TC2016-0025oji .4z uift1
See below for Finance Revenue Codes
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 IMPROVEMENTSand APPROVED SUBDIVISION5.
DATE: 3/4/2016
LOCATION OF CONSTRUCTION (Street address or Description): VARIOUS STREETS
PURPOSE OF CONSTRUCTION: TRAFFIC CONTROL FOR WEST NILE VIRUS AWARENESS WEEK 5K RACE; SEE ATTACHED TRAFFIC CONTROL
DESCRIPTION OF CONSTRUCTION: TRAFFIC CONTROL FOR WEST NILE VIRUS 5K; BEGINS ON LA FONDA
DIMENSION OF INSTALLATION OR REMOVAL: N/A
APPROXIMATE TIME WHEN WORK WILL BEGIN: 4/17/2016 TIME OF COMPLETION: 4/17/2016
ESTIMATED CONSTRUCTION COST: (Including removal of all obstruction, materials, and debris, backfilling, compaction and placing
permanent resurfacing and/or replacing improvements)
COMMENTS: NON-PROFIT
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
CV MOSQUITO & VECTOR CONTROL
DISTRICT- CRYSTAL MORENO 43420 TRADER PLACE INDlO, CA 92201 (760)342-8287
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 103875
Contractor's License No. City Business License No.
VECTOR CONTROL JOINT POWERS AGENCY VCJPA-2015-1GL
Applicant's Insurance Company Policy Number
Finance Revenue Code
TOTAL: $0.00
PERMIT NO: Tf2046-0025
DATE ISSUED: j' )(,.,
EXP IRATLON ±4.
WORK INSPECTED BY*:
I PERMIT COMPLETION DATE*:
*If the work is covered by a Subdivision Improvement Agreement,
Subdivider shall request final acceptance of improvements from the
City Council.
Tihf 4 4 aaM1i#
PUBLIC WORKS DEPARTMENT
APPLICATION FOR PERMIT
Date: February 3, 2016
Tract No: Project Name: West Nile Virus Awareness Week 5K
Vicinity:La-Qntaiuic-Conter-Pefk
Purpose of Construction (i.e.: Rough Grading, Offsite Street, etc.) 5K Race
Description of Construction (i.e.: See Plan Set No. 01234) 5K Race
Dimension of Installation or Removal:
Approximate Construction Start Date: April 17, 2016
Approximate Construction Completion Date: April 17, 2016
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: Crystal Moreno Phone Number: 7603428287
Name of Applicant/Owner: Coachella Valley Mosquito & Vector Control District
Applicant Address: 43420 Trader Place, Indio, CA 92201
Applicant Telephone Number: 7603428287
Applicant E-mail Address: cmorenocvmvcd.org
Name of Contractor: T0 (X, J' t*t Yr1 cLe
Contractor Address:
Contractor Telephone Number:
Contractor State License Number:
Contractor City Business License Number:
Contractor E-mail Address:
PA COPY OF THE CURRENT INSURANCE CERTIFICATE MUST BE PROVIDED
Applicant or Contractor General Liability Insurance Company:
Vector Control Joint Powers Agency
Applicant or Contractor General Liability Insurance Policy Number:
VCJPA-201 5-1 GL
Office Use Only:
Inspection Fee:
Permit Fee: 4 o
As-Built
Deposit:__________________
Dust Control
Deposit:__________________
Credit
Amount:
TOTAL FEE DUE:
I I Ir.uI1 :nwllic?c - I-.rwm )C. nnhirtif1I
Office Use Only:
Assigned Permit Number:
Approval Date:
Expiration
Date:
Issue
Date:
Administrative Authority:
PERMIT NO. TC2016-0025
Traffic Control for West Nile Virus Awareness Week 5K /Various Streets; Begins on
Avénidà La Fonda
In addition to the standard permit conditions, the following shall apply:
The applicant shall be available during the event by phone at (760) 342-8287.
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.
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 April 17, 2016.
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. TC2016-0025
Traffic Control for West Nile Virus Awareness Week 5K IVarious Streets; Begins on
Avenida La Fonda
9. 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, sth 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
WASHINGTON
NOTICE 1
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F'rimerEa Contact
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WATER FILL ABLE
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o-1 VOLUNTEER OR
1 ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN ACCORDANCE wITH THE 2014 CALIFORNIA Z EXIT
WXISTiNG
GAP FOR fl POLICE OFFICER
MANUAL ON UNIFORM TRAFFIC CONTROLS (M U TC D) LU ROAD RESIDENTS - - -
TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED, ADDITIONAL TRAFFIC CONTROL MAY BE CLOSEDi /JXlSIING All 2 SC5 (CA)
ROAD REQUIRED TO FACILITATE PUBLIC SAFETY AND TRAFFIC FLOW IF DEEMED NECESSARY BY CITY OF L. Q.
REPRESENTATIVE,
THROUGHOUT EACH WORK PERIOD CONTRACTOR SHALL INSPECT TRAFFIC CONTROL (SIGNS, BARRICADES
AND DELINEATORS) AND MAINTAIN SAME IN ACCORDANCE WITH TRAFFIC CONTROL PLANS.
THERE ARE SOME HOMES ALONG THE RUN ROUTE, ALLEN WOODROFF WILL CONTACT THESE RESIDENTS AND
ADVISE THEM FOR THE EVENT AND HOW TO GET OUT WHILE THE EVENT IS IN PROGRESS
ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINED AT ALL TIMES. CVMVCD WILL CONTACT ALL AFFECTED
BUSINESSES IN ADVANCE OF THE RUN AND INFORM THE ABOUT THE TIMES & ACCESS TO THEIR BUSINESS. -
THIS TRAFFIC CONTROL SHALL BE IN PLACE BY 6:30 AM APRIL 17. 2016. (STARTS AT 7:30 AM)PLACEMENT STARTS 4f
5AM. SECTIONS WILL BE REOPENED AFTER THE LAST RUNNER HAS PASSED THRU. BEING SURE TO CLOSED SC5 CA)
,
THE ALL ACCESS TO THE NEXT SECTION THE RUNNER IS IN WITH ALL TRAFFIC CONTROL REMOVED BY 11 AM 'SPE CIAL *
NO PARKING APRIL 17, 5 A TO NOON" WILL NEED TO BE POSTED ALONG THE ENTIRE ROUTE AT LEAST 24 \0/
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