12014See below for Finance Revenue Codes
ENCROACHMENT PERMIT
OF PUBLIC WORKS CONSTRUCTION
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
Minor Improvement Permit - Class IV
DATE: 3/15/2012
LOCATION OF CONSTRUCTION: Avenida Bermudas in La Quinta
PURPOSE OF CONSTRUCTION: Soap Box Derby; Street Closure to for Race Day Event on March 24, 2012
DESCRIPTION OF CONSTRUCTION: See Attached Traffic Control Plan
DIMENSION OF INSTALLATION OR REMOVAL:
APPROXIMATE TIME WHEN WORK WILL BEGIN: 3/24/2012 TIME OF COMPLETION: 3/24/2012
ESTIMATED CONSTRUCTION COST: N/A (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 occuring 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 La Quinta and to pay for any additional replacement necessary as the result of this work.
Signature of Applicant or t
Desert Recreation District - Manny Marrujo 45305 Oasis Street, Indio, CA 92201 (760) 347-3484 / (760) 296-9901
Name of Applicant Business Address Telephone No
N/A
Name of Contractor and Job Foreman Business Address Telephone No.
N/A N/A
Contractor's License Number City Business License No
Granite State Insurance Co. 02 -LX -027561938-0/000
Applicant's Insurance Company Policy Number
FEES Subdivision Improvement Permit - Class I
Minor Improvement Permit - Class I
Finance Revenue Code
Inspection Fee EE=1 0.00
Permit Fee E_1 $0.00
As -Built Deposit E-A $0.00
Cash Deposit -Surety Bond, EE=B 0.00
if required
TOTAL $0.00
Public Improvements: 3% of estimated construction costs
Private Improvements: 3% of estimated construction costs
PERMIT NUMBER: 12014
DATE ISSUED:
EXPIRATION DATE: ZZ
BY:
WORK INSPECTED BY':
PERMIT COMPLETION DATE*:
If the work is covered by a Subdivision Improvement Agreement, Subdivider
shall request final acceptance of improvements from the City Council.
GENERAL CONDITIONS --PERMIT NO. 12014
--GREATER COACHELLA VALLEY SOAP BOX DERBY --
This permit authorizes special event activities to be. accomplished within City of La Quinta
right-of-way ONLY. Whenever the special event activities extend into private property, it is
the responsibility of the applicant, or their agents, to secure permission from abutting property
owners. Such authorization must be secured by the applicant prior to starting the special
event activities.
The applicant, Manny Marrujo — Desert Recreation District, shall be available during the
event by cellular phone at (760) 296-9901 or a message can be left at (760) 347-3484.
2. The necessary traffic control signage, barricades, and cones identified on the approved traffic
control plans will be provided and set up by the City. 'The applicant shall notify the City
immediately if replacement equipment is needed.
3. The applicant shall be responsible to have volunteers at the intersection of Bermudas &
Nogales at all times during the event to allow residents living on Avenida Bermudas within
the event area, their guests, mail carriers, and companies delivering to them, access to the
southbound one-way fire lane provided on the traffic control plans.
4. The applicant shall also assign volunteers to regularly monitor the intersections of. 1)
Bermudas & Chihuahua, 2) Bermudas & Monterey, 3) Bermudas & Colima, and 4)
Bermudas & Arroba.
5. The permittee is responsible for making sure that temporary no parking signs along the
parking area affected by the special event are existing. The signs shall be placed along the
area 48 hours prior to the start of closing the area and removed immediately after the
construction completion date.
6. The Applicant or Contractor shall furnish the City satisfactory evidence of insurance in the
amounts provided in Engineering Bulletin for Indemnification & Insurance Requirements.
This insurance shall be kept in full force and effect at all times by Applicant or Contractor
during the prosecution of the permitted work and updated Certificate of Liability Insurance
shall be submitted to the City. Each policy shall name the City as an additional insured.
7. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
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.
Page 1 of I
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CLOSED E
POST NO PARKING AT 100' INTERVALS ROAD CLOUD CLOSE
ON WEST SIDE OF AVE BERMUDAS TMRUTRA"IC
72 HOURS IN ADVANCE OF EVENT
(EAST SIDE IS PERMANENTLY POSTED)
NOTES: 1. ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN ACCORDANCE WITH THE 2010 CALIFORNIA MANUAL ON UNIFORM TRAFFIC CONTROLS (M.U.T.C.D.)
2. TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED. ADDITIONAL TRAFFIC CONTROL MAY BE REQUIRED TO FACILITATE PUBLIC SAFETY AND TRAFFIC FLOW IF DEEMED NECESSARY BY
CITY OF LA QUINTA REPRESENTATIVE,
3. THROUGHOUT EACH WORK PERIOD, CONTRACTOR SHALL INSPECT TRAFFIC CONTROL (SIGNS, BARRICADES AND DELINEATORS) AND MAINTAIN SAME IN ACCORDANCE WITH TRAFFIC CONTROL PL
4. CONTRACTOR SHALL MAINTAIN A MINIMUM 10' (12' TYP.) TRAFFIC LANE WIDTH AT ALL TIMES. THERE SHALL BEA MINIMUM T BETWEEN THE EDGE OF CUT AND THE NEAREST TRAFFIC LANE.
5. ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINED AT ALL TIMES.
6. THIS TRAFFIC CONTROL SHALL BE IN PLACE DURING WORK HOURS ONLY. AT END OF THE WORK HOURS, THE ROAD SHALL BE CLEAR OF DEBRIS AND RETURNED TO NORMAL..
7. CITY OF LA QUINTA OR THE DESERT RECREATION DIST. WILL NOTIFY ALL AFFECTED RESIDENTS IN ADVANCE OF THE EVENT AND HOW TO ACCESS THEIR HOMES.
Soap Box Derby
PAme Contractor
City of La Quinta
F
.0
4=
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350' 350'
_ C* a
AVENIDA BERMUDAS
45
N/AI
Tops N Barricades, Inc. (800)852 -TOPS Ron Fifield
eeS�h L %m er — Date PirmG Number
1 REV 03/07/11 To Be Issued on Approval
Ll
Date:: -- ....� �` _L.._%.�
PUBLIC WORKS DEPARTMENT
.AP:PUCATION FOR. PERMIT
Tract No: Proict Narric: Soap Box Derby Local Race
vicinity:Avenidas Bermudas, La Quinta, CA 92253
Purpose of Construction (i.e.: R.ouL-Th Grading. Offsite St.rect, etc.) Soap Box Derby Race
Description of Construction (i.e.: See Plan Set No. 01234)Street Closure for race day
event on March 24, 2012
Dirrfension of installation or Removal:
Approxirnratc Construction Start Date: March 24,_2012 by 6am
Approximate Construction Completion Date: March 24, 2012 by Spm„
Estimated ConstriletiOn. Cost: S NIA - Partnership with _City of La Quinta
F.Ahna cd Construction (`rest Ghali include the removal or all obatructiuns, materials, and :febris, back -IiIIirig, compaction rued
placing lie. uunant r;surlacing anti or rplacinG improvemcnrs
Contact Name: Manny Marrujo Phone Number: 760-296-9901
Name of'Applicant/Owner: Desert Recreation District
Applicant .Address: 45305 Oasis Street, Indio CA 92201
Applicrult Telephone Number: 760-347-3484
:-applicant L -mail Address: MMARRUJO@DRD_US,COM
Name of Contractor: NIA
....._..................
_
Contractor Address:
Contractor Telephone Number:
Contractor State .License Number:
Contractor City .Business License Nurliber:
Contractor E-rnail Address:
►A COPY OF THE CURRI.NT INSURANCE u.,s' rIFICATE 1VTUST BE" PItOVIDED4
Applicant or Contactor Gencr4a4e
iability insurance Company:
�-raHi�e. T,v� s uf✓�,.� c& G, .
Applicant or Contractor General Liability'Insurance Policy Number:
0 2--l-K— 0 21 r61 R 3,,Y -%O b_
Off c Use Oid :
Assigned Permit Number:
D`
.. _...... .._........__....
_
A.ppt<,val bait:
................................... _
Expiration
Date:
_. __.__..................... ..,.___._.......................
Issue
Dale:
Admini,n'ative Authority:
plication for erml pos e
Orree Use Oniv.
Inspxr,tion I=ce:
O
_ ._ ....
Perrot Fcc,
_......._........_._......................... --- _
t`
^�
1�Deposit;__........._........_._...._........_..........._........,�..__-----..._....._.�_.
As-lauilt
Dust Control
Deposit:.......
.......... _.......................
credit
Amount:
nus icr is c — Primic Y. annilt-miM
Off c Use Oid :
Assigned Permit Number:
D`
.. _...... .._........__....
_
A.ppt<,val bait:
................................... _
Expiration
Date:
_. __.__..................... ..,.___._.......................
Issue
Dale:
Admini,n'ative Authority:
plication for erml pos e
ENCROACHMENT PERMIT
PUBLIC WORKS CONSTRUCTION
See below for Finance Revenue Codes
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
Minor Improvement Permit - Class IV
DATE: 3/15/2012
LOCATION OF CONSTRUCTION: Avenida Bermudas in La Quinta
PURPOSE OF CONSTRUCTION: Soap Box Derby; Street Closure to for Race Day Event on March 24, 2012
DESCRIPTION OF CONSTRUCTION: See Attached Traffic Control Plan
DIMENSION OF INSTALLATION OR REMOVAL:
APPROXIMATE TIME WHEN WORK WILL BEGIN: 3/24/2012
TIME OF COMPLETION: 3/24/2012
ESTIMATED CONSTRUCTION COST: N/A (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 occuring 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 La Quinta and to pay for any additional replacement necessary as the result of this work.
A—,
(r--�
Signature of Applicant or t
Desert Recreation District - Manny Marrujo 45305 Oasis Street, Indio, CA 92201 (760) 347-3484 / (760) 296-9901
Name of Applicant Business Address Telephone No
N/A
Name of Contractor and Job Foreman Business Address Telephone No.
N/A N/A
Contractor's License Number City Business License No
Granite State Insurance Co. 02 -LX -027561938-0/000
Applicant's Insurance Company Policy Number
FEES Subdivision Improvement Permit - Class I
Minor Improvement Permit - Class I
Finance Revenue Code
Inspection Fee E_1
0.00
Permit Fee E_1
$0.00 i
' As -Built Deposit E-A
$0.00
Cash Deposit -Surety Bond, EE=B
$0.00
if required
TOTAL
0.00 i
Public Improvements: 3% of estimated construction costs
Private Improvements: 3% of estimated construction costs
PERMIT NUMBER: 12014
DATE ISSUED: yZ Z—
EXPIRATION D TE: Z
BY:
WORK INSPECTVD BY*:
PERMIT COMPLETION DATE*:
{ • If the work is covered by a Subdivision Improvement Agreement, Subdivider
ishall request final acceptance. of improvements from the City Council.
GENERAL CONDITIONS --PERMIT NO. 12014
--GREATER COACHELLA VALLEY SOAP BOX DERBY --
This permit authorizes special event activities to be accomplished within City of La Quinta
right-of-way ONLY. Whenever the special event activities extend into private property, it is
the responsibility of the applicant, or their agents, to secure permission from abutting property
owners. Such authorization must be secured by the applicant prior to starting the special
event activities.
1. The applicant, Manny Marrujo — Desert Recreation District, shall be available during the
event by cellular phone at (760) 296-9901 or a message can be left at (760) 347-3484.
2. The necessary traffic control signage, barricades, and cones identified on the approved traffic
control plans will be provided and set up by the City. The applicant shall notify the City
immediately if replacement equipment is needed.
3. The applicant shall be responsible to have volunteers at the intersection of Bermudas &
Nogales at all times during the event to allow residents living on Avenida Bermudas within
the event area, their guests, mail carriers, and companies delivering to them, access to the
southbound one-way fire lane provided on the traffic control plans.
4. The applicant shall also assign volunteers to regularly monitor the intersections of: 1)
Bermudas & Chihuahua, 2) Bermudas & Monterey, 3) Bermudas & Colima, and 4)
Bermudas & Arroba.
5. The permittee is responsible for making sure that temporary no parking signs along the
parking area affected by the special event are existing. The signs shall be placed along the
area 48 hours prior to the start of closing the area and removed immediately after the
construction completion date.
6. The Applicant or Contractor shall furnish the City satisfactory evidence of insurance in the
amounts provided in Engineering Bulletin for Indemnification & Insurance Requirements.
This insurance shall be kept in full force and effect at all times by Applicant or Contractor
during the prosecution of the permitted work and updated Certificate of Liability Insurance
shall be submitted to the City. Each policy shall name the City as an additional insured.
7. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
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.
Page 1 of I
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POST NO PARKING AT 100' INTERVALS
ON WEST SIDE OF AVE BERMUDAS
72 HOURS IN ADVANCE OF EVENT
(EAST SIDE IS PERMANENTLY POSTED)
-
NOTES: 1. ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN ACCORDANCE WITH THE 2010 CALIFORNIA MANUAL ON UNIFORM TRAFFIC CONTROLS (M.U.T.C.D.)
2. TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED, ADDITIONAL TRAFFIC CONTROL MAY BE REQUIRED TO FACILITATE PUBLIC SAFETY AND TRAFFIC FLOW IF DEEMED NECESSARY BY
CITY OF LA QUINTA REPRESENTATIVE.
3. THROUGHOUT EACH WORK PERIOD, CONTRACTOR SHALL INSPECT TRAFFIC CONTROL (SIGNS, BARRICADES AND DELINEATORS) AND MAINTAIN SAME IN ACCORDANCE WITH TRAFFIC CONTROL PLANS.
4. CONTRACTOR SHALL MAINTAIN A MINIMUM 10' (12' TYP.) TRAFFIC LANE WIDTH AT ALLTIMES. THERE SHALL BE A MINIMUM Z BETWEEN THE EDGE OF CUT AND THE NEAREST TRAFFIC LANE.
5. ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINED AT ALL TIMES,
6. THIS TRAFFIC CONTROL SHALL BE IN PLACE DURING WORK HOURS ONLY. AT END OF THE WORK HOURS, THE ROAD SHALL BE CLEAR OF DEBRIS AND RETURNED TO NORMAL..
7. CITY OF LA QUINTA OR THE DESERT RECREATION DIST. WILL NOTIFY ALLAFFECTED RESIDENTS IN ADVANCE OF THE EVENT AND HOW TO ACCESS THEIR HOMES.
lOEF
ITIrwD mm ONLY
10
THRU TRAFFIC
45
Soap Box Derby
PAme ConbodN Bisect on StVn
City of La Quinta N/A
Traffic Control Design by Pbow Prepared By
Tops N Barricades, Inc. (800)852 -TOPS Ron Fifield
et -Date F�emil Nvnber
1 REV 03/07/11 To Be Issued on Approval
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�r
lOEF
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THRU TRAFFIC
45
Soap Box Derby
PAme ConbodN Bisect on StVn
City of La Quinta N/A
Traffic Control Design by Pbow Prepared By
Tops N Barricades, Inc. (800)852 -TOPS Ron Fifield
et -Date F�emil Nvnber
1 REV 03/07/11 To Be Issued on Approval
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THRU TRAFFIC
45
Soap Box Derby
PAme ConbodN Bisect on StVn
City of La Quinta N/A
Traffic Control Design by Pbow Prepared By
Tops N Barricades, Inc. (800)852 -TOPS Ron Fifield
et -Date F�emil Nvnber
1 REV 03/07/11 To Be Issued on Approval