Loading...
ENC2018-0002- ta QW(V --GEM .fsl.flESF.RT-- - ENCROACHMENT PERMIT PUBLIC WORKS CONSTRUCTION [beI ancflev nue de! 2. JAN 052018 CITY OF LA QUINTA For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS. DATE: 1/4/2018 LOCATION OF CONSTRUCTION(Strèet address or Description): WITHIN CITY OF LA QUINTA BOUNDARIES PURPOSE OF CONSTRUCTION: ROUTINE MAINTENANCE OF CVWD WATER AND SEWER FACILITIES ON NON-ARTERIAL STREETS ONLY DESCRIPTION OF CONSTRUCTION: 2018 CVWD ANNUAL BLANKET PERMIT DIMENSION OF INSTALLATION'OR REMOVAL: APPROXIMATE TIME WHEN WORK WILL BEGIN: 1/4/2018 TIME OF COMPLETION: 12/31/2018 ESTIMATED CONSTRUCTION COST: (Including removal of all obstruction, materials, and debris, backfilling, compaction and placing permanent resurfacing and/or replacing improvements) COMMENTS: Cli)' OF LA QUINTA WILL INVOICE THE PERMITEE FOR TIME & MAINTENANCE EXPENSE TO BE DETERMINED In consideration of the granting of this permit, the applicant hereby agrees to: Indemnify, defend and save the City, its authorized agents, officers, tepresentatives 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) 777-7097. To submit an inspection request, leave a message on the Inspection Request Hotline at (760) 777-7097-prior to 1:30 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 ipplicable rules and reguIatiop.s,of the City of and to pay for any additional replacement necessary as the result of this work. i if A121(izz nt CVWD - VALERIE LUNA P.O. BOX 1058 COACHELLA, CA 92236 (760)398-2651 Name of Applicant (please print) Business Address Telephone No. CVWD P.O. BOX 1058 COACHELIA, CA 92236 (760)398-2651 Name of Contractor and Job Foreman Business Address Telephone No. AEC266 N/A Contractors License No. . City Business License No. SELF INSURED SELF INSURED Applicant's Insurance Company Policy -Number Finance Revenue Code TOTAL: $0.00 PERMIT NO: ENC 018-0002 DATE iSSUED:/ f,A :Jec 3) totS WORK IN PECTED 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. . PIRMIT NO. ENC20I8-0002 CVWD 2018 Annual Blanket Permit/ Maintenance of CVWD Facilities on Non- Arterial Streets/ Various Locations The following encroachment permit conditions apply to the Coachella Valley Water District (CVWD) except for emergency, operations when immediate action is required for restoring service and/or protecting public safety. If the emergency requires extended traffic control and/or lane closures, CVWD or its sub-contractor shall pull a permit from the City the next business day. Annual blanket permits are not valid for work within the Public Right of Way on any Arterial street (i.e. any public street with more than 2 lanes). The permittee must apply for an encroachment permit (see online application form). Encroachthent permits for work on an Arterial Roadway wilirequire an approved traffic control plan and appropriate insurance, and work will be performed in accordance with the latest edition of the Standard Specifications for Public Works Construction (SSPWC). For blanket permits, the following conditions apply: L. CVWD shall obtain a unique blanket sub number at least 48 hours,, but no more than one month prior to performing work. The blanket sub number can be obtained by calling the Associate Engineer at (760) 777-7047. 2. Work under this Annual Blanket Permit is limited to installing new routine lateral domestic water, sanitation (sewer), irrigation and non-potable water connections, and to perform routine maintenance upon existing facilities, including replacement or adjustment of valve box and manhole collars, within the RJW of non-arterial streets, as defined in the City's General Plan, by CVWD or its approved sub- contractors (see Section 4). For all other type of work, the permittee must apply for a separate encroachment permit with the City of La Quinta. 3. The permittee may only work at night if approved by the City Manager. Night work may be halted if the city receives complaints about the work. 4. All sub-contractors working under any annual blanket permit must have the following documents on file at the Public Works Department 2 weeks priOr to start of construction: General Liability Insurance Company and Policy Number City Business License Contractors State License Number The sub-contractor shall furnish the City satisfactory evidence of insurance in the amounts provided in the Engineering Bulletin for Indemnification & Insurance Requirements. This insurance shall be kept in full force and effect at all times by Applicant or Contractor during the prosecution of the permitted work and updated Certificate of Liability Insurance shall be submitted to the City. Each policy shall name the City as an additional insured. 5. All work shall be performed in accordance with the latest edition of the Standard Specifications for Public Works Construction (SSPWC). Special Conditions • • Page 1of 3 PERMIT NO. ENC2018-0002 CVWD 2018 Annual Blanket Permit/ Maintenance of CVWD Facilities on Non- Arterial Streets/ VariOus Locations CVWD, hereinafter referred to as "Perrnittee", shall be responsible for providing continuous dust and erosion control. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently, if required. The permittee must obtain City approval and shall place temporary no parking signs along any parking area disrupted by construction work. The signs shall be placed along the area 24 hours pfior to the start of closing the area, and removed immediately after the construction completion date. Pursuant to Section 6.08.050 of the La Quinta Municipal Code (Ordinance 18 § 1, 1982), throughout the work site, the Permittee shall comply 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: 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 1st 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. Unless authorized by the City Engineer, 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 City Traffic Signal Technician at (760) 250-0571 if signal operation at the intersection is to be altered in any way. 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 24 hours prior to work and submit an inspection request. 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. Traffic control plans will not be required to be submitted in advance. However, pursuant to Section 14.16.250 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), advance warning signs and traffic control shall be installed and maintained in accordance with the latest edition of the California Manual of Uniform Traffic Control Devices (CA MUTCD) or the latest edition of the Work Area Traffic Control Handbook (WATCH Manual). It shall be the Permittee's responsibility to appropriately detour and barricade all construction sites. f f_ Special Conditions Page 2 of 3 . ,. PERMIT NO. ENC2018-0002 CVWD 2018 Annual Blanket Permit! Maintenance of CVWD Facilities on Non- Arterial Streets! Various Locations A minimum of two (2) travel lanes (one in each direction) of paved surface shall be maintained at all times. When work does not permit two travel lanes, one travel lane of paved surface and an appropriate number of flagmen shall be maintained at all times. When planned work does not permit maintaining vehicular travel, CVWD shall submit a Street closure/detour/traffic control plan prepared under the guidance of the latest edition of the California Manual of Uniform Traffic Control Devices (CA MUTCD) or the latest edition of the Work Area Traffic Control Handbook (WATCH) to the City for review and approval one week prior to starting construction. Prior lo excavating, if required,the Permittee shall contat 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. 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. All excavations within City of La Quinta right-of-way shall be backfihled, 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. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to its original condition. Access and egress to all local properties shall be maintained at all times. Permanent asphalt pavement replacement within City right-of-way shall be completed no later than seven (7) days after the completion of the work. Where CVWD has a developer installation agreement for replacement of improvements within private right of way, CVWD shall provide a drivable surface until such time as the developer-can replace their improvements. Permittee shall permanently stabilize any previously stabilized soil that was 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. The City of La Quinta reserves the right to revoke, suspend or void this permit at anytime. 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. Special Conditions Page 3 of 3 T-11af 4 4 ubdii PUBLIC WORKS DEPARTMENT APPLICATION FOR PERMIT Date: 1/3/18 Tract No: - Project Name: 2018- Annual Blanket Permit Vicinity: Various Locations within City of La Quinta Boundaries (non-arterial streets only) Purpose of Construction (i.e.: Rough Grading, Offsite Street, etc.)__________________ fq—VWD 2018 Anival Blanket Permit for maintenance of CVWD Water and Sewer Facilities Description of Construction (i.e.: See Plan Set No. 01234) N/A Dimension of Installation or Removal: N/A Approximate Construction Start Date: 1/3/18 Approximate Construction Completion Date: 12/31/18 Estimated Construction Cost: $ Estimated Construction Cost shall include the removal of all obstructions, materials, and debris, back-filling, compaction and placing permanent resurfacing and or replacing improvements Contact Name: Valerie Luna Phone Number: (760) 3982651 Name of Applicant/Owner: Coachella Valley Water District Applicant Address: P0 Box 1058, Coachella CA 92236 Applicant Telephone Number: (760) 398-2651 Applicant E-mail Address: Vluna©cvwd.org Name of Contractor: N/A Contractor Address: Contractor Telephàne Number: Contractor State License Number: Contractor City Business License Number: Contractor E-mail Address: 'A COPY OF THE CURRENT INSURANCE- CERTIFICATE MUST BE PROVIDED I Applicant or Contractor Gen rl Liability lnst.rance Company: Applicant or Contractor Office Use Only: Inspection Fee: Permit Fee: As-Built Dust Control Deposit: Credit Amount: TOTAL FEE DUE: tl Liability Ins - iiiStv€ Policy Number: Office Use Only: Assigned Permit Number:ffJC2OI8s.00 Approval Date: Expiration Date: Issue Date: Administrative Authority: