The URL can be used to link to this page

Home My WebLink AboutENCR-5868-2016 permitCITY OF mn tuis CA OBISP O L I F O It N I A Public Works Department • 919 Palm Street - San Luis Obispo, CA 93401-3218 Location: 990 Industrial Wy X-streets: Sacramento Project Name: Digital West fiber optics Applicant: Contractor: Sidewalk: L: 35 W: 0 Other Util: T: 0 B: 240 Digital West David Hamilton 805-781-9378 MGE Underground, Inc. Mike Stephenson 805-674-8261 _ Frontage Improvements Complete/Upgraded _ Curb Ramp Complete/Upgraded _ City Fiber _ Bus Route _ Sewer Wye ENCROACHMENT PERMIT Right of Way ENCR-5868-2016 USA #: N/A Other permits required: Description of Work: Bore to install Digital West fiber optic cable. Remove and replace panels of sidewalk indicated on the plans. Hot crack -seal existing microtrench and replace asphalt patch per the attached plans. All work to be done to City Standard Specifications & Engineering Standards. Traffic and pedestrian controls per City Appendix G & MUTCD Standards. Contact the Public Works inspection hotline at 805-781-7554 two working days prior to the start of work and one working day prior to each subsequent inspection. Permittee is responsible for calling for final inspection so the permit can be closed. All work performed within the right-of-way shall conform to the City of San Luis Obispo Engineering Standard Details and Standard Specifications. You are responsible for liability for personal injury and / or property damage caused by this work or your failure to do what you are obligated to do. If a claim of such liability is made against the City or any of its departments, officers, or employees, you shall, and hereby agree to, defend and indemnify the City and hold the City harmless from any claims, including costs of defense and attorney fees. All work shall be completed and the right-of-way restored by: February 28, 2017 AGREEMENT: I have read this permit and acknowledge receipt of the City of San Luis Obispo Encroachment Permit General Provisions and _ pages of attached special conditions which I have read, agree to, and acknowledge as a part of this permit. Siena ur XJ C/ /� 1 / STD J Date Print Name Final Inspection By IZA17nlell� Date Date The City of San Luis Obispo is committed to include the disabled in all of its services, programs and activities. Telecommunications Device for the Deaf (805) 781-7410. Water Pollution Prevention Tracking Information Municipal Stormwater BMP E.10.a Compliance Form Water Pollution Control Manager Information Construction Company: MGE Underground Inc. Contractor's License Num.: 765025 QSP Num (for SWPPP): Responsible Person: David Hamilton Mailing Address: 816 26th Street, Paso Robles, CA 93466 Office Phone Number: 805.781.9378 Cell Phone Number: 805.610-2995 Email Address: dhamilton@digitalwest.net Project Information Project Location: Trench from PL at 990 Sacramento to the,SW corner of Sacramento and Industrial Way Description of work: Place a new duct under sidewalk. R&R sidewalk panels. Distance to Nearest Creek or Storm Drain: Inlet on NE corner of Sacramento Rd. & Industrial Way Area of Disturbance (Map M-15 Construction Phase (circle one) ff-Site Encroachment Permit ❑ Building Permit ❑ Capital Improvement Plan Date Permit Issued: Estimated Completion Date: Construction Permit Type (completed by City Staff) Permit Number: �� _ Zo/(o Permit Number: Spec. Number: Construction Permit Statu (completed by City Staff) 1-2,11-2- , � (a Pollution Prevention Plan Type (completed by City Staff) SWPPP Approval Date: WPC-P (Included with Plans) Approval Date: WPCP (Minor) Approval Date: M 1:31-Ze-7 On -Site Water Pollution Control Plan for Minor Projects Best Management Practices (BMP) BMP to be Implemented Standard BMP Description Specification Good Housekeeoine BMPs ❑x Equipment Maintenance 13-4.03C Maintain, repair, fuel, storage location, inspect vehicles ❑x Stockpile Management 13-4.03C(3) Cover Stockpile, Place Waddles Sweeping 13-4.03F Sweep work area daily and prior to rain events ❑x Spill Management 13-4.03 Plan and materials for mitigating spills onsite Waste Management BMPs ❑x Saw -cut Slurry 13-4.03E(7) Vacuum slurry and contain ❑x Washout 13-9 Plastic lined washout areas for concrete and tools 9 Portable toilets 13-4.03D(4) Provide and ensure secondary containment ❑x ❑ Solid waste 5-1.31 Work Specific BMPs (check Creek Protection Controls 13-10 Contain and remove trash from site daily_ and add all that apply) BMPs and Controls to protect adjacent waterways ❑ Storm Drain Inlet Protection 13-6 Gravel bags and entrance ❑ Construction Entrance 13-7 BMPs to eliminate tracking from construction site El ❑.. El BMP Maintenance ❑x Inspect, Document, Clean & Repair 113-1.03 Daily maintenance of required BMPs Acknowledgment I have read, understood, and agree to the requirements of: 1. This WPCP 2. City of San Luis Obispo's Engineering Standard and Specifications 3. State of California's General Construction Permit I understand and agree that: 1. Additional BMPs may be required during the course of the work to ensure the protection of local water quality 2. You must take corrective actions to protect local water quality 3. Failure to comply with all requirements could cause: a. All construction work to be stopped until compliance is achieved b. Permit to be revoked c. Lose the privilege to work within the City right-of-way for 2 years Water Pollution Control M nager Signature Date Water Pollution Control Manager Printed Name //— ?o Date TEMPORARY TRAFFIC CONTROL APPLICATION Public Works / Community Development 919 Palm Street, San Luis Obispo, CA 93401 ALL FIELDS MUST BE COMPLETED FOR APPROVAL General Info: Project Location Description of D Agency / Comp Contact Person: Check One ❑ Permit Project ....................... ❑ Capital Improvement Project...... ❑ Special Event Street Closure....... City Inspector: City Inspector/Spec. No. City Event Supervisor: _ T 805.781.7015 F 805.783.7751 Schedule: p q y Requested Schedule (Dates &Hours): Dates � � � C `p� � / � �� > j 0 Hours: (From) Number of Days Required to complete work (list for each location): Night Work Requests (7pm — 7am) must receive night work permit from Community Development Department. Night work application: Date Submitted Date Approved Permit Number Traffic Control: All temporary traffic control shall be per the most current version of the California Manual on Uniform Traffic Control Devices (MUTCD), City of San Luis Obispo Engineering Standards & Specifications (Engr. Std. Appendix G), and CalTrans Standard Plans & Specifications. Work Zone / Event Closure Area: STREET: FROM: (Dist. Ft.) (Direction N,S,E,W) Of (Street) TO: (Dist. Ft.) (Direction N,S,E,W) Of (Street) Work Zone Description Work affects City Transit Stop or Route. Yes ❑ No ❑ Transit Division approved work: Yes ❑ No ❑ Date: If yes, contractor must advise Transit Division 7 days prior to work. Contact SLO Transit at 781-7531 (City Staff Name) Work requires closure of parking lane or parking meters Yes ❑ No ❑ Parking Division approved work: Yes ❑ No ❑ Date: If yes, contractor must receive approval from Parking Division 7 days prior to work. Contact Parking Division at 781-7230. Work requires traffic control to be set up on Caltrans Right of Way. Yes ❑ No ❑ . If yes, attach copy of permit. Permit No. W ❑ SLO City E.ngiri rig Standard Appendix G. Check tppJ&gb1r- standards AND indicate location ofwork zone on applicable standard. O w ❑ Fig. A g„ B❑ Fig. C ❑ Fig. D ❑ Fig. E ❑�g. F ❑ Fig. G p ❑ Fig. H ❑ tg. I ❑ Fig. J ❑ Fig. K ❑ Fig. L YJ I•ig. M ❑ Fig. N x ❑ Fig. O NJ I "ig. P U ❑ Custom Traffic Control Plan (TCP) Required and Attached. Traffic Control Plan Itequiremmts for each phase of work: OFFICE USE ONLY ElAccurate Depiction of Street (St. Names, Striping Traffic Signals, Stop Signs, etc....) Rec. By 4--� Date Q� El Depiction of work zone area (Approx. Dimension) APP By pat O((fJ ❑ Depiction of temporary delineation & signing (raper lengths Dimensioned) Traffic control plans should be submitted to the City Inspector assigned to your job; if the work is by permit then the plan should be submitted along with the encroachment permit. Pl se refer to the links below for typical applications, sign codes, use of flashing arrow panels, and taper lengths. CA MUTCD: laa wwwa .ca. vtv hu rru im s st •tucch uttuc-thu a citt anuacd2012./rUs SLO City Std. Plans: htip./h%tivw.slocity.orUnublicworks/stds/annx-.rx1f ❑ Acc ted Ac A d With Comment ❑ 'c Tonal nntents c P C('J'1 01 T" 11 Denied (By: Date ) Resubmittals shall include original application and trafl<c control plan with City comments