HomeMy WebLinkAboutLD23-6119Permit Number: LD23-6119
LD - Utilities/ Excavation - Street Crossing
Issued: 11/07/2023
Expired: 06/03/2024
Job Address: 27717 Jefferson Ave
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
Sandy Khoury
1801 Atlantic Blvd
Monterey Park, CA 91754
Applicant:
Contractor:
Utility Work Order Number: 52-3490761
Description:
SoCal Gas; 52-3490761
After the Fact- Leak Repaired- Paving Needed (1) 12x3 Asphalt Cut. (1) 3x3 Asphalt cut
All facilities shall be installed in accordance with City Standard Drawing 117.
Traffic Control shall be in accordance with approved Traffic Control Plan LD23-6119
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
project.
Page 1 of 2*****See Page 2 of this Permit for Permittee Responsibilities*****
Permit Number: LD23-6119
LD - Utilities/ Excavation - Street Crossing
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
City Engineer or Authorized Representative Date
11/07/2023
Page 2 of 2
PERMIT SKETCH
Work Order Number: Address:
520003490761 27717 JEFFERSON AVE,TEM
Type of Cut: Cut Size: Property Line 1: Property Line 2:
ASPHALT 12X3 VIA MONTEZUMA JEFFERSON AVE
ASPHALT 3X3 VIA MONTEZUMA JEFFERSON AVE
SCG 21’ E/W PL
OF JEFFERSON AVE
LANE
CLOSED
ROAD
WORK
AHEAD
ROAD
WORK
AHEAD
LANE
CLOSED
S
T
O
P
STOP
S
T
O
P
STOP
ROAD
CLOSED
JEFFE
R
S
O
N
A
V
E
(40
M
.
P
.
H
.
)
LEGEND:GENERAL NOTES-TRAFFIC CONTROL
80'0
1" = 80
DURATION WORK DAYS:
NIGHT TIME HOURS
WORK HOURS:ALL DRIVEWAYS TO BE
ACCESSIBLE FOR TRAFFIC
DURING WORKING HOURS
(TYP. FOR ALL DWYS)
Know what's below.
Call before you dig.
1
2
TRAFFIC CONTROL PLAN
TEMPORARY TRAFFIC CONTROL PLAN DIMENSION GUIDELINES (12 FOOT WIDTH)
SPEED
MPH
(2)
DIMENSION
A/B/C/
ADVANCE
WARNING SIGN
SPACING
(5)
DIMENSION
L
MERGING
TAPER
LENGTH
(7)
DIMENSION
L/2
SHIFTING
TAPER
LENGTH
(7)
DIMENSION
L/3
MINIMUM
SHOULDER
TAPER
(7)
DIMENSION
"E"
BUFFER SPACE (4-A)
AND
FLAGGER STATION
STOPPPING SIGHT
DISTANCE (4-B)
(0%) (-3%) (-6%)
MAXIMUM
CHANNELIZER
TAPER
SPACING
(3)
MAXIMUM
CHANNELIZER
TANGENT
SPACING
(3)
MAXIMUM
CHANNELIZER
CONFLICT
SPACING
(6)
MPH Ft Ft Ft Ft Ft Ft Ft Ft
25 100 125 65 45 (155) (160) (165)25 50 12
30 250 180 90 60 (200) (205) (215)30 60 15
35 250 245 125 85 (250) (260) (275)35 70 17
40 250 320 160 110 (305) (315) (335)40 80 20
45 350 540 270 180 (360) (380) (400)45 90 22
50 350 600 300 200 (425) (450) (475)50 100 25
55 350 660 330 220 (495) (520) (555)50 100 25
60 350 720 360 240 (570) (600) (640)50 100 25
65 350 780 390 260 (645) (685) (730)50 100 25
(1)WORK ON FREEWAYS AND EXPRESSWAYS SHALL MEET THE CALTRANS STANDARD PLANS AND STANDARD SPECIFICATIONS REQUIREMENTS
(2)POSTED SPEED OR OBSERVED OPERATING SPEED (WHICHEVER IS GREATER)
(3)
CHANNELIZER SPACING SHALL BE REDUCED BY HALF AT AREAS WHERE WORK IS TAKING PLACE ON CURVES OR AREAS OF HEAD-ON CONFLICT. DOWNSTREAM CHANNELIZER
SPACING IS A MAXIMUM OF 20FT
(4-A)BUFFER SPACE MAY BE INSERTED IN LOW-SPEED URBAN AREAS AND SHOULD BE INSERTED IN HIGH SPEED URBAN AND RURAL AREAS
(4-B)THE STOPPING SIGHT DISTANCE SHOULD ENABLE ROAD USERS TO SEE THE PRIMARY FLAGGER STATION AND SAFELY STOP
(5)FOR URBAN AREAS. SIGN SPACING ON FREEWAYS SHOULD CONFORM TO CAMUTCD AND SIGN SPACING IN RURAL AREAS SHOULD BE 500 FT
(6)**TABLE 6F-101(CA)
(7)FOR TAPER WIDTH DIFFERENT THAN 12FT, TAPER LENGTH SHALL BE CALCULATED USING THE FORMULA L=WS2/60 FOR SPEEDS 40MPH OR LESS, AND THE FORMULA L=WS FOR
SPEEDS 45MPH OR MORE.
L = TAPER LENGTH IN FEET
W = WIDTH IN FEET
S = SPEED
CITY OF TEMECULA, CA
27717 JEFFERSON AVE
LEGEND:GENERAL NOTES-TRAFFIC CONTROL
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 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.
J
E
F
F
E
R
S
O
N
A
V
E
(
4
0
M
.
P
.
H
.
)
MA
T
C
H
L
I
N
E
-
S
E
E
S
H
E
E
T
2
VIA
M
O
N
T
E
Z
U
M
A
(30
M
.
P
.
H
.
)
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.
ROAD
WORK
AHEAD
SHARE
THE
ROAD
BIKE
LANE
CLOSED
AHEAD
RIGHT LANE
CLOSED
AHEAD
BIKE
LANE
CLOSED
LEGEND:
80'0
1" = 80
DURATION WORK DAYS:WORK HOURS:ALL DRIVEWAYS TO BE
ACCESSIBLE FOR TRAFFIC
DURING WORKING HOURS
(TYP. FOR ALL DWYS)
Know what's below.
Call before you dig.
2
2
TRAFFIC CONTROL PLAN
CITY OF TEMECULA, CA
27717 JEFFERSON AVE
LEGEND:
MA
T
C
H
L
I
N
E
-
S
E
E
S
H
E
E
T
1
JEFFERSON AVE
(40 M.P.H.)
JEFFER
S
O
N
A
V
E
(40 M
.
P
.
H
.
)
NIGHT TIME HOURS
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.
After the Fact- Leak Repaired- Paving Needed (1) 12x3 Asphalt cut, (1) 3x3 Asphalt cut.
27717 Jefferson Ave Cross St: Via Montezuma
52-3490761 ASAP (Pending Permit) ASAP (Pending Permit)
LD23-6119
CLEARED BY
CITY OF TEMECULA
PUBLIC WORKS
david.pina 09/21/2023
09/21/2023 09/21/2023
09/21/20
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 #:
Shane Lyman 1-951-727-0305
A
1801 Atlantic Blvd, Monterey Park CA 91754
Sandy Khoury 213-231-3448 skhoury@socalgas.com
Southern California Gas Company
NPL Construction Co.
19820 N. 7th Ave, Phoenix AZ 85027
732974
09/21/2023