3244NOTE;,
With proper validation
this form constitutes an
encroachment permit
•
CITY OF LA QUINTA
APPLICATION FOR PERMIT
•
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
l
• �k
K i
Subdivision Improvement Permit — Class I II
DATE: 7/13/00 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION °Dune Palms & Hwy 111, La Ouinta
- Y
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Underground televhone Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Set 4 vaults & trench
in AC, 2100'
DIMENSION OF INSTALLATION OR REMOVAL 30"w x 2700' 1
SIZE OF EXCAVATION, IF NEEDED 30" cover
APPROXIMATE TIME WHEN WORK WILL BEGIN 7/13/60
APPROXIMATE TIME OF COMPLETION 8/12/00
ESTIMATED CONSTRUCTION COST $ 97.000
(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:
See Attached Conditions
31 S1
Ref. GTE Permit #8111
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 thi"s;work.
Signature �f Applicant or Agent
D(hty Bros. 11232 E.Firestone, Norwalk, CA 90650 562-864-6566
Name of'Applicant (please print) Business Address Telephone No.
Ernie Cesena
Name of Contractor and Job Foreman Business Address Telephone No.
273024
Contractor's License No.
City Business License No.
Golden Pacific Insurance SC0359615500 4/1/01
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 $ 1.710
Permit Fee 100
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 1,810
Receipt No.
Received by Date
Recorded by
B244 ®�
PERMIT VALIDATION
PERMIT NO. 3244
DATE APPROVED 7/12/00
EXPIRATION DATE 12/31/00
DATE ISSUED 7/12/00
By n I 8AM-N,"�
`
l Administrative Authority
Telephone: (760) 777-7075
I'll
,,N-TE:
With proper 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 III
DATE: 7/13/00 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION .Dune Palms & Hwy 111. La Ouinta
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Underground telephone Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Set 4 vaults & ' trench
in AC. 2700'
DIMENSION OF INSTALLATION OR REMOVAL 30"w x 2700' 1,
SIZE OF EXCAVATION, IF NEEDED 30" cQVer
APPROXIMATE TIME WHEN WORK WILL BEGIN 7/13/00
APPROXIMATE TIME OF COMPLETION 8/12/00
ESTIMATED CONSTRUCTION COST $ 57 -000
(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:
See Attached Conditions
31s1
Ref. GTE Permit #0131
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 @--tth-is`work.
Signature of Applicant or Agent
D6ty Bros. 11232 E.Firestone. Norwalk. CA 90650 562-864-6566
Name of Applicant (please print) Business Address Telephone No.
Ernie Cessna
Name of Contractor and Job Foreman Business Address Telephone No.
273024
Contractor's License No. City Business License No.
Golden Pacific Insurance SC0359615500 4/1/01
Applicant's Insurance Company `1 r 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 $ 1.710
Permit Fee 100
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 1.810 ,
Receipt No.
Received by
Recorded by
Date
244
PERMIT VALIDATION
PERMIT NO. 3244
DATE APPROVED 7/12/00
EXPIRATION DATE 12/31/00
DATE ISSUED f/I 7/12/00
E.
By ` Ali\ IAM--\
I Administrative Authority
. r
Telephone: (760) 777-7075
The following General and Special Provisions are attached to and made a part of Permit No.
GENERAL PROVISIONS
The following shall always apply:
IIVROACH ENTP ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within City of La Quints. 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.
TRACKLAYIIQG CONSTRUCTION EQUIPMWP. Cleated tracklaying concoction 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 oboes to
protect the paving during excavations. Rubber -fired equipment only shall be used in backfill operations in paved areas. If the existing
pavement is scarred, spelled, or broken during the term of this contract, or if the pavement is marred, Chy.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 (27 of A.C.
aurfacing plus appropriate seal cost as specified above.
PROTECTION OF TRAFFIC: All excavations and work area 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 reAultutg 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 OPERA71ONS: If de -watering operations are required and pumps are forcing water on City of La Qumta 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 sball contact this office to obtain the necessary permission.
SPECIAL PROVISIONS
Thefollowing shall apply when indicated:
(R) NOTIFICATION: Peimittee shall notify the City at (619)777-707S at least 48 hours in advance of starting construction.
2 LrJU Y CLLARANCE: (SubMucturoe) Prior to making any excavation within the City of La Quinta right of way
authorized by permit, the permitter shall contact all concerned utility companies relative to the ►ocation of .existing
substructures. Damage to existing substructures resulting from operations conducted -under this permit shall be the sole
responsibility of the permittee.
[?MM (J&ARANiCE: (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 0461.
R"5 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 (11.
R6 GRADE C UXXING: 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 L_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 Quints Standard Y2A7.
R8 DRIVEWAYS: A.C. driveways shell 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 (__J of elesa aggregate base.
Driveway construction shall conform to attached drawing.
R9 SIGHT CLEARANCE: Sight clearance of 600 feet in all directions shall bs assured and maintained at all times.
0 SOH. SIERHIZE3t: The area to be surfaced shall be treated with soil sterilizer. Rate of application shall commply with. the
manufacturer's specifications.
R1 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 interferende with State of City of La QWnta projects.
12 SURVEY MONLIA1119IM: 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 PAvEmEa CZT MG: Pavement will be mechanically saw out 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 beat
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 holiday& 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 &hall be made unless the construction
material is actually on the work site.
Rl BACI FII.L 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 Quint& 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 BACKFII L 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 . BACKFH.L PLACLl1II►W- Backfill shall be applied• in layers of not more than SO 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 lees than 90 percent or equivalent to the surrounding ground, whichever is the greater compaction.
Where pooding 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.
R18 COMPACTION 7TSfS: If so required by the inspector, compaction teste 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.
R1.9 COMPACTION TESTS: If so required -by the inspector, compaction tests shall be made for each crossing or service Hoe.
One (1) copy of each test shall be forwarded to the.City Engineer for approval and filed prior to malting permanent repairs.
Compaction testa shall be made as outlined in Section 6.3.01 of the Standard Specifications, Division of Highways, State of
California, dated January 1973.
$2.0 Tli+d41PORARY PAVEMENT REPAERS: After completion of backfill and compaction operations, a temporary patch
consisting of 2 inches of SC400 shall be placed on a prepared subgrads. The SC400 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 (S) day limit.
R21 PggMANEmr. PAVIi+mzigr REPAH4 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.
R2.2 ' FOG SEAL: A fog Beal cost consisting of an application of asphaltic emulsion shall be applied over all patch arose as
determined by the City Engineer.
R2 STRM RES UPING: Where street striping is still visible on streets to be excavated, each striping shall be replaced upon
completion of permanent repairs.
R24 TREE REEDCATION OR REMOVALt Tree relocation within the City of 1A 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 removed 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 SOO 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 trot less than 90 percent or equivalent to the
surrounding ground, whichever is the greater compaction, as determined by the impact or field method. Compaction teats Shell
comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973.
SPECIAL CONDITIONS --PERMIT NO. 3244
--- DOTY BROS. ---
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. Doty Bros, hereinafter referred to as "Permittee", shall be responsible for providing continuous dust
and,erosion control. All areas shall be kept watered down daily including weekends.
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 1 st to September 30: Monday -Friday 6:00 a.m.to 7:00 p.m.
Saturday 8:00 a.m. to 5:00 p.m.
Work- shall be prohibited on legal holidays and Sundays.
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 the 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 appropriately detour and barricade all construction sites.
Special Conditions - Permit No. 3244 Page I of 4
SPECIAL CONDITIONS --PERMIT NO. 3244
--- DOTY BROS. ---
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
completion of this portion of trench, the City Inspector shall establish the maximum lift
thickness to be compacted for the remainder of the project.
Special Conditions - Permit No. 3244 Page 2 of 4
ram,
SPECIAL CONDITIONS --PERMIT NO. 3244
--- DOTY BROS. ---
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.
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 coveted 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. Pursuant to Section 14.16.375 of the La Quints 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 of asphalt concrete over the same existing thickness 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. The replaced pavement and base
material shall be compacted to 95% relative compaction and respectively tested, for each 300
linear feet of trench. Verify exact structural replacement section thicknesses with the City
prior to installation.
Special Conditions - Permit No. 3244
Page 3 of 4
(.1
SPECIAL CONDITIONS --PERMIT NO. 3244
--- DOTY BROS. ---
C. Permanent pavement replacement shall be installed using a City approved'/4" max medium
asphalt concrete as the base course lift and a City approved'/2" max medium finish course lift
for capping. Asphalt concrete mix design shall be, approved by the City prior to its placement.
D. Cold -Mill and Overlay - The existing pavement which was properly protected in place during
the trenching operation located adjacent to the trench sawcut shall be cold -milled to a depth
of 0.10 feet with butt joint created next to the existing unmilled pavement surface. The cold -
milled area and base asphalt concrete in the trench area shall be overlaid with a City approved
C2-AR-4000 asphalt concrete mix. The width of the cold milling area shall be as follows:
• For longitudinal trenches. located in a parking lane: two (2) feet outside the sawcut
removal lines.
• For longitudinal trenches located in a traffic lane: two (2) feet outside the sawcut
removal lines, or to the lane line striping, whichever is greater.
• For transverse trenches across existing street: two (2) feet outside the sawcut removal
lines.
E. If grinding and capping operations are not performed in the same day as base paving
operations, the base course lift of/4" max medium asphalt concrete shall be installed from
saw -cut edge to saw -cut edge flush with the existing street surface. The base course lift of
paving shall not be left 0.10' low in anticipation of grinding and capping.
F. Any existing lane striping affected by this resurfacing shall be replaced in kind by the
Permittee, as directed by and to the satisfaction of the 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 permanently stabilize any and all soil that was disturbed as a result of work
performed under this permit with an approved dust control treatment. Soil stabilization shall be done
immediately after completing the operation.
17. 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.
18. This permit allows for the installation of the GTE facilities per the attached drawings.
19. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
Special Conditions - Permit No. 3244 Page 4 of 4
NOTE:
With r r validation
f�nstitutesan CITY OF LA QUINTA
��encroachment permit gl
APPLICATION FOR. PERMIT
2000 PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
JUL
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
WS
PUBLIC VOov
' Subdivision Improvement Permit — Class III
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION(Al
LA
IStreet address or Description of Location)
PURPOSE OF CJONST,RU_CjION ONDEa Sketch (attach construction plans if appropriate) rC
DEC PP I NSIRUCTION 2i�T ��P+VLT� '5tve 7✓tC. pOwtD�TiOr,(S
t N AG, Z-7OC_2 EM
DIMENSION OF INSTALL�AT))ON OR REMOVAL W t
�.7G1l� t$1..s6`tht
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ S-Is 00
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of this permit, the applicant hereby agrees to:
4r-
Indemnity, -defend and save the City, its authorised agents, officers, representatives and employees, harmless from and against any and all
penalties, liabilities or Ion 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 lean twentyfour (24) hours In advance of the time when work will be started.
of
Comply with all applicable City Ordinances, the farms grid conditions o it and all appl and rapulgtfom o} the Cfty
La Ouirw and to pay for any additional replacement necessary as the, rk.
�—
't BP. dS. 1 IZ3Z nadte ofAp p`Q�Td�l�° �i w65%&
Name of Applicant (please print) Business Address Telephone No.
Gfl_r-k6 VtJ-� r
Name of Contractor and Job Foreman Business Address Telephone No.
2-r W M .
Contractor's License. No. City Business License No.
&JS 5CO3 S-qh( 55 Ofl 4
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 $ 1 � 10 +
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $
Ls 10
Receipt No. .
2774
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED -7- ) ` -OU
EXPIRATION DATE -
DATE DATE ISSUED 1Z-o0
By
Administrative Authority
Received by
Recorded by
Date
Telephone: (619) 777-7075
GOLDEN PACIFIC INSURANCE
P.02/05
...........
rnoOueER' 628-583-1900 THIS CERTIFICATE IS ISSUED AS A MATTER of INFORMATION
Golden Pacific Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Services, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVIERAGE AFFORDED BY THE POLICIES BELOW.
3280 E. Foothill Blvd., #100 "• tEs FFoRoiNo COVERAGE•
Pasadena, CA 91107-3103 COMPANY
A Steadfast Insurance COAem80
INSLI11ED
Dot Y Equipment Bros. E UI CO. COMPANY
g PacNto Indemnity CO/Chubb
11232 E. Firestone Blvd. COMPANY
Norwalk CA 90650 C Federal Insurance Co/Chubb
562-864-6566 COMPANY
I D California State Fund
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVEBEEN ISSUED Tf0 H INgEOVE FOR THE DOLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT EC ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMIT SHOWN MAY HAVE BEEN R�EQID CLAIMS.
t u TYPE OF tNBUWWC6 POLCY EFFECM110N
Li l POLCY NUMOFA DATE. (MM/DOO/YY) LIMITS
A XNEMLLLA8IUTY SCO358615500 4/01/99 4/01/01 GENERAL AGGREGATE s 2000000
COMMERCIAL GENERAL LIABILrrY PRODUCTS -COMP/OP A00 i
CLAIMS MADE a OCCUR t 1000000
PERSONAL m AOV INJURY 1000000
OWNER'S 4 CONTRACTOR'S PROT EACH OCCURRENCE 1
X RR wl 50ft - 100 000
%: O A FIRE DAMAGE (My Oro tire) i 50000
MED EXP IAnY ern pmoN tt .' 5000
p AUTOMOOILELIA8ILRY 73259259 .4/01l00 :••4/01/01
X ANY AUTO COMBINED SINGLE LIMIT
ALL OWNED AUTOS . ' .
1000000
SCHEDULED AU`rO9
HMO AUTOS
NON -OWNED AUTOS
GAAAOE LIABILITY
7 ANY AUTO
II C
L=2ss LIAeturY
0079680188
J
X UMBRELLA FORM
OTHER THAN UMBRELLA FORM
D
WORKEM COMPENSATION AND
803858 (CA)
EMPLOYERS' LIABILITY
THE PROPRIETOR/ INCL
PARTNERS/EXECUTTVE
j
OFFICERS ARE: EXCL
1 q
aTHPA
55674
BLDG/BPP
RIC SPCL/AA
SCHED EQUIPMENT
ACV SPCU90%
BUILDERS RISK
R/C SPCL/90%
4E5CalP410N OF OPMTIONS/LOCATIONS/MICLES/SPECULL crew
I Proof of Insurance.
30 days NOC except for non-pay/non•repart of Payroll 10 days given.
•'30 Days NO
".'
BODILY INJURY
Wor person)
s '
BODILY INJURY
IPU aceidant)
i
PROPERTY DAMAGE
t1
AUTO ONLY • EA ACCIDENT
e
OTHER THAN AUTO ONLY:
EACH ACCIDENT
8
AOOREOATE
e
4/01 /00
4/01 /01
EACH OCCURRENCE
a 5000000
AGGREGATE-
: 5000000
1 /01 /00 1 /01 /01
4/01100 4/01 /01
EL EACH ACCIDENT ! 1000000
EL DISEASE - POLICY LIMIT i 1000000
EL DISEASE - EA EMPLOYEE s 1000000
41,082,500/$240,000 DED 31000
$3,119,295/$100,000 DED $2,500
$100,000 W/TRANSIT DED $2,500
- --..... --- - ----- -.............•....
Doty Bros. Equipment Co. SHOULD ANY OF THE ABOVE DESCRIBED POUCIM BE CANCELLED BEFORE THE
11232 E. Firestone bled. EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL WMEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED To THE LEFT,
Norwalk, CA 90650 ;...::...,-,,
-.:BUT FAILURE TO,MAIL BUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
'ANY KIND `UPON 'THE COMPANY, rr8 AGENTSES OR RlPRENTATNES.
9r13' AUTOO TA ,
.t�.: ..•.ii ,3 9 X..}.. '�" Nfi2`� �}°'6)=,1.�>.�i,i�itt':°�.L:��.iw' :[eiae
May-24-00 02:58P Doty Bros Fontana 909 356 9412
!1,/L4/LbC)t9 la:0a fravi///!rill 1.h IVUlIVIM
P-05
e
OF
WORKER'S ..COMPENSATION
If' Vour company has employees, -a copy of the worker's Compensation policy must accompany the
bL siness license application, indic.Anq dates' of coverage and dollar amount. This proof of coverage
m ist be received before the business license can be processed.
If rou do not have employeall; please check the last lirie`on the first page: °I certify theft...'.
If our business is being operated from your home in La tluinta, a Nome Occupation Permit is required
b are s. business license is used. ;
If Fou have any questions, please coniecc the. Code Compliance Division at 777.7050.
EV lry employer who applies for any license or'.a renewal of any license for a business issued pursuant
to ection 37101 of the Govemment Code or Section 7284 of the Revenue and Taxation Code shell
WORKER'S .-COM,PENSATk DECLARATION
I h oreby effi►m under penalty of.perjur/y, one of,the�following declarations:
1 have and will maintain a certificate�of, consent:_to-self-insure for worker's compensation, as
provided by Section 3700 for the dwntiun of any business activities conducted for which this
license is issued-
% I have and will maintain worker,'a Com ppMvtion ineW.enee, as required b Section 3700 for the
p: Y q Y
duration at any business activities.co .ducted for which this license is issued.
My worker's compensation ins ariEg..i easier and number!
Carrier: Carrier: California 'State` Fund'' ' ti
Policy Number: 556741
I certify that in the performance of any, business activities for which this license is issued, I
shell not employ any person- m: any - mbnner so- as to`' become subject to The worker's
compensation laws of California, and: spree that It I should become subject to the worker's
compensation provisions of Section..3700, 1 will provide .the City with a policy or certificate
copy within ten (10) days of che:crianpe in`requireinents. DOTY BROS. EQUIPMENT CO.
Da May 24, 2000' n Applicant;
Dale G. Barrows, Asst. ecy.
W RNING: Failure to secure wotkef s°'compisnsetion eoverog is unlawful, and shall subject an
em layer to criminal penalties and civil flnea;up to 6,100,000. In* addition to the cost of compensation,
da ages, Interest, end attornev'e tees'' ► e j►�W' assessed to you as provided in Section 3706 of the
La r Code.
IHay-24-00 02 : 58P
- �..-,.. a1 1°.•:_ 5 tit '..t y •
Doty Bros"'Forita•na'= '- { ,- 909 356 9412
Ub/:_'4/•V.UUU 1J:5b
/1buf///1711 i ut L4UA. III iw
• ti'
CONTRACTOR INFORMATION
PLEASE
COMPLETE WITH YQUR CU RENT INFORMATION
COMPA Y NAME
DOTY BROS." -EQUIPMENT Wi -
COMPA , Y ADDRESS 11232 E. Firestone Blvd., Norwalk, CA 90650
MAILIN ADDRESS same'
1v"
PHONE 0, (562) 864-6566
'.=!�i562) 864-6052A:
CONTA T NAME Robert Mac Cubb.in.;or','tR' chard ?MacCubbin
CONTW CTOR'S LICENSE NO. ?. :t +: 'i27,,,30,24 '
77
TYPE Of CONTRACTOR'S LICENSE.rls', -" `Gerieral. Engineering Contractors
CONTRA CTOR'S LICENSE EXPIRATION"DATE ' 12/31/01
WORKE 'S COMPENSATION INSURANCE'.""`'Cal if.o:r<nia,'.state Fund
POLICY Il O. 55674
POLICY XPIRATION DATE 4/01[oil Kti
CITY BUSINESS LICENSE NOd. EXPIRES
ry,"+•' �7J`- 1`-': Ji r:°= '.'tom.. ' ,-. (�' .
AUTHO ZED PERSONS TO SIGN PERMITS
Rober : MacCubbin
Richard MacCubbin
Ernie Cesena
NOTE: YJUT certificate 01 worker's compensation Insurancetrust be presented at the
counter tho tune of license issuerioe:_':
t,
P.04
Initlal
by BLDG.
Initial
by BLDG.
Initial by
Finance
State of California
Cr CONTRACTORS STATE LICENSE BOARD
Affain ACTIVE LICENSE .
License Numbef 273024 Enlily CORP
Business Name DOTY BROS EQUIPMENT CO ,.
classilicalion(s) A ASB C10 C12 C16 C36 C42
Expiration Dale 12 / 31 / 2 0 01
Any change of business address/name must be reported to the Registrar within 90 days.
This license Is not transferrable, and shall be returned to the Registrar
upon demand when suspended, revoked or invalidated for any reason.
This pocket card is valid through the expiration date only.
If found,drop in any mailbox.
Postage guaranteed by:
Contractors Slate License Board
P.O. Box 26000
Sacramento, CA 95826
Licensee Signature
CONTRACTORS POCKET IDENTIFICATION CARD
y A- General Engpineering Contractor
B- General Bullding Contractor
C- 2lnsulallon d Acoustical
C- 4 Boller Hot Water Heating
& Steam Flttln9
C- 6 Cabinet A MITI Work
C- 8 Concrete
C. 9 Drywall
C-10 Electrical (general)
C-11 Elevator Installation
7 G12 Earthwork, d, Paving
C-13 Fencing
C-15 Flooring 3 Floor Covering
> C-18 Fire Prolectlon Engineering
C-17 Glazlnpp
C-20 Warm-Alr Heating, Ventilating
b Alr-Conditioning
C-21 Bullding Movinpp d Wrecking
C•23 Ornamental Metals
C-28 Lathing
C-27 Landscaping
C-29 Masonry
C-32 Parking & Highway Improvement
C-33 Painting & Decwating
C-34 Plpeline
C-35 Plastering
C-38 Plumbing
C-38 Refrigeration
C-39 Root Inpp
C-42 Sanitatlon Systems
C-43 Sheet Metal
C-45 Electrical Signs
C-50 Stool, Relnforcinp
C-51 Steel, Structural
C-53 Swlmming''Pool
C-54 Tile (ceramlo d Mosaic)
C-55 Water Conditioning
C-57 Well Drilling (water)
C-80 Wetdinp
G81 Limited Sp*clalty
May-24-00 02:58P
Ut)/:e4/ •LtJbb •lj: !.)b
P_03
. 0.v- W_
G
Doty Bros FontAna. -909 356 9412
/btu///full LM LOUINIH
Business License No.
BUSINESS 1JCENSE APPLICATION FORM
*oil**�i,#iiiiii•#ri*w*R#i#iiltEii
APPROM BY ` ' DATE
1. Business Name: DOTY BitOS_F::EQ.UIPMt CO,.,
2. Business Address: 11.232 E. Firestone Blvd., Norwalk, CA 90650
3. Meiling Address: same
4. Business Phone: LJ__(562) 864-6566
S. Owned By: X CORRORATIO,N,,,. `PARTNERSHIP INDIVIDUAL
Corporation orrtnership. Te�c I.,D.
6. If Co 95-r2371782y
Partnership. A�:
7. If Individual Owner, Sooial .Secur.itjr
13, Name of Owner or Officers enii Title: Scott-E. D6ty, President
9. SEE Resale Number; N/A
10 Number of Decals Needed:
11 CONTRACTORS ONLY: " 'Pocket CArd is i
A. Type of Contractor. General Engineering Contractors
e. Classification: "A"
C. State Ucense Number:, •273024•
A c r 8 License Classification A100.,00J!er Year.,.- or 060.00 Semi -Annual
C License Classification A 50.00 per Year' or' 026.00 Semi -Annual
I HIMERY CERTIFY that all the info rma i'on
euppl �d'by me•�is- EarriCt and any licenses required by The
Co:
inty, State or Federal Go'vernment"F,Iave:`been: iiisued to -me and are in full force and effect.
Da•1•ee-G'.-•,Aairows, .Asst.,- Secy. May 24, 2000
._..
Signature ::..- MTitle Date
Sec d Completed Fong► To: CITY, OF LA.QUIWA
"•"t�USINE,SS"•L',IC[N8E DIVISION
,Box �1 Sot x ''
.La.0n1nie;•CA 92253
P.02
ua
May-24-00 02:57P Doty Bros F-ont.a..na., .•' n 909 356 9412
05/ 24/ 2000 1:3: bb /bd / / / /b11...., _.,..,_ W., IJUlIV I H rt+uC
f ..�7y31:1a' 5P
r• 4
ATTENTION CONTRACTOR
1 O: BUILDING & SAFETY DEPARTMENT kM
..1f e7,Gft.�::1..S..y'
r•
I declare that the following items comprise a,complete business license application
F ackst for a new or 1renew4l`li'cernse,7,f0 the City of tdbuinta and are attached,
L Business License Application�,Fortn;
Worker's Compensation _Declaration .Form;
Copy of Worker's Compensation Certificate of Insurance;
L Contractor Informative: Form. !V-'
Copy of State Contractor`s °License Pocket •Card; and
Check made payable to Ci y of La Wnts '
A or B License,Classification,S;1Q0 eryeer=:' or $50 semi-annual
C License Classification ?°''•�°7� '$ S0 per year or $ 25 semi-annual
T ie submittal of a " plats application packet will assist in the process. Please return
t
tF is form with the information' packet:`
T' iank you.
VA ARMING: Failure to include all q(The above will delay the, application process.
D tte: May 24 200611 ;�t.1 d•~'- T :a, ,� ;; } e
Dale G. Barrows, Asst. Secy.
art• ,riL •1Y