4305NOTE:
With'proper validation w
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 I11
DATE: 10"26-2004 78-�656 Battle Brush Drive Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Install lit domestic water QYJeLSke ch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Water LlUe
DIMENSION OF INSTALLATION OR REMOVAL 3' x b* Trench
i
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
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.
Signature of Applicant or Agent
COACHELLA VALLEY WATER DISTRICT
PO BOX 1058,
760-398-2651
Name of Applicant (please print)
Business Address
Telephone No.
QA!! -Ap YA19
4
Name of Contractor and Job Foreman
Business Address
Telephone No.
N'�Tj'GCU�rti'�1.i
IVONG
�;�G;UIP2�U
Contractor's License No.
USA INSURANCE e, P1Ak?5H C1`>K
�tV�J, ��"i?o�'lG��
City Business License No.
A2990358 MXA gOR uqy,47
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class 111
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Mingr:lmprovement Permit — Class IV: See attached schedule
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required "`
$ Not AnnlicsahJs
Not Applicable
0
TOTAL: $
Receipt No.
Received byJ/�I--� Date 1 I A�1-
Recorded by��
4305-
PERMIT VALIDATION
PERMIT NO. 4305
10-29--04
DATE APPROVED
EXPIRATION DATE 10-29-057
DATES ISSUED
By —
Administrative Authority
Telephone: (760) 777-7075
NOTE:
With-pr_oper,•val idation
this,for%,constitutes an
encroachment permit
`~`•
,
CITY OF LA- QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit — Class II I
DATE: 20"46`"2004 76-656 Bottle Bruch Drive Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION installdOnt�aQtiie watert3vSketch (attach construction plans if appropriate)
DESCRIPTION OF -CONSTRUCTION Wnt:er LOU
DIMENSION OF INSTALLATION OR REMOVAL X 0 1lrenc i
;t
SIZE OF EXCAVATION, IF NEEDED /
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
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.
Signature of Applicant or Agent
COACHELLA VALLEY WATER DISTRICT
F0 BOX 1058,
760--396-2651
Name of Applicant (please print)
Business Address
Telephone No.
Name of Contractor and Job Foreman
Business Address
Telephone No.
t.! L E-i
Nt..`!`.J1:'
Contractor's License No.
City Business License No.
USA INSiiAANGE ' p. l t N 1",:f�:
lug . i:. I,,,'jC t :�
A2990358
! X $ 'Qc W-)
Applicant's Insurance Company Policy Number
FEES:
Subdivision Improvement Permit — Class III
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor.,lmprovement Permit — Class IV: See attached schedule
Inspection Fee $ Not APP12.COD16
Permit Fee Not Applicable
Penalty '
Cash Deposit -Surety Bond D
if required
TOTAL: $
Receipt•No.(/
Received by, ^� � Date ) A-
Y ! �
a
Recorded by
4305
PERMIT VALIDATION
PERMIT NO. 4305
10-29-•04
DATE APPROVED
EXPIRATION DATE 10--29-05
DATE ISSUED
By
Administrative Authority
Telephone: (760) 777-7075
NOTE:
With proper'validation
,this form°constitutes an CITY OF LA QUINTA
encroachme„nt 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
DATE: 10-26-2004
LOCATION OF CONSTRUCTION _
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION _
78-656 Bottle Brush Drive
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
Install 1" domestic water suarAce
Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Water Line
DIMENSION OF INSTALLATION OR REMOVAL X b" Trenc
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
i
(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.
Signature of Applicant or Agent
COACHELLA VALLEY WATER DISTRICT PO BOX 1058, 760-398-2651
Name of Applicant (please print) Business Address MGMv& ( me -Se Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
N)OTPEQ0 gf__U NoNc R U/I U
Contractor's License No. City Business License No.
USA INSURANCE Ie 1SK yN15. 9EP ykES A2990358 M X q 802 U4447
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class III
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
`Minor. Improvement Permit — Class IV: See attached schedule
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
$ Nof- Ann1 i 1 P
Not Applicable
in
TOTAL: $
n
Receipt No. j
Received by i Date
r
Recorded by --
'' 4305
PERMIT VALIDATION
PERMIT NO. 4.305
10-29-04
DATE APPROVED
EXPIRATION DATE 10-29-0jC
DATE ISSUED I V05122
Administrative Authority
Telephone: (760) 777-7075
PERMIT NO.4305
CVWD / Water Service Install / 78-656 Bottlebrush Drive
In addition to the standard permit conditions, the following shall apply:
1. 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. CVWD, hereinafter referred to as "Permittee",.shall be responsible for providing continuous dust and
erosion control.
This permit or copy of it shall be on the work site for inspection during the actual work performed.
4. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more
frequently, if required.
5. 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.
6. 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.
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.
8. 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
Special Conditions Page I of 5
PERMIT NO.4305
CVWD / Water Service Install / 78-656 Bottlebrush Drive
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.
9. 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.
10. 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.
11.. 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 to 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
backfill is placed to ensure the effectiveness of the compaction methods and to establish the depth
of lift that can be compacted.
Special Conditions Page 2 of 5 -
PERMIT NO.4305
CVWD / Water Service Install / 78-656 Bottlebrush Drive
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.
12. 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.
13. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to its
original condition.
14. Access and egress to all local properties shall be maintained at all times.
15. 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
Special Conditions Page 3 of 5
PERMIT'NO.4305
CVWD / Water Service Install / 78-656 Bottlebrush Drive
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''/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 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:
16. 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.
17. 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.
Page 4 of 5
Special Conditions
PERMIT NO.4305
CVWD / Water. Service Install / 78-656 Bottlebrush Drive
18. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
19. 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.
20. 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
r City of La Quinta
The following General and Special Provisions are attached to and made a part of
Permit Number 4305
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 ('/<") to one foot (V).
❑ 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 ''/i') 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.
` City of La Quinta
® R11 COORDINATE WORK: The proposed work shall be subordinated to any operation, which the State of California or City of
La Quinta may conduct in this area during'the period of this permit. Work shall be coordinated with the State or City of La
Quinta forces to preclude delay or interference with State or City of La Quinta projects.
❑ R12 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on -the
centerline of all streets or property lines when included shall be completely tied out so they may be readily and correctly,
replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete set of notes showing the ties
to these monuments shall be furnished to the City Engineer prior to the removal of any monuments. This office shall be
notified upon completion or replacement of all survey monuments for proper clearance.
® R13 PAVEMENT CUTTING: Pavement will be mechanically saw cut to a straight edge prior to excavation. Method of pavement
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 1971
® 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 m 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.
n
NOTE:
With proper validation
this form constitutes an
encroachment permit
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCR
For the construction of public or private curbs, driveways, paver
end other like public works improvements In connection with MINOR
DATE:
LOCATION OF CONSTRUCTION
(Street address of Description of Location) /""
ti
PURPOSE OF CONSTRUCTION r
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATIO11%OR
SIZE OF EXCAVAT19K IF N El,"
r
APPROXIMATE I W N 0 KW LL BEGIN
APPROXI ATE- 1 E F OMPLETION
i
pa kIP{g lots, sewers, water mains
S d APPROVED SUBDIVISIONS
Improvement Permit — Class I I I
x Im vement Permit Class IV
D2.
Sketch (attach construction plans if appropriate)
Ulsi��
EST IMAT�D CIS R TI N COST $
(Inclytling r movaJ,6f all Wtruction, materials AniTI I Is, �Ao�fillir� , com•
p c'£ion\n • nd lac�g permanent resurfacing d/qr reel ng prbyements)
In c ,ideZti n of the granting of this pe mi , th ap II anhereby agrees to:
4emnlf�(, Qafend and save the City. Its a th I:ed a ts, offlcers, representatives and employees, harmless from and against any and all
pen3""a Iebllltles or loos resulting from lei a c rt action and arising out of any accident, loss or damage to persona or property
X{Span ng or occurring as a proximate resul of any Aork undertaken under the permit granted pursuant to this application.
�tify the Administrative Authorlty at least twgK-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 ruleq nd regulations of the City of
Le Qulnta and to pay for any additional replacement necessary as the result of this work.
Sfgnature of Applicarit?or Agent F Q//
Name of Applicant (plealip print) Business Address Telephone No. t
7�' r Z-g/f4 F ..e r.r
Name of Contre6tor and Job Foreman Business Address
Contractor's License No.
Applicant's Insurance Company
FEES: Subdivision Improvement Permit —Class III
Public Improvements: 3%of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit —Class IV: See attached schedule
Inspection Fee $ N
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required 11''
TOTAL: $ 11it� Few
Receipt No.
Received by Date
Recorded by
City Business License
Policy Number
Telephone No.
PUBLIC WORKS
PERMIT VALIDATION
PERMIT NO. - �)0 _ DATE APPROVED 10//2 1 r0r�
1
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
Telephone: (760) 777-7075
t
ti
WASHINGTON
N STREET
D --
17
Io
r
IN
I�
IN
o
Im
I V
m
i
49-580
002
78-520 003
,I
t V
N
N N
50
1
0V
101
102
100
99
52
51
=•1•Di-
49
2
---i
�\e7s103
N
iN
7-833
-85
7930 m
009
S�
265
N
8-320
7B320
m
104
y 78-945
095
78-740 V
052
-N 78-545
13'
D49 .n
78-540 V
006
U 78-S1S
2791
-269 264
R
N
274
IOS
0 70-555
T
N
_
0$3
N
048
78-530
007
N 78-955
78-1.
78-540
5 78-340
N
W
N
0:
O
78 550
78-555
47
856N008
-
N
a
v80
8
-SS78565
0;
y
26308106
-
7856
Oy
(Up
73 d
BR-9-5
956
S
273
65
7
7�s
• U)
107
092
78-570 y
O53
V 78-575
046
78-570 L
009
'4 78-575
281
- m
262
--j,
78585
,
�CUD
A
78458WO5
_
78-975
7�p0
78--
m
78-580
U
0 S
(
C
�� ��
109
10
0
044
78-590 IU
O11
`8 78-595
Bee
76-595
N
InCoo
VIA 8•D.I.P. -L POMPA -
i _
N
090
78-590 N
037
78-595
-4 r-
.
110
0 78-605
p43
78-600 ,'A.
- 012
0 78-603
13' �-.I
...
I� 00�0 s c
089 �p
058
N 78-605
283
78-600
0
%1
A 78-615aj
A i
`9 0L
O
111
080
78-610 0
OS9
2 713-615
m
+
042 d
78-610 0
013
�-•
r
g�m
NId
t N
02�2 3
...
112
fU 78-625
087
76-620
060
N
, y
t
0- W
78-620
M, 014
N 78-611
6j
R1
W
C1
284
W 78-635
',�
. m
'6
9I
LI 81
-•1 ��
\a.D
:�
,p
tQ
O
- l73
w 78-635
086 0)
,�@-630 pp
0 061
W 78-635
O40 W
0)
015
17
S
284
N 78-655
F
N) Lfi G� S
-� ,•� J3 D •yN�
`t
.p 701645
085
0W
7-64V
2
06
y 78�45
039
78630y70-64
061
-+
N
.Zf
7 ♦w ;/ d��
O1 �
Cp-
286
1
78-635
004
713-650
63
7-655
038
78-636U
017
r 78-655
ry
U
78-679
I19
/L
(WI,
N
8t
083
-6
60,
OO
7 N1
-678N
O1189
-8
-65
�L7
�036
17
i
036082
,V•,
a)065
7-670
m-7y
W
6y70875
O78-677 / L
�� `
_@
• "
035
020
'.-I 8'D.I.P.-89
I-1 (15425) -
✓s �%t
m 78-685
1
O81
78-690
066
m 78-685
W
m 78-665
140
�y
78-705
ru
t
783700✓ ✓W BL Ol'%tL G69-8L
119
78-695
080
78-690 ry
0� 067
78-693
i =
034 W
78-690 N
021
ID 78-695
d 13'
V, tJ
120
No 78-707
079
78-700 T
068
O 7B-70S
033
713-700 W
022
o 78-703
141
N 78-715
W
; N
149
78-0 N
71
132
N 78-705
.m
161
78-700
167
78-705
�m
{
p
160
121
N 78-715
�,
078
o
069
N
•D
;�
032
W
78-710 0
023
.N- 78-715
D
142
N 78-725
_
148
153
.. 78-715
78-710
168
78-019
L
N 78-723
m y
077
78-730 10
070
N 78-725
•�
031
D
024
N 78-725
�'I
z
143
Ifl
154
159
fi 78-720
169
123
W 78-731
1
I
076 -
78-720 m
p 1
j 7-7 5
1 Q
030
78-730 pNp
025
78-733
m
78-735
'
y
117
70-730y
78-725
0 O
U 78-729
i
124
p
075
78-740 V
072
A 78-739
i(n
(n9 N
78-740 v
N 026
A 78-745
-
V
��_
IaB
78-730
0V
170
78-739
No
'CML
' '
074
073
Ui 78-741
028
78-748
027
N 78-749
0�
C 4
@
>Ba
♦p
v
10 Tp
0•
'@\>
7145
NN £
CN I
_
,`a
8
7 7
rl
0
r
-
DATE PALM
DRIVE I-
19 m
7
3
a 5 6 7 e
C.
O
v
1
tiob£ v
✓
q`
I �Im
°
Im
m
I:
CIE
a
o6E
u
�
u
w
XIry
��
N[If
O
oil
�
7_ _?
. .
._.-..
i
(04
_..
RIO
II
I� NEll
♦
+
♦
368
78-785
W
�1�I�Im
SIN
C)
/,
a
50
369
.
! ,
aom
bd 561 5 j
N 78-BOS
Y
WASHINGTON
r,
FTI
U)
m
C7 c)
r .
C
0 03
I
STREET
00! D _—
n
W I` I� -sso
002 005
NN mlrVuII� Im I$ m 003 1N um
7-520
101 1100 99 52 51 2 1 @
Nry
103 275 26s0 8 �
W 78-525 7-2048
78-9307-930 O
413
0 a
78-320 N
104 U1 095 052 049 1, 006
y 78-545 78-540 v Np 78-945 78-540 v A 78-545
UI C 769 s
2627913•_ 274 72-384
13' 70-35 -50 -540 N048 0075 s
0-55 ;78-550 Uli UI 78-555710A 094ul
7-550 0+ CA78 95
Ki Oy,
106 O 093 047 A 008 0 280 m 263 P
78-565 78-560 '0 N 70 54 78-560 0 0` 78-565 1.? V 78-555 < 273 27CI
Sy 78-560 v
70-560 N I+
107 092 O55 -- 046 A 009 m - 0 p
V 78-570 p v 78-575 78-570 .4 V 78-575 m 28I -m 262
108 , 0, 78-575 272 271 : `0 78-580 N 0,
091 056 045 A 0I 78M 70-575 I W 3S
78-585 N 78-580 W 1p 78-585 N 'p
78-580 W Op
109 090 057 044 011 -59
70-590 N � 78-595 78-590 Pi 78-s9s 78-599 VIA 8'D.[.P. 1 PAMPA
p �2 .,. 10 _ 088 703 2
OZ9��p2�
f �,pS 0N 3�283
t9
768-605 78-60788600 -67B615 m djIN.m 0059 213
8-6O8-61070 70-615 7.:aW?
112 041 14 78-635
007 NO60 8Wr0
70 -620p N 78-61N 78-625 62N 113 086 W 0, 061 040 W �, Ois (A2Bs F
ja 78-635 ; �@-630 Co W 78-635 m W 78-635 N 78-655
114 i 085 O) P Ul c) r0
A 78-645 78-640 V A 78062�45 _ 78-630 V A 78-64s 78-675 Ul n
I15 OB4 063 038 W 017 N 9
N 70-635 70650 N N 78-655 78-636 0, 10 78-655 (A
A6 083 064 037 018 287 .N II 60� 9t
78-665 I 78-660 N M W N 78-665 N 78-699 O8
17 i 0882 065 36:19 N 'rr9y p89/Eeytt%.
70-677 7-670 708 00•-68-67_IO'D:1.P.-89 )2s
18 05 02-0 40
—785 786S Cl"
57s
✓a' L
78-685 7868-6-705 B7N4J L�49rt
_P
ma/y
4C96t
9L
-8Lm
17 _=0319 064 13•
-69s * a s 190 �y W78-699 F
7ry �D 778-:C991
141 161 167
120 079 0 0 033 022 m ry u 192 '•.m
_ 70-719 R 149 78-700 78-709
No •78-707 70-700 0 78 09 78-700 W p 78-705 W [a 78-710 N N 78-709
4C 10 160
121 ! 078 069 .j 032 023 142 153 78-710 168�
N 78-715 O No r .}) 78-71 0 .N- 78-715 j 78-725 148 ,� 76-715 �' 78-715
1 I N 70-720 • .. �' m
1'2 G 077 070 _d 031 024 pi
N 78-723 m 76-730 o N 78-725 IO N 78-725 z -' 159
ID 143 ; Z 78 4 -(0, 78-720 169
m 78-735 ' D 147 . In 78-725
k785-731
076 p 1 030 025 -1
78-720 V V 7 1A 78-730 NN 76-733 y 70-730 C0) W 78-735 1 0] W `A158
075 072 ' m 2N N -4 77 70-730 170
0 78-735
78740VA78-739 78-740 V p 78-745 1'o 074 073 028 027:4-7N N 78-741 : 78-748 q Lq 78-749 N ��/� -1 �0 mj " p rJ 171
L CN 78-745
_ ye
..�_��.. <17528> _..-.... _.... _... .. 19 �N 6 a l
ATE PALM DRIVE — 3 a 5 6 7 8
t
�Im �Im 'DIG
a �' a my °.
�I� • li 6 � �, u u � � u tii
s .�.
,a s
RIO '
I1� N -
♦
I�
I
368
78-705
W
>0
,1CD
o
�
/
r'.
L�m v sa
�- b
st
52
7ebeos
5
61
�) v
/A
WASHINGTON
STREETr�__,_,_----'�
0 49-580 n IU 23 J
p V A mIN L
002 0 _003 --i- fN0
78-52
101 102 99
52 sl _n S0 49 2 1
178-930 W 009000 \N
275
78=920 -9265
78-320
006_
04 291 41
878-543 > 7-540
tD caDi
N�.
7B-S45 Z-7-913�
C 13 A 4 6
)87574N�3264 0048 07 0-545 03309/P 7-SSO pl 7-9SSU1780-55D78550 Ln 8-355 N
N
N
_ d
A
263
09D 782--560
j 8-55 78-960 v78-56—78565 < 2735
-57yV8-975' 7860 pcn 0092 055 046 009 m :078570 10 78 201 m 262p v78=375
78-575 271 . `0 78-380 N P
091 OS6 04S A O10 D• 79�80 70-579 0) Q1 9
-{ W 78=S8s 'D(D 78=380 W m 7B-ses S
r 78-380 W Ip N �0
^> MOM 090 057 044 ? Oil 782595 N
J 78-390 N 78-593 78-590 N `D 78-595 VIA 8•D.T.P. -L POMPA - t. 9
r 110 __ 018 243 ` I p0�2 lS
0 78-603 788600 0 78-605 78-600 ,'A. 0 78-603 7B 613 m + N + N
O 111 088 039 :m 283
042 013 (n A 'N Nm IN
78-6f0 0 78-615 ! T 78-6-610
_ 84
`parn78-635 'e
.- 112 087 060 1 041 014 W .m 9T LT ST
N 78-625 I 78-620 W N ..a 78-620 N 78-611 �1 W 'D IQ
U 113 086 061 v 040 W 015 f 289
78-635 r df-630 78-635 00 W 76-635 = N 7B-6S5 ,...I 1 p
114 1
085 9 VW 016
7B-64S 0 78=7286-64A5 X-i 0 n tJ1 l -A 6-6
\�
78-675
115 084 063 238 017
N 78-655 78-650 m N 78-655 78-636 N Ln 78-635
287 C I 60
116 083 264 037 W O18 N 78-693 .N pL
m 78-665 78-660 N 0 i u N 78-665 Ln'N W g p 4L�t
117 1 082 063 -i 036 r 019
V 78-677 78670 d v r NP670 A v 78-673 0 •' A, 0L
m
B m W - I -89 I_I 05425)
066 020
85 S s7-685 788680 7-6878685 -709 7700r78 t /9�9tL
Nf S �L9 t C69-BL
r, No i CUD �= '
S9
W V
9l19 034 11
77O86090 D 78-695 7690N .D 78-6951
141 667
20 033 78-715 49 S2 78-700 78-7090
8 78-71078-707 780-77900 CO 778-700 a7-7. W-778-705
l21 7i 078 RE9 32 03 142 3
-7110
-7=76
78WN78
7-719
<D 78-720 7
122
1N 7N
m
0
8-723 Tf 8 7B22�O 159
-070N-725 0 113 ` 194 CI 78-720�
169
7e=72s
123 r 076 p 1 i . O 030 025 m 78-735 117 o O (D •„ 78-725
N 78-731 V V Ml :.17 N N 78-730
W 78-720 W W 76-735 ; 78-730 W 76-733 .D
N - V 13B
l24 075 072 �m 029 N N 026 t _ 78-730 170
y 78-740 V A 78-739 78-740 V .0 78-749 0� N 78-739
228 027 Ofr �8� �4�
071 01 N 78'711 78-749 QN+ N 78-749 IV/+ �t2 �p 4 mlm �,q r,, P 171
P N £ •CML CM 4 \i m ' m �\ m. 78-745
.. - (15428). i N CA-0
4TE PALM - I 1 DRIVE 19 e 7
3 4 5 6 7 a
t
a♦Q V 1-tp6£64 ✓ \s`IJ pIP (yp�7lW W�nIA ryVl
iV ut U UI U (P IybBn: YJ + 06r' U W
•�,`,IN �I� N 7 79
o bjSi4 aice RIOT -.. .
E6 I
I� NLn ♦ A ♦ 78-785
ot1oIU
) I SIN
50 51 52 369
In 7e-eos
A
1
WASHINGTON
STREET
UAIL PALM
<q
Q�l
� Grp
016 N 77
-30 V A 78-645 267
3 017
-36 (n 78-655 _ CA _) -� Arl
r L87 R I 601 -
079 UNf N8-693
6 ... 019 IN J OR
I. V 7873 p8q/� 0
'-I 8'D.LP.-89
3 W .. 020 - 140 130 ' yp OLN
W W 78=68$ 78-70s h 7e-700,�'�W 8L 'y Of'% C69-BL
4 W r 021 ,� 1' 13' F ? G Y /� 991
i90 N ID 78-693 141 161 W 167
3 W N022 7-715 a 149 152 78-700 78-705-710 030 78�0Q78-703 W 78-7160
200 023 ' N142 4701-7 15 78-710 7168
7171-718-725 —8-713DN 78720 (D
1 024 . rl 1n a ~
rD N 78-725 z -' O 154 1s9
143 Z 70-725 O 78-720 169
(TI 78-735 I D 147 . O (A_ 78-725
�0
30 W 78 735 y 78-730 A
1 N 78-73158 170
N N 026 0
40 .� .p 78-745 r ( 0Y o 76-735
0V �8. j r�j4` V 0`
48 Ln78 2749 N 4"/A -1 �D '0 mj _ -X �J 171
78 4 \N m -745
DRIVE .F7 19 e (A�
7 G
-�- --^-� 3 4 5 6 7 8
plm m �Im 32 N�n
+ V�
w
3 88
78-785
W
369
n 78-805