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2270NOTE: With proper validation {this form constitutes an CITY OF LA QUINTA encroachment 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 Subdivision Improvement Permit — Class I II DATE: 12-8-94 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Avenida Carran$a s/o Calle Tampico n/o Montezuma (Street address or Description of Location) PURPOSE OF CONSTRUCTION Install Gas Main DESCRIPTION OF CONSTRUCTION 156 of 2 Medium pressure gas main on East side of Carransa DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 12-14-94 APPROXIMATE TIME OF COMPLETION 6-14-95 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: Sketch (attach construction plans if appropriate) See attached conditions See attached drawing Cut Earth & Bore 30' of driveways 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. Rhodesia Ashley Signature of Applicant or Agent Permit Coordinator SOUTHERN CALIFORNIA GAS CO. P.O. B08 3003 REDLANDS, CA 92373 (909) 335-7764 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Contractor's License No. Business Address Telephone No. City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I I I 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. Received by Recorded by -0- $ -0- Date 2270 PERMIT VALIDATION PERMIT NO. 2270 DATE APPROVED EXPIRATION DATE 12-8-94 6-14-95 DATE ItSU D 12-8-94 By Administrative Authority TELEPHONE: (619) 564-2246 54144-397 s' CITY OF LA QUINTA "O'M: - DEC 0 11994 With proper validation this form constitutes an CITY OF LA QUINTApUBLIC WORKS encroachment 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 3Ee 8 / Subdivision Improvement Permit — Class 111 DATE: Novem� 1994 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION AVENIDA CARRANZA S/of Calle Tamnico N/of Avenida Montezuma (Street address or Description of Location) PURPOSE OF CONSTRUCTION X13STi9"�'L DESCRIPTION OF CONSTRUCTION I `'�o r 2 s" tF'O"^' DIMENSION OF INSTALLATION OR REMOVAL Sketch lattach construction plans if appropriate) To install 156' of 2"'medium pressure plastic gas main, 4' W/EPL of Avenida Carranza, beginning 280' N/NPL of Avenida Montezuma, continuing north. SIZE OF EXCAVATION, IF NEEDED SEE ATTACHED SKETCH CUT EARTH BORE 30' ASPHALT APPROXIMATE TIME WHEN WORK WILL BEGIN DEC. 14, 1994 THOMAS BROS PG 214 C6 APPROXIMATE TIME OF COMPLETION June 14. 1995 ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, bukfilling, 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 lou resuiting 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 1241 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 NI p—Scable rules and regulations of the City of I. Ouirhta and to fest' for any addltiorel rq*wwmnt ne sm I as the result of this work. `` Sigrtetun of Appicanto► P RMFT C00 INATOR SOUTHERN CALIF 1ti-dAg�CQ- p_Q_ BA7r �nn�� Hrn_ TANng rA 9217.1 335-7764 = Name of Applicant (per print) . Business Address Telephone Nana of Contractor and .bb Foreman Business Address Telephone No. Contractors Lianas• No. City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class I I I Public improvements: 3% zf eeimetad construction costs , Private improvements: 3% of estimated construction cotta Minor Improvement Permit — Class IV: See attached schedule Inspection Fee i I Piermit Fee Penalty Cash Depo itSurety Bond IT required W. S TOTAL: Receipt No. Received by Date PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority Recorded by y I TELEPHONE: 1619) 564-2246 'ha fotlgoeind taenerat and Special Provisions aro starnea to aro meas a Dart at Peron No. Li-,7 -70 GENERAL PROVISIONS Te following snail always apply: ENCROACHMENT ON PRIVATE PROPERTY. This permit autnonzes wax to be aceommtsfwc within City of fa ONLY. Whenever construction extends within private orooenv. It snail be the reseonsiollittrar the permittee Lor n secure tiermisason troth abunin Quints right of way g property owners. Such authorization must be secured air the oerhomes Priw this contractors, to TRACKLAYING CONSTRUCTION EQUIPMENT: Cleetea track) stag wgrx. dawnsurfaceuntie!fine0wttnamootn•aeeastreetpaps.AllmeptDCOM out►�oneaulcmenrshallnot becormthepto ;no oevmq curing excavations. Rubber-tirea eoulomem only snail be used in bauders elldoominions inrmaverstraet no�ateonenv pawmem is scarred. scauad. or broxan curing trio term or thio Co stdsistoprotect that these oartions of road be resurtacea aver their coins contract. or it the Pavement a marc paid areas, if the existing wroth Restufaci ed City of La Quints snail request aurfaeinp plus appratmate seal peat as Specified above. ng shell Cdrtmt at one cost of _ two litotes 12"1 of A.C. PROTECTION OF TRAFFIC: All excavanons and wok areas snail be.orapeny fighad and bameaaea m deemed mei Engineer or la Ouina CiN Public Wtirtainspectors. SuitableOetoursahadetoursignlanal)beplaeedono Of the proles. Ths Cit, snail be notified 24 Mrs. in anvartm of a eaaanoyme Cin any traffic ^rinalMofor meauranon detauns or delin.etfern- CARE OF DRAINAGE STRUCTURES: Any drainage structure Including corrugated metal coca. concrete pipe. aril concrete structures encountered during excavation which necessitate remover snail be robfacod in kind. In the nowssary to remove at cut culvert and Drainage Srucrurea and open mains anal) be kepStrut free .City at lA Quinn shall be notified prior to commencementttfiswebecomes at debris at all times tar of moa waresulting from a rx. RIGHT OFWAY CLEANUP: oropar ansmage. way. All payed surfaces small beebrroomnd clean cat Bann and matcbitcavatton and backfill operation! Shap be ramp mict foisting putter lona and anker s ateh. snail be replaced to their original s alnaard w betty materials Alyeusss msten�jns3co rfrOnstne emoved Y e aekhllenpepmpsrnon. prior di paying. Water tanker shot be used. as required. to sorinkis me lob Site to keep dCWri qui canmtions a immectatety cher becidill. and Shall be usea OE -WATER OPERATIONS: If de watonng aparation! are required and pumps aro forcing wstaron Cityat La Quints r tris re SC011twotlity at the perminee ICCI.L. Clorl to control this water and to provide pry -inset bamcaaes when neper Dada. rt shall be CLOacc* for STREETS: Np street shall be etosed. A minimum of ami lane at traffic small be maintained at an times to any le forme enjoining itteem, owners enc emsrgtmt:vventetaa m the everh h isfeltbvme any lenge! of time. permtRee shDll COmDC[ tot! office to pfaxde limned Potain me n patmmeetnatnentuatetpssastroetfor . necessary permission. SPECLIL'PR0VISI0NS The fall" Stall apply ONLY when indicated: l9 NOTIFICATION: Permmee shall notify the City a -717-7075- R2 7-7075 R2 CASH DEPOSITS OR BONDS: A cash bond at an at least 48 hours in sevanq at Starting canoviac am small be turnisned in the name of City of La approved surety bond in an amount of not less than s Mads and survey monuments. This bond small be cone to tinuous wells 1 cancel ed the reStarapon of the ve P01111180 prior to commence".. of any work an this prgsa . hood V um be W tM City Enptneer. This pptta must be R UTILITY CLEARANCE. (SubsmuzureslPriortomakin bli ermn.mepermme.Shall contact all concem gany extavatwnwithin Ins CityofLaQuints nphtatoomiystmotmd 0am49e to "sun ed uttfny companies relative to the I= on df extoll" a g wbstrvLstrroa resuming from operations u�truetures. Of the permmse. eotiatiaep unser this tlermn shall be the sole nstpar4ibitity 6)UTILITY CLEARANCE. (Surface structures) No proposed work site. The permmes snail not yyark 3f 1iY be aorr under Inn Oerhth unrol all utilities ons Ci IN all concerned utility companies of the Proposed wort CSW of the RS PAVEMENT WIDENING: Area botvwan the propopq alefecedwith inches at A.C. pavin cote flutter fine and the existing road pawmerif shall ba Itanng an "R'vSlusof not lesaman g Placed cn-_inches of class atldSpecifications.Ordinanca948 and inept)toroenpwitnCityofLaQuintsRoaGImpraaaubba..chills mprowment Stanaaros PARKWAY GRADING: Area between Ins Property line and top of the propoaea canwta euro shall be pra 1/4 inch to one foot 11 1. pea tp a cope p} R7 GRADES & STAKES: City of La Quints shall establish grades construction.. and stakes for rite proposed concrete corp and gutter GR:CiryotLaQwmasnelleheuga licensee engineer. roaesupenroofclanandosaifeand/or gradesssesablishea by R9 CURB REMOVALFOR DRIVEWAYS: A portion of the existing concrete curb and/arcurb and gutter 1 removed Curb and/or euro and gutter shall be saw cut prior to removal. Danratemacurb. featlsfiau be matching eontcrete gutter one concrete driveway epproscro shall be constructed in conformance with City of La Quints Standard 9207. RIO DRIVEWAYS. A.C.: Driveway* shall be constructed as net to alter existing aramage pattern. Surfacing between trio Property cine and the existing road paving shall be 2.1 /2 inches of A.C. caving placed an ( ') of ennn, aggregate pass. Driveway construction snail aontafm to attacnea drawing. R11 CULVERTS.A-;nrndtameterr vert inches below and in line with me existing flow ions.Iwnl installations an conformtris to trio etarna ecarara". t 2 R1 SIWiT CLEARANCE: Sight ettLaranea of 600 feet in Sither direction snail be assume and mainamem R13 SOIL STERILIZER: The area tote surfaced shall be trcatedynin soil stmihzer. Rateaf avoticatipn lhau wmpiyyi,nh the manufacturer's scacrticattonta. R14 COORDINATE WORK: The *ftosed work shall be suborotnatea to any operation which the Stats of California or Cdr of La Quints may edto pr m this area during the perpp of this permit. Work shall be Lboratnated with me Sate or City of La Quints forced to preclude delay or interference with State or City of La Quints proleett. R1 SURVEY MONUMENTS: Prior a excavation or beginning at construction. all survey carimme of all Sheets or orovertor linea when involves they may o which fill= ac do rite be reatecea ov• ucwtsw crvrl engineer or tJiad be comotatan neo out so they miav ore readily orb uxrrsrnv ttMathee.utVat theextoarteeastMpennnteel.Aaortdteta,Ytotmood marritrtletrR snail a himifne0 b anefe City (ytgafeer De #Wtlhoo upon eanlbteebn at r.onwrrri.r a all ....m.. prior to vsiOanrmdrarmdwm Thischicrgerme -16-'RVEYMONUMENTS P•,ortoexcavanonoroearnninooiconstruction.allsurvevmonumentssnailbeileaoutOvta:y %I tea Uuinfa ana sunaole Payment or guarantee of oavment snail oe made as reimbursemerh tar all Work uriOrvep- R17 PAVEMENT CUTTING: Pavement will be metnanicaily Put to a aro ht cuttrno snail be ationivets tnrouan the office m me City Engineer. IUnaer ntlo circumstances error msZanc�es�ana �! oil used to excavate error to cuttlna of oavememt. Excavation material snail be placed In sucn xcary a Method OeIpment facilitate the general now or tramc. Prror,to anal paving operations. any Oamaoe to Pavement a posting e s to corrected. position ah as to pest R18 PAVEMENT CUTTING. straight sage snail oil Pavement snail be saw cut prior to removal. Prior to final paving Operations. Pavement straight edge snail be corrected. R19 LIMIT OF EXCAVATIONS: Excavations snail be limited td 1.000 linear feet of poen trencn before oacktill Oca v damage to begin. All excavations snail be oroberrv, barricaded with lights overnight. on weeuends and nolidays tar the travelingronons must PuouaThePublicWorksinsoectwsnanaetermmemesunaoduvorexcavationcarneamn tneacncanonm excavation snail remain open fpr a Period exceeding live 151 days. No excavation snail be made unless material Is actually on the work site. g to seen case. ho R20 BACKFILL MA the Construction MATERIAL- tahrco shallbefreeofor. n. roots Or Other organic substance eetrementa.:..;s Of proaueing an edmw[ely consolidated bedoill. Any material which the Ci of la saturated m8tefiall wNlCh IS ehtOUhtefep during exCaVBliph ShaLL not be USQti for baeuint bili snail be iia ler pongya! Quihta deems unsuitable lapongy or reptacea tiv an abprtll/ea sane or gravel. - R21 BACKFILL SAND: Backfill Shall bee ppumemed or trttroved tt'arort•mix sand or equivalent and shall pe Plated In lifts of riot throe feet Q'18nd vibrated using vibrotamper or eaurva to nt equipment. Alternate methods may be su Case a relative Compaction Of 95 percent Shall be attar Wrthm the air _ groaterthan I.ctural section of the roadway. but in arty R2 BACKFILL PLACEMENT: Bacttfdl snail be spoiled in lavers of not more than 50 percent at the total d before flooding Ora mammumotfivs-iOot1511iftswnereTrenchesSheaf excessiveeepths CarelstTat ex backfill material isepth of the trenrn not subjected to ememe swell by flooding operations. Backfill material shall a MCtaedthatthe resulting Compaction shall be not lass than 900ercent or equivalent to the surroundin compaction. Where Dancing or flooding is used for a maximum settlement, adequate dikes will be co sV coo a0lh8t ma g ground. whienevel' is the greater the water. Where lalling Is used. the lets shall be of sufficient length to feet h the bottom of each supply shall be iteted to retain continuous. aver end the water COMPACTION TESTS: If so iequired bythe mspeaor. compaction tests shall be mace at imervalsot net more man 1 Opp feet and a minimum of one 11) test on each road One 11 j ropy of each test shall be forwarded to the CI approval and filed Orwt to making permanent repairs. Compaction tests shall be rn acts as outlined In S Surtaaro Specit City Engineer for leavorM Division of Highways. State of California. dated January 1973. �On 8.3.01 of the R24 COMPACTION TESTS: If so required by the Inspector. comoactton tests shall be mace for each cosset One 11) COpy of each last shall be forwarded to the City Engineer ter approval and filed error to making Compaction tests shall ba made as outlined fn Seaton 6.3.01 of the Standard Soecdles"g games line. Of California. owed January 1973.VEMENT REPAIRSO is•Divisi permanent ofH attantrowu9l+weya. State e R25 TEMPORARY PA r: Atter Completion Of backfill and Compaction operations, a to consisting of 2 incites df SC•800 shall be placetl on a prepared Subgrace. The SC -800 temporarykfill ns d. but in ��trn porary paving Snap a Weoeo the placement of the temporary pavement exceed a five 15) day limit. R26 PERMANENT PAVEMENT REPAIR: After Dacktill and Compaction operations have aeon completed. a to consisting Of two Innes 12'1 of SC -800 shall be placed Immediately. A permanent paten of surfacingtemporary paten placed en a inch class base shall be placed no laterthan —�� mares A.C. temporary road tapas. daysaherepinpletionof R27 PAVEMENT REPAIR:F.A.S.: Upon completion of backfill and compaction. a tempdrarypatch consisting of two incites 12-1 Of cold mix paving (SC -800) shall be placed immediately. A permanent paten Of three Inches 13'1 of A.0 be placed on six inches 16'1 concrete base es directed. but riot later than fifteen } 151 days cher tom rev paving. Concrete ossa surtating shall WWII be of five seek mi:and shall conform to the City of La Ownta Road Im a of tsmoorary and Specifteauons. Ordinance a481.OrcmInOmStandards R28 FOG SEAL: A fog seat coat consisting a} an application of asphaltic emulsion snail be appueo over all determined try the City Engineer• paten areas as R29 SEAL ARMOR COAT: A seal coat consisting of an application binder and screenings shall be spoliation all where such seer coats axrsteo prior to lSSwnceOf this permit. Seal or armor coats snail be applied as 37. Standard Specifications. State of California. Division of Hi Wteh arses be Standard ghway%. dated Jan uary 1973• Work OfS� Pavement Section by a licensed contractor engaged in the business of pavement repair. �eTent repair to R30 STREET RESTRIPING: Where street striping is still visible on streets to be excavated. such striping shall be replaced upon COmotetion of permanent repairs. A31 TREE RELOCATION OR REMOVAL. Tree relocation within the City of La Quinta road right of way shall be accomplished by a licensed. bonded ana insured tree service. and handled safely witnout mterterence er hattard to the traveling public . shall be the responsibility of the permmee to maintain the tree in a vigorous growing condition at ria new location. Trees to be removed shall be removed in sect,on! which can be handled safely witnout interference or haZarp to hi traffic. The entire wham of the tree stump snail be removed and disposed of It mat no debris remains r view of the highway. The slump note snail be backfilled andtnorougntycpmpaaeo as specified that no Ohe lb is remAng ain gnwee becomes necessary to restrict traffic. the work shall be restricted to a maximum of 500 feet at any One time. d Here it e signs. flagmen end/or barricades shall be provided to protea the travelingequate Large holes resulting public at all times. from tree removal shall be Dadt}illetl and percent or surrounding ground. whichever is the greater comcompacted to not fess than 90 compaction as determined ov the impact or field method. Com action tests shall comply with Section 6.3.01 of the Standard Specifications. Division of Highwevs. State of California, January 1973. Compaction . dated 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 snail be removed. b• Where It becomes necesSary to restrict traffic. the work shall be restricted to a maximum of 500 feet at any one itme. Adequate signs• flagmen• and/or barricades snail be provided to protea rile traveling public at all times. C- If tree trunks are partially Outside of the City of La Ouinta road right of way, permittee snail make his own arrangements wltn adjoining probeny owners for consent to the trimming In addition to the autride tion provided by this permit. Of. 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 prOpertyowrran aha. be comeQem m all inxmnum. onor to trimming or topping trees. I. Pruning snail, m 42 mstances, to at the ahOulger SPECIAL CONDITIONS --PERMIT NO. 2270 .- 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 1st to April 30: Monday -Friday 7:00 a.m. to 5:30p. m. Saturday 8:00 a.m. to 5:00p.m. May 1st 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 withflagmen 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, 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. Special Conditions - Permit No. 2270 Page 1 of 2 SPECIAL CONDITIONS ---PERMIT NO. 2270 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 (909) 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 alltimes. 16. Permanent pavement replacement section shall be one inch greater than existing. 17. 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. Special Conditions - Permit No. 2270 Page 2 of 2 /0 -//-?Y 11-z3 PLAN FILE NO. BASE SKETCH C019I.-IllE 16& al?/ BT: T CO.PL.SKETCH BY:_l SHEET--L-/—OF //7- Z1,q, oUlA /.I 30 -30 .17i -.16, 4 PEA D�l 70 150Lauon A-rett Affcctw COUNTY 11 j press,=e rds"n"m A�Tevmd Yes 0 No ❑ B.'asiress Dis=ic-t Allitc"ed yes IN7,0 Ej- Su7 Ay Linz Affccu�dl Yes No 0I Valve�s) Requirod yas ❑ No Cj- H C. P. A r ea — — BY , C.P. Revicrxzd By; TRACTPLANNED NO. R--vievfea By: COMPANY— STAKED 0 COMPANY FACILITY: SO. CAL.�e- P.L.S. 0 jet= TOTAL FEET INST'D. INSTALL MAIN WITH AT LEAST" COVER BELOW TOTAL FEET RETIRED COUNTY RETIREMENT PERMIT ISSUED BY 44 PERMIT NO. DATE MOVED DATE MOVED DATE OF ON JOB OFF JOB— OPER. — CREW FOREMAN DISTRICT REASON BY , TRACTPLANNED NO. COMPANY— STAKED 0 COMPANY FACILITY: SO. CAL.�e- P.L.S. 0 ATLAS NO. lov C-ATH0131CALY YES 0 NO PROTECTED YEAR C.P. INSTALLED OPER. ER 20Y. OR OVER 0 S.M.Y.S. -AT*- LESSTHAN20% J�l 1 STAKING REO'D. o NO STAKES NEEDED I < -Z-All- ��--.DIVISION S�j ORG. I W.O. CODE 'REVIEWED BY :r __ISTRICT SUPERVISOR