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3632E NOTE: With proper validation this form constitutes an encroachment permit CITY OF LA QUINTA 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 Subdivision Improvement Permit — Class I I I DATE: 02/26/02 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 52-520 4 52-540 AVENIDA RUBIO (Street address or Description of location) PURPOSE OF CONSTRUCTION TVQ-rATT.ATTQV QV CAC MATV Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION SEE ATTACHED SPECIAL CONDITORS DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 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'adainst 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. d 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 this work. Signature of Applicant or Agent' e SOUTRERN CALIFORNIA GAS CO 75095 MAYFAIR DRIVE PALM DESERT CA 9221I 760 346 4248 Name.of Applicant (please print) Business Address I Telephone No. S,#M AS ABOVE Name of Contractor and Job Foreman Business Address Contractor's License No. Telephone No. City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class III Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor. Improvement Permit — Class IV: See attached schedule ..06 Inspection Fee $ Permit Fee 0.00 Penalty �.. Cash Deposit -Surety Bond if required TOTAL: $ 0.00 Receipt No., Received by Date PERMIT VALIDATION PERMIT NO. 3632 DATE APPROVED 02/25/02 EXPIRATION DATE 5/31/02 DATE ISSUED��✓ By . !,t.y, J,,- r Administrative Authority Recorded by Telephone: (760) 777-7075 Sent By: GjAS.CO;:i 760 773 9243; -19 F0 02 10:43AM;Job 26; Page 2/3 NOTE: With proper validation this form constitutes an CITY OF LA QUINTA r encroachment permit APPLICATION FOR PERMIT � PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) Par the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sawert, water mains and other like public works imptova rants in connection with MINOR IMPROVEMENTS end APPROVE[) SUBDIV181ONS - / 1 a rZ . Subdivision Improvement Permit - Class I I I OATS: inar Improve ant Perm leas IV ' 1 LOCATION OF CONSTRUCTION 2� -0, � lee- /.� (atraet atl/0ros o p./,,m�ption of Llonl PURPOSE OF CgA8 66CTION L�/•/•y/L7.'1� S zr vt Gt-S �^�-r sketch (attach construction plant if appropriaita) DESCRIPTION OF CONSTRUCTION IDIMENGION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN .r APPROXIMATE TIME OF COMPLETION p��/� ESTIMATED CONSTRUCTION COSTS {I'� {Inducing removal of all obstruction, materiels, and debris, backfilling, com. pactlon and placJnp Permanent resurfacing and/or replacing Improvements) I In eonsideretion of the granting of fills permit, the applicant hereby agrees to: FEB I►idanlnlfY, tletiino and saw the City, Hs authalred eeermt, officers, recimontatives and arnploysas, law front and aegltyt any,and�4 tnnekle. 11 WIhIes or Iola resulting from claims it court nation and arialne out of, eery eCeloant,. I or R r happanine w owurrino as a ofoxllerete rNelt of any walk utrdbWkew krnear the penult ennted pu-- Notify the Ad+nlnlatrative Autherity at Item taanty-tour i241 hours in advanaa of the tlnw when work wi 1 oe started- CanMY atlth aN ellplltable CITY Ordlnanal, the tarns end owdltktns o1 the vattnh end all aeo kwe er rod reaulations or the Cky or LA Culnu end to pay for sev eddltlanal raomment naaawery, as the twit it wo►Ir. Signature off A�i"nil or Agent /� / 7Z., 7/E Narrta of Applicant (Please prints Business Address Tal �,- — Wo,?4 Name of Contractor and Job Foremen Business Address Telephone No. Contractors Licenta No. City Business License No. Appliicentes Insurance Campany 66)4.4IA6I6ITy Policy Number FEES: Subdivision improvement Permit - Clash III 'Public Improvements; 3% of estimated construction costs Prlvau Improvements: 3% of estimated construction costs Minor Improvement Permit -- Class IV: Sea attached schaduls Inspection Fee S PERMIT VALIDATION Permit Fee D 3 G 3 Z PERMIT NO, Penalty C4h Deposit -Surety Bond if required TOTAL: Receipt No, Received by Date Recorded by DATE APPROVED 2- ZS� D Z EXPIRATION DATE � 3 f U 2 DATE TELEPHONE: 1619) TJ7-'?07% inistrative Authority FEB-19-2002 TUE 10:07 TEL:760-777-7155 NAME:LA QUINTA PUBLIC WORKS P. 2 Sent By: GAS C0 --1 The Gas Company,. FAX 760 773 9243; 19 Feb 02 10:43AM;Job 26; Page 1/3 PA LM DESERT DISTRICT 75095 Mayfair Drive, Palm Desert, CA. 92211-5102 Date: / i 1200 NUmber of pages including cover sheet: TO': Phone.: Fax #: -7 -%%- Fax #: k7. 394 cc: Comments: Sowhofn California Gas ,nmp tri FEB-19-2002 TUE 10:06 TEL:760-777-7155 NAME:LA QUINTA PUBLIC WORKS P. 1 Sent By: Mg., C0;: 760 773 9243; i 19 Feb 02 10:44AM;Job 26; Page 3/3 201 GD TpTAL FEET I NOT D._.... BELOW __. �.. ...._ Lf.G�•�, TOTAL FEET RETIRED .. ......._..:.. / l �/ 'rIREMENT PERMI-1, UvElasy PERMIT" NO, � DATE MOVED DATE MQV9D DATE OF ON JOB—_.... _. OFF JOU OPER. _.... CREW FOREMAN.....,.. ......_ ..._.._ COMPANr_....._. ._..... �PLANI-1111. REVIewco Yr STAKED ❑ COMPANYFA I�TY/;��g0� [j.__ P.L.S. ❑ OR OVER ❑ 6 SM.Y,S. --- ---- 6TAKINQ FiFQ'D. ❑ .... '4 _._..,. .. DIVISION a THnn soq i❑ oarR. eusvR. NO.STAKE S NLkDED W.O. �__..,.,, FED-19-2002 TUE 10:07 TEL:760-777-7155 NAME:.LA QUINTA PUBLIC WORKS P. 3 NOTE: With proper validation = this form constitutes an encroachment permit CITY OF LA QUINTA 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 Subdivision Improvement Permit — Class I II DATE' _ / Minor Improvement Pe Class Class IV �- -- LOCATION OF �C NsTRUCTION J a�30 �i�ZZIE' (Street address or Description of Location) PURSE OF CONSTRUCTION IZI-5 Sketch (attach construction tans if 'Z �F •e- p appropriate) DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION s-- d Z? ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, badcfilling, com• I paction and placing permanent resurfacing and/or replacing improvements) i In consideration of the granting of this permit, the applicant hereby agrees to: pPR 2 9 200� le atal 9c VgOAKS 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 proarty 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 lotions of the City of Lo Quints and to pay for any additional replacement necessary -as the result of t rk. 7,46 Signature of Applicant or Agent l ,+ ` D ,'I lly/ L ��%� �z�� 32_7 — Nag ole- �. f Applicant (please print) Business Address Telephone No. ! Name of Contractor and Job Contractor's License No. Business Address Telephone No. City Business License No. •-rr••�+••• a nuu�a��w %,urn{wny WCr4. LIA61LITy Policy Number -- FEES: Subdivision Improvement Permit —Class III Public improvements: 3% of estimated construction costs Private improvements.: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ Permit Fee Penalty Cash Deposit -Surety Bond . if required' TOTAL: $ Receipt No. Received by Date Recorded by PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority TELEPHONE: (619) 777-7075 SPECIAL CONDITIONS --PERMIT NO. 3632 --- SOUTHERN CALIFORNIA OAS CO. --- Ira addition to the standard permit conditions, the following shall apply: Pursuant to Section 14.16.320 of the La Quanta Municipal Code (Ordinance 10 § I (part), 1982), all work shall be performed in accordance with the latest edition of the Standard Specifications For ]Public Works Construction (SS PWC) and as directed by and to the satisfaction of the City ]Engineer. 2. SOUTHERN CALIFORNIA GAS CO., hereinafter referred to as " IPermittee", shall be responsible for providing conatnnuaouns dust aired erosion control. All areas Shall be kept watered down daily including weekends. 3. ' Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently if required. 4. (Pursuant to Section 6.O8.050 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 Ist to April 30: Monday -(Friday 7:00,a.m. to 5:30 p.m. Saturday 8:00 a.m. to 5:00 0.m. • May I 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. Mork shall be prohibited on legal holidays and Sundays. W1wor k/perf®a°aa e d Wdddadaa 500 jed of as signalized daadersecddon ig a°esda°iceead between She hours of 9 aa.m o 3 Jp.n& Trraaff ac control shall be sseg aapv agjfder 9 as-ffiL and removed d before 3 /poamao The PaDrmiddee shall c0ndaad She Riverside Cowndry Traffic SSignaa§ Maadaadeaaaan ce IIDepaardaa eng aad (909) 275-6894 if sigma§ gp eraaddon aad ddae inge seccddon is d® be aaddere d in any wavy. 6. ]Pursuant to Section 14.16.110 of the La Quinta Municipal Code (Ordinance 10 § I (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. 7. ]Pursuant to Section 14.I6.250 of the La Quinta Municipal Code (Ordinance 10 § I (part), 1982), 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, if required,shall be prepared in accordance with the 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. Special Conditions - Permit No. 363.2 Page I of 4 SPECIAL CONDITIONS --PERMIT NO. 3632 --- SOUTHERN CALIFORNIA GAS CO. --- g. 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 one travel flan of paved surface shall be maintained with flagmen at all times. 9. Prior to excavating, if required, the Permittee shall contact Underground Service Alen 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. 10. 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. 11. ]pursuant to Section 14.16.370 of the La Quinta Municipal Code (Ordinance 10 § I (part), 1982), backf 11 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 may be used as backfill material provided that minimum compaction, achieved in the manner prescribed herein, is achieved. Backf ll shall be performed by mechanical means; no water densif ed compaction via jetting or flooding or other means shall be allowed. It shall be the Permittee's responsibility to provide appropriate geotechnical supervision, testing, and inspection, onsite, at all times during backf ll operations. Backf ll compaction shall be achieved by the following conditions: A. When a farm foundation is not encountered due to soft, spongy or other unsuitable material, such material shall be removed to the limits directed by the Oeotechnical Inspector and/or the City Inspector and the resulting excavation backfilled with pipe bedding material. B. backf ll materials shall be brought to or maintained at an appropriate moisture content for compaction. The appropriate moisture content range shall be established at the onset of the project and ensured prior to use of the materials through progress testing on the stockpiles. C. The first length of trench backfilled shall be backfilled in the presence of the City Inspector. Compaction shall be tested at random depths at approximate three-foot vertical intervals as backf ll is placed to ensure the effectiveness of the compaction methods and to establish the depth of lift that can be compacted. D. If lifts greater than one foot are attempted in this trial length of trench, compaction tests shall be taken within the lifts to ensure that the full depth of the lift is compacted. Upon satisfactory completion of this portion of trench, the City Inspector shall establish the maximum lift thickness to be compacted for the remainder of the project. Special Conditions - Permit No. 3632 Page 2 of 4 SPECIAL CONDITIONS, --PERMIT NO. 3632 --- SOUTHERN CALIFORNIA GAS CO. --- IF. In subsequent lengths of trench, the frequency of compaction tests shall equal one per each lift of backlall, per 300 linear feet of open trench, at randomly selected locations within the open length of trench. G. The depth of the randomly selected compaction tests shall also be randomly selected except that where multiple tests are required in a given length of trench, the tests shall be no closer than three feet (vertically) from each other. H. If any compaction test fails, previously placed backf ll (in the same length of open trench or previous lengths of trench) which is represented by the failing test (as determined by the City Inspector),, shall be tested for compliance with compaction requirements. I. All costs in due to the conditions above shall be borne by the Permittee. Copies of all test results shall be furnished to the City Inspector. 12. All excavations within City of La Quinta right-of-way shall be backf lled, 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 backf lied in the same day. Excavated trenches shall not be allowed open overnight, however, Permittee may leave a length of excavated trench, not to exceed twenty (20) feet in length, open overnight at.a point where construction will 'begin the next day, provided that this length of trench is completely covered by steel plating. 13. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be,replaced to its original condition. L 14. Access and egress to all local properties shall be maintained at all times. 15. Pursuant to Section 14.16.375 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), permanent pavement replacement 'shall be completed n® later than seven (7) days after the completion of the work. permanent pavement replacement shall conform to the following conditions: A. ]Existing asphalt concrete pavement shall be. sawcut. one (1) foot beyond trench edges. ]Edges shall be straight sand clean: B. Permanent pavement replacement structural section, within all trenches, shall be 1" thicker than existing of asphalt concrete over the same existing thickness of crushed aggregate base or crushed miscellaneous base, meeting the requirements of Sections 200-2.2 and 200-2.4 of the Standard Specifications for public Works Construction. The replaced pavement and base material shall be compacted to 95% relative compaction and respectively tested, for each 300 linear feet of trench. Verify exact structural replacement section thicknesses with the City prior to installation. Special Conditions - Permit No. 3632 Page 3 of 4 SPECIAL CONDITIONS --PERMIT NO.3632 --- SOUTHERN CALIFORNIA OAS CO. --- C. Permanent pavement replacement shall be installed using a City approved 3/4" max medium asphalt concrete as the base course flirt and a City approved %" max medium finish course lift for capping. Asphalt concrete mix design shall be approved by the City prior to its placement. D. Cold -Mill and Overlay - The existing pavement which was properly protected in place during the trenching operation located adjacent to the trench sawcut shall be cold -milled to a depth of 0.10 feet with butt joint created next to the existing unmilled pavement surface. The cold - milled area and base asphalt concrete in the trench area shall be overlaid with a City approved C2-AR-4000 asphalt concrete mix. The width of the cold milling area shall be as follows: For longitudinal trenches located in a parking flan: two (2) feet outside the sawcut removal lines. For longitudinal trenches located in a traffic lane: two (2) feet outside the sawcut removal lines, or to the lane line striping, whichever is greater. For transverse trenches across existing street: two (2) feet outside the sawcut removal lines. E. If grinding and capping operations are not performed in the same day as base paving operations, the base course lift of 3W' max medium asphalt concrete shall be installed from saw -cut edge to saw -cut edge flush with the existing street surface. The base course lift of paving shall not be left 0.10' low in anticipation of grinding and capping. F. Any existing lane striping affected by this resurfacing shall be replaced in kind by the Permittee, as directed by and to the satisfaction of the City ]Engineer. Affected traffic signal loops shall be removed and replaced in kind. The finished pavement surface shall be smooth, consistent, and shall conform to the surrounding grades. 16. Permittee shall permanently stabilize any and all 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. 17. ]Pursuant to Chapter 12.56 of the La Quinta ]Municipal Code (Ordinance 10 § 1 (part), 1982) the City has designated certain city streets as Truck Routes. The weight limit for restricted streets (i.e., streets not part of the Truck Route network) is three (3) tons; trucks exceeding the weight limit may use a restricted street if making a delivery or pickup on the subject street, or if this permit specifically grants permission to use the street to deliver street construction materials and/or equipment. 18. This permit allows for the installation of two (2) gas services to 52-520 and 55-540 Avenida Rubio nearest cross street is Calle ]Ensenada. 19: The City of La. Quinta reserves the right to revoke, suspend or void this permit at any time. Special Conditions - Permit No. 3632 Page 4 of 4 The Gas Company- '''Sempra Energy"company ok 55441-732 ml �t4f MAIN COND. CODE EXT INT EXIST: [I INST: ❑ ABAND: ElINT: CODE: P_ / LOT #: Pi A5 1 VI 0 2'PAM 2-92`,I TIED 70234 2'PXM 8-92 ,_...-. r EM r Isolation Area Affected Yes ❑ No C/ Pressure District Affected Yes ❑ No p Business District Affected Yes ❑ No Supply Line Affected Yes ❑ No Regulator Station Affected Yes ❑ No Valve(s) Required Yes ❑ No L1 ` Reviewed By: . J.FNN1w c C. P. Reviewed By: 9 22 (�L' vl CURB ) �. El 23 EXIST: ❑ INST: ❑ ABAND: 0 INT: CODE: P / LOT #: 25 P.� CURB ) CURB ) TUJUNGA 28 27 PLAN FILE # BASE SKETCH CONSTR. SKETCH COMPL. SKETCH W.O. SHEET # J c, lt,Y:GSA 03-04-02 BY: BY: 01 OF 01 20-999 60' I i i 60' 60' O c z 0 / TOTAL FEET INST'D INSTALL MAIN WITH AT LEAST _Sv COVER BELOW!' .�� %%;',TOTAL FEET RETIRED COUNTY RIVERSIDE RETIREMENT REASON: PERMIj ISSUED PEItMIT #: DISTRICT PALM DESERT i 1 " = 50' LA QUINTA PIPING LEAK TEST (MEDIUM) TESTED AT: P.S.I. []AIR [-I NITROGEN OTHER FOR: _ HRS. AND/OR — MIN. (GAS STANDARD 9184.0150) SIGN: DATE:, PRINT NAME/TITLE: GAS HANDLING WAS REVIEWED AND PERFORMED AS PLANNED PER GAS STANDARD 9184.06 ENO❑ YES �-IF NO PLEASE GIVE EXPLANATION TO LEFT SIGN: DATE: PRINT NAME/TITLE: THOMAS GUIDE 849 G6 CITY OF LA OUINTA PRESS. D i ST. N0. DIST. PRESS./MAOP SET/MOP. CLASS LOCATION ❑1 ❑2 El 1714 ISO MAP N0. 3 SUPPLY LINE N0. SUPPLY LINE PRESS. REGULATOR STATION. I.D.# / R.S.# VALVES) REQUIRED Yes ❑ No ❑ PIPELINE MARKERS REQUIRED: Yes ❑ No ❑ IF YES SHOW LOCATION THIS BLDG, OR AREA QUALIFIES FOR ANNUAL LEAK SURVEY: Yes ❑ No ❑ (POST LIMITS) REVIEWED BY PRINT NAME DATE REG. ENG. TECH. SUP. L.P.A. L.S.P.S. P.A./F.P.A. rj j D.O.M./P.m. F.O.S./F.S. Underground Service Alert O�FORe r° - `� Go Call Two Working Days 0 BEFORE YOU DIG 1-800-227-2600 Ticket # PROJ. # 39899 WR. # 1256688 EPOCH # RER.# - l PiZ1N T L�/ / i DATE MOVED NOTIC�OF .DATE WOB�:' COMPLETION ON JOB: OPER. OFF DATE: BY,: ' TRACT # CREW FOREMAN FEET ATLAS # IND 93 YEAR C.P. INSTALLED: PUNNED