0020NOTE: .•
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE: 12-12-83
Subdivision Improvement Permit — Class II I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Avenida Randrm & Calle Ensenada
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION InSt:al.l 112H CJaS Rhin Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Instal..! 240' Of 2" PA 31243-644
zne'4bxr. r1.1'l-n nurn nlastic gas main lf1' WE PL of
Avenida _Ra rixm , b0ainni g 13' FIN PL of r�..a11e EMOWa SEE SIC=
DIMENSION OF INSTALLATION OR REMOVAL 240'
EAWH-153' NAC -87'
Ttr 22.4, C-2
SIZE OF EXCAVATION, IF NEEDED 87'
APPROXIMATE TIME WHEN WORK WILL BEGIN 12--13-83
APPROXIMATE TIME OF COMPLETION 3-13-84
ESTIMATED CONSTRUCTION COST $'
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements) _
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property
happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application.
Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started.
Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result of this work.
R. L. Bauq man, Distribution Supervisor.
Signature of Applicant or Agent
SOutlmm California Gas arpany, P. O. BUX 2200, Riverside, CA 781--6104
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No. City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class III
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs Nc 120
Minor Improvement Permit — Class IV: See attached schedule ��
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
$ 15.00
Receipt No.
Received by Phil 0 --Mins Date 12-7-83
Recorded by
PERMIT VALIDATION
PERMIT NO. 020
DATE APPROVED 12-7-83
EXPIRATION DATE 12-7-84
DATE ISSUED 12-1$83
By Phil. Comins . Buildincx Off icial.
Administrative Authority
TELEPHONE:,(619) 564-2246'"
cf 31243-644
NOTE:
With proper validation
this form constitutes an
encroachment permit
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE: 11-29-83
LOCATION OF CONSTRUCTION
Subdivision Improvement Permit —'Class I I I
Minor Improvement Permit Class IV
Avenida Ramirez & Calle Ensenada
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Install new gas main
DESCRIPTION OF CONSTRUCTION Install 240' of 2" PA
medium pressure plastic gas main _10'WE PL of
Avenida Ramirez, beciinninq 13' S/N PL of Calle Ense
DIMENSION' ^F l;"4ST.•,LLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED 87'
APPROXIMATE TIME WHEN WORK WILL BEGIN -13-83
Sketch (attach construction plans if appropriate)
31243-644
SEE SKETCH
da. EARTH,2153' MAC - 87'.
TGP 224, C-2
APPROXIMATE TIME OF COMPLETION 3-13-84
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify; defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property
happening or occurring as a proximate result of any work undertaken under the permit granted.pursuant to this application.
Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started.
Comply 'with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of
La Quinti 'and to pay for any additional replacement necessary as the result of this work.
_10 Ie:517
Signature of Applicant or A R.L. Baughman -Dist. Sup.
Southern CA Gas:Co. P. 0. Box 2200, Riverside, CA 714-781-6104
Name of Applicant (please print). Business Address Telephone No.
Name of Contractor and Job Foreman Business Address 'Telephone No.
Contractor's License No. City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class III
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee
Permit Fee —•
Penalty —
Cash Deposit -Surety Bond
if required --
TOTAL: S
Receipt No.
Received by Date
7 -473
Recorded by
PERMIT VALIDATION
PERMIT NO
DATE APPROVED CZ � ��
EXPIRATION DATE 7—
DATE ISSUED
By
Administrative Author
TELEPHONE: (619) 564.2246
L A OW NTA
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TERN CALIFORNIA GAS CO. 2956.1-J
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31243-667
NOTE:
With proper validation
this form constitutes an
encroachment permit
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE: 11-29-83
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Avenida Rubio & Avenida Montezuma-
(Street
ont zuma
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Install new gas main Sketch (attach constructionlans if appropriate)
ppropriate)
31243-667
SEE SKETCH
nida Montezuma. EARTH CUTS.
TGP 224, C-1
DESCRIPTION OF CONSTRUCTION nsta 50 of 2" PA
medium pressure plasLtic gas main 1'0L: W/E PL of
Avenida Rubio, eginninga_�Lt exi-sti-ng toe-4-n—s-/-o_AVe
DIMENSIO^: CF !^•IST.',LLATION OR REMOVAL - 50'
SIZE OF EXCAVATION,)F NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 12-13-83
APPROXIMATE TIME OF COMPLETION 3-13-84
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify; defend and save the City, its authorized'agents, officers, representatives and employees, harmless from and against any and all
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property
happening or occurring as a proximate result of any work undertaken under the permit yranted.pursuant to this'application.
Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started.
Comply with all applicable City Ordinances, the terms. and conditions of the permit and all applicable rules and regulations of.the City of
La Quinta and to pay for any additional replacement necessary as the result of this work.
Signature of Applicant o gentR. L. Baughman—Dist. Sup.
Southern CA Gas. -.;:Co. P. 0. Box 2200, Riverside, CA 714-781-6104
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No.
City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class III
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $
Permit Fee —
Penalty
Cash Deposit -Surety Bond
if required --
TOTAL: S
Receipt No.
Received by �- Date
Recorded by
PERMIT VALIDATION
PERMIT NO
DATE APPROVED 2` I S
EXPIRATION DATE
DATE ISSUE
By / �%
Administrative Author
TELEPHONE: (619) 564.2246
LA, QU-i lyra
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PERMIT ISSUED BY
PERMIT NO.
DATE MOVED DATE MOVED DATE OF '
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STRICTSUPERVISOR
NO STAKES NEEDED
W.O. 1243-(044 COD
SOUTHERN CALIFORNIA GAS CO. 2956-1-J
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