HomeMy WebLinkAboutLD24-4808Permit Number: LD24-4808
LD - Utilities/ Utility Maintenance
Issued: 11/06/2024
Expired: 06/03/2025
Job Address: 41074 Camino Corto
Legal Description: Tract Map 7402:4
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
Colleen Lepe
2270 Trumble Rd
Perris, CA 92572
Applicant:
Se Pipeline Construction
Matt Bivens
11832 Bloomfield Avenue
Santa Fe Springs, CA 90670
(562) 286-9771
Contractor:
Utility Work Order Number: 3755247
Description:
EMWD WO3755247: 41074 Camino Corto
Proposed work:
Clear blockage in 33" sewer line
Permitee Date
City Engineer or Authorized Representative Date
11/06/2024
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Project Location
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YNEZ STREET
STREET PROFILE
EX. TRENCH
SW
N'LY S'LY
N.T.S.
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100'
5'5'
CL
22'22'
TIERRA VISTA ROAD
STREET PROFILE
N.T.S.
44'
5''
CL
12'12'
PRIVATE ALLEY
STREET PROFILE
N.T.S.
24'
R/W
S'LY
5'PB
PB
(PARKING)(PARKING)
PAD
10'
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Contact USA
Dial 811 or 800-422-4133
UNDERGROUND SERVICE ALERT
www.digalert.org/contact
B
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LD24-0760
CLEARED BY
CITY OF TEMECULA
PUBLIC WORKS
Tricia.ortega 02/22/2024
02/22/2024 02/22/2024
02/22/20
CL
R/W
43'
7'
R/W
35'15'
6'
℄4'
SW
YNEZ STREET
STREET PROFILE
EX. TRENCH
SW
N'LY S'LY
N.T.S.
℄1'EX. TRENCH
100'
5'5'
CL
22'22'
TIERRA VISTA ROAD
STREET PROFILE
N.T.S.
44'
5''
CL
12'12'
PRIVATE ALLEY
STREET PROFILE
N.T.S.
24'
R/W
S'LY
5'PB
PB
(PARKING)(PARKING)
PAD
10'
℄
TRENCH
LD24-0760
STOP
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TO BE DETERMINED BY
THE CITY OF TEMECULA**
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Land Development
Encroachment Permit
41000 Main Street
Temecula, Ca 92590
Phone: 951-694-6444
www.temeculaca.gov
R:\LAND DEVELOPMENT DIVISION\Forms\Permit Applications\Word\Encroachment Permit App.docx Page 1 of 2 Revised: 06/16/2020
APPLICATION INFORMATION PERMIT NO.:
Type of Encroachment: Street/Storm Drain Sewer/Water Utility Trenching
Signing & Striping Traffic Signal Miscellaneous (SPECIFY BELOW)
The undersigned hereby applies to excavate, construct and otherwise encroach on City street right-of-way, as
follows:
Name(s) of street(s) and/or street address:
Utility Work Order #: Start Date: End Date:
In consideration of granting this application, all applicants including utility companies hereby agree to:
1. If applicable, submit a set of Construction Drawings, Traffic Control Plans, proof of City Business License for all parties
involved, proof of Contractor’s License along with this application at the time of submittal. See the Traffic Control
Plan Checklist for details.
2. Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from
and against any and all penalties, liabilities or loss resulting from claims or court action and arising out of any accident,
loss or damage to persons or property happening or occurring as a proximate result of any work undertaken under
the permit granted pursuant to this application. (See below for specific liability insurance requirements.)
3. Remove/relocate any encroachment installed/maintained under this permit, upon written notice from the City
Engineer.
4. Notify the Land Development Inspection Division via email at LDInspections@temeculaca.gov at least two (2) working
days prior to commencing construction. Hold a pre-construction meeting prior to the start of construction. The
developer/general contractor must be present for the timely request of inspections.
5. Comply with the Standard Specifications, most current Improvement Standard Drawings for Public Works
Construction, City of Temecula Municipal Code Chapters 13.04 and 18.12, terms and conditions of the permit and all
applicable rules and regulations for the City of Temecula and other public agencies having jurisdiction.
LIABILITY INSURANCE REQUIREMENTS
PROVIDE PROOF OF INSURANCE COVERAGE MEETING THE REQURIEMENTS STATED BELOW OR A CITY ATTORNEY APPROVED
EQUIVALENT WITH THE CITY NAMED AS ADDITIONAL INSURED. IN THE EVENT THAT THE INSURANCE IS PROVIDED BY THE
CONTRACTOR, THE CITY AND THE OWNER/DEVELOPER MUST BE NAMED AS ADDITIONAL INSURED.
THIS REQUREMENT SHALL BE MET BY EITHER THE APPLICANT (DEVELOPER, OWNER, PUBLIC UTILITY AGENCY OR FRANCHISE) OR
BY THE CONTRACTOR PERFORMING THE SUBJECT WORK, PRIOR TO BEGININNG ANY WORK PROPOSED UNDER THE SUBJECT
ENCROACHMENT PERMIT.
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 #:
Colleen Lepe