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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-160051I <br />Date Issued:03/0212016 <br />Stalt Date:03/19/2016 <br />Exp.Date:03120/2016 <br />Project No:PWPII 0005 <br />Quad:NW <br />To:THORNTON FIRE DISTRICT <br />P.O.BOX 78 <br />THORNTON,CA 95686 <br />Encroachment Type:ITraffic Control Devices <br />Location: <br />THORNTON RD.AND WALNUT GROVE RD.INTERSECTION <br />In compliance with your reguest of 03/02/2016 ,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 paJi of this <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 centerline unless otherwise approved by the <br />Director.Surface oftrellch patches shall match in kind and be smooth and even with that of abutting surface.Special attention shaH be given <br />to depth"ofutilities 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 />from right of way (border)lines. <br />Permittee shall call the Department of Public Works,Field Engineering Division (permit Inspections)at (209)953-7421 alleast <br />forty-eight hours prior to beginning any ,york within the County right oh"t'ay.All work perfonned under this permit shall conform to <br />the rules and regulations pertaining to safety established by the Califomia Division oflndustrial Safety and Cal-OSHA. <br />The johsite shall be kept in a safe condition at all times by the daily removal of allYexcess dirt or debris which might be a hazard to either <br />pedestrian or automobile traffic.All necessary traffic convenience and warning devices and persormeI shall be provided,placed and <br />maintained by and at the sole expense of the Pelmittee in accordance with the latest edition of the CALTRANS Manual of Traffic Control. <br />After completion ofthe work permitted herein,all debris,lumber,balTicades,or any excess material shall be removed and thejobsite left in a <br />neat workmanlike manner.Immediately following completion of construction pennitted herein,Permittee shall fill out and mail notice of <br />completion (see attached post card)provided by Grantor. <br />Special Comments:ITraffic Control Per MUTCD*****Thorntol1 Boot Drive March 19,2016 and March 20,2016 ii'om 8:00 AM to 5:00 PM***** <br />FOHMS:Is_s_rw~w~~_~~_ <br />Est.Permit Fec:$0.00 <br />KRIS BALAJI,Director <br />De artment ofPubJic Works <br />.WHlTE <br />GOLDENROD <br />YELLOW <br />PINK <br />¥Pcrnlittee <br />-P\VD Central File <br />-Field Inspection <br />-Permit Section <br />By: <br />It Section