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STREET IMPROVEMENT CONSTRUCTION SCHEDULING CHECKLIST
This checklist is a preparation guide for scheduling construction inspection related to street improvements.
Inspection will not be scheduled until all required items indicated on this checklist have been submitted to and
been approved by the Public Works Department.
Construction that occurs without the benefit of inspection is categorically deemed "at risk" and is subject to
removal upon demand by the Public Works Department. "At risk" construction is a permit violation and may
lead to an immediate cease and desist order including removal prior to continuation of construction. A
construction deficiency form will be issued to the contractor and developer/owner for all "at risk" construction.
The contractor, and the developer/owner, assume all responsibility and costs associated with the removal and
replacement of improvements installed prior to authorization by the Public Works Department, or which do not
meet the requirements of the City of La Quinta.
Development Name: D:I.N.(Tract NoJ:�f�t
Contractor:. 1,14 ub' � ��r �'�'� .` Foreman: � �' Permit No.:
' jDi.��
Street Name: }�%ya�/ �Stations: To
SUBGRADE INSPECTION
Not less than 48 hours PRIOR to a requested subgrade inspection, -the following items shall be supplied to the
Public Works Inspector:'
. impector's Initafs
1 . Copies of backfill compaction reports for all underground wet utility mainlines and laterals
(water, sewer, and storm drainage) showing 90%. minimum compaction.
2. Copies of backfill compaction reports, for all underground dry utility crossings ( gas, electric,
cable, and telephone) showing 90% minimum compaction.
3. Copy of the "Progressed for Service" from CVWD for domestic water service.
` 4. Copy of the "Progressed for Service" from CVWD for sanitary,sewer service..
5. Clearance from utility companies (IID, GTE, Gas Co., and Media One) stating all service
laterals -:are in place and acceptable for their use to provide service to the Tract.
0. 6. Receipt of "R-Value" tests. of subgrade material. Note: R-Value tests MUST indicate a
subgrade R-Value of at least 50 in order to construct minimum street section designs.
�. 7. Copies of proposed base material . and asphalt concrete mix designs, meeting the
requirements of the City of La Quinta.
Public Works Inspector Date Public Works Department Certification
Receipt of all. required items has been documented,. and a subgrade inspection is scheduled for:
Mon. Tues. Wed. Thurs. Fri. Time:. A.M. / P.M.
INSPECTION CHECKLIST - STREET IMPROVEMENTS C:\WP\FORMS\F043.WP 12/98 REV-0 Page 1 of 2
WHITE COPY - OWNER YELLOW COPY - CONTRACTOR PINK COPY INSPECTOR GOLD COPY - PERMIT FILE
14 <' i 'r: +t` ' $°4 �P' I t< S' "k�r? f� r'a6 ` 3 '�
Nn STREET IMPROVEMENT CONSTRUCTION SCHEDULING CHECKLIST
Thi`" checklist is a preparation guide, for scheduling construction inspection related to street improvements.
- ,14. . . %
Inspection will not be scheduled until all required items indicated. on this checklist have been submitted to and;
been approved by the Public Works Department.
Construction that occurs without the �benefit of inspection is categorically deemed "at risk" and is subject to
-removal upon demand by the -Public Works Department. "At risk" construction is a permit violation and may
lead to' an immediate cease and desist order including removal prior to continuation of construction. A
construction deficiency form will be issued to the contractor and developer/owner for all "at risk" construction.
The contractor, and the developer/owner, assume all responsibility and costs associated with the removal and
replacement of improvements installed prior to authorization by the Public Works Department, or which do•not
meet the requirements of the City of La Quinta.
h4
Development Name: /'�'' Ic �L'ra�° ` D.I.N.(Tract No.):
Contractor: Foreman: Permit No.:
4-
Street Name: Irl��� Stations: To
y, SUBGRADE INSPECTION
Not less than 48 hours PRIOR to a requested subgrade inspection, the following items shall be supplied to the
Public Works Inspector:
InsOectoi s Initsls
1. Copies of backfill compaction reports for -Pall underground wet utility mainlines and laterals
3
(water, sewer, and storm drainage)�'�sh'owing 90% minimum compaction.
2. Copies of backfill compaction reports for all underground dry utility crossings ( gas,'electric,
cable, and telephone) showing 90% minimum compaction. ,
3. Copy of the "Progressed for Service" from CVWD for domestic water service.
4. Copy of the "Progressed for Service" from CVWD for sanitary sewer service.
5. Clearance from utility companies (IID,'GTE, Gas Co., and Media One) stating all service
laterals are in place and acceptable for their use to provide service to the Tract.
6. Receipt of "R-Value" tests of subgrade material. Note: R-Value tests MUST 'indicate a
subgrade R-Value of at least 50 in order to construct minimum street section designs.
7. Copies of proposed base material and asphalt concrete mi.x designs, meeting the
requirements of the City of La Quinta.
Public Works Inspector Date Public Works Department Certification
Receipt of all required items has been documented, and a subgrade inspection is scheduled for:
Mon. Tues. Wed. Thurs. Fri. Time: A.M. / P.M.
INSPECTION CHECKLIST - STREET IMPROVEMENTS C:\WP\FORMS\F043.WP 12/98 REV-0 Page 1 of 2
WHITE COPY - OWNER YELLOW COPY - CONTRACTOR PINK COPY - INSPECTOR GOLD COPY - PERMIT FILE