :; :� ;:
Meows aaoress or Oesntptton of Loeauonl
PURPOSE OF CONSTRUCTION M 9 mob Itttaw cotttuuction plans if appropriate!
DES=FCONSTRUCrloll-
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION. IF NEEDED -
}:... FRECEIVEDAPPROXIMATE TIME WHEN WORK WILL BEGIN
.B 12003APPROXIMATE TIME OF COMPLETION1ESTiMATEO CONSTRUCTION COSTS � ��•• �1'jincluding removal of all obstruction, materials, and debris, back0kog, cotter ,> :'" .���•BLIC `NORKS
.:.a... ;,,... .
paction and placing permanent resurfacing and/or rep{acing improves------- }R v.
a
s
In consideration of the granting of this permit, the applicant 1webr &Wa tfti
IrAenmety. defend am save the f�l{v. its sushmwed agerris. olfiam r� 00 ~ A from and 89800 r sad M
pena+ues. boOu dns err iou htWuwrt n4 tram elnt or caAaron and snwq oW as ow �ea • lor oeme" to eror a°f"^t
Qaafawn/n0 .Or eawgln as • proewnate few% of aev .reth waertaaem www t" an Rl WWII vi wrve to an epptrsuon.
Notuty the Adrnintitratrve Awncrity as O nt tv erttv-low 1241 Iimm in Mare Of qle:�; clerk r be 1tlNted.
:.�:.t'; an '::..: .� .. .. • .. t10� of the Caw Ot
Yomor •min all applkWe Cav QidlnanRt. the tooth and =nditeiiew 44 tpe aww" d 81 a11116k fre mites sad raffia .
La Quanta ono to parr for OW additianel rev at�mt niece my as tle reettlt
tun_ t of at Agens
COACHELL& VALLEY WATER DISTRICT P. 0. &m 1059 CUCAEUA.' CA- I 2Z3b 398-265I
Name of Applicant (please print) Bi uum AdWen .:.:4s•;.:;;='; _ • : Te{epnona No.
; `
Name of Contractor and Job Foreman Badness Add Teleptsone No.
Contractor's License No. Chy Business License No.
Appitcant's Insurance Comtunv Fdwv Nueva
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PERMIT NO.. 3850. �
� F '1 ♦ 1 Il57
w, f In addition to the standard permit conditions; the following shall apply a �, x Et j y
F
§ I., , Pursuant•to Section 14.16.320 of the La Quinta Municipal Code (Ordinance 10'§,1 (part); '1982), all
` t ,work shall be performed in accordance with the latest edition of the Standard Specifications For Public
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Works Construction (SSPWC) and as directed by. and to the satisfaction of the City Engineer ;
2:' CV WD, hereinafter referred to as "Permittee", shall be responsible for providing continuous, dust and
erosion control.
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3.'t <.; Streets 'shall be kept clean. They.shall be completely cleaned at the end of each working day and more
frequently if required.,
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4.�_; -Pursuant to Section 6.08.050 of the La Quinta Municipal Code (Ordinance.l8 §,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: .',; ,, ,• .,�
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October Ist to April 30: Monday -Friday 7:00 a.m. to 5:30 p.m.'..
8:00 a.m. to 5:00p.m."Saturday
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...7t. May lst to'September 30:. Monday -Friday 6:00 a•.m to 7:00 p.m`
Saturday 8:00 a.m. to 5:00.p m
t Work shall be prohibited on legal holidays and Sundays. r T z r
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f 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
t. n "'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_§+l (part); 1982),i
'Permitiee shall assume responsibility for repair of any pavement damage to anypublic. or, private street
-and for any damage to other City streets or facilities as a result of -work performed under this permit }
Pursuantto Section 14.16.250 of the La Quinta Municipal Code (Ordinance 10 ,§ �I j art), 1982);
' =:advance warning signs and traffic control shall be installed and maintained in accordance • With* .Cat,-
;,, ,•. 'Trans Standards or the Work Area Traffic Control Handbook (WATCH Manual). A traffic control
" ' f 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'sk`
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responsibility to appropriately detour and barricade all construction sites.
r 5 Special Conditions - PERMIT NO. 3850 a� Page 1 of 5 t» '
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Pursuant to Section 14.16.290 of the La Quinta Municipal Code (Ordinance 10 §-1 (part); ,1982); Street ;
closur`es,shall not.be permitted. A minimum of two (2) travel lane of paved surface shall be
maintained at all times:
8: Prior to'.excavating,if required, the Permittee shall contact Underground Service Alert at 1'=800.422
` 4131, It sliall be the Permittee's responsibility to notify the,Public Works Department of anticipated
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excavation which impact City facilities, including but not limited to traffic signal°conduits and loops,
4' irrigation lines, electrical conduits,"and storm drain facilities.R
9. L Should additional work, materials,, or modifications of the work be required in'order. t°City,'• ;
standards, safety requirements, signage requirements, or to fit actual field conditions, the work hall be . t
-._performed by the Permittee as directed by.and to the satisfaction of the City Engineer`atno;cost to the �{
City of La.Quinta. s
' 10 Pursuant to Section 14.16:370' of the La Quinta Municipal Code (Ordinance -10 § l (part); 1982),
backfill compaction within street rights -of --way shall conform with Section 306-J .3 of the latest edition
of the Standard Specifications For Public Works Construction (SSPWC), except as`otherwise' specified;
herein:
rNative material may be used as backfill material provided thatminimum compaction;' achieved iri 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 Permitte'e's
. 4(# responsibility to provide appropriate geotechnical supervision,`, testing; and `inspection, sonsite, Aat .all- z,
times during backfill operations.;
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`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 kCity;""',,
Inspector and the resulting excavation backfilled with pipe bedding material. '�4 'lo
B. Backfill materials 'shall' be brought to or maintained at an appropriate moisture content for "
r compaction. The appropriate moisture content range shall be;established at the onset of tlieM
:project and ensured:prior to use of the materials through progress testing on the stockpiles:'$
w :,C. The firstlength of trench backfilled shall be backfilled in the presence of the`.City, Inspector.
f •.. "Compaction shall be tested at random depths at approximate three-foot *vertical. intervals as backfill.- r '
` r is placed to ensure the effectiveness of the compaction methods and to establish the depth of lift`that' 4 '
` can be compacted..
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' -Special Conditions - PERMIT NO. 3850. .' , " Page 2 of 5 '
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PERMIT NO. 3850 r
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z .} D* ' 4f,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..jUpori satisfactory;
-completion of this portion of trench, the City Inspector shall establish the maximum lift thickne.ssx
to b'e compacted for the remainder of the project.
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E:'In subsequent lengths of trench, the frequency of compaction tests shall equal one per each lifttof
backfill, per 300 linear feet of open trench, at randomly selected locations within the_open length_
of.trench. 101
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. �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. �, r s^
` ` " 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
;x t .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`; F
results shall be furnished to the City Inspector. fm£t' '
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
Cityr 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;", �.
e open overnight at a point where construction will begin the next day, provided that this `length of trench `
;is completely covered by steel plating. :ti
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�- ,12 *'All landscaping,irri ation decorative rock decorative concrete, li htifi etc: shall, be re laced to,its , r°
r. �; irrigation, , g g�, p a
original• condition. *` T °'.'� `''
`f# 13. ' `Access and egress to all local properties shall be maintained at all times: - `
-14 4 Pursuant to Section 14.16.375 of the La Quinta Municipal Code (Ordinance 1`0 § 1 (part), 1982); f ,
",permanent pavement replacement shall be completed no later than seven (7) days -'after the completiont,;
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.
�' T Special Conditions - PERMIT NO. 3850 },t ..� Page 3 of 5 ;,.' F' �'
PERMIT NO.3850
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B. 'Permanent pavement replacement structural section, within all trenches, shall be V'thicker than
- r. •, •' f'eXistirig of asphalt concrete over the same existing thickness of crushed aggregate base or crushed •• �; ;-
r miscellaneous base, meeting the requirements of Sections 200-2.2 and 200-2.4 of the Standard`-:
;.' r ;, '' f `. 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 tr'ench.�
Y `' -Nerify,exact structural replacement section thicknesses with the City prior to installation.' ,;+a f� "
C.Permanent pavement replacement shall be installed using a,City approved 3/4'; max medium
I asphalt concrete as the base course lift and a City approved t/z" max medium finisli course lift for, `
"capping. Asphalt concrete mix design shall be approved by.the City prior to its placement.
'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:, a s;
' - - • - For longitudinal trenches located in a parking lane: two (3) feet outside the sawcut remov_ al ,
4. lines.
,F t' • 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. - -
` T; " ` f • ; For transverse trenches across existing street: two (2) feet outside the sawcut removal lines.
if. 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=cutiedge 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: -'A
ny existing lane striping or any existing detour lane striping affected by this resurfacing shall be ' V
replaced in kind by the Permittee, as directed by and to the satisfaction of the City 'Engineer.
't a:•,-. ', 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
` 15.. Permittee shall permanently stabilize any, and all soil that. was disturbed as a 'result of work p'er'formed
under this permit with an approved dust control treatment. Soil stabilization shall be done immediately«
after completing the operation.
Special Conditions'- PERMIT NO. 3850 Page"4'of 5 '
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6,. , Pursuant to Chapter 12.56 of the La Quinta Municipal Code (Ordinance 10 § 1(part);1982) the City'has C
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designated certain city streets as Truck Routes. The weight limit for restricted streets,(i e.;,streets;notT4
partof the Truck~Route network) is three (3) tons; trucks exceeding the weight'limit:may use a restricted
f .. --'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;
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17 The City of La Quinta
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reserves the right to revoke,`suspend or void this permit at'any time
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i-I8 The,�permittee shall indemnify; hold harmless and•assume the.defense of the Citywfrom a4,11
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china es dela costs costs or expenses in law ore equity that.ina arise out of work under this`
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