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} U.!h <br /> COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS <br /> 1.� ,. P.O. BOX 1810-1810 E. HAZELTON AVENUE Permit No: PS-0902721 <br /> STOCKTON, CALIFORNIA 95201 Date Issued: 12/15/2009 <br /> r o's <br /> 209 <br /> ( )468-3000 Exp. Date: 01/13,200d <br /> FAX#(209)468-9324 Project No: PWP110005 <br /> Quad: SW <br /> ENCROACHMENT PERMIT <br /> To: VALENTINE CORPORATION <br /> 1 I 1 PELICAN WAY <br /> SAN RAFAEL, CA 94901 <br /> Encroachment Type: <br /> Temporary Road i losure <br /> Location: <br /> HANSEN RD. 1/2 MILE S/O VON SOSTEN RD. (I-205 @ HANSEN RD. OVERCROSSING) <br /> In compliance with your request of 12/15/2009, 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 <br /> of this 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 <br /> by the Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention <br /> shall be given to depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage <br /> development. All underground utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of <br /> road right of way, or from right of way(border) lines. . <br /> The Department of Public Works, Field Inspection Section shall receive a notice at least forty-eight hours prior to beginning any work <br /> within the County right of way. All work performed under this permit shall conform to the rules and regulations pertaining to safety <br /> 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 <br /> either pedestrian or automobile traffic. All necessary traffic convenience and warning devices and personnel shall be provided,placed <br /> and maintained by and at the sole expense of the Permittee in accordance with the latest edition of the CALTRANS Manual of Traffic <br /> Control. <br /> After completion of the work permitted herein,all debris, lumber, barricades,or any excess material shall be removed and the jobsite <br /> left in a neat workmanlike manner. Immediately following completion of construction permitted herein, Permittee shall fill out and <br /> mail notice of completion provided by Grantor. <br /> S Sec <br /> Comments: <br /> Traffic Control Per MUTCD- Hansen Road Closed on Monday night(01/11/2009)and Tuesday night(01/12/2009) from 6:00 P.M.tc <br /> ;5:00 <br /> A.M. Bridge shall be open by morning. A CMS shall be`piaced @ Mountain House NB(S/O Schulte Rd.)stating, "Hansen Road <br /> Closed @ <br /> I-205" <br /> I <br /> FORMS: <br /> Est. Permit Fee: $0.00 <br /> THOMAS R. FLINN, Director <br /> WHITE -Permitee Department of Public Works <br /> GOLDENROD -PWI)Central File <br /> YELLOW -Field Inspection <br /> By: <br />