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To: CALIFORNIA WATERSERV[CE <br />1602 E LAFAYETTE ST <br />STOCKTON, CA 95205 <br />COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PUBLIC WORKS <br />P.O. BOX 1810-1810 E. HAZELTON AVENUE <br />STOCKTON, CALIFORNIA 95201 <br />(209)468-3000 <br />FAX # (209) 468-9324 <br />ENCROACIIMENT PERMIT <br />Permit No: PS -1903796 <br />Date Issued: 12/06/2019 <br />Stott Date: 12/09/2019 <br />Exp. Date: 02/15/2020 <br />Project No: PWP730077 <br />Quad: CC <br />UE/CR/PM N0:8490 <br />Encroachment T e: <br />Bell Holes <br />Location: <br />2157 LA JOLLA DR.; 2211 LA JOLLA DR. (ON DELAWARE SIDE); 2151 LA JOLLA DR. (ON NINA SIDE); 3905 DENNIS AVE. <br />hr compliance with your request of 12/06/2019 ,permission is hereby granted to do work in County right -of --way as shown on attached <br />application and subject to all the terms, conditions and restrictions written below or printed as general or special provisions on any part ofthis <br />form. See reverse side and attached sheet, if any. <br />Trench excavations for service connections will not be permitted within ten feet (10') of pavement centerline unless otherwise approved by the <br />Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention shall be given <br />to depth of utilities through roadside area in anticipation of future drainage facilities, road profile and/or frontage development. All <br />underground utility facilities are to be established and accurately dimensioned on sketches fi-om surveyed centerline of road right of way, or <br />from right of way (border) lines. <br />Permittee shall call the Department of Public Works, Field Engineering Division (Permit Inspections) at (209)953-7421 at least <br />forty-eight hours prior to beginning any work within the County right of way. All IN performed under this permit shall conform to <br />the rules and regulations pertaining to safety established by the California Division of Industrial Safety and Cal -OSHA. <br />The jobsite shall be kept in a safe condition at all times by the daily removal of any excess dirt <br />After completion of the work permitt <br />-Permittee <br />or debris which <br />might be a hazard to either <br />pe est, an or automobile <br />haffic. All necessary t a convenience and warning devices and personnel shall be <br />provided, placed and <br />maintained <br />by and at the <br />sole expense of the Permittee in accordance with the latest edition of the CALTRANS <br />Manual of Traffic Control. <br />ed herein, all debris, lumber, barricades, or any excess material shall be removed and the jobsite left in a <br />neat workmanlike manner. hnmediately following completion of construction permitted herein, Permittee shall Sll out and mail notice of <br />completion (see attached post card) provided by Grantor. <br />S ecial Comments: <br />Traffic Control Per MUTCD*****See Attached "Special Conditions"***** <br />FORMS: <br />SS/WW, R-29 Trench Cut Policy <br />Est. Permit Fee: $910.00 <br />WHITE <br />-Permittee <br />GOLDENROD <br />-PWD Central Pile <br />YELLOW <br />-Field Inspection <br />PINK <br />-Permit Section <br />KRIS BALAJI, Director <br />D arhn nt of Public Works <br />By: <br />40000F � "t <br />it Section <br />