HomeMy WebLinkAbout2. 679 Monterey - Encroachment permit (679 Monterey)F sanWIS o�
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CA LIFO R N I A
Public Works Department - 919 Palm Street - San Luis Obispo, CA 93401-3218
Location: 679 Monterey St
X-streets: Broad, Nipomo
Project Name: Install fire service line from stub in driveway
Contractor:
Fire Svc: T: 5 B: 0
Sims Fire Protection, Inc
James Sims
805-610-2430
_ Frontage Improvements Complete/Upgraded
_ Curb Ramp Complete/Upgraded
_ City Fiber _ Bus Route _ Sewer Wye
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ENCROACHMENT PERMIT
Right of Way
ENCR-0050-2018
USA*: N/A
Other permits required:
Bldg Dept
Description of Work:
On 4/3/2018, permit extended to 5/4/2018. Install fire service line from the stub
in the driveway approach to the building. All work to be done per the approved
plans and to City Standard Specifications & Engineering Standards. Traffic and
pedestrian controls per City Appendix G & MUTCD Standards. Contact the
Public Works inspection hotline at 805-781-7554 two working days prior to the
start of work and one working day prior to each subsequent inspection.
Permittee is responsible for calling for final inspection so the permit can be
closed.
All work performed within the right-of-way shall conform to the City of San Luis Obispo Engineering Standard Details
and Standard Specifications.
You are responsible for liability for personal injury and / or property damage caused by this work or your failure to do what you are
obligated to do. If a claim of such liability is made against the City or any of its departments, officers, or employees, you shall, and
hereby agree to, defend and indemnify the City and hold the City harmless from any claims, including costs of defense and attorney
fees.
All work shall be completed and the right-of-way restored by: May 04, 2018
AGREEMENT: I have read this permit and acknowledge receipt of the City of San Luis Obispo Encroachment Permit
General Provisions and _ pages of attached special conditions which I have read, agree to, and acknowledge as a
part of this permit.
Sig e
Print Name
Issued
Final Inspe,,Efion By
_ems -/�
Date
Da
_ 3®
Date
&The City of San Luis Obispo is committed to include the disabled in all of its services, programs and activities. 601111
Telecommunications Device for the Deaf (805) 781-7410.
CITY OF
s Am _UIS OBISPO
C A L I F 0 R N I A
Public works Department - 919 Palm Street - San Luis Obispo, CA 93401-3218
Location: 679 Monterey St
X-streets: Broad, Nipomo
Project Name_ install fire service line from stub in driveway
Contractor:
Fire Svc: T: 5 B: 0
Sims Fire Protection, Inc
,lames Sims
805-610-2430
Frontage Improvements Complete/Upgraded
Curb Ramp Complete/Upgraded
_ City Fiber _ Bus Route Sewer Wye
ENCROACHMENT PERI6,41T
Fight of Way
ENCR-0050-2018
USA *: N/A
Other permits required:
Bldg Dept
Description of Work:
Install fire service line from the stub in the driveway approach to the building.
All work to be done per the approved plans and to City Standard Specifications
& Engineering Standards. Traffic and pedestrian controls per City Appendix G
& MUTCD Standards. Contact the Public Works inspection hotline at
805-781-7554 two working days prior to the start of work and one working day
prior to each subsequent inspection. Permittee is responsible for calling for
final inspection so the permit can be closed.
All work performed within the right-of-way shall conform to the City of San Luis Obispo Engineering Standard Details
and Standard Specifications.
You are responsible for liability for personal injury and / or property damage caused by this work or your failure to do what you are
obligated to do. If a claim of such liability is made against the City or any of its departments, officers, or employees, you shall, and
hereby agree to, defend and indemnify the City and hold the City harmless from any claims, including costs of defense and attorney
fees.
All work shall be completed and the right-of-way restored by: March 30. 2018
AGREEMENT: I have read this permit and acknowledge receipt of the City of San Lams Obispo Encroachment Permit
General frovisions and _ pages of attached special conditions which i have read, agree to, and acknowledge as a
part of this permit.
y
Sign /
Print Name
r . .
.
Issued By
Anal Inspection By
_z;_r'-Y
Date
Z3Z;7�
B'
D
Date
The City of San Luis Obispo is committed to include the disabled in all of its services, programs and activities.
Telecommunications Device for the Deaf (805) 781-7410.
I
4" C-900 CLASS 200 PVC
40-0
THRUST BLOCK PER STD
f
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Lo Y\
p.
NEW HO -,TAP NTO MAIN
WM 8 X 4ING SADDLE
4" C-900 CLASS 200 PVC
60-0
4" COLT 300 DCDA 1
WITH 2 - 2 1 /2" NST FDC AND SINGLE CHECK
EXISTING CURB
4" C-900 CLASS 200 PVC
34-0 0
MONTEREY STREET
4" GATE VALVE
THRUST BLOCK PER STD
UNDERGRC
1 /8 = 1-0