3775NOTE:
'With proper validation
this form`constitutes an
r-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,
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
g
October 2.5, 2002 Subdivision Improvement Permit — Class III
DATE- Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 78-480 1111gh ay 111., LEA Quitta, CA 92253
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Sit'A PA. ftar ;.httvWfe Sketch (attach construction plans if appropriate)
Reia�se�k'.esf��
DESCRIPTION OF CONSTRUCTION ftgm argAlnor mitt SEE SPECIAL CONDITIONS"
e^rrjLf1L"tfom_ Utillta Imrovements. Laandec,ave„
DIMENSION OF INSTALLATION OR REMOVAL
��� A+an�t PIu►a �.
�e
SIZE OF EXCAVATION, IF NEEDED An ReAdad
APPROXIMATE TIME WHEN WORK WILL BEGIN Aatober IS, 2002 MtLAQUINJ
APPROXIMATE TIME OF COMPLETION iQwr.�!n111"r 15. 2�2,:ESTIMATED CONSTRUCTION COST $-71�- Rn•cluding removal,'of all obstruction, materials, and debris, backfilling, com-
CIIYOFTA
X� pacti6n .and. placing permanent resurfacing and/or replacing improvements)
In consideration ofthe 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
i+. penalties, :liabilities or loss .resulting from claims or court action and arising out of any accident, loss or damage to persons or property
!�« , rs -, •• happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application.
Notify the Administrative Authority r at least twenty-four (24) hours in advance of the time when work will be started._
Comply with all"'ap.plicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations•of the City of
` La Quinta •and t4ay for any additional replacement necessary as the result of this work.
naffure' of Applicant or Agent
Theme U. Bolin1409 South 600 Best, Sult.a�Y Bountiful,, UT .84010 (801) 693-•7270
Name of Applicant (please print) BusinestAddress Telephone No.
Daniel. fteoMting •- Troy Black 78-480 Runaway Bay Dr., barmi4s Dundee, CA 9226I (760) 772-6466
Name of'Contractor and Job Foreman Business Address Telephone No.
627687 06"0 12/21/02
Contractor's License No. City Business License No.
Was ebeater Surplus Limes Da la Batton Agency, Salt LakA City,, UT 84121 GI A — 75OZ59
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class III
Public improvements: 3% of,estimated construction costs Ln /
Private improvements: 3% of estimated construction costs
Minor.. Improvement Permit — Class IV: See attached schedule 3775
Inspection Fee $ 1'1"�7 PERMIT VALIDATION
Permit Fee 100'00 PERMIT NO. 3775
Penalty October 25. 2002
Cash. Deposit -Surety Bond
if required
TOTAL
-Receipt No.
$ 1,411.57'
`Received by Date
Recorded by
DATE APPROVED
EXPIRATION DATE January. 30, 2003.
DATE ISSUED October.25, 2002
Byw�/1f��
Victor nnxs ,( get. En Administrative Authority
Telephone: (760).,777-7075
PERMIT NO. 3775
THOMAS W. MOLIN/DANIEL EXCAVATING
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. THOMAS W. MOLIN/DANIEL EXCAVATING, 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 1st to April 30: Monday -Friday 7:00 a.m. to 5:30 p.m.
Saturday 8:00 am. 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
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 No3775_ Pagel of 4
PERMIT NO. 3775
THOMAS W. MOLIN/DANIEL EXCAVATING
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 (2) travel lane of paved surface shall be
maintained 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
N 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 No3775_ Page 2 of 4
PERMIT NO. 3775
THOMAS W. MOLIN/DANIEL EXCAVATING
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.
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.
Special Conditions - Permit No3775_ Page 3 of 4
PERMIT NO.3775
THOMAS W. MOLIN/DANIEL EXCAVATING
C. Permanent pavement replacement shall be installed using a City approved 1/4" max medium asphalt
concrete as the lase 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 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 (3) feet outside the sawcut removal
lines.
For longitudinal trenches located in a traffic lane: two (3) 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 or any existing detour 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. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
19. The permittee shall indemnify, hold harmless and assume the defense of the City from all damages, delay
costs, costs or expenses in law or equity that may arise out of work under this permit.
Special Conditions - Permit No3775_ Page 4 of 4
\1
RECEIPT City of Ta pico 0 ox 1504, La Quinta CA 92253
RECEIVED FROM
ADDRESS
4-_DOLLARS $//
F Z
OR
ACCOUNT HOW PAID
AMT. OF H
ACCOUNT
AMT. PAID j I ICHECK
DUE IORDER BY
z
NOTE:
With proper validation
this form constitutes an
encroachment permit
CITY OF LA OUINTA
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: October 23, 2002 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION 78-480 Highway 111, La Quinta, CA 92253 4,0,5- 0,*j /eL.AS
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Site Pad for Future Restaurant Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Site grading and certification
Utility improvements, landscape, concrete sidewalk Sc
DIMENSION OF INSTALLATION OR REMOVAL
004 —5
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN October 25, 2002
APPROXIMATE TIME OF COMPLETION December 15, 2002
ESTIMATED CONSTRUCTION COST $43.719.00
(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:
OCT 2 3 2002
PUBLIC WORKS
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 vAll be started.
Comply with all applicable City Ordinances, the terms and conditions of the per it and all applicable rules and regulat' s of the City of
La Quinta and to pay for any additional replacement necessary as the result o t is work.
Signature of Applicant or Agent -
Thomas W. Molin 1409 South 600 West, Suite D, Bountiful, UT 84010 (801) 693-7270
Name of Applicant (please print) Business Address Telephone No.
Daniel Excavating — Troy Black 78-480 Runaway Bay Dr. Bermuda Dunes, CA 92201 (760) 772-6466
Name of Contractor and Job Foreman Business Address Telephone No.
627687
Contractor's License No.
06680 12/21/02
City Business License No.
Westchester Surplus Lines— Dale Barton Agency, Salt Lake City, UT 84121 GLA-750259
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I II
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!!, -57
�00 • Da
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
$ �.4/!•S7
TOTAL
Receipt No.
Received by _
Recorded by —
Date
No
I—
PERV17' ^,a —7S
G
By
VlG7'O�z /t?pN2 Administrative Authority
�SSt 5 F'N"+Ui�
Telephone: (760) 7-/7-7075
�
'-^
'
�
v+
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Thomas Molin, Project Manager
Daniel Excavating
78-480 Runaway
Bermuda Dunes Ca 92201
N
`7'Il k3z4
a-7 75
((760) 777-7000
March ljIA OA;601 7 77-.7101
RE: RENEWAL OF ENCROACHMENT PERMIT 3775 (78 480 HIGHWAY 111
SITE PAD FOR FUTURE RESTAURANT WORK TO INCLUDE SITE GRADING
UTILITY IMPROVEMENTS AND SIDEWALK)
Dear Mr. Molin:
Encroachment permit numberC 75 has expired as f (1/3 03. In order to
avoid the issuance of a "Stop Work Order" please rene is 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
$1,411.57
$141.15
$100.00
RENEWAL AMOUNT NOW DUE: $241.15
If you have any questions or need additional information, please call Jesse
Jimenez, Counter Technician at (760) 777-7075.
Si rely,
Steve Sp
Assistant
SS/jgj
Engineer
Grur L iav�A0 �/