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ctU I.f <br /> COUNTY OF SAN JOA UIN <br /> DEPARTMENT OF PUBLIC WORKS <br /> i P.O. BOX 1810-1810 E.HAZELTON AVENUE Permit No: PS-1000594 <br /> ce �. STOCKTON.CALIFORNIA 95201 Date Issued:04/01/2010 <br /> (209)468-3000 Exp. Date: 05/01!2010 <br /> FAX#(209)468-9324 Project No: PWPI 10005 <br /> Quad: NS <br /> UE/CR/PM NO:41237959 <br /> To: PG& E ENCROACHMENT PERMIT <br /> 5555 FLORIN PERKINS RD., RM 128 <br /> SACRAMENTO, CA 95833 <br /> Encroachment Type: <br /> Potholing(2) <br /> Location: <br /> S/S OF ALPINE AVE.200' W/O WEST LANE <br /> In compliance with your request of 04/01/2010,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 <br /> 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 by <br /> the Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention shall <br /> be given to depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. <br /> All underground utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of <br /> way,or from right of way(border) lines. <br /> Permittee shall call the Department of Public Works,Field Engineering Division at(209)953-7421(Permits Inspections)at least <br /> forty-eight hours prior to beginning an, work within the County right of way. All work performed under this permit shall conform to the <br /> 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 <br /> in a neat workmanlike manner. Immediately following completion of construction permitted herein. Permittee shall fill out and mail notice <br /> of completion(see attached post card)provided by Grantor. <br /> S ecial Comments: <br /> Traffic Control Per MUTCD***WOR1K HOURS: 9:00 A.M. TO 3:00 P.M. (Off Peak Hours)***Shoulder Work and Lane Closure <br /> Signage/Spacing <br /> ;per MUTCD***lf potholing exceeds two hours,then PG&E shall contact PW Traffic to add green time for eastbound direction*** <br /> FORMS: SS/WW, R-29 <br /> I <br /> Est. Permit Fee: $370.00 <br /> THOMAS R. FLINN, Director <br /> -Permitce Department of Public Works <br /> W'Ill['E <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection <br /> PINK -Permit Section BV: __.._—_--_-- <br /> 4Pet Section <br />