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STATE OF CAUFORNIA - DEPARTMENT OF TRANSPORTATION <br />ENCROACHMENT PERMIT <br />TR-01 20 (NEW 9/91) <br />In compliance with (check one)! <br />X Your application of AIRIL 12, 1996 <br />Utility Notice No, of <br />-Agreement No. of <br />R/W Contract No. of <br />TO: <br />FmOF <br />CITY OF SANTA ANA PUBLIC WORKS AGENqY <br />101 W. FOURTH STREET, M21 <br />SANTA ANA, CA 92702 <br />r6MW No. <br />1296-NLF-w. 3 <br />Uist/Co/Rfe/PM - <br />12-ORA-22-12.8 <br />rara� <br />May <br />Ma 29 1996 <br />M7___PT T <br />$ NA Is <br />Bond Company <br />Bond Numb -or (1) Bond <br />THIS PE MIT EXPIRES <br />JUNE 30, 1997. <br />ATTN- MANUEL GOMEZ, TRANSPORTATION ALYST <br />7141647-5614 = , PERMITTEE <br />and subject to the following, PERMISSION IS HEREBY GRANTED to: <br />remove and replace the existing landscaping and irrigation facilities located along the eastbound side <br />of the Garden Grove Freeway (ORA-22) at the exit ramp to Tustin Avenue in Santa Ana, all in <br />accordance with current Caltrans Standard Specifications and Standard Plans, Section 6W (Utilities) of <br />the Encroachment Permits Manual, the attached Provisions and Permit Plans dated May 29, 19 96f <br />Permittee shall contact State Landscape Maintenance Representative PHIL OUVARES at 714/669:1479 <br />between 7 AM and 9 AM a minimum of two working days prior to the start of work and a pre - <br />job meeting will be scheduled at the earliest mutually agreeable tune. Failure to comply with this <br />requirementFor purposes will result in suspension of this permit. i es of this permit, the State <br />Landscape Maintenance Representative is hereinafter called: "State Permit Inspector". <br />Permittee's Contractor shall furnish the State with a signed application requesting a separate Caltrans <br />"DP" permit authorizing the Contractor to perform the work within the State Highway right of way <br />in the City behalf, <br />The following attachments are o1sai'included es part <br />(Check applicable): <br />X Yes No General Provisions <br />— yes No Utility Maintenance Provisions <br />X Yes No Special Provisions <br />Yes No A Cc[ -OSHA permit required prior to beginning work. <br />In addition to fee the Pormiitea Vifl be bill <br />actual cash for. <br />— Yes X No Review <br />— yes X No Inspection <br />X Yes — — — — — Field Work <br />(If any Cohrons effort expended) <br />Yes No The information in Ifie environmental documentation has been reviewed and considered prior to <br />approval of this permit. <br />This permit is void unless the work is completed by--- TUNE 30, 1997. <br />This permit is to be strictly construed and no work other than spocificolty mentioned is hereby authorized. <br />No project work shall be commenced unfit all other necessary permits and environmental clearances have been obtained. <br />Distribution: APPROVED: <br />PHIL OLIVARESAN SPECTOR <br />FILE 9(r0213 1 <br />cc:(without attachments) <br />Orange Maintenance (2 copies) <br />Don Pertizzi-info <br />red by: Alfred Anguiano <br />Brent Felker, District Director <br />Keith Myers, District Permit Enq' <br />1i 1�101 � <br />