Public
Night/Weekend Work Request Form
Location or Nearest Address:
Date/Time of Work Start: (date)/ (time)
Date/Time of Work End: (date)/ (time)
Reason that work can not be done during normal work hours:
Name and Contact number of On‐Site Foreman:
(Name) (Contact Phone Number)
Description of the work to be performed:
List equipment to be used along with the decibel levels of the noise they generate:
(equipment)/ (db)
(equipment)/ (db)
(equipment)/ (db)
(equipment)/ (db)
(equipment)/ (db)
Attachments to include with completed form (examples included – initial aside completion):
Letter Outage list (to include if domestic or commercial) Construction plans (if any) Street Views
Google overview of area or Distribution Map Current Approved Permit 1/18/2023
EXHIBIT A
Internal
City of Emeryville,
PG&E would like to formally request permission to perform night work to install a new underground interruptor and energize a padmoun t transformer that the customer has already installed at 5621 Bay st. This work is for PG&E’s New Business customer at 7750 Edgewater Dr. Please reference Permit ENC2022-0100.
Work will be performed on Wednesday February 7 at 7 PM through Thursday February 8 at 6 AM. We will have 6 workers on site and an additional 4 traffic control workers for a total of 10 workers.
PG&E is requesting to work this portion of the job at night in order to minimize disruption to the commercial custromers.
During construction, the maximum noise level will bel 70dB:
• UG Splice van: 60dB
• Boom truck: 70dB
• Bucket truck: 65dB
CONTACTS:
Ron Huey - Electric Crew Foreman 510 385-8606
Thank you,
Eddie Martin, M&C Coordinator
510 557-1020
Internal
WORK LOCATION:
JOB#/PM#
35283784
PRIME CONTRACTOR
PG&E
PREPARED BY
CITY RISE, LLC
DATE PREPARED
05/11/22
SHEET#
TC-1
INITIALS
M.M.
AGENCY
Emeryville
SCALE
NOT TO SCALE
TCP QUESTIONS CALL:
209-400-7075
PROJECT LOCATION
5621 Bay St, Emeryville
TAPER TANGENT
Ÿ TRAFFIC CONTROL PER LATEST CA WORK AREA CONE SPACING
MUTCD.
Ÿ ALL FLAGGERS TO COMMUNICATE
THROUGH HAND SIGNALS AND
RADIO DEVICES.
Ÿ PEDSTRIAN, BICYCLE, AND
DRIVEWAYS TO REMAIN OPEN
UNLESS NOTED ON TRAFFIC PLAN.
HOURS OF WORK TO BE DETERMINED BY AGENCY.
ROAD
WORK
AHEAD W20-1
W4-2R
RIGHT LANE
CLOSED W20-5R AHEAD
ROAD
WORK
W20-1 AHEAD
ARROWBOARD
LANE
CLOSED C30 (CA)
Shoulder Taper 60’
250’
250’
250’
250’
Taper 180’
W11-1
SHARE W16-1P THE ROAD
Match Line A
Match Line A
Shellmound St
30 Shellmound St
30 Ohlone Way 25
DWY
DWY
DWY
30’ 60’
ROAD
WORK
AHEAD
W20-1
250’
C9A(CA)
250’
FLAGGER TO LET TRAFFIC
IN AND OUT OF DRIVEWAY
ALSO TO GUIDE PEDESTRIANS
AROUND THE WORK AREA
C9A(CA)