Fillable ENCROACHMENT PERMIT (City of Ridgecrest)

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ENCROACHMENT PERMIT (City of Ridgecrest)

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City of Ridgecrest
100 W. California Avenue
Ridgecrest, Ca 93555
ENCROACHMENT PERMIT
Permit No.:________________________ Applicant Name:________________________
Project Location:______________________________________________________________________
Excavation:
Excavation in Public Right-of-Way Required? ☐Yes ☐No
Will any excavation be over 5’ Deep? ☐Yes ☐No
(check as many as applicable to the proposed project)
Above Ground Utility Underground Utility Installation/Repair/Replace
☐Electrical ☐Water ☐Telephone ☐Sidewalk
☐Telephone ☐Sewer ☐Cable TV ☐Driveway
☐Cable TV ☐Gas ☐Other ☐Street
☐Other ☐Electrical ☐Curb and Gutter
☐Other
☐Roadway is currently under pavement moratorium Traffic Be Blocked ☐Yes ☐No
Please describe work scope:
_____________________________________________________________________________________
__________________________________________________________________________________
Start Date:_________________________
Completion Date:___________________
All sections below must be completed. If not applicable, put N/A
Contractor:________________________ Owner:___________________________
Contact Name:_____________________ Address:__________________________
Phone:____________________________ Email:____________________________
Contractors License No.:______________ Exp. Date:_________________________
CITY USE ONLY
PERMIT #_______________
DATE:__________________
PAID ON:_______________
USA Ticket No.____________________________
Permit will not be valid until USA Ticket Number is provided
City of Ridgecrest
100 W. California Avenue
Ridgecrest, Ca 93555
The following items must be on file with the City prior to issuance of a permit
Signature:____________________________ ☐Owner ☐Owner’s Agent Date:_______________
Additional City
Requirements:______________________________________________________________________
Insurance Requirements:
If construction will be performed by Homeowner:
1) Proof of homeowner’s liability coverage, address insured, and policy number
If construction will be performed by Contractor:
1) Certificate of Liability Insurance
2) Proof of Business License
☐Completed Application To Begin Work (Signed by City):
☐Complete Construction Plans (3 Sets) ____________________________
☐Traffic Control Plan Date:_____________________
☐Vicinity Map
☐Copies of Insurance and Proof of Business License Work Completed & Inspected
Date:_________________________
CITY USE ONLY
Include the following with all applications:
-Attach complete plans and specifications (3 sets).
-Approved plans or a sketch drawn to scale of the proposed work showing all
dimensions, property lines, existing improvements, and proposed improvements.
-Traffic Control Plans.
-Must follow CAMUTCD Standards
Applicant (or owner’s authorized agent) hereby acknowledges that he/she has read the contents of this
application, is familiar with and will abide by the City of Ridgecrest standards, specifications, drawings,
and ordinances. Failure to do so may result in postponement or cancellation of the work and Applicant
will be responsible for any costs associated therewith.
Permit will not be issued until applicant provides current insurance certificates and proof of City
business license. The undersigned does hereby agree to indemnify and uphold the City of Ridgecrest
free and harmless from liability.
Print Name:__________________________
City of Ridgecrest
100 W. California Avenue
Ridgecrest, Ca 93555
Subject to all terms, conditions, and restrictions
1. Definition: The term “encroachment” is used in this permit as defined in California Streets and
Highways Code Section 1450. The term “grantor” shall mean the City of Ridgecrest (the “City”)
2. Notice Prior to Starting Work: Prior to commencing any work authorized herin, Grantee shall
give 48 hours’ notice to the Engineering Department. If work is discontinued for a period of
twenty-four (24) hours, excluding weekends or holidays, twenty-four (24) hours’ notice shall be
given before restarting work.
3. Keep Permit on the Work: This permit shall be kept at the site of the work and upon request
must be shown to any representative of Grantor or any Law Enforcement Officer.
4. Hours of Operation: Construction activity in the public right of way shall be performed between
the hours of 7:00 a.m. to 6:00 p.m., Monday through Thursday; except as may be specified in
the approved permit.
5. Permittee shall provide: Fences, barricades, warning and directional signals, flares, lights
watchmen, or flagmen to protect and insure the public safety in compliance with all local, state,
and federal safety regulations, or as may be additionally required by the Public Works Director
or his designee. All work shall be performed in a good and workmanlike manner and scheduled
to cause minimum interference with traffic and minimum inconvenience to the public.
6. Permittee shall prosecute: with diligence and expedite all work and shall complete such work as
soon as practicable, and not later than the completion date specified on the permit. Permittee
shall call upon the Superintendent of Streets or designee to inspect backfill and repaving. The
Public Works Director or his designee may require complete re-excavation and re-backfill for
failure to call for inspection. The Public Works Director or his designee may require a backfill
compaction test at the cost of the permittee.
7. The Public Works Director: or his designee may revoke or modify the permit for public safety
reasons. Notice of revocation or modification shall be delivered in person or by registered mail
to the address of the applicant as shown on the permit. The time required for the removal or
modification of the permitted encroachment shall be specified in the notice. The Public Works
Director or his designee may remove the encroachment and charge the cost of removal to the
permittee if after notice as provided in this section, permittee fails to remove the permitted
encroachment within the time period specified in the permit.
Type of Permit Amount Account Code Total Amount
Street Cut Trenching $200+.10/LF 001-0000-334.24-16 $
Utility Companies $300 001-0000-334.14-15 $
Utility Emergency Repair $35 001-0000-334.14-15 $
Sidewalk Repair $100+$.17/sqft 001-0000-334.24-16 $
Curb, Gutter, and /or Sidewalk Install $200+1.00/LF 001-0000-334.24-16 $
Residential Driveway $100 001-0000-334.24-16 $
Commercial Driveway $100 001-0000-334.24-16 $
Traffic Control Plan $200 001-0000-334.24-16 $
Sign/Banners $40 001-0000-334.24-17 $
TOTAL $
City of Ridgecrest
100 W. California Avenue
Ridgecrest, Ca 93555
8. Permittee: shall save and hold City, its officer, agents, employees, and volunteers free and
harmless from any and all costs, liability, and damages, including attorney fees, arising out of
any act or omission to act, including any negligent act or omission to act, by permittee, its
officers, agents, employees, or volunteers pursuant to this permit.
9. The Application: shall be accompanied by a certificate of insurance showing a policy of public
liability and property damage insurance against liability for personal injury including accidental
death, and for property damage, which may arise out of the exercise of the rights granted by the
permit, in not less than the following amounts:
For Major Projects
*Public liability insurance in an amount not less than One Million Dollars ($1,000,000) for injury
or death to any one person and Two Million Dollars ($2,000,000) for injury or death arising from
any one accident or occurrence; and
*Property damage insurance in an amount not less than Two Hundred Thousand Dollars
($200,000)
The policy of insurance shall contain a contractual liability endorsement covering the liability
assumed by the permittee a statement the policy will not be canceled except after ten days
written notice that the Superintendent of Streets and an endorsement naming the City, its
officers, agents, employees, and volunteers as additional or co-insureds.
10. All underground facilities: shall be of the quality and installed in a manner and with a depth of
coverage which may be prescribed or required by law or by Standard Specifications of the City.
Permittee shall not interfere with existing public utility facilities or clearance space
requirements. Permittee shall make the necessary arrangements for City inspection and the
signature of the inspector upon completion of the work.
11. Clean Up Right of Way: Upon completion of the work, all brush, timber, scraps, and other
material shall be entirely removed and the right of way left in a condition satisfactory to
Grantor. Grantee shall dispose of all construction and demolition materials and other refuse
through the City’s authorized hauler.
12. Standards of Construction: All work shall conform to recognize the City of Ridgecrest’s
Engineering Design Standards and Details. Found on the City of Ridgecrest Website or a copy can
be picked up at the city.
13. Supervision of Grantor: All work to be done shall be subject to the supervision and satisfaction
of the Grantor.
14. Tunneling: No tunneling is permitted except as may be specified in the approved permit.
Encroachment Permit Penalties: per “Ridgecrest Municipal Code, Streets Section 14-2.38 Penalties”
The first offense is a double fee for having work be in the process of completion or already
completed without having an encroachment permit. The second offense is to stop work
immediately, double fee fine, and post a bond at 125% the value of the work. The third offense
is a suspension of performing work within the City’s Jurisdiction for up to 1 year determined by
the City Engineer. The fourth offense would then be a misdemeanor.
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ENCROACHMENT PERMIT (City of Ridgecrest)

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Completed 4 August 2020

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