7069Finance Revenue Code E-1
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v -5 c}yOF0 ENCROACHMENT PERMIT
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:April 4, 2007
LOCATION OF CONSTRUCTION (Street address or Description): Soap Box Derby - Avenida Bermudas (La Quinta Cove)
PURPOSE OF CONSTRUCTION: Hold Annual Soap Box Derby
DESCRIPTION OF CONSTRUCTION: Street Closure
DIMENSION OFINSTALLATION OR REMOVAL: NA
APPROXIMATE TIME WHEN WORK WILL BEGIN:April 7, 2007 TIME OF COMPLETION:April 7, 2007
ESTIMATED CONSTRUCTION COST: $NA (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 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 at (760) 777-
7075.
Comply with all applicable City Ordinances, the terms and conditions of the permitlarrd licable rules and regulations of the City
of La Quinta and to pay for any additional replacement necessary as the result of t pis work.
ignatu of Applicant or Agent
Lucia Moran P.O. Box 1305 La Quinta CA 92247 (760) 564-3761 (760) 805-1603
Name of Applicant (please print) Business Address Telephone No.
NA
Name of Contractor and Job'Foreman Business Address Telephone No.
NA NA
Contractor's License No. City Business License No.
NA NA
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit - Class III
Minor Improvement Permit - Class IV
Inspection Fee
Permit Fee
As -Built Deposit
Cash Deposit -Surety Bond,
if required
TOTAL
$No Fee
$0
$0
$0
$No Fee
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
See attached schedule
PERMIT NO.7069
el,
DATE APPROVED: L ipRIS Zoo7 .7C�Fd
EXPIRATI DATE: jO/Q/L $" f 200�
BY:
Administrative Authority
C, 1 -4
wi U L01 •
Q�0.
PUBLIC WORKS DEPARTMENT
APPLICATION FOR PERMIT
►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:
Permit Fee:/
As -Built
Deposit:
Dust Control
Deposit
Credit
Amount:
TOTAL FEE DUE:
Office Use Only:
Assigned Permit Number. 7069
Approval Date:
Expiration
Date:
Issue
Date:
Administrative Authority:
D
)7
ROCS
T:\Administretive Services Division\Forms\APPLICATION FOR PERMrr.doc
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GENERAL CONDITIONS --PERMIT NO. 7069 .
--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 starting the special
event activities.
l . The applicant, Lucia Moran, shall be available during the event by cellular phone at 805-
1603 or a message can be left at 564-3761.
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.
5. The permittee is responsible for making sure that temporary no parking signs along the
parking area affected by the special event is existing. The signs shall be placed along the area
48 hours prior to the start of closing the area and removed immediately after the construction
completion date.
6. The City of La Quinta reserves the right to revoke, suspend or void this permit at any
time. o
7. 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.
"r:\PERMITS\ENCROACHMENT\Numbers 7000\7069 CV Soap Box Derby - Ave. Bermudas\SoapBoxDerby_condition.doc
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UNITS ENGINEERED NOTES:
1. CONDUIT SHALL BE PLACED AT A MINIMUM DEPTH OF 30 INCHES.
' as r ' 30► * ; ` ;h , LU $ (ACTUAL) 203 2. SEAL ENDS OF ALL CONDUIT PLACED.
. - _ `• � � .. �` � �:= LU'S (FUTURE) 30
.,.. -- .. 3 ALL CONDUIT PLACED WILL BE PROVISIONED WITH A TONEABLE "MULE TAPE".
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... FDH MDU S (ACTUAL) 0
' Al.`` H 2 MDU'8 FUTURE 0 4" "MULE TAPE" TO BE BONDED AND GROUNDED EVERY 1000 FEET OR LESS.
21----: :.r ACTUAL p 5. FOLLOW ALL VERIZON BONDING AND GROUNDING PROCEDURES.
BU'S
(ACTUAL) 8 COIL FIBER AT TERMINAL AND SPLICE LOCATIONS AS PER M 8� P. ;
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µ.. - �` S. ALL CONDUITS TO BE USED ARE 1.25" UNLESS OTHERWISE SHOWN.
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