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3505S' NOTE: 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 7/31/01 Subdivision Improvement Permit— Class III DATE: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 78 085 AVENIDA LA FONDA SOUTH EAST LOTS ADJACENT TO ABOVE i� ADDRESS (Street address or Description of Location) PURPOSE OF CONSTRUCTION PARKING LOT — PRIVATE Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION See Attached est1mate from Civil Engineer DIMENSION OF INSTALLATION OR REMOVAL gee Plans SIZE OF EXCAVATION, IF NEEDED 250 Cu. Yds. APPROXIMATE TIME WHEN WORK WILL BEGIN August 2001 APPROXIMATE TIME OF COMPLETION August 170 2001 ESTIMATED CONSTRUCTION COST $ 68,000.00 (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: SEE ATTACHED SPECIALSCONDITIONS vap Zoo/- Dad �� 111A7✓5 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 offthe 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. Signature of Applicanf br Agent Desert Sage II 5800 125th Ln. NE, Kirkland, WA 98033 (425) 27-1977 Name of Applicant (please print) Business Address Telephone No. California Infrastructure Inc., 78060 Call* Estado, La Quinta, CA (760) 777-8963 Name of Contractor and Job Foreman - Business Address Telephone No. 765648 Contractor's License No. Royal Surplus Lines Ins. Co. Applicant's Insurance Company 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 InsP ection Fee $ 2040.00 II Permit Fee 100.00 Penalty Cash Deposit -Surety Bond if required TOTAL 4080.00 0.00 $ 6220.00 Receipt No. Received by Date Recorded by 06290 City Business License No. KZB516242 Policy Numlier'� r JUL 31 2001 l CIII of A � r 1qAii�t !,ti'i PERMIT'`VALtDA-TIeN--- t PERMIT NO. 3505 DATE APPROVED 07/27/01 EXPIRATION DATE10/30/01 DATE ISSUED 07/27/0,,k) r By-� J ea Lindsey % Administrative Authority Telephone: (760) 777-7075 N_L__V_-------- NOTE: 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 DATE Subdivision Improvement Permit — Class III Minor Improvement Pr�mit Class IV LOCATION OF CONSTRUCTION g R� r\\l P n , nq �i La n ri - Lc, �-� r _ cv. 3,,:xh east lobs ad xcC-9-d 4o o-bous- -t -ad res5 (Street addressor Description of Location) p PURPOSE OF CONSTRUCTION �Q'�KI n4 f%� - T t`1Y0. Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTI N � DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED I.S C-J :joks APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION ESTIMATED CONSTRUCTION COST $ _ (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) In consideration of the granting of this permit, the applicant hereby agrees to: Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all penalties, liabilities or loss resulting from claims or court action and arising out of any accident, 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 esult of this work. 21 ` V\ n Signature of Applicant or Agent Name of Contractor and Job Foreman lCG-IDQ?� Contractor's License No. rn Business Address Telephone No. dDq() City Business License No. Applicant" Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I II Public improvements: 3% of estimated construction costs Private improvements: 39'0 of estimated construction costs Minor. Improvement Permit — Class IV: See attached schedule Inspection Fee $ Fi OW O Permit Fee /00' O D Penalty T rvo • Or% Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by Recorded by - �_ ZZ D • D a Date DATE APPROVED EXPIRATION DATE C DATE ISSUED' 0 rJ 0 r� By �f./d Administrative Authority Telephone: (760) 77770�5 =t _ A .� .� ., � � •� , r � ,. .:� ` : . '` t , , - :. s . � 1 � e � '� � f r" i' r y � �� � � _ .SPECIAL CONDITIONS --PERMIT NO. 3505 --- California Infrastructure Inc. --- In addition to the standard permit conditions, the following shall apply: 1. Pursuant to Section 14.16.320 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), all work shall be performed in accordance with the latest edition of the Standard Specifications For Public Works Construction (SSPWC) and as directed by and to the satisfaction of the City Engineer. 2. California Infrastructure 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. 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. 8. Pursuant to Section 14.16.290 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), street closures shall not be permitted. A minimum of two travel lane of paved surface shall be maintained at all times. Special Conditions - Permit No. 3505 Page 1 of 4 SPECIAL CONDITIONS --PERMIT NO. 3505 --- California Infrastructure 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 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. 3505 Page 2 of 4 SPECIAL CONDITIONS --PERMIT NO. 3505 --- California Infrastructure 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. 3505 Page 3 of 4 SPECIAL CONDITIONS --PERMIT NO. 3505 --- California Infrastructure Inc. --- 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'/z" max medium finish course lift for capping. Asphalt concrete mix design shall be approved by the City prior to its placement. 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 installation/placement of Curb & gutter, grading & A/C paving for 78-085 Avenida La Fonda, Desert Sage Restaurant site, per the approved plans dated 4/30/01 and dated 7/26/01 by the Planning Department. (Subcontractor: Granite Construction) 20. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time. Special Conditions - Permit No. 3505 Page 4 of 4 Sent By: Palm Desert; 760 346 9368; May-16-01 1:02PM; Page 2/2 ENGINEER'S ESTIMATE OF PROBA13LE CONSTRUCTION COSTS CALIFORNIA INFRASTRUCTURE - DESERT SAGE SUMMARY OF COST IMPROVEMENTS PREPARED BY: THE KEITH COMPANIES, PALM DESERT TKC JOB No. 40749 16-May-01 DESCRIPTION QUANTITY UNITS UNIT TOTAL COST COST CONSTRUCT 3" AC OVER 4.5" AGGREGATE BASE 9,359 SF $ 2.00 $ 18,718 CONSTRUCT TYPE A-6 MODIFIED CURB AND GUTTER 100 LF $ 12.00 5 1.200 CONSTRUCT 6" TYPE 'D' CURB 497 LF $ 12.00 $ 5.KA CONSTRUCT T WIDE VALLEY GUTTER 75 LF $ 20.00 $ 1,500 CONSTRUCT DECORATIVE PAVING 1.879 SF $ 6.00 $ 11.274 CONSTRUCT CURB RAMP 4 EA $ 250.00 $ 1.000 REMOVE EXISTING TREE 5 EA $ 500.00 S 3,000 REMOVE EXISTING AC PAVEMENT 140 SF $ 1.00 $ 140 SAWCUT EXISTING AC PAVEMENT 70 LF $ 2.00 $ 140 CONSTRUCT DRYWELL 1 EA $ 4,000.00 S 4,000 CONSTRUCT 6" ADS N-12 STORM DRAIN PIPE 62 LF $ 25.00 $ 1,550 CONSTRUCT 12" ADS N-12 STORM DRAIN PIPE 97 LF $ 30.00 $ 2.910 CONSTRUCT NYLOPLAST H-20 RATED DRAINAGE INLET 1 EA $ 1,500.00 $ 1,500 CONSTRUCT YARD DRAIN NYLOPLAST 12" DRAIN BASIN 1 EA $ 1.500.00 $ 1,500 CONSTRUCT CIRCULAR TRENCH DRAIN 20 LF $ 100.00 $ 2,000 SIGNING & STRIPING 1 LS $ 500.00 $ 500 WATER/DUSTCONTROL 1 LS $ 1,000.00 $ 1,000 MOBILIZATION 1 LS $ 1,500.00 $ 1,500 EARTHWORK 1 LS $ 2,500.00 $ 2,500 SUBTOTAL ADD: 10% CONTINGENCY TOTAL ESTIMATED COST 41-865 BOARDWALK, SUITE 101 PALM DESERT, CA 92211 (760) 346-9844 FAX: (760) 346-9368 $ 61,896 $ 6,190 S 68,086 From: Candy Armenta To: Kelly Date: 2/21/01 Time: 11:47:28 AM Page 2 of 3 ACORD,tl CERTIFICATE OF LIABILITY INSURANCE DATE(NMlDDIYY) 02/21/2001 PRODUCER (760)347-5552 FAX (760)347-2858 Coachella Valley Insurance Service, Inc. License #OS42476 81-557 Dr. Carreon Blvd i68 Indio, CA 92201 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED California Infrastructure Inc. 78-M Calle Estado Ste 19 La Quinta, CA 922S3 INSURER A: Royal Surplus Lines Insurance Company INSURERB: INSURERC: INSURER D: INSURER G.- COVERAGES THE POLICIES 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 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 TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L SR TYPE OF INSURANCE POLICY NUMBER EFFE E ICY EXPIRATION N LIMITS GENERAL LIABLLITY K29SI6242 12/21/2000 12/21/2001 EACH OCCURRENCE f 1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fve) 3 so, CLAIMS MADE M OCCUR MED EXP (Any one person) 3 Excl U A PERSONAL & ADV INJURY 3 11000 100( GENERAL AGGREGATE $ Z.000100( GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG 3 1, 000 POLICY JECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMB (Es 5= dw) 3 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per P—) S HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (P_ ) 3 PROPERTY DAMAGE (Per aoww) 3 F1 GARAGE LL40 LITY AUTO ONLY - EA ACCIDENT 3 OTHER THAN EA ACC 3 ANY AUTO 3 AUTO ONLY: AGG EXCESS LIABILITY OCCUR FICUUMSMADE EACH OCCURRENCE 3 _ AGGREGATE 3 3 DEDUCTIBLE 3 RETENTION 3 3 WORKERS COMPENSATION AND EMPLOYERS' LAASILITY I JOT ?OCR LIMITS ER E.L. EACH ACCIDENT IS E.L. DISEASE -EA EMPLOYE 3 E.L. DISEASE -POLICY LIMB 1 3 OTHER DESCRIPTION OF OPERATIONSA.00ATIONSNEHrLESIEXCLUSKM ADDED BY ENDORSENEHTISPECIAL PROVI ION 1 Notice of Cancellation for nonpayment of premium is 10 days CERTIFICATE HOLDER 1 1 ADDITIONAL awSUREm.. INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO NAIL City of La Quinta 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn • Permit & License Dept BUT FAILURE TO NAIL SUCH NOTICE SHALL IMPOSE NO OBUGAMON OR LIAIRLITY 78495 Cal l e Tampico OF ANY PON THE COMP ITS AGENTS OR R RESENTATW& La Quinta, CA 92253 OF4M PRE NTATIVE AUTH N%,Vw Z" IfIV7) L 1 ©ACORD CORPORATION 1"S