3351 (2)NOTIt: '
�t�Jith proper validation
this form constitutes an
-r;
epncroachment 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
1�. • and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
12 / 8/ 2000 Subdivision Improvement Permit —Class I I I
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION gouth of Ave 52, North of Ave 54, between Jefferson Street and
Monroe Street (Portions of Section 9 b. 10, T 6 S, E 7 E, 5EE TM V1694
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION MAAa GrPA4na fever tlatraP Sketch (attach construction plans if appropriate)
1 fit_ WAIA ('.A%l F rnIAT-Ap & cluh 1 ntxtrAn And 819 Romeo
DESCRIPTION OF CONSTRUCTION
See Attached Special Conditions
DIMENSION OF INSTALLATION OR REMOVAL
QQA A^ -A
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 17111 /ova
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ 1 - R70,A70
(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, de?end- 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 �ressult-of'th'is'work.
Signature of Applicant or Agent
_ cse�:� I.n 81100 Ave 53 .Tea Ouintm 760-898-3200
Name of Applicant (please print) Business Address Telephone No.
Nuevo Engineering 79-811 Country Club Dr. #2
Name of Contractor and Job Foreman Business Address Telephone No.
See Attached
Contractor's License No. City Business License No.
r
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class 111 DEG 0 8 2000
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor. Improvement Permit — Class IV: See attached schedule
Inspection Fee $ 47.,129
Permit Fee 100
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by,
Recorded by
(S-2Snl) PIP" r1r o,-^dit
$ 1,979,00
Date
IT Y ui- LA
3351
PERMIT VALIDATION
3351
PERMIT NO.
DATE APPROVED 12/08/00
EXPIRATION DATE 12/7/61
12/8/00
DATE`ISSUED � /a
r Administrative Authority
Telephone: (760) 777-7075 U
The following General and Special Provisions are attached to and made a part of Permit No. 3 " -r/
GENERAL PROVISIONS
The following shall always apply:
ENROACHMENTI' 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.
TRACIKLAYING 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 ahall' 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.
DEWATER OPERATIONS: If de -watering operations are required and pumps are forcing water on Cityof 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
owing shall apply when indicated:
e
5authorized
OTffICATION: Permittee shall notify the City at (619)777-7075 at least 48 hours in advance of starting construction.
CLEARANCE: (Substructures) Prior to making any excavation within the City of La Quinta right of way
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.
R3 UTnM 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,
IN 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.
R5 PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a slope of
i/4 inch to one foot (I).
Rti 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.
Rif —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 of class aggregate base.
Driveway construction shall conform to attached drawing.
®RIO
IGHT CLEARANCE: Sight clearance of 600 feet in all directions shall be assured and maintained at all times.
OIL STFR1'1 ZER; The area to be surfaced shall be treated with soil sterilizer. Rate of application shall commply with.the
anufacturer's specifications.
?,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
Quints forces to preclude delay or interference with State of City of La Quinta projects.
R1 ? VEY 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.
R13 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 sball 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 edgea sball be corrected.
R14 MITOF EXCAVATIONS: Excavations shall be limited to 1000 linear feet of open trench before backfill operations must
begio. 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.
R15 BACKFILL MATERIAL: Backfill sball 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 Is 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 sball 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 daces will be constructed to retain the water. Where
etting 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 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 teat 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
tandard Specifications, Division of Highways, State of California, dated January 1973.
R1:9 MPACTION TESTS: If so'required•by the inspector, compaction tests shall be made for each crossing or service line.
ne (1) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making 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.
R2 0 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.gubgrade. 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.PAVEmwr 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.
R2'2 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.
R2 3 ' 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 removed ahall be in sections which can be handled safely without interference or hazard to highway traffic. The
entire width of the tree stump eball be removed and disposed of so that no debris remains in view of the highway. The stump
bole sball 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 sball be provided to protect the traveling public at all times.
Large holes resulting from tree removal shall be backfilled and compacted to not leas than 90 percent or equivalent to the
surrounding ground, whichever is the greater compaction as determined by the impact or field method. Compaction testa shall
comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973.
SPECIAL CONDITIONS --PERMIT NO. 3351
--- Country Club of the Desert ---
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. Country Club of the Desert, 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.
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 7:00 p.m.
Saturday 8:00 a.m. to 5:00 p.m.
Work shall be prohibited on legal holidays and Sundays.
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 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.
Pursuant to Section 14.16.290 of the Lx 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.
Special Conditions - Permit No. 3351 Page 1 of 4
SPECIAL CONDITIONS--PERMIT.NO.3351
--- Country Club of the Desert ---
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.
1 L 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.-
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.
Special Conditions - Permit No. 3351
Page 2 of 4
SPECIAL CONDITIONS --PERMIT NO. 3351
--- Country Club of the Desert ---
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.
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 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.
C. Permanent pavement replacement shall be installed using a City approved 1/4" 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.
Special Conditions - Permit No. 3351
Page 3 of 4
'l.
SPECIAL CONDITIONS --PERMIT NO. 3351
--- Country Club of the Desert ---
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 buttjoint 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 3/4" 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 § I (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 mass grading of Tract 29894 per the approved rough grading plan and soil
report dated 12/5/00.
19. It is the permittee's responsibility to comply with the California Regional Water Quality Control
Board's National Pollutant Discharge Elimination System (NPDES).
Permittee/contractor shall comply with all requirements of the Community Development Department
related to but not limited to Archaeology/Paleontology Etc. and all condition of Tract 29586.
20. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
Special Conditions - Permit No. 3351
Page 4 of 4
•Dec 01 00 04:03p
Desert SouthwestInsurance 760 776 4210
P. 1
,4CORD CERTIFICATE OF LIABILITY INSURANC11r;vEaTE(mnv
CSR Bs DoonYl
__7
VO-1 12/01/00
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Desert Southwest Ins Brokers HOLDER_ THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
74-79S Highway III Suitc 209 ALTER THE COVERAGE AFFORDED 13Y TIRE POLICIES BELOW.
Indian Wells CA 92210
Phone:760-773-5955 Fax:760-776-4205
INSURED
Nuevo Engineering, Xnc. and
K & D Equipment Rental
79-811 Country Club Drive #2
Bermuda Dunes CA 92201
1
CCIUFRAnF;q
INSURERS AFFORDING COVERAGE
INCURLr A: Lexingtoxl IJisurance Company_
INSURERB: Safeco Insurance Companies-CL
INsuRER C: Frem_ ont Compensation
IN3VRER D.-_--
INSUR[R E;
THE POI If.IPR IV INRI IRANCC LISTED BELOW KAV0 AEEN ISSUED 1.0 THE INSURCO NAMED AOO1'C POR TI4C POLICY PERIOD INDICATED. N0NV11 r15l Ar1UINLi
ANY REOUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT IMTH
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS
RESPECT TO WHICH T141S CERTIFICATE MAY DE 1$$UEO OR
SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REOUCED BV PAID CLAIMS.
'
N5.) TYPE OF INSURANCE rOLICY NU6IBER
W
D j j E DA�7EOgMM1 (DOAM Ltn11T$
GENERAL uAelury
A
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1070167
08/01/00
08/01/01
EACH OCCURRENCE _
FIRE DAMAGE
: 1 , 000 , 000
I.
CLA
' 1Ma MADE L X I OCCVI7
(Any onL Fim)
50,000
MCO EXP (Any 1 one per6on)
!$ 5, 0 0 0
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PERSONAL 2 AOV INJURY
k 1, 000 000
---
f:FN'L AGCFEG1TE�Ir`A�T Arru_'u rcl:.
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GENERAL AGGREGATE
,
! $ 2 000 000
POLICY X IECT I I LOC
PRODUCTS - COMPIOP AGG
---•
( S 1, 00 0 , 000
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AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT 51 nnn 000
8 Y ANY AUTO O1 CE 728248 20 08/01/00 OB/O1/U1 (Cnnia1k''> I
_ ALL OWNED AUTOS
DOD0.YINJURY
SCItf;0ULE0AUT05 (p@Ipet3,x1 I $
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(Paraccl�anq b
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(Pcr Rcriaent) i
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT ; g
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EXCESS LIABILITY EACH accuRRr•NCE
A X OCCUR I - CLAIn9snLloF. _. ^ 4,000,000
I.__. 5576304 08/01/00 08/01/01 AGGREGATE S 4, 000, 000
DEDUCTIBLE S
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X RETENT(ON $ 10 000 a
URKER1,; COtdPENSATION AND
EMPLOI'EP.S' LIABILITY X 70RY umns I . GR 1 _
C SC50-0100-17727 01/01/00 01/01/01 E.L-1111CCIDENT '51,000,000
E.L. DISEASE . EA EMPLOYEE i 1 , 000 , 000
OTHER E.L. DISEASE - POUCY LIMIT $ 1 , 000 , 000 I
DESCRIPTION OF OPERATIONStLOCATIONSNEHICLE5IEXCLUSIONS ADDED BY ENDOR5EIAEWTfSPECIAL PROVISIONS
+10 Day Notice of Cancellation applies for Non Payment of Premium
Cartifioatc HOIClcr named e9 Additional Insured
Project: Country Club of the Desert
CERTIFICATE HOLDER y I ADDITIONAL INsUREo; INSURER LETTER; A CANCELLATION
jAMMAR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO
NRIDATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR. TO MAIL _30 OAYS VVRITTEN
Grant- Horn ck and NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DD SO SHALL
Grant Hornbeck
81-10 0 AVenuw .53 IMPOSE NO 06LIGA110N OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
La Quinta CA 92253 REPRESENTATIVES.
25-S (7197)
till
TION 1988
12-01-00 16:59 TO: FROM:760 776 4210 F01
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-------------------- - -S°`� ° - �--'---- - ------ o
NOTE:
With proper valid on J/Oo�s -�_^I �1.0�
ez -a
this form cons i utes an CITY OF LA OUINTA
encroachm i permit S
APPLICATION FOR. PERMIT � �
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
OF 11��
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: I_Z— I Vim/ '
TION OF CONSTRUCTION
45treet address or Description of Location)
PURPOSE OF CONSTRUCTION —
OF CONST
Subdivision Improvement Permit — Class III
5Z.
Mil Ins ovement Permit Class IV `
DIMENSION 4:r LLAT!,DN MOVAL
SIZE OF EXCAVATION, IFSIZE of EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN U
APPROXIMATE TIME OF COMPLETION
/ ESTIMATED CONSTRUCTION COST S
✓ (Including removal of all obstruction, materia s, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
Sketch (attach construction plans if appropriate)
>ug 1k E T7tfV -
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnity,defend and save the City, its authorized agents, officers, representatives and employees, harmlen from and against arty and all
penalties, liabilities or lon resulting from claim or court action and arising out of any accident. Ion or demeee to tenons or property
happening or occurring as a proaistate result of arty work undertaken under the permit granted pursuant to this applbtion.
NOON the Adminlnrative Authority at lean twentydour 424) hours In §&vane* of the time when work will be stared.
Comply with all applicable City Ordinances, the term and conditions of the permit arid � � inbJ§ ruIn and regulations of the City of
V Quin and to pay for any additional replacement necessary as the result of thb rk /
'1 Signature of Appilicanikor Age
IS of Applicar(t (please print) r Business Address Telephone No.
/1&f✓yo comevz ,► CJab
Name of Contractor and Job Foreman Business Add ess Telephone No.
Contractor's License. No. City Business License No.
Gill• �i` d7
Applicant's Insurance Company Polity 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 3 !
Permit Fee / P 40 1
Penalty
Cash Deposit -Surety Bond /1
if required -ZLP Ck
TOTAL: $
Receipt No.
Received by
Date
QN-A
1 PERMIT VALIDATION '
PERMIT NO. "
DATE APPROVED /
EXPIRATION DATE
DATE ISSUED
By
Administrative Authority
b]
Recorded by
Telephone: (619) 777-7075
P.O. Box 1.504
78-495 CALLE TAMPICO (760) 777-7000
Shq�ingBrighterThanE�er LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7101
May 31, 2002 CERTIFIED MAIL
COUNTRY CLUB PROPERTIES
81-100 AVENUE 53
LA QUINTA CA 92253
COUNTRY CLUB PROPERTIES:
A STOP WORK notice has now been issued on the following permit:
• ENCROACHMENT PERMIT 3351 COUNTRY CLUB OF THE
DESERT - MASS GRADING
Please submit a renewal payment of $4,297.90 at your earliest convenience.
.Public Works Inspectors are now aware of this project's status and will not
conduct any further inspections.
Please be aware that your ability to receive any further permits for the subject
project or inspections has been suspended until this matter is resolved.
If you have any questions or need additional information please contact Kris
Schulze, Associate Engineer, he may be reached at (760)777-7044.
Sincerely,
Jesse Jimenez,
Counter Technician
Public Works Department
Cc: Steve Speer, Senior Engineer
Kris Schulze, Associate Engineer
Raoul Martinez, Assistant Engineer II
Encroachment Permit File
Howard Campton, Pudic Works Inspector
Elden Smith, Public Works Inspector
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
P 1. Article Addressed to:
COUNTRY CLUB PROPERTI
81-100 AVENUE 53
' LA QUINTA CA 92253
�33s( i
A. Signature
X pp_____ ❑ Agent r�
�( t.V ❑ Addressee
B. Received by ( fed Name) C. Date of P
elivery162
-
i
D. Is delivery address different from item 1? ❑Yes
If YES, enter delivery address below: ❑ No
J,.
3. Service Type i
W:12ertified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number I
(transfer from service label)yyya o2-yy
PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-08351
UNITED STATES POSTAL SERVICE First -Class Mail
Postage & Fees Paid
USPS
a Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
CITY OF LA QUINTA
PO BOX 1504
LA QUINTA CA 92253
f a
Cer ified'ividu rruviuus:
1 .
■ A mailing receipt
■ A unique identifier for your mailpiece
■ A signature upon delivery t
1 In A record of delivery kept by the Postal Service for two years r
;fu
Important Reminders: I. o
■ Certified Mail may ONLY be combined with First -Class Mail or Priority Mail. fU postage
■ Certifiec • -I'
tail. For Certined Fee
No IN: CITY OF LA QUINTARatum proof
valuable
mi For an : PO BOX 1504 Return (Endorseme Receipt Fee
delivery. LA QUINTA CA 92253 overthe NC Rndorsed D, Req Fee
fee. End vaiver for p (Endorsement Required)
eceipt is 1 Postage & Fees
a duplic IC3 Tota
required. _ru
■ For an additional fee, delivery may be restricted to the addressee or rRIFF-• LUUO
addressee's authorized agent. Advise the clerk or mark the mailpiece e Q
endorsement "Restricted Delivery". 'sveei,�
rti-
■ If a postmark on the Certified Mail receipt is desired, pr f Mail '
cle at the post office for postmarking. If a postma i 3 ct0, s
receipt is not needed, detach and affix label with po e •
IMPORTANT' Save this receipt and present it when ki an inquiry.
I
102595 00 M 1489
Ps Form 3800, February 2000 (Reverse)
v '`
M
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Dan Williams, Project Manager
The Hideaway
81 A 00 Avenue 53
La Quinta Ca 92253
EB X (7760) 777-7000
March 11AkA;6 0) 7 7.7 - 7 10 1
RE: RENEWAL OF ENCROACHMENT PERMIT 3351 (ROUGH GRADING FOR
TRACT 29894)
Dear Mr. Williams:
Encroachment permit numbed 3351—has expired as of 12/07/2001. In order to
avoid the issuance of a "Stop Work Order' please renew this permit immediately.
The renewal fee as per City Council Resolution 96-27, states:
• Encroachment Permit — renewal of expired permit $100.00 plus
10% of original fee for each year the permit has been expired.
Original Permit Fee
. 10%
Expiration Penalty
for each year permit
has been expired
$41,979.00
$4,197.90
$100.00
RENEWAL AMOUNT NOW DUE: $4,297.90
If you have any questions or need additional information, please call Jesse
Jimenez, Counter Technician at (760) 777-7075.
Assi
SS/jgj
Y,
Engineer
2
ND LA QUINTA PARTNERS, LLC
P.O. BOX 1482
LA QUINTA, CA 92253
BANK OF AMERICA
Private Bank -San Francisco
555 California St.
San Francisco, CA
800.909.6462
11-35-1210
Al On us,
Pay: **************Four thousand two hundred ninety-seven dollars and 90 cents
DX E IND. AMCUINT
March-20, 2003 1410 $******4,297.90
City Of La Quinta
PAY 78-495 Calle Tampico
TO THE P.O. Box 1504
OR Ort R La Quinta, CA 92253
OF
0001410iin il:12LD003SWO, 13296,1-0213761io
ND LA QUINTA PARTNERS, LLC 001410
..... ..... ... . .... .......... .... ........... ... ... ....... .... .........
0
D AT INVOiCE No. DESCRIPTION !NIVOICE AM UNT D EID UIC", T I C N1 BALANCE
3-1_11 /-0 3 0 3.1-1.0 3 - . . ................. Ener.ea-chmt ..... Pe-r-mi-t ........ . ..... .. .."42-9.7 -..-9-0. 0.0.... ....4.2..9..7 .. 90
AL
................ ....... ... .... . ............ ..... . ......... . .... .............. ......... ..
. .... ......
CHECK
1410 4297.90 .00 4297.90
�/20/03
.... . .. .... ............
......... .............. . ................. ... . . ..... .. .......
•SENDER: Complete items 1 and 2 when additional services are desired, and complete items
3 and 4.
Put your address in the "RETURN TO" Space on the reverse side. Failure to do this will prevent this card
from being returned to you. The return recei t fee will rovide ou the name of the person delivered to and
the date of deliver . For ad itioF-a ees t e o owing services are available. Consult postmaster orAtees
an check boxes or additional service(s) requested.
1. ❑ Show to whom delivered, date, and addressee's address. 2. ❑ Restricted Delivery
(Extra charge) (Extra charge)
3. Article Addressed to:
COUNTRY CLUB PROPERTIES
81100 AVENUE 53
LA Q U I NTA CA 92253
i
5. Signture — Addres
X
6. Signature — Agent,
X
7. ate of Delivery
� -(- L 5 -0
4. Article Number
z � /
Type of Service:
❑ Registered ❑ Insured
—Certified ❑ COD
Express Mail ❑ Retu,nn,Re„
Always obtain signature of addressee
or agent and DATE DELIVERED.
8. Addressee's Address (ONLY if
requested and fee paid)
PS Form 3811, Apr. 1989 +U.S.G.P.G. 1989-238.815 DOMESTIC RETURN RECEIPT
rr
UNITED STATES POSTAL SERVICE
j, OFFICIAL BUSINESS
SENDER INSTRUCTIONS
Print your name, address and ZIP Code
In the space below.
• Complete items 1, 2, 3, and 4 on the
reverse.
• Attach to front of article if space
permits, otherwise affix to back of
article.
• Endorse article "Return Receipt
Requested" adjacent to number.
,APR 2 9 2002
PUBLIC WORKS
U.S.MAILO
PENALTY FOR PRIVATE
USE, $300
RETURN Print Sender's name, address, and ZIP Code in the space below.
TO
CITY OF LA QUINTA s
PUBLIC WORKS DEPARTMENT
PO BOX 1504 -
' LA QUINTA CA 92253
ATTN: JESSE JIMENEZ
t �
r