Traffic Control Plan - Online Submittal Form

Please Note: Permit fees and review fees shall double if the request for permit is submitted less than three (3) business days in advance of the proposed commencement of the work or if a continual closure (twenty-four (24) hours) is approved.

The Transportation Director or designee may grant time extension. Costs associated with a time extension are double the rates for barricade use permits.

Contractor Information

General Contractor Name:*

Project Right-of-Way Permit Number:*

Office Phone Number:*

Last Name:*

First Name:*

Contact Cell Phone Number:*

Contact Email:*

Barricade Contractor Information

Barricade Contractor:*

Contact Person Last Name:*

First Name:*

Contact Phone:*

Email:*

Restriction Information

Project or Construction Location (Ex: from intersection 1 to intersection 2):*

Restriction Start Date*

Date

Restriction End Date*

Date

Restriction End Date*

Date

24-Hour Restriction:*

Weekend Restriction:*

Number of Lanes Restricted:*

Number of Lanes Maintained:*

Pedestrian Access Maintained:*

Pavement Markings Maintained:*

Pavement Markings Removed:

Police Officer:*

Night Work:*

Describe the type of work:*

Browse to locate your traffic control plan on your computer (Max file size 5MB. Warning: if you submit a file larger than the size restrictions, your data will be lost.)*

Select File

Please use to upload additional items.

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All contractors, sub-contractors and their barricade companies are responsible for any civil sanctions issued as a result of their actions. All work must be done in accordance with the City of Glendale Barricade Ordinance and the City of Phoenix Barricade Manual.