REVOCABLE PERMIT FOR STREET BANNER APPLICATION PACKAGE

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1 Development Engineering 300 Richards Blvd., 3rd Floor Sacramento, CA Engineering Services Division REVOCABLE PERMIT FOR STREET BANNER APPLICATION PACKAGE Phone: Fax: Preparation of Application Package and Submittal Requirements 1. Completed REVOCABLE PERMIT APPLICATION AND PERMIT FORM FOR STREET BANNERS a). Type or neatly print all information in blanks on REVOCABLE PERMIT APPLICATION AND PERMIT FORM FOR STREET BANNERS (see attached on page 2). 2. Street Light Pole Banner Location Map a). Prepare a Location Map that is neat and readable (see attached example on page 3). b). The Location Map must clearly show the location of the street light pole for banner installation in reference to streets and cross streets. c). Location Map must be drawn to scale on a 8 ½ x 11 or larger sheet. 3. Liability Insurance a). The applicant must provide proof of insurance on an Acord form and must include ADDITIONAL INSURED ENDORSEMENT page. City must be named insured on the Endorsement page. For insurance requirements refer to the CITY OF SACRAMENTO STREET LIGHT POLE BANNER POLICY (See attached on pages 13-14). b). The contractor must provide proof of liability insurance on Acord form and must include ADDITIONAL INSURED ENDORSEMENT page. City must be named insured on the Endorsement page. For insurance requirements refer to the CITY OF SACRAMENTO STREET LIGHT POLE BANNER POLICY (see attached on pages 14-16). c). For more information contact the City of Sacramento Risk Management Office at (916) Temporary Traffic Control Plan (Submit 4 Copies) a). Prepare Traffic Control Plan to comply with California Manual on Uniform Traffic Control Devices (MUTCD) and City s Sidewalk Closure Policy (See link below). (See attached Temporary Traffic Control Plan for preparation instructions and illustrations on pages 4-9). 5. Banner Design Drawings a). Prepare banner design drawing(s). b). The design drawing must comply with the policy specifications. (Refer to the CITY OF SACRAMENTO STREET LIGHT POLE BANNER POLICY on pages 10-16). c). Drawing must be on a 8 ½ x 11 sheet or larger. 6. Permit Fee a). Permit Fees: $600 New Permit Fee, $300 Renewal/Extension/New Installer NOTE: For banner size & pole placement design, general requirements, and Resolution see pages Submission to the City After the applicant has completed the above items, the following shall be submitted to Development Engineering, rd 300 Richards Blvd., 3 Floor: 1. Completed REVOCABLE PERMIT APPLICATION AND PERMIT FORM FOR STREET BANNERS 2. 8 ½ x 11 (or larger) Street Light Pole Banner Location Map 3. Proof of liability insurance ( ACORD form & ADDITIONAL INSURED ENDORSEMENT page) 4. Temporary Traffic Control Plan (also include pedestrian path of travel) 4 copies 5. Banner Design Drawings 6. Permit Fee INCOMPLETE APPLICATION PACKAGES WILL NOT BE ACCEPTED AND WILL BE RETURNED TO THE APPLICANT 1 of 22

2 PERMIT # CITY OF SACRAMENTO DEVELOPMENT ENGINEERING 300 RICHARDS BOULEVARD, 3RD FL. SACRAMENTO, CA PH: (916) FAX: (916) REVOCABLE PERMIT APPLICATION AND PERMIT FORM FOR STREET BANNERS New Application Renewal/Extension New Installer (Contractor) Application Date: Applicant s Phone # Applicant s Name Organization Name: Address: Purpose of Banner: Location of Request: (Include streets & between streets) Check this box if banner is associated with SPECIAL EVENT PERMIT Number of Poles requested: Period/Duration of Request: Installation Date: Removal Date: Installation/Removal Contractor: Contractor License # Contractor Address: Contractor s Phone # By signing this permit application, I certify that I have read and understand the City s Street Light Pole Banner Policy and City Resolution , and I agree to be bound by it. Signature & Title of Applicant: Date: Application Check List Complete the application, together with the required items indicated below and submit the application packet to: City of Sacramento, Development Engineering, 300 Richards Blvd., 3rd Floor, Sacramento CA Required Items: 1. Completed "REVOCABLE PERMIT APPLICATION AND PERMIT FORM FOR STREET BANNERS" 2. 8 ½ x 11 (or larger) Street-Light Pole Banner Location Map 3. Proof of liability insurance, including "ACORD"Form & "ADDITIONAL INSURED ENDORSEMENT" page (applicant & contractor ) 4. Temporary Traffic Control Plan (include pedestrian path of travel) - 4 copies 5. Copy of banner design drawing(s) and wording 6. Permit Fee $600 (New permit fee), $300 (Renewal/New Installer) PERMIT ISSUED BY: DATE: ---IMPORTANT--INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED AND WILL BE RETURNED TO THE APPLICANT. 2 of 22 Work may begin only AFTER the City has issued the Revocable Permit and appropriate fees are paid. 2 of 22

3 LOCATION MAP REQUIREMENTS FOR REVOCABLE BANNER PERMITS All lettering must be clearly written and legible Show North Arrow Show Street Name and names of nearest cross streets Legend LEGEND: 6,'(:$/. RU 6,'(:$. $1' 3/$17(5 &XUE Curb STREET NAME 6,'(:$/. RU 6,DE:$/. $1' 3/$17(5 Street light pole for proposed banner installation CROSS STREET NAME 3 of 22 N

4 Temporary Traffic Control California MUTCD 2012 Edition (FHWA s MUTCD 2009 Edition, as amended for use in California) Notes for Figure 6H-28 Typical Application 28 Sidewalk Detour or Diversion Standard: 1. When crosswalks or other pedestrian facilities are closed or relocated, temporary facilities shall be detectable and shall include accessibility features consistent with the features present in the existing pedestrian facility. Guidance: 2. Where high speeds are anticipated, a temporary traffic barrier and, if necessary, a crash cushion should be used to separate the temporary sidewalks from vehicular traffic. 3. Audible information devices should be considered where midblock closings and changed crosswalk areas cause inadequate communication to be provided to pedestrians who have visual disabilities. Option: 4. Street lighting may be considered. 5. Only the TTC devices related to pedestrians are shown. Other devices, such as lane closure signing or ROAD NARROWS signs, may be used to control vehicular traffic. 6. For nighttime closures, Type A Flashing warning lights may be used on barricades that support signs and close sidewalks. 7. Type C Steady-Burn or Type D 360-degree Steady-Burn warning lights may be used on channelizing devices separating the temporary sidewalks from vehicular traffic flow. 8. Signs, such as KEEP RIGHT (LEFT), may be placed along a temporary sidewalk to guide or direct pedestrians 4 of 22

5 Temporary Traffic Control California MUTCD 2012 Edition (FHWA s MUTCD 2009 Edition, as amended for use in California) IMPORTANT NOTE: Sidewalk (Pedestrian) Detour or Diversion shall be ADA compliant and shall comply with City of Sacramento "Sidewalk Closure Policy". 5 of 22

6 Temporary Traffic Control California MUTCD 2012 Edition (FHWA s MUTCD 2009 Edition, as amended for use in California) Notes for Figure 6H-6 Typical Application 6 Shoulder Work with Minor Encroachment Guidance: 1. All lanes should be a minimum of 10 feet in width as measured to the near face of the channelizing devices. 2. The treatment shown should be used on a minor road having low speeds. For higher-speed traffic conditions, a lane closure should be used. Option: 3. For short-term use on low-volume, low-speed roadways with vehicular traffic that does not include longer and wider heavy commercial vehicles, a minimum lane width of 9 feet may be used. 4. Where the opposite shoulder is suitable for carrying vehicular traffic and of adequate width, lanes may be shifted by use of closely-spaced channelizing devices, provided that the minimum lane width of 10 feet is maintained. 5. Additional advance warning may be appropriate, such as a ROAD NARROWS sign. 6. Temporary traffic barriers may be used along the work space. 7. The shadow vehicle may be omitted if a taper and channelizing devices are used. 8. A truck-mounted attenuator may be used on the shadow vehicle. 9. For short-duration work, the taper and channelizing devices may be omitted if a shadow vehicle with a activated high-intensity rotating, flashing, oscillating, or strobe lights is used. a 10. Vehicle hazard warning signals may be used to supplement high-intensity rotating, flashing, oscillating, or strobe lights. Standard: 11. Vehicle-mounted signs shall be mounted in a manner such that they are not obscured by equipment or supplies. Sign legends on vehicle-mounted signs shall be covered or turned from view when work is not in progress. 12. Shadow and work vehicles shall display high-intensity rotating, flashing, oscillating, or strobe lights. 13. Vehicle hazard warning signals shall not be used instead of the vehicle s high-intensity rotating, flashing, oscillating, or strobe lights. 14.Note 3 shall not be applicable for State highways. Note #1 shall be used instead for State highways. 6 of 22

7 Temporary Traffic Control California MUTCD 2012 Edition (FHWA s MUTCD 2009 Edition, as amended for use in California) IMPORTANT NOTE: When existing accomodations for bicycle travel are distributed orclosed in a long-term duration project and the roadway width is inadequate for all bicyclists and motor vehicles to travel side by side, the Bicycle Crossing (W11-1) sign and the SHARE THE ROAD (W16-1P) plaque should be used to advise motorists of the presense of bicyclists in the travel way lanes. 7 of 22

8 Temporary Traffic Control California MUTCD 2012 Edition (FHWA s MUTCD 2009 Edition, as amended for use in California) Table 6H-1(CA). Index to Typical Applications Typical Application Description Work affecting Pedestrian and Bicycle Facilities (see Section 6G.05) Shoulder Closure on Urban (Low Speed) Locations to Accommodate Bicyclists Lane Closure on Freeway, Expressway, Rural and Urban (High Speed) Locations to Accommodate Bicyclists Detour for Bike Lane on Roads with Closure of One Travel Direction Right Lane and Bike Lane Closure on Far Side of Intersection Work Within the Traveled Way of a Two-Lane Highway (see Section 6G.10) Lane Shift on Road with Low Traffic Volumes 8 of 22 Typical Application Number TA-101(CA) TA-102(CA) TA-103(CA) TA-104(CA) TA-105(CA)

9 Temporary Traffic Control California MUTCD 2012 Edition (FHWA s MUTCD 2009 Edition, as amended for use in California) Table 6H-4(CA). Taper Length Criteria for Temporary Traffic Control Zones (for 12 feet Offset Width) Minimum Taper Length** Speed* S (mph) for Width of Offset 12 feet (W) Merging L (feet) Shifting L/2 (feet) Shoulder L/3 (feet) Down Stream (feet)*** * - Posted speed limit, off-peak 85th-percentile speed prior to work starting, or the anticipated operating speed in mph. ** - For other offsets use the following merging taper length formula for L: For speeds of 40 mph or less, L=WS2/60 For speeds of 45 mph or more, L=WS Where: L = taper length in feet W = width of offset in feet S = posted speed limit, off-peak 85th-percentile speed prior to work starting, or the anticipated operating speed in mph *** - Maximum downstream taper length is 100 feet. See Section 6C of 22

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17 17 of 22 Ornamental Street Light Pole. In a way that visually blocks any city sign on a pole.. In any manner that obstructs vision of motor vehicle operations, interferes with or confuses drivers, or endangers pedestrians in any way.. On a traffic signal pole. Banners may not be displayed in any of the following ways: Mast arm or Cobra Pole APPENDIX B Banner Size and Pole Placement Diagram 2/18/2015 Post Top Street Light Pole

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