UTILITY
ENCROACHMENT
PERMTT APPLICATTON
PACKAGE
TENA.JA COMMUNITY SERVICES DISTRTCT
32395-B
CLINTON KEITH
SUITE 10
WILDOMAR, CA
92595
P H O N E 9 5 1 _ -6 7 8 - 9 7 7 8
FAX
951 - 618 -'t 655
INDEX
1.
Explanation
2.
Encroachment
3.
Permit
4.
Check-off
5.
Owner Acknowledgment
web si-te :
email- :
Last
of
what
an encroachment
permit
informatt_on
and costs
Application
list
for
permit.
issuance
Exhibit
,,8,1
w w w .t e n a j a c s d . o r g
tenaj acsd@earthl ink. net
updated:
May 2OO7
41
r,ormi r
i o
ENCROACHMENT PERI,TIT
TENAJA COMMUNITY SERVTCES DTSTRTCT
What
is
an encroachment
An encroachment
encroach within
When are
they
permit?
permit
rs wrr-tten permrssion
to excavate or
the right-of-way
of roads maintarned by the
otherwl-se
District.
needed?
Permits must be obtained
for excavations,
tree planting
and removal,
drirrewav insfa'l larion.
fence ConStruction. nlar-emenf of anv sfrtt.frlrAs.
construction
of street
improvements and drainage
facilities,
or
,
! ! ! r !
,
^y cArnr ca lra: rl a y l . '
rFuar r
anv
t- /v. yn-e
The intent
of
the
Encroachment
f a i r manacremenf
of
( - n m m r r n i l -r r Q a r r l i 6 9 g
What is
the
f he
of
q !
q L ' I
W
, VO
OfIkJ { . C O InI C
dU
I UCCt teedO . W l: --ttnhJi .nn
Permj-ts
nrrl-eSS
of
DiStriCt's
i-s to
rOadS/StreetS
t nh ee
help
n i no
maintai
L q !
t / f
aS
riohf
l; -oua- d
,
ensure
r-ont rol
9 V l l u ! v f
def ined
of
in
_ o f _ v, V a y .
consistent
Tf eg rnl qaJiq
v !
_ u ,
and
a
Ordinance
#q.
right-of-way?
The road right-of-way
is rhe fuII
width of land controlled
by the
District,
upon which the traveled
way is constructed,
and which usually
extends considerably
beyond the edge of pavement (or traveled
way) to
Lhe boundaries of the ad3acent private
properties.
The right-of-ways
usuafly
appear on parcel
or tract
maps and are dedrcated
to Riverside
County.
Right - of -Way
What
is
the
!Ft n
t ur!-vrqnva
r rr r-rhr smt rcLn 1 -
nrtlr'l i r-
ri
is
the
of
IL Dq
ncrmi
}/urlllr
crhtq-of
continuing
What
purpose
-\^r:\/
safety
process
an encroachment
nrnrri
i/!vv
f ^
f
tr al o
c:
o,
obtaining
of regulat.ing incursions
into
public interest
and to enhance
for the travefing
public.
lttcctll>
qrf oarr:rrl
u u t 9 Y u q ! v
and convenience
for
permit?
tu lt rf o
g
an encroachment permit?
An application
descrrbing
the proposed work must be completed.
Construction
plans must accompany the application,
together
with a bond
or ot.her financial
security
to assure compliance
with the terms of t.he
normi I
a n n r -i c a t i o n
forms are available
from the DisLrict
"vvr
office.
TCSD IITILITY
ENCROACIIMENT
PERMIT INFORIVIATION
The Tenaia Community Services District
issues all permits for work to be
performed within District
maintained rights-of-way.
The following is
'inf anriod
t
ac
qv
an
aid
ALL PERMITS require
rtems.
1.
2.
3.
in
fra
Obta
i ni no
vvuqfIrIIIY
that
the
fL rhl sc
District
n
crpjgg
PCIlLtfLb
m
t l lO
\ JS
> Lt
be furnished
Of ten
(, ILLrr
with
r! se\ c1 ur tl r rg iu .r e d
the
.
foltowinq
Distrrct
application
signed by t.he owner of record..
Pl-ans show:-ng the proposed encroachment and l-ocation.
Assessor' s Parce] Number.
Addrtionally
pl-ease
the following
information
and fees are required.
note that in all
cases, fees MUST be paid and the permit
issued prror
to
any const rucL fon .
FEES:
1.
?
Permj-t Fee is $300.00.
rncnon'-i^n fees will
be billed
at actual
Cost.
A deposit
of $2500.00 must
be submitted
before
work begins.
Cost for rnspection
rs $55. O0 per hour
with a 4-hour min.
No work can be done rn the rrght-of-way
without
Dt-strtct
approval
and. /or
inspection
on 3ob site.
A 48-hour notice
rs requlred
before any work can
be schedul-ed. Reschedulrng
due to lack of performance
wj-11 be billed
to
^**-l
q
y 1 , r. ai ^e^ ! .q: L r o r i d . t a r a t e o f $ 2 2 0 . 0 0 .
The District
and/or
the inspector
must approve all
Traffic
control-.
The
Drstrrct
may l-ssue a stop order for Lack of Traffic
control
and safecy
measures.
3.
4.
COM|RACTOR
1.
2.
Contractorrs
Name, address, and License number (must be A, C-I2, or C-34).
Contractor's
Certificate
of Insurance and 20-10-85 endorsement naming the
District
as "additionar
insured.,' in t.he forlowing
l-imits:
- g 1 , 0 O O , O O Om i - n i m u m
a) General Liability
PLAI{S
1.
2.
3.
4.
5.
6-
NorE:
;ornt
REQUIREMEMTS :
& SERVICE
INSTALLATION
REQUTREME}II|S:
Plans must be Submitted
and comply wrth TCSD Ordinance No. 4 for approval,
prior
to commencement. of any work.
Pavement shafl
be replaced
with 3" AC on 6" of Class II base. Compactj-on
must be 95?. A soil
report
must be submitLed.
Trench under pavement and 1' extension
on each side,
sha]l- be slurried
with 1-sack mtx to 9" below exrsting
pavement.
Entire
drtch
including
under paved area and 2' on each side of paved. area,
shall
be compacted to 95?.
All- striping,
signage and pavement reflectors
wifl
be replaced.
A11 traffic
control
is the sole responsibility
of utility
or utitity
contractor
putttng
l-n utilities.
one permrt may cover
trench is used.
both
electrical
and telephone
/,o
rnstal-lations
if
TENAJA COMMUNITY
3 2 3 9 5 - B C l i n t
W i I d o m a r ,
( 9 s L ) e
P E R T I I T
I
hereby
apply
for
a permit
to
SERVICES D I S T R I C T
o n
K e i t h
#r.0
C A
9 2 5 95
t 8 - 9 7 7 8
A P P L I C A T I O N
construcr
the
followrng:
/lTf i I i f\/)
Dr-narf
rr
M :iIin a
Ar.rnarg
nAu udr
Crty,
d r oLc oco
State,
Daytrme
.
and Zip:
Phone Number
Assessor's
I
Name:
Parcef
Other
a p p l r - c^ -aF rl l - o^ n* ,
^ * l
a
nd
Number
forth
rn my permit. and this
Number
(We) agree to abide by all
- ^ ^ l . i
phone
I
( W e\ ) a g r e e
requirements
,
to
the
set
f ollowinq:
r
rnrlamni€.'
^^fend and save the District,
its
authorized
aqents,
officers.
representatives
and empJoyees, harml-ess from and against
any and al I penalties,
lrabilities
or l-oss resulting
from claims or court
action
arising
out of any
accident,
loss or damage to persons or property
happening or occurring
as a
proximal-e
result
of any work undertaken
under the permlt- granted
pursuant
to this
application.
r
j-n writ.ing at least 4B hours in
Notif y the Distrrct
advance of the time when work
will be started, and upon comp1etion of the work, immedj-ateIy notify
the District
writing of such completion.
Tnspection shaff be made by TCSD for finish
qrade approval prior
to placement of
surfacing (if required) .
.
4 - l s v r r r ^ 1+
! 1
/
rf TCSD is not notified,
expense, and my deposrt
r
'
any work performed
will
be forfeited.
is
subject
to
lmmediate
removal
at
my
Remove or relocate
an encroachment
installed
or maintained
under this
permlt,
upon
wrltten
notice
from the District.
Accept ful1
responsibrlity
for complying
with Federal-, state,
and County
envjronmental
laws recelving
any necessary
environmental
clearances
and/or permits,
prlor
to commencing any work as authorized
by this
permit.
To keep and maintai-n
the entire
area in a safe and serviceable
condition
in
accordance with standards
adopted from time to time by the Tenaja Community servrce
District'
rf,
upon service
of notice
to perform,
the permitee
fails
to
the
District
"o.pty,
may cause the maintenance
to be performed
at the permitee,s
or their
Successor (s) expense.
This
Permit.
or their
hereof.
is
subject
successor(s)
to
fail
r (we) acknowledge receipt
terms.
Prnrrcrl-rr
P
: . r o n eyr sl -! \ /
nr^rnar
u/
^ \wr irl ns a
u
! r
s lgnature
-.1 ^--+,,-^
>f (,llld.LuIe
summary
cancellation
to strictly
of
a copy of
by
comply with
this
the
District
application
n^r^
U q L C
n - F ^
UALg
if
the
permitee
any term or condition
and agree to said
in
I M P O R T A N TN O T I C E :
Just filling
out the permit
Apprication
and receiving
clearance
letter
from the District
d.oes Nor imply you
encroachment
permit.
a
have
There are severaf
1t r-ssued.
the
items
that
must
be submitted
before
an
permrt
r have read the permit apprication
and acknowl-edge all
requirements.
r will not begin any work in the Right.-of-way
untrl actual permit is lssued.
Q'i
nnorl
CHECK OFF LTST FOR UTILITY
ITEMS RECEIVED AND ATTACHED
INCOMPLETE
PERMIT NOT
VALID UNTIL
COMPLETED
Applrcation
srgned b
owner of
Assessor's
Parcel_ Number listed
appl i-cat ion
Compaction test/soils
report
record
on
(rf
slurry
compactt-on test
not requrred)
Deposit check 92800. 00 (Contractor
may
provide
P
a
n
d
i
you with
the n p r - c q e ^ r r /
uvrrsrrrY nn
l
reaflttrom
4 vo
L rnr lv _r q
r u\ u
/
Cont ractors
rnformation
and i-nsurance
documents - as required/Job
l-ocation must
be included
on t-nsurance documents
Pl-ans showing l-ocation
nearest
existinq
utllity
location,
l_ot fine,
type of
utility
to assess (water, tel_ephone,
el-ectrrc)
and where utilr-ties
will
be
accessed from
Trenching
l-ocations,
including
depth and
any ioint
TRENCHES
trenches
51
Exhibit,rB,l
Tr rhr cv
rut lnr sd se !r c i D r Yar nl ga l.t l
n.)l_
r-nmn-l
o
F ori
! u L s /
acknowl-edges that if all the following
t h e 5 2 , 5 0 O . O Od e p o s r t r r f i b e f o r f e i t e d .
No Work will
obtained.
begin
Construct ion
Encroachment
per plan
permrt
untif
Encroachment
and profile
it.ems are
permrc
attached
1s
to
48 hour notice prior to Construction.
staff will
glve you a Persona] Identif icat.ion Number (pIN)
to verj-fy notice was received and authorized.
Compaction report, test
before f rnal surfacing
results
must be submitted
This driveway for this encroachment permit
be completed wi-thin I2O days of Certificate
Occupancy.
Permrt wrff
expl-re after
1BO days,
wlll- be grven af ter 180 days.
Drstrrct
blasting
areas.
must be notlfi_ed't2
or dynamiting
withj-n
ro
will
of
refunds
hours prlor to
the rlght-of-way
Q i anarl
Further
Noti-ce:
Should any corrective
measures be needed duri-ng or after
constructr-on,
the cost will
deducted from the subject
deposit.
Corrective
measures include
but are not limi-ted
to mud removal,
water flow lines
being re-graded,
sand bags, warning
signage and
errf
Q i
r:
4i 4n f cu nPova_F _ - o i n s .
a n o d .
U q L C U
52
OF.DINANCE I.]0. 2
T E N A J A C O M I . I U I ] I T YS E R V I C E S D I S T R I C T
ORDINANCE OT THE TEI'iAJA COIVIIqUNITS
YEF.VICES DISTF.ICT
EXERCISING AUTH]RITY R.EQUIR.ING
U N D E R G R . O U N D I NOGF E L E C T R I C A N D C O M M U N I C A T , O NF
SA C I L I T I E S
THE BOARDOF DiRECTORSOF TIiE TENAJA COMMUNITY
SERVICES DISTRICT
HEREBYORDAIIIS AS FCLLCWS:
,Section I
Recrtals.
a . S e . i - t - o n 5 l 0 b f o f t h e G c v e t : n n i e n LC o d e p r o v i c l e s t h a t
c o m m u n r t ys e r v r c e s d r s t r r c t s m a y e x e r c i s e t h e powel:
to requtre the
undergroundrnq of exrsting overhead e.l-ectrrc and
conmunfcaLions
f a c i L i t i e s p u l s u a n t t o S e c t r o n 5 g 9 6 .1 c t s e c J . o f
the Califorrrra
S t r e e t s a n d H : _ g h w a y sc o d e .
b. The Board oi Directors
hereby frnds and determlnes
that
such exi st rnq over-head c-.lectrIr; and comrnunrCatl-on.s
facr.L rties
shall
be pLaced underground.
p. - new facLlities
w r l l b e u n d e r g r o , r r - , d, n l " s s
specificall.y
waived by, t h e D r s t r i c t .
c'
l , x l - s t r n g o ' , ' r e r f r e a cal n d c o n n ' i u n t c a L r o n l a c r l i t r e s
ln the
Tenaja CommLrnity servrces
Ilrstrrct
that may converl,ed to underground
locaticns
pursuant to Lhe proceclures set f or:th
tn Sect i on 5g96. I et
seq. of the californra
Streei ancl Hrqhwavs Code.
All
financral
b u r c l e n s c o . c e r r l i n g r r t , r1 i t f i n s t a l l a t i o n s
sharr be borne bv t-rre
property owner.s benefrted.
Section
2.
Ut:-l:-ty instal-at_rons
Please reference
This
ordinance
shall
Exhibtt
be eifec:rve
P a s s e c ,l a p p r o v e d a n c i a d o p i , e r l t r r r s
followrng vote, to wit:
Ayes: Directors:
Inman, Earnhart
Noes: Dir:ectors:
None
AbsenL: Dircctols :
t,,-aLale:
Abstatn: DirecLors: None
-.hrrty
2cth
ATTEST:
/l ,,1 -/l
+ / /4"-1-<-
, , ..1 M r I l e f ,
(30) days after
day of
and Lrnsley
(s e a l )
rf ene
A.
secretar y
flnal
s3
Aprr1.,
jts
2 a ( ) f,
adoption
Dy r.ne