1912' NOTE: -
With prop27validation
„ VenWbroachment
"'is form constitutes an
permit
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs, driveways, pavements,rsidewalks, parking lots, sewers, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE: 10/5/93
LOCATION OF CONSTRUCTION ONE
(Street address or Description of Location)
Subdivision Improvement Pelnit — Class I I I
Minor Improvement Permit Class IV
PURPOSE OF CONSTRUCTION RED ROBIN RESTAURANT Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION GRADING, SITE
IMPROVEMENTS SEE ATTACHED CONDITIONS PER
THE APPROVED—PLANS
DIMENSION OF INSTALLATION OR REMOVAL SEE PLAN
SIZE OF EXCAVATION, IF NEEDED SEE GRADING PLAN D [rZ�
APPROXIMATE TIME WHEN WORK WILL BEGIN 10/5/93
B'
APPROXIMATE TIME OF COMPLETION 12/5/93
ESTIMATED CONSTRUCTIONfCOST $ 34,350.00
(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:
4 Al
OCT 0 8 1993
Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
penalties, liabilities mor loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property
happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application.
Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started.
Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as tFy res It of this work.
Signature of Applicant or Agent
JOHN SHAW 41-865 BOARDWALK, PALM DESERT, CA 346-9844
Name of Applicant (please print) Bbsiness Address Telephone No.
DEFOREST CONSTRUCTION — BUTCH DEFOREST 17498 SANTAROSA MINE RD, PERRIS, CA 909/943-5227
Name of Contractor and Job Foreman Business Address 92570 Telephone No.
518823 %
Contractor's License No. City Business License No.
SCOTTSDALE
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I II
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit —Class IV: See, attached schedule
Inspection Fee $ 1,030.44
Permit Fee
Penalty If
Cash Deposit -Surety Bond 0,
J500 N'E�
if required '0 re nk
TOTAL: $ 1,030.44 '
Receipt No
Received by
Date
1912
PERMIT_ VALIDATION
PERMIT NO. 1912
DATE APPROVED
EXPIRATION DATE
DATE I SOED 0 3
By f / l
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
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SPECIAL CONDMONS--PERMIT NO. 1912
--- RED ROBIN ---
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". plans approved by the
City of La Quinta.
No fill shall be placed which will cover or obscure asphalt concrete, petroleum
product spillage, or other non-native materials.
2. Permittee shall submit •a .fugitive dust prevention plan in accordance with
Ordinance #219. The plan must meet the approval of.the City Engineer prior to
issuance of the permit.
3. • Permittee shall furnish thename(s).and phone number(s) of the individual(s)
responsible for maintaining dust control after hours, weekends, holidays, etc.
4. Permittee shall notify the City Engineering Dept. at 564-2246 at least 24 hours
.in advance of starting construction.
5. 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.
6. 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 30: Monday -Friday 7:00 a.m. to 500 p.m. -
Saturday 8:00 a.m. to 5:00 p.m.
May 1st to September 30: 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.
7. Permittee is responsible for repair of any pavement damage or other damage to
access roads and other public•.facilities.
8. 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.
9. It is the permittee's responsibility to comply with the California Regional Water
Quality Control Board's National Pollutant Discharge Elimination System (NPDES).
10. Any on-site haul road shall• be effectively destroyed at the conclusion of the
work to prevent use by unauthorized vehicles.
11. Permittee/contractor shall install stop signs to stop construction traffic prior
to entering any street from the construction site.
12. All backfiil 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.
Special Conditions - Permit No. 1912 Page 1 of 1
RED ROBIN
TOP ROBIN VENTURES, INC.
'2835 TOWNSGATE ROAD, SUITE 104
WESTLAKE VILLAGE. CA 91361
PHONE [8051.371-8700
PAY
TO THE
ORDER s
OF CITY OF LA QUINTA
CHECK NO.
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ACCT. NO.
AMOUNT
BANK OF AMERICA
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CONEJO VALLEY BRANCH 1'3001,29711@ 1:1220006611:
L 0 L. L 6 �1I 0 5 3 '- -LII'
223 E. THOUSAND OAKS BLVD.
THOUSAND OAKS, CA 91360
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NWASER 004297 M
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14500
16-66
1220
AMOUNT $
RED ROBIN
TOP ROBIN VENTURES, INC.
�T^ AMOUNT
��'G�
ACCT. NO.
AMOUNT
IN PAYMENT OF
I
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1500.00
La Quinta - Grading Dust Bond
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YLADDRE
City of La Quinta, 78 -105 Calle Estado, P. 0..Box.1504, La Quinta CA 92253
AT 0 19 NO -3499
^T
OM
D LLARS
HOW PAID
FCASHCHECK BYORDER
Small Scale Construction/Demolition Projects 15 Acres or Less)'
Fugitive Dust (PM10) Mitigation flan
Date: 10-5-93 Jurisdiction: �A Q-j,-arA File #:
Part 1- Project Information
Please provide the information below as completely as possible even if it has already been
provided on other forms 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 permit application.
Project proponent: Indian Wells Joint Venture- Red Robin Rest.
Address: 45-025 Manitou Drive, Indian Wells, CA.
Day phone number: 619-771-1862 Emergency phone number.
Grading contractor (Contact Person): Deforest Construction
Address: 17498 Santa Rosa Mine Road, Perris, CA. 92570
Day phone number: 909-943-5227 Emergency phone number: 805-371-8700
Construction site street address: 111 La Quinta Center -
Construction site location: (Attached)
(Please include an 8.5 x 11 location map)
Construction site assessor's parcel number (Tract #): Parcel 14 PM 25865
Parcel (Tract) size: 0.71 Acres or Square feet
Anticipated date of physical project initiation: October, 1993
Anticipated date of project completion: January 1994
Anticipated costs for dust suppression: $1,500
(Attachment B - Must also be completed and mailed to the appropriate address when
construction activities have been completed)
1 All projects greater than one half (1/2) acre are also subject to SCAQMD Rules 403 and
403.1.
CONDITIONS FOR FD CP APPLICATION
RED ROBIN RESTAURANT
PLOT PLAN 93-497; .7 ACRES
1. The full amount of security furnished with the approved dust control plan
shall be available to the City for measure (s) deemed necessary by the City to
achieve adequate dust control even though such measures may be other than
those 'listed by the applicant on this application.
2. Applicant shall submit copies of all records/ invoices related to cost accounting
for the dust control. measures assumed during grading construction. Said
records shall be submitted within 30 days after completion of all dust control
measures outlined in the plan, including any measures made part of the plan
as a condition to its approval.
3. Paved access roadways and parking in areas to be graded shall be kept free
of track -out and flushed with water and/or swept in sufficient frequencies and
amounts so as to prevent blowing dust due to traffic on pavement. No track -
out of material shall be allowed onto streets outside of the areas proposed for
grading. Any track -out into*these streets shall be swept or water -flushed by
the end of the* work day, and shall be kept damp during hours of operation
until such time as it is removed.
4. Any imported /exported materials shall be covered and/or wet down prior to
transport. If material is not covered, it shall be sufficiently stabilized
(watered down) so as not to spill or create dust during transport. Minimum
freeboard shall be as established -by the Public Works Department.
5. Enforcement of these conditions shall be at the discretion of the assigned field
inspector, who shall verify in the field that the spirit and intent of the FDCP
and its attached conditions are being complied with. Adjustments to
application frequencies, quantities, and other aspects of this FDCP may be
made by the inspector, at his/her discretion, to insure such compliance.
DOCWN.010
Part 2 - Fugitive Dust Control Actions
From the inventory of fugitive dust control measures provided in Attachment A, please indicate
which measures are to be implemented during the project by placing tfce 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.
RG FG FC Details (ex.. frequency of application number and tune of dust control implements etc.
Please be as specific as possible)
Unpaved Roads
N/A
Storage Piles
N/A
Paved Road Track -out
ThP awi sf-i nc; site is a l readir rnll(4'hrar�a, r� prt-c2i RQ
grading only is required. The existing parking lot
and off site access will be swept avid/or'wash3d
down as required.
RG FG FC Details (e.g., freu ncv of application number and lupe of dust control implements etc.
Please be as specific as possible)
Land Clearing or Earth -Moving
A A Fill material (830 CY) to be imported.
Application of water from adjacent hydrants or
Crater trucks as necessary once fill material
is placed.
Disturbed Surface Areas
T T Distiirbed surface areas to receive frequent
application of water.
Part 3 - Agreement
I certify that the information contained in this Fugitive Dust (PM10) Mitigation Plan is true
and accurate and that all measures specified in Part 2 will be implemented during project
construction. I authorize the City of La Qu i nta to enter the above mentioned property
for inspection and/or abatement purposes, and I agree to hold harmless the City and its
representatives from liability for any actions related to this project. I also agree to
complete the record-keeping requirements included herein as Attachment B once the
project has been completed.
M- 1 ,..� noo,,.—
l0
Signature of uwner or Hutnortzeu itevlcbc,ALaLIV%,
I have read the conditions of the Fugitive Dust (PM10) Mitigation Plan and the owner has
authoriz the implementation of all its provisions throughout project buildout.
.1 / 417
(Irnot ;de same as above)
R T
r
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I",
For City Use Only
Based on all of the provisions contained in this Fugitive Dust (PM10) Mitigation Plan
the Plan is:
FA
Approved
X Conditionally approved (Conditions specified below)
Denied (Explanation attached)
Signature of City Representative (Date)
The following conditions of approval have been added to the Plan by staff in order to ensure
an adequate level of fugitive dust control
Wttach additional information it necessary
I have read the above conditions of the Fugitive Dust (PM10) Mitigation Plan and I agree
to implement all provisions at the concentrations and frequencies identified.
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ATTACHMENT A, REASONABLY AVAILABLE CONTROL MEASURES
The left column contains the sources of fugitive dust which are intended for emission control
under the City's dust control ordinance. The two right columns contain an inventory and
description of reasonably available fugitive dust control measures for each of the sources.
Please use this information as a guide when preparing a Fugitive Dust (PM10) Mitigation Plan
(Source No) Reasonably Available
Source Control Measures Comments
(1)
Land (A) Watering
o Application of water by means of truck, hoses and/
Clearing/
or sprinklers prior to any land clearing or earth
Earth-
movement will increase the moisture content thereby
moving
increasing stability of material
o Once the initial land clearing/earth movement activities are
complete, a second round of watering can generate a thin
crust which stabilizes the disturbed surface areas provided
that it is not disturbed
o Security fencing can be used to prevent unwanted future
disturbances of sites where a surface crust has been created
(B) Chemical stabilization o Only effective in areas which are not subject to daily disturbances
o Vendors can supply information on product application and
required concentrations
(C) Wind fencing o Three to five foot barriers adjacent to roadways or urban areas
can be effective in reducing the amount of wind blown
material leaving a site
o Should be used in conjunction with other measures
(D) Cover haul vehicles o Entire surface area should be covered once vehicle is full
(E) Wheel washers o Should be placed where vehicles exit unpaved areas onto paved
areas
o System can be adjusted to spray entire vehicle, including stored
bulk material in haul vehicles
(2)
Unpaved (F) Paving o Requires street sweeping/cleaning if subject to material
Roads accumulation
(G) Chemical Stabilization o Vendors can supply information as to application methods and
concentrations
o Not recommended for roads with high volumes or those used for
heavy equipment
(H) Watering o In sufficient quantities to keep surface moist
o Required application frequency will vary according to soil type,
weather conditions, and vehicular use
(Source No) Reasonably Available
Source Control Measures
(2)
Unpaved (I) Reduce speed limits
Roads
(Cont'd) (J) Reduce vehicle trips
------------------------------------------
(3)
Storage (K) Wind sheltering
Piles
(L) Wet suppression
N
Comments
o 15 mile per hour ma)dmum
o Access restriction or redirecting traffic to Paved roads in order to
reduce vehicle trips by a minimum of 60 percent
---------------------------------------------------------------------------------------
o Choices include silos or enclosures
o Enclosures should consist of three sided barriers equal to height of
material with no more than 50 percent porosity
o Application methods include: spray bars, hoses and water trucks
o Frequency of application will vary on site specific conditions
(M) Chemical suppression o Best for use on storage piles subject to infrequent disturbances
(N) Altering loadin/loadout o Confine loadin/loadout procedures to leeward (downwind) side
procedures of the material
o Most effective when used in conjunction with wind sheltering
(0) Coverings o Tarps, plastic, or other material can be used as temporary
coverings
o When used, these should be anchored to prevent wind from
removing coverings
---=-----------------------------------------------------------------------------------------------------------------------------------
(4)
Paved (P) Wheel washers o Should be placed where vehicles exit unpaved areas onto paved
Road areas
Track -out o System can be adjusted to spray entire vehicle, including stored
bulk material in haul vehicles
(Q) Sweep/clean roadways o Either sweeping or water flushing may be used
(R) Cover haul vehicles
-------------------------------------------------
(5)
Disturbed (S) Chemical stabilization
Areas/
Inactive
Construction
Sites
(T) Watering
o Entire surface area should be covered once vehicle is full
o Vendors can supply information on methods for application and
required concentrations
o Would require frequent applications unless a crust
can be developed over the site
(U) Wind fencing o Three to five foot barriers adjacent to roadways or urban areas
can be effective in reducing the amount of wind blown
material leaving a site
o Should be used in conjunction with other measures
(V) Vegetation o Establish as quickly as possible when active operations have
establishment ceased
o Use of drought tolerant, native vegetation is encouraged
ATTACHMENT B - COST INFORMATION
Small Scale Construction/Demolition Projects (5 acres or Less)
Fugitive Dust (PM10) Mitigation Plan
Date: Jurisdiction:
Project proponent:
Address:
Project File #:
Day phone number: Emergency phone number:
In the space provided below please list the costs associated with implementation of all dust
control measures. The information 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:
Chemical stabilization:
Wind fencing:
Covering haul vehicles:
Wheel washers:
Street sweeping:
Paving:
Wind sheltering:
Coverings:
Vegetation reestablishment:
After project completion these records shall be transmitted to the Jurisdiction where the
grading/demolition permit was attained and to the Coachella Valley Association of
Governments (CVAG) at the address provided below.
PM10 Cost Monitoring
Coachella Valley Association of Governments
73-710 Fred Waring Drive, Suite 200
Palm Desert, CA 92260