3823'6y0•TE:
With proper validation
*this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit — Class III 1t
DATE: January 15, 2003 Minor Improvement Permit Class IV
,LOCATION.'OF CONSTRUCTION Puorta Axul, Tract No. 30096 on the rest Ride of Madison Street
between Airport Blvd. and kv*uue 5$
(Street address of D 1 ription of Location)
PURPOSE OF CONSTRUCTION Off -Site sower ills ptovemerits Sketch (attach construction plans if appropriate)
ESCRIPTION OF CONSTRUCTION Open trenching and V.C.P.
nstallation. backfill and p&vewant restoration
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4
SIZE OF EXCAVATION, IF NEEDED Sal* &A Above
APPROXIMATE TIME WHEN WORK WILL BEGIN Upon receipt of
**See attached special, conditions**
Spectal. Circumstance:
Persittee shall deposit good and
sufficient security for pavement
restorat4on in the amount of $5,000•
APPROXIMATE TIME OF COMPLETION 60 D*Ys
ESTIMATED CONSTRUCTION COST $ 17,000
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements) _
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify, defend -and save the City, its authorized agents, officers, representatives and employees, harmless from �d agaiA!Vy , n jial 2fn%??
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damag to persons or property"JJ
happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to thisLappll'i"ca,QurnrrNotify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will lid '�+<lfyq;� DFPT A
Comply with all applicable City Ordinances, the terms and conditions of the permit and'all applicable rules and regulations of the City o� f 4—
La Quinta and to pay for any additional replacement necessary as the result of this work. /
Signdture'of Applicant or''AAgeAt
Jones Bro.'s Construction Co% P.O, Bcax 914urCoaohel1a, CA (760) 347-2291
Name of Applicant (please print) Business Address Telephone No.
Mike Jones Sage as above Same ao above
Name of Contractor and Job Foreman Business Address Telephone No.
172:1092 153
Contractor's License No. City Business License No.
Cor►terstone Surety 40960 California Oaks, Suite 203, Murrieta, C.A (909)461• 4425
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class III
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minori1mproyement Permit — Class IV: See attached schedule
In Fee $ 510.00
Permit Fee 100.00
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ 610.00
Receipt No.
Received by Date
Recorded by
3823
PERMIT VALIDATION
PERMIT NO. 3823
DATE APPROVED Januar-� 15, 2003
EXPIRATION DATE Jalnuary 31, 2004
DATE ISSUED January 15, 2003
By
Administrative Authority
Vigor Mont, Atreistaut Engirtter i
Telephone: (760) 777-7075
City of La Quinta. ,,�,*.r • z
The following General and Special Provisions are attached to and made apart of -
Permit Number
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The following shall always amply: 'r ..; ",� +
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ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within the City of La Quinta's right of way
' ONLY. Whenever construction extends within private property, it is the responsibility of the permittee for his contractors to secure permission-
�-*4 from abutting property owners. Such authorization must be secured by the permittee prior to starting work... ' , ` • ''' r
TRACK -LAYING CONSTRUCTION EQUIPMENT: Cleated track -laying construction equipment shall not be -permitted -to operate on any paved '
surface unless fitted with smoother -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 operation 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 coat as specified above. i oc
PROTECTION OF TRAFFIC: All excavations and work areas shall be properly lighted and barricaded as deemed necessary b the'Cit
P P Y 9 rY.Y tY
Engineer or City of La Quinta Public Works Inspectors. Suitable detours and detour signs shall be placed and maintained for the duration_ of,the ,
project. The City shall be notified twenty-four hours (24) in advance of any traffic detours or delineation.
CARE -OF DRAINAGE STRUCTURES: •Any'drainage structure.to include 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 Quints shall be notified prior to commencement of this work.' Drainage structures and open'drains'I, µ
shall be kept free of debris at all times for proper drainage. ' e' `• f' , ' �n�
RIGHT-OF-WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from the right of`way.'All1r'
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, gas' required, to sprinkle the job site to keep down dust conditions and shall be used immediately after. backfill. ` j : -1 ; ? ` ^ •''
DE -WATER OPERTATIONS: If de -watering operations are required and pumps are forcing water on City of La Quinta,roads,-it shall•be the. tt'.' e
s 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.-,r 's < .r•
SPECIAL PROVISIONS,' n.. A,
"i The followiny shall apply when indicated:
. ® ' R1' ` NOTIFICATION: Permittee shall be notified the Cityat 760 777 - 7075 at least forty-eight hours 48 in advance of startinr
( )( ) 9. '
construction. ,� • .
Z. R2 UTILITY CLEARANCE: (Substructures) Prior to making any excavations within the City of La Quinta'right-of-way authorized
t u.• .. . ; 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. -
v permittee.
n.
® R3 UTILITY 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.
❑ .R4" PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing road pavement shall be surfaced ' with (" N/A ") inches'of A.C. paving placed on ( ** N/A **) inches of ('* N/A *',) aggregate sub -base course having an ,
"R" value of not less than (" N/A ") and in conformance with the City of La Quinta Road; Improvement Standards and. -
Specifications, Ordinance #461. "
ElRS:. PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a�slope of.
one fourth inch ('/<") to one foot (1'). t
. �•`
❑ R6 '` `' * GRADE CHECKING: City of La Quinta shall check grades upon receipt of plan and profile and/or grades as established by `�:'� • .
r4 a licensed engineer. r
R7, CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter (** N/A **) feet shall F
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.
r ❑ . R8 �� DRIVEWAYS: A.C. driveways shall be constructed as not to alter existing'drainage pattern. Surfacing between the property I v .
' .line and the existing road paving shall be two and a half inches (2 ''/2") of A.C. paving on ( **.N/A **) of class (" N/A
aggregate base. - ! i
® R9'+y` SIGHT CLEARANCE: Sight Clearance of six -hundred feet (600') in all directions shall be assured and maintained,at all
t times. r �.
" ❑ !R10 SOIL STERILIZER: The area to be surfaced shall be treated with soil strerilizer. Rate of application shall comply with the
manufacturer's specifications.
City of La Quints
® R11
COORDINATE WORK: The proposed work shall be subordinated to any operation, which the State of.Califomia Cityof -
.
La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or City of La ,
1.
Quinta forces to preclude delay or interference with State or City of La Quinta projects.. 1 �, ; • . = ` - z ..r- • .
..
- . •i -.
® R12 .
SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the
centerline of all streets or property lines when included shall be completely tied out so they may be readily and correctly, •. •• ,F: "
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 clearance. ,
® R13 ' •
PAVEMENT CUTTING: Pavement will be mechanically saw cut to a straight edge prior to excavation. Method of pavement
cutting shall be approved through the office of the City Engineer. (Under no circumstances shall excavating equipment be `
used to excavate prior to cutting or 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 edges shall be corrected.
® R14
LIMIT OF EXCAVATIONS: Excavations shall be limited to one -thousand feet (1000') of open trench before backfill
operations must begin. All excavations shall be properly barricaded with lights overnight, on weekends and holidays for the r .fit;
protection of the traveling public. The Public Works Inspector shall determine the suitability of excavation barricading in . •'e
each case. No excavation shall remain open for a period exceeding five (5) days. No excavation shall be made unless they.. •c; r
construction material is actually on the work site. s
® R15
BACKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimental to use for purposes,
of producing and adequately consolidated backfill. Ant material which the City of La Quinta deems unsuitable (spongy or _
'
saturated material) which is encountered during excavation shall not be used for backfill,-but shall_ be supplemented orF ,
replaced by an approved sand or gravel.
} .
® R16
BACKFILL SAND: Backfill shall be approved transit -mix sand or equivalent and shall be placed' on lifts not greater than
three feet (3') and vibrated using vibrostamper or equivalent equipment. Alternate methods may be substituted, but in any.
-
case, a relative compaction of ninety-five percent (95%) shall be maintained with the structural section of the roadway.. '
® R17
BACKFILL PLACEMENT: Backfill shall be applied in layers of not more than fifty percent (50%) of the total depth of the �^ Y
trench before flooding or a maximum of five feet (6) lifts where trenches are of excessive depths. Care is to be exercised
that the backfill material is not subjected.to extreme swell by flooding operations. Backfill material shall be placed so that the ' •'
resulting compaction shall not be less than ninety percent (90%) or equivalent'to the surrounding ground, whichever is the:,.
'
greater compaction. Where ponding or flooding is used for a maximum settlement, adequate dikes will be constructed to
retain the water. Where jetting is used, the jets shall be of sufficient length to reach the bottom of each layer and the water
t
supply shall be continuos.
® R18
COMPACTION TESTS: If so required by the inspector, compaction test shall be made at intervals of not more than one -
thousand (1000') feet and a maximum of one (1) test on each road. One (1) copy of each test shall be forwarded tot the City ,
Engineer for approval and filed prior to making permanent repairs. Compaction tests shall be made as outlined in Section
•
6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973.
®:R19 = • •
COMPACTION TESTS: If so required by the Inspector, compaction tests shall be made for each crossing or service line.'
One (1) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent repairs. ,
-
Compaction tests shall be made as outlined in Sections 6.3.001 of the Standard Specifications, Division of Highways, State t
.-
of California, dated January 1973. _
® R20
TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch consisting •
of two inches (2") of SC-800 shall be placed on a prepared sub -grade: The SC-800 temporary paving shall be placed after
a maximum of three -thousand linear feet (3000') or trench has been excavated and backfill operations completed, but in no t
case shall the placement of the temporary pavement exceed a five (5) day limit.
® R21
PERMANENT PAVEMENT 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 ( 4 ) inches of A.0 surfacing placed on.a ( 6)
F'
inch ( crushed ) aggregate base shall be placed no later than ( 7 ) days after completion of temporary road repair.. y a
•
❑ R22
`
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.
® R23
STREET RESTRIPING: Where street striping is still visible on street to be excavated, such striping shall be'replaced upon
4
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 permitte to maintain the tree in a vigorous growing condition at its new location. • ! • ;
,
Trees to be removed shall be in sections; which can be handled safely without interference or hazard to highway traffic. The
'
entire width of the tree stump, shall be removed and disposed of so that no debris remains in view of the highway. The
'
stump hole shall be backfilled and thoroughly compacted as specified in' the following paragraph.' Where it becomes
"7
necessary to restrict traffic, the work shall be restricted to a maximum of five -hundred feet (500') at any one time. Adequate
signs, flagmen and or barricades shall be provided to protect the traveling public at all times.'-
Large holes resulting from tree removal shall be backfilled and compacted to not less. than ninety percent`(90%) or t:
equivalent tot the surrounding ground, whichever is the greater compaction as determined by the impact or field method.
Compaction tests shall comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California,
r
dated January 1973. r i
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. PERMIT NO.3823
Jones Brothers r k�z�t 5s.
�• Construction I�T{ , }
In addition to the standard permit conditions, the following shall apply: A�`'
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1.. Pursuant to Section 14.16.320 of the La Quinta Municipal Code (Ordinance 10 § °1'-(part); 1982); all .,4 =�
work shall be performed in accordance with the latest edition of the Standard Specifications For Public.4
,''Works Construction (SSPWC) and as directed by and to the, satisfaction, of the City Engineer.K},M<`{
2. ; Jones Brothers Construction hereinafter referred to as "Permittee'- shall be responsible for 'rovidint r
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continuous dust and erosion_ control. ? } �''` J}t' L�• y`
3Streets 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 t
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 orily during the following time,""
periods:
October 1st to April 30: Monday -Friday 7:00 a.m. to 5:30 p.m.'
.,a t Saturday 8:06 a.m. to 5:00 p.m.
May lst to September 30: Monday -Friday 6:00 a.m to 7:00 p.m.
• ' ` Saturday 8:00 a.m. to 5.00 P.M. r r
Work shall be prohibited on legal holidays and Sundays.
5.. 4Work performed within 500 feet of a signalized intersection is restricted between the hours of • 9 a.m:1. 1 "•
-'3 p.m. Traffic control shall beset up after 9 a.m. and removed before 3 p.m. The Permittee shall-«
contact the Riverside Cour;tiy Traffic Signal Maintenance Department at (909) 27576894 if signal
operation at the intersection is to be altered in any way.
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))
i;;', :advance warning signs and traffic control shall be installed and maintained in accordancewith Cal + �'
y .' .,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
R- responsibility to appropriately detour and barricade all construction sites. •* r
Special Conditions - Permit No. 3823 M"'Paged of 5 ' . `
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y )PERMIT NO.3823.
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t Jones Brothers Construction.
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' , Purssuant 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.
~'8. T' 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.
9., Should additional work, materials, or modifications of the work be required in order to•meet `City ' „4
eF , standards, safety requirements, signage requirements, or to fit actual field conditions, the work shall be.,
_ ., " �t; performed by the Permittee as directed by and to the satisfaction of the City Engineer at no'cost to the -
l City of La Quinta. = :'
10: 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 Ss otherwise specified;,,.w
r'• . °herein. c •. rF y�',
4 BSI r _ d 4 1 ,4_
` 'Native material may be used as backfill material provided that minimum -compaction, achieved inthe
`manner prescribed herein, is achieved. Backfill shall be performed by mechanical means;,no water
F , 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
"time s during backfill operations.yv
,,.
1 ',..; 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. a
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.
Backfill materials shall be brou ht 'to or maintained at an a ro riate` moisture' content for.~ .'
f
8 pp p
'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 stockp><les ',r
.' C. The first length of trench backfille'd shall be backfilled -in the presence of the, City Inspector:
', Compaction shall be tested at random depths at approximate three-foot, vertical. intervals
- : backfill is placed to ensure the effectiveness of the compaction methods and to establish the depth 3 `'
> ti.
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r of lift that can be compacted. 5. _ -
Special Conditions - Permit No. 3823 Page 2<of 5 s;/}'� t ' r
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PERMIT NO.3823 ..;.. ,. 3
• ;,� p. r'r Jones_ Brothers Construction
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D. If lifts greater than one foot are. attempted iri this trial length of trench, compaction tests shall be
.-, 4 taken within the lifts to ensure that the full depth of the lift is compacted. Upon satisfactory ti• `.
r ' r completion of this portion of trench, the City Inspector shall establish the maximum lift thickness
'to be compacted for -the remainder of the project.
' 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. �': , • r
,=fF:' u ..The depth.of the randomly selected'compaction tests shall also be randomly selected except that
s where multiple tests are required in a given length of trench, the tests_ shall be no closer than three .,
feet (vertically) from each other. `' }
-LG. 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"i
�J
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
µ .
' results shall be furnished to the City Inspector.
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11..' All excavations within City of La Quinta right-of-way shall be. backfrlled,•an'd 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.leng}h� R-
" open overnight at a point where construction will begin the next day, provided that this length of trench
+' r is completely covered by steel plating.
r..12. "`'All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to its;
r t' original condition.
.� _ !
• r 13. "' Access and egress to all local properties shall be maintained at. all times.
Pursuant to Section 14.16.375 of the .La Quinta Municipal Code .(Ordinance 10 § 1 (part), 1984 ti
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,;
1.
F be straight and clean.
Special Conditions = Permit No. 3823 ' Page 3 of 5"
r - PERMIT NO. 3823 y
Jones Brothers Construction
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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 ` r"
miscellaneous base; meeting the requirements of Sections 200-2.2 and 200-2:4 of the Standard`,
'• 4 • ' 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:. K
,
'Verify exact structural replacement. section thicknesses with the City prior to�installaho" n` ` �.:':
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 %2" maxmedium finish course lift for.
capping. Asphalt concrete mix design shall be approved by the City prior to its placement. °j; c•
Cold -Mill and Overlay - The existing pavement which was properly protected iri place during the t r1t
trenching operation located adj acent 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 , y 4T
f asphalt concrete mix. The width of the cold milling area shall be as follows: ,t , , •,'
' ` `� • �' 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 s: the sawcut removal line°ti" ". .
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' f¢• `:w
0.10' low in anticipation of grinding and capping.
L ft
• , . 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. _ `� {': •"
., r
15.. 'Perm
ittee shall permanently stabilize any and all soil that was disturbed as'a result of work perforine'd-. ".►•:.5 s
' ? - under this permit with an approved dust control treatment: Soil stabilization shall be done immediately J,.,•
after completing the operation.
j 'Special Conditions -'Permit No. 3823 4 Page 4'of 5 r'.+
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-PERMIT N•O.3823' R.:r -_ r'` .; Yt� MJ
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Jones Brothers Construction
16 Pursuant to Chapter 12.56 of the La Quinta Municipal Code (Ordinance 10 § 1 (part);,1982) the City has a< s
r r ; designated certain city streets as Truck Routes. The weight limit for restricted streets: (i.e.- streets note;•• ti
part of the Truck Route network) is three (3) tons; trucks exceeding the weight limit may use a restricted {,y
;street if making a delivery or pickup on the subject street, or if this permit specifically grants permission j r s°
to use the street to deliver street construction materials and/or e ui m "nt
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17: - The City of La Quinta reserves the right to revoke, suspend or void.this^permit at -any time:
18 • 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:
14
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PUERTA AZUL'PARTNERS,LLC ,
City of.L`aQuinta
�,j Date .; " Iy-► Type Reference
01/15/2003cr"„ Bill Permit
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BOA - Checking 0963 Encrochment Permit
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21091/15/20034
F t n
Original Amt.
Balance Due Discount 1' " Payment
610.00
610.00 610.00
Check Amount` ":: �610.00 - '
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''' • GRADING, PAVING, UNDERGROUND AND EQUIPMENTrRENTALS
.. 05.9B9 AVENUE 52 • P.O. BOX 905 • COACHELLA, CALIFORNIA 92236 \..zr �. ; ' �" _*. + • . t
TELEPHONE (760) 347.2291 • FAX (760) 398-2012 _ ' y• "; +� y
LIC. NO. 172092iVl' T r%jw.%N S omm ITTAL
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DATE:,
TIME:
COMPANY: Nhz� V)� Lo D,
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ATTENTION.
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IF YOU i DO NOT RECEIVE THE TOTAL NUMBER OF PAGES AS LISTED ABOVE, PLEASE CALL
• IMMEDIATELY TO (760) 347-2291 { ' �; "v :� `�,,•
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ACOW '-_CERTIFICATE OF LIABILITY INSURANCE OP ID 5(K
yATgImMQp,YYYY,
4T&JBR-1
01115403
'PROIrA)cGA - I
THIS CERTIFICATE IS 15SUE0 AS A MATTER OF INFORMATION"
Strar_hotaL Insurance Agency InC
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
California iioense ##02.49613
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
43500 'Ridlge Paxk Drive #203
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Tcsacaul.a 92590
.CA
plsore: 909-676-2229 Fax- 909-676-7391
INSURERS AFFORDING COVERAGE
NAIL
Nnwno
L:WLPA. In-urancc Corp of New York i
�.._
.
JSJ'ACOthers Construction Co.
I-_ ---- - -
--
cmA, Jones BroS_ Const. Co.
P.O Box 90.5
C.i..chella CA 92236.
.
wS�IRFR E
COVERAGES
THE POLICIES OF INSIJKANCE LIST(:[) I]CLOW HAVE BEEN ISSUED YO THE IPMAJACD NAMED ABOVE FOR THE POLICY PEKIOD ►NDICATCD. NorviiTHSTANDING. *
ANY REOUIRENCNT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR ' •.•
MAY PERTAIN, THE INSURANCE AFFORDEO UY THE POLICIES DESCRIBED HEREIN 15 auajC.CT TO ALL THE TERM;. EXCLUSIONSAND CONDITIQNS OF SUCH
POLICIES. AOGRF.GATF. LIMITS s- OWN MY HAVE BEEN REDUCED RY PAID CLAM&-.
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OEECRIPTIONOF OPEMTIOniI LPI'ATIinlu JvfHR:LE•81EXCAUtl10N8 AOOEO BY EHOORNIMgt,T)Yrl'C mwri'ONG
Certificate holder is namird Additional insured general liability per
attachcd endorsement_
"Except for nonpay then 10 days.
CERTIFICATE HOLDER ' CANCELLATION '
RLQD)3k
SHOIw_O ANYCMTHP MOWN OW7CP4IIO vaLIc¢s nerANCtLLeb SeEOPE THE EXI,RATIMI
• - +
DATE 7lIEI O�,TNE IGW WO R+c4RGR w)u cNourOw TO NWL 30" � r
WRTrGN ., •,
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NOTICE TO TNG CGRTIr)GATL'IfOLOER RAMED TO THE LEFT. BUT FAILURE TO 00 ro SIML
= R_L. Elder Construction
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NMOSENO OYN. OATNIN ORL"IL.YY CP ANY HIND UPOfI THE 14SUPER, ITG AOF.r)TA?w"-
` 68-845 Perez Road, Suite 30
nerneseHTAnLe°'
AUTFIORCEo 9ENr
Cathedltal City CA 92`L34
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O ACORD CORPORATION 1088 t
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zoo'd dT :S0 80iST.fT.O'
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POLICY NUMBER:: C C,OMMERCIkI GFNERAt• >_tAB;6, y
♦ . : • • - . y+ j 'g{.
• AUTOMATIC ADDITIONAL INSUREDS - CONSTRUCTION CONTRA 7S
• '; - i .r 1. + -� ,^.r •tCl •' f•�t, ,'' j�- is .'/V . .1�
b. "Properly damage" to:
•y E
(1) Property owned, used, or occupied by or rented to the Additional Insured: "' z y r
'r-F• (2). Property inthc care, custody, or cofitrol of the Additional 1nst:red or over which the Additional Insured is for any,
purp0se,axereisinp physical control: or
^ (3) '_Your wcrk"'for the Additional Insured.
i
c.. "dodily injury " "property damage,' or "personal injury," arising out of an architect's, engineer'., or -surveyor's renderin j , ♦� "
of or failure to render any professional services for youfor the Additional Insured, or for others, Including: ,
The preparing, approving, or railing to approve maps, drawings, opinions, reports,- surveys, change ciders 4'
designs• or specifications: and z, �' ` r ,
.. (2) Supervisory inspection, or engineering services, _ „ '.r
These exclusions apply in addition to those contained in the Coverage Part.
SECTION III - LIMITS OF INSURANCE
The following provision is added:
t
The naming of one of more Additional Insured's does not increase the rirnits of Insurance. ,, L r '�'r�' , ~/ Y,� t -
SECTION IV COMMERCIAL GENERAL_ LIABIViY WN0iPONS :� A �� ,h ; r.I
For the coverage provided by this engorsemenL - 'r s a " r " "
a. Subpart (4) (a) of the Other insurance provision is replaced by the following:
i.
'.(a) This insurance is primary, and our obligations are not affected by any other insurancie carried by such Addlttona[�
Irisured whether primary, excess, contingent, or on any other basis. _ _ _ ' `•Ls €r ,
y ; b Subpart (A) (Transfer of Rights of Recovery Against Others To Us,) it replaced by 6e foAowirig
• ,We waive -an right of recovery we rna have against the person or or Y g 7 Y g p ganization.shown in the Schedule ,above
1 because of payments we make for injury or damage arising out of your ongoing operations or ",your work" done under'
a contract with that person or organization and included in the "products -completed operations hazard." Ttus.wairer
�- -applies only to the person or organization :,hewn in the Schedule above. ' •
• F' is � • , ' � r �r'-• - ',�(:.'
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POLICY NUMBER:
CAIC 10021$tJ8 COMMERCIAL GENERAL LIABtLfll .
THIS'ENDORSI=MENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY-', t � • r `
AUTOMATIC ADDITIONAL INSUREDS- CONSTRUCTION CONTRACTS
`This endorsement modifies insurance provided under the following:
` • ; • COMMERCIAL, GENERAL LIABILITY COVERAGE PART • , �. '
IF I
• }
'This endorsement chariges the policy effective on the inception date or the policy unless another. date is indicated tit?Igw,
f ,
Endorsement effective
THE INSURANCE CORPORATION OF NEW QRK
4 TO COWINUOUS UNTIL CANCF_>_LEt7
Named Insured:
Countersigned by:
Jones -Bros. Construction Co.wji
`
' (Authorized Representative) }: r
The following. provisions are added: ' �' ,
't , t
SECTION I =COVERAGES
Subpart (1) (a) of Exclusion ;. of Coverage A is replaced by the following;
4 a At or from any premises, Site, or location which is at was at any time owned ur Uewpied by,. or rented or loaned to',. 1 '' ' ✓.' p ;T x . '
_ 'ithe insured; •�
•`^ ,SECTION W -.WHO IS AN INSURED 4 �, �F ' + ' �y YY.;,�vf• `
5, Any persons) or organization(S) (hereinafter called "Additional Insured") faith whom you agree ina written cOnS;ruCtlgn,
contract, to name as an insured is an insured with respect to liability arising out of "your work" for the Additional Insured
' on the project specified in the construction cont, including acts or omissio0s.of the Additional Insured in conncchori frLs �,
• with the general supervision of "your work." _ , • ;
However, the insurance provided to the Additional Insured dogs not apply to- 'T
a `Dodify injury, "property damage, or "personal injury," occurring after,
(1) Aft work on the project (other than service, maintenance or repairs) to be performed by dr"nn" bt half of the; Af 2
f Additional Insureftt the site of the covered operations has been completed; or
_ -/ , � It •.. T n./ "
t 1`
„ < < d use -by 3n , i c �'•
work" t e injury or damage oJ,e,, .has been 1 put to its intended Y . Y
T at onion of "our wo out of which the p 2 h 1 ry 9 r
'; ` ' person or organization other than another contractor or subcontractor engaged. in pollorming operations for a'
principal as a part of the same project..
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IC CG 2t 2a 03 97 ^� ¢j pagr_ t of vJ
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From'. Suzanne LAt:ri;i iic iiii rii lb: To: dbi Jones Ui6s, 06HS-1. 06-
:-131. 0 *T 0311 200-'D--ST-NFJf w .L
CQE! 1%1512003 (13 35 t-M y raga: i 01
ORD;: CIiIFIC�4T� �F l..lA®ILil'Y INiUI�Ali11C� OPID .SIC
QATe1MwDU7TrvT
�RDDUCEA
5trachota Insurance Agency Inc
Ca2ifox'n:ia license #0249673
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
43500 Ridge Park Drive #203
ALTER THE COVERAGE AFFORDED 8Y THE POLICIP-S 61*LOW,7,
Temecula CA ,92590
Phone: 909-676-2229 Max: 909-676-7391
INSURERS AFFORDING COVERAGE 1
NAIC f#
"slLltb
.II*,)A[RA Insurance COrp ur new York
-
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-
-- -- ................. .. ...... --
Nsuvr..r n; Pear]_C55%Co].f1en Eagle
---
J&j Brothers Construction Co_-'-
dbe Jones Bros. Const. Co-
--
valaruD
P_O- Box 905
C00CU-111. CA 92236
-
,NGURCR C
COVERAGES
THC POLICIES OF INSURANCE LISTED BELOW NAVE BEEN ISSUED TO THE INSURED NAMED ASOV£ VON THE POLICY PERIOD INDICATED. NOTWITHSTANDING_,
ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACTOR OTHER 04CVMCIJT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 8E ISSUED OR, - -,
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES UESCRIOCD HCRCIN IS SUBJECT TO ALL THE TERMS. EACLUSIONSANO CONDITIONS Of SUCH' ' , �_•�
POLICIES. AOGR£EATE LIMITS SHOWN IAQY MAVB BEEN REDUCED BY PAID CLAIMS - � � " •�
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OfsCwvTe+VY PYlMAIF]NMILOCwtKNK IVEMClE81ENClUGIOHL ADOND uv RwxlID1EMlNlrw•ECIAL PPIUY1810NE �' - •
_
Certificate holder and City of LA Qninta are named as additional insureds
genaxal liability p>Sr attached eRdorscment_
Re:Tract #30096-57325 Mdison St., Ira Qninta, Ca 92253
.Except far'nonpay then 10 days.
LGR111•IL.RIt f1ULUtK 4HIVLtLLAf1UlV - -
Ij+ WOULD ANY Or TER MOVE Pr%CN WFOLIC ICY 01! CANCELLED DEFORI TNl er.FlaATIQN
Iv . QAI6 P6RI:V�,THC RAINDIMUROR MILL Er•DEAVOII TO II/A!L , 30-" 0.YI;wRITTGN
• _ NOTKl TO THE CENTIFI.ATE NQIQER WIMED TO TN6 LIFT.WrrA4Nac r000 :O SMALL .ay
Puerta `Az ul partners, LI.C'. FA.aatr NO OhibAT10N OR LUBiLITY OF a1Y KIND UPpN THE INAl1wFR,ITT w[3FNTA bw
17700 tlnez Boones Fexry Rd
Suite #100 RE4wSeNT%TIVvc _ t
Fortlaud OR 97224 AUP401"WO R IlF NT
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ACORD 25 (20D1108) O ACORD CORPORATION 188E
' SOO-d dT.=:SO SO/ST/TO
nsurance To, dtia lone ' �4!>dt•1
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orate: r> 130,
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pocfcY nJtje tg�R: CAIC 1 02 1868
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'�TI cc�re�C;A � �� t ,
c AD
DITIONA
INSUREDS -
'lope rty dama919 to:
, z Y oWrrelf, USP(t; Of C -
{2} PrppB11Y `Jll the CsifL O rUp+t'd t'Y Of rented t0 the AddiYr4na1 fK " " + �{ 4 + r, J �, t�l) . ' ; ?
' Purpose
� Custod lnyurNd,
r ererclsin ph Y. or Gont'GI of
s 94 Ysical cOntraf: or the Additional lnsu
re or . +our work" for d over which the p`
. / thc.gddlGOn
"13odi( 3J InsOred: der}gnat insured !t y {' +
Y+n1Urj ^ prop; F, rN^f{o�r an
failudo
re to rende Y Prvge ," nr personal itsjti Y �t
prePar1A ssional serolces forypu f 'n9 but of an archi;ec
designs, or sAecil�ArOvin9, or failln ( Or ihp riddili0rtal lnSutgd Nnglnee!'$=:pr.SUt4rE. # y�3t`3 e ^oa
rcat:ns; apProv or for others Y rs reRderin
Pi Superv" and e rriaps, drawl incfiadirtg;
iso,ry iris n9s. Opinion ABCtiOn. orengine"
5, fQpO�s
excj _ 9 SerV Cp a rare 9 t Ora
hese ysiGf)s ADPlyin rtn r s Ys Cl g o
+ $EC? t(JN ad¢ili0n 10 thnsB Cunt
R Jl1 t fMiTg (7F IN++ aln0d in the COvo par?.
+ the ''!iF{AhtGE rage
roll
< swing Provision is aode r� s " x N y Y .f gR
rhrl n'7rrlln8
r aE�j tC}N ty mare Additional J"Sured`s does•: -+ �,r 1 +. , r = .
t ar ttte ct�ye Co
MMERCIAt GIN ' not irrc,ease Che t! J
`a. Subpart 4 rag
provided by thss n arseme l: ryC�NolTION5 miss of;ns� e
o { i {al of the Other t
' (a) This insure nsurance prev; ion i;
JnsUred whether >3rlrrary and our i3taced by the fottow;rr�:
primary. -and
obligatiOrls are
t,. ` Subpart �) (Tea excess'
contingent. onany
atfeCred dv aRY oth y f .
i
$ nsferofWghtsGfRe Or yOtherbasis" ePinsur a carried
We W.-ve any'right,G." c4verYA�ainst Others To by 5urh Addi(iona(y
cause ofpa ,recovery we vs.) is replaced tf
a .contr Yr>aenls wO rnaY havn by IAP folio 4'„
' act with make fpr tn" again; wine +
applies only to that versos Of Or Jury' Or damage 3d Jt the pofsOn or Or. ani ;� ° f i
H I
N pMon 4rOr9�Ri2ad non and inctud� in�he t of Your onyarng u hen shown in the Sch
Mon
4 y, ah'JWr1 in the a"chedule oor
ho e tom -Completed oaerafr'orish��a work
One Undz
> a. this wAiver: rt
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MEMO
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2? 3l•dHftl
:131 tic 9 T 0311 ` 2002-SZ-hlNl'
pr�t;:�ut one At: trachota rar:ib: rn;urxn�e To: dbi Riiiis faros. Dins;. U4o.
•l?sr�''tit 52003 03 36 rNi r agr<: z 01 i 'v ;. '� ; ra„.`:
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'dll cAIC1ao'1s68
NUNBER::
COMM GcNEf-AAt` lABIl"Y ITA
THIS,ENDORSE.MENT CHANGES THE POLICY.
r a}.
PLEASE BEAD IT CAR€FULLY �14
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-,.'AUTOMATIC ADDITIONAL INSUREDS CONSTRUCTION
CONTRACT'S, 4.
` l`his en`ddrsernent modifR ; insurance provided under the following:
• _ COMf�IERCIAL GENERnL LIABIUW COVERAGE RT
chariges effer.tive the inception date of
the unless another dale•ts indicoted below •- .�' 3
7his endcrseme.nt the policy on
policy
Endorsement effective
THE INSURANCE CORPORATION OF NFINYORK''
TO' CONTINUOUS UNTIL CANCELLED
Narred Insured.
Countersigned by:
Jones Bros. Construction Co.
(Authorized Representative).
TnP following provisions are added:
SECTION I - COVERAGES
fSubpart (1) (a) of Exclusion f, of Coverage A. is rcploced by the following: •` 4 �_ '_;'
j..
At Cr fr=''arty plaMlses, site, or location which is or was at any fifue owned ur Ucwpied by, of rented or joaoed to 'r::
insured;
`s - • . ' `
the ins ,•,,
" SECTION II .WHO IS AN INSURED �' ` � �. Eti - �' `•
" 5;Any person(;) or organization(s) (hereinafter called "Additional Insured') with whom you agree'in a written construction
contract to name as an insured is an insured with respect to liability arising out of "your work'.' -for the Additio%l'ln ured
yE. -on the project specified in the construction contract, including acts or omissions of the Additfonal Insured in connection �, ,_,. -` - Al
7 with the general supervision of "your work."
However, the insurance provided to the Additional Insured does not apply to:, y ;
1 N N 11 _ ' • _ a
11 _
r sal injury,"occurs r. "A _
rnun efte
a. Dodil in u 'property da c or c so..
Y 1 ry. p R Y 9 1 R 9 •; �' ' w
A ('work on the project (other than service, maintenance or repairs) to be performed by or on behalf of the '� 3
Additional InsurecW the site of the Covered operations has been completed: or "
use t) -zw '
• a injury or damage arises has been put to its intended Y y
2 That onion of our work" out of which the da es
i 'person or organization other than another contractor or subcontractor engaged in porforman9;operallon,;for. a, 4
` ='principal as a port of the same project.
IC CG 7-12a09 97 Pagc..7 of
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AL .1A
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- • ,d dTS;So 60/ST/TO OOZ-86.S_09i
01!09/2003 •THU .15:27 FAX
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. R•L, ELDER CONSTRUCTION R UCTION ;G�i
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68-845 PE.RE7 ROAD. SUITE'3a0k i'• {,; 1ti,..�;>k
s .
' CATJI.EDRAL CITY, ,CA. 92'234, rt` 'M. '.
OFFICE 760-321-5611= +�
w FAX 760-321-562.�
s FACSIMILE TRANSMITTAL SHEETt�rr
To:
` V n.)Y\ ' ^, aJ Wj ` X • .}f. �, . - f! �� 4T L `� �. ` ` I Y
. r' .{,.a •� r_ordPnN}:,• l��' DATE:
r,qx NUMI+6R: I _ ani,Es: 1, V,
PHONENUMBER:
. •. .. � !� !• � � ' 1. •�{"`J ' iy� �c'� � 4 t.,�l, ! `tf• •- �-,
1+ +., ,r�` i; ^+ M . ,•ter rr. ,
'" ❑ UKGhN7' FOR REVIEW I'LEASf✓ Cbv1MhN7' r El'PLfiASF. REPLY
« it'. *` ' _ ' + i �' �"•• �Y—"" "Lrj 1'�} � I ►1 w"`• �i(� r n'�'CT%, �� � '"'{ '• ` !"'r�'f �+
oD,.>A es mo•� �oyv\
'our,
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r_., V1 C'ck)5�N e.. 6Q - "Ib 'A : J� � ors
413-3c)R k
41
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R.L. ELur!..R CONSTRU(:TION Co.
JAI-9-2► 0:3- THU 14:26 TEL: NAME: I P1.1 1`4^
01i09/200.3 THU 1.5:28 FAXj4a
,Job # 2923 Madison Street
01/07/2003 '
Cost Estimate s w Puerta Azul Tract No. 30096-
'
STREET lMPR i � ' ' j � • �' };- � F J -
; OVEMENTS
ITEM DESCRIPTION ellUNIT PRICEek•
V� AMOUNT r
6" Type "D.. ; xi a e i 1; r s •F -
e " Yp Curb 328 LF $ 8.00 LF ; $ 2�624 p0 • 1 ;' + a•. ,
2' 8 A-8•Curb & Gutter •632 LF ,
$ 10.00 . LF '$" 6,320 00 r r ,
tr 3 PCC_ Cross Gutters & Spandrels 2,466 5F $ 4.00 S.F.
r x.
a . 9,864 QO:;
" 4, Disabled Access Ramps 4 EA $ 425.00 EA , ' , "'
5 ,PCC Sidewalk . 1;700 00
4,698 SF : $ 2.50 SF..' ''$`17,74500'�
't 6 ` -4" AC Over Crushed Agg, 16,489 SF $- 3.33. SF ». z -Y
7 r AC Overlay' 40 SF .4, 4. ;$ 54, 908 37
10
,706 $ 0.
$F ` $. ,.04,282 40
8 . „Remove`PCC Curb 3261E
$ 0.40 SF', 130 40 ,.
9 Remove AC Pavement r t .
10 3,020 SF $ 0.40 SF $ }
- street Signs 2 EA
9 $ 250.00 . EA �' `$ ' ' 500 00.
11 Stop Signs/Stop Bar ,
2 EA $ 350.00 EA12.
ti 13 Madison St. Signing &Striping 1 LS $ 9,250.00 LS $ +9 250.00
Remove/Relocate Power boles 5 EA $ 2,000.OD EA t'A `
$ 10,00o,00
Street - SUSTOTAL $-1,13,232 .K .
17 1 `� ;
I{. r SEWER IMPROVEMENTS s + ' j'y� F•c
z: ITEM DESCRIPTION UNIT PRICE ,
AMOUNT ..
r `
y ,-r
�1 8" VCP Sewer Main 192 LF $30.00 LF
X 2 -'48" DIA Manhole 2 EA $3 OOQAO EA $5 760.00
$6,000.00 ,i.`
' <r- <, r. ' Sewer s
G° SUBTOTAL, $11,760.00 } ,
.� . ,; III• WATER IMPROVEMENTS
•'tTElvl DESCI?1PTlON tF ' r v r, a k • .�4 � � ,
QTY UNIT PRICE AMOUNT �. �a. a..
{ _ _ a ermain 552 LF $ 42.00 "
r 2 « 18" Tee (DIP) LF� ,$ +{23,184A0
1 EA $ 360.00 EA
4 3 18" x90' Send (DIP) 2 EA £ $
$ 360.00 . EA
4 18"x6'. Reducer (DIP) 1 EA $ 4, 720.00 '''
,• , 5 18" Butterfly Valve (DIP}
$ 1$ 360.00 EA $ - '~ ,.
7 ,800.00. EA
1 ^ 6 6' Gate Valve (DIP) - r _$ "12,600.00 _-
' r $ . 750.00 EA f 7 Blow Off Assembly 1 � - • ' $
1 EA $: 2,250.00 EA 2,250.00 '
Water SUBTOTAL $ .40
• . r. i F. � . �a • t
` SUMMAf 'Y OF IMPROVEMENT COSTS ` `r 'r. '•`'
,,Street
$ 113232 .--
2` Sewer ,�J , bU;,;
3 ,Water $ 40,224 ` �:�`,r * ��•�,.
• �, _ cr No- 24(1 J 1 '
SUBTOTAL: $ 1$5 216 w
r r� XP.12 7-200,.
;r. 10% Contingency: $ 16,522
r` ATOTAL: 181,738civil-
s / "Y i • < 3 -
41
Estimates
per Improvement Plans as of 01/07/2003'r. - �.• a
1or1
AN-9-2003 THU 14:26 TEL: hJF�I°lE:
----------------------------------
NOTE:
With proper validation
this form constitutes an CITY OF
encroachment permit
LA QU I NTA
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:`' Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION �e� k2LL� 1 3�f7q On W.�k iae ! NCAG�r6m St-
helw eer l kr Vor7 51vd d- Avenue 5p'
(Street address or Description of Location) J
RPOSE OF CONSTRUCTION
naeg
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
Sketch (attach construction plans if appropriate)
� sp�•ra•� cavfpi nosh ��-
G.�U
2.4-TGd d�% •
SIZE OF EXCAVATION, IF NEEDED 8AM A 3 ,o p®!J trr S /s�G G--�jm --------
sTl�jt/�
TTl&�— 5h-107e_�
APPROXIMATE TIME WHEN WORKAIILL BEGIN &w.�,V eQEQ9>&,' c/C_-PVr_ Src4Qir�
i r'o2 .��tti�/Y! L—'ivy— .P�STrsE�.9,?i�v✓
APPROXIMATE TIME OF COMPLETION Q0 1-2A4 I/ . T'ii,—_ . � �N7—o'-AilOaD, OR
ESTIMATED CONSTRUCTION COST $ _� '1"'"49
(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.Auth9rity 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 Qulnta and to pay for any additional replacement necessary as the result of this wor
Signature. of ApplicaOeor Agent
J e0C5 1�fb5 Cm-ry6g m C0 . Puke a 05 CoU.Ghet &l CA a 92't�•
Name of Applicant (please print) Business Address Telephone No.
t,,kL Solne,5 rn.¢ a/� _Ltlrb�i
Name of Contractor and Job Foreman Business Address Telephone No.
!I-19%0ga l s-t3
Contractor's License No. -City Business License No.
0p((Yfr *I P. `A-X(e+j VUU-r1d+rA_LA_qiR51oa (6t0Ci) 4b1- `41ifd15
Applicant's Insurance
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 $ S/40 11
Permit Fee /Lz�• m
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ ��
Receipt No.
Received by Date
Recorded by
PERMIT
DATE AF
EXPIRATION DATEE'a'� Z��JCL
DATE ISSUED
B
Administrative Authority
Telephone: (760) 777-7075
.-4.R':tt'IT.1.'!IRIe�I�31HR1+.�eT+ Y•��•••.•.•
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