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HomeMy WebLinkAboutTR 28214-9 Nichols Rd Off-Site Full Permit-Issued 3.8.23 CITY O 130 S MAIN F �� ENGINEERING DEPARTMENT ENCROACHMENT PERMIT 130 LADE LSMOKE LAKE ELSINORE,CA 92530 PERMIT NUMBER: ENG-2023-00055 DREAM EXTREME TEL: (951)674-3124 PERMIT STATUS: ISSUED WWW.LAKE-ELSINORE.ORG Effective Date: 3/7/23 Expiration Date:9/4/23 CALL ENGINEERING INSPECTOR WITHIN 24 HOURS OF ISSUE DATE OF INSPECTION PHONE NUMBERS: THIS PERMIT. FAILURE TO OBTAIN INSPECTION SHALL VOID THIS PERMIT. (951)538-9116-Scott Rippstein 951 805-9835-Mike Payment Use of City property is hereby authorized as follows, subject to provisions below, on reverse side and attached hereto. APPLICANT: BILLING CONTACT: PULTE HOMES Matthew Matson 27401 LOS ALTOS, UNIT 400 (562)-441-2050 MISSION VIEJO, CA 92691 Matt.Matson@PulteGroup.com 24 HOUR EMERGENCY CONTACT: / DESCRIPTION: TR 28214-9 OFF-SITE SIP NICHOLS RD. GENERAL CONDITIONS-RESTRICTIONS-CONSTRUCTION ACTIVITY -Traffic control per City approved plan or other City approved source. Permittees shall comply with regulations on reverse side of -All lanes open to traffic at the end of work day. permit and attachments. -Coordinate construction activity with engineering inspector. This permit shall be non-transferable. -Trench repair per City standard,with recessed plates. Permit and Approved Plans shall be maintained on job site. PROJECT PERMIT SPECIFIC CONDITIONS-RESTRICTIONS: LOCATION: NICHOLS ROAD LAKE ELSINORE, OTHER ID: PERMIT FEES: FEES CHARGED: FEES: FEES PAID: FEES: ADMINISTRATIVE CHARGE($200) $200.00 ADMINISTRATIVE CHARGE($200) $200.00 IMPROVEMENT INSPECTION FEE $69,495.80 IMPROVEMENT INSPECTION FEE $69,495.80 REPRODUCTIONS-COPYING $4.50 REPRODUCTIONS-COPYING $4.50 TOTAL FEES: $0.00 Permittee hereby agrees and is obligated to abide by the provisions set forth in City of Lake Elsinore Municipal Code §12.08.080, as well as the conditions set forth in the separate Indemnification and Hold Harmless Agreement for Encroachment Permits. / ' ISSUED DATE: 03/07/2023 PERMITTEE SIGNATURE: Z, DATE: 3/8/23 48 HR SERVICE ALERT REQUIREMENTS All underground work requires underground utility location compliance.Call Dig-Alert or USA(1-800-422-4133)48 hrs prior to excavation work. For construction within 1000 FT of TRAFFIC SIGNALS Call: DELANEY DAVEZAN(Riverside County Transportation Dept.)AT 951-232-7293. 48 HOUR ROAD CLOSURE NOTICES REQUIRED Riverside Transit Area:Sam Wattana,swattana@riversidetransit.com 951-565-5122 CR&R:edc@crrmail.com UPS:customer.service@ups.com Printed: Tuesday, March 7,2023 Page 1 of 2 Permit Number: ENG-2023-00055 STANDARD PROVISIONS 1. For Encroachment Permits: Subject to the provisions of the City of Lake Elsinore ordinance number 571 and 572 Lake Elsinore Municipal Code, Title 12 and standard specifications for public works construction all requirements as indicated general or special provisions which are incorporated by the attached as part of this permit. 2. For Utility Encroachment Permits: Subject to the provisions of the City of Lake Elsinore Resolution 83-71 and Lake Elsinore Municipal Code Title 12, and standard specifications for public works construction, all requirements as indicated General or special provisions which are incorporated by the attached as part of this permit. Before final inspection the following must be submitted: a. All compaction test/reports. b. Grade certification or off-site improvements. c. Monumentation certification letter. d. As-built plans if changes were made in field. e. Centerline tie notes on 8 1/2" by 11"4 mil. 3. Permittee agrees to save City of Lake Elsinore, its agencies, districts, etc., including its officers, agents or employees, harmless from any and all penalties, liabilities or loss resulting from claims or court actions, arising directly out of any damage or injury to persons or property by reason of the acts or omissions of Permittee, its agents, employees or independent contractors, in exercising any of the privileges herein granted or in consequence thereof. (See attached insurance requirements.) 4. Should any damage or injury to City of Lake Elsinore works occur during initial use and/or as a result of this permitted use, either through the acts of agents, servants or employees of Permittee or by any independent contractor of Permittee in the exercise of the rights herein granted. Permittee shall immediately, upon the written demand of City of Lake Elsinore, restore such works to the condition of same on the date of the occurrence of said damage or injury has been caused to the works shall be determined by the City Engineer's Office and City of Lake Elsinore and determination shall be final in the event repair by City of Lake Elsinore is necessary, Permittee shall pay City of Lake Elsinore the cost of such repairs. 5. City of Lake Elsinore reserves the right unto itself to perform any work, upon any portion or all of the area covered by this permit, or to do any work necessary at any time. Such work may be performed without incurring any liability of any nature whatsoever to the Permittee. It is further understood and agreed that the City of Lake Elsinore reserves unto itself the rights of ingress over all or any portion of the subject area. 6. Neither this permit nor any of the rights herein granted shall be assigned without the prior written approval of the City of Lake Elsinore. Permit is void upon expiration date. A new fee will be assessed thereafter. 7. By acceptance of this permit, Permittee acknowledges and assumes all responsibility for compliance with requirements of other regulatory governing agencies including but not limited to zoning regulations, applicable ordinances and laws, etc., of the County of Riverside, the State of California, City of Lake Elsinore, or others having regulatory control over the use granted herein. 8. A copy of this permit and approved plans, if applicable, shall be maintained at the site of work and be shown to any authorized representative of the City of Lake Elsinore, or other regulatory governing agency upon request. 9. No access or work shall be performed within City of Lake Elsinore rights of way without the full knowledge of the City of Lake Elsinore's inspector, who shall be given not less than two workdays advance notice of the initiation of permitted use. Failure of Permittee to obtain inspection shall void this permit and necessitate reapplication by Permittee. Permittee further agrees that all operations within City of Lake Elsinore rights of way shall be subject to the operations of City of Lake Elsinore and other authorized persons under the control and to the satisfaction of the City of Lake Elsinore. 10. This permit may be immediately revoked for reasons in the best interest of the City of Lake Elsinore including violation of permit provisions or other applicable rules and regulations or for the creation of a nuisance upon notice given by the City of Lake Elsinore authorized representative. In the event of such revocation, Permittee shall immediately cease all operations and restore City of Lake Elsinore right of way as directed by the City of Lake Elsinore's Inspector. 11. A traffic control plan shall be provided per the 'Watch Manual' and approved by the City Traffic Engineer, or as directed by the City. No uses other than that as stated on this permit shall be exercised. Public right of way shall not be used for administrative operations or storage of equipment, materials, supplies, etc. All underground work requires'Inquiry Identification Number' from Underground Service Alert Regional Notification Center, Printed: Tuesday, March 7,2023 Page 2 of 2 Permit Number: ENG-2023-00055