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44211, With proper validation this form constitutes 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 Subdivision Improvement Permit — Class I II DATE: Jsaaia 77, winr% Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 48th & Adams, TM 31310 (Street address or Description of Location) PURPOSE OF CONSTRUCTION Street & Storm drain improvements (on©ite). Plan Set # 05083) 4 DESCRIPTION OF CONSTRUCTION Install storm draixx. curb &.A.C. DIMENSION OF INSTALLATION OR REMOVAL O►tax'tlties nsr approved plans SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 11V L 2005 APPROXIMATE TIME OF COMPLETION -Taal; 30- 2R0S ESTIMATED CONSTRUCTION COST $ 56rplm34 (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: Sketch (attach construction plans if appropriate) cc,� t ...7V7 7 - 709 7 I * E ER 0 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. 1 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 ApplicAtfr Agent r� Matt Nevins Groove Const. 1451 Quail St. #212 Nevport Beach 92660 949-863-9642 Name of Applicant (please print) Business Address Telephone No. Lee & Stires P.O. Box 2124 Montclair CA 91763 909-983-9557 Name of Contractor and Job Foreman Business Address Telephone No. 288402 99445 Contractor's License No. Lexington Insurance Co. City Business License No. 146- 2649 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I I I Public improvements: 3% of estimated constru Private improvements: 3% of estimated constrt Minor Improvement Permit — Class IV: See attacl Inspection Fee $ 4,680.00 100.00 Permit Fee Pally Cash Deposit -Surety Bond if required TOTAL: ( 1©00'00 $ 5,780.00 Receipt No. Received by Date s IeJUN 29 2005 421 T OOFLAQUINTA PERMIT VALIDATION PERMIT NO. qL( 7__ DATE APPROVED�•-� 7"-1 EXPIRATION DATE L? 7— QG DATE 1S`S TEED ` %" Bv Administrative Authority Recorded by Telephone: (760) 777-7075 ��C 1.1 V 1.1�/� I � 11 � ` 11�� i l � LAKE LA QUINTA - .. ; : - - No SCALE C-18 . AVE. 48 a ROAD R-,-2o (LT)a AHEAD , LEFT toROAD C-20 (LT) dos® co "W no VIA GRAZIANNA AH o1 AVE .' 9EVLT LANE 0 0 c-27 `MOSED C-17 0 Q 25 500 O F 660 47 500 4 ovvvvvoovG vave7ovvv �v ornovvvv, �oe�vvvvv�s vovvcvvv acaovav - u v4c�croQao avarlo®ovvvvc�lcaamv®vEaaamv�av+=»vvvvc��®�+o.��ma��aa�v�lEm� ve�a�aers�ca�aa? cce�® vex b Ca A-; - 4j9p ADAMS ST. �1 , t C-27 C-30 h°0 cx` LANE ` CLOSED C-1a ROAD APARTMENTS AUTO AHEAD -CENTER DR. By speed umi[ NOTES: 1. ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN ACCORDANCE WITH THE 2003 MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES (M.U.T.C.D.) AND 55 THE CALIFORNIA SUPPLEMENT. PMedNeme 2. TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED. ADDITIONAL TRAFFIC CONTROL MAY BE REQUIRED TO FACILITATE PUBLIC SAFETY AND - Install Water Line -for New Apartments TRAFFIC FLOW IF DEEMED NECESSARY BY CITY OF LA QUINTA REPRESENTATIVE. Pftfe 4 3. THROUGHOUT EACH WORK PERIOD, CONTRACTOR SHALL INSPECT TRAFFIC CONTROL (SIGNS, BARRICADES AND DELINEATORS) AND MAINTAIN SAME IN Groove Const. Tops N Barr CI adec-ws�lnc ACCORDANCE WITH TRAFFIC CONTROL PLANS. d� BmeWd 0"S1d81d 4. CONTRACTOR SHALL MAINTAIN A MINIMUM 10' TRAFFIC LANE WIDTH ATALL TIMES." THERE SHALL BE A MINIMUM 2' BETWEEN THE EDGE OF CUTAND THE NEAREST TRAFFIC LANE. (800)852-TOPS Ron Fifield CALTRANS T-11 5. ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINED AT ALL TIMES. Date �L mber.6. THIS TRAFFIC CONTROL SHALL BE IN PLACE DURING WORK HOURS ONLY. AT END OF THE WORK HOURS, THE ROAD SHALL BE CLEAR OF DEBRIS AND RETURNED TO NORMAL. 1 of 2 6/22/05 To Be Issued on Aval 4..7 + y�z .7 .. - is NO SCALE LAKE LA 4UINTA ' now AVE.48 ouAHEAD p' - p - - -. VIA GRAZIANNA "' AVE. 47Eva �4o4 . a a ' p rav=a0000v�Rx=aooa�o ooe�or aooC=C== acva�aoo 0000de»a �0000 131 -- � - u � L ,pry �k�F �re C�•�e}c�iL"�4���C7C.7rw"i�.IOO�R`�p�"C�`�7' �OGO!GCFGC7�:CSC7C�,�.-}7®-,�esaVtyti x r.t - •..• . .. - b . - -. -. ; ADAMS ST.Mv 6v g.80 , ON LANE _ -CLOSED C-18 RD APARTMENTS -AUTO CoNa„�n ,.A,�. o _ ;CENTER DR. r .. �. �. _ j e` - a gpprpred BYData Speed Umft . _ NOTES: 1. ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN ACCORDANCE WITH THE 2003 MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES (M.U.T.C.D.) AND 55 i THE CALIFORNIA SUPPLEMENT. - PMe'Nam ` Install Water Line for New Apartments 2:- TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED. ADDITIONAL TRAFFIC CONTROL MAY BE REQUIRED TO FACILITATE PUBLIC SAFETY AND TRAFFIC FLOW IF DEEMED NECESSARY BY CITY OF LA QUINTA REPRESENTATIVE. 1 PM*Contredor. �'"` ` 3: THROUGHOUT EACH WORK PERIOD, CONTRACTOR SHALL INSPECT TRAFFIC CONTROL (SIGNS, BARRICADES AND DELINEATORS) AND MAINTAIN SAME .IN _ Groove Const. Tops N Barricades, Inc. _ • ACCORDANCE WITH TRAFFIC CONTROL PLANS. Y `' f Brd0oidard 4. CONTRACTOR SHALL MAINTAIN A MINIMUM 10' TRAFFIC LANE WIDTH AT ALL TIMES. THERE SHALL BE A MINIMUM 2' BETWEEN THE EDGE OF CUT AND THE NEAREST TRAFFIC LANE.' (800)852-TOPS Ron Fifield CALTRANS T-11 5. ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINED AT ALL TIMES. 6. THIS TRAFFIC CONTROL SHALL BE IN PLACE DURING WORK HOURS ONLY. AT END OF THE WORK HOURS, THE ROAD SHALL BE CLEAR OF DEBRIS AND RETURNED TO NORMAL. 2 of 2 6/22/05 To Be ' Issued on Approval t PUBLIC WORKS DEPARTMENT APPLICATION FOR PERMIT Date: 6 r (II - us P 'Acation of Construction: ------3 ► N 3 � 3 i o ' os of Construction: � � � Dl� �� Lu > a Z D LU chption of Construction: �)�'1Zuu ��'DUi?�1 dlVa 1 CLU_ _ ___.__._ Di>lnension of Installation or Removal: ���5 �� f��b''a' • DICIm� Approximate Construction Start Date: '1 10S Approximate Construction Comp le��kkion Date: �� 05_ Estimated Construction Cost: $I�' ���' , • 3- Estimated Construction Cost shall include the removal of alMbstructi�ons,ffiate�rials, `deb is, back -fillings compaction and placing permanent resurfacing and or replacing improvements Contact Name: a.. NWA Phone Number: Name of Applicant: &rtmY Applicant Address: jq( q; +a 5 � I L 2 0 � Applicant Telephone Number: ` - 2 Name of Contractor: Contractor Address: P,©e 2-1 x 1r `7 01 Contractor Telephone Number: 0 - I - `1 Contractor State License Number: `Z L1 0 2-11 --�o Contractor City Business License Number: ' ` f5 ► A COPY OF THE CURRENT INSURANCE CERTIFICATE MUST BE PROVIDED A Applicant or Contractt�r General Liability Insurance Company: Applicant r Contractor General Liability Insurance Policy Number: 15 7-77 �LQ U Office Use Only: Inspection Fee: LA / J Permit Fee: t U As -Built 1 (7 6 Deposit: (% Dust Control Deposit: Credit Amount: TOTAL FEE DUE: 51 7 0 0 Office Use Only: Assigned Permit Number: �u 1 Approval Date: 1 Expiration Date: Issue Date: Administrative Authority: -•°= �-- 4 ,, �.. � f+ �. � .. � JUN-24-2005, 15:33 P.02iO4 CDRD I CERTIFICATE OF LIABILITY INSURANCE CSR DS °A'�`""'°°""f'° LEES--D 04 30 05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CROSBY INS . , INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. BOX 31150 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. "'XREIM CA 92809 a:714-221-5200 Fax:714-221-5210 Lee & Stires, Inc. & Lee 6'Stires Equipment Rental P.O. Box 2124 Montolaix CA 91763 COVERAGES INSURERS AFFORDING COVERAGE NAIC # INSURER A: Lexington Insurance Co. _ INSURER s; American Staters Ins Co INSURER C: State Cm"nia4on Ina EUnd ^ INSURER D: _ y INSURER E:. T THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUE13 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 13SUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES. DESCRIBED HEREIN 13 SUaECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE MEN REDUCED BY PAID CLAIMS, NOR noul LTR WSW TYPE OF INSURANCE POLICY NUMBER DA " CT1VE DATE MM10 UMIT6 GENERALLIABILRY EACH OCCURRENCE $1 000 000 A X COMMERCIAL GENERAL LIABILITY 146-2649 05/01/05 05/01/06 PREI o=rence $50 000 f MED EXP (Any one pereon) $ F xcluded CLAIMS MADE "' J OCCUR X XCU/Contractual PERSONAL &ADVINJURY $1 000 000 X Subsidence Inc GENERAL AGGREGATE $ 2 000 000 GE#CLAGGREGATE LIWTAPPUESPER PRODUCTS -COMPIDPAGG $2 000 000 POLICY pRo LOC AUTOMOBILE LIABILITY 8 X ANY AUTO 24CCO3173610 05/Oi/05 05101/06 (SS COMBINED) SINGLE LIMIT = 1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per perean) _ X HIRED AUTOS BODILY INJURY 6 X NON -OWNED AUTOS (PorAaideM) X Comp/Coll -�� _- PROPERTY DAMAGE s Ded SISOO (Ferecddenl) GARAGE LIABUM AUTO ONLY - EA ACCIDENT 6 ANY AUYO OTHER THAN EA ACC 6 S AUTO ONLY: AGO EXCEBSNMBRELLALIABILITY EACH OCCURRENCE ! 5A 000 000 A X OCCUR CLAIMSMADE 164-4398 05/01/05 05/01/06 AGGREGATE W� 6 5 000 ODO s DEDUCTIBLE s RETENTION S $ WORKERS COMPENSATION AND X TT)RY UMIYS ER C ANYEMPPRO RI TORIP rr ANY PROPRIETORfPARINERfE)<FCUTNE 0460007405-05 01/01/05 01/01/06 EL EACH ACOMM s 1 000 000 OFFK;ERfMEMIIRtEXCLUDED? ayes EeealCe urger. El- DISEASE -EA EMPLOYE S 1 000 000 F-L DISEASE. POLICY LIMIT s 1 000 000 SPECU►L PROVISIONS below OTHEIi A Inland Marine 675-7578 05/01/05 05/01/06 LZd/Rent $50,0o0 Dad. $2 500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDFA BY ENDORf SPECIAL PROYLYIONS RE: ALL OPERATIONS - PER THE ATTACHED ENDORSEMENT THE CERTIFICATE HOLDER IS HEREBY NAND AS ADDITIONAL INSURED. *10 Days Notice of Cancellation for Non -Payment of.Premium. THE CITY OF LA QUINTA PO BOX 1504 La Quinta CA 92253 LAQUINT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCpr r F BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL MAIL * 3 0 GAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, loomailL 25 (2001108) ® ACORD CORPORATION 198e U � ' F 06/07/2005 09:25 858-459-9019 SH SPIEGLER INS PAGE 02/02 �A ORDCERTIFICATE OF LIABILITY INSURANCE DATE(MMfDDIVYYY) 4BTPHA l 06 07 05 . THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER Steven R Spiegler Ina Sery Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR CA License #0871012 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 7855 Ivanhoe Ave, Ste 460 La Jolla CA 92037 phone: BSB-459-8634 Fax:858-459-9019 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Llo dA Of London 40tb & Adams, LLC & INSURERS: Quanta Indemnity CO O aOve Construction CO., InC. INSURERC: c O Cameo Homes 1 05 Quail St INSURERD: Newport Beach CA 9266D INSURER C CnVFRAnF9 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT. 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 CONOTTIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTR TYPE OF INSURANCE POLICY NUMBER GATE GATE MMAODTIO 1 4 LIMITS GENERAL LIABILITY EACH OCCURRENCE S 2000000 PREMISES Esomwee S 50000 A X X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FX] OCCUR A15274063 04/20/05 04/20/06 MED EXP (Any one person) S 5 0 0 0 PERSONAL AADVINJURY 92000000 GENERAL AGGREGATE s 2000000 _ GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMPIOPAGO s 2000000 X POLICY j 2f LOC AUTOMOBILE UABILITY ANY AUTO COMBINED SINGLE LIMIT Me eCNdont) s BODILYINJURY (Per person) S ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per eoddwl) s HIRED AUTOS NON-0WNED AUTOS PROPERTY DAMAGE (Per ecdeent) s GARAGE LIA9I.IIY AUTO ONLY - EA ACCIDENT f OTHER THAN EA ACC ALTO ONLY: AGO 8 ANY AUTO S EXCESSNMBRELLALIABILIMY EACH OCCURRENCE 31000000 AGGREGATE s B X OCCUR 7CLAIM9MADr QNX0004320-00 04/20/05 04/20/06 s 3 DEDUCTIBLE S RETENTION s VMRKERS COMPENSATION AND TORY LIMBS I I ER E.L EACH ACCIDENT s EMPLOYERS' UABIJTY ANY PROPRIETORIPARTNERlEXECUTIVE OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE4 S If yqn dofCAtte Ualeer SPECIAL PROVISIONS below LL, DISEASE • POLICY LIMIT I s OTHER OPSCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS *10 Days for Non -Payment CERTIFICATE HOLDER CANCELLATION PROOFCl SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATA= THEREOF. THE ISSUING INSURER VMLL ENDEAVOR TO MAIL 3 0 * DAYS WRrrmm NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUR FAILURE TO DO SO SMALL Proof Of Coverage IMPOSE NO OBLIGATION OR LIABILTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATWES. rwvrcly w taw frvol 11 JCJ[ Ij%1jl f 1L(kUll JUI ll'(g 'JLJL JIII ::.::: IL ENGINEERING LAND PLANNING TRACT 31310 BOND ESTIMATE SUBDIVISION IMPROVEMENTS 10106/04 ITEM Grading 1) Clearing & Grubbing/pre-water 2) Grading 3) Finish Pads Street Improvements (On -site) 1) Construct 3" a.e. over 4.5" crushed agg. base (min) 2) Construct 6" type "A-6" curb 3) Construct 4' sidewalk 4) Construct cross,gutter with splash. area 5) Install stop sign per Caltrans Std. R-1' 6) Install Handicap ramp case "A" 7) struct combination inlet catch basin Install 18" HDPE storm drain pipe (or equal) 9 nstall 21" HDPE storm drain pipe (or equal) _ Construct 5' sidewalk 1 onstruct sand filters Precise Grading Improvements 1) Construct cross gutter 2) Constrict 3" A.C. over 4.5" crushed. agg. base. (min) 3) Construct Y sidewalk (4" concrete) 4) Construct 6" curb and gutter 5) Construct 4" concrete cross gutter 6) E)dsting block wall per rough grading plan 7) Construct 6" curb 8) Construct wall opening to allow for drainage 9) Provide V opening in curb to allow for drainage 10) Construct driveway approah Water Improvements 1) 8" dip water main (polyethylene encasement) 2) 18"x18"x8"tee(D.I.) 3) 18" butterfly valve (D.I.) 4) 8" x 8" x 6" tee (D.I.) 5) 8" x 45° bend (D.I.) 6) 8" x 22 -1/20 bend (D.I.) 7) 8" gate valve (D.L) 8) 6" fire hydrant assembly (wet barrel type) (Super 6" x 4" x 2.5" x 2.5'1 9) Blue dot reflectors 10) 18" steel casing 11) 1" service UAg_NTI UNIT PRICE COST 1 LS ' $ 20,000.00 $ '20,000.00 . 117,411 CY $ ` 1.25 $ 146,763.75 36 EA $ - 750.00 27,060.00 $ 193,763.75 40,747 SF 1 1.39 $ 56,638.33 - 2,767 LF $ 10.00 $ 27,670.00 7,572 SF $ 2.50 $ 18,930.00. 1 EA $ 2,000.00 $ 2,000.00 1 EA $ 400.00 $ 400.00 2 EA'• $ 750.00 $ 1,500.00 4 EA $ 3,500.00 $ 14,000.00 421 LF $ . 3.0.00 $ 12,630.00 111 LF $ 35.00 $ 3,885.00 1,350 SF. Sr ' . 2.50 $ 3,375.00 1 EA' $. 15.000.00 $ 15,600.00 $ 156,028.33 2.244 SF $ 3.50 $ 7,854'.00' . 23,683 SF $ 1.39 $ 32,919.37 1,130 LF $ 2.50 $ 2,825.00 2,260 LF $ 10.00 $: 22,600.00 30,976 SF $. 2.50 $ 77,440.00. n/a $ 0.00 1,700 LF $ 10.00 $ 17,000.00 68 EA' $ 0.00 $ 0.00- 18 EA $' . 0.00 $. 0.00 18 EA $ 300.00 $ 5:400.00 $ 166,038.37 1,288 LF $ 18.00 $ 23,184.00 1 EA $ 2,000.00 $ 2,000.00' 2 EA $ 3,800.00 $ 7,600.00 10 EA $. 500.00 $ 5,000.00' 4 EA $ 385.00 $ 1,540.00 2 EA $ 386-00 $i 770.00. 1 EA' $. 1,200.00 $: 1,200.00 10 EA $ . 3,000.00 $ 30,000.00. 10 EA. $ 50.00 $ 500.00 32 LF $ 30.00 $ 960.00 36 EA $% . 450.00 $. 16,200.00 $ 88,954.00 79-440 Corporate Center Drive • Suite 107 • La Quinta, California. 92253 • (760) 771-6237 • Fax (760) 771-6238 u.os:.g e 0 r a d n:�': d G z..:to .'t+0 go z� '' ., L' To: +1-7607777155 Page 1.of 1 2005-06-21 20:48:46 (GMT) 19094944308 From: Sherri Tilley ACORD - TM. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 106/21/2005 PRODUCER Phone: 877-587-4999 Fax: 866.307-6352 BACCARELLA INSURANCE SERVICES, INC. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6864 INDIANA AVE. # 201 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR RIVERSIDE CA 92506 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: AMERICAN SAFETY INDEMNITY CO. INSURER B: MERCURY CASUALTY COMPANY WSS CONSTRUCTION, INC. MEL STREET MENI CA MENIFEE, CA 92586 INSURER C: FIREMAN'S FUND INSURANCE CO. INSURER D: STATE COMPENSATION INS. FUND INSURER E: AMERICAN SAFETY INDEMNITY CO 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. NSR LTR ADD' INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DDNY LIMITS GENERAL LIABILITY ESL0067960501 03/04/05 03/04/06 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FX OCCUR DAMAGE TO RENTED PREMISES Ea occurence $ 50,000 MED. EXP (Any one person) $ Excluded A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG. $ 1,000,000 POLICY PRO- . X JECT LOC AUTOMOBILE LIABILITY ANY AUTO AC11047789 07/21/04. 07/21/05 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED ALTOS (Per person) $ X B HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ EXCESS 1 UMBRELLA LIABILITY ES00094060501 05/27/05 03/04/06 EACH OCCURRENCE $ 1,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ - E RDEDUCTIBLE $ X RETENTION $ 25,000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? 229-20597-05 01/01/05 01/01 /06 X T/ORV LIM TS OTHER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 OTHER: CONTRACTORS EQUIPMENT MZ198113542 06/27/04 06/27/05 LEASED/RENTED EQUIP -ANY ONE C ITEM: $100,000 SCHED EQUIP TOTAL LIMIT: $130,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS VERIFICATION OF INSURANCE *EXCEPT 10 DAYS FOR NON PAYMENT OF PREMIUM. CERTIFICATE HOLDER CANCELLATION CITY OF LA QUINTA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30` DAYS WRITTEN 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, IT'S AGENTS OR REPRESENTATIVES. Attention: CINDY-FAX: 760-777-7155 AUTHORIZED REPRESENTATIVE Sherri Tilley ACORD 25 (2001108) Certificate # 20717 © ACORD CORPORATION 1988 4 !. T_4tYl 4 ,(4rUQ'u"fw Business LiCense Na. SUSINESS LICENSE APPLICATION FORM R'RR4r:RwftR eww+►Q/, R tti*V[!y'irRtfltRr/M'M* APPROVED DATE rti..t*+frxwr�err*RrRt#rewt-rfr►+�asa.www+.w..rRk�,t PROOF OF WORKER' OMPENSATION INSURANCE & COEYOF STATE CONTRACTORS LICENSE FWKET CAR2 IS REQUIRED PRIOR TO ISSUANCE . 1. Business Name: r /!�7p­/ e s- C. C s /7L_714q 1-7 Business .Address//:d�a CityState: �! 7-7 �eSP_-�ip: �� 2 2. M4)'Iin3 Address: tE /� City/State: . Zip: 3. Business Phone: 4. Owned By: t'ORP PARTNERSH P.INDIVIDUAL 5. If Corporation or Partnership, Tax I.1).'4: 6. Name of Owner or Officers and Title:, / 7. Vehicle License Number Permit Number (Finance Dept. Only) 8. Type of Contmetor: 6;-Ier , B. Classification:dg�g C. State License Number /e-7J--33 OrB License Classification $100.00 Per Year or $50.00 Semi -Annual C .License Classification S 50.00 Per Year Or $25.00 Semi-annual I HEREBY CERTIFY that all the information supplied by me is correct and any licuenses required by the County, State or Federal Government have been issued to me and are In full force and effect, Signatur (L ( � el'OateLo�— 2� �.j� Send Completed Form To: CITY OF LA QUINTA BUSINESS LICENSE DIVISION P.O. BOX 1504' La Quinta, CA 92247-1504 RECEIPT City of La Quinta, 78-495 CalieTampico, P.O. Box 15 4, La Quinta, CA 92247 DATE 20� 82679 RECEIVED FRO ADDRESS DOLLARS $ �U " f r • I r City of La Quinta The following General and Special Provisions are attached to and made a part of Permit Number 4421 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, spatted, 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 permittee shall contact all concerned utility companies relative to the location of existing substructures. Damage to existing substructures resulting from operations conducted under this permit shall be the sole responsibility of the 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 W') 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. 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. ® 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 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. ® 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 withSection 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973. PERMIT NO.4421 Santa Rosa Market/Storm Drain/Tract No. 31310 In addition to the standard permit conditions, the following shall apply: 1. Pursuant to Section 14.16.320 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), all work shall be performed in accordance with the latest edition of the Standard Specifications For Public Works Construction (SSPWC) and as directed by and to the satisfaction of the City Engineer. 2. Santa Rosa Market, hereinafter referred to -as `.`Permittee", shall be responsible for providing continuous dust and erosion control. 3. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently, if required. 4. Pursuant to Section 6.08.050 of the La Quinta Municipal Code (Ordinance 18 § 1,1982), throughout the work site, the Permittee shall comply with City regulated work hours. Operation and maintenance of equipment within one-half mile of human occupancy shall be performed only during the following time periods: October 1st to April 30: Monday -Friday 7:00 a.m. to-5:30 p.m. Saturday 8:00 a.m. to, 5:00 p.m. May 1 st to September 30: Monday -Friday 6:00 a.m. to 7:00 p.m. Saturday 8:00 a.m. to 5:00 p.m. Work shall be prohibited on legal holidays and Sundays. 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. 5. 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. 6. Pursuant to Section 14.16.110 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), Permittee shall assume responsibility for repair of any pavement damage to any public or private street and for any damage to other City streets or facilities as a result of work performed under this permit. 7. Pursuant to Section 14.16.250 of the La Quinta Municipal Code (Ordinance 10 § 1 (part); 1982), advance warning signs and traffic control shall be installed and maintained in accordance with Cal Trans Standards or the Work. Area Traffic Control Handbook (WATCH Manual). A traffic control plan shall be prepared in accordance with the WATCH Manual and submitted to the City for review and approval one (1) week prior to starting any construction. It shall be the Permittee's responsibility to appropriately detour and barricade all construction sites. Special Conditions Page 1 of 6 PERMIT NO.4421 Santa Rosa Market/Storm Drain/Tract No. 31310 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. 8. Prior to excavating, if required, the Permittee shall contact Underground Service Alert at 1-800-422- 4133. It shall be the Permittee's responsibility to notify the Public Works Department of anticipated excavation which impact City facilities, including but not limited to traffic signal conduits and loops, irrigation lines, electrical conduits, and storm drain facilities. 9. - Should additional work; materials, or modifications of the work be required in order to meet City 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. 10. Pursuant to Section 14.16.370 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), backfill compaction within street rights -of -way shall conform with Section 306-1.3 of the latest edition of the Standard Specifications For Public Works Construction (SSPWC), except 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 completion of this portion of trench, the City Inspector shall establish the maximum lift thickness to be compacted. for the remainder of the project. Special Conditions Page 2 of 6 PERMIT NO.4421 Santa Rosa Market/Storm Drain/Tract No. 31310 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. 11. 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. 12. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to its original condition. 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. . . 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 6 PERMIT NO.4421 Santa Rosa Market/Storm Drain/Tract No. 31310 C. Permanent pavement replacement shall be installed using a City approved 3/" 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/" 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. 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. 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 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. 17. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time. 18. The permittee shall indemnify, hold harmless and assume the defense of the City from all damages, delay costs, costs or expenses in law or equity that may arise out of work under this permit. Special Conditions Page 4 of 6 PERMIT NO.4421 Santa Rosa Market/Storm Drain/Tract No. 31310 19. 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. 20. This permit or copy of it shall be on the work site (usually the job trailer) for inspection during the actual work performed. Any land on which Williamson Act contracts apply shall remain undisturbed. 21. The permittee shall be responsible for notifying the inspection staff of import fill and overexcavated areas on a daily base's. If the inspector's phone number is unknown, the permittee shall call the Public Works front counter phone at 777-7075 or the Assistant Engineer I at 777-7089 to determine the city inspector's phone'number. If the imported fill or over excavated locations indicate to the inspector that inadequate soils exist based on the criteria set forth in the Project Soils Report, Public Works Greenbook, or Uniform Building Code, the Public Works inspector may halt grading operations until the inadequate soil has either been . removed or the Public Works Director authorizes grading to continue. The above testing or observations does not relieve the permittee's responsibility for future repairs due to settlement at and near the locations of the work area. Prior to the city issuing a building permit, the permittee's Geotechnical Engineer of Record shall submit a certified letter indicating that the grading has been completed per the approved plan. A compaction report on all fill is required following pad certification and prior to building permit issuance. 22. The permittee is responsible for obtaining a valid separate permit from the California Department of Transportation, Department (CalTrans) if any of the work or traffic control devices extend into the CalTrans right of way. 23. Work. within 500 feet of a .Desert Club Drive and any designated School Zone shall be performed between the hours of 8 a.m. —1:30 p.m. Traffic control shall be set up after 8 a.m. and removed before 1:30 p.m. 24. The permittee shall not encroach upon private property without prior written approval (submit to the Public Works Department, attention to the Assistant Engineer I) of the private land owner whom is being encroached upon. . 25. Prior to excavating in native soils, the owner of the project shall have employed by proposal contract an archaeological observer for the site excavations within native undisturbed soils. A copy of the contract must be submitted to the Public Works Department and attention this to the Assistant Engineer I. If the archaeologist determines the site note to be required to be observed, please submit a letter signed by the archaeologist stating their determination. 26. The permittee shall be responsible for calling the city inspector to arrange the city inspector to observe random trench compaction testing performed by a city approved material testing firm. If the inspector's Special Conditions Page 5 of 6 PERMIT NO.4421 Santa Rosa Market/Storm Drain/Tract No. 31310 phone number is unknown, the permittee shall call the Public Works front counter phone at 777-7075 or the Assistant Engineer I at 777-7089 to determine the city inspector's phone number. The inspector shall determine .the number and location of the test location/s. The above testing does not relieve the permittee's responsibility for future repairs due to settlement at and near the locations of the work area. Materials testing must be performed under direct supervision of a California Registered Civil Engineer. Page 6 of 6 '�, -;; P.O. Box 1504 ' LA QUINTA, CALIFORNIA 92247.-1504 78-495 CALLE TAMPIC.O LA QUINTA, CALIFORNIA 92253 July 17, 2006 Matt Nevins. Groove Construction 1451 Quail Street, '#212 Newport Beach, CA 92660 Re: Encroachment Permit No., 4421 —Tract Map 31310 Permit Type: _On -site Street and Storm Drain Dear Mr. Nevins: (760) 7 7 7 - 7 0 0 0 FAX (760) 777-7101 Encroachment Permit number 4421 has expired [will expire] as of June 27, 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 $ 5,780.00 $ 578.00 $100.00 RENEWAL AMOUNT DUE: $678.00 If you have any questions or need additional information,* please contact Tony Colarossi at (760) 7.77-7089. Sincerely Paul Goble Senior Engineer, Public Works Department CC: Danny Escalona, Construction Manager �eonard St. Sauver, Assistant Engineer II ermit File, No. 4421 Tract File 31310, Folder V .-'NOTE: With. properdalidation this form constitutes an CITY OF LA QUINTA encroachment permit S APPLICATION FOR PERMIT. - PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) OF Tf180`v`' For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water. mains and other like public works improvements in connection with MINOR IMPROVEMENTS•and APPROVED SUBDIVISIONS Subdivision Improvement Permit -Class I I I DATE: rrrnn 97 r 7111,711: Minor.Improvement Permit Class IV LOCATION OF CONSTRUCTION 48th & Adams, W, 31310 n' q (Street address or Description of Location) J PURPOSE OF CONSTRUCTION Street .8 Storm drain improvements (orsite). Plan Set # 05083) DESCRIPTION.OF.CONSTRUCTION Install storm drain. curb & A.C. DIMENSION.OF INSTALLATION OR REMOVAL-Ottantit3-es der approved plans Sketch (attach construction plans it appropriate) SIZE OF EXCAVATION, IF NEEDED 7 APPROXIMATE TIME WHEN WORK WILL BEGIN -July 1. 2005 APPROXIMATE. -TIME OF COMPLETION "fitly 907005 op A Aol ESTIMATED CONSTRUCTION COST $ 56, 078 -4-1 (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacingand/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 aria conditions of the permit and all applicable rules and regulations of tfie City of La Quinta and to pay for any additional replacement. necessary as the result of this work. ' /�,, Si�atb e of Applicdn t r Agent Matt Nevins Groove Const. 1451 Quail St. #212 New Beach 92660 949-863-9642 Name of Applicant (please print) Business Address Telephone No. Lee h Stires P.O. Box 2124 Montclair CA 91763 909-983-9557 Name of Contractor and Job Foreman Business Address Telephone No, 288402 99445 Contractor's License No. City Business License No. Lexington Insurance Co. 146-2649 Applicant's Insurance Company Policy Number .FEES: Subdivision Improvement Permit - Class III e Public improvements: 3% of estimated construct) D Private improvements: 3% of estimated constru osts N. Minor. Improvement:Permit- ClassIV: See attache h duleJUN 29 2005 q A Inspection Fee. $ 4,680.00 OFLAQUIPRA 't 100.00 ERMIT VALIDATION Permit Fee loao.oa Cash Deposit -Surety Bond if required TOTAL: $ 5,760.00 Receipt No. Received by _ Recorded.by I Date._T PERMIT NO. t•� 7_ DATE APPROVED - A ? 7 = ., EXPIRATIONDATE DATEU��.D.. 7' Telephone: (760)'777-7075" Administrative Authority .r