4558NOTE:, -
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: December 13, 2005 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Tem%)orary street banners on Avenue 52. Eisenhower. Avenida
Bermudas and Calle Tampico
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Bob Hope Banners Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Street Banners
DIMENSION OF INSTALLATION OR REMOVAL 31X6'
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN December 14, 2005
APPROXIMATE TIME OF COMPLETION January 26. 2006
ESTIMATED CONSTRUCTION COST $ i1/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:
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 anti 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.
Scott Easton Cell (202) 257-7676
Name of Applicant (please print)
Signature of Applicant
Business Address Telephone No.
N/A In House
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No. City Business License No.
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
Inspection Fee $ N/A -k n �
Permit Fee 44G.WDD ty-.-7 veC:•
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $i8.$®— )ljn �wcc'
Receipt No.
Received by
Date
PERMIT NO.
4558
PERMIT VALIDATION
4558
DATE APPROVED
EXPIRATION DATE ! ?
DATE I.SSUiED
By —
Administrative Authority
Recorded by
Telephone: (760) 777-7075
Location of�onstruction: / �r o��/ ee ,d sir
Purpose of Construction: A916 J-llope I
Description of Construction: e
A~
r
Dimension of Installation or Removal:
Approximate Construction Start Date:
Approximate Construction Completion Date: / 2 6 o 6
Estimated Construction Cost: $
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: G o Phone Number: Zd Z Z$ 7 . ?6 '&�l n
Name of Applicant: C iL 7 3 /P�/ G>�e
Applicant Address: O o ,^ .� c G r,4
Applicant Telephone Number: ,ffe-
Name of Contractor: %j% --.......
Contractor Address.
Contractor Telephone Number:
Contractor State License Number:
Contractor City Business License Number:
► 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:
U i`
Permit Fee:
ioy,
As -Built
Deposit:
Dust Control
Deposit:
Credit
Amount:
TOTAL FEE DUE:
Office Use Only:
Assigned Permit Number. e
Approval Date:' Cl
Expiration
Date:
Issue
Date:
Administrative Authority:
JL
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ON
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... . . . .....
3"
62"
8"
3"
WELCOME
BOB -HOPE
C H R Y S L E R
CLASSIC
(FOR DATA)
----------------------------------------
76"
35 3/4"
White Banner.
Reflex Blue Lettering
All Lettering
and Logo's
Reflex Blue
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2
3.
4.
PERMIT NO.4558
The Bob Hope Chrysler. Classic / Temporary Street Banners / Various Locations
In addition to the standard permit conditions, the following shall apply:
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.
This permit or copy of it shall be on the work site (usually the job trailer) for inspection during the
actual work performed.
Bob Hope Chrysler Classic (Scott Easton contact at (202-257-7676), hereinafter referred to as
"Permittee", shall be responsible for providing continuous dust and erosion control.
Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more
frequently, if required.
5. Pursuant to Section 6.08.050 of the La Quinta Municipal Code (Ordinance 18 § 1,1982), throughout the
work site, the Permittee shall comply with City regulated work hours. Operation and maintenance of
equipment within one-half mile of human occupancy shall be performed only during the following time
periods:
October 1 st to April 30: Monday -Friday 7:00 a.m. to 5:30 p.m.
Saturday 8:00 a.m. to 5:00 p.m.
May 1st to September 30: Monday -Friday 6:00 a.m. to 7:00 p.m.
Saturday 8:00 a.m. to 5:00 p.m.
Work shall be prohibited on legal holidays and Sundays.
Note: Construction work (including setting up traffic control devices) is not permitted on any Arterial
street (ie any 4 lane street) before 8:30 a.m. nor after 4:30 p.m.
6. Work within 500 feet of a signalized intersection shall be performed between the hours of 9 a.m. - 3
p.m. Traffic control shall be set up after 9 a.m. arid removed before 3 p.m. The Permittee shall contact
the Riverside Country Traffic Signal Maintenance Department at (951) 955-6894 if signal operation at
the intersection is to be altered in any way.
7. 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.
Special Conditions
Page I of 3
PERMIT NO.4558
The Bob Hope Chrysler Classic / Temporary Street Banners / Various Locations
This permit is not valid until the permittee submits, to the Public Works Department 2 weeks prior to
start of construction, a letter from any owners of the driveways/access ways that will be closed down
due to the construction. The letter must be approved by the city and at minimum state from the owner
the following:
A. Approval of the construction
B. Plan identification
C. Time Frame of Closure
D. Alternative Routes
9. Pursuant to Section 14.16.250 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982),
advance warning signs and traffic control shall be installed and maintained in accordance with Cal
Trans Standards or the Work Area Traffic Control Handbook (WATCH Manual). A traffic control
plan shall be prepared in accordance with the WATCH Manual and submitted to the City for
review and approval one (1) week prior to starting any construction. 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. A minimum of two (2) travel lanes of paved surface shall be
maintained at all times.
10. Prior to excavating, if required, the Permittee shall contact Underground Service Alert at 1-800-422-
4133. 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 issuance of this permit and the City approval of the related construction improvement plans do not
provide a vested entitlement for all design parameters that may have been.utilized for the plans. As
such, plans approved for this permit may be "at risk" for further modifications as it relates to any follow
up improvement plan requirements as required by the city or existing errors & omissions by the
architect or engineer of record.
13. The permittee is responsible for obtaining a valid separate permit from the California Department of
Transportation Department (CalTrans) if any of the work or traffic control devices extend into the
CalTrans right of way.
Special Conditions Page 2 of 3
PERMIT NO.4558
The Bob Hope Chrysler Classic / Temporary Street Banners / Various Locations
14. This permit is not valid until the permittee submits, to the Public Works Department 2 weeks prior to
start of construction, the name of the City approved contractor, who shall submit to the City the
following items:
a. General Liability Insurance Company and Policy Number
b. City Business License
c. Contractors State License Number
15. The permittee shall not encroach upon private property without prior written approval (submit to the
Public Works Department, attention to the Assistant Engineer 1) of the private land owner whom is
being encroached upon.
16. Prior to performing construction work and closing any lanes in the Public Right of Way, the permittee
shall call the City at (760) 777-7097 at least 48hrs prior to work and request an appointment for a
preconstruction meeting with the City Inspection staff.
17. If public traffic lanes are required to be closed, this permit is not valid until the permittee submits, to the
Public Works Department, an approved traffic control plan at least 2 weeks prior to start of construction
or parking on the paved R/W.
18. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to its
original condition.
19. Access and egress to all local properties shall be maintained at all times.
20. Perinittee 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.
21. Pursuant to Chapter 12.56 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982) the City
has designated certain city.streets as Truck Routes. The weight limit for restricted streets (i.e., streets
not part of the Truck Route network) is three (3) tons; trucks exceeding the weight limit may use a
restricted street if making a delivery or pickup on the subject street, or if this permit specifically grants
permission to use the street to deliver street construction materials and/or equipment.
22. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
23. 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 3 of 3