HomeMy WebLinkAboutLD24-3759Permit Number: LD24-3759
LD - Utilities/ Excavation - Parallel
Issued: 11/06/2024
Expired: 06/04/2025
Job Address: 27901 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
Jessica Escobar
1981 Lugonia Ave
Redlands, CA 92373
Applicant:
Southern California Gas Company
Patrick Beltran
Po Box 3003 Ml 8032
Redlans, CA 92373
(562) 889-2724
Contractor:
Utility Work Order Number: 2043039305
Description:
Socal Gas 2043039305
WORK HOURS SHALL BE SUNDAY – THURSDAY, NO HOLIDAYS, 9:00pm – 5:00am
Location: Jefferson Ave/Via Montezuma Intersection south corner
Proposed work:
(1) 2'x4' earth cut Gas service abandonment
All facilities shall be installed in accordance with City Standard Drawing 117.
Traffic Control shall be in accordance with approved Traffic Control Plan LD24-3759
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.
Page 1 of 3*****See Page 2 of this Permit for Permittee Responsibilities*****
Permit Number: LD24-3759
LD - Utilities/ Excavation - Parallel
Permittee must also request a final inspection 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: LD24-3759
LD - Utilities/ Excavation - Parallel
City Engineer or Authorized Representative Date
11/06/2024
Page 3 of 3
X
10/14/2024
NONE
EXISTING TO REMAIN
PROPOSED
LEGEND:
VICINITY MAP
SUBMITTAL TO:
SHEET NO.
OF
PREPARED BY
PROJECT ENGINEER
CHECKED
DRAWN
SCALE
PREPARED DATE
REVISION DATE
2
Traffic & Environmental Group
COASTAL
1519 E Chapman Ave. #14
Fullerton, CA 92831
Office (714) 941-9255
www.ctaeg.com
B.H.
M.G.S.
M.G.S.
LOCATION:
CONTRACTOR INFO:
TYPE OF WORK:
TRAFFIC STAMP
CIVIL STAMP
Straight Arrow Traffic Control
4181 LATHAM STREET
RIVERSIDE, CA 92501
OFFICE: 951 206-9974
UTILITY REPAIR
PROJECT #:C1385
J.A.A.
07/31/2024
CITY OF TEMECULA
27901 JEFFERSON AVENUE
1
TC-01
N
TRAFFIC CONTROL PLANS FOR:
27901 JEFFERSON AVENUE, CITY OF TEMECULA
TRAFFIC CONTROL NOTES:
ENGINEER OF RECORD (EOR) NOTES:
WORK AREA
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DURATION WORK DAYS:
3002
WORK HOURS:
ENGINEER CONTACT:
10/30/24
11/4/2
4
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1" = 40'
2
TC-02
SUBMITTAL TO:
SHEET NO.
OF
PREPARED BY
PROJECT ENGINEER
CHECKED
DRAWN
SCALE
PREPARED DATE
REVISION DATE
2
Traffic & Environmental Group
COASTAL
1519 E Chapman Ave. #14
Fullerton, CA 92831
Office (714) 941-9255
www.ctaeg.com
B.H.
M.G.S.
M.G.S.
LOCATION:
CONTRACTOR INFO:
TYPE OF WORK:
TRAFFIC STAMP
CIVIL STAMP
Straight Arrow Traffic Control
4181 LATHAM STREET
RIVERSIDE, CA 92501
OFFICE: 951 206-9974
UTILITY REPAIR
PROJECT #:C1385
J.A.A.
07/31/2024
CITY OF TEMECULA
27901 JEFFERSON AVENUE
00 40'80'20'
1"1/2"1/4"0
SCALE: 1" = 40'-0"
2"
N
WORK HOURS:
DURATION WORK DAYS:
3002
10/30/24
11/4/2
4
CITY OF TEMCULA PERMIT NO.LD24-3759
SCO NOTFICATION: 2043039305
|27901 Jefferson Ave
ESTIMATED DURATION OF WORK:
1 DAY
WORK SCOPE:
SO CAL GAS CREW WILL ABANDON OLD GAS
SERVICE LINE TO 27901 JEFFERSON AVE, REMOVE
REGULATOR BOX, AND FILL IN HOLE. ALL DIGGING
WORK IN PARKWAY, LANE CLOSURE FOR PARKING
EQUIPMENT ONLY.
WORK TO BE PERFORMED BY SO CAL GAS CREW
25620 JEFFERSON AVE. MURRIETA, CA
2'x4' earth cut to
abandon service line
remove and fill in
regulator box
Traffic Control lane
closure to park
equipment, no
street excavations
needed
CLEARED BY
CITY OF TEMECULA
PUBLIC WORKS
Tricia.ortega 11/04/2024
11/04/2024 11/04/2024
11/04/20
LD24-3759
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PIPE LOT#:MUR:CASING:SVC CONNECTION TYPE:EFV OR CV:HIGH PRESSURE
O STD: QBR PL-MTRM-PL:PIPE GRADE:
M-PL:PL-MTR PIPE WALL:
M-PL:PL-MTR PIPE COATING:
TOTAL FTG:M-PL:PL-MTR PIPE LONG SEAM:
MAP UPDATE REQUEST (MUR)
INSTRUCTIONS: FOLLOW THE MUR &
SVC SKETCH PROCEDURES IN G.S.
192.0031 & 184.0070; SUBMIT THE MUR
THROUGH GIS MUR REQUESTOR APP CALCULATION METHOD: FL
Q STD: Q BR:
O STD: Q BR:
LD24-3759
Land Development
Utility Plan General Notes
41000 Main Street
Temecula, CA 92590
Phone: 951-694-6444
www.temeculaca.gov
Utility Construction/Site plans shall be submitted for review and include the following, but not be 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)422-4133
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 to schedule a meeting.LDInspections@temeculaca.gov
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 to
verify completion of project.
LDInspections@temeculaca.gov
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:
Utility Plan General Notes.docx Page 1 of 1 Revised: 03/13/2024
LD24-3759
R/W
IE' (TYP.)(TYP.)
2.5' NORMAL MIN.
■GAS MAINNORMAL MIN.
‘NOTE:
NOTES:
2. CHANGES NAY BE PERMITTED BY THE DEPT. OF PUBLIC WORKS IN CASES OF CONFLICTING FACILITIES.
6. ALL UTILITY PIPES SHALL BE MARKED WITH TRACEABLE WIRE OR TAPE.
7. REFER TO STD. 407 FOR TRENCH REPAIR REQUIREMENTS.
STANDARD NO. I 17
FIRE-
HYD.
WATER
MAIN
STORM
DRAIN SEWER
MAIN
1.5'-
MIN.
JOINT
UTILITIES
TRENCH
STANDARD LOCA T/ON OF
UNDERGROUND UTILITIES
-‘STREET LIGHT
BASE
SEE C. 0. T. STD. 800 OR 801 FOR ARTERIAL HIGHWA Y
AND RESIDENTIAL LIGHTING DETAILS.
5. CONFLICTS BETWEEN UTILITY COMPANIES FACILITIES, EXISTING AND PROPOSED, MUST BE MUTUALL Y
RESOL VED BY THE UTILITY COMPANIES.
5. MAXIMUM 2" DIAMETER GAS MAINS MA Y BE PLACED IN JOINT UTILITIES TRENCH SUBJECT
TO APPROVAL OF DIRECTOR OF PUBLIC WORKS (IN TRACTS).
CITY OF TEMECULA
DEPARTMENT OF PUBLIC WORKS
/. LOCA T/ON AND DEPTH OF EXISTING AND PROPOSED UTILITIES MUST BE PROVIDED BY THE SUBDIVIDER
AND SHOWN ON ALL PLANS SUBMITTED FOR APPROVAL TO THE DEPARTMENT OF PUBLIC WORKS.
4. FOR COMMERCIAL SIDEWALKS, THE FIRE HYDRANT SHALL BE PLACED WITHIN THE SIDEWALK 1.5' BEHIND
FACE OF CURB. MUST ALLOW FOR A T LEAST 48" OF CLEAR PA THWA Y AROUND THE FIRE HYDRANT.
2.5' MIN. COVERS
OVER FACILITIES
SIDEWALK
CURB 8 GUTTER
VALVE BOX
5.0' NORMAL MIN.
SIDEWALK
CURB & GUTTER
JOINT
UTILITIES
TRENCH
LOCATE IN ACCORDANCE
WITH ORD. 5L6 SEC. 901
DEPTH VARIES
NORTH SIDE OR EAST SIDESOUTH SIDE OR WEST SIDE
APPROVED BY:
OCTOBER 12, 20II
IWJ
GREG BUTLER, DIRPCTOl/OF PUBLIC WORKS/CITY ENGINEER DA TE
R.C.E. NO. 47109
REVISIONS REV.BY:APPR'D DATE REV.BY:APPR'D DATE
10/98,12/06 /—4
5
—
6
LD24-3759
W = (DIA. + 12“MIN. ;A
02" MIN.)
T+l“(4" MIN.)
95% R.C MIN.
C.O.T. STD. NO. H5
90% R.C. MIN.
REVISIONS
STANDARD NO. 407 (SHEET I OF 5)
BEDDING AND SHADING PER UTILITY INVOL VED. IF NONE REQUIRED,
USE CRUSHED AG GREG A TE BASE. IF ROCK IS USED IN THE PIPE
ZONE, A FILTER FABRIC BLANKET SHALL BE PLACED OVER THE
BEDDING / SHADING MATERIAL, PRIOR TO PLACING THE REMAINING
TRENCH BACKFILL
TYPE C2-PG-70-I0 A.C. FINISH SURFACE TO BE PLACED NO r SOONER THAN 14 DA YS AND NO LA TER THAN 55 DA YS
AFTER BASE PAVING.
MATCH EXISTING
6" MIN.
CITY OF TEMECULA
DEPARTMENT OF PUBLIC WORKS
PIPE ZONE COMPACTION
PER UTILITY SPECS.^
TYPE B-PG-70-10 A. C. BASE COURSE TO BE PLACED
r WITHIN 72 HOURS AFTER CONSOLIDATION ON BACKFILL.
TRENCH / POTHOLE
REPAIR
APPR'D
G.B.
T.G.
P.T.
APPR'D
P.T.
P.T.
DATE
10/12
4//4
03/20
REV.
4
5
6
DATE
03/23
0I/2A
REV.
I
2
3
10/98,12/06, 03/20,
03/23, 01/20
1/5 W
(12" MIN.)
< 0’ ’r’Q.APPROVE^91) p
JANUARY 15, 2024
PA TRICK ^THOMAS, DlfafrOR OF PUBLIC WORKS/CITY ENGINEER DA TE
R.C.E. NO. 44225
LD24-3759
%
CURB
EXISTING PAVEMENT
EXISTING PAVEMENT
CURS
STANDARD NO. 407 (SHEET Z OF 3)
FULL WIDTH
OF STREET
2. TRENCHES CUT PERPENDICULAR TO THE PATH OF TRAVEL SHALL BE RESURFACED FOR THE
FULL LENGTH OF THE TRENCH AND EXTEND TO COVER THE FULL LANE(S) OR HALF STREET
IMPACTED. RESURFACE SHALL BE FULL WIDTH OF TRENCH PLUS 10 FEET ON BOTH SIDES.
IF MUL TIPLE TRENCHES ARE REQUIRED, PA VEMENT MUST BE RESURFACED FOR FULL WIDTH
OF STREET ALONG ENTIRE PROJECT FRONTAGE A T THE DISCRETION OF THE CITY ENGINEER.
L TRENCHES CUTIN THE DIRECTION OF TRAVEL SHALL BE RESURFACED THE FULL LENGTH
OF THE TRENCH PLUS 10 FEET AT BOTH ENDS AND THE WIDTH OF THE FULL LANE(S)
IMPACTED. A FULL HALF STREET RESURFACING MA Y BE REQUIRED A T THE DISCRETION
OF THE CITY ENGINEER.
CITY OF TEMECULA
DEPARTMENT OF PUBLIC WORKS
TRENCH / POTHOLE
REPAIRDATE
OS/23
APPR'D
P.T.
DATE
10/12
4/W
03/20
REV.
4
5
6
APPR'D
G.B.
T.G.
P.T.
REV.
I
2
3
BY:
E.E.10/93,12/06, 03/20.
08/23
BY:
C.V.
C.V.
O.B.
CURS
NEW ASPHALT
TRENCH CUT-^
10’ 10’
REVISIONS
APPROVED BY: .
JANUARY 15, 2024
PATRICK THOMAS')^
R.C.E. NO. 64223
IRECTOI? OF PUBLIC WORKS/C!TY ENGINEER DA TE
LD24-3759
NOTES:
/. ALL TRENCHES BE BACKFILLED AND CONSOUDA TED IN ACCORDANCE WITH THE STANDARD
SPECIFICATIONS FOR PUBLIC WORKS CONSTRUCTION.//^
2. SPREADER BOXES MA Y BE EMPLOYED FOR TRENCH PA VINO JOBS LESS THAN 300' L.F.
3. ALL JOINTS SHALL BE VERTICAL BUTT JOINTS; LAP OR FEATHERED JOINTS ARE NOT ACCEPTABLE.
HEADER CUT AS NEEDED OR SPECIFIED BY THE DIRECTOR OF PUBLIC WORKS.
(SEE SHT. I OF 2 FOR REFERENCE)
A. UNLESS OTHERWISE INSTRUCTED BY DIRECTOR OF PUBLIC WORKS, TRENCH PA TCH SHALL
STRAIGHT GRADE ACROSS WIDTH AND SHALL NOT BE CROWNED A T CENTER.
5. PRIOR TO PLACEMENT OF A.C., PAVEMENT EDGE SHALL SAW BE CUT TO A CLEAN VERTICAL AND
STRAIGHT EDGE.
6. THE ENTIRE TRA VELED LANE, 12' MIN, SHALL BE COLD MILLED AND REPA VED WITH E" MIN.
C2-PG-70-I0 A.C. USING A SELF-PROPELLED PAVING MACHINE, BARBER GREEN, BLOW KNOX OR
EQUAL FOR ALL TRENCHES 3001 IN LENGTH OR LONGER. ANY PA VEMENT JOINT LINE IN THE WHEEL
TRACK SHALL EXTEND TO THE NEXT LANE LINE.
7. ALL TRENCHES SHALL BE PERMANENTL Y PA TCHED TO SURFACE PA VEMENT ELEVA TION A T THE END
OF EACH DA Y WITH A HOT MIX A. C. BASE COURSE. TEMPORARY A. C. COLD MIX SHALL NOT BE
ALLOWED. AS AN AL TERNA TIVE, THE TRENCH MA Y BE TEMPORARIL Y SECURED EACH DA Y WITH
TRAFFIC PLATING RECESSED LEVEL WITH EXISTING PAVEMENT SURFACE. RECESSED GRIND SHALL
NOT EXCEED THICKNESS OF THE PLATE.
8. TRENCH BACKFILL USING SLURRY SHALL NOT BE PERMITTED UNLESS AUTHORIZED BY THE
DIRECTOR OF PUBLIC WORKS.
9. PRINCIPAL AND URBAN ARTERIAL ROADS PER THE CITY OF TEMECULA GENERAL PLAN REQUIRE
CRUSHED AGGREGATE BASE (C.A.B.)//^
10. ALL TRENCH EXCAVATION WITHIN THE CITY OF TEMECULA RIGHT-OF-WAY SHALL REQUIRE AN
ENCROACHMENT PERMIT FROM THE DEPARTMENT OF PUBLIC WORKS.//
11. UNDERGROUND SERVICE ALERT SHALL BE NOTIFIED A TI (800) ^22-4133 TWO (2) WORKING DA YS
PRIOR TO START OF WORK.//
!2. ALL STREET TRENCHES SHALL CONFORM TO CITY AND ENGINEERING STANDARDSAND THE
CITY'S PAVING NOTES.//
13. TRENCHES OR POTHOLES IN STREETS THAT WERE CONSTRUCTED OR RESURFACED WITHIN THE
LASTS YEARS, SHALL BE REPAVED OR SLURRIED TO THE SATISFACTION OF THE CITY ENGINEER
PER STANDARD NO. 407. ALL IMPACTED LANE STRIPING, MARKERS OR LEGENDS SHALL BE
REPLACED IN KIND.//
14. UPON COMPLETION OF THE ASPHALT PAVEMENT REPAIR, CONTRACTOR SHALL SEAL AND SAND
ALL EDGES TO THE SATISFACTION OF THE DEPARTMENT OF PUBLIC WORKS INSPECTOR. A
APPROVE//Y.
1 JANUARY 15. 2024 ft 4 CITY OF TEMECULA
DEPARTMENT OF PUBLIC WORKS
PATRI^ THOMAS. M
R.C.E. NO. LA225
ECTOR OF PUBLIC WORKS/CITY ENGINEER DA TE
TRENCH / POTHOLE
REPAIR
REVISIONS REV.BY:APPR'D DATE REV.BY:APPR'D DATE
10/96,16/06, 08/63.1 C.V.G.B.10/16 6
01/66 2 E.E.P.T.08/63 5
3 E.E.P.T.01/26 6 STANDARD NO. 407(SHEET3 OF3)
LD24-3759
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.
09/16/2024
27901 Jefferson Ave. Temecula
12/31/20242043039305
Abandon gas service
(1) 2'x4' earth cut
LD24-3759
CLEARED BY
CITY OF TEMECULA
PUBLIC WORKS
Tricia.ortega 09/30/2024
09/30/2024 09/30/2024
09/30/20
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 #:
Southern California Gas Company
Po Box 3003 ML 8032, Redlands, Ca 92373
Southern California Gas Company
71389 C10
Po Box 3003 ML 8032, Redlands, Ca 92373
213-231-5429Todd Skinner
Jessica Martinez 213-231-5429 JMartinezd4af3@socalgas.com
8/22/2024