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2224*'NOTE: t r. .r i With proper validation re� this form constitutes an CITY OF LA QUINTA ncroachment*permit APPLICATION FOR PERMIT , PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS DATE: 8-2-94 Subdivision Improvement Permit — Class I II Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Avenida 9aliejo b *Mltesmia (Street address or Description of Location) PURPOSE OF CONSTRUCTION Provide service to mm hose DESCRIPTION OF CONSTRUCTION T'MCh iII Earth, Bore across asphalt DIMENSION OF INSTALLATION OR REMOVAL 595' of 2" snediun preamrs Ras grain SIZE OF EXCAVATION, IF NEEDED mon! in asphalt APPROXIMATE TIME WHEN WORK WILL BEGIN 8--8t% APPROXIMATE TIME OF COMPLETION 12-31-94 ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) _ Sketch (attach construction plans if appropriate) See attached conditions SQe attached drawing Crossing of Nontexaaa shall be a bore and jack operation. leo street arts are allowed 0. In consideration of the granting of this permit, the appl cant hereby agrees to: 1 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. N Comply with all applicable City Ordinances, the terms anJ conditions of the permit and all applicable rules and regulations of the City of La Quinta and to pay for any additional replacement necessary as the result of this work. @r Signature of Applicant or Agent (j00Zp0R SOUTHERN CALIFORNIA GAS 00 P:O, SM 3003 BEDLUMS, CA 92373 (909) 333-7764 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 111 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 "0" Penalty Cash Deposit -Surety Bond if required TOTAL: $ `0" Receipt No. Received by Date Recorded by 2224 PERMIT VALIDATION PERMIT NO. 2224 DATE APPROVED EXPIRATION DATE 8-2-94 12-31-94 DATE ISSUED 8-2-94 By Administrative Authority TELEPHONE: (619) 564-2246 54F44-284 NOTE: With proper validation this form constitutes an encroachment permit P?'F T-(!7= CITY OF LA QUINTA JUL 29IS CITY OF LA QUINTA PUBLIC WQ 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 111 DATE: JULY 28,1994 Mina Improvement Permit Clan: IV ..._..._ AVENIDA VALLEJO LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sketch lattach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION To install 595'of 2' medium pressure plastic gas main 10' S/NPL of Avenida. Vallejo, beginning 51' W/WPL of DIMENSION OF INSTALLATION OR REMOVAL Avenida Montezuma, continuing east. SEE ATTACHED SKETCH GUT EARTH SIZE OF EXCAVATION, IF NEEDED THOMAS BROS PG 214 C6 APPROXIMATE TIME WHEN WORK WILL BEGIN 8/8/94 APPROXIMATE TIME OF COMPLETION 12/31/94 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 saw 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, Ion or damage to persons or property happening or occurring es a proximate result of arty work undertaken under the permit Wanted pursuant to this application. Notify the Administrative Authority at hest twenty-four 1241 hours in advance of the time when work will be started. Comply widh all applicable City Ordinances, the terms and conditions of the perm d MI i la rules and regulations of the City of V nfa Ouianan d to pay for y additiorv* replacemaent tsaoassary the result of to ns Hho esi Ashle of Applicant or Agent P NiIT COORLIINATflR , SOU AL "' (71335-7764 - Name of Applicant (plow print) . _ _ Business AddressTelephone Na Nance of Contractor and Job Foreman Business Address .. Tdeplhone Na ContraeWs License No. _ City Business Licetae 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 i Permit Fee Penalty Cash DepaitSurety Bond if required TOTAL: Receipt No. —� Received by Date Recorded by PERMIT VALIDATION _ PERM!T NO. Z Z� DATE APPROVED �J EXPIRATION DATE - DATE ISSUED By - Administrative Authority TELEPHONE: (619) 564-2246 ! 1 1i t{R1:t "he tallowina tienerai ano Special Provisions are anacnea to and mean a part of Permrt NO. 2!/ GENERAL PROVISIONS the following snail aiways apply: "ENCROACHMENT ON PRIVATE PROPERTY' This oermrt autnorizes worx 10 00 accomoitsneo witnin Cily Ot la Quints right of wav ONLY. Whenever construction extends witnin Private orocenv. it snail be the responsibutN or the Oermrttee for his contractors, rignt a oto secure permission trom acumng property owners. Such authorization must oe secured tnr the le permn onor to starting wore, TRACKLAYING CONSTRUCTION EQUIPMENT: Cleated tracnavtnq construaron eoulomem shell not be oermmeoto 0111000 sunace unless ttneowitn smootn-laced street peas. All mechanical outriggers snail be f meo wan rubber sire :no pevinq aurin ooersteonenv q excavations. Rubner -tinea equipment only snail be urea in oa"fill operations in et am"looratect Pavement is scanea. $called, or broken curing Ins term at this contract. or rt the Oayement rs manna. City Of V 0$10110 areas. If the existing that these DartlOns of r0110 be resurfaces Over irlell emirs width. Re suor It the shall CORstat O} One cost Of Quints anal, reauaat surfacing plus aoorocnate seal coat as specified above. _ two inches 12-1 of A.C. PROTECTION OF TRAFFIC: All excavations and wait areas snail cWbsoropeny lighted and barricaded as deemed sa EttgtneerorlaQulnteCityPubliorksinspectors.Suitabledetoursanddetourahe ncearybythe Ciry a} the Proles The City Shall Slgnsshallneplaced srt be notified 24 Mrs. in advance of any texcavationmoral pipe. eonconcreteppffic detours or celineattorq, �lne"Orthe0uration CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugated e. sae, culvert and concrete structures eneoumareo during excavation which necessitate removal shall be replaced in kind. In the avant.m Genomes necassary to remove a cut existing drainage structures. City of La Quina snail be notified onor to commencement t- this work. Drainage structures and open drains shall be kept free at deans at so limas fpr proper sad ori e. RIGHT OF WAY CLEANUP: Any surplus material resulting from excavation and backtill Operations way. All paved surfacessnall be Groomed clean of earth and other objectionable materia immediate lir eharebw&f,t, CO ertgnt Ot Existing gutter line and drainage altches small be replaced to their original standard 01 better. All excess mammal Prior to caving.oarnon. Water tanker shall be uses, as required, to sprinkle the 100 site to keep down oust Conditions anda removed immealatety cher backfill. n0 shetl De used DE -WATER OPERATIONS: If de-watenng operations are required and dumps are facing wateron City of La Quints road, It shall be the resodnslodity at the permittee icantractorl to control this water and IO P o are off-streetwatts onbarCity es when na•rv. CLOSING STREETS: Na street shall be Edens. A minimum of one lane of traffic shall be maintained at all times to provide limited access for TAO aOlpining property owners aro emargeney vehlCyas. In the eyem it Isfalt by the any length of time, permittee shall contact.tnis office to Obtain the necessary permission. permmee that he must etaia • Rroat for SPECIAL PROVISIONS The follviang shall apply ONLY when indicated: 68' NOTIFICATION: Permmee shell nota the Ci at777-7075 W N• mat least 48 hours in advance of Starting R2 CASH DEPOSITS OR BONDS: A cash bond or ane C_� shall be furnisnaa In the name of City of La Quints o cover all work �� of a amount of not less than s roads and survey monuments. This bona small be continuous until canwce� edin the restoration Engineer. of the his bon V u tma posted prior to commencement of any work an this by the City Enginem. This bona must Da Rda"� � project 1TILITYCLEARANCE:(SubstructureslPriortomakinganyexcavauonwithintheCityofLaQuintsnghtatweiroutnaizaa by Permit- the permmee snail contact all concerned utility companies relative to the location of existing • Damage to existing substructures resulting from operations conducted under thts pemirt shall be the $oN u>a+ruetu►es. of the permmee. roenwnstbility R4 )UTILITY CLEARANCE. (Surface structureal No wont shall be done unaw this oermrt until all utilitiss are clear at the ,proposed wort ane. The pormmee snail no" all concerned utility companies of the proposed vent, RS PAVEMENT WIDENING: Area between the proposed eorierete surfaced with inches of A.C. paving plseeaon glitter fine and the existing road pavement shall be having an "R'v8lufct hot less than inches at class aggregate subbase course and SPecdicauills,Ordinance "61. and in conformance with City of LaQuintaRoaal niprovement Samaras 61 PARKWAY GRADING: Area between the property line and too of the proposed concrete curd shall begrsaedto a slope of 1/4 inch to one foot 11 �. R7 GRADES & STAKES: City of La Quints shall establish graces and stakes for the construction. proposes conerote curb dna gutter R8 GRADE CHECKING: City at La Quints snail check graces upon recerptatclan andprcdileand/or grades asasaDlishedby a licensed engineer. R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and guner f fNllshall be removed. Curb and/or turn and gutter shall be saw cut prior to removal. Depressed curb. matching ppnerote gtmer en° concrete driveway epproaen shall be constructed in conformance with City p} La Quints Standardconi min 07. RIO DRIVEWAYS. A.C.: Driveways shall be constructed as not to alter existing aatmega pattern. Surfacing betvvsan the Property line dna the existing roan paving shall be 2-1 /2 inches o} A. paving placed an l _"I of class aggregate case. Driveway construction small conform to attached drawing. R 11 CULVERTS. A nen diameter i inches oeiow and in tine with tine existing flow line. Culvert, installation s aultncon oirmt o nethe attached drawinng 1 2 12 SIGHT CLEARANCE Sight clearance of 600 feet in either direction shall be assured and maintained. R13 . SOIL STERIUZER: The area to be surfaced shall be treatea witn sot sterilizer. Rate of appmcation shallcomplvv, In Ire manutacturer•s sceedications. ® COORDINATE WORK: The proposed work shall be subadinateo to any operation which the Stam Of California or City of La'Quinte may conduct in this area during the perioa of this permit Work shall be coorcinateowlinthe City of La Quima forces to preclude delay or interference with State or City of La Quints projects. State or SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which ,rust an ins Cemaritne of all streets or proparty tines when involved shall be comolatehV lyngcetraRty out so thev msvoe rasm be rosacea pv s licensed civil engineer a survevdr at ins a menaeet"IOOWmmea A aamDIaa YtotnotessnoM,tn° the tiestotne"monumentsensubetumrsnaatotheciivErtmne mtmtotnsremayerasmniwtume yy be "at" 00 upon cwnu*mmn at reats°nmm" Of 411 survey marnrmonea rarerom ruroree ettrw*nr,, nm Ihisortrcesnail , 1 6 • rIVEY MONUMENTS. P -ter to excavation or oeolnnifte Of construction, all survev monuments snail ut rev k.lay :1 La lUulnta and $ullsole savment or Guarantee at aavmp5tteoo enf snail 0e Tape ss fQlmOur3ement tar all wad utOV ed R17 GAVEMENT CUTTING; Payseann will be mecnantesuvel t to a straignt 0009 prior to excevanon. MOM., o! Cutting $Mall be aouroveo tntauan the office Of the City Engineer. Winder no clrcumnail be stanee3 snail e:Cayatin as used to excavate Prior to cuttino or oavementn. Excavation m pavement iacnna[e lila General now or uarilc. Prior to anal oavinq ooerauons. only dam oe to oavemenrotacea in n a g �uloment ooshlon as to ease corrected. straight 9099 snail oe RIB PAVEMENT CUTTING. Pavement snail be saw cut war to removal. Prior to ?trial Paving operation$, pavement straignt edge snail be corrected. any damage to Ri UiAITOFEXCAVATIONS: Excavations snail belimiteoto1.000lineal feet ofopen trencnbefore oackflllaOeanonsmus[ begin. All Q1tCaVe[lOh3 snail Ue. PraoerN barrlCaded with IlphtS OVefriiaht. on weexends ano nolloays Tartne., ontl0n or the traveling puallc. The Public Works Insoactor snail determine the suitaeiitty ar excavation Pan,,Cadln excavation snail remain Goan tar a Genoa exceeding rile Iii days. No excavation snap be maoe unless the material is actually an the Work site. g in each case. No ucluan BACKFILL MATERIAL BaCdltl shall be free of brush. routs Or Other organic f o purposes of producing an adequately consolidated backfill. Any motorist which the City o LaceQuints t deems ents unsuitable ua9ferputposes Satursted material) which is encountered during excavation shall, not be used for back U but snail be lsparigYor radaced fly an acarovea sand or gravel. Supplemented or R21 BACKFILL SANO: 880117t11 chap! be Boorovee0 tmrodrtu ir�nd ter equivalent ano shall bs placed in lifts o not than feet 139 and vibrated using vibrota Oso a re l8trve cdmlpaRlOIt of 95 percent shall be act egnlpment. Alternate metfl003 may be au graatertham aged venom the s:rk;ctural �ated.butin8my R2 BACKFILL PLACEMENT: Backfill snail be ■coiled in IRMS of not more than 50 percent of the total droaaurav before flotrdingoramaximumatfivs-foot 151 lifts where trenches areofexes$, depths Carel otaldamOfthe tmncn battfill material is not sublaaed to entente swell by flooding operations. Backfill matenal a'0080 o that resulting ccmoa=ton snail be not less than 90cercentor eaurvalent to the surrounam Care be px srct a0 ��at the octrlpaction. Where dancing at flooding Is used for a maximum seRlamem. aoepuatsdlgro veal bye Con the water. Where letting is used. the Iota shall be of sufficient length to ream one ever Is th9 gfeater N=ty shall be comtnuous. botom of each :a ar end tstructed e wateretair ve ono the water COMPACTION TESTS: If so repukred bythe inspecor, CWMNC ton tests shall be made at 'marvels of not more man t,0D0 het and a minimum of one making tea on nen road One It I copy at each tsar snail be forwarded to the Clty Etnginser for approvalendfiletlodort0ma>ongpermanentrepaid.CampaC"On tam Shall bemade asOwinedIn$ecttartg gin of tithe Standard Specfltatnoms OiWtmoh of Highways. Stats d Compaction dated January 1973 R24 MPACTION TESTS: If so recruited try the msoector. Campactiarl tests small be mads tot earn adssl Ono 11) COPY of each sea shatibe forwarded to the City ng or aarvwia bne CpnlpaRid"LestaShallbamad9alOutlinepin3 �meYreraPpro"iand fifedprtortomaking pama"ant 01Catifonrlo. dated January 1973. Section of the StandardSpeedicanoits,OiviatonoMkrhvArmState R25 TEMPORARY PAVEMENT REPAIRS: After Completlorh of backfill and cam pactom operations, a temppatN patch Consisting of 2 inches of SC -800 Shall be placed an a prepared subgrad0. The SC -800 (emiiorary paving affap (N pra Patch after a maximum of 3.000linaili feet of trench Mas been excavated and baeditl apes 0 to completed. but in ripC o o scall the placement of the temporary pavement exceed a five 15) day limit. R26 PERMANENT PAVEMENT REPAIR: After backfill anti compaction operations nave poen cdmPI ted, a ts"4wmry patch CpnSlaing 01 two inches 12') of SC -800 shall be placed itlmedlately. A permanent patch of tnrfacng placed on a inch class boa shall be'placed no later than imp A.C. �porary road repair. Cav3afterCamplotlohot R27 PAVEMENT REPAIR: F.A.S.: Upon completion ofbachfilland compaction. atemoorarypatchconsisting ofhialnch 2"1 at cold mix Paving (SC -800) shall be Placed Imnletliatehr. A Permanent patcn o three Inches 13') of A C- surfaan a Wooed on six lnrnsa 161 concrete base ea directed, but not later than fifteen 1 t 5) days after complet of tem+porary lswnil. Concrete base snail beat five -sack mix and shall conform to the Ci a} La 9 shalt add SP9cdinbons. Ordinance 0461. City Quina Road ImprcvemantSanoaras R28 FOG SEAL: A fog seal coat consisting of an app"Cat"m of asphaltic emulsion snail be awled over all patch Yeas as determined by the City Engineer. R29 SEAL ARMOR COAT: A seal coat consisting of an application binder and screenings shall be spoiled ori req Mere such seal coats existeapnor to issuance of this permit. Seal or armor costs shall be 37. Standard Specifications. State of California. Diylalonof Hiated Patch dins area applied as 3pactf isd m SectlOn ., be 8CCOmolishad by a licensed contractor engaged in the business ofpavementJanuare air.ry Work of ' R30 wwment repair to STREET RESTRIPING: Wheresveet striving is still vismlean streets to be excavated. SYwth striving shall be replatbd upon Completion of permanent repairs. R31 TREE RELOCATION OR REMOVAL• Tree relocation wltmm tore City of La Quints road right of way shall be accomplished bra licensed. bonaeaand insured tree service. and hanciadsafely without interferenceorhazard tothe Gaveling gPub. It Shall be the responsibility at the permnnee to maintain the tree in a vigorous growin hanion. Trmrn stoberemovedshallberemovedinsednswnlchcanbehantlledsafelvwlthoutin erfeenceorna gtohig wa traffic. The entire width of [me vee stumo snail be removea and disposed of so that no debris remains in view at the highway. The a[umohole shall bebackfilledandthorougNyCOmPactedassneckfledinthefohowingpaagaph Wherein becomes necessary to resmc traffic. the work shall be restricted to a maximum of 500 feet at anyone bm9. Adequate sights, flagmen and/or ba►neell shall be Provided to protect the traveling public at all times. Lag holes esulting from treeremoval l be saroue namgrg ground. whichever is she greater compfaceennas aemtenninea by tot he than 80percent of field merequrvampaction tits 3"811 comply with Section 6.3.01 of the Standard ScOclfication3. Division o Highways. State of Calif January 1973. Compaction dated R32 TREE TRIMMING: a. Only the necessary, trimming snail be accomplished to PrOvioe clearance of the facility for one Calendar year. All broken or weak sections within the trimming shall be removed. b. Where it becomesnecessarytorestricttraffic.thewwkahallberestrictedtoamanmumof500feetatanyonetime. Adequate signs. Ilagmer., arnOior barricades snail be provided to Protea the travieng public at all times. rtially o R If tae trunks are go utside of the City Of La Quints road right of way, permnnlee shall make his own Arrangements with adjoining property, owners for Camilo to the trimming in addition to the 8utharinuan provided by this permit. d. All tae trimming on EVERGREEN TREES. PALM TREES, and other ORNAMENTAL TREES shall be accomplished to Me Satisfaction at the City Public Works Inspector. a' ung Provenly owned Shall be . - :p _ RYm COrtac96 N all frmim ancprior to trimming or 9i " a i• Ing snap. in au aims m, On at me anamw et d[9 teppdtg Tr9 SPECIAL CONDITIONS --PERMIT NO. 2224 --- THE GAS CO. --- • . In addition to the standard permit conditions, the following shall apply: 1. All work shall be performed in accordance with the latest edition -of the Standard Specifications For Public Works Construction. 2. Permittee shall be responsible for providing continuous dust and erosion control. 3. . Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently if required. 4. 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 1 st to April 30: Monday -Friday 7:00 a.m. to 5:30p.m. Saturday 8:00 a.m. to 5:00p. m. May 1 st to September 30: Monday -Friday 6:00 a. m. to 7:00p. m. Saturday 8:00 a. m. to 5:00p.m. Work shall be prohibited on legal holidays including Sundays. 5. Permittee/contractor shall assume responsibility for repair of any pavement damage to any public or private street and for any damage to other City streets or facilities as a result of work performed under this permit. 6. Advance warning signs and traffic control shall be installed and maintained in accordance with Cal Trans Standards or the Work Area Traffic Control Handbook (WATCH Manual). It shall be the permittee's responsibility to detour and barricade this site. 7. Street closures shall not be permitted. A minimum of one travel lane on paved surface shall be maintained with flagmen at all times. 8. 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, of 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. Special Conditions - Permit No. 2224 Page 1 of 2 SPECIAL CONDITIONS ---PERMIT NO. 2224 continued 10. 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. 11. 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. 12. - All backfill and subgrade soil shall be compacted to 90% relative dry density, all backfill soil within the top 2' of finish pavement surface shall be compacted to 95 % relative dry density, all base material shall be compacted to 95 % relative dry density. 13. All excavations at or near the travel way shall be backfilled and paved at the end of every work day as directed by and to the satisfaction of the City Engineer for the protection of the traveling public. 14. All landscaping, irrigation, decorative rock, decorative concrete, lighting etc. shall be replaced to its original condition. 15. Access and egress to all local properties shall be maintained at all times. 16. If the work is to be .performed by forces other than that of the utility company the contracting company shall be required to apply for an additional encroachment. permit and pay the appropriate fee. 17. No pavement cutting shall be permitted. The crossing of Montezuma shall be performed by a bore and jack operation. Special Conditions - Permit No. 2224 Page 2 of 2 F i� v0"c 4r--1-0`,.d,--i c v G-vL./� 02 j 7Z,57- Pie S, Z. /S �,.4 oiso 3j i°�.vc,y 00 r L©c, /9 �!J pGr�PGE /ov% G.�}s .9r LDC B Isolation AteaAffeCted - Yes No TOTAL. . FEE.. T INST'D. ❑No Pressure }sfinAffected Yes ._ _ :.... INSTALL MAIN WITH AT LEAST O "COVER BELOW iy� TOTAL FEET RETIRED Aff&• Yes El No ❑ - ,Q �.\ S /-,�J� RETIREMENT PgRM SSU ED BY QI"' PERMIT NO. DATE MOVED. DATB MOVED ON JOB DATE OF .... Yes ❑ No ❑ CO LINTY OFF JOB CREW FORBMAN OFER. Yes❑ NU ❑ �L/7 �COMPANJ"T DISTRICTREASON d BY LLReviewed'B)r' TRACT PLANNED BY - No.STAKED k ANo. YEAR YEAR C.P. INSTALLED COMPANY FACILITY: SO. CA� N �{ L n L[�IIVJ�J//L.�M�I/"'. P,LS.� ,... _...... YiJ REVIEWED BY STAKING REO'D. ❑ - DIVISION . ,.. THO CATHODCTED YES ❑ - No[:] OPER. 20% OR OVER ❑ AT LESS THAN 209. ❑ NO STAKES NEEDED ❑ �.J /i7 pV,O. : ORG. CODE PROTECTED ourater 6UrQRV:EOR � SOUTHERN CALIFORNIA GAS CO,_ 2956-4F (10-75( .. _-