TC2016-0018uo4ui4, seewrrnanreve2yCodes
ENCROACHMENT PERMIT j
FEB 2. 2 2016 1
PUBLIC WORKS CONSTRUCTION CITYOFLAQUINTA
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: 2/22/2016
LOCATION OF CONSTRUCTION (Street address or Description): LAKE CAHUILLA AND AVE 58
PURPOSE OF CONSTRUCTION: TRAFFIC CONTROL FOR THE BICYCLISTS ON THE ROAD
DESCRIPTION OF CONSTRUCTION: TRAFFIC CONTROL FOR DESERT INTERNATIONAL SPRINT & TRIATHLON
DIMENSION OF INSTALLATION OR REMOVAL: SEE TRAFFIC CONTROL PLAN
APPROXIMATE TIME WHEN WORK WILL BEGIN: 3/5/2016 TIME OF COMPLETION: 3/6/2016
ESTIMATED CONSTRUCTION COST: (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) 777-7097. 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.
Signature of Applicant or Agent
'SOUTHLAND EVENTS - MATT SILLS 638 CAMINO DE LOS MARES H130-194 SAN CLEMENTE, CA 92673 (949)444-2365
Name of Applicant (please print) Business Address Telephone No.
TOPS N BARRICADES INC 44-503 JACKSON STREET INDlO, CA 92201 (760)347-2111
Name of Contractor and Job Foreman Business Address . Telephone No.
787664
Contractor's License No.
EVEREST NATIONAL INSURANCE COMPANY
Applicant's Insurance Company.
Finance Revenue Code
PERMIT INSPECTION
TRAFFIC CONTROL ONLY - 2-5 DAYS '$580.00
TOTAL: $580.00
103875
City Business License No.
518ML00212-151
Policy Number
PERMIT NO: TC2016-0018
DATE ISSUED:—al
EXP IRATION DATE: FL 16, V4s7
WORK INSPECTED 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.
, . '
Declaration of Sole Proprietor
DECLARATION AND ADDENDUM TO ALL CONTRACTS AWARDED TO
Southland Events
Individual or Organization Name
I declare for the purpose of inducing the City of La Quinta to go forward with any contracts
awarded to Southland Events as follows:
I am the authorized representative of Southland Events
an independent contractor for the purposes of the California Workers' Compensation and Labor
laws. This organization will hire no employees other than the parents, spouses, or children of its
board members for work required for any bid or contract awarded to
Southland Events . All worked required will be
performed personally and solely by me, other board members of the organization, their parents,
spouses or children, or persons who perform voluntary service without pay to the organization.
If. however, the organization shall ever hire employees to perform this contract or any portion
thereof, the organization shall obtain Workers' Compensation Insurance and provide proof of
Workers' Compensation Insurance coverage to the City of La Quinta. If the organization shall
ever hire a subcontractor to perform this contract or any portion thereof, and the subcontractor
has employees, then the organization shall require its subcontractor to obtain Workers'
Compensation Insurance Coverage, or .the organization shall obtain Workers' Compensation
Coverage for that subcontractor's employees.
This document constitutes a declaration by the organization against its financial interest, relative
to any claims it should assert under the California Workers' Compensation and/or Labor laws
against City of La Quinta relating to. any bid or contract awarded to
Southland Events
The organization will defend, indemnify and hold harmless the City of La Quinta from any and
all claims and liability, including Workers' Compensation claims and liability that may be
asserted or established by any party in the event the organization hires an employee in violation
of this addendum, and the organization will further indemnify the City of La Quinta for all
damages the City of La Quinta thereby suffers.
I agree that these declarations shall constitute an addendum to any bid or contracts awarded to
Southland Events
2/20/2016 P9 -
Date Authorized Representative
A,
PUBLIC WORKS DEPARTMENT
APPLICATION FOR PERMIT
Date:
I Tract No: Project Name: Pes4 J1r4/.a. p4
I Vicinity: 1HL. 1LMIL
Purpose of Construction (i.e.: Rough Grading, Offsite Street, etc.);.1j, a.ee..
Description of Construction (i.e.: See Plan Set No. 01234) k
JI
çrrJ
Dimension of Installation or Removal:
Approximate Construction Start Date: i-U, S_20/2 7 :/, .f
Approximate Construction Completion Date: j-LcJ, 4 LI6 1 tD A M /O36A
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: /1Jt ik Phone Number: 9 49. i/i/t/. z 3
Name of Applicant/Owner: SO..4I,!PJ E
Applicant Address: ; , ZD,- 1 4130 C' 92..73
Applicant Telephone Number: vs.
Applicant E-mail Address: - .
Name of Contractor:
Contractor Address:
Contractor Telephone Number:
Contractor State License Number:
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:
SI1aojz- 15!
Office Use Only:
Inspection Fee:
Permit Fee:
As-Built
Deposit:___________
Dust Control
Deposit:___
Credit
Amount:____
TOTAL FEE DUE:
TM :n IinT -
Office Use Only:
Assigned Permit Numbcrla 2.o 16-c ol
Approval Date:
Expiration
Date:
Issue
Date:
Administrative Authority:
z
W2O-3
CL L.
17114
o 1,!SJ
ROAD CLOUD -/
THIRD TRAFFIC
w-
'SPECIAL EVENT
- 'I
THEtA
WATCH FOR ,a e
PARTICIPANTS1
W20 -3
/ CLOSAT
SPRINT COURSE CITY OF LA QUINTA1 COUNTY OF RIVERSIDE
SAT 3/5 5 AM TO 9:30 AM
??D FESSIO/V14
BE14MkES 9 SEA MADISON ST. MONR1OE sr. JACKSON ST. CALHOUN ST VAN BUREN ST.
RDA /ROAD'
TRAFFIC ED CLOSED
DI RECTION <A
-4 POLICE -, — CADET 0. 84 ai 500 H I 5OO
Pt OFFICER VOLUNTEER E p. 630 17 • , 1 1
A POLICE OFFICER SHALL BE POSTED I AT EACH END OF THIS SECTION. THE OF I
PARTICIPANTS WILL COME FROM THE
LAKE AND STAY OF THE SIDE OF THE I
ROAD OPPOSITE THE LAKE WHILE THE \\
—
HARRISON ST.
I
a
OFFICERS DIRECT VEHICLE TRAFFIC, ONE I AIRPORT BLVD
DIRECTION ATATIME ON THE LAKE SIDE 17114
OF THE ROAD. AS THE PARTICIPANTS I \ R
RETURN, THEY WILL STAY ON THE LAKE SPECIAL E VENT ®r. - SPECIAL EVV AHEAD
SIDE OF THE ROAD WHILE THE OFFICERS I AHEAD WATCH FC
SPLiALEWltT flUTPAFFIC
PARTICIPANTS — - WATCH WATCH FOR R5-1 7ARTtCIPA!, 1711-4 DIRECT VEHICLE TRAFFIC, ONE DIRECTION n:IpAer • PARTICIPANTS — ROAlt CLOSED
ATA TIME ON THE SIDE OPPOSITE OF THE 1 R;AD I ._,,1 ONLY THRAITRAFF!C
WATCH FOR
ECIAL EVENT'
T / m _! CLOSED ROAD ClOSED j_-- - LAKE BIKES & CARS WILL BE SEPARATED BY P ARTICIPANTS. / THRUMFIC U 17 rsp
PAN Ll
DELINEATORS, WITH TAPE STRUNG BETWEEN CUR /
c
N14-10 (1-T)
pirn CM
AHEAD
THEM AND PEDESTRAIN BARRICADES ON THE Ilk
LAKE 1'
CAHUILLA -
w 4 - _
0.. I j
-- !4 - - 1
ENTRY —
1 'I I
0
AVE 58
(
GATE TO TRAFFIC R"I THRU TRAFFIC THIRD TRAFFIC
ARROWWW1HI F
/
CLOSED I ROAD R11-4 ROAD CLOSED
PARTICIPANTS
, P.—
AHEAD
WATCH FOR — 350
WAIN FOR
DESERT TRIATHLON
EXPECT DELAYS I eal. MAD CLOSED
I 730AM TO NOON AHEAD I 70
WATCH FOR !70/ TRAFFIC
1 I ) ,1 E
THE Pu:)l 1 WEEK IN ADVANCE I N.
Reeewed By Pennil Numb L QUARRY — /io' Pending (t -. - ct
(GATED) Traffic Control Pke,fm i
I 'L -- A'ar
/SPRCIAI Desert Triathlon .1411-4 AVE . uu /
AHEAD Puma Contractor contact 17041) CLOSED ., ROAD CLOSED
— ANT Southland Events Matt 949 444 2365 / Awl'THJJTRAFFICU LJ n,urnc
WATCH &R
Traffic Control Design by Prnpamd By Checked By W20 3 us
Tops N Barricades, Inc. Ron Fifield Ron Fifield -- I
Phone Speed Limit Date Sheet Number / co — __ :t --- WATCH OR
(cwtn\cc)_TciDQ yy ioin/ltz i ,,IF ', I - PARTICIPANTS
!-IflCMLI, - ----L/ - - _...___- RI!
--
- ------ /
NOTES 1. ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN ACCORDANCE WITH THE 2012 i - a,-, aO'!
CALIFORNIA MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES (CaM.U.T.C.D.) - ' aSif"1710 - L\ i [1F1c,
2 TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED ADDITIONAL TRAFFIC CONTROL -r I -
MAY BE REQUIRED TO FACILITATE PUBLIC SAFETY AND TRAFFIC FLOW IF DEEMED NECESSARY BY I /
7 R
CITY OF LA QUINTA AND/OR COUNTY OF RIVERSIDE REPRESENTATIVE w E
VI
4-
3 THROUGHOUT EACH WORK PERIOD CONTRACTOR SHALL INSPECT TRAFFIC CONTROL (SIGNS I
BARRICADES AND DELINEATORS) AND MAINTAIN SAME IN ACCORDANCE WITH TRAFFIC CONTROL S • -
PLANS. NO SCALE
4 PARTICIPANTS SHALL FOLLOW ALL TRAFFIC LAWS — / I AVE 62
5, ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINED AT ALL TIMES. ) j5C4e / 1-4 r
6 THIS TRAFFIC CONTROL SHALL BE IN PLACE DURING EVENT HOURS ONLY THE EVENT IS ON SAT 3/05 AND I ( /
SUN 3/06. THE HOURS ARE 5 A TO NOON. TRAFFIC CONDITIONS ARE LIGHT VOLUME, I 2 /
-- HARRISON ST.
LU
ONLY
cc
PFDAUW'I
AHEAD
WATCH FOR
"i
-- U
MI-In it 1) 4410 ATj
R11 A
ROM CLOSED)
'THRU TRAFFIC
c 'SPECIAL r ,
WATN FO
W20-3
CLOSED
INTERNATIONAL COURSE RPT*tVD W203
SUN 3/6 5AM TO 10:30 AM POST AT AVE 54 AVE. 55
BIKE 24 MILES (2 LOOPS) MADISON ST. -
TRAFFIC F MONROE ST. sP1
CIAL
TNT H
AHEAD
- 3 WAIcHIOR Rb-I C/) WATCT4 FOR
DIRECTION — I pRflDPH1flT t
.4 POLICE CADET - n. /P r -H5oo
fl OFFICER Il VOLUNTEER 84 I "500'tic
6 30 17 g I.. -- ___ I C..) CHALYJ
w RII
A POLICE OFFICER SHALL BE POSTED
Im
<
r
AT EACH END OF THIS SECTION. THE ç ± H H H
PARTICIPANTS WILL COME FROM THE
LAKE AND STAY OF THE SIDE OF THE
ROAD OPPOSITE THE LAKE WHILE THE I
OFFICERS DIRECT VEHICLE TRAFFIC, ONE AIRPORT DI Ufl M
p \ \ \ ,iu,rnjiI JLVJ.
DIRECTION ATATIME ON THE LAKE SIDE ___ I \ \ \
OF THE ROAD. AS THE PARTICIPANTS
RETURN, THEY WILL STAY ON THE LAKE 1 WATCH FOR SPECIALFVRNT I 'PARTOcIPAHIS OAALYJ \ R51 M41
SIDE OF THE ROAD WHILE THE OFFICERS 11. PRTS /
,>
AHEAD SPE
AHEAD
LVEN -
DIRECT VEHICLE TRAFFIC, ONE DIRECTION / I
AT A TIME ON THE SIDE OPPOSITE OF THE
S
AHEAD
PECIAL EVEN T / RSI ROAD H WATCH FOR
LAKE. BIKES & CARS WILL BE SEPARATED BY PARTICIPANT S. , CLOSED I - 4-... '1' C / IUIn4nA . RI 1.4 A RI 1.4 RIl
DELINEATORS WITH TAPE STRUNG BETWEEN ADCtO$ED ROADCI..OIRB
THEM AND PEDESTRA BARRICADES THE CURVE ///
Y '
TV
CAHUILLA
LAKE
/7
,ROAD 04 AVE. 58 --44
R1 I
ENTRY / - CLOSED I " R114
/ DOUBt I StratI ULTRA I.ITI S.L±_.
CLOSED
GATE / P4011 OARROWWIBThI ROAD r ROAD CL0500 I
/ ''F AL lAIN PIASCIPU, / I
THRU TRAFFIC TRRU TRAFFIC
PZJS
30 ®
( .J -
I IJ COUNTY OF RIVERSIDE SPECIAL EVENT
AHEAD
- ('DESERT TRIATHLON' -
WATCHOR I PARTICIPANTS
- - — MARCH 5 & 6 - nnRuTRAmc
EXPECT DELAYS 'sciotwo ROAD CLOS
AFEAD
ED ____
LL 730 AM TO NOON I 'A" FOR THRU TRAFFiC (TJ \\
CITY OF LA QUINTAmmn
THE POST 1 WEEK INADVANCE
Reviewed By Dane Permit Number
QUARRY , /'15o' Pending
— -
(GATED) Traffic Control Plan for AtI fl '4
Desert Triathlon RI1.4
AVE . / (RcIA1EAEAT -
I AHEAD ShIES
WATCH T A Prime ConTractor CITUiTACO - -
I RI I fROCLOSED - N, Losio: A
PARTICIPANTS Southland Events Matt 949-444-2365 /7 s THAJ mur,vic AItCIPP0TS
Traffic Control Design by Prepared By Chechced By W20 -3 rnllninn / I
Tops N Barricades Inc Ron Fifield Ron Fifield _,/ iVENTI
Phone Speed Limit Date Sliest Number CLOSED 1 — ••I
____"
WATCH FOR
ANTS (800)852-TOPS XX AR 12/24/15 2 of 2 '\AHEAO/ -?!/-' __-' '!6!'
NOTES 1 ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN ACCORDANCE WITH THE 2012 .!3:1I /i; RI-I P
- RI-i l66 ROAD CLOUD I
CALIFORNIA MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES (Ca.M.UT.CD) 1 - M4.1O( \ ThRUiiLRFj
2 TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED ADDITIONAL TRAFFIC CONTROL U4-i0Ii
-
1 ONLY
MAY BE REQUIRED TOACILITATE PUBLIC SAFETY AND TRAFFIC FLOW IF DEEMED NECESSARY BY N 440 LI)
CITY OF LA QUINTAAND/OR COUNTY OF RIVERSIDE REPRESENTATIVE. I " c W. ---.
3 THROUGHOUT EACH WORK PERIOD , CONTRACTOR SHALL INSPECT TRAFFIC CONTROL (SIGNS. W E . -'--4~1 I -— ' --
BARRICADES AND DELINEATORS) AND MAINTAIN SAME IN ACCORDANCE WITH TRAFFIC CONTROL
4 PARTICIPANTS SHALL FOLLOW ALL TRAFFIC LAWS. NO SCALE - . --
' / 1k" / AVE. 62
5 ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINED AT ALL TIMES $ I fl—H Ø4- / H ('
6 THIS TRAFFIC CONTROL SHALL BE IN PLACE DURING EVENT HOURS ONLY THE EVENT IS ON SAT 3/05 AND I B II;J 1
SUN 3/06. THE HOURS ARE 5 A TO NOON. TRAFFIC CONDITIONS ARE LIGHT VOLUME I / Lc3!J
7, A POLICE OFFICER OR CADETNOLUNTEER SHALL BE POSTED AT EACH INTERSECTION ALONG THE ROUTE
PERMIT NO. TC2016-0018
Desert International Sprint and Triathlon hemp Traffic Control I
Lake Cahuilla 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 (949) 444-2365.
Pursuant to Section 14.16.3 20 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.
Southland Events, LLC (Matt Sills), 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 March 6, 2016.
The Permittee shall contact the City Traffic Signal 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 Cities, or County jurisdictions if any of the work or
traffic control devices extend into the CalTrans, other Cities, 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
PERMIT NO. TC20160018
Desert International Sprint and Triathlon /Temp Traffic Control /
Lake Cahuillà and Ave 58
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 per 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 Section14.16.370 of the La Quinta Municipal Code (Ordinance 10 § 1 (J)art), 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