Laserfiche WebLink
P & L CONCRETE Fax:2098381448 Aug 28 2009 12:09Pm P001/002 <br /> THE APPLICANT HEREBY CERTIFIES: <br /> 1. That he/she has read 0 the provisions of this application,and that the description included in this application are correct to the best of <br /> his/her knowledge;and <br /> 2, That he/she is the owner of the respective property,or is qualified to rapresent the owner;and <br /> 3. That he/she will assume full responsibility for all liability for persona;Injury or darrage to property which'nay arlse out of the work <br /> described above,or which may arlse out of his/her failure to do'he work provided herein;and <br /> 4, That in the event any claim of such 0ablilfy is made against the Counly of San Joaquln or any depertmont, official or smp;oyae <br /> thereof,he shall defend,Indemnify and hold them and each of tham harmless for such claim;and <br /> S. That work shall be performed by the applicant and/or any representative of the appllcalion in the Ccunty Right-of-Way at ttme above <br /> indicated site with a valid San Joaquin County Encroachment Permit;end <br /> 8. That if permission is granted as re ested,ha agrees to do the work described in accordance with all term,s,condltlon and restriction <br /> of this and an atta d sheet , cWed as general or special AI provisions. <br /> �r r <br /> gnature of APpncant Tide t4l d �Q <br /> at <br /> >`»»»�S»»»>»»>y»»»»»»»»>>FIELD INSPECTION COMMENTS««<C«<S<cs<{;<trc<CC<s<[<C«<[¢«t[ccc<{< <br /> EXISTING CONDITIONS <br /> 1. DRIVEWAY; None L7 Dirf, Graysf ❑ Aggregate base <br /> ❑ Paved(poor) j Paved(good) ❑ , <br /> 2. SLOPING: Awayfrom Pavement r Towards Paverrent ❑ Flat [] <br /> 3. PIPES: None, d]� Existing–Type <br /> Otfte ni*s in nei hborhood: Yes No Approaches Cross praln Siz <br /> e� <br /> 4. HEADWALL: Yes ❑ No <br /> 5_ ASPHALT CONCRETE DIKE: Yes ❑ No, <br /> 6, tBARRlERS: along Right-ot-Way <br /> 7. DITCH: Yes ❑ No It Yes: V Style ❑ 2 Point ❑ Other ❑ Width <br /> Depth <br /> ,•»»»»}»»»>a>»>>>>s»»»»»>»»»>>»PERMITS REQUIREMENT$<cc<[c«««<ct«<«««<c<[««<ccc«{<« <br /> 1. DRIVEWAY: SFR j ommercial A C ❑ grj culture ❑ Industrial [) <br /> Paved withf'J <br /> m' "Min Depth A_C_over 4 -. "Min Depth 9/"A.B,over <br /> NOt�S' <br /> 2. PIPES; i_ength of Pipe Required --- <br /> Ft,Ft, and Diameter of Pipe __ incti(esj <br /> Te be connerted to any adjacen'.driveway pipe Yes ❑ No <br /> Drainage Iniet Required Yes ❑ No <br /> Tolal length: (with proposed) Total(SIGr of Storrs Drain InieW <br /> Notes., s` Pr%' ! lTi <br /> B <br /> 3. HEADWALL Yes ❑ No ( <br /> 4, PAVED FRONTAGE: Paved with "Min Depth A.C,over.�___, <br /> Measuring "Mtn Depth.ala"A.B. <br /> 9 . Feet in length and Fee(in width <br /> >•»»»>]»»>>}»'y»»»>]}»>:>?»?»»>]»»}>3»����{!«<C!C<C<CK«C«<Ct{«{{C.<C««<C{C«C«<CCC«riri <br /> Driveway Encroachment Permit base'ee 590.00 <br /> Held':hs ect'on <br /> [J—Driveway W1 or w/o pipe $102,00 —I Paved Frontage <br /> DrlveWaywlboxCLtvert ,157,00 Li Curb, Gutter,Sidewalk "$108,00+0,50/rt. <br /> $105.00 r 1,G3;,t. <br />