HomeMy WebLinkAbout0850-72_Baseline Avenue/Almeria Avenue - Sewer Project_18.4• •
STATE OF CALIFORNIA
DEPARTMENT OF INDUSTRIAL RELATIONS
DIVISION OF OCCUPATIONAL SAFETY AND HEALTH
PERMIT
Permit Issued To
(Insert Employer's Name, Address and Telephone No.)
Albert W. Davies, Inc.
P. 0. Box 215
Rancho Cucamonga, CA 91729
Type of Permit
J
Annual/Excavation
N9- 555666
IMPORTANT NOTICE
Section 4218/4217 of the Government Code
. requires a DigAlert Identification Number
be issued before a "Permit to Excavate"
will be valid. For your DigAlert I.O. Number
Call Underground Service Alert
TOLL FREE 1-800-422-4133
Two working days before you dig
o.
Date December 31, 1992
Region
District
Anaheim
San Bernardino
Tel (714)383-4321
Pursuant to Labor Code Sections 6500 and 6502, this Permit is issued to the above -named
employer for the projects described below.
State Contractors License Number
Perms Valid
12-31-93
A 370846
through
Description of Prol.ct
location Address
City ad County
Antiopoted Oates
Starling
Cmpiehm
,
excavation
various
statewide
1-1-93
12-31-93
The IIPP submitted for this permit
is accepted
by DOSH for
permit purposes
only.
Although it addresses the primery
points requ_red,
failure
to implement
it or
assure its effectiveness may result
in citation.
This Permit is issued upon the following conditions:
1. That the work is performed by the same employer. If this is an annual permit the appropriate
District Office shall be notified, in writing, of dates and location of job site prior to
commencement.
2. That employer will comply with all occupational safety and health standards or orders ap-
plicable to the above projects, and any other lawful orders of the Division.
3. That if any unforeseen condition causes deviation from the plans or statements contained in
the Permit Application Form the employer will notify the Division immediately.
4. Any variation from the specification and assertions of the Permit Application Form or violation
of safety orders may be cause to revoke the permit.
5. This permit shall be posted at or near each place of employment as provided in 8 CAC 341.4.
Received From
Albert W. Davies
Received By
DOSH
0 Cosh
0 Clack
Amour*
100.00
Date
12-31-92
IMPtOYa ORIGINAL-ORtst
ACCOUNTING COPY -CANARY
S-890 (Rev. 2-e 0
DISTRICT COPY-PRAC
REGION COPY -WHIT/
Investigated by '2,art;
Weft' Engr.
Approved by
t
Oat.
i).77 •<?A—e
89 86579
STATE Of CAUFORNIA
DEPARTMENT OF INDUSTRIAL RELATIONS
DIVISION OF OCCUPATIONAL SAFETY AND HEALTH
PERMIT
Permit Issued To
(Insert Employer's Name, Address and Telephone No.)
Albert W. Davies, Inc.
P. 0. Box 215
Rancho Cucamonga, CA 91729
Type of Permit
Annual/Excavation
•
N�- 555666
IMPORTANT NOTICE
Section 4216/4217 of the Government Code
requires a DigAlert Identification Number
be issued before a Permit to Excavate"
will be valid. For your DigAlert I.D. Number
Call Underground Service Alert
TOLL FREE 1-800-422-4133
Two working days before you dig
No.
Date December 31, 1992
Region
District
Anaheim
San Bernardino
Tel (714)383-4321
Pursuant to Labor Code Sections 6500 and 6502, this Permit is issued to the above -named
employer for the projects described below.
State Contractors license Number
A 370846
r� Valid through
12-31-93
Description of Project
Location Address
City and County
r
Anticipated Dabs
Starting
Completion
excavation
The. IIPP submitted for this permit
Although it addresses the prim'ry
assure its effectiveness may result
various
is accepted
points requ=red,
in citation.
statewide
by DOSH for
failure
1-1-93
permit purposes
to implemen:
12-31-93
only.
it or
This Permit is issued upon the following conditions:
1. That the work is performed by the same employer. If this is an annual permit the appropriate
District Office shall be notified, in writing, of dates and location of job site prior to
commencement.
2. That employer will comply with all occupational safety and health standards or orders ap-
plicable to the above projects, and any other lawful orders of the Division.
3. That if any unforeseen condition causes deviation from the plans or statements contained in
the Permit Application Form the employer will notify the Division immediately.
4. Any variation from the specification and assertions of the Permit Application Form or violation
of safety orders may be cause to revoke the permit.
5. This permit shall be posted at or near each place of employment as provided in 8 CAC 341.4.
Received From
Albert W. Davi
Receimd ey
es DOSH
O Cash
® Check
Amount
100.00
Date
12-31-92
EM/IOYM ORIGINAL--O5 t
ACCOUNTING COPY —CANARY
S-090 (Rev. 2-a t)
DISTRICT COPY—r.A*
REGION COPY—wMME
Investigated by
Approved by
Ceuvl
Dols
89 96579
•
STATE Of CAUFORNIA
DEPARTMENT OF INDUSTRIAL RELATIONS
DIVISION OF OCCUPATIONAL SAFETY AND HEALTH
PERMIT
Permit Issued To
(Insert Employer's Name, Address and Telephone No.)
L
Albert W. Davies, Inc.
P. 0. Box 215
Rancho Cucamonga, CA 91729
Type of Permit
Annual/Excavation
N9- 555666
IMPORTANT NOTICE
Section 4218/4217 of the Government Code
. requires a DigAlert Identification Number
be issued before a `Permit to Excavate"
will be valid. For your DigAlert I.D. Number
CaII Underground Service Alert
TOLL FREE 1-800-422-4133
Twq working days before you dig
NO.
Date December 31, 1992
Region
District
Anaheim
San Bernardino
Tel (714)383-4321
Pursuant to Labor Code Sections 6500 and 6502, this Permit is issued to the above -named
employer for the projects described below.
State Contractor', license Number
Pwmll Valid throe&
12-31-93
A 370846
Description of Project
location Address
City
y and County
r
Anticipated Dater
starting
Completion
excavation
The TIPP submitted for this permit
Although it addresses the primary
assure its effectiveness may result
various
is accepted
points requ_red,
in citation.
statewide
by DOSH for
failure
1-1-93
permit purposes
to implement
12-31-93
--
only.
it or
This Permit is issued upon the following conditions:
1. That the work is performed by the same employer. If this is an annual permit the appropriate
District Office shall be notified, in writing, of dates and location of job site prior to
commencement.
2. That employer will comply with all occupational safety and health standards or orders ap-
plicable to the above projects, and any other lawful orders of the Division.
3. That if any unforeseen condition causes deviation from the plans or statements contained in
the Permit Application Form the employer will notify the Division immediately.
4. Any variation from the specification and assertions of the Permit Application Form or violation
of safety orders may be cause to revoke the permit.
5. This permit shall be posted at or near each place of employment as provided in 8 CAC 341.4.
Received From
Albert W. Davies
Received by
DOSH
• Cash
Amount
100.00
Date
12-31-92
id Check
RANSOM OR1dNAL—GREW
ACCOUNTING COPY —CANARY
S-69o(Rev.2-Rl)
DISTRICT COPY —PINK
RROION COPY—ww yt
Investigated by ' I a - 71- 9.:),
safety Ewer. D.
Approved(�'"` /' i?;
b Y Dias wr Dd.
89 86579
STATE OF CAUFORNIA
DEPARTMENT OF INDUSTRIAL RELATIONS
DIVISION OF OCCUPATIONAL SAFETY AND HEALTH
PERMIT
Permit Issued To
(Insert Employer's Name, Address and Telephone No.)
r-
Albert W. Davies, Inc.
P. 0. Box 215
Rancho Cucamonga, CA 91729
Type of Permit
_J
Annual/Excavation
N9- 555666
IMPORTANT NOTICE
Section 4216/4217 of the Government Code
. requires a DigAlert Identification Number
be issued before a Permit to Excavate"
will be valid. For your DigAlert I.D. Number
Call Underground Service Alert
TOLL FREE 1-800-422-4133
Two working days before you dig
No.
Date December 31, 1992
Region Anaheim
District San Bernardino
Tel (714)383-4321
Pursuant to Labor Code Sections 6500 and 6502, this Permit is issued to the above -named
employer for the projects described below.
State Contractor's license Number
A 370846
Permit valid through
12-31-93
Description of Project
Location Address
Oty and County
r
Anticipated Dales
Starting
Completion
excavation
The. IIPP submitted for this permit
Although it addresses the primery
assure its effectiveness may result
.
various
is accepted
points requ_red,
in citation.
statewide
by DOSH for
failure
1-1-93
permit purposes
to implement
12-31-93
--
only.
it or
This Permit is issued upon the following conditions:
1. That the work is performed by the same employer. If this is an annual permit the appropriate
District Office shall be notified, in writing, of dates and location of job site prior to
commencement.
2. That employer will comply with all occupational safety and health standards or orders ap-
plicable to the above projects, and any other lawful orders of the Division.
3. That if any unforeseen condition causes deviation from the plans or statements contained in
the Permit Application Form the employer will notify the Division immediately.
4. Any variation from the specification and assertions of the Permit Application Form or violation
of safety orders may be cause to revoke the permit.
5. This permit shall be posted at or near each place of employment as provided in 8 CAC 341.4.
Received From
Albert W. Davies
Received by
DOSH
U cosh
Amount
100.00
Date
12-31-92
E] Check
DIPLOM ORIOMAL—0119/11
ACCOUNTING COPY —CANARY
S•e90 (Rev. 2-e 1)
DISTRICT COPT—PINK
RRolow COPY —VOW!
2u1r1;"•a m la- ? 1-Investigated by
l�; ornery o gr. n.aw
Approved by oat
89 86579
•
•
STATE OF CAUFORNIA
DEPARTMENT OF INDUSTRIAL RELATIONS
DIVISION OF OCCUPATIONAL SAFETY AND HEALTH
PERMIT
Permit Issued To
(Insert Employer's Name, Address and Telephone No.)
Albert W. Davies, Inc.
P. 0. Box 215
Rancho Cucamonga, CA 91729
Type of Permit
J
Annual/Excavation
N?— 555666
IMPORTANT NOTICE
Section 4216/4217 of the Government Code
requires a DigAlert Identification Number
be issued before a "Permit to Excavate"
wiN be valid. For your DigAlert I.D. Number
Call Underground Service Alert
TOLL FREE 1-800-422-4133
TWO working days before you dig
a_
Date December 31, 1992
Region
District San Bernardino
Tel (714)383-4321
Anaheim
Pursuant to Labor Code Sections 6500 and 6502, this Permit is issued to the above -named
employer for the projects described below.
Stare Codrectors Minn Number
A 370846
rhawk Vold throw*
12-31-93
Description of Projcotbn
LoAddress
ay anun d Coty
r
Meicipote
d Dates
StotWq
ComplAm
excavation
The- IIPP submitted for this permit
Although it addresses the prim'ry
assure its effectiveness may result
•
various
is accepted
points requ;red,
in citation.
. statewide
by DOSH for
failure
1-1-93
permit purposes
to implement
12-31-93
only.
it or
This Permi► is issued upon the following condi►ions:
1. That the work is performed by the same employer. If this is an annual permit the appropriate
District Office shall be notified, in writing, of dates and location of job site prior to
commencement.
2. That employer will comply with all occupational safety and health standards or orders ap-
plicable to the above projects, and any other lawful orders of the Division.
3. That if any unforeseen condition causes deviation from the plans or statements contained in
the Permit Application Form the employer will notify the Division immediately.
4. Any variation from the specification and assertions of the Permit Application Form or violation
of safety orders may be cause to revoke the permit.
5. This permit shall be posted at or near each place of employment as provided in 8 CAC 341.4.
Received From
Albert W. Davi
Received By
es DOSH
O Cosh
El Check
Amount
100.00
Oct.
12-31-92
EMrloreR ORIGINAL-01M
ACCOUNTING Corr —CANARY
s•e90 (Rev. 2•e t)
DISTRICT cow—rsat
REGION cO►r—vitals
Investigated by
Approved by
?:?;1;
la- 3 i—
DeN
Out r Date
R9 86579
•
•
STATE OF CAUFORNIA
DEPARTMENT OF INDUSTRIAL RELATIONS
DIVISION OF OCCUPATIONAL SAFETY AND HEALTH
PERMIT
Permit Issued To
(Insert Employer's Name, Address and Telephone No.)
Albert W. Davies, Inc.
P. 0. Box 215
Rancho Cucamonga, CA 91729
Type of Permit
J
Annual/Excavation
N9- 555666
IMPORTANT NOTICE
Section 4216/4217 of the Government Code
, requires a DigAlert Identification Number
be issued before a "Permit to Excavate"
will be valid. For your DigAlert I.D. Number
Call Underground Service Alert
TOLL FREE 1-800-422-4133
TWO working days before you dig
NO_
Date December 31, 1992
Region
District
Anaheim
San Bernardino
Tel. (714)383-4321
Pursuant to Labor Code Sections 6500 and 6502, this Permit is issued to the above -named
employer for the projects described below.
Stole Contractor's Mime Numbs
A 370846
Permit Vold through
12-31-93
Dosviplion of Project
location Address
Cary and Courtly
Aswiapared �~
excavation
The•IIPP submitted for this permit
Although it addresses the primary
assure its effectiveness may result
•
various
is accepted
points requ;red,
in citation.
. statewide
by DOSH for
failure
,
1-1-93
permit purposes
to implement
12-31-93
only.
it or
This Permit is issued upon the following conditions:
1. That the work is performed by the same employer. If this is an annual permit the appropriate
District Office shall be notified, in writing, of dates and location of job site prior to
commencement.
2. That employer will comply with all occupational safety and health standards or orders ap-
plicable to the above projects, and any other lawful orders of the Division.
3. That if any unforeseen condition causes deviation from the plans or statements contained in
the Permit Application Form the employer will notify the Division immediately.
4. Any variation from the specification and assertions of the Permit Application Form or violation
of safety orders may be cause to revoke the permit.
5. This permit shall be posted at or near each place of employment as provided in 8 CAC 341.4.
Received from
Albert W. Davi
Received by
es DOSH
❑ ca,h
® check
Amount
100.00
Dote
12-31-92
RA,nores ORIGINAI--01tRIN
ACCOUNTING COPY —CANARY
S-890 (Rev. 2-RI)
DISTRICT COPY—psec
REGION copy—WIDT!
Investigated by aart"'‘.
Approved by
Ia-31—��
89 86579