TC2015-0070S
c See below for Finance Revenue Codes
ENCROACHMENT PERMIT
PUBLIC WORKS CONSTRUCTION .
r the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public
orks improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS.
ATE: 10/8/2015
)CATION OF CONSTRUCTION (Street address or Description): MADISON ST, AVE 52, AND AVE 58
LJRPOSE OF CONSTRUCTION: TRAFFIC CONTROL FOR CHARITY CYCLING EVENT - SET UP AND TEAR DOWN OF BARRICADES/SIGNAGE ON
DUTES.
ESCRIPTION OF CONSTRUCTION: TRAFFIC CONTROL FOR PATRIOT RIDE FOR OUR HEROES
IMENSION OF INSTALLATION OR REMOVAL: SEE ATTACHED TRAFFIC CONTROL PLAN
PPROXIMATE TIME WHEN WORK WILL BEGIN: 10/23/2015 TIME OF COMPLETION; 10/24/2015
STIMATED CONSTRUCTION COST: - (Including removal of all obstruction, materials, and debris, backfilling, compaction and placing
ermanent resurfacing and/or replacing improvements)
OMMENTS: NON-PROFIT
i consideration of the granting of this permit, the applicant hereby agrees to:
demnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless-from and against any and all
enalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property
appening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application.
lotify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started at (760) 777-7097. To
ubmit 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.
:omply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of and
o pay for any additional replacement necessary as the result of this work. ..-
or Agent
CVSPIN, INC. - DAPHNE JASPERSE 74854 VELIE WAY, SUITE 9 PALM DESERT, CA 92260 '-' • (760)674-4700
Name of Applicant (please print) Business Address Telephone No:
CVSPIN, INc. 74854 VELIE WAY, SUITE 9 PALM DESERT, CA 92260 (760)674-4700
Name of Contractor and Job Foreman Business Address Telephone No.
AEC296 111187
Contractors License No. City Business License No.
SCO1TSDALE INDEMNITY COMPANY
Applicant's Insurance Company
Finance Revenue Code
TOTAL: $0.00
KR10005068500
Policy Number S
PERMIT NO: TC2015-0070
DATE ISSUED: Ocltzb,p, i-I, ia/f
EXPIRATION DATE: 2-I to,'
WORK I ECTEDBY*: S
PERMIT COMPLETION DATE*:
*If the work is covered by a Subdivision Improvement Agreement,
Subdivider shall request final acceptance of improvements from the
City Council.
Taf 4 4 Quba
PUBLIC WORKS DEPARTMENT
APPLICATION FOR PERMIT
Date:
Tract No: N/A Project Name: Patriot Ride For Our Heroes
Vicinity: See Routes Attached
Purpose of Construction (i.e.: Rough Grading, Offsite Street, etc.) Charity Cycling Event
Description of Construction (i.e.: See Plan Set No. 01234) Set up and tear down of
barricades / signage on routes
Dimension of Installation or Removal: N/A
Approximate Construction Start Date: 10/23/15
Approximate Construction Completion Date: 10/24/15
Estimated Construction Cost: $ N/A
Estimated Construction Cost shall include the removal of all obstructions, materials, and debris, back-lulling, compaction and
placing permanent resurfacing and or replacing improvements
Contact Name: Daphne Jasperse Phone Number: 760-6744700
Name of Applicant/Owner: CVSP IN, Inc.
Applicant Address: 74854 Velie Way, Suite 9, Palm Desert, CA 92260
Applicant Telephone Number: 760-674-4700
Applicant E-mail Address: info@tourdepalmsprings.com
Name of Contractor: Same as above
Contractor Address:
Contractor Telephone Number:
Contractor State License Number: N/A
Contractor City Business License Number:
Contractor E-mail Address:
'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 V
Amount:
L) C) roTAL FEE DuE: 2'
I urlveinecicllsts - t-orms Applicatlol
Office Use Only:
Assigned Permit Number: Tt O1
Approval Date:
Expiration
Date:
Issue
Date:
Administrative Authority:
PERMIT NO. TC2015-0070
Patriot Ride /Temp Traffic Control for Charity Bicycle Event /Madison St, Ave
52, and. Ave 58
In addition to the standard permit conditions, the following shall apply:
The applicant shall be available during the event by phone at (760) 801-7938.
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.
CVSPIN, Inc. (Daphne Jasperse), 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.
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 October 24, 2015.
The Permittee shall contact the City Traffic Signal Maintenance Division at (760) 777-7070 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 § 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.
Pursuant to Section 14.16.250 of the La Quinta Municipal Code (Ordinance 10 § 1 (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 § 1 (part), 1982),
street closures shall not be permitted without Public Works Director. approval.
Special Conditions Page 1 of 2
PERMIT NO. TC2015-0070
Patriot Ride /Temp Traffic Control for Charity Bicycle Event /Madison St, Ave 52,
and.Ave58
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 prosecution of
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 14.16.370 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 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 2 of 2
MONROE ST. ECIA~ EVENT
WATCH FOR
\PARTCIPANTA)'
R SPECIAL EVTN'\
I AHEAD
PARTICIFANTS t EXISTING
WATC FOR
50'
txTqTfNG
350'
NO SCALE'2
MADISON ST.
WATCH F OR
PARTICIPAHAS A,.
CITY OFINDIO
Ie-
NG I
'
N; vn
IfistriNt EJJCTI
Ll,,,iewed By Date Penny Number
Pending
— - . - - - - - -
The ConRoS Plan foi
Patriot Ride for our Heros
' _j- '4 I .
rieContraoc
VSPIN
Corta. 0+i ____/ AVE 52
Daphne 760-674-7400 AHEAD
W
I
' I ffw
EXISTING dffic ControS Design by Prepared By Checlted By p EX1TTIH4C
tops N Barricades, Inc. Ron Fifield Ron Fifield
MUM
xlTThG
xe Speed Limit
000)852-TOPS XX
Date
10/09/15
Sheet Number
1 REV
-
AHEAD
TJP5 COUNTY OF
CITY OF LA QUINTA SPECoSEH 50 & 100 MILE ROUTES
1'
VV-19 AHEAD I RIVERSIDE
25 MILE ROUTES
@ 1O MILE ROUTES I
TRAFFIC DIRECTION i
fff
R
3
GxTATkG .j / JI EXISTIN
ISTING
Is
AVE 54 I
o 3C 17
ATM
350"
EXISTING
PARTICIPANTS
WATCH FOR
SP1CIAL yvAHf'. I AHEAD
WATCH FOR
J
AHEEAO I
PARTICIPANTS
WATOMFOR
W-?9
srtc IA, I
THERM WATCH FOR • R1 .l
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'T xiSCItc
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-
mob
I , AIRPORT BLVD
SPECIAL EVENT
AHEAD xlSTlH(, ESSTIH1G
WACHAR
- .PEATIUPOHTA IG.EVENT'
SPECIALj)
W-79 '•C-I'
AHEAD
WACH FAR I
,PTRIICIPAHTSJ
.
/W-79 SIM
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SPECIAL EV 41
'XFT'TTh ± THE RaW
xr'Tc I V IrIS
-., I—I -' • EX8TlPSI,
1 ' EXETTISSE 1-4 I.i j 350' .
- LAKE - -
CAHUILLA
I AVE 58
-------
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GATE / / I LX1A'TffiG
W-79 - .. X1TTER4G
- XlS1It4G
'SPECIAL LEANT'
' WhIR
________ I
' (iCLERIDE
MP
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------b
-- SAT. 10/24 - i
- EXPECT DELAYS
7AM TO 5PM
THE - / - - ' - - - - -
QUARRY (i /150 I vts. IN ADVANCE
(GATED) \\\"
/SPECEALEVENI
350'
I
ARM
WATCH FOR
-
AVE 60 -
-
SPECIAL EVENT
EA
EXISTING
PARTEEIPAIATS
R1 I RI '0TES 1 ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN ACCORDANCE WITH THE 2012
CALIFORNIA MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES (Ca.M.U.T.C.D.) uP
2 TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED. ADDITIONAL TRAFFIC CONTROL '
tXISTING
MAY BE REQUIRED TO FACILITATE PUBLIC SAFETY AND TRAFFIC FLOW IF DEEMED NECESSARY BY . I
CITY OF LA QUINTA AND/OR COUNTY OF RIVERSIDE REPRESENTATIVE.
THROUGHOUT EACH WORK PERIOD, CONTRACTOR SHALL INSPECT TRAFFIC CONTROL (SIGNS. I
BARRICADES AND DELINEATORS) AND MAINTAIN SAME IN ACCORDANCE WITH TRAFFIC CONTROL
PLANS -
PARTICIPANTS SHALL FOLLOW ALL TRAFFIC LAWS.
ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINED AT ALL TIMES,
THIS TRAFFIC CONTROL SHALL BE IN PLACE DURING EVENT HOURS ONLY. THE EVENT IS ON SAT 10/24
TR4, COUNTY OF
FROM 7 AM TO 5 PM.
7 THIS IS A -RULES OF THE ROAD" BIKE RIDE. ALL PARTICIPANTS SHALL OBEY ALL TRAFFIC LAWS AND RIDE (NI CITY OF LA QUINTA I RIVERSIDE
PIVP I ANPR PEA-EPM A\/AII API P T(-)P AT All çTflP S!flNS ANfl PRflCFFfl WITH CAt JTION