3855NOTE.:'—'a
With proper validation
this form constitutes an O
A
CITY OF .LA QUINT
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT).
OF
For. the construction of public or private . curbs, driveways, pavements, sidewalks, parking lots, . sevyers, water mains
and'other, like?public, works improvements. in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement.Permit - Class III R
DATE: ' vabXuAlry 18-2003 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 78-231 Callo Cadiz, Lot 01
(Street address or Description of. Location)
PURPOSE OF CONSTRUCTION Install, end maintaing one Sketch (attach construction plans if appropriate)
uch : ( .% dotraeatic water services line
DESCRIPTION OF CONSTRUCTION
.*See Attached Special Conditions*
DIMENSION OF INSTALLATION OR REMOVAL AS neAdP-
SIZE OF EXCAVATION, IF NEEDED ' AS ngedind
APPROXIMATE TIME WHEN WORK WILL-6EGIN 2201i VeeeiVt
• Ninety (90� days
APPRO.XIMATE.TIMf OF COMPLETION
.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, topersons 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
Coachella Val.l.ey . Water District P.O:. $ox 10581 Coacb,ella 92236 (760). 398�-2651
Name of Applicant.(ple'ase print) Business Address; Telephone No.
• Name of Contractor and Job Foreman Business Address Telephone No.
Contra ctor's'Licerise No. City Business License No.
Applicant's Insurance Company Policy Number
FEES: 'Subdivision Improvement Permit —Class III
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor. Improvement Permit —Class IV.: See attached schedule
a ... 38A
Inspection Fee $ PERMIT VALIDATION
Permit Fee PERMIT NO. ' 3855
Penalty
Cash Deposit Surety Bond DATE APPROVED February 18. 2003
.if required EXPIRATION DATE February 28, 2004
TOTAL: $ NO FET.. ,
DATE, ISSUED
Receipt No:
Received by Date Administrative Authority
Victor.monz.; niseiskdnt Engineer Z
Recorded by Telephone: (760) 777-7075
�04
5,
'0�,
With 6per 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 likepublic Works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit — Class II I X,
,DATE: Fabruary 18. 2003. Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 78-231 Cal le Cadix.-Lot 01
(Street address of Description of Location)
PURPOSE OF CONSTRUCTION 11013tall And IlhaintAtn* 0116 Sketch (attach construction plans if appropriate)
'tuch (1% domestic water service li-Ac
DESCRIPTION OF CONSTRUCTION
*Sao Attached $Paclal ConditiontO
DIMENSION OF INSTALLATION OR 'REMOVAL 'As needed:
SIZE OF EXCAVATION, I-F NEEDED An, geaded
U
APPROXIMATE TIME WHEN WORK WILL BEGIN Pori receipt.
,APPROXIMATE TIME OF COMPLETION ftu*ty (90) days
ESTIMATED. CONSTRUCTION COST $ —1 1100.00
(Including removal of all 'obstruction, materials, and debris, backf il I ing., com-
'paction'and placing permanent resurfacing and/or replacing improvements)
In consideration of the grahting-of this 'permit, the applicant hereby agrees to:
Indemnify, 66fen6ancl.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 mate 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.
Coachella VaUey Vatek'District P.O. Box 1058v Coacbella, 92236 '(760) 398-Z651
Name of Applicant (please print) Business' Address Telephone. No.
'Name of Contractor and Job Foreman Business Address Telephone No..
Contr*actor's License No. City Business License'No.
Applicant's, Insurance. Company Policy'Number
FEES: 'Subdivision Improvement Permit -Class II I
Public improvements: 3% of *estimated construction costs
Private improvements: 3% of estimated construction costs
Minor. Improvement Permit — Class IV: See attached schedule .3140waus
Inspection Fee PERMIT -VALIDATION
Permit Fee
PERMIT NO. 3855
Penalty
Cash Deposit -Surety Bond DATE APPROVED February IS. 2003
if required EXPIRATION DATE. Febmary 28; 2004
TOTAL: $ NO rIEZ
<,, i%!DATE ISSUED
Receipt No.
y
Received.by Date, Engineer
Administrative Authority
Vidtor, Mom, Asgaleftbt Engineer I
Recorded by Telephone: (760) 777-7076
4
With Itrooer validation
this forfin aonnnuum an
6roachment Cents (C1TY�OP=W CU A
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENn
For the construction of public or priva» curt:. drive+eam per• sides. 11319
low. semis. w w manna
and other like public works improvements in connection via MINOR IMPROV8118M ndAPPROVED SUBDIVISIONS
1111111131�31iP�ntt Clan III
DATE: °2 - / y -o-3 ; `'' NWM Immov Permit Clan 1V
LOCATION OF CONSTRUCTION
ISlrasl aoaress as Oae:lptma of L.oeasmM _
PURPOSE OF CONSTRUCTION 1 NSTA LL AND K1AiNTA/N A " Stesch (attM construction plans if awoprute!
DNE 1 NQ-1 C 1.1 loll' LM7 - t1) AT? !S 111/d ' L tA15
DESCRIPTION OF CONSTRUCTION �/ 1
DIMENSION OF INSTALLATION OR REMOVAL !'S
SIZE OF EXCAVATION. IF NEEDED W—L�
APPROXIMATE TIME WHEN WORK WILL � LL BEGIN
�.:.:..:..:..:;
APPROXIMATE TIME O/V/AXTY 19D1 DAYSF COMPLETION '������•.'''" : • -
ESTIMATED CONSTRUCTION COSTS - 140•�
(Including removal of all obstruction. materials. and debris, backfillusq, mom•
paction and placing permanent resurfacing and/or replacing imptavernant=1
In consideration of the granting of this permit. the applicant harsby agrees tot „
laaanin/1y, defend acts wom the City. its alnhorrsed warms. afllam raq<msane and au1Ma1►ns, Mts»a train and else arw
pr11a1lles. t»o1lism or tau reswttrog from sham or sews mama sere anwq VA d a" ad wI. No a ow"" to Oersoas a pros�sm
haaoenlap 'ar occwtonip Y m proaaaa/e rawtt of mar wa a waersawn Yana lee pwnM WOMO Owl', 10 MIS aoa»K2114301.
Nosily the Adminnsfallva Aushority as feat lwantydow 1241 ho m ♦o advaaas Of �Ae"M stolen w- :sill be "med.
..''; :: V. , - ' - • and for
wra of the CityComosv Bath all spplieadle City Ordinaeea. the terms aid condnsoss of the versa wall all owlise
La Cuunta ano to pair far my sddllmral fms&nmam maswv as tflg, nma of MM !mwi►. � , ti ; . '
I'.,�f..... . /7 ;.�
Curs at Awe Pe t
COACHELIA VALLEY WATER DISTRICT P . 0. Baal 1056 CUC
. <::71 1/
CA. 127.36 398-2651
Name of Apollcant (please printl ' • 8ustntss Address " ; -. Tei"mone No.
Name of Contractor and ,lob Foreman gnsinass Address Telephone No.
Contractor's License No. :.City Guiltless License No.
Applicant'S Insurance Comtlanv, Policy Hurnow
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44
PERMIT NO. 3855. ' T
�. t ,
CVWD
-I' 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 §s1 (part),_ 1-982); all ,
work shall be performed in accordance with the latest edition of the Standard Specification%s-For Public,
r' 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,pxoviding continuous'' dust and `
' erosion control. t
r ,
Streets shall be kept clean. They shall be completely cleaned at the end of each work>ng 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:
r periods:
• '. s a t s tr x y' �'-
.
k' •, f 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.-
M.- - '
May 1 st to September 30: Monday -Friday • 6:00 a.m to 7:00 p.Y _
41 Saturday. 8:00 a.m. to 5:00_ p.m.
r, _ T: • ..°
' '~Work shall be prohibited on legal holidays and Sundays.
. 75. Work performed within'500 feet of a signalized intersection is restricted between'the hours of," •9�a.m i,'
- 3 p.m. Traffic control shall be set up after 9 a.m. and removed before 3 p.m. The Perm shall
` `contact the Riverside Country Traffic Signal Maintenance Departmenfat (909) .275-6894 if signal:' _..•
r ` 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), r,
'- 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.
k 7. r Pursuant to Section 14.16.250 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), '1982); 1
R L ' �` advance warning signs and traffic control shall be installed and maintained iri accordance with Cal r.
' { 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'.
Paoh ""
Special Conditions - PERT NO. 3855 ` '` gelof5
MI
t
_��, ,`e• K , rY+ ... '� x.: -,fir i� ,_• {•F.
'y
PERMIT NO.385.5
CVWD
Pursuant to Section 14.16.290 of the La Quinta Municipal Code (Ordinance 10 § d (part), 1982),' street
closures 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 •l -800 422 t
:'..
- 4133. It shall be the Pe'rmittee'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,`
,r -irrigation lines electrical conduits and storm drain facilities..
' 9. •'' Should additional work, ' materials, or modifications of the work lie f 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.
10. ` .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 maybe used as backfill material provided that minimum compaction, achieved in the-,
manner prescribed herein, is achieved. Backfill shall be performed by mechanical means; ndwater
densified compaction via jetting or flooding or other means shall be allowed. Ii shall be the Permittee's `` ` .J• '
responsibility to provide appropriate geotechnical supervision, testing and inspection, `onsite, at all
times during backfill operations.' w z ' , '
Backfill compaction shall be achieved by the following conditions." ,` , . t -'��i ; •'
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 A'
f . Inspector and the resulting excavation backfilled with pipe bedding material.'
.• i
B. Backfill materials shall be brought to or maintained at an appropriate, moisture' cohtent`.f6r .:
compaction. The appropriate moisture content range shall, be established at the`ohset' oQlf •�` ='
project and ensured prior to use of the materials through progress testing on the stockpiles:
L. C: The first length of trench backfilled shall be backfilled in ahe�presence of the, City Inspector.
F Compaction shall be tested at random depths at approximate three-foot vertical intervals as backfill ` ; f
is placed to ensure the effectiveness of the compaction methods and to establish the°depth of lift that;
can be compacted. f4. • ,{ #� ,
' . Special Conditions - PERMIT NO. 3855 y,f i '4' Page 2 of 5
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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 ihickness•t %,!-,'�
- ; to be'compacted for the remainder of the project. •_; y. '"` ` '
E. In subsequent lengths of trench, the frequency of compaction tests shall equal.one per each lift of,
` backf ll, per 300 linear feet of open trench, at randomly selected locationswithinthe open length
of trench.
F• The depth of the randomly selected compaction tests shall also be randomly selected except that"-.,
s where multiple tests are required in a given length of trench, the.tests shall be no'close'r than three 4
feet (vertically) from each other.
G. If any compaction test fails, previously placed backfill (iri the' same length of 'open trench' or ,F} --"',
-, :" • previous lengths of trench) which is represented ;by the failing test (as determined by the City 'r `
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. a ♦ R '
11. : 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 excee&that -
which can not be backfilled in the same day. Excavated trenches shall not be allowed open overnight,
` r however, Permittee may leave a length of excavated trench, not to exceed twenty 20 feet in len h . •_ �, Y g tY(' ) .fir, �,• ,
open overnight at a point where construction will begin the next day, provided that this length of trench it;
'is completely covered by steel plating.
41 !All landscaping, irrigation, decorative rock, decorative concrete, lighting„ etc.; shall�be replaced to'its \ ,
` original condition.
=13.: Access and egress to all local properties shall be maintained at all times.
14: ,Pursuant to Section 1436.375 of the La Quinta Municipal Code (Ordinance 10 § 1 (part),{1982),`"7
permanent pavement replacement shall be completed no later than seven (7) days after the cornpletion_ . -
' ' 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.
Special Conditions - PERMIT NO. 3855 Page 3 of 5
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PERMIT NO. 3855 :}
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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, ' , w •'
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Specifications for Public Works Construction: The replaced pavement and base material shall bet.:"
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compacted to 95% relative compaction and respectively tested, for each 300 lineaf feet of trench:. • • '
Verify exact structural replacement section thicknesses with the City --prior to installation: '• . ', °�`: -'
'C.'
Perrrianent pavement replacement shall be installed using a City .approved 3/4"..max medium: `' • .'
asphalt concrete as the base course lift and a City approved13/z" max medium -finish course lift for`'.:.
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capping. Asphalt concrete mix design shall be approved by the City prior to its: placement. `- r `x
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' - D. ,.
' Cold -Mill and Overlay - The existing pavement which was properly protected in place during the
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trenching operation. located adjacent to the trench saw cut shall be cold -milled to a depth of 0.10
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feet with butt joint created next to the existing unmilled'pavement surface: The cold -milled area
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and base asphalt concrete in the trench area shall be overlaid with a City approved C2-AR ;4000,
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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.
t `+ `• • ' } For longitudinal trenches located in a traffic lane: two (3) feet butside the sawcut removal `µ
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lines, or to the lane line striping, whichever is greater:
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For transverse trenches across existing street: two (2) feet outside the sawcut removal lines.
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If grinding and capping operations are not erformed in the same day as base"paving operations'.. '
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the base course lift of 1/4" max medium asphalt concrete shall be installed from saw -cut edge to
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saw -cut edge flush with the existing street surface. The base course lift of paving shall not be left,
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0.10, low in anticipation of grinding and capping. = 1 h
' 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:
4 ,15. Permittee shall permanently stabilize any and all soil that was disturbed as a result of work performed•` ' '4 .
under this permit with an approved dust control treatment. Soil stabilizatiori shall be done immediately,.
+ ''<;'�; • after completing the operation.
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.. Special Conditions - PERMIT NO. 3855 t -- ' g
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PERMIT. NO.3855
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16. `t Pursuant to Chapter 12.56 of the La Quinta Municipal Code (Ordinance 10 § 1,(part),'1982) the City:has ,N - U.
S .a'designated'certain city streets as Truck Routes. The weight limit for restricted. streets (i e.,-streefs 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 granf's permission
to use the street to deliver street construction materials and/or equipment:
`17. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time
s 18 _:�. i The perniittee shall indemnify, hold harmless and assume the defense.of the'CityfromFall� _
` damages, delay costs, costs or expenses in law or equity that may arise out of work under
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