8008,See below for Finance Revenue Codes
Tay/ 4 -4v Qumrcu.
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: 5/9/2008
LOCATION OF •CONSTRUCTION: Eisenhower Ambulatory Care Center; 45280 Seeley Drive; PM 31116 Parcel 6 & 7; SDP 2007-887
PURPOSE OF CONSTRUCTION: PM-10 Dust Control and SWPPP
DESCRIPTION OF CONSTRUCTION: PSN 08055 ,
DIMENSION OF INSTALLATION OR REMOVAL:' 14 Acre Site
APPROXIMATE TIME WHEN WORK WILL BEGIN:5/12/2008 . - TIME OF COMPLETION:' 8/12/2008
ESTIMATED CONSTRUCTION COST: $U,000.00 - (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 a' n
and all penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage s.or
property happening or occurihg as a proximate result of any work undertaken under the permit granted pursuant to th• pl- do C
Notify the Administrative Authorityat least twenty-four (24) hours in advance of the time when work will be start at (7 0) 777+
7097. To submit -an inspection request, leave a message on the Inspection Request Hotline at (760) 777-7097•p to 4: P.
least twenty-four (24) hours prior to the anticipated inspection. /� l
O�
Comply with all applicable City Ordinances -,'the terms and conditions of the permit and all applicable rules and reg lions �� D
- of La Quinta and to pay for any additionalreplacement necessary as the result of this Work. F G
�- v w �
Signature of Applicant or Agent
Ali Tourkaman - Eisenhower Medical Center 39-000 Bob Hope Drive, Rancho Mirage, CA 92270 (760) 773-1273
Name of Applicant Business Address Telephone No
WDL Construction - Shawn Martin 74075 El Paseo, Palm Desert, CA 92260 (760)674-9553/(760)578-1830cell
Name of Contractor and Job Foreman Business Address Telephone No.
741137 4966
Contractor's License Number City Business License No .
Interstate Fire & Cas. Co, SGL1001220
.Applicant's Insurance Company Policy Number
FEES Subdivision Improvement Permit - Class II Public Improvements: 3% of estimated construction costs
Minor Improvement Permit - Class I Private Improvements: 3% of estimated construction costs
Finance Revenue Code -° EERM IT NUMBER, 8008
Inspection•Fee E_1 $1,020.00 DATE ISSUED: - M*y /S, ?AD 8
Permit Fee EXPIRATION DATE.:MR' oD
E_1 '. 100.00 BY:
As -Built Deposit EE=A _ - 0.00
Cash Deposit -Surety Bond, E_B' 0.00 WORK INSPECTED
if required PERMIT COMPLETION DATE*:
TOTAL $1,120.00 ' If the work is covered by a Subdivision Improvement Agreement, Subdivider
shall request final acceptance of improvements from the City Council.'
� � t
PUBLIC WORKS DEPARTMENT
APPLICATION FOR PERMIT '
Date:
IJTraetNoM -�111(o %ecdO.ProjectName: pty: y�ZRO
I_SENt-}oWE12 �AM$uc�ra,l2y
Vicinity. 4ew-El�'
Purpose of Construction (Ex: Rough Grading, Offsite Street etc.) ;>N& 10
SW i p�
Description of .Construction (Ex: See Plan Set No. 01.234) T51V d g t7s5' 5 Vj PPP
Dimension of Installation or Removal: l ACR-C SOE
Approximate Construction Start Date: S/z/a g
Approximate Construction Completion Date: 8' i z o8
Estimated Construction Cost: $ 3410000
Estimated Construction 6stshall include th6:rem. val of all obstructions; materials, and defilli bris, back-ng, compaction and
placing permanent resurfacing and or replacing:improvements
4Y 9 Z448 .
'lent services
. czwea-
. Contact.Name: Au 7•ovtzK.# 4&%j Phone Number: 760-773 - rZ73
.Name of Applicant/Owner: _MScg�jtkowey pt�-�tu� C��Z `
Applicant Address: Sc?- HopC va ej*4cO "P.0,W1, CA 9 Z
Applicant Telephone Number: 7 - -7.73 -rZ73
Name of Contractor: wDL C4MNS1 UcM0f0
Contractor Address: 7'(. 0157 L--L pftSero A4UA t)�.0 CA 91z?40
Contractor Telephone Number: 7100 (o7K=- `i S5 3
Contractor State License Number: 44 ( .f 3
Contractor. City Business License. Number: yq
d A COPY OF THECURRENT INSURANCE CERTIFICATE MUST I E`PROVIDE D-4
Applicant or Contractor General Liability Insurance Company:
Applicant or Contractor General Liability Insurance Policy Number:
S C- -L 100 1 Z.Z b
Office Use Oniv:
Inspection Fee:- .
-� l1 0 2
Permit Fee:
I O
As -Built
,^
Deposit:
rJ
Dust Control
0
Deposit:
Credit
: Amounts —
- O
0
TOTAL FEE DUE:
T
Office Use Only:
Assigned Permit Number: �0'0
8
Approval Date: - (/
Expiration
Date:
Issue
Date:
1,--Administrative--Authority-.---,
70
Coachella Valley Fugitive Dust Control Handbook
i SITE=SPECIFIC FUGITIVE DUSTCONTROL PLAN` .
(SITES 10 ACRES OR GREATER)
Site Description
Please e?isure that Fitgitive'Dust"Control Pldn•Application. (Form A) is.completed and
attache' d to the. Site -Specific Fugitive Dust Control Plan.
' Proiect Description
Please provide the following information as'completely as possible.'
No.. Description.of Sources) - [Please provide best estimates] w
l Earth -moving': (If not applicable, check here )
Maximum cubic.yards of earth -movement: /month or 311060 /year
An i S1aO zOto . t c�pated start date:/ End date ' tl ; or Ongoing (Check) • ,
Amount of export: (Disposal site)
2 'Unpaved roads'.,, f (If not applicable, check here ) .
Milease: Estimate of average daily traffic levels:
Type of motor vehicles using roads:
3 Storage piles/Bulk Material handling .(If not applicable, check here
Maximum number of piles:
Averase height`. length/width:
Configuration cone, windrow, other (specify)
4 {Vehicular track-out/Cleanup (If not applicable, cheek here )
' -Number of access points which conneci to public roads: Z
Estimate of the maximum number. of vehicles that will exit the site: Z5 day .
5 Disturbed surface areas (If not applicable, check here
Maximum acreage: l� 2
r Will any disturbed surface areas remain inactive for at least 10 daY s? Yes 'No
— —
G. Unpaved Parking Lots (If not applicable, check here ) i
Nurolber of unpaved lots at this -site..`
Size of each lot: `
Soil Types' .
Frinlar.y soil type 0.11 site: SILTY SflnrDs SytNo j.StLT �^ntYTyt
Dust Control Budget
1=stimai� of project dust ionuol budget:
r
Water Srrurce Identification
\Pater sourec t /m): bN Strom LOCAN-gtr�
r Bi.tck-Ul, Y.+ ItC1' ti(lUl'Cc': _N6V-% EEZE`{ D2es-F 07,j SlZ';e7 L.oC,- r c r,�
t. Vic: ril iui :, h: I I in�:h. stiinil iilcine site specific fugitiVe dust conUol plan is required regardless if '
;t thr irfi;rrl : ti,:n is inc luilk'xl un ;ut app1-0\;Cd Lratlins plan.
2> June 2003
Coachella Valley Fugitive Dust'Control Handbook.
No. I'- EARTH -MOVEMENT
k Coachella Valle'v Best Available Control Measures:
/n the space provided below, please check and describe vourdustcontrol measures.
Control Measure
Control Action
Pre -grading
-Number of acres to be graded at one time:
Planning
Number of parcels to be phase -graded:
Watering
Number of water trucks:
('pre -grading)
Frequency 'of application:-�TtNvo�sc.Y .
Sprinkler/hose system:. S pa'^D`_LAFyZ - p `r--"A 6 LE-t t yr �mJ a nsES�
Describe: w A-r.?--rL -t'f2-vLV-S.
Watering
Number of water trucks: y
(during grading)
l �rtlN uoVSC ;
Frequeticy•of application: �
Sprinkler/hose system:
Describe: t4TTu>G� q to w- Tnu�kS
Watering
Number of water trucks: _ Z
.(post grading)
Frequency of application: Cosi-n
Sprinkler/hose system:
Describer A40�
$
Wind fencing
Maximum height:
D
Location: "�►�""�� e Sc-> .
Describe: cfo o,N z t Nk W
Chemical
Type of product: serz 4—
stabilization
Frequency of application: Or (ZIU'CZ'UIRFt> PGZ- SMC A<-nw-ry .
Concentration: -eD .-R�E -v im
Describe:
Cover haul
Operator of haul vehicles,
vehicles[Bedliners
is
if other than site owner: UN1W�^l
iil haul vehicles
I
Other (s pee i f ,y)
----
--------- -- ---- —
. '1 ljrrrr:riar•:. rultr:lr ni/c/itir,/rir! inJ�,rrrirriuu.
_ 26 June 2(1(1;
Co
achella
a Valle
y Fucjitive Dust Control Handboo k
No.-2 UNPAVED ROAD TRAVEL* ' '
Coachella Vallev Best Available Control 1VIeastires:
In the space: rovided below , Tease check and zl -
p / escribe 1°orn- dust control rneasrires •
Control Measure Control Action, -
Paving Frequency of street sweeping; AS NE=ESSAYiY
Describe: FAT S�r�5.rrS
Gravel • Depth of gravel: -�i 2 . ,,,,e,,�5
' Describe: S-t-W�B(L—' c N ST
'ChenLical Type of product:. N i a `.. \ ..
stabilization ` ' Frequency'of.application: t
Concentration' ('
Describe:
'Watering Frequency of application` 6oim auauSz-Y
` Describe: - A?auoo 1 q to w*T4--,e- . zrra,e KS .
Reduces speed Maximurri , ( r: -
.. P seed Jim' �. , .
i t:
• P miles er hou
r
• P •
- How are speeds
eds controlled:, Post sta.,,
ns
B tefin Lo
s to workers
Trip reduction Describe liow achieved: _4E.K -+<:qr- GApPept-l" r rp
:. � !, } _ .. �%Ai-r •-rTW+v�t-r't+rLouCs�t Fl•ccE'SS p�rrCT • .. �
Other (specify) ' t
I riecvs.surv' ariach oddr;:'Iwd nt/rirniarinri.:
•` •- .� Wes: t*. � x S.. .
1 11 tmp;Ived h iIII rn:iil aii(I -kiii11 JuC;S.n)uMt hc.identificii c)n the Dust Conu'ol Plan site map and all
rlii.lt: tih 11 inl u � c,, ;hlitihcd ii;iul i4'a and parkinu area;:.
June2003.
Coachella'ValleVF.uoitive Dust Control Handbook.
No .3 -STORAGE
PILESBULK MATERIAL HANDLING`'
Coachella Va11eF :Best':wailable:Control Measures:
In the spots provided below. please check and describe vo r clust control rneosures
Control Measure
-Control Act on
Wind sheltering
Type of banters: rN/A � -'
t
Average heisht of.barriers:' -
Describe:.
`Types N�A
Coverings
of coverings:
`Describe:
` `'Nat6 ini� � '
Method of application:
ti
Frequency -of application: '
•
Describe: � ... w
Chemical
Type of product:
_ staliilization
. ..
lica i n'
-Fre 'uenc of a t o
9 Y -Pp _
Y
Concentration:
Vegetation
rr I oadi�i/lo.1
One6tauoii of loadinlloadout procedures: N S E W
r-ibe
•
a
— - -
Lleas„re(s ) '
- - - -- --
- —
i I II i 0 1
tl IIN ..t�l) �.
Coachella Valley Fugitive Dust Control Handbook r
No.,4 - VEHICULAR. TRACK -OUT, HAULING, CLEANUP -
Note: If.trackout, spillage, or'cam-'out extend more than 25 feet along a paved
public roadway finalize
clean-up activities within one hour. Also remove any track
out, spillage, or carry -out at the conclusion of the workday.
Coachella Valley Best Available Control Measures:
In the space provided
below%, please check and'desci•ibe porn• dust cont), oI measures.
Control Measure
Control Action
Gravel pads'.,*
Location: S t'E 4CC.--s - 7A,7-5
Size:
(hlii mum dimensions: 1 " or larger washed gravel: maiwained'di 6" d))th. 50' longs 30' wide)
Pavinb
Location: �1,4
(Minimum dimensions: 100' long x 20' H ide)
Track -out device
Locations: S/fl�ESS, pa7,rr�
Type of device
Describe:. 6rz*?"57— 7*14P5 ,��MB� •P5
i Wheel washers.
Location: Nl/t
Describe:
Cover haul vehicles/
. Operator of haul vehicles,
.l . .
Bedliners in haul
if other than site operator: N �A
' vehicles
_ .
Sweep/clean -
Frequency: RS /L4Vu/,P-"T)
roadways .'
Type of equipment: 5772&&-/- SGve_�E?_
Describe:
Other- (specify)
Y
Al easure(s)
' r
,
'y Junt 2003
Coachella Valley Fuci tive Dust Control Handbook
No. 5 - DISTURBED SURFACES/INACTIVE SITES
Coachella Valley Best Available Control Measures:''
In the space. provided below, please check and describe your dust control measures
Control Measure Control Action
During Dust Generating Activities
N1/aterina Method of. application:
Frequency:" tr"SL t
Describe:
Wind fencing Location: • Sr7E7 "PEXZA&kt--�
Height: " P�
Describe: - (4-krJ c.i &Jv- "" w 1 Na . sc4zt. aN
Site access Method of vehicle restriction:
o� Styn� S �S
Chemical Type of product:
stabilisation Frequency of application: kS t2•G>r261a D re-tz- StTB' A•eT7uf-tr
Conceritration' -Tr-> 13�
'Describe:
Vegetation Location: tscsNE
t Plant type:
t
Describe:
Temporary Stabilization During Weekends, After Work Hours, and on Holidays
Watering Method of application:
r i Frequency: [sari .emu auSe Lr' R•4V"ZZ"J'f2.4-'D
Describer
Chemical Type of product:
stabilization Frequency -of application: FES" et7qul"' PMYZ- Scle- # 'V"J-y.
Concentration:-T25�
Site access - Method of vehicle restriction:
3 7 10 . June 2003
City of La Quinta
The following General and Special Provisions are attached to and made a part of
Permit Number 8008
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 materiallshall 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.
;1.
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 (" N/A ") 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.8008
Eisenhower Ambulatory Care Center. / PM-10 Dust Control and SWPPP / SDP
2007-887; Washington and Seeley
In addition to the standard permit conditions, the following shall apply:
Pursuant to Section 14.16.320 of the La Quinta Municipal Code (Ordinance.] 0 § l (part), 1982), 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. Eisenhower Medical Center (Ali Tourkaman) and WDL Construction (Shawn Martin), hereinafter
referred to as "Pen-nittee", shall be responsible for providing continuous dust and erosion control.
4. The permittee shall be responsible for fugitive dust control as outlined in the approved dust control plan
and the following:
a. D_ uring Import/Export
l . A valid grading permit shall be active at both the import and export sites
2.' The soil at the import or -export location shall be premoistened to a minimum of 70% of
optimum moisture based on.ASTM DI 557 prior to transporting material on the public right
of way. .
3. All trucks shall be covered and have a minimum of 6" freeboard prior to hauling.
4. Street cleaning, shall occur at both import and export sites and both sites must obtain a city
approved trackout-system.
b. Storage and Stockpile Handling
1. Wind Sheltering
a: Install PM10 fencing on-3 sides of pile equal to height of pile.'
b. Coverings can be used on small piles and they must be -secured
2:` Stockpile Stabilization Methods
a. Continous watering by truck or sprinklers or
b. Chemical stabilization with continuous monitoring
3.. Material Handling
a. Confine load in/out to. downwind side of pile
b. Jiles, greater than 8ft in height must be a minimum of l 00' ft away from occupied
buildings.
5. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more
frequently, if required.
6. Pursuant to Section 6.08.050 of the La Quinta Municipal Code (Ordinance 18 § 1, 1982), throughout the
work site, the.Permittee shall,co"mply with City regulated work hours. Operation and maintenance of
equipment within one-half mile of human occupancy shall be performed only during the following time
periods:
Special Conditions Page 1 of4
rA
Y
PERMIT NO.8008
Eisenhower Ambulatory Care -Center / PM-10 Dust Control and.SWPPP / SDP
2007-887; Washington and Seeley
October 1 st to April 30:
May 1 st to September 30
Monday -Friday 7:00 a.m. to 5:30 p.m.
Saturday 8:00 a.m. to 5:00 p.m.
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 (le any 4 lane street) before 8:00 a.m.
7. Pursuant to Section 14.16.110. of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982),
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.
8. Any land on which Williamson. Act contracts apply shall remain undisturbed.
9. Pursuant to Section 14.16.250 of the La Quinta Municipal ,Code (Ordinance. 1,0 § 1 (part), 1982), at
residential Streets,. advance warning signs and traffic control shall be installed and maintained in
accordance with Cal.Trans Standards or the Work Area Traffic Control Handbook (WATCH Manual).
A traffic control plan shall be prepared in accordance with the WATCH Manual.
On Collector to Major Arterial Streets,, the permittee must submit a traffic control plan_which�shall be
prepared under the guidance of the Manual ofUmform 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/2003r1 /part6/part6-toc.htm and
http://www.dot.ca:,gov/hq/traffops/signtech/mutcdsupp/pdf/CA-Chap6A-Chap6F.pdf, respectively. It
shall be the Permittee's responsibility to appropriately detour and barricade all construction sites.
Pursuant to Section 14.16.290 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982),
street closures shall not be permitted. A minimum of two (2) travel lanes of paved surface shall
be maintained at all times.
10: Prior to excavating, if required, the Permittee 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.
11. 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.
Special Conditions
Page 2 of 4
PERMIT NO.8008
Eisenhower Ambulatory Care Center / PM-10 Dust Control and SWPPP /,SDP
2007-887; Washington, and. Seeley
12.. The issuance of this permit and the City approval of the related construction improvement plans do not
provide a vested entitlement for all design parameters that may have been utilized for the plans. As
such, plans approved for this permit maybe "at risk' for further modifications as it relates to any follow
up improvement plan requirements as required by the city or,existing errors & omissions by the
architect or engineer of record.
-13. 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
14. The permittee shall -not encroach upon private property without prior written approval (submit to the
Public Works Department, attention to the Assistant Engineer II) of the private land owner whom is
being encroached,upon.
15. Prior to performing construction work and closing any lanes in the Public Right of Way, the permittee
shall call the City at (760) 777-709.7 at least 48hrs prior to work and request an appointment for a
preconstruction meeting with the City Inspection staff.
16. , 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.
17: Prior to excavating in native Soils, the owner of the project shall have,employed by proposal contract
an archaeological observer for the site excavations within native undisturbed soils. A copy of the
contract mustbe submitted to the Public Works Department and attention this to the Assistant Engineer
Ulf the archaeologist determines the site note to be required to be observed., please submit a letter
signed by the archaeologist stating their determination.
18. 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 review and approval prior to start of construction or
parking on the paved R/W.
19. Pursuant to Section 14.16:370 of the La Quinta Municipal Code (Ordinance 10 § l (part), 1982),
backfill compaction within street rights -of -way shall conform with Section 306-1.3 of the latest
edition of the Standard Specifications For Public. Works Construction (SSPWC), except as otherwise
specified herein.
Native material maybe 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
Special Conditions Page 3 of 4
PERMIT NO.8008
Eisenhower Ambulatory Care Center / P.M-10-Dust Control and SWPPP / SDP
2007-887; Washington and Seeley
Permittee's responsibility to provide appropriate geotechnical supervision, testing, and inspection,
onsite, at all times during backfill operations.
This permit is for PM-10 Dust,Control and SWPPP only. No excavation is permitted.
20. All landscaping, irrigation, decorative rock, decorative concrete, lighting; etc., shall be replaced to its
original condition.
21. Access and egress ,to all local properties shall be maintained at all times.
22. Pursuant to Section 14.16.375 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982),
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 following conditions:
Asphalt work of any kind is not.permitted.
5
23. Permittee shall permanently stabilize any and all'soil thatmas disturbed as a result of work performed
under this permit with an approved dust control treatment. Soil stabilization shall be done immediately
after completing the operation.
24. 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 partof 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.
25. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
26. The permittee shalljnderrinify, 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. -
27. 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
the City to perform the required restoration work.
t
Special Conditions _ Page 4 of 4