95-248
crIYOPc:.uo8d C IE I V E
DBPl'. Of PlJBUC WORKS
10 North Firat St. OCT 27 1995
CulpbcII, CA 9SOO8
(a> ~21SO
~';;U"j~.:~ i,.
. IlNCROACHYENI' PERMIT
(for WOItiq witbiD tile
;~u!~
. (/~- -)41
n,tllUt No. u/.:/(.
X-Ref. file
III
GI .
:.J c:l
.... 0
:. GI
.. ~
GI GI
en.c
~"tl
c:l Qj
=' ~
o GI
~ ~
OCc:l
~ GI
GI
~ c:l
= Qj
= GI
~
....
""" ltl
.... III
=.c
:=
-
:= .
o 0
"""Z
.lol
Ill.lol
> GI
lC..-l
c.I c.I
~"""
G1f-4
-
~
:: ~
- GI
~
~ m
.... =
III
> c::
o
.lol"""
o ~
c:: III
U
ltl"""
"""l.loI
"""
.lol.lol
""" c::
e~
G1"""
Q.
III t
""""""
.c ='
.lol c:r
Cl
Ill"""
~
o Qj
u.c
...
.lol
:=~
! ;
~~
III GI
>"""
8~
.lol
GI 0
.c Cl
.lol
Cl
l.loI III
o III
J:)
~
- III
N III
~.c
=-
0<
"""Cf.l
.lol=
u-
GI
Ul.lol
~
~ Qj
Ill....
~<
,\Dl\llINISTRJ..\ lid,',
APPUCAnON _ AppIicatioe . ......" ... b a Public Worb PcnDit iD &a:IOI'IIaDce willi r....",... MUIIidpaI Code, Sectiaa I1.1M. (Applic:atioe up..
ill 6 ..till if tile pmait iI DOt iIIued). .
A. Wort addre8 oru.ct # Ir,Nc'BN Aye 7-- (~tJritJ. r,/R-J',~l ~tRee1
AppIicatioa Detc ./~4z/~---
AW"'-..... apinI iD 6... .
Utility treDdl JocatioD
B. -.. ot_ .......sf'/,7 FI;/1 of rid MA Bed.. fA. S ~uv'e~ LA 1M.A! (tf.L12. r, hl?80
c. Attach four (4) copia of u cqiDecred drawia& IIIoIriq tbc a.tiaG, uteDt aDd 11;- . ;.... of tbc work. nc cIrawia& ..... .. tbc NIatiaD of tbc
propelled wort to cziIIiq lUJfacc UId uadcrpouDd impao.cmcAlL Wbca ~o.ed br tbc Cty EqiDccr, laid cIrawia& belx.- a put of tbiI permiL
D. AD wort IbaII coafonD to tile Cty'1 Geacral ~ Studud CoaItnIdiaD Provo__ .. Studud CaaIbudioe DecIiII ror PlIbIie Worb
CoaItnactioa; tile GeDcral Pcrmit CODditioM IiItcd OIl tile m.aIC IicIc; aDd tile Special rrov__ b tbiI permit, IiItcd below. .... lID abide br
tbeIe CODditioal aDd ~ may reIUlt ill job abut... aDd/OI forfcihare m faitbl1al PcIfonDaDcc SureticI .. CIlIa cIcpoIitL (See GeacraI
Permit CoDditioall aDd 2.)
:.:=-"t;:r-~;-:r;;;ito,v .0~/fl
AddraI / tJO ~ J>VA./'A/' // nAk..I' flye. LA#I~eJt I!A
/ /. /
Ja tbiI wort beiq dooc by tile property 0WDCr at tbcir CIIIIIl reIidcDce? YeI 1;/ No
~
I
I
I
I
I
l-
e:
~
~
("
~
~
~
...
~
Tc~37E1-E<j.07
jI.ftJ08
tt
...
~
rcacl aDd UDdcrItaDd botIl tile float aDd beet of tbiI pmDit, aDd tbcy wiD iafona tbcir
t
'":
~
...
t
...
I
I
I
I
I
I
I
I
~
CoIIlpIctc aDd attadl Workers' Campcuatioe aDd CODtndOr lDformatioe formL
Tbc AppIicant/pcrmittcc bcrcby qt'CCI by aIIixiq tbcir IipatuIe to tbiI permit lID bold tile aty m r...."...." ill aIficcJs,......... ..pc,,, fnc, aafc
aDd barm.Ica from uy claim or dcmaDCI for damap 1'ClUltin& from tile work CIDV'CNd by tbiI pcrmiL
Tbc ApplicaDt/permittcc bcrcby actDowIedpI tbat they
COIItnctOr(S) of the iDformatioo.
NOTES: AlL WORK SHAll. CONFORM wrm 1HE ATfACiED, APPROVED PlANS AND AlL APPUCABLE CAMPBEll. SfANDARD
DRAWINGS AND CONDmONS.
1HE COJ'IITRAcroR NUSf HAVE nus PERMIT AND APPROVED PLANS AT 1HE srre AND NUSf NOOlPY 1HE PUBUC WORKS
DEPARTMENI' AT LEAST NO DAYS BEPORE SfAR11NG WORK.
NonCE NUSf BE GIVEN TO PUBUC WORKS AT LEAST 24 HOURS BEPORE RESrAR11NG ANY WORK.
SPEaAL PROVISIONS
.-
1.
~
-j
L4.
Street IbaII DOt be opeD cut for lIIIdcrp'oUDd iDltaUatioaL NiDimum c:utI may be aIIoMld for CIODDCCtioaI or apIonIioe baIeL SudI c:utI JII!!S
be mccificalIv anDJ'ClIVed bv the lDmcctor Drior to cuttiD2.
hvemcDt may be cut for uadcrpouDd iDItalIatioal aDd at_ be ratored ill &a:IOI'IIaDce with tile Utility Tnsb ~ Studud DrniJI&.
Work to be Itakcd by a licclllOd LaDcl Swveyor or QviI EqiDecr aDd two (2) copia of tile cut IlMetl IeDt to tile Public Worb DepuaDalt
before ItartiD& wort.
lA1G '~()61?. 1RJAffx:.. rON'f~t:l vJrrltj A FLAu,/tI,t> IF IZEVEl?/;II3~ cu.Ni(d.../..,. If RscltJ.I;2ef)_
..J '(1: JIM r:r AJAl/) . A I ~ 0:1 iA...- 'J2./:;j'f<.- fhtrf 1'-..J .
- I
PERMIT APPUCAnON PEE mo.oo
PLAN OIECK DEPOSIT SSOll.OO
SURm'Y POR PA.I'IHPUL PERFORMANCE (1009' OF ENG. PST.)
CASH DEPOSIT (4" OP SUREI'Y, SSOll MIN)
PLAN OIECK cl INSPECnON ~E~(PIRST ~,ooo 14,.;
Next $30,000-$80,000 10%; Amount t~ ~ ~ r miD)
APPROVED POR ISSUANCE ~
for City . r
h:PW PERMIT/Rev.4/94 (ICe otbcflidc)
USA phone (800) 642-2444 TICKET NO.
a
~
C
t
t'
C
5
~
t'
1\)6 fU) CIN ~
ptV>Jt;Cl c/ttAj't,D [
t
fflp{l~~ ~().ff ~
{(~r'o ~
SfANDARD
RErPIPT NO.
rv
/o/1v/5)'
I natc
...
* *
,~);'\ '-...... ,,/
...... \'/
~\/~
Q>'
'\~ ;:.
~/
\. / ." 0:: >
0::
\ \. 0 ii
I"" u
/ U
.
\ w 0 .
.J 0 a
c( C
/ u II
\~ Ul - U
..... )
~~ ..
w -
Cl Q) .
'" -
\ c( 0 -
II. (
~ (
~ c
0 v t
0
III c
(
"\ c
t
~ .
c
(
L
(
t
(
.
I
.
<<
.
I
.
.
(
i
.
.
.
.
.
c
(
..
~
L
w
Cl
c( .
-
D- .
w I
w <<
Vl I
.
.
.
I
:).
~)
~
...
U1
_!<l._ c;;,
o 10 a:> '0
~ :. !. .m
'w
't
Q)
......,
<5>'
~.
"'--
w
>
0::
o
~ ~~
~
~
~
<\I
t---.
~~
-.'-
<;;) <> <;:,
~ ~ ~Il")- <'0
~ 16 "'I -l- ~ .~=
~ '- 'lI ~~ <::)-
I ~~
,~
S~+Z
s~
~ ~ "-
(:> 11-,' ~'"
. L ~~ . 'I;) 9
.<0 ., it ~ ~ ~ ,
l _ ________--,
~ I' ~
II <;:)~... I
s :t.~ ~ L I 6 9~,9 ~
_ _ _ _C:::L - - -1- - - -
.. ~
<l"-.....
POZ PZ ~ :;: ~
,,-
........
I
0)
C)
........
I
'\:t
/.,
II 01
I <;1'...... ~
f\j I:) -
I~ ~~
I 6
9 101
,... s,.
/ 0.... I
/ <Olin I
<" I v
I,,' 1,v"",(!I P'<7t;
0" I.. ,::- _ IJ
ll.J I ~ \II.. "
\;)\.: ~~ I~ "
I "V\;I ~t:;
I ,~ /
I /
0.....
v / ;:; I
$pYB I~
/ ". I \;
'V 'f- '<>
/' 1\" /~
:!:.~ /
/
c>...r
>-
r
u
~""' I ~'Q'
-\-~I 1-~
.........'- ,'-
I III
I II \3......
I" 1-~
<;:)'-
o
0::
<{
:r:
u
0::
o
-1- - - ~ -
I 1!?.5' I -P'#o
I L I 9 I 6
In.. I -...........
'l'l c; ~
I ~~cts "I ,'-
I "\ll~ ~I~--.,
1\1- l\l'-~ IS- I M~
\I); \1-~ tt~
Ii-" ....\1>1
- (\)'-
I ,- I
III
to
It)
+r
~N r
I
\3......
<Xl<:>
;.10
.........
OE/ oc/
OJ' ()..5'
~ .. I S
I ~
~I \Jl.....
1\1\1
"- ~-"' ~I :!:.--- sz
l')--" I
~~ ~~
.....'- ..... '- I
I
Nt
3Qf<H
co
t>. ~'/
"'... \" l)-,
~ II / \,)......
"'~ I ..~
"',-
I
I
I
I
I
-l>'
t\.:'la:: (:>
''I ~
""
>
W
1..,--.
....1:)
-i-\ll
-'-"
II 01
vZ
~Z
I "'~
Q 1'-1:)
II.J 61 ~"
-.....'"
\....-- -
I
"IOZ
~I
!?..s'
~- -
I
-ll
1"-
~~
~~
'"
..
In '\.~
,j ry'2f,.
<;I'
'\lo()
,n i- \II
~ (\,\'- ~
S.J'
<') ~'8>>-/
I'--,,"~
vi..,.
+ 'to '-- ,.l
,...
. v "
l:. 03 "Lt>-/ N
---------
...
w
~
to
N
t1)- - -
"-..... ~
~~ ,...
'- C\I'" '"
W
(Xl U
<'l~ ~~~- ~ -
~'i -1
~ C\I" <{
~..... :t~
-\..~ C)
.....---
::::::::
I
~
.. - I,-, - - ]~~\) Y') "-1
sz \ll~ II ~\l)"""
-1-\0 ,,~'t-,-
_ -:: ......_,,~ _ -_ ~S'_ ~
"PJ>/ M
l)-,~
i-~ III
V t>)\:.
(()
\)-
\) ........~
"l ~~ 10
ZZ+~
:::
I
~~
1- ~ I
.....'- ~
~
~ ZI
I
or
'C;....... <:) '<t~ Il() V-
<:)'"'
i-~ -I-~ t\J1:) ....~ 1Il......
~~ +~ <:>
~" ~'- i-IO
~ ~ .....'- f') ---
ao " ..:
~ \I- \I- :t: 't
;t , "- "-
~
Pt-
0$
0-'
z~
o
~
-'-I
a::"i-
~'"'
~\\
+\0
t: l.\I\.::
J'P
as-
IZ
Q
6
~
1
'\t
(~Or'"lSTr_(U CTbWN~'v'd
~Z
\)-~
",I:)
....\D
.....'-
~~
Q) :t~ ~
&"P ;-
-<0
j
Aor-,'''''' '"',\ (r'."'''
. 1. " f. J ~ "'...' ,-' "
;" I ~ \."\..;' '"l ~_.Lt
r..r~.D
~- " : ....
335
c>),
,.
'''~ T
,....~...-
,
I,....'"
, .
\
< ". ...... '~"\ (~ !" c.' ; I
; "~~;,,")~...'\'J~!
,
ContrJ(lor must have these plans
on ri,e job site during construrtion.
Public
\!~ t "
J:.l cj t
. ~ ~..
~ ,- .
& \j
('>i1 ,..' ;:,1 j:;~.IS; h~'\'~~ fi:(~-':' p{.::ElS
jGb 5;;(;. d!.d;:;:; ("('n~'~ri.lcijon..
on ,(Ie