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City of Lodi <br />)PJblic Works Department <br />IWORQ Systems Inc. Page 1 of 1 <br />ENCROACHMENT <br />PERMIT <br />( <br />Permit Address <br />TOKAY/SCHOOL ST AND CHURCH/SPRUCE <br />STS Date: 2/7/2017 <br /> <br />Applicants Name LANGAN ENG1NEERINGAddress Phone 510-874-7000 <br />AND ENVIRONMENTAL 501 I4TH STREET OAKLAND CA 94612 Noel Liner 510-681- Cellular 3903 <br />Starting date 217/2017 Completion Date 8/5/2017 License No 884827 Phone 571141 <br />CALIFORNIA PUSH Contractor Address 820 ALADDIN AVENUE Cellular TECHNOLOGIES INC <br />Pursuant to the provisions of the Lodi Municipal Code, the undersigned applies for permission to excavate,construct,and/or otherwise encroach on City Street <br />Right-of-Way or Easement by performing the following: <br />NOTIFY USA (800) 227- 2600 48 HOURS PRIOR TO ANY EXCAVATION. MARKINGS MUST BE REMOVED UPON COMPLETION OF <br />WORK. <br />Work Description: <br />The work consists of <br />placement of traffic control as per the attached traffic control plan for CPT borings at the following locations: <br />*APPROX 116/120 W. TOKAY ST <br />*700-706 S. SCHOOL ST <br />"No Parking" signs to be posted 24 hours prior to traffic control. "Sidewalk Closed" signs at work site as needed; "Sidewalk <br />Closed Ahead" signs at nearest crosswalks; barricades or construction tape at work site; no storage in public right-of-way <br />Landscaped and turf areas to be returned to a like or better condition. Applicant responsible for replacement of damaged <br />plantings and sprinkler systems. No open excavations except at time of work; barricades required; traffic control per <br />Caltrans Traffic Control Manual, current issue; one way traffic shall require flaggers. <br />Access to driveways and intersecting streets to be maintained; proper notification of residents and proprietors required <br />where applicable. <br />ALL CONDITIONS/DOCUMENTS ATTACHED ARE A PART OF THIS PERMIT. CONTACT THE PUBLIC <br />WORKS DEPARTMENT (209-333-6706) 24 HOURS PRIOR TO START OF WORK AND FOR FINAL <br />INSPECTION. <br />Permit void if work not started within 6 months of permit date. <br />IR} Licensed Contractor Required for this work <br />[2 Certificate of insurance in the permittee's name which names the "City of Lodi, its elected and appointed Boards, Commissions, Officers, Agents, <br />Volunteers and Employees" as an Additional Named Insured is required for Comprehensive General Aggregate per occurance and Automobile Liability <br />Insurance in an amount determined by Risk Mgmt. Primary and Non-contributory as required, <br />The undersigned does hereby agree to insure, indemnify and save the City of Lodi free and harmless from any liablity as set forth in an attached City of Lodi Insurance <br />Requirements and in accordance with the provisions of Sec. 12.04.040 of the Lodi Municipal code. Permittee is specifically aware of Sec. 12.04.290 thereof relating to the <br />relocation or removal of said encroachment if future construction requires such relocation. If the work for which this encroachment permit has been issued has not been <br />completed by the City Of Lodi shall have the right to complete the work, and to file a Cause of Action to recoup the City's Expenses in completing the work and for all <br />other costs and fees in accordance with the provisions of Sec, 12.04.120 of the Lodi Municipal Code. <br />Signed: REFER TO APPLICATION <br />Required Improvement Security <br />this permit is granted subject to all provisions or Chapter 12.04 oldie Lodi Municipal Code and to <br />Certification of Insurance <br /> 01 gene 1 Irovisions and applicable special provisions as shown on the attached <br />R. C. Fischer & Co. <br /> Per a ro ed: IT F L DI <br />Cornp. Gen. Policy No G24327383005 <br />Exp 10/7/2017 <br />Inspected Date <br />/ Public Above Ground Date 2/7/2017 <br />Completed Date <br />IA Public Underground <br />Other <br />Permit No. 21)170267 Fee: 0.00 El Paid <br />http://www.iworq.net/iworq/permit/popupPermitEditLetterPrintasp?sid=MKEPRPIPNRBO... 2/7/2017