36681 4
NOTE:
With proper validation
this form constitutes an
encroachment permit
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
4-18--02
LOCATION OF CONSTRUCTION Avenida Bermudan
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
Avenida Bermudas Street Closure for Soap Box Darby
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Street Closure for Sketch (attach construction plans if appropriate)
Soap Boa Derby
DESCRIPTION OF CONSTRUCTION C1000 AvAnida Bermudas See attached conditions
for Soap Box Derby race'on 4-20-02
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME'WHEN WORK WILL BEGIN Sam
APPROXIMATE TIME OF COMPLETION 710e
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 resulp"pf this work.
of Applicant or°Agent
Don Berry Memorial Greater Coachella Valley Sop& $ox Derby (760) 347-»1412
Name. of Applicant (please print) Business Address Telephone No.
Lucia Moran (760) 805-1603
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No.
City Business License No.
U1 American City Listed as Addtl' insured
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class III -
Public improvements: 3% of estimated construction costs
Private improvements:' 3% of estimated construction costs
Minor. Improvement Permit — Class IV: See attached schedule
r
Inspection Fee $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
.-TOTAL:
Receipt No.
Received by
Recorded by
0
$ -0-
Date
3868
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED +&17-02
EXPIRATION DATE i6wjW"2
DATE ISSUED 14-18-02
By . .N A A
Adstrative Authority
Telephone: (760) 777-7075
I
4
NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit S
APPLICATION FOR PERMIT !$
REICA PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
MAR12 2002 i 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
PUBLIC WORKS/8
Subdivision Improvement Permit - Class I I I
DATE: Minor Improvement Permit Class IV
LO ATION OFF E.E Ct:0,5
//ion /.3f 2rr��1 �s SSE ArJ��h� NI �
(Street address of Description of Location)
PU POSE OF CONSTRUCTION ��-� �� �6 �-Sketch (attach construction plans if appropriate)
D RIPTION F ONST UCTIO �. Tii2_?� (��Dl�p
D
DIMENSION OF INSTALLATION OR REMOVAL
.SIZE OF EXCAVATION, IF NEEDED
WXWATE TI)A�NWENJNORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION
N` I
ESTIMATED CONSTRUCTION COST 11'1
(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 it and all applicable rules and regulations of the City of
La Quints and to pay for any additional replacement necessary as the resu o his work.
Dogs ACR/a,4,, mim6ai9 L
�JW P I-4 k —`SAC �e (�f} VR /161 / (gnat re of Applicant or Agent
'50ow D O X Z��_ / >�7/ ��. 3 -/7— P-
ryameof`
JApplicant (please print) V Business Address Tel hone No.
ALIA &"id IIO� /�GL3
Name of Contractor and Job Foreman Business Address
r Telephone No.
�1�A
Contractor's License o. C y Business License No.
Applicant's Insurance Compan ._, 1,7"l 9oJia_Nurrtbesz /
FEES:
Subdivision Improvement Permit -Class III
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor. Improvement Permit - Class IV: See attached schedule
Inspection Fee $ 11
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
r
Received by Date
Recorded by
PERMIT VALIDATION
PERMIT NO.
DATE APPROVED I Q
EXPIRATION DATE
DATE ISSUED /v
By
Telephone: (760) 777-7075
Administrative Authority
1 ' .. �
1
� . a. ° r�
�• �o
r
• !r
GENERAL CONDITIONS= -PERMIT NO.3668
DON BERRY MEMORIAL
--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 staring the special event
activities.
The applicant, Lucia Moran, shall be available during the event by cellular phone at 805-1603,
pager 836-6135 or a message can be left at 347-1412.
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.
Soap Box Derby General Conditions & Provisions - Permit No. 3668 Page 1 of 1
TRAFFIC CONTROL
SOAP BOX DERBY / MTOE
Sat., APRIL
C5 " DETOUR (RT)" EISENHOWER DRIVE C5 "DETOUR (LT)"
)5t, C1 1<1
_ MARTINEZ o MARTINEZ F
U Q U U Z W'
N MENDOZA MENDOZA
•N M N
C1 "DETOUR AHEAD" C19 "ROAD CLOSED AHEAD"
_ VILLA VILLA
C19 "ROAD CLOSED AHEAD"
C1 "DETOUR AHEAD" C3A "ROAD CLOSED TO THRU TRAFFIC"
J. l
NAVARR0. NAVARRO-
N 2110
41 RIGHT TURN® N ®41 "RIGHT TURN. ON1�� ® R2 ' 15 MPH"
ONE WAY ® R10 ONE WAY-- GO �® 7 �, ( B42 "LEFT TURN ONLY'
N 1� N test
,i' " t • • • • • • • ��'i • • • • • • • • • • • • • • • r • • • • • • • • • �i � • i • • i ate•
# AVENIDA BERMUDAS
40' CONE SPACING _
500' Taper — -15 Cones
zPrwwE1Tr Ida PAR.KIMG 50' CONE- SPACING
51Gnls INSTALLED I m Place 15' from Curb Face
19981 AL.OIJc, THE EACS"T
SIDE. OF BL-tUt LLMIs .
L-- C2 "ROAD CLOSED" &
C5 "DETOUR (LTY'
F:\pwdept\stofi\vertengl\ACAD\trof—con\socpbox.dwg
No Parking Signs to be. posted at 100'
spacing on the West side of Avenida
Bermudas,- - a
- .-72 H =��VRtoq_ -to EWE -
•
C19 "ROAD CLOSED
AHEAD"
C1 "DETOUR AHEAD"
R7 "KEEP RIGHT"
40' CONE SPACING "
500' Toper — 30 Cones
C3A "ROAD CLOSED TO THRU TRAFFIC" do
C5 "DETOUR (RT)"
CITY OF LA QUINTA
TRAFFIC CONTROL PLAN.
SOAP BOX DERBY / MTOE'200
SCS "6PEGIgL w4rawu
LEGEND
_ TYPE 2 BARRICADE
• TRAFFIC CONE
® R26 "NO PARKING
Man
SHEET -I OF I