3304NOT9: 1
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
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
Subdivision Improvement Permit — Class II I
DATE: 0/21/00 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION From Eisenhower Dr„ to north of Chillon on the Bear Creek Bike Path
See Traffic Control Drawinas
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION To hold 5k/2k/run/walk Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Run Will start on the. Rear Creek
Creek Bike Path between Eisentiower & Vslaaca &
continue un bike oath to a turn a1rAund. @ Chi1.1an
DIMENSION OF INSTALLATION OR REMOVAL See Attached Conditions
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN & am
APPROXIMATE TIME OF COMPLETION 11 A R OR
ESTIMATED CONSTRUCTION COST $
(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:
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.
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.
_ . CVR&PB 3G7..14RA
Name of Applicant (please print) Business.Address Telephone No.
Mathew Hardinx 45-871 Clinton St, Indio, CA
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No. City Business License No.
y ..
oee attached conv see attanhad conv
Applicant's Insurance Company Policy Number '
FEES: Subdivision Improvement Permit — Class I I I RA lu
Public improvements: 3% of estimated construction, costs OCT 06 2000
Private improvements: 3% of estimated construction costs
Minor. Improvement Permit — Class IV: See attached schedule
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
Ado
_Traffic control
$ 255
Received by Date
%
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nit
304
PERMIT VALIDATION
PERMIT NO. ` 3304
DATE APPROVED ; 9/2�/
EXPIRATION DATE ` 10//31
DATE/ISS.UE
By
22/00
Administrative Authority
Recorded by 11 Telephone: (760) 777
SPECIAL CONDITIONS= -PERMIT NO.3304
--- COACHELLA VALLEY RECREATION & PARK DISTRICT ---
This permit authorizes an event to be accomplished within the City right-of-way only. Whenever activities
extend into private property, it is the responsibility of the permittee to secure permission from the affected
property owners. Authorization shall be secured prior to beginning the event.
The section of the Bear Creek Bike path utilized as the route to carry out the event and nearby
portions of La Quinta streets shall be kept clean. They shall be completely cleaned and all signs
removed at the end of the event.
2. 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.
3. The applicant shall pick up, set up, and remove the traffic control devices. as required during the
event.
4. It is the permittee's responsibility to place the traffic control devices as specified on the traffic
control plan.
5. The permittee shall monitor the route to ensure compliance with the approved Traffic Sign Plan.
6. Permittee shall notify the City immediately of any change in the emergency phone number.
Special Conditions - Permit No. 3304 Page 1 ofl
SC5 SPECIAL. EVENT AHEAD
RUNNERS
BIKE PATH
CITY LOT
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10-7-99
APPROVED BY:
ROMANO J. IVERLENGIA U DATE
ASSISTANT ENGINEER II, RCE 58292
DRAWING #- 1
N
CALLE TAMPICO
CITY OF LA. QUINTA
EISENHOWER DR. & CALLTAMPICO
l
TRAFFIC CONTROL PLAN FOR 5K RUN
EXISTING STOP
C "KEEP LEFT" -
4, 4,
c�T
9.�
R1 "STOP"
EXISTING STOP
R7 "KEEP RIGHT"74-
DRAWING # 2
$�rY
—40 CONES, MINIMUM 10' SPACING
VOLUNTEER TO CONTROL TRAFFIC
°o TO AVOID CONFLICTS WITH RUNNERS
�— R1 "STOP"
DPA =
o SC5 SPECIAL EVENT AHEAD
o
0 0?
0 0
10-7-99
APPROVED BY:
io/'7 1A,
ROMANO J. VERLENGIA DATE
ASSISTANT ENGINEER II,. RCE 58292
C3A ROAD CLOSED TO THRU TRAFFIC
N
O41).
. CITY OF LA QUINTA
AVENIDA MONTEZUMA & AVENIDA OBREGON
TRAFFIC CONTROL PLAN FOR 5K RUN
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