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HomeMy WebLinkAboutLD24-2465Permit Number: LD24-2465 LD - Utilities/ Excavation - Parallel Issued: 08/06/2024 Expired: 03/17/2025 Job Address: Tract Map 38121 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 Kent Burckle 5 Peters Canyon Rd, 310 Irvine, CA 92606 (949) 878-1641 Applicant: Cass Construction Inc P O Box 309 El Cajon, CA 92022 (619) 590-0929 Contractor: Utility Work Order Number: 31850976 Description: Prado - Dry Utilities: SoCal Gas Notification #31850976 WORK HOURS SHALL BE SUNDAY – THURSDAY, NO HOLIDAYS, 9:00pm – 5:00am Location: Ynez/Equity & Bucle Prado/Ynez Intersections Proposed work: Dry utility installation per SoCalGas plan, "LD24-2465" All facilities shall be installed in accordance with City Standard Drawing 117. Traffic Control shall be in accordance with approved Traffic Control Plan LD24-2465 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 the City Engineer or their designated assignee. Permittee shall contact LDInspections@temeculaca.gov a minimum of two (2) business days prior to any work. Permittee must also request a final inspection to verify completion of project. Page 1 of 2*****See Page 2 of this Permit for Permittee Responsibilities***** Permit Number: LD24-2465 LD - Utilities/ Excavation - Parallel 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 08/06/2024 Page 2 of 2 1S T P L A N C H E C K S U B M I T T A L ‐ ’ ’ ‐ 07/25/24 SUNDA Y P M 8/1/20 24 1S T P L A N C H E C K S U B M I T T A L ‐ ’’ ‐ 07/25/24 SUNDA Y P M 8/1/20 24 1S T P L A N C H E C K S U B M I T T A L ‐ ’’ ‐ SUNDA Y P M 07/25/24 8/1/20 24 1S T P L A N C H E C K S U B M I T T A L ‐ ’ ’ ‐ 07/25/24 SUNDA Y P M 8/1/20 24 1S T P L A N C H E C K S U B M I T T A L ‐ ’’ ‐ 07/25/24 SUNDA Y P M 8/1/20 24 23' 14 ' 78 ' 23' 55' 110' 115' 23' 23' 110' 34 1 4 4 - 1 4 6 4" P U 34144-146 03-0 5 4" PU (_ _ ' C U R B ) (_ _ ' C U R B ) T I E D / D E 0 3 - 0 5 5' 5' 0' 5' 5' 5' 0' 5' BU C L E PRADO DR R D BUCLE PRADO CA M P O S E E L E G A N T E S CA M P O S E DE L U J O BONITA (_ _ ' C U R B ) (_ _ ' C U R B ) (__' CU R B ) (__' CU R B ) EXIST INST ABAND BY: PE TYPE: LOT #: PLASTIC PIPE LOT NUMBER EXIST INST ABAND BY: PE TYPE: LOT #: PLASTIC PIPE LOT NUMBER EXIST INST ABAND BY: PE TYPE: LOT #: PLASTIC PIPE LOT NUMBER C A I - 90' OF 2" P __ M JT - ECT BY DEV-PRIV PROP I - 250' OF 2" P __ M JT - ECT BY DEV-PRIV PROP I - 105' OF 2" P __ M JT - ECT BY DEV-PUB PROP B EXIST INST ABAND BY: PE TYPE: LOT #: PLASTIC PIPE LOT NUMBER I - 70' OF 2" P __ M JT - ECT BY DEV-PRIV PROP I - EM BALL I - 2" PE TEE I - EM BALL I - 2" PE CAP EXTERNAL: INTERNAL: MAIN CONDITION CODE ANTICIPATED PRESSURE:_______PSIG AS FOUND PRESSURE:_______PSIG PIPE PRESSURE 45 EXIST INST ABAND BY: PE TYPE: LOT #: PLASTIC PIPE LOT NUMBERI - EM BALL I - 2" PE CAP I - 4" X 2" PUNCH TEE I - EM BALL TIE D / D E EQUITY YN E Z CAMPOSE TIE D / D E WORK CENTER # NBMS # DREAMS # DESIGN #DESIGN NAME: PARCEL/CASE # PLAN FILE # RER # R/W # CAD FILE: NOTIFICATION #TAX #NO T I F . # ORDER OP.# SH E E T O F WBS # CREW FOREMAN: ___________________________ COMPANY: _________________________________ DATE MOVED ON JOB: DATE OF OPERATION: DATE MOVED OFF JOB: TOTAL FEET INSTALLED: TOTAL FEET RETIRED:INSTALL MAIN WITH AT LEAST: _______________ COVER BELOW: _____________________________________ COVER PLANNING & SKETCHING PLANNED CONSTRUCTION BASE COMPLETION BY: DATE: BY: DATE:BY: DATE: BY:DATE: CURRENT OWNER & DATE SHEET OF TICKET # ___________ WO# PLANNED AS-BUILT INSTALLED MAIN WITH AT LEAST: CONSTRUCTION APPROVAL BY: DATE: 11C. CANIHAN 12/19/23 L. MARTINEZ 12/19/23 JA BERNAL 3/26/24 JABernal 03/26/2024 CONSTRUCTION SKETCH 32" FINISHED GRADE 23 - 221800 000031850976.dwg 000031850976 11 00 0 0 3 1 8 5 0 9 7 6 VALVE(S) REQUIRED YES REVIEWED BY: C. P. REVIEWED BY: PRESSURE DISTRICT AFFECTED BUSINESS DISTRICT AFFECTED SUPPLY LINE AFFECTED YES YES YES YES YES ISOLATION AREA AFFECTED NO NO NO NO NO NOREGULATOR STATION AFFECTED C CANIHAN By Steve Bannister at 11:34 am, Mar 26, 2024 Steve Bannister 3/26/24 LD24-2465 &LW\RI7HPHFXOD0HULWDJH+RPHV6LWH3ODQ Utlity Constrcution/Site Plans Shall be submitted for review and include the following, but not limited to: 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)422-41333. 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 econstructed 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 LDlnspections@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 LDlnspections@temeculaca.gov to verify completion of project.14. Standard Inspection Request shall include: - Permit Number- Requested Date (of work proposed):- Requested Time (am, pm, or specific time):- Inspection Type (Pre-construction, Repair, Restorations, Traffic control, Final, etc.):- Inspection Location:- Requestor Name/Company:- Field Contact Name/Number: CLEARED BY CITY OF TEMECULA PUBLIC WORKS Tricia.ortega 08/01/2024 08/01/2024 08/01/2024 08/01/20 BU C L E CAMPOS R I C O S VIA UVA VIA VIURA HERMOSA PRADERA VI A BUCLE BU C L E CAMPOS E B O N I T O 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 83 84 85 86 222 223 224 225 221 82 211 (_ _ ' C U R B ) (1 0 ' C U R B S ) (1 0 ' C U R B S ) (1 0 ' C U R B S ) (10' CURBS) (__' CURB) PRADO PR A D O PR A D O SE C O PR O P O S E D 3 1 8 5 0 9 7 6 35' 8' 8' 8' 10 ' 20 ' 10' 3' 8' 13'3' 13'3' 14' 1' 8' 8' 8' 13' 3' 0' 35 ' 1" = 40' WORK CENTER # NBMS # DREAMS # DESIGN #DESIGN NAME: PARCEL/CASE # PLAN FILE # RER # R/W # CAD FILE: NOTIFICATION #TAX #NO T I F . # ORDER OP.# SH E E T O F WBS # CREW FOREMAN: ___________________________ COMPANY: _________________________________ DATE MOVED ON JOB: DATE OF OPERATION: DATE MOVED OFF JOB: TOTAL FEET INSTALLED: TOTAL FEET RETIRED:INSTALL MAIN WITH AT LEAST: _______________ COVER BELOW: _____________________________________ COVER REVIEWED: REGION ENG. TSS LPA CP M & R SUP. PA / FPA RPPM FOS / FS PRINT NAME: DATE: REVIEWED: LSPS LPA DISTRICT INSPECTOR PRINT NAME: DATE: PRE CONSTRUCTION MEETING: YES NO PRESSURE DISTRICT / ZONE # DIST. PRESS. / MAOP: CLASS LOCATION AFFECTED FACILITIES 1 2 3 4 ISO MAP # SUPPLY LINE # SUPPLY LINE PRESS. S.M.Y.S. 20% OR OVER SET / MOP: YES NO REG. STATION ID # N/A PCB FREE AREA HOT SPOT HOT DISTRICT PCB - MEGARULE ANNUAL / BUSINESS LEAK SURVEY AREA: (POST LIMITS ON SKETCH IF APPLICABLE)YES NO PL A N N I N G CATHODICALLY PROTECTED: CP AREA # DATE:PHONE # YES NO BRIDGE OR SPAN INVOLVED: WILL ANY PIPE BE LEFT EXPOSED: (IF YES ROUTE AS-BUILT COPY TO SP SUPERVISOR) YES NO YES NO ENVIRONMENTAL CLEARANCE REQUIRED: ISSUED BY:DATE: STORM WATER:BMPS ONLY SCG SWPPP APPLICANT SWPPP SPECIAL ENVIRONMENTAL CONSIDERATIONS: (IF YES SEE REGION ENVIRONMENTAL ADVISOR) YES NO YES NO MISCELLANEOUS PLANNING STAKED:STAKING REQUIRED: VALVE(S) REQUIRED: PIPELINE MARKERS REQUIRED: (IF YES DISPLAY LOCATION) JOINT TRENCH: YES NO YES NO YES NO YES NO PERMITTING PERMIT # ISSUED BY: PERMIT # ISSUED BY: LOCATION INFORMATION THOMAS GUIDE PAGE # TRACT # CITY OF: COUNTY OF: REGION NAME: DISTRICT NAME: ATLAS SHEET (S) / LEAK SURVEY AREA (S): NUMBER OF LATERALS CLEARED: __________ METHOD(S) USED TO VERIFY LOCATION(S): OPEN TRENCH CAMERA POTHOLE EXPOSED BY EXCAVATION OTHER IF A POSITIVE LOCATION COULD NOT BE DETERMINED INDICATE THE ADDRESS/LOCATION AND REASON WHY ON THIS SKETCH. LCT:DATE: FOS / FS:DATE: (GAS STD #184.0170) METHOD: _______________________________ YES NO CROSSING SEWER LATERALS: DESIGN CHANGES WERE CHANGES MADE TO THE DESIGNED PIPE OR COMPONENT: (IF YES TECHNICAL SERVICES APPROVAL IS REQUIRED) REGION ENG: _____________________ DATE: __________ UPDATED TO RER # ____________________ TSS: _____________________________ LPA / PA / FPA: YES NO DATE: DATE: __________ BACKFILL TYPE USED MECHANICAL COMPACTION:YES NO GAS HANDLING REVIEWED AND PERFORMED AS PLANNED PER GAS STD #184.06 : (IF NO PLEASE PROVIDE EXPLANATION ON SKETCH) SIGN: _________________________ PRINT NAME / TITLE: YES NO DATE: _________ (PER GAS STANDARD 104.0042) BY: ________________________ DATE: ___________ (CHANGE LABOR TO MWO# 99300.000) YES NO ABANDON PIPELINE SAMPLING REQUIRED PLANNING & SKETCHING PLANNED CONSTRUCTION BASE COMPLETION BY: DATE: BY: DATE:BY: DATE: BY:DATE: CURRENT OWNER & DATE SHEET OF AREA MGR. TICKET # ___________ AS - B U I L T / C O N S T R U C T I O N R E V I E W WO# RS# FI E L D C O N S T R U C T I O N PLANNED AS-BUILT INSTALLED MAIN WITH AT LEAST: CONSTRUCTION APPROVAL BY: DATE: (REQUIRED WITH A GAS COMPANY REPRESENTATIVE) LINE CLASS #YES NODEV? 12C CANIHAN 12/15/23 JA BERNAL 12/19/23 J. KIZLER 4/11/24 jskizler 04/12/2024 958-G2 38121 TEMECULA RIVERSIDE SOUTHEAST MURRIETA RCO 8244 41168 60 55 41102 32" FINISHED GRADE 23-221803 000031851101.dwg 000031851101 12 00 0 0 3 1 8 5 1 1 0 1 MATCH LINE SEE SHEET 2 OF 2 VALVE(S) REQUIRED YES REVIEWED BY: C. P. REVIEWED BY: PRESSURE DISTRICT AFFECTED BUSINESS DISTRICT AFFECTED SUPPLY LINE AFFECTED YES YES YES YES YES ISOLATION AREA AFFECTED NO NO NO NO NO NOREGULATOR STATION AFFECTED C. CANIHAN NAME LE N G T H WI D T H QU A N T I T Y TH I C K N E S S AS P H A L T CO N C R E T E EA R T H 1. 2. 3. 4. 5. 6. 7. 8. GRAND TOTAL SQUARE FEET = x x x x x x x x == SQ U A R E FE E T T O T A L SQ U A R E FE E T == == == == == == == CITY COUNTY OF EXCAVATIONS FOR PERMIT x x x x x x x x PRINT NAME: DURATION:_______ HRS. AND/OR_______MIN. MEDIUM HIGH AIR SIGN: GAS STD#184.0150 GAS STD#182.0170 ACTUAL MINIMUM TEST PRESSURE:_______PSIG MINIMUM:________ PSIG / MAXIMUM:________PSIG PRINT TITLE: DATE: LOCATION "_________"TO LOCATION "_________" NITROGEN:OTHER:________________ PIPE PRESSURE TEST TEST PRESSURE: PLANNED INFORMATION ABOVE THIS LINE ACTUAL FIELD INFORMATION BELOW THIS LINE TEST MEDIUM: PRESSURE GAUGE SERIAL#:_________________________ A R 100 I - 170' OF 2" P__M JT - PTV / BY DEV PRV PROP I - 182' OF 2" P__M JT - PTV / BY DEV PRV PROP I - 62' OF 2" P__M JT - PTV / BY DEV PRV PROP I - 68' OF 2" P__M JT - PTV / BY DEV PRV PROP EXIST INST ABAND BY: PE TYPE:LOT #: PLASTIC PIPE LOT NUMBER EXIST INST ABAND BY: PE TYPE:LOT #: PLASTIC PIPE LOT NUMBER EXIST INST ABAND BY: PE TYPE:LOT #: PLASTIC PIPE LOT NUMBER I - 5' OF 2" P__M JT - PTV / BY DEV PRV PROP I - 5' OF 2" P__M JT - PTV / BY DEV PRV PROP I - 5' OF 2" P__M JT - PTV / BY DEV PRV PROP EXIST INST ABAND BY: PE TYPE:LOT #: PLASTIC PIPE LOT NUMBER I - 2" PE TEE I - EM I & R 2" PE CAP I - 2" PE CPLG I - 2" PE CAP I - EM I - 2" PE TEE I - EM I - 2" PE CAP I - EM I - 2" PE TEE I - EM I - 2" PE TEE I - EM I - 2" PE CAP I - EM I - 2" PE CAP I - EM EXIST INST ABAND BY: PE TYPE:LOT #: PLASTIC PIPE LOT NUMBER EXIST INST ABAND BY: PE TYPE:LOT #: PLASTIC PIPE LOT NUMBER EXIST INST ABAND BY: PE TYPE: LOT #: PLASTIC PIPE LOT NUMBER I - (2) EM I - (2) 2" PE ELL I - EM I - 2" PE ELL C D E Q R B A SE E P A G E 2 O F 2 F O R F O O T A G E I - 2" PE TEE I - EM I - 2" PE TEE I - EM I - 2" PE CAP I - EM I - 2" PE CAP I - EM EXIST INST ABAND BY: PE TYPE:LOT #: PLASTIC PIPE LOT NUMBER ANTICIPATED PRESSURE:_______PSIG AS FOUND PRESSURE:_______PSIG PIPE PRESSURE 55 EXTERNAL: INTERNAL: MAIN CONDITION CODE Steve Bannister 4/11/24 LD24-2465 LD24-2456 O R U J O BUCL E VIA ROBLE J U M U R A O L O R O S S O C A V A CA M P O S V I A VIA COSECH A FRONTER R A BUCLE B U C L E P R A D O 6 6 6 6 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 53 208 209 210 53 (10' C U R B S ) (10' C U R B S ) (1 0 ' C U R B S ) (__' CURB ) PRADO AL E G R E S PRAD O BU C L E PR A D O V I A V I A V I A V I A YN E Z RD 26' 110' 8' 8' 8' 8' 13' 2 3 ' 8' 8' 3' 15' 1 5 ' 2 2 ' 8 ' 8 ' 1 3 ' 3' 1 3 ' 3' 8 ' 8 ' 8 ' 8 ' 8 ' 1 5 ' 8' 1 3 ' 3' 2' 1 3 ' 3' 1 0 '1' 12' 3' NOTIFICATION #NO T I F . # SH E E T O F PLANNED BY:DATE: WFM CURRENT OWNER & DATE SHEET OFjskizler04/12/2024 000031851101 22 00 0 0 3 1 8 5 1 1 0 1 22 1" = 40' MATCH LINE SEE SHEET 1 OF 2 EXIST INST ABAND BY: PE TYPE:LOT #: PLASTIC PIPE LOT NUMBER I - 90' OF 2" P__M GAS ONLY TRENCH - BY DEV PUB PROP I - 200' OF 2" P__M GAS ONLY TRENCH - BY DEV PRV PROP EXIST INST ABAND BY: PE TYPE: LOT #: PLASTIC PIPE LOT NUMBER EXIST INST ABAND BY: PE TYPE:LOT #: PLASTIC PIPE LOT NUMBER I - 5' OF 2" P__M JT - PTV - BY DEV PRV PROP I - 15' OF 2" P__M JT - PTV - BY DEV PRV PROP I - 5' OF 2" P__M JT - PTV - BY DEV PRV PROP I - 5' OF 2" P__M JT - PTV - BY DEV PRV PROP I - 5' OF 2" P__M JT - PTV - BY DEV PRV PROP I & R - 2" PE CAP I - 2" TRANS FTG I - 2" SERVICE TEE I - 2" PE TEE I - EM EXIST INST ABAND BY: PE TYPE: LOT #: PLASTIC PIPE LOT NUMBER EXIST INST ABAND BY: PE TYPE:LOT #: PLASTIC PIPE LOT NUMBER EXIST INST ABAND BY: PE TYPE:LOT #: PLASTIC PIPE LOT NUMBER EXIST INST ABAND BY: PE TYPE:LOT #: PLASTIC PIPE LOT NUMBER EXIST INST ABAND BY: PE TYPE:LOT #: PLASTIC PIPE LOT NUMBER I - 5' OF 2" P__M JT - PTV - BY DEV PRV PROP I - 2" PE CAP I - EM I - 2" PE TEE I - EM I - 2" PE TEE I - EM I - 2" PE TEE I - EM I - 2" PE TEE I - EM I - 2" PE TEE I - EM I - 2" PE TEE I - EM I - 2" PE CAP I - EM I - 2" PE CAP I - EM I - 2" PE CAP I - EM I - 2" PE CAP I - EM I - 2" PE CAP I - EM I - 1195' OF 2" P__M JT - PTV - BY DEV PRV PROP EXIST INST ABAND BY: PE TYPE:LOT #: PLASTIC PIPE LOT NUMBER F GH I J KM L I - 81' OF 2" P__M JT - PTV - BY DEV PRV PROP I - 63' OF 2" P__M JT - PTV - BY DEV PRV PROP I - 70' OF 2" P__M JT - PTV - BY DEV PRV PROP EXIST INST ABAND BY: PE TYPE:LOT #: PLASTIC PIPE LOT NUMBER EXIST INST ABAND BY: PE TYPE: LOT #: PLASTIC PIPE LOT NUMBER EXIST INST ABAND BY: PE TYPE:LOT #: PLASTIC PIPE LOT NUMBER I - 2" PE CAP I - EM I - 2" PE CAP I - EMI - 2" PE CAP I - EM I - 2" PE TEE I - EMI - 2" PE TEE I - EM I - 2" PE TEE I - EM P O N I - 2" PE ELL I - EM I - (2) 2" PE ELL I - EM TIE D DE TIE D DE EXIST INST ABAND BY: PE TYPE:LOT #: PLASTIC PIPE LOT NUMBER ANTICIPATED PRESSURE:_______PSIG AS FOUND PRESSURE:_______PSIG PIPE PRESSURE 55 EXTERNAL: INTERNAL: MAIN CONDITION CODE I - 2" PE CAP I - EM I - 5# ANODE LD24-2465 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 7/29/2024 Alliant Insurance Services,Inc. 701 B Street,6th Floor San Diego CA 92101 Robin Hamilton (951)225-2578 Robin.Hamilton@alliant.com License#:0C36861 Federal Insurance Company 20281 CASSCON-04 Executive Risk Indemnity Inc 35181CassConstruction,Inc.dba Cass Arrieta P.O.Box 309 El Cajon CA 92022 514234481 B X 1,000,000 X 100,000 5,000 1,000,000 2,000,000 X 54303117 8/1/2024 8/1/2025 2,000,000 DEDUCTIBLE 5,000 A 1,000,000 X X X 54303116 8/1/2024 8/1/2025 A X543031188/1/2024 8/1/2025 1,000,000 1,000,000 1,000,000 Re:Encroachment Permit -Any work for the City of Temecula in a street or easement. Certificate Holder and TriPointe Homes are named as additional insured (GL)per the attached CG2012 endorsement. City of Temecula 41000 Main St. Temecula CA 92590 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: 12/10/2021 APPLICATION INFORMATION PERMIT NO.: Type of Encroachment:  Street/Storm Drain  Sewer/Water  Signing & Striping  Traffic Signal Utility Trenching Miscellaneous (SPECIFY BELOW) 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 working within the city right-of-way, 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. Proof of coverage shall be by certificate (Accord or equivalent) naming the City of Temecula as certificate holder and the minimum X Intersection of Equity Drive and Ynez Road, Intersection of Bucle Prado and Ynez Road The undersigned hereby applies to excavate, construct and otherwise encroach on City street right-of-way, as follows: Installation of Gas on Ynez/Equity & Bucle Prado/Ynez Intersections causing lane closures. 6/3/24 6/24/24 LD24-2465 CLEARED BY CITY OF TEMECULA PUBLIC WORKS Tricia.ortega 07/08/2024 07/08/2024 07/08/2024 07/08/20 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: 12/10/2021 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: Meritage Homes Mailing Address: 5 Peters Canyon Road, Suite 310, Irvine, CA 92606 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 #: Efrem Joelson 949-299-3848 efrem.joelson@meritagehomes.com 6/5/24 Meritage Homes 5 Peters Canyon Road Suite 310, Irvine, CA 92606 Mike Rust 949-372-3307 951-595-1806 755679 B 051421