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38311002 NAME ND La Qui'nta Partners,LLC ACCOUNT NO.047504260 90-3820/1222 DATE 10/27/04 PAYTO THE . ORDER OF City of La Quinta I $ 936.00** Nine Hundred Thirty -Six and no/00 �rTT Tyr *T T TTT TTT MTT TTyI �� DOLLARS Ld » 80111 AVE. 52 rot LA LIUINTA, CA 92253 PACIFIC WESTERN BANK 1$00-654-7962 FOR xP +i: L 2 2 2 38 2001: 11004 7 504 26011' . *� , _ � _ w . • - ' PERMIT N .. • �. � . • : • : , � ,: �� ..��; _ :� ., The Hideaway '3In`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: 1 2. THE HIDEAWAY, hereinafter referred to as "Permittee", shall be responsible for prov'iduig :continuous ' >r dust and erosion control. 3:`:...Streets shall be kept c1ean..They shall be completely cleaned at thetend of_eacli working day andmore-, frequently if required. 4. f, Pursuant to Section 6:08.050 of the La Quinta Municipal.Code (Ordinance 18 § 1; I982), throughout the R =Y' 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 a.m. to' 5:00 p.m. t. ' May 1 st to September 30: Monday -Friday- , 6:00 a.m. to, 7:00 p.m. 4 Saturday 8:00 a.m. to 5:00 p.m.'E All 7 7 Work shall be prohibited on legal holidays and Sundays. L " •� YKr. v ; =�' • ' 5.. ' Work performed within 500 feet of a signalized intersection is restricted between the hours of "'49 a.m r • ' it 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 r Pk .operation at the intersection is to be altered in: any way. �' " 6. t ; 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 streetA .y -and for any damage to other City streets or facilities as a result of work performed under thi's permit, ^ 7. .• Pursuant to Section 14.16.250 of the La.Quinta Municipal Code (Ordinance 10 § 1 (part), 1982),,, r ' "advance warning signs and traffic control shall be installed,and maintained iri.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 - , r, ,LL 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: ` ,, :; .� .�r.•' N Special Conditions =PERMIT NO. 3831 lfi f 3 "L F �• ', Page C of 5 N , t ,' ♦ l, t .lam .' • . .. .,. y' ;i AAS, �,y 11Ar 'j AY.. �., y3 r• i. s,. PERMIT NO. ' 3831 +' THE HIDEAWAY J- t Pursuant to Section 14.16.290 of the La Quinta Municipal Code (Ordinance l0'§tl (part); 1982); streeUi., h• closures shall not be permitted: A minimum of two (2) travel lane of.paved surface shall he�': maintained at all times. r�I } `4'• .8. ? Prior to excavating, if required, the Permittee shall contact Underground S&wke.Alertat .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: ; '<> �•: t f, " `'` ' r ^;, ,9. Should additional work, materials, or modifications'of the work be iequired'in'order ,to meet City. • y.', 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 • 7 ,City of La Quinta. _ .10.. Pursuant to Section 14.16.370 of the'La Quinta Municipal Code (Ordinance 40 §'TT(part)�' 1982),, •> backfill compaction within street rights -of -way shall conform with Section 306-1�3 of the latest edition' k T ` 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. , : • ' ;, �� ~ti "• ,� Y, Backfill compaction shall be achieved by the following conditions When a firm foundation is not encountered due to soft, spongy or` other finsuitable material, such Y" material shall be removed to the limits directed by the Geotechnical Inspector and/or' the: Cif ' Inspector.. and the resulting excavation backflled with pipe bedding material.:<.:: �. ,. Ir B. ; -Backfill materials shall be brought to or maintained at, an appropriate moisture content for rA ?; 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 a's . ,• - ` • backfill is placed to ensure the effectiveness of the compaction methods and to establish the depth ." • • �: of lift that can be compacted. Special Conditions -PERMIT NO. 3831 L Page 2 of 5x • a ' ',1• •'�,:, r t'' .� :mil , �PERMIT NO.3831 THE HIDEAWAY iD.` • 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:pon;satisfactory • ' completion of this portion of trench,*the City Inspector shall establish the maximum lift thickness L'y 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,wiihin the.open length_ r- , of trench. ra k .,:,1f • tr e,i . , M1 ., sf C. .✓ r .�,c 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 irench, 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 W - • 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. • = r , r .a 11' , All excavations within City of La Quinta right-of-way shall be backfilled, and temporarily paved if a ; = 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 '• °r which can not be backfilled in the same day. Excavated trenches shall not be allowed open overnight, } Ra • / V i, ,-'however, Permittee may leave a length of excavated trench, not to exceed twenty (20) feet in length, 4' open overnight at a point where construction will begin the next day, provided that this lengthof trench>' _y pis completely covered by steel plating..'. •,� ' 12: " All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc shall be replaced to, its °; H original condition. : ,, x ,'.• i, ,,, 13 , Access and egress to all local properties shall be maintained at all times. .14. 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. Special Conditions - PERMIT NO. 3831 f 1 r ' y- `a' t }Page 3 d 5'!•� - f t 2 • `' ,� ,4. } ;a .^r • , ..� A Z. ,' }fir%" F.1, r PERMIT NO.3831 ` a THE HIDEAWAY B.; Permanent pavement replacement structural section, within all trenches, shall be 1" thicker than {-';�t' 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:'20072.4 of the Standard' . ' Specifications for Public Works Construction. The replaced pavement and base material shall be 4," ` y compacted to 95% relative compaction and respectively tested, for each'30011near feet of trench. ;;, ,• +Verify exact structural replacement section thicknesses with the City prior.'to`installation:, ¢ -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" max medium finish course lift for,",' capping. Asphalt concrete mix design shall'be approved by the City prior to its placement: s • ' 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 ` f 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:., . t •,' For longitudinal trenches located in a parking lane:.two (3) feet outside the sawcut removal• . 7 lines. r . For longitudinal trenches located in a traffic lane: two (3) feet outside the,sawcut removal 7' f _' • �. 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' y , " '° '0:10' low in anticipation of grinding and capping. 1 y= ' 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. i 'Affected traffic signal loops shall be removed and replaced in kind. The finished pavement'.W surface shall be smooth, consistent, and shall conform to the surrounding grades. ., . r 15. '' �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. F . :•y to Special Conditions -PERMIT NO. 3831 r� •� a Page 4 of 5t� ' s! `�" N� r•',}. - ..�T1 L - ��. ✓; ,fix, � • .. •.t �.. r .. LPL �: w. - i ♦ ' °' _ R" - ... • `7 it sn t it 1, t PERMIT NO.3831 ` •± ' `,� * + - THE HIDEAWAY r .. y. '' 16 -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 partof the Truck Route network) is three (3) tons; trucks exceeding the weight limit may use a restricted.' "street cif making a delivery or pickup on the subject street, or if this permit specifically grants permission'..y=� . to use the street to deliver street construction materials and/or equipment-.,,,,; �� ¢ te.;'� The City of La`Quinta reserves the right to revoke, suspend or void this pei)iiit at anytime , f W- yY r i ! 18. ' �JThe permittee shall indemnify, hold harmless and assume the defense of the City from all �- ,�s 'damages delay costs, costs or expenses in law or equity that may arise out of work under•this permit. y;. �!• ,_' � : -` . �' ,> �,, �r't w � sir `,, j,. � �• _ r r';,;, . City of La Quinta The following General and Special Provisions are attached to and made a part of - 4 �'' ' + F . �1 Permit Number t' `The following shall always apply: i ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within the City of La' Quinta's right of way ONLY. Whenever constructionextends within private property, it is the responsibility of the permittee for his contractors to secure permission..'x' 3t. from abutting property owners. Such authorization must be secured by the permittee prior to starting work. �. s 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 ' ovei their entire width. Resurfacing shall consist of one coat of two inches (2") of A.C. surfacing plus appropriate seal coat as specified above.. , ' PROTECTION OF TRAFFIC: All excavations and work areas shall be properly lighted and barricaded as'deemed necessary by the City Engineer or 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. - < 5 • .• .. S• •' •ems c ''� •. - -N r r fi' CARE OF DRAINAGE STRUCTURES: Any drainage structure to include corrugated metal pipe, concrete pipe,, steel culvert, and, concrete u structures encountered during excavation which necessitate removal shall be replaced in kind. In the event it becomes necessary to remove or cut existing drainage structures, City of La Quinta shall' be notified prior to commencement of this work. Drainage structures and open drains �.. shall be kept free of debris at all times for proper drainage. "�• ,: ,' •i f . RIGHT-OF-WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from,the right of way.'AII r; 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 tankers . '=' ' shall be used, as required, to sprinkle the job site to keep down dust conditions and shall be used immediately after backfill: • '.n ; ; ;., , DE -WATER OPERTATIONS: If de -watering operations are required and pumps are forcing water on City of La Quinta roads it shall'be the,% responsibility of the permittee (contractor) to control this water and to provide off-street barricades when necessary. ."CLOSING STREETS: No street shall be closed. A minimum of one lane of traffic shall be maintained at all times to provide limited access for the adjoining property owners and emergency vehicles. In the event it is felt by the permittee that he must close a street for any length of time, 't ' • permittee shall contact this office to obtain the necessary permission. t r: SPECIAL PROVISIONS The following shall apply when indicated: r • t - { ' ® R1, NOTIFICATION: Fermittee shall be notified the City at (760) 777 - 7075 at least forty-eight hours (48) in advance of starting ~ s , construction. r' ® R2 ` ' : UTILITY CLEARANCE: (Substructures) Prior to making any excavations within the City of La Quinta right-of-way authorized by permit, the permittee shall contact all concerned utility companies relative to the location of existing substructures. • • t"• `• Damage to existing substructures resulting from operations conducted under this permit shall be the sole responsibility of the permittee. � , .�' 1. ,`.� • - � .. i .i. ,. •� ®. 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 3 with (*' N/A") inches of A.C. paving placed on ( ** N/A **) inches of ('* N/A **) aggregate sub -base course having an r "R" value of not less than (** N/A ") and in conformance with the City of La Quinta Road Improvement Standards and 4 w Specifications, Ordinance #461. s ' -�A, : s ,o t PARKWAY GRADING: Area between the property line.and top of the proposed concrete curb shall be graded to a slope.of r=. •,h,' . - _, f, ► one-fourth inch ('/A") to one foot (1'). «� ' El;Ri GRADE CHECKING: City of La Quinta shall check grades upon receipt of plan and profile and/or grades as established by'•, a licensed engineer. R7 r ., CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter,( ** N/A *') feet shall • be removed.' Curb and/or curb and gutter shall be saw cut prior to removal. Depressed curb, matching concrete gutter and , concrete driveway approach shall be constructed in conformance with City of La Quinta Standard #207. • �* ' ❑;; R8 DRIVEWAYS: A.C. driveways shall be constructed as not to alter existing drainage pattern.'"Surfacing between the property 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. - _ ,_ z ti ��' SIGHT CLEARANCE: Sight Clearance of six -hundred ® feet (600') in all directions shall be assured and maintained at all R9Y`t times. *' ❑ ^R10 '� `" - SOIL STERILIZER: The area to be surfaced shall be treated with soil strerilizer. -Rate of application shall comply with the`, ' r 4 manufacturer's specifications. 3 City of La Quinta R11 . COORDINATE WORK: The proposed work shall be subordinated to any operation, which the State of California or City of La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or City of La • Quinta forces to preclude delay or interference with State or City of La Quinta projects. ® 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, 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. 4 ' ® 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 4` 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 ' protection of the traveling public. The Public Works Inspector shall determine the suitability of excavation barricading in each case. No excavation shall remain open for a period exceeding five (5) days. No excavation shall be made unless the construction material is actually on the work site. ❑ R15 BACKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimental to its 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 or 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 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 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 . ' of California, dated January 1973. 1.. ❑ R20, r.• 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 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 ( ** N/A **) inches of A.0 surfacing placed on *�' ' �' a ('* N/A **) inch (** N/A ** ) aggregate base shall be placed no later than (** N/A *`) days after completion of temporary road repair. f ❑ R22' FOG SEAL: A fog seal coat consisting of an application of asphaltic emulsion shall be applied over all'patch areas as j determined by the City Engineer. *' p ❑ R23 STREET RESTRIPING: Where street striping is still visible on street to be excavated, such striping shall be replaced upon completion of permanent repairs. f ❑ 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. F ,Trees to be removed shall be in sections, which can be handled safely without interference or hazard to highway traffic. The �tv - r'. 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,. j 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 equivalent tot the surrounding ground, whichever is the greater compaction as determined by the impactor field method. - Compaction tests shall comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California; dated January 1973. y • a 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 L Subdivision Improvement Permit— Class III X DATE: "-a y`o3 Tic , io V7W,*y� 7-2oge,?— 9e inor Improvement Permit Class IV LOCATION OF CONSTRUCTION ��6���rTiLSa� ✓ S 6Z>z �� P-%w It1W. TTr , fi: " (Street address or Description of Location) PURPOSE OF CONSTRUCTION S I Q I5 .Lt /4!—k- Sketch (attach construction plans if appropriate)' /V 5sray�s� �oh1 DESCRIPTION OF CONSTRUCTION L,/ �v S T72 �) l�T'7o r. � e Go�✓rD�r�o�v�s +: DIMENSION OF INSTALLATION OR REMOVAL IPi1�vUWG-S SIZE OF EXCAVATION, IF NEEDED <:%7 a/4� A) kY)C--S� APPROXIMATE IME HEN WORK WILL BEGIN I � o U G1L1 APPROXIMATE.TIME OF COMPLETION l ESTIMATED CONSTRUCTION COST $ 3Z; Pot (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 per a all applicable rules and regulations of the City of La Quinta and to pay for any additional replacement' necessary as the result this wo k. Signature o pplicant or gent Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. 1 r Contrpclor's License No. r r City Business License No. r. Applicant's Insurance Company Policy Number 'FEES: Subdivision Improvement Permit — Class Ill ' Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule 9 Inspection Fee $. PERMIT VALIDATION Permit Fee ou PERMIT NO Penalty Cash Deposit -Surety Bond if required TOTAL: $ Receipt.No. Received by Date Recorded by r * < DATE APPROVED 110"W 27 Zaa3 i' -EXPIRATION DATE VAA1 3/ ZGD� DATE ISSUED, By V. Administrative Authority Telephone: (760) 777-7075 i FROM ANDERSENTCONCRETE.INC f•FRX.N0.- 01 834 42 Sep. 16 2002 12:59PM P1 r " ANDEASERCON.CRETE INC: . CLINT-N J.'ANDERSEN, Presiders# 1365 S. La Arboleta Street Gilbert, AZ 85296 w "� _ 480 345-01101 FAX 486 Oi SOtember 16, 2002 Hideaway G4Club • ' r -, ' Previously CC of the Desert _ g • •Attie: Dan Wiliiams .. � "' �`. , Ofe 760 391-5072 ' Fax 760 3 98-5 788 •oposal and Contract SUBJECT• Estimated Quantities aad Cost (;for 1e5=011 Street and Main entry) Sidewalk 1latvvork #314 - S.F. .4 7 H '� S 1 S32,801.58 I, j L 3.75 r.Fire grading and compaction 2 ,314 S.F. .09 = 2,008.26 't= ^Wbdixation k. r y • `- 4 z.000.00 V 1 TOtal E� $63,093.09 t . Actual field mea nnvn=ts wMjdet=miri6.hiW,cost. - inchisidnx ae xa y o me Fpadiu t . . , and compaction Cut and fill: i Concrete'3000 P.S.1_: i • ' ', ,, Fborbi�esh•reinforc�nt Base mate al •y ',f _ 4 '•+µCq. '.` Sales, KA ,- •, V Y 'J, •Wilm FI I Dug C}`t!o ntcr�ol'. Loader St.r Insurance y' _ i ` ,a,' .a ' . A' .. �• + e ., .,a• „ P r T ah! - ^ N1 S� Worker's Compeinsati Y ,g . + .; Flatwo- 4" thir,lc, variabrle s r k •r�, :.. Curb - 4" face, 6" vMth,,8" kside ~r Si' H gimiWty path cart 1.90JS.F. Small quazttIty airs path curb 4.40/LF. � AT , by otliers or T & ' �.' ^„ C�11t4ri J. •And .. ,. •('•��� •. • .. _ 7� � 'h -.a . �. A ' , Dat Dated' �v ► may' 2��( C. �1 �r.�,D� t�• ��X C] _ � • C}1`•�\� � . ;EP ;16 - 2J02 MONA2: 22PM..'ID: • `" . z PAGE•1 ACORD,M CERTIFICA = OF LIABILITY INSur INCE 10/09/2o 2 20DUCER 480-820-2297 FAX 480-820-2S70 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION legarty-Haynes Insurance 1701 S. Lakeshore Drive #1 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tempe, AZ 85282 INSURERS AFFORDING COVERAGE SURED Andersen Concrete, Inc. INSURER A: Cincinnati Insurance Co. Clinton Andersen INSURER B: P.O. Box 3440 INSURER C: Gilbert, AZ 85299-3440 INSURERD: i INSURER E: OVERAGES 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. ;R TYPE OF INSURANCE 'R POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY 'POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY PP 0730347 01/03/2002 01/03/2003 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 100,000 X COMMERCIAL GENERAL LIA131LITY CLAIMS MADE I X I OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 t GENERAL AGGREGATE $ Unlimited GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 P PRO- PRO LOC AUTOMOBILE LIABILITY CPP 0730347 :01/03/2002 01/03/2003 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 1,000,000 BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY - AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS LIABILITY CCC 4485963 01/03/2002 01/03/2003 EACH OCCURRENCE $ 1,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION ANDTU- A TORY LIMITS ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT 1 $ OTHER Rented/Leased CPP 0730347 - 01/03/2002 01/03/2003 Limit $75,000 Equipment $SOO Deductible :SCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS La Quinta Partners, LLC is named as additional insured with respect to work performed by the insured RTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: ` CANCELLATION V SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ND La Quinta Partners, LLC 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT; Attn : Esy Sol i z BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY PO BOX 1482 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. La Quinta, CA 92253 AUTHORIZED REPRESENTATIVE Elizabeth Millwee ,ORD 25-S (7/97) ©ACORD CORPORATION 1988 ACORL CERTIFICA _ OF LIABILITY INSur ONCE ioioi2o z DDUCER 480-820-2297 FAX 480-820-2570 agarty-Haynes Insurance 701 S. Lakeshore Drive #1 'empe, AZ 85282 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 ;URED Andersen Concrete, Inc. Clinton Andersen P.O. Box 3440 Gilbert, AZ 85299-3440 - INSURER A: Cincinnati Insurance Co. INSURER B: INSURERC: INSURERD: INSURER E: )VERAGES SHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING \NY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR AAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH 'OLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. i TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 1X OCCUR PP 0730347 01/03/2002 01/03/2003 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ Unlimited GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CPP 0730347 01/03/2002 01/03/2003 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO - AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: -AGG $ $ EXCESS LIABILITY X OCCUR F CLAIMS MADE DEDUCTIBLE RETENTION $ CC 4485963 01/03/2002 01/03/2003 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- TORY LIMITJOTH S ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER Rented/Leased Equipment CPP 0730347 01/03/2002 01/03/2003 Limit $75,000 $500 Deductible iCRIPTION OF OPERATION S/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS La Quinta Partners, LLC is named as additional insured with respect to work performed by the insured :RTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION / SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ND La Quinta Partners, LLC 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT; Attn : Esy Sol i z BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY PO Box 1482 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. La Quinta, CA 92253 AUTHORIZED REPRESENTATIVE Elizabeth Millwee :ORD 25-S (7197) _ ©ACORD CORPORATION 1988 •'(+' - d<- ,, :..i� 1"•.ht J y+'-G Y A "<� ',4, .. rc{ - Y� r. tf, t; S i v ,' < „w �,. f y " r �• yx},., 'a„ i 1y t C�Lr i•i 11,Y,' 4 t, Yi,.+: . t y } ,x '� �• } ` I. F- c3Y ? {L ;rr - ? t4 v1t= tf i.rr ^r .5° + r\_M t s - r " j, A -- . i, !+` r 'r rl r X is 1 � ,,, '� > 1 <� j -) .' r„ . , F L�. i r 'dY.t wu ?r,, a.� ! �� U 4j,�' a,�y�• +g '> t - 6 r :s - 'c TAT L+ d a t R ,e F x =j_ 4 r y '.— F -�:" �� . Pbt BQX 4208071'SAN FRANCISGO CA''9 t42"Q$07 x n x . -, COMPENSATION, 6-, C`•�" �:,.§,k,rk ,. <a• rr:_ .t'S, 4j a4 crY' x.."Xvy1, , *'__}}r a i + > '< b ''- '/ - 3 -y ,;, t.i r' rr` }.� !a r \�.- , sr'11ai,) ,� i -- { tf t;�.•<'Ct s,,N, i'? t e ' a n X ! ; t• v - 1'N S'U;R A N Le^ E ? :`C I .r,`c'.r 7.r I;r *� f}'' , c r •t+.'1••ar t Y� t to i.r J 4" r : ; .•� zN.DT r .. �r atit tC�".r ,i w�,-;4 �� SA •! sY !t f r( , ... r!e it,Y.' )... '`4 s%ITb.. a L - ts' i - t - r s .,K. i e ,R x< ; � F,CERTIFICATE,,O�� WORKERS" COMPENSATIgN INSURANCE }:tit' ' • ` ,� .n�; rrn ! i t t ;,: +iz� rY +.A =) r, c Yam,.. J.i F X?ty3a ; r 1.>. Rr , `", 'zY - r f '. � ' �^c s v> a C' c 4r r- r: OCTOBEFi 18 2002 , " 1 V rG 3 t :: # Ir > w r E r r ,, ?. i •� J4 •t y �i.ti Y s ''R ,7•+; . O r 31 `St_>� POLICY--NOMBEO,,046—, UNIT' 0009608;�' i '� 'at �` f t t ) _ s ...v 'w'.-j st ti rr • t k ,. t.f "I s / s.sr ��f#' ;b .�stw �r=`. / d) - {'.CERTIFICATE'EXPIRE$ "1 1 _03 - %i; .`, u 'l .. A, '•. x b A '.! A ,lr F j.+ i.ci y 'k i � �, t t�, 1£A. T" frj i, �'h•� i� �4 i F Lr C J .I'L, 4..•� t ,•� , 4 - [•� t 4 �' i,. Y ti� "Y j4 t t r .�. �• y f''.; +, 'i}4.1 r 1 v. +r, - '� s x r`• T. '.M , 9, - f ,t'v i . , ± '; t a1ry Y t r r .4 1 4 r rA s, r . ''..i \ d Y"y t. s v a. ,i Y ' 4t� _ s. i t ^ ' 7 f � I A, . 7 -,:,.:ND, "Li'l-�QUINTA PARTNERS;LL'CA s,'� � tx '.& % #' � • J ; t t „r < ,�41< R ,k.. r c _ t } 4 . <r , . ,r + a ✓ s L r .4 I 1 t /ram. , i . t t4 rt : t rrA(T�T}Ny'ESY�:SOLIZ.� ��'.. ;,},'<, 'F� r_a-,-2•,�1 t •!� -; ax Z,ti"'g= _, II1.. �'; F � 4f - , 'S' f p`�`BOX-�1/4S2 r �. ,' •3' Z 4 Fa S. y_:}. `! '1 t� _•;'S' <. tt g . +: Y.1 .�, t t } Y) ¢�'� X r Zr 1 T s. r �. 1' wZ i t t' . - N Hi. :)'.1,,. u r.� .t l,.L s.yV 1}. � Y'")r� !F t•i r!�` �5 ,. � i T �, rC `,„I r.✓1 4J-."� d _ e:t Y , LA •QIJINl A CA � t92253k t �-rab, ;yam= r�r= v'��r ` ; {,,r) r 'r, OB. HIDEAWAYS CLUBS 't �� �� } $ )). L ,y.,t '.+f . \,,; it4-tZ 5{r , .tY, r r' ,., L ) '•ri.,. , I J� r `i ,r. -Ti �c +� � rs .14. � yt -�' "ti �- � } tno '<, r L,r,, t� � ti� r !cr M {} , t t K r r t r rt l ? r t +. as t k ',i r 1 . , r� I ,! " �+,. .J' Y. r n + r t ,;, r ',;>e 4' r, . k' } Yi .,+-�, tcS,i @: is Kuc r{v ,;! r: {+" .ices'1 t4tr- �' K,y, - w �s r-1 1.L - , Y 4 r r FA'a wc-. F 01- c ,t ,rr '. � - y )• L r ';( , i'S '/ 3! y , 'rI. r z - r s x '�,t - .te.t">,,v��t y �rP \ L, t p ..: r ' �� v 1 • ^ t i1 .,3 d t - S y'.k ;. t,. ,y •+�,L rstY �, yj .7a �Q 4 P i R1 C. -t ). r. 3.h z 4 `r rE +. - •y ­.s ?% - Y - s. < "'� - E,_t Y}. % Y?3 l i. t rt r ?t', �t� .., 'h 1. "G I V r . v-.r. �rc?+, •r f r t m1. . Fr 1 '' w .A' f This IS .4 :. 1 tlfy that we�have Issued a valid Workers'3Coinpensatlon,�nsuranco policywln a fp�m apprtjved ithe Ca11 nl a: ; Insurance"Cornmigsjb"ner.'totthe em Io er named below-Io�;the • qIl t" • L? `1 ;' - t� T,. ,.t .:?y ;., ,.: F, p Y P Cy pe iod Indicate}�t+ t,,)rG > .•f Kti p+F `{.R !: 'l.•» �.. r./ y.� ,, "f. K j.,'% r t '+. i' I1 .I-r`r.,4f $ t 1 _ ., 11 `-S f £ t' s• Gd i , st.* t ,2 r G' 3O.o,• �•. �,Y -tti { S > { 3 •'f ��'h?{':.?•~ x -t . .� t - f.:, This policy Is not subleCt to cancellatlorrby the Fund except upI t R days' a�v2nce written nottCe to the employer . , ':- , ; I.1. t{n N'. y ... -r =... ffizt ti a r�; - ,Y. ^ - ,'i s t • r '` . � k-,;! �' +'Ay,.Y.r (. a�f+ta i � .. + 4 ; ::':i !",ns jJi , 1r<„ t5. :\ m•, t ,1Yt v�}* s, ., ' +•�.r.it7M) t . rt s -� _L •' / ,:: We will also glve.you: l>days' advWRCe.notice should this polipy beGCancelled prior to;Its normal explraUonr.� ,Y , a •t -. is 1% a-, . ;S' t. - d; + $ v' t - l+ Y s .tt ]],, f , r - I.f f ti! t Xy,� f 4 ' QF t r f - a t. r yt::,� i''R'a.t, Sr '".. s Y c :Z 4 ! F . J. . ?- i.r �t tr • 'ft % t . . �J ,� _ ,, , r, r" i'4;%Y b r ��,. t.4 Y? ,b :?' tT; r +} s. \' ^ ,,, c. r).! I ':4 ;rr m -_'.. i:.. 5 >-:.k, }j_ ...',.. r~ s ;, -!:. �',�;+ ? This certiflcaPe 0t insurance,is, hot an ihsOrance,pohcy and doeaYnot amend; extend or�alter,_the coverage`afforded4b'y,the, :• pglicies`.,l stedr herein aNptw,IFftstanding., . y reoulrettient term ror,'conditlon, f `dny' confract:or othen document with : > � ' respect tosw(iicli fhlsLcertlfi ale of InsulanGe•m y"ba sss It.d.jor may pert'�In< k�e lnsurarice afforded:by,�th� pollci�s�: described herein is sub ect to all.the terms�exctuslrns and co I ns ' 1 r1 tt o bf such p"' -- - �' t". sk g x.. r,W." -s.s .Y ti 'Y' r ! �'£ t' - '^ ri. X-r+kr.'k + i:. t rT" ,'45- !,f % -.'F w 3 .t s ,n .x. t, - - .., k' ;s� } is ii '4 ( 'yt rr w •°t T' >r.a - a 'Fr • t � 't for v r `'T-}t •¢y _ i jti.� r., , . �y �. t:1 r��r1. •� q, 4 11'1's ;�' ,"l—i'. Y4 <r, N s� !". r } Y.- . 5 j, rl � i:� 1� r: ;4 r - .tit ZL r S 3>• n":.,1 , CT t'' 1 1Y �! tir y'. s € 4 h •' 11.1 4. I d r j i �' n<}. ' Yt n .n Yy�. 4.. ,� r t F t Y' •r �' - t i i 4.,, e- y .7 x,y t 1. J ,'' F'Fr "� - :'y>., '+t.='t t S•+ j't L;r < `~t;r. % Per,. 4ti 1 j' ,_1 . tH r i .,,< r' x t • ' t a 4 `' r t y . !c. A Y V V r f e ! yt� t,NoJ? k �r�Ft tf �a�r >. :} { t ar: ag psi"-_ 3 r,Y, t' r i'? CY!I. iA. '1 1 wl 'fit +y- / T. '. t-'• t art a''•t � , 'z Ya iiti rL rl ► ^E �tk 4 + p Y ;a ., i, 1 t... r a_ .�,ek i� .�i j [ ( Sa ,kr,K j 1 } AUTI IOFIIZED REPRES NT�TIVE r 1� i Y ' ti �ts r: k;'' �, {a'S; T� rt�a ter.► �)� r; r }�+!PRESIDENT } i I St .aM* -.- > ", cFr ,• � . " +,� ; r",� . . � r . i;3 +•' .. • .:.. r { -T. i -' k- +./. •.. }7 �: r 't .S .£ . , -I , 1 •S- y N -C , •,, r i I "i ,, - ' �' •�.-,, `� l x ,. +' ! .) c't'%.. t y. t, c. a L t >; ,,,9'4 t :G - , !, �'i:-; � ....... '- r r IIIEMPLOI'EF S`'LIAFILiITY LIMIT; NCL�IJDING'pEFEIJSE'G'OST$'11',000,004,PER,;0CC�1•RREiJCE�" ` C, . •f:•`y 1 _ ('. ywt4a -!$ r'i'•�,4,ry � `e YET l.,=y1,+�55+n'•ly .'i{'J +v '.t �, +. .!;!''' 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( I.< fit' / ,1Y -r, fry Lf.,•*,' r'h'Ity'!a•-y�5`?•s •� r+ '4 n -X � „Y,3 ? .�sr , 1-t., a.,' i .? x . �Xt. .G .. r .�',+ s- ,+ 3' , XAi! S �wy,y,r F t ~ is s fy>'a , i t' I, h1 t k 'r s y G' °�"�. EMPLOYER z r h �� r j ; A, r� ' I 1 F ` t � t; > * 't, � ' Y j� t : 4 � . t -- i� j( t,. ";K o^"„"^°,. t '! 1 q ' , ` i a 1✓,r �' - r 4' 3 [ ;. s I• f ! t" 1-, 3 7 : -„•v �- ` { - Z. y, r` t i ! . a j s t +- _ . R� 11�1$ ' +r. . Y{ 4, . t Z) r r S1 G, " 1 F T �• - 4) x iw", u l ~Y. < I - t t r 4 1 I r. 11 e b k. " yx4 } ,t Y k ry . Est ! ,i. .'d! {`. !y. t• 1 i. sa'\ >;, r, Ty :. 4 ws- s G I ,I - L , ' } P ,43 i \ �.^ r .'t $ Y& ), r -fig r Y - ` •'\. s 1 t - I S'Y t• y ,. t . i ,r. t. ANDERSEN CONCRETE' tiNC ,_ r ri t t r r ,r "',F , BOX�' 6 w y= � . �� { �� .. fN F r� ',? f ' . v GILBERT AZ 85^c99� yIF.r."i -, I. � t' im, 1.,' i` < r t t _ �r . f S - t- k .i'{v' 3 �• a e r.i a _ + i t q [ e ., _ ,.c a t (S) N N'. 4-3 0 , NLIAInt Ira, rf 00 aft-t Pursuant to Chapter 9 of Division 3 of the Business and Professions Code and the Rules and Regulations of the Contractors State license Board, .r I the Registrar of Contrac.c�rs does hereby issue this license to:. s yi. A y ANDERSEN CONCRETE INC dba CONCRETE PLUS ry 4f. t 1 pp .. •r•� � �.�• 'QunrK4 _ lL'' z, to engage in the business or act in the capacity of a contractor y�r i e o in the following classification(s): CE LL 3tee,or _ . _.. i Ca�ii�a-u_4ner Cad tFi>RL�A t�� ;! Witness my hand and seal this day, z July 9.1998 W i--- --- -- - -- - - - Issued JuWp ' 8,1998 i - Zo j gnatur icenS 0 �� . C. Lance Bamett, Pb-D. w I --- )ltogiscrar of Cunrractars to this license is the property of the Itegistw of Contractors, is rot' Signature of L tense ualifier 751532 Si W . . i $ Q transferrable, and silakf be returned to the Re®istrar upon" demand ca when suspended, revoked, or invalidated for any reason. It becomes License Number >� void if not renewed, - Ot)Ldj1RM "11 91 62972. LL 0 LO H Of LL CU m m N i N iU 1 F- i a j27 all -• Y r • Y _ "i - _ a .ffv-, E�� MaiIIm rum . f t a`T�m�g����§�����-- a ��� � #w J :a ,.'► � *t? �y; , aae`' �MORY ��St gopr@9�� z [Man op,14%5M ctrr f :=ii�• - - - r� iC1(t6{I' f��� ,t ! 11 , a � _ �—e v cevk9F 9i'�b i — SS/ �J � r—� � .� � � �— S � � 6• J6� A �� � - ,•�-` nF - _ _-'`Ti - .� —-����f�%-y�P7-� .� E `� vet f. ¢ t -- 114 � �z..F-sa s•'B 3. f . e a_',3 C! _ 4 Cd- S S.t� /- e / a-� fl `- - I r r .T F s __= se eere eta S 7 oct Y._fraa.rs i a • . .. �_ 'e � ::s�g.�.. 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PITY., OF LA QUINTA.' - ;encroachment"permit '.••� +�•, , • APPLICATION, TOR MIT PUBLIC. =WORKS .CONSTRUCTION--(ENC.ROACHMENT) OF For construction of •public or private curbs, driveways pavements, -.sidewalks;';pairking -lots, sewers, water mains and.'.other like public 'works improvements..in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS ; Subdivision,mprovement,Permit —Class III X PATE; .?antu+x 28- 2003 Minor lmprovement'Permit Class.IV LOCATION OF CONSTRUCTION Trait 29$94 — The Hideaway. • 3e4ferson. Street' betvteen' the Cana' l and, Aveiu®: -34): (Street-adtl.ress V. Description•of Location) < PURPOSE OF, CONSTRUCTION Sidewa.1k:instafa8t'lons Sketch'(attnh construction plans if,appropriate) '. WESCRIPTION;OF CONSTRUCTION'. Sidewalk cmnstructiot r See Atr�cltecl :sped a3 :C¢ndCgotta: DIMENSION OF INSTALLATION OR REMOVAL' Se0.+ drAvinaR ' •t` SIZE OF.EXGAVATION :IF NEEDEp 'Seel erawinks 'APPROXIMATE ; TIME WHEN WORK• WILC BEGIN••�on reci _ t' of APPROXIMATE TWE' OF�COMPLETION 1 (one)• Iweek z `' ESTIMATED "CONSTRUCTION COST.$ 32.801:58 1' ' (Including removal ot'all- obstruction; materials, and debris, backfilling;;com ; paction and placmg.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 +ypenalties;;li6bilities, or,ioss 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, worlc'undertaken "under the permit grahxed pursuant,fo, this application.. Not the Ad ministrative_Authority at least twenty-four' (24) hours in advance*of'the time .when work will be started. Comply with al Lrapplicable'City Ordinances, .the *terrris and. conditions of the permit and•all applicable rules and regiilations'of the City of,,, . y La'Quinta-and 'to .pay for any additional replacement necessary, as the result offthis work.' Signature,'of Applicant'or Agent . Ti;e.'Tiid acvhtir.' 81"100 Avenues ,53:.."�.Winta t (760) 3.91 '5072 Name of Applicant,(please print) ; Business Address ' Telephone No. �lnde�xraan':Concr.ete, fine. 1365 S. La' Atbolexa St. ; •, Gilbc #' AZ"8g296 ' :(48'0;) 343=0101. Name'of.Contractor'and Job Foreman' Business Address . •Telephone No. '.7S1S32 Contractor's License'.No City`Business License No. , lIe!>£ur`ty-HaYads Itieuraiie6' .(480) 820-2297 ; . CPP' 073034 ApplicanVs•Insuran'ce•Company Pol'icy.Number .. FEESc' SubdiJisionamprovement Permit -Class ��� 2 .8 20�3- Public improvements: 3%'of estimated coristr,uction costs CITY OF LAQUINTA Private improvements: 3%of estimated construction costs t �' FI4aA?�CE DEPT. ti { • Minor Improvement Permit— Class IV See attached schedule JO1' inspection Feb $ 984;04 — PERMIT VALIDATION. Permit Fee .100.00 3831.. PERMIT NO'. Penalty Cash Deposit Surety Bond DATE APPROVED January.•28, 2003 if required ' EXPIRATION DATE Jaiouary 31. 2004 1084.04 ... TOTAL: $' Jan'uary 28. 2003. DATE ISSUED•'. -'. Receipt.No. By ! Received by. Date — Adm•Inistrati.ve'Authority. 'Victor 'Mont, ' Asslatatit. B eer i Recorded by-.•. — .Telephone: (760)..777-7075 y