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CITY OF TRACY <br /> Development&Engineering Services <br /> TRACY 333 Civic Center Plaza Telephone:(209)831-6400 <br /> f/J Tracy,California 95376 Fax.(209)831-6439 <br /> ENCROACHMENT PERMIT <br /> Permit No.: , i)C / Date Of Issuance: <br /> 'I <br /> Permit Valid Up To: ' ` P c­ <br /> 6_1 BY: <br /> I <br /> Inspection Deposit: Permit Fee: <br /> (Acct.#ENCIN) PNk (Acct.#ENCPT) <br /> Engineering Fees Performance Bond <br /> Compaction Fees <br /> (Acct.#ENCIN) <br /> This permit is hereby issued to encroach on the north side of 1st Street at the insersection <br /> of C Street and on the west side of Polk Street at the intersection of <br /> Wagtail Drive for the collection of environmental samples . <br /> TOTAL NUMBER OF WORKDAYS REQUESTED- One to two days <br /> Name of applicant: Heidi Dietrich-Foronda Telephone 510-663-4133 <br /> Address: 2101 Webster St. 12th Floor, Oakland, Ca 94612 <br /> Field Superintendent: Mari Gilmore Cell Number: 707-771-0736 <br /> CONDITIONS OF PERMIT <br /> 1. The Permittee shall notify Mark Ruiz,Construction Inspection Division, at(209)483-6091,forty-eight(48)hours prior to <br /> start of work pertaining hereto. <br /> 2. The Permittee agrees to perform work under this permit in accordance with the prevailing City Standards,Specifications <br /> and shall comply with all existing codes and policies. <br /> 3. Permittee shall notify Police&Fire Departments before starting construction of any work. <br /> 4. If construction is not started within 90 days from the issue date,this permit will be void unless otherwise stated in the <br /> special conditions. <br /> 5. Tentative starting date June 19, 2012 <br /> amu- �L S C. - t} <br /> 6. Tentative completion date June 20, 20 2 i f-14 11A-f fZ, k `:P-L)i"Z= <br /> 7. Contractors must display name and phone number at work site-and provide copy of permit on request. <br /> 8. The cost of emergency work required to restore unsatisfactory construction that becomes a hazard will be charged to the <br /> Permittee. <br /> 9. Replace full concrete sidewalk squares, as required, by sawcutting along score marks. <br /> 10. Compaction tests shall be required on backfilled trenches at the expense of the Permittee, contact Construction <br /> Inspection 209-831-64Vt.&CJ <br /> 11. Traffic control shall be In accordance with the Caltrans Traffic Manual. <br /> 12. Trenching and resurfacing is to comply with Standard Plan No.501 and 501 A. <br /> 13. The time of construction will be limited between the hours of 7:30 A.M.and 4:30 P.M., Monday to Friday. Any request for <br /> work beyond the hours noted herein and any work on the weekends and holidays will require prior approval from the City. <br /> The Permittee shall pay for all additional City inspections beyond the normal working hours. <br /> 14. City inspections shall be performed Monday-Friday between 8:00 A.M.and 5:00 P.M. Any inspection performed beyond <br /> these hours, in accordance with Condition 13 of this permit,will be considered overtime and will be paid by the Permittee <br /> in advance to the Development&Engineering Services Department. <br /> 15. Non-compliance of City Codes, Plans,Specifications and conditions of this permit may result in fines and penalties as <br /> established by the City Council. _ <br /> 16. Permittee shall comply with the following special conditions: tRf: if 9L i' C,4->V_ IQ L E <br /> tt p-- L V t'1 L t tr 1) c-P-_T 'O t`:F �P L'! t2_ <br /> A C S L) <br /> Page 1 of 2 <br />