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4052NOTE: With proper validation this form constitutes an encroachment permit u� 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: AnrEther 93. 2003 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 47--502 Cnit,o R ty (Street address or Description of Location) PURPOSE OF CONSTRUCTION Tc^�►©xrry Electric Pcti;7ar Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Srt~ 'i' ,. oorrlry Polc:a r.SUo attdchod cp(:ciJ. 1) Ninitn cl�jarunco for pal.:1 1 DIMENSION OF INSTALLATION OR REMOVAL Sf-n T7A (wort: cal) cleer::i!co t7{ :h L'u:: „rut:: 2. aurkncu to 10 foc:t. SIZE OF EXCAVATION, IF NEEDED 2) APPROXIMATE TIME WHEN WORK WILL BEGIN T attn. Tiner—anr 2003 APPROXIMATE TIME OF COMPLETION r'•'?� `7 12nuary 2004 ESTIMATED CONSTRUCTION COST $ T-r','t" than 1 5-000.00 (Including removal of all obstruction, materials, and debris, backfilling, com- action and 1--in ermanent resurfacin and/or re lacin im rovements) P P g P g P g P In consideration of the granting of this permit, the applicant hereby agrees to: Tcnpornr*; pouor li-irr G pa?.:� :--uw-t: 'r,. eotiatructnd ai the oppof;i"ts s:id.? of: tha m.intin3 1_ u_t ih-i L : Qn,::, snt . ? Culco Bee;" (:.,.:n drL:r.?rr; a.ra :,mccit' co:Id't tionn) . 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 applicab a rules and regulations of the City of La Quinta and to pay for any additional replacement necessary as the result,. of this work. Name of Applicant (please print) Signature of Applicant dr Agent Partida, 12021-1;. 17th 13r. f Tu: tiri CA 91270 Business Address Telephone No. Powor Plua, 27SON Parric Blvd., Perrin, CA 92571 (909) 457-0411' Name of Contractor and Job Foreman Business Address Telephone No. 523596 Contractor's License No. Inrumaca Ca-.-:!)rn7 of Pennn7lwmia Applicant's Insurance Company FEES: Subdivision Improvement Permit — Class 111 Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor. Improvement Permit — Class IV: See attached schedule Inspection Fee $ 0.00 Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No Received by Recorded by 100.00 0.00 0.00 $ 100.00 Date City Business Licen��� C7165654 T„ Policy Numbe,u — -" ') U l� CITY C7 Lf. CtU[':';A O FIC Ak;CE OE?T. EH E 0 PERMIT VALIDATION PERMIT NO. 405Y DATE APPROVED 1?/2S/03 EXPIRATION DATE 12/31/04 DATE ISSUED B Y Administrative Authority Telephone: (760) 777-7075 PUBLIC WORKS DEPARTMENT APPLICATION FOR PERMIT Date: I Z/ L 3 /0'5 .Location of Construction: • 47-51Z, C.,,� 0L,4.Qv.�.:�. C(� J. Purpose of Construction:. TcM.oe+r.�rH Ele�!FY� c. Description' of.Construction: Dimension of Installation or Removal: Sec Approximate Construction Start Date: L.a sec¢.-•loe,r :.Approximate Construction Completion Date: Estimated Construction Cost:. $ L So,) 0, o , j Estimated Construction Cost shall include the removal of all obstructions; materials, and debris, back -filling, compaction and placing permanent resurfacing and.or replacing improvements Name of Applicant: Applicant Address: ,0%e7 .5T Applicant TelephoneilrlemheiE 67 IRM Name of Contractor: Contractor Address: 'r /vb 11tr/,S Contractor Telephone Contractor State License Number: . Cat\ Contractor City Business License Nu e A licant r Contractor General Liability Insurance Company: cam. « 7`!Sscant or. Contractor General Liabili Insurance Policy Number: c�. Office Use Only: Inspection Fee: Permit Fee. IOJ; J. As -Built Deposit:. Dust Control Deposit: Credit Amount: TOTAL FEE DUE: Office Use Only:.. Assigned Permit Number: Approval Date: Expiration Date: Issue Date: Administrative Authority PUBLIC WORKS DEPARTMENT APPLICATION FOR PERMIT Date: Location of Construction: Le.Qv.�.:�'�. C(� r Purpose of Construction: Tt, a EletAyi c. 9ew011- Description of Construction: Sep fie:%• o'w.,,,' !A poke 5!%.%j a Dimension of Installation or Removal: Sec - Approximate Construction Start Date: Approximate Construction Completion Date: Estimated Construction Cost: $ e- So,) 0. 01 Estimated Construction Cost shall include the removal of all obstructions, materials, and debris, back -filling, compaction and placing permanent resurfacing and or replacing improvements Name of Applicant: ({r �, ono a Co... s 1lr �c.�: o •i. �'1 r , CwY (0 5 -�': c� s Applicant Address: C4�� Applicant Telephone Wmber (7Go Name of Contractor- J�c, Contractor Address: Cam.. Contractor Telephone ber. 39$-S 81-J Contractor State License Number: e,t� Contractor City Business License NO e, . Clkk A licant or Contractor General Liability Insurance Company: C1 A01ficant or Contractor General Liability Insurance Policy Number: at. � Office Use Only: Inspection Fee: Permit Fee: IoJ;J As -Built Deposit: Dust Control Deposit: Credit Amount: i TOTAL FEE DUE: lop, see ->s Office Use Only: . Assigned Permit Number: Approval Date: Expiration Date: Issue Date: Administrative Authority: I� 1 `i-vtivtiw� e--re�,C,O-- kv V.1er J nn Cowg��` C W Q *O � 5, oe— 12/23/2003 _15:02 9099404685 RIVERSIDE: UPSTAIRS PAGE 02/02 :2/2012003 20:12 13 11U .. raur. dl INIPIERIAL IRRIGATION DISTRICT r 50 I Di'r�><nber 22.::OU3 City of La Quiet a B aiding & Wly P. O. Box 1W LA Q,,inm cA 9:,253 TO Vlrhom Et ?Aky SubjC4: -ToWirnqp' for Hayhoe Cw$n u66ft b 4n Zleoember 12, 2M, Hayhoa Cansttucdm applied tthtr a temporary 411ectric mOter lit 47-592 Galen EW m 1A Quinta. In order to ptovide temporary• power 1.0 their. conmucti0n ale, lJo�y wild need tQ vse tlae .cinaest ttatiafot�over (#UN68:i 1P) Wid aet temporary poles (10WO tho meet to thcir cohstrucdo.a aft. Them am xiv other trann cm MW, the site that am provide _Wmpor y power lbc their pa+oject. If you tocod addpit&* c9dl me at (160) 398-591 S CA, Mr. Carlos Paatada at 7 f Sincerely, . .,:,,�. SHARON L. PATlNO 16 = 8upavito; (!uAtainor So -vice � �o nNC,t5�.S l sr 110 ENERGY 01.800 AVEMJE 5a - GA CMINiM 00. 9M PERMIT NO. 405 , Caleo Bay Temporary Power/Hayhoe Construction In addition to the standard permit conditions, the following shall apply: Pursuant to Section 14.16.320 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), 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. Hayhoe Construction, hereinafter referred to as "Permittee", shall be responsible for providing continuous dust and erosion control. Streets shall be kept clean. They shall be completely cleaned at the end of each working 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 periods: October 1st to April30: 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. Saturday 8:00 a.m. to 5:00 p.m. Work shall be prohibited on legal holidays and Sundays. Work within 500 feet of a signalized intersection shall be performed 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 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. 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 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. Pursuant to Section 14.16.290 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), street closures shall not be permitted. A minimum of two (2) travel lanes of paved surface shall be maintained at all times. Special Conditions Page 1 of 2 �1 PERMIT NO.. 405 2- Caleo Bay Temporary Power/Hayhoe Construction 8. Prior to excavating, if required, the Permittee shall contact Underground Service Alertat 1-800-422- 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, irrigation lines, electrical conduits, and storm drain facilities. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to its original condition. 10. Access and egress to all local properties shall be maintained at all times. 11. Permittee shall permanently stabilize any and all soil that was disturbed as a result of work performed under this permit with an approved dust control treatment. Soil stabilization shall be done immediately after completing the operation. 12. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time. 13. The permittee.shall indemnify, hold harmless and assume the defense of the City from all damages, delay costs, costs or expenses in law or equity that may arise out of work under this permit. 14. The vertical clearance between the ground surface and power lines should be no less than 18 feet. 15. The temporary lines shall not run within and on the'same side as the existing Lake La Quinta Inn's property lines rather run on the opposite side of the street on Caleo Bay as shown in the picture below. Page 2 of 2 Special Conditions ,- City of La Quinta The following General.and Special Provisions are attached to and made a part of Permit Number 4052 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. TRACK -LAYING CONSTRUCTION EQUIPMENT: Cleated track -laying construction equipment shall not be permitted to operate on any 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, 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. 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 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 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, 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 - 7097 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. 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. ❑ 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 (Y<") 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. ❑ 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 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 1/2') 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 manufacturer's specifications. Citv 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 br 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 fumished 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 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 (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. ❑ R23 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 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.