4255NOTE;
With proper�balidation .v ,
this form constitutes an CITY OF LA QUINTA
encroachment permit
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 I I
DATE: 10/5/04 Minor Improvement Permit Class IV
Jefferson St. N/0 Ave 54 and Madison St
LOCATION OF CONSTRUCTION
S/O Ave 54
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Provide telephone facilities Sketch (attach construction plans if ap
propriate)
ppropriate)
DESCRIPTION OF CONSTRUCTION splice pit N10 Ave. 54
on Jefferson & conduit placement S/O Ave. 54 can
Madison
DIMENSION OF INSTALLATION OR REMOVAL 5XV Pnl lCe ni
& 350 V wide trench for conduit:
SIZE OF EXCAVATION, IF NEEDED V pride 36"deev
APPROXIMATE TIME WHEN WORK WILL BEGIN 11/1/04
APPROXIMATE TIME OF COMPLETION 511105 �• ^^� 2005 i
ESTIMATED CONSTRUCTION COST $ 6000.00 t I''',
(Including removal of all obstruction, materials, and debris, backfilling, com- CITY OF LAQUINTA
paction and placing permanent resurfacing and/or replacing improvements) FINA G
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
happeninogtl occurring as a proximate result of any work undertaken under the permit granted pursuant to this application.
i,totfy; 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.
Sigri Cure of Applicant or Agent
Verizon 295 N. Sunrise Wray Palm Springs. CA 92262 (760) 864--171.5
Name of Applicant (please print) Business Address Telephone No.
INFORM CITY 2 WEEKS PRIOR TO START
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 I II
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
• r
Minor. Improvement Permit — Class IV: See attached schedule
Inspection Fee $
180.00
Oi0.
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
$ 280.00
Date
4255
PERMIT VALIDATION
PERMIT NO. 11
4255
DATE APPROVED 10/5104
EXPIRATION DATE 10/5/05
DATE ISSUED )� �(
Administrative Authority r
Telephone: (760) 777-7075
a. v
PERMIT NO.4255
Verizon/Manhole Entering & Trenching Phone Conduit/On Jefferson & Madison
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. Verizon, hereinafter referred to as "Permittee", shall be responsible for providing continuous dust and
erosion control.
3. The permittee shall not encroach upon private property without prior written approval (submit to the
Public Works Department, attention to the Assistant Engineer 1) of the private land owner whom is
being encroached upon.
4. Prior to performing construction work or closing any lanes, the permittee shall call the City at (760)
777-7089 at least 48hrs prior to work and request an appointment for a preconstruction meeting with the
City Inspection staff.
5. Prior to excavating in native undisturbed soils, the permittee shall, have employed by proposal contract
an archaeological observer for the site excavations within.native undisturbed soils. A copy.of the
contract must be submitted to the Public Works Department and attention this to Anthony Colarossi,
Assistant Engineer I. If the archaeologist determines the site note to be required to be observed, please
submit a letter signed by the archaeologist stating their determination.
6. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more
frequently, if required.
7. 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 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.
Saturday 8:00 a.m. to 5:00 p.m.
Work shall be prohibited on legal. holidays and Sundays.
Note: Construction work (including setting up traffic control devices) is not permitted on any Arterial
street (ie any 4 lane street) before 8:00 a.m.
Special Conditions Page 1 of 5
PERMIT NO.4255
Verizon/Manhole Entering & Trenching Phone Conduit/On Jefferson & Madison
8. 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. .
9. 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.
10. 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.
11. Prior to excavating, if required, the Permittee shall contact Underground Service Alert at 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.
12. 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.
13. 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 may be used as backfill material provided that minimum compaction, achieved in 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 Permittee's
responsibility to provide appropriate geotechnical supervision, testing, and inspection, onsite, at all
times during backfill operations.
Backfill compaction shall be achieved by the following conditions:
Special Conditions Page 2 of 5
PERMIT NO.4255
Verizon/Manhole Entering & Trenching Phone Conduit/On Jefferson & Madison
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
Inspector and the resulting excavation backfilled with pipe bedding material.
B. Backfill materials shall be brought to or maintained at appropriate moisture content for
compaction. The appropriate moisture content range shall be established at the onset of the.
project and ensured prior to use of the materials through progress testing on the stockpiles.
C. The first length of trench backfilled shall be backfilled in the presence of the City Inspector.
Compaction shall be tested at random depths at approximate three-foot vertical intervals as
backfill is placed to ensure the effectiveness of the compaction methods and to establish the depth
of lift that can be compacted.
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 thickness
to be compacted for the remainder of the project.
E. In subsequent lengths of trench, the frequency of compaction tests shall equal one per each lift of
backfill, per 300 linear feet of open trench, at randomly selected locations within the open length
of trench.
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.
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
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.
14. 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 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.
15. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to its
original condition.
Special Conditions Page 3 of 5
PERMIT NO.4255
Verizon/Manhole Entering & Trenching Phone Conduit/On Jefferson & Madison
16. Access and egress to all local properties shall be maintained at all times.
17. 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 the completion
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.
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
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 trench.
Verify exact structural replacement section thicknesses with the City prior to installation.
C. Permanent pavement replacement shall be installed using a City approved 1/4" max medium
asphalt concrete as the base course lift and a City approved''/z" max medium finish course lift for
capping. Asphalt concrete mix design shall be approved by the City prior to its placement. .
D. 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:
For longitudinal trenches located in a parking lane: three (3) feet outside the sawcut
removal lines.
• For longitudinal trenches located in a traffic lane: three (3) feet outside the sawcut removal
lines, or to the lane line striping, whichever is greater.
For transverse trenches across existing street: two (2) feet outside the sawcut removal lines.
E. If grinding and capping operations are not performed in the same day as base paving operations,
the base course lift of 1/4" max medium asphalt concrete shall be installed from saw -cut edge to
saw -cut edge 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. 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.
Special Conditions Page 4 of 5
PERMIT NO.4255
Verizon/Manhole Entering & Trenching Phone Conduit/On Jefferson & Madison
18. 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.
19. Pursuant to Chapter 12.56 of the La Quinta Municipal Code (Ordinance 10 § 1 (part),1982) the City
has 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 grants
permission to use the street to deliver street construction materials and/or equipment.
20. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
21. 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.
22. If it is the intent of the permittee to cut the pavement and have it restored by a third party, the
permittee shall postpone cutting the pavement until the intended third party has acquired a permit from
the City to perform the required restoration work.
Special Conditions Page 5 of 5
City of La Quinta
The following General and Special Provisions are attached to and made a part of
Permit Number 4255
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 n
"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 ('/d") 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
manufacturers specifications.
�
City of La Quinta
t
® R11
COORDINATg WORK: The proposed work shall be subordinated to any operation, whicFi 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
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 ( 3 ) inches of A.0 surfacing placed on a ( 6 )
inch ( crushed ) aggregate base shall be placed no later than ( 5 ) 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.
FROM (TUE) 10. -5' 04 7: 59/ST. 7:58/NO. 4860068607. P 3
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I. A Flashing Arrow, sign shall be
Traffic Cone or Delineator
used for each lane closed.
.02. Two lane closure signs (C-20) shall be used on the approach
to o lane closure with
T
Sign
speeds of 45 mph (70 Km /h) or greater.
NOTE: This chart based 12_foot
on (4m) wide lanes.
For lone widths greater than 12 feet (4m),
use the
Direction of Travel
following formulae:
( Not- a pavement marking)
Toper formula:
Q
Flashing Arrow Sign (Where Required)
Required)
Refer to Poe 5
L S x W for speeds of 45 mph or more.
L " S x W for speeds of 70 Km/h
to sel(Where
Type I . or T q
II
or more.
L '
Y.
ype .
60 for speeds of 40 mph or less.
Nigh Level Warning Device (Flogtree)
-
L'- Mf for speeds of 60 Km
Wh ere: 150 /h or less.
Barricade (For Excavation Only)
Refer to Page 9 for Details
L - Minimum length of toper.
S e Numerical value of posted
on
Type I TYPe IC or Type TII
speed limit prior to work
irElf teli7 •speed. u>< NORTHw^M . it
ARROW PONT
, un W Width of olfsetyap ANFlogger i•e.: 80 Km/h and 6m lone:
L 80 x 2
( /3)6 0 320 meters
i.e.: 40 mph and 19' lone. L e 19 x 402
WORKSYTE 'TRAFFIC CONTROL PLAN
SINGLE LANE CLOSURE ( LEFT LANE )
0
FA
See Chart "A' S14 Chart -A
LEGENQ
• Traffic Cone or Delineator
T Sign
Direction of Travel
( Not a pavement marking )
Flashing Arrow Sign (Where Required)
Refer to Page 5 to select Type A,
Type 1 . or Type II .
Y High Level Warning Device (Flogtree)
~ Barricade (For Excavation Only)
Refer t.Q.Pnq:a c ...
type i , Type li • or Type X
Flogger
OVV G.�SEE
W uG •p� • RIN N
TAPER 1\0
FORMULAE /n
Chart "A• S4s Ctwrt "A' 150' 43m
MINIMUM RECOMMENDED CHART A —
OOJNEATOR AND SIGN PLACEMENT
TRAFFIC SPEED TAPER LENGTH (1) (�^) DM94CATOR SPACn10 SIGN SPACINO(S)
(m) (�Y.O.f. Of ICyb
24 MPM (m) • B.t.un Sync) (n1)
30 MPH (IS) 123 Ft. (SS) 0 Ft. (8) 300 Ft (90)
31 MPM (50) 245 ►t. (71) 35 Ft. ((11(90)
) ) 300 ►t300 Ft (90)
•4S MPH (70) 40
.
.50
S40 FL (teS) 45 FL (14) 140 Ft. le
653+MPM (e5) 1000 Ft. 50 Ft. (15 6 Ft. (185)
(303 SO Ft. (15,11) 750 Ft. (Y30)
1. A Flashing Arrow sign sholl be used for each lone closed.
02. Two lone closure signs (C-20) shall be used on the approach
to o lane closure with speeds of 45 mph (70 Km/h) or greater.
NOTE: This short based on 12—foot (4m) wide lanes.
For lone widths greater than 12 feet (4m),
use the rollowing formulae:
Toper formula:
L S x W for speeds of 45 mph or more.
L S x '3 W for speeds of 70 Km/h or more.
L ' WS' for speeds of 40 mph or less.
- 60
L m WSSO for speeds of 60 Km/h or less.
Where:
L - Minimum length of taper.
S - Numerical value of posted
ii&i Or
85 percentile speed.
W. ►Kdth of offset.
I.e.: 50 mph and 19' lone; L rCNORM wmf A 1M
MD ft MROw PdM7
50 x 19 � 950 feel A" A
1r,q -a.... 0.L 2.
e 150 - 144 meters
CURB OR E.P.
i
WORKS17E TRAFFIC CONTROL PLAN
-- SINGLE LANE CLOSURE
0
CURB OR E.P.
Meoion or Divioing One -- -- --
�-� — (3m) 10 ( — — _ _ — —_-•-- —
V�
O�
r CURB OR E.P. e 5 To or L J 1
.4b 54e Chart 'A' tOpSee Chart 'A- 30m WORK G�
AREA o�
0 �
q- iryZ Q� G�V C:
SCHDEART A -
MIN4UM. RECOMMET(DED LINEATOR AND SIGN PLACEIIFNT �
TRAFFIC. PEED
O ( �) TAPER LENCTN (L) OEUNEATOR SPACING S ON SPACINC(S) ,P
(m) • 8.1-- 5'r., (m) -
2S MPH125 Ft. �
30 MPH (4S) 100 Ft. (40) 2s Ft. (e) 300 FL. (90).:.
3S MPH (50) 245 Ft. (S3) 30 rl' (9) 300 Ft. (90) o
'p�u^ 40 MPH 6 320 rt. (7S) 40 Ft. 35 Ft. (I t) 300 FL (90)
(tes) 45 r1. 3 Ft. 100
•SO N 600 t. (14) Soo Ft. (1e5
• TroNic Cone or •SS`MPM (es) 1000 FL Oelineotor NOTE: This chart based on 12-foot (4m) wide lanes. 1, A Flashing Arrow sign t30S) SO rt. (ts) 7Ja Ft. (230)
W Sign For lone widths greater than 12 feet (4m), ° gt shall be used for each lone closed.
use the following formutoe: 2. Two lone closure signs (C-20) shall be used on the approach
Direction of Travel Toper formula: to o lone closure with speeds of 45 mph (70 Km/h)or 0
( Not a pavement marking) L S x W for /) greater.
speeds of 45 mph or more. - ,p
L ' S x � W for speeds of 70 Km W 0 Flashing Arrow Sign (Where Required) /h or more. rn
Refer to Poge 5 to select 7 L • INS o
Type I or T �e A for speeds of 40 mph or less. o
Type II . 60 rn
m
it K1gfi'"CeGei warning Device (Flaglree) Where: 150 - "" ' T2bs or-60 Km/h or less. 0%
0
L Minimum length of toper. --]
~• Borricode (For Excavation Only) S Numerical value of posted
Refer to Page 9 for Details on speed limit prior to work or
Type I . Type IC . or Tvt+w_Ttr 85. I... .. -... -._. - ... _... - .�
W w Width of offset "::. �TM t •tr
i•e.: 80 Km/h and 6m lone: L . 4MD µ A&Ao• �r MlORKS TRAFFIC Cl>r(TgOL P Flogger 80 x (2/3)6 320 meters EDGE OF GUITER CLOSURE --
LAN
i.e.: 40 mph and 19' lane: 19 x 402
L � �„ - 507 lest
FROM :'..,:j.TUE) 10. .5' 04 8c59/ST.8:59GN.0. 4860068610.P "2 .
Work Area Traffic Control Handbook 39
Closing of Left Lane and Closing of Center of Street
CIS OR C23—\
C13 OR C14 —
9
v I V
I
1
I
I
1101:1. (1,.Dm,
I
I vn� w1E
I
DI
_:
fl:
yDI
I
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DI
of
IDI iL�SNING
O
IARROW SIGN
D
NUNN
O
I C3n0
pD
I
nn
I
I
I
I
I
1
I
1
I
I
I
I
I
I
I
I
I
I
C13 OR C14
BARRICADES
DELINEATOR
�— See Chart A
4
V fl
C20 OR WI
C1 a OR C23
I.,
I
Z
U.
F
rjrj
Y1
4
Q
u
Cd
40
U.
O
I
FROM (TUE) 10. 5' 04 7:59/ST. 7:5$/NO. 4860068607 P 3
ji-
------------
------ !mac _ � _�-,.>__._�..� �_. .s. __� 1_- - -----_---- __ '--.----- _-._ •--
-_-_— _-- _45
------------_ -_� _----__--------==_=1�'L
_— ---_ _--_ __ --_- _- ____-. -_ - __� Nl7' ---
_-- --- - ____ --_--_- _ �_-------------------ice --- -7.- -----�-_-- _� _ _ --_ -- - - --- -
_--= --
_
OFC
C11 AREA STA C
. ---__ =E:
-� -INLAND VALLEYS
EXCH.: LR' Q U I A �'A
3 wo No.: 8PQSQs I G.
,�-T_CONTROL NUMBER:_77EFFE R S w oA Sr ni/Q �fEi�1 L��REV. DATE: `'GALE:
DAWN ENG APRVD PRIN
(��ING RNS OF
FROM (TUE) 10. - 5' 04 S.: OO/ST.. 7:5.8/WO. 4860068.607 P 4.
15— f . . . . . .
oLL
..-. - .... ._ ,rL!oo r,o to ...
�i. See mart A'
10. AIM. (3m) • i T =+ • i • _� �� -
ave cnerf W - See
A Flashing Arrow sign shall be used for each lane closed.
•?. Two lone closure
•
Troffic Cone or Delineator
signs (C-20) shalt be used on the approach
to o lone closure with speeds of 45 mph (70 Km�)
T
Sign
or greater,
NOTE: This chart based on 12-foot (4m) wide lanes,
For lone widths•grecter
--
Direction o/ Travel
than 12 feet (4m),
use the following formulae:
( Not- o pavement marking)
Toper formula:
0
Flashing Arrow Sign (Where Required)
Refer
L - S x W for speeds of 45 mph or more.
L . S x W for speeds
Pat
to Poe 5 to select Type A,
Type I
of 70 Km/h or more.
Y
. or II .
L 60 for speeds of 40 mph or less.
Migh Level Warning Device (Flogtree)
-
L'- W_for speeds of 60 Km
Wh ere: 550 /h or less-
-'
Sorricade (For Excavation Only)
Refer to Poge 9 for
L , Minimum length of toper.
S ' Numerical value of
Details on
Type I Ty9a II or Typj
posted
Peed limit prior to work Pr _.
„� ytrleliiue speed. woe.rc NORTH WIN A -Wf1aW Width o1 offset, AND AN ARROW PONT
:.e.: 80
9gar
Km/h and 6m lone: L a 80 z (2/3)6 • 320 meters
i.e.: 40 mPh and 19' lone; L 19 x 402
WORKS17E -TRAFFIC CONTROL pLAN
SINGLE LANE CLOSURE ( LEFT LANE )
x
No
C
O
0
co
0
0
m
a
v
in
0
CO
rn
0
0
rn
OD
ON
0
0
i�G�7\G SEE B9 4 of a.a.w)A .ia CURB OR E.P.
y1 1 TAPER �P
FORMULAE
S piC90 ��G
S SS Soo or L
Chart 'A" See Chart "A' Su Chart 'A' S iS0' 4lfm G \V
SM Chart "A' �
i EMD
• Traffic Cone or Delineator
T Sign
Direction of Troves
( Not a pavement .marking )
Flashing Arrow Sign (Where Required)
Refer to Pogo 5 to select Type A,
Type 1 . or Type II .
Y High Level Warning Device (Fiogtree)
Barricade (For Excavation Only)
Refp.f.t0_Pngq_C
�YPe I . Type it or Type III .
Flogger
- ......... --
MINIMUM RECOMMENDED DELINEATOR AND SIGN PLACEMENT
(
TRAFTIC SPEED TAPER IfNOTN (L) DELRIEATOR SPAC)NO SIGN spAclNc(s)
�) (m) (A-t. *I r.,.
21 MPN (^�) r e.t~ &4") (T)
30 MPN �4g) (� rt. 123 Ft.(40) n rt. (a) 300 Ft. (90)
33 MPH (y0) (�) JO Ft. (9) 300 Ft. (90)
245 /t. (75) 35 rt. (11) 300 Ft.
s0 (90)
1e3
•43 MPH (70) SQ FL
.S0 ( ) 45 Ft. 14) 340 Ft. to
055+MPM (65) so 1000 Ft. (305) Ft. (15 rL (leg)
(10) 750 Ft. (230)
1. A Flashing Arrow sign shall be used for each lone closed.
82. Two lone closure signs (C-20) shall be used on the approach
to o lone closure with speeds of 45 mph (70 Km/h) or greater.
NOTE: This choft based on 12—loot (4m) wide tones.
For lone widths greater than 12 feet (4m),
use the following formulae:
Toper formula:
L • S x W for speeds of 45 mph or more.
L S x' 's W for speeds of 70 Km/h or more.
L for speeds of 40 mph or less.
60�
L n 51 for speeds of 60 Km/h or less.
Where:
L • Minimum length of toper.
S , Numerical value of posted
tu
85 percentile speed.
W • Width of offset. .aa.1t Marn4 111w A nr
i.e.: 50 mph and 19' lone; L 50 x 19 95
AND AN Aftnow pam?
. 0 feet
l: e.:.. 6n w n A,.
WORKSITE TRAMC CONTROL PLAN
SINGLE LANE CLOSURE (RICI(T_t
an.!
K
�1
0
CURB OR E.P.
--------Af�T-EET'
� Meyionor OiviJin9 Line — — —
10' (min.) — — — — -- -- --
� � • p G
G/
� S 1
� CURB OR E./Oc,
To er LSea Chart 'A' 100' 30rn See Chart 'A• WORKAREAG
,� SSG a• p.•y.a;
O
• Traffic Cone or Delineator
tr Sign , .
Direction of Travel
( Not o pavement marking )
Flashing Arrow Sign (Where Required)
Refer to Page 5 to select Type A,
Type I , or Type I1
v Irrr-Level W ining Device (Flogtree)
Barricade (For Excavation Only)
Refer to Page 9 for Details on
Type I , Type lC , or TVne_m
Flogger
MINIMUM RECOMMENDED -CH
OW
NEATIOR
TRAFFIC
TRAFFIC SPEED
PLACEMENT
TAPER LENOTM (L)
(Krrt/N)
DELINEAAr0
Sa'(ACINQLA
.P
25 YPM
( ep)
; (m)
(m)
l•o.w,e. or ram..
• e.1— S•v�.. (m)
"
30 MPH
(eS)
t25 rt.
125 Ft. '(e0) 25 rt.
(SS)
(a)
300 Ft- (90) .
35 MPH
(50)
245 Ft. (7S). Ft'
(9)
300 rt. (90)
40 YPM
35 Ft.
320 Ft,
(t1)
300 FL (90)
•e YPM
-50
(70)
s0 Ft.
Se0 Ft. (185) 45 Ft. '
1
(te)
3 F t00)
Y M
600 1.
Se0 Ft. (tes
•53«YPM
(es)
1000 FI
t30S) 50 ft. (ts) 750 fl. (230)
NOTE: This chart based on 12—foot (4m) wide tones.
For lone widths 1; A Flashing Arrow gig,OD
greater than 12 feet (4m), •2. Two tone closure sig(t:1120) aholdl be used ofor eachone l opprooch \\�
use the following formuloe: to o lone closure with speeds of 45 m h 70 Km a or O
Toper formula: P ( /) greater
L . S it W for speeds of 45 mph or more.
L OD
L ' S x' '3 W for speeds .of 70 Km/h or more. 0%
0
L = for speeds of 40 mph or less. o rn
60
� ao
— • 150
ti-,yTEb3-0)-66 Km/h or less. 0
Where: �
L Minimum length of toper. ro
S Numerical value of posted
speed limit prior to work or
W e Width of offset.,",-, ""^"� M0i4M rtM . •tr
MD AM Mno. Poerr WIDRKSITE TRAFFIC CONTROL PLAN ...
i.e.: 80 Km/h and 6m lone: L . 80 x (2/3)6. = 320 meters LEDGE OF CU TTER CLOSURE
i.e.: 40 mph and 19' lane:.l . 19 x 4p2
cn 507 feet
I
FROM (TUE) 10. 5' 04 8:59/ST. 8:59/N.O. 4860068610 P 2
' 2 '
1_.
I
Work Area Traffic Control Handbook 39
Closing of Left Lane and Closing of Center of Street
C13 OR C14 —
I
{
I.
I
I
1
{ to R. (3.em)
I
mt LAKE
DD I .
DI
=_
I
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y°I
D
O I
' D I
{
I iLA$M1R'
•RROW E1m
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00.
(. C30
{
n
I
I
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I
I
{
I
{
{
{
{
I
1
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—C13 OR C14
�— BARRICADES
U.
fCL
DEUNEATOR
�— See Chan A
I
1�
I
ZT Q
Z G
IX
ie S
y
I
P
ao
S
tj
d
LL
V
�
E
Q
Cd
d
L C20 OR WI
U.
a
CIO OR C23
0
FROM
(TUE) 1 0. .5' 04 7: 59/ST.-, 7; 58/N0..4866068607 P .2 .
APPLICATION' Fpq pERi1CT
PUBLIC WORKS COIIQTqU�-trot (mil
F`r t^e construction of public or private cu,_ And other Dice public works im �• oavesnarsts, _• - �� _. '•
Proventents in connection with MINOR IMPAOVElEi� assd >bp� �"M
A�'�YB
OA'rE: 7—IL 05/04 Subd;v :
LOCATION OF CONSTRUCTION JEFFERSON ST N/0 AVE 54 & MADISON Sk T S/0 q� 5 Coast
to
MinDrDe®m[ N
4
IStr" wdreu or Deecriptian Of
Location)
PUR':POSE OF CONSTRUCTION TO PROVIDE TELEPHON F CILITIESS
e:7
MMMpA TA��ow, PTT Ulf) nor — ==r=%.o— a fit.)
.1--%i't .31.
i• - - SEE 2 DRAWINGS THAT ARE ATTACHED.
DIM NSIONPF jNDSTA RLATC NF R REMOVAL 5cUi tr•r UT
VERIZON WORK ORDER t' 0543-8.POOIGR
SIZE�F EXCAVATION, IF NEED E® -
APPTXIMATE TIME WHEN WORK WILL BEGIN
APPR OIXIFAATE TIME OF
ESTi ATED CONSTRUCTION COSTSMPLETIO O
uncle irlg removal of all : �Qon On
P+ctio' obsVtsction, materials, and debris, badcfilting, oom-
and pladny permanent resurfacing and/or replacing bttproventanti)
In colpideration of the !ranting of this Permit-
ermi the applicant hereby agrees prove
tbde+nnifyl dehnn} and "" the C't - is authorized
ut wined swou oK �pneeersstivee•and iebititiea w toso or &r�'!� �tatQ atee!
N;oh�n w occurring a e 1 xr4rrtO result o/peny evork undertakan u 8cdOn and der he a any
it a or � � aw ski
Administrative Au rider the permitft
e 3m 1 h n iaest twenty-four 1211 tsoure N advance of the tires mom no w91 7
O i with all spay iota City Ordinanees" ds a coma and Conditions O! the t+ermit and actbw
�� m+Inta and to pay far arty additional Mlacoment necessary p tfna remit th of thisrWt wort
n �OrCef]ft hole -0m6mions. tt 00 ciy as
VER IZON Signature of Appligr-
295 N. SUNRISE WAY PALM SPRINGS CA 92262 760-864-015
Name of Applignt (Please Print)
K, i-�% C; Busineu Address
Name f' Z week PY�:o r �- T�Oa® Jio
o ICaniraetor artd b Foreman
Business Address Tf1el .�
ContraRpr's License No.
City ss�sea Liost� >� "—
Applicang's Insurance Compan
FEES: c p ry hurrs�
. ubdNision improvement Perm; —Class I f l
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
i^or Improvement Permit — Cia>s ly; &e, attsehed schedule
Inspection' Fee s L0 0 J _
Permit Fee 100.00 PERSQT VAL CLAT)C
Penalty ; PERMIT NC.
Cash Deposit•Surery Bond
if reQu;red DATE APPn:* sS3
TOTAL: s 80 L? EXPIRAT:C% J►TE
Receipt--�"
No. DAMISSU::
Received by, By
Date __
Recorded by.'
Telepl-.re —x) 77;.7,--
FROM,.
:.(TUE) 10. :5' 04 8: 59/ST. 8:59/NO. 4860068610 P 1
I
208 NORTH WAY P/V.li13Pf MM GLXXWl1N 02M
TM.
proem �l;lv joweS
ftm 74o-777. 7/--f'S '•�••�
h.o.e.e 7Go - 7 7 7 - 70-8 Q
Rees � Phonse 7w-. �G 4 - /7 %S
G,L,e,r O c dto, i° a
C] Ugwd Pw RVbUW O 11s6se Casa! R*Oy i0 measF., Recyc
0 Conunentu
..FROM.TUE) 10. .5' 04 7: 58/ST. 7:58%NO. 4860068607 P 1....
f • . •ii
ftx
ANTHONY COLAROM
FMC _—
760-777-7155
VERIZON
Netwp* Engineering & Planning —West
295 N. Sunrise Way
Palm Springs, CA 92262
ROM ROBIN .CONES
Pages: 7
Data 10/5/2004
Ron ;
Phone: 760-864-1715
----------------
L7 Argent For Rcwew ❑ Please ConPlease
ReWy ❑ Please Recycle i
DRAWING Z
h� ENUE 54
® RO4
I7COM9RUM N AHEAD
IEF F LANE GL.DSED AHEAD
I
I � I
200'
KOND VIDRK ■ a D GONS-MUL110N
SPEED LIMIT I a
75 MPH o �
FLASVH N 6
kZROW S\GN vr�
,+D'
T � I
•
1 •
I COUSTRUCTI ON
j AIZgPr
(JtSfF 1
iRPcFFIG GONiROL FLAN {
FDR TMFNGHltfb ON THE •
PAST SIDE OF MADISON
TRFNGii WILL U •
21 W I QE X %M LDNb *X 3' DEEP
FLASHING
AkIFOW SIGN
• ■ 11>,NE GLfKED
• ROAV WRY, NO SGl�LE
• SFEER UMIT
ENO UWgR0TION ■ 25 MPH
.I
320'
■ DMUR A,1•IEAD
13201
■ Kokv GON sTM.U6T10N AttEAV
With proger.%ilidatjon 4 e'
this form constitutes an CITY OF LA QUINTA
encroachment permit �
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT). caw
C�'`110F 'pFlb��s
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
10/5/04 Subdivision Improvement Permit —Class III
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Jefferson St. \/O Ave 54 and Mzidison St
S/0 Ave 54
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION provide telephone £:ici].ities Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION splice pit N0 Ave. Y4
Oil -Jefferson & conduit. alacement S/O Avr?. 54 on
Madison
DIMENSION OF INSTALLATION OR REMOVAL 5x5 ` s:o3-irP r_.f v 4 `.
& 350 1' widetrenchfor conduit
SIZE OF EXCAVATION, IF NEEDED 1 r wide 36rtdee
APPROXIMATE TIME WHEN WORK WILL BEGIN
11/1/04 vx.om
APPROXIMATE TIME OF COMPLETION---5/1/OSis ����ESTIMATED CONSTRUCTION COST$ 6000.00 (Including removal of all obstruction, materials, and debris, backfilling, com- LAgU1MTqpaction 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, li1bilities or loss resulting from claims or court action and arisirig out of any accident, loss or damage to persons or property
happening"'r occurring as a proximate result of any work undertaken under the permit granted pursuant to this application.
N"oti•fy 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.
" St,Wure of Applicant or Agent
Verizon 295 N. Sunrise Way Palm Snrinps, CA 92262 (760) 864-1715
Name of Applicant (please print) Business Address Telephone No.
INVORK CITY 2 WEEKS PRIOR TO START
Name of Contractoe 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 I I I
Public improvements: 3% of estimated construction costs Q�
Private improvements: 3% of estimated construction costs
Minor. Improvement Permit — Class IV: See attached schedule a, 455
Inspection Fee $ 180.00 f II PERMIT VALIDATION
0.0
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
$ 280.00
Date
PERMIT NO. "4255
DATE APPROVED 10/5/04
EXPIRATION DATE 10/5/05
DATE ISSWED v
Administrative Authority
Recorded by 11 Telephone: (760) 777-7075
UU/ Z81 Z.UD WED WO
VC.:
VAA f aU fir 1173 Ull,y of lf' Ra rUu, R ICJ UUI/ uUL
FINANCE W-�
Revenue Code_____
P_U_ Bc)x 1504
LA QUINTA, CALIFORNIA 92247-150
78-495 CALLF. rAMPI(:0
LA QUINTA, CALIFORNIA 922,53
September 29, 2005
• Verizon
Daniel Honeyfield U
295 North Sunrise Wa, *4,P
Palm Springs Ca 02 C
p �Par
c
Re: JEFFERSON STREET i
SOUTH OF AVENUE 54
(760) 777.7000
FAX (760) 777-7101
w.0. D543 -$�OOI G�
22.10
54 AND MADISON STREET
Encroachment permit 4255 will expire on 10105/2005. In order to avoid the
issuance of a °Stop Work Order' please renew this permit with in the next 10 (ten)
days.
The renewal fee as per City Council Resolution states:
Encroachment Permit— renewal of expired permit
$900.00 Plus 10•0 of original fee for each year the
permit has been expired .
ORIGINAL PERMIT FEE
10.%
EXPIRATION PENALTY
FOR EACH YEAR PERMIT
HAS BEEN EMPIRED
$280-00
- •$28.00
$100.00
RENEWAL AMOUNT DUE: $128.00
7f;`you Have ariy guegions or need additional information, please call Jesse .fimenez,
Counter Technician at (760)775-7075.
.. Sincenrly,
aul Goble, P.E.
Senior Engineer
City of la' Quinta
Public Woii..s I Engineering Department
" -� 3
ORAWIN(-) 7
NO Tf
With proper validation 0
this form constitutes an : CITY OF LA QUINTA
encroach mentpermii
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)`
OF If$O�S
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: 10/5/U4 Minor Improvement Permit Class IV
sef.ferscnn St. N/0 Ave 54 M:ta ie:disorr St
LOCATION OF CONSTRUCTION
S/O Ave 54
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION provide telephone facilities Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION sp ice Pit L' 0 Ave. 54
o:_ J'efYersor,, & Co:iduit- nlaceniei7m 5/0 Hva 54 n•-
t•i:diec:t .
F
DIMENSION OF INSTALLATION OR REMOVAL 5x5 t -A Ire n_ 9 �
& 350 11 wide trench for col-lu r
SIZE OF EXCAVATION, IF NEEDED 1 t wide 36"deep
APPROXIMATE TIME WHEN WORK WILL BEGIN 11/1/04' tH
APPROXIMATE TIME OF COMPLETION 5/1/05ESTIMATED CONSTRUCTION COST$ 6000.00 `" 20t05 tJ'
(Including removal of all obstruction, materials, and debris, backfilling, com- CITY OF LAgUINT
paction and placing permanent resurfacing and/or replacing improvements) FIM
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, libilities or loss resulting from claims or court action and arising out or any accident, loss or damage to persons or property
happening"•,'o! occurring as a proximate result of any work undertaken under the permit granted pursuant to this application.
Nii;ify 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.
SiVAure of Applicant or Agent
Verizon 295 N.. Sunrise Vay Palm Springs, CA 92262 (760) 864-1715
Name of Applicant (please print) Business Address Telephone No.
INFORM CITY 2 WEEKS PRIOR TO START
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- Suhdivisinn Imnrnvemont permit — rInct III
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor. Improvement Permit — Class IV: See attached schedule
Inspection Fee $ 180.00100.00
_ I
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
280.00
Date
3
° 4255
PERMIT VALIDATION
PERMIT NO. 4155
DATE APPROVED 10/5/04
EXPIRATION DATE 10/5/05
DA.T,E ISSWED
s
Administrative Authority
Telephone: (760) 777-7075