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08/04/2009 09:39 FAX 209 831 64-1 CITY OF TRACY LWUV1/UU4 <br /> 21 <br /> ENCROACHMENT PERMIT py7q �y <br /> CITY OF TRACY <br /> Permit No.: 15 Date Of Issuance: <br /> Permit Valid Up To: /if>S.o r p Project Cost: <br /> Inspection Deposit 5-© f Permit Fee: SS <br /> (Acct. #112-4533-405-R331) G C (Acct.# 11214332-403) <br /> Engineering Fees Performance Bond <br /> Compaction Fees <br /> (Acct.#112-45331405-R331) <br /> This permit is hereby issued to encroach on the 1 side of . i1�1� YGC,�. .7 _ <br /> for the purpose of P.b1A/1 QIA*,Q- <br /> AhC j 2 - Lr—7,9 Z 3S— lS= 2� <br /> Name of applicant: <br /> Address: t, Phone: <br /> Approved by: r" Z— Field Superintendent; <br /> Contact Phone Number. <br /> CONDITIONS OF PERMIT - <br /> 1. The Permittee shall notify Mark Ruiz, Construction Inspection Division,at(209)483-6091, forty-eight(48)hours prior to <br /> start of work pertaining hereto. <br /> .2. The Permittee agrees to perform work under this permit in accordance with the prevailing City Standards, Specifications <br /> and shall comply withal]existing codes and policies. <br /> 3: Permittee shall notify Police& Fire Departments before starting construction of any work. <br /> 4. Tentative starting date <br /> 5. Tentative completion date 1- <br /> 6. If construction is not started within 90 ddys from a issue Elate, this permit will be void unless otherwise stated In the <br /> special conditions. <br /> 7. Contractors must display name and phone number at work site-preferably on barricades. <br /> 8. The cost of emergency work required to restore unsatisfactory construction that becomes a hazard will be charged to the <br /> Permittee. <br /> 9. Replace full concrete sidewalk squares, as required, by sawcutting along score marks. <br /> 10. Compaction tests shall be required on backfilled trenches at the expense of the Permittee(contact Construction <br /> Management or Development &Engineering Services Department). <br /> 11. Traffic control shall be in accordance with the Caltrans Traffic Manual. <br /> 12. Trenching and resurfacing is to comply with Standard Plan No. 501 and 501 A. <br /> 13. The time of construction will be limited between the hours of 7:30 A.M. and 4:30 P.M., Monday to Friday. Any request for <br /> work beyond the hours noted herein and any worts on the weekends and holidays will require prior approval from the City. <br /> The Permittee shall pay for all additional City inspections beyond the normal working hours. <br /> 14. City inspections shall be performed Monday-Friday between 8:00 A.M. and 5:00 P.M. Any inspection performed beyond <br /> these hours, in accordance with Condition 13 of this permit,will be considered overtime and will be paid by the Permittee <br /> in advance to the Development&Engineering Services Department <br /> 15. Non-compliance of City Codes, Plans, Specifications and conditions of this permit may result in fines and penalties as <br /> established by the City Council <br /> 1.6. Permittee shall comply with the following special conditions: G© — <br /> 4222-rD 10 w T14 P A-0 L- V E�A- '3 t [o t4 te O <br /> Page 1 of 2 <br />