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DRVA2015-0012Wv'4 ao!x'ooi DRIVEWAY APPROACH PERMIT APPLICATION Finance Revenue Code PD Applicant Information: Applicant/Owner (please Drint name here) AFilEL MARTIP77 7777,7, 71 -. Address: Number Street City State Zip Code #aaress or iarcei No. OT WOK location, it clitterent trom applicants adaress above: 271 VIDA HERRERA QU1NTAT" 1rcr. -, Number. Street S •. City State Zip Code Date: i:5i Applicant's hone o: (70.:) Applicant's-Sig'naturé: UJ •i \J J '-/ / .5 Approximate Start Date: /WIffi Approate Completion Date: Contractor Information: .:.1 ' . Number Street . . City State Zip Code Phone Number: License Number: 28,' City Business License Number: General Liability Insurance Company: AM TRUST INTERNATIONAL Policy No. Request for Inspection — Please cal! (760) 777-7097 before 1:30pm to request an inspection at least 24 hours prior to your requested inspection date. Public Works Counter (760) 777-7075. Please Note: Inspections are normally performed Monday through Fridaybetwèen 8am and 4pm Inspection Fee $20 + Permit Fee $10 = $30 Total Fee Permit No RVA20150Of21 Expiration Date 10--8 -11 L5 Permit Issued by: t 74-? bate Issued nature of Administrative Authority Work Inspected by: Permit Completion Date: iFfl Inspector's Signature Note: Driveway approach must be constructed per City of La Quinta Standard #221 ISOMETRIC VIEW NOT TO SCALE A WEAKENED PLANE JOINTS 1@ 5 I RIGHT-OF-WAY I4 4 SIDEWALK 4 -.- 5 TRANSITION j 6 VERTICAL rL CURB WEDGE CURB A SEE STD. 211 -RESIDENTIAL 12 MIN. -30' MAX. - PLAN VIEW -- SIDEWALK --- RIGHT-OF-WAY 2% VARIES CONCRETE ALL CONCRETE SHALL USE TYPE v CEMENT AND PER CITY STANDARD 200. SEE STD. 211 SECTION A - A 20 FEET OF FULL-HEIGHT CURB REQUIRED BETWEEN DRIVEWAYS WITHIN ANY ONE PROPERTY FRONTAGE. USE 6 MIL PLASTIC SHEETING WHEN ABUTTING SOIL HAS A HIGH SULFATE CONTENT. - CONSTRUCT THE PROFILE GRADE OF THE PRIVATE ON-SITE DRIVEWAY SO THAT IT PROVIDES SMOOTH VEHICLE ACCESS OVER THE DRIVE APPROACH. WEDGE CURB DRIVEWAYS SHALL BE USED ONLY WHEN POSTED SPEED IS IS 25 MPH OR LESS. WEDGE CURB DRIVEWAYS SHALL BE APPROVED BY THE CITY ENGINEER. CHANGE IN GRADES SHALL NOT EXCEED 8%, UNLESS THE LENGTH IS LESS THAN 2 FEET THEN GRADE SHALL NOT EXCEED 15%. REVISIONS DEPARTMENT OF PUBLIC WORKS STANDARD PLAN No. No. I DATE ENGINEERING DIVISION Tait 0f 444 44fl4I / 221 JAN-11 APPROVED BY: DRIVEWAY WITH I/11 SIDEWALK ADJACENT WEDGE CURB SHEET 30F3 .O tth THYR.J NAbN,P.E. DATE PuC WQ(ks I.&/CF(/ ncw TO - RC No. 45843 Exp. 12/31/12 06 , L I LOT LINE 2' MIN. FROM 4 LOT LINE 4 2-s--I 5' TRANSITION 6" VERTICAL rL CURB DETAIL NOTES: 7 IN THE CITY OF LA 0(RNT& COUNTY OF R5Z STATE OF CMJFORMA I SITE PLAN I I FOR II I- LOT 22 OF BLOCK 151 OF UNIT NO.16 OF SANTA CARMEL1A AT VALE LA QUINTA, PER MB 18/99 [JJILL APN: 773-294-002 LOCATED WIflAN THE S 1/2 OF THE HE 1/4 OF SECmN IT. TAT. ROE. SCOW NO I. Mi. A PIIU IA IOU II ACCMCL MDI DC LITIOT WTDI IC TIlE VNORO a (41r'. P05311 IC TIC WY W IA COlTS SIC THE LACOT WMD IC TIM ITMOIC PEW 1*1010 , 4\ IC Pd 4OU TII TIC O 01CIC IA1WITS IC I DC CMI MflMO 011. 1.5301 WEW — - I 1 2. P0 lOWS CEATO SI TIE IC ( T IOTA SOS W3MO 51145 10 W&T - I I II 11010 51152 11 1022010 TO t 5120504 ICS 01*450 TO TIC PlOt "l I ( I SEW 103401 ___ WSEITZ P110 ( 1 54 /flPICM) ABBRP/IA11OP4S LEGEND am on" • C OIl IC SI _ J ____5_/ IW. - •.• •: .....••-., "Alm uc CA 'o, GIRAGE PERMIT APPROACH REOUIRES IREP IIL0 DRIVEWAY 50CC 15 IT5'r442 r II FROM Cli? OF LA OUINTA PUBUC 'IS 4 hi 1" jT3 ( WORKS DEPARTMENT SITE ADDRESS l9c+ C 1MtMO CO ~wm 5104 Jr :. LEGAL DESCRIPTION i I 14M mw I~ LW II IC COCK Ill IC 1221 IC IS IC 32411* damns IT LA AR * DATUM POINT: STAR DATUM PONT AT TOP OF 0.01 AT THE CENTEWJIIE OF LOT 6 THE 041dM PONT SICRE SHE MEASUREMENT OF INC flN5II flOOR WAS 15115* 101(0 lT• MIS. 510(0 134(0 ((0115105 OPTIC NON' ALL 5001 WALL RCTSSIIIPC 5514. STEP SLAt. 151(0(3 ARE PER SEPARATE PUN. 015015 SEPARATE PEOIT. (TYPICAL) COT" I DIG ALERT ALERT I TIC FOMOTOR IC IA IC SMOL 5411 IC 1*1W SITE PLAN LW 12 IC 510 III IC WY MtIR IC 32411* COMM AT WI IA COIlS P0 MI 1541, 01020 1"1I IT" 00 I 0411 I I I OS 1151 IS SIC 00 OI PET Il/Il/Ill I ENGINEERING I RA01ORCOAIC01 I I Mt 51W l 225 S. 0(0 WOE 1.1 IOU PICA I.MDW.ZIW &1W10WRI10IL1WT - 7 5(0IT( PALS P5102. 05. 52252 01 AR 52520 AAVON I& LA SUIffA CA 92253 SWIl I ft IC 511 Il. IC 010 II. 15001 - 55515 5. 55(010 PC.. lU. 0 41154, S Il-SI-IS 55.— WY Si I prjrtok- PUBLIC WORKS DEPARTMENT APPLICATION FOR PERMIT Date: 0 ._L(lr Tract No: Project Name: Vicinity: Purpose of Construction (i.e.: Rough Grading, Offsite Street, etc.) di, ,2jfrt4(L Description of Construction (i.e.: See Plan Set No. 01234) dri I Dimension of Installation or Removal: /t ' r ' Approximate Construction Start Date: Approximate Construction Completion Date: Estimated Construction Cost: $ 4-0 0 , Estimated Construction Cost shall include the rcmovl'l of all obstructions, materials, and debris, back-filling, compaction and placing permanent resurfacing and or replacing improvements Contact Name: ./Jt'i 'ef AA .4j Phone Number: ii" 70 -Z Name of Applicant/Owner: /jy e 14 Applicant L7 ---z Applicant Address: 1 0 1— 4-vt 1,LAO Lô tL t.t ii Applicant Telephone Number:( '760) 1 O 2- z.L' I Applicant E-mail Address: :-Gy IO / t Name of Contractor: L) Contractor Address: ( Oçi Contractor Telephone Number: ('i 6 'i 702-- , 2-0 4 Contractor State License Number: O(t, I Z. Contractor City Business License Number: '4 Contractor E-mail Address: 10- A COPY OF THE CURRENT INSURANCE CERTIFICATE MUST BE PROVIDED 4 Applicant or Contractor General Liability Insurance Company: 14 144 k i-u()- /'ki 1iY4 -'f Applicant or ontractor General Liability Insurance Policy Number: 1 , ,- . I / ) .- '.7 1 Office Use Only: Inspection Fee: Permit Fee: As-Built Deposit: Dust Control Deposit: Credit Amount: Office Use Only: Assigned Permit Number: Approval Date: Expiration Date: Issue - Date: Administrative Authority: TOTAL FEE DUE: - - l-orms & Aoollcatlons/ADolication 'TI thORb CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 1 08/04/2015 PRODUCER 760-341-3477 Ascen d .l I A ri Insurance Agency 36917 Cook Street, Ste 101. . Palm Desert, CA 92211 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE. DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Dantor Martinez Construction 81057 Avenida Romero Indio, CA 92201 INSURERk AmTrust International Underwriters INSURER B: California Automobile Insurance Comp INSURER C: James River Ins. Co. INSURERD: Markel Insurance Co. INSURER E COVERAGES 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 OF 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. ).]5 TYPEOF B4SURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDIYYI POLICY EXPIRATION DATE IMMIDDIYYI UNITS_____________ / GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A 7] COMMERCIALGENERALLIABLrTV CLAIMS MADE WI OCCUR D AGE T RENTED S 100,000 MED EXP (Anyone person) s5,000 /j Deductible $2500 B105008113-01 05/05/2015 05/05/2016 PERSONAL & ADV INJURY s1,000,000 __________________ GENERAL AGGREGATE $ 2,000,000 GE LAGGREGATEUMITAPPUESPER PRODUCTS - COMP/OP AGG s2,000,000 - - 7lpoucv Ti Ti LOC / AUTOMOBILE LIABILITY MY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1000000 - / BODILY INJURY (Per person) $ B -ALLOWNEDAUTOS SCHEDULED AUTOS BA040000020291 01/27/2015 01/27/2016 - BODILY INJURY $ HIRED AUTOS NON-OWNED AUTOS - PROPERTY DAMAGE (Peraceldent) - GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EAACC $ ANYAUTO $ - - J AUTO ONLY: AGG EXCESSIUMBRELLAUABILITY EACH OCCURRENCE $ 1000000 C OCCUR CLAIMS MADE AGGREGATE $ 1000000 01/20/16 JR0048331-0 01/20/2015 DEDUCTIBLE S I RETENTION S - WORKERS COMPENSATION AND I ts I EMPLOYERS' UABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? MWC019705-15 05/05/2015 05/05/2016 E.L. EACH ACCIDENT 8 1000000 E.L. DISEASE - EA EMPLOYEE $1000000 - S'ECIAI. PROVISIONS below Ifves,desc,lbeundw E.L. DISEASE - POLICY LIMIT $ 1000000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS IVESCLES I EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS Certificate Holder is named as an additional insured. *10 Day Notice of Cancellation for nonpayment* I..tN I irui.j it MULUtN %MrIt.tLLAi IUFI I..lty UI Ld VALIIIILd SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 78-495 CalIe Tampico DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _.fl. DAYS WRITTEN La Quinta, CA 92253 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08) . . ©ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the poticy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does, not confer rights to the certificate holder in lieu of such endorsement(s).. DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25