HomeMy WebLinkAboutLD23-3699Permit Number: LD23-3699
LD - Utilities/ Access to Utility Agency Facilities
Issued: 07/05/2023
Expired: 01/02/2024
Job Address: 32321 Cercle Beauregard
Legal Description:
City of Temecula - Land Development Division
41000 Main Street - Temecula, CA 92590
Mailing Address: P.O. Box 9033 Temecula, CA 92589-9033
Phone: (951) 308-6395 Fax: (951) 694-6475
Frontier California Inc.
401 Merritt 7
Norwalk, CT 06851
(000) 000-0000
Applicant:
Gulbranson Services Inc.
15371 Bonanza Rd Unit A,
Victorville, CA 92392
(760) 843-0330
Contractor:
Utility Work Order Number: 70116 - 5334608
Description:
Frontier 70116-5334608
WORK HOURS SHALL BE SUNDAY – THURSDAY, NO HOLIDAYS, 9:00pm – 5:00am
Location: MH169 Rancho California Rd S/S 175' W/O Meadows Parkway
Proposed work:
Access one (1) manhole as shown on Frontier "SITE PLAN 33349 LA SERENA WAY, LD23-3699"
All facilities shall be installed in accordance with City Standard Drawing 117.
Traffic Control shall be in accordance with approved Traffic Control Plan LD23-3699
Permittee shall comply with all applicable Traffic Control General Notes.
Safe pedestrian/bicycle traffic and driveway access shall be maintained at all times.
Concrete repair shall be in accordance with City Standards and the Greenbook.
Trench repair shall be in accordance with City Standard Drawing 407.
Final compaction test results shall be provided by a soils engineer.
Concrete curbs, walks, gutters, cross gutters and driveway approaches damaged during construction shall be
removed from joint to joint and reconstructed in accordance with City Standards and the Greenbook.
All disturbed landscaping and other improvements shall be removed/repaired and replaced to the satisfaction of
Public Works Inspector.
Permittee shall contact LDInspections@temeculaca.gov a minimum of two (2) business days prior to any work.
Permittee must also request a final inspection, via LDInspections@temeculaca.gov, to verify completion of
Page 1 of 3
Permit Number: LD23-3699
LD - Utilities/ Access to Utility Agency Facilities
project
Permittee Responsibilities
This Permittee 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.
Trench repair shall be pursuant to City of Temecula Standard Drawing No. 407.
3.Traffic control devices shall be utilized to protect and control pedestrian and vehicular traffic in the construction
area in accordance with the latest revision of the “Manual of Uniform Traffic Control Devices for Streets and
Highways” (MUTCD). The contractor shall submit a specific traffic control plan for review and approval by the
City in accordance with City “Traffic Control Plan Guidelines” for all work within Major Circulation Element
streets.
2.BEFORE YOU DIG - CALL (TOLL FREE) 800-422-4133
A pre-construction meeting is required two (2) business days prior to any scheduled work. Permittee
shall contact LDInspections@TemeculaCA.gov to schedule a meeting.
1.
4.
Water Quality: Contractor shall remain in compliance with the City Water Pollution Control Ordinance.
Contractor is required to provide protection of the City storm drain system.
5.
Work hours shall be limited between 7:30 AM and 4:30 PM, Monday through Friday, unless otherwise noted.
No work shall be allowed during City-recognized holidays."
6.
THIS PERMIT IS ISSUED AND ACCEPTED SUBJECT TO THE FOLLOWING CONDITIONS AND ANY ATTACHED
PROVISIONS:
All U.S.A. mark outs shall be removed prior to completion of project.7.
8.All contractors and subcontractors shall have a valid City of Temecula business license and valid Certificate of
Liability prior to start of work.
9.Should there be any claim against the City and the property owner with the encroachment being the proximate
cause, the property owner shall be notified in writing to remove the encroachment within 30 days or the City will
remove and bill the owner.
10.Permission is hereby requested to encroach into public right of way to perform work as set forth above. It is
understood that this permit is limited to the work described herein and that all work is to be done in compliance
with the provisions attached to this permit and with all other applicable rules. Permittee shall be responsible
for said compliance, for acceptability of the work, for repair or replacement thereof if defective, and for repair or
replacement of any existing improvement damaged by the doing of the work
I hereby certify and agree on behalf of the Permittee that all laws, regulations and ordinances of the City of
Temecula and the State of California and the terms and conditions of the Permit shall be complied with whether
herein stated or not.
11.
12.I hereby warrant and represent to the City that I am authorized to execute this Permit Application on behalf of
the Permittee and bind the Permittee to the agreements contained herein and any conditions of the Permit.
******Contractor and all subcontractors shall be present at the pre-construction
meeting; otherwise, the meeting will be rescheduled to a later date******
Any work commencing within the City right-of-way before permit issuance or a pre-construction meeting shall
be subject to a 72-Hour suspension of said work and an assessment of double permit fees.13.
Permitee Date
Page 2 of 3
Permit Number: LD23-3699
LD - Utilities/ Access to Utility Agency Facilities
City Engineer or Authorized Representative Date
07/05/2023
Page 3 of 3
CONTRACTOR:
FOR CITY USE ONLY:
DRAWING
NO.
SHEET OF
1 SHEET
CITY OF TEMECULA
PUBLIC WORKS
70116-5334608
ENGINEER'S INFORMATION
D. LYNN PARKER
P.O. BOX 1666
COTTONWOOD, AZ 86326
(909) 472-9983
SITE PLAN
FOR
BUTTERFIELD STAGE RD & RANCHO CALIFORNIA RD
FRONTIER ENGINEER:
RAUL RIVAS 909-406-3178
MARK REVISIONS BY APPR.DATE
MANHOLE #169
LOCATION
77'
4
0
'
10+0
0
176+
0
0
177+
0
0
178+
0
0
179+
0
0
1
9
+
0
0
2
1
+
0
0
CL INTER.
STA 177+65 RANCHO CALIFORNIA RD
STA 20+00 MEADOWS PKWY
M
E
A
D
O
W
S
P
K
W
Y
4
3
'
4
3
'
8
6
'
6
2
'
6
2
'
1
2
4
'
RANC
H
O
C
A
L
I
F
O
R
N
I
A
R
D
SITE PLAN
33349 LA SERENA WAY
PROJECT LOCATION
1
VICINITY MAP
1.The City Engineer or their representative has the
authority to initiate field changes to assure public safety.
2.BEFORE YOU DIG – CALL (TOLL FREE)
(800)422-4133
3.Where there is conflict with the permit language and
approved plans, the approved plans shall govern.
4.Trench repair shall be in accordance with City
Standard Drawing 407.
5.All facilities shall be installed in accordance with City
Standard Drawing 117.
6.Concrete curbs, walks, gutters, cross gutters and
driveway approaches damaged during construction shall be
removed from joint to joint and reconstructed in accordance
with City Standards and the Greenbook.
7.All disturbed landscaping and other improvements
shall be removed or repaired and replaced to the
satisfaction of Public Works.
8.Access ramps shall be removed joint to joint and
reconstructed in accordance with City Standard Drawing
402 and meet current ADA Standards.
9.Any survey monuments damaged or destroyed shall
be reset per City Standards by a qualified professional
pursuant to the California Business and Professions Code
Section 8771.
10.Final compaction test results shall be provided by a
soils engineer.
11.A pre-construction meeting is required two (2)
business days prior to any scheduled work. Permittee shall
contact LDInspections@temeculaca.gov to schedule a
meeting.
12.All U.S.A. mark outs shall be removed prior to
completion of project.
13.A final inspection is required for all projects.
Permittee must contact LDInspections@temeculaca.gov to
verify completion of project.
SCALE: 1"=60'
LD23-3699
CLEARED BY
CITY OF TEMECULA
PUBLIC WORKS
Tricia.ortega 06/19/2023
06/19/2023 06/19/2023
06/19/20
Land Development
Encroachment Permit
41000 Main Street
Temecula, Ca 92590
Phone: 951-694-6444
www.temeculaca.gov
R:\LAND DEVELOPMENT DIVISION\FORMS\Permit Applications\Encroachment Permit App.docx Page 1 of 2 Revised: 06/03/2019
APPLICATION INFORMATION PA No.: PERMIT NO.:
Type of Encroachment: Street/Storm Drain Sewer/Water Utility Trenching
Signing & Striping Traffic Signal Miscellaneous (SPECIFY BELOW)
The undersigned hereby applies to excavate, construct and otherwise encroach on City street right-of-way, as
follows:
Name(s) of street(s) and/or street address:
Utility Work Order #: Start Date: End Date:
In consideration of granting this application, all applicants including utility companies hereby agree to:
1. If applicable, submit two (2) sets of Construction Drawings along with two (2) sets of the appropriate Traffic Control Plans, proof
of City Business License for all parties involved, proof of Contractor’s License along with this application at the time of submittal.
See the Traffic Control Plan Checklist for details.
2. 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 dam age to
persons or property happening or occurring as a proximate result of any work under taken under the permit granted pursuant to
this application. (See below for specific liability insurance requirements.)
3. Remove/relocate any encroachment installed/maintained under this permit, upon written notice from the City Engineer.
4. Notify the Land Development Inspection Division via email at LDInspections@temeculaca.gov at least two (2) working days prior
to commencing construction. Hold a pre-construction meeting prior to the start of construction. The developer/general
contractor must be present for the timely request of inspections.
5. Comply with the Standard Specifications, most current Improvement Standard Drawings for Public Works Construction, City of
Temecula Municipal Code Chapters 13.04 and 18.12, terms and conditions of the permit and all applicable rules and regulations
for the City of Temecula and other public agencies having jurisdiction.
LIABILITY INSURANCE REQUIREMENTS
PROVIDE PROOF OF INSURANCE COVERAGE MEETING THE REQURIEMENTS STATED BELOW OR A CITY ATTORNEY APPROVED EQUIVALENT WITH
THE CITY NAMED AS ADDITIONAL INSURED. IN THE EVENT THAT THE INSURANCE IS PROVIDED BY THE CONTRACTOR, THE CITY AND THE
OWNER/DEVELOPER MUST BE NAMED AS ADDITIONAL INSURED.
THIS REQUREMENT SHALL BE MET BY EITHER THE APPLICANT (DEVELOPER, OWNER, PUBLIC UTILITY AGENCY OR FRANCHISE) OR BY THE
CONTRACTOR PERFORMING THE SUBJECT WORK, PRIOR TO BEGININNG ANY WORK PROPOSED UNDER THE SUBJECT ENCROACH MENT PERMIT.
Work crew to access (1) existing manhole to splice existing cable to service a customer located at
33349 La Serena Way.
Duration of Work: 1 Day Frontier Engineer: Raul Rivas (909) 406-3178
S/S/O Rancho California Rd - W/O Meadows Parkway
On 2nd EB lane of Rancho California Rd
70116 - 5334608 06/07/2023 09/07/2023
4
LD23-3699
CLEARED BY
CITY OF TEMECULA
PUBLIC WORKS
Tricia.ortega 06/19/2023
06/19/2023 06/19/2023
06/19/20
Land Development
Encroachment Permit
41000 Main Street
Temecula, Ca 92590
Phone: 951-694-6444
www.temeculaca.gov
R:\LAND DEVELOPMENT DIVISION\FORMS\Permit Applications\Encroachment Permit App.docx Page 2 of 2 Revised: 06/03/2019
Proof of coverage shall be by certificate (Accord or equivalent) naming the City of Temecula as certificate holder and the minimum
limits of insurance coverage shall be as follows:
a. General Liability: One million dollars ($1,000,000) per occurrence for bodily injury, personal injury and property damage. If
Commercial General Liability Insurance or other form with a general aggregate limit is used, either the general aggregate lim it
shall apply separately to this project/location or the general aggregate limit shall be twice the required occurrence limit.
b. Automobile Liability: One million dollars ($1,000,000) per accident for bodily injury and property damage.
c. Worker’s Compensation as required by the State of California; Employer’s Liability: One million dollars ($1,000,000) per accident
for bodily injury or disease.
d. Course of Construction: Completed value of the project.
There is a limited exception to this requirement. Owners of single family homes doing work on the home’s driveway approach
located in the public right-of-way, may use their homeowners insurance with public liability and property damage coverage in at
least the following minimum limits and which will name the City of Temecula as an additional insured for the duration of the
encroachment permit:
BODILY INJURY $250,000.00 EACH PERSON
$500,000.00 EACH OCCURANCE
$500,000.00 AGGREGATE PRODUCTS AND COMPLETED OPERATIONS
PROPERTY DAMAGE $100,000.00 EACH OCCURANCE
$250,000.00 AGGREGATE PRODUCTS AND COMPLETED OPERATIONS
A combined single limit homeowner’s policy with aggregate limits in the amount of $1,000,000.00 will be considered equivalent to
the required minimum limits. Homeowners: a copy of the required homeowners insurance and a Certificate of Insurance showing
the City named as an additional insured shall be attached to the application.
The undersigned applicant and/or contractor states that they have read and agrees to meet all the conditions on this
application, including provisions of required liability insurance or a City Attorney approved equivalent, and acknowledges
that this application will be made a part of the encroachment permit.
APPLICANT’S INFORMATION (THIS SECTION MUST BE COMPLETED)
Company Name:
Mailing Address:
Contact: Phone #: E-mail:
I hereby warrant and represent to the City that I am authorized to execute this permit application on behalf of the
permittee and bind the permittee to the agreements contained herein and any conditions of the permit.
Authorized Signature: Date Applied:
CONTRACTOR’S INFORMATION
Company Name:
Mailing Address:
Contact: Phone #: 24-HR Emergency #:
State Contractor’s License #: Class: City Business License #:
Frontier California Inc
1400 Phillips Blvd, Pomona CA 91766
Debbie WIlliams (909) 798-4400 permits@mountaintcs.com
05/24/2023
Gulbranson Services Inc (GSI)
14369 Park Ave, St 201B, Victorville CA 92392
Alexandra Stith (760) 843-0330 ext 5
890841
ENGINEER'S INFORMATIONCONTRACTOR:
MARK REVISIONS BY APPR.DATE FOR CITY USE ONLY:
TRAFFIC CONTROL PLANS
FOR
RANCHO CALIFORNIA RD & BUTTERFIELD STAGE RD
PERMIT
NO. ENC23051618
SHEET OF
2 SHEET
CITY OF TEMECULA
PUBLIC WORKS-TRAFFIC ENGINEERING DIVISION
70116-5334608
D. LYNN PARKER
P.O. BOX 1666
COTTONWOOD, AZ 86326
(909) 472-9983
FRONTIER ENGINEER:
RAUL RIVAS 909-406-3178
2647
NICOLAS M. MINICILLI
TRAFFIC ENGINEER
ENGINEER'S SEAL
VICINITY MAP
NTS
PROJECT LOCATION
TRAFFIC CONTROL PLANS
1
REGULATORY SIGNS
BIKE LANE
R3-17
R5-6
WARNING SIGNS
MISCELLANEOUS DEVICES
DETAIL SHEET LEGEND
CONE SPACING-25' MAXIMUM
STOP
ENGINEER OF WORK'S CERTIFICATE
I, , hereby declare that I am the engineer of Work for this project, that I have
exercised responsible charge over the design of the project as defined in Section 6703 of the
Business and Professions Code, and the design is consistent with current standards and City of
Temecula.
I understand that the check of project drawings and specifications by the City of Temecula is
confined to a review only and does not relieve me of responsibilities for project design.
Signed Date_______________
R.C.E. Exp.________________
Firm___________________________________
Address________________________________
Telephone______________________________
W11-1
W16-1SHARE
THE ROAD
WORK TO BE DONE:
WORK CREW TO ACCESS 1 EX. MANHOLE TO SPLICE EX. CABLE TO
SERVICE A CUSTOMER LOCATED AT 33349 LA SERENA WAY.
TRAFFIC CONTROL GENERAL NOTES (REV'D 08/26/20):
1. ALL TRAFFIC CONTROL DEVICES SHALL CONFORM TO THE LATEST EDITION OF THE CALIFORNIA MANUAL ON UNIFORM TRAFFIC
CONTROL DEVICES (CALIFORNIA MUTCD) AND THE STANDARD SPECIFICATIONS FOR PUBLIC WORKS CONSTRUCTION.
2. THE CITY ENGINEER OR HIS REPRESENTATIVE HAS THE AUTHORITY TO INITIATE FIELD CHANGES TO ASSURE PUBLIC SAFETY.
3. ALL TRAFFIC CONTROL DEVICES SHALL BE REMOVED FROM VIEW WHEN NOT IN USE.
4. WORK HOURS SHALL BE RESTRICTED TO THE PERIOD BETWEEN 8:30 A.M. AND 3:30 P.M., MONDAY THROUGH FRIDAY, UNLESS
APPROVED OTHERWISE, WHEN NIGHT WORK IS REQUIRED, WORK HOURS SHALL BE 9 P.M. TO 5 A.M., SUNDAY THROUGH THURSDAY.
5. TRENCHES MUST BE BACK FILLED OR PLATED DURING NON-WORKING HOURS. STEEL PLATES SHALL HAVE ASPHALTIC CONCRETE BERM
ON ALL EDGES. ALL DIRT, DUST, AND DEBRIS SHALL BE REMOVED FROM THE STREET AT END OF EACH DAY AND AT THE END OF THE JOB.
THE STREET SHALL BE IN DRIVABLE CONDITION AT ALL TIMES.
6. PEDESTRIAN CONTROLS SHALL BE PROVIDED AS SHOWN ON THE PLANS.
7. TEMPORARY "NO PARKING" SIGNS WILL BE POSTED 24 HOURS PRIOR TO COMMENCING WORK.
8. ACCESS TO DRIVEWAYS WILL BE MAINTAINED AT ALL TIMES UNLESS OTHER ARRANGEMENTS ARE MADE.
9. THE CONTRACTOR SHALL REPLACE WITHIN 72 HOURS, ALL TRAFFIC SIGNAL LOOP DETECTORS DAMAGED DURING CONSTRUCTION.
10. THE CONTRACTOR SHALL REPLACE WITHIN 24 HOURS, ALL STRIPING REMOVED OR DAMAGED BY CONSTRUCTION WORK. (STRIPING
MAY BE REPLACED TEMPORARILY WITH TAPE.)
11. ALL WORKERS SHALL BE EQUIPPED WITH AN ORANGE VEST (OR A REFLECTIVE VEST AT NIGHT.) ALL FLAGGERS SHALL ALSO BE
EQUIPPED WITH A HARD HAT, C28 "STOP/SLOW" PADDLE AND SHALL BE TRAINED IN THE PROPER FUNDAMENTALS OF FLAGGING TRAFFIC.
12. ANY WORK THAT DISTURBS NORMAL TRAFFIC SIGNAL OPERATIONS SHALL BE COORDINATED WITH THE CITY OF TEMECULA'S TRAFFIC
DIVISION, 48 HOURS PRIOR TO BEGINNING CONSTRUCTION. CONTACT THE CITY'S TRAFFIC DIVISION AT (951) 694-6411.
13. THE CONTRACTOR SHALL MAINTAIN ALL TRAFFIC CONTROL DEVICES 24 HOURS PER DAY AND 7 DAYS PER WEEK.
14. A MINIMUM OF TWELVE (12) FOOT TRAVEL LANES MUST BE MAINTAINED UNLESS OTHERWISE APPROVED BY THE DEPARTMENT OF PUBLIC
WORKS.
15. ALL NIGHT WORK WILL REQUIRE WRITTEN APPROVAL FROM THE DEPARTMENT OF PUBLIC WORKS. LANE CLOSURES, ROAD DETOURS, ROAD
CLOSURES, AND TRAFFIC SIGNAL MODIFICATIONS ASSOCIATED WITH OVERNIGHT CONSTRUCTION ACTIVITIES WILL REQUIRE WARNING
SIGNS BE PLACED AT LEAST ONE WEEK IN ADVANCE OF STARTING CONSTRUCTION.
16. A SOLAR POWERED FLASHING ARROW BOARD SHALL BE REQUIRED ON ALL ARTERIAL STREET LANE CLOSURES.
17. IF THE PERMIT APPLICANT DETERMINES THAT CONDUIT INSTALLATION WILL BE BY THE BORING MACHINE METHOD,THE TRENCH PATCH FOR THE UTILITY
OBSERVATION EXCAVATION WILL BE THE SAME AS FOR OPEN TRENCH EXCAVATION METHOD. THIS WILL PROVIDE A SINGLE CONTINUOUS SURFACE
RESTORATION ELIMINATING THE MULTIPLE PENETRATION INTO THE PUBLIC ROADWAY TO ALL REQUIREMENTS IN CITY STANDARD DRAWING # 407
(SHEET 1 AND 2) FOR TRENCH PATCH.
18. ANY WORK THAT CREATES AN UNDUE SAFETY RISK OR CREATES SEVERE CONGESTION MAY BE SHUT DOWN BY CITY TRAFFIC
ENGINEERS, CITY FIELD INSPECTION, OR THE POLICE DEPARTMENT.
19. CONES AND DELINEATORS SHALL HAVE REFLECTORIZED SLEEVES FOR NIGHT WORK.
20. IF PARKING IS ALLOWED IN ADVANCE WARNING AREA, ADVANCE WARNING SIGNS SHALL BE MOUNTED ON HIGH LEVEL DEVICES.
WORK HOURS
SUNDAY-THURSDAY
9:00 PM - 5:00 AM
29570
PARKER ENGINEERING, LLC
P.O BOX 1666, COTTONWOOD, AZ 86326
(909) 472-9983
3/31/25
D. LYNN PARKER
6/19/2023
6/19/2023
6/27/23
06/27/23
ENGINEER'S INFORMATIONCONTRACTOR:
MARK REVISIONS BY APPR.DATE FOR CITY USE ONLY:
TRAFFIC CONTROL PLANS
FOR
RANCHO CALIFORNIA RD & BUTTERFIELD STAGE RD
PERMIT
NO. ENC23051618
SHEET OF
2 SHEET
CITY OF TEMECULA
PUBLIC WORKS-TRAFFIC ENGINEERING DIVISION
70116-5334608
D. LYNN PARKER
P.O. BOX 1666
COTTONWOOD, AZ 86326
(909) 472-9983
FRONTIER ENGINEER:
RAUL RIVAS 909-406-3178
2647
NICOLAS M. MINICILLI
TRAFFIC ENGINEER
ENGINEER'S SEAL
2
Traffic Cone
Temporary Sign
Direction of Travel
Portable Flashing Beacon
LEGEND
Flashing Arrow Sign (FAS)
FAS Support or Trailer
Work Area
Flagger
Work Vehicle
Signalized Intersection
Type III Barricade with sign
WORK
ROAD HLWD High Level Warning Device
S
CONSTRUCTION NOTE:
ALL DRIVEWAYS TO REMAIN OPEN (WHENEVER
POSSIBLE) THROUGHOUT TRAFFIC CONTROL ZONE.
NTS
DURATION OF WORK:
1 OF DAY
WORK HOURS
SUNDAY-THURSDAY
9:00 PM - 5:00 AM
RANCHO CALIFORNIA RD (50 MPH)
CURB
PAINTED MEDIAN
77' TO C/L
72 HOURS PRIOR TO COMMENCING WORK
INSTALL TEMP. NO PARKING
CURB
40' TO C/L
350'
SIGN
SPACING
600'
MERGING TAPER
495'
BUFFER
ME
A
D
O
W
S
P
A
R
K
W
A
Y
WORK
AREA
350'
SIGN
SPACING
350'
SIGN
SPACING
BIKE LANE
WORK
ROAD
AHEAD
W20-1
W11-1
W16-1
W11-1 ASSEMBLY
SHARE
THE ROAD
ROAD WORK
END
G20-2
WORK
ROAD
AHEAD
W20-1
ROAD WORK
END
G20-2
C30(CA)
LANE
CLOSED
MH #169
LOCATION
WO
R
K
RO
A
D
12' MIN.
1
RIGHT LANE
CLOSED
AHEAD
C20 (CA)
INTERCHANGEABLE
WITH W20-5
W4-2
200'
SHOULDER TAPER
BIKE LANE
CLOSED
AHEAD
C20(CA)BIKE
C30(BIKE)
CLOSED
BIKE LANE
6/19/2023
6/27/23
06/27/23