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ILA
With proper validation
this form constitutes•arr` j �}
,
` encroachment CITY.,OF LA "-QUINTA permit ,• .. - r• � � . �
APPLIEATION', FOR PERMIT
t PUBLIC WORKS CONSTRUCTION (ENCR'OACHMENT) r,c• ''"Sw��
OF IE1B9�
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
' 12 / 2 6 / 8 9 Subdivision Improvement Permit — Class 111
DATE:,Mino'r Improvement Permit Class IV
LOCATION OF CONSTRUCTION 9l11 , AvPn i tea Marti »P�"
(Street address or Description of Location)
s :serve as to new .
PURPOSE OF CONSTRUCTION g Sketch (attach construction plans if a
-residence ppropriate)
DESCRIPTION OF CONSTRUCTION M-146'=2" gas main: �5 • .
iine+anth `to 'serftee =
DIMENSION OF INSTALLATION'OR REMOVAL' 1461x18" r
SIZE OF EXCAVATION, IF NEEDED 146X' 18"
APPROXIMATE TIME WHEN WORK WILL BEGIN'
= APPROXIMATE -TIME OF COMPLETION_ 1. day
ESTIMATED CONSTRUCTION COST'$ '
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent' resurfacing and/or replacing improvements) r .
In 'consideration- of the granting of this, permit,, the applicant hereby agrees to,
Indemnify, defend and save the City, its authorized agents, officer's, representatives and employees, harmless from and against any and all.
penalties; liabilities or loss resulting from claims,& 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 permf t and all applicable rules and regulations of the City of
'La Quinta and to pay for any additional replacement necessary as the result of Z work
SignatureXf Applicant •� gent
Macco Construction p0 Box'783 Palm Desert'�CA 260 343-118&
Name of Applicant (please print) - Business Address) - ' `; . Telephone No.
same •as above
Name of Contractor and Job Foreman Business Address' f : Telephone'No.
25961.9 x ; 566
Contractor's License No. �� , City Business License No:
Reliance ins. ,Liability Auto/General N 61253560t rz
Applicant's Insurance Company A 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 ,lV:,See attached schedule d ^ •F
10.00 • ' '
Inspection Fee $ PERMIT. VALIDATION
Permit Fee, , 35.00
PERMIT NO.
Penalty 12/26/89
Cash Deposit -Surety. Bond ;r DATE APPROVED'•
if required , EXPIRATION.DATE 1/26/90`
TOTAL`: $ 45 00 7`2/26�8-9
DATE ISSUED
Receipt No,f�it.rt�C —i t
4• Received by .Date' } ? By,'.Administrative Authority
1 Recorded by •� TELEPHONE: (619) 564-2246-
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
12 / 2 6 / 8 9 Subdivision Improvement Permit — Class I I
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 1;9015 .Ay-anida P4Rrt-inP7.
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION serve gas to new
resiclence
DESCRIPTION OF CONSTRUCTION M -146 Y-2°" gas main
imneeeth to scrryee
DIMENSION OF INSTALLATION OR REMOVAL 146 X $"
SIZE OF EXCAVATION, IF NEEDED 4bx 18"
APPROXIMATE TIME WHEN WORK WILL BEGIN ? _ /'
Sketch (attach construction plans if appropriate)
u$H.�
APPROXIMATE TIME OF COMPLETION 1 daV
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
iofJthis work'.
U' 1 jJ
Signature.of Applicant r//Agent
Macco Construction PO Box 783 Palm Desert,..,CA X2260 343-1180
Name of Applicant (please print) Business AddressTelephone No.
same: as above
,i
Name of Contractor and Job Foreman Business Address Telephone No.
259619 566
Contractor's License No. City Business License No.
Reliance Ins. Liability Auto/General N 61253560
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
Minor improvement Permit — Class IV: See attached schedule
Inspection Fee 1 $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
10.00
35.00
TOTAL: $ ca r' • 0 (1)
Receipt No. ,
Received by Date
10 �f6 s f! :fi
0
PERMIT VALIDATION
PERMIT NO. '
DATE APPROVED 1.2/26/89
EXPIRATION DATE 1/26/90
DATE ISSUED 12/2€/69
By —
Administrative Authority
Recorded by II TELEPHONE: (619) 564-2246
The following General and Special Provisions are attached to and made.a part. of Permit Noc �T
t.M.
+ 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 paying during excavations. Rubber -tired equipment only.shall'be 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.
s surfacing plus appropriate seal coat as specified above:
e
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
f'
r 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 -
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 fo5proper drainage.
'
RIGHT,OF WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from the right of
t
way. All paved surfaces shall be broomed clean of earth and other objectionable materials immediately afterbackfill 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 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 permittee that he must close a streetfor
- any length of time, permittee shall contact this office to obtain the necessary permission.
•
"� •'' SPECIAL PROVISIONS • ,
•
a
° The follwing shall apply ONLY when•indicated
-tee notify
+r
;r R NOTIFICATION: Permit shall the City at 564-2246 at least 48 hours in advance of starting construction.
r,
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 cover all work involved in the restoration of the various La Quinta
r roads and survey monuments. This bond shall be continuous until cancelled by the City Engineer. This bond must be
posted
posted prior to commencement of any work on this project . ,
R3 TILITYCLEARANCE: (Sub'structures)Priortomakingany excavation within the City of La Quinta right of way authorized
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. `
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.
R5, PAVEMENT WIDENING: Area. between the proposed concrete gutter line and the existingroad pavement shall be
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. r, 1�• +- d
R6 PARKWAY GRADING: Area between the propirty,line and top of the proposed concrete curb shall be graded to a slope of
1 /4 inch to one foot (1'), y
r
R7 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 profile and/or grades as established by
`
{ a licensed engineer. r' .
R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter ( 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.
R10+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 2-1 /2'inches of A.C. paving placed on ( ") of class
;• aggregate base. Driveway construction shall conform to attached drawing.
R11 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 Created with'soil sterilizer. Rate of application_shall comply with the .
�• =
manufacturer's specifications. ' ' *_.? '
`
R14 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 s
R
City of La Quinta forces to preclude delay or interference with State or City of La Quinta projects. _
15 URVEY MONUMENTS"Prior to excavation or beginning of construction, all survey monuments which exist on the
centerline of all streets or property lines when involved shall be completely tied out so they maybe 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. Thisoffice shall
0 be notified upon completion of replacement of all survey monuments for proper project clearance.
Rn-.ii _.
R16 _ • --Y MONUMENTS: Prior to excavation or beginning of construction, all survey monuments shall be tied 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 equ?pment
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
corrected.
tbegin.
PAVEMENT CUTTING: Pavement shall be saw cut prior to removal. Prior to final paving operations, any damage to
pavement straight edge shall be corrected.
LIMIT OF EXCAVATIONS: Excavations shall be limited to 1,0001inealfeetofopentrenchbeforebackfilloperationsmust
All excavations shall be properly barricaded with lights overnight, on weekends and holidays forthe 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.
R20 BACKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimental to its use for purposes
of producing an adequately consolidated backfill. Any 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.
R21 BACKFILL SAND: Backfill shall be approved transit -mix sand or equivalent and shall be placed in lifts of notgreaterthan
three feet (3')and vibrated using vibrotamper or equivalent equipment. Alternate methods maybe substituted, but in any
case a relative compaction of 95 percent shall be attained within the structural section of the roadway.
51
22 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 is the greater
compaction. Where ponding or flooding is used for a maximum settlement, adequate dikeswill 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.
L-fet
COMPACTION TESTS: If so required bythe inspector, compaction tests shall be made at intervals of not more than 1,000
eand a minimum of one (1) test on each road. 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 Section 6.3.01 of the
Standard Specifications, Division of Highways, State of California, dated January 1973.
V24COMPACTION 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
f California, dated January 1973.
R2 EMPORARY 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 3,000lineal 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.
R26 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.
R27 PAVEMENT REPAIR: F.A.S.: Upon completionetion of c mpaction, a temporary patch consisting of two inches (2")
of cold mix paving (SC-800) shall be placed immediately. A permanent patch of three inches (Y) 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 f1461.
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 streetsto 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 anyone 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 maximum of 500feet at anyone 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.
ADDITION == ENCROACHMENT' PERMIT N0.4dSl---UUNUITIUNS-
R33;` Survey monuments shall be protected in place or\. t
.,' re-established pursuant to City standards and the State -of
' California`Land Surveyor's Act.
R34 Work shall .be, coordinated"with the.City of La Quinta's
forces. -to preclude delay or interference with.the City of La
Quintals projects.
R35 .`Contractor shall c'omply;,with the.local noise ordinance and
construction operations and maintenance of equipment within
one half -mile of human occupancy"shall be performed only,
during:the time,i:;ariods'as tolIcws:
October 1st to April 30:. Monday -Friday 7:00a.m.-5:30p.m.
Saturday 8:00a:m.-5:00p.m.
May lst-to September 30: Monday-Friday'6,00a.m.-7:00p.m.
Saturday 48:00a.m.-5:00p.m. .
Work shall be prohibited•anytime•on Sunday and Federal
holiday. • : r
R36 Traffic control shall be,as,per Cal Trans-Traffic:Manual.,
Field adjustments in.detouring shall.be accomplished as
directed in order to"adjust to.,actual'field conditions. It
P shall be the contractor's responsibility to. -adequately"
` barricade and detour this site.
rR37 All excavation,at'or.,near the travel way shall be backfilled' ,
at the end of the'work day, for the protection of the
traveling public.
R38 Street closures shall,not be allowed at any time..
R39 A•minimum'of one. travel lane shall be.maintaified.at all
times with flagmen during'working hours. t
` R40 All workto be performed within the`existing paved section
shall be temporary paved and maintained byLthe Permi_ttee,
-permanent pavement shall.be placed no later than 15 days
after completion of the temporary road repair.
R41 Ingress and egress for local properties shall be maintained
�at all times.
R42 Prior to work starting, Underground Service Alert shall be
contacted at 1-800-422-4133-and-an "inquiry number"'shall be
provided to the.City Public Works Inspector.'
^ R43 Pavement'kshall be sawcut prior to removal. l
"
R44 All backfill subgrade soil -shall be compacted.to nothing
less than,90% relative dry density,all backfill soil'within
the top 2' of.finish pavement surface shall be compacted to.
nothing: less than 95%.relative.dry density, `all base " '
material shall be compacted to nothing�less.than 95%
relative,.dry density.,