0319 (2)----------.—•---�----------------ems
•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
r
Subdivision Improvement Permit - Class 111
DATE: 7/26/88 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Park Street and Ave. 50
I>itreat addrew or Description of Location)
PURPOSE OF CONSTRUCTIONS-frppt 'r Trn.ramPntc fpr Sketch (attach construction plans if appropriate)
,TaQuinta Middlp Srhnnl
DESCRIPTION OF CONSTRUCTION r„rh C,ttar�ac�hal t
DIMENSION OF INSTALLATION OR REMOVAL p Pr p1 enc which
kava },apn i cenari to Mi Ira TNr,rlcnr,
SIZE OF EXCAVATION, IF NEEDED 8" depth
APPROXIMATE TIME WHEN WORK WILL BEGIN R/1/98
APPROXIMATE TIME OF COMPLETION 9 /I /RR
ESTIMATED CONSTRUCTION COST $ 90.000-00,
(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 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 last 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 Oulnu and to pay for any additional replacement necessary as the result of this work.
OL.—L
Signature of A4Jplicant or Agent
Massey Sand and Rock Co. 43-850 Monroe St., Indio, CA 92202 (619)347-8535
Nanta of Applicant (please print) Business Address Telephone No.
Massey Sand and Rock Co. 43-850 Monroe St., Indio, CA 92202 (619)347-85.35
Name of Contractor and Job Foreman Business Address Telephone No.
271769 Class "A" 22 (expires 12/31/88)
Contractor's License No. City Bushes License No.
Liberty Mutual 651-004069
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 cost.
Minor Improvement Permit - Class IV: Set attadwd schedule
Inspection Fee
Permit Fee
Penalty
Cash beposit•Surety Bond
if ►squired
W.
TOTAL:
Receipt No.
s �—
/� oD.
Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO. ��9 /-1 1CeV►Se,cA
DATE APPROVED � 2 l
EXPIRATION DATE l B�
DATE 1
By
Administrativfl Authority
TELEPHONE: (619) 664.2246
The following General and Special Provisions are attached to and made a part.of Permit No.
GENERAL PROVISIONS
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.
TRACKLAYINGCONSTRUCTIONEQUIPMENT: Cleated 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 fitted 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 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 La Quinta City Public Works Inspectors. Suitable detoursand 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 -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 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 vehicles. In'the event it is felt bythe permittee that he must close a streetfor
any length of time, permittee shall contact this office to obtain the necessary permission:
SPECIAL PROVISIONS
The follwing shall apply ONLY when indicated:
R1 NOTIFICATION: Permittee shall notify the City at 564-2246 at least 48 hours in advance of starting construction.
.132 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 shall be continuous until cancelled by the City Engineer. This bond must be
posted prior to commencement of any work on this project.
OR3 UTILITY CLEARANCE: (Substructures) Priorto making any excavation within the City of La Quinta right ofwayauthorized
' 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.
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 conforma cewith City of La Quinta Road Improvement Standards
and Specifications, Ordinance #461. ��/JGILzCOYG�GI/7G� /l'!
R6 PARKWAY GRADING: Area between the pro e�fyin a Rup I e propose nc� curb s�/1r6e ope 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 profile 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 ( )culvert shall 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.
1®. SIGHT CLEARANCE: Sight clearance of 600 feet .in either direction shall be assured and maintained.
R13 SOIL STERILIZER: The area to be surfaced shall be treated with soil sterilizer.',Rate of application shall comply with the
manufacturer's specifications.
R14 COORDINATE W'ORk: 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.
R1 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: Prior t :avation or beginning of construction, all sur nonuments shall betied out by City
of La Quinta and suitable payment or guarantee of payment shall be made as reimbursement for all work ir?volved.
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.
R1 g 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 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 (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
before flooding ora maximum of five-foot (5') 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 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 i ntervals 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 beforwardedto 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 inch class base shall be placed no later than days after completion of
temporary road repair.
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 tothe 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 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
(2") and above in size. Sealant shall be applied to all cut sections as directed by the City Public Works Inspector.
n
�. ADDITIONAL SPECIAL PROVISIONS FOR PERMIT NO. `
1.
A detai-led traffic control plan shall.be submitted for
review and approval. Detour standards shall be as per
Caltrans Traffic Manual and subject to the following:
(Al two-way traffic shall be maintained at all times.
(b) with adequate. traffic control devices and/or
flaggers, two way traffic may be detoured to the
southerly one half'of the street during operational
hours only. ,
(c) :During non operational hours '(night time),
detouring:"of traffic will not be permitted;. and, at.
least one • clear- lane of traffic .shall be maintained
on both side of the street.
Field adjustments 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.
2.
.Replacement.pavement shall.be existing asphalt thickness
plus.one.inch but not.less.that 3.5 inches of AC pavement?
•
shall.be placed on 4 inches of class 2 aggregate base.
•Any''portion of asphalt pavement and/or other street.
improvements damaged as a result of -the Contractor's
operation and 'any longitudinal strips'of pavement less
than ten feet in width shall be removed and replaced by
'
thet Contractor at his expense and to the',satisfaction of
the.City Engineer.
3.
All excavations -shall be backfilled at the, end of'the.
work day, -for protections, of the traveling public.
Temporary AC paving shall be placed as per Special
-Provision-R25 and as directed by the City Engineer in
-
order to provide an all weather.driving surface in travel
'
lanes ,"and private driveways... Steel,, 'plating over
"
excavation per City standards is acceptable,.
4..
Contractor shall comply with -local noise ordinance and
construction work hours shall be as..per the attached.
5..
Damaged striping legends and%markings shall -be
repainted. 'Traffic striping for regulatory signs (stop
bar and stop'legend) shall be painted. as soon as possible
after permanent pavement placed, and as required by"City
Engineer:
6..
Calle Estado and other haul -route streets.shall be swept
and/or flushed by.the contractor and left in a thoroughly,
clean condition.
t
CITY' of LA QUINTA �.
DAILY CONSTRUCTION HOURS'
6. 8.050 ._-DISTURBANCES BY*CONSTRUCTION;NOISES.
(A) Itis a nu sauce.and it is-unlawful,, for any person to
be engaged or:.employed, fnr,any person.to cause any other Person
'to be engaged-,or employed, in,any work,of construction, erection,
alteration re air addition'to, or im rovement.to realty,'except
P . P .
between the hours.-set forth as follows, if the.noise or sound
produced by such work is of-,such-intensity or quality that.it
disturbs the peace.and quite of any other person of normal
sensitivity.
Permitted hours for such work arse as follows:
OCTOBER 1st through. MONDAY - FRIDAY SEVEN a.m. to
APRIL 30th FIVE THIRTY p.m.
SATURDAY: EIGHT a.m. to
-
Five p.m..
SUNDAY.:_ NONE.
..1 GOV .
CODE HOLIDAY: NONE
MAY lst- through MONDAY - FRIDAY: SIX a.m. to
SEPTEMBER-30th SEVEN p.m..
SATURDAY: EIGHT a.m. to
FIVE p.m..
SUNDAY: NONE
GOV. CODE HOLIDAY NONE.:
(B) No person doing or causing work prohibited by subsection
(A)of this section,,.• after being informed•orally or in writing
that such work has-caused.noise or sounds which disturb any
other person's peace and quiet,-shall fail, refuse on neglect
to take whatever steps or use whatever means are necessary to.
assure., that such work does not again disturb such other.
person's peace and quite.
NO EXCEPTIONS tel
.24. ON! Notice
For I�pection - . •,
No EucepV0
R1U DRIVEWAYS, A.C.: Unveways shah be constructea as not to alter ezisung drainage pattern. auriacmg oetween ine
STATEMENT. OF COMPLIANCE . -
., r u u
` -_MaY 12; 1988• #3659
Date
Li dA . Ei.sehiman Senior Y AgCamtant y do hereby state:.t
(Name of signatory party) (Tille),
(1)' That I pay,oi supervise the payment of the persons employed by > WSW s m & on
WASHINGTON ST LA UINT^�i (Contractor or subcontractor) "
the Q 'that during the payroll period commencing on the . 25 _ day of aril
(Building or work) -
19.88 and`endin% the 1 day of May _', 19 88 all persons employed on said project have been paid the
full weekly, wages � eamed, that no rebates have been or will be made ,either directly or indirectly to or on behalf of said
MASSEY SAND & ROCV(p. ` from the full weekly wises earned by any person and that no deductions have
(C10mlrim•1ur 101 t.u1t1•uulr10.•l10r) , -
been made either directly or indirectly, from the full wages earned by any person, other than permissible deductions, as
described below
F,1'
TTID/�M& WTIIfflIDING' T&US
STATE MM nI % TItXF'_S
STATE W1'I1 H DI% INSURANCE
VACATION WITHIMED AND° RFI11ITi'FD TO TO UNION d
(2) That any payrolls otherwise under, this contract required to be submitted -for the above period are correct and complete; t
thin the wake ,rate% for luhowrs.or mlechaniem vonluinmd therein are noC"Icss lhaln the applicable' wage'ruleN contained in arty
wage determination incorporated into Ute contract: that the clasaifications; set forth therein for each laborer or mechanic
conform with the v^)rk he performed i
r (3) That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered
with a State apprenticeship agency. ,
(4) That: `
(a). WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS," FUNDS, OR PROGRAMS
UIn addition to the basic hourly wage rates paid to much laborer or mechanic listed in the above referenced payroll,
I ay h.-Swrittt 10n lim14.41 ill .lh.• .•.,6111104.1 'limv.• 1..•4.11 .,r will 1-, 11106114. lot rgq.rup ri 101 .• prul;rantm fmr th4. -
benufit of such omploycus, uxcupl as noted in Suction 4(c) below.
(h) WilEME I-I21N(SI: III:Nl-A-ITS ARE PAID 1N CASII
Each Laborer or mechanic listed in the above referenced payroll has been paid as indicated on .the payroll, an
amount not less than the 'sum of the applicable basic hourly wage rule plus the amount of the required fringe
benefits aN listed in the contract, except us noted in Section 4(c) below:
j
(c) EXCEPTIONS y
EXCEPTION CRAFT EXPLANATION
Ramorks:
NAM[ AND TITL It N
On federally -funded projects, pennimmibtu doductions un dmfinuJ 'in eg lutions, hurt .1 (21) C;hlt Subtillu A), ixNued by Ihc"
Secretary of Labor under the Copeland.Act, as amended (48 Stat. 948 3 Stat. 108. 72 Stat. 967; 76 Stat. 357; 40. U.S.C. 2764.).
z.
Also, lhu willful fulnificalion of any of lite above Nlalaments may subject -the contractor or subcoritructor to civil or criminal
prosecution (see' Section 1001 of Title 18 and Section 231 of Title 31 of the United States Code).
OH—C-448 (REV. eh3
(WH -348)
MASSEYSARD AND'ROCK C0:
UP440- '. l
*CERTIFIED PAYROLLS.
PAGE 36
5/05/88'
PERI07•ENDiNG. 5/41/EIB :
TINE"12/31/00'-
-PAY
..
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-
:JOn NO. 3659 JOB
-NAME WASHINGTON'ST. %I 50TH &..• HIGH -LAND; L,11..
RATE
GROSS
GRASS
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-_ SIT
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EMPLOYEE NAME
PREM RATE REG HRS /PREM HRS `
TOTAL
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ADDRESS
ZIP CODE `MON. TUE- WED THt!- FRt SAT
�: SUN HOURS
PROJECT
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DEDUCT'
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1087`"
DANIEL BARRAZA`
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1095
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4016 MOTOR PATROL = BLADE; OPEItt1TOR .
70.66
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:.
1183
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4010 GRADE, CHECKER-
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2006 UTILITY .TRUCK
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18.680 •6.00
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1.50
91,75
8.72
,00
8f=351 AVE. 46. 426 :•
5003 GUINEA CHASER'
-54.60:
84.00,
.54505
i
INDIO,. CA
92201:
,
i838
`MEGUEL-,Z MORENO'
15.120
8.00 8100
:120.96
714.51"'22.'14,`+
436.88
'
570.02-9970
22.680; �
-} .00
109:26.
,,M7
. .00
i
82724 CREST AVE.
5001 GENERAL LABORER CONSTRUGTIOP4 ..
. 53.66
-84.00
. 54506
INDIO,# CA. J
92201
1836.
MEGUEC Z MORENO
15:270 ?..00
2.00,:
3Q.5.4
714.5'1.
'M.'14
436:.88 -_
.570-02-9970;.
22.905
p00
109:26
8.57.
- :00 -,
"
82724 .CREST AVE.
X004 ASPHALT: SHOVELER .
53.66
8.4.00:-.
54506
•
INDIO, CA.:
92201
1953
..ANTONIO RAMIEZ
16.770 4.00
`•25.155.
4000
67.04
' 79'1,.57 -,
22:60
-.507.18
•' `
453-94-3881
:. ,
.00 ;
109.84 -
. ' 9.50.
000 ` .
78=705 AVELA FONDA
5019 LABORER -FOREMAN
59445
83.00'
54535
LA L�l1INTA, '-CALIF',
92253.`,
_
2005-
CARLOS L ROMERO
20.49:0. 8.00 '•13:00 8.00' B:AO 8x00
40.00 ''81.9.60"
"'.871.60
32'70
566..23
•,
555-6272467
30.735
.00-',..
`.142.75,`..
55',00
10.46
.00>�
TYLER
4010 GRADE CHECKER
65.46
54,00
54543
THERMAL ,• CA.
92274.
2006:
M- ROMERCf_ '
21.610 8.00 6.00, '. 6.00 6.00 6.00 ' •
32.00 -
934.68
1, 274.47 ,
, 62 ,12
`. 846.-91
554-52-4686'
,.
32:415 2.00 1.:00 2,.00' 1:.00 i":50
70:,0
.'
222.93
15.15
c00
58 625 VAN BUREN
" ' 4021` CtiNS'iRUCTiON FOREMA�i - - `- -
.95.41
:., 67..65
54545 `
THERMAL, CA'
'92274' ,. :.
„
,
-1
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MASSEY SAND AND ROCK CO.
'UP440 '"
, . : CERTIFIED `PAYROIA.
'PAY
PAGE 37
• -
5/05/88'
PERIOD ENDINr 5101/88.
�*
TIME•12/31/00
`
•50TH
• y ••
•
1 JOB, NO: 'M59 • .IOB.'KAME WASHINGTON ST. -BW b' HIGH -LAND, L,.Q:
;� '
,
�'-
-RATE ,;
', GROSS GROSS
SIT
NET ':x'
'°
EMPL EMPLOYEE NAME
.PREM Rr�TE',' ; * .RFG,FIRS /PREM HfiS`
:TOTAL r THIS' . FIT'
�. 'SDI
,. SUBST
, NO... SOC SEC: NO. �
_ �- -•
,,
-ell?!^'-,HOURS
..
-
/.' ADDRESS,, ;-�` • `
ZIP -CODE i40id ',TUE `° WED `�T41l1' 'FPI` .SAT
PROJECT'FICA
DEDUCT'
;.. 21Ib•'.TOBY J=STANFORD
117.200,`., *? :.1.50 1'.25 3:40_.^
•` 5.7J 1.98.90 1';`140.00;
48.19
' X709,52:
551'-74=3463 Y
`' 25.800 :.: : , . ^
..00, 265.40
13.68
'1.00
i
-; '43-370 PORT MARIA-.
2003:DUMP-4 'AXLE
,i .85:61,
117360 < 54566
•
' 92201 3 ' , -
UDA 1tlNJES, CALIF,*
BERM;
' ' - L>50
• .
r 5.,50 32.49 1,104:25
:, 3 .
53.22
,Y ;
682
�- .
2263 ALBERT VASQUEZ,.-21:660
r* .�
•
_
.31
.. -'56i-L44-0345
•
3...490 , .
:40 207.89
13...5
0,00
L �T
f • ; 8i X195 FRANCES AVE
4022 H.D. MECHANIC=Fgn�`EMAN
.. �`
'8.93 -
S'
64.6., _ 59592.
•:
4 : INDIO,`.CA
` 3CJ55 PAUL TALLEY
92201 ,r
•170'!00 "8400 :8.00 ,8.00 ,`8.00 8:00
%40.00 684.00 772.00,
X5.73'
557 54.6813'^
25.650 ".
.00 �; 125.36
• 9.26
,.00
83-242 ROSA AVE -
` 2007 WATER'TRUCK ' , 3 AXLE
r
r• 4 . ' .57.98
88.00.
54576 ;'
. =THF-RMAL, 'CA. 92274'...`
3559 i_ROBERT FLQYD SKILLMAN 16".720 1.75
'3559''
1;75 ,.29.24 1606.13 15.ba
y='
{
38fio83
'
517 -4'.? -9596 • "
25.065
+ .OQ , y:. . 8?_,12
`
' : 7.27
-'' 00
.. .. r 52945 AVE NAVARRO "
2560'`SPEC., TRK/TRI.. W/AC OVER 5 DAYS: `- s
"' �', 45.52
;" 68.75
54560 z'•,.
-
4 LA t11JI NTH; CA.
92253 ,Y
r - 4590` RANDY PAULSEN '
15:770.6.04
6.00 X4.62 639'.72
12.49
,
`148-3 7=6083
23, 6SS ,
r 00: ''70 o 29
7.68,
X429.22
.00'
o ,- .82165 VERBENA -=•5008
PIPELAYE
48.04
.72:00..'4
54525.
.
INDTO, ;CA-
` 5018; - ALVARO, P:^'
92201' f ,.
4120 , 154120 '8.00 - 8.00 `
;.:
16:00. ; 275.9!# �`,. 746:50; ::66.89
503.54
' •�
460-62-4694
`22.680
- a 75,05
,.; 8.96 ` - .00 '
' 1563 :2AlD: ST.•
fi 5001 GEiJERAt. �:.ABORER CONSTRUCTION. t �, ',
,- �' ` • 56,06 ,
86.00
54391
COACHELL'A, CA ' .
'
92236'
'
= ' • 5067,' WILLIE VELA- -
ti 15.770 L 4.00 ` ' -.3
• 4.00 63.08 723.64
12.52---m512,34.
.•. ,
463.58-9654 ;•,
' 230655: ^ h.
^ 1:00 -:'`'. 54.75
8.68
,�.�, t.00
- .0t.0. BOX 553
� ,5008 PIPELAYER
.4 ,. 54-.35-,,�Si.00
-°�; X54594 •„
,.t
` CQACHELLA i' -CA
5148 ` STEVE • M. ROSS.
92236
20.490 4:00
r 4.40 `.81.96 ' 1, 04T> 8'2
38.04
r
,356-44-3222 ' 30:735 " ' ' :
m
`PAVING
.00 . "160.59
78.69
12.57
64,90.
4.693.03
100
`' '54546
46880 BAY- CLUB: DR. 100
4008. ASPHALT MCH.-BARBER/GRN.* ,`
_
INDIAN WELLS ",.CA
'_ 92210 s • .. , . -• ' .. -
•' •'". ,...• .�
.
5290 EDDIE II. GOMEZ
'" _''0.610 8.00.. $.00 `B.QU' 8400 '5.00:
` • 44.04"'824.11'0 g,. 876410
29.19"
5$4028:
' 548-50-1172 '
30.915 ..: , .: ,'
, .00 'r : 133. J9
10:52.
•� , 00,
t ;
,
85-466 ARABY `` j_ .
- - 4016 MOTOR:, PATROL -: BLADE OPERATOR ' ..
- ' ;, •',6%82
S 9.436
COACHELLA,: CA:. . =
F 92236
18.00
,
5343 RAFAEL, S.. ZAZUETA`
. ' ; " 154270 ; 8.00 .: 8.00 -8400 8.00 ' .
40.00 -656,6t , m 740.61 '
39:96;.
' 426.55
-
572-63-3442 z
22.905 ; ; _ 2-0'001 "'
2.44.;' 125.59
8.89
,:.1 00
83-397 GE�SINI APT�17
,
E - 5003 GUTNEA' CHASER! •
r
84:0.0
- 54612'x,`
' 'INDIO, CA'
5410 MIKE :L i. HARMON
F'
92201 a
14.390 .6.00. ; _
,'55.62
' 6._60 136.34 327 080.
'
3:43
219.57.
558-33=2462 ' `' `
21.585. J . �,. �-
.00 .34;75'
3,93.
- -.00m _
.
~
P';10-, BOX 308_
6546 CARPENTER STEP' 6 . `. ' -
•24.62 `
41.50
;.54447 }
"PIOMEERTOWN, CA.
5517 ADAP'ANDRADE
92268 , ,
.
8x00. 40.04.2858.78
• r ,.
26:78 540.04.
,`
_
567-8975794
i , ;.
22.680,. 1.50
" { 1 50 218.`16
10.31
• e00
' 47340 sVIA GENOA` r
`' 5001 GENERAL ,I..ABORER CONSTRUCTION° ; , ' =�
r' ',, 64:49
99.00
.' 54344
INDIA, SCA. '"
w 92201' i , .
4- .
r
•
• .!� _ -'. � �.4 •�. '
�.; .' _ ,- - `.r �
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-- "t'r k:�
IL
Ti; •
MASSEY SAND Aida .ROCK CO.
JP440
*CERTIFIED PAYROLL* -
-
PAGE 38 '
,'_
5/05/68.
'PAY PERIOD ENDING •5/01/84
"
TIME 12/31/00
,
: JOB'NO. 3659'
JOB NAME UASHINGTON ST.'Ail
.MOTH t HIGH -1 -An, L.O4
RATE
GROSS>
- GROSS
—FIT
_NSIT
-_ NET
EMPL '
EMPLOYEE. NF1ME
PREM RATE
REG FIRS / PRFM ;i4fiS
TOTAL THIS. `
SDI
BURST
NO.
SOC SEC NO.
ADDRESS
-=------- - -----_
•ZIP CODE MON
_- _ - -- =- -- - ----_ _�_.
TUF '-. WED. � THU� - FRI : ' , SAT . ~SUP11 :
----
• .
` HOURS .`PROJECT
_ _r
NFICA-,
_____�
DEDUCT.
_ _
CK N0.'
5518
__------------------------,
K+ARCEL •JANEL.L'E
20.490 ~M '_'8.00.
----- -- --- ----
8.00,
iG;GG' 327,64'
--870:80
50:07.
551,83:'
"
4-40-1833
30.735
.00.,
141.05
10.45.
.00
P. O, BOX X146
4012" SCRAPER
01PERATOR _
65.40
" .5,2.00 ...
54465. -
PALM SPRINGS, CA'',
92262
,
5518 .
HARCEL JANEtLE;
20.610
8.00
00. 164.88 -
870.8050,07,�
-
551.63
4-40-1833 ..
30.915
.00
141.05
10:45 ,
_> .00,:
P.:,OBOX":9140
4016 MOTOR.PATROL - BLADE OPERATOR
• 65.40'-
52:00'
54465
'•
PALM -SPRINGS, CA.
_ _ .92262 .
4
5518..,'MARC£L'
-JANEL-LE
200380 8"►001'
. ' ' ' 5:00
lG.00 - 326.08
870.80
50.07 - ,
551.83 ,
4-40=1833
30:570.
X00 •
141.05
''"10.45,:
-000
P. 0: BOX'.9146
4006'ROLLER OPERATOR'. '..
-
65.40
52.00, .;'
54465,
PALM SPRINGS, CA:
92262.
'
TOTAL HOURS THIS PROJECT
458.00°
_,a
_ THIS'f'ROJCCT
TOTAL GROSS•
8.,485.08
'
_ :STATEMENT.,OF.: WMPUANCE ,
uiue, May 4, 1988 1659
.r
1, _ Lb3da .'EiSepaian $ n -Or A=ritant do hereby state: .
(Name of signatory party) a —M-1 Ie
(1) That I pay or supervise the payment of the persona employed by MASSEY SIQm & ROQC m: 'on
e Washington$t. (Contractor or subcontractor),
th
that during the payroll period commencing on the1 tR_day of . Apjr-i I_
(Building or work)
19 $ and ending,the24day of April _ . 19 88 all persons employed on said project have been paid the
full weekly wages earned, that no rebates have been or will be `made either directly or indirectly'to or on behalf of said.
MASSEY SAND & ROCK CD. from the full weekly wages earned by any person and thaVno deductions have
(Cootrurlur ar , ulw uul n.cl ur)
been made either directly or indirectly from the full wages earned by any person, other than permissible deductions, as
described below
FEDERAL WTIIff1=I% TARES
FICA }'
STATE WITM ZINC
STATE - WIMM=IM . INSURANCE
VACATION Wi'hIIOD' AND REMI= TO ME UNION•
(2) That any payrolls otherwise under this contract required to be submitted for the above°period are. correct and complete-,
Ihul. the wal;o rales for ll.horers or mlechunics 'e ntuinod therein are not less shun the'applicahle waite.,rules contained in qnv '
wage determination , incorporated into , the contract; that the clanAficutions; act forth" therein for ouch laborer or mechanic
conform with the aa)rk he performeci
(3) That any apprentices employed in the above period are duly 'registered in a bona fide apprenticeship program'regiatered
with a State apprenticeship agency.
(4) That:
(a) WHERE FRINGE BENEFITS'ARE PAID TO APPROVED PLANS, FUNDS, OR PROGRAMS
UIn addition to the basic hourly woRo rates paid to each laborer or mechanic listed in the above referenced payroll,
pl.y mu•m1❑ ..f fruit'. 1..•u.•fi Ui loot lion. -.1 in Illi• r..n)Ir...•I hlov.• 1..•.•m uha)adr
r will .• lot )gq.r.q)ri lot.• lin,groau) fair i1w
benefit of, such employees, except us noted in Section 4(c) below. �
(h) W11KNE FRINGI? Itl':NI•:FITS ARE PAII) IN CASII
ElEach Laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll, an,
amount not less than lite sum of the upplicnble hasic 'hourly wage rule plus the amount of the required fringe
benefits as listed in the contract, except as noted in Section 4(c) below:
(c) EXCEPTIONS ..
FYCFPTInN KRAFT\ eY01 AUATInu
Romarka:
NAM[ AND TITL[
s
On federally -funded projects, permissiblu deductions are defined in•Relwlutiuns, Nurt :1 (24) CVR Subtitle A)_ isoued by III(.-
Secretary
huSecretary of Labor under the Copeland Act, as amended'(48 Stat. 948 63 Stat. 108. 72,Stat. 967; 76.,Stat. 357; 40 U.S.C. 276c).
Also, thu willful fulsificution of uny of the above slutumenls may subject the contractor or subcontructor to civil or criminal
prosecution (see Section 1001 of.Title 18 and Section 231 of Title 31 of the United States Code).
DH -C-710 (REV. 8/77
(WH -348)
z. MASSEY SAND AND.
ROCK CO.
UP440
;. *CERTIFIED PAYROLLS'PAGE-30
,
4/28/88
PERIOD ENDING 4/24/88
TIME 15/06/33
_PAY
,
JOB NO. 3659 JOB
NAME WASHINGTON ST. BW 50TH 6. NIGH=LAND3.L.Q.-
" ,•K"•
`
RATE -
" GROSS
GROSS
SIT
NET • '
. •
•t f EMPL
4
EMPLOYEE NAME
"�_
T PREM RATE` REG HRS,/ PREM HRS.
r
`
t
TOTAL
THIS `
- - - - - - -
FIT'
------
SDI
SUBST '
NO.
SOC SEC N0.
--==------=-----=----------------------------------=--
=-=-----
-----
----
`
ADDRESS--
ZIP CODE, MON TUE WED THU.- "
FRI SAT
SUN t
HOURS
PROJECT '>
FICA
DEDUCT
r CK NO: ;
----
f 1087
------=------------------,--=---
'DANIEL BARRAZA
r----- ----- ---- ,-----
15.770"- - -•
----- -----
2.00
-----
-----
2.00'
----- -
31.54
--------
497.56
----
~1.95
----_
369.81
561-76-3664 -
23.655
.00•.:
26.46
.` 5.97 `
.00 '
W
43-821 W CIRCLE 'DR
:: 5008 FIPELAYER
37.37
56.00
54082
.
INDIO, CA ..
92201 '
.. 10.95
JAMES R BASS
- 20.610•'°;; 8.0o..
8.00
.16.00
360.68'
973.06
41.02
620.22-
« -
561-58-9621
30.915
1.00 ti
1.40
_
171.16
11.68
.00. L
44-039 CAROB'COURT
4016 MOTOR PATROL'.- BLADE OPERATOR
:
*
73.08
.'
55.90
54083
-
INDIO, CA.
92201' •11.
f ,,1183
JAMES G BURGE JR
_
21.610. -
4.00
4.00
'`86..44
947.81
-53.23
.'631:17
552-33-2272
• 32.415
-
.00
.120.61
11.37"
x.,00
41660 WOODHAVEN EAST
4021 CONSTRUCTION FOREMAN.
71.18
60.25'
54094'
'.
BERMUDA DUNES CA
92201 h
1454
RAY D EDMAN
20.380 8.00 2.00 '
f
10.00
.203.80
+818.64
23.57
569.40
560-42-6144•
:.30.570
-
.00
-.
106.92
9.82
144:00'
HORNE Rh.
4006 ROLLER OPERATOR "..�
-
.61.48
, 47.45
54137
,286
EL CENTRO, CA
92243' ,
1454
'RAY D'EDMAN
_
- . 20.610 "8.00F
i'S.
8.00
164.88'
818.64
23.57`
569.40' -
.560-42=6144
30.915
.00
106.92
9.82
144.00
286 HORNE RD.
4016'MOTOR PATROL -BLADE OPERATOR
..
61:48
47..45
54137
-
EL CENTRO, CA
92243
'. 1731
JAIME.0 LOPEZ
18.680" 4.00
2.00
'6.00
126.09
736.81
16.31
513.73-
546-88-8714
28.020 '. .50
.50
73.60
8.84`
-.00
82-170'MILES:AVE
5025 SPECIAL'CONCRETE=LABORER FORE.
'55.33.
69.,00
54203 ;
INDIO, CA.
92201{
'
' 1837
DANIEL A MORENO .
15.270 8.00' `8.00 4.00 8.00•
8.00
''.'
36:00
572.64
646.64
13.90-_
424.47 • `
559-64-3775
22.905 '"1.00
1.00
76.95
7.76
1.00
81 -Ful- AVE, 46 :26
5003 GUINEA CHASER
48.56'
75.00
54228 r
2005
INDIO, CA,
CARLOS L.ROMERO
92201
-20.490 8.00 t
8.00
16.00
327.84
.871.60
32.70
`
566.23 ; •
555-62=2467
30.735
.00 .
142.75 _
-10.46
.00 <
55200 TYLER' ;
4010 GRADE CHECKER
65.46
54.00
54265 s
'
THERMAL, -CA.
92274 • ' :.'I
" 2005''
CARLOS L ROMERO
20.490 8,00
8.00
•163:92
871.60
32.70'
566.23
555-62-2467
30.735 r
.00
'142.75
10.46
.00
55200 TYLER
4012 SCRAPER OPERATOR:
65.46.
54.00
.54265
'
THERMAL, CA.
92274
,
r 2005
CARLOS'L ROMERO
20.490: 8.00
8.00
163.92
871.60
32.70
Y
566.23 �.
555-62-2467
30.735'
.00
X142:75
'10.46
.00 .
55200 TYLER •
4013 SKIPLDR OPER •UP TO 6 1/2 YDS
"'
65.46
54.00
54265
THERMAL, CA.
92274
+62:32
2006
M ROMERO
21.610 4.00 6.00 4.00 7.00
8.00
0
29.00
837.43, 1,270.49,
806.92, .
554-52-4686. -
'32.415 1.00 1.00 1.50
2.00
�.:
6.50
r, -
222.94
15.25
• ,.00' r
t
-58 625 VAN BUREN
.1.00
. 4021 CONSTRUCTION FOREMAN
,--95.41
,,
6'7:65
54267
-
THERMAL, CA'`
92274 '
2116
TOBY J STANFORD
:17.200 .75
L'�.
.75
.25.60 ;1,042.00
39.07
�' 664.32
X551-74=3063
'' 25.800 .50 '
.50
137.96
: 12:50 '
.00.
'
43-320,PORT MARIA
2003 DUMP=4 AXLE
78.25
.109.90
54289 `
BERMUDA DUNES,., CALIF.
'92201.
S
rh
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h 1
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'
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rr
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t.
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.
'E :' . MASSEY SAND AND ROCK CO.
_
""
_
UP440`
•
let *CERTIFIED -PAYROLL*
PAGE 31'"'.
- -
r.•
N 4/28/88
"FRY PERIOD ENDING ,4/24/88•
TIME
15/06/33
a
JOB NO. 3659
JOB`NAME WASHINGTON ST.'. -BW 50TH 6 HIGH -LAND, L.Q.'
•
z
•
,.4
RATE
GROSS
GROSS-'
, SIT'
NET
41
1::
----
EMPL. EMPLOYEE NAME
PREM RATE,• REG,.HRS / PREM'HRS
TOTAL
THIS
FIT:
SDI
SUBST
NO. SOC SEC NO. ;.
ADDRESS
��_��------------------------------- -- ----
ZIP CODE . , MON TUE WED .. THU • _ FRI, ; NSUN • • HOURS
, . - -----
PROJECT «`=' FICA '
----
,DEDUCT
------
CK NO.
L
LSAT
`
3555 PAUL TALLEY .�
X17.100 8.00 8.00 .2.00-•,8.00 .8.44' :;
`,,-34:00
581•.40 �
656.20',,18.65"
412.66 �
., 557-54-6813 -,-
': 25.650
`
.00
,•
92.94 -
7:87
.00
t'
`
83-242 ROSH AVE
' 20Q7 -'.WATER TRUCK - 3 AXLE. '`
a
, `.. , w.;•
49.28': 74.80
54299
'
Y THERMAL,_CA:
4590' 'RANDY'PAULSEN
,} .: 92274'. s t
15.770 r 4.04
{'. "4.00'
74.92 J
`
368.24`
1.51 `
264.10
548=37-6083
. J0 .
:23.655 '` _:
22:50
29.56.
4.42-
.00,
<.
82165'lVERBENA
'5008 PIPELAYER, - _'
!
x,27.65
41.00 "
;'54246
•r. t
`
INDIOi,CA. 92201
5018 P. COkDERO 15.420 2.00
"
'•2.04
30.24.
597.20.
.7.94
415.58_
,ALVARO
It,
: • 22.680 , . ,
..00
t .`
. 52.66. °'
7.17':
.00r
•1563 2ND. ST.
�.5001 GENEkAL.LABORER CONSTRUCTION,, i
`44.85'
69.00
54116'
•
COACHELLA, .CA
. 5290 ' EDDIE H: GOMEZ• '
;. 92236 • , t • ,
'- 20.610 5.40 8.00 - 4.00 ' 8.00 • B.60`_
36.00
741.96 -
788.76.
-
22.43.
540.77
; 548-5074172x•
30.915 :_
"'.00
109.05
9.47
.004
p
•
85-466 ARABY R'
4016 MOTOR PATROL -'BLADE OPERATOR `
59.24
'47.80
54161
COACHELLA, CA
5343 'RAFAELPS:' ZAZUETA
",x92236 - . -'
45.270 M .' 8.00 S.OQ•
"
16.00
a'267.23
:710.11 '
' '
37.12',';
414.49.>• F
;ar
'4.572-63-3442'
22.905; - 1.00 {:.
...1.00
.
* 1 .05
17
.-'8.52
.QO'.
!
83-397 GEMINI:AFT.17 E , 5003 GUINEA CHASER :''
53.33
80.00 "
54335
' INDIO, CA
:,
,,92204
'5.70
'
5410 --'MIKE L. HARMON
14.390 4.00 -`
4.00
68.36.
405.16
`-
267.32-�Y�
558-33-2462.
::' t.�., 21.585' 450
.50
`'
' 46.35 `
`4.86
`" :00
•
P. 0. BOX 348'
. ` ` 6506 CARPENTER STEP b - t� , ,.
�, `
,.; 30.43
.50.50
54172
PIONEERTOWN CA'
`92268
x273.92•',
5517; ` ADAN , ANDRADE
f' 15.120' •' 8.00'' -
ry 8.00
120.96
. Q0:
242:64
' `
567=89-5794 •.
22.680 i is
.00
• . 15.42,:
3.29-' ; :
.00:..,1.'
'
r 47340. VIA GENOA
- 5001`GENERAL LABORER CONSTRUCTION
'
20.57;;
32.00`
INDIO, CA! .
5518 MARCEL JANELLE
92201
20.490 8.00 4.00 .'
12.00
245.88
577.44
22.78
6.93
411:01' t
t
•
4-40-1833
30.735.00
,,'1
n58.90
.QO'
P. •0. BOX 9146;
`1 OPERATOR " ; `
4042 SCRAPER . '
t
43.37 •
34.45 a
54190:
at'-'
PALM SPRINGS, CA'f
4,
. 92262 " • 4
- TOTAL':•HOURS THIS PROJECT"
, , .
,271.25•..
�,
e,
TOTAL -GROSS THIS PROJECT
5;195.93
r
„Z•
.
i
f> rs
)U.S. DEPARTMENT�OF LABOR PAYROLL �' _ _ ___. . _ _ _. OMB No.: 1215-0149
l WAGE AND HOUR DIVISION Expires: '04-30-87
`(For Contractor's Optional Use; See Instruction, Form WH -347 Inst.) .
NAME OF CONTRACTOR OR SUBCONTRACTOR' ^' - +'''
ADDRESS
PAIGE ELECTRIC'COMPANY' #95-2217261
PO Box 659, San Bernardino, Ca. 92402
PAYROLL NO. , ;
FOR WEEKENDING
PROJECT AND LOCATION
PROJECT OR CONTRACT NO:
r April -24 1988
< ,
(1)(2)0'1'
t : (3) �. '. '.
,• r (4), DAY AND DATE
(5)
(6)
(7)
(8)
(9)
NAME, ADDRESS, AND
zZ
E
,'
•'
y
GROSS
DEDUCTIONS
NET
,S
M
T
W
T
I. F
S
SOCIAL
SOCIAL SECURITY NUMBER
mor
oxa
WORK
CLASSIFICATION
O
TOTAL
HOURS
RATE
OF -PAY'
AMOUNT
WAGES
PAID
24
1;8
1,9
20
21
22
23
WITH -
TOTAL
OF EMPLOYEE ' .
,-w
z3'u5
EARNED
FICA '
HOLDING
TAx'=
STATE
I SDI
Q�t
llU�J
DEDUCTIONS
FOR WEEK
HOURS'WORKED EACH DAY
572-52-5249 -
o
JOHN FAUL'KNER .
S
11480 Copper Pass Ct.'-
Foreman
Rancho Cucamonga-, Ca. 91701
MO
Electrician _.
3'
2
2
�(
22.04
440.'80'
33.10
46.07
4.68
-5.29
13.23
102.27
338..43
560-43-7048
0
,
VOBERT ROSSER
Apprentice
2761 N. Golden #12'
-
St.
;
San Bernardino Ca_. 92404,
M04
..Electrician
2
2
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S
FORM WH -347 (1/68) — FORMERLY .SOL 184 PURCHASE THIS FORM DIRECTLY FROM THE SUPT.' OF DOCUMENTS ,
�- Date April 24 , 1988
I/ -
Amy Mazer Payroll Clerk
(Name of signatory party) (Title)
do hereby state:
(1) That I pay or supervise the payment of the persons employed by PAIGE
ELECTRIC COMPANY. on the Street Improvements in La Quinta
(Contractor or subcontractor) (Building or work)
that during the payroll period commencing on the 18th
day of April , 1988—, and ending the 24thday of April , 19�_,
all persons employed on said project have been paid the full weekly wages earned, that no rebates
have been or will be made either directly or indirectly to or on behalf of said
PAIGE ELECTRIC COMPANY from the full
(Contractor or subcontractor)
weekly wages earned by any person and that no deductions have been made either directly or indirectly
from the full wages earned by any person, other than permissible deductions as defined in
Regulations, Part 3 (29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as
amended (48 Stat. 948, 63 Stat. 108, 72 Stat. 967; 76 Stat. 357; 40 U.S.C. 276c), and described
below:
OTHER DUES 17:86
(2) That any payrolls otherwise under this contract required to be submitted for the above
period are correct and complete; that the wage rates for laborers or mechanics contained therein are
not less than the applicable wage rates contained in any wage determination incorporated into the
contract; that the classifications set forth therein for each laborer or mechanic conform with the work
he performed.
(3) That any apprentices employed in the above period are duly registerd in a bona fide
apprenticeship program registered with a State apprenticeship agency recognized by the Bureau of
Apprenticeship and Training, United States Department of Labor, or if no such recognized agency
exists in a State, are registered with the Bureau of Apprenticeship and Training, United States
Department of Labor.
(4) That:
(a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS, OR PROGRAMS
1-1 —In addition to the basic hourly wage rates paid to each laborer or mechanic listed in
�f the above referenced payroll, payments of fringe benefits as listed in the contract
have been or will be made to appropriate programs for the benefit of such employees,
except as noted in Section 4(c) below.
(b) WHERE FRINGE BENEFITS ARE PAID IN CASH
❑ —Each laborer or mechanic listed in the above referenced payroll has been paid, as
indicated on the payroll, an amount not less than the sum of the applicable basic
hourly wage rate plus the amount of the required fringe benefits as listed in the
contract, except as noted in Section 4(c) below.
(c) EXCEPTIONS
EXCEPTION (CRAFT) I EXPLANATION
REMARKS
NAME AND TITLE SIGNATURE
Amy Mazer, Payroll Clerk
THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR ORS
SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECUTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 2310
TITLE 31 OF THE UNITED STATES CODE.
U.S. GOVERNMENT PRINTING OFFICE : 1985 0 — 475-249
2
y —
U:S. DEPARTMENT OF LABOR .� ;.� F .._._ o ,
J PAYROLL OMB No:: ^7J.215-01.�
%�. WAGE AND' HOUR DIVISION ' . Expires: 04-30-8i
(For Contractor'.s Optional Use; See Instruction, Form WH -347 Inst.) _
NAME OF CONTRACTOR_ El. OR SUBCONTRACTOR "
ADDRESS . r
PAIGE :ELECT i
PAYROLL NO:
_
FOR R WEEK'.ENDING
PROJECT AND LOCA IONPROJECT
OR CONTRACT NO:
i. *: May 1 1 88
Street Im rovements in,La uinta:
(1)
2)� :'
;x� (3) - e, •-
(4) DAY AND DATE
(5)
(6)
('7)
(8)
(9)
" NAME, ADDRESS,.AND
Ez
��
~
N
s
j r
GROSS
DEDUCTIONS
,'
NET
-
SOCIAL SECURITY NUMBER .
�o�
oxa
WORK .� -
O
TOTAL
RATE
'''."AMOUNT
WAGES
1
'25
126;12T-128
129130
WITH-
OF EMPLOYEE
, =M
o�wEARNED
CLASSIFICATION :.HOURS
OF PAY ,
FICA_
HOLDING
OTHER
NOTAL
PAID.
'
• HOURS WORKED EACH DAY
z3
O
f•TAx-STATE:'
i
SDI,
DUES
DEDUCTIONS
FOR .WEEK
+ JOHN FAULKNER
M02`'
• Foreman
,•i r
-'j ar:`•
.{
Electrician-
S
"
1
5
Y
6
22.04
,931.19.5:6'9,94:148.94
33 57
:11 17
�;
277'
291.56''
639.63
OOBERT.';ROSSER
M04
Apprentice
electrician
s
5
.5 '
12.8
53'4:11
40.11"
:48.81
` 6:41
f 6 :41
' 16'.02
'1 1'7 :76
"`'416.35
O-
.s. t
• 1'
i-
.. if
y
r.
- Awh
_x
IS
- T.'
S
S
•; - _. ..
1:1
.
x.96
19,58
43
3
'1osr,0o9
s
FORM WH -347 (1/08) FORMERLY -SOL 184 PURCHASE THIS FORM DIRECTLY FROM THE SUPT. OF DOCUMENTS
- 11
'6y
l Amy Mazer I Payroll Clerk
(Name of signatory party) (Title)
do hereby state:
(1) That I pay or supervise the payment of the persons employed by PAIGE
ELECTRIC COMPANY on the Street Improvements in La Quinta
(Contractor or subcontractor) (Building or work)
that during the payroll period commencing on the 25th
day.of April , 19_ -BB-, and ending the 13t day of May , 1988 ,
all persons employed on said project have been paid the full weekly wages earned, that no rebates
have been or will be made either directly or indirectly to or on behalf of said
PAIGE ELECTRIC COMPANY from the full
(Contractor or subcontractor)
weekly wages earned by any person and that no deductions have been made either directly or indirectly
from the full wages earned by any person, other than permissible deductions as defined in
Regulations, Part 3 (29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as
amended (48 Stat. 948, 63 Stat. 108, 72 Stat. 967; 76 Stat. 357; 40 U.S.C. 276c), and described
below:
t.t,u 197.75
110.05
..;
oDI 17.58
OTHER DUES 43.96
(2) That any payrolls otherwise under this contract required to be submitted for the above
period are correct and complete; that the wage rates for laborers or mechanics contained therein are
not less than the applicable wage rates contained in any wage determination incorporated into the
contract; that the classifications set forth therein for each laborer or mechanic conform with the work
he performed.
(3) That any apprentices employed in the above period are duly registerd in a bona fide
apprenticeship program registered with a State apprenticeship agency recognized by the Bureau of
Apprenticeship and Training, United States Department of Labor, or if no such recognized agency
exists in a State, are registered with the Bureau of Apprenticeship and Training, United States
Department of Labor.
(4) That:
(a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS, OR PROGRAMS
—In addition to the basic hourly wage rates paid to each laborer or mechanic listed in
the above referenced payroll, payments of fringe benefits as listed in the contract
I
have been or will be made to appropriate programs for the benefit of such employees,
except as noted in Section 4(c) below.
(b) WHERE FRINGE BENEFITS ARE PAID IN CASH
❑ —Each laborer or mechanic listed in the above referenced payroll has been paid, as
indicated on the payroll, an amount not less than the sum of the applicable basic
hourly wage rate plus the amount of the required fringe benefits as listed in the
contract, except as noted in Section 4(c) below.
(c) EXCEPTIONS
I EXCEPTION (CRAFT) I EXPLANATION
REMARKS
NAME AND TITLE SIGNATURE
Amy Mazer, Payroll Clerk
1
THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEME MAY SUBJEC HE CONTRACTOR,OR
SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECUTION. SEE SECTI 1001 OF TITLE 18 AND SECTION 231 OF''
TITLE 31 OF THE UNITED STATES CODE.
U.S. GOVERNMENT PRINTING OFFICE : 1985 0 — 475-249