4066r
i
NOTE:
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
DATE: January 14. 2004
Subdivision Improvement Permit — Class II I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Reconnect an existing 8" double check detector check serving
the Hadley Villas Senior Housing for Washington Park
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION To supply fire protection
to the project.
DESCRIPTION OF CONSTRUCTION Reconnect aouole checit
detector check
DIMENSION OF INSTALLATION OR REMOVAL As needed
SIZE OF EXCAVATION, IF NEEDED As needed
APPROXIMATE TIME WHEN WORK WILL BEGIN Jan. ZOU4
APPROXIMATE TIME OF COMPLETION >r'eb. xvu
ESTIMATED CONSTRUCTION COST $ 5,UU0.00
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
Sketch (attach construction plans if appropriate)
*See attached special coaditious*
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 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. /
�l �1
Signature of Applicant or Agent r
CVWD (David McGee), P.O. Box 1058, Coachella, CA 92236 (760) 398-2651
Name of Applicant (please print) Business Address Telephone No.
CVWD (David McGee), P.O. Box 1058, Coachella, CA 92236 (760) 398-2651
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No. City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class 111
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
$ 0.00
0.00
0.00
0.00
0.00
Date
E ER 9
19, o
floss
PERMIT VALIDATION
PERMIT NO. 4066
DATE APPROVED
EXPIRATION DATE
1/16/04
1/31/05
DATE 1$SUED !"� 2 - L I
B
Administrative Authority
Telephone: (760) 777-7075
.ems •wt,00
NOTE:
with proper validation
thb form constitutes an CITY OF LA QUINTA
parmit APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private subs. driveways, PavWWM, sidewalks, parking lob, WAIM. waW ins
and odor like public work' improvecherttt In connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
-tom 1' i ivisM n Improvement Permit it Class III
IV
DATE. U / � .Minor Improvement Permit Cl/an IV-
LOCATION OF CONSTRUCT ON (1rX11'1PCi 1�1'1 e7Clf5it n d a�i ►�( tl�f.( i�� t° r/ �Jc✓V
IS~ adcl"Ibi Description of
PURPOSE OF CONSTRUCI
�rn�on!-con .-i>9
DESCRIPTION OF CONSTI
1'P ('nnrlPcY �1
DIMENSION OF INSTALL
/Z% fw/�U
SIZE OF EXCAVATION. y
APPROXIMATE TIME I
ESTIMATED CONSTRI.
(Including removal of al
paetion and placing per
In consideration of the
Indemnify. defend a
penalties, liabilities
Sketch ((aattachmmncti tans i eppr te�
OR REMOVAL
rfWA2M9r.
me S. a�d i�, +aciMipn+e. oom0
nd/ r tt�g improvements)
r this it, the applicant hereby agrees to:
City. its authorized agents, ofnem. rapraentativa and employees, harmless from and spairm alq, and all
Mwitirg from claims or court action and arising out of any agent. toss or damage to person or Property
oroxbnate naarh of arry_worlc undertaken under the permit granted pursuant to this appllntion.
p — when work will be started.
v9 AT E q and di appil rules and regulations of the Chv of
Q1 ,
O/STRIC1
COACHELLA VALLEY WATER DISTRICT
of
Telephone No.
" DAVID McGEE
Nai Development Services Technician Telephone No.
P.O. Box 1058 (760) 398-2651 City Business License No.
Co' Coachella, CA 92236 Fax: (760) 398-3711
Applicant's Inwrarlee Company - - - Policy Number
FEES: Subdivision Improvement Permit - Class III
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Mirror Improvement Permit - Class IV: See attached schedule
Inspection Fee $ PERMIT VALIDATION
Permit Fee PERMIT NO.
Penalty DATE APPROVED
Cash Deposit -Surety Bond
if required EXPIRATION DATE
TOTAL: $ DATE ISSUED
Receipt No. By
Received by Date Administrative Authority
Recorded by Telephone: (760) 777-7075
RECEIVED
JAN 15 2004
PUBLIC WORKS
2
3.
PERMIT NO.4066
CVWD/Hadley Villas Senior Housing -Ave 47/Reconnect Double Check Valve
In addition to the standard permit conditions, the following shall apply:
Pursuant to Section 14.16.320 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), all
work shall be performed in accordance with the latest'edition of the Standard Specifications For Public
Works Construction (SSPWC) and as directed by and to the satisfaction of the City Engineer.
Coachella Valley Water District, hereinafter referred to as "Permittee", shall be responsible for
providing continuous dust and erosion control.
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
May 1st to September 30:
Monday -Friday 7:00 a.m. to 5:30 p.m.
Saturday . 8:00 a.m. to 5:00 p.m.
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.
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 5
PERMIT NO.4066
CVWD/Hadley Villas Senior Housing -Ave 47/Reconnect Double Check Valve
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 17800-422-
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.
Special Conditions Page 2 of 5
PERMIT NO.4066
CVWD/Hadley Villas Senior Housing -Ave 47/Reconnect Double Check Valve
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.
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
Special Conditions Page 3 of 5
PERMIT NO.4066
CVWD/Hadley Villas Senior Housing -Ave 47/Reconnect Double Check Valve
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 %2" 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.
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.
Special Conditions Page 4 of 5
PERMIT NO.4066
CVWD/Hadley Villas Senior. Housing -Ave 47/Reconnect Double Check Valve
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.
19. No street closures allowed without prior City approval. Contact the City of La Quinta Public
Works Department for further information.
20. Coordinate work within this permit.with CVWD permit number 4065 and the City.
Special Conditions Page 5 of 5
5 7 30 1
W
Li
f'-
Ln
z
0
0
z_
S
V)
}Q
}
111-19- 099
I ' i.w 097
]Rk
D96
47-376
- O
Olr J
ivk Q
LAKE LA OUINTA DRIVr U
6D' \
W
73'
AVENUE
LAST ACCOUNT NUMBEF
DELETED NUMBERS,
AVENUE
\\
173 172
159
]43 142
158
145
144
078
IRR.
0l o'
In
10Ir
�Iv
o
♦I
oI^
0
�° r�\Ali♦
pSS
♦ OtijObO f�
N_
I°
ID
O�
♦
A/
O
4
4 �^
16637)
0>J
n°i0-90
059
Q
A 40
p'
°Id
c/
74Ct
060
O oe7 N u-u5
4 �ieo N In °-t' .
136
p
�J4 ro
°
ro 135
137
y �
13q
13$
^ Q_s
? ^
o61 a
0 47 150 h 4 S 0
os2
47-150 I 0) �7
m
O/
m
D 10
ti
G/m
A
p^ewN
Q)1 °=6
^
06f,
nE'i0o ^ e 4i3
,^�
r
D51
4i-ieo rr o °i
In
VIA 1
A6
R.nl 1N>�
rNi
II.
m
-vo
T 0`7
064 OF.3
47-210 47-205
Q
S
D50
q1-210
4
D79
Q
It
DULCE l t'l) I -90
128
Q
1''9
C,
w�
z
- z
LI
n
h
'
Q
a
^ O
^b
O
le.
DI.P-90
�8p
Q
0\ ♦ 106
4r ,�9
28 ���: a:.
f9 4T 1.
+1• Y
°/1
.> >
bl9
„
4)
o01.2
007- DI
Ink
MAR
'm 4T
It• f'b
^
N
LS
47-430
N
d
32�
4
4J
N
)
4
P 4�'
L)
t9W
♦> �r
A7-3^5
!!
JSp
W
Q
�/ m
nin
^
iDA
5
^�
�A
.,'• 2�2 213
65
A
4
4)�6
0 47=39s
2
2 !q 4
A 7
n
qt?
IP5
a•
v
N N
Y
N
m
4}/Fa9
r--------- --1
12'CML/CMC--7
T
4_
I
\
o /
WELL,RES.&B.S.
o
05704 (5970
u
P• iP-on
O
75001)
0 1P1���
i
0011
//10
° I
I�
n
W
W
f-
0
1915 30o A7-•,_ - N
n
4
O OOt
TRACT N0. 24230/26152 'GG ;/,�" N m "5 ru
to272 r Q(r, ru p ..
'07
2 a) VIA GRAZIANNA o 1.
53 N P 10'D1P-90 r1FF.5?rP I
N r q/✓r2 r B �' p _o
J`c �I�� N J25.1 -GH T
095 ! H ,
PFDS n '>. 9,> 4 V i S 14c n RZ1
p N m 4i 13 (U
237 ru
00] ru N 4
j 4 55 02 173 �+ mIN ^ i �l'G M 47-S45 lJ 3t4 p
to 4 580 I7-56D y`) N\'R ♦ ti�� N N 1
n
10 In
u) _ S ♦ Li N
�0S pp. 1.__ N 16n 47-575
(U 47
m
N 47-6In C, v ��a. - r. 1:,070 N� - N V.
�O r J b15 N O 771 O 7�7 P N 4g-605 Y J
(UQ 47 640 r F 4'20 0,N .�� '\] (U
z N m 47 Leo z N
Q run -.6..3 O ~ 9 144 m
^N
47 6A5
Z
ru
Z 4)�6j3
Q \' 1� N 47=c3s
N
0 1e9
47-637 0)
' ftlIn
N
too
R7
�" .0.• N
0) 47-6',3
ru®
N 163
♦)
n 15N
N O 1A5
8t0
ru
Ij.
I_0
169
47--660
N >3♦)`3
47-663
.D
A`03
1n
N
L' Y Q N
In 47-60•. >
+�
164
rON h
N 2N 47.i4L
O
N
IP7
N
Y
P) 4]—
N 7p$
1JA �, 693
4j 6s, NW 2�'
O
♦
A7'-810
IA3
Q
)
♦�
n
0
)o
ru
4i-i':5
2 ;o 229 228 >
A
oA
t04
HIPf
N 4l6'40
I`S
N 17-7J3
, t
$ m
N
Q
toil
IRF
o
r)
-��I+
♦>•'a
,t6,
n
N
4i-74'; St'
185 In
o o
m
L
N RENCE
o FL0
W
!0•D
76f,5b)
n
J)P
t20
T
o
18'D 1.P,-90 c1'rti56> L51
P
210
p S
47=
1`I N M ♦iIlo
790 490 P
n
Fi� nl nm �9 1
N4i-785
103
704
9
n\� 2i
T7
fX9tzr
47-810
7n
47-
m els
D
l0 10 Q tsr
47-015
S m
o,
n
]06 10S
47=820 0
106
93 10 92 )08 109 f0 6)
n
S n
s go6
67-815
N
••
�D
%8
g49
t34 2-7 A7-020 A
4;'b20 W a5-819 �,
t53
IT,
- o p 65 B4
N m1 PO
4 t•76
m
Ln
47-040
+
23
A7'B45
O W L 47-e45
8
305 �d
47-850 p b
` 4T)m m 0G^i
�r
tiF Y INw
ru
I,
Q
20]
-C 47-645
pp
tl7
g48
t33 230 47-850 ,'
47-BSO N W 4'�645 1. 254
4
ci
'm
-
281
x
1-
In 275
Q
Q
p.
47=8]0
W
22 4
p
a U, 47-875
304 I>: �9
47-890 m J
ru n
-_. ED
W
n
2oB
47-875
4
p
m
tl6
4�875
p
b
g
' g47
2]2 2]9
4%-BPO 675 1f A7' 80 W 255
47- !e
O
..
o n
m
Q �.0 ✓•`2
Q
t74
o
W
47-900
N
t?5
y N �1 Af-905
)
303 300
47-910 a,, .p 4j-9o5
0= t94 g" qL g83
W 4f110 0 ^ r,0 ym
N O
y 1`
20o
47-905
N
-'
-W
ry 4OS
Y
—
g�-1 g AO
- 47 -970 ry
T 0,
0. 0' N mN
O
v
0:
P15
47-93D.�
r
Z
47-910 N 4 90S 2tir
y W i1' ` r,B 47-935
°
30? �l
17
L3 2P4 283
it
E73
29-
4 Flo
I+-
E26
47-9-935
!7
fn
N
�. 2Ay40
Q
47-940 47-935
0• (^
f 47-940
Q N W
_ _
gIRP1N n
Q
Q
5
21A
47-960
Al
N
�--11'
t70 P41 l/ -7
47-940 47=935 A� 47-965
> >
, t72
o g7
N ro In)
f16659r
T
B'D.1.P-90
VIA TRIESTE
CD
AObS
,4
2!
♦> D,
�r65
M
4)
An
q 9 2A/q�5 4; ♦)y4 'k In
>0 'le
A nh
r+n np
Y et1 �p W Np 0.
n Yu+ �pn Ins
Pr p.
\1
^
ti A
C'
a0
N
46
4.�A
(b M1./)
1, 00
Nn Nlm NI�
NI0 J. nm (YI� N ^ NI� N nm NI N
CkR.
IwR.
6
9
24
25 _. q0 54
^55
56 57 SR
59 60 61 62 63 64 65
66 67
NOTE' THIS PLAT IS A LDCATIDN AID AND NOT ID BE
USED rDR
A SURVEY. THE INrDPNATION IS BELIEVED COPRCCT
BUT
SHOULD Br USED ONLY roR PRELIMINARY DESIGN
UPON PE GUEST, AVAILABLE AS BUILT INr C) ION WILL BE
FURNISHED BY THE DISTRICT.
TRACT
NO. 24230/26152
gPPR❑VED
g 2B MARCH 1991
D1f:ECTOR 0F ENGINEERIIaG
PROJECT
aL In Account
No,
0507304
®APPROVED
(NOT AS —BUILT)
�P$PP�a 5-7-30-4
W W . G W
5 — 7 — 31 — 1
SCALE BAR IN
FEET:
0 100 200 400
600 800