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HomeMy WebLinkAbout18.7.2 Caltrans Encroachment CALIFORP"A PRELIMINARY 20-D NOTICE USE PROOF OF SERVICE AFFIDAVH OF CALIFORNIA PRELIMINARY 20-DAY NOTICE ,~,4 BACK OF GOLDENROD FILE COPY (PUBLIC AND PRIVATE WORK) IN ACCORDANCE WITH SECTION 3097 AND 3098, CALIFORNIA CIVIL CODE YOU ARE HEREBY NOTIFIED THAT... CANON COATING CO. P.O. BOX 399 CONSTRUCTION LENDER or Reputed Construction Lender, if any NORCO~ CA. 91760 (name and address of person or firm-sender) has furnished or will furnish labor, services, equipment or materials of the following general description: PERMA/~ENT STRIPING for the building, structure or other work of improvement located at: LOCUST AVE. SEWER LOCUST/FOOTHILL O FONTANA, CA. OWNER or PUBLIC AGENCY I~dd~,,s or description of job site sufficient for identification) W or Reputed Owner (on public work) (on private work) The name of the person or firm who contracted for the purchase of such labor, services, equipment or materials: N r- ~ S.J. BURKHARDT E CITY OF FONTANA 8353 SIERRA NOTICE TO PROPERTY OWNER R FONTANA f CA o 9 2 3 3 4 If bills are not paid in full for the labor, services, equipment. or materials furnished or to be furnished, a mechanic's lien leading · to the loss, through court foreclosure proceedings, of all or part L jof your property being so improved may be placed against the S property even though you have paid your contractor i~ full. You Construction loan no. (if known) may wish to protect yourself against this consequence by {1) requiring your contractor to furnish a signed release by the person or firm giving you this notice before making payment to .............................. FOLD HERE ................................. your contractor or {2} any other method or device that is appropriate under the circumstances. The person or firm giving this notice is required, pursuant to a col{ect~ve C bargaining agreement, to pay supplemental fdnge benefits into an express ORIGINAL CONTRACTOR or trust fund (described ~n Ciwl Code §31 f 1). said fund is ~dentified as O Reputed Contractor, if any to,ors: (stnke if inapplicab(e) P S . J. BURKHARDT 6157 MARLATT MIRA LOMA, CA. 91752 SU BC 0 NTRACTO R (address) with whom claimant has contracted Mailed this date: 6/7/96,, . / (s~gnature) ; / (title) An estimate of the total price of the labor. services. equipment or materials furnished or to be fumishad is: s 900.00 For your assistance the follewing Complete text of t~on 3097, Sedtioiq 3097.1 and ~;e¢tio~i 3098 of z alifomia Civil Code are hereafter quoted, Should il) A g.?..l descr,ptlon Ct t~ I~r; ~i~, ~ulm~T, br ~Yi~S: ~ur~sh~, ~ ~ ~ tur~,' "" ~'~ 'Te"~'~W" '~ ~' i. The original ~ti~n'~tl~e~ffi~20~ys~lmtSe~kof m~v~e~t~js~c~dsha~"~edtohave notification. sh. II no~ affect ~e piod within wh~ai~'~i~s~red [o be r~orded. City of Fontana CALIFORNIA June 27, 1996 Frank J. Haider, Jr., P.E. District En~roachrnent Permit Engineer Calm District 08 P.O. Box 231 San ~ernardino, CA 92402 RE: Locust Avenue Sewer Extension Project ~'om 110' South of Foothill Boulevard to 170' South of Foothill Boulevard (SB-72-94) Completion Notice and Record Drawings - Caltrans Permit No. 08-96-N-UT-0057 08-SBd-66-16.89 Dear Mr. Halder: As requested in letter dated June 17, 1996, enclosed is a signed Completion Notice and wet silgted and stamped set of "Record Drawings" for the above mentioned project. Please contract the undersigned at (909) 350-6645 if you should required any additional information. Sincerely, COMMUNITY DEVELOPMENT DEPARTIvlENT Engineering Division Yousuf Patanwala, P .E. Associate Civil Engineer/Special Projects Enclosure: Caltrans Completion Notice and "Record Drawings" cc: Principal Civil Engineer/Special Projects 8353 SIERRA AVENUE (P.O. BOX 518) · FONTAN& CALIFORNIA 92334-0518 · (714) 350~7600 SISTER CITY -- KAMLOOPS, B.C. CANADA ~e~ recyc/ed ,oeper DEPARTMENT OF TRANSPORTATION June 17, 1996 Permit No. 08-96-N-UT-0057 08-SBd-66-16.89 City of Fontana c/o Mr. Yousuf Patanwala 8353 Sierra Avenue Fontana, CA 92335 Dear Mr. Patanwala As a follow up to our phone conversation on June 11, 1996, we would like to inform you that we have completed the review and inspection of the above referenced project. We concluded that the following must be addressed before we can close our files: 1. Please provide a signed completion notice. 2. Please provide signed and approved As-built plans Should you have any questions, please call Mr. Ruben Guerrero at (909) 388-7058. Sincerely, FRANK J. HAIDER, JR., P.E. District Encroachment Permit Engineer San Bernardino County , aot~o:a. eev. mm~, .; " BIOROAOBX~!I~ P~I~.M]:T8 0F1]:GX : , Tread Pegme (Indudlr, g mum, sheet) ~c%o,c ~~.~, f,,:.LZ;.~~,-,,., . (909) .38.3-4.22~, 8-6'70-4.22Z,. [:XaYa:alCIt/ Phelwf(&ameoodq ATS8 T,_,~,,~.~T. Ts.7.,~c9,~ .tab - 7~s8-670- P~llee{Slgloeem) ORIgINIlL I~lDilflqOY ["~REllJM {"]r,J~,FORpICX.4JP INIPOIllON: COI111Tlellt: JUH 19 '96 ll:10AM CALTRANS DIST 8 P.2/2 DEPARTMENT OF TRANSPORTATION ~ 3un~ 17, 1~96 Permit No, 08-96-N-UT-0057 08-SBd-66-16,89 City of Pontaria c/o Mr. Yousuf Patanwah 8353 Sierra Avellu~ Pontann, CA 92335 As a follow up to our phone conversation on Iune 11, 1996, we would like ~o inform you that we have completed the rcvisw and inspection of the above t~ferenced project. We concluded that the followin2 must be sddressed before we can close our files: 1. Plrase provid~ a signet completion noti~. 2. Pleag provide signed and approved .as-built plans Should .you have any questions, please call Mr. Ruben Guerrero at (909) 388-7058. Sincerely, FRANK J. HAIDER, IR., P.I~.. District Encroaclnncnt Permit Engineer San Bernardino County PERMIT NO. 08-95-N-UT-0057 CO/RTE/PM 08-SBD-66-16.89 CALTRANS PERMITS 247 W. Third Street San Bernardino, CA 92402 100% COMPLETION NOTICE work on Permit No. 08-95-N-UT-0057 has been completed. A final inspection Permittee Representati~~ FAILURB TO COMPL~TB AND ~ THIS TO T~ DISTRICT PBRMIT8 OFFZCE ~Y CAUBB A D~Y IN ~ ~L~ OF YO~ BO~8. · OEPA~ITNLqlT OF TRANSPORTATION (CALTRAN$) ~PZ02A ¢b~ ~/so) 08-96- DP-0553 Oist/Co/llte/i~ 08-~ED-66-16,89 In com~liance wi~h (check one): Date X Your applicatiom of April 3, 1996 April 8, 1996 Fee Paid Utility Notice No. of $700.00 $ Yx=.XX Bandamunt R/W Contract No. of xxxxx 5 r a re Mira Loma, CA 91752 (909) 685-7488 AriA= Tony Espersa · PZEMITTEE am~ subject to the following, PERMISSION iS HEREBY GRANTED to: Enter Caltrans right of way to bore and jack 21" steel casing to place a 10" waterline at a depth of 17.5', as in accordance with plans under PERMIT NUMBER 08-95-N-UT-0057 issued to City of Fontana, and/or as directed by the State's Representat Eve. A PRE-JOB MEETING WITH THE ASSIGNED STATE* S REPRESENTATIVE, RUBEN GUBRPaRO, (909)388-7058, IS REQUIRED PRIOR TO START OF ANY WORK UNDER THIS PERMITt FAILURE TO DO SO MAY RESULT IN PERMIT CANCELLATION AND RESUBMITTAL MAY BE REQUIRED. FURTHER INFORMATION MAY BE ATTAINED BY THE AREA PERMIT MANAGER RAJ CHHAP3~N (909)383-7973. · AS-BUILT" PE~,NS ARE REQUIRED UPON COMPLETION OF ALL WORK. THE "AS-BUILT" PEcaN8 }G78T BE CERTIFIwn (M-BUILT PLANS FOR ROADWAY GZOMETRIC8 AND BELOW GROUND FEATURe8) BY A REGIST=RED CIVIL ENGINEER. 'rU ATTAu~z~ PAGES ARE MADE PART OF THIS PERMIT The foLiorite attachments ere else tncLudwt m pm-t of this Iwmmit (C~eck In Ilddltim to fee the permittee eitt be bitted applicable) actrot c~ts for: X y~ Genmlt Provisiens __ Yes X IIo RaySme __Yes_Ix IIo UtiLity leninleashes Provlslem X Yes #o In~ectien __yosX No i red prior to bellmill urn'k: (If any C~ttrmm effort Te~ X II.A. The inforEmthn in the enrtrwmmtwt cloammtetian Im be~n reriemd md cemlclerel Wior to IWlmmmt of ~hi, Iraemit. Thi~ permit is void untm the uork is teEplated berate Auimt 31, 1996 ThEm peemit i, to be strictty caratrural md no other ~ other thin q~ecificet|y mimmcl ie hereby m~horized. IM project uork alllit be cemimad mti t art other nece~,ry pewits end envirmmentml cteerence~ hmm been Ed G~ctl/IMint. Ruben ~Jm-rero/[~/ul~.'lC°ttm -'" RG RAJIliEll $. CIIHA~UI, P.E., ASST. PENlIT ENGIIEER PAGE'2: ATTACHED TO ANDMr~E PART OF PERMIT NO. 08-9~'~-DP-0553 YOUR ATTENTION IS DIRECTED TO STANDARD SPECIFICATIONS SECTION 7-1.11 PRESERVATION OF PROPERTY AND BUSINESS AND PROFESSIONS CODE, SECTION 8771. PERMITTEE SHALL PHYSICALLY INSPECT THE WORKSITE AND LOCATE SURVEY MONUMENTS PRIOR TO WORK COMMENCEMENT. MONUMENTS SHALL BE REFERENCED OR RESET IN ACCORDANCE WITH BUSINESS AND PROFESSIONS CODE. Permittee's work shall be subordinated to any operations which the State may conduct, and shall not delay, nor interfere with the State forces or State's contractor. In addition, if time extension is necessery, a request for time extension should be made a minimum of two (2) weeks prior to completion date stated on the face of the perndt. If work has not been started before the completion date, permit may be voided and resulnnittal may be required. PERMiTTEE SHALL CONTACT STATE' 8 REPRESENTATIV~ FOR FINAL INSPECTION AND APPROVAL OF COMPLITED WORK. Permittee shall be responsible for arranging the services of a qualified traffic control contractor to provide any needed traffic control. The permittee shall arrange a meeting between his field representative, traffic control contractor, CALTRANS representative and the CHP at least two (2) weeks prior to start of any work covered under this permit to arrange date and time of starting work and detel~nine appropriate methods of handling traffic during the installations.. AT LEAST 3 WORKING DAYS NOTICE SHALL BE GIVEN TO THE CALTRANS REPRESENTATIVE AND THE CHP, PRIOR TO THE MEETING TO ALLOW TIME TO MAKE ARRANGEMENTS TO ATTEND THE MEETING. Work under this permit shall not commence until all traffic control plans have been approvedby the State. ALL WORK SHALL BE PERFORMED IN ACCORDANCE WITH THE CURRENT DEPARTMENT OF TRANSPORTATION STANDARD SPECIFICATIONS, STANDARD PLANS AND DEPARTMENT OF TRANSPORTATION ENCROACHMENT PERMIT UTILITY PROVISION DATED JULY 1987. City of Fontana 'CALIFORNIA March 27, 1996 Ruben Guerreo Permit Officer CalTrans District 08 P.O. Box 231 San Bernardino, CA. 92402 RE: LOCUST AVENUE SEWER EXTENSION PROJECT FROM 110' SOUTH OF FOOTHILL BLVD. TO 170' NORTH OF FOOTHILL BLVD.-SB-72-94 PRECONSTRUCTION MEETING CalTrans Permit No. 08-95-N-UT-0057 Dear Mr. Guerreo: The City of Fontana has scheduled a preconstruction meeting for the above referenced project. A Caltrans representative is requested to attend this meeting. The preconstruction meeting is schedule for Thursday, April 4, 1996 at 1:30 D.m. in the Desi~nAdvisorv Board (D.A.B.) meeting room at Fontaria City Hall, 8353 Sierra Avenue, Fontana, CA 92335. Please contract the undersigned at (909) 350-6645. if you have any questions. Sincerely, COMMUNITY DEVELOPMENT DEPARTMENT Engineering Division Yousuf Patanwala, P.E. Associate Engineer/Special Projects cc: Principal Civil Engineer/Special Projects 8353 SIERRA AVENUE (P,O, BOX 518) · FONTANA, CALIFORNIA 92334-0518 · (714) 350-7600 SISTER CITY- KAMLOOPS, B.C. CANADA ~ recyc/sd paper STATE OF CALIFGINIA-D~PNtTIiEIIT (W ~TATIOll ,'~'l'sawwMwVer P~a~XT ~XDm Collected by Permit No. Rider Fee Paid DiSt/CO/Rte/PM $ IX~MPT 08-SBD-66-16.89 Date Rider Number Deoe~sber 1, 1995 O8-95-N-RD-1489 DEC - 6 1995 TO: City of Fontaria 8353 Sierra Avenue Fontana, CA 92335 Attn: Mr. Yousuf Patanwala (909)350-6733 , PERMITTEE In compliance with our request of November 28. 1995 we are hereby amending the above numbered permit as follows: Date of completion extended to: June 30. 1996 Except as elFended, eLL ether term and provisions of the orig{nat permit sheLL rmein in effect. ED GARCi KAIHT. SUP./FONTANA APPROVED: RUBEN C~IA~RERO/PERNITS ~5-0Q57 g5-148~ RO6ERT H, THOl4PSON,District Division Chief CODerations) BY: RG RAJ[NI)ER S. CHHARAN, P.E., ASST. District Perleit Engineer FH 91 1~>37 '° City of Fontana CALIFORNIA November 28, 1995 Ruben Guerreo Permit Officer Caltrans District 08 P.O. Box 231 San Bernardino, CA. 92402 RE: Locust Avenue Sewer Project Caltrans Permit No. 08-95-N-UT-0057 Request for Permit Extension Dear Mr. Guerrero: This letter is to request a six month time extension for Caltrans Permit No. 08-95-N-UT-0057 for the above referenced project. The project is experiencing delay due to the circumstances beyond the City's control. The project is expected to be rebid shortly after the City Council approval. Please call the undersigned at (909)350-6645, if you required any additional information. Sincerely, COMMUNITY DEVELOPMENT DEPARTMENT Engineering Division Yous~ala, P.E. Associate Engineer/Special Projects cc: Principal Civil Engineer/Special Projects MAILING ADDRESS: P.O.BOX 518 8353 SIERRA AVENUE · FONTANA, CALIFORNIA 92334-0518 · (909) 350-7600 ffATE ~ CALIF~IUIIA-~NFII4EIIT ~ TRNtM, u~TATIa ~C~O'/~!NtBT P~WTT ~TDlat Collected by Permit No. ~-0~nEV.5/92~ 08 --95 -N-UT- 0057 Rider Fee Paid DiBt/CO/Rte/PM $ IX~MPT 08-8BD-66-16.89 Date Rider Number 8eDtelU)er 29, 199~ O8-95-N-RD-1142 TO: City of Fontana 8353 Sierra Avenue Fontana, CA 92335 Attn: Mr. Yousuf Patanwala (909)350-6733 , PERMITTEE In compliance with our request of September 14. 1995 we are hereby amending the above numbered permit as follows: Date of completion extended to: December 29. 1995 Except es amended, art other terms end provisions of the originat permit shaLt remain in effect. ED GARCXA/NAINT. SUP./FONTANA APPROVED: RUBEN GUERRERO/PERHITS 95-0057 95-1142 STAN LXSIEWZCZ.DiStriCt Director BY: RG RAJZNDER S, CHHARAN, P.E., ASST., District Permit Engineer FH 91 14)7 RECORD OF TELEPHuNE CONVERSATION COMMENTS OR ACTION RIQUIRIO WiM~-Fkk Fmlw .4-7 City of Fontana CALIFORNIA September 14, 1995 Ruben Guerreo Permit Inspector Caltrans District 08 P.O. Box 231 San Bernardino, CA. 92402 RE: Locust Avenue Sewer Project Caltrans Permit No. 08-95-N-UT-0057 Request for Permit Extension Dear Mr. Guerrero: This letter is to request a three month time extension for Caltrans Permit No. 08-95-N-UT-0057 for the above referenced project. The City Council has authorized to award the construction contract to Castillo Constructors. The City is in the process of executing the construction contract. The pre-construction meeting will be scheduled as soon as possible. Please call the undersigned at (909)350-6645, if you required any additional information. Sincerely, COMMUNITY DEVELOPMENT DEPARTMENT Engineering Division Yousuf Patanwala, P.E. Associate Engineer/Special Projects cc: Principal Civil Engineer/Special Projects MAILING ADDRESS: P.O.BOX 518 8353 SIERRA AVENUE ,, FONTANA, CALIFORNIA 92334-0518 ,' (909) 350-7600 ~AE ~ CALIF0~IlIA-DEPAR114ENT ~ TRAIISPQRTATIOll k~s~qanmT P~alXT ~XD!~ CoZlected by Permit No. m-0122(REV.5/g2) 08-95-N-UT-0057 Rider Fee Paid Dist/Co/Rte/PM $ BX]MPT 08-BBD-66-16.89 Date Rider Number · ll~e 19, 1995 08-95-N-RT-0632 RECEIVED JUNIl1995 TO: City of Fontaria crrY ENGIN[ER'S OFFICE 8353 Sierra Ave. Fontana CA, 92335 Attn: Mr. Ricardo Sandoval (909) 350-6733 , PERMITTEE In compliance with your request of June 13. 1995 we are hereby amending the above m~mhered permit as follows: Date of completion extended to.' September 29. 1995 Except as amended, art other terme and provisions of the original permit shatt remain in effect. ED GARCIA/KAINT, SUP,/COLTON APRIOVED: RUBEN GUERRERO/PERII|TS 94-0057 KEN $TFELF,D~STrjGt D'lrecTor BY: FIt 91 '1637 CALTRANS CUSTOMER SERVICE QUESTIONNAIRE Dear Customer, PERMIT NO. O~-qS' Our goal is to provide the best service possible to our customers. Please take a few minutes to complete this questionnaire. Your comments will enable us to see how we are doing overall and any areas which may n=~,d improvement. PLEASE TELL US HOWWE'RE DOING INSIDE THE OFFICE EXCELLENT VERY GOOD GOOD POOR Staff courteous and helpful [""'1 Staff quick and efficient Explanations and instructions I"""'1 clear TELEPHONE ANSVVERING Timely response i""} I""'1 Receiving information or answers INSPECTION Inspector courteous and helpful Pre-construction meeting set and held in a timely manner Inspector at job site frequently Inspector able to answer questions and deal with problems WHAT WOULD YOU SAY 15 OUR OVERALL PERFORMANCE IS THERE A STAFF PERSON YOU WOULD LIKE TO COMMEND Please provide your comment,=.' DISTRICT PERMIT ENGINEER DEPARTMENT OF TRANSPORTATION 247 W. 3RD STREET SAN BERNARDINO, CA 92402 Cicty of Fontana LIFORNIA June 13, 1995 Ruben Guerreo Permit Officer Caltrans District 08 P.O. BOX 231 San Bernardinc, CA. 92402 RE: Locust Avenue Sewer Project Caltrans Permit No. 08-95-N-UT-0057 Request for Permit Extension Dear Mr. Guerrero: This letter is to request a three month time extension for Caltrans Permit No. 08-95-N-UT-0057 for the above referenced project. The City Council has authorized to award the construction contract to Castillo Constructors. The pre-construction meeting will be conducted in the near future. The project is expected to start construction in the first week of July, 1995. Please. call the undersigned at (909)350-6645, if you required any additional information. Sincerely, COMMUNITY DEVELOPMENT DEPARTMENT Engineering Division Ycu~%%nwala, P.E. Associate Engineer/Special Projects 8353 SIERRA AVENUE (P.O. BOX 518) · FONTAN& CALIFORNIA 92334-0518 · (714) 350-7600 StSTER CITY -- KAMLOOPS, B.C, CANADA ~le~ recycled paper DM-N-P202A (llev I/~3) 08-95-N-UT-0057 Dist/Co/llte/FN 08-8Bd-66-16.89 Xn compliance with (cheok one): Date E Your application of Jan. 17, lg95 Jantzary 25, lgg5 utility Notioe No. of $ Xxxx Agreement No. of $XXXX R/W contract No._ of:.73 XXXX'" City of Forttans ' .. '~ ~ 8353 Sierra Avert · ~ -- /~ XXXX (90) 3 0 6733 · PERMITTEE and subject to the following, PERMI88ION 18 NF&tEBY GRANTED To install approximately 180' of 10" Extra Strength V.C.P. inside a 21" Steel Pipe encasement, within State Route 66 right of way as per plans date stamped Jan. 17, 1994 by the State Department of Transportation District 8 Permit Office, and/or as directed by the State's Representative. A PRE-JOB MEETING WITH THE ASSIGNED STATE'S REPRESENTATIVE, RUBEN GUERRERO (909) 388-7058, IS REQUIRED PRIOR TO START OF ANY WORK UNDER THIS PERMIT! FAILURE TO DO SO MAY RESULT IN PERMIT CANCELLATION AND RESUBMITTAL MAY BE REQUIRED. FURTHER INFORMATION MAY BE ATTAINED FROM THE AREA PERMIT MANAGER RAJ CNNBa~N, (909) 38~-7973. TRAFFIC CONTROL 8HALL BE DIRECTED BY STATE'8 REPRESENTATIVE. Notwithstanding General Provision No. 3, your contractor will be required to apply for and obtain a pe~ait prior to starting work. 'AS-BUILTn PLAN8 ARE REQUIRED UPON COMPLETION OF ALL WORE. TNE hAS-BUILT' PLAN8 MUST BE CERTIFIED (AS-BUILT PLAN8 FOR ROADWAY GEOMETRIC8 AND BELOW GROUND FEATURES) AS 8UGH A REGISTFaED CIVIL ENGINEER. THE ATTACHED PAGE8 ARE MADE PART OF THIS PERMIT ..m~.'n,.,a,'t~,) act:zml. XXnB Onfsm'n'l PD. mr:'z4'm" ~Ye8 ][ NO / ~PAGE 2: ATTACHED TO ~ baDE PART OF PERMIT NO, 08-9. N-UT-0057 I. YOUR ATTENTION I8 DIRECTID TO STANDARD SPECIFICATIONS SECTION 7-1.11 PRESERVATION OF PROPERTY ~ND BUSINESS ~ PROFESSIONS CODE, SECTION 8771. PERMITTEE SHALL PHYSICALLY INSPECT THE WORKSITE AND LOCATE SURVEY MONUMENTS PRIOR TO WORK COMMENCEMENT. MO!rX3MENTB BH~LL BE REFERENCED OR RESET IN ACCORDANCE WITH BUSINESS AND PROFESSIONS CODE. 2. Pormittee's work shall be subordinated to any operations which the state may conduct, and shall not delay, nor interfere with the etato forces or State,s contractor. 3. In addition, if time extension is necessary, a request for time extension should be made a minimum of two (2) weeks prior to completion date stated on the face Of the permit. If work has not been started before the completion date, permit may be voided and resubmittal may be required. 4. PERMITTEE SHALL CONTACT STATE'S REPRESENTATIVE FOR FINAL INSPECTION AND APPROVAL OF COMPLETED WORK. 5. CALIFORNIA STATE LAW REQUIRES NOTIFICATION OF UNDERGROUND SERVICE ALERT AT LEAST 48 HOURS PRIOR TO DIGGING OR EXCAVATING. FAILURE TO DO SO MAY RESULT IN FINES UP TO FIFTY THOUSAND DOLLARS ($50,000.00), REPAIR OF DAMAGES TO EXISTING UNDERGROUND FACILITIES AND DELAY PERFORMANCE OF WORK ALLOWED IN THIS PERMIT. 6. ALL WORR SHALL BE PERFORMED IN ACCORDANCE WITH THE CURRENT DEPARTMENT OF TRANSPORTATION STANDARD 8PBCIFICATIONS, STANDARD PLANS AND DEPARTMENT OF TRANSPORTATION ENCROACHMENT PF~tMIT UTILITY PROVISION DATED JULY 1987. 7. Permittee shall be responsible for arranging the services of a qualified traffic control contractor to provide any needed traffic control. The permittee shall arrange a meeting between his field representative, traffic control contractor, CALTRANS representative and the CHP at least two (2) weeks prior to start of any work covered under this permit to arrange date and time of starting work and determine appropriate methods of handling traffic during the installations. AT LEAST 3 WORKING DAYS NOTICE SHALL BE GIVEN TO THE CALTRANS REPRESENTATIVE AND THE CHP, PRIOR TO THE MEETING TO ALLOW TIME TO MAKE ARRANGEMENTS TO ATTEND THE MEETING. PERMIT NO. 08-95-N-UT-0057 CO/RTE/PM 08-SBD-66-16.89 PRECONSTRUCTION MEETING AGREEMENT I, , acting as an authorized agent for the permittee, , do hereby agree to personally accomplish or have another designated person arrange for all involved company representatives to attend a pre-construction meeting with the authorized State representative Ruben Guerrero, as specified on this permit. Such meeting must be held two (2) days or more prior to the planned start of the work on this project. The Authorized State representative shall have complete authority to determine whether the permit conditions, either implied or written, have been complied with. The State representative may then allow the permit work to proceed as appropriate. The Pre~construction Meeting Record on the next page must be signed by both the State's representative and the permittee before the permit work may start. This agreement or a copy thereof, must be mailed back to the Caltrans District 8 Permit Office at 247 W. Third Street, San Bernardino, CA 92402, within three (3) working days prior to the pre-construction meeting. Failure to return this form could delay the release Of your bonds. A copy of this document shall be at the job site at all times when work is in progress and failure to do so may result in the suspension of work, as directed by the State's representative. It is the permittee's responsibility to insure that the State's representative is notified of work completion and that the attached Completion Notice is mailed to the Caltrans Permit office. Signature Date Print or Type Name Position or Title PERMIT NO. 08-95-N-UT-0057 CO/RTE/PM 08-SBD-66-16.89 PRECONSTRUCTION MEETING RECORD State Representative Date Permittee Representative Date Date Work May Begin Date PERMIT NO. 08-95-N-UT-0057 CO/RTE/PM 08-SBD-66-16.89 CALTRANS PERMITS 247 W. Third Street San Bernardino, CA 92402 100% COMPLETION NOTICE Work on Permit No. 08-95-N-UT-0057 has been completed. A final inspection meeting was held on Permittee Representative Date FAILURE TO COMPLETE ~ RETD~.N THIS TO THE DIBTRICT PERMIT8 OFFICE MAY CAUSE A DELAY IN THE RELFASB OF YODR BONDS. PERMIT NO. 08-95-N-UT-0057 DO/RTE/PM 08-SBD-66-16.89 NOTIFICATION TO CLOSE ONE OR MORE TRAFFIC LANES This Notice must be approved by the State Inspector and filed in Public Affairs Office 48-HODRS prior to lane closure. This form may be faxed to the Public Affairs Office. Send to: Public Affairs- Operations (909) 383-4632 FAX - (909) 383-6822 DATE PERMIT INSPECTOR'S SIGNATURE: PERMIT INSPECTOR: Ruben GuerrerO PHONE: (909] 388-7058 LENGTH OF LANE CLOSURE NO. OF DAYS LESS THAN A DAY CLOSING LANE(S) NUMBER DIRECTION AND HOURS OF THE LANE CLOSURE START TIME COMPLETION TIME DESCRIBE THE TYPE OF WORK THAT WILL BE PREFORMED DURING THE CLOSURE: STATE OF CALIFORNIA - DEPARTMENT OF TRANSPORTATION ENCROACHMENT PERMIT GENERAL PROVISIONS TR-Q04~ (REV, N94) 1. AUTHORITY: Encroachment eft'nits am issued under the 12. PEDESTRIAN AND BICYCUST SAFETY: A sate minimum authority given the Department, Div. 1, Chpt. 1, Art. 3 in passageway of 1.21 meter (4') shall be maintained through the accordance with Div. 1, Chpt. 3, Art. 1, Sect. 660 to 734 of the work area, where pedestrian or bicycle facilities are existing+ At Streets and Highways Cede. no time shall pedestrians be diverted onto a portion of the street used for vehicular traffic. At locations where sate alternate frenchice rights, reserved fights, or any-other agreements for is to provide traffic control protection of waming signs, lights, 3. DENIAL FOR NONPAYMENT OF FEES: Failure to pay permit and Standard Specifications for traffic COntrol systems. It is not 4. ASSIGNMENT: No party other than the Permittee or 5. ACCEPTANCE OF PROVISIONS: Permittee understands and unreasonably delayed. On COnventional highways, Permittee is 6, BEGINNING OF WORK: it is the responsibility of the Permittee to Flaggets pamphlt. to notif'/the Depamnts' Representative, two (2) days in intorruptod for a period of fNe (5} days or more, unless a compliance Sindard Specifications, Standard Pins and 22. PERMrll FOR RECORD PURPOSES ONLY: When work in in respect to maintenance or any other obligations. or resulting rights of way is within an area under s Joint Use Agreement from detects or obstructions, or from any Muse whatsoever (JUA) or a Consent to Common Use Agreement (CCUA), an duhng the progress of the work, or other activity or at any Exempt Permit will be issued to the Permittee for the purpose of subsequent time work or other activity is being perfoff'ned under providing a notice and record of WOrk. All prior rights of the the obligations provided by and contempioted by the permit. permittee shall be preserved, no new or different rights or except as otherwise provided by statute. The duty of the Obligations are intended to be wasted. "Notice and Record permittee to indemnify and save harmless includes the duties to Puq~Ocea Only" shall be stamped across the face of the permit. petend as set forth in Section 2778 of the Civil COde. The permittee waives any and all rights to any type of expressed or ;.3. BONDING: Permittee shall itid the necessary bond(s) in implied indemnity against the State, its officers, employees. and edvlnce, in the amount set by the Department. Failure to state contractors. It is the intent Of the parthis that the maintain bond(s) in foil force end effect Will result in suspension permittee will indemnlf'/end hold harmless the State. its Of all WOrk and permit(s). Bonds are not required of public ofFHem. employees, and state COntractors, from any and all corporations or privately owned utilities, unless said Permittee claims, suits or actions as set forth above regardless of the failed to comply with the provisions and COnditions under a pdor existonce of degree of fault or negligenCe, whether active or permit. YOur surely COmpany Will be responsible for any latent passive, pdrnary or seCOndary, on the pad of the ;;tote, the defects until such time as is provided for in California Code of permittee, persons employed by the permittee, or actrag on Civil Procedures, Section 337.15. behalf of the permittee. For purposes of this section, "state COntractors" shall include 24, FUTURE MOVING OF INSTALLATiONS: Permittee COntractors and their subCOntractors under COntract to the State understeMs Ind agree that upon request Of the Deperth~ent, of Califomio performing work within the limb of this permit. w'nenever State construction, reCOnstruction or maintenance work on the highway requires a permitted inataiiatinn to be 28. NO PRECEDENT ESTABLISHED: This permit is issued with rolrrangOd, the Permittee at his sole expense, unless under a the understanding that it does not establish a precedent. prior agreement JUA/CCUA, shall COmply With Mid request. 28. FEDERAL CIVIL RIGHTS REQUIREMENTS FOR PUBUC 28. ARCHAEOLOGICAL: Should any archaeological rsseumaa he ACCOMMODATION: A. The permittee, for himself, his rovestad in the work vidnity, the Permittee is responsible for;, personal representatives, successors in intersst, and assigns as notifying the Depertmenrs Representative imrnediotely, part of the consideration hereof, does hereby COvenant and roteinment of e Qualified archaeologist who shall evaluate the agree that: 1 .) no person on the grounds of race. COlor, or archecological site end make reCOmmendations to the national origin shall be excluded from participation in, be denied Depemnent Representative regarding the continuance of work. the benefits of, or be otherwee subjected to dis~imination in the use of said facilities, 2.) that in connection with the 2~, PREVAIUNG WAGES: Work perfoe'ned by or under a permit COnstnJction of any improvements on said lands and the my require Pe~ntitee's COntractors and subCOntractors to pay fomishing of services thereon. no discrimination shall be appropriate prevailing wages as set by the Department of practiced in the selection ofempinyees and COntractors, by Industr~l Relations. thquirles or requests for interpretations COntractors in the selection and retention of firat-tier relative to enfomement of proveiling wage requirements should subCOntractors in the selection of seCOnd-tier subCOntractors, be directed to State of California Department of Industrial 3.) that such discrimination shall not be practiced against the Relations, 525 Golden Gate Avenue, San FrancisCO, Caltfomla public in their access to and use of the facilities end services 94102. provided for public accommodations (such as eating, sleeping. rest, recreation), and operated on, over, or under the space of 27. RESPONSIBILITY FOR DAMAGE: The State Of California and the right of way, 4.) that the permittee shell use the prern~es all Officers and eropioyees thereof, including but not limited to in compliance with all other requirements imposed pursuant to the Director of Transportation and the Deputy Director, shall not Titin 15, Code of Federal Regulations, Commerce and Foreign be answerable or accountable in any manner for injury to or Trade, Subtitle A, Office of the ,Secretary of Commerce, pa~t 8 death of any person, including but not limited to the permittee. (15 C.F.R. Pad 8) and as said Regulations may be amended. persons employed by the permittee, persons acting in behalf of B. That in the event of breach of any of the above the permittee, or for damage to property from any cause. The nondiscrimination COvenants. the State shall have the eight to permittee shall be relponsible for any liability imposed by law terminate the permit end to re-enter and repossess said land and for injuries to or death of any person, including but not and the facilities thereon, and hold the same as if said permit limited to the permittee, persons employed by the permittee, had never been made or issued. persons acting in behalf of the permittee, or for damage to property arising out of work, or other activity permitted and 30. MAINTENANCE OF HIGHWAYS: The permittee agrees, by done by the permittee under a permit. or edaing out of the acceptance of a permit, to propath/maintain any encroachment. failure on the perrnittee's peel to perform his obligations under This will require inspection and repair of any damage to State any permit in respect to maintenance or any other obligations, facilities resulting from the encroachment. or resulting from detects or obstructions, or from any Cause whatsoever dudrig the progress of the work, or other activity. or at any subsequent time work or other activity is being performed under the obligations provided by and contempisted by the permit. The permittee shall indemnh'y and save harmless the State of California. all offiCers, employees, and state contractors, thereof, including but not limited to the Director of Transportation and the Deputy Director, from all claims. suits or actions of every name. kind and descriotion brought for or on acu}unt of injuries to or death of any person, including but not limited to the permittee, persons employed by the permittee, persons acting in behalf of the permittee and the public, or damage to property resulting from the performance of work or other activity under the permit, or arising out of the failure on the perm~ee's part to perform his obIKJations under any permit · ,~..,~ :~,.~-~'~-~,~. TRAFFIC CONTROL 8YITEM ~,.N,,..v.w~,~r..~.~- FOR MOVING LANE CLOSURE -~,.---,,.,~ ~,~~,~ ON TWO LANE HIGHWAYS I NEW STANDARD PLAN NSP T17 I I I LANE OF MULTLAN~ H~HWAYS v~ r~-~ ~ c~ ~r.~__..~..,~. TRAFFIC CONTROL 8YeTEM ~-~ ~ ~ '~ .~ ~-. ~ FOR MOVING LANE CLOSURE ON MULTILANE HIGHWAY8 INEW STANDARD PLAN NBP T16 : MOVING LANE CLOSURE ON MEDfAN OR n .a,'~,~Nt~e. ve'~. ~ OUTSIDE LANF_ OF MULTILANE H/QfRAYS f~s ft~ew4 ~,w stm.~ ~ ,-,~. . T,. :,~,~ ~ .'e, -~--. ----'.' ,,, TRAFFIC CONTROL SYSTEM ~., h-o,.~ ~....,.,e,..,c. ~,.. ~ ~ b. m,.*..,.. ~ ~'..,~ .,.~.,-,~- FOR MOVING LANE CLOSURE .,., ..;,,'...,~,, ..,,.,~. °, ,~ *~., ~. '~.,,, ,,.,,,. ,.~ ..- ,.,,.....-...... ~ ON MULTILANE HIGHWAY8 INEW 6TANDARD PLAN NBP T16 TYPICAL CLDSlN6 OF HALF ROADWAY ,I. ,I ~'4 0'"" ~"' :'~" T~AFFIC CONTROL 8Y8TEM FOR LANE CLOSURE ON NULT~ANE CONVENTIONAL HI6HWAYS MI8CMLLANEOU8 DETAILI IRIP T-IS I I TYPICAL LANE CLOSURE WITH REVERSIBLE CONTROL / ~u w I' ~-'-- -- ' ~ f. f .... I J J 0 ~: ~- ~.~*~w~ TRAFFIC CONTROL 8YS~M FOR LANE CLOSURE ON TWO LANE CONVENTIONAL HIGHWAYS ~SCELA~S D~At8 c,, SHOULDER CLOSURE ~' "" u m LANE CLOSURE m c. KrENTRANCERAMP '------'~ *'---'---~:~.._-_,~r,.-.=. . ~~ue -~ TRAFRC CONTROL SYSTEM FOR LANE CLOSURE ON FREEWAY8 AND EXPRESSWAY8 MIBCELLANEM DETAL8 TYPICAL LANE CLOSURE ..' " 4,B . , i~-!,~,~,,' TRAFFIC CONTROL SYSTEM FOR LANE CLOSUFtE ON MULTILANE CONVENTIONAL HIGHWAYS MffiCELLANEOU~ DETAILS ~ STATE OF CALIFORNL~ - DEpAR'I]VI~NT OF TRANSPORTATION ENCROACHIVIENT FERNlIT ANNUAL UTILITY PROVISIONS TR - 0t60 (Ray. 2/94) Any public utility or public corporation who lawfully maintains a 3. Perform insulator washing and interconn,~t splicing of utility encroachment, or their agent, may p~rform routine or cableS. emergency maintenance on such facility in accordance with the following provisions: 4. Install or remove service connections with potential to ground of 300 volts or less, except over the traveled UE1. EXCLUSIONS: These provisions do not authorize Wee way. trimming, work on freeways, expressways, aerial capacity increase on designated 'Scenic Highways', or 5. Install, maintain, remove, repair or replace aerial service other activities not specifically provided for in this connections with potential to ground of 300 volts or less, permit, over the traveled way when specifically stated in permit. UE2. POSSESSION OF PERMIT REQUIRED: The permit 6. Installations and clearances shall be equal io those or a copy thereof shall be kept at the site of the work required by either the State of California Public Utilities and must be shown to any representative of the Commission orders or the California Occupational Safety Deparnnent or any law enforcement officer on demand. and Health Regulations (CAL - OSHA), Division of WORK SHALL BE SUSPENDED IF PERMIT IS NOT Industrial Safety, Safety Orders, promulgated in the AT lOB SITE AS PROVIDED. California Code of Regulations, Title 8, Chapter 4, whichever is greater. UE3. NOTICE REQUIRED: Before starting work, the permittee shall notify the Deparunent's representative. UEg. WORK PERMITTED - UNDERGROUND: In emergencies, the Departmam's representative shall be notified as soon as possible. 1. Maintain, inspect, remove, repair or replace (in the same location) all underground facilities except those requiring UE4. STANDARDS OF WORK: All work shall conform to trenching in the traveled way. recognized standards of utility construction and Departmem's current Standard Specifications. 2. Install additional capacity in existing ducts except for facilities not in compliance with the Deparunent's current UE5. EMERGENCY REPAIRS: The permittee may make "Manual on High and Low Risk Facilities within emergency repairs, altering traffic flow, excavating Highway Rights of Way" or on Structures. through improved surfaces, only when breaks in the conduit, cable, or pipeline over or under the pavement 3. Install air flow monitoring transducers and piping in present a definite public hazard or serious interruption of existing ducts. essantia{ service. In such cases, the Departmem's representative shall be notified immedizteiy. 4. Barholing, potholing, cleaning, rodthng and placing float ropes. UE6. OPEN EXCAVATIONS: No excavation shall be left open after daylight hours, unless speci~caily authorized 5. Adjust access cover to grade and replace in kind or with and adequate protection for traffic is provided in larger size pul{ boxes. accordance with general provisions; ~Protectinn of Traffic". Backfall and pavement replacement shall be 6. Interconnect splicing of cables. performed in accordance with General Provisions, "Restoration and Repairs in Rights of Way'. 7. Install service connections perpendicuiar to the highway using jarking and boring methods under the traveled UE7. TRAFFIC CONTROL HOURS: Work requiring traffic way. Electrical service is restricted to a potential to control shall be conducted between 9:00 a.m. and 3:00 ground of 300 volts or less. Gas and domestic water p.m. or as otherwise authorized by the Departmem's services are restricted to 5.08 centimeter (2") in diameter representative. or less. UES. WORK PERMITTED - AERIAL: 8. Permanent pavement patching for work auinorized by this permit. 1. Install additional capacity (in the same location), except facil{ties over the traveled way on designated "Scenic UE10. FAILURE TO COMPLY: Failure to comply with the Highways", or on Structures. terms and conditions above shall be grounds for revocation of this permit. 2. Maintain. inspect, remove, repair or replace (in the same location) all aerial facilities except over the traveled way or on Structures. STATE OF CALIFORNIA · DEPARTMENT OF TRANSPORTATION ENCROACHMENT PERMIT UTILITY MAINTENANCE PROVISIONS TR-0161 (REV. 2/'94) Any public utility or public corporation who lawfully maintains a UM8. utility encroachment, or their agent may perform routine or Routine Inspection and Maintenance: emergency maintenance on such facility in accordance with the 1. Routine Maintenance and Inspection: Routine following provisions (unless updated at some future time, maintenance and inspection on the roadbed shall be thence the future provisions shall govern): conducted between 9:00 a.m. and 3:00 p.m., or as otherwise authorized in writing by the Department's UM1. representative. Exclusions: 2. Minholes: The permiffee may open existing manholes to These provisions do not authorize tree trimming, work on repair underground cables. Where the manhole lies within freeways, expressways, or other activities not specifically the improved surface of the highway, the permittee will provided for in this permit. provide adequate protection for traffic in accordance with the General Provisions "Protection of Traffic". UM2. 3. ~: Excavations for routine inspection and repair Possession of Permit Required: of pipeline and cables shaH: The permit or a copy thereof shall be kept at the site of the a. Not be made in improved surfaces, landscaped areas work and must be shown to any representative of the or closer than 3.04 meter (10') to the edge of the Department or any law enforcement officer on demand. WORK pavement without a special permit; and SHALL BE SUSPENDED IF PERMIT IS NOT AT JOB SITE b. Not uncover more than 15.24 meter (50') of line at any AS PROVIDED. one time. 4. Poles. Lines: Permiftee is authorized to: UM3. a. Stub, or reset existing pole, provided no change in Notice ReqUired: Iosation of pole or ancl~or is made. Stubs and anchors Before starting work, the permittee shall notify the Department's must not be placed between existing pole and traveled representative. In emergencies, the Deparfment's way- representative shall be notified as soon as possible. b. Replace poles, guy poles, and crossarms in same location limited to two (2) consecutive poles. No UM4. additional poles or guy poles are authorized under this Standard of Work: routine maintenance provision. All work shall conform to recognized standards of utility c. Replace broken pins and insulators, repair broken construction and the Deparfment's current Standard wires, pull slack wires, and replace or pull broken or slack guys. Specifications. d. Repair and comptete transfer work on existing aerial UMS. cables. Emergency Repairs: e. Install new and replace existing transformers on existing poles. The permittee may make emergency repaim, altering traffic f. Replace aerial wires and crossarms on existing poles flow, excavating through improved surfaces, only when breaks except where wires cross the highway. Unless in the conduit, cable, or pipeline over or under the pavement otherwise specifically required by the Department, present a definite public hazard or sedous interruption of protected cable, tree wire or plastic tree wire guard essential service. in such cases, the Department's used for communication lines may be used through representative shall be notified immediately. trees where necessary, provided the appearance of the tree or the tree itself will not be damaged. This section UMe. "f." does not apply to scenic highways. Open Excavations: g. Installations and clearances shall be equal to those No excavation shall be leff open after daylight hours, unless required by either the California Public utilities specifically authorized and adequate protection for traffic is Commission Orders or the California Occupational provided in accordance with the General Provisions "Protection Safety and Heelth (CAL-OSHA) Safety Orders, of Traffic". Backfill and pavement replacement shall be whichever is greater, performed in accordance with the applicable General h. Clear grass from around base of poles and excavate Provisions (i.e., "Making Repairs", "Backfilling"). UM7. Service Connection: These provisions do not authorize installation of conduit, cable, gas, or water service connections within State highway right-of- way, regardless of the ~ocation of the main, existing conduit or cable. All new underground or pipe abandon services must be covered by individual permits. See Section "UM8.4." regarding service connections for aerial wires. EP940004 STATEOFCALIFORNIA-DEPARTM,~OFTRANSPORTATION ENCROACHMENT PERMIT OVERHEAD UTILITY PROVISIONS METRIC TRo162 (REV. 11/93) OH1 OH7 Location Pole Lines, Etc.: Remove Old Poles, Guy and Stubs: Pole lines shall be located as specifically directed in the The entire length of poles and stubs shall be removed provisions of the permit. from the ground and the holes backfilled. Guy rods shall be removed to a minimum depth of 0.91 meter (3') below original ground. OI't2 Installations and Clearances: All clearances and installations shall be in accordance OH8 with the applicable orders of the Public utilities Aerial Crossing: Commission of the State of California, or the California No work involving new or additions to existing aerial Occupational Safety and Health (CAL-OSHA) Safety crossings shall be performed in rainy, foggy or inclement Orders, whichever is greater. weather which creates hazardous conditions for highway USerS. OH3 Permission from Property Owners: OH9 Whenever necessary to secure permission from abutting Clearance From Curbs: property owners, such authority must be secured by the The face of poles shall not be placed closer than 0.60 permittee prior to starting work. meter (2') from any curb face. OH4 OH10 Clearance of Trees: Pole Installation or Removal: Unless otherwise specifically required by the Where poles are to be installed or removed behind the Depart~nent, protected cable, tree wire or plastic tree curb in a parkway that is paved with Portland cement wire guard used for communication lines may be used concrete, the concrete shall be saw cut and removed and through trees where necessary, provided the appearance replaced to the nearest score lines or expansion joints. of the tree or the ~ itself will not be damaged. This The hole in PCC sidewalk created by pole removal shall does not apply to scenic highways. be temporarily backfilled with 5.08 centimeter (2") minimum temporary AC at the time the pole is removed. Poles are not to be installed without prior approval of the OH5 final location by the Department's representative in the Guy Wires: field. No guy wires are to be attached to trees except as may be specified in the permit and in no event shall they be so attached as to girdle the tree or interfere with its growth. OHll Guy wires shall be kept to a minimum elevation above ground as directed. Freeway Installation: Poles, anchors, etc., shall not be installed inside of any fenced freeway right-of-way. OH6 Anchor: No anchor shall be placed closer to the traveled way than the pole itself. FM e2 1488 M STATE OF CALIFORNIA · DEPARTMENT OF TRANSPORTATION Page 1 of 3 ENCROACHMENT PERMIT UNDERGROUND UTILITY Fro~t PROVISIONS TR-0163 (REV, 5/94) UGI F. The instellation of multiple casing shall be installed Crossing Roadway by Boring and Jacking or Tunneling: with a minimum of 1-1/2 diameter clearance between Pipes shall normally be bored and jacked or furreeled casings, but not less than 45.72 centimeter (18'7. The tmderneath pavement without disturbing same. Pavement or clearance between casings crossing freeways shall be roadway shall not be cut unless specifically allowed by the two (2) diameters minimum, but not less than 60.96 permit. Service pipes will not be permitted inside of culverts centimeter (24"). used as drainage structures. Schedule of contractors work hoursshallbesubmittedpriortothestertofwork. G. The casings placed within freeway right-of-way shall All bores shall be accomplished by the dry-bore method. extend to the access control lines. Other methods of boring are prohibited unless specifically approved by the Department's engineer. Bentonite may be H. Wing cutters, if used, shall be a maximum of 2.54 used as a lubricant only, Casing shall be a steel conduit with a centimeter (1 ") larger than the casing. Voids caused by the minimum inside diameter sufficiently larger than the outside use of wing cutters shall be gmuted in accordance with diameter of the pipe or ducts to accommodate placement and "E." above. removal. The casing can be either steel pipe, new, used or with approved connector syst~n. If it is a used pipe, it shall be I. A band welded to the leading edge of the casing approved by the Department's engineer or representative should be placed square to the alignment. The band before installation. should not be placed on the bottom edge. Flaring the lead section on bores over 30.48 meter (1OO') shall Casings: not be permitted. A. All pipes 15.24 centimeter (6") in diameter or larger shall placed within a steel casing. The installation of J. All casing lengths shall be equal to the auger length. multiple pipes or ducts, regardless of diameters, will require installation in a steel casing. K. The casings pLaced within conventional highways shall extend 1.52 meter (5') from back of curb or B. Minimum wall thicknesses for steel pipe casing for pavement to 1.52 meter (5') back of curb or pavement, different sized pipes are as follows: or to right-of-way line if less. Where PCC cross- gutter exists, the casing shall extend at least 1.52 meter (5') beyond the back of the cross-gutter, or to right- of-way line if less. MINIMUM WALL THICKNESS (In Centimeters) CASING PIPE UP TO 46 m OVER 46 m Bore Pit and Receiving Pit shall be: (DiameterlnCentirnetam) LENGTH LENGTH A. Locatedatleast3.04meter(10')fromedgeofpavement on conventional highways in rural areas. 15.24 cm to 71.12 cm 0.63 cm 0.63 cm (6"TO28") (1/4") (1/4") B. Locatad l.52 metar (5') behind concrete curb or AC 76.2cm to 96.52 crn 0.95 cm 1.27 cm dike on conventional highways in urban areas. (30., TO 38") (3/8") (U2") 101.6cmtolBZ,4cm 1.27cm Lgcra C. Locatedl.52meter(5')outsidetoeofslopein {40" TO 60") (1. / 2") (3 / 4") embankment areas. D. Locatadoutsideoffreswayright-of-way. 152.48 cm to 182.88 crn 1.9 crn 1.9 cm (62"TO72") (3/$'") (3/a'") E. Adequately fenced and/or type K barrier pLaced. C. Spiral welded casing is not authorized. F. Adequately shored in accordance with CAL-OSHA requirements. Shoring for lacking and receiving pits D. The ends of the casing shall be plugged with located within 4.57 meter (15') of traf~c lanes on the ungrouted briclo or other suitable material State highway shall not extend more than 91.44 centimeter approved by the Department's representative. (36") above the pavement grade unless otherwise authorized by the Department's representative. E. When required by the Department's representative, Reflectors shall be affixed to the shoring on the sides the permittee shall at his expense, pressure grout the facing traffic. A 1.82 meter (6') chain link fence shall be area between the pavement and the casing from installed around the entire perimeter of the pits within the casing and/or from the top of pavement in during non-working hours. order to fill any voids caused by the work covered under this permit. The increments for grout holes G. All pits should have crushed rock and sump areas to shall be 2.43 meter (8') staggered and located 22-1/2 dear ground water and water used to clean the degrees from the vertical axis of the casing. Pressure casing. Where ground water is found and pumping shall not exceed 34.47 kPa (Spsig) for a duration is required, the pits shall be lined with filter fabric. sufficient to fill all voids. ENCROACHMENT PERMIT UNDERGROUND UTILITY Page 2 of 3 PROVISIONS Sack TR-0163 (REV, 5/94) UG2 Limit of Excavation: No excavaHon is to be made closer than 3.04 meter (10') 3. Department-owned electrical systems that have from the edSe of the pavement except in curbed urban electrical service conductors with a potential to ground areas or as specified in the permit. Where no cuffi exists of 300 volts or less. and excavaHons within 3.04 meter (103 of the traveled way are to remain open, a temporary t~pe K railinS shah be B. All facilities other than high and low risk shall have placed at a 20:1 taper or as otherwise directed by the a minimum cover of 91.44 centimeter (36") except for service connections which shah have a minimum Depa~ment. cover of 76.2 centimeter (30"). UG3 Tunneling: UG6 In addilion to the requirements of "UGI", the following Detector Strip: requirements apply: A continuous metallic detector st~p shall be provided with non-metallic main installations. Service connections shall be A. For the purpose of this provision, a t~rmel is defined installed at riSht angles to the centerline of the State highway as any pipe, 76.2 centimeter (30") in diameter or larger. where possible. B. W~en tur~neling is authorized, the permittee shall provide foil-time inspection of tunnelinS operations. UG7 Projects shall be monitored by the Department's Backfilling: representative. . AHbackfiHingshailconformtotheapplicablesecHonsof the Department's Standard Specifications, PondinS or jetting C. A survey grid shall be set and appropriately checked methodsofbackfillingareprohibited. over the centerline of the pipe jackinS or tunneling. Any required compaction tests shall be performed by a Copies of the survey notes shah be submitted to the certified laboratory at no cost to the Department and the Department's representative. laboratory report furnished to the Department's representative. D. Sand shields may be required as ground conditions change. UG8 Roadway Surfacing and Base Materials: E. The method used to check the grade and alignment When the permit authorizes insteHation by the open cut shall be approved by the Department's method, surfacing and base materials and thickness thereof representative. shall be as specified in the permit. Temporary repairs to pavements shall be made and F. Pressure grouling for liner plates, rib and spiling, or maintained upon completion of backfill until permanent repairs rib and lagging tunnels shall be at every 2.43 meter are made. Permanent repairs to pavements shall be made (8') section or at the end of work shift before the next within thirty (30) days of completion of backfill unless section is excavated. All groufing shall be completed otherwise specified by the Department. Temporary pavement at the end of each workday. patches shall be placed and maintained in a smooth riding plane free of humps or depressions G. A method of securing the headway at the end of each workday is required. Breast plates shah be installed during working hours for running sand or UG9 super saturated soil. Damage to Tree Roots: No tree roots over 7,62 centimeter (3") will be cut within the UG4 tree drip line when trenching or other underground work is High and Low Risk Facilities: necessary adjacent to roadside trees. The roots that are 7.62 centimeter (3") or more in diameter inside the h'ee drip line High and low risk facilities, as defined in the Departmenrs shall be tunneled under and wrapped in burlap and kept moist current Manual on High and Low Risk Underground Facilities, until the trench is refilled, Trenching machines may not be shall be installed with a minimum cover of 106.68 centimeter used under trees if the trunk or limbs will be damaged by their (42"). use. If the trees involved are close together and of such size that UG5 it is impractical to protect all roots over 7.62 centimeter (Y) in Exempt and Other Underground Facilities: diameter, or when roots are tess than 10.16 centimeter (4") outside tree drip line, special arrangements may be made A. ExemptFacilities: whereby pruning of the tree tops to balance the ront loss can be 1. Gas service lines no larger than 5.08 centimeter (2") in done by the permittee under the close supervision of the diameter or operating at 413.7 kPa (60 psig) or less District Landscape Specialist or District Tree Maintenance 2. Underground electrical service conductors with a Supervisor. Manholes shall not be installed within 6.09 meter potential to ground of 300 volts or less (20') of any tree trunk. ENCROACHMENT PERMIT UNDERGROUND UTILITY Page 3 of 3 PROVISIONS Front TR-0163 (REV. 5/94) UG]O existing curb and gutter or pavement edge, the asphalt concrete Pipes Along Roadway: pavement between the trench and the curb or pavement edge Pipes and conduits paralleling the pavement shall be shall be removed. located as shown on ~e plans or located outside of pavement as close as pcr~sible to the right-of-way. UGI. 7 Maintain Access: UG11 Where facilities exist, a minimum sidewalk and bikepath Borrow and Waste: width of 1.21 meter (4') must be maintained at all times for safe Borrow and waste will be allowed withto the work limits passage through the work area. only as specified in the permit. UGI.2 UGI.8 Markets: Sides of Open-Cut Trenches: The permittee shall not place any markers which create a Sides of open-cut trenches in paved areas shall be kept as safety hazard for traveling public or Departmental employees. nearly vertical as possible. Trenches shall not be more than 0.60 meter (21) wider than the outside diameter of the pipe to be laid UG13 thereLn, plus the width to accommodate shoring. Cathodic Protection: The permittee shall per/orm stray current interference tests UG1.9 on underground utilities under cathodic protection. The permittee shall notify the Department prior to the tests. The Excavation Under Facilities: permittee shall per/otto any necessary corrective measures and Where it is necessary to excavate under existing curb and gutter, or underground facilities, the void shall be backfilled advise the Department. with two (2) sacks cement-sand sIurry. UG34 UG20 Tie-Backs: Permanent Repairs to PCC Pavement: A. Tie-backs shall be placed for the sole purpose of supporting shoring and/or soldier piles placed Repairs to PCC pavement shall be made of Portland cement concrete containing a minimum of 298.46 kg (7-sack) of cement outside State highway right-of-way to facilitate permittee's excavation. per cubic yard. Replacement PCC pavement shall equal B. Tie-backs shall be disconnected from the shoring existing pavement thick~ness. The concrete shall be and/or soldier piles one (3.) year prior to releasing satisfactorily cured and protected from d'is~urbance for not less than 48 hours. Where necessary to open the area to traffic, no the bond. more than two (2%) percent by weight of calcium chloride may be added to the mix and the road opened to traffic after six (6) UGI. 5 hours. Installation by Open Cut Method: When the permit authorizes ir~stallation by the open-cut UG21 method, no more than one lane of the highway pavement shah Removal. of I'CC sidewalks or Curbs: be open-cut at any one time. Any exceptions shall be in writing Concrete sidewalks or curbs shah be saw cut to the nearest by the Department's representative. After the pipe is placed in the open section, the trench is to be bacldilled in accordance score marks and replaced equal in dimension to that removed with specifications, temporary repairs made to the surfacing with score marks matching existing adjacent sidewalk or curb. and that portion opened to traffic before the pavement is cut for the next section. If, at the end of the working day, bacidilling operations have not been properly completed, steel bridging UG22 shall be required to make the entire highway facility available Spoils: to the traveling public. The pavement shall be cold planed to a No earth or construction materials are to be dragged or depth equal to the thickness of the plating and to a width and scraped across the highway pavement, and no excavated earth length equal to the plating dimensions. shall be placed or allowed to remain at a location where it can be tracked on the highway traveled way, or any public or private approach by the permittee's construction equipment, or UG36 by traffic entering or leaving the highway traveled way. Any Pavement Removal: excavated earth or mud so tracked onto the highway pavement PCC pavement to be removed shall be saw cut to a or public or private approach shall be immediately removed by minimum depth of 10.1.6 centimeter (4") to provide a neat and the permittee. straight pavement break along both sides of trench. AC pavement shall be saw cut to the full depth. Where the edge of the trench is within 0.60 meter (2') of EP 94 0002 CALTRANS CUSTOMER SERVICE QUESTIONNAIRE Dear Jstomer, PERMIT NO. Our goal is to provide the best service possible to our customers. Please take a few minutes to complete this questionnaire. Your comments will enable us to see how we are doing overell and any areas which may need improvement. PLEASE TELL US HOW WE'RE DOING INSIDE THE OFFICE EXCELLENT VERY GOOD GOOD POOR Staff courteous and helpful [""'1 Staff quick and efficient [""'1 Explanations and instructions [""'1 I""1 [""'l clear TELEPHONE ANSWERING Timely response ["'1 ["'] [""'] Receiving information or ~ [""1 answers INSPECTION Inspector courteous and helpful Pre-construction meeting set and ["'1 held in a timely manner Inspector at job site frequently Inspector able to answer questions [""'q and deal with problems WHAT WOULD YOU SAY IS OUR OVERALL PERFORMANCE 15 THERE A STAFF PERSON YOU WOULD LIKE TO COMMEND (NAME) Please provide your comments: (OPTIONAL) NAME PHONE DATE DISTRICT PERMIT ENGINEER DEPARTMENT OF TRANSPORTATION 247 W. 3RD STREET SAN BERNARDINO, CA 92402 CITY OF FONTANA COMMUNITY DEVELOPMENT DEPARTMENT LETTER OF TRANSMITTAL ENGINEERING DIVISION 8353 Sierra Avenue Fontana, CA 92335 File: Foothill Locust Sewer Date: January 17, 1995 RE: Encroachment Permit TO: Caltrans 621 Carnegie Dr San Bernardino, Ca 92419 ATTN: Permit Counter / We are sending you: IX] Attached [ ] Under separate cover via the following item: [ ] Drawings [ ] Prints [ ] Plans [ ] Samples [ ] Specifications [ ] Copy of Letter [ ] Change Order [ ] Check Print(s) [ ] Studies [X] Other: See below COPIES PLAN CHECK DESCRIPTION 1 Encroachment Permit Application 6 Improvement Plans (Blueprints) Purpose: Please: [ ] For your information/records [ ] Submit original(s) [ ] For approval [ ] Resubmit copies [ ] For your use for approval. [ ] As requested [ } Resubmit copies IX] For review &comment for distribution. [ ] Approved as submitted [ ] Return correction [ ] Approved as noted prints. [ ] Return for corrections [ ] Other [ ] Other Remarks: If you should have any questions regarding this issue, please ~¢all me at (909)350-6733. Copy to: ~d,~...~,___ ~'~ City Engineer (B. Waddle) - Sig ~'~./~"""- ~"' ~' San~doval, P.E. Assistant Engineer Front TR-Ol0O (REV. lo/93) FOR CALTRANS USE Pe~on is requested to ,roemath on the s~ee l.~Bhway Right of Way F~RMn' NO. as follows: (C.~.plete ~11 items: NA i[ net Appikation is not complete unl~] aH req~igt~l attachments a~e included. DIST/CCVRTEjPM ~. LOCATION: CtTY :' S~O:'~N~ERNARDI NO a, ROUT~ mMm. F_X STAMP FONTANA 66 7. CROSS STREET (ierd {Imc~k~ from T.OCUST AVENUE FOO~.'NTLL BOULEVARD @ LOCUST AVEHUR I. WORK TO BE PERFORMED Irf 10. EST. STARTDATE 4 $52t500,00 13, MAX, [:FJ~II:~I,~i~V:. DEPTH tL AVG. WIDTH 1~ LENGTH 17. SURFACE TYRE I X ~, ~NG'.~T[ METER 1U" VC:9 C~.~IF.~ 20, VOLTAO E/KPA 21. P~OOUCT RPE8 VCP INSIDE STE~'L 2IPE 21" STEEL CASING NiA DO~]ESTIC 22. FULLY DESCRIBE WORK WITHIN STATE WW: Allah o~m~et~ plans (minimum 5 le~ folded 21.59 ~ant~?eter X 27.~4 c~nFF~e~erG~ spell, able, map& er.,/fRop//cab/e. The work within the CaITrans right of way consist of installing approximately 180' of 10' Extra Strength V.C.P. inside a 21" Steel Pipe encase·eRr. The installation shall be done by the "Dry Bore & Jacking" method. Both the bore pit and receiving pit will be excavated outside of the Foothill Blvd right of way. The 21" Steel Pipe encasem~nt will be installed by boring and jacking at approximately 17' below the finish road surface, and the 10" V.C.P. sewer will be pushed in place inside the pipe casing. All portions of work within CalTrans jurisdiction (Southerly ECR to Northerly BCR) shall be done in accordance to Celttans Specifications as referenced on the attached plans (see sheet 1 & 2 of 3 of Drwg.2319). With regard/to traffic control , vehicular traffic on Foothill Blvd will not be detoured; however, the project will require temporaW lane closures on Locust Avenue. Left and right turning movements from Foothill Blvd onto Locust Avenue will be affected]n consideration of this, a Traffic Control Plan was prepared and is attached (see sheet 3 of 3 of Drwg.231g). a. banywekimlngdoneonepmmraWopee/? [] YES [] NO (, 'YES', b~ee), d, crbe and aeam ~ej md ~ 2C b ·dty, county, of olhw agency involved b the envkonmmtal qqxovd? i'1 ~q.~s, ma.s. uM,,e~, I'1 mNe.tp, M,a.vowe. Lme f'l CO~U~YN~NmW~YWrm i'l EWXaCNCONm~. ~ [] m~MPAW~ [2] f'l moEwN. w,'eu,,.-.$ {'q MA, taO~ The unclereigned agNee end underel·hale the · permit can be denied or · land required for rich*payment of prior or preeent permit fee·, and that the werk will be d~ne in erdanee with Celt·ha rule· end quinti~ne ·ubjecf Inepectl~n and appmvaL: : :i::::~::..::!!:::: ~.ORQN41ZATCNCRN'RX,4~TNM4E(R~eTMee;.::- ..... : ~I. BUSINE~BPHONE ~ity of Fontan· (909) 350-7610 Felipe Molinos (909) 350-6641 8353 Sierra Avenue, Font·n·, C~ 92335 Robert W. Weddie STANDARD ENCROACHMENT PERMIT APPLICATION Page 2 TR-0100 (REV. 1013) /~ ' ~ TM Back FEE CALCULATIONS BY CALTRAN'e & BddgeTen(lfAppieabb) $ S S k heytow f Is. Fee EAt I I $ betlee ( ] see Fee S [ ]C41:uletedFee I $ S bUsied HmO EA s s s d. FtddWedz [ ]ce:mleFee I TOTN, FB!IOEFOIfT - S S $ COLLECTED BY CCt. LECTED BY COLLECTED BY IMfTIN, I3EPO~TPND ADOL~PAIO TOTALFEE I I SURETY eONO ~-Qu:~.o? [] ~s 0 NO ~ s UABII./TY INSURANCE REQUIRED/ [] ~ES [] NO AMOJNT $ * The current hourly rate i set annually by Headquarters Amounting, and take effect January I. Dietriot Ofrte stdf do ., . not have authorfly to modify this rate.