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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
DATE: 6/20/89
LOCATION OF CONSTRUCTION
52785 Eisenhower,
Subdivision Improvement Permit —Class III
Minor Improvement Permit Class IV
La Quinta
(Street address or Description of Location) �.
PURPOSE OF CONSTRUCTION 1 Gas Service.' Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION 1 gas Service
4
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED 4 X 5
APPROXIMATE TIME WHEN WORK WILL BEGIN �� By
APPROXIMATE TIME OF COMPLETION 1 eiav
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 whenlwork 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;his wor.%.
Name of Applicant (please print)
Signature of Applicant or°Agent
Palm Desew, CA 92260
Business Address
619/343-.1180
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 —Class III Inspection fee $35/day = $35. 00
=
Public improyements: 3% of estimated construction costs � ' Permit fee 10.00
Private improvements: 3%of estimated construction costs O ��� $45.00
Minor Improvement Permit — Class IV: See attached schedule C
Inspection Fee $
35.00
Permit Fee
10.. 00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $
41 _ 00
Receipt No.
Received by
Date
x0,050 73� 1 A6
PERMIT-VN�- ALIDATI045.00
PERMIT NO. 415
DATE APPROVED 6/20/89-
EXPIRATION DATE 8/1/89
DATE ISSUED -,-.
/.}1/20/89
"Administrative Authority
Recorded by
TELEPHONE: (619) 564-2246
NOTE: i
' With proper validation
this form constitutes'an ,
encroachment permit
` CITY OF LA QUINTA J
i• APPLICATION FOR' PERMIT `
,r 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 Ill' {'
` 61201.89
DATE: 'Minor'Improvement Permit Class IV {
R Y 52785. Eisenhower, 'La Qu'inta •
LOCATION OF CONSTRUCTION
(Street.address or Description of Location) y
• PURPOSE OF CONSTRUCTION 1 Gas.Services _ 'Sketch (attach construction plans if.appropriate) ••
',.*DESCRIPTION OF CONSTRUCTION 1 gas service ;
DIMENSION OF INSTALLATION,OR REMOVAL ,
SIZE OF EXCAVATION, IF NEEDED x
APPROXIMATE TIME WHEN WORK WILL BEGIN
-
APPROXIMATE TIME OF COMPLETION_ 1 _ day
'ESTIMATED CONSTRUCTION COST $ r
(Including removal of -all obstruction, materials, and debris, back.filling, com-
paction and placing permanent resurfacing and/or replacing improvements) ,
In consideration of. the granting of this permit, the applicant•hereby agrees,to: F
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, oss or damage to persons or property
happening or occurring as a proximate result,of any,work undertaken.ur;der the permit granted. rsuant to this application,
Notify the Administrative Authority at least twenty-four 4(24) hours in advance of the time w rk Will be'•started. r �'
Comply with all applicable City Ordinances, the terms and conditions of the p and all a is le rules and lations of 'the City of
La'Quinta and to pay'for, any additional'replacement necessary as the, result f is'work.'. i +"
Signature of A li nt or Agent' w
Macco- Cons.truc�t on PO. `Box' 783 :' •'•;Palm Dese CA"`92260 619/343-11'80 -
Name of Applicant (please print) r Business Address Telephone_ No.
'Name of•Contractor'andJob Foreman • Business Address Telephone No. '
Contractor's License No., City Business License No.
Applicant's, Insurance Company ' Policy Number,' '
FEES: , Subdivision Improvement Permit--Class•III - Inspection, fee $35/dayi-= $35.'00•
' Permit: 'fee y = 10.100" '
Publid improvements: 3% of estimated construction costs •- '
Private' improvements:'3%of estimated construction' costs j�j� $45. 00 .
Minor Improvement Permit — Class IV:.See attached schedule • l� • r 415:
35� 00 0 5i8,,aa�--�� ''QQ 73 ,,�►►TT06-`'0-89 i0
Inspection Fee $ f PSMIT'•'.�i'�Cl[ A YO�L A5.00
Permit Fee 10 .00 r NOS 415 t
PERMIT
Penalty 1 61�0/89 t
' • DATE APPROVED
Cash Deposit -Su rety'Bond
if required ' / / '
EXPIRATION DATE .8 1 89
' `TOTAL: • $' 4S _ (10 -DATE ISSUED 6/20/89.
• Receipt No. t
Bye _
Received by Date Administrative Authority
Recorded by TELEPHONE: (619) 564-2246
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The following General and.Special. Provisions are attached to and�made'a part of Permit No.
GENERAL PROVISIONS.
The following shall always aPPIY
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 twstarting_work:
TRACKLAYiNG'CONSTRUCTION EQUIPMENT "Cleated.tracklaying construction equipment shall not be permitted to�operate on any
paved surface. unless fitted with smooth -faced street pads.:Ali (mechanical outriggers shall. befitted with rubber street shoesto protect -
the paving during: excavation§.Rubber-tiredYequipment.only shall,be-.used in.backfill operations i6,paved, areas. Iif the:existing
pavement is scarred,-spalled, or broken during the term of this contract, or if the•pavement=is`marred;- City of La Quinta shalf request
that these portions of road be resurfaced over.,their entire.width..Resurfacing shall:consist:ofone-coat of two inches (2'_)"of A.C_
surfacing:plus appropriate seal-coat.as.specified above.1-
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PROTECTION;O_ F TRAFFIC:. All excavations and work areas shall be properly lighted and barricaded.as deemed necessary bythe City
Engineer or La Quinta•City Public Works Inspectors. Suitable detours and detour signs shall be placed and maintained f'&theduration
of the project..The.City shall:be:notifiecl, 4'Hrs:•in advance of any traffic'detours or delineations:_• - -• , , S,
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::ln.the event.it becomes•
necessary to- remove-, or- cur .existing'drainage structures. City of}La.Quinta shall.be.notified prior to commencement of this -wont.
Drainage structures and-open-drains'shall be kept free of'debris at all times for proper drainage:; f t
RIGHT OF WAY CCEANUP:,Anysurplus 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 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,—
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 vehiIcles: In the event it isfelt by.the permitteethat he must'close a streetfor
any -length of time, permittee shall' contact. this office to obtam the; necessary. permission. -
SPECIAL PROVISIONS I. ;
The follwing shall apply ONLY when indicated:
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R NOTIFICATION:,Perminee shall notify the City at564-2246 at least48 hours: in advance of starting construction.
R2 _ CASH DEPOSITS OR.BONDS: A cash -bond or an approved surety bond in an amount of not less than $
shall be furnished in: the name of. City of La Quinta to -cover -all work involved in the restoration of the various.La-Quinta
roads.and.survey monuments:_This. bond sha11.be continuous-untiI cancelled bythe City. Engineer. This bond,must be
posted prior to commencement of any work on'this project
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R3 TILITY. CLEARANCE: (Substructures) Prior to making any excavation within the City. of La Quinta right of way_authorized!
bypermit,:the :perrnitteeishall: contact all concerned utility companies relative to.the'location of existing substructures.
Damage,to existing -substructures resulting-frorri operations conducted under this.permit shall be -the sole responsibility
of the-permittee:.r^'
R4 ;UTILITY CLEARANCE:'(Surface structures) No•work shall be done under•this-permit until atl utilities -are clear -of the
proposed work •sife:.The perminee'shail notify all concerned utility companiewof the proposed work:
R5 PAVEMENT WIDENING: Area between the proposed. co_ncrete,gutter:linerandatheiexisiing road:pavement shalh'be
surfaced with ^ ' +` mches of A.C. paving placed on inchesof 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, 0i8inance 4461.
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 11 '1• ( ^ )
R7 GRADES & STAKES:.City of La.Quinta shall establish grades and'stakes.for_the proposed.concrete cuib•and:gutter
.construction. .. _ .
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R8.-: GRADE CHECKING: City of.La:Quinta shall check glades upon receipt of plan. {,y and pFofile and/or grades as established by
a licensed engineer,
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ti R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter ( ifeet►shall be =-
removed..Curb.and/or curb and,gutter-shall be saw cut prior.t6iemoval. Depressed curb, matching concrete gutter and
concrete driveway approach shall be constructed, in conformance with'City of.La Quinta Standard #207...
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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.
` R 11 CULVERTS: A ' inch diameter I t ) culvert shall be installed with the inven approximately 1-1 /2
inches below and in line with the existing flow line. Culvert installation shall conform to the attached drawing. *-
12 SIGHT CLEARANCE: Sight clearance of 600 feet;in either direction shall be assured and maintained.
13 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,ofJCalifornia 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: ;•i
:+ R15 SURVEY'MONUMENTS: Prior to excavation or beginning of construction, all survey monuments whicI4 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:,
4_
R 16 SURVEY MONUMENI for to excavation or beginning of construction, ail survey monuments shall be tied out by City
of La Quinta and suitable payment or guarantee of payment shall be•made as reimbursement for all work involved.
qj7 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 LIMITOF EXCAVATIONS: Excavations shall be limited to 1,000 lineaifeetof 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 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.,, -�
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 (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. Apr'
R21 BACKFILL SAND: Backfill shall be approved transit -mix sand or equivalent and shall be placed in lifts of not greaterthan
three feet (3') and vibrated using vibrotamper or equivaient equipment. Alternate methods maybe substituted; burin any
case a relative compaction of 95 percent shall be -attained- within the structural section of the roadway,
22 BACKFILL.PLACEMENT: Backfill shall be applied in layers of not more than.50 percent of the total depth of the trench
L./ before flooding or a maximum of five-foot (5') lifts where trenches are of excessive depths. Care is to be exercised thatthe
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 great6r
compaction. Where ponding or flooding is used for a maximumsettlement, 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.
923 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 6.3.01of the
Standard Specifications, Division•of Highways, State of California, dated January 1973.
824 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 madeasoutiined 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 temporarypatch
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 ofthe 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 inch class. base shall b laced no later than - days after completion of
temporary road repair. SCE��/T/oit�lLjQl y`�on� �-
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 (3'1 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 f#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 seatcoat 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 repair to
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 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 90 percent or equivalent to the
surrounding ground, whichever is the greater compaction as determined by the impactor 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 500 feet at any onetime.
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
12"1 and above in size. Sealant shall be applied to all cut sections as riirR - A ... %•_ _