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4261NOTE: - (St 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 COMPLETE® DATE: 10/18/04 vw — LOCATION OF CONSTRUCTION 47.E W -T3ckZ, St. (Street address or Description of Location) r PURPOSE OF CONSTRUCTION Grading and sitework for %.ew construction pk•.5-f �)3. 0 412, 7 c,� A C DESCRIPTION OF CONSTRUCTION Grading, curb and stutter modification. DIMENSION OF INSTALLATION OR REMOVAL 120 x 120 if +/— SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 10/15/04 Subdivision Improvement Permit — Class I I Minor Improvement Permit Class IV Sketch (attach construction plans if appropriate) %rp�,5e 6 APPROXIMATE TIME OF COMPLETION 4/15/04 ESTIMATED CONSTRUCTION COST $ 6.•,094 (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: y �At J t) ?{ec c> . HoeC-`j c 77-7 c, o,r 777--1097 ENTEREED Indemnify, defend• and save the City, its a 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 resultrof any work undertaken under the permit granted pursuant to this application. Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started. Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of La Quinta and to pay for any additional replacement necessary as the result of this work. Signature of Applicant or Agent Chuck Tovalian WG Proverties 47250 Washi_na_t_nn St #A Tsa ffiiinitst 760—S67 ??14 Name of Applicant (please print) Business Address Telephone No. The Construction Zone 77799 ,Jackal Dr., #B Palm Desert 92211 760-567-2214 Name of Contractor and Job Foreman Business Address Telephone No. 740276 4297 _ Contractor's License No. f.� City Business Li ense No. n jj Morgan Hege Ins. Services 132032-0001 Applicant's Insurance Company Policy Nu iirf NOV 0 1 �O4 UJi FEES Subdivision Improvement Permit — ClassjI I Public improvements:.3% of estimate' d instruction costs j Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attache'&schedule Inspection Fee $ 180.00 — II Permit Fee 100.00 Penalty As —built 11000.00 Cash-Deposit=Surety Bencl - if•required• PM, o DO 02 TOTAL: $ 1-715-0•0O r k Receipt No. Received by Date CITY OF LA QUINTA t -_ 4261 PERMIT VALIDATION PERMIT NO. 4261 DATE APPROVED 10/20/04 EXPIRATION DATE10/20/05 r. DATE n ISSUED A � /1? 01 /J'1 By "f� \� & Administrative Authority Recorded by 11 Telephone: (760) 777-7075 R r'1 NaTjE,,__ With proper validation this form donstitutes an encroachment permit .-� CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS DATE: 10/18/04 LOCATION OF CONSTRUCTION 47W W 1 `'1 (Street address or Description of Location) PURPOSE OF CONSTRUCTION Gr new construction J& ,�- .shington St. 5"_j Z and sitework _for DESCRIPTION OF CONSTRUCTION Grading, curb and Rutter modification, DIMENSION OF INSTALLATION OR REMOVAL -120 x 120 if +/— SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 10/15/04 Subdivision Improvement Permit — Class II I Minor Improvement Permit Class IV 19- Sketch (attach construction plans if appropriate) APPROXIMATE TIME OF COMPLETION 4/15/04 ESTIMATED CONSTRUCTION COST $ 6.094 (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: t) ?((:, ( C - - H 0 e"�- 'I J-7 -7 -7 - -7-)--' `l rf -7 17- 7 �`�7 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 resuWof any work undertaken under the permit granted pursuant to this application. Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started. Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and re o the City of La Quinta and to pay for any additional replacement necessary as the result of this work. /jEQ Signature of Applicant or Agent Chuck Topalian WG Properties 47250 Washington St. #A, La Ouintra 760-567-2214 Name of Applicant (please print) Business Address Telephone No. The Constructton Zone 77799 Jackal Dr., #B Palm Desert 92211 760-567-2214 Name of Contractor and Job Foreman Business Address Telephone No. 740276 Contractor's License No. Morgan Hoge Ins. Services City Busine 132032-C Applicant's Insurance Company Policy U - �Ituber i IVu r U 1 1004 FEES: Subdivision Improvement Permit — Class,( I I Public improvements: 3% of estimated onstruction costs Private improvements: 3% of estimated construction costs Minor. Improvement Permit — Class IV: See attache"d�schedule Inspection Fee $ 180.00 IUU. uu Permit Fee Penalty As -built 1,000.00 Cash-®epos'1t-Sur et?y'lBotbd— if•requFred pM o TOTAL: $.'1`•AA r Receipt No. Received by f Recorded by II Date CITY OF LA QUINTA k 172 4261 PERMIT VALIDATION PERMIT NO. 4261 DATE APPROVED 10/20/04 EXPIRATION DATE 10/20/05 DATE ISS�UiED A --7 By ��.r�': �W V' ~, .�t.n•. Administrative Authority Telephone: (760) 777-7075 F PERMIT NO.4261 WG Properties / Precise Grading / Tr No. 27892 In 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. 2. WG Properties, LLC, 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. . 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.betweeri 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 control shall be installed and maintained in accordance with Cal Trans Standards or the Work Area Traffic Control Handbook (WATCH Manual). A traffic control plan shall be prepared in accordance with the WATCH Manual and submitted.to the City for Special Conditions Page t of 4 PERMIT NO.4261 WG Properties / Precise Grading / Tract No. 27892 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 Permittee shall contact Underground Service Alert at 1-800-422- 4133. It shall be the Permittee's responsibility to notify the Public Works Department of anticipated excavation which impact City facilities, including but not limited to traffic signal conduits and loops, irrigation lines, electrical conduits, and storm drain facilities. 10. Should additional work, materials, or modifications of the work be required in order to meet City standards, safety requirements, signage requirements, or 'to fit actual field conditions, the work shall be performed by the Permittee as directed by and to the satisfaction of the City Engineer at no cost to the City of La Quinta. 11. Pursuant to Section 14.16.370 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), backfill compaction within street rights -of -way shall conform with Section 306-1.3 of the latest edition of the Standard Specifications For Public Works Construction (SSPWC), except as otherwise specified herein. Native material may be used as backfill material provided that minimum compaction, achieved in the manner prescribed herein, is achieved. Backfill shall be performed by mechanical means; no water densified compaction via jetting or flooding or other means shall be allowed. It shall be the Permittee's responsibility to provide appropriate geotechnical supervision, testing, and inspection, onsite, at all times during backfill operations. Backfill compaction shall be achieved by the following conditions: A. When a firm foundation is not encountered due to soft, spongy or other unsuitable material, such material shall be removed to the limits directed by the Geotechnical Inspector and/or the City Inspector and the resulting excavation backfilled with pipe bedding material. B. Backfill materials shall be brought to or maintained at appropriate moisture content for compaction. The appropriate moisture content range shall be established at the onset of the project and ensured prior to use of the materials through progress testing on the stockpiles. C. The first length of trench backfilled shall be backfilled in the presence of the City Inspector. Compaction shall be tested at random depths at approximate three-foot vertical intervals as backfill is placed to ensure the effectiveness of the compaction methods and to establish the depth of lift that can be compacted. D. If lifts greater than one foot are attempted in this trial length of trench, compaction tests shall be taken within the lifts to ensure that the full depth of the lift is compacted. Upon satisfactory Special Conditions Page 2 of 4 PERMIT NO.4261 WG Properties / Precise Grading / Tract No. 27892 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 Permittee. Copies of all test results shall be furnished to the City Inspector. 12. All excavations within City of La Quinta right-of-way shall be backfilled, and temporarily paved if within the existing travel way, at the end of every workday as directed by and to the satisfaction of the City Engineer for the protection of the public. Lengths of open trench shall not greatly exceed that which can not be backfilled in the same day. Excavated trenches shall not be allowed open overnight, however, Permittee may leave a length of excavated trench, not to exceed twenty (20) feet in length, open overnight at a point where construction will begin the next day, provided that this length of trench is completely covered by steel plating. 13. All landscaping, irrigation, decorative rock, decorative. concrete, lighting, etc., shall be replaced to its original condition. 14. Access and egress to all local properties shall be maintained at all times. 15. Pursuant to Section 14.16.375 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), permanent pavement replacement shall be completed no later than seven (7) days after the completion of the work. Permanent pavement replacement shall conform to the following conditions: A. Existing asphalt concrete pavement shall be sawcut one (1) foot beyond trench edges. Edges shall be straight and clean. B. Permanent pavement replacement structural section, within all trenches, shall be 1" thicker than existing of asphalt concrete over the same existing thickness of crushed aggregate base or crushed miscellaneous base, meeting the requirements of Sections 200-2.2 and 200-2.4 of the Standard Specifications for Public Works Construction. The replaced pavement and base material shall be compacted to 95% relative compaction and respectively tested, for each 300 linear feet of trench. Verify exact structural replacement section thicknesses with the City prior to installation. Special Conditions Page 3 of 4 PERMIT NO.4261 WG Properties / Precise Grading / Tract No. 27892 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 %" max medium finish course lift for capping. Asphalt concrete mix design shall be approved by the City prior to its placement. D. Cold -Mill and Overlay - The existing pavement which was properly protected in place during the trenching operation located adjacent to the trench saw cut shall be cold -milled to a depth of 0.10 feet with butt joint created next to the existing unmilled pavement surface. The cold -milled area and base asphalt concrete in the trench area shall be overlaid with a City approved C2-AR-4000 asphalt concrete mix. The width of the cold milling. area shall be as follows: • For longitudinal trenches located in a parking lane: 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. Permittee shall permanently stabilize any and all soil that was disturbed as a result of work performed under this permit with an approved dust control treatment. Soil stabilization shall be done immediately after completing the operation. 17. Pursuant to Chapter 12.56 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982) the City has designated certain city streets as Truck Routes. The weight limit for restricted streets (i.e., streets not part of the Truck Route network) is three (3) tons; trucks exceeding the weight limit may use a restricted street if making a delivery or pickup on the subj ect street, or if this permit specifically grants permission to use the street to deliver street construction materials and/or equipment. 18. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time. 19. The permittee shall indemnify, hold harmless and assume the defense of the City from all damages, delay costs, costs or expenses in law or equity that may arise out of work under this permit. Special Conditions Page 4 of 4 ---PUBLICWURK� DEPAR1'MEN`P- APPLICATION FOR PERMIT • Date: 101(8/ 0 V Location of Construction: '417- 3 9-b w Purpose of Construction: &)Zsr D/&3!� P %N -�7-_o z " ,,j A ti c.Q 1 Tfs /.0 O tti. j� Description of Construction: Dimension of Installation or Removal: 120 k17_ a 4— Approximate Construction Start Date: OCT-o 6 i �L Approximate Construction Completion Date: ,4jr,,., j r ! �, Z (z)-oY Estimated -Construction Cost: $• a e y °- Estimated Construction Cost shall include the removal of all obstructions, materials, and debris, back -filling, compaction and placing permanent resurfacing and or replacing improvements Contact Name: (f�vc IC-"-b 6 Ar C t 11,u Phone Number: 7T. 0 5' 6 7-Z21 Y Name of Applicant: rU P�vJoK.T,� S Applicant Address: y J v �, s ,�,,c�T�,`, , L A 0 u A -a,, — Applicant Telephone Number: 7 7 t- 5 y3 7 Name of Contractor: 7'h E Z JU Contractor Address: Z--) -7 9 `) °�/� LIC,, L t2, - A- COA A. Contractor Telephone Number: ' 6 0- 7 7 2- 3, S-e5— 6-6 7- Z Contractor State License Number: 7 V a Z 7 6 Contractor City Business License Number: O� F1 tT ► A COPY OF THE CURRENT INSURANCE CERTIFICATE MUST BE PROVIDED A Applicant or Contractor General Liability Insurance Company Applicant or Contractor General Liability Insurance Policy Number: Office Use Only: Inspection Fee: O , Permit Fee: l00. JJ As -Built Deposit: I DO O O J Dust Control Deposit: Credit Amount: p Z o, TOTAL FEE DUE: Office Use Only: Assigned Permit Number. Approval Date: Expiration Date: Issue Date: Administrative Authority: 9ZZIr DATE (MWDDIYY) ,4CORDn CERTIFICATE OF LIABILITY INSURANCE 3/3/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Morgan Hege Insurance Services Lic#OC61452 HOLDER. THIS CERTIFICATE DOES ALTER THE CORAGE A FORDED BYT AMENDEXTEND OR THE POLICIES BELOW. 1039 Deerhaven Dr I Vista, CA 92084 INSURERS AFFORDING COVERAGE INSURED INSURER A: NIC Insurance Company Agoura Hills Investment Group, Inc. INSURER B: DBA The Construction Zone INSURERC: 77799 JACKAL DRIVE #B I INSURER D: PALM DESERT, CA 92211 INSURER E: v THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TMt IULIUT rtMIUtJ uvw,, n CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REOUIREMENT, TERM OR CONDITION OF ANY AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH tv AY PERTAIN, THE INSURANCE ?OLI• !E�. A3CREGATE LIMITS SHOWN MAY HAVE SEcN REDUCED BY PAID CLAIMS. —- -- — ---'— _. ---___.— - IP.OLICY EXPIRATIOK! �INSR -POLICY EFFECTIy, _ r1rvV1 LIMITS TYPE OF INSURANCE POLICY NUh78EP. 'I ' R I EACH OCCURRENCE I £ 1 000,000 GENERAL LIABILITY I FIRE DAMAGE (Anyone fire) I L 50.000 1 04K'COtJMERCIALGENERALLIABILITn' ,3/8/ ; MADE 33 CLAImE J�8�C5 MED EXP (Anyone pson) $ 5.000 000 . r A I PERSONAL & ADV INJURY I $1.000 GENERALAGGREGATE I S 2.000,000 I I I PRODUCTS • COMPLOP AGG S 00:000 -- j GEN'! AGGREGATE LIMIT APPLIES PER: I I 1 POLICY n PRO �I LOC ( I COMBINED SINGLE LIMIT S AUTOMOBILE LIABILITY r I (Ea accident) I ANY AUTO I i • i OWNED AUTOS ! i ALL OW BODILY INJURY 5 I (Per person) ' SCHEDULED AUTOS I ' BODILY INJURY I $i I HIRED AUTOS I (Per accident) -1 I j I NON-0\7NED AUTOS i I (Peraccident) AGE I$ I I, AUTO ONLY • EA ACCIDENT I $ ' GARAGE LIABILITY , EA ACC I E I OTHER THAN ANY AUTO ) AUTO ONLY: AGG I F j EACH OCCURRENCE EXCESS LIABILITY - .AGGREGATE I S OCCUR. �; CLAIMS MADE I I $ DEDUCTIBLE r i I I $ 1 RETENTION 5 I YSS OTR i WORKERS COMPENSATION AND E.L. EACH ACCIDENT S EMPLOYERS' LIABILITY I I I E L DISEASE EA EMPLOYEE S i IE.L. DISEASE . POLICY LIMIT S I OTHER I BY ENDORSFJ,'IENTSPEGAIPROYISIONS DESCRIpTION OF OPERATIONSILOCATIONS/VEHICLESIEXCLUSIONS ADDED All, operations of Agoura Hills Investment Group, Inc. DBA The Construction Zone 91k. l The Construction Zone 77799 JACKAL DRIVE #B PALM DESERT, CA 92211 HE EXPIRATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BE' 0 T JJ DAYS WRITTEN DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE ACORD 25-S ON 1988 is SK POLICYHOLDER COPY STATE P.O. BOX 807, SAN FRANCISCO,CA 94142-0807 COMPENSATION I N S U R A N C E FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 01-01-2004 CONTRACTORS STATE LICENSE BOARD SK P.O..BOX.26000 SACRAMENTO CA. 95826 GROUP: 000229 POLICY NUMBER: 0021249-2004 CERTIFICATE ID. 14 CERTIFICATE- EXPJRES-,, 01-01--20OS- 01-01=2004/01•=01-2605 LICENSE NUMBER: LICENSE N74027S INCEPTION DATE: 01-.01-,2004 D.O.: SK This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 10 days' advance written notice to the employer. We will also give you 10 days' advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding. any requirement, term, or condition of any contract or other document with respect to which this certificate of insurance 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. AUTHORIZED REPRESENTATIVE PRESIDENT . EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000.00 PER OCCURRENCE. LEGAL NAME AGOURA HILLSwiNVESTMENT GROUP, INC. 12 17=2003.,t 1 Y PRINTKI] _. Prldrlq j