HomeMy WebLinkAboutLD24-0751Permit Number: LD24-0751
LD - Utilities/ Excavation - Parallel
Issued: 05/24/2024
Expired: 03/10/2025
Job Address: 27710 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
Jose Guillen
17890 Valley Blvd
Bloomington, CA 92316
Applicant:
Inland Engineering Services, Inc.
1373 Old Temescal Rd
Corona, CA 92881
(951) 277-0800 ext 235
Contractor:
Utility Work Order Number: 5137617
Description:
Charter Spectrum PID 5137617
WORK HOURS SHALL BE SUNDAY – THURSDAY, NO HOLIDAYS, 9:00pm – 5:00am
Location:
Jefferson Ave E/S 690' N/O Via Montezuma to Overland Dr
Proposed work:
Rod and rope in conduits per Charter Spectrum "SITE PLAN 27710 JEFFERSON AVE, LD24-0751"
All facilities shall be installed in accordance with City Standard Drawing 117.
Traffic Control shall be in accordance with approved Traffic Control Plan LD24-0751
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: LD24-0751
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: LD24-0751
LD - Utilities/ Excavation - Parallel
City Engineer or Authorized Representative Date
05/24/2024
Page 3 of 3
PUBLIC WORKS - TRAFFIC ENGINEERING DIVISION
CITY OF TEMECULAENGINEER'S SEAL
FOR
TRAFFIC CONTROL PLANS
CONTRACTOR:
RECOMMENDED BY:DATE:
ACCEPTED BY:DATE:
R.T.E. NO.
Updated Traffic Control Notes to rev -AJP AJP 1/26/12
TRAFFIC CONTROL GENERAL NOTES (REV'D. 08/26/20):
CENTRAL AVE RIVERSIDE CA2
OFFICE () 26-6
CHARTER
1
3
UTILITY COMPANY:
EXISTING NO TURN LANE
TRAFFIC CONE
FLASHING ARROW SIGN (FAS)
EXISTING TURN ONLY LANE
BARRICADE
WORK ZONE
TRAFFIC SIGNAL
HIGH LEVEL WARNING DEVICE
(WITH CALTRANS & MUTCD CODE)
SIGN (WITH CALTRANS CODE)
TRAFFIC FLOW DIRECTION
FLAGGER
S
DETAIL SHEET LEGEND
CONE SPACING - 45' MAXIMUM
AT LEAST TWO DAYS
UG SERVICE ALERT OF SOUTHERN CALIFORNIA
BEFORE YOU DIG
DIGALERT
Call TOLL FREE
1-800-227-2600
CROSS STREETS
PRISM#: 5137617
NOTE
SIDEWALKS SHALL REMAIN
OPEN DURING CONSTRUCTION
SCOPE OF WORK WILL NOT
AFFECT PEDESTRIANS
PLACE NO PARKING SIGNS 2
HOURS PRIOR TO WORK
NTS
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DESIGN ORIENTATION
VICINITY MAP
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.
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.
APPLICANT IS RESPONSIBLE FOR FULL AND COMPLETE REPRESENTATION
OF THE ACTUAL ROAD CONDITIONS SHOWN ON THIS PLAN INCLUDING,
BUT NOT LIMITED TO EXISTING STRIPING, SIGNING, SIDEWALKS, AND BIKE
LANES.
HHS
OFFICE () 21-
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TEMECULA
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PO#: 4502093800
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DRIVEWAYS TO BE TREATED
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EX VAULT
EX VAULT
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EX CONDUIT (21
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JEFFERSON AVE & DRIVEWAY
SOW CONTINUE ONTO
PRIVATE PROPERTY
PROPOSED SIGNS
ENGINEER'S INFORMATION
PTIMUM INC
GENERAL ENGINEERING CONTRACTORS
OFFICE () -6
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ENGINEER'S INFORMATIONENGINEER'S SEALCONTRACTOR:
RECOMMENDED BY:DATE:
ACCEPTED BY:DATE:
R.T.E. NO.
Updated Traffic Control Notes to rev -AJP AJP 1/26/12
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RECOMMENDED BY:DATE:
ACCEPTED BY:DATE:
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PRISM#: 5137617
JOB NOTES:
1.The existence and location of any
underground utility pipes or structures
was obtained by a search of the available
records and field conditions. Additional
underground facilities may exist, or the
location of the facilities may differ from
the locations shown on these plans. The
contractor shall, at his own expense,
determine the exact location of all such
underground facilities prior to
commencement of any work or any
action which may damage such facilities
or interfere with their continuous and
proper operation.
2.All plans must be checked and approved
by the governmental agency, or agencies,
having jurisdiction over the roadways
shown on this plan being put into effect.
All plans are intended to conform to the
Manual on Uniform Traffic Control
Devices. The customer/contractor is
responsible for ascertaining addition
agency requirements for work hours
allowed, noise abatement, and other
rules and regulations.
3.The temporary traffic controls must be
installed per the agency approved plan to
be effective. Field changes, other than
minor adjustment, must be authorized in
writing be a representative of the
governmental agency, or agencies,
having jurisdiction over the roadway.
4.Plan implementation and device
placement should be performed by
experienced and trained personnel.
5.Temporary traffic control must be
monitored and maintained by the
customer/contractor to remain effective.
Monitoring and maintenance frequency
is dictated by field conditions, but not
less than daily.
6.Optimum Inc. has no control over, or
responsibility for traffic control plan
implementation and inspections
performed by others. Users agree to
indemnify Optimum Inc. for claims
made regarding failure to install,
maintain or remove controls per
approved traffic control plans.
PTIMUM, INC.
GENERAL ENGINEERING CONTRACTORS
OFFICE: (909) 990-0767
CSLB#: 817291 | CLASS: C-7 A C31
17890 VALLEY BLVD BLOOMINGTON CA
SITE PLAN
SHEET 1 OF 1
7337 CENTRAL AVE RIVERSIDE CA.92504
OFFICE: (833) 267-6097
CHARTER
TP TELEPHONE PEDESTAL
T TELEPHONE VAULT
EV ELECTRIC VAULT
CATV VAULT
IV IRRIGATION VAULT
UTILITY POLE
FIRE HYDRANT
UNDERGROUND VALVE
MAN HOLE
F
M
SL STREET LIGHT VAULT
TS TRAFFIC SIGNAL VAULT
WV WATER VAULT
CATV PEDESTALABOVE GROUND VALVE
GV GAS VAULT
FO FIBER OPTIC VAULT
CV COMMUNICATIONS VAULT
ELECTRIC LINEE GAS LINEG
TELEPHONE LINET
WATER LINEW
CATV LINETV
TRAFFIC SIGNAL LINETS
SEWER LINES
STORM DRAIN LINESD
FIBER OPTIC LINEFO
PETROLUEM LINEP
STREET LIGHTSSL
INDUSTRIAL WASTEIW
OIL LINEO
FUEL LINEF
RECLAIMED WATERRC
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PROPOSED CONSTRUCTION
PROPOSED HDD BORE / CONDUIT INSTALLATION
PROPOSED TRENCH / CONDUIT INSTALLATION
PROPOSED POTHOLE (2'x2')
PROPOSED EXIT / MISSILE BORE PIT (2'x4')
PROPOSED BORE PIT (3'x6')
CATV PROPOSED NEW CATV VAULT (2'x3')
UTILITY / LINE LEGENDEXISTING OBJECTS
CF
EOP EDGE OF PAVEMENT
CURB FACE
RIGHT OF WAY (CITY)
CENTERLINE (C/L)
N
DESIGN ORIENTATIONREVISIONS
REV#DATE DESCRIPTION
36" L
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24"
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3
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"
TYPICAL CATV 2'x3' VAULT DETAIL TYPICAL CATV PEDESTAL DETAIL
CONDUIT DETAIL
6'
3'2'
4'
3" HDPE
MIN. 36"
EXIST. GRADESEND
BORE PIT
RECEIVE
BORE PIT
3" CONDUIT
FIBER OPTIC
CABLE
TRACER WIRE
3" HDPE
FIBER
OPTIC CABLE
3/8" TRACER WIRE
3" CONDUIT 3" CONDUIT
TYPICAL DIRECTIONAL BORE DETAIL TRACER WIRE DETAIL INTERDUCT DETAIL
EXISTING GRADE
HORIZONTAL SCALE: 1" = 40'
VERTICAL SCALE: 1" = 4'
36" - 48" COVER
C/
L
O
F
S
T
R
E
E
T
12" CLEARANCE
PLACE 1-3"
CONDUIT AT
36" - 48" DEPTH
EXISTING UTILITIES
(NOTE: DEPTH MAY
VARY FOR
DIFFERENT
UTILITIES)
TYPICAL UTILITY CLEARANCE
(PROTECT IN PLACE AT ALL EX. UTILITY CROSSINGS)
N.T.S.
S/W
D/W
PH
R/W
EX
C/L
EOP
CF
ABBREVIATIONS
V
PED
·
·
·
·
·
·
–
➢
➢
➢
➢
➢
➢
➢
➢
UTILITY PLAN GENERAL NOTES:
27710 JEFFERSON AVE
TEMECULA
-
JESUS SAMANIEGO
IES
02-13-20224
PENDING
H HOPKINS
CITY OF TEMECULA
PO#: 4502093800
PRISM#: 5137617
PUBLIC WORKS DEPARTMENT
CONSTRUCTION TOTALS
(TOTAL AMOUNTS FOR ENTIRE ROUTE)
WORK DURATION:
·3 DAYS TO PULL CABLE
·3 DAYS OF TRAFFIC CONTROL SET UP
TOTAL # OF WORK DAYS: 3
SCOPE OF WORK:
·ROD & ROPE IN EX. CONDUITS FOR CHARTER SPECTRUM (2,180').
VICINITY MAP
TV
T
V
T
V
T
V
TARGET LOCATION
P
V
V
V
V
V
EX. PED
TIE-IN
EX. VAULT
EX. VAULT
EX. VAULT
EX. VAULT
ROD & ROPE IN
EX. CONDUIT (2180')
SOW CONTINUE ONTO
PRIVATE PROPERTY
LD24-0751
CLEARED BY
CITY OF TEMECULA
PUBLIC WORKS
Tricia.ortega 03/20/2024
03/20/2024 03/20/2024
03/20/20
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 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.
PID_5137617 03-04-2024 05-06-2024
27710 Jefferson Ave, Temecula, CA 92590
Crew to ROD & ROPE IN EX. CONDUITS FOR CHARTER SPECTRUM (2,180').
LD24-0751
CLEARED BY
CITY OF TEMECULA
PUBLIC WORKS
Tricia.ortega 03/20/2024
03/20/2024 03/20/2024
03/20/20
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 #:
Charter Spectrum
Stephen Wade (818) 427-4947
7337 Central Ave Riverside, CA 92504
931684
1373 OLD TEMESCAL ROAD, CORONA, CA 92881
Matthew Benninghoff ( 957) 741-5240 Matthew Benninghoff-(951) 741-5240
Stephen.Wade1@charter.com
A
INLAND ENGINEERING SERVICES INC
Under renewal at City
02-20-2024