13025See below for Finance Revenue Codes
U _5� 4
.��T 9w5w ENCROACHMENT PERMIT
�r0F PUBLIC WORKS CONSTRUCTION
For the construction of public or private curbs, driveways, pavements, sidewalks, parking.lots, sewers, water m ins an o er like public
works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS.
M�'�� Subdivision Improvement Permit -Class III
COM
Minor Improvement Permit - Class IV
DATE: 2/28/2013
LOCATION OF CONSTRUCTION: Desert Triathlon; Lake Cahuilla, Madison Street, Avenue 58, and Monroe Street
PURPOSE OF CONSTRUCTION: Desert Triathlon for Bike Course Set
DESCRIPTION OF CONSTRUCTION: Traffic Control Set Up for Bike Course
DIMENSION OF INSTALLATION OR REMOVAL: See Traffic Control Plan
APPROXIMATE TIME WHEN WORK WILL BEGIN: 3/2/2013 TIME OF COMPLETION: 3/3/2013
ESTIMATED CONSTRUCTION COST: $800
permanent resurfacing and/or replacing improvements)
COMMENTS
(Including. removal of all obstruction, materials, and debris, backfilling, compaction and placing
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. 4.
)6
S
Klein Clark Sports, LLC - Greg Klein 80 Via Del Mercato, Rancho Mirage, CA 92270
Name of Applicant Business Address
Tops N Barricade
Name of Contractor and Job Foreman
787664 .
Contractor's License Number
Lexington Insurance Company'C
Applicant's Insurance Company
FEES
Minor Improvement Permit -Class I
44631 Jackson Street, Indio, CA 92201
Business Address
HAR UA. ZO
Finance Revenue Code
Inspection Fee E_1 0.00
Permit Fee " E_1 100.00
As -Built Deposit` E-A 0.00
Cash It
Bond, EE=B 0.00
if required
TOTAL $100.00
of Applicant or Agent
(760) 832-0497/ 324-7609
Telephone No
(760) 275-3869
Telephone No.
103875
City Business License No
9472610
Policy Number
Public Improvements: 3% of estimated construction costs
Private Improvements: 3% of estimated construction costs
PERMIT NUMBER: 13025
DATE ISSUED: MG r�L� 1 2"o f 3
EXPIRATION DATE.
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.
Twy
��a� " w
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: 2/28/2013'
LOCATION OF CONSTRUCTION: Desert Triathlon; Lake Cahuilla, Madison Street, Avenue 58, and Monroe Street
PURPOSE OF CONSTRUCTION: Desert Triathlon for Bike Course Set Up
DESCRIPTION OF CONSTRUCTION: Traffic Control Set Up for Bike Course
DIMENSION OF INSTALLATION OR REMOVAL: See Traffic Control Plan
APPROXIMATE TIME WHEN WORK WILL BEGIN: 3/2/2013 TIME OF COMPLETION: 3/3/2013
ESTIMATED CONSTRUCTION COST: $800 (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.
Klein Clark Sports, LLC - Greg Klein 80 Via Del Mercato, Rancho Mirage, CA 92270
Name of Applicant Business Address
N Barricade
Name of Contractor and Job Foreman
787664
Contractor's License Number
Lexington Insurance Company
Applicant's Insurance Company
FEES
Minor Improvement Permit - Class I
44631 Jackson Street, Indio, CA 92201
Business Address
MAR 01
Finance Revenue Code
Inspection Fee E_1
$0.00
Permit Fee E_1
$100.00
As -Built Deposit E-A
$0.00
Cash Deposit -Surety Bond, E_B
$0.00
if required
TOTAL
100.00
of Applicant or Agent
(760) 832-0497/ 324-7609
Telephone No
(760) 275-3869
Telephone No.
103875
City Business License No
9472610
Policy Number
Public Improvements: 3% of estimated construction costs
Private Improvements: 3% of estimated construction costs
PERMIT NUMBER: 13025
DATE ISSUED: MC,, -C,1 j
EXPIRATION DATE r 2J I
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.
02/25/2012 18: 09
760-320-1341 KLEIN AND CLARK SPTS PAGE 01
Date:
C&a!p �F�a�rw 70
PUBLIC WORTS 77
APPLICATION FOR PERMIT
Tract No: Project Name: �►
Vicinity: arc, l L t ` 6 1
Purpose of Construction (i.e.: Rou Odin ,1�� Street, c.)
Descripltion of Construction (i.e.- See Plan Set No. W234
Dimension of Installation or Removal:
Approximate Construction Start Date: _W12-
Approximate Construction Completion Date:
Estimated Construction Cost: $ B e
Estimated Construction Cost shall include the removal of all obstructions, materials, and debris, back -filling, compaction and
placing permanept resurfacing and or replacing improvements
041�So" S4,
Contact Name:I 5 6-- /�G [.:�� Phone Number: C)
Name of Applicant/Owner:
Applicant Address: �� t/ •,� ,� 4 a !!
Applicant Telephone Number: 7 O 6
Applicant E-mail -Address: W Id"ix x ge die4-
Name of Contractor:
Contractor Address -
Contractor
Contractor Telephone Number: _ 2.
Contractor State License Number: V1,7694
Contractor City Business License Number: p
Contractor E-mail Address:
►A. CORY OF THE CUPAENT INSURANCE CERTIk CATS MUST BE RROVIDEJD -4
Applicant or �ntractor General Liability Insurance Company:
Applicant or Contract neral Liability Insurance Policy
14.12-6 to
Of3ce Use Only-
�Inspection Fee:
Permit Fee:
As -Built,
Deposit:
Dust Control
15, -posit:
Office Use Oq!E 13
2 OL
Assigned Permit Nurnber: 7
Approval Date:
Expiration
Date:_
Issue
Date:
Credit
Amount: Administrative Authority:
'TO'T'AL kF.E DUE: (Q(,
nve ec Is s - Forms & Applicalions/Application Tor Permit pos e
ZO
Date:
4
PUBLIC WORKS DEPARTMENT
APPLICATION FOR PERMIT
Tract No: Project Name:t/�L� Lo n
Vicinity: L -/a --le— J6 l` A az4.; /la L_A
Purpose of Construction (i.e.: Rou h Gradin , Offsite Street, c.)
Description of Construction (i.e.: See Plan Set No. 0123 4)
Dimension of Installation or Removal: e''.� ,Q a
Approximate Construction Start Date:
Approximate. Construction Completion Date:
Estimated Construction Cost: $ . gs c
Estimated Construction Cost shall include the removal of all obstructions, materials, and debris, back -filling, compaction and
placing permanent resurfacing and or replacing improvements
Contact Name:
Name of Applicant/Owner:
Applicant Address: 1 D I/,.# -
Applicant Telephone Number:
Applicant E-mail Address: _ 1 a4 (�
Name of Contractor:
Contractor Address: r.�-
Contractor Telephone Number: -
Contractor State License Number:
Contractor City Business License Number:
Contractor E-mail Address:
Phone Number:
/tri' C_
2 yo `l0 6 9
V 42 eea
—2 i �. • ...2 ^2 e— —
►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.:
Assigned Permit Number:
Approval Date:
Expiration
Date:
Issue
Date:
Administrative Authority:
Application Tor Permit pose -
17
7o
PERMIT NO. 13025
Desert Triathlon./Temp Traffic Control for Bike Courses /Lake Cahuilla, Madison
St, Ave 58, & Monroe St
In addition to the standard permit conditions, the following shall apply:
1. The applicant shall be available during the event by phone at (760)832-0497 or (760)324=7069.
2. Pursuant to Section 14.16.320 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), all
work shall be performed in accordance with, the latest edition of the Standard Specifications For
Public Works Construction (SSPWC) and as directed by and to the satisfaction of the City Engineer.
3. Klein & Clark Sports, LLC (Greg Klein), hereinafter referred to as "Permittee", shall be
responsible for providing continuous dust and erosion control.
4. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and
more frequently, -if required.
5. The permittee shall remove all signs immediately after the completion of the event. Sign removal
should be accomplished by the completion of the event on March 3, 2013.
6. The Permittee shall contact the City Traffic Signal Maintenance Technician at (760) 250-0571 if
signal operation at the intersection is to be altered in any way.
7. The permittee is responsible for obtaining a valid separate permit from the California Department of
Transportation. Department (CalTrans), other City, or County jurisdictions if any of the work or
traffic control devices extend into the CalTrans, other City, or County right of way.
8. Pursuant to Section 14.16.1.10 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982),
Permittee shall assume responsibility for repair of any pavement damage to any public or private
street and for any damage to other City streets or facilities as a result of work performed under this
permit.
9. Pursuant to Section 14.16.250 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), at
residential streets, advance warning signs and traffic control shall be installed and maintained in
accordance the latest edition of the California Manual of Uniform Traffic Control Devices (CA
MUTCD) or the latest edition of the Work Area Traffic Control Handbook (WATCH).
On.Collectors to Arterial Streets, the permittee must submit a traffic control plan which shall be
from or prepared under the guidance of the latest edition of the California Manual of Uniform
Traffic Control Devices (CA MUTCD) or the latest edition of the Work Area Traffic Control
Handbook (WATCH). Traffic Control plans not from the CA MUTCD or the WATCH shall be
signed and stamped by a civil or traffic engineer registered in the State of California. It shall be the
Permittee's responsibility to appropriately detour and barricade all construction sites.
Pursuant to Section 14.16.290 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982),
street closures shall not be permitted without Public Works Director approval.
Special Conditions Page 1 of
PERMIT NO. 13025
Desert Triathlon /Temp Traffic Control for Bike Courses /Lake Cahuilla, Madison
St, Ave 58, & Monroe St
10. Prior to excavating, if required, the Permittee shall contact Underground Service Alert at 811. It
shall be the Permittee's responsibility to notify the Public Works Department of anticipated
excavation which impact City facilities, including but not limited to traffic signal conduits and loops,
irrigation lines, electrical conduits, and storm drain facilities.
11. Should additional work, materials, or modifications of the work be required in.order to meet City
standards, safety requirements, signage requirements, or to fit actual field conditions, the work shall
be performed by the Permittee as directed by and to the satisfaction of the City Engineer at no cost to
the City of La Quinta.
12. The Applicant or Contractor shall furnish the City satisfactory evidence of insurance in the amounts
provided in the Engineering Bulletin on 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.
13. The applicant shall provide informative message board(s) informing the commuters using the affected
roadways of possible traffic delays due to the street closures and time of the event. The message
board shall be provided for the commuters 48 hours prior to the start of event.
14. The City of La Quinta reserves the right to require modifications of the work be made at permittee's
sole cost for proper sight distance requirements per guidelines in the AASHTO " A Policy on
Geometric Design of Highways and Streets, 5th Edition" or latest, in the installation of all
appurtenances abutting and within the public street right-of-way.
15. Pursuant to Section .14.16.370 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982),
backfill compaction within street rights-of-way shall conform to Section 306-1:3 of the latest edition
of the Standard Specifications for Public Works Construction (SSPWC), except as otherwise
specified herein.
No excavation or backfill will be required on this project. Reapply if excavation is required.
16. All landscaping, irrigation, decorative rock, decorative concrete, sidewalk, lighting, etc., shall be
replaced to its original condition.
17. Access and egress to all local properties shall be maintained at all times.
18. Permittee shall permanently stabilize any and all soil that was disturbed as a result of work performed
under this permit with an approved dust control treatment. Soil stabilization shall be done
immediately after completing the operation.
19. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
20. 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.
Special Conditions Page 2 of 2
?. t ,e • M \
Tft Ii�QD�SaN S . W20-3- JACKSON ST.
CALMOUN S ... VAN BUREN St HARRIS®N: ST.
w 8 thio Bike Portion m ROE ST. s wzo.3 s• RR
• ii�p° S - .yr '�RDAD 'y+; - a aFyo� h4' _: .,
S Klein & Clark`
- NO $Qorts N/A
SCEILE ncoReoio� r r F
Tops N Barricades, Inc: (800)852 -TOPS Roman Fifield i 1 "'' { 3rd t 500'x''
MW f Aa,lldltdfl,b37 - 1 ' - ,n., . Sua -a,_,' E< Rs.,. _ .RM -
t - 1 9/13/12 To Be Issued on Approval
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NOTES: 1. ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHAM BE IN ACCORDANCE WITH THE 2012."`'
CALIFORNIA MANUAL'ON UNIFORM.TRAFFIC CONTROL DEVICES
a . C ASS immnWix
Ca.M.U.T.C.D. eee,d prat ' sz ' ti' "
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
f CITY OF LAQUINTAAND/OR COUNTY OF RIVERSIDE REPRESENTATIVE._ rx:
3. THROUGHOUT EACH ' .
{NORK PERIOD, CONTRACTOR SHALL INSPECT TRAFFIC CONTROL (SIGNS,:
- BARRICADES AND DELINEATORS) AND MAINTAIN SAME IN ACCORDANCE WITH TRAFFIC CONTROL ��•� �� '�� • `- '�- �"� h �;� � � ' � •:,,;�
PLANS . E.G2
4. P
ARTICIPANTS SHALL FOLLOW ALL TRAFFIC LAWS.
5. ACCESS TO PRIVATE PROPERTY SHALL BE.MAINTAINED AT ALL TIMES.-
THIS
IMES:
• - ;®m1m� ONLY
B. THIS TRAFFIC CONTROL SHALL BE IN PLACE DURING EVENT HOURS ONLY. THE EVENT IS ON ,
oNar
SUN. 10/7/121. THE HOURS ARE 5 AM TO NOON. TRAFFIC CONDITIONS ARE LIGHT VOLUME.
7. APOLICE 1 ®'
OFFICER SHALL BE POSTED AT EACH INTERSECTION ALONG THE ROUTE TO MONITORTRAFFIC.
N
W�B
NO SCALE
Re eeaDaeY Cab spumiul a
xx
TaffcCaODIP(anfa
Desert Triathlon Bike Portion
& Cm
Clark Sports
Wei N/A
TmftOxadD�by Pbme PMPWWBY
Tops N Barricades, Inc. (800)852 -TOPS Ron Fifield
shmk%grw D2* 2 of 2 2/15/13 To Be Issued on Approval
J = m
L %V
1764'
E
sj TRAFFI P
\F of
m`- ae '%A
L
THE l\-
QUARRY
ft
MADISON.ST. MONK
r
_AIRPORT BLVD. ;;44%
J
b
_ ACKSON S �� CALH.OUN ST. VAN BUREh
.� ►�1 AVE355
m
T. nn /iNrTRARic
Am
POST A RE 54
&JACKSON SIB i ONLY
f1RIG
_ .9�
LEI
1!
' • S
ONLY • 'i '� acsnro e
I
tll4 ] s4 4
1 j R .4
W20-3�1" acwmuus®
R41 i�DiDi R1
DOIOIE ULiM11IE [� •,n` l R,., �
Ii10QitNppR��DRINIDMI
IJ !ti U - { , • 1�{ ,BHRU,MFRC E
SPRINT'COURSE
4- SAT 315 5 AM TO 9:30 AM j
BIKE 14 MILES
INTERNATIONAL COURSE
SUN 316 5 AM TO 10.:30 AM.
BIKE 24 MILES (2 LOOPS)
TRAFFIC
DIRECTION
POLICE 1
OFFICER
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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 SAFETYAND TRAFFIC FLOW IF DEEMED NECESSARY BY
CITY OF LA QUINTAANDIOR COUNTY OF RIVERSIDE 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. PARTICIPANTS SHALL FOLLOW ALL TRAFFIC LAWS.
5. ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINED AT ALL TIMES.
6. THIS TRAFFIC CONTROL SHALL BE IN PLACE DURING EVENT HOURS ONLY. THE EVENT IS ON SAT.
3/5 AND SUN. 316 2011. THE HOURS ARE 5 AM TO NOON. TRAFFIC CONDITIONS ARE LIGHT VOLUME.
7. A POLICE OFFICER SHALL BE POSTED AT EACH INTERSECTION ALONG THE ROUTE TO MONITOR TRI
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