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4266 (2)NOTE: With proper validation 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 «2+ Subdivision Improvement Permit — Class III DATE: Minor Improvernent Permit Class IV �it3ith �I�I'ipri'i1B O PAi ROAD 'I Ui �iii LOCATION OF CONSTRUCTION (Street address or Description of Location) Preocuro Betterment - ftin replacanc.nt PIUiRePOSEeppial0u�n� dY a" r�; Oil �ici�i� ev�et� :XSketch(ttNch i°:iit+�uii°►��pivs Ippoprae DESCRIPTION OF CONSTRUCTION wu �mxrr �urc�t, y�xvu� "� aaal»Gh. DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 5*5 currouCly in prograva APPROXIMATE TIME OF COMPLETI.ONV_ ESTIMATED CONSTRUCTION COST $� (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) In consideration of the granting of this permit:, the applicant hereby agrees to: Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application. Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started. Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of La Quinta and to pay for any additional replacement necessary as the result of this work. i ,�+� Signature of Applicant or Agent The Can Company / AM Ortagn i't3 Eli 3003, Redlando. CA 92373 90$-335-7$74 Name of Applicant (please print) / Business Address Telephone No. SAME AS ABOVB Name of Contractor and Job Foreman Contractor's License No. Self Insured.......... Business Address Telephone No. City 1BuuCine'l�ipPuss llw Noto Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I I Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ YUt3. Uu Permit Fee Penalty _ 4 Cash Deposit -Surety Bond if required 1lSt1i.I.iU TOTAL: $ Receipt No. --� Received by jl� Date Recorded by D � '��t� 1 2004 I '" aQ NtU A FINAAtr-je DEPT. PERMIT. VA LI DATI©N— PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority Telephone: (760) 777-7075 NOTE: With proper validation thi's 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 II I DATE: 11-2-2004 Minor Improvement Permit Class IV - LOCATION OF CONSTRUCTION 48th AVENUE/DUM PALMS ROAD TG: 849—Jo (Street address or Description of Location) Pressure Betterment — Main repIncenent PURPOSE OF CONSTRUCTION �T Sketch (attach construction plans if appropriate) Tie — approximately 9U() teet of 4 " Eh on 46ttt Avenue fry ��te 4" stuo least of t➢uTer eaint DESCRIPTION OF CONSTRUCTION to MixaFlores Blvd. See stretch. DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Job currently in progress APPROXIMATE TIME OF COMPLETION! ii—i.'Y" ESTIMATED CONSTRUCTION COST��9K e� (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) In consideration of the granting of this permit, the applicant hereby agrees to: Y 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 Vpermit and all applicable rules and regulations of the City of ;La Quinta and to pay for any additional replacement necessary as the refiAt of this work.n .1 The Gas Company / AM 1 Name of Applicant (please print) SAME AS ABOVE Name of Contractor and Job Foreman Contractor's License No. Self Insured.......... Applicant's Insurance Company FEES: Subdivision Improvement Permit — Class I I I /Signature of Applicant or Agent t 3003, Redlands, CA 92373 909-335-7879 Business Address Telephone No. Business Address Telephone No. Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ Permit Fee 100.00 Penalty _Work vw��•oA fer-A Cash Deposit -Surety Bond if required $ 100.00 X 1> = 300. 0,3 TOTAL: Receipt No. Received by Date City Business License No. Not A:FpP1&ahb&e Policy Num U PERMIT VALIDATION 4Zbb PERMIT NO. DATE APPROVED EXPIRATION DATE ( ( /,a H /12 DATE MSSUfE,D Ikll Administrative Authority Recorded by 11 Telephone: (760) 777-7075 NOTES: 1. ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN ACCORDANCE WITH THE STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION (CALTRANS) MANUAL OF TRAFFIC CONTROLS FOR CONSTRUCTION AND MAINTENANCE WORK ZONES. 2. TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED. ADDITIONAL TRAFFIC CONTROL MAY BE REQUIRED TO FACILITATE PUBLIC SAFETY AND TRAFFIC FLOW IF DEEMED NECESSARY BY CITY OF LA QUINTA REPRESENTATIVE. 3. THROUGHOUT EACH WORK PERIOD, CONTRACTOR SHALL INSPECT TRAFFIC CONTROL (SIGNS, BARRICADES AND DELINEATORS) AND MAINTAIN SAME IN ACCORDANCE WITH TRAFFIC CONTROL PLANS. 4. CONTRACTOR SHALL MAINTAIN A MINIMUM 12' TRAFFIC LANE WIDTH AT ALL TIMES. THERE SHALL BE A MINIMUM 2' BETWEEN THE EDGE OF CUT AND THE NEAREST TRAFFIC LANE. 5. ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINED AT ALL TIMES. 6. THIS TRAFFIC CONTROL SHALL BE IN PLACE DURING WORK HOURS ONLY. AT END OF THE WORK HOURS, THE ROAD SHALL BE CLEAR OF DEBRIS AND, RETURNED TO NORMAL EXCEPT SOME PIPE MAYBE LEFT ALONG THE EDGE OF THE ROAD. N Wb NO SCALE DUNE PALMS RD. oovoc�caa4�000 0 0 STORM CHANNEL 0 T 0 I • 0 0 0 ! ! 0 I I 0 0 .� C1 p o C 1* + I 2 S D. 01/ok MIRA FLORES HOMES C-20 (RT) R 1 \ RA E P. EinB . 600 FT \500 FT or�ooQaoonaa oo ncocooQ�s�oaoc0000�4 0000� I I RANCHO LA QUINTA RANCHO LA QUINTA I I GOLF COURSE MAINT. 1 50 1 I Install Gas Main The Gas Company Tops N Barricades, Inc. ( 00)852-TOPS Ron Fifield CALTRANS T 11 Sheet Nuffim Date ""m4 Number 1 11 /2/04 To Be Issued on Approval —ca0000= U �I 0 0 JEFFERSON ST. �0 OD 00 00 INDIAN WELLS 0 fl U R.V. ROUNDUP oD �D 00 D 4, Q0 GATE CHAINED D CLOSED Q (RT) n 0 0 C•18 on MUCTIO tD�D500 FT�10 0 0 U ( e u0 AVE. 48 PERMIT NO.4266 The Gas Company / Main Replacement / Avenue 48 near Mira Flores Blvd 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. The Gas Company, hereinafter referred. to as "Permittee", shall be responsible for providing continuous dust and erosion control. 3. This permit or copy of it shall be on the work site for inspection during the actual work performed. 4. 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. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently, if required. 6. 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 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. 7. 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 (951) 955-6894 if signal operation at the intersection is to be altered in any way. 8. 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. Page I of 5 Special Conditions PERMIT NO.4266 The Gas Company / Main Replacement / Avenue 48 near Mira Flores Blvd 9. 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. 10. 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. 11. 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. 12. 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: 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 Special Conditions Page 2 of 5 PERMIT NO.4266 The Gas Company / Main Replacement / Avenue 48 near Mira Flores Blvd 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. 13. 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. • 14. • All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to its original condition. 15. Access and egress to. all local properties shall be maintained at all times. 16. 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 concretepavement shall be sawcut one (1) foot beyond trench edges. Edges shall be straight and clean. Special Conditions Page 3 of 5 PERMIT NO.4266 The Gas Company / Main Replacement / Avenue 48 near Mira Flores Blvd 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 3/4" max medium asphalt concrete as the base course lift and a City approved %" 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 areaR and base asphalt concrete in the trench area shall be overlaid with a City approved C2-A-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 3/4" 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. 17. 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. 18. .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. Special Conditions Page 4 of 5 PERMIT NO.4266 The Gas Company / Main Replacement / Avenue 48 near Mira Flores Blvd 19. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time. 20. 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. 21. 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 MAIN COND. _ . $yQ 4F y A_m r- z LTEL o — EXIST. ❑ fl.�T. ® ABAND. ❑ INT. z � CODE Q N .+ a EXT INT Cur %6O-'eE' (eiry Q = L.aQvi.vT.�aJ CODE: P_ LOT#: ��Lcary 3 N _ �. *—POWER tII EXIS ® INST: ❑ _ABAND. ❑ INT. } rl nn� ^ P i 1 f1T lt� f I TOTAL FEET INST D DATE MOVED NOTICE OF DATE MOVED COMPLETION INSTALL MAIN WITH AT LEAST COVER BELOW TOTAL FEET RETIRED • ON JOB. OPER D ATE: OFF JOB: DATE: COUNTY RIVERSIDE REASON: RETIREMENT E PERMIT ISSUED -BY: PERMIT #: �./ D3"U�T-- DISTRICT PALM DESERT N/A CREW FOREMAN FEET TRACT # COMPANY 30 0 30 60 120 180 ATLAS # IND 64 8 65 YEAR C.P. INSTALLED: PLANNED BY: STAKED.......... � SOUTHERN CALIFORNIA GAS COMPANY FACILITY: xF TAX CODE # 20-999 YES D NO O PE E !�[J������. R D STAKING REOUI E EAST REGION OPER. 20y OR OVER O S.M.Y.S. YESE NO® CATHODICALLY PROTECTED:� _. AT LESS THAN 207. S.M.Y.S. K S NEEDED E NO STAKES 0 W. O.# 05,3 COST CENTER OG ' PLANNINGPRINT - INSTALL MAIN WITH AT LEAST TOTAL FEET'INST COVER BELOW TOTAL FEET D RETIRED MOVED ON JOB: NOTICE OF OPER. DATE: DATE MOVED OFF JOB: COMPL ETION DATE. COUNTY RIVERSIDE RETIREMENT REASON. PERMIT ISSUED`BY., PERMIT .. ; . DISTRICT i FEET TRACT # PALM DESERT N/A ..1.�T ©VIA) T� 7 �- D3�UU 7 CREW FOREMAN 1 30 0 30 60 120 180 ATLAS # IND 6A & 65 YEAR C.P. INSTALLED• LANNED BY. COMPANY SOUTHERN CALIFORNIA GAS COMPANY FACILITY: X 0 1 TAX CODE # 20-999 _ G��a "�Z., STAKED.......... PE: YES© NOO OPER. 20% OR OVER [71S.M.Y.S. STAKING REOUIRED EAST REGION C CATHODICALLY PROTECTED: YESL NO® AT LESS THAN 2Oy > S.M.Y.S. NO STAKES NEEDED � W.0.# � � COST CENTER, OG I