DRVA2019-0020I V/
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See below for Finance Revenue Code:
- GEM oftiw DESERr - - :, i•ii
DRIVEWAY APPROACH
PUBLIC WORKS CONSTRUCTION P OCT 152019
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers QUINT
improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS.Ed",, public work
DATE: 10/15/2019
LOCATION OF CONSTRUCTION(Street address or Description): 52075 AVENIDA NAVARRO
PURPOSE OF CONSTRUCTION: DRIVEWAY APPROACH FOR NEW CONSTRUCTION.
DESCRIPTION OF CONSTRUCTION: STEMMER /_DRIVEWAY APPROACH
DIMENSION OF INSTALLATION OR REMOVAL: ____
APPROXIMATE TIME WHEN WORK WILL BEGIFI:201 TIME OF COMPLETION: IOjZYJ2.O/ln j
ESTIMATED CONSTRUCTION COST: (Including removal of all obstruction, materials, and debris, backfilling, compaction 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 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 ru s of the City of La
Quinta and to pay for any additional replacement necessary as the result of this work.
of Applicant or Agent
JOE STEMMER 52075 AVENIDA NAVARRO LA QUINTA, CA 92253 (760)880-3585
Name of Applicant (please print) Business Address Telephone No.
OWNER BUILDER - JOE STEMMER 52075 AVENIDA NAVARRO LA QUINTA, CA 92253 (760)880-3585
Name of Contractor and Job Foreman Business Address
Contractor's License No.
Applicant's Insurance Company
Finance Revenue Code
PERMIT INSPECTION
DRIVEWAY RESIDENTIAL $175.00
TECHNOLOGY ENHANCEMENT FEE $5.00
TOTAL: $0.00
Telephone No.
City Business License No.
Policy Number
PERMIT NO: DR}lA019-0020
DATE ISSUED: tofIY/2011
EXPIRA ION DATE:
BY I I
WORK INSPECTED BY:
PERMIT COMPLETION DATES:
1f the work is covered by a Subdivision Improvement Agreement,
Subdivider shall request final acceptance of improvements from the
City Council.
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GEM oft/, DESERT
DRIVEWAY APPROACH PERMIT APPLICATION
Applicant Information:
Applicant/Owner (please pent name here):
Applicant Address: Cv, q,2zk)
Number Street City State Zip Code
Address or Parcel No. of work location, if different from applicant's address above:
Number Street City State Zip Code
Date: IIc/J.i .Applicnt's Pho e(1o:j20 )'1(6 J.S)-s
Applicant's Signature:
Approximate Start Date: YO-4—W-1A YO—/—W-1A Approximate Completion Date:
Contractor Information:
Address: 7,21 ,A)A-5~%"AASI C& ~ 212, 1 1
Number Street I City State Zip Code
Phone Number: (1 ) SSb 3 S)-'c Contractors License Number: S S
City Business License Number: 7L3 3'S
General Liability Insurance Company: -/4V'eJ' Policy No.
(see back for required insurance documents'j'
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. The Hub Counter (760) 777-7125.
Please Note: Inspections are normally performed Monday through Friday between 8am and 4pm
Permit No:DiVJZ.eIj —
Permit Issued by:
Sigr
Work Inspected by:
-
ç4ion Date
Date Issued Ii I F- JJ4L
strative Authority
Permit Completion Date:
Inspector's Signature
Comments:
Note: Driveway approach must be constructed per City of La Quinta Standard #221
REV: 8/19/2019
RE: Driveway I Encroachment Permits - Compliance with Insurance Requirements
Per Engineering Bulletin #97-04 please provide proof of the insurance items and endorsement
certificates below:
General Liability - $1M per occurrence I $2M general aggregate
General Liability - Additional Insured Endorsement (for ongoing and completed
operations) S
D General Liability - Primary I Non-contributory Endorsement
11 Automobile Liability - $1M combined single limit
J Workers' Compensation - Statutory Limits I Employer's Liability $1M per accident or disease
Workers' Compensation - Waiver of Subrogation Endorsement
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PROPERTY OWNER'S PACKAGE
Disclosures & Forms for Owner-Builders Applying for Driveway Permits
IMPORTANT! NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a driveway permit for work within the public right-of-way has been
submitted inyour name listin9
VO-4-0-0
ourself as the builder of the driveway improvements
specified at -A?
We are providing you with an Owner-Builder Acknowledgment and Information
Verification Form to make you aware of your responsibilities and possible risk you may
incur by having this permit issued in your name as the Owner-Builder. We will not issue a
driveway permit until you have read, initialed your understanding of each provision,
signed, and returned this form to us at our official address indicated. An agent of the
owner cannot execute this notice unless you, the property owner, obtain the prior approval
of the permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
DIRECTIONS: Read and initial each statement below to signify you understand or verify this
information.
Elj. I understand a frequent practice of unlicensed persons is to have the property owner
obtain an "Owner-Builder" building permit that erroneously implies that the property
owner is providing his or her own labor and material personally. I, as an Owner-Builder,
may be held liable and subject to serious financial risk for any injuries sustained by an
unlicensed person and his or her employees while working on my property. My
homeowner's insurance may not provide coverage for those injuries. I am willfully acting
as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to
workers on my property.
E .2. I understand driveway permits are not required to be signed by property owners
unless they are responsible for the construction and are not hiring a licensed Contractor to
assume this responsibility.
1 3. I understand as an "Owner-Builder" I am the responsible party of record on the
permit. I understand that I may protect myself from potential financial risk by hiring a
licensed Contractor and having the permit flied in his or her name instead of my own.
K 4. I understand Contractors are required by Law to be licensed and bonded in California
and to list their license numbers on permits and contracts.
1 -5. I understand if I employ or otherwise engage any persons, other than California
licensed Contractors, and the total value of my construction is at least five hundred dollars
($500), including labor and materials, I may be considered an "employer" under state and
federal law.
E..6. I understand if I am considered an "employer" under state and federal law, I must
register with the state and federal government, withhold payroll taxes, provide workers'
compensation disability insurance, and contribute to unemployment compensation for
each "employee." I also understand my failure to abide by these laws may subject me to
rious financial risk.
EIi7. I understand as an Owner-Builder if I sell the property for which this permit is issued, I
may be held liable for any financial or personal injuries sustained by any subsequent
owner(s) that result from any latent construction defects in the workmanship or materials.
IiJ 8. I understand I may obtain more information regarding my obligations as an
"employer" from the Internal Revenue Service, the United States Small Business
Administration, the California Department of Benefit Payments, and the California Division
of Industrial Accidents. I also understand I may contact the California Contractors' State
License Board (CSLB)•at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information
about licensed contractors.
II -9. I am aware of and consent to an Owner-Builder driveway permit applied for in my
name, and understand that I am the party legally and financially responsible for proposed
construction activity at the following address: A I )
10. I agree that, as the party legally and financially responsible for this proposed
construction activity, I will abide by all applicable laws and requirements that govern
Owner-Builders as well as employers.
9:41. I agree to notify the issuer of this form immediately of any additions, deletions, or
changes to any of the information I have provided on this form. Licensed contractors are
regulated by laws designed to protect the public. If you contract with someone who does
not have a license, the Contractors' State License Board may be unable to assist you with
any financial loss you may sustain as a result of a complaint. Your only remedy against
unlicensed Contractors may be .in civil court. It is also important for you to understand
that if an unlicensed Contractor or employee of that individual or firm is injured while
working on your property, you may be held liable for damages. If you obtain a permit as
Owner-Builder and wish to hire Contractors, you will be responsible for verifying whether or
not those Contractors are properly licensed and the status of their workers' compensation
insurance coverage.
Before a driveway permit can be issued, this form must be completed and signed by
the property owner and returnd tp the age,cy responsible for issuing the permit.
Note: A copy of property owner's irivr's licejs form notarization, or other verification
acceptable to the agency is requi4ed 40 be prsted when the permit is issued to verify
the property owner's signature,4 I I IU 1
Signature of property owner: Date:
.••,_.t•••••. ;• •• •• ••• • S •S ,•
78-495 Calle Tampico La Quinta, CA 92253 760.777.7000
V.
A1
LOT LINE :
________ -- •1
2 MIN. FROM 4• LOT LINE
-..4
:
WEAKENED PLANE JOINTS
@5 FT. INTERVALS RIGHT-OF-WAY
1 i
,1 4
CN
6 SIDEWALK
Ij
* MAYBE REDUCED 1030 FT
MIN. WITH APPROVAL OF
CITY ENGINEER
COMMERCIAL: UP TO 8%
RESIDENTIAL: UP TO 9%
A
RESIDENTIAL 12 MIN. - 30 MAX.
COMMERCIAL 35 MIN. - 40 MAX.*
DI A P1 111CIAl
RIGHT-OF-WAY STREET GRADE
2' -4' ~, VARIES too PREFERRED STREET GRADE
— PREFERRED
,2% MAX.
6 THICK CONC.
SECTION A - A SECTION B - B
DETAIL NOTES:
1 ALL CONCRETE SHALL USE TYPE V
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
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.
CHANGE IN GRADES SHALL NOT
EXCEED 8%, UNLESS THE LENGTH IS
LESS THAN 2 FEET THEN GRADE SHALL
NOT EXCEED 15%.
** COMMERCIAL : UP TO 8%
RESIDENTIAL: UP TO 9%
ISOMETRIC VIEW
NOT TO SCALE
REVISIONS DEPARTMENT OF PUBLIC WORKS
ENGINEERING DIVISION "&r4 44" STANDARD
PLAN No.
221 APPROVED BY: DRIVEWAY
WITH SIDEWALK
ADJACENT TO CURB
SHEET
10F3
±.J$S
YEx p.
E.DTh
puNcwo,M 4 /?/
R.CE No 48 12/31/ 2
4' APRON WHEN
STREET GRADE I'
EXCEEDS 4%
4,
A I WEAKENED PLANE JOINTS
LOT LINE
FT. INTERVALS RIGHT-OF-WAY
.,.,.
'. :.
2' MIN. FROM
. I '
• •'
.4
• ' • . 5' SIDEWALK
LOT LINE . . • • • 14 • '
•
. 4,
4 . . •
. I •• I •, •'
•. .:
4•
•. : - 4
4 4
I .•d
.I
•
'\-
-
I
3,
MIN.
* MAYBE REDUCED TO 30 FT.
MIN. WITH APPROVAL OF
CITY ENGINEER
COMMERCIAL UP TO 8%
RESIDENTIAL: UP 109%
•
I
3 RESIDENTIAL 12' MIN. -30' MAX.
MIN. COMMERCIAL 35' MIN. - 40' MAX.*
Ml £ &I %II%AI
L._
SIDEWALK RIGHT-OF-WAY
9100
1"LIP MAX.
,,i1IètjmI
CONCRETE
SECTION A - A
DETAIL NOTES:
ALL CONCRETE SHALL USE TYPE V
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
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. 60
CHANGE IN GRADES SHALL NOT
EXCEED 8%, UNLESS THE LENGTH IS
LESS THAN 2 FEET THEN GRADE SHALL
NOT EXCEED 15%.
-' .•• .•.:..
..
.
COMMERCIAL UP TO 8%
RESIDENTIAL UP TO 15%
ISOMETRIC VIEW
NOT TO SCALE
REVISIONS DEPARTMENT OF PUBLIC WORKS PLAN No. iiy. 4. 14t,iiIi
STANDARD
- - ENGINEERING DIVISION , No. DATE
JAN-il APPROVED BY DRIVEWAY 2211
= J .JN 1J WITH SIDEWALK SHEET N.P.E.AJb A
ADJACENT TO R I W 20F3 R.C.E. No. 45843 E. 12/31/12
ISOMETRIC VIEW
NOT TO SCALE
KI LOT LINE
2' MIN. FROM
LOT LINE
• 4.
I
*
a
5TRANSITION
6" VERTICAL
CURB- rL
DETAIL NOTES:
ALL CONCRETE SHALL USE TYPE V
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
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.
7 CHANGE IN GRADES SHALL NOT
EXCEED 8%, UNLESS THE LENGTH IS
LESS THAN 2 FEET THEN GRADE SHALL
NOT EXCEED 15%.
A WEAKENED PLANE JOINTS
FT INTERVALS J_RIGHTIF WAY
: 4
• •
SIDEWALK
a
, • • • - 5' TRANSITION
. 6" VERTICAL
CURB
I WEDGE CURB
A SEE STD. 211
- RESIDENTIAL 12' MIN. -30' MAX. -
a •i t I..a.
SIDEWALK RIGHT-OF-WAY
0100
2% VARIES
flTlE[ I ILI THICK
CONCRETE
SEE STD. 211 SECTION A - A
REVISIONS DEPARTMENT OF PUBUC WORKS STANDARD
PLAN No. 4 i4reiiR. - - W. DATE ENGINEERING DIVISION
DRIVEWAY WITH 22'1 AA i/'I'i SIDEWALK ADJACENT SHEET
__
- - WftVS /CE TO WEDGE CURB 30F3 P.C.E. No. 45843 Exp. 12/31/12