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DRVA2017-0010See below for Finance Revenue Codes QUM& a ENCROACHMENT PERMIT OF PUBLIC WORKS CONSTRUCTION For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, wattfnjiains works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS. DATE: 3/31/2017 r L.. 201? LOCATION OF CONSTRUCTION(Street address or Description): 52065 AVENIDA CARRANZA PURPOSE OF CONSTRUCTION: DESCRIPTION OF CONSTRUCTION: DRIVEWAY APPROACH / CORONEL ENT DIMENSION OF INSTALLATION OR REMOVAL: APPROXIMATE TIME WHEN WORK WILL BEGIN: 3/31/2017 TIME OF COMPLETION: 9/29/2017 ESTIMATED CONSTRUCTION COST: (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 th i of and to pay for any additional replacement necessary as the result of this work. Signature of Applicant or Agent CORONEL ENTERPRISES INC 42760 MADlO STREET INDlO, CA 92201 (760)775-1234 Name of Applicant (please print) Business Address Telephone No. CORONEL ENTERPRISES INC 42760 MADIO STREET INDlO, CA 92201 (760)775-1234 Name of Contractor and Job Foreman Business Address 727199 Contractor's License No. Applicant's Insurance Company Finance Revenue Code PERMIT INSPECTION DRIVEWAY RESIDENTIAL $152.00 TOTAL: $152.00 Telephone No. LIC-763069 City Business License No. Policy Number PERMIT NO: DaV*2017-0010 DATE ISSUED: EXPIRATION DATE: BY:fti . IWORK INSPECTED BY*: IPERMIT COMPLETION DATE: If the work is covered by a Subdivision Improvement Agreement, Subdivider shall request final acceptance of improvements from the City Council. S S Oek OF DRIVEWAY APPROACH PERMIT APPLICATION Finance Revenue Code PD Applicant Information: ,'- Applicant/Owner (please pjgjt name here): L. cii Applicant Address: '-V)1O W\ i.1l( LA. Number Street City State Zip Code Address or Parcel No. of work location, if different from applicant's address above: c A,(- \ ci, iS) Number Street City State Zip Code. Date: j\ifl Alicant's Phone : (AO) S7 - 3 7 Applicant's Signature: Approximate Start Date:j3\/V1Approximate Completion Date: Contractor Information: Address: -V7O .J.. 6 CA Number Street ,. City State Zip Code Phone Number: 17,0 )77 S \3'1 Contractors License Number: City Business License Number: General Liability Insurance Co Policy No. 3-3 Request for Inspection - Please call (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 Friday between 8am and 4pm Permit Fee $145 = $145 Total Fee Permit No. Expiration Date //. Permit Issued by: Date Issued I I Signature of Administrative Authority Work Inspected by: Permit Completion Date: /1 Inspector's Signature Comments: Note: Driveway approach must be constructed per City of La Quinta Standard #221 COROENT-02= DATE AERL7 CERTIFICATE OF LIABILITY INSURANCE ADO Y) 011110 0111712017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. 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). PRODUCER License U 0F09643 Desert Empire Ins Services, Inc. 77564 Country Club Drive Suite 401 Palm Desert, CA 92211 cACT tona.delgado©desertempireins.com PHONE (A/C. No. Eat): (760) 360-4700 I (AIC, No):(760) 3604799 ________________________________________________ INSURER(S) AFFORDING COVERAGE NAIC H INSURER A:Associated Industries Insurance Co 23140 INSURED Coronel Enterprises Inc, J-Z Concrete Construction, Inc. 42-760 Madlo St. Indio, CA 92201-1980 INSURER B : Benchmark Insurance Company 41394 INSURER C: INSURER 0: INSURER E: INSURER F: 1.11 IMflD. PFIISIflN NIIMRER! THIS IS TO CERTIFY THAT 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 CONTRACTOR 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR - TYPE OF INSURANCE ADOL NS SUBR POLICY NUMBER POLICY EFF IMMIDDNYYYT POLICY EXP (MMIDD!YYYYI UNITS_______________ A X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE [] OCCUR ES1022833 S 0611512016 0611512017 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED lEa ocJrnce) $ 50,000 MED EXP (Any one person) S PERSONAL & ADV INJURY $ 1,000,000 GENtAGGREGATE LIMIT APPLIES PER POLICY [] LOC OTHER' GENERAL AGGREGATE $ 2,000,000 PRODUCTS- COMP/OP AGG $ 2,000,000 LIABILITY ANY AUTO - OWNED 11 SCHEDULED - AUTOS ONLY U AUTOS - - - COMBINED SINGLE LIMITAUTOMOBILE (Es accIdent) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ - UMBRELLA LIAB EXCESS LIAB CLAIMS-MADE HOCCUR - - EACH OCCURRENCE S AGGREGATE - DED I RETENTIONS B WORKERS COMPENSATION AND EMPLOYERS LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE } OFFICERIMEMBPR EXCLUDED? (Mandatoty In PITt) If yes, describe under DESCRIPTION OF OPERATIONS below NIA - - CST5009346 12/3112016 .. 12/31/2017 x I PER I I 0TH- STATUTE I I ER E.L. EACH ACCIDENT 1,000,000 S E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached If more apace Is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of La Qulnta ACCORDANCE WITH THE POLICY PROVISIONS. P.o Box 1504 78495 Calla Tampico La Quinta, CA 92247 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A WEAKENED PLANE JOINTS i r @5 FT. INTERVALS7 RIGHT-OF-WAY LOT LINE 2N FROM _ LOT LINE 1. . 4' 'I 6' SIDEWALK 1 . ---•-----c' rr rL * MAYBE REDUCED TO 30 FT. MIN. WITH APPROVAL OF CITY ENGINEER ** COMMERCIAL: UP TO 8% RESIDENTIAL: UP TO 9% ,- RIGHT-OF-WAY STREET GRADE STREET GRADE 2' 4' VARIES 100 PREFERRED PREFERRED 1 LIP 1' LIP 6"THICKCONC. SECTION A - A SECTION B - B DETAIL NOTES:oy ALL CONCRETE SHALL USE TYPE V CEMENT AND PER CITY STANDARD 200. VAs 20 FEET OF FULL-HEIGHT CURB REQUIRED BETWEEN DRIVEWAYS WITHIN ANY ONE 4" 1 PROPERTY FRONTAGE. 44 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. * COMMERCIAL: UP TO 8% RESIDENTIAL: UP TO 9% 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%. N REVISIONS L JA- STANDARD DEPARTMENT AN "T ENGINEERING DIVISION DATE C&ff 4 JAN-11 APPROVEDBY: DRIVEWAY 21"1 -140THY R. JOSS.E.OTE WITH SIDEWALK SHEET CEt4 Exp12 /31J/" ADJACENT TO CURB 10F3 I RESIDENTIAL 12' MIN. -30' MAX. COMMERCIAL 35' MIN. - 40 MAX.* .I A •U •ilIaI A WEAKENED PLANE JOINTS I @ 5 FT. INTERVALS ,- RIGHT-OF-WAY I LOT LINE 1 - 2'MIN.FROM LOT LINE 5' SIDEWALK 4'APRON WHEN STREET GRADE IL ZrL Auul' 3' RESIDENTIAL 12'MIN.-30'MAX. 3' '--COMMERCIAL MIN, COMMERCIAL 35' MIN. - 40 MAX.*- MIN. PLAN VIEW *MAYBE REDUCED TO30 5' MIN. WITH APPROVAL OF SIDEWALK RIGHT-OF-WAY CITY ENGINEER Q ioo ** COMMERCIAL UP TO 8% RESIDENTIAL: UP TO 9% 1"LIP MAX. ; , I CONCRETE SECTION A - A DETAIL NOTES: ALL CONCRETE SHALL USE TYPE V ØG.. . . CEMENT AND PER CITY STANDARD 200. 20 FEET OF FULL-HEIGHT CURB REQUIRED BETWEEN DRIVEWAYS WITHIN ANY ONE PROPERTY FRONTAGE. USE 6 MIL PLASTIC SHEETING WHEN Q ABUTTING SOIL HAS A HIGH SULFATE CONTENT. N N F-, CONSTRUCT THE PROFILE GRADE OF **COMMERCIAL UP TO 8% THE PRIVATE ON-SITE DRIVEWAY SO THAT IT PROVIDES SMOOTH VEHICLE . •' RESIDENTIAL UP TO 15% ACCESS OVER THE DRIVE APPROACH. CHANGE IN GRADES SHALL NOT ISOMETRIC VIEW EXCEED 8%, UNLESS THE LENGTH IS LESS THAN 2 FEET THEN GRADE SHALL NOT TO SCALE NOT EXCEED 15%. REVISIONS DEPARTMENT OF PUBLIC WORKS PLAN No. STANDARD ENGINEERING DIVISION KNoD ATE APPROVED BY: DRIVEWAY 221 WITH SIDEWALK SHEET ~MOTIHIY NA6/N,P.E. A PI,b(c Works u/Cy ADJACENT TO R I W 2 OF 3 RC.E.NO 45843 Exp. 12/31/52 A - WEAKENED PLANE JOINTS r @5 FT . INTERVALS RIGHT-OF-WAY LOT LINE 2 MIN. FROM LOTLINE 44 4' - * 4 4 SIDEWALK S TRANSITION 5 TRANSITION 6 VERTICAL I 'I I 6 VERTICAL rL CURB CURB WEDGE CURB A SEE STD. 211 - RESIDENTIAL 12 MIN. - 30 MAX. - SIDEWALK RIGHT-OF-WAY 2% TRIES 0100 MAX. I DETAIL NOTES: ALL CONCRETE SHALL USE TYPE V WEDGE C CEMENT AND PER CITY STANDARD 200. SEE STE 20 FEET OF FULL-HEIGHT CURB REQUIRED BETWEEN DRIVEWAYS WITHIN ANY ONE PROPERTY FRONTAGE. USE 6 MIL PLASTIC SHEETING WHEN p1 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 _ DATE ENGINEERING DIVISION N. JAN-11 APPROVED BY: OTHYR.JNJ L F F+R c Wxks roc /CiryEngrct E No. 45843 Exp. 12/31/12 URB - ).211 (TIflW A - A ISOMETRIC VIEW NOT TO SCALE _(&Aft 4 4 STANDARD DRIVEWAY WITH 221 SIDEWALK ADJACENT SHEET TO WEDGE CURB 30F3