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434With proper validation rthis form constitutes en_ CITY OF LA- QUINTA �rO ^encroachrrent permit • APPLICATION FOR PERMIT PUBLIC.'WORKS CONSTRUCTION (ENCROACHMENT)�� • } OF For: the construction of public or private .curbs, driveways, pavements, sidewalks, parking • lots, sewers, .water mains and other like public wor_ks'improvements in connection With MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit —Class III DATE: August'.428, 1989' Minor Improvement Permit Class IV + LOCATION OF CONST,RUCTIONr • Ave. • Madero ' (Street address or Description of Location) PURPOSE OF CONSTRUCTION TO install new gaS line. Sketch (attach construction plans if appropriate)" DESCRIPTION OF CONSTRUCTION To install 253'o_ of 21, r Plastic . medium. -pressure. gas main 10' • W/EPL. of -Madero'.,&ginning at,the'.N/-Lot,Line to Lot 13, proceeding north. DIMENSION OF INSTALLATION OR REMOVAL ' .F 25'3' Open Treach ` -SIZE OF EXCAVATION;'LF NEEDED, Earth SEE ATTACHED SKETCH, <. x "• APPROXIMATE TIME WHEN'WORK WILL BEGIN" 9/13/89 R . � • `. . � . APPROXIMATE TIME OF COMPLETION 12/31 J89 ESTIMATED CONSTRUCON COST $ TI (Including removal`of all obstruction; materials, and debris, backfilling, com ' • paction and` placing. permanent resurfacing and/or replacing improvements) Inconsideration 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 fromclaims or court action and arising,out of any accident; loss of damage to persons or property �, 3• happening or occurring as a proximate result of any work undertaken -under the permit granted pursuant to this•application: ;J�*: ,, -•�•, 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. a ny•additional'replacement necessary as the result of this work. ' J.M:.SNYDER, DISTRISHTT(DONSUPERVISOR • t• Signature of,Applicant or Agent0. `8OUTHERN •CALIFORNIA GAS CO. -P.O: -BQ0 •3003-, -Redlarids', CA. 9237'3*_-(714J).--798-7742' =Name of Applicant (please, print) , . Business Address 1 Telephone No: ` Name of Contractor and 16b�Foreman Business Address ' Telephone.No. Contractor's, License No. -• ' City Business License'No: Applicant's Insurance Company Policy'Number• FEES: Subdivision Improvement Permit -.Class III ` • Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs 434 ` Minor Improvement Permit — Class IV:,See attached schedule `Inspection'Fee" '"� $ N"/A-�'''. ` PERMIT-VALIDATION,..A , .c " Permit, Fee _ ,~ N/A ►i ' PERMIT'N0. '4.3L' Penalty -8./28/89 - Cash Deposit Surety Bond' „ < ` DATE APPROVED" - if. required � '```" + ` q EXPIRATION DATE 2/28/8931 TOTAL: _ ,$ f/A DATE ISSUED U281894' Receipt No. �� ^ Received by '_ • • Date By v-" `"rAdminis r tive _ y r t a Authorit Recorded by ; +� ' •TELEPHONE:,(619) 564-2246� • ... . , ' NOTE: With proper validation this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT 53449-866 PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit - Class III DATE: 8-23-89 Minor Improvement Permit Class.I.V LOCATION OF CONSTRUCTION On Avenida Madero (Strest addmu or Description of Location) PURPOSE OF CONSTRUCTION To -install new gas main Sketch (attach construction plans if appropriate) DESCRIPTIONOFCONSTRUCT.ION. o install ' o " plastic medium pressure gas main 10' W L o vanida Madero beginning at the N Lot Line to Lot proceeding north. DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED 253' Open Trench Earth APPROXIMATE TIME WHEN WORK WILL BEGIN 9-13-89 APPROXIMATE TIME OF COMPLETION 12-31-89 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 Quints and to pay for any additional replacement necessary as the nu f this work. J. YD , DISTRIBUTION SUPERVISOR Signature of Applicant or Agent SOUTHERN CALIFORNIh GAS'CO_ P_O_ BOX 30030 REMANDS, rA 92373 (71-4) 798-7742 Name of Applicant (please print) Business Address Telephone No. 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 III T 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 VALIDATION Permit Fee �a PERMIT N.0 Penalty Cash Deposit -Surety Bond if required TOTAL: "'' $ Receipt No. Received by Date DATE APPROVED 9%Z�% EXPIRATION DATE DATE ISSUED By Administrative Authority Recorded by , r. TELEPHONE: (619) 564.2246 The following General and Special Provisions are attached to and made a part.of Permit No. "d�� GENERAL PROVISIONS The following'shall always apply. ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within City of La Quinta right of way ONLY.' Whenever construction extends within private property, it shall be the responsibility of the permittee (or his contractors) to secure permission from abutting property owners. Such authorization,must be secured by the permittee-prior to starting work. TRACKLAYING CONSTRUCTION EQUIPMENT: Cleated tracklaying construction' equipment shall not be permitted to operate on any paved surface unless fitted with smooth -faced street pads. All mechanical outriggers shall be fitted with rubber'street shoes to protect the paving during, excavations . Rubber -tired equipment oniy shall lie used in backfill operations 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 La Quinta City Public Works Inspectors. Suitable -detours and detour signs shall be placed and maintained for the duration of the project. The City shall be'notified 24 Hrs. in advance of.any traffic detours or. delineations. CARE OF DRAINAGE STRUCTURES: Any drainage structure including 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 y 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 OPERATIONS: If de -watering operations,are required and pumps are forcing wateron City of,La Quinta roads, it shall be the responsibility of the perm ittee,(contractor) to control this water and to provide off-street barricades when necessary. a•:' CLOSING STREETS: No street shall Lie 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 isfelt bythe permittee that he must close istreetfor any length of time, permittee shall contact this office to obtain the necessary permission. ` `. SPECIAL PROVISIONS ry The f_ollwing shall apply ONLY•when indicated: + ° R NOTIFICATION: Permittee shall notify the City at 564-2246 afleast'48 hours in advance of starting construction: R2` CASH DEPOSITS OR BONDS:'A cash bond or an approved surety bond in an amount of not less than S ' shall be furnished in the name of City of La Quinta to cove�'all work involved in the restoration of the various La Quinta roads and survey monuments: This bond shall be continuous until cancelled by the City Engineer. This bond must be posted prior to ,commencement of any work' n this project . UTILITYCLEARANCE: (Substructures) Prior to maki ng a ny excavation with i n the City of La Qui nta rig ht of way a uthorized ' by permit"the permittee shall contact all concerned utility companies relative to the location of existing substructures. Darrrag`e to -existing substructures resulting from operations conducted under this permit shall be the sole responsibility ` of the permittee r r r ° R4-'. 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. h Rya- PAVEMENT -WIDENING: Area between the proposed concrete gutter. line and the existing•road pavement shall be Ir ; surfaced with inches of A.C. paving placed on ' inches of class ` aggregate subbase course . having an:"R" value of'not less than and in conformance with City of La Quinta Road Improvement Standards ` and Specifications, Ordinance #461. + R6 `PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a slope of 1%4 inch.to one foot (1'). fR7 GRADES &'STAKES:City of La Quinta shall establish grades and stakes for the proposed concrete curb and gutter construction. R8. "GRADE CHECKING: City of La•Quinta shall check grades upon receipt of plan and pFofile and/or grades as established by a a licensed, engineer. t v `R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter,( feet)shall be removed. Curb'an`d%or curb and gutter shall be saw cut prior to removal. Depressed curb; matching concrete gutter and r` concrete driveway approach shall be constructed in conformance with City of. La Quinta Standard #207. R10 DRIVEWAYS, A.C.: Driveways shall beconstructedas not to alter existing drainage pattern. Surfacing between the ro art line,and the existin 'road paving shall be 2-1 /2 inches of A,C: avin laced on P P Y .. 9 P 9 P 9 P ( ") of class aggregate base. Driveway construction shall conform to attached drawing. , R 11 'CULVERTS: A inch diameter ( ) culvert shall be installed with the invert approximately 1-1 /2 % inches below and in line with the existing flow line. Culvert installation shall conform to the attached drawing. SIGHT CLEARANCE: Sight clearance of 600 feet in either direction shall be assured :and maintained. R13 SOIL STERILIZER: The area to be surfaced shall be treated with soil sterilizer. Rate of application shall complywith the manufacturer's specifications. , R1 COORDINATE WORK: The proposed work shall beisubordinated 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 Citv of La Quinta forces to preclude delay or interference with State or City of La Quinta projects. R1 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the centerline of all streets or property lines when involved shalt be completely tied out so they may be readily and correctly be 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 of replacement of all survey monuments for proper project clearance. RD-31" R16 SURVEY MONUMENTS: Pric excavation or beginning of construction, all : �y monuments shall betied out by City of La Quinta and suitable payment or guarantee of payment shall be made as reimbursement for all work involved. R17 PAVEMENT CUTTING: Pavement will be mechanically 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 of pavement). Excavation material shall be placed in such a position as to best facilitate the general flow of traffic. Prior to final paving operations, any damage to pavement straight edge shall be 9R1corrected. PAVEMENT CUTTING: Pavement shall be saw cut prior to removal. Prior to final paving operations, any damage to pavement straight edge shall be corrected. R1 LIMIT OF EXCAVATIONS: Excavations shall be limited to 1,000lineal feet 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. 20 BACKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimental to its usefor purposes of producing an adequately consolidated backfill. Any material which the City of La Quinta deems unsuitable (spongyor 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. R21 BACKFILL SAND: Backfill shall be approved transit -mix sand or equivalent and shall be placed in lifts of not greaterthan three feet (3') and vibrated using vibrotamper or equivalent equipment. Alternate methods may be substituted, but in any case a relative compaction of 95 percent shall be attained within the structural section of the roadway. R2 BACKFILL PLACEMENT: Backfill shall be applied in layers of not more than 50 percent of the total depth of the trench before flooding or a maximum of five-foot (5') lifts where trenches are of excessive depths. Care is to be exercised thatthe backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed so that the resulting compaction shall be not less than 90 percent or equivalent to the surrounding ground, whichever isthe 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 continuous. R23 COMPACTION TESTS: If so required bythe inspector, compaction tests shall be made at intervals of not more than 1,000 feet and a minimum of one (1) test on each road. One (1) copy of each test shall be forwarded to the City Engineer for approval andfiled priorto 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. 24 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 asoutlined in Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973. 25 TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch consisting of 2 inches of SC-800 shall be placed on a prepared subgrade. The SC-800 temporary paving shall be placed after a maximum of 3,000 lineal feet of 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. R2 PERMANENT PAVEMENT REPAIR: After backfill and compaction operations have been completed, a temporary patch consisting of two inches (2") of SC-800 shall be placed immediately. A permanent patch of inches A.C. surfacing placed on a inch class base shall be placed no later than days after completion of temporary road repair. 5—ca _;Z�' 9oZ R27 PAVEMENT REPAIR: F.A.S.: Upon completion of backfill and compaction, a temporary patch consisting of two inches (2") of cold mix paving (SC-800) shall be placed immediately. A permanent patch of three inches (3") of A.C. surfacing shall be placed on six inches (6") concrete base as directed, but not later than fifteen (15) days after completion of temporary paving. Concrete base shall be of five -sack mix and shall conform to the City of La Quinta Road Improvement Standards and Specifications, Ordinance #461. R28 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. R29 SEAL ARMOR COAT: A seal coat consisting of an application binder and screenings shall be applied on all patch areas where such seal coats existed prior to issuance of this permit. Seal or armor coats shall be applied as specified in Section 37, Standard Specifications, State of California, Division of Highways, dated January 1973. Work of pavement repair to be accomplished by a licensed contractor engaged in the business of pavement repair. R30 STREET RESTRIPING: Where street striping is still visible on streets to be excavated, such striping shall be replaced upon completion of permanent repairs. R31 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 permittee to maintain the tree in a vigorous growing condition at its new location. Trees to be removed shall be removed 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 500 feet 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 90 percent or equivalent to 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. R32 TREE TRIMMING: a. Only the necessary trimming shall be accomplished to provide clearance of the facility for one calendar year. All broken or weak sections within the trimming shall be removed. b. Where it becomes necessary to restrict traffic, the work shall be restricted to a maximum of 500 feet at any one time. Adequate signs, flagmen, and/or barricades shall be provided to protect the traveling public at all times. c. If tree trunks are partially outside of the City of La Quinta road right of way, permittee shall make his own arrangements with adjoining property owners for consent to the trimming in addition to the authorization provided by this permit. d. All tree trimming on EVERGREEN TREES, PALM TREES, and other ORNAMENTAL TREES shall be accomplished to the satisfaction of the City Public Works Inspector. e. Abutting property owners shall be contacted, in all instances, prior to trimming or topping trees. f. Pruning shall, in all instances, be at the shoulder of the crotch to insure even, fast healing in all cuts of two inches (2") and above in size. Sealant shall be applied to all cut sections as directed by the City Public Works Inspector. -'`ADDITIONAL --ENCROACHMENT'''PERMIT s NO.* ----- CONDI.TIONS;, R33 Survey monuments! shal IV be. , protected• , i-n. ^ p lace Or .a..re7 ' estabLi<shed pursuant to City standards- anef' the 4it,ate cif Cq1 iforni a. Land Surveyor 's Act. ' Work: Wall 7be, coordin it:ed: with `thm City' cif L_a Dc_cinta'.- r farces to, preclude delay or i nterfereVe'li th tde Ci. t y of- LEI Qu.intavy pr of c-t`. } R35., Contractor: shall" comply with the noise ordinance acrid ylocal constr=uct-i"on operations and maintenance of equipmee-nt within. `one, half., mi le' of, human oc:cupancy shal. l; be . 'per-for-med. ,.only dui-inb the -Lime periods as JbIlows• -.October „ist- to April- 30: ­ Mo'nday=f:r-idhy: _7:00aim.-5:30p.Im. 'Saturday ' :` 8:. Oa-m. 5:00p..m. _ May ist:.to September SO: Monday-F&day 6100a.T.-; :00p.mo Saturday 8:00a..m. 5:00p.m. . Wor-F::•'pi-Ribited anytime can., Sunday. And Federal holidayK_ ` _ F:3fa_ Traffic' .control shall be as ,per Cal Trans ,.Traffi.c - Manual.. - i: FielU adjc_cstments in'detouring shill be,' accomplished 'as. ' direc:ted '-in order to adjust' to -actual field conditions. A " :shal l be: We •. -contractor's rephponsdbi l ity to adequately, , ' baYricaded^ arid: detour, this site;. . R37 AI l: e>ccavatio'„ at or- near : the travel 'way:shall be backf.i l led at they end: of the work day;, for the- protection of the . ^ travel l ing.pub l is q ,: a ,minimum tc�f. one,- travel' �l`ar�e shall b-e: mai.ntaiiiedl`at a1°1•'ti'mes during`. wbrIking.hodr=s:' ' a ' R38 Permit',,iswnly-Sor'work: jfRintpublic,street' .right-o,F-way9,.o.­ . "ingress:'and .egress, fr_ir-` local _pr6pefties shall, be maintained' a1;ya.l1 times ,. 'work: R39 Prior to star tiog9 .. lJnderground' Service Alert shall `be . cont)-acted at'.17800442274133 and' an "inquiry number' shaII be provided, to -the City Public_ , Works Inspector. R40 ;PavemenVshal'1.,•be' sawr_c.it pPi'or to .r6mo,val.. .° R41 • Ally 'back'fill• subgrader soil shall be compacted to nothing; less than 90V relative dr-y,densittyy. , all base- material. shal l ybe compacted to nothing less than 9 5% relative.dry.density. R42' Replacement :pavement shall1.begemisting asphalt; thick:rress' plus one inch k but not - less' :than.3" of ADpavement sQal l be* placed. 7 Class.II aggregate base,shall be as per misting:c.r 4"•' minimum (whi;cheyer is g,gater). .' R43 Where street. striping- is` sail_ I _visibAd on Streets to be ' e:,r-avated,'_f,s-uch shall be 'r epl.aced upon •i_ompietiorr ;- .striping of -permanent repairs— All -signs shall be -replaced and/or - repaired repaired upon ;completion, of 't•he wor'-k . { ' • R44 • .If the work: is• Ito .be performed by forces .other than that - of, ; ` ''the utility- company's tka'n. that , contracting. ?DMprany will be required to apply for an -additional encro.achment.,permi.t and ' pay the appropriate fee.