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4149IN _ - NOTE: With proper validation this form constitutes an CITY OF LA QUINTA, ; f 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 DATE: March 23, 2004 Minor Improvement Permit Class IV LOCATION OFCONSTRUCTION Southwest Corner of Avenue 52 & 14onroe Street Tract # 31202 _i 0%.^C 4 o st, �..'4 c. • % C^ (Street address or Description of Location) ; PURPOSE OF CONSTRUCTION DESCRIPTION OF CONSTRUCTION ading & PH10 ers entire project Grading of Phase 1 & Basins & Front Entry. BM10 for entire tract. DIMENSION'OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN End of May 2004 2 Sketch (attach construction plans if appropriate) *See Attached Special Conditions* APPROXIMATE TIME OF COMPLETION End of July 2004 (Tough Grade) ESTIMATED CONSTRUCTION COST $ 461.828.00 (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) In consideration of the granting of this permit, the applicant hereby agrees to: PM10 until MAY 14 1004 CITY OF LA QUINTA 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 thNa time when work will be started. Comply with all applicable City Ordinances, the terms and conditions of the permit aandi�all applicable rules and regulations of the City of La Quinta and to pay for any additional replacement necessary as the result of this work. �. Signature of Applicant or Agent Desert Cheyenne, Inc., 78401 Hwy. 111, Ste. G, La Quinta, CA 92253 (760) 777-9920 Name of Applicant (please print) Business Address Telephone No. Yankasksas Construction, Inc., PO Box 2876, Indio, CA 92202-2876, (760) 775-8929 Name of Contractor and Job Foreman Business Address Telephone No. 778672 6266 Contractor's License No. City Business License No. North American Capacity Insurance.. BXG000330401 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I I I Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs J Minor. Improvement Permit — Class IV: See attached schedule Inspection Fee $ 13,850.00 Permit Fee 100.00 PRIX As -Built 1,000.00 CdghrDeposit-Sure y2Bond Dust Control if required See Bond & Cash Credit Amount 6,000.00 TOTAL: $ Receipt No. 8,950 .00 Received by Date; '? 4149 PERMIT VALIDATION PERMIT NO. 4149 'r DATE APPROVED 5/10/04 EXPIRATION DATE 5/31/05 DATE ISSUED 5/1'1 /0#.,1 Administrative Authority Recorded by ..A Telephone: (760) 777-7075 PERMIT NO.4149 Rancho Santana/Rough Grading .& PM,o/Tract No. 31202 Iri addition to the standard permit conditions, the following shall apply: 1: -Pursuant to Section 14.16.320 of the La. Quinta Municipal Code (Ordinance 10 § .1 (part), 1982), all work shall be performed in accordance with the latest edition of the Standard Specifications For Public Works Construction (SSPWC) and as directed by and to the satisfaction of the City Engineer: 2. Desert Cheyenne, Inc., hereinafter referred to as "Permittee", shall be responsible for providing continuous dust and erosion control. 3. This permit or copy of it shall be on the work site for'inspection during the actual work performed. 4.. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently, if required. , 5. Pursuant to Section 6.08.050 of the La Quinta Municipal Code (Ordinance 18 § 1, 1982), throughout the work site,. the Permittee shall comply.with City regulated work. hours. Operation and maintenance of equipment within one-half mile of human. occupancy shall be performed only during the following time periods: October 1st to April 30: Monday -Friday 7:00 a.m. to 5:30 p.m.. i . Saturday 8:00 a.m. to 5:00 p:m. May 1st to September 30: / Monday -Friday 6:00 a.m. to 7:00 p.m. Saturday 8:00 a.m. to 5;00 p.m� Work shall be prohibited on legal holidays and. Sundays. Note: Construction work (including setting.up traffic control devices) is not permitted on any Arterial street (ie any 4 lane street) before 8:00 a.m. 6. Work within 500 feet of a signalized intersection shall be performed between the hours of 9 a.m. - 3 p.m. Traffic control shall be set up after 9 a.m. and removed before 3 p.m. The Permittee shall contact the Riverside Country Traffic Signal Maintenance Department at (909) 275-6894 if signal operation at the intersection.is to be altered.in any way. 7. 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. 8. Pursuant to Section 14.16.250 of the La Quinta .Municipal Code (Ordinance 10 § 1 (part), 1982), advance warning signs and traffic.conirol shall be installed and maintained in accordance with Cal Trans Standards or the. Work Area Traffic Control Handbook (WATCH Manual). A traffic control plan shall be prepared in accordance with the WATCH Manual and submitted to the City for Special Conditions Page I of 4 " PERMIT N0. 4149 Rancho Santana/Rough Grading & PM10/Tract No. 31202 review and approval one (1) week prior to starting any construction. It shall be the Permittee's responsibility to appropriately detour and barricade all construction sites. Pursuant to Section 14.16:290 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), street closures shall not be permitted. A minimum of two (2) travel .lanes of paved surface shall be maintained at all times. 9. Prior to excavating, if required, the Perin ittee shall contact Underground Service, Alert at 1-800-422- 4133. It shall be the Permittee's responsibility to notify the Public Works Department of anticipated excavation which impact City" facilities, including but not limited to traffic signal conduits and loops, irrigation lines, electrical conduits, and storm drain facilities. 10. Should additional work, materials, or modifications of the work be required in order to meet City standards, safety requirements, signage requirements; or to fit actual field conditions, the work shall be performed by the Permittee as directed by and to the satisfaction of the City Engineer at no cost to the City of La Quinta. 11'. Pursuant to Section 14.16.370 of the La Quinta Municipal Code (Ordinance 10 § l (part), 1982), backfill compaction within street rights -of -way shall conform to Section 306-1.3 of the latest edition of the Standard Specifications for Public Works Construction (SSPWC), except as otherwise specified herein. Native material may be used as backfill material provided that minimum compaction, achieved in the manner.prescribed herein, is achieved. Backfill shall be performed by mechanical means; no water densified compaction via jetting or flooding or other means shall be allowed. It shall be the Permittee's responsibility to provide appropriate geotechnical supervision,. testing, and inspection, onsite, at all times during backfill operations. Backfill compaction shall be achieved by the following conditions: A. When a firm foundation is not encountered due to soft, spongy or other unsuitable material, such material shall be removed'to the limits directed by the Geotechnical Inspector and/or the City Inspector and the resulting excavation backfilled with pipe bedding material. B. Backfill 'materials shall be brought to or maintained at appropriate moisture content for compaction. The appropriate moisture content range shall be established at the onset of the.. project and ensured prior to use of the materials through progress testing on the stockpiles. C. The first length of trench backfilled shall be backfilled in the presence of the City Inspector. Compaction .shall be tested at random depths at approximate three-foot vertical interval'§ as backfill is placed to ensure the effectiveness of the compaction methods and to establish the depth of lift that can be compacted. D. If lifts greater than one foot are attempted in this trial length of trench, compaction tests shall be taken within the" lifts to ensure that the full depth of the lift is compacted. Upon satisfactory Special Conditions 'Page 2 of 4 PERMIT NO.4149 Rancho Santana/Rough Grading & PM,o/Tract No. 31202 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. F. The depth of the randomly selected compaction tests shall also be randomly selected except that where multiple tests are required in a given length of trench, the tests shall be no closer than three feet (vertically) from each other. G. If any compaction test fails, previously placed backfill (in the same length of open trench or previous lengths of trench) which is represented by the failing test (as determined by the City Inspector), shall be tested for compliance with compaction requirements. .H. All costs incurred due to the conditions above shall be borne by the Permttee., Copies of all test results shall be furnished to the City Inspector. 12. All excavations within City of La Quinta right-of-way.shall be backfilled; and temporarily paved if within the existing travel way, at the end of every workday -as directed by and to the satisfaction of the City Engineer for the protection of the public. Lengths of open trench shall not greatly exceed that which can not be backfilled in the same day. Excavated trenches shall not be allowed open overnight, however, Permittee may leave a length of excavated trench, not to exceed twenty (20) feet in length, open overnight at a point where construction will begin the next day,.provided that this length of trench is completely covered by steel plating. 13. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced'to its original condition. 14. Access and egress to all local properties shall -be maintained at all times. 15. Pursuant to Section 14.16.375 of 'the- La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), permanent pavement replacement shall be completed no later than seven (7) days after the completion of the work. Permanent pavement replacement shall conform to the following conditions: A. Existing asphalt concrete pavement shall be sawcut one (1) foot beyond trench edges. Edges shall be straight and clean. B. Permanent pavement replacement structural section, within all trenches, shall be 1 thicker than existing of asphalt concrete over the same existing thickness of crushed aggregate base or crushed ` miscellaneous base, meeting the requirements of Sections 200-2.2 and 2010-2.4 of the Standard Specifications for Public Works Construction. The replaced pavement and base material shall be compacted to 95% relative compaction and respectively felted; for each 3001inear feet of trench. Verify exact structural replacement section thicknesses with the,City prior to. installation. Special Conditions Page 3 of 4 PERMIT NO.4149 Rancho Santana/Rough Grading & PM,o/Tract; No. 31202 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" max medium finish course lift for capping. Asphalt concrete mix' design shall be 'approved by the Cify prior to its placement. D. Cold -Mill and Overlay -,The existing pavement which was properly protected in place during the trenching operation located_ adjacent to the trench saw cut shall be cold -milled to a depth of 0.10 feet with -butt joint created next to the exi'sting.unmilled pavement surface. The cold -milled area and base asphalt concrete in the trench area shall be overlaid with a City approved C2-AR-4000 asphalt concrete mix. The width of the cold milling area shall be as follows: • For longitudinal trenches located in. a parking lane: three (3) feet outside the sawcut removal •lines. • For longitudinal trenches located in a traffic lane: three (3) feet outside the sawcut removal lines, or to the lane line striping, whichever is greater. • For transverse trenches across existing street: two (2) feet outside the sawcut removal lines. E. If grinding and capping operations are not performed in the same day as base paving operations, the base course lift of:3/4" max medium asphalt concrete shall be installed from. saw -cut edge to saw -cut edge flush with the existing street_ surface. The base course lift of paving shall not be left 0.10' low in anticipation of grinding and capping- F. Any existing lane striping or any existing detour lane striping affected by this resurfacing shall be replaced in kind by the Permittee, as directed by and to the satisfaction of the City Engineer. Affected traffic signal loops shall be removed and. replaced in kind. The finished pavement surface shall be smooth, consistent, and shall conform to the surrounding grades. .16. Per mittee shall permanently stabilize any and all'soil that was disturbed as a result of work performed under this permit with an approved dust control treatment. Soil stabilization shall be done immediately after completing the operation. 17. Pursuant to Chapter 12.56•of the La Quinta Municipal Code (Ordinance 10 § "1 (part), 1982) the City has designated certain city streets as Truck Routes. The weight limit for restricted streets (i.e., streets not part of the Truck Route network) is three (3) tons; trucks exceeding the weight limit may use a restricted street if making a delivery or pickup on the subject street, or if this permit specifically grants permission to use the street to deliver street construction materials and/or equipment.` 18. The City of La Quinta,reserves the right to revoke, suspend or void this permit at any time. 19. The germittee 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. 20. If it is the intent of the permittee to cut the pavement and have it restored by.a third party, the permittee shall postpone cutting the pavement until the intended.third party has acquired a permit from the City to perform the required restoration work. Page 4 of 4 Special Conditions City of La Quinta The foliowing.General and Special Provisions are attached to and made a part of Permit Number 4149 The following shall always apply: 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 from abutting property owners. Such authorization must be secured by the permittee prior to starting work. 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. 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. 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 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. RIGHT-OF-WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from the right of way. All 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, as required, to sprinkle the job site to keep down dust conditions and shall be used immediately after backfill. 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, permittee shall contact this office to obtain the necessary permission. SPECIAL PROVISIONS The following shall apply when indicated: ® R1 NOTIFICATION: Permittee shall be notified the City at (760) 777 - 7097 at least forty-eight hours (48) in advance of starting -construction. ® R2 UTILITY CLEARANCE: (Substructures) Prior to making -any excavations within the City of La Quinta right-of-way authorized by permit, the per 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 permittee. ® 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. ❑ R5 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'). ❑ R6 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 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. ® �R9 SIGHT CLEARANCE: Sight Clearance of six -hundred feet (600') in all directions shall be assured and maintained at all times. ❑ R10 SOIL STERILIZER: The area to be surfaced shall be treated with soil strerilizer. Rate of application shall comply with the manufacturer's specifications. Citv 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. ® 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 protection of.the traveling public. The Public Works Inspector shall determine the suitability of excavation barricading in each case. No excavation shall remain,open fora 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 maybe 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 (5') 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. ❑ 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 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. ❑ 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 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 _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 impact or field method. Compaction tests shall comply with Section 6.3.01 of the Standard Specifications, Division of Highways, *State of California, dated January 1973. A1� 'KFJi�F.� Cl7�.t Description of Construction: Rough Grading of Plisse 1 and 2, including Q C r r kwa s , retention basins and front . 03139 Dimension of Installation or Removal: . Approximate Construction Start Date: Apr ► Approximate Construction Completion Date: 2==-- 4- 5- Estimated Construction Cost: $ 461,828.00 Estimated Construction Cost shall include the removal of all obstructions, materials, and debris, back -filling, compaction and placing permanent resurfacing and or replacing improvements Name of Applicant: ' Desert -Cheyenne.- Inc. Applicant Address: 78401 Hwy. 111 Suite G La Quiht:a; CA 92253 Applicant Telephone Number: 760 7:77-9920 Name of Contractor: Yadkaskas Construction; -Inc: Contractor Address: PO Box 2876 Indioi CA 92202-2876 Contractor Telephone Number: 760 775-8929 Contractor State License Number: 778672 Contractor City Business License Number: 6266 Applicant or Contractor General Liability Insurance Company:. . -North American Capacity Insurance Applicant or Contractor General Liability Insurance Policy Number: BXG000330401 $ S�kP.e: Office Use Only: 0 Inspection Fee: �3�85�,oj Permit Fee: IQJrOJ As -Built tt Deposit: t Ov 0, J J Dust Control Deposit: Credit Amount: -' 6) 000, O'D TOTAL FEE DUE: (> 95o, Do Offiee Use Orily: Assigned Permit Number: Approval Date: Expiration Date: Issue Date: Administrative Authority: ermit Fees , Project Name: IP Rancho Santana, TM 31202 [an Type/Plan Set Number: Rough-Grading/PC 03138, Total Fees - Inspection Fees 1 rst Mill $461,828.00 $13,850.00 2nd Mill , $0.00. $0.00 . 3rd Mill $0.00 $0.00 ' Sum $4611828.00 $13,850.00 Permit Fee $100.00 Deposits Date: 3/19/04 PUBLIC WORKS DEPARTMENT APPLICATION FOR PERMIT Location of Construction: Southwest Corner Avenue -52 and Monroe St: Tract 31202 Purpose of Construction: Rough Grading Description of Construction: Rough Grading of Phase 1 and 2 'including Parkways,^rdtention basins.and front en Dimension of Installation or Removal: Approximate Construction Start Date: April 15, 2004 Approximate Construction Completion Date: June 15, '2004 Estimated Construction Cost: $ 4,60, 000.00 Estimated Construction Cost shall include the removal of all obstructions; materials, and debris, back -filling, compaction and placing permanent resurfacing and or replacing improvements Name of Applicant: Desert Cheyenne, Inc. Applicant Address: -78401 Hwy. 111 Suite G La Quinta, CA 92253 Applicant Telephone Number: - 760 777-9920 Name of Contractor: Yankaskas Construction, Inc: Contractor Address:' PO Box 2876 Indio, CA 92202-2876 Contractor Telephone Number: 760 775=8929 Contractor State License Number: 778672 Contractor City Business License Number: 6266 Applicant or.Contractor General Liability Insurance Company:. . North American Capacity Insurance Applicant 'or Contractor General Liability Insurance Policy Number: BXG000330401, Office Use Only: Inspection Fee: Permit Fee: , As -Built Deposit: Dust Control Deposit: Credit Amount: TOTAL FEE DUE: Office Use Only: Assigned Permit Number: Approval Date: Expiration Date: Issue Date: .Administrative Authority: ACORD CERTIFICATE OF LIABILITY INSURANCE OP.ID _ DATE7MMlOvrYYn') OARTR-2 dil,W64. PRODUCER THIS CERTIFICATE -IS ISSUED AS A MATTER OF. INFORMATION Brown 6 Brown Insurance of AZ 2800 N. Central Ave., #1600 ONLY AND CONFERS NO RIGHTS, UPON' THE_ CERTIFICATE_, HOLDER. THIS CERTIFICATE -DOES NOT AMEND,.EXTEND:OR P.O. Box 2800 ALTER THE.COVERAGE AFFORDED BY THE'P.OLICIES-.BELOW. Phoenix AZ 85002-2800 Phone: 602-277-6672 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: North American Capacity Ins. INSURERB: Allstate Desert Cheyenne Inc/ Oak Tree Industries Inc 4335 E. Lowell Suite G Ontario CA 91761 INSURER INSURERD: _ INSURER E: — COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID.CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE (MMIDD POLICY -EFFECTIVE DATE MMIDDJYY) POLICY EXPIRATION DATE MMIDDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE - $ 1 • 000000 A X X COMMERCIALGENERALLIABILITY CLAIMS MADE Fx—] OCCUR BXG000336401 i2/i6/03 12/i6/04 PREMISES EBomurence $ exnludi�d MED EXP (Any one person) $ 5 � 00 0 PERSONAL BADV INJURY $ 1 . 000 ' 000 X $10000 SIR per claim GENERAL AGGREGATE $ 2 000' 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 00 0 ' 0`0 O POLICY PRO- JECT LOC E" Ben; exdliiiied B AUTOMOBILE LIABILITY ANY AUTO 048624293 04/15/03 04/15/04 COWIBINED.SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X X BODILY INJURY (Per accident) $ HIREDAUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE WC C AT - OT - LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L..DISEASE -POLICY LIMIT - $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS * 10 days notice of cancellation for non-payment of premium RE: Tract #31202, Rancho Santana; Southwest corner of Avenue 52 ana Monioei La Quinta, CA Certificate holder is hereby named Additional Insured on General Liability utilizing CG2012(01/98). CERTIFICATE HOLDER CANCELLATION City of La Quinta Engineering/Public Works Dept 78-495 Calle Tampico La Quinta CA 92253 LAQUIN1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES'BE CANCELLED BEFORE THE EXPIRATiOI DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO•MAiL 30 * O71Y3' WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED'TO'THE LEFT; BUT FAILURE TO'DO"SO'SHAL'L 6: IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPOIN THE INSURER, ITSWGENTS'OR ACORD 25 (2001/08) © ACORD CORPORATION 1988 APPROVED BY DATE PROOF OF WORKER'S COMPENSATION INSURANCE IS REQUIRED PRIOR TO IS 'A' I. Business Name: Nkkik,'A-5 Ak4 2. Business Address: kksJ LAP-e�n 3. Mailing Address: P. t) 922,022-219 4. Business Phone: 5. Owned By: CORPORATION PARTNERSHIP INDIVIDUAL 6. If Corporation or Partnership, Tax I.D. #: IF2 7. It Individual Owner, Social Security 8. Name of Owner or Officers and Title:. Ek!C-, �90k(A:SL65 Pe-ESt bu k-r 9. SBE Resale Number: 10- Number of Decals Needed: 11. CONTRACTORS ONLY: 'Cow of State Contractors License Pocket Card it ft-oulittl A. Type of Contractor: -4- r-*rvw-A -j B. Classification: C. State License Number: -`7 R67 1 � A or B License Classification $100.00 Pei , Year or $60.00 e QEP U%t4TA C License Classification S 50.00 Per Year or, 2 5: 00 brrii-A- I HEREBY CERTIFY that all�Oie info Znat106 JJPPIied by me is correct and any licenses required by tf* Co ate or edeta oveM _t hav been issued to hie and hd "are in full force -4fid effect.,' -3/40�r de 40- Signa Title iDift 6 Send Comp Form To, CITY OF LA QUINTA BUSINESS LICENSE DIVISION P.O. BOX 1504 La QUinta, CA 92253 Pe Jvan 'i CITY OF LA QUINTA PUBLIC WORKS DEPARTMENT , ENCROACHMENT PERMIT' PERMIT NUMBER DATE EXP DATE ACCEPTANCE DATE INSPECTOR 4149 3/23/2004 /200 5/316-/ MIKE ROMERO ONTRACTOR NAME: YANKASKAS CONSTRUCTION, INC. ONTRACTOR ADDRESS: PO BOX 2876 CONTRACTOR CITY CONTRACTOR STATE: CONTRACTOR ZIP INDIO CA 92202-2876 , 1 CONTRACTOR TELEPHONE: 760-775-8929 CONTRACTOR LICENSE: CONTRACTORS STATE > 1778672 LICENSE BOARD CONTRACTOR INFORMATION INSPECTION FEE: CURRENT •-$13,850.00 PERMIT FEE: $100.00 PENALTY: $11000.00 CASH DEPOSIT /SURETY TRACT/PARCEL NUMBER PERMIT TYPE _ BOND: SDP/CUP/ ETC:. I ' ' 31202 - ROUGH GRADING $6,000.00 ; APPLICANT NAME: " DESERT CHEYENNE, INC. APPLICANT ADDRESS: ' 78401 HWY 111, STE: G ' PPLICANT CITY: APPLICANT STATE APPLICANT ZIP CODE: LA QUINTA 1192253 j APPLICANT TELEPHONE: 760-777-9920 DESCRIPTION SOUTHWEST CORNER OF AVENUE 52 8+ MONROE STREET, TRACT #,31202, RANCHO SANTANA - ROUGH GRADING OF PHASE 1 & 2 INCLUDING PARKWAYS, RETENTION BASINS AND FRONT ENTRY. PM10 FOR ENTIRE PROJECT.. APPLICANT INFORMATION TOTAL FEE AMOUNT .r SEARCAPERMITS BY.APP�LICANT W�MONTHLY2'EXP,IRED'PERMITS 5r' P.O. Box 1504' LA QUINTA, CALIFORNIA* 92247.-150.4 78-495 CALLE' TAMP.IcO (760) 77.7-7000 LA' QUINTA, CALIFORNIA 92253 FAX (760) .777-7101 July 17, 2006 John Pedalino Desert Elite - 78401 Hwy 1 1 1. Suite, "G La Quinta, CA 92253 Re: Encroachment Permit No. '41.49 . Tract Map 31262 Permit Type: Rough Grading Dear Mr. Pedalino:. Encroachment Permit number 4149 . has expired [will expire] as of May' 31; 2006. In order to avoid the issuance of a "Stop,.Work Order," please renew this permit immediately, . The renewal fee as per City Council Resolution 96-27, states: Encroachment "Permit — renewal of expired permit is $100:00 plus 10% of original fee for, each year the permit has been expired. ORIGINAL PERMIT FEE 10% ' EXPIRATION PENALTY For. each year permit has been expired, $81950.00 $895.00 $100.00 RENEWAL AMOUNT DUE: $995.00 If ;you have any questions' or need additional information, please contact Tony Colarossi at (760) .777-7089. Sincerely; Paul Goble Senior Engineer, Public Works .Department CC: Danny Escalona,,Construction Manager Ponard St. Sauver, Assistant' Engineer II rmit File, No.` 4149 Tract File 31202, Folder V I . With proper validation this form constitutes an encroachment permit. of !17 �-.g �- Alt 8�d to per- CITY `OF , L QUINTA 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 anclAPPROVED SUBDIVISIONS March 23, 2004 Subdivision Improvement Permit — Class III DATE. -- Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION - Southwest. Corner of Avenue 52 & ..konroe Street Tract v 31202�i�.�cLt�,- (Street address or Description of Location) PURPOSE OF CONSTRUCTION Rough;. Grading & PM10 Sketch (attach construction plans if appropriate) P1i10..,covers. entire project' DESCRIPTION OF CONSTRUCTION Rough Grading of Phase 1 & 2 inc?udine Parleways, Retention Basirts & Front Entry. PM10 for entire tract. DIMENSION OF fNSTALLATION OR REMOVAL*See Attached 'Special Conditions* SIZE OF EXCAVATION, IF NEEDED ' APPROXIMATE TIME WHEN WORK WILL BEGIN End of May 2004' D G=J 0 APPROXIMATE TIME OF COMPLETION End o€ dulY 2004 . (IiouRh Grade) PM10 until i MAY 14 2004 D ESTIMATED CONSTRUCTION COST $ 461,828.00 (Including removal of all obstruction,'materials, and debris, baokfilling,com• CITY OF LAQUINTA 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 ageAtsi 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 time when work will be started. Comply with all applicable City Ordinances, the terms and conditions of the permit a all applicable rules and regulations of the City of ' la Quinte and to pay for any additional replacement necessary as the result of this Signature of Applica t or Agent Desert Cheyenne, Inc., 78401 Hwy. 111. Ste. G. La`Quanta, CA 92253 (760). 777-9920 Name of Applicant (please print) Business Address Telephone No. .Yaakaekas Construction.. Inc.,. -PO Box 2876, Indio.' CA 92202-287.6,. (760) 775-8929 Name of Contractor and Job Foreman ' Business Address Telephone No. 778672 6266 Contractor's License No. City Business License No. North American Capacity Insurance.., BXG00033040I Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class III , Public improvements: 3% ofestimated construction costs L Private improvements: 3% of estimated construction costs :J Minor Improvement Permit — Class IV: See attached schedule 449 Inspection Fee $ 13.850.00 PERMIT VALIDATION Permit Fee 100.00 ' 4149 y Ara —Built ' 1,000.00 PERMIT N0. 5 10/04 PAUf, / CaINCIN pe§7t:Wfj38 ?i+e `cl Dust Cbntral DATE APPROVED if required See Bond & Cash 5/31/05 'lj\ '7I Credit Amount- EXPIRATION DATE 6,000.00 .: . TOTAL: $ DABE I ED Receipt No. 8,9.50.00' ������ . By %J,J:T' Received by lDate �� Administrative Authority . Recorded. by Telephone: (760) 777-7075 `