8084See below for Finance Revenue Codes
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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: 8/19/2008
LOCATION OF CONSTRUCTION: Ave 62 behind Trilogy at Dead End
PURPOSE OF CONSTRUCTION: Dike 4 Groundbreaking Ceremony
DESCRIPTION OF CONSTRUCTION: Parking on the South Side of Ave. 62 Shoulder. CVWD will Shuttle Guest to Top of Dike.
DIMENSION OF INSTALLATION OR REMOVAL: N/A ,
APPROXIMATE TIME WHEN WORK WILL BEGIN: 8/22/2008 7:00:00 AM TIME OF COMPLETION: 8/22/2008 10:00:00
ESTIMATED CONSTRUCTION COST: $0.00 (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 occuring 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-
7097. To submit an inspection request, leave a message on the Inspection Request Hotline at (760) 777-7097 prior to 4:00 P.M. at
least twenty-four (24) hours prior to the anticipated inspection.
Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicabl les and regulations of the City
of La Quinta and to pay for any additional replacement necessary as the result of this work.
Si ture of Applicant or Agent
CVWD - Steve Robbins P.O. Box 1058, Coachella, CA 92236 (760) 398-2651
Name of Applicant Business Address Telephone No
N/A
Name of Contractor and Job Foreman Business Address Telephone No.
N/A _ _ N/A _
Contractor's License Number City Business License No
Self -Insured Self -Insured
Applicant's Insurance Company Policy Number
FEES Subdivision Improvement Permit - Class I Public Improvements: 3% of estimated construction costs
Minor Improvement Permit - Class I Private Improvements: 30/6 of estimated construction costs
Finance Revenue Code
Inspection Fee E_1
$0.00
Permit Fee E_1
$0.00
As Built Deposit E=A
0.00
Cash Deposit -Surety Bond, E_13
$0.00
if required
ITOTAL
$0.00
i
PERMIT NUMBER: 8084
DATE ISSUED:
EXPIIi�TtipN DBE: —J
BY: `w\ �,� \\
WORK INSPECTED BY*:
PERMIT COMPLETION DATE*:
If the work is covered by a Subdivision Improvement Agreement, Subdivider
shall request final acceptance of improvements from the City Council.
T4hf 4-'4 09MAJ
PUBLIC WORKS DEPARTMENf —
APPLICATION FOR PERMIT AUG la
Date: — — O
Development $ervIces
Tract No: .Project Name: by ii�
Vicinity:
Purpose of (Ex: Rough Grading, Offsite Street etc:)
of G4nii.»� (Ex: See Plan Se&o. 01234)
Dimension of Installation or Removal: . P / A
Approximate r Start Date: 8-- D 7 am .
R r in
Approximate et3e>r� Completi n Date: $ -;4'pL -p q' k
IV
Estimated Construction Cost: $ A
Estimated Constriction Cost shall include the removal of all obstructions, materials, and debris, back -filling, compaction and
.Placing permanent resurfacing and or replacing improvements
Name of .Contractor:
Contractor Address:
Contractor Telephone Number:
Contractor State License Number:
Contractor City Business License Number:
► A COPY OF THE CURRENT INSURANCE CERTIFICATE MUST BE PROVIDED A
Applicant or Contractoreneral Liability Insurance Company:
Applicant or Contractor General Liability Insurance Policy Number:
Office Use Only:
Inspection Fee: 1
Permit Fee: A r
Dust Coi
Deposit:
Credit
TOTAL FEE DUE:
Office Use Only:
Assigned Permit Number.
Approval Date:
Expiration
Date:
Issue
Date:
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City -of La Quinta
The -following General and Special Provisions are attached to and made a part of
Permit Number 8084
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 avid
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 Y2") 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.8084
CVWD DIKE NO.4 RECHARGE GROUND BREAKING CEREMONY
In, addition to the standard permit conditions, the following shall apply:
1. The access driveway into the Trilogy's Maintenance driveway shall be kept open at all time.
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. Parking shall be permitted only on the shoulder of the south side of Avenue 62.
4. CVWD and/or Contractor TBD, 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:
1
October 1st 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:
Pagel of 3
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'.
9. The permittee shall provide shuttle service from the parking facilities on Ave 62 to the site of the invited
guest gathering determined by the permittee.
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
htip://mu'tcd.fhwa.dot.gov/HTM/2003rl/ ap rt6/part6-toc.htm and
http://www.dot.ca. ov/hq/traffops/sientech/mutcdsop///pdf/CA-ChM6A-Chap6F.odf, respectively. It
shall be the Permittee's responsibility to appropriately detour and barricade all construction sites.
12. 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.
J
13. 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.
14. The permittee shall haul all offsite debris to a certified landfill. Prior to hauling debris, the permittee
shall inform the City (Inspection staff or 777-7089) of the name and location of the certified dump site.
15. 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..
16. Access and egress to all local properties shall be maintained at all times:
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17. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
18. 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.
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