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3489N 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 I I I DATE: 7/3/01 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Del Gato Dr. , Traditions Golf C1Ub, La Quinta, CA. (Street address or Description of Location) PURPOSE OF CONSTRUCTION Placim "rip ran" in various Sketch (attach construction plans if appropriate) locations in club DESCRIPTION OF CONSTRUCTION See abOW see attwli9d. Special conditions DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 7/9/01 APPROXIMATE TIME OF COMPLETION 7/30/01 ESTIMATED CONSTRUCTION COST$45,546 (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) In consideration of the granting of this permit, the applicant hereby agrees to: Indemnify, defend, and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all penalties, liabilities or loss resulting from claims or court action and arising out of any accident, 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. Name of Applicant (please print) Business Address icant or Agent Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. 542669 Contractor's License No. 01120 6/30/02 City Business License No. Pennsylvania General CPP1184793 Applicant's Insurance Company Policy Nulilk I 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 $ 1366 Permit Fee _ 100 Penalty Cash Deposit -Surety Bond if required TOTAL: $1466-00 Receipt No. Received by Recorded by Date JUL -6 2001 CITY OF LA OUlll'TA FINM' NCE DEPT PERMIT VALIDATION PERMIT NO. 3489 DATE APPROVED 7/5/01 EXPIRATION DATE 01"lln/M DATE ISSUED 7/5/01 Administrative Authority Telephone: (760) 777-7075 U JUL-2-2001 15:59 FROM:PUBLIC WORKS 760-777-7155 -----A-------------- --------- TO:93437540 P:2/2 NOTE: With proper validation this form conmiwtet an CITY OF LA OUINTA encroachment permit APPLICATION FOR PERMIT to PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) 0 For the construction of publia' or private curbs, drirawnys, pavements, aidowalks, parking lots, towers, water mains and other like public works Improvomants in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS 3b Subdivhlon Improvement Pormis —Clan III DATE / 1 � //Minor Improvemennt ermit Cla : IV LOCATION OF CONSTRUCTION C� ,� �/DA/7/DGIf �o✓ C/y; . C. (8treaf adaraos of ofixoptlon or t,oantfon n rr PURP SE QF CON RUC;JQN DESCRIPTION OP CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL Skrtah (attach construction plans if Appropriate) SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL. BEGIN 14 Of APPROXIMATE TIME OF COMPLETION O 5STIMATRO CONSTRUCTION COS►' S (Including removal of all obstru, :._.., ..:,.crrinlr., And debris, baccfillinp, Corn• pactlan and placing permanent resurfacing and/or replacing improvements) In consideration of the granting of rhh permit, the nppllcant hereby agreop to: Inaamnify, amnnd. anti sawn ma City. Its authorised apnms, oHk:are, raprmantativas and employes, noemlass from and opolnst any and all panaltles, Iloollltlap or lee malting from alalmc or court action one arising out of any accident, Ion or dampen to parsons at property hanpaning or murrina oa a oramnmte fetvlt of Any woflt 4e0nrta(tan under the psrmlt grenrad pursuant to MU opallpnlon. NotHr the Adnllnittrat" Authority At Iropt fwneiryfour (241 hours In edvAmo of ens lima when work will by norwti. Comply with all Appikatas City Ordinances, the terms and eendNbns of rho pnrmlt and all applicable rules and rnpulotlant of the Cl Of La Culnm and to pay for oar eeellbMl rap111eamaM. nnaasmry As the rvquit�� Ip ywrIt /ye. 20 a 7 S.1 b, S1V-10 4)3. / Sfflfhfture of Applicant or Agrrn Name 6f Applicant (please rint) Susi "Address Telephone No. Name of Contrecta n ob Foreman Business Address Telephone No. �`l ©/ao 30'92 Contractor'a cnntn No. City Business License No. Applleane- Insurance 06mpony Policy Number FEES: Subdivision 1 mprovemant Permit — Claim I II Public Improvements: 3%of ostimntrd corimuetlon costs Private improvemnnts: 3%of estimated construction costs Minor Ins rovnment Permit — Cleat IV: Soo nttedhed schedule Inspection Fco $ 8 PERMIT VALIDATION ^ Permit Fee a 30 Penalty Cash DeposltSuraty Bond ¢. If required J �/ TOTAL: $ Receipt No. Received by Recardnd by DAtft _ PERMIT NO. DATE APPROVED S EXPIRATION DATE 30 d DATE ISSUED S O By / Tolophono: (760) 777-7 75 Administrative Authority - '(PR`�3Z Garcia Insurance, Inc. CERTIFICATE OF LIABILITY INSURANCE DATE (MMI'0"' 06 1111 FAX (760) 320-1115 THIS CERTI ICATE IS ISSUED AS A MATTER pF INFORMAII N2001 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P , 0. Box 2803 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Palm Springs, CA 92263 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED Kyy Endo Inc My Tan Inc. P 0 Box 87 JINSUARR URER A: Pennsylvania General Ins. Thousand Palms, CA 9227E 8: Insurance Company Of The West INSURERC: State Compensation Insurance Fund INSURER D: COVERAGES INSURER e THE POUCIL°S OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH MAY PERTAIN, THE INSURANCE AFFORDED THIS CERTIFICATE MAY BE ISSUED OR BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, POLICIES. AGGREGATE LW!"" • .;,;:AAY HAVE BEEN REDUCED BY PAID CLAIMS. EXCLUSIONS AND CONDITIONS OF SUCH TYPE OP INSURANCE POLICY NUMBER POLI PPEC I O C EX ATION GENERAL LIABILITY PP1184793 x 02/Ol/2001 LIMITS 02/01/2002 COMMERCIAL GENER�AL LIABILITY EACE OCCURRFLNCG s 1, 000 CLAIMS MADE I OCCUR L FIRE DAMAGE (Any one fin) S 300 A MM EXP (Anyone perzan) s 10 PERSONAL 3 ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE Z 2.000 POLICY j RO- LOC PRODUCTS . COMP/OP AGO S 2 000 AUTOMOBILE LIABILITY 0 177907r02 01/27/2001 X 01/27/2002 ANY AUTO X COMBINED SINGLE LIMIT $ fez aooloent) ALL OWNED AUTOS 1, 000, B X SCHEOULEO AUT05 BODILY INJURY S X HIRED AUTOS (Per Person) X NON -OWNED AUTOS BOOILYINJURY (ftf Z=iclo it, S PROPERTY DAMAGE ; (Per aCcident) GARAGE LIADILnY ANY AUTO AUTO ONLY - EA ACCIDENT f OTHER THAN EA ACC i AUTO ONLY: A00 S EXCESS LIABILITY OCCUR ❑ CLAIMS MADE EACH OCCURRENCE S AGGREGATE ! DEDUCTIBLE S RETENTION S i WORKERS COMPENSATION AND 61520E-01 s EMPLOYERs'LIABILITY 01/27/2001 0I/27/2002 TDRYUM s R' IC E.L. EACM ACCIDENT S 1,000 E.I. OISCASE - EA EMPLOYEE S 1,000 OTHER E.LDISEASE-POLICY LIMIT 1.000 A ented/Leased/Hired 02/01/200 02/01/2002 Coverage up to jy,;u 000 quipn+ent PP1184793-01 Deductible: $1,000 MSCRIPTI9N OF OPERATIONSILOCATIONBNEHICLES CLUSIONS ADDED BY ENDORSEMENTISPE91AL PROVISIONS peratlon performed by named insured on behalf of Cert,ficte holder, Certificate holder is named as dditional insured per attached, e: Tradition Country Club Del Gato Dr. & Masters Cirle La Quinta, Ca. HOLDER Tradition Club Associates LLC 78-505 Old Avenue S2 La Quinta, CA 92253 INSURER LETTER CANCELLATION SHOULD ANY OF THE AOOVH DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE 15OUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOze NO OBLIOATION OR LIABILITY YMOD UPON THE COMPANY AGENTS OR REPRESENTATIVES. 1 COMMERCIAL GENERAL LIABILITY Policy Number: CPP 1184793 Named Insured: Kuykendlall Inc./ Mylian Inc. This endorsement changes the policy. Please read it carefully. ADDITIONAL INSURED —OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following — COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE: NAME OF PERSON OR ORGANIZATION: Tradition Club Associates LLC (If no entry appears above, information required to complete this endorsement will be shown in the declarations as applicable to this endorsement.) Who is an insured (Section II) is amended to include as an insured the person or organization shown in the schedule, but only with respect to liability arising out of *Your work" for that insured by or for you. CG201o118s Copyright Insurance Services Offices, Inc. 1984 SPECIAL CONDITIONS --PERMIT NO. 3489 --- Traditions/Kuykendall Inc. --- In addition to the standard permit conditions, the following shall apply: 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. Traditions/Kuykendall Inc., hereinafter referred to as "Permittee", shall be responsible for providing continuous dust and erosion control. 3. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently if required. 4. 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. 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) 955-6894 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 La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), street closures shall not be permitted. A minimum of two travel lane of paved surface shall be maintained at all times. Special Conditions - Permit No. 3489 Page I of 4 SPECIAL CONDITIONS --PERMIT NO. 3489 --- Traditions/Kuykendall Inc. --- 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. Installation of service lines, conduits or sleeves maybe by the "Trenching Method". 12. 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 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. 3489 Page 2 of 4 SPECIAL CONDITIONS --PERMIT NO. 3489 --- Traditions/Kuykendall Inc. --- E. In subsequent lengths of trench, the frequency of compaction tests shall equal one per each lift of backfill, per 300 linear feet of open trench, at randomly selected locations within the open length of trench. F. The depth of the randomly selected compaction tests shall also be randomly selected except that where multiple tests are required in a given length of trench, the tests shall be no closer than three feet (vertically) from each other. G. If any compaction test fails, previously placed backfill (in the same length of open trench or previous lengths of trench) which is represented by the failing test (as determined by the City Inspector), shall be tested for compliance with compaction requirements. H. All costs incurred due to the conditions above shall be borne by the Permittee. Copies of all test results shall be furnished to the City Inspector. 13. 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. 14. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to its original condition. 15. Access and egress to all local properties shall be maintained at all times. 16. 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. Special Conditions - Permit No. 3489 Page 3 of 4 SPECIAL CONDITIONS --PERMIT NO. 3489 --- Traditions/Kuykendall Inc. --- C. Permanent pavement replacement shall be installed using a City approved 3/4" max medium asphalt concrete as the base course. lift and a City approved t/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 saw cut 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 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. 17. 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. 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. This permit allows for the placement of Rip Rap in various location along Del Gato Drive for Tract 28867, Traditions Golf Club, per the approved storm drain plans dated 4/l/99, Revisions. 20. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time. Special Conditions - Permit No. 3489 Page 4 of 4