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Home My WebLink AboutENCR-2322-2024 - Action Rooter - 1370 BroadENCROACHMENT PERMIT Right of Way ENCR-2322-2024Public Works Department • 919 Palm Street • San Luis Obispo, CA 93401-3218 Location:1370 Broad St USA #: N/A X-streets: Project Name: Pacific, Pismo Other permits required: Sewer lateral replacement Contractor:Action Rooter Steven Foster 805-440-2034 Sewer: T: 0 B: 33 Description of Work: Replace sewer lateral to the main using trenchless technology. No Parking signs must be posted at least 30 hours in advance of closure. Trenchless lateral replacements require a video submittal to be emailed after replacement. A separate building permit is required for any sewer lateral replacement on private property. All work to be done to City Standard Specifications & Engineering Standards. Traffic and pedestrian controls must be per the approved plans and 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. Also, please call the Public Works inspection hotline at 805-781-7554 to coordinate wye installation two working days in advance. 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: February 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. 10/03/2024 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 Public Works / Community Development T 805.781.7015 919 Palm Street, San Luis Obispo, CA 93401 F 805.783.7751 ALL FIELDS MUST BE COMPLETED FOR APPROVAL General Info: Project Location: _______________________________________________________________________________________ Description of Work: ____________________________________________________________________________________ Agency / Company: _____________________________________________________________________________________ Contact Person: _________________________________________ Phone: _____________________________________ Check One Permit Project…………………… City Inspector: ______________________________ Capital Improvement Project…… City Inspector/Spec. No. ______________________ Special Event Street Closure……. City Event Supervisor: ______________________________ Schedule: Requested Schedule (Dates & Hours): Dates ___________________________________________ Hours: (From)_________(To)__________ 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.______________ SLO City Engineering Standard Appendix G. Check applicable standards AND indicate location of work zone on applicable standard. Fig. A Fig. B Fig. C Fig. D Fig. E Fig. F Fig. G Fig. H Fig. I Fig. J Fig. K Fig. L Fig. M Fig. N Fig. O Fig. P Custom Traffic Control Plan (TCP) Required and Attached. Traffic Control Plan Requirements for each phase of work: Accurate Depiction of Street (St. Names, Striping, Traffic Signals, Stop Signs, etc….) Depiction of work zone area (Approx. Dimension) Depiction of temporary delineation & signing (Taper 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. Please refer to the links below for typical applications, sign codes, use of flashing arrow panels, and taper lengths. Accepted Accepted With Comments See Additional Comments on TCP __________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ Denied (By: __________________ Date ______ ) Resubmittals shall include original application and traffic control plan with City comments ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ CA MUTCD: http://www.dot.ca.gov/hq/traffops/signtech/mutcdsupp/ca_mutcd2012.htm SLO City Std. Plans: http://www.slocity.org/publicworks/stds/appx-g.pdf OFFICE USE ONLY Rec. By: _______ Date: _____ App. By: _______ Date: _____ TEMPORARY TRAFFIC CONTROL APPLICATION CH O O S E O N E 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 ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ 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