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TC2014-1029See beic - ENCROACHMENT PERMIT 'Orit - PUBLIC WORKS CONSTRUCTION For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water ri works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS. 10/20/2014 LOCATION OF CONSTRUCTION(Street address or Description): VARIOUS LOCATIONS: SEE ATTACHED LIST PURPOSE OF CONSTRUCTION: DIRECTIONAL SIGNS FOR BIDE RIDE EVENT DESCRIPTION OF CONSTRUCTION: 4TH ANNUAL PALM DESERT CENTURY BIKE RIDE DIMENSION OF INSTALLATION OR REMOVAL:SEE ATTACHED LIST FOR LOCATIONS APPROXIMATE TIME WHEN WORK WILL BEGIN: 11/6/2014 TIME OF COMPLETION: 11/8/2014 ESTIMATED CONSTRUCTION COST:_ (Including removal of all obstruction, materials, and debris, backfilling, compaction 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 at (760) 777-7097. To submit an inspection request, leave a message on the Inspection Request Hotline at (760) 777-7097 prior to 1:30 P.M. at least twenty-four (24) hours prior to the anticipated inspection. Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of and to pay for any additional replacement necessary as the result of this work. S Signature of Applicant or Agent SHADOW TOUR, LLC -JAMES KNIGHT 13143 KELLAM Cr, #41 SAN DIEGO, CA 92130 Name of Applicant (please print) Business Address SHADOW TOUR, EtC -JAMES KNIGHT 13143 KELLAM CT, #41 SAN DIEGO, CA 92130 Name of Contractor and Job Foreman Business Address N/A - SHADOW TOUR N/A Contractor's License No. City Business License No. (858)692-6220 Telephone No. (858)692-6220 Telephone No. LEXINGTON INSURANCE COMPANY Applicant's Insurance Company Finance Revenue Code PERMIT INSPECTION TRAFFIC CONTROL ONLY - 1 DAY $190.00 TOTAL $190.00 010-624237 Policy Number PERMIT NO: 1C2014-1029 DATE ZZ., 201 EXPIRATIOJ DATE:_1VLV BY: WORK INSPE&D BY*: PERMIT COMPLETION DATE: If the work Is covered by a Subdivision Improvement Agreement, Subdivider shall request final acceptance of improvements from the City Council. T4hf 4 4 QUWC4(j PUBLIC WORKS DEPARTMENT APPLICATION FOR PERMIT Date: Sep 30, 14 Tract No: n/a Project Name: 4th Annual Palm Desert Century Bike Ride Vicinity: Purpose of Construction (i.e.: Rough Grading, Offsite Street, etc.) n/a Description of Construction (i.e.: See Plan Set No. 01234) n/a Bicycle Riders using Public Right-of-way on Jefferson St, per route map. No road or lane closure. No other event elements. Dimension of Installation or Removal: n/a Approximate Construction Start Date: Signs placed Thu, Nov 6. Ride: Sat, Nov 8, 8-5 pm. Approximate Construction Completion Date: Event concludes 5:00 P.M. Sat, Nov 8, '14 Estimated Construction Cost: $ n/a Estimated Construction Cost shall include the removal ol'all obstructions, materials, and debris, back-tilling, compaction and placing pemianent resurfacing and or replacing improvements Contact Name: James E. Knight ne Number: 858-692-6220 Name of Applicant/Owner: James E. Knight ç'1IDW 1&4 lie - Applicant Address: 13143 Kellam Ct #41, San Diego, CA 92130 Applicant Telephone Number: 858-692-6220 Applicant E-mail Address: jeknight2©aol.com Name of Contractor: same as contact Contractor Address: same as contact Contractor Telephone Number: same as contact Contractor State License Number: n/a Contractor City Business License Number: n/a Contractor E-mail Address: same as above 110- A COPY OF THE CURRENT INSURANCE CERTIFICATE MUST BE PROVIDED I Applicant or Contractor General Liability Insurance Company: Lexington Insurance Company and Houston Casualty Insurance Company Applicant or Contractor General Liability Insurance Policy Number: Office Use Only: Office Use Only: Inspection Fee: Assigned Permit Number 10 Permit Fee: As-Built Deposit: Dust Control Deposit: Credit Amount: 'I'O'l'AI.. IKE 1)1.1K: urlve/cnecKIlsts - Forms & Applications /Application Approval Date: txpirat ion Date: Issue Date: Administrative Authority PERMIT NO. TC2014-1029 4th Annual Palm Desert Century Bike Ride /Temp Directional Signs for Event IVarious Locations; See Attached List In addition to the standard permit conditions, the following shall apply: The applicant shall be available during the event by phone at (.58) 692-6220. 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. Shadow Tour, LLC (James Knight), hereinafter referred toas "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. The permittee shall remove all signs immediately after the completion of the event. Sign removal should be accomplished by the completion of the event on November 8, 2014. The Permittee shall contact the City Traffic Signal Maintenance Technician at (760) 250-0571 if signal operation at the intersection is to be altered in any way. The permittee is responsible for obtaining a valid separate permit from the California Department of Transportation Department (CalTrans), other City, or County jurisdictions if any of the work or traffic control devices extend into the CalTrans, other City, or County right of way. Pursuant to Section 14.16.110 of the La Quinta Municipal Code (Ordinance 10 § I (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. Pursuant to Section 14.16.250 of the La Quinta Municipal Code (Ordinance 10 § I (part), 1982), at residential streets, advance warning signs and traffic control shall be installed and maintained in accordance the latest edition of the California Manual of Uniform Traffic Control Devices (CA MUTCD) or the latest edition of the Work Area Traffic Control Handbook (WATCH). On Collectors to Arterial Streets, the permittee must submit a traffic control plan which shall be from or prepared under the guidance of the latest edition of the California Manual of Uniform Traffic Control Devices (CA MUTCD) or the latest edition of the Work Area Traffic Control Handbook (WATCH). Traffic Control plans not from the CA MUTCD or the WATCH shall be signed and stamped by a civil or traffic engineer registered in the State of California. 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 § I (part), 1982), Street closures shall not be permitted without Public Works Director approval. Special Conditions Page I of 2 PERMIT NO. TC2014-1029 4th Annual Palm Desert Century Bike Ride /Temp Directional Signs for Event IVarious Locations; See Attached List Prior to excavating, if required, the Permittee shall contact Underground Service Alert at 811. 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. 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. The Applicant or Contractor shall furnish the City satisfactory evidence of insurance in the amounts provided in the Engineering Bulletin on Indemnification & Insurance Requirements. This insurance shall be kept in full force and effect at all times by Applicant or Contractor during the prosecutionof the permitted work and updated Certificate of Liability Insurance shall be submitted to the City. Each policy shall name the City as an additional insured. The applicant shall provide informative message board(s) informing the commuters using the affected roadways of possible traffic delays due to the Street closures and time of the event. The message board shall be provided for the commuters 48 hours prior to the start of event. The City of La Quinta reserves the right to require modifications of the work be made at permittee's sole cost for proper sight distance requirements er guidelines in the AASHTO "A Policy on Geometric Design of Highways and Streets, 5 Edition" or latest, in the installation of all appurtenances abutting and within the public street right-of-way. Pursuant to Section 14.16.3 70 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), backfill compaction within street rights-of-way shall conform to Section 306-1.3 of the latest edition of the Standard Specifications for Public Works Construction (SSPWC), except as otherwise specified herein. No excavation or backfill will be required on this project. Reapply if excavation is required. All landscaping, irrigation, decorative rock, decorative concrete, sidewalk, lighting, etc., shall be replaced to its original condition. Access and egress to all local properties shall be maintained at all times. Permittee 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. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time. The permitteeshall 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 2 of 2 Route Signage Placement: Jim Knight will personally place all Signs & Cones with one volunteer on Thu, Nov 6th. Signs & Cones will be removed by 5:00 P.M. Sat, Nov 8th, '14. Route Signage Locations: Ave 48, Northwest side of Jefferson, near intersection - Sign/Cone: "20-Mile Turnaround" Ave 52 Traffic Circle Northwest corner of Jefferson & Ave 52 - 3 Signs/Cones: "Red Zone Ahead", "Ride Single File", and "Riders Merging Left" about SOm apart Southwest corner of Jefferson & Ave 52 - Sign/Cone: "End Red Zone" Southeast corner corner of Jefferson & Ave 52 -3 Signs/Cones: "Red Zone Ahead", "Ride Single File", and "Riders Merging Left" about 50m apart Jefferson & Ave 52, Northeast corner - Sign/Cone: "End Red Zone" Jefferson & Ave 54,Northwest corner -Sign/Cone: Left Turn Arrow jefferson & Ave 54, Northeast corner -Sign/Cone: Right Turn Arrow Ave 54 & Monroe St, Southwest corner -Sign/Cone: Right Turn Arrow Ave 54 & Monroe St, Southeast corner -Sign/Cone: Left Turn Arrow Monroe St & Airport, Southwest corner -Sign/Cone: Left Turn Arrow Monroe St & Airport, Northeast corner -Sign/Cone: Right Turn Arrow io