Laserfiche WebLink
06/07/2005 11:04 FAX 209 831 0 <br />C1T-7`AF• TRACY y� <br />FILE No . 384 (.)F-/-17 ' Ot) 16:53 f £) : G i 1 Y OF TRACY DEV & FNG FOX : 209 831 4606 <br />page 2 of 2 <br />la 001}000"D <br />PAGE 0101 <br />This permit is issued pursuant to all provisions of City of Tracy Munic'Pal code, This permit is granted upon the <br />express condition that ine oermittee shali be rc:,pornsii�ie for all claims and liabilities arising out of vatic perForm+:d <br />under the permitter arising out of permittMe's failure to perforin the cplig-Adons with respect to street rnaintertince. <br />The permittee shall, enc# by acceptance of the permit agrees to, defend, iindamnify, save and hold harf�or <br />4ity, its officers and employees, from ::and against any and all suits, cl iim$ or actions brought by any person <br />on account of any bodily injuncs, disease or illness or damage to persons anWor property susrained or arising in <br />the construction of the: work Performed under the permit or in consequence or parmittee's failure to perform the <br />obligations with respect to street maintenance, <br />��.r, ►tee %nrmwc tri wide by the provisions of this permit. <br />DATE <br />Prior to excavation, Conte mr must rontact the following to have below -ground facilities to ted (48 hours prior to <br />work); <br />UNDERGROUND SERVICE ALERT <br />Voll Free'. (auo) 227-2600 <br />Boyd Sprvice Center <br />(209) 831-4420 <br />Nate. You are natifiad that Section 6600 of the Labor Code requires the lssuanr of porrnit by the Division of <br />Industrial safety of the Salta of Callfornia prior to the construction of arty trench or excavation which iS five feet Or <br />deeper and into which a parson in required to descent Excavation in city WWt areas without an exr-9vaCcon <br />permit may be punishable by a Ano, <br />Permittee Agrees that troy hereby acrept complete respon$1011 y for coordination witty, repordng to, and complying <br />with the direction of, any snd all boards or districts, including put not Limited to, San Joaquin County Local tic�alM <br />pistrict and California #regional Water Quality Control Saard, or any other rcgt.riatory agarlay having juhsdlcction or <br />autts©rity over Soil or ground water contamination such as that currently found at thIP site of this Mork, including the <br />pra�:rvation of stye health and safety of persons working <br />r in pan trench <br />or living excavation the vlclnity of the <br />of <br />the construction project, or any persons passing by y P 9 <br />constructian project. for any reason whatsoever that may. aduer5ely. or otherwise affect the hFaalth or ,safety, now <br />and in the future. of these persons or group of persons. <br />Furthermore, permittee tsr;reby ac cr?pts complete responsibility for disposal of any pctraleul'n affected soils, nr <br />ground water, including reporting to and complying with the requirements of any, ar all, of the stated, of any oth C, <br />regulatory agencies as diucussed above. <br />CITY iNSpc:'s cottltPtrlc�w 1R PEjMI�r uMgfx -`- <br />DATE OF COMPLETION: Gvttarsta;r: <br />Asphalt: - Sidew,'ifl:l <br />eackfllt: <br />flaying: <br />Size of Celt , <br />Sq. Ft. heckles PavecF By: <br />INSPECTOR SIGN OFF <br />