521,
~NOTE, k% r r , ♦ `�., + i ..
With proper validation 4 Q
this form constitutes an ".
encroachment permit
CITY' OF' LA, QUINTA, _
- ,f, • , - , - � �
• - ,.' , APPLICATION FOR .PERMIT
,• , ; PUBLIC WORKS CONSTRUCTION'• (ENCROACHMENT) a � I•�� �SwP'
BLANKET `PERMIT
x `For the constructkon .of public or private curbs, driveways; pavements, sidewalks, parking lots, sewers, 4water mains <
_• and other like public.viorks;improvements in. connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS .'
i~ ."� + ♦ f ,yy. `,,, ' '„ , •' Subdivision Improvement Permit•— Class III• • •`
'k•. -DATE:.' Februar•,�� 1, ,l'990 • � r
._ � Minor'Improvement Permit Class IV ,
LOCATION OF CONSTRUCTIONWi thi n the haven and Earth sections - of .various La Quinta
�tr0 1-CZWr1i' t om hnnviAriP- of'.(;PnPral TPIPnh6nP Comnanv of California operation
• " (Street address or Description of Location) area �` k •. `
A
PURPOSE OF CONSTRUCTION Sketch (attacli construction plans if appropriate)"
BLANKET PERMIT" "
DESCRIPTION OF CONSTRUCTION' ma; ntonanrne A.rpnAir of
-This authorization does,not'
exi _-t n„ ��r♦A arnr�;i»ri 'ern, i'vimnni- ''; na+al i a ; an ' include excavations of FAS roads
,.,v_ ary — - .- -
DIMENSION OF INSTALLATION OR REMOVAL not. more than (major roada) Y ,•
80 linear.feet excavated under blanket permit-Permitee;shall-notify City Hall
a minimum of 24 hours'prior to-
;' - .. - t
4x4 bellholeand the start -•of construction F,
SIZE OF.EXCAVATION, IF NEEDED —Separate permits , are required
' installation . r4 ,
fOr FAS• roads
APPROXIMATE TIME WHEN WORK WILL BEGINWTT,T. T40TTOY
{`TTV ^ D'd' RNIRR' -TM 140174W- OP ANTY WnRK
APPROXIMATE TIME OF COMPLETION d 11619D" ''
ESTIMATED'CONSTRUCTION COST $
(Including,removal.of.all obstruction, materials; and debris, backfilling, com r
'impaction and placing permanent resurfacing and/or replaciniimprovements)
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 •frorn,and against any and alld. M i
.•. penalties,.- liabilities or loss resulting from -claim's 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, thi Administrative Auihority at least twenty-four (24) hours in advance of the time when ork will be, started.
, w,
t Comply with all applicable City Ordinances, the terms and conditions of the permit'and all -applicable rules and•regulations of the City of r >.
La Quinta and to pay for any additional replacement necessary as the result of this work.
Network 'Engineering `Supervisor, 'FAC
•S Signature of Applicant or Agent
EGeneralJ-Telephone ,Company of California 83-793 DR Carreon Blvd:. Indio CA`' 92201
Name of Applicant (please print) . Y _ Business Address , Telephone No.'
,' • .mot- .. � ,t�'� ' ;,
Name of Contractor and Job Foreman Business Address ° Telephone No".,
Contractor's License No.' +' 'City Business License No. r `
Applicant's Insurance Company; '' Policy Number
+EES: Subdivision Improvement Permit — Class II l.. !
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement,Permit' Class IV: See attache.b�d schedule , O' S21,
Inspection Fee • ,f{ $ NA • ;� +' 'PERMIT VALIDATION ., ♦ l
Permit Fee 521
r PERMIT NO.
` Penalty .' DATE APPROVED 2 / i is9,0,
•:
Cash Deposit-Surety'Bond '
a
if required Y EXPIRATION DATE 4/30/90'
TOTAL: $ DATE ISSUED., 4
Receipt No.
By •r.�r '` ..
Received by Date eZ -` ^ Administrative Authority
Recorded by - TELEPHONE: (619) 564-2246,,K ,
c
t S rt
NOTE c °
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
BLS NXET PFRMIT
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: Improvement Permit Class IV
LOCATION OF CONSTRUCTIONtl'il '"i--rc� thn maven and earth sections of varlou. La ,Duinta
t r-ma ii ►ai thin thr u-nnndri.(ng of ^«�,npxal Telenhone Comoanv of California operation
(Street address or Description of Location) aro
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION X 'MnD i r of
�sv i R+i nh: twv�rl,�,rcrrt�itmr� �E�rti i �nrst��a�1- :c, i nctt-� 1 1 �t i nn
DIMENSION OF INSTALLATION OR REMOVAL not more than
�0 1-inear "ect excavated under !�Ianket narmit
SIZE OF EXCAVATION, IF NEEDED 4z, '�-.ellh.olc and,
installat-son
APPROXIMATE TIME WHEN WORK WILL/ BEGIN'�111 , NOTIP3 ,'
C1-9Y' 9A +,(f�1l fd�f Tier L,lAu l9 t9.1<�����u !�S NIORT1
APPROXIMATE TIME OF COMPLETION /90
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
Sketch (attach construction plans if appropriate)
In consideration of the granting of this permit, the applicant hereby agrees to:
-This authadl�ation does not
includef'excavations of FAS roads
(major roads)
-Parm:. tee shall notify City Nall
a minimum of 24 hours prior to
the start of construction
- Scnarat,c permits are rec;!uired
:for FI1S roads
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.
Natwori- Lngineering Surervisor, FAC
Signature of Applicant or Agent
LCen€ral Telephone Company of California 83-•793 OR Carreon Blvd. Indio CA -92201
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
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
TOTAL:
Receipt No.
Received by Date
PERMIT NO
PERMIT VALIDATION
521
DATE APPROVED
EXPIRATION DATE
2_/3_/_1"0
DATE ISSUED
By .c
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
The following General and Special Provisions are attached to and made a part of Permit No.
GENERAL PROVISIONS k
The,following shall always apply: t
r ,
r ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work•to be accomplished within City of La Quints rightof way` ' +
ONLY: Whenever construction extends within private property, it shall be the responsibility of the permittee (or his contractors)to•-
secure• permission from y o -abutting propertwners. Such authorization must be secured by the permittee prior to starting work.
TRACKLAYING CONSTRUCTION EQUIPMENT: Cleated tracklaying construction equipnient shall not be perm'%Ittedto operaieon 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. t
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 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
i
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. t .
- •� . - - 3
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.
EAsting gutter line and drainage ditches shall be replaced to their original standard or better. All excess material shall be removed
c. 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 Quints 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 follwing shall apply ONLY when indicated:
F R1 NOTIFICATION: Permittee shall notifytheCity at 564-2246 at least 48 hours in advance of starting construction.
` R2 CASH DEPOSITS OR BONDS: A cash bond or ari 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 . k
;,• RY yR3 UTILITY CLEARANCE: (Substructures)Prior to making any excavation within the City of LaQuints right ofwayauthorized
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 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 existing road pavement shall be
, r^
' 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 Quints Road Improvement Standards
and Specifications, Ordinance #461.,
R6 PARKWAY GRADING: Area between the pro I perty line and top of the proposed concrete curb shall be gradedto a slope of
1/4 inch to one foot (1').. ,
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 Quints shall check grades upon receipt of plan and pcof ile and/or grades as established by
a licensed engineer. _ r
"F19. CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter ( feet) shall be
- f removed. Curb and/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 Quints 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.
t 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'
R1 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 complywith the
- r manufacturer's specifications. r t y
R14 COORDINATE WORK: The proposed work shall be subordinated to any operation which the State of California or
City of La Quints may conduct in this area during the period of this permit. Work shall be coordinated with the State or
City of La Quints forces to preclude delay or interference with State or City of La Quints projects.,
y, a • : �R15! 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 shall 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.
one o1M^ - - ... ,
R16 SURVEY 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 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.
R19 LIMIT OF EXCAVATIONS: Excavations shall be limited to 1,000lineal feetof opentrench 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.
R20 BACKFILL MATERIAL: Backfill shall be free of brush, roots or otherorganic substance detrimentalto 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 isto 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 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 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 and filed priorto 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.
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 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.
R25 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 maximurn cf 3,0001ine3l feetof trench hasbeen excavated and backfill operations completed, but in no case shall
DR265
the placement of the temporary pavement exceed a five (5) day limit.
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 laterthan days after completion of
temporary road repair. �� C_-<M D' K t 4Q
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 N461.
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 issuanceof 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 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.
I. 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.
cF'I�0F7Fif��S 78-105 CALLE`_ESTADO'. - LA QUINTA, CALIFORNIA 92253 (619) 564-2246
f/ ADDITIONAL CONDITIONS �s r
ENCROACHMENT PERMIT NO.
R33" Survey monuments shall 'be: protected in place,or
re-established,pursuant,to City standards and.the'State,of,
California Land. Surveyor's Act. i"
' /R34' :Contractor shall comply with. the -'local-noise 'ordinance and: `A
- construction operations-andmaintenance of equipment within
-one half mile of human occupancy shall be performed only
during.the time periods.as'.follows:
- October 1st,to.April 30: Monday -Friday 7:00a.m.-5:30p.m. .
.Saturday. 8:00a.m.-5:00p:m.
•• May 1st to Sept. 30th: Monday -Friday 6:00a.m.-7:00p-.m:
Saturday 8:OOa.m.-5:OOp.m:4 -
Work.shall'be prohibited anytime oh -Sunday and Federal
-, holiday. a
Traffic control shall be as per''Cal Trans Traffic Manual.•.
a 'Field adjustments in detouring shall be accomplished as-
-' in order to adjust to actual field conditions. It'
+' shall be the contractor's responsibility to adequately
barricade and detour this site.
s R36' All excavation at 'or near the travel way 'shall be backfilled '
at the end of the work day; for the piotection.of the
.traveling public.
R37.: This permit.is only for work within public street right -of=
- ' way .
R38 Ingress and egress -for local properties shall.be maintained
at all times
R39 Prior to work'starting, Underground Service Alert shall the ,
contacted' at 1-800-422-4133`and an "inquiry number" shall be
provided'to,the°City.Public Works Inspector
R40- Replacement pavement. shall 'be existing asphalt thickness
,plus. one inch,,but not less' than 3"inches of ACrpavement
shall be placed. Class'2 aggregate -base shall be as per.
existing or 4" minimum (whichever is greater).
MAILING ADDRESS.- P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253