71064' -- Finance Revenue Code E_1
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OFTKF ENCROACHMENT PERMIT
PUBLIC WORKS CONSTRUCTION
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
Minor Improvement Permit Class IV
DATE:May 10, 2007
LOCATION OF CONSTRUCTION (Street address or Description): Desert Villas PM 31116; Miles Avenue and Adams Street
PURPOSE OF CONSTRUCTION: Install (1) 6" wet barrel fire hydrant
DESCRIPTION OF CONSTRUCTION: As needed
DIMENSION OFINSTALLATION OR REMOVAL: As needed
APPROXIMATE TIME WHEN WORK WILL BEGIN:May 2007 TIME OF COMPLETION:June 2007
ESTIMATED CONSTRUCTION COST: $13,750.06 (Including removal of all obstruction, materials, and debris, backfilling,
compaction and placing permanent resurfacing and/or replacing improvements)
COMMENTS: /VYXj fi%r4 - lmg Tr--:P79P 7;l?� A&- CG
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 at (760) 777-
7075.
Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City
of La Quinta and to pay for any additional replacement necessary as the result of this work.
Signature of Applicant or Agent.
CVWD - Carol Pfannkuche P.O. Box 1058 Coachella, CA 92236 (760) 398-2651 ext. 3521
Name of Applicant (please print) Business Address Telephone No.
Same as above
Name of Contractor and Job Foreman Business Address Telephone No.
NA NA
Contractor's License No. City Business License No.
Self Insured NA
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit - Class III
Minor Improvement Permit - .Class IV
Inspection Fee
Permit Fee
As -Built Deposit
Cash Deposit -Surety Bond,
if required
TOTAL
$0
$0
$0
$0
$No Fee
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
See attached schedule
PERMIT NO.% 1 O6
DATE APPROVED: MA-N. I q 1 2001
EXP N DgT�E: 1VAy 14. 2006
BY: Y
oss
Administrative Authority
- - -finance Revenue Code E-1
c&h. 4 4 Q"
ENCROACHMENT PERMIT
PUBLIC WORKS CONSTRUCTION
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
Minor Improvement Permit Class IV
DATE:May 10, 2007
LOCATION OF CONSTRUCTION (Street address or Description): Desert Villas PM 31116: Miles Avenue and Adams Street
PURPOSE OF CONSTRUCTION: Install (1) 6" wet barrel fire hydrant
DESCRIPTION OF CONSTRUCTION: As needed
DIMENSION OFINSTALLATION OR REMOVAL: As needed
APPROXIMATE TIME WHEN WORK WILL BEGIN:May 2007 TIME OF COMPLETION:June 2007
ESTIMATED CONSTRUCTION COST: $13,750.00 (Including removal of all obstruction, materials, and debris, backfilling,
compaction and placing permanent resurfacing and/or replacing improvements)
COMMENTS:
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 at (760) 777-
7075.
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.
L)
Signature of Applicant or Agent.
CVWD - Carol Pfannkuche P.O. Box 1058 Coachella CA 92236 (760) 398-2651 ext. 3521
Name of Applicant (please print) Business Address Telephone No.
Same as above
Name of Contractor and Job Foreman Business Address Telephone No.
NA NA'
Contractor's License No. City Business License No.
Self Insured NA
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit - Class III
Minor Improvement Permit - .Class IV
Inspection Fee
Permit Fee
As -Built Deposit
Cash Deposit -Surety Bond,
if required
TOTAL
$0
$0
$0
$0
SNo Fee
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
See attached schedule
PERMIT NO.% 1 O6
DATE APPROVED: M44. iq i Z001
EXP N DAT_E: rV A y l% ZGO 9
By: =D Y'
Administrative Authority
E. I
trait om Javyj
City of La Quinta
The following General and Special Provisions are attached to and made a part of
Permit Number 7106
The following shall always apply:
ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within the City of La Quinta's right of way
ONLY. Whenever construction extends within private property, it is the responsibility of the permittee for his contractors to secure permission
from abutting property owners. Such authorization must be secured by the permittee prior to starting work.
TRACK -LAYING CONSTRUCTION EQUIPMENT: Cleated track -laying construction equipment shall not be permitted to operate on any paved
surface unless fitted with smoother -faced street pads. All mechanical outriggers shall be fitted with rubber street shoes to protect the paving
during excavations. Rubber -tired equipment only shall be used in backfill operation in paved areas. If the existing pavement is scarred, spalled,
or broken during the term of this contract or if the pavement is marred, City of La Quinta shall request that these portions of road be resurfaced
over their entire width. Resurfacing shall consist of one coat of two inches (2") of A.C. surfacing plus appropriate seal coat as specified above.
PROTECTION OF TRAFFIC: All excavations and work areas shall be properly lighted and barricaded as deemed necessary by the City
Engineer or City of La Quinta Public Works Inspectors. Suitable detours and detour signs shall be placed and maintained for the duration of the
project. The City shall be notified twenty-four hours (24) in advance of any traffic detours or delineation.
CARE OF DRAINAGE STRUCTURES: Any drainage structure to include corrugated metal pipe, concrete pipe, steel culvert and concrete
structures encountered during excavation which necessitate removal shall be replaced in kind. In the event it becomes necessary to remove or
cut existing drainage structures, City of La Quinta shall be notified prior to commencement of this work. Drainage structures and open drains
shall be kept free of debris at all times for proper drainage.
RIGHT-OF-WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from the right of way. All
paved surfaces shall be broomed clean of earth and other objectionable materials immediately after backfill and compaction. Existing gutter line
and drainage ditches shall be replaced to their original standard or better. All excess material shall be removed prior to paving. Water tanker
shall be used, as required, to sprinkle the job site to keep down dust conditions and shall be used immediately after backfill.
DE -WATER OPERTATIONS: If de -watering operations are required and pumps are forcing water on City of La Quinta roads, it shall be the
responsibility of the permittee (contractor) to control this water and to provide off-street barricades when necessary.
CLOSING STREETS: No street shall be closed. A minimum of one lane of traffic shall be maintained at all times to provide limited access for
the adjoining property owners and emergency vehicles. In the event it is felt by the permittee that he must close a street for any length of time, .
permittee shall contact this office to obtain the necessary permission.
SPECIAL PROVISIONS
The following shall apply when indicated:
® R1 NOTIFICATION: Permittee shall be notified the City at (760) 777 - 7097 at least forty-eight hours (48) in advance of starting
construction.
® R2 UTILITY CLEARANCE: (Substructures) Prior to making any excavations within the City of La Quinta right-of-way authorized
by permit, the permittee shall contact all concerned utility companies relative to the location of existing substructures.
Damage to existing substructures resulting from operations conducted under this permit shall be the sole responsibility of the
permittee.
® R3 UTILITY CLEARANCE (Surface Structures) No work shall be done under this permit until all utilities are clear of the
proposed work site. The permittee shall notify all concerned utility companies of the proposed work.
❑ R4 PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing road pavement shall be surfaced
with ( " N/A " ) inches of A.C. paving placed on ( " N/A " ) inches of ( "' N/A'" ) aggregate sub -base course having an.
"R" value of not less than ( "" N/A'") and in conformance with the City of La Quinta Road Improvement Standards and
Specifications, Ordinance #461.
® R5 PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a slope of
one-fourth inch (%") to one foot (1').
❑ R6 GRADE CHECKING: City of La Quinta shall check grades upon receipt of plan and profile and/or grades as established by
a licensed engineer.
❑ R7 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter ("" N/A ") feet shall
be removed. Curb and/or curb and gutter shall be saw cut prior to removal. Depressed curb, matching concrete gutter and
concrete driveway approach shall be constructed in conformance with City of La Quinta Standard #207.
❑ R8 DRIVEWAYS: A.C. driveways shall be constructed as not to alter existing drainage pattern. -Surfacing between the property
line and the existing road paving shall be two and a half inches (2.%") of A.C. paving on (" N/A ") of class (" N/A " )
aggregate base.
® R9 SIGHT CLEARANCE: Sight Clearance of six -hundred feet (600') in all directions shall be assured and maintained at all
times.
❑ R10 SOIL STERILIZER: The area to be surfaced shall be treated with soil strerilizer. Rate of application shall comply with the
manufacturer's specifications.
City of La Quinta
® R11 COORDINATE WORK: The proposed work shall be subordinated to any operation, which the State of California or City of
La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or City of La
Quinta forces to preclude delay or interference with State or City of La Quinta projects.
® R12 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the
centerline of all streets or property lines when included shall be completely tied out so they may be readily and correctly,
replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete set of notes showing the ties
to these monuments shall be furnished to the City Engineer prior to the removal of any monuments. This office shall be
notified upon completion or replacement of all survey monuments for proper clearance.
® R13 PAVEMENT CUTTING: Pavement will be mechanically saw cut to a straight edge prior to excavation. Method of pavement
cutting shall be approved through the office of the City Engineer. (Under no circumstances shall excavating equipment be
used to excavate prior to cutting or pavement.) Excavation material shall be placed in such a position as to best facilitate the
general flow traffic. Prior to final paving operations, any damage to pavement straight edges shall be corrected.
❑ R14 LIMIT OF EXCAVATIONS: Excavations shall be limited to one -thousand feet (1000') of open trench before backfill
operations must begin. All excavations shall be properly barricaded with lights overnight, on weekends and holidays for the
protection of the traveling public. The Public Works Inspector shall determine the suitability of excavation barricading in
each case. No excavation shall remain open for a period exceeding five (5) days. No excavation shall be made unless the
construction material is actually on the work site.
® R15 BACKFILL MATERIAL: Backfill shall be free of brush; roots or other organic substance detrimental to its use for purposes
of producing and adequately consolidated backfill. Ant material which the City of La Quinta deems unsuitable (spongy or
saturated material) which is encountered during excavation shall not be used for backfill, but shall be supplemented or
replaced by an approved sand or gravel.
❑ R16 BACKFILL SAND: Backfill shall be approved transit -mix sand or equivalent and shall be placed on lifts not greater than
three feet (3') and vibrated using vibrostamper or equivalent equipment. Alternate methods may be substituted, but in any
case, a relative compaction of ninety-five percent (95%) shall be maintained with the structural section of the roadway.
❑ R17 BACKFILL PLACEMENT: Backfill shall be applied in layers of not more than fifty percent (50%) of the total depth of the
trench before flooding or a maximum of five feet (6) lifts where trenches are of excessive depths. Care is to be exercised
that the backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed so that the
resulting compaction shall not be less than ninety percent (90%) or equivalent to the surrounding ground, whichever is the
greater compaction. Where ponding or flooding is used for a maximum settlement, adequate dikes will be constructed to
retain the water. Where jetting is used, the jets shall be of sufficient length to reach the bottom of each layer and the water
supply shall be continuos.
❑ R18 COMPACTION TESTS: If so required by the inspector, compaction test shall be made at intervals of not more than one -
thousand (1000') feet and a maximum of one (1) test on each road. One (1) copy of each test shall be forwarded tot the City
Engineer for approval and filed prior to making permanent repairs. Compaction tests shall be made as outlined in Section
6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973.
® R19 COMPACTION TESTS: If so required by the Inspector, compaction tests shall be made for each crossing or service line.
One (1) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent repairs.
Compaction tests shall be made as outlined in Sections 6.3.001 of the Standard Specifications, Division of Highways, State
of California, dated January 1973.
® R20 TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch consisting
of two inches (2") of SC-800 shall be placed on a prepared sub -grade. The SC-800 temporary paving shall be placed after
a maximum of three -thousand linear feet (3000') or trench has been excavated and backfill operations completed, but in no
case shall the placement of the temporary pavement exceed a five (5) day limit.
® R21 PERMANENT PAVEMENT REPAIR: After backfill and compaction have been completed, a temporary patch consisting of
two inches (2") of SC-800 shall be placed immediately. A permanent patch of ( " N/A " ) inches of A.0 surfacing placed on
a ( " N/A ") inch (" N/A " ) aggregate base shall be placed no later than ( 5 ) days after completion of temporary road
repair.
❑ R22 FOG SEAL: A fog seal coat consisting of an application of asphaltic emulsion shall be applied over all patch areas as
determined by the City Engineer.
® R23 STREET RESTRIPING: Where street striping is still visible on street to be excavated, such striping shall be replaced upon
completion of permanent repairs.
® R24 TREE RELOCATION OR REMOVAL: Tree relocation within the City of La Quinta road right-of-way shall be accomplished
by a licensed, bonded and insured tree service, and handled safely without interference or hazard to the traveling public. It
shall be the responsibility of the permitte to maintain the tree in a vigorous growing condition at its new location.
Trees to be removed shall be in sections, which can be handled safely without interference or hazard to highway traffic. The
entire width of the tree stump, shall be removed and disposed of so that no debris remains in view of the highway. The
stump hole shall be backfilled and thoroughly compacted as specified in the following paragraph. Where it becomes
necessary to restrict traffic, the work shall be restricted to a maximum of five -hundred feet (500') at any one time. Adequate
signs, flagmen and or barricades shall be provided to protect the traveling public at all times.
Large holes resulting from tree removal shall be backfilled and compacted to not less than ninety percent (90%) or
equivalent tot the surrounding ground, whichever is the greater compaction as determined by the impact or field method.
Compaction tests shall comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California,
dated January 1973.
PERMIT NO.7106
CVWD / Install (1) 6" wet barrel fire hydrant / Desert Villas PM 31116; Miles Ave
West of Adams St.
In addition to the standard permit conditions, the following shall apply:
All work shall be performed in accordance with the latest edition of the Standard Specifications for
Public Works Construction (SSPWC) and as directed by and to the satisfaction of the City Engineer.
2. This permit or copy of it shall be on the work site (usually the job trailer) for inspection during the
actual work performed.
3. The permittee may only work at night if approved by the City Manager. If approved by the city.manager,
night work may be halted if the city receives complaints about the night work.
4. Coachella Valley Water District, hereinafter referred to as "Permittee", shall be responsible for
providing continuous dust and erosion control.
Coachella Valley Water District is hereinafter referred to as "Permittee". As a public agency, the
Permittee is entitled to pay only direct expenses incurred by the City while administering tasks related to
the permit, in lieu of paying the standard encroachment permit fee adopted by the City Council. City
staff and its contract staff will maintain monthly time and material ledgers of expenses incurred, and the
City will invoice the Permittee on a monthly basis for the accrued cost.
The "T&M" note, and the "TBD" note, that appear in the "FEE" section on the face of the permit
form, respectively mean "Time & Material" and "To Be Documented" and is a reference to the
direct expense method defined in the previous paragraph.
6. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more
frequently, if required.
Operation and maintenance of equipment within one-half mile of human occupancy shall be performed
only during the' following time periods:
October 1 st to April 30: Monday -Friday 7:00 a.m. to 5:30 p.m.
Saturday 8:00 a.m. to 5:00 p.m.
May 1 st to September 30: Monday -Friday 6:00 a.m. to 7:00 p.m.
Saturday 8:00 a.m. to 5:00 p.m.
Work shall be prohibited on legal holidays and Sundays.
Note: Construction work (including setting up traffic control devices) is not permitted on any Arterial
street (ie any 4 lane street) neither before 8:00 a.m. nor after 4:30 p.m.
8. Work within 500 feet of a signalized intersection shall be performed between the hours of 9 a.m. - 3
p.m. Traffic control shall be set up after 9 a.m. and removed before 3 p.m. The Permittee shall contact
the Riverside Country Traffic Signal Maintenance Department at (951) 955-6894 if signal operation at
the intersection is to be altered in.any way. (Note applicable to this permit)
Special
Page ] of 6
PERMIT NO. 7106
CVWD / Install (1) 6" wet barrel -fire hydrant / Desert Villas PM 31116; Miles Ave
West of Adams St.
9. In accordance with the latest edition of the Standard Specifications for Public Works Construction
(SSPWC), the permittee shall assume responsibility for repair of any pavement damage to any public or .
private street and for any damage to other City streets or facilities as a result of work performed under
this pen -nit. .
10. This permit is not valid until the permittee submits, to the Public Works Department 2 weeks prior to
start of construction, a letter from any owners of the driveways/access ways that will be closed down
due to the construction. The letter must be approved by the city and at minimum state from the owner
the following:
A. Approval of the construction
B. Plan identification
C. Time Frame of Closure
D. Alternative Routes
11. A traffic control plan shall be prepared in accordance with the MUTCD and WATCH Manual
and submitted to the City for review and approval one (1) week prior to starting any
construction. It shall be the Permittee's responsibility to appropriately detour and barricade all
construction sites. On Collector to Major Arterial Streets, the permittee must submit a traffic control
plan which shall be prepared under the guidance of the Manual of Uniform Traffic Control Devices
(MUTCD) 2003 Edition with Revision No. 1 Incorporated, dated November 2004 (HTML) and the
California Supplement.. As of October of 2006, these documents can be observed at
http://mutcd.fhwa.dot.gov/HTM/2003rI/pa rt6/part6-toc.htm and
http://www.dot.ca. og v/hq/traffops/signtech/mutcdsupp/pdFCA-Chap6A-Chap6F.pdf, respectively. It
shall be the Permittee's responsibility to appropriately detour and barricade all construction sites.
Apply the following when applicable: A minimum of two (2) travel lanes of paved surface shall
be maintained at all times.
12. Prior to excavating, if required, the Permittee shall contact Underground Service Alert at 17800-422-
4133. It shall be the Penmittee's responsibility to notify the Public Works Department of anticipated
excavation which impact City facilities, including but not limited to traffic signal conduits and loops,
irrigation lines, electrical conduits, and storm drain facilities.
13. Should additional work, materials, or modifications of the work be required in order to meet City
standards, safety requirements, signage requirements, or to fit actual field conditions, the work shall
be performed by the Pennittee as directed by and to the satisfaction of the City Engineer at no cost to
the City of La Quinta.
14. The permittee shall be responsible for calling the city inspector to arrange the city inspector to
observe random trench compaction testing. If the inspector's phone number is unknown, the
permittee shall call the Public Works front counter phone at 777-7075 or the Assistant Engineer II at
777-7047 to determine the city inspector's phone number.
Special
Page 2 of 6
PERMIT NO. 7106
CVWD / Install (1) 6" wet barrel fire hydrant / Desert Villas PM 31116; Miles Ave
West of Adams St.
15. This permit is not valid until the permittee submits, to the Public Works Department 2 weeks prior to
start of construction, the name of the City approved contractor, who shall submit to the City the
following items:
a. General Liability Insurance Company and Policy Number
b. City Business License
c. Contractors State License Number
16. The permittee shall not encroach upon private property without prior written approval of the private
land owner whom is being encroached upon. A copy of the authorization letter shall be provided to the
city prior to start of the work.
17. Prior to performing construction work and closing any lanes in the Public Right of Way, the permittee
shall call the City at (760) 777-7097 at least 24hrs prior to work and request an appointment for a
preconstruction meeting with the City Inspection staff. .
18. At the approval of the City Engineer, during work hours and when no lanes are provided in the work
area, the permittee shall provide and maintain a traffic lane that diverts traffic off the paved roadway.
The traffic lane must be located within. the existing R/W with the following requirements:
a. Class II Base with a minimum depth of 2"
b. A 12 inch thick subgrade layer compacted to 95% based on ASTM D1557
c. An unobstructed travel width of 10 feet.
d. In addition, a minimum of 5 feet clearance from open trenches.
e. A minimum of 2 feet from vertical obstructions like curbs.
f. Maximum speed of 25 mph
Without the approval of the City Engineer, the pennittee must maintain a drivable surface made of
existing Asphalt Concrete or Portland Concrete.
19. The permittee shall haul all offsite debris to a certified landfill. Prior to hauling debris, the permittee
shall inform the City (Inspection staff or 777-7047) of the name and location of the certified dump site.
20. Prior to excavating in native Soils, the owner of the project shall have employed an archaeological
observer for the site excavations within native undisturbed soils. The name of the archaeological
observer must be submitted to the Public Works Department and attention this to the Associate
Engineer. If the archaeologist determines the site is not to be required to be observed, please submit a
letter signed by the archaeologist stating their determination.
21. If public traffic lanes are required to be closed, this permit is not valid until the permittee submits, to the
Public Works Department, a traffic control plan for acceptance at least 48 hours prior to start of
construction or parking on the paved R/W.
22. The permittee is required to provide an informative message board (approved by the City Engineer)
informing the commuters using the affected roadways of possible traffic delays, time of construction,
Special Page 3 of 6
PERMIT NO. 7106
CVWD / Install (1) 6" wet barrel fire hydrant / Desert Villas PM 31116; Miles Ave
West of Adams St.
and if possible alternate routes. The message board shall be provided for the commuters 48 hours prior
to the start of traffic delays.
23. Backfill compaction within street rights -of -way shall conform to Section 306-1.3 of the latest
edition of the Standard Specifications for Public Works Construction (SSPWC), except as
otherwise specified herein. Native material may be used as backfill material provided that
minimum compaction, achieved in the manner prescribed herein, is achieved. Backfill shall be
performed by mechanical means; no water densif ed compaction via jetting or flooding or other
means shall be allowed. It shall be the Permittee's responsibility to provide appropriate
geotechnical supervision, testing, and inspection, onsite, at all times during backfill operations.
All costs incurred due to the conditions above shall be borne by the Permittee. Copies of all test
results shall be furnished to the City Inspector:
24. All excavations within City of La Quinta right-of-way shall be backfilled, and -temporarily paved if
within the existing travel way, at the end of every workday as directed by and to the satisfaction of the
City Engineer for the protection of the public. Lengths of open trench shall not greatly exceed that
which can not be backfilled in the same day. Excavated trenches shall not be allowed open overnight;
however, Permittee may leave a length of excavated trench, not to exceed twenty (20) within
intersections and forty to fifty (40-50') in the longitudinal direction of the roadway in length, open
overnight at a point where construction will begin the next day, provided that this length of trench is
completely covered by steel plating.
25. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to its
original condition.
26. Access and egress to all local properties shall be maintained at all times.
27. Permanent pavement replacement shall be completed no later than seven (7) days after the completion
of the work. Permanent pavement replacement shall conform to the Standard Specifications for Public
Works Construction (SSPWC)
28. Pursuant to Chapter 12.56 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982) the City
has designated certain city streets as Truck Routes. The weight limit for restricted streets (i.e., streets
not part of the Truck Route network) is three (3) tons; trucks exceeding the weight limit may use a
restricted street if making a delivery or pickup on the subject street, or if this permit specifically grants
permission to use the street to deliver street construction materials and/or equipment.
29. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
30. The permittee shall indemnify, hold harmless and assume the defense of the City from all damages,
delay costs, costs or expenses in law.or equity that may arise out of work under this permit.
31. If it is the intent of the permittee to cut the pavement and have it restored .by a third party, the
permittee shall postpone cutting the pavement until the intended third party has acquired a permit from
Special Page 4 of 6
G�
t,
L
PERMIT NO. 7106
CVWD / Install (1) 6" wet barrel fire hydrant / Desert Villas PM 31116; Miles Ave
West of Adams St.
the City to perform the required restoration work.
32. The permittee shall submit "AS -BUILT" drawing to the City within 30 working days after completion
and acceptance of the project.
33. Flagger Requirements
A. Minimum Requirements
1. Receive and communicate specific instructions clearly, firmly, and courteously;
2. Move & maneuver quickly;
3. Provide clear and positive guidance;
4. Understand and apply safe traffic control practices;
5. Recognize dangerous traffic situations in sufficient time to avoid injury.
B. Flagger Safety Apparel -
1. Background
a. Fluorescent orange -red, or
b. Fluorescent yellow -green
2. Retroreflective material (Orange, yellow, white, silver, yellow -green, or fluorescent
version.
3. Material shall be visible at 1000 ft
4. Apparel shall be designed to identify the wearer as a person
5. Law enforcement. personnel should adhere to the same standard
C. Hand -Signaling Devices
a. Stop/Slow paddle octagonal in shape with minimum 18" width and 6" letters. Must
have white legend on red background.
D. Directing Traffic
1. Only three (3) signals are required.
STOP SLOW
PROCEED
ki44 rial".20"i
E, Flagger Communications
1. If work area is too long for relay (2 flaggers can't see each other)
a. One flagger given the responsibility to coordinate
b. Use Radios or
c. Field phones
Special
Page 5 of 6
PERMIT NO. 7106
CVWD / Install (1) 6". wet barrel fire hydrant / Desert Villas PM 31116; Miles Ave
West of Adams St.
F. Flagger warning signs must be removed or covered when flagging is finished, when work is not going to
start immediately, or when work is completed.
34. The permittee shall. place temporary no parking signs along the parking area affected by the
construction. The signs shall be placed along the area 48hrs prior to the start of closing the area,
and removed immediately after the construction completion date.
35. Prior to commencing the excavation of a trench 5 feet in depth or greater and into which a person will
be required to descend, the Contractor shall first obtain a permit to do so from the Division of Industrial
Safety pursuant to 7-10.4.1.
Special
Page 6 of 6
PERMIT NO.7106
CVWD / Install (1) 6" wet barrel fire hydrant / Desert Villas PM 31116; Miles Ave
West of Adams St.
In addition to the standard permit conditions, the following shall apply:
All work shall be performed in accordance with the latest edition of the Standard Specifications for
Public Works Construction (SSPWC) and as directed by and to the satisfaction of the City Engineer.
2. This permit or copy of it shall be on the work site (usually the job trailer) for inspection during the
actual work performed.
3. The permittee may only work at night if approved by the City Manager. If approved by the city manager,
night work may be halted if the city receives complaints about the night work.
4. Coachella Valley Water District,: hereinafter referred to as "Permittee", shall be responsible for
providing continuous dust and erosion control.
5. Coachella Valley Water District is hereinafter referred to as "Permittee". As a public agency, the
Permittee is entitled to pay only direct expenses incurred by the City while administering tasks related to
the permit, in lieu of paying the standard encroachment permit fee adopted by the City Council. City
staff and its contract staff will maintain monthly time and material ledgers of expenses incurred, and the
City will invoice the Permittee on a monthly basis for the accrued cost.
The "T&M" note, and the "TBD" note, that appear in the "FEE" section on the face of the permit
form, respectively mean "Time & Material" and "To Be Documented" and is a reference to the
direct expense method defined in the previous paragraph.
6. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more
frequently, if required.
7. Operation and maintenance of equipment within one-half mile of human occupancy shall be performed
only during the following time periods:
October 1 st to April 30: Monday -Friday 7:00 a.m. to 5:30 p.m.
Saturday 8:00 a.m. to 5:00 p.m.
May 1 st to September 30: Monday -Friday 6:00 a.m. to 7:00 p.m.
Saturday 8:00 a.m. to 5:00 p.m.
Work shall be prohibited on legal holidays and Sundays.
Note: Construction work (including setting up traffic control devices) is not permitted on any Arterial
street (ie any 4 lane street) neither before 8:00 a.m. nor after 4:30 p.m.
8. Work within 500 feet of a signalized intersection shall be performed between the hours of 9 a.m. - 3
p.m. Traffic control shall be set up after 9 a.m. and removed before 3 p.m. The Permittee shall contact
the Riverside Country Traffic Signal Maintenance Department at (951) 955-6894 if signal operation at
the intersection is to be altered in any way. (Note applicable to this permit).
Special
Page 1 of 6
J
PERMIT NO.1106
CVWD / Install (1) 6" wet barrel fire hydrant / Desert Villas PM 31116; Miles Ave
West of Adams St.
9. In accordance with the latest edition of the Standard Specifications for Public Works Construction
(SSPWC), the permittee shall assume responsibility for repair of any pavement damage to any public or
private street and for any damage to other City streets or facilities as a result of work performed under
this permit.
10. This permit is not valid until the permittee submits, to the Public Works Department 2 weeks prior to
start of construction, a letter from any owners of the driveways/access ways that will be closed down
due to the construction. The letter.must be approved by the city and at minimum state from the owner
the following:
A. Approval of -the construction
B. Plan identification
C. Time Frame of Closure
D. Alternative Routes
1 l . A traffic control plan shall be prepared in accordance with the MUTCD and WATCH Manual
and submitted to the City for review and approval one (1) week prior to starting any
construction. It shall be the Permittee's responsibility to appropriately detour and barricade all
construction sites. On Collector to Major Arterial Streets, the permittee must submit a traffic control
plan which shall be prepared under the guidance of the Manual of Uniform Traffic Control Devices
(MUTCD) 2003 Edition with Revision No. l Incorporated, dated November 2004 (HTML) and the
California Supplement.. As of October of 2006, these documents can be observed at
http://mutcd.ffiwa.dot.gov/HTM/2003rI/part6/pail6-toc.hti-n and
http://www.dot.ca. og v/hq/traffops/signteclVmutcdsupp/pdf/CA-Chap6A-Chap6F.pdf, respectively. It
shall be the Permittee's responsibility to appropriately detour and barricade all construction sites.
Apple the following when applicable: A minimum of two (2) travel lanes of paved surface shall
be maintained at all times.
12. Prior to excavating, if required, the Penmittee shall contact Underground Service Alert at 1-800-422-
4133. It shall be the Permittee's responsibility to notify the Public Works Department of anticipated
excavation which impact City facilities, including but not limited to traffic signal conduits and loops,
irrigation lines, electrical conduits, and storm drain facilities.
13. Should additional work, materials, or modifications of the work be required in order to meet City
standards, safety requirements, signage requirements, or to fit actual field conditions, the work shall
be performed by the Permittee as directed by and to the satisfaction of the City Engineer at no cost to
the City of La Quinta.
14. The permittee shall be responsible for calling the city inspector to arrange the city inspector to
observe random trench compaction testing. If the inspector's phone number is unknown, the
permittee'shall call the Public Works front counter phone at 777-7075 or the Assistant Engineer II at
777-7047 to determine the city inspector's phone number.
Special
Page 2 of 6
PERMIT NO. 7106
CVWD / Install (1) 6" wet barrel fire hydrant / Desert Villas PM 31116; Miles Ave
West of Adams St.
15. This permit is not valid until the permittee submits, to the Public Works Department 2 weeks prior to
start of construction, the name of the City approved contractor, who shall submit to the City the
following items:
a. General Liability Insurance Company and Policy Number
b. City Business License
c. Contractors State License Number
16. The permittee shall not encroach upon private property without prior written approval of the private
land owner whom is being encroached upon. A copy of the authorization letter shall be provided to the
city prior to start of the work.
17. Prior to performing construction work and closing any lanes in the Public Right of Way, the permittee
shall call the City at (760) 777-7097 at least 24hrs prior to work and request an appointment for a
preconstruction meeting with the City Inspection staff.
18. At the approval of the City Engineer, during work hours and when no lanes are provided in the work
area, the permittee shall provide and maintain a traffic lane that diverts traffic off the paved roadway.
The traffic lane must be located within the existing R/W with the following requirements:
a. Class II Base with a minimum depth of 2"
b. A 12 inch thick subgrade layer compacted to 95% based on ASTM D1557
c. An unobstructed travel width of `10 feet.
d. In addition, a minimum of 5 feet clearance from open trenches.
e. A minimum of 2 feet from vertical obstructions like curbs.
f. Maximum speed of 25 mph
Without the approval of the City Engineer, -the permittee must maintain a drivable surface made of
existing Asphalt Concrete or Portland Concrete.
19. The permittee shall haul all offsite debris to a certified landfill. Prior to hauling debris, the permittee
shall inform the City (Inspection staff or 777-7047) of the name and location of the certified dump site.
20. Prior to excavating in native soils, the owner of the project shall have employed an archaeological
observer for the site excavations within native undisturbed soils. The name of the archaeological
observer must be submitted to the Public Works Department and attention this to the Associate
Engineer. If the archaeologist determines the site is not to be required to be observed, please submit a
letter signed by the archaeologist stating their determination.
21. If public traffic lanes are required to be closed, this permit is not valid until the permittee submits, to the
Public Works Department, a traffic control plan for acceptance at least 48 hours prior to start of
construction or parking on the paved R/W.
22. The permittee is required to provide an informative message board (approved by the City Engineer)
informing the commuters using the affected roadways of possible traffic delays, time of construction,
Special Page 3 of 6
PERMIT NO.7106
CVWD / Install (1) 6" wet barrel fire hydrant / Desert Villas PM 31116; Miles Ave
West of Adams St.
and if possible alternate routes. The message board shall be provided for the commuters 48 hours prior
to the start of traffic delays.
23. Backfill compaction within street rights -of -way shall conform to Section 306-1.3 of the latest
edition of the Standard Specifications for Public Works Construction (SSPWC), except as
otherwise specified herein. Native material may be used as backfill material provided that
minimum compaction, achieved in the manner prescribed herein, is achieved. Backfill shall be
performed by mechanical means; no water densified compaction via jetting or flooding or other
means shall be allowed. It shall be the Permittee's responsibility to provide appropriate
geotechnical supervision, testing, and inspection, onsite, at all times during backfill operations.
All costs incurred due to the conditions above shall be borne by the Permittee. Copies of all test
results shall be furnished to the City Inspector.
24. All excavations within City of La Quinta right-of-way shall be backfilled, and temporarily paved if
within the existing travel way, at the end of every workday as directed by and to the satisfaction of the
City Engineer for the protection of the public. Lengths of open trench shall not greatly exceed that
which can not be backfilled in the same day. Excavated trenches shall not be allowed open overnight;
however, Permittee may leave a length of excavated trench, not to exceed twenty (20) within
intersections and forty to fifty (40-50') in the longitudinal direction of the roadway in length, open
overnight at a point where construction will begin the next day, provided that this length of trench is
completely covered by steel plating.
25. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to its
original condition.
26. Access and egress to all local properties shall be maintained at all times.
27. Permanent pavement replacement shall be completed no later than seven (7) days after the completion
of the work. Permanent pavement replacement shall conform to the Standard Specifications for Public
Works Construction (SSPWC)
28. Pursuant to Chapter 12.56 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982) the City
has designated certain city streets as Truck Routes. The weight limit for restricted streets (i.e., streets
not part of the Truck Route network) is three (3) tons; trucks exceeding the weight limit may use a
restricted street if making a delivery or pickup on the subject street, or if this permit specifically grants
permission to use the street to deliver street construction materials and/or equipment.
29. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
30. The permittee shall indemnify, hold harmless and assume the defense of the City from all damages,
delay costs, costs or expenses in law or equity that may arise out of work under this permit.
31. If it is the intent of the permittee to cut the pavement and have it restored by a third party, the
permittee shall postpone cutting the pavement until the intended third party has acquired a permit from
Special Page 4 of 6
PERMIT NO.7106
CVWD / Install (1) 6" wet barrel fire hydrant / Desert Villas PM 31116; Miles Ave
West of Adams St.
the City to perform the required restoration work.
32. The permittee shall submit "AS -BUILT" drawing to the City within 30 working days after completion
and acceptance of the project.
33. Flagger Requirements
A. Minimum Requirements
1. Receive and communicate specific in structi ons'cl early, firmly, and courteously;
2. Move & maneuver quickly;
3. Provide clear and positive guidance;
4. Understand and apply safe traffic control practices;
5. Recognize dangerous traffic situations in sufficient time to avoid injury.
B. Flagger Safety Apparel
1. Background
a. Fluorescent orange -red, or
b. Fluorescent yellow -green
2. Retroreflective material (Orange, yellow, white, silver, yellow -green, or fluorescent
version.
3. Material shall be visible at 1000 ft
4. Apparel shall be designed to identify the wearer as a person
5. Law enforcement personnel should adhere to the same standard
C. Hand -Signaling Devices
a. Stop/Slow paddle octagonal in shape with minimum 18" width and 6" letters. Must
have white legend on red background.
D. Directing Traffic
1. Only three (3) signals are. required.
STOP SLOW PROCEED
A
i
I
E. Flagger Communications
L. If work area is too long for relay (2 flaggers can't see each other)
a. One flagger given the responsibility to coordinate
b. Use Radios or
c. Field phones
Special Page 5 of 6
PERMIT NO.7106
CVWD / Install (1) 6" wet barrel fire hydrant /Desert Villas PM 31116; Miles Ave
West of Adams St.
F. Flagger warning signs must be removed or covered when flagging is finished, when work is not going to
start immediately, or when work is completed.
34. The permittee shall place temporary no parking signs along the parking area affected by the
construction. The signs shall be placed along the area 48hrs prior to the start of closing the area,
and removed immediately after the construction completion date.
35. Prior to commencing the excavation of a trench 5 feet in depth or greater and into which a person will
be required to descend, the Contractor shall firstobtain a permit to do so from the Division of Industrial
Safety pursuant to 7-10.4.1.
Special Page 6 of 6
City of La Quinta
The following General and Special Provisions are attached to and made a part of
Permit Number 7106
The following shall always apply:
ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within the City of La Quinta's right of way
ONLY. Whenever construction extends within private property, it is the responsibility of the permittee for his contractors to secure permission
from abutting property owners. Such authorization must be secured by the permittee prior to starting work.
TRACK -LAYING CONSTRUCTION EQUIPMENT: Cleated track -laying construction equipment shall not be permitted to operate on any paved
surface unless fitted with smoother -faced street pads. All mechanical outriggers shall be fitted with rubber street shoes to protect the paving
during excavations. Rubber -tired equipment only shall be used in backfill operation in paved areas. If the existing pavement is scarred, spalled,
or broken during the term of this contract or if the pavement is marred, City of La Quinta shall request that these portions of road be resurfaced
over their entire width. Resurfacing shall consist of one coat of two inches (2") of A.C. surfacing plus appropriate seal coat as specified above.
PROTECTION OF TRAFFIC: All excavations and work areas shall be properly lighted and barricaded as deemed necessary by the City
Engineer or City of La Quinta Public Works Inspectors. Suitable detours and detour signs shall be placed and maintained for the duration of the
project. The City shall be notified twenty-four hours (24) in advance of any traffic detours or delineation.
CARE OF DRAINAGE STRUCTURES: Any drainage structure to include corrugated metal pipe, concrete pipe, steel culvert and concrete
structures encountered during excavation which necessitate removal shall be replaced in kind. In the event it becomes necessary to remove or
cut existing drainage structures, City of La Quinta shall be notified prior to commencement of this work. Drainage structures and open drains
shall be kept free of debris at all times for proper drainage.
RIGHT-OF-WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from the right of way. All
paved surfaces shall be broomed clean of earth and other objectionable materials immediately after backfill and compaction. Existing gutter line
and drainage ditches shall be replaced to their original standard or better. All excess material shall be removed prior to paving. Water tanker
shall be used, as required, to sprinkle the job site to keep down dust conditions and shall be used immediately after backfill.
DE -WATER OPERTATIONS: If de -watering operations are required and pumps are forcing water on City of La Quinta roads, it shall be the
responsibility of the permittee (contractor) to control this water and to provide off-street barricades when necessary.
CLOSING STREETS: No street shall be closed. A minimum of one lane of traffic shall be maintained at all times to provide limited access for
the adjoining property owners and emergency vehicles. In the event it is felt by the permittee that he must close a street for any length of time,
permittee shall contact this office to obtain the necessary permission.
SPECIAL PROVISIONS
The following shall apply when indicated:
® R1 NOTIFICATION: Permittee shall be notified the City at (760) 777 - 7097 at least forty-eight hours (48) in advance of starting
construction.
® R2 UTILITY CLEARANCE: (Substructures) Prior to making any excavations within the City of La Quinta right-of-way authorized
by permit, the permittee shall contact all concerned utility companies relative to the location of existing substructures.
Damage to existing substructures resulting from operations conducted under this permit shall be the sole responsibility of the
permittee.
® R3 UTILITY CLEARANCE (Surface Structures) No work shall be done under this permit until all utilities are clear of the
proposed work site. The permittee shall notify all concerned utility companies of the proposed work.
❑ R4 PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing road pavement shall be surfaced
with ( " N/A " ) inches of A.C. paving placed on ( " N/A " ) inches of ( " N/A " ) aggregate sub -base course having an
"R" value of not.less than ( " N/A ") and in conformance with the City of La Quinta Road Improvement Standards and
Specifications, Ordinance #461.
® R5 PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a slope of
one-fourth inch (%") to one foot (1').
❑ R6 GRADE CHECKING: City of La Quinta shall check grades upon receipt of plan and profile and/or grades as established by
a licensed engineer.
❑ R7 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter (" N/A ") feet shall
be removed. Curb and/or curb and gutter shall be saw cut prior to removal. Depressed curb, matching concrete gutter and
concrete driveway.approach shall be constructed in conformance with City of La Quinta Standard #207.
❑ R8 DRIVEWAYS: A.C. driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the property
line and the existing road paving shall be two and a half inches (2 W') of A.C. paving on (" N/A ") of class (" N/A " )
aggregate base.
® R9 SIGHT CLEARANCE: Sight Clearance of six -hundred feet (600') in all directions shall be assured and maintained at all
times.
❑ R10 SOIL STERILIZER: The area to be surfaced shall be treated with soil strerilizer. Rate of application shall comply with the
manufacturer's specifications.
City of La Quinta
® R11 COORDINATE WORK: The proposed work shall be subordinated to any operation, which the State of California or City of
La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or City of La
Quinta forces to preclude delay or interference with State or City of La Quinta projects.
® R12 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the
centerline of all streets or property lines when included shall be completely tied out so they may be readily and correctly,
replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete set of notes showing the ties
to these monuments shall be furnished to the City Engineer prior to the removal of any monuments. This office shall be
.notified upon completion or replacement of all survey monuments for proper clearance.
® R13 PAVEMENT CUTTING: Pavement will be mechanically saw cut to a straight edge prior to excavation. Method of pavement
cutting shall be approved through the office of the City Engineer. (Under no circumstances shall excavating equipment be
used to excavate prior to cutting or pavement.) Excavation material shall be placed in such a position as to best facilitate the
general flow traffic. Prior to final paving operations, any damage to pavement straight edges shall be corrected.
❑ R14 LIMIT OF EXCAVATIONS: Excavations shall be limited to one -thousand feet (1000') of open trench before backfill
operations must begin. All excavations shall be properly barricaded with lights overnight, on weekends and holidays for the
protection of the traveling public. The Public Works Inspector shall determine the suitability of excavation barricading in
each case. No excavation shall remain open for a period exceeding five (5) days. No excavation shall be made unless the
construction material is actually on the work site.
® R15 BACKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimental to its use for purposes
of producing and adequately consolidated backfill. Ant material which the City of La Quinta deems unsuitable (spongy or
saturated material) which is encountered during excavation shall not be used for backfill, but shall be supplemented or
replaced by an approved sand or gravel.
❑ R16 BACKFILL SAND: Backfill shall be approved transit -mix sand or equivalent and shall be placed on lifts not greater than
three feet (3') and vibrated using vibrostamper or equivalent equipment. Alternate methods may be substituted, but in any
case, a relative compaction of ninety-five percent (95%) shall be maintained with the structural section of the roadway.
❑ R17 BACKFILL PLACEMENT: Backfill shall be applied in layers of not more than fifty percent (50%) of the total depth of the
trench before flooding or a maximum of five feet (5') lifts where trenches are of excessive depths. Care is to be exercised
that the backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed so that the
resulting compaction shall not be less than ninety percent (90%) or equivalent to the surrounding ground, whichever is the
greater compaction. Where ponding or flooding is used for a maximum settlement, adequate dikes will be constructed to
retain the water. Where jetting is used, the jets shall be of sufficient length to reach the bottom of each layer and the water
supply shall be continuos.
❑ R18 COMPACTION TESTS: If so required by the inspector, compaction test shall be made at intervals of not more than one -
thousand (1000') feet and a maximum of one (1) test on each road. One (1) copy of each test shall be forwarded tot the City
Engineer for approval and filed prior to making permanent repairs. Compaction tests shall be made as outlined in Section
6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973.
® R19 COMPACTION TESTS: If so required by the Inspector, compaction tests shall be made for each crossing or service line.
One (1) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent repairs.
Compaction tests shall be made as outlined in Sections 6.3.001 of the Standard Specifications, Division of Highways, State
of California, dated January 1973.
® R20 TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch consisting
of two inches (2") of SC-800 shall be placed on a prepared sub -grade. The SC-800 temporary paving shall be placed after
a maximum of three -thousand linear feet (3000') or trench has been. excavated and backfill operations completed, but in no
case shall the placement of the temporary pavement exceed a five (5) day limit.
® R21 PERMANENT PAVEMENT REPAIR: After backfill and compaction have been completed, a temporary patch consisting of
two inches (2") of SC-800 shall be placed immediately. A permanent patch of ( '" N/A " ) inches of A.0 surfacing placed on
a (" N/A'") inch (" N/A "' ) aggregate base shall be placed no later than ( 5 ) days after completion of temporary road
repair.
❑ R22 FOG SEAL: A fog seal coat consisting of an application of asphaltic emulsion shall be applied over all patch areas as
determined by the City Engineer.
® R23 STREET RESTRIPING: Where street striping is still visible on street to be excavated, such striping shall be replaced upon
completion of permanent repairs.
® R24 TREE RELOCATION OR REMOVAL: Tree relocation within the City of La Quinta road right-of-way shall be accomplished
by a licensed, bonded and insured tree service, and handled safely without interference or hazard to the traveling public. It
shall be the responsibility of the permitte to maintain the tree in a vigorous growing condition at its new location.
Trees to be removed shall be in sections, which can be handled safely without interference or hazard to highway traffic. The
entire width of the tree stump, shall be removed and disposed of so that no debris remains in view of the highway. The
stump hole shall be backfilled and thoroughly compacted as specified in the following paragraph. Where it becomes
necessary to restrict traffic, the work shall be restricted to a maximum of five -hundred feet (500') at any one time. Adequate
signs, flagmen and or barricades shall be provided to protect the traveling public at all times.
Large holes resulting from tree removal shall be backfilled and compacted to not less than ninety percent (90%) or
equivalent tot the surrounding ground, whichever is the greater compaction as determined by the impact or field method.
Compaction tests shall comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California,
dated January 1973.
TAf 4 4 oubmaj
17
PUBLIC WORKS DEPARTMENT
APPLICATION FOR PERMIT
Date:
P se of Construction (Ex: Rou Grading, Off it Street etc.)
Description of Construction Ex: See Plan Set No. 01234)
a6
Dimension of Installation or Removal:
6q.5 n'&t0(.e'Ck
Approximate Construction Start Date:
%
Approximate Construction Completion Date: zoo;
Estimated Construction Cost: $
Estimated Conshuctibn Cost shall include the removal of all obstructions, materials, and debris, back -filling, compaction and
placing permanent. resurfacing and or replacing improvements
Contact Name:
Name of Applicant/C
Applicant Address: _
Applicant Telephone
Name of Contractor:
Contractor Address:
Contractor Telephone
Contractor State Lice
Contractor City Busir
N1ATEq
M'
�/STRIG�
COACHELLA VALLEY WATER DISTRICT
CAROL PFANNKUCHE
Development Services Technician
P.O. Box 1058 (760) 398-2651
Coachella, CA 92236 (760) 398-2661
75-525 Hovley Lane East Ext: 3521
Palm Desert, CA 92260 Fax: (760) 391-9638
► A COPY OF THE CURRENT INSURANCE CERTIFICATE MUST BE PROVIDED -4
Applicant or Contractor General Liability Insurance Company:
Applicant or Contractor General Liability Insurance Policy Number:
Office Use Only: i11 ,jam
Inspection Fee:
Permit Fee:
As -Built
Deposit:
Dust Control
Deposit:
Credit
- Amount-
TOTAL FEE DUE:
Office Use Only:
Assigned Permit Number: 7 / o
Approval Date:
Expiration
Date:
Issue
Date:
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