HomeMy WebLinkAboutLD23-3634Permit Number: LD23-3634
LD - Utilities/ Excavation - Parallel
Issued: 06/15/2023
Expired: 02/21/2024
Job Address: Butterfield Stage Rd & Avenida Lestannac
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
Alexei Burtscher
1835 Aston Ave
Carlsbad, CA 92008
(760) 443-1608
Applicant:
Dempsey Construction Inc
1835 Aston Ave
Carlsbad, CA 92008
(760) 918-6900
Contractor:
Utility Work Order Number: 966-YY
Description:
Street Improvement for Butterfield Stage Rd
WORK HOURS SHALL BE MONDAY – FRIDAY, NO HOLIDAYS, 8:30am - 3:30pm
Location: Butterfield Stage Rd at Avenida Lestonnac
Proposed work:
Traffic signal with signing and striping per approved plans "COUNTY OF RIVERSIDE IMPROVEMENT PLANS
BUTTERFIELD STAGE ROAD 966-YY, LD22-0310"
All facilities shall be installed in accordance with City Standard Drawing 117.
Traffic Control shall be in accordance with approved Traffic Control Plan LD23-3634
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.
Page 1 of 3*****See Page 2 of this Permit for Permittee Responsibilities*****
Permit Number: LD23-3634
LD - Utilities/ Excavation - Parallel
Permittee must also request a final inspection, via LDInspections@temeculaca.gov, to verify completion of
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: LD23-3634
LD - Utilities/ Excavation - Parallel
City Engineer or Authorized Representative Date
06/15/2023
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29836 OLD TOWN FRONT ST., # 205
TEMECULA, CA 92590
Ph. 951 587-2020 Fax: 951-587-2626
DocuSign Envelope ID: EE0DBB2D-77AF-4CFC-AAEF-10F8BA8780E5
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29836 OLD TOWN FRONT ST., # 205
TEMECULA, CA 92590
Ph. 951 587-2020 Fax: 951-587-2626
DocuSign Envelope ID: E8BB5A8F-1C04-43AA-B732-3F74B859AC45
8/29/2022
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29836 OLD TOWN FRONT ST., # 205
TEMECULA, CA 92590
Ph. 951 587-2020 Fax: 951-587-2626
DocuSign Envelope ID: AE4790D8-90A2-4805-B65F-6FA70EB3503E
8/29/2022
08/29/22
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131+00132+00 130+00
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4225 OCEANSIDE BLVD, #354 H
OCEANSIDE, CA 92056
TEL: 760-291-1400
TRAFFIC DESIGN TRAFFIC IMPACT ANALYSIS TRANSPORTATION PLANNING
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Land Development
Encroachment Permit
41000 Main Street
Temecula, Ca 92590
Phone: 951-694-6444
www.temeculaca.gov
R:\LAND DEVELOPMENT DIVISION\Forms\Permit Applications\Word\Encroachment Permit App.docx Page 1 of 2 Revised: 06/16/2020
APPLICATION INFORMATION 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 a set of Construction Drawings, 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 damage to persons or property happening or occurring as a proximate result of any work undertaken 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
ENCROACHMENT PERMIT.
Demo existing sidewalk and install new ADA curb & ramp, trench for conduits,
striping & signage, street improvements, & traffic signal installation including (2)
new masts on City of Temecula
Butterfield Stage Road
6/1/23 8/1/23
LD23-3634
CLEARED BY
CITY OF TEMECULA
PUBLIC WORKS
Tricia.ortega 06/01/2023
06/01/2023 06/01/2023
06/01/20
Land Development
Encroachment Permit
41000 Main Street
Temecula, Ca 92590
Phone: 951-694-6444
www.temeculaca.gov
R:\LAND DEVELOPMENT DIVISION\Forms\Permit Applications\Word\Encroachment Permit App.docx Page 2 of 2 Revised: 06/16/2020
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 approac h
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 #:
Dempsey Construction
1835 Aston Ave, Carlsbad, CA 92008
Alexei Burtscher 760-443-1608 aburtscher@dempseyconstruction.com
5/22/23
05/22/2023
Dempsey Construction
1835 Aston Ave, Carlsbad, CA 92008
Alexei Burtscher 760-443-1608 760-443-1608
02915945467