500- x� ... p.�;c4.•+��e,csur.- . v ay �C k6, 6't �� ::F;`:-.'c � �• f�9rr ,cs ve fix= y. -�.,.� s
-L... •,y:-rd'.= •.•ram—.;rc:.rY:. —�..:� ,._._-•.z:- �.�..�'_� � ,.`_—......�_ � .�...v..�_ Z�.t.. �.�—`�� _c�c---�.—
14
,„• l l
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
y Subdivision Improvement Permit— Class III i
,4 D'ATE: 1 9/90 Minor Improvement Permit Class IV '
I) Avenida Montezuma from' Eisenhower to Navarro, ') AV0—.1:ida
LOCATIONIOF CONSTRUCTION
from Tampico to Montezuma 3), Madero from Enser>adas to ti?ont,t:zu ;ia
Y (Street address or Description of Location) ,
PURPOSE OF CONSTRUCTION TO repiaee undersized and Sketch (attach construction plans if appropriate)
leakincr mains .
DESCRIPTION OF CONSTRUCTION 1) GENERAL AND.D?TTlOI�P,=�
main line replacement :
�-•.. •_ , - CONDITIONS F,OR•,PEFtMIT ;
tf, 1) ttt'' rrtai`ns •on Madero and Mendoza, and Montezuma 484" APPLY TO 'THT�.S PERMIT
,, } 2)water services .
r DIMENSION -OF INSTALLATION OR REMOVAL' approx.. 1) 1200' 4SEE ATTACTiED) ' "•' ,�
4 0l.');'M0n PZ1'Una, 2) 400' on Mendoza, 3) 1600' on 1V0 CONSTRUC�14
c 2) id �'t1sTr i
Made xri D " *R �Tv THL
SIZE OF EXCAVATION, IF NEEDED PERMITT�, T3L ,t
{ 3' S ` trench SPECII�I� AEG "?.t+ .AA , .t
APPROXIMATE TIME WHEN WORk WILL BEGIN Jan. I6, 1990 '* �W!.; y�� ��--�_ a
a )BOB" MOPE , e C Z.rASS T. C*
i - JAN.1?--are9
APPROXIMATE TIME OF COMPLETION 60 Days b) LA' QUIN `.k�'� .�+kt.ST VA.!,-
ESTIMATED CONSTRUCTION COST $ti - 120, 000 : 00 .1
MAR.16,1 /•r s, � A�11, . r�
(Including.reAmoval of all°obstruction, materials, and debris, backfilling, comp:
paction and placmg!,permanent resurfacing and/or replacing improvements). Alt
h In-considerationxbf'the granting of this permit, the applicant hereby agrees to:
� .� ',' . ' , �t, .
.1ndemnify, defend and 'save the City, its authorized agents, officers, representatives and employees, harmless from,and,against•any and -all; ti
�.. ,
'{•� ,penalties; liabilities or loss resulting from claims or court action'and arising out of any accident, loss or damage to, persons',or,'p perty r�
4'
h; t�, happening.or occurring as a proximate result of any work undertaken under the permit —granted pursuant to.this application
y
O
-Notify:the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started �.'.k"!',`Y'+,r
y , p y, with all applicable City Ordinances, the terms and conditions of the permit and•all applicable rules and regulations ofjthe Ci;y�of{
Q SLa uetta and.to pay forfany additional replacement necessary as the result of�th,isywork.
• • t '' 4# ' iiLLllA— ' a"IC' '�'. • '�i iy�i}Ty3k� rS� r .n
�"' • .t; - 7 .,p; ...w....s.-ram..- .
y r x
Signature of Applicarit or Agent
Deseit;> Pip6line` Inc. P.U. Box 1536 Indio,Ca. 92202' 399 515i`
sName'of'Applicant (please print) Business Address , Telephone No.
?y Des-4kt 'P'ipelirie Inc. Dick Cressy "
,• y' Name of Contractor and Job Foreman Business Address " Telephone No.
2516�56 � . S7
Contractor's License No. City Business License No. f
D19692462
Applicant's Insu`rance:Company Policy Number'
FEES- SubdivisionlmprovementPermit —Class III- Ilapection fees 30. days @$95/hr.=11,'050.00
Public improvements:, 3% of estimated construction costs ry_
�is3 pp9'D..i�ii� 9 iJ
Private improvements: 3% of estimated construction costs' f 11f. 1, FQcS(�'..OU
Minor Improvement Parmit — Class IV: See attached schedule d �' Inspection Fee $ 1,050.00 II PERMIT VALIDATION
Permit Fee 113.00
Penalty +
Cash Deposit -Surety Bond
if. required
TOTAL: F. 0 0 0'
Receipt No.
Received by Date
Recorded by
PERMIT NO. 500
DATE APPROVED t / o / o n
EXPIRATION DATE
DATE ISSUED, 1/9/90
By
Administrative Authority '
TELEPHONE: (619) 564-2246
-m ".. - .-„�, , 3 � .. +. t f .Y ✓ jfrJ ,r`t is �.: xr
i +)' r t • � � a ti•� �•' '�'x''-.+r � - •,.,�� 1, .�. �,� t"d^f' ��+�` .j '-{
,
•`-4A.,-' w ` '^ i`°_4 f - 'ice• A. .. • 4,•
NOTE:
With proper validation
this form constitutes an y o
CITY OF 'LA QUINTA
y, , .;encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) rc� tiS
,R 0F:
For the construction of public or private curbs, driveways, pavements, `sidewalks, parking jots, sewers, water; mains •, '
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit'— bass II Ie
...1/9/90
DATE: Minor, Improvement Permit Class IV -
1)Avenida Montezuma from Eisenhower 'to Navarro, �2��'` enida
LOCATION OF CONSTRUCTION• _
Nendoza'from Tampico to Montezui;ia.3)Avenida Madero from Ensenadas to.Mpntezuma
(Street address or Description of Location) * .
'',-
PURPOSE OF.CONSTRUCTION To replace undersized and Sketch (attach construction plans if appropriate) ,
leaking mains r �_), GENERAL "AND ADDITIONAL.
a DESCRIPTION OF CONSTRUCTION main -line replacement CONDITIONS FOR PERMIT t ' ' r
1•16'"metins on Madero.and Mendoza, and Montezuma ! #484 APPLY, TO THIS `.PERMIT'„
5' " 2)caater .aervices``� ,(SEE ATTACHED),
t' DIMENSION OF INSTALLATION OR REMOVAL approx. 1) 1200'
on Montezuma, 2) 400' on Mendoza, 3) 1600' .on 2) NO CONSTAUCTIOI14"1VITLL BE
Madero . .1 t ' . ,.� _ ,.. • .
• PERMITTED -DURING ,'THE - ,
SIZE OF EXCAVATION, IF.NEEDED 3' - 5' -trench SPECIAL,:FOLLOWS XS OLLOWS -
APPROXIMATE TIME WHEN WOR WILL BEGIN Jan.16,1990 t a) BOB HOPE D,ESERT.-CLP,SSIC--
60 Days JAN.17=-211,1,990 .
APPROXIMATE TIME OF COMPLETION b) LA QUINTA, ARTS`, FESTIVAL-•,
ESTIMATED CONSTRUCTION COST $` 120', 000 . 00 MAR• 16;,17',-18 -?g-90 t
(Including removal of all obstruction; materials, and debris, backfilling, com ". _
paction, and .placing permanent -resurfacing and/or replacing improvements) r' } r
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 pe mit granted pursuant to this application :^' '
Notify the Administrative Authority at least twenty-four (24) hours in advance of the t m e when work will be started. `
1•
Comply'with all applicable City Ordinances, the terms and conditions of the permit an4all applicable rules/and regulations of the -City of `
La Quinta and to pay for[ny additional replacement, necessary as the ,result o/f/this work. i t • , rn
(20—
Signature of.Applicant or Agent' ,
Desert Pipeline Inc P.O. Box 1536 Indio','Ca. 92202 ' �399-51-94,
-,Name of Applicant (please print) Business.Address h Telephorie No:
'. Desert Pipeline Inc. Dick Cressy T r
Name of Contractor,and Job Foreman Business Address ' Telephone No:
251658 / 11 ,
A. Contractor's License No. City Business' License No.t=-"..
Cigna'', D19692462 ` 1
,Applicant's Insurance Company i • Policy Number ', a
FEES: -Subdivision Improvement Permit - Class III IJSpEction f fees 30 days @a°,55/hr.=1, 050,. 00
-Public improvenients:'3%of estimated construction costs ti,�' p ; •�,, p 0. .
�• _ Private improvements: 3% of estimated construction costs
Minor Improvement'Permit — Class IV`: See attached.schedule
1,050.00 '
Inspection Fee $ "� ` 'PERMIT VALIDATION ;
Permit -Fee 10.00 + 5f30 ;
PERMIT NO.'
Penalty a• ' - '
DATE APPROVED•
Cash Deposit -Surety Bond
1•��+��0
if required' ~ Y' t 7/•31./99/
E_ XPIRATION DATE
TOTAL: r,$� I,G60..00w.
DATE+ISSUED.' '
Receipt No..'..... *• 1�
By-
�. Received by ,''� Date Administrative 'Authority
Recorded by TELEPHONE: (619) 564-2246 '
! ..' . +' e.�.n •N iY;.ti''s�;, ,-�V}.<*at - Y ` "' • j�a'••-f � �4
The following General and Special Provisions are attached -to and made s part of Permit No.
- ' GENERAL PROVISIONS r_ '
The following shall always apply: ,
ENCROACHMENT OWPRIVATE PROPERTY: This permit authorizes work to be accomplished within City of La Quints 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 fittedwith smooth -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 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 Quints 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 Quints City Public Works Inspectors. Suitable detours and detour signs shall be placed and maintained fortheduration
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 Quints 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.
r
'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 aherbackfill 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.
y ,
DE -WATER OPERATIONS: If de -watering operations are required and pumps are forcing water on City of La. Quints roads, it shall be
the responsibility of the permittee (contractor) to control this water and to provide off-street barricades when necessary.
a ..
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 bythe permittee that he must close a street for
any length of time, permittee shall contact this office to obtain the necessary permission.
SPECIAL PROVISIONS
• f
The follwing shall apply ONLY when indicated:
QR� NOTIFICATION: Permittee shall notify the City at 564-2246 at least 48 hours in advance of starting construction.
R2 CASH DEPOSITS OR BONDS: A cash bond Oran approved surety bond in an amount of not less than §
shall be furnished in the name of City of La Quints to cover all work involved in the restoration of the various La Quints
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 on this project.
R3 ;UTILITYCLEARANCE:(Substructures) Prior to making any excavation withintheCity ofLa06intaright ofway 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.
R4 UTILITY CLEARANCE: (Surface structures) No work shall be done under this permit until all utilities are Gear of the
proposed work site.,The permittee shall notify all concerned utility companies of the proposed work.
R5PAVEMENT WIDENING:,Area between the proposed concrete gutter line and the existing road pavement shall be
surfaced with inches of A.C. paving placed on inches of class aggregate subbase course
having an"R•'value ofnot less than and in conformance with City of La Quints Road Improvement Standards
and Specifications, Ordinance #461.
R6 PARKWAY GRADING: Areabetweenthepropertylineandtopoftheproposedconcretecurbshallbegradedtoaslopeof
1 /4 inch to one foot IV).
R7 GRADES & STAKES: City of La Quints shall establish grades and stakes for the proposed concrete curb and gutter
construction.
R8 GRADE CHECKING: City of LaQuintashall check grades upon receiptofplan and pFofileand/or grades as established by
a licensed engineer.
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
c.oncrete 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()culvertshallbeinstalledwiththeinvertapproximately1.1/2
inches below and in line with the existing flow Iine'Culvert installation shall conform to the attached drawing.
(R1 ' SIGHT CLEARANCE: Sight clearance of 600 feet in either direction shall be assured and maintained.
�13 SOIL STERILIZER: The area to be surfaced shall be treated with soil sterilizer. Rate of application shall comply with the
f manufacturer's specifications.
/ R14 COORDINATE WORK: The proposed work shall be subordinated to any operation which the State of California or
,.,,i, -,a may conduct in this area during the period of this oermit.'vVorx snail be cooramateo with the State or
City of La Quints forces to preclude delay or interference with State or City of La Quints projects. "
6 R15 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the
centerline of all streets or property Imes 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. This office shall
be notified upon completion of replacement of all survev monuments for proper project clearance.
R 16 SURVEY MONUMENTS; Prior to, dvatiori or beginning of construction, all curve, ,onuments shall be tied out by City
of La Quints 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
corrected.
R18 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;000lineal feet of open trench before backfill operations must
`—i begin. 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.
20 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 Quints 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 notgreaterthan
three feet (3') and vibratad 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.
R22 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 that the
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
Csupply shall be continuous.
R23, COMPACTION TESTS: If so required bythe inspector, compactiontests shall be made at intervalsof not morethan 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 and filed prior to making permanent repairs. Compaction tests shall be made asoutlined in Section 6.3.01 of the
tsndard Specifications, Division of Highways, State of California, dated January 1973.
R24 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 forwardedtothe City Engineer for approval and filed prior to making permanent repairs.
c. Compaction tests shall be made asoutlined in Section 6.3.01 of the Standard Specifications, Division of Highways, State
of California, dated January 1973. '
R25 TEMPORARY PAVEMENT REPAIRS: After completion of backfill and companion 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 nocase 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 nofaterthan days after completion of
? temporary road repair. ,
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 1151 days after completion of temporary
paving. Concrete base shall be of five -sock mix and shall conform to the City of La Quints 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 stripingshall be replaced upon
completion of permanent repairs. `
R31 TREE RELOCATION OR REMOVAL: Tree relocation within the City of La Quints 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.
2k
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 500feet at any one time. Adequate
r, signs, flagmen and/or barricades shall be provided to protect the traveling public at all times.
l
Large holes resulting from tree removal shall be backf filled and compacted to not less than 90 percent or equivalent to the
surrounding ground, whichever is the greater compaction as determined bV 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.
002 TREE TOIL WING: a
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 necessaryto restrict traffic, the work shall be restricted to a maximum of 500feetatanyone 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 Quints 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 oermit.
d. All tree trimming on EVERGREEN TREES. PALM TREES, and other ORNAMENTAL TREES shall be accomplished to
.tio =*�sfsction of the r'ity Public Wnrks Insnectnr •+
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
t 1
ADDITION ----ENCROACHMENT PERMIT NO.484----CONDITIONS,
R3'3
Survey monuments shall be protected,in place or
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
i
"Quinta's ,projects..
R3'5
Contractorishall comply 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 periods as.follows:.
r'bctober.lst to April 30s Monday -Friday 7:00a.m.-5:30p.m..
Saturday 8:00a.m.-5:00p.m.-
May 1st to September'30:Monday-Friday 6:0Qa.m':7,7:00p.m.
Saturday 8:00a.m.-5:00p.m.
Work shall be'prohibited`anytime on Sunday and Federal
holiday.
t R36 .
Traffic.; control shall'�be' as per Cale Trans Traffic Manual.
Field adjustments in detouring,shall be accomplished as,
directed in order to adjust to actual field conditions. It
shall -be .the contractor Is.responsibility to adequately',
'•
barricade and.detour this -site. t
R37
All.excavation at.or neat -the travel way shall be backfilled
i
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 maintaii4d•at•all
times'with flagmen during working hours.
R4.0
' All work to be performed„within the existing paved section
..shall.be temporary,paved and maintained by the Permittee', K
permanent pavement shall.be.pliced no later than 15 days.
after completion.of'the temporary road repair.
R41
Ingress and egress for local properties shalltbe 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 shall be sawcut,piior to removal.
R44
All backf ill- subgrade soil shall:"Abe 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 o relative -dry density, . all .base
material'shall be compacted.ao nothing less.than 95%.
relative .dry density.
R45.
Replacement pavement sections shall be 311,.AC over 4" Class..
II aggregate base io, r//.s>rt�ls
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NOTE:
With proper validation
this form 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
DATE
/— ( — 7 0
LOCATION OF CONSTRUCTION
Subdivision Improvement Permit — Class I II
Minor Improvement Permit Class IV
19�I/J z) £2A , IgA,2T/4 _ --
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION �'N M'0 LL'd �'/y"� may" Sketch (attach construction plans if appropriate)
b" ,roc. wA yr-� �A �.✓ s
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR RE,11jOVAL'
<O ,tJ � �rG TI�'f8.► S lit//GABS ,
SIZE OF EXCAVATION, IF NEEDED Z
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF. COMPLETION 6y
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 per med pursuant to this application.
Notify the Administrative -Authority at least twenty-four (24) hours in advance of he ti a when work I be`started:
Comply with all applicable City Ordinances, the terms and conditions of the pe it an all pplicable I and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result o this ork
y; Signature of Applicak or Agent
tom- r P :,Jc. � >�o, Roie /S34 x4oi10, Coc1 1c)9T/i y
Name of Applicant (please print) Business Address `r L 2 0-1,, Telephone No.
.%% I` -DIGr. Geg.sr5-1
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's L� -No':5-- , % City Business License N6.
_
Applicant's Insurance Company' \�,_P_olicy-Number
FEES: Subdivision Improvement Permit — Class I II
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs N� S� 1
Minor Improvement Permit — � Class IV: See attached schedule lr v
Inspection Fee $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Date
PERMIT VALIDATION
i
PERMIT NO. _
DATE APPROVED
. r
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
Recorded by
TELEPHONE: (619) 564-2246
1