HomeMy WebLinkAboutTraffic Control ApplicationPublic 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: _____________________________________
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 781-7121 ____________________ (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.
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 ______ )
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
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
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