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TC2017-0011
See below for Finance Revenue Codes ENCROACHMENT PERMIT OFT 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: 2/23/2017 LOCATION OF CONSTRUCTION(Street address or Description): LAKE CAHUILLA AND AVE 58 PURPOSE OF CONSTRUCTION: TRAFFIC CONTROL FOR THE BICYCLE RACE DESCRIPTION OF CONSTRUCTION: TRAFFIC CONTROL FOR DESERT TRIATHLON DIMENSION OF INSTALLATION OR REMOVAL: SEE TRAFFIC CONTROL PLAN APPROXIMATE TIME WHEN WORK WILL BEGIN: 3/4/2017 TIME OF COMPLETION: 3/5/2017 ESTIMATED CONSTRUCTION COST: (Including removal of all obstruction, materials, and debris, backfihling, compaction and placing permanent resurfacing and/or replacing improvements) S COMMENTS: THE EVENT TRAFFIC CONTROL SETUP STARTS AT SAM. THE TRIATHLON (SPRINT & BIKE) SHOULD BEGIN AFTER 6AM WHEN DAYBREAK BEGINS. 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. :omply 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, H130194 SAN CLEMENTE, CA 92673 (949)444-2365 Name of Applicant (please print) Business Address Telephone No. TOPS N BARRICADES INC 44-503 JACKSON STREET INDIO, 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. PHILADELPHIA INDEMNITY INS. CO. PHPK1579791 Applicant's Insurance Company Policy Number Finance Revenue Code 'ERMIT INSPECTION TRAFFIC CONTROL ONLY - 2-5 DAYS TECHNOLOGY ENHANCEMENT FEE TOTAL: $608.00 $5.00 $613.00 PERMIT NO: 10017-0011 DATE ISSUED: EXPIRATION DATE3 h%lb BY:.k" . WORK INSP 1cTED 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.* PUBLIC WORKS DEPARTMENT APPLICATION FOR PERMIT Date: 12/13/2016 Tract No: Project Name: Desert Triathlon Vicinity: Lake Cahuilla Recreation Area and surrounding areas Purpose of Construction (i.e.: Rough Grading, Mite Street, etc.) Bicycle race Description of Construction (i.e.: See Plan Set No. 01234) Using public streets for bicycle portion of tnathlon Dimension of Installation or Removal: Approximate Construction Start Date: March 4, 2017 - 7:15AM to 9:15AM Approximate Construction Completion Date: March 5, 2017 - 7:30AM to 10:30AM 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: Matt Sills Phone Number: 949-444-2365 Name of Applicant/Owner: Southland Events Applicant Address: 638 Camino De Los Mares, H130-194, San Clemente, CA 92673 Applicant Telephone Number: 949-444-2365 Applicant E-mail Address: matt@southland-events.com 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: ESIX Applicant or Contractor General Liability Insurance Policy Number: 20161222490002 Office Use Only: Inspection Fee: Permit Fee: As-Built Deposit: Dust Control Deposit: Office Use Only: AssnedPermitNumbeJ,Qf'7..0 (I Approval Date: Expiration Date: Issue Date: Credit Amount: TOTAL FE DUE: I I Administrative Authority: 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 ser'ice without pay to the otganizatiOn. 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 Worker' 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 he 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 Date S Authorized Representative / PERMIT NO. TC2017-OO11 Desert Triathlon /Temp Traffic Control ILakè. Cahuilla and Ave 58 In addition to the standard permit condition; the following shall apply: The applicant shall be available during the event by phone at (949) 444-2365. 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. 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 5, 2017. 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 14.16110 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 S Page I of 2 PERMIT NO. TC2017-0011 Desert Triathlon /Temp Traffic Control /Lake Cahuilla 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 1er 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. SpeciaI Conditions Page 2 of 2 SPRINT COURSE CITY OF LA QUINTA1 COUNTY OF RIVERSIDE HARRISON ST, SAT 3/045 AM TO 9:30 AM 74 BEAR MADISON ST. MONROE ST. W JACKSON ST. CALHOUN ST.3 VAN BUREN ST. TRAFFIC Clesw fflKE14 MILES DIRECTION ):C i I -Il POLICE '-I— CADET . 500' ft OFFICER VOLUNTEER t' A POLICE OFFICER SHALL BE POSTED tft AT EACH END OF THIS SECTION. THE c F 2 K PARTICIPANTS WILL WILL COME FROM THE I I 2 LAKE AND STAY OF THE SIDE OF THE I ROAD OPPOSITE THE LAKE WHILE THE /•' \ OFFICERS DIRECT VEHICLE TRAFFIC, ONE AIRPORT BLVD ,AA DIRECTION ATATIME ON THE LAKE SIDE " '4 OF THE ROAD. AS THE PARTICIPANTS !1' 4; I RETURN, THEY WILL STAY ON THE LAKE ccfr W SIDE OF THE ROAD WHILE THE OFFICERS °' -, I DIRECT VEHICLE TRAFFIC, ONE DIRECTION - I AT A TIME ON THE SIDE OPPOSITE OF THE ME41 ROAD I 1 .ft T-ftffl~ -op / CWSU) POW CLORG I---1 1-4 LAKE BIKES & CARS WILL BE SEPARATED BY o DELINEATORS WITH TAPE STRUNG BETWEEN 1 I THFM AND pEDEcTRAIN BARRICADES ON THE CURVE J. LAKE — - CAHWLLA .. *4 — _________ /moo" I' *4 Z AVE. 58 '4 ENTRY OAD CLO mom mosto M "no GATE 350 r I (DESERTTRIATHL0N' I MARCH 4 & 5 I :-, IFMt1I ,TRWK r. XPECTDE1AYS,J N114 - - .. IMI TWfK © 2 X I. K Doe QUARRY 150' Pending THE L — I ]' I (GATED) 4 '4 '4 Desert Triathlon - I AVE. 60 1I P*S CO*V Cd CUML Q Southland Events Matt 949-444-2365 low .L To Wth IN Traft CoicO Now by By W20-3 '$( - W20 1 Tops N Barricades, Inc Ror F ifie(d Ron FifleId I Pw Sp*d _11w 0 Shost Number 'READ - - (800)852-TOPS XX 12/19/16 1 of 2 -- / (C LDSE NO'S 1 ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SMALL BE IN R - T..IE 2012 I '' now CLOM CALIFORNIA MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES H '\ r TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED ADDITIONAL TRAFFIC CONTROL N MAY BE REQUIRED TO FACILITATE PUBL IC SAFETY AND TRAFFIC FLOW IF DEEMED NECESSARY BY i 31 JQ CITY OF LAQUINTAAND'ORCOUNTY OF RIVERSIDE REPRESENTATIVE w-('... t • W -. . : 3 THROUGHOUT EACH WORK PERIOD, CONTRACTOR SHALL INSPECT TRAFFIC CONTROL (SIGNS I •- BARRICADES AND DELINEATORS) AND MAINTAIN SANE IN ACCORDANCE WITH TRAFFIC CONTROL Ilia 10 I - - - PLANS, NO SCALE - - — -, -- , AVE .(,'I 4 PARTICIPANTS SH ALL FOLLOW ALL TRAFFIC LAWS, • MV C UL 5 ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINED ATALLTIMES ( THIS ONTROL SHALL BE IN PLACE DURING EVENT HOURS ONLY THE EVENT IS or. 3/0* _Owl - SJ 3/05 F HOURS ARE SAM -0 NOON TPFFIc CONDITIONS ARE jGHTVOUMF - 1 R 7)P 'AE EFC cAL BE EA- TEPETION AJt CITY OF LA QUINTA I RIVCO 11 I SUN 3105 5 A TO 10 30 AM INTERNATIONAL COURSE ESS N POST AT AVE 54 ri RAU AVE 55 U) HARRISON ST 8E.1 \\ MADISON ST. z BIKE 24 MILES (2 LOOPS) TRAFFIC DIRECTION / <2 / 'LY I - ) C1 MONROE ST I,COO I —Ix miz z Cn MIN - -4 POLICE —CADET L- __ 500 z I OFFICER VOLUNTEER JY I 5O0 - 6 3 1 > ' APOUCE OFFICER SHALL BE POSTED — I AT EACH END OF THIS SECTION. THE PARTICIPANTS WILL COME FROM THE I I - v-- LAKEAND STAY OF THE SIDE OF THE - ROAD OPPOSITE THE LAKE WHILE THE I '. OFFICERS DIRECT VEHICLE TRAFFIC ONE AIRPORT BLVD DIRECTION AT A TIME ON THE LAKE SIDE OF THE ROAD AS THE PARTICIPANTS 9 . . RETURN THEY WILL STAY ON THE LAKE I SIDE OF THE ROAD WHILE THE OFFICERS / MI I r 7T?W• DIRECT VEHICLE TRAFFIC ONE DIRECTION / I ATATIME ON THE SIDE OPPOSITE OF THE !I-1 - NOW LAKE BIKES & CARS WILL BE SEPARATED BY 3O DELINEATORS WITH TAPE STRUNG BETWEEN I *iciow,Rom CLOW THEM AND PEDESTRAIN BARRICADES ON THE CURVE.'I J' iamc K rpr, x * LAKE CAHWLLA 1.I [MAD '4 AVE 58 I '4 / ENT 1 '4 CLOSED "AT _____________ * .REJ* WOT - ____ j IOD CLOSED E 1I11I / .-. 'If It 30 ' - (1ESERTTRIATHLÔ I Twffm COUNTY OF RIVERSIDE At ~10 u I EXPECT DELAYS I Li. 30 AM TO NOON I ' W CITY OF LA QUINTA THE fily - I I QUARRY Pending — •I ' (GATED) WLT Desert Triathlon I AVE 60 , *NIM evre Carwmcw CAWAd .cioio 1r Southland Events Matt 949-444-2365 1.6 TIA"Ic THAM TRAM T,.*G Ca" Doogn by pT_ ti, chwow By W2-3 I rfak Twin Tops N Barricades Inc Ron Fif Ron Ffield .iLi L, .— - --i: (800)852 TOPS X 12/19/16 2 of 2 -'4 — NOTES 1 ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN '( PANl tri THE 2012 Imm CL .-. JRDI CALIF ORNIA MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES (C. MI; C TlIUWFtC 2 TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED, ADDITIONAL TRAFFIC CONTROL -------- I - MAY BE REQUIRED TO FACILITATE PUBLIC SAFETY AND TRAFFIC FLOW IF DEEMED NECESSARY B N I - CITY OF LAOUINTAAND;OR COUNTY OF RIVERSIDE REPRESENTAIVE. ,, 3 THROUGHOUT EACH WORK PERIOD CONTRACTOR SHALL INSPECT TRAFFIC CONTROL 'SIGNS W I - BARRICADES AND DELINEATORS) AND MAINTAIN SAME IN ACCORDANCE WITH TRAFFIC CONTROL I -' PLANS. - 4 PARTICIPANTS SHALL OLLO/v ALL TRAFFIC LAWS. NO SCALy-T/ — AVE.62 - '4 1 ACCESS TRIVATE PROPERTY SHALL BE MAINTAINED AT ALL TIMES. I / f L ( CONTROL SHALL BE IN PLACE DURING EVENT HOURS ONLY THE EVENT IS ON 3/04 --- I I 3/05 HE HOURS ARE S AM TO NOON TRAFFIC CONDITIONS ARE LIG-'T VOL JME. ------- I -, - CITY OF LA QUINTA RIVCO i I