Loading...
2649-, f,{ N(WE: With proper validation .*is 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:/nb/�� Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Adn= Strcct end 7AJ xitcwzUter Stoma Ckhnunel La 'rTalnta folf- S torago SDP 96-590 (Street address or Description of Location) PURPOSE OF CONSTRUCTION Conotruet ou & Off cite i-,ror®v(v,.cEPketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Seo Planc DIMENSION OF INSTALLATION OR REMOVAL Soo r1nno SIZE OF EXCAVATION, IF NEEDED Seo Mann APPROXIMATE TIME WHEN WORK WILL BEGIN 8/27/91 APPROXIMATE TIME OF COMPLETION 11/28/97 ESTIMATED CONSTRUCTION COST $ X115,127.22 (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: Sen nttnchad conditions - Seo p1a U titled, "Prccioo Grading and Prtv:,'�Lnr, Plans, T., Quinta Self -Store: O, b7 with Intertintional, Inc., apjp,: oa crr 8/15/97 and °t±AIrl Quintt� StzooscYY�prowc.moni PlLmt3", by Neizh Intomitionni, Inc., epprovod 0/15/97. Indemnify, -defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application. Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started. Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of La Quinta and to pay for any additional replacement necessary as the result of this work. A4,1 A -p -d Signature of Applicantvor Agefit Ltt41ny PuildOrG, Inc. 5010 Ctaaapuo Dr., Vcwport Dosch, CA 92660 714/031--2211 Name of Applicant (please print) Business Address Telephone No. $a-10 Name of Contractor and Job Foreman Business Address Telephone No. 71�357057 4934 Contractor's License No. City Business License No. sl r�xe7�ocd /:nP. 1s4r c� ,c �r Yap raw ca/ Chlttibb/r,,edcr il .(?.119246/797(c� 36333 en cert. of i. Applicant's Insurance Company Ovoam,, l Liab121ty Policy Number FEES: Subdivision Improvement Permit —Class III "ID Public improvements: 3% of estimated construction costs Private improvements: 31/o of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ 100 3,454 L I��'it Qiuctt pepof it Ferialt'y �;�'�•d�,t �_ � - `� Sft, Cash Deposit -Surety Bo'nd� ,'``if required 2,000 TOTAL: $ 8,X4 Receipt No. Received by Date 2 41,9 AUG 2 7 1997 PERMIT VALIDATI'BN �-�`i 0tJ1N'�'A PERMIT NO. DATE APPROVED 0/26/97 EXPIRATION DATE 12/ 1/97 DATE ISSUED By -1.7 "'i Administrative Authority Recorded by 11 Telephone: (619) 777-7075 ♦ NOTE: With proper validation this form constitutes an CITY OF LA QUINTA J 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 DATE:— LOCATION ATE: LOCATION OF CONSTRUCTIO L' I v I ry'— L -V 1(A -L 2 (Street address or Description of Location) I PU P SE OF CONSTRUCTION ci­ n14 DESCRIPTION F CONSTRUCTION Subdivision Improvement Permit — Class II I i, Minor Improvement Permit Clan IV Sketch (attach construction plans if appropriate) DIMENSION OF INSTALLATION OR REMOVAL �L R nn C,+1 u pSe, (� � `� Gtr ��,V(,i•-cGi' 1 %- SIZE OF EXCAVATION, IF NEEDED � �3,�.��� U�.J K .APPROXIMATE TIME WHEN WORK WILL BEGIN L l/�C • If �f r ���J - APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ /� (Including removal of all obstruction, materials, and debris, backfilling, com• `�1 pection and placing permanent resurfacing and/or replacing improvements) h In consideration of the granting of this permit, the applicant hereby agrees to: �� ILI Indemnify, -defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all penalties, liabilities or loss resulting from claims or court action and arising out of. any accident, loss or damage to persons or property happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application. Notify the Administrative Authority at least twenty-four 124) hours in advance of the time when work will be started. Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of LA Ouinte and to pay for any additional replacement necessary as the result of this work. ceQQ 2-20 LL -7 lG7 H "'�� ✓ l �� Signature of Applicant or Agent 71 �Tv 0 Ne, 61 12� Name of Applicant (please print) Business AddreA Telephone No. Name of Contractor and Job Foreman Business AddressTelephone No. (�ItA,o2 017-7 Contractor's License No. City Business License No. �nx"Ina ce.. �7vj N - (01 2_Z7 ­5�_ Applicant's Insurance Company GEN. L.IA6ILITy 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 $ Permit Fee �� Z � f'i`rm �J(M �� eposit•Shc— 2� �O y TOTAL: $-- Receipt No. Received by Date Recorded by PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE LZ I DATE ISSUED 2 By Administrative Authority TELEPHONE: (619) 777-11075 '' �Glfliw MEMORANDUM OF T1 TO: Finance Department FROM: Marcus Fuller, Assistant Engineer I DATE: August 27, 1997 RE: La Quinta Self -Storage, SDP 96-598, Dust Control Security The applicant/contractor for the, La Quinta Self -Storage, Hedley Builders, Inc., has submitted. a business check (check no. 5154) in the amount of $4,000.00 to be deposited and'held by the City for dust control security during construction of their project.. Please deposit this check into an account which can be refunded to the contractor upon completion of their project: c permit 2649 file F:\PWDEPnSTAFFTULER\MEMOS\970827C.WPD 5154 HEDLEY BUILDERS, INC. 5010 CAMPUS DR., SUITE 100 NEWPORT BEACH, CA 92660 16-4024/1220 PH. (714)851-2211 DATEPAY Zi6 g 7 TO THE /000' ()oORDER OF 7 ?(� � DOLLARS MM= U.S. TRUST COMPANY js.IRUST NA 6prB0 o OLEVARD, STE. 150 COSTA MESA. CA 92626 FOR G2dalyG OCFW/r - GACAv,1rrA S,-� Il'005 15411' I: 1 2 2040 2491: 00 2 710142211' ./w 'Sent by: HEDLEY-8UILDERS 714 851,2410; st. 08/14/97 •,9:46AM';Jetfa'x #955;Pa9e 1/3 HOWN NOW TNX ran Sheet S deet: Date Time: .. To. �rrY F C 4 ' Attention: r 4FAX M Oli6))--?-7.1: -7155 y. ` ,Fmm: MIKEENGLHA�D A F Hedley BUilders' Inc. 501.0"Campus Drive,.` ' Newport Beach, Ca. 92660 REGARDING: FAX response to: (714) 851=24'10 (714)851-2211 # of pages.to follow: Z <, Coriments'l instructions, f ep;.e s t J, eZJ4 OT-C.- y�•-{.� � r r _ ' V `I�v�c� -+A,,4 C d 5 �<.�e '�'Aw 'dull' "Pe r n� -,4 1.4 :-�-• l,�-`o�� �, ' � - ltd;..-(ba'•�� �,.�ll•. j�..;,���� V�-�o-,;,�..�� '�s�•I$ • i Hedley builders Inc. ro We 5010 Carripus Drive, Saute 100.' Newvport. 9each,•Cu1ifoiTjw 92660 , (714) 851--'41,1.1. -- , FAX- 8.51-2410 . 6Lo1--tLL 16191 :3NOHd3131 A11Jownv eAllensiu!uiPV AS Aq PBWO2ab �' a190 Aq PBA!&oSu —�� 'ON 1dosaad OnSS131vo ' :1vio1 . 31V0 NOI1MHIdX3, . PeAlnbvA �! 09AObddV 31V0 •puog A1ajmS-3i5Ode0 µTry . • Allaued 'ON 11WId3d —� 60i I!wAod NOI1V019VA 11W1l3d ""' $ aad uols2adsul elnPvy21 pallmle aaS :Al ssr10 - 11wA8d 1u9WandldWl AOulyy 93900 U01136 IISUOO Mew1320;o 96E :IlueweAoJduAI KRAIJd 11502 1001121139uoa Pa1T(i1i29I0 %C :nusw6nOJdW101141nd 111 3120 - 11w"d WawanNdwl u0111AIPgnS :833,1 JagWnN Aollod AA1111SIVY�'N89 Auvdtuo0soueJnaul s,lunllddV 10/ `lam )Ag L -2v 01 M 1 '.c�,7 std 'ON esueoil 08u111119 A313 " 'ON "U0311 SrtoMASUOD "ON 94000414i ssJppy lieu png uewe/0d qof Pug M]"JIUDO;O OWN 11 r.L-1a13Ch1� 'O- - - - - - --�.I- • .. ,..r.. -r -I N aUOydslsl s5dip" liewl no (1411,1 BIBBIdj 3UQ'j!lddtj;O eWeN • o A b� r' y IIEO-7- a,;5 iTT eJ+ %7 ",,4411—t rot �� �! -' lisp Q0u8V JO 311941101,1 aAn3 S Si tic t w 441 I9 A4nwtfu IupwoxlAa, pu9111MIS Awe Jai A60fo1 ova elwln0 on. W A11ZI OW JO ovolialmleu pup I rw 61gtk I de 1 v p uue 841;e Km!t!Pue-S Pi 1Wap1 941'uaupu!p10 At!� plgsn!Idde ps 431M Aldw" 'WLpn eq ISM WOM ue%" M!I 941 ;e a]u"M w $Joey Ibt) snot-Atu9M1 Iml Is A1ue41nV 9A!1a11I!u It110V s14 AIIION' `uo!leslldde t!W at Wanund P949WO sluuad o41 A9pun ueAvimIpun 11 WM Au9;e llnta elpwiro,d 9 to Bu!AJI»x Ae eu!uaddtry A1mdaid A9 tueuod 01 esawep i0 aol '1u9101209 Aug -+o kno 9u!I!n pup uellna 1: nog jo swl9lo luau) Bu!llMal np1 AD pepillpigl 'fe!gsaee u; oat Awe 1 wide ova Wwp naluupu'weAoldwe pup 14AIMuo/eltlw-1u2*jNa '91 ADA9 09tue41np 13! 'N!o 941 eAx Pus puspP•'AI!nulapwl im seaJBs AgBAe4 Sue2!0ds a43 '11wied $141 ;O Bu13us16 vy3 ;o uctluaptsuas ul (S1uaWBAOJdW1 Bulr'4ldeA -JO/Pug Bulla;Jnlel WoupwAed Bupetd pus u6456d -woo flu!11!;1paq 'sllgep Pup 191e1Av1eW 'UQ133nn1g6 Ile JO lsAOwaJ Bulpnpul) c o 2 S lsoo No1LOn1d18N0o 03ivnim L66► 13Z ;,a w�7no1:A N01131dWOO 30 3WIl31VWIX0JjddV jnW.'F"' � N1039 111M NWOM I'AHM 3WIL 31VWI X0bddV • 03033N dl 'N0IIV0V3X3 JO 321S --h ''IVAOW3U UO NCI.LV-11V.LSN1 :10 NASNIlffld F' NOu�naLS 03 010 N011dlbos30 l ro'7 IslSudoadde;l sueld uoi30nilsuoo y0nipy 473o11g �,�—r tr T -n NOIi�Af',1SN0 010 3SOdNA41 s lummo•I to uopduonp to "Apps wngl. 77-15 "t 11(Y1 v 4 .� !o ✓. 5 N0=n81SN00 30 NOI1V001 Al 12910I!WIOJIUpWeAOldWI llUllry 111 SIe10 -- 3!WA9d iupweAOJdwl u0111AlpgnS :31V0 SNOISIf.IOSnS03A01lddVPUP S1NMAOUMI U6NIW 41!-u0!leauu03 u, 2luew9A0j.dw! 23JOM �,Ilgnd 911!66410 out 5u1ew Mom 'Mmol '1101 5u17IJBd}'Sil;sAA@Pl1 'SJUDLU d 'SABN1BAt1p TaAM MAIM Jo 51lgnd ;o uon3nnsuca a43 10j (IN3WHOVOa0N3) NOU:Intllsmoo Sml10M 0119nd lIWH3d 140,1 N011V.111ddd WINlno 1/1 -4o )1110 E/Z e6ed`•S96# XW!N 'LV:6 L6/VI,/80 `•01bZ I98 VLL dulled luotuWwa4va UP 96In3119U0e Wail $1041 uo111?P!IRA ledald 411p1 :31ON 11 1 S8301Ine A3103H :AQ }ueS U Sent by: HEDLEY BUILDERS 714 851 2410; 08/25/97 4:27PM; #883;Page 2/2 LA QUINTA SELF STIORAGE ON SITE .WORK IIS Mass Grading 4 Acres Asphalt Paving 53290 s.f. Curb & Gutter 600 I.f. Ribbon Gutter 2130 s.f. Site Utilities PVC drain pipe Drywell TOTAL ON SITE COSTS QFE3JiE. WORK ITEM UNITS Off Site Grading Asphalt Paving 11400 s.f. Curb & Gutter 584 I.f. Sidewalk 4056 s.f. CQC -5I $38,540-00 $18,651.50 $3,200.00 $16,437.00 $17,000.00 $93,828.50 "T $2,956.00 $3,990.00 $3,112.72 $11,240.00 $21,298.72 Sent by: HEDLEY BUILDERS 714 851 2410; 08/22/97 3:29PM;Jetr= #756;Page 2/4 T 5 E A M 6 A I C A N I N ST I T U T E O F A R C H I T E C T Initials TIX AIA Document All Standard Fc.rrn of /agreement Between Owner and Contractor where the bosis of payment is the COST OF TJdE WORK Pb US A FEE with or without a Guaranteed Maximum Price 1007 EDITION THIS DOCUMENT HAS IMPORTANT .;EGAL CONSEQUENCES, CONSULTATION WITH AN ATTORNEY IS ENCOURAGED WITH I!ESPECT TO ITS COAIPLETION OR MODIFICATION. The 1987 Edition of AM Document A201, Gen y al Conditions of lbe Contract for t:onstructfon, is adopted in ibis document by reference. Do not use wirl 1. other general conditions unless ibis document is modified. document has been approved and end rimed by Tt:e Associated Genera! Contractors of America. AGREEMENT made as of the • Fourteenth day of July in the year of Nineteen Hundred and Ninety Seven BETWEEN the Owner: Secured .Storage, i6 Limited Partnership (Nramrand &VArms) 46-604 Adams Streoht La Quinta, CA. 9:253 and the Contractor: MEDLEY BUILDERS, :;NC. (Name curd address; 5010 Campus Dr., Suite 100 Newport Beach, CA 92660 the Project is: La Quinta Self Storage (Name and aaWnvt) . 46-600 Adams Streot La Quinta, CA. 9:!253 the Architect is: Jordan Architects, Inc. (Name andaudrtas) 34700 Pacific Coa:,t Hwy. Suite 202 Capistrano Beach, CA 92624 The Owner and Contrai4441gW aRIA forth below. Copyright 1920, 1925, 195 t, 1958, 1961, 1963. 1967, IS 174, 1978, ®1987 by The American Institute of Architects. 1735 New York Avenue, N.W., Washington, D.C. 20006. Reprodwgiol of the material herein or substantial quotation Of its provisions without written pertnLuiun of the AIA rtukua the copyt ght laws of the United States anc will he subject to legal proseculiun. I Alp DOCUMENT Al 11 - 01ZINER•CONTRACTOR AGREEMENT • TENTH .1pdT1ON . AtAm • 0191!7 - Trt¢ AMERICAN IMSTITUTt of ARCHITECTS, i71S NEW YORK AVENUE. N.W.. WA.SMINCTON. D.C.. I*N16 AIII-1987 1 Sent by: HEDLEY BUILOEFS.`.` 714 8512410; 08/22/97 3:30PM;J'#756;Page 3/4 Initials ' ,,,,; 4.Z The Contractor shyl achieve Subsraucial Cornpletioci of the entire Wont (i0R that► ,, ;subject to adjustments of this Contract Time as.provided in the Contract Documents. 4.3 The Contract Construction Schedule $Des not .include any allowance for delays caused . by weather, plan discrepancies, changes lin the Mork, or other factors not controlled by the Contractor. It is understood that inclement weather including, but not limited to,.rain and excessive' winds is to be considered-justifiable cause for extension in Contract time in addition to-causes.enumerated•in Article 8 of the;General Conditions, to the extent that an excusable delay extends the, Job duration and Contractor thereby has additional time related costs consisting of general cond�-tions, supervision•cos.ts, and other costs hall be added o t � de t he Contr act .Sum by Chi:;nge Order. • AI1111CLE 5 CONTRACT SUM 5.1 The Owner shall pay the Coritrdctor in current funds to the Contracror's performance Oahe Contract the Contract sum con- sisting of the Cost of the Work 23 defined in Article 7 and tI); Consractor's Fee determined as fouoa+s: Change'Order contractor's fee will be Ss. S.Z GUARANTFtEp MAXIMUM PRICE (IF•APPLICABLq S.2.1 The sum of the cosi of the`W6rk and the Contractor's Fc; is guaranteed by tine Contractor not to eked Two 10.11 i on Eighty. r Five �ho�I�and st�t F�undre$' t►ent�y five and (10/100 Douus(s2,085,525.QQ 1, subtecs Tpo' luuns :tn de ucttons y ;ung five as providtd in the Contract Docments. Such maximum sum is referred to in the Contract Documents as the Guaranteed Maximum Puce. 'Costs which would cause the G(acaat'ead Maxlmtua Price to be exceeded shag be paid by the Contractor without reimbursemG111 by the Owner. r ALA 0OCUMENTA111 - i 1VCNr.H.coNTRACTDk AWIEUNIeNT • TENTH EDITI( .N • AIA' 14W? • TkX V-18 CAN INSTIITr1: Of. ARCIRTECTS. I"}a \FW YORK AVCNVE. X1X,. 4AxNINCTi)N. n.(:, :IMMM. A111•1987 '3 Sent by: HEDLEY BUILDERS 714 851 2410; 08/22/97 3:31PM.;Je¢fix #756;Page 4/4 1&1.7 aha r em, if any, forming part of the Contract Liocuments ace as fogows: 16.1.8 The General Conditions of the Contract for Construction are a fart of this Contract. (AIA Document #A201) Modified 1/88 Thu Agreement is entered into as of the day 2ru.1 year hist wdtt M abuse and is executed ;n at least three original copies of which one is to be delivered to the Contr2001', one to trrc AMMICct for = In the administration of the Contract, and theremainder to the owner. OWNER Sec ed Storage, A Limited Partnet±shilfONT OR Marchbrook Bu ldingPan Genera] Pa��tner (SlKnurunl Donald A. Benioff Donald A Benioff, Chief F}nancial Off.;cer Pptter. J, -1..%v-* rFn (/�UI1tYf llamv tilt! rlttc•! (:�71!lt6YJ !,(/p,P q!,(J rJrre) AIAOOCUMENTA11t • � tWNEII":()NTHA4:TOII At;REB.%11:-4T• TENTH Er tTION • AIA'0 *01`k1'T'ItE A1114987 14 AA1ERIt'AN V4ST1Tt:TE OF ANC111TUCT1. 1735 NEVI' YORK AVENUE. `.V.. V6M111NtiTU1%, Dl:.:t11M1ri SPECIAL CONDITIONS --PERMIT NO. 2649 --- Hedley Builders, Inc. --- In addition to the standard permit conditions, the following shall apply: 1. Pursuant to Section 14.16.320 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), all . work shall be performed in accordance with the latest edition of the Standard Specifications For Public Works Construction (SSPWC) and as directed by and to the satisfaction of the City Engineer. 2. Hedley Builders, Inc., hereinafter referred to as "Permittee", shall be responsible for providing continuous dust and erosion control. Permittee shall meet the conditions of Fugitive Dust Control Plan 97-16. 3. Streets shall be kept clean; They shall be completely cleaned at the end of each working day and more frequently if required. 4. Pursuant to Section 6.08.050 of the La Quinta Municipal Code (Ordinance 18 § 1, 1982), throughout the work site., the Permittee shall comply with City regulated work hours. Operation and maintenance of equipment within one-half mile of human occupancy shall be performed only during the following time periods: October 1 st to April 30: Monday -Friday 7:00 a.m. to 5:30 p.m. Saturday 8:00 a.m. to 5:00 p.m. May 1st to September 30: Monday -Friday 6:00 a.m to 7:OO p.m. Saturday 8:00 a.m.. to 5:00 p.m. 5. Work performed within 500 feet of a signalized intersection is restricted between the hours of 9 a.m. - 3 p.m. Traffic control shall be set up after 9 a.m. and removed before 3 p.m. The Permittee shall contact the Riverside Country Traffic Signal Maintenance Department at (909) 275-6894; if signal operation at a signalized intersection is to be altered in any way. 6. Pursuant to Section 14.16.110 of the La Quinta'Municipal Code (Ordinance 10 § 1 (part), 1982), 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. Pursuant'to Section 14.16.250 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), 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, if required, shall be prepared in accordance with -the WATCH Manual and submitted to the City for review and approval one (1) week prior to starting any construction. It shall be the Permittee's responsibility to detour and.barricade all construction sites. Special Conditions - Permit No. 2649 Page 1 of 4 SPECIAL CONDITIONS --PERMIT NO. 2649 --- Hedley Builders, Inc. --- 8. Pursuant to Section 14.16.290 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), street closures shall not be permitted. A minimum of one travel lane of paved surface shall be maintained with flagmen at all times. 9. Prior to excavating, if required, the Permittee shall contact Underground Service Alert at 1-800-422- 4133. It shall be the Permittee's responsibility to notify the Public Works Department of anticipated excavation which impact City facilities, including but not limited to traffic signal conduits and loops, irrigation lines, electrical conduits, and storm drain facilities. 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. 11. Pursuant to Section 14.16.370 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), 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 otherwise 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 Special Conditions - Permit No. 2649 Page 2 of 4 SPECIAL CONDITIONS--PERNIIT NO. 2649 --- Hedley Builders, Inc. completion, 'of of this portion of trench, the City Inspector shall establish the maximum lift thickness to be compacted for the remainder of the project. F. 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. G. 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. H. 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. I. 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 travel 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, Permittee 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. t 14. Access and, egress 'to all local properties shall be maintained at all times. 15. Pursuant to Section 14.16.375 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), permanent pavement replacement shall be completed no later than seven (7) days after the completion of the work. Permanent pavement replacement shall conform to the following conditions: A. Existing asphalt concrete 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, shall be 1"thicker than existing, or 6'/z" minimum, of asphalt concrete over the same existing thickness, or 6'/z" minimum, of crushed aggregate base or crushed miscellaneous base, meeting'the requirements of Sections 200-2.2 and 200-2.4 of the Standard Specifications for Public. Works Construction. Special Conditions - Permit No. 2649 Page 3 of 4 i SPECIAL CONDITIONS --PERMIT NO. 2649 --- Hedley Builders, Inc. --- The replaced pavement and base material shall be compacted to 95% relative compaction and respectively tested, for each 300 linear feet of trench. C. Asphalt concrete mix design shall be approved by the City prior to its placement. D. For transverse trenches across improved streets, the existing pavement surface, three (3) feet on either side of the sawcut edges of the trench, shall be cold -milled to a depth of 0.10', with a "butt" joint created along each edge of the cold -milled area, and a new 0.10' asphalt concrete pavement overlay applied throughout the cold -milled area. E. For longitudinal trenches within improved streets, the existing pavement surface, through the lane width (within lane line striping), shall be cold -milled to a depth of 0.10', with a "butt" joint created along each edge of the cold -milled area, and a new 0.10' asphalt concrete pavement overlay applied throughout the cold -milled area. F. Any existing lane striping affected by this resurfacing shall be replaced in kind by the Permittee, as directed by and to the satisfaction ofthe City.Engineer. Affected traffic signal loops shall be removed and replaced in kind. The finished pavement surface shall be smooth, consistent, and shall conform to the surrounding grades. 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 performed under this permit with an approved dust control treatment, as conditioned by Fugitive Dust Control Plan 97-16. 18. Pursuant to Chapter 12.56 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982) the City has designated 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. This permit authorizes the construction of on-site and off-site improvements associated with the La Quinta Self -Storage, SDP 96-598, as shown on the plans titled: "Precise Grading and Paving Plans, La Quinta Self -Storage," and "La Quinta Self -Storage, Street Improvement Plans," by Keith International, Inc., approved 8/15/97. Special Conditions - Permit No. 2649 Page 4 of 4 IJ r Small Scale Construction/Demolition Projects�5 Acres or Less), Fugitive Dust `(PM10) Mitigation lan Date: Jurisdiction: L -rt., File #: 961-s89 Part 1 Project Information 604 9} - /& 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. WM10) Mitigation Plan (Plan). It is recommended that you submit your Plan concurrent with your grading or demolition permit application. Project proponent:. The william warren Group Address: P.O. Box 2034 Santa Monica, ' CA 90406-2034, Day phone number: ( 310) 454-1500 Emergency phone number: ( 310) 454-1500 Grading contractor (Contact Person): Address: 5010 Campus Drive, Suite 100 Newport Beach, CA 92660 -Day phone number: ( 714) 851=2211 Emergency phone number: ( 714) 729-8321 Construction site street address: S.E. Adams Street/Whitewater River Construction site location: See Attached Map (Please include an 8.5 z 11, location map) Construction site assessor's parcel number (Tract #): Lot line adjustment in proces Parcel (Tract), size: 4:0 Acres or Square feet 'Anticipated date of physical project initiation: 8-11-97 Anticipated date of.project completion:, 9-1.5-97 Anticipated costs`for,dust suppression:- $4000:00 (Attachment B - Must also be completed and mailed to the appropriate address when construction activities have been completed) CONTACT: Mike Englhard JUL11997 q 1 All projects greater than one 'half (1/2) acre are also subject to SCAQMD Rules 403 and. 403.1. 0 Z m D r �l NOUVOOT 103road D D D z 0 Z ti cn 0 m m MjVm1S3M IFIdOS Ol lON dV'W ,KLINIDI[1 u409 D m Z_ D W m C D 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 the letter beneath the fugitive. dust sources listed below. Please indicate at which p{lase. 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 flow and when the measures are to be implemented. RG FG FC Details (ex., frequency of application: number and type of dust control implements, etc. Please be as specific as possible) Unpaved Roads - H H _ No roads will be constructed, Unpaved areas will be watered daily. Storage Piles RG FG FC Details (e.g., frequency of application number and type of dust control implements, etc. Please be as specific as possible) Land Clearing or Earth -Moving A Plater Daily during construction. Pre -water two (2) weeks prior to rough grading. Disturbed Surface Areas V Landscape/plant matreial will be established along project boundary per conditions of approval. 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 be completed. G -Z9 -9 J1 1141U1G 1l./VYl1G V1 ALL111V11O\.41\�r/aVJrucau.v �.r.+..� ,QK • S4, -A,3 ► eF40 dF OWN) R2 I have read the conditions of the Fugitive Dust (PM10) Mitigation Plan and the owner has authorized the ipiplementation of all its provisions throughout project buildout. -7Il-9 i nature of Uradi ontractor (Date) [f not the same"as above) M*ele W. S41460-0a�rO2 CONTyqCTV& �i 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 4ordinance. The two right columns contain an inventory ' and description of reasonably available fugitive dust control measures for each of the -sources. Please use this in_ formation ,as a guide when preparing a Fugitive Dust (PM10) Mitigation Plan. (Source No).Reasonably Available Source Control Measures Comments, r 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 F 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 aieas provided that it isnot disturbed f 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 r 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 eritire vehicle, including stored bulk. material in haul vehicles Unpaved (F) Paving _ o Requires street sweeping/cleaning if subject to'material koads 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 Comments o 15 mile per hour ma)amum 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 e)at 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 o Entire surface area should be covered once vehicle is full (g) Disturbed (S) Chemical stabilization o Vendors can supply information on methods for application and Areas/ required concentrations Inactive Construction Sites (T) Watering 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 For CityUse Only, c Based on all of the 'pf'ovisions contained in this Fugitive Dust (PM10) Mitigation'Plan the Plan is: Approved u Conditionally approved (Conditions specified below) Denied (Explanation attached) b_6 Signature of City Representative' (pate).' The following conditions of approval have been added•to the Plan byataff in order to ensure an adequate level of fugitive dust contror: • F (Attach additional information 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.' Signature o wner thorized Representative ate . 1 1 ♦i For CityUse Only, c Based on all of the 'pf'ovisions contained in this Fugitive Dust (PM10) Mitigation'Plan the Plan is: Approved u Conditionally approved (Conditions specified below) Denied (Explanation attached) b_6 Signature of City Representative' (pate).' The following conditions of approval have been added•to the Plan byataff in order to ensure an adequate level of fugitive dust contror: • F (Attach additional information 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.' Signature o wner thorized Representative ate . I CONDITIONS FOR FDCP APPLICATION 97-16: SDP 96-589; 4 ACRES, S/EL'Y OF WHITEWATER CHANNEL/ADAMS ST. APPLICANT: WILLIAM WARREN GROUP GENERAL: 1. Applicant shall comply with all control measures as set forth in the approved application for FDCP 97-16, and the following conditional measures. This dust control plan approval shall also apply to any haul/encroachment permit(s) issued by Public Works. 2. The full amount of security furnished for the approved FDCP (as determined by Public Works) shall be available to the City for any measure(s) deemed necessary by the City to achieve adequate dust control, whether or not such additional measures are included by the applicant for this application. Security shall be in the form of a non -expiring Certificate of Deposit or a self -renewing Letter of Credit. Any requests for bond amount revisions must be made in writing to the Public Works Director. 3. Adequacy of all proposed and conditional stabilization measures shall be determined by the assigned grading inspector. The City may release a portion of the bonded amount to the applicant for any remedial measures beyond those identified or conditioned upon the project, which the City deems necessary in the event such approved measures are not effective. Enforcement of these conditions shall be at the discretion of the assigned grading inspector, who shall monitor and field verify that the spirit and intent of the FDCP and its attached conditions are being complied with. Adjustments to application frequencies, quantities and other aspectsof this FDCP may be made by the inspector, at his/her discretion, in order to assure compliance. 4. Applicant shall submit copies of all records related to cost accounting for the dust control measures assumed during all pre -grade activity and grading construction upon any request for release/reduction in posted security. Said records shall be submitted within 30 days after completion of all dust control measures as outlined in and conditioned upon the plan. All such records shall be provided with the completed PM 10 Program Report Form, which can be obtained from the Public Works or Community Development Departments. Security may be withheld pending submittal of this information. Applicant shall have. completed all dust control measures, with completion verified by the assigned field inspector, prior to release of 'any posted security. SITE DEVELOPMENT: 5. All disturbed areas • where- further grading, construction.. or other land disturbance ,will not occur within 30 days shall be stabilized no later than. four days after completion of the activity, and staked, posted or otherwise restricted in order to prevent any vehicular access over those areas.. Such areas shall be watered daily in conjunction with watering of access roads and developing ..areas until an appropriate: chemical dust suppressant/binder; as defined in' Chapter 6.16 of the LQMC, has been applied. No vehicular parking' or'traffic of any kind is permitted on or over any previously stabilized soil areas. - 6.. Approval of ;this dust control plan does not in andof itself constitute or otherwise authorize any, site disturbance, preparation or construction. The developer is required to obtain -all necessary permits and clearances pertaining to the approval for SDP 96-589. This includes all testing, monitoring or sampling required as conditions of . development approval, including, archaeologic, hydrologic 'and geologic, reporting, as well as payment of any outstanding fees, such as CVFTL mitigation or other pre -construction fees. 7. All on-site temporary •employee facilities (sales, construction, equipment storage, etc.) shall be provided with .paved, compacted or otherwise stabilized parking and access during their operation, with those improvements to be constructed to the applicable Public Works Department standards. This requirement shall apply to any approval for such facilities under a minor use or.. other permit process.; If approved on-site roadways or parking areas. are constructed to ultimate design prior to completion of construction activities' then traffic and parking shall be limited to those paved areas as feasible'. 8'. Any transported soils and stationary storage piles shall be sufficiently stabilized, watered down and/or covered as appropriate. Minimum freeboard shall be as established by the Public Works Department. Any borrow areas shall be' routinely watered and' chemically stabilized after borrow activities to mitigate airborne dust. 9. The conditions applied to this dust control plan are anticipated to cover the full. range of construction operations associated with Site Development Permit 96- 589. Transfer of any real property or other interests associated .with this project will have no effect on the validity of this plan approval_or conditions. Implementation ,of all measures as proposed and conditioned shall be carried out for the duration of all construction 'activities, to the extent they are applicable.. However, nothing herein shall preclude `any future interest from filing a revised FDCP with the. City for any portion of the site. 10. Track -out and other accumulation of soil material(s) onto any paved areas: outside the limits of grading shall be minimized. Any unpaved. construction exit/entry point along existing paved roads/areas shall be improved with pavement, aggregate base or similar material, for a distance of 120' from the pavement edge into the site to minimize track -out. Wet sweeping/flushing of soil accumulations from all paved areas shall be conducted daily, and kept damp during construction hours until so removed. 11. Any unpaved construction travel ways within the site shall be prepared for traffic prior to commencing grading activities, and kept watered down and compacted to retain moisture content at all times during construction traffic/activity. At a minimum, temporary construction travel ways shall be improved to a 20 -foot width. Road lengths shall be watered each day, prior to and at intervals during any traffic activity, and at the end of the day after all activity .has ceased. Track -out shall be removed per Condition 10. r ATTACHMENT B - COST INFORMATION Small Scale Construction/Demolition Projects (5 acres or Less) Fugitive Dust (PM10) Mitigation .Plan Date; 0 Lq- q --` Jurisdiction: (A- 4�ul,-TA Project File sop 96-S-89 Project proponent: The William Warren Group Address: P.O. Box 2034 Santa Monica; CA 90406-2034 Day phone number:. ( 310) 454-1500 Emergency phone number: '(310) 454-1500 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: $7000.00 Chemical stabilization: N/A Wind fencing: N/A Covering haul vehicles: N/A - No haul expected Wheel washers: N/A Street sweeping: $4000.00 'Paving: Included in site paving costs. Wind sheltering: N/A - No on-site stockpiles Coverings: N/A Vegetation reestablishment: Landscaping on all sides of project $55,000.00 After project completion these records shall be transmitted to the Jurisdiction where the grading/demolition permit. was.. attained and to the Coachella Valley Association of Governments (CVA, G) at the address provided below. PM10 Cost Monitoring Coachella Valley. Association. of Governments 73-710 Fred Waring Drive, Suite 200 Palm Desert, CA- 92260 �y0FE,M O R A" N D U M ' . Rh - i.w � r.. w�"g. _ ..tom.... „.�:�_ _ •.,,, _. r �.... ,.. +- 1 5 _ ..,,CY. r•` �..• TO: Saundra Juhola, Cit'Clerk, FROM Hector Guzman, Assistant Engirieer.I VIA:Chris Vogt, Public Works Director/City Engineer+ 41 DATE: July 10, ,1998: L '` -� ." - • . SUBJECT: Site"Development Permit 96-598La Quetta Se1Storage • 1 i r . Y .� _ r 1 ` • e 1 ------------ - ,• •4—-'4+n"r+r,.— .+!+,.,^u-.4.iir � ..y�.•^^ww ++.�e44++eu.. c.eM.t,r .�..3'..,TY'.•e'�....� r R ' I The contractor of the•La Quirita. Self Storage facility has submitted a cashiers check,.(#002242 t ' -U.S. Trust Compariy fi California, N.A.) to ensure completion def ie t work. Please keep this check in your development file. hg • , 1 ), "i ` F, r 01�tx\ •{. •, • - ,fir I - •� D94N:W,-' TOAREA, t �3D ✓ FROM/ OF EXTENSION ' cc L + W - • 4. (5 _ l � SIGNED 4 _ I .!r -- -' CALL AC#AIN pNOtD 4 6EE { CALL, ,� BACK 1 " AfAD NO.23-776 400 SETS RECYCLED PAPER Y 1,vd a 4 � 4 UUGj WON WVJSOAd OLWd Z0 3dd ViNino vi.j0 Alm 0t;9i 6661/TWOO g 06Od "ONI `S8H <- WG&LLLLCBL S :Vddoo:F 06/Ll/8 • _ E/E'a��d`•BZ9# %`•Wdll b 86/El/80.' `•t?u bNI`IEiH':Aq luag ' 80 wilt MZ7;5l.-OK4 •o i1td fiA1tB x re 00 �s � go ;,a=rosd i0 MOZZa':M= ZV MAO,d s UZCC ISVM :Woo TCUKW • 26602 Tvaoa ADS 11 - g • j : my . ��Z : 3.e0 , TvadZ 8 ss.4o� �OSS4sTiS ' � �� / RsrtDO • c�aa , TsxoZ :0.31V 'I'mog, " CAM vom "t : aat+og • � t � -sem Taaos ----`..�' -ems _?�� •f 62a co tai —s•�ua�aft :ntzaatnt. cwa� a�3;swba�e •$ a • •Ip zed assay :•at 'be - �_� - as=6� 1 • ::a■�: ��z ._ .• s. -s PUT* .•a • 0 6saepg { �, sstyeg �S�►aii .. '. Q®' Z aac� tlraay =s -T4 ao saw sxedomre aaa u *2 so lzsc�` tsad�, � =a8i8 ao eat s�a*a►. '� too� .. c StS'C� • L stroll =o a9a�i •g7.03 aa,Qm���e es;e®ZQ �otQpZxe�:4 aon •sp ®3t:aa tan300 9=3vqw= law � .�:nc�Yaetar�cJ aged/� aad :n 26260 -��S acayd/aas��o�i �o tt$*Q � reeas� oar ii e : OLtogd .197 V,i • s abasr�rc . • ote .ataeS, ..S s 899AM , : '♦S i�M"•♦ •00'.'x. i ri�'ial �I� aS3Si san[osg '��,.Mlfl� b? eats as:+s►(�s� ,� :lrtatagQ 1 i UUGj WON WVJSOAd OLWd Z0 3dd ViNino vi.j0 Alm 0t;9i 6661/TWOO g 06Od "ONI `S8H <- WG&LLLLCBL S :Vddoo:F 06/Ll/8 • _ E/E'a��d`•BZ9# %`•Wdll b 86/El/80.' `•t?u bNI`IEiH':Aq luag Sent by: HBI,I,NC. 714,; 08713/98. 4:10PM;,JetFdx #628;Page 2/3 CONSTRUUMN 01 'August 13, 1998 Engineering/Public Works Department 718-495 Calle Tampico La Quinta, .CA 92253 . Attn: Hector Guzman Re: Deposit Dear Hector, Please release the grading deposit of, $4,000.00 to HBI Construction: The job La Quinta Self Storage was completed February 10, 1998. The PM 10 Program Report Form has beenfilled out to the best of my knowledge. If you should have any questions, please, feel free to call me. Sincerely, MBI Construction ' Andy Last Senior Accountant s HBI, Incorporated 4921 3irch, Suite One - Ncwportllaach,Califurnia 02660 (714) 851-2211 Tax:.851-2410 a • Oty ® oCa Quircta ` a ,w�r� ,R �� (,� 2 �4 34294 f • .&00658• -' HEDLEY•BUILDERS, INC. �c �.• 342 , 09/09/98 R t Dat e' Invoice Account L Description w R Amount 1+ 09/08/98 `. 101 000 261 000' 'refund deposit'4000.00 w ! 4000.00• . ii'0 34 294o ': i.2'IbOO 2481:4 L 59 •28 248 215 .;•b•.r'�Nr';•,i„K.+:il+iyip..(.vc{„-..r,�``.'@��y�ye-.t,;r«ip3t1+rq7..y�:w+ir+-r.-.:Itrfi"'1�.ivF;+i1`�M'^"^lYh�s-�•y+t.,....�.T...,rns u•-:,..:...t._7:.—....�-p-r r�� .r,.. DEMAND ,% CHECK REQUESTw Return check to requestor Mail check i' Name / Title of person requesting check D .Department individual is associated with: ,,:.. • �i?i�,t � ,�%2tL.� , � �,► ►� � Iii! � SEP 17.1998 Check payable to:, LI L � A 1 LbF�.S y '-T4j C.. Amount: $ ,oUo (Name) (Vendor No.) ' 'Solo CA-Aq pM 5 JX . StA 1 T� 1 D D Account Number: .(Address) O r akiP0,I&T- ffiT__A,C •+ CA q 21 &&O Project Number: ,7 F • Check. description and invoice number: g12- (Date` c ;APPROVED FOR PAYMENT . t (Finance Department Use Y. BY: ACCOUNT -NO.. n ;1, DESCRIPTION o°'- ' - • • (Y+ Gam. .ut �./ :. �y.. , - 4 .Y � .