4129F
NOTE:
With proper validation
this form constitutes an
k, encroachment permit
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE: 4/14/04
Subdivision Improvement Permit — Class III
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Walgreens. 47-900 Washington Street (Construction on Caleo Bav)
21x2Uftx PM 27892
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Sewer tap for public
sewer main use.
DESCRIPTION OF CONSTRUCTION Trench- piping. connect
and resurfacing.
DIMENSION OF INSTALLATION OR REMOVAL14ft + 1 manhml.e
SIZE OF EXCAVATION, IF NEEDED 34ft trpncii
APPROXIMATE TIME WHEN WORK WILL BEGIN 4/15/64
Sketch (attach construction plans if appropriate)
APPROXIMATE TIME OF COMPLETION 5/18/04
ESTIMATED CONSTRUCTION COST $ 16.905.00
(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:
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. /f
Sig""nature of Applicant or Agent f
Evergreen —Avenue 48 & Washington; 2920 Csmelback Rd. Ste 100; Phx, A.Z, 85014
Name of Applicant (please print) Business Address (Telephon8e Nggo.ggggpppp
RT14 Commercial Builders: 1300 E. Missouri, Suite C-100t Phx. AZ 85014 f�0B 223-6300
Name of Contractor and Job Foreman
646842
Contractor's License No.
Business Address
Telephone No.
03609
City Business License hkr--,
Continental. Casualty Co. (CNA) C1012326891 d �
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class III
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
$ 510.00
100.00
$ 610.00
Date
M.
4129
PERMIT VALIDATION
PERMIT NO. 4129
DATE APPROVED 4/15/04
EXPIRATION DATE 5/28/04
DATE ISSUED
A/15/04
Administrative Authority
Recorded by 11 Telephone: (760) 777-7075
PERMIT NO.4129
Walgreens at La Quinta/Sewer, Tie In/PM 2.7892
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 latesfedition of the Standard Specifications for Public
Works Construction (SSPWC).and as directed by and to the satisfaction of the City Engineer.
2. Evergreen -Avenue 48 & Washington, -hereinafter referred to as "Permittee", shall be responsible for
providing continuous dust and,erosion control.
3. This permit or copy of it.shall be on the work site for inspection during the actual work performed.
4. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more
frequently, -if required.
5. Pursuant to Section 6.08.050 of the La Quinta Municipal Code (Ordinance 18 § 1, 1982), throughout the
work site, the Permittee shall comply with City regulated workhours. Operation and maintenance of
equipmentwithin 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 legatholidays and Sundays.
Note: Construction work (including setting up traffic control devices) is not permitted on any Arterial
street (i.e. 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
ihe.Riverside Country Traffic Signal Maintenance, Department at (909) 275-6894 if signal operation at
the intersection is to be altered in any way.
7. Pursuant to Section 14.16.110 of the La. Quinta Municipal Code (Ordinance 10 § 1 (part), 1982),
Permittee shall.assume responsibility for repair�of any pavement damage to any public or private street
and for any damage to other City streets or facilities. as a result of work performed under this permit.
8: Pursuant to Section 14.46.25.0 of the La Quinta Municipal Code (Ordinance 10 § 1. (part), 1982),
advance warning signs and traffic control shall be installed and.maintained in accordance with Cal
Trans Standards or the Work Area Traffic Control Handbook (WATCH Manual), A traffic control
plan shall be prepared in accordance with the. WATCH Manual and submitted 'to the City for
'Special Conditions Page I of 4
PERMIT NO.4129
Walgreens at La Quinta/Sewer Tie In/PM 27892
review and approval one (1) week prior to starting, any construction. It shall be the Permittee's
responsibility to appropriately detour and barricade all construction sites.
Pursuant to Section 14.16.290'of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), street
closures shall not be permitted. A minimum of two (2) travel lanes of paved surface shall be
maintained at all times.
9. Prior to excavating, if required, the Permittee shall contact. Underground Service Alert at 1-800-422-
4133. It shall be the Permittee's responsibility to notify the Public Works Department of anticipated
excavation which impact City facilities, including but not limited to traffic signal conduits and loops,
irrigation lines, electrical conduits, and storm drain facilities.
10. Should additional work, materials, or modifications of the work be required in order to meet City
standards, safety requirements, signage requirements, or to fit actual field conditions, the work shall be
performed by the Permittee as directed by and to the satisfaction of the City Engineer at no cost to the
City of La'Quin'ta:
11. Pursuant to Section 14.16.370 of the La' Quinta Municipal Code (Ordinance 10 § 1 (part), 1982),
backfill compaction within street rights -of -way shall conform to Section 306=1.3 of the latest edition of
the Standard Specifications for Public Works Construction (SSPWC), except as otherwise -specified
herein.
Native material maybe 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 geotechriical supervision, testing, and inspection, onsite, at all,
times during backfill operations.
Backfill compaction shall be achieved by the following conditions:.
A. When a firm foundation is not encountered due" to soft, spongy or other unsuitable material, such
,material shall be removed to the limits directed by the Geotechnical Inspector and/or the City
Inspector and the resulting excavation backfilled with pipe bedding material.
B. Backfill materials shall be brought to or maintained at appropriate moisture content for
compaction. The appropriate moisture content range shall be established at the onset of the
project and ensured prior to use of the materials through progress testing on the stockpiles.
C. The first length of trench backfilled.shall be backfilled in the presence of the City Inspector.
Compaction shall be tested at random depths at approximate three-foot vertical intervals as
backfill is.placed to ensure the effectiveness of the compaction methods and to establish the depth
of lift that can be compacted.
D. If lifts greater than one foot are attempted in this trial length of trench, compaction tests shall be
taken within the lifts to ensure that the full depth of the lift is compacted. Upon satisfactory
Special Conditions Page 2 of 4
PERMIT NO.4129
Walgreens at La Quinta/Sewer Tie In/PM 27892
completion of this portion of trench, the City. Inspector shall establish the maximum lift thickness
to be compacted for the remainder of the project.
E. In subsequent lengths of trench, the frequency of compaction tests shall equal one per each lift of
backfill, per 300 linear feet of open trench, at randomly selected locations within the open length
of trench.
F. The depth of the randomly selected compaction tests shall also be randomly selected except that
where multiple tests are required in a given length of trench, the tests shall be no closer than three
feet (vertically)'from each other.
G. If any compaction test fails, previously placed backfill (in the same length of open trench or
previous lengths of trench) which is represented by the failing test (as determined by the City
Inspector), shall be tested for compliance with compaction requirements.
H. All costs incurred due to the conditions above shall be borne by the Permittee. Copies of all test
results shall'be furnished'to,the City Inspector.
12. All excavations within City of La Quinta right-of-way shall be backfilled, and temporarily paved if
within the existing travel way, at the end of every workday as directed by and to the satisfaction of the
City Engineer for the protection of the public. Lengths of open trench shall not greatly exceed that
.which can not be backfilled in the same day. Excavated trenches shall not be allowed open overnight,
however, Permittee may leave a length of excavated trench, not to exceed twenty (20) feet in length,
open overnight at a point where construction will begin the next day, provided that this length of trench
is completely covered by- steel Iplaiting.
13. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc.,.shall be replaced to its
original condition.
14. Access and egress to all local properties shall be maintained at all -times.
15. Pursuant to Section 14.16.375 of the La Quinta Municipal Code (Ordinance 10 § 1 (part),,1982),
permanent pavement replacement shall be completed no later than seven (7) days after the completion
of the work: Permanent pavement replacement shall conform. to the following conditions:
A. Existing asphalt concrete pavement.shall be sawcut one (1) foot beyond trench edges. Edges shall
be.straight and clean.
B. Permanent pavement replacement structural section, within all trenches, shall be 1" thicker than
existing of asphalt concrete over the same existing thickness.of crushed aggregate base or crushed
miscellaneous base, meeting the requirements of Sections 200-2.2 and 200-2.4 of the Standard
Specifications for Public Works Construction. The replaced pavement and base material shall be
compacted to 95% relative compaction and respectively tested, for each 300 linear feet of trench.
Verify exact structural replacement section thicknesses with the City prior to installation.
Special Conditions Page 3 of 4
PERMIT NO.4129
Walgreens at La Quinta/Sewer Tie In%PM27892
C. Permanent pavement replacement shall be installed using City approved 3/4" max medium asphalt
concrete as the base course lift and a City approved 1/2" 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 adjacentto the trench saw cut shall be cold -milled to a depth of 0.10
feet with butt joint created next to the existing umnilled pavement surface. The cold -milled area
and base asphalt concrete in the trench area shall be overlaid with a City approved C2-AR-4000
asphalt concrete mix. The width of the cold milling area shall be as follows:
• For longitudinal trenches located' in a parking lane: three (3) feet outside the sawcut
removal lines. ,
• For longitudinal trenches located in a traffic lane: three (3) feet outside the sawcut removal
lines, or to the lane line striping, whichever is greater.
• For transverse trenches across existing street: two (2) feet outside the sawcut removal lines.
E. If grinding and capping operations are not performed in the same day as base paving operations,
the base course lift of 3/4" max medium asphalt concrete shall be installed from saw -cut edge to
saw -cut edge flush with the existing street surface. The base course lift of paving shall not be left
0:10' low in anticipation of grinding and capping.
F. Any existing lane striping or any existing detour lane striping affected by this resurfacing shall be
replaced in kind by the Permittee, as directed by'and to the satisfaction .of the City Engineer.
Affected traffic signal, loops shall be removed and replaced in kind. The finished pavement
surface shall be smooth, consistent, and shall conform to the surrounding grades.,
16. Permitted shall permanently -stabilize any and all soil that was disturbed as a result of work performed
. under this permit with an approved dust'control treatment. Soil stabilization shall be done immediately
after completing the operation:
17. Pursuant to Chapter 12.56 of.the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982) the City
has designated certain city.streets as Truck Routes. The weight limit for restricted streets (i.e., streets
not part of the Truck Route network) is three (3) tons; trucks exceeding the weight limit may use a
restricted street if making a delivery or pickup on the subject street; or if this permit specifically grants
permission to use the street to deliver street construction materials and/or equipment. �}
18. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
19. The permittee shall indemnify, hold harmless and. assume the defense of the City, from all damages,
delay, costs, costs or expenses in law, or equity that may arise out of work under this permit:.
20. 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.
Special Conditions Page 4 of 4
5. . , I City of La Quinta
The following General and Special Provisions are attached to and made a part of
Permit Number 4129 E
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 onlyshall 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 (1/4") 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 (2 '/l') 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. /
❑ RI 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.
® RI 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 (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.
❑ 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 S6-800 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 ( 4 ) inches of A.0 surfacing placed on a ( 6 )
'inch ( crushed ) aggregate base shall be placed no later than ( 5 ) 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 responsibilityof 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.
Location of Construction: ap I Jg 0" "vi e, 0 13S
' Purpose of Construction: !Up_Vf
Description of Construction:. re
Dimension of Installation or Removal: N 04 -i r(.,Cl +, v; u�- MA&t Nc
Approximate Construction Start Date: o
Approximate Construction Completion Date: S o
Estimated Construction Cost: $ 16 , 9 D s-, D D
Estimated Construction Cost shall include the removal of all obstructions, materials, and debris, back -filling, compaction and
placing permanent resurfacing and or replacing improvements
Contact Name: Phone umber: (02. 86$ - &Uo6
Name of Applicant: ' ve — �t�' ,; L. L.0
Applicant Address:
Applicant Telephone Number: (002 - 808.8 (e oU
► A COPY OF THE CURRENT INSURANCE CERTIFICATE MUST BE PROVIDED t
Applicant or Contractor Gener1al Liability Ins * ance Company:
Applicant or C ntractor 6eneraleiabAity Insurance Policy Number:
Office Use Only:,..
Inspection Fee:
`
510
Permit Fee:41.
100^ L V
As -Built
Deposit:
�—
Dust Control
Deposit:
Credit
-
Amount:
TOTAL FEE DUE:
6 ( 0, j J
Office Use Only:
Assigned Permit Number:
Approval Date:
Expiration
Date:
Issue
Date:
Administrative Authority:
LETTER -:OF TRANSMITTAL,
EVERGREEN.DEVCO,•INC... `
2920 E. Camelback Road, Suite 100
Phoenix, AZ 85016 '
' •Phone (602) 808-8600; Fax (602) 808-9100 .�
Method of Delivery: t' t ,
�A
HAND DELIVERED: ' ❑ 1-HOUR ❑ 2-HOUR ❑ END OF DAY ❑ PICK-UP ONLY
OVERNIGHT: Xr10:30AM ❑ END OF DAY . '0 ❑ 2-DAY �f ❑ 3-DAY. f
U.S.P.S.:: ^~ ❑ 1ST CLASS ' ❑ EXPRESS MAIL - ❑ 2-DAY PRIORITY ❑ CERTIFIED
To: - Anthony Colarossi Date: ' ' Apri112, 2004
-
Associate Engineer .
_
City.. of La Quinta
c
Public Works rDepartment
,
P.O. Box 1504
78-495 Calle Tampico
- r
La Quinta, CA 92253
14. - M
760 777-7075
Cc:
-
Ref:
Walgreens :.
'
Ave 48 & Washington
{
_
Encroachment Permit,
Please find the following items:
P
0,1,
1
Application
�• i F
` 2
Sewer,Plan (2 sheets)
These are transmitted as checked below:
_ For recording f, r X For your use i As requested: '
For reference - _ •For approval• ; As.revised
For review and comment Approved Revise as noted _
— -
"1lCIIldrKb .� ,,CC,,,,.Sze �:• x- t3 x , r� t '��►*.i v� r. * �-ta
Tony; please process this permit ASAP, we'd like to open this store sometime this year. I've also attached the cost
estimate for the work in the street. I'm assuming that you will use the $16,905.00 number for the permit cost. Call me
with any questions (602-808-8600).
SIGNED:
Re en arbett
` - - - .. _ _ _ _.�. . _ _ _ .. a •• . C
WALGREENS - 48TH and WASHINGTON . r RTM COMMERCIAL BUILDERS, INC
ESTIMATED PUBLIC SEWER COSTS
Work Description
TOTALS
Sewer connection and new manhole on Caleo Bay
$13,655
Permanent pavement patch x
$2,500
Staking
$750
SUBTOTAL _ -
$16,905
OVERHEAD & PROFIT
$1,014
SUBTOTAL
$17,919
LIABILITY INSURANCE
$152
SUBTOTAL
$18,072
CONTINGENCY
$1,807
TOTAL
$19,879
CITY OF LA QUINTA
1
111
�¢
N 0 m AVENUE 48 I
DRIVE SI TE
CITY OF LA QUINTA
AVENUE 50
Z
O
z
S Q
Z
cWn 3 AVENUE 52
w
VICINITY MAP
N. T.S.
ESTIMATE OF QUANTITIES
ITEMS
QUANTITY
8" VCP
306 L.F.
MANHOLE
3 EA.
REMOVE AND
REPLACE EX. AC PAVING
98 S.F.
4" LATERAL
3 EA.
MANHOLE LEGEND
MANHOLE
NO.
STATION
RIM ELEV.
INV. ELEV.
IN
DIR.
INV. ELEV.
OUT
DIR.
1
1+00.00
59.24
50.45
W
50.35
N
2
2+40.76
59.84
51.37
W& S
51.27
E
3
4+11.96
61.54
-
-
52.37
E
u
29.5'
SEWER IMPROVEMENT PLAN
OF • • • •CALIFORNIA
• - S.B.B.M.
r wr. - A H.),
— ------------- ------ -
......................
OR
rm
:
ff '� �f � _ � ��wl ill 1Sl»J7.` `7 `A`:■
1 ..
1 •
I I
PARCEL 1
�.,■ on
PARCEL 7
I
u�
tr ■�
-
=>as I PARCEL
V� WIm ! IPAID. 182103-68
�iiill t��'�"i 1111 �•� !
I II I I I
I III II � I
� I
I (I II I I
U �(
J3
14.0'
AC PAVING
6" CURB OVER AGG. BASE 6" CURB-
2% 3' WIDE RIBBON GUTTER
N rn
W o
o`
cd i PROPOSED 8" VCP SEWER MAIN
TYP. . 0)?lV #r.4Y S1'C fojV
N.T.S.
44180 m
Exp. 6/30/05
cIV 11-
PLANS PREPARED UNDER SUPERVISI❑N OF PREPARED BY,
SAXON ENGINEERING SERVICES
1.030 CALLE SOMBRA, SYE, A2
SAN CLEMENTE, CA 92673
-,//.sly-/ (949) 366-2180
KURT A. SAX❑N RCE 44180 Exp. 6/30/05
� t Y
REVISI❑NS
LN1>.FX AMP
1"-50'
f,
BASIS OF BEARINGS=
THE BEARING OF N89'31'06"E OF THE CENTERLINE OF
AVENUE 48 PER PARCEL MAP NO. 27892 FILED IN
BOOK 182 PAGES 63-66 OF PARCEL MAPS, RECORDS
OF RIVERSIDE COUNTY WAS TAKEN AS THE BASIS
OF BEARINGS FOR THIS SURVEY.
BENCH MARK PD-101-70 ELEV, 58.92 DESIGNED BYi APPROVED,
EJ
30'V2 CL WASHINGTON, 60-SIO P.P., 1'N/0 DRAWN BY~ s
04 POST, FRD-11, A 10 & 11 EJ
DIRECTOR OF PUBLIC WORKS
CHECKED BYi TIM❑THY R. J❑NASS❑N
KMS RCE+ 45843
APPROVED DATE DATE
CITY OF LA QUINTA DRAWINGId %
SEWER IMPROVEMENT PLAN C7 zo
"WALGREENS LA QUINTA' SHEET 1
PARCEL 1 OF PARCEL MAP NO. 27892, P.M.B. 182/63-66 OF
IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA SHEET 2
S/E 1 /4 OF SEC. 30, T. 5 S., R. 7 E. S.B.B.M.
r,7
-
_
O
J
-
-
-
-
-
V
-
-
:1ROPOSEDF.S
i
OIERa
+
-
-
-
-
-
-+
-
X.
F.S.
(I
E
C
RB
&
GU
E
-
---
-
-
--
-
-
-
-
--
-
-
-
-
-
(T
-M
P
6
Af
-
-
EX
ELECI
RIC--
-m;amw,
V
-i-
- -
-
-
-
EA
1
A
R
MAIN-
t1-
--
-
--
-
_OASMiuff-(P
i
CE
R
CT
16
20
LF
8
V
P
-�
-
-
--4-
---IUN
IR
IC 7
13.7
L..
p
-
-
-
E.
8
VP
14AIT
+
_F5
4
�s
PROFILE SCALES
-
-
0
�J
L
HORIZ.: 1" = 20'
VERT.: 1 11111=29
-H-4-
3+50 3+00 2+50 2+00 1+50 1+00
4+00
N89'31'O16�E
� x (bLObj .
536.31 x (61.66) (6L67 { I I III 59.O18W) 1 ��
18.8arC� I I (I
( 8.i 7FL I I
8.89TC I
III I I B.i OFL�75
I M
x 1.72) I I I
I
f I I I I I F.H.jjj
\ x (61.64)
PARCEL 2 PARCEL 3 I ( ' •.. ' (59.04TC Q
I• d I (58 7FL�
/ \
/
20.0'
(61.47) MANHOLE 2 I I I II
o ISTA. 2+40.76 LINE
0 0 o e
I " VCP SEWER
O x (61.52) x (61.60) "» (61.62j I I (EL CNALII-TIO. d'
n a a e n
'1.5) _-L_ Q
'
R w 58.
STA. 3+83.08 LINE "A" STA. 1+57.08 LINE A I 9W�4 PER C.V.W.D.
INSTALL 4" INSTALL 4" LATERAL I I ( I D NO. 16673
s' • s : > a •
s o • : > : s
LATERAL (
WITH CLEAN -OUT FUTURE CURL? WITH CLEAN -OUT 59.36BW
I (5872FLL E�l L; VCP S
o
,. ,. �`'
TO SERVICE PARCEL 3
(TO SERVICE PARCEL 2) I ( <y
- - - I w PLIIIG �EX. M.H.
SSMH)x
T I T -f;� -I-�--IT7 -I---�-1
3
LF-7-----,�
I r I rT I r T ,:
i I I l I I I r20 [�(IDE C. r.! w. D.(8 sEwE) -,RlM STA. 2+96.()STA.
s1.s9 .� o
4+11.96 LINE "A" oo
PA1.5�) FUTURE PARKING I I (SEWE�2 EAS�MENTI rr Vr( FiUTUREI PARKfNG ( I I I PA5,i
INSTALL 4" RALeAo
( I I I I I I I I I I,
WITH CLEANLOU
e , SA W(YT, REMOVE, & REPLACE
• �r • I
- _ (TO SERVICE PARCEL 1) •° • ' a°c.
I EX. A�} PAVING
I II I
M f�
STRUCT 8" bZP-- I 111
PROP. RIBBON GUTTER SEWER MAIN q( I I ( MANHOLE 1
3-
- __ _ , •
PROP. CURB N I . �I II STA. 3+23.33 EX SEWER
4
-.? e (5955BW STA. 1 +00.00 LINE "A"
- - -
3 I
I II
- -
,(59.40TL CONTRACTOR TO CONSTRUCT MANHOLE
t_r PROP. CURB (58, 92FL I
.
MANHOLE 3 �j I Q
x (s1.5 "
oI �I 1 1 (I UNDER DIRECT DISTRICT INSPECTION.
PARCEL 1 STA. 4+11.96 LINE "A" D D I Y E D D I Y E
FUTURE CURB I
` CQNSTRUCT 8" VCP
_-
x(61.59)
ZVI'
(
; I I I i .----- --- --- ,�; "?I II I SEWER MAGI
PA g l I I I I I I I PA f I I
CONSTRUCT 8"x2 L.F. VCP STUB
(
u -WITH_PLUGGED END c I >
FUTURE CUR II
•
FF. 62.1 0
{ I III
I
VACANT DIRT
_
OT - G
/ r (� ,- ,,-, ,- / ,- �. '
J/V,-�� �r?r 1 JS f-�,-�r�..f1 r r
-
oIto r, �r�
ELEC.1 TRANk I I I I I
r- I
/, r I z I
72,019 SO FT ; Q��
�Jr � J� i
TEL. VAULT `� ,/ J- `' r I PARCEL 4 I I I
_ u )
1.65 ACRES Prll--I �r' J1 r ]�
�. _ I
1\J J J J x (sts2) - - - -1 II 109.58�C I I II
-,
'
I- ��r'�-�)� /�fl
/j,
_,
I
(/r�1-{)l 103/,,4700 SQ. FT I (61.72)C x (59.09QL
,
a�
PARCEL 6 PARCEL 5 I i I i III (59.699W I II
- _ - - (61.70 I (5,415 ' � I I (59.51 T�)
(59.02Fl,)
I CID
UNDERGROUND SERVICE ALERT
* NOTE: NO TREES AND/OR PERMANENT STRUCTURES
Y
SHALL BE LOCATED WITHIN CVWD EASEMENT AS SHOWN.
CaII:ToII FREE
QRpFESS10
O M. S 4�
q
80033 ���
422 ��� �J Oy
GRAPHIC SCALE
TWO WORKING DAYS BEFORE YOU DIG w N0. 44180 m
0G Exp. 6/30/05 -0
20 o 10 20 a0 so
"CAUTION": Remember that the USA Center
notifies only those utilities belonging to d, P
the There be other utilitiesCIVIL
center. could
present at the work site. The center will FOF CAL FO��\
( IN FEET
inform you of whom they fy.
1 inch = 20 ft.
PREPARED F❑Ri
PLANS PREPARED UNDER SUPERVISI❑N OF
PREPARED BY,
BENCH MARK PD-101-70 ELEV, 58.92
DESIGNED BYi
APPR❑VEDi
CITY F L A Q U I N T A
DRAWING NO.
EVERGREEN DEVCO, INC.
SAXON ENGINEERING SERVICES
C13
SEWER IMPROVEMENT PLAN
2920 CAMELBACK READ, STE, 100
1030 CALLE SOMBRA, SYE, A2
30'V� CL WASHINGTON, 60'S10 P.P., 1'NIo
04
DRAWN DY,
PHOENIX, AZ 85016
(602) 808-8600
l� ,�
SAN CLEMENTE, CA 92673
POST, FRO-11, P. 10 & 11
EJ
"W A L G R E E N S LA Q U I N T A"
DIRECTOR OF PUBLIC WORKS
SHEET 2
C vvl • ��� ��5�
(949) 366-2180
CHECKED BYE
TIMOTHY R. JONASS❑N
PARCEL 1 OF PARCEL MAP NO. 27892, P.M.B. 182/63-66
OF
KMS
RCEi 45843
DATE
IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA
S E 1 4 OF SEC. 30, T. 5 S., R. 7 E. S.B.B.M.
SHEET 2
KURT M. SAX❑N RCE 44180 Exp, 6/30/05
N❑,
REVISIONS
APPROVED
DATE