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14-0519_SNYDER LANGSTON_Encroachment Permit E14-0052
rrTm ra- CAM rr1AA1 rAD14ZT aAnr t'ERIYEI I i\113: E 14-19115E 1 32400 Pase.6 Adlanto,San Juan Capistrano, CA :,Z675 Ph. f949;493-1171 Fax (949)493-105' 11- ISSUED: s 1 ENCROACHMENT PERMIT , tb EXPIRATION:L City Website:www.sanjuancapistrano.org Location of Work. 31001 RANCHO VIEJO ROAD Applicant: SNYDER LANGSTON LP Contractor: SNYDER LANGSTON LP Applicant Address: 17962 COWAN Contr. Address: 17962 COWAN IRVI NE.CA 92614 IRVINE, CA 92614 Contact Name: Contr. Phone: 949 863-9200 Job Number: 24-HR. Phone No: Refund To: TYPE OF WORK REQUIRED SUBMITTALS: ® Approved Plan ® Traffic Control Plan® Insurance Certificat, © Deposit/Bond ® Excavation © CaIOSHA ® Caltrans ® Archaeologic Monitor Other: ® }Maul Route WORK IS SCHEDULED TO BEGIN: ESTIMATED COMPLETION DATE: 0 Sewer/Water DESCRIPTION: ® Curb/Gutter STREET AND OFF-SITE IMPROVEMENTS FOR ACCRETIVE RA SJC MEDICAL OFFICE BUILDING.ALL WORK PER APPROVED CONSTRUCTION PLANS.TRAFFIC CONTOL PER APPROVED TRAFFIC CONTROL PLANS(SHEETS 6-9), WORK IN PUBLIC ® Paving RIGHT-OF-WAY 830 AM TO 3:30 PM ONLY. COMPLY WITH ATTACHED SUPPLEMENTAL PERMIT CONDITIONS. �[ Utility ® Other CONDITIONS OF THIS PERMIT INSPECTION 1. Permittee shall comply with all approved plans,attachments, and conditions. Contact the ,sty to else he his before working unless noted elsewhere 2. Lane closures 8:30 am to 3:30 pm. Two-way traffic maintained at all times. ® Engineering Inspector James Prather 3. This permit is issued in accordance with the SJC Municipal Code?-3.02 and 7-6,02. 949-443-6354 4. Code violations are enforced in accordance with Municipal Code 1-2.03(b).7 5. The applicant hereby agrees to comply with all applicable City ordinances and regulations. ® Water Services Inspectors Mike Smith 6. Any Property damage as a result of this work shall be the responsibility of the permittee. 949'487 4311 7, This permit must be on the job site and available to City representatives at all times. ® DIG ALERT 8. Deposits shall expire one year from date of permit issuance, unless request for extension This permit is not valid without a USA is submitted 30 days prior to expiration. Underground Service Alert)ID Number. For information call 1-800-227-2600 I hereby agree to indemnify the City, its authorized representatives agents, and employees to USA I.D. NO.: hold harmless from any and all liability for accidents;legal action and from any loss or damage to persons or property which would result from any work undertaken as listed on this permit PERMIT FEES application. I have read and fully understand the provisions and conditions shown on this ® Fee Waived: permit and/or attached herewith. PERMIT FEE: $ 11,093.76 BOND/DEPOSIT: $ 0.00 TOTAL FEE: $ 11,093.76 Signature of Permittee Print Name DEPOSIT Date: ® Released ® Forfeited Approved: Pub-lie Works Department Representative Payment recieved INSPECTION RECORD Date Remarks CERTIFICATE OF INSPECTION: I certify that the work allowed by this permit for work in the public right of way has been constructed according to the specifications and plans and I hereby accept the work in this matter. Inspector: Date: SJC FNGPERMIT