4498a
NOTE:
1
With proper validation � r •,., �
this form constitutes an
encroachment permit CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
and other like public work's improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit — Class III
DATE: September 19, 2005 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Lake La Quinta and Washington PM 27892 SDP 2004-811
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Water line Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Water main ingtal-1,Rtion
DIMENSION OF INSTALLATION OR REMOVAL 150' Of 18"
water main
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN ASAP
APPROXIMATE TIME OF COMPLETION 4'V4 davR
ESTIMATED CONSTRUCTION COST $ 9-5nn,no
(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:
COMPLETED
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.
Roger Lacroix 275-4167 Signature of Applicant or Agent
JecobJacobsson Engineering 41-625 Eclectic Ste �1 Palm Desert. CA 92260 340-0194
Name of Applicant (please print) Business Address Telephone No.
Same As Above
Name of Contractor and Job Foreman Business Address Telephone No.
650389 3026
Contractor's License No. City Business License No.
HRH Insurance Services of Southern California 2156135
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class 111 !LMFAj
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs 5
Minor Improvement Permit — Class IV: See attached schedule x TA
Inspection Fee $ 285.00 PER DEPT.
Permit Fee 100.00 4498
PERMIT NO.
Penalty
Cash Deposit -Surety Bond DATE APPROVED �af
if required EXPIRATION DATE
TOTAL: $ 385.00 DATE ISSUED
Receipt No.��\,
By M
Received by Date v " Administrative Authority
Recorded by Telephone: (760) 777-7075
L
J
Y,f. '
NOTE
With propervsllidation,/
this form consdtutes an '
encroachment permit
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS ' CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit— Class III
DATE: September 19, 2005 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Lake La Quints and Washington PM 27892 SDP 2004-811
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Water line Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Water main installation
DIMENSION OF INSTALLATION OR REMOVAL 150' Of 18"
dater main
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN ASAP
APPROXIMATE TIME OF COMPLETION -E1A days
ESTIMATED CONSTRUCTION COST $ 9-500-00
(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:
�9-��®
16�
Indemnify, defend• and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and -all 3,
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.
Roger Lacroix 275-4167 Signature of Applicant or Agent
JacobJaco$seon Engineering 41-625 Eclectic Ste`C-1 Palm Desert, CA 92260 340-0194
Name of Applicant (please print) Business Address Telephone No. -
Same As Above
Name of Contractor and Job Foreman Business Address Telephone No.
650389 3026
Contractor's License No.
kiRH Iudurance Services of Southern California
Applicant's Insurance Company
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 $ 285.00
Permit Fee 100.00 II
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Received by
Recorded by
$ 385.00
Date
City Business License No.
215613s —
Policy N er
OCT 12 2005
CITY OF LA
PERMIT VALIDATION
4498
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE" ISSUED
,N�l
Administrative Authority
Telephone: (760) 777-7075
;. 4 .
PERMIT NO.4498
Caleo Bay Medical Bldg / Water Line Crossing / SDP, No. 2004-811
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.
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. Jacobsson Engineering, 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
0
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 traffic control 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. The permittee and/or contractor placingengineered fill must provide adequate time and safety for the
Geotechnical Engineer ofRecord to perform soils testing during engineered fill placement. The testing
frequency_ shall be determined by the Geotechnical Engineer of Record such that the fill can be
.determined to be placed according to the city approved plans.
Special Conditions Page 1 of 6
PERMIT NO.4498
Caleo Bay Medical Bldg / Water Line Crossing % SDP No. 2004-811
8. The permittee and/or contractor shall provide surveyor staking information adequate for the City
Inspector to determine horizontal and vertical locations relative to the approved plans. The minimum
required wood lath type stakes shall be placed at all proposed building comers, and they shall state the
horizontal location relative to known monuments and the elevation of the top of hub next to the lath.
9. 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.
10. This'permit is not valid until the permittee submits, to the Public Works Department 2 weeks prior to
start of construction, a letter from any owners of the driveways/access ways that will be closed down
due to the construction. The letter must be approved by the city and at minimum_ state from the owner
the following:
A. Approval of the construction
B. Plan identification
C. Time Frame of Closure
D. Alternative Routes
11. 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.
12. 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.
13. 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.
Special Conditions Page 2 of 6
r'
PERMIT NO.4498
Caleo Bay Medical Bldg / Water Line Crossing / SDP No. 2004-811
14. The permittee shall be responsible for calling the city inspector to arrange the city inspector to observe
random trench compaction testing performed by a city approved material testing firm. If the inspector's
phone number is unknown, the permittee shall call the Public Works front counter phone at. 777-7075 or
the Assistant Engineer I at 777-7089 to determine the city inspector's phone number. The inspector shall
determine the number and location of the test location/s. The above testing does not relieve the permittee's .
responsibility for future repairs due to settlement at and near the locations of the work area. Materials
testing must be performed under direct supervision of a California Registered Civil Engineer.
15. 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.
16. This permit is not valid until the permittee submits, to the Public Works Department 2 weeks prior to start
of construction, the name of the City approved contractor, who shall submit to the City the following items:
a. General Liability Insurance Company and Policy Number
b. City. Business License
c. Contractors State License Number
17. 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 landowner whom is being
encroached upon.
18. Prior to performing construction work and closing any lanes in the Public Right of Way, the permittee shall
call the City at (760) 777-7097 at least 48hrs prior to work and request an appointment for a
preconstruction meeting with the City Inspection staff.
19. 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.
20.' Prior to excavating in native soils, the owner of the project shall have employed by proposal contract an
archaeological observer for the site excavations within native undisturbed soils. A copy of the contract
must be submitted to the Public Works Department and. attention this to the Assistant Engineer I. If the
archaeologist determines the site note to be required to be observed, please submit a letter signed by the
archaeologist stating their determination.
21. 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 startof construction or
parking on the paved R/W.
22. The permittee is required to provide an informative message board (need not be electrical) informing the
commuters using the affected roadways of possible traffic delays, time of construction, and if possible
alternate routes. The message board shall be provided for the commuters 48 hours prior to the start of
traffic delays.
Special Conditions Page 3 of 6
PERMIT NO.4498
Caleo Bay Medical Bldg / Water Line Crossing / SDP No. 2004-811
23. Pursuant to Section 14.16.370 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982),
backfill compaction within street rights -of -way shall conform with Section 306-1.3 of the latest edition
of the Standard Specifications For Public Works Construction (SSPWC), except.as otherwise specified
herein.
Native material may be used as backfill material provided that minimum compaction, achieved in the
manner prescribed herein, is achieved. Backfill shall be performed by mechanical means; no water
densified compaction via jetting or flooding or other means shall be allowed. It shall be the Permittee's
responsibility to provide appropriate geotechnical supervision, testing, and inspection, onsite, at all
times during backfill operations.
Backfill compaction shall be achieved by the following conditions:
A. When a firm foundation is not encountered due to soft, spongy or other unsuitable material, such
material shall be removed to the limits directed by the Geotechnical Inspector and/or the City
Inspector and the resulting excavation backfilled with pipe bedding material. .
B. Backfill materials shall be brought to or maintained at appropriate moisture content for
compaction. The appropriate moisture content range shall be established at the onset of the
project and ensured prior to use of the materials through progress testing on the stockpiles.
C. The. first length of trench backfilled shall be backfilled in the presence of the City Inspector.
Compaction shall be tested at random depths at approximate three-foot vertical intervals as
backfill is placed to ensure the effectiveness of the compaction methods and to establish the depth
of lift that can be compacted.
D. If lifts, greater than one foot are attempted in this trial.length of trench, compaction tests shall be
.taken within the..lifts to ensure that the full depth of the lift is compacted. Upon satisfactory
completion of this portion of trench, the City Inspector shall establish the maximum lift thickness
to be compacted for the remainder of the project.
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.
Special Conditions Page 4 of 6
PERMIT NO.4498
Caleo Bay Medical Bldg / Water Line Crossing / SDP No. 2004-811
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.
24. 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.
25. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to its
original condition.
26. Access and egress to all local properties shall be maintained at all times.
27. 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.
C. Permanent pavement replacement shall be installed using a City approved 3/a" 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 urlmilled 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.
Special Conditions Page 5 of 6
PERMIT NO.4498
Caleo Bay Medical Bldg / Water Line Crossing / SDP No. 2004-811
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/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.
28. 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.
29. 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. .
30. The City, of La Quinta reserves the right to revoke, suspend or void this permit at any time.
31. 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.
32. If it is the intent of the permittee to cut the pavement and have it restored by a third party, the
I
ermittee 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 6 of 6
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~ Client#: 26379 2JACOENG
ACED,.. CERTIFICATE OF LIABILITY INSURANCE 0D4ATE05210D0DSYYYI
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
HRH Insurance Services of ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
F ism Calif LIC#0684503 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
7i,_.<>Country Club Dr., #401
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Palm Desert, CA 92211
INSURERS AFFORDING COVERAGE NAIC #
INSURED j
Jacobsson. Engineering Construction Inc
P O• Boz 14430
Palm Desert, CA 92255
COVERAGES
INSURER Lexington Insurance Company 19437
INSURER 6:. SAFECO - 1635
INSURER Q State Fund, 35076
INSURER D
INSURER E
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION 0; ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED. HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR OD'
LTR
INSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY. EFFECTIVE
POLICY:EXPIRATION
12/15/05
LIMITS
EACH OCCURRENCE $1 0Q0 000
A
GENERAL LIABILITY
X - COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
X BI1PD Ded:10000
2156135
12/15/04
DAMAGE TO RENTED cel
.$50 OQ..
MED EXP (Any one perszn)
$
PERSONAL d ADV INJURY
$1 000 000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
1.POLICY PRO- FFJ LOC
PRODUCTS - COMPIOP AGG
s2.000.000
B I
AUTOMOBILE
X
LIABILITY
ANY AUTO
01CG39740220
08/08/04
08/08105
COMBINED SINGLE LIMIT .
(Ea acciderd)
$1,000,000
ALL OWNEDAUTOS
SCHEDULED AUTOS
I
BODILY INJURY
(Per person)
$
X
HIRED AUTOS
X
NON AUTOS
BODILY INJURYNON-OWNED
(Per aecldeet) '
PROPERTY DAMAGE
(P.er.accident)
$
GARAGE LIABILITY
AUTO ONLY. EA ACCIDENT
$
ANY•AUTO
67HERTHAN EAACC
AUTO ONLY: AGG
$
E
EXCESSIUMBRELLA LIABILITY
OCCUR CLAIMS MADE
_
i$
'
EACH OCCURRENCE
$
AGGREGATE
$
C
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
157666103
10101/04
10/01/05
$
X WC STATU- OTH-
$
E.L. EACH ACCIDENT
$1 000 000
ANY PROPRIETORIPARTNERIEXECUTIVE.
OFFICERIMEM6ER EXCLUDED?
E.L. DISEASE - EA EMPLOYEE
$1 000 000
x
If yes, describe under
SPECIAL PROVISIONS below
OTHER Equipment
010639740220
08/08/04 .
08/05/05
E.L. DISEASE - POLICY 11MIT $1 000 000
Spec Form Incl Theft
DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS
Certificate issued in compliance with encroachment permit requirements.
p PP
CFRTIFICATF Flnl nco
_ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of La Quinta DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _M_ DAYS WRITTEN
P. O. BOX 1504 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
La QUI nta, CA 92253 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER rTS AGENTS OR
REPRESENTATIVES.
AUI�QRIZEO REPRESENTATIVE
4a(4pQaMrw
PUBLIC WORKS DEPARTMENT
APPLICATION FOR PERMIT
Date:
e?IAn5
Location of Construction: l A _
w� '9
Purpose of Construction: Wig I-�
Description of Construction: ,**I-r UV,Atr.✓^ r-17 41� � Zg Ste, ( A r,-a n
Dimension of Installation or Removal: o
Approximate Construction Start Date: A.SN
Approximate Construction Completion Date: A imp _
Estimated Construction Cost: $ 9-5ozs, o 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: err ¢r L rg ro . 'K Phone Number: 7 i:!�' y/ 7
Name of Applicant: � ,� ,H .� Z� S4< L
Applicant Address:
Applicant Telephone Number: j o
Name of Contractor:
Contractor Address: / - ! ZS
Contractor Telephone Number: 3 sl p p/ 9
Contractor State License Number:. 6.54>39 +
Contractor City Business License Number: 3 D z c .
► A COPY OF THE CURRENT INSURANCE CERTIFICATE MUST BE PROVIDED -4
Applicant or Contractor General Liability Insurance Company:
Q4
Applicant or Contractor General Liability Insurance Policy Number:
Office Use Only:
Inspection Fee:
66
Permit Fee:
to v
As -Built
Deposit:
Dust Control
Deposit:
Credit
Amount:
TOTAL FEE DUE:
Office Use Only -
Assigned .
Assigned Permit Number: i� 770
Approval Date:
Expiration
Issue
Date:
Administrative Authority:
ZZ(a O
JACOBSSON
ENGINEERING
CONSTRUCTION, INC
P.O. BOX.14430, PALM DESERT, CA 92255-4430 PHONE (760) 340-0194 FAX (760) 340-1574 LIC. NO. 650389
September 9, 2005
Mr. Paul Goble
Senior Engineer
City of La Quinta
74-495 Calle Tampico
La Quinta, CA 92247
RE: La Quinta Medical Center
SUBJ: Temporary Road Closure
Dear Mr. Goble:
We are the underground wet utility contractor who will be installing•gewor=ad-water for
the above referenced project located at Lake La Quinta Drive and Caleo Bay in the City
of La Quinta.
Our work will require us to install a 22' steel casing directly under the median island
located on Lake La Quinta Drive. Due to the limited space on each side of the median
island, we respectfully request permission to close Lake La Quinta Drive during normal
working hours, for three consecutive working days. We will re -open the road daily after
each work shift. (7AM to 5 PM). Our proposed route will result in a very short detour.
Please contact the undersigned with any questions or comments.
Sincerely,
an Jacobsson
Jacobsson Engineering Construction, Inc.
19
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,.�_ City of La Quinta
The following General and Special Provisions are attached to and made a part of
Permit Number 4498
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 culvertand 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 11461.
® R5 PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a slope of
one-fourth inch ('/") to one foot (1').
❑ R6 GRADE CHECKING: City of La Quinta shall check grades upon receipt of plan and profile and/or grades as established by
a licensed engineer.
❑ R7 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter (" N/A "") feet shall
be removed. Curb and/or curb and gutter shalt be sava, 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 ''/2") of A.C. paving on ("" N/A ") of class ('" N/A'") .
aggregate base.
® R9 SIGHT CLEARANCE: Sight Clearance of six -hundred feet (600') in all directions shall be assured and maintained at all
times.
❑ R10 SOIL STERILIZER: The area to be surfaced shall be, treated with soil strerilizer. Rate of application shall comply with the
manufacturer's specifications.
.� City of La Quinta
® R11 COORDINATE WORK: The proposed work shall be subordinated to any operation, which the State of California or City of
La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or City of La
Quinta forces to preclude delay or interference with State or City of La Quinta projects.
® R12 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the
centerline of all streets or property lines when included shall be completely tied out so they may be readily and correctly,
replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete set of notes showing the ties
to these monuments shall be furnished to the City Engineer prior to the removal of any monuments. This office shall be
notified upon completion or replacement of all survey monuments for proper clearance.
® R13 PAVEMENT CUTTING: Pavement will be mechanically saw cut to a straight edge prior to excavation. Method of pavement
cutting shall be approved through the office of the City Engineer. (Under no circumstances shall excavating equipment be
used to excavate prior to cutting or pavement.) Excavation material shall be placed in such a position as to best facilitate the
general flow traffic.. Prior to final paving operations, any damage to pavement straight edges shall be corrected.
® R14 LIMIT OF EXCAVATIONS: Excavations shall be limited to one -thousand feet (1000') of open trench before backfill
operations must begin. All excavations shall be properly barricaded with lights overnight, on weekends and holidays for the
protection of the traveling public. The Public Works Imspectcr shall determine the suitability of excavation barricading in
each case. No excavation shall remain open for a period cxceeding 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 vibroslamper or cquivalent equipment. Alternate methods may be substituted, but in any
case, a relative compaction of ninety-five percent (95%) :.hat! 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 swe!I by flooding operations. Backfill material shall be placed so that the
resulting compaction shall not be less than ninety percent (W%o) or equivalent to the surrounding ground, whichever is the
greater compaction. Where pending 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 I fighviays, State of California, dated January 1973.
® R19 COMPACTION TESTS: If so required by :':e Inspector, co,i,p action 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 6.3.01 of the Standard Specifications, Division of Highways, State
of California, dated January 1973.
® R20 TEMPORARY PAVEMENT REPAIRS: After completion of h•3rkfill and compaction operations, a temporary patch consisting
of two inches (2") of SC-800 shall be placcJ on a prepared sub -grade. The SC-800 temporary paving shall be placed after
a maximum of three -thousand linear feet (300C') or trench has been excavated and backfill operations completed, but in no
case shall the placement of the temporary pa .,ement e>:c:god a five (5) day limit.
® R21 PERMANENT PAVEMENT REPAIR: After !rackfill and c^.mp—iction have been completed, a temporary patch consisting of
two inches (2") of SC-800 shall be placed im;:iediately. A permanent patch of ( 3 ) inches of A.0 surfacing placed on a ( 6 )
inch ( crushed ) aggregate base shall be placed no later tha,i ' 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 strip;nn is still visible cn street to be excavated, such striping shall be replaced upon
completion of permanent repairs.
® R24 TREE RELOCATION OR REMOVAL: Trec; re•ocation within the City of La Quinta road right-of-way shall be accomplished
by a licensed, bonded and insured tree serge o, and l,ar:c! ;a!ely without interference or hazard to the traveling public. It
shall be the responsibility of the permitto to r.aintain the :_ 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 dispc:aed 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 pmv:ded to prctcct the traveling public at all times.
Large holes resulting from tree removal :';,II be bn,;kfillcd 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 tile, 'ar:d3rd Specifications, Division of Highways, State of California,
dated January 1973.
.W-.
• r _ r
CALEO BAY
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m , cN .� - ��Y i Y `�,... ',C.A d Ja s �r �., {+Za �1.,. r f i • �".� ..q r_-' a� r.. ,' 7 V 'y�Jy
10
NO SCALE ,,, �' Q ou c a c NEW MEDICAL bb
l BUILDI
4- LUCIPc-1e
UJI
._! � � • Q 0., � r!� A% 4 �- g/per. �+
500 FT 500 FT. 500 FT
".�� �ji4Alkalc
i r
Alk
WASHINGTON ST.
., �,
TC-18 Fsa �uue�
NOTES: 1. ALL TRAFFIC CONTROL DEVICES FOR THIS P �IECT SHALL BE IN ACCORDANCE NTH MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES (M U TC D) 2003 AND THE 2003 M U TC D
-CALIFORNIA SUPPLENENT.
2. TRAFFIC CONTROL SHOWN HEREIN IS THE MINIWM REQUIRED. ADDITIONAL TRAFFIC CONTROL MAY BE REQUIRED TO FACILITATE PUBLIC SAFETY AND TRAFFIC FLOW IF AM -ad By SpwdU"d
DEEMED NECESSARY BY CITY OF RANCHO MIRAGE REPRESENTATIVE. 55
3. THROUGHOUT EACH WORK PERIOD, CONTRACTOR SHALLINSPECT TRAFFIC CONTROL (SIGNS, BARRICADES AND DELINEATORS) AND MAINTAIN SAME IN ACCORDANCE WITH
TRAFFIC CONTROL PLANS. Install Water Line for New Medical Building
4. CONTRACTOR SHALL MAINTAIN AMININUM 10' TRAFfIC LANE WIDTH AT ALL TIMES. THERE SHALL BE A MINIMUM T BETWEEN THE EDGE OF CUT AND THE NEAREST TRAFFIC LANE.
5. ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINEDATALLTIMES. JacotusonEngineering Topseamcad se ,, Inc.In
6. THIS TRAFFIC CONTROL SHALL BE IN PLACE DURINGIWORK HOURS ONLY. AT END OF THE WORK HOURS, THE ROAD SHALL BE CLEAR OF DEBRIS AND RETURNED TO NORMAL. AFX p ow By Gmdw SwUd
7. FLAGGERS SHALL WEAR ORANGE OR LIME GARMENTP (VEST, SHIRT, ETC.) AND SHALL BE EQUIPPED WITH A STOP 8 SLOW PADDLE. THEY SHALL HAVE 2-WAY RADIO COMMUNICATION (800)852-TOPS Ron Fifield / CALTRANS T-13
THEY SHOULD GIVE TRAFFIC FROM WASHWGTON PRI RITY OVER TRAFFIC FROM CALEO BAY. THE FLAGGER AHEAD 8 PREPARE TO STOP SIGNS SHALL BE REMOVED WHEN NO o,d
FLAGGERS ARE PRESENT. 1 of 2 (rev) 10/3/05 Pending Approval
ere
fide 4-1
C. KCJ•��►'�� r
era CALEO BAY
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aBUILDING
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14
+, t. C� i. +' r'4 �. a irk �T,_:..�'�• y,d� ^ G� 1. _+.� ti s , , j tiSt Esc
Aft rfiL
.�9.. •�+#�urr~l`,. 1 "J i 'YJ�, •,` f'"R,.J'�y�� S �.-,f•J/ y..� ..�,�' 'i�h}�k�`'.�._i7 ,,.y�_` r _'} /L���,.r��y
r���tr1y 7✓'-. F - _-Y -L # i. -� 4r , 'Ci�}1,w^ry �ti`�_i M-.+a�taT[ �` h ���-�^"�-T�
`�� i �'ri WASHINGTON ST.
44
NOTES: 1. ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN ACCORDANCE WITH MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES N.U.T.C.D.) 2003AND THE 2003 M U TC D
.CALIFORNIA SUPPLEMENT .
2. TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED. ADDITIONAL TRAFFIC CONTROL MAY BE REQUIRED TO FACILITATE PUBLIC SAFETY TRAFFIC FLOW IF oats Wi°
55
DEEMED NECESSARY BY CITY OF RANCHO MIRAGE REPRESENTATIVE.
3. THROUGHOUT EACH WORK PERIOD, CONTRACTOR SHALL INSPECT TRAFFIC CONTROL (SIGNS, BARRICADES AND DELINEATORS_) AND MAINTAIN SAME IN ACCORDANCE WITH A*aN
TRAFFIC CONTROL PLANS. Install Water Line for New Medical Building
4. CONTRACTOR SHALL MAINTAIN A MINIMUM 10' TRAFFIC LANE WIDTH ATALL TIMES. THERE SHALL BE A MINIMUM T BETWEEN THE EDGE OF CUT AND THE NEAREST TRAFFIC LANE.
5. ACC ESSTO PRIVATE PROPERTY SHALL BEMAINiAINEDATALL TINES. Jacobsson Engineering Tops N Barricades, Inc
6. THS TRAFFIC CONTROL SHALL BE IN PLACE DURING WORK HOURS ONLY. AT END OF THE WORK HOURS, THE ROAD SHALL BE CLEAR OF DEBRISAND RETURNED TO NORMAL.b ee.a�s�a
7. FLAGGERS SHALL WEAR ORANGE OR LIME GARMENTS (VEST, SHIRT, ETC.) AND SHALL BE EQUIPPED WITH A STOP & SLOW PADDLE. THEY SHALL HAVE 2-WAY RADIO COMMUNICATION (800)852-TOPS Ron Fifield CALTRANS T-13
THEY SHOULD GIVE TRAFFIC FROM WASHNGTON PRIORITY OVER TRAFFIC FROM CALEO BAY. THE FLAGGER AHEAD 8 PREPARE TO STOP SIGNS SHALL BE REMOVED WHEN NO
FLAGGERS ARE PRESENT. 2 of 2 (rev) 10/3/05 Pending Approval
d0k
w�ti�"
WASHINGTON ST
SITE
IA QUINTA
'i'
COUNTRY CLUB
QTRUS COURSE
QUINTARANCH
(A QUINTA
CWWM CLUB
JEFFERSON ST
a
LA N
INDIO
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MONROE
VICINITY MAP
NTS
OWNER/DEVELOPER:
BARTLETT COMMERCIAL
73-382 SALT CEDAR STREET
PALM DESERT, CA 92260
PH: (760)776-4141
FAX: (760)564-2862
APPLICANT:
BOURESTON DEVELOPMENT
5500 TRUBUCO ROAD, STE. 100
IRVINE, CA 92620
PH: (949)387-4665
CONTACT: RICHARD BOURESTON
ENGINEER:
W & W DESIGN DEVELOPMENT
79-440 CORPORATE CENTER DRIVE
LA QUINTA, CA 92253
PH: (760)771-6237
FAX: (760)771-6238
BASIS OF BEARIN O
BEARINGS ARE BASED ON
THE CENTERLINE OF LAKE LA
QUINTA DRIVE BEING N87'12'39"W
BENCHMARK
1" I.P. WITH CO TAG IN MON.WELL
AT THE INTERSECTION OF
MILES AVE. AND WASHINGTON STREET
ESTIMATE OF QUANTITIES
THE ESTIMATE OF QUANTITIES SHOWN ON THESE
PLANS IS FOR OBTAINING A PERMIT ONLYI THE
CONTRACTOR IS RESPONSIBLE FOR HIS OWN
QUANTITIES FOR BIDDING PURPOSES!
UNDERGROUND SERVICE ALERT
CALL TOLL FREE
ORE rQ'/
1— 800-
227-
2600
2 WORKING DAYS BEFORE YOU DIG
IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA
WATER IMPROVEMENT PLAN
FOR SDP#2004-81 1
PARCEL 4 OF PARCEL MAP 27892
SE 1 /4, SECTION 30, TOWNSHIP 5 SOUTH, RANGE 7 EAST,
S.B.M.
EX. FIRE HYDRANT
CONSTRUCT 18' DIP WITH RESTRAINED .JOJNT MOICALBUILDINGa"�--
W/ Pa YEETHEL YNE ENCASEMENT
;` Its •. _. -. _�t ;� �;
• f j =( 1 I { i I � 1 i— � � i .i I{ � =r ti--�•�'`•. X�.. rc",�,;�� ,y..,�.:.-' :z•� .: n --
fig
: 0.
I t � t
I
—j— -�—H44.► { i { is
LEGEND
•` L
i i ! i 1 i f { ! 1 '• 't j 1 ij ! i i i , { { 111 i , ( I t I { i -
- INDICATES PROPOSED WATER MAIN-1-�-1�' I�
-- ' - -- - - - - INDICATES EXISTING WATER MAIN -
---__ —MMW 18" DAP WINSTRAINE9-,0W M
INDICATES FIRE HYDRANT _ 01 YE WE _FW_ASEME-NT-----
Mi INDICATES WATER METER
INDICATES GATE VALVE ---
INDICATES BUTTERFLY VALVE
WASHINGTON STR MEET
INDEX MAP
GRAPHIC SCALE
100 0 a 100 =0 4W
ESTIMATE OF QUANTITIES: PIW
18" D.I.P. WATER MAIN W/ RESTRAINED JOINTS POLYEHTELYNE ENCASEMENT-----669 LF. 1 inch ' 100 &
18" x 90' BEND (D.I.) 2 EA.
2* WATER SERVICE 1 EA.
2" IRRIGATION SERVICE 1 EA.
(1) 6" FH ASS'Y (WET BARREL TYPE) (SUPER 6"x4"x2.5"x2.5") 2 EA.
6" DETECTOR CHECK 1 EA.
18" BUTTERFLY VALVE 1 EA.
6" BLOWOFF ASSEMBLY 1 EA.
APPROVED BY RIVERSIDE COUNTY
FIRE DEPARTMENT
BY: DATE
NOM
VM0GROM
DlURM
WW WVT04M WPM ftW PUNS S7W1
ALL UtiMaaeaRorM VW711ES OR STRUCTURES ROWTED BY THE OOV&
NOT COMAiO1lr UWIX AN E0Rr41OW&T
OR OWS AND THE MOW ON 7HE RECORDS EXMtMVfV ARE
PBUT ANDIOR A W"X POWT HAS BEEN
#OCATED W7H THEIR AWROXMAZE LOCATKAN AND MEW PC owim
BY ACQfP7MVG ThESE PLANS OR P1ROCEMMYG MRH O'DROtr£lffiv7S
AURWMT fl#7RETO, AGAES TO ASSW E L140M AND TO HM
PE PRIVATE ENG)iitEER 5 1AMtC il,Es PLANS
l/N0ERS7Gi O HARI&M fW ANY DAMAGES &-Stt TilVrG FROM EXIS7aa
IS RESPOVSIEiCE FW ASS R1E
OF UArDIE17g4gfMiD VTNJ71S OR STRUC7U%-S NOT ROWED 70 W
AC67/RACY AND AC>GEPTAWY OF 7HE DE3iW
tWBt9WM, NOT NYOYY,A7ID OR SIN W ON 1W RECORDS EXAINAM
FREAK /N TV EDIT W DI IMPANCES
7HE CONTRACTOR IS REolAIRED 70 TAKE DUE PREWTIOAARY MASONS
70 PROTECT 7HE 4VWTAES OR SIRUCROMS Si>ADiW AAiD ANY OTH R
ARISW AFER a%WIY APPROVAL OR DA/RAAIG
VW7KS OR 57RUCTLMES fOW AT ?WS77E /T SHAU BE #E
TRCICTA7W W AR►VA7F EIVAM�ER SI'ri1Lt
a7RACTOR'S DUTY 70 N07IFY 7HE OMAAERS OF 71,E U71UTAS
BE � FAR THE � AN
OR S7RUCTLINE S CaVa AED 60 M STAR7M N�Gi
ACCEPM&E SOWTEW AND REWS11W HE
TO
NARK�BY I DAI DA
ENGINEER
18" WATER MAIN
TYPICAL SECTION
LAKE LA QUINTA DRIVE
N
REVISIONS
DATE
Tsse. —
5.00'
" i � I
11.00'
PAVEMENT
s.00x
"18" WATER MAIN
DRIVE AISLE
SECTION A —A
NTS
General District Notes for
Domestic Water
1. All materials and construction shall conform to the Standard Specifications for the Construction of
Domestic Water Systems (Standard Specifications) of the Coachella Valley Water District (CVWD).
Unless modified by the Standard Specifications, the standards of the American Water Works Association
shall apply to altmaterials and construction methods.
2. All work shall be inspected by CVWD. The charges for inspection shall be in accordance with
CVWD's Regulations and Standard Specifications.
3. Work performed without inspection shall be rejected.
4. The minimum cover for water distribution pipelines and appurtenances shall be 36 inches. Streets
shall be brought to subgrade, sewer installed and curb and gutter installed before pipeline is installed.
5. All connections to existing facilities will be made by CVWD at the owner's expense. Sixty days
notice required.
6. The separation between water and sewer facilities shall be as specified in CVWD Standard
Drawing No. W 1.
7. Contractor shall contact CVWD's Chief Inspector at least 48 hours prior to start of construction to
arrange a precons"on conference.
8. An approved cleaning tool shall be pulled through the pipe during the progress of its assembly to
remove dirt, rocks or foreign materials.
i
� 6
9. No water or sewer pipelines shall be installed under decorative concrete, concrete, curbssidewalks
without prior approval by CVWD. All in -tract streets shall be paved with asphalt cenerete pavement.
10. These plans may be subject to review and/or revision b CVWD if construction
Y has not begun within
12 months from Date of Approval as shown in CVWD Drawing Approval Blocks.
11. Contractor shall submit to CVWD a list of materials
to be used prior to the preconstruction
conference. Only materials on the approved list may be used. List shall include quantity, manufacturer,
model, size and other pertinent data. <<;71
srH i
12. Contractor shall schedule his construction activities daily with CVWD's Chief Inspector between
3:30 p.m. and 4:30 p.m. for the following working day. If CVWD is unable to provide an inspector or
inspectors, Contractor shall reschedule its work for anther time.
If Contractor elects to cancel scheduled work without notice to CVWD, Contractor shall be charged one hour
of inspection time for each day of occurrence.
13. Contractor shall call Underground Service Alert at 1-800-4224133 at least two working days prior to
start of construction.
14. Curb and gutter shall be in place before any domestic water pipelines are codstructed.
Special Construction 'Notes
In locations where the water system is to be installed in corrosive soils, the following
requirements shall apply:
1. All pipelines to be CML ductile ikon pipe.
2. Pipelines to be installed with a minimum of 48 inches of cover at
final grade.
3. Entire system to be staked for grade, alignment, substructure
location, service location, fire hydrant location, detector
check, tee and gate valve location.
4. Cut sheets shall be supplied to the Chief Inspector prior to
construction.
S. Final grades shall be established and curb and gutter installed
before the installation of the pipelines, services, fire hydrants
and detector checks.
6. All fittings to be CML ductile iron.
4
7. All pipelinea,•fire hydrant runs, detector check runs and service
runs to have polyethylene encasement.
8. All fire hydrant runs and detector check runs to be CML ductile
iron pipe.
9. Curb and gutter shall be in place before any domestic water
pipelines are constructed.
I certify that to o design of the water system in T:raGOW. Z 7 45 1 T is in
accordance with the water system expansion plans of the Coachella Vaay Water
District and that the water service, storage, and distrbution system wit be adequate ,
to pro" water to such'tract This certification does not constitute a gwantee
for fire protection or any other Purposes
Dates 3ZZ-40� .
COACHE VALLEY WATER DUMOT
Mark Johnson
Director of Engkvwing
0-
CVW
-%
SEAL —ENGINEER
, 1 W V o I Dow u-iE OpHERV9 JMC 13
� w• wq� ��a4�®a �a�aa��aoa�
CIML ENQNMM • LAND PLAN W
� O
y y 7i-M OOW ME 01M ONIE SUE 10P
u40Ma1M
t*t Pik (11" 711-lrEi7 FAX (7IOJI 711-4=
No. 26662 ;r
Dr.3-31-06 *
CIV%L BY: Ulm T. vow B.C.B. NO. 26U2
4p"-/11
DATE: o.�
.t
. DRAVN11-#%X AAI-KVVAL
21 'MARCH 05
0
DAiE APPR
■3
IN THE CITY OF LA gUINTA, CALIFORMA SHEET NO: a
WATER IMPROVEMENT 3
SEE ABOVEPLAN
OD
WASHINGTON STREET &
LAKE LA QUINTA DRIVE
LX• SE 114 SECTION 30, TOWNSHIP 5 SOUTH, RANGE 7 E4ST, S.B.M. F� S11TS, 9
SCALE AS SHOWN FoR' N DBVJAPIMT • • FiLIS No: _ j
33 1
il wam
iW
xr•r.rrrrr wr�r�.rii'iw�.iiiii
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