1904t
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
Subdivision Improvement Permit — Class I I I
DATE: 9/19/93 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION AYE► 1A
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
Sketch (attach construction plans if appropriate)
TO UST= 50' 01 2" NMI= PIMSM
PLAMC CM SM 10' N/SRL OF AVEMA
A$ EE+GZQIAQ 3' E/S LOT LM
OF LO! 22 OR ATSMA MM=UU AND
COSTIxUM11111 "
SIZE OF EXCAVATION, IF NEEDED SEE AM(= 8lKETI
APPROXIMATE TIME WHEN WORK WILL BEGIN 10/04/93 SBS A2TAQW CONDrfIM
APPROXIMATE TIME OF COMPLETION 12/21/93
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.
�fObL ��0"7 Aa�
Signature of Applicant or Agent t
SOOTMM CALA UOMIA GO CO. ]P.O. HOZ 3003,8 REEILMS„ " 92373 (314) 335-77"
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:
Receipt No.
$ -a—
Received by Date
Recorded by
T904
PERMIT VALIDATION
PERMIT NO. 1904
DATE APPROVED 9/29/93
EXPIRATION DATE 12/27/93
DATE ISS ED 129 93
By
Administrative Authority
TELEPHONE: (619) 564-2246
The following General and Special Provisions aro attached to aro meas a part of Permit No. - / 90
R GENERAL PROVISIONS
The following small always apply:
ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work lobe accomplished within City of La Quints right of way
ONLY. Whenever construction extends within private procertv. It Shall be the responsibility of the permmee lar his Contra
SeCutO permlSSlOn }rent abutting property ONittefS. Such 8U[mOrltailOn must be Secured by the permmee pr:Or tO starting work.
TRACKLAYING CONSTRUCTION EQUIPMENT: CleateatroddavmgconstruaroneQulomemahallnotbecarmmedtoOperateonany
Paved surface unless fittedwlth smooth -faces Street pact. All mechanical outriggers 8111111 be fitted with rubber wee shoes to protect
the paving during excavations. Rubber -tired equipment only shall be used In bactdill operations In paved areal N the existing
pavement Is scarrea. soauled. or broken during the term of this contract, or it the pavement is marreQ City Of la Quiets shall red
re
that these portions of road be resurfaced over their emirs width. Resurfacing shall consist of one Po
surfaging plus avaroonste seal coat as specified above. et Of La unarms all aof A.C.
PROTECTION OF TRAFFIC: All excavations and work areas shall be property lighted and barricaded as deemed nscmasarybythe City
Engineer or La Quints City Public Works Inspectors. Suitable detours and detour signs shall be placed and matmalnedfprthe duration
of the project. The City shall be notified 24 Mrs., in advance of any traffic detours or delinelastortL
CARE OF DRAINAGE STRUCTURES: Any drainage structure Including corrugated metal pipe concrete pipe, steal culvert and
concrete structures encountered during excavation which necessitate removal shall be replaced in kind. In the avent.it becomes
necessary to remove Or cut existing drainage structures. City of La Quints shall be notified onor to commencement of this work.
Drainage structures and open drains shall be kept free of debris at aO times for proper drainage
RIGHT OF WAY CLEANUP: Any surplus materiel resulting from excavation and backfill operations shall be removed fromthe right of
way. All paved surfaces shall be broomed dean of earth and other objectionable materials immediately alter backfill and compaction.
Existing gutter line and drainage ditches shall be replaced to their anginal standard or better. All excess material epee be removed
prior to paving. Water tanker shall be used. as requtred. to sprinkle the job site to keep down dust conditions and Shan be used
immediately after backfill.
DE -WATER. OPERATIONS: If de -watering operations are required and pumps aro forcing water on Ciry Of La Quints roads, it shall be
the responsibility of the parmntee (contractorl to control this water and to provide off-stremt barricades when rteoasary,
CLOSING STREETS: No street shall be closed. A minimum of one lane of traffic shall be maintained at all rimes to provide limited
access for the adjoining property owners and emergency vehicles. In the everts it isfeltbythe permrtteethathe muttelm sstromfor
any length of time. Pennines shall contact this office to obtain the neeessary permission.
SPECIAL PROVISIONS
The follwing stall apply ONLY when indicated:
NOTIFICATION: Permrhee shall notify the City at 664.2248 at least 48 hours in advance of starting corntruetion.
R2 CASH DEPOSITS OR BONDS: A cash bond or an approved surety bond in an amount of not less than a
shall be furnished in the name of City of La Quints to cover all work involved in the restoration of the various Ls Quints
roads and survey monuments. This bond shall be continuous until cancelled by the City Engineer. This bond must be
S3Postedprior to commencement of any work an this projec .
UTILITY CLEARANCE: (Substructures) Prior to making any excavation within the City of La points right ofwayguthorized
by Permit. the permmse shall contact all contxmed utility companies relative to the, I n t on of existing suLxaueturea.
Damage to existing substructures resulting from operations conducted under Wes permit shall be the tolares truc tures*
of the permmee.
Lam' UTILITY CLEARANCE: (Surface structuresl No work shall be done under this permit until all utilities an War of the
proposed wont arta. The permittee shell moldy all concernso utility companies of the proposed work.
R5 PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing road Pavement she be
surfaced with inches of A.C. paving Placed on inchesolcissa
having an 'R" value of not less than"and ineonformencewlthClryofLepuinteRoa aggregate subbase course
and Specifications. Ordinance 81. mp►avemantSundaros
R6 PARKWAY GRADING: Area between the property line and too atthe Proposed concrete curb she 11begraded toaslope of
1/4 inch tO one foot (1 1.
R7 GRADES & STAKES: City of La Quints shall establish grades and stakes for the proposed concrete curb and gutter
construction.
R8 GRADE CHECKING: City of La Quints shall cheftgrades upon recetptofplan and profileand/or grades as* stabnshedby
a licensed engineer.
R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter ( faatlahaa be
removed. Curb and/or curb and gutter shall be saw cut prior to removal. Depressed curb, matching comets gutter and
concrete driveway approach shall be constructed in conformance with City of La Quints Standard 9207.
RIO DRIVEWAYS. A.C.: Driveways shall be constructed as not to atter 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.
R 11 CULVERTS: A :nett diameter 1 J culvert shall be Installed with the Invert approximately 1.1 /2
ncries below and In line with the existing flow line. Culvert Installation shall conform to the attached drawing.
t� 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 tbmplywith the
manufacturer's specifications.
COORDINATE WORK: The proposed work shall be subordinated to any operation which the State of California or
City of La Quints may conduct in this area during the period of this permit. Work shall be coordinated with the State or
�\ City Of La Quints forces to or delay or Interference with State or City of La Quints projects.
lL] SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exert On the
camerhne of all SUVM or property lines when involved Shan be completely tied out
be replaso they may be readityatdcortmreplaced by a lin ertsed Citral engineer of surveyor, at the expense of the permittee. A complete metal note shovinng the
ties to these montrnsenteBASH befurnished tothe City Engineer Pinar tot
be 'cut ad upon hermntovalofentrmonuments This OfficesMu
. Edon of replaceimentof all survey mOm n0 is for proper "GO clearance.
nib =unvt t MUNUMtNTS. Prior To excava Tion or oeoinnind Or construction. all survey monuments small be toga out Dv Cil,
X La Quints and sultacle payment or Guarantee or pavement snail be made as reimbursement for all work involvem
R17 PAVEMENT CUTTING: Pavement will be mechanically cut to a straight edge prior to excavation. Method of pavement
cutting shall be approved thtougn the office of the City Engineer. (Under no Circumstances small excavating aClrlomgm
be used 10 excavate odor to curtlno Of Davememi. Excavation material shall be placed In sucn a position as to best
facdnaTe the general flow or traffic. Prior to final paving operations. any damage to pavement straight edge snail be
corrected.
RIB PAVEMENT CUTTING: Pavement snail be saw cut prior to removal. Prior to final paving operations. any damage to
pavement straight edge snail be corrected.
19 LIMIT OF EXCAVATIONS: Excavations shall be limned to 1.000 lineal feet of open trench before backfill operations must
begin. All excavations snail be properly barricaded with lightsOVernlgmt. On weekends and holidays for the prOtaction cotthe traveling public. The Public Works inspector snail determine the suitability of excavation barrlcaaing in each case. No
excavation shall remain open for a oerlod exceeding love t5) days. No excavation snail be mace unless the construction
material is actually on the worx site.
R2 BACKFILL MATERIAL: Backfill shall be free of brush, roots W other organic substance detrimenta.::.;s use for purposes
of producing an adequately consOlidatea baattill. Any matenal which the City of La Quanta deems unsuitablefspongyor
saturated material) which 1s encountered during excavation shall not be used for baadill, but shall be supplememed 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 131 and vibrated using vlbrotamper or equivalent equipment. Alternate mmethods may be substttttted. put in any
ate
case a relative compaction of 95 percent shall be attained votthin the l: r ate stenos of the roadway,
R22 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 f ive•fodt (51 I ifs where trenches are cf excessive depths. Care 15110 be exercised that the
backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed ati that the
compaction. Where ponding Or flooding Is used for a maximum settlementresulting compaction snail be net less than 90 oercern or eeufvalent to the surrounding ground, wh ichever l , atlegUate ddtaS will be constructed t0 retain
supply shall be continuous. a the greater
the water. Where letting 1s used. the lets shall be of sufficient length to reach the bottom of each :oyer end the water
R23 COMPACTION TESTS: If so required bythe inspector. Compactlontests shall be made at intervals of not more than 1.000
feet and a minimum of one (1) test on each road. One f l) Copy of each test shall be forwarded to the City Engineer for
approval and filed prior to making permanent repairs. Compaction tested In Section 6.3 01 of the
s shall be mane asoutlln
Standard Specific:atlons. Division of Highways. State of California, dated January 1973.
COMPACTION TESTS: If so required by the inspector, compaction tests shall be made for each crossing or service line.
One 11) copy of eacn test shall be forwarded to the City Engineer tar approval and f i led prior to making permanent repairs.
Compaction tests shall be mace asoutlinea in Section 6.3.01 ofthe Standard Specifications. Divisional Highway, State
of California. dated January 1973.
R25 TEMPORARY PAVEMENT REPAIRS: After completion of baatfill and companion
consisting of 2 inches of SC -800 shall be placed on a prepared subgrade. The SC-8so temporary paving spar be placed operations. a temporary patch
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 temporary pavement exceed a five f5) 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 placee immediately. A permanent patch of ice" A.C.
surfacing placed on a inch class base shall be placed no later than
temporary road repair. days ahercdmpletionof
R27 PAVEMENT REPAIR: F.A.S.: Upon completion ofbackfill andcompaafon.atemporarypatehconsisting oftwoinehes12l
of cold mix paving (SC -800) shall be placed immediately. A permanent patch of three
inches (3"1 of A.C. surfacing shall
be placed on six inches 16 ) concrete base as directed. but not later than fifteen f 15) days after completion of temporary
Paving. Concrete bass shall be of five -seat mix and shall conform to the City of La Quints 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 Issuance of this perms. Seal or armor coats shall be applied as sDEcfied Int $BCtion
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.
R30STREET RESTRIPING: Where street striaing.is still visibleon streets tooe excavated. suchstriping shall be replacequoon
completion of permanent repairs.
R31 TREE RELOCATION OR REMOVAL. Tree relocation within the City of La Oulnta road right of way shall be accomplished
by a licensed. bonded and insured tree service. and handled safely without interference er 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 highwav
traffic. The entire width of the tree stump snail be removed and disposed of so that no debris remains in view of the
hlghway. 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 protea 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
r .January 1973.
R32 TREE TRIMMING:
a. Only the necessary trimming snail 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 any One 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 contacteq. in all instances. prior to trimming or topping trees.
f. Pruning snail. in all instances. be at the Shoulder of the... n to insure even. fast meeting in all cuts W two inches
(2') and apove-in $us. Sealant shall be notified tp as cut sections as airacran by ins r.w p..k . . —
jIN
1.
2.
3.
4.
5.
6.
7.
8.
SPECIAL CONDITIONS --PERMIT NO. 1904
--- THE GAS CO. ---
In addition to the standard permit conditions, the following shall apply:
All work shall be performed in accordance with the latest edition of the Standard
Specifications For Public Works Construction.
Permittee shall be responsible for providing continuous dust and erosion control.
Streets shall be kept clean. They shall be completely cleaned at the end of each
working day and more frequently if required.
Contractor shall comply with the local noise ordinance. Operation and
maintenance of equipment within one half mile of human occupancy shall be
performed only during the following time periods:
October lst to April 30: Monday -Friday 7:00 a.m. to 5:30p.m.
Saturday 8:00 a.m. to 5:00p.m.
May lst to September 30: Monday -Friday 6:00 a.m. to 7:00p.m.
Saturday 8:00 a.m. to 5s00p.m.
Work shall be prohibited on legal holidays including Sundays.
Permittee shall assume responsibility for repair of any pavement breakdown at the
haul road access to any public or private street and for any damage to other City
streets or facilities.
Advance warning signs and traffic control shall be installed and 'maintained in
accordance with Cal Trans Standards. It shall be the permittee's responsibility
to detour and barricade this site.
Street closures shall not be permitted. A minimum of one travel lane on paved
surface shall be maintained with flagmen at all times.
Prior to excavating, the permittee shall contact Underground Service Alert at
1(800) 422-4133.
9. Should additional work, materials, or modifications of the work be required in
order to meet city standards, safety requirements, signage requirements, or to
fit actual field conditions, the work shall be performed by the permittee as
directed by and to the satisfaction of the City.Engineer at no cost to the City
of La Quinta.
10. All landscaping, irrigation, decorative rock, & driveways etc. shall be replaced
to its original condition.
11. All work shall be coordinated with the City's contractor and others working
within the area as directed by and to the satisfaction of the City Engineer.
12. When the work is within 500' of a signalized intersection, the permittee shall
notify Riverside County Signal Dept. at (714) 275-6894 or Caltrans Signal Dept.
at (619) 688-6845 as appropriate a minimum of 48 hrs prior to starting work.
13. All backfill and subgrade soil shall be compacted to 908 relative dry density,
all backfill soil within the top 2' of finish pavement surface shall be compacted
to 958 relative dry density, all base material shall be compacted to 958 relative
dry density.
14. Streets shall be kept clean. They shall be completely cleaned at the end of the
work day and more frequently if required.
Special Conditions - Permit No. 1904 Page 1 of 1
54143-323
t
CITY OF LA QUINTA
NOTE:
with proper validation SEP 2 71993
this form constitutes an CITY OF LA QUINTA
encroachment permit PUBLIC WORKS
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs. driveways, pavements. sidewalks, parking IOU. wwes. water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision improwrnem Permit — Class II I _—
DATE: September 20, 1993 Minor Improvernsnt Permit Class IV
LOCATION OF CONSTRUCTION Avenida Montezuma
hereat addnw or Description of Location)
PURPOSE OF CONSTRUCTION
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION. IF NEEDED
C, to Ylef3
APPROXIMATE TIME WHEN WORK WILL BEGIN
Sketch (attach construction plans if appropriate)
To install 50' of 2" medium pressure
plastic gas main 10' W/EPL of Avenida
Montezuma, beginning 3' N/S lot line
of lot 22 on Avenida Montezuma, and
continuing -north.
APPROXIMATE TIME OF COMPLETION 12/27/93
ESTIMATED CONSTRUCTION COST S
llncuding removal of all ot%truction, 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:
S Tart
SEE ATTACHED"EARS=SGP=2Z�i—B1
(-am,- ATr,� a � f IT o �.1S
Irndemnify, dafwW and saw the City. its authorimW Pena. officers, representatives end s nploVm. hwmbw from and against any end all
pwWtiu. liabilities or low raeultirq from maims or court action and srk q out of any accident. leas or da to parsons or property
happenirq or occurring as a proximate result of any work undertaken wrier the permit dented pwtawnt to this application.
Notify the Administrative Authority at best twentyfour 1241 hours in adranee of the time when work will be started.
�e�4►
no W applicable City Ordinances, the terms and eonditiom of the permit and MI applicable rules and "Wasawn of the City of
_ Le Goings and w pay far army adbtie" rsDlwnment rtaceesery M the wwlt of this work.
•--RHODT ST'A ASHLE
SVAV" *#A/r WW1t.or PERMIT COORDI-NSTOR
S �T.fl.f1 �.'.f7 TMT\tT� TA1I• IIA .s'•!� iA �/�Y i/�Ai -�rMn ,Y�Q+ } res Y^••1 / �4)^�35r7764
1LRJ 1•n j'�A L_ML L V -R [Y l N �f(�.� �.l t .•....
$...*eaaa of Applicant Fleece prkw •luairtass Addnes Taleph°ne No. - y
"Naim of ContrAWor and Job Foreman 7 •Swine:: Address Telephone No. -
GonWooWs Lulea No. µ ' City Business Llesfna No.
ApplicwWs ho uretroe Company Policy Number
FEET: Subdivision InWovennent Pwmit — Class 111
Public improvements: 3% of eetitmod eonaruetion costs -
Priwta improvements: 3% of catidneted construction costs
Minor ImWownwnt Permit — Class IV: Sea attached schedule -
Mlepectiort Fee i
Permit Fee
Penalty
Cash DepoutSwety Band
M required
TOTAL: "' r
Receipt No. —.
Received by Dow
Recorded by
PERMIT V.%A'LIDATWN
PERMIT NO. l r
DATE APPROVED
EXPIRATION DATE
DATE ISSUED q —Z � - 93
Illy -
Adn**tmtiwl Authority
TELEPHONE: 4619) 664-2246
C1.1j, on
PINCH 4TIE -IN DAR.
I=2' PA COUP.
Yes ❑ )T,�
Yes0 No
les L--�
. _.. ,-i �;-_•,:3'e:i Yes J No :2]
a�Lrintnn GALWUHNIA GAS CO -2956.3J
o
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G W
a, 10
10
Call E toDURaNGo
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3-79
-LAN FILE NO. BABE 9K[TCH COHeT R. 81fCTCH COM►L. eKCTCH
7.G. 22q -B/ 8-/6-53
eT: +a 0 BY;- toy,
-
GAS HANDLING
X - MA I N � .SERV ICE 4 TEST At LOC.
# I PINCH 4 TIE-IN DIR.
PURGE.MAIN4 SERVICE:
T ,n Q
_ r ac cU)Q87
INSTALL MAIN WITH AT LEAST ---!20—.' COVER BELOWo
TOTAL FEET INST'D.
TOTAL FEET RETIRED
I
COUNTY R I VER S I DE
RETIREMENT
jREASON
+
PERMIT ISSUED BY
/•-
' )T Z OF
(-')TZ
1LA0111AI'T-
PERMIT NO.
DATE MOVED DATE MOVED DATE OF
ON JOB OFF JOB OPER.—
CREW FOREMAN
COMPANY
DISTRICT DE�ERT
TRACT
NO
ATLAS
NO. " PV _ �zO
CATHODICALY YES ❑ NO ❑
PROTECTED
PLANNED BY
�O Y
•YEAR C.P.
INSTALLED
OPER. 20% OR OVER ❑ S.M.Y.S.
A7 LESS THAN 20% ❑
STAKED ❑
STAKING REQ'D. ❑
NO STAKES NEEDED (
COMPANY FACILITY: SO. CAL. ❑ P.L.S. ❑
�NLAi1/� t/i�l/3lil E DIVISION
ORG.
W.O. .5y/�S/_3 323 CODE
R���...���(((IEWED BY
(� J /r
L
DISTRICT PERVISOR