HomeMy WebLinkAboutPW18-0006 FINAL (2)PUBIIC WORXSButle CounlyDepartment of Public Works7 County Center DriveOroville, California 9596512t14t2018ROAD DISTRICT 2FINALQTCDennis Schmidt, DirectorShawn H. O'Brien, Assistant DirectorT:530.538.7681F: 530.538.7171-buttecou nty.net/pu bl icwo rksPERMIT FINAL INSPECTION REQUESTDecember 14,2018APN# 047-790-019Date issuedExpires onForemanReason for inspectionTech requesting inspectionResultsEncroachment Permit No. PW18-0006Address: 13961 CARIBBEAN WAY( <-zl -)tr Pass date'-7---z-ôlalnspectorname PA v /14 nsrg u.tr Fail datelnspector nameReason for failLocation of pictures for fail inspectiontr Attachedtr Shared drive location:tr Emailed to:
PU¡tC V/OiXS
ENCROACHMENT PERMIT
County of Butte Department of Public Works
7 County Center Drive Oroville, CA 95965
Phone: (530) 538-7681 Fax: (530) 645-1822
All information except signature must be typed or legibly printed Permit #:-
1wtø- ooö6NOTIFY COLTNTY 24 HOURS BEFORE WORK IS TO BE STARTED
PROPERTY
OWNER
î'iffi::ä:ili.! ), Ò¿J 7- 07?' Ò I q Property
'n""3ø=â 7ô^ 6qôþ Property
t3î6 /
Ch,,2¿
(a4ó6an U+y
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Mailing Address (lf Different):
WORK
PERFORMED BY
El Property Owterperfomed by:
Name:
Phone:Address:
Fax:
Contractor's License
Number:ffiffi g-:".ENo
Applicantis: SP.op"nyO*u", EPropertyOwner's Agent E Coot.u"to, E Othec
I / WE, the undersigned, hereby apply to the County of Butte for ah encroachment permit to do the following work under
and general laws.or over the CqylnV roads andjiÊhways, all in accordance with ordinances
Signature:Date Signed:
LOCATION
Road affected:\/
Time and Duration
ofEncroachment:E PermanentEncroachment E Ternporary: From To
Type of
Enoroachment:trE Roadway E Culvert
Pipe/Pipeline fJ SígnÆittUoard E Other
Driveway
Fence
Site Plans EYes ENoAttached:
PERMIT
CONDITIONS
(To be filled,
in by County)
PERMIT IS: p cRANTED E nnNrnn
Conditions: In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form)
and special conditions written below, permíssion is hereby granted.
l. p Underground Service Alert (U.S.A.) must be notified two working days prior to any excavation. 800-227-2600
z. fl att work shall conform to accompanying: ! Detail I Plans F Special Conditions
3. fI Other Conditions:
t9 "*""'P^<
?:i;z/o1 1 I Amount
Paid:z Paid
?L","o zol zg,o By:
Receipt 5 ØNo.:
Dennis Schmidt, Dircctor of Public Works By:
Road District:z Inspected By:Inspectíon
Results:-oK Cornpleted - Not OK
I Rdditionat Co¡nrnenrs Attâched
Corn¡nents:
Note: Ifpennitsæefaxidtoarynurnberbesides(530)645-lS22,theycanbedelayeduptooneweek.Fom: 20050óEP
Page I of2
R.evisted: 2/l6l20l't
PUBI.IC WORKS
ErrE*rrililÐ
PW Permit Conditions - Pre Inspection
Form Revision: 3lL2/2OL5
Date Printed : 2l L2/20L8
CEN'IFJR I,INE OP RÜAÍJ
T-LOCATION:
INSPECTOR:
PERMIT #:
DAN DECKER
PW18-0006
30'
ED{]E OF PÂVEMENT
!'LOU¡ LrNU
SITE DISTANCE RECOMM ENDATIONS:
EL None
n cut Bank
n Remove Vegetation
! Other (Explain)
ADJACENTTOPO R MENDATIONS:
ELNone
! Cut Slope
n Fillslope
ADJACENT TOPO SLOPE:
EDGE OF PAVEMENT:
E Curb and Gutter
E Rc o¡ke
n Aggregate Base
DRAI NAGE RECOM M EN DATIONS
EI vtatch Exísting Grade
! Swale - Dip Dwy
I other (Explain)
n Culvert
Distance:
Depth:
Diameter:
a u
+""-+.f
ft
BIGÍIT-OT-û'AY tÏNE
AIIHI{
TO BE
PAVBI-)16 I MIN
'24' lrlÌ\tl
NOT TO 5C¡1LE
NOTE: lF GREATER THAN 10% UP OR DOWN REFER TO ENGINEERING,
llii¿l. I
t' b,l'l I t¡
Þ': ,rr ¡r¡
I' ' i:ì t'. 'l '
.rl..lt'l
llr il, i', .
I
¡ l.1l t'l*"j IrI i;'il.
ft
ft
in
ft
NOTE:
PAVEMENT TO
EXTEND AT 2%
CROSS SLOPE
OR MATCH
EXISTING
ROADWAY
CROSS SLOPE
'i
o.,-o-orn.*rFlr= 1 r,--,,*= .ll
.l1,
IF
Length l-1 I Þ¡ I 'f"t l,'i1l
NOT TO SCALE
trl't¡r I ;l'l lh"'t ¡¡i
AHILE EVERY ATTEMPT HA3 EEEN M,\DE
IN THE TREPAF'AÍION OF 1HI5 FLAN TO
AVOID MI5TAKE3, fHE MÀKER CANNOÍ
éUARANTEE Aé'AIN5Í HUMAN ÉRR<)R,
BUILD¡N6 CONTRA¿TOR ,/ HOME OANER
TO REVIEA ANP VERIFY ALL DIMENgIONg.5PEC5, AND .'ONNECTIONg BEFORÊCON5fRUCfION BEéIN9.
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