HomeMy WebLinkAboutENCR-2454-2024 - Action Rooter - 880 Buchon StreetENCROACHMENT PERMIT
Right of Way
ENCR-2454-2024Public Works Department • 919 Palm Street • San Luis Obispo, CA 93401-3218
Location:880 Buchon St
USA #: N/A
X-streets:
Project Name:
Morro, Chorro Other permits required:
Abandon existing sewer lateral; install new
Contractor:Action Rooter
Steven Foster
805-440-2034
Sewer: T: 34 B: 0 Description of Work:
Abandon sewer lateral in back yard at collector lateral. Install new sewer
lateral to the main in Buchon. All work to be done to City Standard
Specifications & Engineering Standards. Traffic and pedestrian controls must
be per City Appendix G & MUTCD Standards. Call 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.
Frontage Improvements Complete/Upgraded
Curb Ramp Complete/Upgraded
City Fiber Bus Route Sewer Wye
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: March 28, 2025
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.
Signature Date
Print Name
Issued By Date
Final Inspection By Date
DEPT. of PUBLIC WORKS
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.
10/22/2024
0
city of san Luis Obispo Encroachment permit General conditions
Authority: Encroachment Permits are issued in accordance with City of San Luis Obispo Municipal Code, Title 12.
Conditions: All encroachment permits for work performed within the public right-of-way shall conform to recognized
standards of construction and the requirements and conditions contained in the current City of San Luis Obispo
Engineering Standards, Standard Specifications, City Policies and the California Manual on Uniform Traffic Control
Devices (CA MUTCD) for work zones traffic control.
The following sections of the Standard Specifications should be reviewed by the Contractor prior to starting work.
Additional sections of the Standard Specifications are also applicable dependent upon the type of work and work site
conditions.
Section 3-1.05A Encroachment Permit Bond
Section 3-1.18A Encroachment Permit
Section 4-1.02 Intent: Maintain Plans & Current Standards at Jobsite
Section 4-1.13 Cleanup & Work Site Maintenance
Section 5-1.02A Private Construction Projects Coordination and Interpretation of Plans
Section 5-1.02B Encroachment Permit Plans
Section 5-1.02C Inspection for Encroachment into Public Right-of-Way
Section 5-1.20G City Authorizations and Permits
Section 5-1.26 Construction Surveys
Section 5-1.36 Property and Facilities Preservation
Section 5-1.36E Survey Monuments
Section 7-1.03 Public Convenience
Section 7-1.04 Public Safety
Section 12 Temporary Traffic Control
Section 13 Water Pollution Control
Section 14-2.03 Archeological Resources
Section 15 Existing Facilities
Section 77-1.03A(1) Utilities
Section 77-1.03A(2) Tree Protection
Section 77-1.03C Temporary Paving and Steel Plates
Section 77-2.01 Waterlines: Prohibition on Operation of Water System Valves
Call 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 understands and agrees that whenever permitted facilities conflict with future City improvements and
projects, new construction, reconstruction, or maintenance work in the public right-of-way, said facilities shall be
relocated, removed, modified, or adjusted at permittee’s sole expense.
By signing the Encroachment Permit I understand and agree to follow the requirements in these Encroachment Permit
Conditions. I understand that failure to comply with all the requirements could cause the permit to be revoked and/or
cause me to lose my privilege to work within the City right-of–way for 2 years. It is understood and agreed by the
permittee that the doing of any work under this permit shall constitute an acceptance of the provisions of this permit
and all attachments.
Website References:
https://www.slocity.org/government/department-directory/community-development/engineering-development-review/encroachment-permits
Water Pollution Prevention Tracking Information
Municipal Stormwater BMP E.10.a Compliance Form
Water Pollution Control Manager Information
Construction Company:
Contractor’s License Num.:
QSP Num (for SWPPP):
Responsible Person:
Mailing Address:
Office Phone Number:
Cell Phone Number:
Email Address:
Project Information
Project Location:
Description of Work:
Distance to Nearest Creek or Storm Drain:
Area of Disturbance
Construction Phase (circle one) Off‐Site On‐Site
Construction Permit Type (completed by City Staff)
☐ Encroachment Permit Permit Number:
☐ Building Permit Permit Number:
☐ Capital Improvement Plan Spec. Number:
Construction Permit Status (completed by City Staff)
Date Permit Issued:
Estimated Completion Date:
Pollution Prevention Plan Type (completed by City Staff)
☐ SWPPP Approval Date:
☐ WPCP (Included with Plans) Approval Date:
☐ WPCP (Minor) Approval Date:
Water Pollution Control Plan for Minor Projects
Best Management Practices (BMP)
BMP to be Implemented Standard
Specification BMP Description
Good Housekeeping BMPs
Equipment Maintenance 13‐4.03C Maintain, repair, fuel, storage location, inspect vehicles
Stockpile Management 13‐4.03C(3) Cover Stockpile, Place Waddles
Sweeping 13‐4.03F Sweep work area daily and prior to rain events
Spill Management 13‐4.03 Plan and materials for mitigating spills onsite
Waste Management BMPs
Saw‐cut Slurry 13‐4.03E(7) Vacuum slurry and contain
Washout 13‐9 Plastic lined washout areas for concrete and tools
Portable toilets 13‐4.03D(4) Provide and ensure secondary containment
Solid waste 5‐1.31 Contain and remove trash from site daily
Work Specific BMPs (check and add all that apply)
☐ Creek Protection Controls 13‐10 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
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BMP Maintenance
Inspect, Document, Clean & Repair 13‐1.03 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 Manager Signature Date
Water Pollution Control Manager Printed Name
Steven Foster