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HomeMy WebLinkAboutLD24-1863Permit Number: LD24-1863 LD - Utilities/ Excavation - Parallel Issued: 07/15/2024 Expired: 06/02/2025 Job Address: 28770 Single Oak Dr 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 Frosty Russell 244 Jason Court Corona, CA 92879 (714) 299-7349 Applicant: John Griffin 244 Jason Court Corona, CA 92879 Contractor: Utility Work Order Number: 1953886 Description: Spectrum 1953886 WORK HOURS SHALL BE MONDAY – FRIDAY, NO HOLIDAYS, 8:30am – 3:30Pm Location: North Corner Intersection of Business Park Dr & Single Oak Dr Proposed work: Trench in parkway to place conduit for CATV and tying in to SCE handhole pull box in order to install CATV power supply meter pedestal per "SITE PLAN 28770 SINGLE OAK DR, LD24-863" All facilities shall be installed in accordance with City Standard Drawing 117. Traffic Control shall be in accordance with approved Traffic Control Plan LD24-1863 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: LD24-1863 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: LD24-1863 LD - Utilities/ Excavation - Parallel City Engineer or Authorized Representative Date 07/15/2024 Page 3 of 3 B U S I N E S S P A R K D R . 3 5 M P H PRIVATE DRIVEWAY SINGLE OAK DR. 35 MPH 1 0 0 ' D O W N S T R E A M T A P E R 1 2 5 ' S H I F T I N G T A P E R WOR K A R E A (115 ' ± ) 250' BUFFER 125' SHIFTING TAPER PRIVATE DRIVEWAY PRIVATE DRIVEWAY PRIVATE DRIVEWAY ●●●●●●●●●●●●●●●● ● ● ● ● ● ● ● ● ● ● ● 2 4 0 ' B U F F E R ● ● ● ● ● ● ● ● ● ● ● ● ● POST TEMP. NO PARKING 17' (MAX) CONFLICT SPACING (TYP) PROPOSED: - NEW METER PED. -TRENCH. 250'250' 350' 2 5 0 ' 350' 2 5 0 ' 2 5 0 ' RANCHO CALIFORNIA RD. 45 MPH W5-1 G20-2 C12(CA)C30A(CA) C30A(CA) C30A(CA) R60B(CA) 12' MIN. LANE 1 2 ' M I N . L A N E C30A(CA) W20-1 G20-2 W20-1 G20-2 W5-1 G20-2 W20-1 G20-2 W20-1 C30A(CA) C30A(CA) R9-3 1 2 ' M I N . L A N E 1 2 ' M I N . L A N E 17' (MAX) CONFLICT SPACING (TYP) S P R I V A T E D R I V E W A Y 250' W20-1 W11-1 & W16-1 W O R K A R E A ( 1 0 5 ' ± ) 2 5 0 ' C12(CA) W11-1 & W16-1 R3-4 RoadSafe Traffic Systems, Inc. 1640 Market Street Corona, CA 92878 (951) 734-9535 License #930960 C-31 28 7 7 0 S i n g l e O a k D r _ T e m e c u l a . d w g Au t h o r : Da t e : Fi l e N a m e : 04 / 1 0 / 2 0 2 4 ac a l d e r o n DRAWING NO. 1 PREPARED BY::CONTRACTOR: SHEETS CATV POWER SUPPLY METER PEDESTAL INSTALLATION 28770 SINGLE OAK DRIVE CITY OF TEMECULA MARK REVISIONS BY APPR. PUBLIC WORKS - TRAFFIC ENGINEERING DIVISION ACCEPTED BY: JOHN GRIFFIN CONSTRUCTION INC. 244 JASON CT. CORONA, CA 92879 (714) 299 - 7349 Frosty Russell ENGINEER'S SEAL:ENGINEER'S INFORMATION DATE TRAFFIC CONTROL PLANS FOR FOR CITY USE ONLY: FILE NO. DATE RECOMMENDED BY:DATE: R.T.E. NO. SHEET OF Green Choice Design Group, Inc. 18340 Yorba Linda Blvd, Suite 107-124 Yorba Linda, CA 92886 (714) 397 - 3660 1 PROJECT LOCATION NOT TO SCALE TRAFFIC CONTROL PLANS FOR CATV POWER SUPPLY METER PEDESTAL INSTALLATION 28770 SINGLE OAK DRIVE CITY OF TEMECULA VICINITY MAP 0' GRAPHIC SCALE 50'25'50'100'200' 1 inch = 50 feet CONTRACTOR TO NOTIFY PROPERTY OWNERS/TENANTS PRIOR TO START OF WORK CONTRACTOR SHALL MAINTAIN STEEL PLATES OVER OPEN EXCAVATIONS DURING NON-WORKING HOURS. W8-24 SIGN SHALL BE PRESENT WHEN STEEL PLATES ARE PRESENT TYPE I BARRICADE W/ SIGN WORK ZONE SIGNALIZED INTERSECTIONS FLAG TREE W/ VINYL SIGN CONE OR DELINEATOR LEGEND SHOULDER CLOSED C30A(CA) END ROAD WORK G20-2 R9-3 R60B(CA) ROAD WORK AHEAD W20-1 CALL TWO FULL WORKING DAYS BEFORE YOU DIG TOLL FREE 1-800-227-2600 A PUBLIC SERVICE BY UNDERGROUND SERVICE ALERT 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. 7.7. 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 toall requirements in City Standard Drawing # 407 (reference all sheets) 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. TRAFFIC CONTROL PLAN GENERAL NOTES ROADSAFE TRAFFIC SYSTEMS INC. AND CONSULTANTS HAVE NO CONTROL OVER, NOR RESPONSIBILITY FOR, TRAFFIC CONTROL PLAN IMPLEMENTATION BY OTHERS AND/OR INSPECTION PERFORMED BY OTHERS. USERS AGREE TO INDEMNIFY ROADSAFE TRAFFIC SYSTEMS, INC. AND CONSULTANTS FOR CLAIMS MADE REGARDING FAILURE TO INSTALL, MAINTAIN OR REMOVE CONTROLS OR DEVICES PER APPROVED TRAFFIC CONTROL PLANS. PERMIT NO. LD24-1863 UTILITY WO#: 1953886 NARROW LANE C12(CA) W5-1 ROAD NARROWS W11-1 SHARE THE ROAD W16-1 3002 ERICK ESCOBEDO TRAFFIC ENGINEER R3-4 CONE SIGN 7/8/20 24 WORK HOURS MONDAY - FRIDAY NO HOLIDAYS 8:30am - 3:30pm 7/10/24 PROPOSED INSTALLATION OF ALPHA CABLE TV POWER SUPPLY METER PEDESTAL FOR CHARTER COMM./ SPECTRUM 28770 SINGLE OAK DR TEMECULA CA, 92590 SITE# 4187774-TE134A COMMERCIAL GENERAL NOTES: a.PLACE NEW POWER SUPPLY METER CABINET b.LOCATE & PROTECT IN PLACE ALL EXISTING UTILITIES c.RESTORE LANDSCAPE & KEEP ALL DRIVEWAYS OPEN d.ALL WORK IS BEHIND EDGE OF ASPHALT/SIDEWALK DRAWING NOTES: 1.ALL WORK PER CITY OF TEMECULA TRANSPORTATION STANDARDS. 2.REMOVAL / RECONSTRUCTION OF SIDEWALK PER CITY OF TEMECULA STANDARDS. 3.IF TRENCH IS 3' OR LESS FROM GUTTER, EXISTING ASPHALT / CONCRETE SHALL BE REMOVED AND REPLACED TO THE APPLICABLE IMPROVEMENT AS PART OF THE TRENCH 4.REPLACE ANY REMOVED OR DAMAGED PUBLIC IMPROVEMENTS (I.E., CURB, GUTTER, SIDEWALK, PAVEMENT, AND LANDSCAPING) IN KIND PER CITY OF TEMECULA STANDARD DETAILS VICINITY MAP (NTS.) AUTHORIZED CONTRACTOR PROUD TO BE 244 JASON COURT, CORONA, CA, 92879 LOCATION: PROJECT SCOPE: INSTALL CATV METER PEDESTAL DRAWN BY: GPS: DATE: SITE# REV TRACT# DATE DESCRIPTION LEGEND EX. CONDITIONS LINETYPES PROP. CATV CODUIT PROP. POWER CONDUIT EX. UTILITIES LINETYPESEXISTINGSYMSYMPROPOSED ALPHA CATV POWER SUPPLY METER PEDESTAL SHEET 4'' G ELECTRIC GAS (4") TELEPHONE TEL STORM DRAIN WATER CATV 8'' GGAS (8") CURB AND GUTTER RIGHT OF WAY CENTERLINE CATV PED EHH CATV VAULT CATV PED SCE HAND HOLE SCE PAD SCE VAULT EXISTING METER PED LD24-1863 1.6/11/24 CITY REQUIREMENTS CITY OF TEMECULA 28770 SINGLE OAK DR TEMECULA CA 92590 33.498755, -117.1619076 COMMERCIAL4187774-TE134A A-240940654 B.E.04/30/2024 1 OF 3 SITE LOCATION City of Temecula Land Development Utility Plan General Notes 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 LDInspections@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 LDInspections@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 06/24/2024 06/24/2024 06/24/2024 06/24/20 T V T V T V T V T V T V T V E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E G G G G G T V T V E E E E E E E G PROPOSED INSTALLATION OF ALPHA CABLE TV POWER SUPPLY METER PEDESTAL FOR CHARTER COMM./ SPECTRUM 28770 SINGLE OAK DR TEMECULA CA, 92590 SITE# 4187774-TE134A COMMERCIAL SW INSTALL PROPOSED CATV POWER SUPPLY METER PEDESTAL TIE INTO EXISTING SCE VAULT FOR POWER (UG-5196551) TRENCH TO PLACE 1-3" PVC SCH-40 CONDUIT FOR POWER (40 L.F.) TIE INTO EXISTING 2' X 3' CATV VAULT TRENCH TO PLACE 2" PVC CONDUIT FOR CATV (40 L.F.) GENERAL NOTES: a.PLACE NEW POWER SUPPLY METER CABINET b.LOCATE & PROTECT IN PLACE ALL EXISTING UTILITIES c.RESTORE LANDSCAPE & KEEP ALL DRIVEWAYS OPEN d.ALL WORK IS BEHIND EDGE OF ASPHALT/SIDEWALK DRAWING NOTES: 1.ALL WORK PER CITY OF TEMECULA TRANSPORTATION STANDARDS. 2.REMOVAL / RECONSTRUCTION OF SIDEWALK PER CITY OF TEMECULA STANDARDS. 3.IF TRENCH IS 3' OR LESS FROM GUTTER, EXISTING ASPHALT / CONCRETE SHALL BE REMOVED AND REPLACED TO THE APPLICABLE IMPROVEMENT AS PART OF THE TRENCH 4.REPLACE ANY REMOVED OR DAMAGED PUBLIC IMPROVEMENTS (I.E., CURB, GUTTER, SIDEWALK, PAVEMENT, AND LANDSCAPING) IN KIND PER CITY OF TEMECULA STANDARD DETAILS LOCATION OF PROPOSED CATV POWER SUPPLY METER PEDESTAL DETAIL "A" SCALE: 1" = 10' SCALE: 1" = 40' P K W Y VICINITY MAP (NTS.) AUTHORIZED CONTRACTOR PROUD TO BE 244 JASON COURT, CORONA, CA, 92879 LOCATION: PROJECT SCOPE: INSTALL CATV METER PEDESTAL DRAWN BY: GPS: DATE: SITE# REV TRACT# DATE DESCRIPTION LEGEND EX. CONDITIONS LINETYPES PROP. CATV CODUIT PROP. POWER CONDUIT EX. UTILITIES LINETYPESEXISTINGSYMSYMPROPOSED ALPHA CATV POWER SUPPLY METER PEDESTAL SHEET 4'' G ELECTRIC GAS (4") TELEPHONE TEL STORM DRAIN WATER CATV 8'' GGAS (8") CURB AND GUTTER RIGHT OF WAY CENTERLINE CATV PED EHH CATV VAULT CATV PED SCE HAND HOLE SCE PAD SCE VAULT EXISTING METER PED LD24-1863 1.6/11/24 CITY REQUIREMENTS CITY OF TEMECULA 28770 SINGLE OAK DR TEMECULA CA 92590 33.498755, -117.1619076 COMMERCIAL4187774-TE134A A-240940654 B.E.04/30/2024 2 of 3 80' 12' 12' 56' 44' 15' 6' 56' 12' 12' 80' 65' SING L E O A K D R B U S I N E S S P A R K D R G U T T E R GUT T E R C/F C/F SEE D E T A I L " A " SITE LOCATION 61' 30' EQUIPMENT DETAIL - ELEVATION N.T.S VARIES VARIES 3" MIN 3" MIN 36 " MI N C O V E R 12 " MI N . LANDSCAPE TRENCH DETAIL N.T.S EQUIPMENT DETAIL - ISOMETRIC N.T.S AUTHORIZED CONTRACTOR PROUD TO BE 244 JASON COURT, CORONA, CA, 92879 LOCATION: PROJECT SCOPE: INSTALL CATV METER PEDESTAL DRAWN BY: GPS: DATE: SITE# REV TRACT# DATE DESCRIPTION LEGEND EX. CONDITIONS LINETYPES PROP. CATV CODUIT PROP. POWER CONDUIT EX. UTILITIES LINETYPESEXISTINGSYMSYMPROPOSED ALPHA CATV POWER SUPPLY METER PEDESTAL SHEET 4'' G ELECTRIC GAS (4") TELEPHONE TEL STORM DRAIN WATER CATV 8'' GGAS (8") CURB AND GUTTER RIGHT OF WAY CENTERLINE CATV PED EHH CATV VAULT CATV PED SCE HAND HOLE SCE PAD SCE VAULT EXISTING METER PED LD24-1863 1.6/11/24 CITY REQUIREMENTS CITY OF TEMECULA 28770 SINGLE OAK DR TEMECULA CA 92590 33.498755, -117.1619076 COMMERCIAL4187774-TE134A A-240940654 B.E.04/30/2024 3 OF 3 PROPOSED INSTALLATION OF ALPHA CABLE TV POWER SUPPLY METER PEDESTAL FOR CHARTER COMM./ SPECTRUM 28770 SINGLE OAK DR TEMECULA CA, 92590 SITE# 4187774-TE134A COMMERCIAL Project Location RAN C H O H I G H L A N D S D R RANC H O C A L I F O R N I A R O A D TI E R R A V I S T A R D . YN E Z R O A D CA L L E R E V A RAN C H O V I S T A R O A D 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 Contact USA Dial 811 or 800-422-4133 UNDERGROUND SERVICE ALERT www.digalert.org/contact B B AA 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 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. 1953886 28770 Single Oak Dr, Temecula CA, 92590 x Trench in parkway to place conduit for CATV and tying in to SCE handhole pull box in order to install a CATV power supply meter pedestal. 06/04/2024 06/13/2024 LD24-1863 CLEARED BY CITY OF TEMECULA PUBLIC WORKS Tricia.ortega 06/07/2024 06/07/2024 06/07/2024 06/07/20 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 #: John Griffin Construction, Inc. John Griffin Construction, Inc. 244 Jason Ct Corona, CA 92879 Frosty Russell frostyrussell007@gmail.com 04/30/2024 244 Jason Ct Corona, CA 92879 Frosty Russell 714-299-7349 714-299-7349 714-299-7349 030631618983C10 B C-7 A