3893NOTE:
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
Subdivision'Improvement Permit — Class III
DATE: April 22, 2003 •Minorl,mprovement Permit Class IV X
LOCATION OF CONSTRUCTION West of Washingion, East of Avenida Bermudas 'ou-
Desert Club Drive, cross street Calle $aicelona,
(Street address or Description.of Location)
PURPOSE OF CONSTRUCTION To supply Water for. fire Sketch. (attach construction 1plans.if appropriate)
protection'
DESCRIPTION OF: CONSTRUCTION Install 1-611. detector
check complete
**See.Attached,Special :Conditions**
DIMENSION OF INSTALLATION OR REMOVAL As needed
SIZE OF EXCAVATION, IF NEEDED As needed
APPROXIMATE TIME.WHEN WORK.WILL BEGIN Mav'2003
APPROXIMATE TIME OF COMPLETION'- JUM 2003
ESTIMATED CONSTRUCTION COST $: 15'-1100'
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction' and placing permanent resurfacing. and/or replacing improvements) "
In consideration of the' grariting 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
CVWD (Sandra Villalobos) P.O. Box.1058 Coachella, CA _92236.,: (760).398'-2651.
Name of Applicant (please print) Business Address Telephone No.
CVWD'.(Robert'Rodriguez) -P.O. Box 1058 Coachella, CA. 92256 (7603 390,2651-
Name.of Contractor and Job Foreman Business. Address Telephone:No.
l IN 1A
Contractor's License No. City Business'License No:
N/Ai:
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit -Class I II
-Public improvements: 3% of'esti.mated construction costs.
Private improvements: 3% of estimated construction. costs
Minor, Improvement Permit — Class IV:'See attached schedule1891
NO
Inspection Fee $ PERMIT VALIDATION ,
Permit'Fee PERMIT N0. 3893
Penalty
Cash Deposit Surety Bond DATE APPROVED AAYil 22. 2003
if required April. '30, 2004
A to �% EXPIRATION DATE _
TOTAL: $ #�1O rE
�y i-
DATE ISSUED � �
Receipt No. Y
Received by Date !Administrative Authority
Victor Miliriz, •Assistah.t Engineer I -
Recorded by Telephone: (760) 777-7075
_7
thpr(
�Wi.pr ' er 'validation
With.proper
this for "'nninctitutes an
encroach me nt.,perm it CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC 1AWNDWO CONSTR
UCT ON (ENCROACHMENT)
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots,, sewers- water mains
and othtr like public works improvements. in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit — Class I'l I
DATE:. April .22, 2003 Minor Improvement. Permit Class IV X
'LOCATION OF CONSTRUCTION West of W441ugton, East of Avenida Bamudas on
Desert Club Drive, cross street Calle Barcelona
(Street address of Description of Location)
PURPOSE OF CONSTRUCTION To supply water foir-fire Sketch (attach I construction plans if a'pprop. riate)
protection
DESCRIPTION OF CONSTRUCTION Install .1-61'.detector
check coiayiate
-**See Attached Special Conditions**
DIMENSION OF INSTALLATION OR REMOVAL As needed.
SIZE OF EXCAVATION, IF NEEDED As needed -
'APPROXIMATE TIMEWHENWORK WILL BEGIN 'MAV 1003
APPROXIMATE TIME OF COMPLETION June 2003
ESTIMATED CONSTRUCTION COSTt
(including removal of all obstruction, materials, and debris, backfilling, com-
paction a'nd plai;i.ng 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 perniit granted pursuant to this application.
Noflfy 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
CVWD (Sandia Villaloboa).. P.O. Box 1058, -Coachella, C& 92236 (760) 398-2651
Name of'Applicant (please print) Business Address Telephone No..
CVWD--(Robert Rodriguez) .P.O. Box-1058 Coachella, CA. 92236 (760,398-2651
Name of Contractor and Job Foreman Business Address Telephone No..
NIA UIA
Contractor's License.No. City Business License No.
Applicant'? Insurance Company. Policy Number
FEES:, Subdivision Improvement Permit — Class I I I
Public improvements: 3% ofestimated construction costs
Private improvements: 3% of estimated construction costs
Minor. Improvement Permit — Class IV: See attached schedule
-93
N 11 38
Inspection Fee $ PERMIT. VALIDATION
Permit Fee 111443
Penalty
Cash Deposit -Surety Bond
if required
TOTAL'
$ No ''Pp_
Receipt No.
Received by Date
Recorded by
PERMIT 11y0.
DATE APPROVED April 22. 20.03
EXPIRATION DATE April 30.2004
DATE ISSUED
By
::.Administrative Authority
Victor Monz, Assistant'Engineer I
.,.-f6lephone: (760) 777-7075
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a3W� fX ,•; �' Y. • .. •, City of La Quints _ t •' . ,y 'r rt-��'4 �.- =
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4. '•The following General and Special Provisions are attached to and made apart of
Tt y� �\l ,• Permit Number 3893
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
•- ONLY. Whenever 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 secured by the permittee prior to starting work.-. - , ; - ' ;#. ; -o, 6;
• TRACK -LAYING CONSTRUCTION EQUIPMENT: Cleated track -laying construction equipment shall not be permitted to operate on any paved, '• s
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, • ` ''?
"^ or broken during the term of this contract or if the pavement is marred, City of La Quints shall request that these portions of road be resurfacedA.
=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.'
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 culvertand "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 Quinta 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 removed from the right of way. All
paved surfaces shall be broomed clean of earth .and other objectionable materials immediate) after backfill and compaction. Existing
p 1 Y P 9 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 iequired, 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.'? •, ;� ` t, „
: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 . n•"� �;
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, '
permittee shall contact this office to obtain the necessary permission. .' ' , • r '� rl
SPECIAL PROVISIONS . ,.• z- .... :.a•
The following shall apply when indicated:
® ,R1, - NOTIFICATION: Permittee shall be notified the City at (760) 777 - 7075 at least forty-eidht hours (48) in advance of starting'
construction. • - r '�
® R2 UTILITY CLEARANCE: (Substructures) Prior to making any excavations within the City of La Quinta right-of-way authorized ..ti
by permit, the permittee shall contact all concerned utility companies 1 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 } ;
r permittee. r f x
® R3 J UTILITY CLEARANCE (Surface Structures) No work shall be done under this permit until all utilities are' clear, of the, y • ,�:o A,
_ . proposed work site. The permittee shall notify all concerned utility companies of the proposed work. `� h
' ❑ R4 _ ,. PAVEMENT WIDENING: Area between the proposed concrete gutter, line and the existing road pavement shall be surfaced' } ''t
- 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 f GRADE CHECKING: City of La Quinta shall check grades upon receipt of plan and profile and/or grades as established by y
a licensed engineer.
c ❑'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 gutter and.4
` concrete driveway approach shall be constructed in conformance with City of La Quinta Standard #207.,T
❑ R8 DRIVEWAYS: A.C. driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the property
•' * i line and the existing road paving shall be two and a half inches (2 '/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.
.- r .. �' ..•F" � `,� . to -.
❑ R10 ' SOIL STERILIZER: The area to be surfaced shall be treated with soil strerilizer. Rate of application shall comply with the
- manufacturer's specifications.
S !
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.
® R12
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
- f
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 '
s'
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
f
case, a relative compaction of ninety-five percent (95%) shall be maintained with the structural section of the roadway.
wn.
® 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 (6) 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
`
L
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
L"
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 (2") of SC-800 shall be placed immediately. A permanent patch of ( ** N/A **) inches of A.0 surfacing placed on
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.
ti
® R23.
STREET RESTRIPING: Where street striping is still visible on street to be excavated, such striping shall be replaced upon
completion of permanent repairs.
❑ RN
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
-"
-
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. r
t� NOTE: t s f
With pg:oper validation ? *,
` -
` this form constitutes an I , r• •`'r
encroachment permit CITY, OF LA QUINTA-
- APPLICATION FOR PERMIT •,'!
c PUBLIC WORKS'CONSTRUCTION (ENCROACHMENT)
0F
.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�ancl APPROVED SUBDIVISIONS
' _ Subdivision Improvement Permit — Class III
DATE: 18-03 - J Minor Improvement Permit Class IV
f LOCATION OF CONSTRUCTION Oi� �- �irna {arf_; �asf O Qyenlcl!a�Bf'rm/l�f�s� }
Oh esPrf Lu.6 Dr/ I/ C' s n-Ile' Bara-e lonov >,
IStreet address or Description of Location) - -'
P RPOSE OF CONSTRUCTION TD st l oalti �� �L�r'. t i ' v
1 �er''' Sketch (attach construction plans if appropriate)
e>' r ec on. • r .
DE$CRIf TION OF CONSTRUCTION Tnsfa�/
check, 7-
DIMENSION OF INSTALLATION OR REMOVAL aS needed; +• ..'.ti "�.''.: ; : r '.�,,
13
t' SIZE OF EXCAVATION, IF•NEEDED aS ne-edecL
r` 4• •
APPROXIMATE. TIME WHEN WORK WILL. BEGIN '5p'3
'APPROXIMATE TIME OF COMPLETION
ESTIMATED,CONS_T_RUCTION_COSTY$. S, 000• oo
^ 1 (Including removal of all obstruction, materials, and debris, back filling, com-
paction and placing „permanent resurfacingand/or replacing improvements)
1 cant hereby agrees -to:
CATER ,.
officers, representatives and employees• harmless from and against anv and all
action and arising out of any accident, loss -.or damage to persons or property `
f /STRIG� undertaken under 'the permit granted pursuant to, this application. ■
COACH`ELLA VALLEY WATER DISTRICT 24) hours in advance of the time when work will be started. , "' • y��"r'
i conditions of 'the permit and all applicable rules and regulations of the City of , v
SANDRA VILLALOBOS ssary as the. result of this work.
`— Development Services Technician ~ ` � � • .
P.O. Box 1058 (760) 398-2651 Signature of Applicant or Agent `
f 1 Coachella, CA 92236 Fax: (760) 398-3711
r ; _ ;• ; 398-0"�l05/ x •3,�� .
" Name_o 'Applicant'lplease pr ntl .. ,,Business Address ' Telephone No.' ' . ;,��
ob f i odri aez. ` Po• 1658 0a6kel a aa3(o 3 -a 451 •x-35o8
o
Name'of.Contractor and�ob Foreman "• Business Address Telephone No.- r
Contractor's License 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 k CJ FJ
Minor Improvement Permit —'Class IV: See attached schedule
Inspection Fees $ r PERMIT VALIDATION • ,
Permit Fee i 317 h
PERMIT NO.
Penalty, • F1 ' ` h ' I I - - •.
Cash Deposit -Surety Bond ". DATE APPROVED "I l
if required EXPIRATION DATE 1.�n1'� r
TOTAL: S
• DATE ISSUED
Receipt No. "
' 1 Y 6y ' -
Received by Date Administrative Authority >
Recorded by TELEPHONE: 16191 564.2246
1 '