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0353t .. ri NO 1;.E:, ' With proper validation — this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) 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 DATE: 12/16/88 ' LOCATION OF CONSTRUCTION — .Avpni da f arran7A (Street address or Description of Location) PURPOSE OF CONSTRUCTION -To install 142' of 2" plastic medium pressure oras main, 10' W/EPL DESCRIPTION OF'CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL r ... SIZE OF EXCAVATION, IF NEEDED Subdivision Improvement Permit - Class III Minor Improvement Permit Class IV Sketch (attach construction plans if appropriate) of Avenida Carranza beginning 105' N/NPL of Calle Durange and running northerly See SKETCH TGP 224,C1 Cut -Earth USA No. � l APPROXIMATE TIME WHEN WORK WILL BEGIN Date APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) 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. 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 Southern California Gas Co. PO Box 2200 Riverside, CA 9.2516 Name of Applicant (please print) Business Address Telephone No. c Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision'Improvement Permit — Class 111 , Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit —Class IV: See attached schedule NO 3I53 Inspection Fee $ N/A PERMIT VALIDATION Permit Fee N/A 353 Penalty Cash Deposit -Surety Bond if required TOTAL: $ —0— Receipt No. Received by Recorded by Date PERMIT N0. DATE APPROVED 1.2/20/88 EXPIRATION DATE 5/31/89 DATE ISSUED 12/21/88 By Administrative Authority TELEPHONE: (619) 564-2246 Y� W. 0. fir` 53448-232 NOTE: With proper validation this form constitutes an CITY OF LA nUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) 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 December 16 1988 Subdivision Improvement Permit — Class III DATE: Minor Improvement Permit Cless IV LOCATION OF CONSTRUCTION 'Avenida- Carranza w_ (Street address or Deaaiption of Location) PURPOSE OF CONSTRUCTION To install 142' of 2" plast1c Sketch (attach construction plans if appropriate) medium pressure gas main, 10' W EPL of Avenida Carranza. -- DESCRIPTION OF CONSTRUCTION beginning 105' N/NPL of Calle Durange. and running northerly. ;SEE SKETCH TGP 224,C1 CUT—EARTH DIMENSION OF INSTALLATION OR REMOVAL Ale. SIZE OF EXCAVATION, IF NEEDED —0/9TG , APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ -lincluding removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) 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 lou 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 124) hours in advance of the time.when work will be started. Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of La Quints and to pay for any additional replacement necessary as the result of this rk. �- SNYDFR_IISTI"', Rum SIIPFRVISnR Signature of Applice nt or Agent' " SOUTHERN CALIFORNIA GAS -CO.- P_0_ Rox ??nn --7R rprcidP =r Da- 49r,t F Name of Applicant (please print). --- _ _- Businea Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Cless III Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permits — Class IV: See attached schedule Inspection Fee $ SIL% Permit Fee AIX Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. :.Received by Date PERMIT VALIDATION PERMIT NO. DATE APPROVED I12 -/In bti EXPIRATION DATE - -DATE ISSUED _By Administrative Authority Recorded by n TELEPHONE: (619) 564-2246 The following General and Special Provisions are attached to and made a part. of Permit No. • GENERAL PROVISIONS t ' , ,f The following shall always apply: ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within City of La Quinta right of way ONLY. Whenever construction extends within private property, it shall be the responsibility of the permittee (or his contractors) to secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting work.' TRACKLAYING CONSTRUCTION EQUIPMENT: debi6cl tracklaying construction equipment shall not be permitted to operate on any paved surface unless fitted with smooth -faced street pads. All mechanical outriggers shall be fitied with rubber street shoes to protect the paving during excavations. Rubber -tired equipment only shall be used in backfill operations in paved areas. If the existing pavement is scarred, spalled, or broken during the term of this contract, or if the pavement is marred, City of La Quinta shall request that these portions of road be resurfaced over their entire widtli.'Resurfecing 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 La Quinta City Public Works Inspectors. Suitable detours and detour signs shall be placed and maintained for the duration of the project. The City shall be notified 24 Hrs. in advance of any traffic detours or delineations. CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugated metal pipe, concrete pipe, steel culvert -and concrete structures encountered during excavation which necessitate removal shall be replaced in kind. In the event.ii1becomes 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 afterbackfiII 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 OPERATIONS: 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. / 1 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 isfelt bythe permitteethat he must close a'streetfor any length of time, permittee shall contact This office to obtain the necessary permission. The follwing shall apply ONLY when indicated: R1 NOTIFICATION SPECIAL PROVISIONS Permittee shall notify the City at 564-2246 at least 48 hours in advance of starting construction: --1 ti R2 CASH DEPOSITS OR BONDS: A cash bond or an approved surety bond in an amount of not less than S shall be furnished in .the name of City of La Quinta to coverall work involved in the restoration of the various La Quinta roads and survey monuments. This bond shall be•eo_ntinuous,until'.,c_anpeIle_d•the City Engineer. This bond must be posted prior to commencement of any work on this project . R3 UTILITY CLEARANCE: (Substructures) Prior to making any excavation 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. t R4 UTILITY CLEARANCE: (Surface structures) No work shall be done under this permit until all utilities are clear of the proposed work site. The permittee shall notify all concerned utility companies' of the proposed work. R5 PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing road pavement shall be surfaced with inches of A.C. paving placed on inches of•class aggregate subbase course having an "R" value of not less than and in conformance with City of La Quinta Road Improvement Standards ''and Specifications, Ordinance #461. R6 PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a slope of 1 /4 inch to one foot (1'). R7 GRADES & STAKES: City of La Quinta shall establish grades and stakes for the proposed concrete curb and gutter construction. R8 GRADE CHECKING: City of La Quinta shall check grades upon receipt of plan and pFofile and/or grades as established'by a licensed engineer. R9 . CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter ( 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., R10 - DRIVEWAYS, A.C.: Driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the property line and the existing road paving shall be 2-1/2 inches of A.C. paving placed on ( ") of class aggregate base. Driveway construction shall conform to attached drawing. - R11 CULVERTS: A inch diameter (-)culverts ' hall be installed with the invert approximately 1-1 /2 inches below and'in line with the existing flow line. Culvert installation shall conform to the attached drawing., . QR12 SIGHT CLEARANCE: Sight clearance of 600 feet in either direction shall be assured and maintained. R SOIL STERILIZER: The area to be surfaced shall. be treated with soil sterilizer. Rate of application shall complywith the manufacturer's specifications. R14. 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. R15 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the centerline of all streets or property lines when involved shall be completely tied out so they may be readily and correctly be replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete set of notes showing the ties to these monuments shall be furnished to the City Engineer prior to the removal.of.any monuments. This office shall be notified upon completion of replacement of all survey monuments for.proper project clearance. RD -31 R16 SURVEY MONUMENTS: Prioi xcavation or beginning of construction, all st monuments shall be tied out by Cityx of La Quinta and suitable payment or guarantee of payment shall be made as reimbursement for all work involved. R17 PAVEMENT CUTTING: Pavement will be mechanically cut to a straight edge prior to excavation. Method of pavement cutting shall be approved through the office of the City Engineer. (Under no circumstances shall excavating equipment be used to excavate prior to cutting of pavement). Excavation material shall be placed in such a position as to best facilitate the general flow of traffic. Prior to final paving operations, any damage to pavement straight edge shall be corrected. R18 PAVEMENT CUTTING: Pavement shall be saw cut prior to removal. Prior to final paving operations, any damage to pavement straight edge shall be corrected. R19 LIMIT OF EXCAVATIONS: Excavations shall be limited to 1,000 lineal feet of opentrench before backfill operations must begin. All excavations shall be properly barricaded with lights overnight, on weekends and holidays for the protection of the traveling public. The Public Works inspector shall determine the suitability of excavation barricad irig in each case. No excavation shall remain open for a period exceeding five (5) days. No excavation shall be made unless the construction material is actually on the work site. R20 BACKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimental to its use for purposes of producing an adequately consolidated backfill. Any material which the City of La Quinta deems unsuitable (spongyor saturated material) which is encountered during excavation shall not be used for backfill, but shall be supplemented or replaced by an approved sand or gravel. R21 BACKFILL SAND: Backfill shall be approved transit-mix sand or equivalent and shall be placed in lifts of notgreaterthan three feet (3') and vibrated using vibrotamper or equivalent equipment. Alternate methods maybe substituted, but in any case a relative compaction of 95 percent shall be attained within the structural section of the roadway. R22 BACKFILL PLACEMENT: Backfill shall be applied in layers of not more than 50 percent of the total depth of the trench E� before flooding or a maximum of five-foot (5') lifts where trenches are of excessive depths. Care isto be exercised that the backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed so that the resulting compaction shall be not less than 90 percent or equivalent to the surrounding ground, whichever is the greater compaction. Where ponding or flooding is used for a maximum settlement, adequate dikes will be constructed to retain the water. Where jetting is used, the jets shall be of sufficient length to reach the bottom of each layer and the water supply shall be continuous. R23 COMPACTION TESTS: If so required bythe inspector, compaction tests shall be made at intervals of not more than 1,000 feet and a minimum of one (1) test on each road. One (1) copy of each test shall be forwarded to the City Engineer for approval and filed 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, R24 COMPACTION TESTS: If so required by the inspector, compaction tests shall be made for each crossing or service line. One (1) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent repairs. Compaction tests shall be made as outlined in Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973. R25 TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch consisting of 2 inches of SC-800 shall be placed on a prepared subgrade. The SC-800 temporary paving shall be placed after a maximum of 3,000 lineal feet of 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. R26 PERMANENT PAVEMENT REPAIR: After backfill and compaction operations have been completed, a temporary patch consisting of two inches (2") of SC-800 shall be placed immediately. A permanent patch of inches A.C. surfacing placed on a�lnch class base shall be placed no later than days after completion of temporary road repair. Je_e, acid, Conor%Aa n ;R VO R27 PAVEMENT REPAIR: F.A.S.: Upon completion of backfill and compaction, a temporary patch consisting of two inches (2") of cold mix paving (SC-800) shall be placed immediately. A permanent patch of three inches (3") of A.C. surfacing shall be placed on six inches (6") concrete base as directed, but not later than fifteen (15) days after completion of temporary paving. Concrete base shall be of five-sack mix and shall conform to the City of La Quinta Road Improvement Standards and Specifications, Ordinance #461. R28 FOG SEAL: A fog seal coat consisting of an application of asphaltic emulsion shall be applied over all patch areas as determined by the City Engineer. R29 SEAL ARMOR COAT: A seal coat consisting of an application binder and screenings shall be applied on all patch areas where such seal coats existed prior to issuance of this permit. Seal or armor coats shall be applied as specified in Section 37, Standard Specifications, State of California, Division of Highways, dated January 1973. Work of pavement repairto be accomplished by a licensed contractor engaged in the business of pavement repair. R30 STREET RESTRIPING: Where street striping is still visible on streets to be excavated, such striping shall be replaced upon completion of permanent repairs. R31 TREE RELOCATION OR REMOVAL: Tree relocation within the City of La Quinta road right of way shall be accomplished by a licensed, bonded and insured tree service, and handled safely without interference or hazard to the traveling public. It shall be the responsibility of the permittee to maintain the tree in a vigorous growing condition at its new location. Trees to be removed shall be removed in sections which can be handled safely without interference or hazard to highway traffic. The entire width of the tree stump shall be removed and disposed of so that no debris remains in view of the highway. The stump hole shall be backfilled and thoroughly compacted as specified in the following paragraph. Where it becomes necessary to restrict traffic, the work shall be restricted to a maximum of 500 feet at anyone time. Adequate signs, flagmen and/or barricades shall be provided to protect the traveling public at all times. Large holes resulting from tree removal shall be backfilled and compacted to not less than 90 percent or equivalent to the surrounding ground, whichever is the greater compaction as determined by the impact or field method. Compaction tests shall comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973. R32 TREE TRIMMING: a. Only the necessary trimming shall be accomplished to provide clearance of the facility for one calendar year. All broken or weak sections within the trimming shall be removed. b. Where it becomes necessary to restrict traffic, the work shall be restricted to a maximum of 500feet at anyone time. Adequate signs, flagmen, and/or barricades shall be provided to protect the traveling public at all times. c. If tree trunks are partially outside of the City of La Quinta road right of way, permittee shall make his own arrangements with adjoining property owners for consent to the trimming in addition to the authorization provided by this permit. d. All tree trimming on EVERGREEN TREES, PALM TREES, and other ORNAMENTAL TREES shall be accomplished to the satisfaction of the City Public Works Inspector. e. Abutting property owners shall be contacted, in all instances, prior to trimming or topping trees. f. Pruning shall, in all instances, be at the shoulder of the crotch to insure even, fast healing in all cuts of two inches (2") and above in size. Sealant shall be applied to all cut sections as directed by the City Public Works Inspector. 78-105'CALLE .ESTADO - LA QUINTA, CALIFORNIA 92253 - (619) 564-2246 ADDITIONAL CONDITIONS ENCROACHMENT PERMIT NO. -353 R33 Survey monuments shall be protected in place or re-established pursuant to City standards and -the State of California Land Surveyor,' s Act. R34 Contractor shall comply with the local noise.'ordinance and construction operations and maintenance of equipment within one half mile of human occupancy shall be performed only'' during the time periods as'follows: ., t October lst to`;April.30: Monday -Friday 7:00a.m.-5:30p.m. Saturday '8:00a.m.-5:00P.m. May 1st to September 30: Monday -Friday 6:00a.m:.-7:00p.m. Saturday 8:00a.m.-5:00,p.m. Work shall be prohibited anytime, on Sunday and Federal ' holiday. R35•. Traffic control shall be as per Cal Trans Traffic Manual. Field_aajustments in detouring shall be accomplished as directed in order to adjust -to actual field conditions:'. It shall,be the contractor's responsibility to adequately barricade and detour this site. R36 All excavation'at or near the travel way shall•be backfilled at the end of the 'work day, for the protection of the traveling public. - R37 This permit is only for'work within public,street right-of- way. R38- Irigress'and egress for local properties.shall be maintained, at all times R39 Prior to work starting,.Underground Service' Alert shall be contacted at 1-8.00-422-4133 and an "inquiry number" shall be provided to the City Public Works,Inspector. R40 Replacement pavement shall be existing asphalt thickness plus one inch, but not less than 3 inches of AC pavement shall be placed. Class 2 aggregate base shall be as per existing or 4" minimum (whichever is greater). R41 If the1•work is to be performed by forces other than that of the utility company's than that contracting company will be required to apply for an additional encroachment permit and pay the appropriate fee. MAILING ADDRESS - P.O. BOX 1504, - LA. QUINTA, CALIFORNIA 92253 FILE NO. Isolation Area Affected." Yes ❑ No.0 Pressure District Affected Yes ❑ No 0• Business District Affected Yes ❑ No ❑ 7%1 e2lA Supply Line Affected.. Yes ❑ No ❑• r _ f,� GD�fP• Valve(s) Required Yes ❑ No U. Reviewed By:" C.P. Reviewed By: �We G/1�'t3S� 13 I rcI -23/ X88 ) 'v -r 7-BASE 6KE; I CONSTR. SKETCH I COMPL. SKETCH i2IA BY: BY. BY: _ 1SHEET- -7- EASE HEET- 37-63S S/ 9 /.S� ., G/1 1 15114 Al / "✓'rte it s__�A • , I LQDG , %1/�jNCG// . i%/_ -'L //iv o11? . 07- r 4 ;. ' TOTAL FEET INST,'D s INSTALL MAIN WITH AT LEAST !Z`�' " COVER BELOW X � �� �' TOTAL FEET RETIRED �V � �� A)Af RETIREMENT AC PERMIT ISSUED BY '. PERMIT NO.'.*,.- r DATE MOVED DATE MOVED DATE OF OFF JOBOPER. ' COUNTY K C- 44,47� . �1r,d/�� �T ON JOB , - CREW FOREMAN-- DISTRICT """"� REASON T TRACT � -\f "-� PLANNED BY COMPANY NO. .- �G�/ STAKED j" ' ❑ SO. CAL)d P.L.S. ❑ - -COMPANY FACILITY: SO. ' '�' ATLAS w, NO. //r� - YEAR C.P. . , INSTALLED - REVI WED BY _ \( I '= r - : ' - ` STAKING REO•D ❑ �j1L/ G� - - 9 DIVISION •�� CATHODICALLY •- YES, ❑'. NO. ❑ OPER. 2oy, OR OVER ❑ S.M.Y.S. �J'//./'�''/�/7/�/� moi/ '/ ,.." _` " r %-- .�7/,[/i -e.5rj/ ORG. PROTECTED AT LESS THAN 2oy, ❑ ' DISTRICT SUPERVISOR NO STAKES NEEDED W.O.�,� CODE