13093`a0l,L'^""uQ \ See below for Finance Revenue Codes
ENCROACHMENT PERMIT Cp
OFT 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.
sC-® 01 ETED Subdivision Improvement Permit - Class III —
�Minor Improvement Permit - Class IV
DATE: 9/26/2013
LOCATION OF CONSTRUCTION: La Quinta Community Park; 77865 Avenida Montezuma
PURPOSE OF CONSTRUCTION: Patriot Ride for Our Heroes; Traffic Control for Charity Bicycle Event
DESCRIPTION OF CONSTRUCTION: Placing Barricades and Other Traffic Control on Streets for Directional Signage.
DIMENSION OF INSTALLATION OR REMOVAL: Y x 3'
APPROXIMATE TIME WHEN WORK WILL BEGIN: 10/25/2013 TIME OF COMPLETION: 10/26/2013
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 wor
ASignat��Wlicant or Agent
CVSPIN, Inc. - Daphne Jasperse 74854 Velie Way, Suite 9; Palm Desert, CA 9244 760-674-4700
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
Philadelphia Insurance Company PHPK7163146
Applicant's Insurance Company Policy Number —
FEES Subdivision Improvement Permit - Class I Public Improvements: 3% of estimated construction costs
Minor Improvement Permit - Class I Private Improvements: 3% of estimated construction costs
r Finance Revenue Code PERMIT NUMBER: 13093
Inspection Fee E-110.00 DATE ISSUED:' Z 1 l3 j
EXPIRATION DATE: 2 f �`i i
j Permit Fee EE=1 0.00 BY:
j As -Built Deposit E-A $0.00
Cash Deposit -Surety Bond, E_B $0.00 WORK INSPECTED B AIQ, 4I. WaA i
if required PERMIT COMPLETION DA *•
TOTAL $0.00 ' If the work is covered by a Subdivision Improvement Agreement, Subdivider
shall request final acceptance of improvements from the City Council.
See below for Finance Revenue Codes
0
7'z
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: 9/26/2013
LOCATION OF CONSTRUCTION: La Quinta Community Park; 77865 Avenida Montezuma
PURPOSE OF CONSTRUCTION: Patriot Ride for Our Heroes; Traffic Control for Charity Bicycle Event
DESCRIPTION OF CONSTRUCTION: Placing Barricades and Other Traffic Control on Streets for Directional Sign
DIMENSION OF INSTALLATION OR REMOVAL: Tx 3'
APPROXIMATE TIME WHEN WORK WILL BEGIN: 10/25/2013 TIME OF COMPLETION: 10/26/2013
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 wo K---_
Signatur4 f Ap licant or Agent
CVSPIN, Inc. - Daphne Jasperse 74854 Velie Way, Suite 9; Palm Desert, CA 92;W0 760-674-4700
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
Philadelphia Insurance Company PHPK7163146
Applicant's Insurance Company Policy Number
FEES Subdivision Improvement Permit - Class I
Minor Improvement Permit - Class I
Finance Revenue Code
I
Inspection Fee EE=1
$0.00
Permit Fee E_1
$0.00
As -Built Deposit E-A
$0.00
Cash Deposit -Surety Bond, EE=6
$0.00
if required
TOTAL
$0.00
Public Improvements: 3% of estimated construction costs
Private Improvements: 3% of estimated construction costs
PERMIT NUMBER: 13093
DATE ISSUED: 1,&/ Zt 1 /3
EXPIRATION DATE: 2 f iq
BY: z
WORK INSPECTED BW
PERMIT COMPLETION DATE*:
* If the work is covered by a Subdivision Improvement Agreement, Subdivider
shall request final acceptance of improvements from the City. Council.
.Date: September 11, 2013
Twy/ 4 4 a"
PUBLIC WORKS DEPARTMENT
APPLICATION FOR PERMIT
Tract No: Project Name: Patriot Ride For Our Heroes
Vicinitv: La Quinta Community Park, 77865 Avenida Montezuma, La Quintet, CA 92253
Purpose of Construction (i.e.: Rough Grading, Offsite Street, etc.) -Ttra-;t. L„rf,•�f
CharityBicycle Event
Description of Construction (i.e.: See Plan. Set No. 01234)
Placing barricades�on streets for directional sionaoe
Dimension of Installation o.r Removal:
approximately 3' x 3' (thev fold uo)
Approximate Construction Start Date: October 25, 2013
Approximate Construction Completion Date: October 26, 2013
Estimated Construction Cost: $ N/A
Estimated Construction Cost shall include the removal ofall obstructions, materials, and dehris, back -filling, compaction and
placing permanent resurfacing and or replacing improvements
Contact Name: Daphne Jasperse Phone Number: 760-674-4700
Name of App.licant/Owner: CVSPIN, Inc., dba Patriot Ride For Our Heroes
Applicant Address: 74854 Velie Way, Suite 9, Palm Desert, CA 92260
Applicant Telephone Number: 760-674-4700
Applicant E-mail Address: info@tourdepalmsprings.com
Name of Contractor: N/A
Contractor. Address:
Contractor Telephone Number:
Contractor State I icense Number:
Contractor City Business License Number:
Contractor E -mad Address:
►A COPY 01' 'rut c, CURRIENT INSURANCE CER.- IFICATE MUST BF, PROVII DED -4
Applicant or Contractor General Liability Insurance Company:
Philadelphia Insurance Company (see attached)
Applicant or Contractor Generpl Liability Insurance Policv Number:
Office Use Only:
Inspection Fee:
Permit Fee -
As -Built
neposir
Dust Control
Deposit
Cred
A niou'
Amount:
TOTAL; FEE DUE:
� 1
plication
Office Use Only:
Assigned Permit N''umber: I ��
Approval Date:
Esl:uiidtion
Date:_
Issue
Date.:
Administrative Aulhorily:
PERMIT NO. 13093
Patriot Ride /Temp Traffic Control for Charity Bicycle Event /La Quinta
Community Park and Various Streets
In addition to the standard permit conditions, the following shall apply:
The applicant shall be available during the event by phone at (760) 801-7938.
2. Pursuant to Section 14.16.3 20 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. CVSPIN, Inc. (Daphne Jasperse), 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 October 26, 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 14.16.110 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 2
PERMIT NO. 13093
Patriot Ride /Temp Traffic Control for Charity Bicycle Event /La Quinta
Community Park and Various Streets
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 notJimited 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
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NOTES: 1. ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN ACCORDANCE WITH THE 2012 CALIFORNIA MANUAL ON UNIFORM TRAFFIC CONTROLS (Ca M.U.T.CD.)
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 (TYR IZ)' TRAFFIC LANE WIDTH AT ALL TIMES.
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 WILL BE ON A SATURDAY 10126, 6 AM TO 6 PM. AS THE LAST PARTICIPANT CLEARS A SECTION, THE
TRAFFIC CONTROL SHALL BE REMOVED. ALL TRAFFIC CONTROL SHOULD BE REMOVED BY 6 PM AT THE LATEST.
7. THIS IS AN OPEN COURSE NOT A CLOSED COURSE. ALL PARTWAPANTS SHALL OBEY ALL TRAFFIC LAWS INCLUDING STOP SIGNS AND TRAFFIC SIGNALS CROSSING THE STREET WHEN SAFE TO DO SO.
8. THERE WILL BE WATER STOPSICHECKPOINTS ALONG THE ROUTE.
9. VOLUNTEERS SHOULD BE STATIONED AT MAJOR INTERSECTIONS TO HELP THE PARTICIPANT IN CROSSING. THEY SHALL WEAR HI VIS SAFETY VESTS AND SHALL NOT STOP VEHICLE TRAFFIC FOR
PARTICIPANTS TO CROSS.
10. THE ROUTE IS TO USE BIKE LANES AS MUCH AS POSSIBLE. THE 5 MILE ROUTE GOES THRU MOSTLY RESIDENTIAL. THESE STREETS SHALL BE POSTED'NO PARKING OCT 26 6 AM TO 6 PM'. THE
PARKING LANE SHALL BE USED ASA BIKE LANE t\
11. CONTRACTOR SHALL OBTAIN APPROVAL FROM THE LA QUINTA POLICE AND FIRE DEPARTMENT.
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