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0809y'w` ."r"'"r'^�iw'�fi'f�"�ti�• t••�'1 '��aY��*��'r /�"Tx•�'4.p._.,,,, �ys6.�'u_,�•'S`+=4�*�`:Irtg__-!!i: '+tea, ,'.S'`•;fi",yr�iJ•�'r,T�',', ��"r�,'��v".ta"'"`'e°a�f`}!�� •' J.�r�'! .tSrZ��+ - � ' �" ••�.,"!i.a"1••rM .Ir'... .t. .. _ _ _ •••..•w..:w +,+`.ti,..,.r .:,'r .,� r•.:+ �+ iw .},.� +,G.,:..... .� r ,e•�,..�,.�•.�..� t_ 4,• t •,• f 'NOTE: ,�•',,�.-� � � .. = .• .. ., - • • � � �� • � � . With propersvalidation �y • Y r� Q this form constitutes an . CITY" OF LA QUINTAr ' ,encroa`ch}ment permit' .._ ! ;= . APPLICATION FOR PERMIT - '- • PUBLIC WORKS' CONSTRUCTION; -(ENCROACHMENT) el 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 .44 * Subdivision Improvement Permit = Class -111 '"w DATE:AuQ st •-31, '.1990 'Min r ' ' o Improvement Permit,Cla. ss IV LOCATION OFCONSTRUCTION Jefferson St _ 2618'.'=n/.o Avenue• 52 F, (Street. address or Description of Location) • • .' ( - • '• alter., 6" • gas main.', PURPOSE OFCONSTRUCTIONatt { f ' -Sketch (' ach construction plans if appropriate) to-clear•-golt- tonne :. f t s DESCRIPTION -OF CONSTRUCTION install up, section., DIMENSION,OF,INSTACLATION�OR REMOVAL` '40X7X40`, �L'.ReferenCe So. California 'Gas . - , ,permit• # '0787 All conditions' 6f permit' 0787 ' • SIZE OF EXCAVATIONJF NEEDED ` ^' shall: a 1 "t0';th1S pp. Y permit-,, J;>1'"' a• .APPROXIMATE TIME WHEN WORK WILL BEGIN y .9/5 90 ' . T �• ` , ' ;APPROXIMATE TIME OF COMPLETION- 3 days OQ5f 8 1p b9? p8-- i-90 - - 14 10 ASN i T�TAI i 135.00 4 .-".'ESTIMATED CONSTRUCTION COST $ ''•� •i,� , r::(Including removal.of:all obstruction, materials, and debris, backfilling, coin-' i ' piction'arid. placing permanent resurfacing and/or'replacing improvements) = • 4 . , In consideration of'granting .of this permit;' the•applicanf hereby -agrees to: t , ;Indemnify,.defend and save the; City, its authorized.agents, officers, representatives and employees, harrnless.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 gra`nted pursuant, to this application. ' 1, Notify the AdministrativerAuthority'at least twenty-fourl124) hours in°advance of the'tim�e.w �n work will be started. tor: �. Comply with'all applicable Gty,Ordinances;'the terms and conditions'of the permit`and,all•applicable rules and regulations of the City of , r La Quinta and to pay'for"any additional replacement necessary as th resul/t7�of, this work. t', •� y"�1Vi�',, . + w; Signature of Applicant ofA�gent", •Manr"�' (`nrief-r`tirt inn P(1' Rnu •7A'A ''PnI ri° Tl�cavi- I� ��•' ` "'�'2Q�_i 1 dn' n • Name'of Applicant (please pint) = `:Business'Addreiss�° , T' Telephone. No, ~i . +'�' � �. '•t- 1•" �' , , ,fir. ._ � Name'of Contractor and Job' Foreman` Business Address 'r '' Telephone. No. '. 25961'9; " • Contractor's License No. City Business License No: {, Reliance' -,Ins. Liability Auto/Genial. N61,253560'� I= Applicant's Insurance Company:Policy.Number .. �; • FEES: Subdivision Improvement Permit — Class 11I • > 14' Public improvements> 36/. of estimated construction costs Private improvements: 3% of estimated construction costs • -0'809 { 'Minor Improvementpermit —'Class 1V:'See attached schedule f+ ' + Inspection Fee $ "135.00 " y' ,• ! PERMIT VALIDATION ; `- Permit Fee -" : p 0809 " PERMIT NO:' Penalty DATE APPROVED 8/31/90 . Cash'Deposit-Surety,Bond , if required , EXPIRATION DATE 12/31/90 ' TOTAL: $ 135 00 • ; DATE ISSUED i 8/31/90 ~Receipt No. .� 10- By Received by, Date 'Administrative Authority Recorded by TELEPHONE: (619) 564-2246 ; �' ter' •` '�••�i.QA{++�y'S'`;`., 3't-'-ro � 7L:,�s�,7i+�+•�r�,IO''^`x�Ctl�1s.,'Ila.i.r'}�ji'.9.y'f,'!Rev'wl-�•':46,•L"%V•tN'��.e'-'."`y',.r"�-:. �.,.. ,1,,, _,,;-k,-r-,�., " - * ,r r i FP! �. r.. i. rst ... d.. r .r. �. O►'rw � w"�.' W Y w w"r,.M w ,.: `. ..� w�.,r.!,m r +: r.� 4 +os... t w.•r-•.. .w ._y �-•M'er-, t NOTE: -; With proper validation art 2 "thisform constitutes an CITY ' OF 'LA QUINTA encroachment permit - APPLICATION FOR PERMIT . g ti PUBLIC. WORKS CONSTRUCTION :(ENCROACHMENT) f4 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: August •31, . 1990 _4 Minor Improvement Permit Class IV '-LOCATION OF CONSTRUCTION Jefferson St. 26:18' n/o- Avenue .52 " ~ (Street address or Description.of Location) +.• �.. alter 6" gas main' Is. .PURPOSE OF CONSTRUCTION t Sketch (attach 'construction. plans if appropriate) . r to•clear -golf/tunnel z: DESCRIPTION OF CONSTRUCTION install up,section DIMENSION OF INSTALLATION OR REMOVAL 40x7x40 Reference So. 'California Gas perrrtit # ,-0787 ' Al • , . i conditions of per'm'it, -0787 .:` SIZE OF EXCAVATION, IF NEEDED shall . apply, to, this permit ' ,'APPROXIMATE'TIMErWHEN WORK WILL BEGIN 97!5790 APPROXIMATETIME OF COMPLETION 3 days .00%89, i0 6697 pp8--3i�-90 14 i0 ' G�r1. M -i 1�iiAi i i35�0© 'ESTIMATED CONSTRUCTION COST $ t - (Including removal of all obstruction', materials, and debris, backfilling, com- paction�ancl placing permanent resurfacing and/or replacing improvements) ; In consideration ofthe 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 oroloss resulting from ,claims or court action,and arising out of. any accident, loss or damage to.persons or ,property y , , 'happening,or occurring as a proximate result of any work undertaken under the permit grantedpursuantto this application. Notify the'Administrative Autl ority,at least twenty-four (24) hours in.advance'of the ti / wh�n works 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 resuli:, this work.' a d fi Signature of Applicant/or Agent , Mai,t^n rmi_-,t-•rtic-f-inn . PCS Pnx 7R'3' Palm's nPPPrt tt}A '= Name`of Applicant (please print) Business Address Telephone -No. ` ' . Name of Contractor and Job Foreman Business Address 'Telephone No. 258619; 566 Contractor's License N6. City Business License No. ' fir;. Reliance In8. Liability, Auto/Genial:=•' N61253560 I . Ap.plicar't's,Insurance Company Policy Number . {jp FEES:. Subdivision Improvement Permit — Class III - tr {i�e •' •`1 ' •. a .. �,' ' '� - .t 'Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs ` II�•,� Minor Improvement Permit —Class IV: See attached schedule - M -0909 L 135.00 Inspection Fee $ PERMIT VALIDATION' `Permit Fee � ` PERMIT NO. 0809' i, Penalty 8/1/90 Cash Deposit-Surety.Bond DATE APPROVED " if required EXPIRATION•DATE 1.2/31/90 TOTAL: $ 135.00 'i •.. DATE ISSUED r Receipt No. • By Received by Date Administrative Authority Recorded by , TELEPHONE: (619) 564-2246 * The follovmng General and Special Provisions are attached to and made a part of"PermirNor . ��... *4; • { t '* st ., GENERAL:P.ROVISIONS.�. "'> s. 4 . The.followjng site)) alvvays+ePDIY:', ' c�c,: r ,,ENCROACHMENT ON PRIVATE PROPERTY: This permit autnorizes.work to be accomplished within ONLY. Whenever construction extends within. pnvate:propeny: it shall be the responsibility:of the perms l` secure permission from abuttingproperty owners. Such authorization must be:secured by the permittees l - v TRACKLAYING CONSTRUCTION EQUIPMENT. ' Cleated tracklaying construction equipment shall not be perm r paved surface unless fitted'withsmooth=faced street pads. All mechanical outriggers shall be fitted with rubber st. the paving, during. excavations. Rubber -tired equipmenvonly shall be.used in backfill operations in paved are, pavement is scarred, spelled, or broken during the term of this contract. or if the pavement is marred: City of La Qui, t . 1 that.these portions, chroad-be resurfacediovisr, their.emirewidth iResurfacing shail consisvof•one coat of two inch,:.. - rr surfacingplus. appropriate seal•coat as specdied:ebover�• St' • PROTECTION OF TRAFFIC: All excavations and work areas shall be properly lighted and barricaded as deemed assatinlik + Engineer or La Quints City Public, Works Inspectors. Suitabledetoursand detour signs shall beplaced and maintainedfwth of the project. The City shall be notified 24 Hrs. in advance of any traffic detours or delineations. i f •+ -'CARE OF DRAINAGE STRUCTURES: Any drainagW structure including corrugated metal pipe, concrete pipe, steel culvert + concrete, structures encountered .during excavation -which necessitate: removal shall -be replaced in kind. In -the event.it.bee necessary;to remove or cut existing drainage structures. City. of La Quints shall -be -notified prior to commencement of thisworll, Drainage: structures and open drains shall be kept free of debris at all times for proper drainage: RIGHT OF WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed fromthe right of way. All paved surfaces shall be broomed clean of earth and other objectionable materials immediately after backfill and compection.- a a Existing gutter line and drainage ditches shall be repiaced'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 arid. shal besused,v ' immedistelyrafter backfill: r.t Y : DE•WATER OPERATIONS:Jf de -watering operations are required and pumps are forcing water on City of La Quints roads, it shall be �. the responsibility of the permittee (contractor) to control -this water and.to provide off-street barricades when necessary. CLOSING STREETS: No street shallbe closed. A minim"um of one lane of�traffic shall biimaintained at all times to provide limited access for the adjoiningproperty owners and emergency vehicles. In the event it isfeltbythe permittee that he mustclose astreetfor ,'• any length of time. permittee shall contact this office to'obtain the necessary permission. < } SPECIAL PROVISIONS •y. t The follwing. shall apply ONLY. When indicated:' -C y ? TR1 NOTIFICATION: Permittee shall notify the City at -564-2246 at least 48 hours in advance of starting construction. 2 CASH DEPOSITS OR BONDS: A cash bond or in approved surety bond in an amount of not less than s ' - 'shall be furnished in the name of City of Ca Quinta to cover all work involved in the restoration of the various La Quinta goads and survey monuments. This bond shall be continuous until cancelled by the City Engineer. This bond must be posted prior to commencement of any work on this project {{ R3 UTILITY CLEARANCE:(Substructures► Prior to making any excavation within the City of La Quinta right ofwayeuthorized ' by permit, the permitteas hall contact all concerned utility companies relative to the location of existing substructures. Damage to existing substructures resultingirom operations conducted under this permit shall be the sole responsibility, of the permittee. M' > 11 ' ,. h UTILITY'CLEARANCE:-ISurface-structures) No•work shall be done-under,this-permit until -all utilities are dear-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 concrete gutter line and the existing road pavement shall be ,• surfaced with inches of A.C. paving placed on • inches of class aggregate subbase course y having an "R"valueof notlessthan ' and in conformancewithCityofLaQuinta Road Improvement Standards t and Specifications, Ordinance #461.' R6 PARKWAY GRADING: Areabetweenthepropertyline.andtopoftheproposedconcretecurbshallbegradedtoaslopeof 1.'4 inch to one foot I1'). + nfr R7 'GRADES & STAKES: City of La Quinta shall establish grades and stakes for the proposed concrete curb and gutter construction. ' R8 r GRADE CHECKING: Ciiy`of La Quinta shall check grades upon receipt of plan and profile and/or grades asestablished by t sJ a. licensed engineer. R9 CURB' REMOVAL FOR DRIVEWAYS: A•ponion of the existing concrete curb and/or curb and gutter ( feetlshall be ' removed. Curti and/or curb and gutter shall be saw 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. R10 DRIVEWAYS. A.C.: Driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the property line and the existing road paving shall be '2.1 /2 inches of A.C. paving placed on 1 ") of class T aggrepte'base. Driveway construction shall conform to attached drawing. R11 CULVERTS: A-• inch diameter( )culvert shall be installed with the invert approximately 1 -1 /2 r inches below and in line with the existing flow line. Culvert installation shall conform to the attached drawing. R12.//SIGHT CLEARANCE: Sight clearance of 600 feet in either.direction shall be assured and maintained. r• F y , R1_3 SOIL STERILIZER:. The area to be surfaced shall be treated with soil sterilizer. Rate of application shall comply with the ' manufacturer's specifications. n s ' j' �• tf�4 COORDINATE WORK: The proposed work'shall be subordinated to anv operation which the State of California or •r + I. ��, City of La Quinta may conduct in this area during the period of this permit: Work shall be coordinated with the State or c , City of La Quinta forces.to preclude delay or interference. with State or City of La Quinta projects. ` SURVEY MONUMENTS: Prior to excavation or beginning'of construction, all survey monuments which exist on the st +• centerline of all streets or property 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 iiestothesemonumentsshallbe'furnishodtotheCityEngineerpriortotheremovalofanymonuments.Thisofficeshali be notified uoon completion of replacement of all survey monuments for proper project clearance. 6 SURVEY MONUMENTS: Prior to excavation or begir )f construction, all survey monuments shall betiedautbvcity:- of La Quinta and suitable payment or guarantee o. ,—pnent shall be made as reimbursement: for all work Involved. q17 PAVEMENT CUTTING: Pavement will be mechanically cut to a straight edge prior to excavatibn.•Method of pave men - 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 pavementl. 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 t19 corrected. PAVEMENT CUTTING: Pavement shall be saw cut prior to removal. Prior to final paving operations, any damage to pavement straight edge shall be corrected. LIMIT OF EXCAVATIONS: Excavations shall be limited to 1,000lineal feetof open trench before backfill operations must begin. All excavations shall be properly barricaded with lights overnight, on weekends and holidays for the 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. R2 BACKFILL MATERIAL Backfill shall be free of brush, roots or otherorganic substance detrimental to its use for purposes of producing an adequately consolidated backfill. Any material which the City of La Quinta deems unsuitable(spwwor 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 not greaterthan three feet (31 and vibrated using vibrotamperor equivalent equipment. Alternate methods maybe substituted, but in any case a relative compaction of 95 percent shall be attained within the structural section of the roadway. 1822 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 151 lifts where trenches are of excessive depths. Care is to be exercised thatthe 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 is the 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. A23 COMPACTION TESTS: If so required bythe inspector, compactiontests shall be made at intervalsof not more then 1,000 feet and a minimum of one 11) test on each road. One (1) copy of each test shall be forwarded to the City Engineer for approval andfiled prior to making permanent repairs. Compaction tests shall be made as outlined in Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973. R24 )COMPACTION TESTS: If so required by the inspector, compaction tests shall be made for each crossing or service line. One (1) copy ofeach test shall beforwarded tothe City Engineer for approval and filed prior tomaking permanentrepairs. Compaction tests shall be made as outlined in Section 6.3.01 of the Standard Specifications, Division of Highways. State of California, dated January 1973. 225 ;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 maximum of 3.000 lineal feet of trench has been excavated and backfill operations completed, but in no case shall /. the placement of the temporar, I . id.naia exuawi d iiia '5) day limit. <R26 PERMANENT PAVEMENT REPAIR: After backfill and compaction operations have been completed, a temporary patch consisting of two inches 121 of SC -800 shall be placed immediately. A permanent patch of inches A.C. surfacing placed on a inch class base shall be placed no later than iS _ days after completion of temporary road repair. R27 PAVEMENT REPAIR: F.A. S.: Upon completion of backfil I a nd compaction. a temporary patch consisting of two inches (2'1 of cold mix paving (SC -800) shall be placed immediately. A permanent patch of three inches 13') of A.C. surfacing shall be placed on six inches (6") concrete base as directed. but not later than fifteen 0 5) 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 #461. 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 issuance of 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 sections which can be handled safely without interference or hazard to 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 the following 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 snail 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 500 feet 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 --L Lila M 2 <� ' 010 ` bey' �A p&j PLAN FILE �•ya��/�J'� BAS[ SKETCH JCONSTR.'yfKETCH CoMPL, fKETCN h, tV 56 kOl \ SHEET OF GAS HAND �` /A/ G r I !) , BY: BY: f itY. _ TO TALFEET�INST'D. COPY .. • S. {J'V _ {• �' • � WITH AT LEAST _-COVER INSTALL MAIN W BELOW TOTAL FEET RETIRED TSA 14-r 4 PLRGE /Tr L OC. S. b -' . 3 7;VP /t,Q STO? F X T LX S. �T `,a' /D � T SE�IED ■Y ,. CI 1 i ! �' �:v, r`.1 � � PERMIT NO. b� � � DATE MOVED. DAT[ MOVED DATE OR o JOB OFF ,o■ orER. �t�U1 zow/v F P JAG-- CLZ) 11'1RIA1, _ f.. courtrY 1� ( - �RETIREMENT� REASON CREW FOREMAN .. DISTRICT f.-/ ..�.�— TRACT --- COMPANY ' PLANNED BY STAKED ❑ FARO ! IZ- E I /� f•� e�.� OF Tom+/ N[ U L,.:... € '-a.� �..'� /���'....a - N0. - ATLA[ / IVD- NO.. rH � ILY � YEAR C.P. ❑ INSTALLED t,+,p� STAKING REO'D. ❑ COMPANY FACILITY: SO. CAL P.L.S. ❑ • Tit ! / mss} . l 1� _Lr I-1 /1V D .t"t ✓/ +• DIVISION 1 REVI[ ED � - C CATHGOICALLY YES NO❑ 20Y. OR OVER OPER. S.M. Y.S. AT LESS THAN 20M. ,.. ., - NO STAKES NEEDED ❑ �+ �a} /- // L ORG. L� �LJC.0 �C./ W.O. �K 9—� % CODE, - - PROTECTED D:ars:cT su►RwvuoR SOUTHERN CALIFORNIA GAS CO._ 2936-4F )10-75) _� - � f p j 3 -: moi.. 01) f/{] / ]�5T'•[� ICY )�Vlr 1 Lila M 2 <� ' 010 ` bey' �A p&j r �� _ • _ TO TALFEET�INST'D. COPY .. • S. {J'V ' // {• �' • � WITH AT LEAST _-COVER INSTALL MAIN W BELOW TOTAL FEET RETIRED -' ,_. .' ,- � �T `,a' /D � T SE�IED ■Y ,. CI 1 i ! �' �:v, r`.1 � � PERMIT NO. b� � � DATE MOVED. DAT[ MOVED DATE OR o JOB OFF ,o■ orER. courtrY 1� ( - �RETIREMENT� REASON CREW FOREMAN .. DISTRICT f.-/ ..�.�— TRACT COMPANY ' PLANNED BY STAKED ❑ FARO ! IZ- E I /� f•� e�.� OF Tom+/ N[ U L,.:... € '-a.� �..'� /���'....a - N0. - ATLA[ / IVD- NO.. rH � ILY � YEAR C.P. ❑ INSTALLED t,+,p� STAKING REO'D. ❑ COMPANY FACILITY: SO. CAL P.L.S. ❑ • Tit ! / mss} . l 1� _Lr I-1 /1V D .t"t ✓/ +• DIVISION , REVI[ ED � - C CATHGOICALLY YES NO❑ 20Y. OR OVER OPER. S.M. Y.S. AT LESS THAN 20M. ,.. ., - NO STAKES NEEDED ❑ �+ �a} /- // L ORG. L� �LJC.0 �C./ W.O. �K 9—� % CODE, - - PROTECTED D:ars:cT su►RwvuoR SOUTHERN CALIFORNIA GAS CO._ 2936-4F )10-75) _� -