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4448
R 1 NOTE: n With proper validation this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit— Class III DATE: July` 48. "1005 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Corner of. Washinjzton St. & Ave. 48 (SDP 2004-815) r. {{ (Street address or Description of Location) PURPOSE OF CONSTRUCTION office/ structure improvements (precise DESCRIPTION OF CONSTRUCTION See retail DIMENSION OF INSTALLATION OR REMOVALS" improvement piano (See PSN) SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN ARRUst 10, 2005 APPROXIMATE TIME OF COMPLETION February 10. 2006 ESTIMATED CONSTRUCTION COST $ 50.508 + 20%-60.610.00 (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: Sketch (attach construction plans if appropriate) -77 7- 7o97. Indemnify, defend, and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application. Notify the Administrative Authority- at least twenty-four (24) hours in advance of the time when work will be started. Comply with all applicable City Ordinances, the terms and conditions of the 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. M Name of Applicant (please print) Signature of Applicant or Agent Business Address Telephone No. Affiliated Construction Co. 77-900 Ave. of the Statee PD, CA 92211 345-2626 Name of Contractor and Job Foreman Business Address Telephone No. 186863 Contractor's License No. 3089 City Business License No. Mt. Hawley Insurance Co. 1,4GLO1400951 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class III Public improvements: 3% of estimated con tion costs Private improvements: 3% of estimated co r tior� tsl Q 2005 1 Minor. Improvement Permit — Class IV: See at ac ed schedule + 4448 QUINTA i,820.00 CITY OF PERMIT VALIDATION Inspection Fee $ FINANDEPT. Permit Fee 100.00 Penalty Cash Deposit -Surety Bond if required (11000.00) TOTAL: $ 2,920.00 Receipt No Received by Date PERMIT NO. 4448 DATE APPROVED r" 1 J .-> EXPIRATION DATE- I J JF DATE ISSUED,, _f4) �2 Bye. Administrative Authority Recorded by Telephone: (760) 777-7075 `PERMIT NO.4448 Caleo Bay Park / Precise Grading / SDP 2004-815 In addition to the standard permit.conditions, the following shall apply: J 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. This permit'or copy of it shall be on'the work site (usually the job trailer) for inspection during the . actual work performed. 3. Affiliated Construction Co. , hereinafter referred to as "Permittee", shall be responsible for providing continuous dust and erosion control. 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 trafficcontrol 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 (951) 955-6894 if signal operation at the'intersection is to be altered in any way.. 7. Pursuant to Section 1.4 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. Special Conditions Page 1 of 6 PERMIT NO.4448 Caleo Bay Park / Precise Grading / SDP 2004-815 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 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. 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 overexcavated 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. 12. The issuance of this permit and -the City approval of the related construction improvement plans do not provide a vested entitlement for all design parameters that may have been utilized for the plans. As such, plans approved for this permit may be "at risk" for further modifications as it relates to any follow up . improvement plan requirements as required by the city or existing errors & omissions by the architect or engineer of record. Special Conditions Page 2 of 6 J PERMIT NO.4448 Caleo Bay Park / Precise Grading / SDP 2004-815 13. The permittee shall not encroach upon private property without prior written approval (submit to the Public Works Department, attention. to the Assistant Engineer 1) of the private land owner whom is being encroached upon. 14. Prior to performing construction work and closing any lanes in the Public Right of Way, the permittee shall ---call the City at (160) 777-7097 at least "48hrs prior to work and request an appointment for a preconstruction meeting with the City Inspection staff. 15. The permittee shall haul all offsite debris to a certified landfill. Prior to hauling debris, the permittee shall inform the City (Inspection staff or 777-7089) of the name and location of the certified dump site. 16. Prior to excavating in native Soils, the owner of the proj ect 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. 17. If public traffic lanes are required to be closed, this permit is not valid until the permittee submits, to the Public Works Department, an approved traffic control plan at least 2 weeks prior to start of construction or parking on the paved R/W. 18. 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 Special Conditions Page 3 of 6 PERMIT NO.4448 Caleo Bay Park / Precise Grading / SDP 2004-815 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. 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. 19. 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. 20. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to its original condition. 21. Access and egress to all local properties shall be maintained at all times. 22. Pursuant to. Section 14.16.375 of the to Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), permanent pavement replacement shall be completed no later than seven (7) days after the completion of the work. Permanent pavement replacement shall conform to the following conditions: A. Existing asphalt concrete pavement .shall be sawcut one (1) foot beyond trench edges. Edges shall be straight and clean. Special Conditions Page 4 of 6 PERMIT NO.4448 Caleo Bay Park / Precise, Grading / SDP 2004-815 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. 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. 23. ' 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. 24. 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 riot 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. Special Conditions Page 5 of 6 L` PERMIT NO.4448 Caleo Bay Park/ Precise Grading /-SDP 2004-815 25. The City of La Quinta'reserves the right to revoke, suspend or void this permit at any time. 26. 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. 27. If it is ,the intent .of the permittee to cut the pavement and have it restored by a third party, the permittee shall,postporne cutting the pavement until the intended third party has acquired a permit from the City to perform the required restoration work. Special Conditions Page 6 of 6 City of La Quinta The following General and Special Provisions are attached to and made a part of Permit Number 4448 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 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 ('/4") 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 (2Y2) 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.fumished 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 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. ❑ 11118 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. ❑ RI 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: JUL-15-2005 FRI 03:37 PM OLIPHANT COMPANIES FAX NO, 760 345 5501 P. 02 Mh . -V1aid le Ih50ranc'e Approximate Construction Start ]date: P- /�,r— Approximate Construction Cmpletion- Estimated,Consiruction Cost: $ S ©S 0 ra = 6 0 61 O. o v &stimatod Construction Cost dull inotude die ==Val of su abskutims. waterial4 sad debut, badr-fi in& Oft2dim WW Oft p=m mt newfecros 04 or nNWYAB mw Contact Name: a ��t' Phone Number 7j�O- 3i�2 Name of Applicant: IM Applicant Address: `i Z54 Kea zA c r 92 Z Applicant Telephone Number. Name of Contractor: i/1 ' Co Contractor Address: — L- Contractor Telephone er. G o 3 YS— 26 Z 6 Contractor State License Number. / 8 k 3 111ho 1015 OTC. Contractor City Business License Number, 3691 014_ ► A COPY' gy THE 9999PU REURAN(Z CERTIPICA-n MOST BE PROMED4 �. Applicant or Contractor General Liability Insurance Company: �r- Applicant or Contractor Gena ul Liability Insurance Policy Number: o fide Use onw: bnspecpon Fee. 1, 4 J Z0. 0 J Permit Fcc. . V (��% Dust Control Deposit credit AwauL TOTAL FRe DUEJ 21q Ly. 0 J ofte Use Oak Assigned Permit Numb= 4 U ApP17O"sl IJ�ata 1 1 • l nite: trCL Dote; AdminisoVive AUhnrity: ' 1 92 i. -, � , - -. JUL-15-2005 FRI'03:37 PM OLIPHANT COMPANIES FAX NO. 760 345 5501 P. 03 1 CONST. 3" AC OVER 4.5" CAB OVER 12" COMPACTED SUBGRADE 2 CONST. 4" THK P.C.C. PAVEMENT 3 CONST. 5" P.C.C. OVER 4" CAB OVER 12" COMPACTED SUBGRADE 4 CONST. 6" CURB 51 CONST 6" CURB AND GUTTER 6 CONSTRUCT VALLEY GUTTER 7 CONST. HANDICAP RAMP 8 PAINT HANDICAP STRIPING 9 PAINT DOUBLE 4" WIDE HAIRPIN STRIPE 10 CONST. 4" GRATE INLET 11 SAWCUT/REMOVE EX. CURB 12 REMOVE AND DISPOSE EXTRUDED CURB" 13 INSTALL 12" X 12" ATRIUM GRATE 14 INSTALL 9" x 9" ATRIUM GRATE 15 CONST. 6" CURB ON DEEPENED SLAB FOUNDATION 16 INSTALL HANDICAP ACCESSIBLE PARKING SIGN 17 INSTALL 4" PIPE 18 INSTALL 3" PIPE 19 CONST. 3" THRU THE CURB DRAIN TOTAL 26,987 SF $1.20 $32,384.40 1,850 SF $1.80 $3,330.00 277 SF $1.90 $526,30 808 LF $8.00 $6,464.00 ` 310 LF $10.00 $3,100.00 32 LF $9.00 $288.00 1 EA $600.00 $500.00 1 LS $1,000.00. $1,000.00 1 LS $600.00 $600.00 3 EA $20.00 $60.00 13 LF $4.00 $52.00 434 LF $1.00 $434.00 5 EA $25.00 $125.00 1 4 EA $20'.00 $80.00 45 LF $3.00 $135.00 4 fA $120,00 $480.00 100 LF $6:00 $600.00 30 LF $5.00 $150.00 60 LF $5.00 $300.00 $50,508.70 JUL-15-2005 FRI 03:36 PM OLIPHANT COMPANIES. FAX N0, 760 345 5501 P. 01 Affiliated Construction Co -,Inc. 77-900 Avenue of the States, Palm Desert, CA 92211 Office (760) 345-2626 Fax (760) 345--5601 To: Jesse Jimenez From: Anna Gonzalez Co: City of LQ, Public Works Pages: 3 Fax: (760) 777-7155 Date: 7/15/05 Re: Caleo Bay Park CC: ❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply • Comments: Hi Jesse: Please make sure Tony gets this. Let me know if I need to submit anything else. Thanks! Anna Project Name: Type of Construction: A. What is going to be improved B. Schedule L PM 10 and S WPPP 2. Clear andGrub .3. Rough Grading 4. Precise Grading 5. Utilities C. Permit Prerequisites 1. Archaeology 2. Third Party Approvals 3. NOI 4. Insurance. Certificate and City Business. License 5. Fringe Toe Lizard 6. Securities (As Built, PM10, & Grading Bond) 7. Parkland Fees D. Required Plans: . e E. Traffic Control Plans and Issues F. Standard and Specifications: G. Contractor Reptesentative: Name: Phone: j H. Materials, Tests & Certifications: 1. Certificate of Compliance: 2. Mix Designs 3. Survey Grid for Utilities I Safety: Hard hats, orange or, lime vests. J. As -Built Plans and Final Inspections a. Contractor to submit As -Built plans no later that two weeks after completion of works. No final inspection and approval of completed work will be performed until the city is in receipt of "As -Built", plans. P. r . ATTENDANCE PRECONSTRUCTION MEETING NAME COMPANY PHONE NUMBER -76 A4AP.co osoN,9 P06 " - 0 7o6 00 eZtb)?- I 22� Zd - 7A4d 225- .2?g OWNER'S STATEMENT WE HEREBY STATE THAT WE ARE THE OWNERS OF THE LAND INCLUDED WITHIN THE SUBDIVISION SHOWN HEREON; THAT WE ARE THE ONLY PERSONS WHOSE CONSENT IS NECESSARY TO PASS A CLEAR TITLE TO SAID LAND; THAT WE CONSENT TO THE MAKING AND RECORDING OF THIS SUBDIVISION MAP AS SHOWN WITHIN THE DISTIN- CTIVE BORDER LINE. WE HEREBY DEDICATE TO THE COACHELLA VALLEY WATER DISTRICT A 20 FOOT WIDE EASEMENT FOR DOMESTIC WATER PURPOSES , AS SHOWN HEREON. THE EASEMENT SO DEDICATED SHALL INCLUDE THE RIGHT TO ENTER UPON SAID LANDS TO SURVEY, CONSTRUCT, RECONSTRUCT, LAY, RELAY, MAINTAIN, OPERATE, CONTROL, USE, AND REMOVE PIPELINES, FIXTURES AND APPURTENANCES, AND TO REMOVE OBJECTS INTERFERING WITH THE CONSTRUCTION, OPERATION AND MAINTENANCE THEREOF. EVERGREEN -AVENUE 48 & WASHINGTON, L.L.C. AN ARIZONA LIMITED LIABILITY COMPANY BY. EVERGREEN DEVELOPMENT COMPANY-2002, L.L.C. AN ARIZONA LIMITED LIABILITY COMPANY ITS: MEMBER AND MANAGER BY: EVERGREEN DEVCO, INC., A CALIFORNIA CORPORATION ITS: MANAGER. BY:/ /�/.? ppn0. DIras0Y1 ITS: VI« ?resident "-NIOTARY ACKNOWLEDGMENT RI STA 0) SS COUNTY ) ON De C em log a S.Soo3 BEFORE ME, iRoYam e A NOTARY PUBLIC IN AND FOR SAID STATE, PERSONALLY APPEARED PERSONALLY KNOWN TO ME OR PROVED TO ME ON THE BASIS 'OF SATISFACTORY EVIDENCE) TO BE THE PERSON WHOSE NAME IS SUBSCRIBED TO THE WITHIN INSTRUMENT AND ACKNOWLEDGED TO ME THAT HE EXECUTED THE SAME IN HIS AUTHORIZED CAPACITY, AND THAT BY HIS SIGNATURE ON THE INSTRUMENT THE PERSON, OR THE ENTITY UPON BEHALF OF WHICH THE PERSON ACTED, EXECUTED THE INSTRUMENT. WITNESS MY� HAND SYIN NCIPA F�_ _ L PLACE OFO / BUSINESS SIGNATURE: h'V(),/_/l!! JLP� MY COM�MISSIOIONP�EXPIIRRES: � Io OS P NOTARY PUBLIC IN AND FOR SAID STATE 80�ane NAME PRINTED NOTARY ACKNOWLEDGMENT STATE OF CALIFORNIA ) SS COUNTY OF.RIVERSIDE ) BEFORE ME, A NOTARY PUBLIC IN AND FOR SAID STATE, PERSONALLY -APPEARED PERSONALLY KNOWN TO ME OR PROVED TO ME ON THE BASIS OF SATISFACTORY EVIDENCE) TO BE THE PERSON WHOSE NAME IS SUBSCRIBED TO THE WITHIN INSTRUMENT AND ACKNOWLEDGED TO ME THAT HE EXECUTED THE SAME IN HIS AUTHORIZED CAPACITY, AND THAT BY HIS SIGNATURE ON THE INSTRUMENT THE PERSON, OR THE ENTITY UPON BEHALF OF WHICH THE PERSON ACTED, EXECUTED THE INSTRUMENT. WITNESS MY HAND MY PR Pt AL PLACE OF BUSINESS IS IN CNT�Y.,,�� SIGNATURE: MY COMMISSION EXPIRES:.� NOTARY PUBLIC IN AND F R SAID STATE rYli rt l L-h�dso� N PRINTED SHEET 1 OF 2 SHEETS IN THE CITY OF LA OUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA RECORDER'S ,�•�STATEMENT ''t' PARCEL MAD NO. 31248 FILED THIS _t� T N C DAY OF 20041 BEING A SUBDIVISION OF PARCEL 1, OF PARCEL MAP NO.. 27892 , P.M.B. 182163-66 SAXON ENGINEERING SERVICES AUGUST, 2003 TfzusTr-E sT^-rr_ tG►JT STEWA QT T ITLB OF L'AMAOJ[A//4, A CAc/Fb c[ A CORPO&A"e✓ A 3 TKu}TF[, :/A/DEC OCED OF-re-7 Reco-Den JvtY 2/ ZeO3/ 43 /✓S!. NO.> 2O e3_¢93 S/2, OF O`F/C/.qL REGe,QOS !2i✓Ee�/D6 C�e�r`/, e4L/FORMIA l CERTIFICATE OF ACCEPTANCE Ise I HEREBY CERTIFY THAT UNDER AUTHORITY GRANTED TO ME BY RESOLUTION NO. LAIyQ 78-248, DATED SEPTEMBER 12, 1978, 1 ACCEPT ON BEHALF OF THE COACHELLA VALLEY WATER DISTRICT THE DEDICATION OF EASEMENTS FOR DOMESTIC WATER A 4c� PURPOSES AS OFFERED HEREON. a NO. 5479 E.P. 9/30/04 BY: JUI A FERNANDEZ - SECR a �oF CAM COACHELLA VALLEY WATER DISTRICT TAX BOND CERTIFICATE i HEREBY CERTIFY THAT A BOND IN THE SUM OF = HAS BEEN EXECUTED AND FILED WITH THE BOARD OF SUPERVISORS 'Or THE COUNTY OF RIVERSIDE, CALIFORNIA, CONDITIONED UPON THE PAYMENT OF ALL TAXES, STATE, COUNTY, MUNICIPAL, OR LOCAL, AND ALL SPECIAL ,ASSESSMENTS COLLECTED AS TAXES, WHICH AT_ THE TIME OF FILING OF THIS MAP WITH THE COUNTY RECORDER ARE A LIEN AGAINST SAID PROPERTY BUT NOT YET PAYABLE, AND SAID BOND HAS BEEN DULY APPROVED BY SAID BOARD OF SUPERVISORS. DATED: CASH TAX BOND' NANCY ROMERO `PAUL McDONNELL CLERK OF THE BOARD OF SUPERVISORS COUNTY TAX COLLECTOR BY: BY.. DEPUTY DEPUTY TAX COLLECTOR'S CERTIFICATE I HEREBY CERTIFY THAT ACCORDING TO THE RECORDS OF THIS OFFICE, AS OF THIS DATE, THERE ARE NO LIENS AGAINST THE PROPERTY -SHOWN ON THE WITHIN MAP FOR UNPAID STATE, COUNTY, MUNICIPAL OR LOCAL TAXES OR SPECIAL ASSESSMENTS COLLECTED AS TAXES EXCEPT TAXES OR SPECIAL ASSESSMENTS COLLECTED AS TAXES NOW A LIEN BUT NOT YET PAYABLE, WHICH ARE ESTIMATED TO BE S 30.etne THIS CERTFICATION EXCLUD95ANY SNPPLFn1ENTAL TAX ASSESSMENTWor, YET EXTENDI D. � PAUL McDONNELL , DATED: �i��illQAti.o7T . e2eo5� COUNTY TAX COLLECTOR BY DEPUTY CITY CLERK'S STATEMENT I, JUNE S. GREEK, CITY CLERK. OF THE-CRTOF LA -STATE THAT THIS MAP WAS PRESENTED TO THE COUNCIL OF SAID CITY OF LA QUINTA AT IT REGULAR MEETING HELD ON THE 6 N DAY OF Y004 AND THEREUPON SAID CITY COUNCIL DID BY AN ORDER DULY PASSED, APPROVE SAID MAP. JUIWV GREEK CLERK AND EX-OFFICIO CLERK OF THE CITY COUNCIL CITY OF LA QUINTA DNA ' AT 8 .db AM • IN BOOK ;&(M OF PARCEL MAPS,AT PAGES 1 4 'IS AT THE REQUEST OF THE CITY CLERK OF THE CITY OF LA QUINTA. CITY of LA QUINTA FEE: A 9 010 (PPllann Set No. No. 260't_ 0424 356 G Y L. ORSO, COUNTY RECORDER - BY IQN"Jill-A 2""-� DEPUTY SUBDIVISION GUARANTEE BY: FIRST AMERICAN TITLE COMPANY SURVEYOR'S STATEMENT THIS MAP WAS PREPARED BY ME OR UNDER MY SUPERVISION AND IS BASED UPON A FIELD SURVEY IN CONFORMANCE WITH THE REQUIREMENTS OF THE SUBDIVISION MAP ACT AND LOCAL ORDINANCE AT THE REQEST OF EVERGREEN -AVENUE 48 & WASHINGTON LL.C., IN AUGUST OF 2003. 1 HEREBY STATE THAT ALL MONUMENTS ARE OF THE -CHARACTER AND OCCUPY THE POSITIONS INDICATED, OR WILL BE IN ACCORDANCE WITH THE TERMS OF THE MONUMENT AGREEMENT FOR THE MAP; AND THAT SAID MONUMENTS ARE SUFFICIENT TO ENABLE THE SURVEY TO BE RETRACED. I HEREBY STATE THAT THIS MAP SUBSTANTIALLY CONFORMS TO THE APPROVED.' OR CONDITIONALLY APPROVED TENTAIVE MAP, IF ANY. WAYNE A.1AcGEE DATE— L.S. 5479 EXPIRATION: 9/30/04 CITY ENGINEER'S STATEMENT I HEREBY STATE THAT I HAVE EXAMINED THE WITHIN MAP OF PARCEL MAP NO. 31248 CONSISTING OF TWO (2) SHEETS, THAT THE SUBDIVISION SHOWN HEREOR IS SUBSTANTIALLY THE SAME AS IT APPEARED ON THE TENTATIVE MAP OR APPROVED ALTERATIONS THEREOF. THAT ALL PROVISIONS OF THE STATE SUBDIVISION MAP ACT AND LOCAL ORDINANCES HAVE BEEN COMPLIED WITH. '5-17- o4 Aui±�CDIR OR CITY ENGINEER TIMO Y R. JONASSON DATED R.C.E. 4584 REG. EXP. 12/31/06 CITY -SURVEYOR'S STATEMENT Q�NL 0 1 HEREBY STATE THAT I HAVE EXAMINED THE WIT-IIN MAP OF PARCEL MAP NO. p JG 31248 CONSISTING OF TWO (2) SHEETS AND 1 AM SATISFIED THAT SAID 'MAP IS SIG TECHNICALLY CORRECT. o Nn Sm xl s * f—..aug - I IZ-ZS-oT OF CA ERIC A. NE SON. ACT NGGOCITS SURVEYOR DATE SIGNATURE OMISSIONS PURSUANT TO SECTION 66436 OF THE SUBDIVISION MAP ACT, THE FOLLOWING SIGNATURES OF THE FOLLOWING EASEMENT AND /OR OTHER- INTEREST HOLDERS HAVE BEEN OMITTED. GTE CALIFORNIA, INC., HOLDER OF AN EASEMENT FOR UTILITY PURPOSES PER INST. NO. 293348, RECORDED AU8. 8, 1990, O.R., RIVERSIDE COUNTY. LINE TABLE PROPERTY UNE5 LINE LENGTH BEARING LI 4.43 N46'54'16'E L2 16.68 N44.12'56'W L3 9.93 S44.12'56'E L4 6.75 S44.12'56E L5 29.54 S46.54'16'W L6 16.68 S44'12'56'E M LINE TABLE (WATERUNE EASEMENT) LINE LENGTH BEARING L8 42.00 N89031'060E L9 23.99 S00'28'54'E L10 20.00 N89'31'06'E Lll 43.99 S00.28'54E L12 62.00 N89'31'06'E L13 73.56 S00'28'54E L14 24.00 1 N891311061E L15 15.00 S006280540E L16 24.00 N89'31'06'E L17 60.61 S00.28'54'E LIS 145.74 S89.31'06'W L19 37.06 N00'28'54'W L20 20.00 N89.31'06'E L21 17.06 N00:28'54'W L22. .'25.74. S89.31'06'W L23 100.00 S00'28'54-E C I TY ti� SHEET 2 OF 2 SHEETS IN THE CITY OF LA OUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA RA RCEL+ MAP NO, . 31248 GRAPHIC SCALE BEING A SUBDINSION OF PARCEL 1, OF PARCEL MAP NO. 27892 , P.M.B. 182163-66 a 50 0 ' zs 5o ao zoo SAXON ENGINEERING SERVICES AUGUST 2003, ( IN FED' ) 1 inch 50 R CITY of LA QUINTA Plan Set No. , FD. 17P., FLUSH IN PAVEMENT W/ PLAS77C s O PLUG STAMPED R.C.E. 2565$ PER P.M.B. j 182/63-66 fD. 17P., FLUSH /N PAVEMENT W/ PLAS77C PLUG STAMPED R.C.E. 2565E PER P.M.B. PARCEL z PAD M2183.88 181/63-66 SURVEYOR'S NOTES '• � (N8931t)61r SJ&31� ' 18199' I4SJ2' IQi00 BASIS OF BEARINGS BASED UPON THE CENTERLINE OF AVENUE 48 + L10 PER PMO 182/63-66, BEING N 89 31.06- E,+ 3 . L L8 10 PARCEL I -♦-- INDICATES FO. 1 ` LP., FLUSH W/ PLAS77C PLUG, STAMPED R.C.E. 26401, I- N °d PER PMB 182/63-66, UNLESS 07HERKISE N07ED 80.00 L L12 p o 2i,467 sq.ft. 3 PARCEL Id 0.49 acres 3J0, C>-- INDICA7ES SET 1" I.P. TAGGED L.S. 5479 20' 14,967 sq.ft. 0 0 I =MEASURED AND RECORD DATA PER P.M.B182/63-66 w 0.34 aces (MXX) NB9�1 G16� A�&93106'E '� ^S PARCEL I �Y � 51.32 a 86.O ' ' THIS PARCEL MAP CONTAINS 4.OJ GROSS ACRES "5 �� L14� r JY1'J' 70,449 sq.ft. r 1.62 acres °i L16I n4J 32 +o 15 e 20' DOMES77C WA7ER EASEMENT � m EA SEMEN T NO TES ' TO COACHELLA VALLEY " I CPARCEL WATER DIS7RICT v . 4 " Z § r r r I k. 31, ,E 14,015 sq.ft. i 1 5'WIDE EASEMENT IN FAVOR OF GTE ��. 0.32 acres CALIFORN/A IN P I T C ER NS NO. "293348L18 �REC:' AC/G: B, 1990, O.R.N N89J10I6TZ$ i Z i V I T I I 21 L22 N89J10G� g A. Q 97.00 x PARCEL , I 8 3 I 7 i g PARCEL PARCEL N w g 6 5 i. 22,797 ft. I �1 z sq.ft. 20' 14,828 sq.ft. 16,912 "sq.f t. ,19 0.52 acres r0.34 acres 0.39 acres ' t11 il• • � 0 ✓ 69 U ! 0m AVENUE 48 !y 274.00" - -1 I i------� !° �,� (N893106� =061 h . Ohl omvE SITE { (N8931'O6� 50807) I • I o CITY OF LA WINTA AVENUE 50 i 48th AVENUE (BJ 13) (55.00i (NBDJI Q61� 64zoo) FD. 17P., FLUSH IN PAVEMENT, W1 PLAS7IC o 3 ! (BASS OF �UP1 ) PLUG STAMPED R.C.E. 25658, PER P.M.B. 182163-56 AVENUE sz - FD. 11P., FLUSH IN PAVEMENT, W/ PLAS77C PLUG STAMPED R.C.E. 25656,, PER P.M.B. 182163-66 VIGIVVITY J&P DIM i P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 July 17, 2006 Dr. Steven Phan 39250 Regency Way' Palm Desert, CA 92211 Re: Encroachment Permit No. 4448 — SDP No. 2004-815 Permit Type: Precise Grading Dear Dr. Phan: { (760) 777-7000 FAX (760) 777-7101 t ' Encroachment Permit number 4448 has expired [will expire] as of August 10, 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 $2,920.00 $292.00- 5100.00 RENEWAL AMOUNT DUE: $392.00 If you have any questions or need additional information, please contact . Tony Colarossi at (760) 777-7089. Sincerely, Paul Gob e Senior Engineer, Public Works Department CC: Danny Escalona, Construction Manager �-eonard St: Sauver, Assistant Engineer II . ./Permit File, No. 4448 Project Folder SDP 2004-815 �6 NOTE: With With proper validation o this form ns eCITY 'OF LA Q.UINTA s . encroachment permit nt permit •• APPLICATION . FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT). • C�+ftOF'1'fff �`vS For the construction of public or private 'curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and.other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS: " Subdivision Improvement Permit- Class III DATE:' July 18 `2005 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION -Corner of Washington St. & Ave. 48 (SDP 2004-815) (Street address oe Description of Location) PURPOSE OF CONSTRUCTION Office/retail park infra- Sketch '(attach construction plans if appropriate) structure improvements (preciae'$rading) DESCRIPTION OF CONSTRUCTION See PSN DIMENSION OF INSTALLATION OR REMOVALee improvemettt Plans (See PSN) SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Au&nst 10, 2005 APPROXIMATE TIME OF COMPLETION February 10, 2006 ESTIMATED CONSTRUCTION COST $50,508 + 202 460,610.00 l� (Including removal of all obstruction, materials, and debris, badcfilling, com- paction and placing permanent -resurfacing and/or replacing improvements) In consideration of. -the granting of this permit, the applicant hereby agrees to: Indemnify,. defend and save the City, its authorized agents, officers, representatives and employees,, harmless from and against any and all penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property happening or occurring as a proximate resultof 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 Quints. and'to pay for any additional replacement necessary as the result of this work, rvame or Applicant (please print? Business Address Telephone No. Affiliated C©nstruction Co, 77-900 Ave. of the States Pia, CA 92211 345-2626 Name of Contractor and Job Foreman Business Address Telephone No. 186863 3089 Contractor's License No. City Business License No. Pit; Hawley insurance Co. KGL01400951 Appllcant's Insurance Company Policy Number FEES: Subdivision Improvement Permit -Class I11 L Public improvements: 3% of estimated con %I tion costs D ,. Private improvements: 3% of estimated co r' iogmtsl 0 2005 ' Minor Improvement Permit - Class IV: See at a d schedule .s. Ig 4448 Inspection Fee $ 1, 820.00 CITY OF QUINTA FINAN E_DEPT PERMIT VALIDATION Permit Fee 100.00 PERMIT NO. 4448 Penalty Cash Deposit -Surety Bond - DATE APPROVED , if required (1,000.00) EXPIRATION DATE TOTAL: $ 2,920.0010 - DATE I 2 Receipt No. Z By Received by Date _T_ Administrative Authority Recorded by - . II Telephone:, (760) 777-7075