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DRVA2016-0013Tjbt . 4 ' ENCROACHMENT PERMIT PUBLIC WORKS CONSTRUCTION See below for Finance Revenue Codes OCT 312016 V/ For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, swers, W t Ii1Nl other 'ike public works improvements in connection with MINOR IMPROVEMENTS and APPROVED DATE: 11/1/2016 LOCATION OF CONSTRUCTION(Street address or Description): 78700 AVENIDA NUESTRA PURPOSE OF CONSTRUCTION: DRIVEWAY APPROACH DESCRIPTION OF CONSTRUCTION: BARBOSA RESIDENCE /_DRIVEWAY APPROACH DIMENSION OF INSTALLATION OR REMOVAL: SFR DRIVEAY APPROACH j APPROXIMATE TIME WHEN WORK WILL BEGIN: TIME OF COMPLETION: ESTIMATED CONSTRUCTION COST: S3.500.00 (Including removal of all obstruction, materials, and debris, backfilling, compaction and placing permanent resurfacing and/or replacing improvements) COMMENTS: 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 at (760) 777-7097. To submit an inspection request, leave a message on the Inspection Request Hotline at (760) 777-7097 prior to 1:30 P.M. at least twenty-four (24) hours prior to the anticipated inspection. Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of and to pay for any additional replacement necessary as the result of this work. Signa ure of Applicant or Agent WILLIAM MORRIS DEVELOPMENT INC DBAWM B Name of Applicant (please print) WILLIAM MORRIS DEVELOPMENT INC DBAWM B 52-520 AVENIDA NAVARRO LA QUINTA, CA 92253 (760)688-2608 Business Address Telephone No. 52-520 AVENIDA NAVARRO LA QUINTA, CA 92253 (760)688-2608 Telephone No. Name of Contractor and Job Foreman Business Address 945496 Contractor's License No. IN'L INS CO OF HANOVER LTD Applicant's Insurance Company Finance Revenue Code PERMIT INSPECTION DRIVEWAY RESIDENTIAL $152.00 TOTAL: $152.00 100420 City Business License No. IG01100252201 Policy Number PERMIT NO: DRVA2016-0013 DATE ISSUED: 11/1/2016 EXPIRATION DATE: 4/30/2017 BY: MARY FASANO WORK INSPECTED BY*: PERMIT COMPLETION DA(E*: *If the work is covered by a"Sbdivision Improvement Agreement, Subdivider shall request final acceptance of improvements from the City Council. PUBLIC WORKS DEPARTMENT APPLICATION FOR PERMIT 700 V4 iido ---,4— Date: H/(• Tract No: Project Name: Ptv os- 14orv'—.- Vicinity: D -v" cl ub Purpose of Construction (i.e.: Rough Grading, Offsite Street, etc.)Dr-i i e.. JJ Description of Construction (i.e.: See Plan Set No. 01234) Pv' si-C u'J Dimension of Installation or Removal: Approximate Construction Start Date: / I Approximate Construction Compjetion Date: '1 o Estimated Construction Cost: $ f3O Estimated Construction Cost shall include the removal of all obstructions, materials, and debris, back-filling, compaction and placing permanent resurfacing and or replacing improvements ContactName:. --y. PhoneNumber: 1011kZt Name of Applicant/Owner: A., ts y, Applicant Address: 7fl00 —; Applicant Telephone Number: I '7/q SF 1 4) a (.cO Applicant E-mail Address: Name of Contractor: IAJvVt J& vi -ct- Contractor Address: .7o- 7c' •Q )j;)4:p CIA. 4 -zs3 Contractor Telephone Number: 1(P0 .o & 0 '1 2- (P Contractor State License Number: g '1 _5 '1 4& Contractor City Business License Number: ____________________________________ Contractor E-mail Address: I.JJ rvc cv-e ?rvr t40+rrt ' I - C c i -A COPY OF THE CURRENT INSURANCE CERTIFICATE MUST BE PROVIDED-4 Applicant or Contractor General Liability Insurance Company: Applicant or Contractor General Liability Insurance Policy Number: Office Use Only: Inspection Fee: Permit Fee: As-Built Deposit: Dust Control Deposit: Credit Amount: TOTAL FEE DUE: Office Use Only: A proval Date: Expiration Date; Issue Date: Administrative Authority: A LOT LINE — — -4 2' MIN. FROM LOT LINE 4' APRON WHEN STREET GRADE EXCEEDS 4% / WEAKENED PLANE JOINTS INTERVALS RIGHT-OF-WAY - 5' SIDEWALK Lu 6 rL All' 3' RESIDENTIAL 12 MIN. - 30 MAX. 3, MIN. COMMERCIAL 35' MIN. - 40' MAX. MIN. PLAN * MAYBE REDUCED TO 30 FT. 5' MIN. WITH APPROVAL OF SIDEWALK RIGHT-OF-WAY CITY ENGINEER 0100 ** COMMERCIAL UP TO 8% 16 RESIDENTIAL: UP TO 9% 6" THICK CONCRETE SECTION A - A DETAIL NOTES: 1. ALL CONCRETE SHALL USE TYPE V CEMENT AND PER CITY STANDARD 200. .01 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 COMMERCIAL UP TO 8% THAT IT PROVIDES SMOOTH VEHICLE ACCESS OVER THE DRIVE APPROACH. RESIDENTIAL UP TO 15% CHANGE IN GRADES SHALL NOT EXCEED 8%, UNLESS THE LENGTH IS ISOMETRIC VIEW LESS THAN 2 FEET THEN GRADE SHALL NOT TO SCALE NOT EXCEED 15%. REVISIONS DEPARTMENT OF PUBLIC WORKS STANDARD PLAN No. T ENGINEERING DIVISION JAN-il APPROVED BY: DRIVEWAY 221 J11jj11 WITH SIDEWALK I MOTHY R.J P.E. AT SHEET - w reVi C1y Er1j ,or ADJACENT TO R I W 2 OF 3 ACE No 45643 Exp. 12/31/12