2636NOTE; F
t With•poper validation
i' this form constitutes any CITY OF LA, QUINTA
encroachment permit r
r.t r "r APPLICATION- FOR PERMIT,
PUBLIC WORKS CONSTRUCTION .(ENCROACHMENT) .I"��•"w4�
For the construction of public or private curbs, driveways, pavements, sidewalks, parking" lots, sewers, water ,mains,
I and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS .
�.,-Subdivisio mprovement Permit — Class I I I
DATE: 1t��'M�• '14h'� - ���. _, '.. Minor Improvement Permit Class -,IV
LOCATION OF CONSTRUCTION "� Ak Of Hinh, AM I11 tit! .� Palm- it m' laftt'�lit aA)
yj1I (Street address or Description of Location) , ' •, 's '
aiC�,l�i ti� anti' -
PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
f DESCRIPTION OF CONSTRUCTION" c'�•�'nr 1 "
of. yes . - 8 d
i 1`pts'iSiDi"fX!It +19 k 1xIAAt1 '11t!it1]`ti'! r
.DIMENSIONAF INSTALLATION;OR REMOVAL
}y. � j ; { . t +yy F Mi1' .-� F z � � r �t • Fit �`' e � � .v .•
i. ,i .`lf.. <I(.t tiF '., .+'r. a' �� f �,i f. � +•• ti,`S�t i � � L ;•. � �iLt r^r' i` _ .r
SIZE-0F'EXCAVAT}ION, IF NEEDED ;
APPROXIMATE TIME WHEN• J *71%0/91
.WORK,WIL'L.BEGIN.. S- _ � - ,�, �•� t";,;"j,�^� x•`''
� : ,; w t � - n �TM t , ti • .,, .. � '� y .. � ,•f"' . 1 . `'{"�': r • i' � i a� v ryC'`' i ity f ���t ' � _ ��''
(''APPROXIMATE TIMEOF COMPLETION 7�
�•ESTIMATED CONSTRUCTION COST $
' ' (Including `removal sof• all obstruction; materials, and debris;�backfilling, com r ' i
A
paction and;'placln'g,permanent resurfacing and/or 'replacing improvements) "� ,* t:�t•
s _ Jr�
In consideration of the granting• of this .permit, the applicant ,hereby_ agrees_ to: rr ti : '•', * -fit r.
1. ;' Indemnify, clefend,and save the City, its authorized'agents,iofficers, represe'niatives and employees, harmless from and°against any a d all, ";: , ., +
I • penalties, liabilities or loss resulting •from 'claims or court -action and arising out of, any accident, loss+`or dam_ age• to' persons or property _
happening or,occurring•as a proximate result of any work,undeitaken under the permit granted4pursuant to•this•applicatFon'
Notify the Administrative Authority at least twenty-four (24) hours', in advance of the time when work will beistarted. ` 11
„ .•y' `;
I' •.-,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`torpay•for any additional replacement necessary, as the result of•this work.
i, ` F..- 1All,,tl_., i �?K�.w7Ai: F7 �~x+A.r•� �.e'-R ..1�. .. �f-(+�,. �t.i .R. /�.'.If y1t.✓
I ', � • •-•'� . � � ������ ��* "� •. ,Signature of Applicant or Agent • •,
I �aYrric�'�i�>�la�lvt � �� '�� �tA.1' •�.(!y lld� �3���t��" >:�inatd�,��'�:,>� 1
I Name ofrApplicant'(please print) Business'Address -• Telephone No.
,' n:t taxi ci 'x+i + rree 3� mfr %t *10 •�a+ 16. Ok 4 1(V t al'-IfAl '• ��I4;.1�i06
r Name'of Contractor and Job Foreman n Business Address. ' Telephone No ° $
' `, '
Contractor's,License' No. City Business;Llcense No:
Applicant's Insurance Company ;Policy Number
�..: 5
FEES: Subdivision: Improvement Permit — Class III JUL 2 5 1997.
Public -improvements: A. of estimated construction costs"
Private improvements: 3% of estimated construction costs 4 g It
OF
�.�
Minor. Improvement Permit — Class IV: See attached schedule' `'
Inspection Fee i $ • PERMIT VALIDATION
Permit Fee � .500. X636
PERMIT NO:
Penalty -
Cash Deposit -Surety Bond DATE APPROVED i��3%9i
if required EXPIRATION DATE 12/31/97
TOTAL: $ 500" DATE ISSUED i% 7/25/97
l Receipt No.
T B '
Received by DateAdministrative Authority
Recorded by -";'Telephone: (619) 777-7075
NOTE:
With proper validation'
this form constitutes an CITY OF LA QUINTA
encroachment permit Q f t
APPLICATION FOR PERMIT V
PUBLIC WORKS CONSTRUCTION (ENCROACHM
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
�� 25
I Ci(1 Subdivision Improvement Permit — Class I I I
DATE: t Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION —GO('Rei Ot' 'h=�Cj� WGZy )�� a,�p� b lhR
(Street address or Description of Locationl-
PURPO OF CONSTRUCTION
Sketch (attach construction plans if appropriate)
� � Ih
DESCRIPTION F CON RUCTION e {:— A f A<,HS0 COIJ D I�1 04 5
4 A>'I►3
DIMEN ION OF INSTALLATION OR REMOVAL l
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN /
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify, -defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
penalties, liabilities or loss resulting from claims or court action and arising out of. any accident, lou 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
LJ Quinta and to pay for any additional replacement necessary as the result of this work.
Sign t re of Applicanto�rr Agelnt \ (�ly� � c�Z —Z7 � 7
ScXyvty fes[ 2-31�Id &CI&I"HiS LA
Naml3 of Applicant (p a se print , Business Address I Teleohone No.
1}e Cam &k,,,rd/icy-(e.N %c�.fn ,. �o -760 --775 - 7r&(D
Name of Contractor and Job Foreman Business Address Telephone No.
�cl 2 50
Contractor's License No. City Business License No.
's ) 621hf cw CV S- N(, CO r C L5 c 3 78
Applicant's Insurance Company GEN. LIA61LITy Policy Number
FEES: Subdivision ,Improvement Permit —Class III
Public improvements: 3% of estimated construction cosh
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: $ 1500
Receipt No.
Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED 7 y 9 7
EXPIRATION DATE
DATE ISSUED 7 Z� %
By
Administrative Authority
TELEPHONE -'(619) 777-7075
The following General and Special Provisions are attached to and made a part of Permit No. Ze�ls (42
GENERAL PROVISIONS
The following shall always apply:
ENROACHIVIENT 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 is the responsibility of the permittee for his contractors to
secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting work.
TRACKLAYING CONSTRUCTION EQUIPMENT: Cleated tracklaying construction equipment shall not be permitted to operate on
any paved surface unless fitted with smooth -faced street pads. 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 cost 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 detours and detour signs shall be placed and maintained for the
duration of the project. The City shall be notified.24 hours 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 by the permittee that he must close a street for
any length of time, permittee shall contact this office to obtain the necessary permission.
SPECIAL PROVISIONS
The following shall apply when indicated:
ONOTIFICATION: Permittee shall notify the City at (619)777-7075 at least 48hoursin advance of starting construction.
UTILM CLEARANCE: (Substructures) Prior,,to making any excavation within the City of La Quinta right,of way
authorized 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.
UTHM 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.
R4 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 conformance with City of La Quinta Road Improvement Standards and
Specifications, Ordinance #461'.
®RS PARKWAY GRADING:. Area between the property line -and top of the proposed concrete curb shall be graded to a slope of
1/4, inch to one foot (P).
R6 GRADE CHECKING: City of La Quinta shall check -grades upon receipt of plan and profile and/or grades as established by
a licensed engineer.
R7 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.
R8 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.
CRI-,' SIGHT CLEARANCE: Sight clearance of 600 feet in all directions shall be assured and maintained at all times.
RIO SOIL STERMIZER: The area to be surfaced shall be treated with soil sterilizer. Rate of application shall commply with the
manufacturer's specifications. , 1.
COORDINATE WORK: 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 of City of La Quinta projects.
12 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 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 or replacement of all survey monuments for proper project clearance.
13 PAVEMENT CUTTING: Pavement will be mechanically saw cut to a straight 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 traffic. Prior to final paving operations, any damage to pavement straight edges shall be corrected.
R14 LIMIT OF EXCAVATIONS: Excavations shall be limited to 1000 linear feet of open trench 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.
Rl BACKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimental to its use for purposes
of producing an adequately consolidated backfill. Any material which the City of La Quinta deems unsuitable (spongy or
saturated material) which is encountered during excavation shall not be used for backfill, but shall be supplemented or replaced
by an approved sand or gravel.
R16 BACKFILL SAND: Backfill shall be approved transit -mix sand or equivalent and shall be placed in lifts of not greater than
three feet (3') and vibrated using vibrotamper or equivalent equipment. Alternate methods may be substituted, but in any case,
a relative compaction of 95 percent shall be attained with the structural section of the roadway.
R17 BACKFILL PLACEMENT: Backfill 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 (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.
18 COMPACTION TESTS: If so required by the inspector, compaction tests shall be made at intervals of not more than 1000
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.
19 COMPACTION TESTS: If so required by the inspector, compaction tests shall be made for each crossing or service line.
One (1) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent repairs.
Compaction tests shall be made as, outlined in Section 6.3.01 of the Standard Specifications, Division of Highways, State of
California, dated January 1973.
R20 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 3000 linear 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.
R21 PERMANENT PAVEMENT REPAIR: After backfill and compaction 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.
R22 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.
STREET RESTRIPING: Where street striping is still visible on streets to be excavated, such striping shall be replaced upon
completion of permanent repairs.
R24 TREE RELOCATION OR REMOVAL: Tree relocation within the City of La Quinta road right of way shall be
accomplished by a licensed, bonded and insured tree service, and handled safely without interference or hazard to the traveling
public. It shall be the responsibility of the permittee to maintain the tree in a vigorous growing condition at its new location.
Trees to be rem6ved shall be 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 is becomes necessary to
restrict traffic, the work shall be restricted to a maximum of 500 feet at any one time. Adequate signs, flagmen and or
barricades shall be provided to protect the traveling public at all times.
Large holes resulting from tree removal shall be backfilled and compacted to not less than 90 percent or equivalent to the
surrounding ground, whichever is the greater compaction as determined by the 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.
SPECIAL CONDITIONS--PERNIIT NO. 2636
---: Lapis Energy/GraniteConst ---
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 restricted work hours. Operation. and maintenance of equipment shall `
be performed only during the following time periods:
A. Work shall be limited between the hours of 9:00 A.M. and 3:OO.P.M. for all work areas'
beyond five hundred (500) feet of the signalized intersection of Park Avenue and Avenue 50.
Traffic control shall be set up and construction activity shall not begin earlier than 9:00 A.M.
Excavated trenches shall be backfilled and temporarily paved and traffic control shall be
removed no .later than 3:9,0 P.M.
B. Contractor shall make special arrangements, including payment of overtime inspection fees,
two ,(2) working days prior to any work that is performed outside the normal weekeday hours
of 6:00 A.M.:to 5:00 P.M..
5. It shall be the Permittee's responsibility to coordinate with the Riverside County Traffic Signal
Maintenance Department,.at (909) 275-6894, to alter the normal operation of the signals within the
intersection of Park Avenue and Avenue 50. These signals shall operate on a "flashing red" phase
during construction within five hundred (500) feet of the intersection. They shall operate on a
manually -set timed phasing program during the interim period from when the signal system is
affected by the removal of existing traffic loop detectors to the time when those loop detectors are
replaced in kind. The signal's operation shall be returned to its regular automatic phasing program
when the removed traffic loop detectors are replaced. The interim period of signal operation shall
not exceed seven (7) days from the completion of trench backfill work within the La Quinta city
limits.
6. Permittee 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.
7. 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). A traffic control
plan shall be prepared in accordance with the WATCH Manual and submitted to the City for review
and approval one (1) week prionto starting any construction. It shall be the Permittee'sresponsibility
to detour and barricade all construction sites. Traffic control set-up shall be inspected and approved,
by the City Inspector each day.prior to commencement of construction activity.
Special Conditions - Permit No. 2636 Page 1 of 4
SPECIAL CONDITIONS --PERMIT NO. 2636
---.Lapis Energy/Granite Const ---
8. Street closures shall not be permitted. 'A minimum of one travel lane on paved surface shall be
maintained with flagmen at all times.
9. Prior to excavating, the permittee shall contact Underground -Service Alert at 1-800-422-4133.
10. 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.
1 L. Backfill compaction within street rights-of-way shall conform with Section 306-1.3 of the latest
edition of the Standard Specifications For Public Works Construction (SSPWC), except as otherwide
specified herein.
Native material may be used as backfill material provided that minimum compaction, achieved in
the manner prescribed herein, is achieved. Backfill shall be performed by mechanical means; no
water densified compaction via jetting or flooding or other means shall be allowed. It shall be the
Permittee's responsibility to provide appropriate geotechnical supervision, testing, and inspection,
onsite, at all times during backfill operations.
Backfill compaction shall be achieved by the following conditions:
A. When a firm foundation is not encountered due to soft, spongy or other unsuitable material,
such material shall be removed to the limits directed by the Geotechnical Inspector and/or the
City Inspector and the resulting excavation backfilled with pipe bedding material.
B. Backfill materials shall be brought to or maintained at an appropriate moisture content for
compaction.: The appropriate moisture content range shall be established at the onset of the
project and ensured prior to use of the materials through progress testing on the stockpiles.
C. The first length of trench backfilled shall be backfilled in the presence of the City Inspector..
Compaction shall be tested at random depths at approximate three-foot vertical intervals as
backfill is placed to ensure the effectiveness of the compaction methods and to establish the
depth of lift that can be compacted.
D. If lifts greater than one foot are attempted in this trial length of trench, compaction tests shall
be taken within the lifts to ensure that the full depth of the lift is compacted. Upon satisfactory
completion of this portion of trench, the City Inspector shall establish the maximum lift
thickness to be compacted. for the remainder of the project:
E. In subsequent lengths of trench, the frequency of compaction tests shall equal one per each lift
of backfill, per 300 linear feet of open trench, at randomly selected locations within the open
length of trench.
Special Conditions - Permit No. 2636 Page 2 of 4
SPECIAL CONDITIONS --PERMIT NO. 2636
----Lapis Energy/Granite Const ---
F. The depth of the randomly selected compaction tests shall also be randomly selected except
that where multiple tests are required in a given length of trench, the tests shall be no closer
than three feet (vertically) from each other.
G. If any compaction test fails, previously placed backfill (in the same length of open trench or
previous lengths of trench) which is represented by the failing test (as determined by the City
Inspector), shall be tested for compliance with compaction requirements.
H. All costs incurred due to the conditions above shall be borne by the Permittee. Copies of all
test results shall be furnished to the City Inspector.
12. All excavations within. City of La Quinta right-of-way shall be backfilled, and temporarily paved if
within the existing trael way, at. the end of every workday as directed by and to the satisfaction of
the City Engineer for .the protection of the public. Lengths of open trench shall not greatly exceed
that which can not be backfilled in the same day. Excavated. trenches shall not be allowed open
overnight, however, contractor may leave a.length of excavated trench, not to exceed twenty (20)
feet in length, open overnight at a point where construction will begin the next day, provided that
this length of trench is completely covered by steel plating.
13. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to
its original condition.'
14. Access and egress to all local properties shall be maintained at all times.
15. Permanent pavement replacement shall be completed no later than seven (7) days after the
completion of the trench backfill work within the La Quinta city limits. Permanent pavement
replacement shall conform to the following conditions:
A. Existing a.c. pavement shall be sawcut one (1) foot beyond trench edges. Edges shall be
straight and clean.
B. Permanent pavement replacement structural section, within all trenches, one (1) inch greater
than existing, meeting the requirements of Sections 200-2.2 and 200-2.4 of the Standard
Specifications for Public Works Construction. The replaced pavement and base material shall
be compacted to 95% relative compaction and respectively tested, for each 300 linear feet of
trench.
C. The finished pavement surface at each edge of this overlay area shall be smooth, consistent,
and shall conform to the surrounding grades. Existing striping affected by this resurfacing
shall be replaced in kind by the Permittee, as directed by and to the satisfaction of the City
Engineer.
D. Asphalt concrete mix design shall be approved by the City prior to its placement.
Special Conditions - Permit No. 2636 Page 3 of 4
SPECIAL CONDITIONS --PERMIT NO. 2636
--- Lapis Energy/Granite Const ---
16. Permittee shall notify the City of La Quinta Public Works Department a minimum of 48 hours prior
to commencement of any construction at (760) 777-7075.
17. Permittee shall stabilize any soil that was disturbed (shoulder areas; etc.) as a result of work
perforined under this permit with an approved dust control treatment.
18. The City has designated by ordinance .certain city streets as Truck Routes. The weight limit for
restricted streets (i.e., streets not part of the Truck Route network) is three (3) tons; trucks exceeding
the weight limit may use a restricted street. if making a delivery or pickup on the subject street, or
if this, permit specifically grants permission to use the street to deliver street construction materials
and/or equipment.
19. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
20. The Permittee shall obtain insurance coverages in accordance with the indemnification and insurance
requirements specified in Engineering Bulletin 97-04 and provide an insurance certificate naming
the City of La Quinta as an additional insured.
.21. This permit is for pre -watering, clearing and grubbing only no other work is to be performed under
under this permit.
22. Permittee/contractor shall comply with all City requirements regarding but not limited to, dust
control, Archaeological, Paleontological Etc.
„
MEMORANDUM
TO: Saundra Juhola, Admin.. Services Director
FROM: Hector Guzman, Assistant Engineer I �S
VIA: Chris Vogt, Public Works Director/City Engineer
DATE: July 29, 1997
SUBJECT: Parcel Map 28422, Lapis Energy
The developer of the subject project has provided the City with a Subdivision Performance Bond
(#1M 38760) in the amount of $8,100. The bond is security for the Fugitive Dust Mitigation Plan.
Please keep°this bond in your Development file.
4
Permrt 24636~
hg
AMERICAN RELIABLE INSURANCE COMPANY
8655 F,: Via De Ventura, Scottsdale, AZ 85258
Highway Encroachment Bond Bond No. LM 38760 .
KNOW ALL MEN BY THESE PRESENTS, That we, Lapis Energy Organization Inc.
. as.PRINCIPAL, and American Reliable Insurance Company, a corporation
existing under the laws of the State of Arizona, as SURETY, are held and firmly bound unto
City of La Quinta , as OBLIGEE in the penal sum of EIGHT THOUSAND
ONE- HUNDRED***** Dollars($ 8,100.00), lawful money of the United States of America, to the
payment of which sum well and 'truly to be made, we hind ourselves, our executors,
administrators; successors and assigns; Firmly by these presents. `
IT IS A CONDITION OF TILE, ABOVE OBLIGATION, that, whereas the OBLIGEE has
granted permission by.permit to PRINCIPAL to encroach into the public highway 111 & Dune
Palms Road bchveen milemarkers', n/a and n/a for the, purpose' of
Relocating and Stockpiling Soil - Clearing & Grubbing-
NOW,.
rubbingNOW,, THEREFORE, if the above named Principal shall faithfully observe, keep and perform
all the conditions and provision of said permit and. shall remove said encroachment when .
ordered to do so by the City of La Quinta and shall restore the
highway, then this obligation, shall be null and void; otherwise to remain in full force'and'effcct.
Signed this 15th! clay of July , 19 97.
Lapis Energy Organization Inc. ,
Principal
t Title 1
American Reliable Insurance Company
Attorney -in -Fact Matthew Dobyns
i
AMERICAN RELIABLE INSURANCE COMPANY
Administrative Office:
8655 E. Via De Ventura Scottsdale, Arizona 85258
GENERAL POWER OF ATTORNEY
GPA .38 160
11oj17:R ur.4rlrilt,vert :41.1/) 1F AWA41tliREV IN IrISI)
Know All Men by 'these Presents, That American Reliable Insurance Company,: a corporation dulyorganized and existing under the laws of the State of Arizona,
and having its administrative office in Scottsdale, Maricopa County, Arizona; does by these presents make, constitute and appoint
***LES MANTLE' or MATTHEW R DOBYNS***
of Fullerton _ and State of California its true and lawful Attomey.-in-Fact, with full power and authority for and on behalf of the Company as surety, to
execute and deliver and affix the seal of the Company thereto, if a seal 'is required, ori bonds,. undertakings, recognizance, consents of surety, or other written
obligations in the nature thereof, as follows
**"CONTRACT BOND (SRA GUARANTEE AGREEMENT) MAXIMUM P NA TY Sl 250 .000.00***
***OTHER CONTRACT BONDS - MAXIMUM PENALTY S250 000 00**"
***ALL OTHER BONDS - MAXIMUM PENALTY $50.000.00***
"THIS POWER OFATTORNEY SHALL TERMINATEAND BE OFNO FURTHER EFFECTAFT .R DEC 31, 1997"
and to bind the Company thereby as fully and to the same extent as if such bonds were signed by the President, sealed with the corporate seal of the Company and
duly attested by the Secretary, hereby ratifying and confirming all that the said Attomey-in-Fact may do in the premises. Said appointment is made under and by
authority of the following resolution adopted by the Board of Directors of the American Reliable Insurance Company, at a meeting held on the 29th day of July, -
1993.
In witness whercol. American Reliable Insurance Company has caused these presents to be signed by its Vice President and its corporate seal to be hereto
nllixcd this 21st day ol• January , AD., 1997 .
Z�'
\ E INSbq�
! U PPORAr�W AMERICAN RELIABLE INSURANCE COMPANY
O
SEA\- I
b 'f * �:Z:
by:
�RIZD ,` Stephen C. Kolb, Vice President
1111
State of Arizona
SS:
County of Maricopa
On this 21st day of January , in the year _ 1997 before me Gwen A. Dick a notary public, personally appeared Stephen C. Kolb
personally known to me to be the person who executed the within instrument as Vice President on behalf of the corporation therein named and acknowledged
to me that the corporation executed it..
OFFICIAL SERI
GWEN A. DICK
Notary Public - State of Arizona
MARICOPA COUNTY
My Comm. Bores Sept. 22, 1998 NOTARY PUBLIC
RESOLUTION OF "TME BOARD OF DIRECTORS OF AMERICAN RELIABLE INSURANCE COMPANY
i
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
,
Y
No. 5907
State of California.
County of Grange
On 7-15-97. before me Mary.'Angel - Notary. Public
DATE NAME. TITLE OF OFFICER - E.G., -JANE DOE NOTARY PUSUC-
personally appeared Matthew R. Dobyns
NAME(S) OF SIGNERS)
® personally known to me - OR - ❑ proved to ,me on the basis of satisfactory evidence
to be the personM whose name(l) is/== --
subscribed to the within instrument and ac-
knowledged to me that heURDIxexecuted
the same 'in his authorized
I MARY EL capacityp=A and that by his
'.� F COtVI�A. #1057533 signature(If) on,'instrument the person(x'
NOTARY PlaBW . C
c4-EcoLWy or the entity upon behalf of which the,
COM Expires Aug. tt, 194
person(Xj acted, executed the instrument..
WITNESS my hand and official seal.
SIG ATU E OF NOTARY
OPTIONAL
Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent
fraudulent reattachment of this form.
CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED. DOCUMENT
❑ INDIVIDUAL
❑ CORPORATE OFFICER
TITLE(S) TITLE OR TYPE OF DOCUMENT
❑. PARTNER(S) ❑ LIMITED f
D GENERAL
ATTORNEY-IN-FACT NUMBER OF PAGES
❑ TRUSTEE(S)
❑ GUARDIAN/CONSERVATOR
❑ OTHER:
DATE OF DOCUMENT
SIGNER IS REPRESENTING:
NAME OF PERSON(S) OR ENTITY(IES) t
American Reliable Insurance
Company SIGNERS) OTHER THAN NAMED ABOVE
m1993 NATIONAL NOTARY ASSOCIATION • 8236 Remmet Ave., P.O. Box 7184 • Canoga Park, CA 91309-7184
r
z4.4QmG� z
v a
C.
yOF MEM•.ORAND UM
TO: Saundra Juhola, Admin. Services Director
FROM: Hector Guzman, Assistant Engineer I
VIA: Chris Vogt, Public Works Director/City Engineer L v
DATE: July 29, 1997
SUBJECT: Parcel Map 28422, Lapis Energy
The developer of the subject project has provided the City with a Subdivision Performance Bond
(#1M 38760) in the amount of $8,100. The bond is security for the Fugitive Dust Mitigation Plan.
Please keep this bond in your Development file..
c,.„. uFil'e Permrt 2636;
hg
AMERICAN RELIABLE. INSURANCE COMPANY
8655E. Via De Ventura, Scottsdale, AZ 85258 ,
Highway Encroachment Bond Bond 'No. LM 38760
KNOW ALL MEN BY THESE PRESENTS, That we, Lapis Energy Organization Inc.
as PRINCIPAL, and'Amzrican Reliable Insurancef6mlanv, a corporation
existing under the laws of the State of Arizona, as SURETY, are held and fuznly bound unto
City of La Quinta, as OBLIGEE in the penal sum of EIGHT THOUSAND
ONE HUNDRED***** Dollars(S 8,100.00), lawful money of the United States of America, to the
payment of which sum well and truly to be made, we bind ourselves, our executors,
administrators, .succcssors and assigns, Firmly by these presents. )
IT IS A CONDITION OF TILE ABOVE OBLIGATION, that, whereas the. OBLIGEE has
granted permission by. permit to PRINCIPAL to encroach into the public •highway 111 & Dune
'Palms Road between mile markers u/a and n/a for the purpose of
Relocating and Stockpiling Soil - Clearing & .rubbing
NOW, THEREFORE, if the above Hamed .Principal shall faithfully observe, keep and perform
all the conditions and provision of said permit and shall remove said encroachment when
„ ordered to do so by the City of La Quinta and shall restore the
highway, then this obligation shall be null and void; otherwise to remain in full force and effect.
Signed this 15th day of -July 19 97.
Lapis Energy Organization Inca
r 4 Principal
Title
liable Insurance Company
,act Matthew Dobyns
y,
1. .
C
' AMERICAN RELIABLE INSURANCE COMPANY
Administrative Office:
8655 E. Via De Ventura Scottsdale, Arizona 85258
GENERAL POWER OF ATTORNEY
GPA 38760
P0117-RO .47 01M:r►:1.1n/l•NnAHIER:0hYu�in
Know All Men by These Presents, That American Reliable Insurance Company; a corporation. duly organized and existing under the laws of the State of Arizona,
and having its administrative office in Scottsdale, Maricopa County, Arizona, does by these presents make, constitute and appoint
***LES MANTLE or MATTHEW R DOBYNS***
of z Fullerton _ and State of California - its true and lawful Attomey-in-Fact, with full power and authority for and on behalf of the .Company as surety, to
execute and deliver and affix the seal of the Company theretd, if a seal is required,, on bonds, undertakings, recognizance, consents of surety, or. other written
obligations in the nature thereof, as follows
***CONTRACT BONDS (SBAGUARANTEE AGREEM .NTT - MAXIMIIM PENALTY S1 250 000 00***
***01,11Elt CONTRACT BONDS - 11.1AKIMIIM PENALTY $250,000,00***
***ALL OTHER BONDS - MAXIMUM PENALTY S50.000.00***
"MU POWER OFATTORN£YSNALL TERAUIVATEAND BE OFNO FURMU Eff-ECTAFM DEC1. 1997"
and to bind the Company thereby as fully and to the same extent as if such bonds were signed by the President, sealed with the corporate seal of the Company and
duly attested by the Secretary, hereby ratifying and confirming all that the said Attomey-in-Fact may do in the premises. Said appointment is madeunder and by
authority of the following resolution adopted by the Board of Directors of the American Reliable Insurance Company, at a meeting held on the 29th day of July,
1993.
In witness whereof. American Reliable Insurance Company his caused these presents to be signed by its Vice President and its corporate seal to be hereto
affixed this 21st day of January , AD., 1997 .
00III
0E
Q�/r PpOR,�T ` VX
�� % AMERICAN RELIABLE INSURANCE COMPANY
'0
�-OIIIIIIN \ Stephen C. Kolb, Vice President ~
State of Arizona
SS:
County of Maricopa `
On this 21st day of January , in the year _ 1997 before me' Gwen A. Dick a notary public, personally appeared Stephen C. Kolb
personally known to me to be the person, who executed the within instrument as Vice President on behalf of the corporation therein named and acknowledged
to me that the corporation executed it. .
OFFICAL SEAL
GWENEN A. DICK
Notary Public State of Arizona
MARICOPA COUNTY
My Comm. Expires Sept. 22, 1998 U NOTARY PUBLIC
RESOLUTION OF THE BOARD OF DIRECTORS OF AMERICAN RELIABLE INSURANCE COMPANY
0
CALIFORkIA ALL-PURPOSE ACKNOWLEDGMENT
No. 5907
State of California
:
County of Orange
On 7-15-97 before
me, " Mary Angel• - Notary Public
DATE a
NAME. TITLE OF OFFICER - E.G.. 'JANE DOE NOTARY PUBLIC'
personally appeared
Matthew R. Dobyns
NAME(S) OF SIGNER(S)
® personally known ito me - OR - ❑
proved .to .me on the basis of satisfactory evidence
to be the person(Xj whose name(l) is/mk
subscribed to the within instrument and ac-
knowledged to me that he xecuted
the same in his authorized
MARY ANGEL f
capacity and thaat by his
CQMM. #1057533
signature(!) on the instrument the person(!),
>.
VOT ORAtd
ScOmrn.
or the entity uponbehalf of which• the
Aug. ft,1
person(X5 acted, executed the instrument.
WITNESS my hand and official seal.
SIG ATU E OF NOTARY
OPTIONAL
Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent
fraudulent reattachment of this form.
CAPACITY CLAIMED BY SIGNER
DESCRIPTION OF ATTACHED DOCUMENT
❑ INDIVIDUAL
❑ CORPORATE OFFICER
TITLES)
TITLE OR TYPE OF DOCUMENT
❑ PARTNER(S) ❑ LIMITED
". "
❑ .GENERAL
r
ATTORNEY-IN-FACT
NUMBER OF PAGES
❑ TRUSTEE(S)
❑ GUARDIAN/CONSERVATOR
❑ OTHER:
SIGNER IS REPRESENTING:
NAME OF PERSON(S) OR ENTITY(IES) ,
American Reliable Insurance-
Company ,
DATE OF DOCUMENT
SIGNER(S) OTHER THAN NAMED ABOVE
01993 NATIONAL NOTARY, ASSOCIATION • 8236 Remmet Ave., P.O. Box 7184 • Canoga Parc, CA 91309-7184
Daily Inspection Report'No. City of La Quid
Contractor—
Supt.
ontractor Supt. on Job Sheet/ T of
Al— 1
Weather -�� Date ' 11l
Temperature °F Max °F Min Project
Work Hours to Memos Issued
Photos
Special Conditions, Delays, Changes
Accidents Damage `
Sampling, Testing ,�