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r : - 7y7y '= COUNTY OF SAN JOAQUIN <br /> !rte• ., "•�-'� <br /> DEPARTMENT OF PUBLIC WORKS Permit No: PS-1502200 <br /> II = P.P.O. BOX 1810-1810 E. HAZELTON AVENUE Date Issued: 08/14/2015 <br /> STOCKTON,CALIFORNIA 95201 Start Date: 09/21/2015 <br /> c;)F� W (209)468-3000 Exp.Date: 11/01/2015 <br /> FAX#(209)468-9324 Project No: PWP7110005 <br /> Quad: SW <br /> ENCROACHMENT PERMIT <br /> To: CITY AND COUNTY OF SAN FRANCISCO <br /> P.O. BOX 160 <br /> MOCCASIN,CA 95347 <br /> Encroachment Type: <br /> Driveway Approach& Street Sign Relocation <br /> Location: <br /> W/S OF CHRISMAN RD. APPROX.550'S/O VERNALIS RD. <br /> In compliance with your request of 08/11/2015,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 of this <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 /> Linderground utility facilities are to be established and accurately dimensioned on sketches from 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 work perforined 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 or debris which might be a hazard to either <br /> pedestrian or automobile traffic. All necessary traffic convenience and warning devices and personnel shall be provided,placed and <br /> maintained by and at the sole expense of the Permittee in accordance with the latest edition of the CALTRANS Manual of Traffic Control. <br /> After completion of the work permitted herein,all debris,lumber,barricades,or any excess material shall be removed and the jobsite left in a <br /> neat worinnanlike manner. Immediately following completion of construction permitted herein,Pennittee shall fill out and mail notice of <br /> conipletion(see attached post card)provided by Grantor. <br /> Special Comments: <br /> Traffic Control Per MUTCD*****This permit is strictly for the driveway approach and stree sign relocation* <br /> FORMS: SS/WW,R-17 <br /> Est. Permit Fee: $256.00 <br /> MIKE SELLING,Deputy Director <br /> Department of Public Works <br /> WHITE, -Permittee <br /> GOLDF,NROD -PWD Central File <br /> YELLOW -Field Inspection By: <br /> � r <br /> PINK -Permit Section - <br /> Per it Section <br />