TC2016-0061.1
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See below for Finance Revenue Codes
ENCROACHMENT PERMIT
or S
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.
DATE: 8/24/2016
LOCATION OF CONSTRUCTION(Street address or Description): JEFFERSON, AVE 52, AVE 58. & MADISON ST
PURPOSE OF CONSTRUCTION: TRAFFIC CONTROL FOR CHARITY CYCLING EVENT; SET UP AND TEAR DOWN OF BARRICADES/ SIGNAGE ALONG
ROUTES
DESCRIPTION OF CONSTRUCTION: TRAFFIC CONTROL FOR PATRIOT RIDE FOR OUR HEROES
DIMENSION OF INSTALLATION OR REMOVAL: SEE ATTACHED TRAFFIC CONTROL PLAN
APPROXIMATE TIME WHEN WORK WILL BEGIN: 10/21/2016 TIME OF COMPLETION: 10/24/2016
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 of the City of and -
to pay for any additional replacement necessary as the result of this work.
CVSPIN, INC -DAPHNE JASPERSE 74854 VELIE WAY, SUITE 9 PALM DESERT, CA 92260 70'
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 S Telephone No.
AEC296 N/A
Contractor's License No. City Business License No.
SCOTTSDALE INDEMNITY COMPANY
Applicant's Insurance Company
Finance Revenue Code
TOTAL: $0.00
KR10005965300
Policy Number
PERMIT NO: TC2016-0061
DATE ISSUED:
EXP IRADPN
7
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.
C&f 440" -
PUBLIC WORKS DEPARTMENT
APPLICATION FOR PERMIT
Dale: May 16, 2016
Tract No: N/A Project Name: Patriot Ride For Our Heroes
Vicinity: See Routes Attached
Purpose of Construction (i.e.: Rough Grading. Oft'sitc Street, etc.) Charity Cycling Event
Description of Construction (i.e.: See Plan Set No. 01234) Set up and tear down of
Dimension of Installation or Removal: N/A
Approximate Construction Start Date: 10/21/16
Approximate Construction Completion Date: 10/24/16
Estimated Construction Cost: $ NIA
Es*imeted Coutsnuctnn Coit the1l include the remoui aiall ubutnjctons, matcrale. and debris. bact.flhIiieinp&non and
ptJcing pnwicnt resurfacing and or rep1ucng impmvein.mis
Contact Name: Daphne Jasperse Phone Number: 760-674-4700
Name of Applicant/Owner: CVSPIN, Inc.
Applicant Address: 74854 Velie Way, Suite 9, Palm Desert, CA 92260
Applicant Telephone Number: 760-801-7938
Applicant E-mail Address: infotourdepaImsprings.com
Name of Contractor: Some as above
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:
Omce Use 0n1v Office use Only: /
Impaction Fee: ,.. ASsI5nvd Pcrrntt )umbet 2D I t r-'
JçØ Panntt Fee: Apwovei Date:
DT A$43uift .. Epuitioo
I)eposit flute:__________________________________
Dun Control Issue
Deposit, Date:________________
Credit
Mnowd Adminiueette Authonw.
TOTAl. FEF. D1 T-
Amy Vu
From:
Sent:
To:
Subject:
Importance:
CVSPINinfo <info@tourdepalmsprings.com >
Tuesday, August 16, 2016 3:44 PM
Amy Vu
RE: Encroachment Permit - Patriot Ride
High
Good afternoon Amy,
After a couple of months, I finally received an answer from my routes person. He says tiat the signs
will be placed on:
Jefferson and 58
Jefferson and Quarry
If you have any further questions, please do not hesitate to contact me. I have the contract in pluce
from the folks at Lake Cahuilla.
Thank you so much, and I hope you are having a greatsummer!
Please confirm
(Dap fine ]asperse
Executive Director
C.V.S.P.I.N., Inc.,
501 (c)(3) # 33-0836672
Tour de Palm Springs
Patriot Ride For Our Heroes
74854 Velie Way, Suite 9
Palm Desert CA 92260
P: 760-674-4700
F: 760-674-4730
E: info@tourdepalmsrincis.corn
W: www.tourdepalmsQrings.com
W: www.patriotrideforourheroes.com
PATRIOT
TOu PALM S?R3s RIDE
'I) On
From: Amy Vu [mailto:Ayu@Ia-quinta.org]
Sent: Thursday, May 19, 2016 11:51 AM
To: CVSPINinfo <infotourdepaImsprings.com>
Subject: RE: Encroachment Permit - Patriot Ride
PERMIT NO. TC2016-0061
Patriot Ride /Temp Traffic Control for Charity Bicycle Event /Jefferson St,
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, 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 LaQuinta Municipal Code (Ordinance 10 § 1 (part), 1982),
street closures shall not be permitted without Public Works Director approval.
Special Conditions Page I of 2
PERMIT NO. TC2016-0061
Patriot Ride /Temp Traffic Control for Charity Bicycle Event /Jefferson St, Madison
St, Ave 52, 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 1h 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. S
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
MADISON ST. MONROE ST.
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Pending
Traffic Control Pteir for -
Patriot Ride for our Heros
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Prime Contractor Contrj AVE. 52
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NOTES, 1. ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN ACCORDANCE WITH THE 2012 OIl -
CALIFORNIA MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES (Ca.M.U.T.C.D,) am
TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED. ADDITIONAL TRAFFIC CONTROL lrrre.. ST114u
MAY BE REQUIRED TO FACILITATE PUBLIC SAFETY AND TRAFFIC FLOW IF DEEMED NECESSARY BY
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 10124 I COUNTY OF
FROM 7 AM TO 5 PM.
THIS IS RULES OF THE ROAD BIKE RIDE ALL PARTICIPANTS SHALL OBEYALL TRAFFIC LAWS AND RIDE IN CITY OF LA QUINTA i RIVERSIDE
RIKP I ANFS WHFN AVAIl AR! F STOP Al A! I STOP SIGNS AND PROCEED WITH CAUTION.