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COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PUBLIC WORKS <br />P.O.BOX 1810-1810 E.HAZELTON AVENUE <br />STOCKTON,CALIFORNIA 95201 <br />(209)468-3000 <br />FAX #(209)468-9324 <br />ENCROACHMENT PERMIT <br />Permit No:PS-1600S09 <br />Date Issued:03/02/2016 <br />Stmi Date:03/19/2016 <br />Exp.Date:03/20/2016 <br />Project No:PWPJ 10005 <br />Quad:NW <br />To:THORNTON FIRE DlSTRJCT <br />P.O.BOX 78 <br />THORNTON,CA 95686 <br />Encroachment Type:ITraffic Control Devices <br />Location: <br />THORNTON RD.AND PELTIER RD.INTERSECTION <br />In compliance with your request of 03/0212016 ,permission is hereby grauted 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 -orprinted as general or special provisions on any part ofthi5 <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 centerl.ine unless otherwise approved by the <br />Director.Surface of trench patches shall match in kind and be smooth and even Witllthat 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 fi'ontage development.All <br />underground utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way,or <br />fi.om right of way (border)lines. <br />Permittee shall call the Department ofPnblic Works,Field Engineering Division (Permit Inspections)at (209)953-7421 at least <br />forty-eight hours prior to beginni,ng any worl(within the County right of way.AUwork perfonned under this pennit shall conform to <br />the rules and regulations pertaining to safety established by the California Division ofIndustrial Safety and Cal-OSHA. <br />The jobsite shall be kept .ina safe condltion at all times by the daily removal of any excess dirt or debris which might be a hazard to either <br />pedestrian or automobi.le traffic.All necessary traffic convenience and warning devices and persoIlllel shall be provided,placed and <br />mail1tained by and at the sale expense oftlle Permittee in accordance with the latest edition ofthe CALTRANS Manual of Traffic Control. <br />After completion of the work pennitted herein,all debris,lumber,barricades,or any excess material shall be removed and the jobsite left in a <br />neat workmanlike manner.Immediately following completion of construction permitted herein,Permittee shall fill out and mail notice of <br />completion (see attached post card)provided by Grantor. <br />Special Comments: <br />Traffic Control Per MUTCD*****Thornton Boot Drive March 19,20J6 and March 20,20J6 from 8:00 AM to 5:00 PM***** <br />FORMS:I~s_s/_W_W _ <br />Est.Permit Fee:$0.00 <br />WHlTE <br />GOLDENROD <br />YELLOW <br />PINK <br />-Pemlittee <br />-PWD Central File <br />-Field Inspection <br />-Pemlit Section <br />By: