Fillable Application For Utility Company Excavation Permit X- Permit (City of Oakland)

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Application For Utility Company Excavation Permit X- Permit (City of Oakland)

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___________________________________________________________________________________
Application/Utility Excavation Permit/April 2018 Page 1 of 9
Department of Transportation
Engineering Services – 4
th
Floor
250 Frank H. Ogawa Plaza, Oakland, California 94612
APPLICATION FOR UTILITY COMPANY EXCAVATION PERMIT
P
lease complete all information below. Current telephone and email are required to process application.
Location of work
Description of Work:
Related to Permit #
Job Project #
Company Name
Contact Person
First:
Last:
Telephone/Email
Phone:
Email:
Contractor License/Class:
Oakland Business License:
24-Hour Emergency Phone*
USA ID** #
*Permit cannot be issued without this phone number **State law requires that contractor/owner call Underground Service Alert USA, two working days before excavating to have below
ground utilities located. This permit is not valid unless applicant has secured a USA Inquiry Identification Number. Call 811 or visit www.usanorth811.org
Planned Start/End Dates:
S
tart Date:
______/______/______ End Date: ______/______/______
APPLICANT HAS READ AND ACKNOWLEDGES THE FOLLOWING:
This permit is issued pursuant to all provisions of Chapter 12.12 of the City of Oakland Municipal Code and is valid ninety (90) days
from date issued. Extension may be granted.
This permit is granted upon the express condition that the permittee shall be responsible for all claims and liabilities
arising out of work performed under the permit or arising out of the permittee’s failure to perform the obligations with
respect to street maintenance. The permittee shall, and by acceptance of the permit, agrees to defend, indemnify,
save and hold harmless the City, its officers and employees, from and against any and all suits, claims or actions
brought by an person for or on account of any bodily injuries, disease, or illness or damage to persons and/or property
sustained or arising in the construction of the work performed under the permit or in consequence of permittee’s
failure to perform the obligations with respect to street maintenance.
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions code, and my license is in full force and effect.
I also certify that the performance of the work for which this permit is issue, I shall adhere to requirements of Workers’
Compensations Laws of California, with all federal, state and local regulations, and the conditions shown on the
reverse side of this document.
Applicant’s Signature___________________
Date ________________________________________________
THIS BOX FOR OFFICE USE ONLY
X180__ __ __ __
* ENMI180 __ __ __
* Applies to utility franchisees for above or below ground facilities such
as vaults, cabinets, antennas.
Other:
AT&T
click to sign
signature
click to edit
___________________________________________________________________________________
Application/Utility Excavation Permit/April 2018 Page 2 of 9
Department of Transportation
Engineering Services – 4
th
Floor
250 Frank H. Ogawa Plaza, Oakland, California 94612
Conditions for use of City of Oakland’s Right of Way
1. Installation of telephone lines and provision of telephone services shall be pursuant to Sec. 7901 of the California Public
Utilities Code.
2. Permittee is not authorized to place any other facilities or provide any services over the facilities placed in the rights-of-
way other than telephone lines as described above, without first obtaining authorizations from the City of Oakland,
including any necessary franchises, except where state law preempts local authority to franchise. By way of example and
not limitation, Permittee may not install cable system or open video system facilities without first obtaining a franchise.
3. Permittee is not authorized to install facilities on any other public property other than rights-of-way, and any use of other
public property shall require separate agreement.
4. Permittee shall comply with any provision that the City of Oakland may adopt in the future requiring it to obtain a franchise
or other authorization and may be required to do so as a condition to the continued effectiveness of the permit, provided
that nothing in this agreement shall be construed to prevent Permittee from claiming that a particular requirement is
prohibited by applicable law.
5. If state or federal law does not prohibit municipality from charging for use of rights-of-way by Permittee, it may do so, and
payment of any lawful compensation established by City of Oakland shall be a condition of the continued effectiveness of
the permit.
6. Permittee warrants that the services it will offer over the telephone lines consist solely of telephone service within the
meaning of Section 7901.
7. Permittee shall abide by all City of Oakland requirements for indemnification and insurance.
8. Conditions do not create or vest in permittee any property interest.
9. Permittee warrants that it will promptly notify the City of Oakland of any company to which it is selling, leasing, or
otherwise transferring facilities or capacity, and agrees not to sell, lease, or otherwise transfer facilitates or capacity to any
company that is required by state or federal law obtain franchise or other authorization from municipality without proof that
such company has obtained the necessary authorization or franchise.
10. The City of Oakland retains police powers with respect to time, place and manner of placement and relocation of facilities
within the public right-of-way.
11. Permittee agrees to comply with any future changes in State or Federal laws that pertain to the
telephone/telecommunications industry and the City of Oakland reserves the right to impose any changes in the law at
such future time.
12. Permittee will submit Quarterly Construction reports as required by the Public Utilities Commission.
13. Permittee warrants that in the event any telephone facilities approved by the City of Oakland pursuant to this permit are at
an time during the usable life of the equipment or facilities utilized for purposes other than providing telephone service as
defined by the California Public Utilities Code, including but not limited to the transmission of a cable system equivalent or
open video or data transmission , Permittee agrees to first obtain the necessary authorization or franchise for providing
such service over said existing facilities.
14. In addition to Permittee processing fees associated with the issuance of the herein permit, Permittee is subject to
inspection fees for the cost of determining compliance with the herein permit requirements. Additional re-inspection fee
charges may be assessed as necessary to assure ongoing compliance with permit requirements.
15. Permittee agrees to notify City of Oakland of any changes to the plans submitted with the excavation and all related
permit applications prior to constructing such change(s).
16. Permittee shall be a member of USA and shall be responsible for notifying USA prior to excavations.
17. At least 48 hours prior to excavation, Permittee shall notify the City of Oakland’s Electrical Division at (510) 615-5438 and
Telecommunications Systems Engineer at (510) 238-6900.
18. Permittee is required to adhere to all herein conditions as a condition of the continued effectiveness of the permit. Failure
or refusal to comply shall subject the Permittee to all civil penalty provisions.
19. Additional permit conditions may be required as a matter of policy at any time commencing from the issuance of the
permit up until the permit is “finalized” by the City of Oakland.
20. For as long as Permittee maintains facilities within the public right-of-way, Permittee is subject to an further licensing
and/or leasing requirements imposed by the City of Oakland for such use.
I as the authorized agent of (Company Name) _____________________ agree to the above Conditions
Signature
Print Name
Title
Company Name
Date
___________________________________________________________________________________
Application/Utility Excavation Permit/April 2018 Page 3 of 9
Department of Transportation
Engineering Services – 4
th
Floor
250 Frank H. Ogawa Plaza, Oakland, California 94612
UTILITY COMPANY EXCAVATION PERMIT
SUBMITTAL CHECK LIST
4 Sets of Plans; maximum size: 11”x17”
All underground utility lines; depth of trench; north arrow; vicinity map; project number
Distance from face of curb to trench, If no curb, dimension to a monument line or sanitary sewer
main and stake for construction; total trench footage (conduit or cable)
Distances from improvement to underground utility line. Two (2) foot minimum separation;
maintain five (5) feet from any sanitary and storm sewer structure; maintain five (4) foot radius
from all survey monuments. Monument Information available at Records Counter, 250 Frank H.
Ogawa Plaza, 2
nd
floor.
Distance from driveways on all new or replacement utility pole installations. Minimum distance:
30 inches
Above and below ground structures/cabinets provide a spreadsheet listing specifications (if
needed)
Completed Utility Excavation and Encroachment Permit Application
Inspection Deposit Account
Traffic Control Plan and Application (if required)
Bond (if required)
Current City of Oakland Business (if required)
Contractor License (if required)
Letter of Agency (if required)
Liability Insurance
___________________________________________________________________________________
Application/Utility Excavation Permit/April 2018 Page 4 of 9
Department of Transportation
Engineering Services – 4
th
Floor
250 Frank H. Ogawa Plaza, Oakland, California 94612
FREQUENTLY ASKED QUESTSIONS (FAQ)
UTILITY EXCAVATION
1. When is a Utility excavation Permit Required?
Answer: This permit is for excavation in the right of way by utility companies or franchisees and contractors
that work with utility companies with an approved utility plans.
2. When is an Encroachment Permit Required?
Answer: An encroachment permit is only required if the utility company is installing an above or below
ground structures/cabinet or antenna. Applicant should provide a list of equipment and specifications
(dimensions, location, reference to page of drawing, etc.) for City to consider and issue an encroachment
permit. The application form covers Utility Excavation and Encroachment permits and there is no need to
fill out two applications.
3. My permit had lapsed. How do I extend the permit?
Answer: Email (DotPermits@Oaklandnet.com) to request an extension (include permit number) or stop
by the permit counter at, 250 Frank Ogawa Plaza, 4
th
Floor. An extension fee will be due.
4. When should I provide a bond?
Answer: A performance bond is required from contractors that work for the utility company or assigned
to excavate on behalf of the utility company. The bond is equal to the total project cost (minimum of
$5,000.00) which may be added as cash to the permit. Alternatively, a security bond may be submitted to
the City’s cashier. Cash bond and securities will be released to the applicant when permit is finalized. A
processing fee will be due.
5. If my company has an annual permit, do I still need to pay permit fees?
Answer: Annual permit is for utility companies with franchise agreements and cover minor excavations and
service installations (work to be completed in 24 hours). There are no additional permits required. However;
the utility company must inform the utility inspector prior to the start of the work for inspections. City’s
inspections costs are charged separately to the utility companies on monthly basis.
6. What is an Inspection Deposit? When is it needed? How do I set one up?
Answer: An Inspection Deposit (or drawdown) account is needed for contractors working for utility
companies. Since we do not have a mechanism to charge a contractor on a monthly basis (contractors are
not franchises), the drawdown account allows the contractor to deposit a sum of money to pay for
inspections.
___________________________________________________________________________________
Application/Utility Excavation Permit/April 2018 Page 5 of 9
Department of Transportation
Engineering Services – 4
th
Floor
250 Frank H. Ogawa Plaza, Oakland, California 94612
To set up an account, visit 250 Frank Ogawa Plaza, 2
nd
floor cashier’s office.
7. How much money do I need to deposit in the Inspection Deposit account?
Answer: Depending on the duration of the project, the Senior Inspector will notify the applicant of the
amount of money to be deposited. Unused funds are returned to the applicant and cost over runs must be
paid by the applicant prior to finalizing the permit.
___________________________________________________________________________________
Application/Utility Excavation Permit/April 2018 Page 6 of 9
Department of Transportation
Engineering Services – 4
th
Floor
250 Frank H. Ogawa Plaza, Oakland, California 94612
YES
YES
NO
NO
YES
NO
YES
FLOW CHART FOR UTILITY EXCAVATION PERMIT
Minutes in Parenthesis Average City Working Time
Average Time To Complete 45-90 Days
`
submit the following with your
Application:
• Oakland business license
• Contractor license
• Liability Insurance
• Letter of Agency showing you as
the designated contractor
Have you worked
as a utility
contractor for the
city of Oakland in
the past?
Are you a
contractor
for the
Utility
Company?
Application must be a contractor
for the utility company or
assigned by the utility company
with approved plans for
excavation.
NO
Are you installing
above ground or
below ground
facilities and
cabinets?
Are you
planning to
block traffic or
sidewalk?
Encroachment Permit
Needed
Provide spreadsheet list of
specifications and
equipment type and size
and a location map
Traffic Control
Plan Needed
Continue to Next
Page
START
___________________________________________________________________________________
Application/Utility Excavation Permit/April 2018 Page 7 of 9
Department of Transportation
Engineering Services – 4
th
Floor
250 Frank H. Ogawa Plaza, Oakland, California 94612
YES
NO
FLOW CHART FOR UTILITY EXCAVATION PERMIT
Minutes in Parenthesis Average City Working Time
Average Time To Complete 45-90 Days
Permit Issuance:
• Applicant will be notified
• Fees are due before permit
issuance
(7 Days)
Submit the complete Application
package for intake
(1-2 Days)
Application
approved
by all
reviewers?
Continuation
from Previous
Page
Application Review
• Engineering Services (2 to 5 days)
• Planning and Zoning (if applicable, 15 days)
• Senior Inspector (5 days)
• City Surveyor (if applicable, 2 days)
• Traffic Engineering (15 days)
• PW Electrical Services (if applicable, 5 days)
• Office of Information Technology
(if applicable, 30 to 60 days)
(25-65) Days Depending on project scope
Applicant will
be notified.
applicant will
resubmit
END
___________________________________________________________________________________
Application/Utility Excavation Permit/April 2018 Page 8 of 9
Department of Transportation
Engineering Services – 4
th
Floor
250 Frank H. Ogawa Plaza, Oakland, California 94612
HOW ARE UTILITY EXCATION PERMIT FEES CALCULATED?
The fees for a Utility Excavation Permit are calculated based upon the approved Oakland Master Fee
Schedule. From Fiscal Year 2017 to 2018 Master Fee Schedule the tables below show.
UTILITY EXCAVATION (Review by Engineering Services)
No.
Description **
Amount **
1
Permit Filing Fee
No Fee
-
2
Inspection- Normal Hours
$158.00
Hour
3
Inspection- Outside Normal Operating Hours
$236.00
Hour
4
Street Obstruction (parking spaces reserved for construction)
$9.45
Per 25 ft., Per Day
5
Encroachment Permit (if applicable)
$1,781.00
Each
6
Bond Processing Fee
$344.00
Each
7
Permit Time Extension
$156.00
Each
8
Permit Review- Projects Exceeding 300 ft.
$1,024.00
Each Occurrence
Exceeding 300 ft,
or Actual Time
Spent on Review
& Approval
9
Permit Review- Projects Shorter than 300 ft.
$350.43
Each Occurrence
Shorter Than 300
ft, or Within One
City Block
ADMINISTRATIVE ** Non-Refundable per Master Fee Schedule added to all permits
1
Application Fee
$70.00
Each Permit
2
Record Management and Technology Fee
14.75%
Permit Total
___________________________________________________________________________________
Application/Utility Excavation Permit/April 2018 Page 9 of 9
Department of Transportation
Engineering Services – 4
th
Floor
250 Frank H. Ogawa Plaza, Oakland, California 94612
FOR OFFICIAL USE (Routing- Attach to front of Packet)
X 1 8 0 __ __ __ __
E M N I __ __ __
Permit Issuance
Holiday Restricted Street? Yes No
Limited Operations Area? Yes No
Street Last Resurfaced on: Date_________________
Moratorium Street/ Special Paving Detail required?
Yes No
Right-of-Way Questionnaire Required?
Yes No
R/W Questionnaire Submitted?
Yes No
Routing- Approvals Date:
Engineering Services
Planning/Zoning
(if applicable)
Senior construction
inspector
Traffic Engineering
Electrical Services (if
applicable)
Office of Information
Technology (if applicable)
Other required permits
Others:
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Application For Utility Company Excavation Permit X- Permit (City of Oakland)

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Completed 18 July 2020

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