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0959 (2)NOTE: . 't4 Witt proper validations ..,this form constitutes'an e•' CITY'•OFA` QUINTA ti, L encroachment permit j' APPLICATION` FOR'PERMIT 58440=385. . ' yPUBLIC. WORKS ,CONSTRUCTION , (ENCROACHMENT) 0 :—'For t the constr6ction �of.' public or private curbs;.'driveways, pavements, sidewalks, 'parking Gots; sewers .water mains 1 and othe'r'like public works improvements --in connection with MINOR -IMPROVEMENTS'and.APPROVED SUBDIVISIONS t, 41 • • f �+ . y t r _ •'• Subdivision Improvement Permit,-' Class.l l l . ReCember 18 a',1990 . ' DATE: � +` - ,; : Minor Improvement Permit Class IV 01 LOCATION OF CONSTRUCTION r t Avenida Villa (Street address or'Description of Location) • IiURPOSE OF CONSTRUCTI.ON .t0i.nsta11 AGW C,MA 'Mal -11 �- Sketch (attach const_ructiori plans if. appropriate). DESCRIPTION OF CONSTRUCTION to 1--zastI-A1-105•' of -.:2 blastiC madifi rn-pressure gas main la' w/EPL of Avenida"Villa. beaihnina 249' SISPL of Calla Hic3alao'JI;proceeslin4, south 1 ..',DIMENSION OF.INSTALLATION OR REMOVAL cut art $5` jet 20' a-spYia t`, SIZE OF'EXCAVATION,'IIF NEEDED`. A APPROXIMATE•TIME'WHEN WORK WILL BEGIN 12/jV90 APPROXIMATE TIME OF COMPLETION, 6/30/91 t . ' ESTIMATED,CONSTRUCTION COST$" (Including;removal of all obstruction, materials,'and_ debris, backfilling, �com ` _ r - i'. } ,. paction,and placing permanent. resurfacin,g.and/or replacing improvements) In consideration of the granting of,this permit, .the applicant'hereby agrees to:: `1 r • •` Indemnify,•.,defend and save the City, its authorized agents,'officers, representatives ,and employees, harmless :from and'against any and all i w a- - Kr 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. 1 ' Notify'the'Administrative Authority at least twenty-four (24) hours in advance of the time 'when work will',be started.. .t •r ' Comply with applicable'City Ordinances,Jthe terms and conaitions of the permit and all applicable rules.,and regulations of the City of f •La•auinta and to pay foi,,any additional replacement necessary as the result of this work." r" t' �', Si-yder, Dieu :button ' Superviscyr ` Signature'of Applicant or'Agent. `Southern Califomi:a. Gas PO Box 3003 tFad3.arididi CA,'92373 ' (714) 335=7742 ?' f ,'.Name of Applicant (please print) . ' ` ' Business' Address x -' 'x' Telephone No-- Name of Contractor and Job Foreman Business Address ' ; + kTelephone No. C no tactor' s"License No. City Business License No. ;4 , T Applicant's Insurance Company '' • s 'Policy Number y' FEES: Subdivision Improvement Permit — Class l l l Public improvements: 3% of estimated construction costs • F F Private improvements:, 3% of estimated construction costs Q®9 9 Minor Improvement Permit — Class IV: See attached schedule �' '' " • r • *r ' Inspection Fee's + $ ' '��— +PERMITzVALIDATIO,N ` '• -Permit Fee PERMIT NO'? ,i• � Penalty . . , Cash Deposit -Surety Bond '� DATEAPPROVED12/18/90 r. .�. ` if required rr ' 6/30/91 • � •EXPIRATION DATE, - TOTAL: $� �� �. - , 12/18/9© %a DATE ISSUED ' Receipt No. « - '/ r + R e• By' S. A s * Received by + Date A' f' � 6y r Administrative Authority ` Recorded by _ y h • jj�, ;TELEPHONE: (619) 564-2246 NOTE: With proper validation this form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT 58440--385 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 DeC_r 18 1990 Subdivision Improvement Permit —Class II I DATE: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Avenida Villa (Street address or Description of Location) PURPOSE OF CONSTRUCTION to install MAI c?SLE-1 r'Zin Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION .to install 105' of 3" clastic madiur. pressure qas irain 10' w1W.., of Avenida Villa. beoinnina 249' S/SPL of Calla-. 17idalgo, ^rocaeding south DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 12/31/90 APPROXIMATE TIME OF COMPLETION 6/30/91 ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) Cut earth S5' jet 201 asrhal.t 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. JIM Snyder, Distribution Supervisor Signature of Applicant or Agent Southern California Gas PO Ecx 3003 Redlandd, CA 92373 (714) 335-7742 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 . $ 1I Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by Date Recorded by lv� PERMIT VALIDATION PERMIT NO. 0959 DATE APPROVED 12/18/00 EXPIRATION DATE 030/91 DATE ISSUED 12/18/S4 By Administrative Authority TELEPHONE: (619) 564-2246 _ , -;r7-� _.:.• 3'�•• .. •.", •.•: y -;, ,..� .... _-__-_ .__. _.._—. .r 'n -. sN3:. :.. _ ,-.• ;,. mak.. •.A—.a..,, * __,—:— ADDLTION- ENCROACHMENT�PERMIT''NO.09 ----CONDITIONS"' " W , ._ G,; , q. •u`✓..+.i�z+.`.. .r .-F ..TYc-_ n-. ..•�,,..._: f. ,.:. �. ':S ... � It r tG„iL tti� a� •a ¢ a. s 4•.' R33 Surveymonuments,shall be protected inep ace or re-established„ pursuant...to'.`ctty.* st -' andards.:and the State,, of California '-Land Surveyor's'Act:. .° R34 Work shall -be coordinated with the"' City oftLa.Quintals ' -forces to preclude delay. or. interference. with the City.of• La Quintals projects. , �R35 Contractor,shall comply with=the local noise ordinance -'-and . construction operations and',maintenance of equipment within ' one half mile of human occupancy,shall be performed only'. during the timeYperiods as,follows:,' o - Friday. 7:OOa.m. -5: 30p:m:October'1st t - .. � Saturday 8.00a.m.-5:00p.m. • May lst to`September 30.`' Monday-Friday'6:00aim.-7.00prm. +r, Saturday. 8: 00a.in. -5 00p.m. . Work shall.,be• ro an p hibited anytime on- Sunday and.Federal • holiday., Traffic •control .shall •be as per Cal Trans''.Traffic Manual. " Field adjustments in`detour ng shall -be accomplished as •directed' in 'order to"adjust to, actual afield conditions. It; ;- shall be the contractor'sresponsibility toladequate.ly barricade and detour.'this site... A Traffic control plan shall be submitted'for approval by the City Engineer. tr n `shall „R37 All excavation'at or• near, the travel way be. backfilled - - at the 'end of 'the , work day,; -"for the •protection of `the traveling public. 'R38' Street,closuresxshall not be allowed a_t•any time. --A, minimum tof one travel lane shall be "maintained •at all. -times .with flagmen during ' working ' hours'.. ' 'R40-' ,� All, work- to be -performed within the, existing paved section shall be temporary paved and maintained by.the Permittee,, �• `r permanent.pavement:shall be placed no•later than 15'days after completion of the temporary road repair`. R41..-' Ingress-and,egresg for local -properties shall be maintained, 4 at -all times ;. R42 . ' :Prior- to work starting;. , Underground" Service Alert shall - be. ' 4 _ I contacted "at '1-800-422-4133 and : an ."inquiry number",, shall be ' provided to,.the� City' Public',Works'.Inspector. , r R43o' Pavement shall be sawcut prior "to removal. ` -;�z�t. 2�.a � ,,"d :ar t..t.+.y _"eJ '�'C+84--,'-5 'x^.,r'�' F+"-`•"'""`'�' .r '�-r.-i .+�..- •.c .tea �� i,��-^.V �. «k r'"(w 'ati-a;�,h�tf -.. y� ssr-. �. r,�- a'• c,�"'f�%'�''. nk -i-i' __ - t �,'i-^eG# "�-- 4..j•`-:«+: •v•n"'z..7+ ti`-ir-•hatr'' ., �•'_4. • W'`4% > ., "�'iNi4•ir•_�. .v ut .r•yi a, .e'"F .t,i�t•.�i . ,. -t^� 'Y', ,may �-. '. �' .'•{_._ .. �,�"5"3--�'� �.-"c",=yY " Additional..,:Condi,tions.:...-.. Encroachment- Permit ----No.: 0959. ;,;Page 2 ... R44 All' -backfill subgrade .soil- shall -be. compacted to nothing' I less than 90%; relative'd-ry density, all backfill soil within.,r the top',2' of -finish pavement surface shall be compacted to, nothing less than 950%,relative•dry density,- all base � material shall b=e compacted to nothing less than.95% relative dry density. R45 -Replacement, 'pavement -sections shall be 3 " AC over 4" Class II'aggregate base. ' �R46 If -the work.is.to be performed by forces other than that of f. -the utility:company,.,the contracting company will be ' required to apply for ari additional,encroachment permit , and' pay .the appropriate *fee. . L z._ tN..I (L�- 1 .'7-+.tt.��-Zel f'6,i3t-•a,.. S.IfA it�Y a-- .e, = 1.; ..31T� i;r �`�'. tl y �'�s. ,._'. k.. �?'' � A:�_ ,t 'Z.�t2tR�e'�t-per_. '[QLSl$'"G$91'p£r.4.r�1[=.F�s'ltrd+7twT.:'.stF.b":3-� G +r'$` F -. .... "-. - �• .,. _.: --�! -. •cY�yfyYf�1 ,15GiN-13s?.mt ::�gCfIB?iildh7Tc� . +1•r3 ., - s _ i»'r�r"3�'�'4-�••X-� y The following General and Special Provisions are attached to antl made a part.of Permit No. - r' 4a'r GENERAL. -PROVISIONS The following shall always apply: 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 secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting work. TRACKLAYINGCONSTRUCTIONEQUIPMENT: CleatedItracklayingconstructionequipmentshallnotbepermittedtooperateonany, 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, spelled, or broken during the term of this contract, or if the pavement is marred, City of La Quinta shall request L' 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. oL PROTECTION OF TRAFFIC: All excavations and work areas shall be properly lighted and barricaded as deemed necessary bythe 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. 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 from the right of way. All paved surfaces shall be broomed clean of earth and other objectionable materials immediately after backfill 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 of 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 isfelt bythe permitteethat he must close a streetfor any, length of time, permittee shall contact this office to obtain the necessary permission. SPECIAL PROVISIONS The follwing shall apply ONLY when indicated: R� 1 NOTIFICATION: Permittee shall notify the City at 564-2246 at least 48 hours in advance of starting construction. /CASH DEPOSITS OR BONDS: A cash bond or an approved surety bond in an amount of not less than $ shall be furnished in the name of City of La Quinta to cover all work involved in the restoration of the various La Quinta roads 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. TILITY CLEARANCE: (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. Damage to existing substructures resulting from operations conducted under this permit shall be thesole responsibility - of the permittee. r �U,� ILITY CLEARANCE: (Surface structures) No work shall be done underthis permit until all utilities are clear of the posed work site. The permittee shall notify all concerned utility companies of the proposed work. 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 ^ 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 (1'). R7 GRADES & STAKES: City of La Quinta shall establish grades and stakes for the proposed concrete curb and gutter construction. E ►' R8 ADE CHECKING: City of La Quinta shall checkgrades upon receiptof plan and profile and/or grades asestablished by a licensed engineer. _ R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter ( feet)shail be removed. Curb 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 ( ") of class 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 . t inches below and in. line with the existing flow line. Culvert installation shall conform to the attached drawing. R12 IGHT CLEARANCE: Sight clearance of 600 feet in either direction shall be assured and maintained. - "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: r .r ' t 1314' OORDINATE WORK: The proposed work shall be subordinated to any operation which the State of California or ity of La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or City of La Quinta forces to preclude delay or interference with State or City of La Quinta projects. R15 RVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the " c nterline of all streets or property lines when involved shall be completely tied out so they maybe readily and correctly 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 to the removal of any monuments. This office shall j be notified upon completion of replacement of all survey monuments for proper project clearance. ori_�i ,. R16._ SURVEY MONUMENTS: Prior to excavation or beginning of cons n, all survey monuments shall be tied out by City of uinta andsuitable payment or guarantee of payment st made as reimbursement for all work involved. R17 P� ENT 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. R18 PAVEMENT CUTTING: Pavement shall be saw cut prior to removal. Prior to final paving operations, any damage to pavement straight edge shall be corrected. �R19 LIMIT OF EXCAVATIONS: Excavations shall be limited to 1,000 lineal 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 sha!I 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 ate rial is actually on the work site. R20 ACKFILLMATERIAL:Backfillshallbefreeofbrush,rootsorotherorganicsubstancedetrimentaltoitsuseforpurposes f producing an adequately consolidated backfill. Any material which the City of La Quinta deems unsuitable (spongyor saturated ateraIIw hich 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 case a relative compaction of 95 percent shall be attained within the structural section of the roadway. R22 B CKFILL PLACEMENT: Backfill shall be applied in layers of not more than 50 percent of the total depth of the trench fore floodingdramaximumoffive-foot(5')liftswheretrenchesareofexcessivedepths.Careistobeexercisedthatthe 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. R23 COMPACTION TESTS: If so required bythe inspector, compaction tests shall be made at intervalsof not morethan 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 andfiled prior to making permanent repairs. Compactiontests shall be made as outlined in Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973. R24 MPACTION TESTS: If so required by the inspector, compaction tests shall be made for each crossing or service line. O e(1)copyofeachtestshallbeforwardedtotheCityEngineerforapprovalandfiledpriortomakingpermanentrepairs. ompaction tests shall be made as outlined in Section 6.3.01 of the Standard Specifications, Division of Highways, State f California, dated January 1973. R25 T MPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch onsisting 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 hasbeen excavated and backfill operations completed, but in nocaseshall 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 f inches A.C. surfacing placed on a inch class M - �n-base sha�bepacednolater than �daysafter completion of temporary road repair , CN,4 (,j{�7 R27 PAVEMENT REPAIR: F.A.S.: Upon completion of backfilfand compaction, a temporary patch consisting of two 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 #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 asspecified 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 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 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 j (2") and above in size. Sealant shall be applied to all cut sections as directed by the City Public Works Inspector. 0 NOTE: With proper validation this form constitutes an CITY OF LA QUANTA encroachment permit APPLICATION FOR PERMIT 58440-385 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 Subdivision intmova. nt Permit - Class I11 DATE: DEC. 10, 1990 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Avenida Vil l n (Street address or Description of Location) PURPOSE OF CONSTRUCTION To install new gas main Sketch (attach construction plans if appropriate) DESCRIPTION OF CONST Avenida Villa. beg DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 12-31-90 astic medium pressure gas main o, proceeding south. 10' W/EPL of D-1 CUT EARTH 85' JET 20' ASPHALT APPROXIMATE TIME OF. COMPLETION 6-30-91 ESTIMATED CONSTRUCTION COST S (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 ave 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, loci 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 tM time when work will be started. ";amply wish all applicable City Ordinances, the tans and conditions of the permit and all applicable rules and regulations of the City of II Oirirna and to pay for any additionM raplaoannatt nevem it as the mutt oi�j a SUPERVISOR ' >cignal<uha of Applial'if or AgaM.; SOUTHERN CAL IF'ORNIti'' x_n. -Al•n_ Tom. rn groji .. "(714) 335 -*7742 _ .Neme of Applicant (Pl sse print) Weinaa Address Telephone No. - Nana of Cattractolr and ,rob Foremen 'Z Ausiresa Address Telephone No. Contraftor's License No. City .Business Liceme No. . Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit - Class 111 Public improvements: 3% of estimated construction own , Private improvements: 3% of allnated oonstruction costs Minor Improvement Permit - Class IV: See attached schedule Impaction Fee Permit Fee Penalty Cash DwasitSurety Bond if required i TOTAL: W. i Receipt No. Received by ate Recorded by PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority TELEPHONE: (619) 564.2246 -• _AW 71N FILE NO. BE SKETCH CONSTR, SKEjW I COMPL. SKETCH t.ST d T,=- S S' T 1 .20'(0 -1 G HEET I OF I 17 lv P _ MAIN COND. I LA G?vl►JTA CODE _ I t EXT_JNTT, , \` N 5 lI + � 3_ / • A/ 4T Q NwT • 3�0 Zpp - �{ I G ALLY N I DAI%D N _ P1 P1CH d T1ZZ,_ 1 i1/ D 1p, _ ... lU 0 P C -D U P llr e- Q �. .. J. Q =A5 'C.r✓,0Z_ filG � GAL.1� 4 d 511.1ALaq M A) N V s2 AV. q T._.ST- AT Z o C1/1 ! 5C l PINCJ4 4 T /&--ov L. / R. � �Velt-i I17A M . Pu, R&E rvtRITV -4 5,ECv10E � d I� ll Q VIGIN-I • ..T \ tr r .. .. t •.. r - - 4 �h •�. a' Ion a so t ted. _ ?'T - O AL EET ST a• .. -r. " .-. •,. .. - ..-. „a • ti..-.. .. ,. ..vim,.•.....:......:._.._-,t,'tn. ,..-_".: _.,_.�T:... .. ....., _ .... �. _ ..... _ . _. _ ..:. ..... , - _.-.f- .... ... _ ... ..., . -- .. .:.. MAIN WITH AT.LEAST�� - COVER'BELOW _JCS '� - " '' � '; TOTAL''FEET RETIRED . �.•, ,�. .. _ �•::;,. •; .. ..:'.=<. : "-,; .• • •-. • ..: :,� • _ ;.�..;,... ..: ;:No ::-Pressure:District Yes o: ❑:'.: ..-..:INSTALL . ,r._, -.. ...:: ..:.-�'.:: :.,.:'.:,',.t :. ;.,•.:. .. ,. ,.. ',.�..,,:.-.-....-._ ....... .Affected . _ _:.._. .O . :... ...: ... ,._ .. :..-:. ,. .. '>;.......,:: _.:...._, ...•.. ... BUSIrI@SS. DlstrlCt Affect@d :•.-'.,-;.._::. - .'.,.::•!.•'`" I rp� VE 5 ` PERMIT ISSUED ;-PERMIT NO. -•_.:-.;..-::'.,i .'- ` RETIREM6NT� .PIT MOVED'.DATEMOVED""_" ....DATEOF, ' :' :, -._. ::.•:,.__ r ;_ �,✓- . •".: - .; _�.:; -•, ::::<; ;. .•.:`. _' , ...., ._Y@Sf❑'NO'❑'•' . ... 5�-- I . COUNTY T`[o� LAG2J�►r`'A FF B OPER. ONJO B O JO ' Su I Line Affected ` . Yes ❑ No ❑" pp y CREW FOREMAN ' _ Valves) Required . ' . Yes ❑ No ❑ DISTR{CT REASON '. :. .. ..: -...- TRACT •. .. - .. - PLANNED BY,., L .. - ' - COMPANY - --. •' ' ' Reviewed By:.. NO T .. ......, .. ATLAS �J I y ( I STAKED'.. •' Tp NY KED - ❑ YEAR .P - - - - - A C COMPANY FACILITY: SO. CAL. �' P.L.S. ❑ ' • -- - .. NO' REVIEWED BY - INSTALLED .. STAKING ❑ ({� ��'�+ ✓ �M.�� DIVISION - Ci.P Reviewed B : Y REO�D. - 20% OR ❑ CJ� {1 _ GATHODICALY , YES ❑ NO ❑ GPER OVER 0, -S.M.Y.S.NO G� Q -SSS ORG. PROTECTED ❑STAKES NEEDED nr, LESS rrlwr+ to% DISTRICT SUPERVISOR W.O. CODE ' •SOUTHERN CALIFORNIA GAS CO -2456.3-1: - - ••---------•-•—�--•--- "' � � -