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1885I - .,NOTE: With proper validation �-,-Iis�forrri 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 III DATE: 9`21-93 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 78-962 Hwy 111 (One $levees La Quints Center) (Street address or Description of Location) PURPOSE OF CONSTRUCTION COntruCt McDonalds Restaurant DESCRIPTION OF CONSTRUCTION FArtbmtk, Concrete, .Asphalt, and utilities DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Sept. 20 Sketch (attach construction plans if appropriate) APPROXIMATE TIME OF COMPLETION Deceaber 23.1993 ESTIMATED CONST RUCTION"COST $ 40,413 4 (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: Per the approved plans See attached conditions IM 1993 3 Indemnify, • defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application. Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started. Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of La Quinta and to pay for any additional replacement necessary A the r t of this work Q aA M1 Signature of Applicant or Agent 338,.8900 MCDONALDS CORPORATION (ROB JENKINS) 4370 LA JOLLA VILLAGE DR /800 SAN DIEGO. CA 921,2. Name of Applicant (please print) Business Address Telephone No. DOLAN CONSTRUCTTON (DAVID PM) 3002 DOW AVE TRSTIN, CA 92680 (714) 838-6444 Name of Contractor and Job Foreman Business Address Telephone No. 406583 3046 Contractor's License No. City Business License No. GOLDEN EAGLE INS.., CCP166148 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class Ill Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ 1212.45 II Permit Fee Penalty Cash Deposit -Surety Bond if required , TOTAL: Receipt No Received by Recorded by 10.00 $ 1222.45 Date of PERMIT NO to M PERMIT VALIDATION 1885 DATE APPROVED 67— It— EXPIRATION EXPIRATION DATE /Z _3 DATE ISS ED ^ Z4/— 93 By Administrative Authority TELEPHONE: (619) 564-2246 (11 I ,Y_ A4!l04lnV 4Al11MtlPlt W r 1 r Ei _ 03n%i i �* + , -..-- ..r..�..... ,.,t...,._.. 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'oN ouoya0131ZT,,6 'v) `0O3 LQ M*S tiYaipPb sstul:nl3 7"M 7- OUIJU asealdl 1u;311ddd;o MIN ` lueOV !0 luL-IN'tdd%.!f, is cinlxuot ,%"'*A 14W 10 11MU 041 10 At Cu u"%tj*QXW �'J4111PPg Atm e0/ Ago 01 pug pwlnp Qi lu =0111 10 talo11o1rbu Duo >01�1 0►ga^+t►doa fit pug 11,Aue4 041 10 uGl11► U0Q Pug lw+al 941 'wc UQUIPJ0 Alla DOC!"10e1 Ila Ipvw Apup.J U64M cwji 014 10 60wW4 u1 UM4 (It) JA01•A UCm3 Pleat 30 Mpap my M11Ciif44,LLfpd /4 A111ON 't►oil[0}►ddt ytp of lu"Und pa1ut16 tvuluod •41 upun tio71tLA0Nn 4MA4 AUC 10 1tMa1 OILW,aoUd t to euu,nagp lO au,wadMW �.t" a'3 Iit evOLCa 01 0 iO 1361 'luOPt" Aue 10 in* bV1f1J3 p,.m V011>3 i M4 l0 W+wl; wOj1 bulllrt►s, 1341 /0 1011111Qts1 '1011►Ct+Od 19' Aua Wiltik put Umsi q+tluuty 'WeA010t 3 ps+s WAptAvt:WCW 'Ijt*140 11 UC60 110i110WA0 111 'A11:otlf bnaf Pug pua}lp 'IylUl lcuo ) :01 t"40 Agajoy w02jIddo 041 '1!wJad SPA P 6unugib a4140 ul 1slu0tuanoJdu,16u10o1da Jo/puQ 9upQ;inf4J lusuowlad 31st ryouo uollacd w '0*'aulilFllAQg's11geP pue '1101jalaw 'uO,jwuifga f10 ;0 Ioi6WW j 8ulpniau;p $ 1500 NOIIOnUISNOD 03idWI.LS3 N01131040O d0{ 31VW1?tObddv xu 'TtLAS NIQ38111M )WOM N3NM 3WI: j. /WIXOkiddd 03Q33N d1 'NQI1VAQl'JX3 d0 3Z 1dA4W3d i!0 NOI1V'11V1SN1 JO N41SN3W10 SIVV1d N011O1'1?1.1S►V0� �....•_., _ V_;001 1 N011:048 03 0 N01141 30 ada;t futld u011Otulluos1'•-�..,... - --_.-..� cpo1101 1pta lWWy..sM1 50.1VI;1W-Dw N0110nu15N00 jQ 3SOd>illd .��. WOMDOI 10 u0gminva a ssappo imnSl 5b _ QW N01J ' J 7b!r,NJ 31V1S JO (I GS Hl?141�{ .._.....-.»_._ _ isei6 b� fvlfl0 �' `TIT. �`hW9IH Z96$L NOiiontfISNOO d0 NOIIV30'1 AI "9131(cwad luaUJOAGAW1 JoulW �,..,.968L Ituilod wcweA4ldwi uo„!A1pgnS TbT ► _ .i AMT.c3'3s ":31dQ • w' SNOt,�': ',i-L'G iS 03AOklddq Pue S1N3W3AC)WdWi 1J0N1W ►P!M uO1)*aUU00 ul uuowaAO,dwl l4jOm al1gnd a,l!1 .loloo pug tulrlfr A Itgwm 'not 8u!3}1ed '$MMD AAp!f 'sluowand 'IA0Ak0A!jP 'Iq.lna 010A11d Jo ailgnd 10 uollon,gsuao ails 103 F -0d L,10O# (1N3WH3V0U3N3) (Vbi X181sNoa smoM onand• llW1i3d 1104 N011t1011ddV uwJad iaawipcoX)I” uQ solni[istiao wjo; t14 -UOMP110A JadOld 411M :310N :Ofd -1�i I S s ' J The fallowing General ano Special Provisions are attached to anti made a part of Permit No. /v e 5 GENERAL PROVISIONS The following Snell always apply: ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be aeeomDliahed within City of La Quints right of way ONLY. Whenever construction extends within private property. it shall be the resoonsibdity of the tlermmee for his Contractors) to Secure pefhnssilin from sculling property owners. Such authorization must as Secured by the Pennines` DflOr t0 Starting work. TRACKLAYINGCONSTRUCTION EQUIPMENT: ClestedtmckiatnngcDrm cttonequiomentahellnabeoermmetltooparateonenv paved surface unless tatedwith smooth -faced Street padmee s. All nanical outriggers shall be fittetlwnh rubber corset shop to protmt tits paving during excavations. Rubber -tired equipment only shell be used in backfill operations in paved ars". If the existing pavement Is scarred. spelled. or broken during the term of this contract. or it the pavement is marred. City of La Quints shall request that these portions of road be resurfaced over their entire width. Resurfacing shell consist of one Coat of two inches (21 of A.C. surfaging plus appropriate a"1 Con as Specified above. PROTECTION OF TRAFFIC: All excavations and work areas shall be.propery lighted and bamcaded"deemed necg2" by the City Engineer or La Quinta City Public Works Inspectors. Suitable detours and detour signs shall be placed and meinslned for the duration of the project. The City shall be notified 24 Hrs. in advance of. any traffic detours or de ineatidrs, CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugated metal pipe. Concrete Pipe steel Culvert and concrete structures encountered during excavation which naCenrtate removal &hell be replaced in kind. In the avertt.it becomes necessary to remove a Cut existing drainage structures. City of La Quint@ shall be notrtied prior to commencement of this work. Drainage structures and open drams shall be kept free of debris @t all times far properad Prior drainage. RIGHT OF WAY CLEANUP: Any surplus materiel resulting from excavation and backfill operations shallbe removed fromthe right of way. All paved wrfaces shall be broomed Clean of earth and other objectionable materials immedssty cher 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 cond immediately after backfill. itions and shay be used DE -WATER OPERATIONS: If de-watnng operations aro required and pu the responsibility of the paMPSOTO forcing wateron City df La Quints rosea, it shall be Pennines (contractor) to control this water and to provide off-street barricades when noc*M V. CLOSING STREETS: No Street shall be closed. A minimum of one lane of traffic shall be maintained at all times to provida limned access for the adjoining property owners and emergentlyvehicleve s. In the ent it isfelt bythe 0Srmmeethat he must any iengm of time. Permmee shall contact this office to obtain the necessary permission. doe* i streetfor SPECIAL PROVISIONS The follw ing shall apply ONLY when indicated: (ONOTIFICATION: Permmse shall notify the City at 564.2246 at lean 48 hours in advance of Starting Contdruetion. R2 CASH DEPOSITS OR BONDS: A cash bond or an approved surety bond in an amount of not less than S uints to r all involved rohadsll band surveyfurnishedin the monuments. Thisty Of La bond sell be contiinnuous uunt I tante II edin the by the Ci ED g ear. This Dotal muson of the vanoug L& h De Posted prior to commencement of any work n this project R3 L17YCLEARANCE: (Substructures)Priortomaking any excavatintro withintheCityofLaQuirightOfwayauthorized Sby permit. the permmes ructl cdntaR all concerned utility Compania relative to the lotion of existing substructures. Damage to permittee. subsbveturosrewftingfromoperationsconducted under this p*rmnshallbethe soleneSpdnsibility of the Dermntes. R4 Lf Y CLEARANCE: (Surface structures) No work shalt be done under this permit until sit utilities are far of the proposed work ane. The permmse shall notify all Concerned utility Compania of the proposed work. R5 PAVEMENT WIDENING: Area between the proposed Contlrete gutter line and the existing road pavement shall be Surfaced with inches of A.C- paving placed en inches of clan having an "R'valueof not less than aggregate subbase course and Speedieauons.Ordinance #481. and in conformancewrithCityofLaQuintaRoadlmprovsmemStandards RB PARKWAY GRADING: Area between ins Property line and top oftheproposadcontlretecurbshallb@gradadtoaslopeof 1/4 inch to one foot 111. R7 GRADES & STAKES: City of La Quinta shall establish grades and stakes for the proposed concrete curb and gutter Construction. RS RADE CHECKING: CitVOf La Quinta 0all chem grades upon h9cmIn of plan and plicifile, and/or grades asestablishedby a littensed engineer. R9 CURB REMOVALFOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter 1 faat)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. RIO DRIVEWAYS. A.C.: Driveways shall be constructed as not to after existing drainage pattern. Surfacing between the Property line and the existing road paving shall be 2-1/2 inches of A.C. paving placed an 1-") of class - aggregate base. Driveway construction shall conform to attached drawing R11 CULVERTS: A :nchdiameterl) culvert snail beinstalled 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. R12 IGHT CLEARANCE: Sight clearance of 600 feet in either direction shall be assured and maintained R13 SOIL STERILIZER: The area to be surfaced shell be treated with soil sterilizer. Rate of application shall Comply with the manufacturer's speerficauons. 14 OORDINATE WORK: The proposed work shaft be subordinated to any operation which the State of California or City of La Quints may conduct in this area during the period of this permit. Work shall be coordinated with the State or City of La Quints forces to preclude delay or interference with State or City of La Quinta protects. R15 RVEY 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 be repCo" plately tied out so they maybe resdityand correcily replaced by a licensed civil *rtginee► or surveyor at asters* of the dermmee. A compfere sat of nota ehovwng the nestotnea*mnum"=Ww#befurnishedtotheCit n Inginewprio►rotheremov*ldammoumerms Thisofficeshall be roMled tion completion of rootacemterht of all survey monum*ttd for pradK Meet clearance. n I b =''Jrivt r MONUMENTS: Prior to excavation or oeoannmo or construction. an survey monuments snarl betledout GvCity 3i La Culnta and suitaole payment Or Guarantee at payment snail be made as relmoursement 101 all wdfk Invaivec. R17 PAVEMENT CUTTING: Pavement will be mecnanicaav cut to a straight edge prior to excavation. MethLa of pavai;,ent cutting shall be approved through the office of the City Engineer. lUnder no circumstances snail excavating equipment be used to excavate prior to cutting of pavements. Excavation material shall be otacea in such facuatate the general Clow or trarue. Prior to aa position as to pest nal paving operations. anv damage to pavement stralght edge snail be corrected. R18 PAVEMENT CUTTING: Pavement shall be saw cut prior to removal. Prior to tinas paving operations. any damage to _ pavement straignt edge snail be corrected. R19 LIMIT OF EXCAVATIONS: Excavations snail be limited to 1.000 lineal feet of open trencn before backfill operations must begin. All excavations snail be properly barricaded with Ilghts overnignt. on weekends and not idays tot the protection of the travepng puolic. The Public Works inspector snail determine the sudabdrty of excavation oarriradan9 in each case. No excavation snail remain open for a period exceeding lave i5) days. No excavation snail be made unless the construction material is actually on the work site. R20 BACKFILL MATERIAL' Backfillshallbefree atplush. roots orother organic substance detrimenia.::.:suseforpurposes 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. _ R21 BACKFILL SAND: Backfill shall be approved transit -mix sand or equivalent and shall be placed in lifts of notgreaterthan three feet (3') andvibrated using vibrotamper or equivalent equipment. Alternate methods.maybe substhtned, but in any case a relative compaction of 95 percent shall be attained within the a:ructural section of the roadway, R22 BACKFILL PLACEMENT: Baddill shall be applied in layers of not more than 50 percent of the total depth of the trench before flooding or a maximum of five-foot 151lift8whers 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 to 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 letting is used. the jets shall be of sufficient length to reach the bottom of each :aver and the water supply shall be continuous. R23 COMPACTION TESTS: If so required bvthe 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 maxing permanent repairs. Compaction tests shall be made as outlineo in Section 8 3.01 of the Standard Specifications, Division of Highways. State of California. dated January 1973. R24 OMPACTION TESTS: If so required by the inspector, compaction tests shall be made for earn crossing or service line One (1) copy of each test shall be forwarded to the City Engineer for approve 1 and filed prior to making permanent repairs. Compaction tests shall be mace asoutlined in Section 6.3.01 of the Standard Specifications. Division of Highvv t to 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 surfacing placed on a inch class base shall be placed no later than inches A.C. temporary road repair. days aftercompletion of R27 PAVEMENT REPAIR: F.A.S.: Upon completion of backtill and compaction. a temporary patch consisting of twoonchas (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 16") concrete base as directed. but not later tnan 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 rssuanceof 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 safelywitnout mterference 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 sectionswhich can be handled safelywithout interference or hazard to highwav traffic. The entire width Of the tree stump snall 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 crowded 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 snail 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 at 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. C. If tree trunks are partially outside of the City of La Quinta road right of way, permittee snail make his own arrangements wain adjoining property owners for consent to the trimming in addition to the authorization provided by this permit. d. All tree tramming 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 eontectaci, in all instances. prior to trimming or topping trees. f. Pruning snail, in all instances, be at the shoulder of the crotch to insure even. tast nesting in all cuts of two rncnes f2") ano aoove•tn size. Sealant shall be applied to all cut saminn..a �......... .. " �. . o....._ SPECIAL CONDITIONS - PERMIT NO. 1885 *** MC DONALDS CORPORATION *** In addition to the standard permit conditions, the following shall apply: 1. All work shall be performed in accordance with the latest edition of the "Standard Specifications for Public Works Construction", and the plans approved by the City of La Quinta. No fill shall be placed which will cover the obscure asphalt concrete, petroleum product spillage, or other non-native materials. 2. Permittee shall furnish the name(s) and phone number(s) of the individual(s) responsible for maintaining the project site from any situation that is a public nuisance, after hours, weekends, holidays, etc. 3. Permittee shall notify the City Engineering Department at 777-7075 at least 24 hours in advance of starting construction. 4. -All streets shall be kept clean of all trackage or spillage from vehicles using this site. The roads shall be completely cleaned at the end of each work day, if necessary, and more frequently if required. 5. Operation and maintenance of equipment within one half mile of human occupancy shall be performed only during the following time periods: October 1st to April 30th: Monday -Friday 7:00 a.m. to 5:30 p. m. Saturday 8:00 a. m. to 5:00 p. m. May 1st to September 30th: Monday -Friday 6:00 a. m. to 7:00 p.m. Saturday 8:00 a. m. to 5:00,p.m.. Equipment may not be operated or maintained on legal holidays including Sundays. 6. Permittee is responsible for repair of any pavement damage or other damage to access roads and other public facilities. 7. Should additional work or modifications be -required in order to meet established City Standards or in order to fit 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. 8. It is the permittee's responsibility to comply with the California Regional Water Quality Control Board's National Pollutant. Discharge Elimination System (NPDES). Special Conditions - Permit No. 1885 Page 1 of 2 9. Any- on-site haul road shall be effectively destroyed at the conclusion of the work to prevent use by unauthorized vehicles. 9. Permittee/contractor shall install stop signs to stop construction traffic prior to entering any public street. 10. When work is within 500' of a signalized intersection, the permittee shall notify Riverside County Signal Department at (714) 275-6894 or Caltrans Signal Department at (619) 688- 6845 as appropriate. 11. All traffic signal detector loops shall be protected in place. Any damage shall. be the contractor/permittee's responsibility. 12. 48 hours prior to starting work, Underground Service Alert shall be contacted at 1 (800) 422-4133 and an "inquiry number" shall be provided to the public works inspector. 13. Prior to occupation of the project site, the contractor shall submit and receive approval of a Fugitive Dust Control Permit through the Planning & Development Department in accordance with Ordinance #219. The permit shall be obtained prior to issuance of this encroachment permit.. <\ 14. All work shall be coordinated with the City's contractor and others working within the area as directed by and to the satisfaction of the City Engineer.' 15. All backfill and subgrade soil shall be compacted to 90% relative dry density. All backfill soil within the top 2' of finish pavement surface shall be compacted to 95% relative dry density. All base material shall be compacted to 95% relative dry density. 16. A licensed landscape architect shall be retained by the permittee to certify that all plant materials delivered to the site are the species and size specified in the plans. The Architect, or designated, qualified representative of same, shall review the materials with the engineering inspector present. Special Conditions - Permit No. 1885 Page 2 of 2 asz .4 00 ... . .. ... ff 1210(8) PAYTO THE OR00 OF it OFFICIAL Ed aNPLLS eARGO & COMPANY ISSUER CISCO. CA 04163, 420 MONTGOMERY, ZN SAN :.:FAYABIE AT WELLS FA BANK. 4 MS') 391�..4 FOR INOUIRIES.CALL,( 115013 280 L0700((' 1: 12 1,000.2L.81:4861, 503266"m NASLAND ENGINEERING CIVIL ENGINEERING • SURVEYING • LAND PLANNING TO: CITY OF LA QUINTA 78-495 CALLE TAMPICO LA QUINTA, CA. 92253 ATTN: HECTOR GUZMAN TRANSMITTAL LETTER CITY OF LA QUINTA SEP 1 41993 PUBLIC WORKS DATE: September 9, 1993 JOB NO. 392-100.2 PROJECT: McDONALD'S RE: GRADING PLAN T.M. DWG. WE ARE ENCLOSING BLUELINE(S) SEPIA(S) ORIGINAL(S) DRAWINGS OR (OF)F.D.C.P. APPLICATION FOR YOUR FILE XX FOR YOUR REVIEW & APPROVAL PER YOUR REQUEST FOR INFORMATION PLEASE SIGN: RETURN TO OUR OFFICE COPIES ORIGINALS REMARKS: PLEASE CALL IF YOU HAVE ANY QUESTIONS. c: R. JENKINS - McDONALD'S MAM/mm FOR YOUR PROPOSAL FOR YOUR TRANSMITTED BY: XX MAIL UPS PICKED UP DELIVERED BY NASLAND ENGINEERING BY: MIKE MEDOFER PROJECT ENGINEER 3359 Chicago Avenue, Riverside, California 92507 • 909-784-3300 • FAX 909-784-3368 Small Scale Construction/Demolition Projects i5 Acres or Less), Fugitive Dust (PM10) Mitigation Plan Date: 9 I 93. Jurisdiction: LA Part I - 1'ro,Iect Information File #: Please provide the infonnation below as completely as possible even if it has already been provided on other fonns related to this project. Failure to provide complete information or provision of inaccurate information may delay the processing of your Fugitive Dust (PM10) Mitigation Plan (Plan). It is recommended that you submit your Plan concurrent with your grading or demolition pennit application. Project proponent: DONA D S CORPORATION (ROB JENKINS) Address: 4370 LA JOLLA*VILLAGE Day pliune number: 1 5 - Emergency phone number: (619)535-8900 Grading contractor (Contact Person): DOLAN CONSTRUCTION DAVID PIKE Address: 3002 DOW AVE. SUITE 410 TUSTIN CA. 92680 Day phone number: (714)838-6444 Emergency phone number: (714)838-6444 Construction site street address - 78962 HIGHWAY 111 lA OUINTA CA. 92253 Construction site location:. HIGHWAY 111 BETWEEN WASHINGTON (Please include an 8.5 z 11 location rnap) AND ADAMS STREETS. Construction site assessor's parcel number (Tract #): 617-890-008 Parcel (Tract) size: 0.86 Acres or 37.461 Square feet Anticipated date of physical project initiation: SEPTEMBER 13, 1993 Anticipated date of project completion: DECEMBER 23, 1993 Anticipated costs for dust suppression: $500.00 ` (Attachment B - Must also be completed and mailed to the appropriate address when construction activities have been completed) 40 1 All projects greater than one half (1/2) acre are also subject to SCAQMD Rules 403 and 403.1. Part 2 - Fugitive Dust Control Actions Front the inventory of fuggitive dust control measures provided in Attachment A, please indicate which measures are to be implemented during the project by placing the letter beneath the fugitive dust sources listed below. Please indicate at which phase the measure will be implemented, either at 'Rough Grading (RG), Finish Grading (FG), .or Final Construction (FC). Demolition projects should only indicate measures in the Rough Grading (RG) column. After indicating what measures are to be implemented, complete the "Details" section by describing how and when the measures are to be implemented. RSC H, Details (e.g., frequency or application, number and tune of dust control Implements. etc. Please be as specific as possible) Unpaved,Roads NOT APPLICABLE Storage Piles NOT APPLICABLE Paved Road Track -out NOT APPLICABLE . - EL (OA0qf 21 owas 9111 j0U]1) M -10'a g110el f) In unlgu$$IQ L-1 -o 'Inoplln%loafojd inoysn0J11 vtlolAµoJd s11 pu jo Uali luaw;jdwl 741 p2i1wnY 171�1auMu V41 Nvy did uv)1dOnIiV (Oy�id) Isna 0&111 nd 041 Jo ouolllpuv; "Y I»o1 „►nil 1 S_ ImCI) n)IelUvs rdo �Ilo �t� -A—UtAn 19 eJni u�l� Dill wW ooq 1011 savjotd aNl'07uv g Iuvcti111»glib sv uia,ay pop& ouI sluawo.c nbil �u doq-pjojaj oill ojildwo, Al oa,Aq Oil" l 'loo(n�ri s�I 1 tll potola� g[1n�1on �itlt� ao� 1l114R11 ttlnaJ Qv41IA1110sa,doi s11 P�I v ij vql csolwatl pi 4 os ro��v ue 5aquilmd lutiw�iu�v �u�pvv U611 4s;IJI 14120id pauolluow;nogg oql ,aiu� el. 4upo el Jo 43,10 741vzligl tnu'uo 10nJIM03 15a joid Hupnp paluow*ldw!! oq 1[1M z liv ul p21)12pds :vjneuvin ila iv i put 01B)h1lo put olul q uvld Ualleslinq (o1i`1d) OCI *nlllvn,4 v1y1 ul peulr�ILIO I,ollow10 ttlpyl 1t'ul Alll.ia)1 fq>'xy 031pns P79jnlvlq N0I.LMMM-5 79MM-9131143A 3)NO (193 fuiAeHj•y11r� 40 lalJoI j pual �Npis Imi�a For City Use Only Based on all of the provisions contained In this Fugitive Dust (PM10) Mitigation Pian the Plan Is: v-- Approved Conditionally approved (Conditions specified below) Denied (6planation attached) gzi4/93 Signature of City Representative (Date) The following conditiow pf gproval have been added to the Plan by staff in order to ensure ar adequate level of fugitive dust control !. 6�x,rrzoi ?yea 6`rr 'C'rb Ar L/ 415,0 -AS 77�0'x,V Sw ff�ir✓G w.r�.� �� vs�tl�l� p/�lD2 Tv �l�£r-air //�/ i -a f c�1. 114!541G�,.E SO /r-5 `{vo! O D�ST 3 . Sv �.� � c.3»i �S � ,42C, Dus� �,�•� c.-/2��ar�0 �t��.vs4S ft2rzrrtl�<S l4�Zc ��.��. (Attac5addiHonal information if neeeccary I have read the above conditions of the Fugitive Dust (PM10) Mitigation Plan and I agree to implement 89rovisions at the concentrations and frequencies identified. ATTACHMENT B - COST INFORMATION Small Scale Construction/Demolition Projects (5 acres or Less) Fugitive Dust (PM10) Mitigation Plan Date: 46/b 9.3 Jurisdiction: C-4 (2uiNr7-, Project File #: Project proponent: MCDONALDS CORPORATION Address: 4370 LA JOLLA VILLAGE DR, SUITE 800 SAN DIEGO CA 21 22 Day phone number: (619)535-8900 - Emergency phone number: til fit the space provided below please list the costs associated with implementation of all dust control measures. The infonnation provided below should include all implementation costs (including labor) for dust control throughout the project. Not all measures listed below will apply to all projects. Watering: 500.00 Chemical stabilization: Wind fencing: NOT APPLICABLE Covering haul vehicles: N/A INCLUDED I N NORMAL TRUCKING (-o,;T Wheel washers: NOT APPLICABLE Street sweeping: NOT APPLICABLE Paving: NOT APPLICABLE Wind sheltering: NOT APPLICABLE , Coverings: 6 NOT A11PL CABLE ,L I Vegetation reestablishment:NOT APPLICABLE After project completion these records shall be transmitted to the Jurisdiction where the grading/demolitiort pennit was attained and to the Coachella Valley Association 'of Governments (CVAG) at the address provided below. PM 10 Cost Monitoring Coachella Valley Association of Governments 73-710 Fred Waring Drive, Suite 200 Palm Desert, CA 92260 0 31tlD5 01 ION dVN )dIN1,01A T .z MEMORANDUM OFTM�O TO: Saundra Juhola, Admin. Services Director FROM: Hector Guzman, Engineering Technician �. DATE: October 14, 1993 SUBJECT: McDonalds (CUP 93-007) The developer of the subject project has provided the City with a Subdivision Improvement Bond (No. 5777082). The bond is a security for the site improvements. The developer has also provided the City with a cashiers check in the amount of $500. The check is a security for the Fugitive Dust Mitigation Plan. Please keep this performance bond and the cashiers check in your Development file. HG/hg SUBDIVISION IMPROVEMENT BOND KNOW ALL MEN BY THESE PRESENTS, THAT: McDonald's Corporation ,asPrincipal,and Safeco insurance company of America , as Surety, are held and firmly bound unto City of La Ouinta 78-495 Calle Tampico La nuinta, CA 9.2253 , as Obligee, in the amount of Forty Thousand Pour Hundred Fi ftPPn and 001100 Dollars, ($ 40,415.00 for payment whereof said Principal and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION is such that if said Principal shall construct in accordance with the preliminary plat thereof, the following improvements to wit: in accordance with the applicable regulations, specifications, standards, ordinances and laws of said City of La Ouinta and of the State of rat i forni a , then this obligation to be void; otherwise to remain in full force and effect. The Surety hereby .waives notice of any alternation or extension .or time made by Obligee. Dated at Chicago, Illinois this loth day of sPntPmhPr 19q -J . UJer. Lane, Ass,.qafPrnrVnsnranrP r- mni ;P r By: Jennifer L/ Brown Attorney -in -Fact 6OWER OF ATTORNEY SAFEt�® I KNOW ALL BY THESE PRESENTS No. GENERAL INSURANCE COMPANY OF'AMERICIA-.. HOME OFFICE SAFECO PLAZA SEATTLE, WASHINGTON 018186 7591 That SAFECO INSURANCE COMPANY OF AMERICA and GENERAL INSURANCE COMPANY OF AMERICA, each a Washington corporation, does each hereby appoint """"""GEOFFREY E. HEEKIN; BRENDA D. HOCKBERGER; ANN FORMHALS; JOHN JACKSON; DONNA RYAN; ELLEN L. COPE; PATRICIA THURMOND; JENNIFER L. BROWN; JACQUELINE E. WHITE; GARRY L. WESSELINK, Chicago, I I I I nOl S""■MMMa"1111""r"iF"""I(""N"N""""M"""" its true and lawful attorneys) -in -fact with full authority to execute on its behalf fidelity and surety bonds or undertakings and other documents of a similar character issued in the course of its business, and to bind the respective company thereby. IN WITNESS WHEREOF, SAFECO INSURANCE COMPANY OF AMERICA and GENERAL INSURANCE COMPANY OF AMERICA have each executed and attested these presents State of Illinois County of SMk On this 20th day of SPS}P1pt,Pr , 19__94,_, before me personally appeared Jennifer L. grown , known to me to be the Attorney-in-fact of Cafpr o Tnsuranre CompanV of AMeri ra , the Corporation that executed the within instrument, and acknowledged to me that such corporation executed the same. IN V4TNESS )WHEREOF, I have hereunto set my hand and affixed my official seal, at my office in the aforesaid county, the day and year in this certificate first above w 'OFFM SEAL' MWY Liar Schuler ' "ry Public, Sebe of tMn* otary Public) MY Cofnmbl in Expires V26/91 (i) The provisions of Article V. Section 13 of the By -Laws, and (ii) A copy of the power-of-attorney appointment executed pursuant thereto, and (iii) Certifying that said power-of-attorney appointment is in full force and effect the signature of the certifying officer may be by facsimile, and the seal of the Company may be a facsimile thereof." I, R. A Pierson, Secretary of SAFECO INSURANCE COMPANY OF AMERICA and of GENERAL INSURANCE COMPANY OF AMERICA, do hereby certify that the foregoing extracts of the By -Laws and of a Resolution of the Board of Directors of these corporations, and of a Power of Attorney issued pursuant thereto, are true and correct and that both the By -Laws, the Resolution and .the Power of Attorney are still in full force and .effect IN WITNESS WHEREOF,' I have hereunto set my hand and affixed the facsimile seal of said corporation this 20.th day of SePtenber 19 93 S-974IEP 1/015 ® Reglatered trademark of SAFECO Cor pwatloti 3 a MEMORANDUM 0 TO: Saundra Juhola, Admin. Services Director FROM: Hector Guzman, Engineering TechniciaZ9 DATE: September 29, 1994 �% SUBJECT: McDonalds (CUP 93-007) The developer of the subject project has requested the -release of the Subdivision Improvement Bond (No. 5777082) in the amount of $40,415. All site improvements have been satisfactorily completed' therefore, the bond is no longer required. Please mail the bond to the following address: McDonalds Corporation Stephanie Dungan - Dept 206 One McDonalds Plaza Oak Brook, Illinois 60521 cc: File, Permit 1885 hg