2748NOTE: s` `
With proper validation
this form constitutes an
encroachment permit
�t =
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
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
DATE: April 28, 1998
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Avanidn 8armdnr botucan Vsnncca Nack Lane ;and
Eisonhowar Drive for tho Flan r,,an.'a Run 5TH & 1511 runs
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Sot ur Cennorary traffic
controk nor 5M Fs 15K ruu
DESCRIPTION OF CONSTRUCTION Install traffic
anntsrol coanp and all frxan
DIMENSION OF INSTALLATION OR REMOVAL S -n trnffic
rtontrol.olcnn .
SIZE OF EXCAVATION, IF NEEDED 121onn
APPROXIMATE TIME WHEN WORK WILL BEGIN
.500 n.n. 1-av 17. 1998
Sketch (attach construction plans if appropriate)
APPROXIMATE TIME OF COMPLETION 12.200 5/17/9€3
ESTIMATED CONSTRUCTION COST $1/A
(including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
�'In consideration of the granting of this permit, the applicant hereby agrees to:
SEE ATTACHED CONDITIONS
SEE APPROVED TRAFFIC COQ TROL Pied.
Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and"all
e
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.
lel-:,y
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 ,00fQthis'work.
Signature of Applicant or Agent
USA Trac% & Field and P.O. Bon 16€37 ' La Quintn. CA (760) 564--3630
Name of Appli ant (please print) Business Address Telephone No.
hn A�:►icirtica �:e�nraoa of ttao USS,, Inc.
Prn Galbraith
Name of Contractor and Job Foreman Business Address Telephone No.
N/A WA
Contractor's License No. City Business License No.
St. Paul Narcury Imuranco Co. CK01301683
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I I I
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
�I'nspe7etion3"F�e P
Trnf £ is
Permit Fee
$ 175.
100.
.Penarfy, Traffic Control �►15.
:Cash ,Depos t=Surety Bored,
:If
Aequ.ir..� �eL ui . /Sct WE d �
TOTAL:
Receipt No. "r? Covored by Special Project u
Cont iunor,cy Und
Received by Date
2748,
PERMIT VALIDATION
PERMIT NO. 2748
DATE APPROVED 4/28198
EXPIRATION DATE 5/18/98
DATE ISSUED
By
Administrative Authority
Recorded by J� Telephone: (619) 777-7075
GENERAL CONDITIONS--PERMIT NO: 2748 : ` '
" • --- FLANAGAN'S RUN:(USA TRACK & FIELD.) =-'--
This permit authorizes work to be accomplished within City of Li Quinti right.of wa— ONLY.
' Whenever construction extends withinprivate property, it is the. responsibility, of the permittee
- for his contractors to secure permission "from abutting property owners. Such authorization"
must be secured by the permittee prior to starting work.
' 1. 'As part of the Encroachment-Permit fee, the City will `provide all traffic control signage;.
barricades, ,and cones identified ori the approved traffic control plansfor the subject street
'
y closure: City personnel will deliver; set-up, and remove traffic control devices as required during
the event.
• 2. .Streets.shall be kept clean: 'They shall be eomple'telycleaned at the end .of the event and more . 'r
" frequently if required.
3. Permittee shall"assume responsibility for repair'of any damage to public or^priyatestreets"and
fore damage to other City-owned. facilities as' a result of activities performedunder this ". y
permit. z "
,,. ` • .. .. 'Sal .!.
,
General Conditions &. Provisions - Pen-nit No. 2748 Page 1 of 1
,
.. ,:F.LANAGAN •S w`RUN.� ;.
NOTICE OF • .STREET--D;E=TOUR..AND - ,LANE CLOSURE '
:AVENIDA BERMU.-D-AS
cAuB rAMPRao • _ ' �. . F t t •.. , II r' ,��. . t •. ��. �' , . ; , • .,
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CA=.GDRANGO a00000 0000000 IUCr rays r ; •�
aaaooa00000000000�: { ; .: - .
K •{ MUD SINGLE• -M � , NORTHBOUND
� • LANE �
N� SINALOA- 'TO
000�000000000 _ 'ARROBA•-.
HOMED000000 � � . • A , y .., r ' .: R. .
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noun,000000000 ..: .
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0 , �: , , RESTRICTED..,
.
ACCESS
' R �ARROBA . TO . . .
EISENHOWER r
�4.. VhC.hNLTY -MAPA r .
NOT .TO SCALE
5' 12, 98 4
DESCRIPTION:
Total:
1
.2
3
4
5
6.
7 8
.9 Along
Route
Cones 28"
220
10
5
5
5
5
190
Plain Barricades
8
2
4
2
R2 25 MPH Speed Limit
5
2
1
2 -
R16 Symbolic No Right Tum
1
1
R17 S mbolic.No Left Turn'
4
1
1
1
1
R41 Right Turn Only
5
1
1
1
1
1
R42 Left Turn Only:
1
1
SC5 S ecial Event
2
=
2
MA Road Closed to Thru Traffi
6
1
1
4
C2 Road Closed
1
1
C5 Detour Left
1
1.
C19 Road Closed Ahead •
1
1
C30 Lane Closed
8
1
6 1
No Parkin Cardboard
50
50
A
NO PARKING SIGNS ARE
TO BE POSTED 24 HOURS
IN ADVANCE OF THE EVENT
5-13-98 R
DESIGNED BY: RJV
RECOMMENDED BY: SDS
APPROVED BY:
CHRIS A. VO &, P.E. DATE
CITY ENGINEER' RCE 44250.
CITY OF LA QUINTA "
AVENIDA BERMUDAS & EISENHOWER DR.
TRAFFIC CONTROL'PLAN FOR FLANAGAN'S RUN
DRAWING # 1
CONES SPACED. AT '48' O.C.
A
PLACED ON. YELLOW• CENTER STRIPE
CONES SPACED
•
o�. �,�: AT 48' O.C.
o " �r'
i
°o ti PLACED -ON YELLOW
o CENTER STRIPE
R41 RIGHT TURN ONLY
o
o
15 ADDITIONAL CONES
�• C2 ROAD,CLOSED.
g
(2) PLAIN BARRICADES
CALLS
,
POTRERO`
a :
N
R42 LEFT TURN ONLY
5 ADDITIONAL CONES
NO PARKING SIGNS ARE
TO BE POSTED 24 HOURS
IN ADVANCE OF THE EVENT
5-13-98 R
DESIGNED BY: RJV
RECOMMENDED BY: SDS
APPROVED BY:
CHRIS A. VO &, P.E. DATE
CITY ENGINEER' RCE 44250.
CITY OF LA QUINTA "
AVENIDA BERMUDAS & EISENHOWER DR.
TRAFFIC CONTROL'PLAN FOR FLANAGAN'S RUN
N
N
W'
!`/ I T 7 T. m /"/Y1 TT I I
CONES SPACED AT 48' O.C. ®.
PLACED ON YELLOW CENTER STRIPE °
o
r
o ,
0
5=13-98
DESIGNED BY: RJV °
RECOMMENDED BY: SDS
APPROVED BY:
CHRIS A. V GTI P.E. DATE
CITY ENGINEER RCE 44250
LEGEND
° CONES (28t9)
Y BARRICADE (TYPE 2)
�j BARRICADE W/SIGN
® NO PARKING SIGN
CITY 'OF LA. QUINTA
AVENIDA - BERMUDAS & AVENIDA MARTINEZ
TRAFFIC- CONTROL PLAN FOR FLANAGAN'S RUN
5
DESIGNED BY: RJV
RECOMMENDED BY: SDS
APPROVED BY:
CITY. OF LA QUINTA
j%
AVENIDA . BERMUDAS & CALLE MADRID
CHRIS A. V GT, P.E. DATE
CITY ENGINEER 44250
TRAFFIC CONTROL PLAN FOR FLANAGAN'S RUN
-' .RCE-
�� .
w
NO PARKING SIGNS ARE
TO BE POSTED 24 HOURS
IN ADVANCE OF ' THE 'EVENT
5-13-98
DESIGNED BY• RJV
- 1
RECOMMENDED .BY: SDS .
APPROVED BY: CITY 'OF LA QUINTA- ,
r
�3/eAVENIDA BERMUDAS_ & AVENIDA VILLA
CHRIS A. V6GT, P.E. ' DATE
CITY `ENGINEER RCE -44250 TRAFFIC CONTROL ,PLAN FOR.`, FLANAGAN, ;S _RUN
oo ® 200' (typical)
ETOUR °
°
5 ADDITIONAL CONES
o AT INTERSECTION
0
QTY R17.SYMBOLIC.NO LEFT TURN
CONES SPACED, AT 48' O.C.
° PLACED ON YELLOW CENTER STRIPE
LEGEND
NO PARKING SIGNS ARE o CONES (28")
TO BE POSTED24 HOURS
IN °.ADVANCE OF. THE -,EVENT
= BARRICADE (TYPE 2)
5-13-98 BARRICADE W/SIGN
DESIGNED BY: RJV '
n , NO PARKING SIGN
RECOMMENDED BY: SDS
APPROVED - BY: CITY OF LA QUINT A
AVENIDA- BERMUDAS & CALLE CHILLON
C RIS A. GT, P.E. DATE
CITY ENGINEER RCE 44250 TRAFFIC . CONTROL PLAN FOR FLANAGAN'S RUN
L__
CALLS ARROBA
DRAWING # 6
R2'(25 MPH) SPEED LIMIT
° 200' (typical).
C30 LANE .-CLOSED
V HHH,VH °
o
C3A ROAD CLOSED TO THRU TRAFFIC o. NO PARKING SIGNS ARE
AND (4) PLAIN BARRICADES TO BE POSTED 24 HOURS
o IN ADVANCE OF. THE EVENT
R2 (25 MPH) SPEED LIMIT °
LEGEND.
° CONES
_ . • BARRICADE (TYPE 2)
BARRICADE W/SIGN
® NO PARKING SIGN
m .VOLUNTEER
5-13-98
DESIGNED BY: RJV �1.
RECOMMENDED BY: SDS
APPROVED BY:
CHRIS A., VbGT, P.E. DATE
CITY ENGINEER RCE 44250
N.
o
CONES SPACED AT 48' O.C.
PLACED .ON WHITE : DASH . STRIPE
CLTY OF LA IQUINTA
AVENIDA -BERMUDAS .& CALLE - ARROBA
TRAFFIC CONTROL PLAN -FOR FLANAGAN'S RUN
CONES SPACED AT 48' O.C. 's-
PLACED ON: "WHITE DASH STRIPE
5-11-98 _.
DESIGNED BY: RJV '
RECOMMENDED ' BY: SDS r a
APPROVED BY: CITY, - 0 F LA Q U I N TA.
AVENIDA BERMUDAS & CALLE COLIMA/SONORA
CHRIS A. VOGT,P:E. DATE
CITY ENGINEERNEER RCE 44250
TRAFFIC CONTROL PLAN `FOR" FLANAGAN'S RUN
i1
SC5 SPECIAL EVENT
R2 (25 MPH) SPEED LIMIT
C3A ROAD.. CLOSED ,TO,
THRU TRAFFIC AND,
(2) PLAIN BARRICADES.
R16'NO RIGHT TURN.
z
C30 LANE CLOSED:.
D.URANGO -
SC5 SPECIAL EVENT
. r
a
mai�amum arc nau�' raa�r, a.ni�r,. / a:ua a,ni�r,
0 0 0 o ,o o o of o 0 0 0 to
��rv_JFRANCIS ' HACK LANE
�rv-1
o.
0
.l
LEGEND
0 CONES (28")
r
x '
BARRICADE (TYPE 2)
BARRICADE W/SIGN.
NO PARKING SIGN
M VOLUNTEER
o CONES SPACED ' AT 48' O.C.
PLACED ON WHITE DASH STRIPE
o
NO, PARKING SIGNS -ARE
0 200' (typical) TO BE POSTED 24 HOURS
IN ADVANCE OF THE EVENT
5712-98 0•.
DESIGNED BY: RJV
RECOMMENDED BY: SDS
APPROVED BY:
CHRIS. A. VOGT, P.E-. DATE
CITY ENGINEER .RCE 44250
CITY OF� LA 'QUINTA
AVENIDA BERMUDAS & FRANCIS HACK LANE
TRAFFIC CONTROL PLAN FOR FLANAGAN'S RUN
- +. 'S•y r� r 4 : •. Y• k ..r .� r; � � "1 • ii. •t•� '�,. `, - + a
.- w .-� ��^• � ;�it .+ s e - .. [� �. - • • •
' f1 ._... ..__.'�.— Jit- ��'II�'ll�` F l�•4 . • i .
r - t 78-495 CALLE TAMPICO. `= LA OUINTA,.CALIFORNIA 92253- (760) 777-7000
,,; " [ , • :. r - J,. r, y i r' " FAX"'(760)- 777-7101• f ,
t` ' TDD, 777-1227 '
+ April 28; 1'998 { * .:: ' �(760 )', ,
Ms.'tPam Galbraith _ ,_ -' .� •3 - �' - '; � � s . �' � � �'• -
» _ Flanagan's Run
Post Office Box 1.6874.
,
' La Quinta, Calif ornia.92253,
IL
J • SUBJECT: 'TEMPORARY USE PERMIT 98-160• (FLANAGAN'S, RUN) • ,
Dear Ms Galbraith: •• ' `'
s
,
:eThis is to inform you'that Out, application forAhe above event1is'ap'proved su6ject'to a r
,+ t' thefollowing conditions:: ..� " ��' ,.>�,•,:
r ,h r 1. Run setup/activities shall be heldon Sunday,;May. 17, 1.998, between the hours;
of N5:30 A.M. to 1.2:00 noori;.withiii the Fritz1B6rns'Park near Old Avenue`'52
'
' utilized for'staging' area. • ' �', '•• �. , ,•
J. ,•, ,.
2. The applicant• shall provide the` Cit' with the ne'cessary -$,1,000;000.00 liability" y
f insurance certificate, .and name the City as an•addi.tional=insu�ed.:y.:: •. r" • ��'`�
y 11 3. ' A minimum of"seven days"prior to the race •(May�10); the�Race�Director` shalh '}
•,: ,� •r sent'or deliver a notice to all residents; whoselhome,is•next to or. across from,
M •w., , . - ., ,.
the race course, indicating -that•th race,is'being; helct:�and'indicating-'whicFi lanes- _.
` will. be closed. , A�' copy of thea -'notice. jshall �be given*' to .the;. Community
.,,Development. Department prior to its distribution." -
r t .4: The applicant shall clear the race course' and staging :area of -all paper cups and
-' other wasterupRmconclusion of the event. ; . ; ^ : r Y • `
�, • 5. The applicant shall [provide paramedic/medical service as needed during the -
"{ race. ,-_ -
6. Registration/award, presentations,,,etc. may be hield'in-the,Fritz•.Burris Park with
the start and finish on`OId'Avenue, 52 adjacent: to the parking:•lot: t• �- Y
+.. - --- r A .1'1 n. '�..� , .,fit •, \ .
4 7a - The Run shall. be maintained "ori the northbound Avenida' Bermudas lane (next - to j
' "• the curb as.showh on the Public Works'Traffic Control Plan, except where the
race goes: off-road. . •• x - x, ,._ t
8. .. The applicant shall' utilize the traffic.contro.l plan prepared by the':Public'Works,
Department. •The trafficplan-.indicates the locations of proposed blockages or
_ +, *," r Y e •,/ ..3 }, s[ - •^r. .F A4 . A. Yrr4.#.rl
-1tr app tup 98-160 _ . s
.� �.. . ' "•r '" •' a .' ` ..i •• - ' , J . # �' `^ �. �' I' • /t. y • t • ; t +i . r `
r •,
F` MAILING ADDRESSr - P.O. 'BOX 1504 -' LA�-OUATA;. CA0F0RNIA'92253 1` `
disruptions to normal traffic flow, temporary parking..areas, pedestrian routes,
and any other elements affecting• the normal condition. The plan indicates,the
location, •nature and timing of: proposed,temporary . signing, barricades, •
channelization markers,, and other proposed traffic control .measures. This
Temporary Use.Permit is ,based upon approval of the •plan •by the City Engineer.
9. The applicant shall arrange for and -provide all traffic control measures identified
on'the approved traffic control plan. The applicant may utilize, private vendors
or may request that the City, at applicant's expense,., implement the traffic` -
control measures required by the approved plan:. The City Council at its'meeting•
of April 7,1.998,.appropriated funds not to exceed $753.00, for the costs of
permit and equipment rental' fees to, implement the traffic control measures
required by th"e approved plan:
10. Permits for.temporary use: -structures (tents, stands; stage, etc.) or any open
flame devices or fireworks;-,. shall be, obtained, from the Riverside County Fire
Department prior to installation (contact Fire Marshal at 863-8886).
Should you have any questions concerning this matter, please feel free to' contact me
at 7,77'7064.
Very truly yours,'
JERRY HERMAN .
COMMUNITY DEVELOPMENT DIRECTOR
STAN B. SAWA
Principal'Planner
SBS
enclosure
cc: -John Hardcastle, Code Enforcement
Planning Manager
Romano -Verlengia, Public Works- Department.,
Steve Speer, Public Works Department
Sheriff's Department
Fire Marshal
Community Services Department
` Itr app tup,98-160
�..
,-
•. - ,•�-- S o2 NGC S�► .-�-�
r ♦ k
. '` � � _' y� _.
Tf�m :t •. ... iY s r - ., .. •. . t �, 7q..�_•1i i 'r ~
jd" - t • , � - - ` ` - • '.i5^ - '' ,: is • t," - , l
,. ' City Council Minutes, _ 3 f 4 Wpril.7;11998 ,
` MOTION'- It was moved b'y, Council ',Members Sniff/Henderson to direct staff not .
to proceed' with a separate full financial review audit of Waste Management of : ,
the Desert financial records. Motion -carried unanimously: MINUTE ORDER NO: :'.
;9848.
:,..2. CONSIDERATION OF AN APPROPRIATION OF FUNDS TO COVER PERMIT FEES
AND `�EQUIPMENT` RENTAL COSTS FOR TRAFFIC CONTROL DEVICES FOR ;
FLANAGAN'S RUN, A BENEFIT EVENT TO BE HELD ON. MAY 17; 1998, AT �t
FRITZ BURNS PARK. APPLICANT: ; LARRY SCHEERER, -LA' QUINTA RESORT t. {
;`AND PAM'GALBRAITH.
Ms'. di lorio, Planning Manager, advised'that the applicant -is requesting an'
amount, not to exceed $753, to cover the cost of permit .fees and traffic control w
devices fora fund-raising event to be held on•May 17,•:1998 for cancer victim
' Tom .Flanagan with the funds to be appropriated _from the Special Projects
Y Contingency Fund..
= In'eesponse to Council "Member Sniff,, Ms: di 11666 advised that there Tis currently { ,
$2,021 -in the account.
- - ,r Council'Member Henderson supported using the funds for this type of ;request:,'.
In response to Council.Member Adolph,'Ms. di lorio'confirmed that this fund has =
-been used for similar requests in the past.
Pamela Galbraith, 48=137. Vista Cielo, advised that it will. be a family•event and . Y�
1 headlined by -.Paula Frazier, eight -time winner;of,. the -Hawaii Ironman. Larry '
- Scheerer, of the La Quinta Resort & Hotel, has donated a prize of three days
and two'nights and two rounds of golf. at the La Quinta Resort &,Club, and the'
second prize will be a round-trip ticket, entry, and three=night stay in Hawaii for,
the Honolulu marathon in December. Staff. from -the Eisenhower Medical Center t ,
- will give melanoma 'Skin .checks and the American Cancer Society ,will distribute
} ti skin cancer information. y.
Larry .Scheerer, General Manager of�La Quinta Resort and Club, advised that the
resort .is willing to'help mitigate costs by providing snacks and coffee for the
volunteers.
Ted Dawson, 48-137 Vista-.Cielo, of KESQ-TV, .felt local businesses would �
benefit .from the-,event'and thanked the City for its. help...
City Council •Minutes' •' , ', •4 i April_7; 1998
MOTION' It was moved 'by Council. Members Sniff/Henderson to appropriate.,
�,•funds�not to exceed $753 to cover the cost of'permit.fees and equipment rental,-
costsrfor•traffic control devices for the Flanagan's Run benefit event to be-held'
'.`on May,,17,'1998,.from the -.Special Projects Contingengy+und. Motion carried
unanimously. -'MINUTE ORDER NO. •98-49.
',� ,�. -- Yom; ' . .' . • .. `- 4 ' �.4 '.' '�'' r , — .. -
-a�CONSIDERATION'OF,'AN APPOINTMENT'TO'THE CHAMBER OF COMMERCE
,• .INFORMATION EXCHANGE COMMITTEE BI=MONTHLY WORKSHOP.'
.�Ms_: di •lorio, Planning' Manager, advised -that. an appointment 'is, needed for a '.
Council representative :to 'serve , on the Chamber -of 'Commerce Information
Exchange Committee, noting that Council Members,Adolph and.Henderson have '
each attended three,meetings, on a rotation basis.
' 'MOTION-�It,was'moved by Council�Members Sniff/Adolph to appoint•Council' ,
'r { • ' Member Perkinsr'as-the Council's representative -on the Chamber'.o.f Commerce
'
Information Exchange. Committee. Motion., carried, unanimously'. MINUTE r:
' ORDER NO. 98-50. Y `
,r a •. , _ .. +,
4. ;CONSIDERATION -Of AIRLINE,•SERVICES`COMMITTEE REQUEST FOR FY;
� .� x 1998/99 FUNDING: S
�� :f • _
Mr: Weiss, Assistant City Manager,' advised that the Airline Services- Committee -~ .
` is-requesting the City to budget $20;000 for FY 1998/99 for advocacy services
related to the.Palm SpringsrAirport as the City�ha`s done each year since 1994.
4 , Robert'Tyler; 44-2.15 Villeta Drive, City representative of Palm Springs Regional
,Airport Commission, spoke on the benefit of�the'committee's services and urged
- j `Council to.support the request:
Nancy-Doria, representative of the -Airline Services-Cominittee, advised that the
,.
•�, committee`is continuing to work with the airlines to maintain local airline service
'year-round'in the ,valley, noting that their efforts wouldn't be possible without
r
_ .. the support``of all the cities in the,valley..
�- • r Y
In;j6sponse.t6'Council'Member Sniff, Ms. Doria advised that each cities' `
•'`contribution is based on 70T'�revenues and that all of the citiesin the valley
-have participated except Coachella.- Last year'they received $ 50,000 each -from .
Palm Desert"and Palm Springs, $25,000 each from Indian Wells and' Rancho
Mirage,' $20,000 from tL Quinta, and $5,000 each from Cathedral City,.Desert
Hot Springs; .and Indio. M
,
k__' • •NOTE: ,
With proper validation t ``
this form constitutes an CITY OF LA QUINTA
+' encroachment permit -
APPLICATION FOR PERMIT _ ER
` PUBLIC WORKS CONSTRUCTION (ENCROACHMENT
y 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 SUBDI'JISIONS
gSubdivision Improvement Permit -Class III
DATE: -4/2,3 ` inor Improvement Permit Class IV
LOCATION OF CONSTRUCTION
" (Street address or Description of Location)
URP F CONST UC 0 Sketch (attach construction plans if appropriate)
DESCRIPTION OF CON RUCTION
DIMEN ION F I STALLATION OR REMOVAL JC . rz, f14 C!
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $ 44=r
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction
om paction and placing permanent, resurfacing and/or replacing improvements)
` In consideration of the granting of this permit, the applicant hereby!agrees to;
Indemnify, N, defend and save the City, its authorized agents, officer, representatives and employees, harmless from and against any and ell
penalties, liabilities or loss resulting from claims or court action and arising out of. any accident, lou pert
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 (241 hours in advance of the time when work will be started.
ti Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of
A La Quinta and to pay for any additional replacement necessary.as the result of this work.
k
Re_IA dl�Tk4_ A+4L&4i cs
• Si nature of Applicant or A nt
}''a •�• ��GLVIQGt2.B�l�S v` � �' G3aX �cow� �Ql�lt lam' �2�5� bG10)51q-
Na a of Appli (please print) , I Business Address Telephone No.
' =\1141
Name of Contractor and Job Foreman' Business Address Telephone No.
(vim
ContraCity Busingnae No.
cto
= C
r Applicant's Insurance Company GEN. LIA151L,ITy Policy Number
FEES: Subdivision Improvement Permit'— Class I I I
*; Public improvemints: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs "
Minor Improvement•Permit — Class IV: See attached schedule
trrspe $ _ PERMIT VIA�LIDATION it
Permit Fee 1�`� i PERMIT NO. ;l. L
Gash Beposi t -Su, my.ElaDATE APPROVED
if`regaired _ EXPIRATION DATE ✓ _
t OTAL: � �� n�^If S 1✓ � DATE ISSUED
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Received by DaBYte + Administrative Authority
Recorded by TELEPHONE: (619) 777-7075 ;, .
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11:11���® r�CERTiFIC�io►� �E�'�OF�INSU�RyAN�E��p�.����•���OOT14t25�. `�"��"'
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PRODUCER r IS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
w
"` A D CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS'
LUPKE-RICE-CLANCY ASSOCIATES . RECEIVE ' C RTIFICATE DOES NOT.AMEND, EXTEND OR'ALTER THE COVER-
' •`' • � - � A E AFFORDED BY THE POLICIES BELOW. `
Fort Wayne,'IN 46.857` COMPANIES AFFORDING COVERAGE 'L
1998r
MAY,
. COh PANY
St. Paul Mercury Insurance CO.
INSURED- ` " r + r :
"USA
CO PANY ' " I -
TRACK & FIELDIAND { ��
B ^St.,PAul Indemnity Ins.,Co. .
„µ
'THE ATHLETICS-CONGRESS.OF THE
USA, INC. ,
COMPANY
C
One Hoosier�Dome; Suite.140
Indiana OIIS IN 46225
P Southern• Caiifornia Assoc.
COMPANY -
_
p�-
i?k r.' `^r� r u,�-'�'••a'+ a urfcr v' a:y� Y'j`,t [ ..«� i`-_ t a+a:k`=j3.ws`ylL'.ii.`j�' :y'�+'AC°
COVERAGES'��':-�`�.`~��.."- .., � �� . -. � ui'���',t��.�...���a''�� ;.�,�`�',-�ra��",•�.a. }-.��.
�vTHIS
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, TERMOR CONDITION OF,ANY CONTRACT OR 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.
CO =
LTR
TYPE OF INSURANCE
} R POLICY NUMBER •
++r
POLICY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATIONM/
DATE (MDD/YY)
- LIMITS
GENERAL
LIABILITY
r
GENERAL AGGREGATE $ 2,000:000
A.
X
COMMERCIAL GENERAL LIABILITY.
CKO 1301 683
_
.12/31 /97
•.:. 12/31/98,
PRODUCTS-COMP/OP AGG $ 2,000,000
CLAIMS MADE a OCCUR
_
PERSONAL & ADV INJURY $ 1,000,000
OWNER'S & CONT PROT
j
*
«
EACH OCCURRENCE ^ ' $ 1 000000,
FIRE DAMAGE (Any one fire) ' $ 50,000
X
LIABILITY ARISING OUT OF j
M.. ' ' '
ATHLETIC PARTICIPATION
I
MED EXP (Any one person) $ 5,000
AUTOMOBILE
LIABILITY
+-
«
'
'
.ANY AUTO
. +
-
COMBINED SINGLE LIMIT $ •
s
ALL OWNED AUTOS
-
BODILY INJURY.'
SCHEDULED AUTOS
. •
$ t
(Per Person) $
HIRED'AUTOS
BODILY INJURY'
NON -OWNED AUTOS''
_
(Per accident) $ _
PROPERTY DAMAGE $
GARAGE LIABILITY
}
AUTO ONLY - EA ACCIDENT $ `
' ANY AUTO , . -
.,
OTHER THAN AUTO ONLY:
EACH ACCIDENT $ .-
s
-
f
AGGREGATE $.
EXCESS LIABILITY ; a
EACH OCCURRENCE $ '1,000.000
B
X UMBRELLA FORM^
G LO 1300748 ''
12/31/974 ' ,
' -.'l 2/31 /98
AGGREGATE $ 1,000:000
t
' $ "
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION AND`r
y-�
."' STATUTORY LIMITS
T -
EMPLOYERS' LIABILITY
x . �
- - ''
EACH ACCIDENT
DISEASE - POLICY LIMIT $ "
THE PROPRIETOR/ INCL
REXCL.DISEASE
�• s
r
i,+
"
- EACH EMPLOYEE $ • r
-
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHER
ESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS z '
Flanagan"s Run—May 17, 1998—Sanction # 3444 . - • '
t
`~
Certificate holder is additional•insured,for Lhis'sanctiom'd event.,
CERTIFICATE HOLDER '^' •' `� :, : -y :w iktt' ra` �x`'t� `g
`� CANCELLATION'S..' "u
. = - w.. .. .. t;`a
1 ANCELLED' BEFORE THE.
_
City La QUlnta
-,SHOULD ANY OF THE ABOVE DESCRIBED P?TIFl
of �' EXPIRATION DATE THEREOF, THE 'SSU GILL EN AVOR�TO MAIL
760-7 77=7125'—Phone' 30
•. YS WRITTEN NOTICE T RDER ED TO THE LEFT,
P. 0. BOX 150/4' } .+ BUT F U E TO MAIL SUCH NOTI HALL AT'ON OR LIABILITY
i78-495.Calle
TampicoOF A Y KIND. UPON THE MPANY` 1R EPRESENTAnVES. '•'
,La Quipta CA , 92253 - UTHORI D E RESENTATIV
, ,
LU C I ES
�.Ir -� z�Attn Stan. Sawa +�,,. a 3
ACORD25-S'(1%95) 1-.=#' a ®ACORD..CO RATI014, 93i
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