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2272NOTE: - With pr&per validation "this form constitutes an CITY OF LA QUINTA encroachment permit 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 II I DATE: 12"9-94 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION South side of Miles Ave west of Adams Inco Roney — Reunion (Street address or Description of Location) PURPOSE OF Ce NSSTRUCTION Install local depression d drgw 11Is DESCRIPTION ppF__CONSTRUCTION excavate construct and bac ill. DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 12-12-94 Sketch (attach construction plans if appropriate) APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ 12-15-94 27000 (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) _ Inc id t' f th t' f th' h I' h b See attached conditions Per the street improvement plans approved for 23995-1 !� °coo 0 n ons era Ion o e gran Ing o Is permit, t e app scant ere y agrees to. y V 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.14 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 the result of this work. Signature of Appli ant or Agent Inco Homes 250 R. Rincon Ave. Corona. CA (909) 736-0700 Name of Applicant (please print) Business Address Telephone No. Mc Guckin drilling Inc (805) 947-9836 Name of Contractor and Job Foreman Business Address Telephone No. 528080 Contractor's License No. Insurance Certificate on file 1609 City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class 111 Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ Permit Fee _ Penalty _ Cash Deposit -Surety Bond if required _ TOTAL Receipt No 270 10 $ 280 Received by Date 22`2 PERMIT VALIDATION PERMIT NO. 2272 DATE APPROVED 12-9-94 EXPIRATION DATE 1"31-95 DATE I.SU EP Al2-9-94 By WaTA A&,&4aft Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 -he fa1101limna Veneral and Special Provisions are anscnsO to and made a Dart of Pennft No. GENERAL PROVISIONS r .he following small always addiv: ENCROACHMENT ON PRIVATE PROPERTY- This permit autnorizes wart to be ebeomolisned witnln City of la ONLY. Whenever construction extends wmnin private oroconv. it snail be the resoonaloutty Of me oarmmtee for n Secure DISMISS= from educing Quinta right of way g mooertv owners. Such autnorizatlon must as secured by the oermittM prior tad eonnactorsi to TRACKLAYING CONSTRUCTION EQUIPMENT: Cleatedtraauann Starting war„. Caved surface unless "80Wen smodln-raced Street ted t All nary” l COOmechanican on edulemem shell not be perm mea 10 :ma paving during excavationrs. Rubdar-urea eduiomem all scall bei ggerssnail befrttedwith rudder estIncarateonenv Pavement is scarred. soalled, or broken curing the term or this contract, Or It bairsmin ient is mall lrred. Ciry pt La utoaa to orotect oave0 araaa It the exalmq mat Lneaa Plus ava at tae e resurfaced aver melt entre width. ResYffapng Shall Constar Of Om0 txit at Stdfactng ptut aoorooneta teat Quints anal reausat coat as specified above. two meta t2") of A.0 PROTECTION OFQ TRAFFIC: An excavations and work areas snail beprommi, lighted and bamcaded as deemed Engineers laQuintaCityPublicWorkstnsbectors. Suitable detours and detourslgnssnaUbeplacedenc OV of aha project. The Ciry snail be notified 24 Mrs. in advance of • ^eC�arInedur Cin �, traffic mamei^sefa►mecureuon CARE OF DRAINAGE STRUCTURES:inagedstoure � dNinemohs. concrete structures encounteredpurringexcavation wnistrcn no including corrugated metal pipe. concrete nscesury Io remove or cut during drainage structures. Grin ofLa rsmwat snail be ODs. awl ." becculverame, arta roDtaeed in common In the svertt•^ bseomat Drainage structures and open drams shall be kept free of debris at am times tt snail be notMied anon to commencam tadper drainage. arts of hits work. RIGHT OF WAY CLEANUP: Any turorus material resui[ing from excavation and backfill o way. All paved surfaced SneOba broomeo sea^ at eartn and other Objectionable materials immea sten afterbaarfill • Aerations snap be removed from the right of Existing gutter line and drainsp ditches snail be faclaced to their originat slancaro ar better. All a Casa material ahOU be removed prior to paving. Water [anter sryU be used. as r rotoacaon. immediately after baadill. sddirec. [0 sprinkle me !cab Site to keep down aunt conditions and anaY be used DE -WATER OPERATIONS: Ilde-watering aperattcns are re0uired and ournpa ane toreing water on Ciry of la Quints r in* responsibility or the perntmee 1cOntractort to cantrot this water and to provide aN-street bameades when rtapesary oda. it Shall be CLOSING STREETS: No street Shall be closed. A minimum of we lane of traffic Shalt be maintained at all Wiled to m=ass tar me adjoining property ownws aro emergency vehicles in the event Of Is fen blame permrttastmat he mud . any length Of time. provide hmrted Permittee snail contact this office ro obtain me necessary Permission. eoaaaStrom tar SPECIAL PROVISIONS The folhwing shall sooty ONLYwhen indicated: R1 NOTIFlCATION: Pennines .hall notify the City eFS 7 at - R2 CASH DEPOSITS OR BONGS: A cash Oona Oran dist 48 hours in advance of aartinq eoreaQyctip^• shall be turnisned m the name at City of La Quintstto � surety pend m re amount of not leas roam s roads and survey monuments. This bona small be continuous ou uw, r all wait tanm �m the reatoranon of the vanish V Cliiinta 6posted prior to commencement of any work on this project - by the City Engineer. This bond must be 5) UTILITY CLEARANCE. (SubstructureslPrior tomalun a Wpermrt.the q ^tycomp nwtthtntnCigofLBQuintanghttrIvy"anorlzed td Oenfm4tes snarl eontaR all eoneemed utility companies reelative to the icesnon of enstm Damage rmac.existing substructures resuhing from operenons oorktueep under the penmrt shall be ma lois D the permmee. qau oodhol res. neslpberibttitY t UTILITY CLEARANCE -.(Surface sfrtictures) No wont Shad be aorr under hits oermrt until all utilities are esa/ of the PrODOseO warx site. The peninmee snail notiry all concerned utility Companies of the proposed wale,. R5 PAVEMENT WIDENING: Area between the proposed m surfaced with inches of A.C. paving Dtatxo on meets gutter lino and the existing road pavement anal, be having an••R'valueafnotto= than inches of class aggregataa and SDeertications.Ordinanesd481. a^dineentorm°^cewithCityoflaQuinta Road l �COurae dp ^'pr�mtent Stanwrot .and inch to one Area between the Property ilneenatopOftheproposedconcretecurt)smallbegrade0tpau�a 1/4 inch to ons foot tt I. R7 GRADES & STAKES. City of La Quints shall establish grades and stakes for the proposed concrete construction. �� curb and putter /R9j GRADE CHECKING: City of La Quinta snail check graces upon atplanendpsofileand/or graces asetepliahedbv ll�� a licensed engineer. A9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter 1 laettahall Oe removed. Curb a v /arcurtfapproach and gutter small be saw cut prior to removal. Depreo0o curb. matching cortege outer end concrete dnVewey t�oroactl R10 shall be constructed in conformance with City of La Quinta Standard 0207. DRIVEWAYS. A.C.: Driveways shall be constructed as not to alter existing drainage pattern. Surtaang bstvveem lme Property line and the emsting road caving small be 2-1/2 incnes of A.C. Daring placed on t _^) of class aggregate case. Orivewov construcnon snail conform to attached drawing. R11 CULVERTS. i :nen diameter ( nenes below dna in ane with the existing flow line. Cul-�- culvert small be installed with the invert an opraximate1. 1:2 vert installation snail conform to the attacneo arawing R1 SIGHT CLEARANCE; Sight clearance of 600 feet in either dlrecuon snail be assured and mamtame0. R13 SOIL STERILIZER: The area to be surfaced small be treated with Sall steriliser. Rate of abpltcation snail comprywith the 6)manufacturer's scecibcations. COORDINATE.WORIC The PrOposed work Shall be Suoordinated to any operation which the State of California or City of La Quints ma►conduct in this area during the period of this permit. Work snail be coorolnatedvrim ms State or City of La Quima foroq to preclude delay or interference with State or City of La Quinta projects. R1 SURVEY MONUMENTS; Prior to excavation or be innm of con camerline of all streawar property Imes when involved g g mpletenr all survey monuments wnrenl exi bereoiacaldova llcanse chilli ubecOTDlatelytredoutaothey may anraaOlyand ttpnme tip to map s1[gI^esrOrsttotherRtlta ingelf s at"sosmtrttaaAerrtrotatsastof nOee aelV mortoxamonanaDbefumiansdrotheCityEnDrna�priormtrisrsnrewroanymoeaimene, 90�ngme De ^On^ed wet dorrossoen ae raofapelnwe ed .0 ..� --- v�=.. ora non or oeomn'no 01 construction. a❑ survev monuments snap petieoout �� tI i �a Uuinte ano suname cavmem or guarantee of oavrnmme ent snau De made as relourse R17 °AVEMENT CUTTING: Pavement will be meonanicauy cut to a m tarstnpmt a an,wark invommo. Cuaing Snell be approved tnrougn tris ortiee of the City En dge prior to excavation. M oe used to excavate prior to cutiina or oce o"n tl. tv F-nqExcavanserion „tunder no circumstances small ek ethos of pular IT tat nrtate tris general now or trati¢. Prior to Anal pawn material snau be placed in sucn a position as totem corrected. 9 oaerations. env Damage to pavement oosrtlon as to pest R1 14VEMENT CUTTING. Pavemem snail be saw cut onor TO removal. Prior to anal Davin stratgnt Boge small be pavement stralght edge snail be corrected. R1 UMR g operations, am damage to OF EXCAVATIONS: Excavations snail be limited to I.0001ineal tees of open trench before oackttll p begin. All excavations snail be property bamcadeo wim lights overnignt. on weekends and ^ouoa the traver^gpuptic. The PubbcWorkslnspectorsnalidetermmetnesuuabdnvatexeavationoarneaaln iperotionsmust proexcavation snail remain oven rat a period exceeding rive 151 days. No excavation snarl ti mane i erartne en caion of _ No material is actually on Ina work site. 9 ^earn Case• on R20 BACKFILL MATERIALBackfillshallbetreeoftrusts.rootsarothera Ina construction Of producing an adequately consolidated backfill. Any material which me City pf �CQ detriinahto. - - .; satwnted meteriell which is encountered aurin s s trsafor purposes g excavation shaLL not oe used for p �t l.but snail be s � memsed o f replaced by an approved Sano or gravel. R21 BACKFILL SAND: 88cidill shall bee pplamemed or throe feet (3')and vibrated usin vibrotrna y���rt intiemiMt went.sand or entandshallbeplacedtnliftsp} ass • reiativs cpm g mroeraredunaientegutpment Attematemethapsmavbesut ^otgnstarman compaction Of 95 percent shall be aaainedwithin the ruQural section of the roadway�butinany. /n[[/ BACKFILL PLACEMENT: Backftu Snail be spoiled in lavers at not more than 50 percent of the total d refursuoomngd►i maximum atfiva-i°ot151lifts wneretrerunesareotexcessivedeptns.Careistobeex backfill matenal is not subjected to extrehte ewslj am of the trench resulting comosakon shall be not less man 90per mol e�n9 operations, Baedill material shall be shot the compaction. Where Dancing or flooding is used fora maximum semto the tt, surrounding p4gp t0 [hat the the water- Whore ground. whlcneve►Isths glower ►ening is uSed, the jets shall be of sufficism len equate bottkesom will be constructed to retain Supply shall be continuous• length to feat h the bosom of cern COMPACTION aver and the water TESTS: If one re) test by the inspector, Compaction c tests shell be made e[ intervals of not mon feet once a minimum of one (1) test on each road. One I Copy of each test Snell be forwarded tp the CI approval and filed prior to maks n^ 1.000 Stondard Spaatica[[o g permanent repairs. Compaction tests snail be made ss outlines in Sectionh Engineer tar R24 COMPACTION TESTS: Division of Highways, State of Califomla. dated January 1973. 6.3.01 of me STS: If sir it be tred ar ed o the cc mcnalon tests shall be made for as crossing 6P, One Copy 0f eeeh tea shall beforwarded to tris City En gineertorapprpyejsndfiledartor, t0 resin reports. Compaction tests snail be made asoullined in Section 6.3.01 °f the Standard g or Sim, kms. of California. dated Janusry 1973. or Division of M' aghwo a. State R25 TEMPORARY PAVEMENT REPAIRS: After Completion of backt,ll and Compaction operations. consisting of 2 inches of SC-800 shall be placed on a prepared subgrade. The SC-800 tem a to afteramaximum of3.000linens temofTrench me$ Coen excavated andDalykfilloperationsTT Ora ted.puti �ry paten the ptscsmsnt of the tem ora porary bating Shad be placed R26 PERMANENT PAVEMENT REPAIR: Aller Daektill and Com aexceed a five )ctDmitri[. ndCaas shall " Consisting of two inches (2'1 Of SC-800 shall be placed immediataelly. ►A permanent o ations have en ofpleted, a to surfacing placed dna^odrory paten -rich class base snail be placed no later than tatnporary road repajr. datsaher R27 PAVEMENT REPAIR: F.A.S.:Upon complettonofbacidillandcam Completionot Of Cold mix caving (SC-800) shall be placed immediate) q paaton• a tenmocrary paten consisting be placed on six inches 18'1 eon y Permanent paten of three incites 13'1 of AC mvoinehesl2� Paying. taste base es directed. but not later roan fifteen f 15) days cher Com surtaang small 9 Comets base snail beat five-sack mix and shall conform to the City of La Quints Rood Itn and Specifications. Ordinance ectal. pl"fn at mtemporery R28 FOG SEAL: A f prdvemeri[Slanaa►os °9 seal Coat rl3ting a} an apPlieatton d} determined aspnallic emulsion small be applied aver all W time City Engineer. R29 SEAL ARM pater erecta as where sucn sem coats exmte onor o ssuanceof this seal coat consisting of an to miRn binder and screenings shall be applied on all 37. Standard Specifications. State Of California, Division of It Senior armor coats snail be applied as ScOcIf' sten areas be acoamplishetl by a licensed Highways. sated January 1973. Work at avem in Season R30 be sccO REliShed N contractor engaged in the business of pavement repair, p em repair to G: Where airs.strelrtOing is still visi0le an streets IO Oe excavated• such striping shall be replaced upon Completion of Permanent repairs. R31 TREE RELOCATION OR REMOVAL. Tree relocation witnin the city of La Quinta road right of way shall be by a licensed. bonded and insured tree service. and hansted safely wktnou[ mterterenee or hazard to the trewm • atSamDlished It Shall be the responsibility of the permmee to maintain the tree in a vigorous growing Condition at its now location. Trees to be removed shalt be removed in sections which can be handled safelvwitmout interference or ria Ognwa . traffic. The entire width of the tree stump small be removed and disposed of so tnat no debris remains in view of the highway. The stump hole small be backfilled and thorou ntec raroto hignwav becomes necessary to restrict tratrm the work shall be res[nREd to a maximum Otas specified te 0 feel an signs, flagmen and/dr barricades shall be Provided to protea the travelinggparagraph• Where it 500 feet at anyone time-Adequate Large moles resulting from tree removal shall be backfilled andcom n public at all times. surrounding ground. whichever is the greater compaction as determined by the not lessmoa or fief ant or tests snail Comply with Season 8.3.01 of the Standard Speertieations..0ivis on of Highways. of � - Co tetm[on January 1973. Compaction R32 TREE TRIMMING: sated a• Only the necessary trimming small be accomplisned to pravlde clearance of the facility for one calendar All broken or week sections within the trimming snail be removes. S. Where It Decomes n Year. necessary a torestricttraffic.theworkshallberestrictedtoamaximumof500feetatsnvonetime. Adree trunks signs. a• flagmen angor a of the C snarl be provided to protect the traveling public at all times C. If tree trunks ars partially Outside of the City of La Quints road right of way, permh[ee snail make his own arrangements wa[h adjoining prdOem, otnynero for consent to the trimming in addition to the aumall zimonmake prohis own by this oerrnrt. CL All tree trimming on EVERGREEN TREES. PALM TREES. and other ORNAMENTAL TREES shall be a the settsfnrnon of the City Pubfic Works inspector. a, seems. Italian [o . _ _ f • Pfunnq small. llo*eA Ahab bed in all instenCen. pnm to trimming or tapping trees nRaricee. as 4111 the smoulder of tw. _ __ _ SPECIAL.CONDITIONS--PERMIT NO. 2272 --- INCO HOMES --- 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. 2. Permittee shall be responsible for providing continuous dust and erosion control. 3. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently if required. 4. Contractor shall comply with the local noise ordinance. 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 5: 30p. m. Saturday 8:00 a.m. to 5:00p. m. May 1st to September 30: Monday -Friday . 6:00 a.m. to 7:00p. m. Saturday 8:00 a.m.. to 5:00p. m. Work shall be prohibited on legal holidays including Sundays. 5. Permittee/contractor shall assume responsibility for repair of any pavement damage to any public or private street and for any damage to other City streets or facilities as a result of work performed under this permit. 6. Advance warning signs and traffic control shall be installed and maintained in accordance with Cal Trans Standards or the Work Area Traffic Control Handbook (WATCH Manual). It shall be the; permittee's responsibility to detour and barricade this site. 7. Street closures shall not be permitted. A minimum of one travel lane on paved surface shall be maintained with flagmen at all times. 8. Prior to excavating, the permittee shall contact Underground Service Alert at 1(800) 422-4133. 9. Should additional work, materials, or modifications of the work be required in order to meet city standards, safety requirements, signage requirements, or to fit actual field conditions, the work shall be performed by the permittee as directed by and to the satisfaction of the City Engineer at no cost to the City of La Quinta. Special Conditions - Permit No. 2.272 Page 1 of 2 aq SPECIAL CONDITIONS ---PERMIT NO. 2272 continued 10. 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. 11. When the work is within 500' of a signalized intersection, the permittee shall notify Riverside .County Signal Dept. at (909) 275-6894 or Caltrans Signal Dept. at (619) ' 688-6845 as appropriate a minimum of 48 hrs prior to starting work. 12. All backfill and subgradesoil 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. 13. All excavations at or near the travel way shall be backfilled and paved at, the end of every work day as directed by and to the satisfaction of the City Engineer for the protection of the traveling public. 14. All landscaping, irrigation, decorative rock, decorative concrete, lighting etc. shall be replaced to its original condition. 15. Access and egress to all local properties shall be maintained at all times. 16. Work authorized by this permit shall be as shown on the approved Street Improvement Plans for Tract 23995-1. Special Conditions - Permit No. 2272 Page 2 of 2 NOTE: With proper validation this form constitutes an encroachment oermrt CITY OF LA QUINTA OEC 0 6 1994 PUBLIC WORKS CITY OF LA QUINTA D E' 1994 CITY OF LA QUINTA PUBLIC WORKS 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 SU13DIVISIONS DATE:— LOCATION ATE:__LOCATION OF CONSTRUCTION AVE:-. L� S -Tf`j ce 1�� �S Q.IF 1AL fv Subdivision Improvement Permit — Class III Minor Improvement Permit Class IV W%, TQ6 10657- 0'G .4 L I, TJ 14tnat address or Oascrptton of Locanon) PURPOSE 0 CONSTRUCTION IAJ!57Z L � �/ Lr(Pf��_ 5" Sketch (attach construction plans if appr)prite) DESCRIPTION CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN w'rROXIMATE TIME OF COMPLETI©N ESTIMATED CONSTRUCTION COST S (Including removal of all obstruction, materials, and debris, backfilling, corn. Paction and placing permanent resurfacing and/or replacing improvements► In consideration of the granting of this permit, the applicant hereby agrees to: Indammfyl defend e and save the City, its authorized agents, officen. representatives and *rrtployees, har mless from and against any one all happens , liabilities w Ion restriting from claims or court action and arising out of any *cadent. loss or happening or oeeurnng as a proximate reeuit Of a damage p persons or propjntr any worst undertaken urWer the permit granted pursuant to this application. NotifV the Admimstratrw Authority at wast twenty-four (241 hours in advance of the time when work will be started. Comphr with all applicable City Ordinances, the terms and conditions of the permit and all sppliesd• rola end regulations f the Gty Of La Quints and to pay for any additional replaeernertt necessary as the result of this w4w1t. �� �(� S'C �-�li�t/� 1►�iL-oV'fr,+^^i„p' I Name of Applicant (please print) iP4' V i�) Gr!�N fir( Name of Contractor and Job Foreman 00a �0 Contractor's License No. Signature of Applicant or Agent Business Address Business Address Telephone No. Telephone No. 00 City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class III Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee$ Z -7t Permit Fee 1 n Penalty Cash Oeposit-Surety Bond of required TOTAL: $ z80 Receipt No. Received by Date PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE �" 3'�`�� DATE ISSUED — Z ' 9— Y T By Ad -W3 6 W l 3ecorded by TELEPHONE: (619) 564-2246 mmstrattve Authority � .. i �. � 1 ' i- • . . , r� . � � � �:��L�,����� �� E � C1 � ��,t 1y t 7 a,... Tf� f� €..I.l.i� �if� a��v ti E.a.�.:��� . 12/09/94 09:48 %2602 268 0820 MCGUCKIN DRILLNG 10001/002 FACSIMILE TRANSMISSION COVER SHEET FAX # 602 - 268 - 0820 gal INCORPORATED AZ Liu. 70465.47067; ADWR 363 1509 East Elwood Street, Phoenix, Arizona 85040 (602)268-0785 CA Liu. 528080, HAZ; NV Liu. 35350 CA(805)947.9838 NV(702)366.1234 DATE: DECEMBER 9, 1994 TIME: TO: CITY OF LA QUINTA ATTN: HECTOR =MAN FAX#: 619-777-7155 COMMENTS; HECTOR, , COPY OF THE INSURANCE CERTIFICATE YOU REQUESTED ON THE INCO REUNION PROJECT, PLEASE GIVE ME A CALL IF YOU REQUIRE ANY ADDITIONAL INFORMATION. THANK YOU. FROM: DEBRA THE ORIGINAL WILL: NOT FOLLOW FOLLOW BY MAIL FOLLOW BY EXPRESS MAIL 1 PAGE(S) TO FOLLOW, EF YOU HAVE ANY QUESTIONS REGARDING THIS FAX, PLEASE CALL (602)268-0785 IN ARIZONA OR (805)'947-9836 IN CALIFORNIA. IF YOU DO NOT CALL WE WILL ASSUME THAT YOU HAVE RECIEVED THE PAGES SATISFACTORILY. COMPLETE DRAINAGE SYSTEMS • THE MAXWELL° • ENVIRONMENTAL SYSTEMS AND REMEDIATION . OSHA HAZARDOUS CERTIFIED GENERAL DRILLING 9 DRYWELL MAINTENANCE AND REGISTRATIONS 9 PERCOLATION TESTING 12/06/84 15:43 =602 268 0820 NMCGUCKIN DRILLNG SENT BY:xeroz TC ecopier 7020 :12- 5-94 c 3:44PU ; 15197777101" 1994 BUSINESS LICENSE APPLICATION FORM 10 004 004 oUZ ZU0 UQzU'a c BUS. LIC. NO. Sand Completed Form To: CITY OF LA QUINTA . sf***++*s+**s+ttr,t+•+ss BUSINESS LICENSE DIVISION +APROVED By i 78-495 Calle Tampico t DATE • Le Quinta, CA. 92233 ,t++rr�n+w*+++r1►yr++++.�s PROOF OF WORKERS COMPENSATION INSURANCE IS REQUIRED 1. Business Name: MCGUCKIN DRILLING INC 2. Business Address: 1509 E ELWOOD STREET PHOENIX AZ 85040 3, Mailing Address: SAME AS BUSINESS ADDRESS 4. Business Phol►e: ( 602 268-0785 S. Owned Sy! CORPORATION PARTNERSHIP INDIVIDUAL 6. It Corporation or Partnerahipi Tex I.M. 86-0288303 7. If Individual Owner: Social Security # •8.of Owner or Officers and Title: STEPHEN C DETOMMASO, PRESIDENT IP R LEBUNC, VICE PRESIDENT SALES DMIb VtXUH, VICE FREMEN1 MMIONS ANNAMARIE DETOMILASO, SECRETARY LORI_MOR.AETREASURER D, TRE _ 9. SEER®sale Number: SSOH 30-680445' e ` 10. Hummer of Decals Headed: 1 11- CONTRACTORS ONLY: COPY OF STATE CONTRACTORS LICENSE IS REQUIRED A. Type of contractor: SPECIALTY CONTRACTOR B. Classification: CI - CLASS C. State License Number:' CONTRACTORS - FERAL 6100.00 Per Yea or SSC. i -annual CONTRACTORS �/��y��� $ 50.00 Par Year or .0 Sem -anrnta CONTRACTORS ARE ON A CALENDAR YEAR BASIS ONLY; ANNUAL FROM JANUARY 16T THROUGH DECEMBER 319T. SEMI-ANNUAL FROM JANUARY19T THROUGH JUNE 30TH; OR 3ZJt.Y IST THROUGH DECEMBER 315T. I HERESY CERTIFY that all the information supplied by me is correct- and any li neon squired by the County, State or Federal Government have been i O m art a in full force and effect. _ VICE PRESIDENT SALES 12/6/,94, Signature Title Data n•.... ... .:.Li t.� �iCC.Si-. .. .. : tial. .+.tai:,.:;".f�. ::y�:•7"'.... �.....,. ..__�J.1 ,. .. ,._ na.—wr:i..•v.•.•�i�J'rvJ.SJ ir'.!r:.:.•.,.� 7TH V 9*31,. , ago 30808251"MM-to ISN3011 3AIInY i 021vog 3SN331131d1S Sil=VHINOO. �� f o�woY.ln'J to1S !I t110;'COOf� �N'I'TI21Q NI�1�J!1hJIt OZ80 99Z Z09a Zt:Si ' P6/90 ZI 1: '0602 0820 MCGUCKIN DRILLNG 16002/004 ' 91k `rGy ,- jowil - id, :• • a • 1.1 This license is the property of the Registrar of Contractors, is not transferable, and shall be returned to the Kedistrar upon demand when I S S U E o 04—C8 -3t suspende, revoked, or invalidated for any reason. It becomes void if not renewed. M;y_-414 J i Pursuant to the provisions of Chapter 9 of division 3 of the Business and Professions Code and the Rules and Regulations of the Contractors State License Board, the Registrar of Contractors does hereby issue this license to: PC GUCKIN DR.ILLINf` INC to engage in the business or acity o ntractor i following classification (s). C42 SANITAT ST STATE AND CONSUMER SERVICES AGENCY DEPARTMENT OF CONSUMER AFFAIRS WITNESS my hand a!Id sealed chis 11TH dayof AFRIL 1988. e.� egistrar of Contractors Signature of 1141,10" who.Quafified on behalf of the licensee 12/09/94 09:49 $602 268 0820 11i XM. �►�.111,11®:.,.:Ij;; p S. •Ci Seng I> (( •' W'P'M•.flr :. "6do"noei Schaefer -Smith -Ankeny 2002 F.Oshorn Road P.O. Box 10067 Phoenix 'AZ 85064-729.1 MCGUCKIN DRILLING 1311019 0002/002 i eb : '•e i 3 > i fir': r:.'!.• { :197'5•,<9 •: ..l'•. .L� < ..12/051y4.. ......... THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, COMPANIES AFFORDING COVERAGE ................................................. ............................................................................• COMPANY A AElna Casa & Sure LETTER �Y h ...................................•.....,.,,,....................................,,..,,.........•.... . COMPANY LETTER . . .. . ..................... ............. ... I ..... ,.................................................... 13 IN ..................... . .:................................................................. . McGYukin Drilling Incorporated i COMPANY LETTER `. 1509 East ,Elwood ......................................................... . Phoenix AZ 83040 COMPANY LETTER D A,........ COMPANY LETTER LETT E THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED 'ABOVE FOR THE POLICY PERIOD IRDICATE6, NOTWITHSTANDING ANY REOOIREMENT, TERM OR'CONDMON OF* ANY CONTRACTOR OTHER DOCUMENY WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .......................... .......... . . ........................................................."...•..... ........................... „,,................................................... . CO ' TTPE OF INSURANCE POLICY NIIYRFA ` POLICY tiFFCTIYE iPOUCY ptwaATla>r LTR. DATE (MAVDDmI DATE(MM/OCtm LIMITS .. .............. .. : ........... .... ....... ..................... .. ........ o><xenAl LIABILITY 00024234946 09103/94 : • 09103195 . ........................... ......... ............................•.. : 09JERA1 AGGREGATE i5 2000000 A,........ :................................................:........••..,.. ..... X • COMMERCIAL GENERAL LIABILITY PRODUCTSCOMPIOP-AGG. S 2000000 E CLAIMS MADE X OCCUR: PERSONAL 8 AOV. INJURY i3 1000000 :......:.......•: OWNERS t CONTRACTOR'S PROT. ................................................................................. I EACH OCCURRENCE t ........................................... 1000000 . . .............. FIRE DAMAGE (Any one fire) i3 100000 ...............................................................: .. ...................... .�. .. .... .............. ........................... :.... ....................................... MED. EXPENSE (Any one pormn$;:3 .• ................................. .... .... .... 3000 ...... ......... , . ...:... A AUTOMOBILE UABILRT 197FJ0024234299CCM 09103194 09/03195 i COMBINED SINGLE 's 1000000 X .ANY AUTO LIMIT ............................. ........ .... ...........• •, •,. • • _- ALL OWNED AUTOS ! ; BODILY INJURY i SCHEDULED AUY05 i ! ? ' (Per petepn) 3 ...........•...•...• .................................................... .. .; X . HIRED AUTOS i BODILY INJURY X • NON-OVMED AUTOS i i . (Per eeeldenp •• GARAGE LIABILITY •• •• PROPERTY DAMAGE ,t ......:...... ...... ...... ...:...................................:.............. •....... A 'Excess UASILRY XS024234948 09/03/94 09103195 EACH OCOURRENCS t ............................. ...................... 4000000 X UMSREt1A FORM AGGREGATE ;s 4000000 OTHER THAN UMBRELLA FORM WORKERS COMPOISATION STATUTORY LMR...... ... ....................... :EACH ACCIDENT it AND . .:............................................................................ i OLWASE - POLICY LIMB 3 EyPLOYEAS' UABGITY E ,„....................... ...........................I.............. .. DISEASE - EACH EMPLOYEE i ..•......•............•....:......: ....................................... .. • . ••,•.............................................:..•:,,,....,...,.............................................., amen . IllstaUatiore of Drywells and/or Materials So,O,Flied ....................................... I ........... ,.,..,..•....................................... •..•......,,..................... .............................................. :,,,:,.,.••.:,..................................... DESCRIPTION OF OPERATIONINLOCATIONSfYF?f1IC ftPF.CIAL IMUS RE: REURION-LA QUINTA, TRACT 23995, MILES B ADAMS, LAQUINTA, CA ................. ........................................... CERTIFICATE HOLDER IS ADDITIONAL INSURED RE ALL OPERATIONS. Inco Homes Coporation Inland Division 2SO E. Rincoa Ave, #202 Corona .CA 91719-1341 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 GAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR . LIABILITY OF.ANY'-f9NDe.UQON THE COMA, ITS AGENTS OR REPRESENTATIVES,