HomeMy WebLinkAbout790 Foothill_Construction Usage of Foothill LaPublic Works / Community Development T 805.781.7015
919 Palm Street, San Luis Obispo, CA 93401 F 805.783.7751
ALL FIELDS MUST BE COMPLETED FOR APPROVAL
General Info:
Project Location: _______________________________________________________________________________________
Description of Work: ____________________________________________________________________________________
Agency / Company: _____________________________________________________________________________________
Contact Person: _________________________________________ Phone: _____________________________________
Check One
Permit Project…………………… City Inspector: ______________________________
Capital Improvement Project…… City Inspector/Spec. No. ______________________
Special Event Street Closure……. City Event Supervisor: ______________________________
Schedule:
Requested Schedule (Dates & Hours): Dates ___________________________________________ Hours: (From)_________(To)__________
Number of Days Required to complete work (list for each location):_____________________________________________________
Night Work Requests (7pm – 7am) must receive night work permit from Community Development Department.
Night work application: Date Submitted __________ Date Approved __________ Permit Number _____________
Traffic Control:
All temporary traffic control shall be per the most current version of the California Manual on Uniform Traffic Control Devices (MUTCD), City of San
Luis Obispo Engineering Standards & Specifications (Engr. Std. Appendix G), and CalTrans Standard Plans & Specifications.
Work Zone / Event Closure Area:
STREET: _____________________________________________________________________________________________
FROM: ________ (Dist. Ft.) ______(Direction N,S,E,W) Of ________________________________________________(Street)
TO: ________ (Dist. Ft.) ______(Direction N,S,E,W) Of ___________________________________________________(Street)
Work Zone Description __________________________________________________________________________________
Work affects City Transit Stop or Route. Yes No Transit Division approved work: Yes No Date: __________
If yes, contractor must advise Transit Division 7 days prior to work. Contact SLO Transit at 781-7531 ____________________ (City Staff Name)
Work requires closure of parking lane or parking meters Yes No Parking Division approved work: Yes No Date: __________
If yes, contractor must receive approval from Parking Division 7 days prior to work. Contact Parking Division at 781-7230.
Work requires traffic control to be set up on Caltrans Right of Way. Yes No . If yes, attach copy of permit. Permit No.______________
SLO City Engineering Standard Appendix G. Check applicable standards AND indicate location of work zone on applicable standard.
Fig. A Fig. B Fig. C Fig. D Fig. E Fig. F Fig. G
Fig. H Fig. I Fig. J Fig. K Fig. L Fig. M Fig. N
Fig. O Fig. P
Custom Traffic Control Plan (TCP) Required and Attached.
Traffic Control Plan Requirements for each phase of work:
Accurate Depiction of Street (St. Names, Striping, Traffic Signals, Stop Signs, etc….)
Depiction of work zone area (Approx. Dimension)
Depiction of temporary delineation & signing (Taper Lengths Dimensioned)
Traffic control plans should be submitted to the City Inspector assigned to your job; if the work is by permit then the plan should be submitted along with
the encroachment permit. Please refer to the links below for typical applications, sign codes, use of flashing arrow panels, and taper lengths.
Accepted Accepted With Comments See Additional Comments on TCP __________________________________________________
Denied (By: __________________ Date ______ ) Resubmittals shall include original application and traffic control plan with City comments
CA MUTCD: http://www.dot.ca.gov/hq/traffops/signtech/mutcdsupp/ca_mutcd2012.htm SLO City Std. Plans: http://www.slocity.org/publicworks/stds/appx-g.pdf
OFFICE USE ONLY
Rec. By: _______ Date: _____
App. By: _______ Date: _____
TEMPORARY TRAFFIC CONTROL APPLICATION
CONTRACTOR:
PERMIT #
PROJ #
TOTAL # OF DAYS:
WORK HOURS:
START DATE:
END DATE:
DAILY WORKING DAYS
SET UP BY:
MAINTAINED BY:
ONSITE CONTACT:
PHONE NUMBER:
PHASE #:
PAGE #:
LEVEL:1 2 3
CITY TCP #APPROVED FOR CITY OF FRESNO PORTIONS ONLY
BY:
DATE:
Avila TS #:
1 of 1
1 of1TysenDelkener
CSI
STOP
STOPROAD
WORK
AHEAD
W20-1
ROAD
WORK
AHEAD
W20-1
ROAD
WORK
AHEAD
W20-1
RIGHT
LANE
CLOSED
AHEAD
W9-3R
RIGHT
LANE
CLOSED
AHEAD
W9-3R
LANE
CLOSED
C30LANECLOSEDC30
LEFT LANE
CLOSED
AHEAD
W20-5
W4-2
DETOUR
M4-9b
DETOURM4-9mb DETOURM4-9mbDETOURM4-
9b
DETOURM4-9b
DETOURM4-9b
D
E
T
O
U
RM4-9b
DETOUR
M4-9b
KEEP
LEFT
R4-7AL
R3-6RDETOURM4-
9mb
W11-1
ROAD
WORK
AHEAD
W20-1
250'250'250'250'
R3-6L
100'
BROAD ST.25MPHFOOTHILL
BLVD.
30MPH
N
C
H
O
R
R
O
S
T
30
M
P H Maintain 12'
travel
lane
N
250'
250'
250'
250'
25
SPEED LIMIT
W3-5 CSI: 790 Foothill-OffsiteConcrete
Traffic PlanManifest 121
x Tubular 28 x Water
Filled Barrier 5 x W20-1 road
work ahead 4 x M4-9b detour for
peds (R)3 x
M4-9mb 2 x C30
LANE CLOSED 2 x M4-8A
End Detour 2 x M4-9b detour
for peds 2 x R3-6R Straight Ahead Or Right
Turn Sign 2 x R4-7AL
Keep Left 2 x W11-
1 Bicycle 2 x W16-1 share
the road 2 x W3-5
Speed Reduction 2 x W9-3R Right Lane
Closed Ahead 1 x C17 Road Work/
Speed Limit 1 x R3-6L
R3-6L 1 x R4-7A
Keep Right 1 x
road narrows 1 x W20-5 left lane
closed ahead All metal signs will be mounted on
Type
1
Barricades.
Legend Tubular Water
Filled Barrier
Nathan Horst 510)
759-7557 Avila
Traffic Safety Avila
Traffic
Safety 120
GENERAL NOTES TRAFFIC CONTROL PER
LATEST
CA MUTCD.HOURS OF WORK TO
BE DETERMIEND
BY AGENCY.IF FLAGGERS ARE ON
SITE, ALL FLAGGERS
TO COMMUNICATE TRHOUGH HAND
SIGNALS AND
RADIO DEVICES.PEDESTRAIN,
BICYCLE, AND DRIVEWAY TO
REMAIN OPEN UNLESS NOTED ON
TRAFFIC PLAN.NEW TRAFFIC CONTROL
SHALL NOT INTERFERE WITH
EXISTING
TRAFFIC CONTROL.www.