0592NOTE:
With proper validation
this form constitutes an f
encroachment permit CITY OF LA QUINTA
APPLICATION FOR -PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
I
A�
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
Subdivision Improvement Permit— Class III
DATE: April. 19,_ 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Washinaton between Miles and Fred Warincr
(Street address or Description of Location)
PURPOSE OF CONSTRU TION place 2 manholes
for General Telephone permit #5
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL 7 x12
SIZE OF.EXCAVATION, IF NEEDED
.. I .
APPROXIMATE TIME WHEN WORK WILL•BEGIN 4/21/40
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com-
Sketch (attach construction plans if appropriate)
paction and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of this permit, the applicant hereby agrees'to:
reference GTE Permit $510
Indemnify, defend and save the City, its authorised 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 theper •it and all applicable rules and regulations of the City.of
La Quinta and to pay - for any additional replacement necessary as the result f this.wo�k.
-big ature o Applicant or Agent
Ritrnun and Si.mos of Calif Inc. 1960 Chicano. Ste: 19 Riverside, CA 92507
Name of Applicant (please print) Business Address Telephone No.
714 275-0501
Name of Contractor and Job Foreman Business Address 'Telephone No.
tl(12�_5�
1218'
Contractor's License No. City Business License {No.
Collier Cobb GL5902540RA
Applicant's Insurance Company Policy Number s
FEES: Subdivision Improvement Permit —Class III 5 days inspection @$4,0-$200.00
Public improvements: 3% of estimated construction costs +.
Private improvements: 3% of estimated construction costs
TO
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ 200.00 II
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL
Receipt No:
WIN
Received by Date
Recorded by
i4
Q5i8RS�l-�br�Tl4-Q-90MOO.QO
PXMIT VALIDATION'
PERMIT NO. 0592
DATE'APPROVED 4/19/90
EXPIRATION DATE 6/30/90
DATE ISSU,E•D i 4/19/90
By
Administrative Authority
TELEPHONE: (619) 564-2246
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NOTE:
With proper validation
this form constitutes an
encroachment permit
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I --
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
1--,
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
Subdivision Improvement Permit — Class II I
DATE: April 19, 1990 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION - Washington between Miles and Fred Warinct
(Street address or Description of Location)
PURPOSf OF CONSTRUCTION place 2 manholes Sketch (attach construction plans if appropriate)
or General Telephone permit #510
DESCRIPTION OF CONSTRUCTION
reference GTE Permit $510
DIMENSION OF INSTALLATION OR REMOVAL KJ l
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 4/23/90
APPROXIMATE TIME OF COMPLETION 4/26/90
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.
c
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/wo'r .
t gnaw Applicant or Agent
Burnuo and Si.mos of Calif Inc. 1960 Chicago, Ste. -19 Riverside, CA 92507
Name of Applicant (please print) Business Address Telephone No.
73.4. 275-0501
Name of Contractor and Job Foreman Business Address Telephone No.
402351 1218
Contractor's License No. City Business License No.
Callier.Cobb GL5902540RA '
Applicant's Insurance Company Policy Number t,
i.
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 200.00 II
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No. .
Received by Date
5 days inspection @;^40-$200..00
W 0592
40 yf.8�d fi VTRi _ ,� ( i(►
PMIT"VALIDATION'e�0.00)
0592
PERMIT NO.
DATE APPROVED 4/19/90
EXPIRATION DATE 6/30/90
DATE ISSU.E•D 4/19/90
By
Administrative Authority
Recorded by 11 1 TELEPHONE: (619) 564-2246
r + The following General and Special Provisions are attached to and made a part. of Permit No. e, J
GENERAL PROVISIONS'
The following shall always apply: i
,•. ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within City of La Quinta right of way
ONLY. Whenever construction extends within private property, it shall be the responsibility of the permittee (or his contractors) to
t secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting work.
TRACKLAYINGCONSTRUCTIONEQUIPMENT:•Cleated tracklayingcons tructionequipmentshall not bepermitted tooperateonany
` paved surface unless fitted with smooth-faced street pads. All mechanical outriggers shall be fitted with rubber street shoes to protect
the paving during excavations. Rubber-tired equipment only shall be used in backfill operations in paved areas. If the existing
• pavement is scarred, spalled, or broken during the term of this contract, or, if the pavement is marred, City of La Quinta shall request
—' that these portions of road be resurfaced over their entire width. Resurfacing shall consist of one coat of two inches (2') of A.C.
surfacing plus appropriate seal coat as specified above. i
PROTECTION OF TRAFFIC: All excavations and work areas shall be properly lighted and barricaded as deemed necessary by the City
Engineer or La Quinta City Public Works Inspectors. Suitable detours and detour signs shall be placed and maintained for the duration
—of the project.,The City shall be notified 24 Hrs. in advance of any traffic detours or delineations.
CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugated metal pipe, concrete pipe, steel culvert and
+ concrete structures encountered during excavation which necessitate removal shall be replaced in kind. In the event.it'becomes • -
necessary to remove or cut existing drainage structures, City of La Quinta shall be notified prior to commencement of this work.
• DraiAage structures and open drains shall be keptfree of debris at all times for.proper drainage.
RIGHT OF WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from the right of
4 -
{ rr ` way. All paved surfaces shall be broomed clean of earth'and other objectionable materials i mmediately afterbackfill and compaction.
Existing gutter line and drainage ditches shall be replaced to their original standard or better. All excess material shall be removed
prior to paving: Water tanker shall be used, as required, to sprinkle the job site to keep down dust conditions and shall be used
immediately after backfill. , -
• DE-WATER OPERATIONS: If de-watering operations are required and pumps are forcing water on City of La Quinta roads, it shall be
the responsibility Iof the permittee (contractor) to control this water and to provide off-street barricades when necessary.
CLOSING STREETS: No•street shall be closed. A minimum of one lane of traffic shall be maintained at all times to provide limited
access for the adjoining property owners and emergency vehicles. In the event it is felt bythe'permittee that he must close a street for
any length of time, permittee shall contact this office to obtain the necessary permission.
SPECIAL' PROVISIONS
' The follwing shall apply ONLY when indicated:
� *+ � •c - is • �, ,. - ., !
R1 NOTIFICATION: Permittee shall notify the City at 564-2246 at least 48 hours in advance of starting construction.
Z R2 CASH DEPOSITS OR BONDS: A cash bond or an approved surety bond in an amount of not less than $
t _ _ shall be furnished in the name of City of La Quinta to cover all work involved in the restoration of the various La Quinta -
t 1 ' roads and survey monuments. This bond shall be continuous until cancelled_ by the City Engineer. This bond must be
P'-R3
osted prior to commencement of any work on this project -
TILITYCLEARANCE:(Substructures) Prior to making any excavation within the City of La Quinta right of way authorized
y permit, the permittee shall contact all concerned utility companies relative to the location of existing substructures.
t Damage to existing substructures resulting from operations conducted under this permit shall be the sole responsibility
of the permittee..-
R4 UTILITY CLEARANCE: (Surface structures) No work shall be done under this permit until all utilities are clear of the
proposed work site. The permittee shall notify all concerned utility companies of the proposed work. ,
»t R5 PAVEMENT WIDENING: Area between the proposed cdncrefe gutter line and the existing road pavement shall be
surfaced with inches of A.C. paving placed on inches of class aggregate subbase course
having an "R" value of not less than and in conformance with City of La Quinta Road Improvement Standards
and Specifications, Ordinance #461..
- R6 PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a slope of
+
1/4 inch to one foot (11. ,
' 'R7 GRADES & STAKES: City of La Quinta shall establish grades and stakes for the proposed concrete curb and gutter
construction. r
J rR8 �iRADE CHECKING: City of La Quinta shall check grades upon receipt of plan and pFofile and/or grades as established by
a licensed engineer"
r . R9 • CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter( feet) shall be.
• . removed. Curb and/or curb and gutter shall besaw cut prior to removal. Depressed curb, matching concrete gutter and
concrete driveway approach shall be constructed in conformance with City of La Quinta Standard #207.
4 - ' R10 DRIVEWAYS; A.C.: Driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the
e property line and the existing road paving shall be 2-,1/2 inches of A.C. paving placed on ( ") of class
+ c aggregate base. Driveway construction shall conform to attached drawing.
R11 CULVERTS: A inch diameter ( )culvert shall be installed with the invert approximately 1-1 /2
inches below and in line with the existing flow line. Culvert installation shall conform to the attached drawing.
�• W r.R12 SIGHT CLEARANCE: Sight clearance-of 600 feet in'either direction shall be assured and maintained.` '
R13 . SOIL STERILIZER: The area to be' surfaced shall be'treated with soil sterilizer. Rate of application shall comply with the•
r• r s + " * �.? •- manufacturer's specifications.
+ R14 00RD[NATE WORK: The proposed work shall be subordinated to any operation which the State of California or
;+ r'- { • City of La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or
' y of La Quinta forces to preclude delay or interference with State or City of La Quinta projects.
,, • R15 SU VEY, MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the
terline of all streets orproperty lines when involved shall be completely tied out so they maybe readily and correctly
+ be replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete set of notes showing the
ties to these monuments shall be furnished to the City Engineer prior tothe removal of any monuments. This office shall
"be notified upon completion of replacement of all survey monuments for proper project clearance. ,
�.. `:
RD-31
R16 EY MONUMENTS: Prior to excavation or beginning of coi tion, all survey monuments,shall betied out by City
Quinta and suitable payment or guarantee of payment shall be made as reimbursement for all'werk involved
R17 PAVEMENT CUTTING: Pavement will be mechanically cut to a straight edge prior to excavation. Method of pavement
cutting shall be approved through the office of the City Engineer. (Under no circumstances shall excavating equipment
be used to excavate prior to cutting of pavement). Excavation material shall be placed in such a position as to best
facilitate the general flow of traffic. Prior to final paving operations, any damage to pavement straight edge shall be
corrected.
q18 PAVEMENT CUTTING: Pavement shall be saw cut prior to removal. Prior to final paving operations, any damage to
pavement straight edge shall be corrected.
19 LIMIT OF EXCAVATIONS: Ex,_orations shall be limited to 1,000linealfeetof opentrench before backfill operations must
begin. All excavations shall be properly barricaded with lights overnight, on weekends and holidays forthe protection of
the traveling public. The Public Works inspector shall determine the suitability of excavation barricading in each case. No
excavation shall remain open for a period exceeding five (5) days. No excavation shall be made unless the construction
material is actually on the work site.
R20 BACKFILL MATERIAL: Backfill shall be free ofbrush, roots or other organic substance cletrimentalto its usefor purposes
of producing an adequately consolidated backfill. Any material which the City of La Quinta deems unsuitable (spongyor
saturated material) which is encountered during excavation shall not be used for backfill, but shall be supplemented or
replaced by an approved sand or gravel.
R21 BACKFILL SAND: Backfill shall be approved transit-mix sand or equivalent and shall be placed in lifts of notgreaterthan
three feet (3') and vibrated using vibrotamper or equivalent equipment. Alternate methods maybe substituted, but in any
a relative compaction of 95 percent shall be attained within the structural section of the roadway.
,case
BACKFILL PLACEMENT: Backfill shall be applied in layers of not more than 50 percent of the total depth of the trench
before flooding or a maximum of five-foot (5') lifts where trenches are of excessive depths. Care is to be exercised that the
backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed so that the
resulting compaction shall be not less than 90 percent or equivalent to the surrounding ground, whichever isthe greater
compaction. Where ponding or flooding is used for a maximum settlement, adequate dikes will be constructed to retain
the water. Where jetting is used, the jets shall be of sufficient length to reach the bottom of each layer and the water
supply shall be continuous.
R23 COMPACTION TESTS: If so required bythe inspector, compactiontests shall be made at intervalsof not more than 1,000
feet and a minimum of one (1) test on each road. One (1) copy of each test shall be forwarded to the City Engineer for
approval and filed prior to making permanent repairs. Compaction tests shall be made as outlined in Section 6.3.01 of the
(;
tandard Specifications, Division of Highways, State of California, dated January 1973.
�45OMPACTION TESTS: If so required by the inspector, compaction tests shall be made for each crossing or service line.
One (1) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent repairs.
Compaction tests shall be made as outlined in Section 6.3.01 ofthe Standard Specifications, Division of Highways, State
of California, dated January 1973.
R25 TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch
consisting of 2 inches of SC-800 shall be placed on a prepared subgrade. The SC-800 temporary paving shall be placed
after a maximu.n of 3,000 lineal feet of trench has been excavated and backfill operations completed, but in no case shall
the placement of the temporary pavement exceed a five (5) day limit.
R26 PERMANENT PAVEMENT REPAIR: After backfill and compaction operations have been completed, a temporary patch
consisting of two inches (2") of SC-800 shall be placed immediately. A permanent patch of inches A.C.
surfacing placed on a inch class _ba�be placed no later than days after completion of
temporary road repair. W C-11t�v�(�/�
R27 PAVEMENT REPAIR: F.A.S.: Upon completibnofbackfill and compacidn,atemporarypatchconsisting oftwo inches (2")
of cold mix paving (SC-800) shall be placed immediately. A permanent patch of three inches (3") of A.C. surfacing shall
be placed on six inches (6") concrete base as directed, but not later than fifteen (15) days after completion of temporary
paving. Concrete base shall be of five-sack mix and shall conform to the City of La Quinta Road Improvement Standards
and Specifications, Ordinance 0461.
R28 FOG SEAL: A fog seal coat consisting of an application of asphaltic emulsion shall be applied over all patch areas as
determined by the City Engineer.
R29 SEAL ARMOR COAT: A seal coat consisting of an application binder and screenings shall be applied on all patch areas
where such seal coats existed prior to issuanceof this permit. Seal or armor coats shall be applied as specified in Section
37, Standard Specifications, State of California, Division of Highways, dated January 1973. Work of pavement repair to
be accomplished by a licensed contractor engaged in the business of pavement repair.
R30 STREET RESTRIPING: Where street striping is still visible on streets to be excavated, such striping shall be replaced upon
completion of permanent repairs.
R31 TREE RELOCATION OR REMOVAL: Tree relocation within the City of La Quinta road right of way shall be accomplished
by a licensed, bonded and insured tree service, and handled safely without interference or hazard to the traveling public.
It shall be the responsibility of the permittee to maintain the tree in a vigorous growing condition at its new location.
Trees to be removed shall be removed in sectionswhich can be handled safelywithout interferenceor hazardto highway
traffic. The entire width of the tree stump shall be removed and disposed of so that no debris remains in view of the
highway. The stump hole shall be backfilled and thoroughly compacted as specified in thefollowing paragraph. Where it
becomes necessary to restrict traffic, the work shall be restricted to a maximum of 500 feet at any one time. Adequate
signs, flagmen and/or barricades shall be provided to protect the traveling public at all times.
Large holes resulting from tree removal shall be backfilled and compacted to not less than 90 percent or equivalent to the
surrounding ground, whichever is the greater compaction as determined by the impact or field method. Compaction
tests shall comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated
January 1973.
R32 TREE TRIMMING:
a. Only the necessary trimming shall be accomplished to provide clearance of the facility for one calendar year.
All broken or weak sections within the trimming shall be removed.
b. Where it becomes necessary to restrict traffic, the work shall be restricted to a maximum of 500feet at anyone time.
Adequate signs, flagmen, and/or barricades shall be provided to protect the traveling public at all times.
c. If tree trunks are partially outside of the City of La Quinta road right of way, permittee shall make his own
arrangements with adjoining property owners for consent to the trimming in addition to the authorization provided
by this permit.
d. All tree trimming on EVERGREEN TREES, PALM TREES, and other ORNAMENTAL TREES shall be accomplished to
the satisfaction of the City Public Works Inspector.
e. Abutting property owners shall be contacted, in all instances, prior to trimming or topping trees.
f. Pruning shall, in all instances, be at the shoulder of the crotch to insure even, fast healing in all cuts of two inches
(2") and above in size. Sealant shall be applied to all cut sections as directed by the City Public Works Inspector.
Y •
3 B 3'
p
_ PERMIT, No'.. 0592
�{
jADDITION--=-ENCROACHMENT•,PERMIT ----CONDITIONS
J :
R33:
Survey monuments shall be protected, in place or
re-established pursuant =to ,City stand_ ards ands the State of '
t
California" Land' Surveyor's •Act•. ,..
' R34.
Contractor shall comply:with the local -'noise ordinance' -and
operations'and maintenance of equipment within
..construction
one half mile of human occupancy shall be'performed only''' +
--during the time periods•,as follows:
October. 1st to.April-30: Monday -Friday 7:00a.m.'-5:30P'M.
Saturday, 8:00a.m.-5:00p.m.
May lst to September 30:; Monday -Friday 6:00a.m.-7:00p.m.
• Saturday 8:00a.m.-5:00p.m.
Work shall be prohibited anytime on.'Siznday or Federal
. '
holidays.
R35,
'-.Traffic control shall -be as per Cal Trans. Traffic Manual. _
.
Field adjustments.in detouring,shall be accomplished -"as•,
directed in order to -adjust to.actual,field conditions: It-,
shall be the.contrabtor's res'pofisibility to adequately
barricade and -detour this site. '
R361
If'work done by,'other than work forces of General
Telephone Company, then an initial inspection fee deposit
'-shall-,be made as determined by,"City.Engineer. Permittee
reimburse,
all reimburse: City for all inspection costs at the rate
- _
of hour. (Note: +estimate one hour per day,
during -the .conitructionperiod:) Any unused funds will be
reimbursed.
R37
16
All- excavation. at 'or' near- the travel away shal-1 be
:backfilled -at -the end of the . caork day',. for the protection of
the traveling public. n :
' R38
This, permit,. is.only for work within the City'of La Quinta
r
public street right-of=way. -A Riverside County Permit will
also be 'required: ; . ;
+for
R39 .'-Ingress
and egress local'`properties shall',be- maintained
at all times.'
_
R40,'
This permit isnot valid unless the --USA Inquiry Number is. ,
noted on� -the,' City copy of , this permit.
_ R41z
Replacement ,pavement shall be existing asphalt•thickness
plus one . inch., but .not''less -than 3 inches of AC -pavement
shall beplaced•. Class 2'aggregate base sh' 'be as per
existing or. 6"''minimum- (whichever' is greater) ,.for
'
arterial streets.
NOTE:. 10
/,
With proper validation _
this form constitutes an
CITY OF LA QUINTA
encroachment permit
- APPLICATION FOR PERMIT
- PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
Foe 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
Subdivision Improvement Permit — Class III
���-
-DATE: Fo Minor Improvement Permit Class IV
" LOCATION OF CONSTR CTION
t
(Street address or Description of Location) -
.`°PURPOSE OF CONSTRUCTION. "' Sketch". (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION SCE Q L^J?/DL ES
i
DIMENSION OF INSTALLATION OR REMOVAL 7 Xaa
t •
SIZE OF EXCAVATION, IF NEEDED -
APPROXIMATE TIME WHEN WORKWILL BEGIN
APPROXIMATE TIME,OF COMPLETION 'LOG -70 <:
ESTIMATED CONSTRUCTION COST $ '
1}nclud'ng.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 oroccurring 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. Quints' and to pay for any additional replacement necessary as the result of this work.
Signature of Applicant or Agent
Name of Applicant (please print) ` Business Address Telephone No.
fi
Name of Contractor and 'Job Foreman r Business Address Telephone No.
Con ctor's License No. City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit - Class) I
Public improvements: 3%of estimated=construction costs
Private improvements: 3% of estimated construction costs
00
Minor Improvement Permit_— C1ass'IV.: See attached'schedule . NInspection Fee . $' I PERMIT VALIDATION
Permit Fee
PERMIT.NO.
Penalty - DATE APPROVED `
Cash Deposit -Surety Bond
if required EXPIRATION DATE
TOTAL: $ a
DATE ISSUED
Receipt No.
x :By
Received by Date Administrative Authority
Recorded by TELEPHONE:. (619) 564-2246