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2278
NOTE: i - 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 III DATE: 12-20-94 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Avenida Ultimo (Street address or Description of Location) PURPOSE OF CONSTRUCTION Install 222' of 2" med pressure Sketch (attach construction plans if appropriate) Mastic gas main DESCRIPTION OF CONSTRUCTION Trench in Earth and bore under driveway See attached conditions DIMENSION OF INSTALLATION OR REMOVAL See attached drawing SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Dec 30, 1994 APPROXIMATE TIME OF COMPLETION 6-30-95 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: 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. Box 3003 Redlands, CA 92373 (909) 335-7764 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 I II 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. -0- $ -0- Received by Date 2278 PERMIT VALIDATION PERMIT NO. 2278 DATE APPROVED 12-20-94 EXPIRATION DATE 3-31-95 DATE ISSUED 12-19-94 By t Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 54144-435 CITY OF LA QUINTA NOTE: With prop validation DEC 1 21994 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 lots, sewers, water mains and other like public works improvements In connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS -710 Subdivision Improvement Permit — Class I II DATE: DECEMBER , 1994 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION AOENIDA ULTIMO (Suter ad - or Description of Location) 17,E L2Z� of Z"� PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) wan -""";L S --~ -.1 6ESCRIPTION OF CONSTRUCTION `QIWQ4 Qnd.A 0(Lk4V-,-3V^-1 To install 222'of 2" medium ressure DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED P plastic gas main 9' N/SPL of Avenida Ultimo, beginning 179' E/CL of Calle Quito, continuing east. SEE SKETCH CUT EARTH B RE 80' APPROXIMATE TIME WHEN WORK WILL BEGIN DEC. 30. 1994 0 APPROXIMATE TIME OF COMPLETION 6/30/9S THOMAS BROS PG 214 E6 ESTIMATED CONSTRUCTION COST S (Including removal of all obstruction, materials, and debris, backfilling, conn 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, lois 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 wAth all applicable City Ordinances, the tisane and conditions of the and NI appli to rules and regulations of the City of Le Omkm and to ray for any additional replessment rnao m I as the rasWt of work. � � - _ Applicantor Agent PER T. COORDINATOR , _ Rhoe�ia Astft i - . -'SOUTHERN ALTFORNTA-GAS. cft, p-n—Rox lnnl� - grnT.Amn-q rA =7,i 0164) 35-7764_ Nance of Applicant (please Printf 5 _ 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 I I I Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction cora Minor Improvement Permit - Class IV: See attached schedule - Inspection Fee S Permit Fee Q Penalty Cash Deposit -Surety Bond if raluired _ TOTAL: Receipt No. -.-- Received by Date Recorded by * PERMIT VALiVA T iOni PERMIT NO. ZZ78 DATE APPROVED EXPIRATION DATE 3 - DATE _DATE ISSUED _12- Receipt 1Z By Administrative Authority TELEPHONE: (619) 564.2246 i . s 1.;\ C, "'., ;".o 2: -he following naanerar and Spacial Provisions are attocnsd to and made a part at Perm" No. ZZ /g GENERAL PROVISIONS .. She following snail always apply: ENCROACHMENT ON PRIVATE PROPERTY, 'his Derma autnorizes w ONLY. Whenever construction extends wtinin private crooeriv. it snail be ins f 10 asoonsiolsneawlmm City oI La secure permission from abuttingsecureddrN Or It'd Quints rtrac o vrav Drooern owners. Such autnoriza[lon must os secured ttv the oeoaam+mee for its contractors, to TRACKLAYING CONSTRUCTION EQUIPMENT: ClaaiylraealavigeoRstrti meg rotor to siding wars Oayso surface uniess ttttedwitn smoarn-races street cads. All m cnon °oulomem shall n :no onvinq oaring excavations. Rubb°r-tired aculOmeht only snaanbe u on arba0ermme0t000ernaonern ggars snail be tmeo win rUppw Mee! VIdea to orOtaQ pavement is scarred. spatled, or croxen during ins term ar this o used in Oacxflll OOtrnlOnf in lost Ines! dortiont n r ntraet. Or H the pavement is rip paved areae. If the axis " Oda be nlurteCN over Lnerr entire width. Ryazfgcynq shell cdttstu of one abet of surtaermg Dtus appropriate seat cost as Spaeffiea above. one Gh of La Qyirha anal rof A.rt two InchN 12'1 of A.0 PROTECTION OF TRAFFIC: All excavations and war x areas snail ba.orope It Engineer or La Quints Citv Public Wonulnspmtors, SuitaOla detours ano gntea and Parrioaso a dymad hee Ot the pralaG. The City snail be neared 24 Mrs. to advance of a dnoursigilsanellbecilwAcana �rybytne City sty traffic er°rmaliteatdrmecurstion CARE OF DfU►INAGE STRUCTURES:endure or oairrfaehpng. wnC°te siruclWss encounterec curl g excavatio ewnten re incluarg COrfugaied meal owe, concrete naOssery to remove at cut existing drainage strUQYreI. G ecaaanaU rertnpyN snail be p0°' steel culvert aro Drainage structures and open drains small be kept free of N Of La gied in kind. In the event•tt beeanree Quints snail be rarified pmOr to cornmenegment Of this wort[. RIGHT OF WAY C debris a[ ail times Ian pra0er ararnaga. way. All pavedsunace! shall a brodmed cteansurplus 1pfeartnnana mer ab from anon and backfill Operations snail be remoga from ins right of Existing gutter tine and drainage Patches snail be replaced to their Original stancasp Is iTmapi°t°M°n°r0 prior to paving. Water tanker snail be used. as r material snag con remove , immedpteiv Noor Oactaitl. required. t0 eprinkla the east°I. All excess material anaY a feingvea ly site to keep dawn dust conditions and snag be used OE -WATER OPERATIONS: If de -watering gwfetldns are required and oualps are rorcig wetergn City a} !, Quints r the resDOnsiodtry or ins OwmmN Icontraaarl to control Ints water aro to Dravida aM CLOSING asps. It shall be STREETS: No street !hail be Etosea. A min err -street as %nen elaapNty. a=ces for tneaaiotning prOmM ow nets and eme arae lane of t"O is small be rnalmalnea at an times t0 any legm at time. permittee snail contact this a cecv,venues. In theto event It llfeftbythepermmee[hatnemu Provide limited obtain the fled Mry Permission. RdONenfeas for SPECIAL PROVISIONS The folMng spall apply ONLY when Indicated: NOTIFICATION: Permmee Snail notify the City ai 77_7075 R2 CASH OEPOSITS OR BONDS: A nen bond or an app n Ilan 48 Acura in advance p} starting edastzticadn shag be furnisned in the name of City of La Quints to cover aY� bona viass in an amount atnot lass titan s roads and survey monuments. This bona :Hall be continuous anti) C7np 11 din the restoration of the versa" bodge poor, a This of a by me City Engmear. This V Quintsbe air work ah Pace Drplea . bdfw mum a R3 UTILITY CLEARANCE(Substructureslprior tomakinganva�yst �thtntheCitvofLaOutatsngtttOf by perm», the tfermmes snail contact all concern ed Ytny xce'viamN"t"In 1 1 o[tv fLatianof rights ard Damage � g subamauras resunmg froates.m Operations porrpacua 's O'r es. a. under the Substructures. Oermrt ahaY a ate able i�bffrrarlity R DUTY CLEARANCE: (Surface nrticturest No "We shag be OWN under this penhrt anal all utilities are Proftmed worst she. The pbrmmee snap notify all concwnoa utibty companies iN of the proposed all wOfs dear Of the R5 PAVEMENT WIDENING: Ails between ane propayp surtaceOwnn�+nCneaobetweenvIn Concrete gutter line and the Wast) fptog an "R'value of net lea! man g Pieced on_��inLhes al dans ng road Oaverneht shall be Snd Specifications. Ordinance o46- in conformancewitn City of La Quints Raoa Improvement todayEowsa /�p� mprovament Standards V PARKWAY GRADING: Area between Ina props 1/4 imn to one foot l l T, sty line and top ofineOropoaed concrete curt shall ba a W adabealowet R7 GRACES & STAKES: City of La Quints snail establish grottos and stakes for the proposed concrete construction. RB GRADE CHECKING: City at La Quints snail Cheatare and glitter a lieenseo engineer. BraaeautonrecO=Otolsnandcratil°and/or grades aaestabfighep by L FOR R9 CURB RFMO b 8nd/O DRIVEWAYS: and YS: A portion at the existing concrete curb and/or curb and gutur t f removed Curb and/or euro and putter snail be saw cut arrat eo ►amoval. Oeoressaw garb, m concrete dnveway apDracn snail be Cpl Ntfaeraa nWIlLicted in Cont matching 1207. gutte►en0 R10 DRIVEWAYS. A.C.. Oriveways snail be constructed as not with City O} La Quints Standard 8207. prdPefTvIvEW line and the nrowev road Davin shall o after existing drainage pattern. Surfacing aggregate case. Orivawav construction snail conform to amchao drawing.g atwean ter° paving Olaeao 0 1 __� of dance_ R11 CULVERTS.A :nen diamerert manes aglow and in erne win the existing ttow i vert) installation ver? snail oe ail conalled formtto [ns attarneprarawing1. 1 2 SIGHT CLEARANCE Signs clearance at 600 feet in either direeupn snail be assureo and maintained R13 SOIL manufacturer's specifications. The fres to oe surfaced snail be treated vvnn sou Sterilizer. Rste Of application shall earn �� rnanuraaurers soeetfiemdms. Com' COORDINATE WORK: The phwf[nthe City of a►aposed work shaft be cargo ia, o any operation which the Stan of California or QYlnsa rltaY conduct In this area dun City Of La Quints forces to preclude delav or interferenceng a period of thm permit. Wens snail be cdoromnep wort the State or R15 SURVEY MONUMEN trim Sot° or City at La Quima droplets. TS: Poor to excavation or beginning of ceiw*+ubon. all survey monume be wale» amantila of all street err property Imes when imidrvea snag a ephpaneN mea out so berebrsogby•rrcehamclvtfmay Ninrr the tplestpaeft"PoKegems snail be tunaahedmapa lit me expoe"s dente oefffrhsa A dote naligganoeOneaty twuhn wort aonvolgomn or — -•• �7ineerertsaaterenarrs.... -- _ MO1A"'igtne '18 '-q�V'•fONUMENT$ P -••3r to excava lion ar ceaInnina a, construction. all survey monuments shah pe ffeaout OV • :I La Uiunra ano sullaale cavmenr or aZiaramtee Cf oavmsnt snail On mace as felmoursemem R17 'AVEMENT all _"' CUTTING. Pavement thewill pe mraehamuuv cur t° a strargnt adds prior TO excavation. Mems �nvorvea. cuninp shall be eptirovea tnroudn the ortfeeat the City Engineer. ill^Oar ^o circumstances snarl eMetho n oe used to excavate prior fl) cuttino or ocectrI nti Of Oavemem racllitate the General flow of traffic. Prior to t'rlat paving appal ons. ahmateriatvseama Bmall be t Ifo OaVEment S[fa g egWofnest position as to nest R18 �4VEMENT CUTTING. Pavement small be save cut artor to removal, PnOr to Anal Davin operations. fit edge snail be pavement straight edge snail be corrected. R1 UMITOF EXCAVATIONS: Excavations snanbe Ifmned to 1. qany damage tc begin. All excavations snail be property oamcaoea with l,amtts pverelatl ntet n oxen trench before oack"ll the traveling q on weekends and noliaaystor eranonsmust g pu0ac The Public Works Insoeapr snail cote rmmeme suitability of excavation oarncamn a protection ar excavation snail remain open tar a OeriOa aide aping 11Ve lel days NO excavation shall be mane Utile material is actually On tme work silo. g In conn ease. Na ne R2 BACKFILL MATERIAL.Banctulsnail befree otbrusn. roots Or other organic substance detrtmenta•• �t��nscrposen Of producing an 80e0ustaly consolidated baaditl. Any material which the City O} La tar saturated materiel) which is encountered eiinn eIsPonosea q excavation snaLL not be use of for oackttillabut snail be aut�le IaPOngyor remaeea ov an apmave0 Sano or gravel. _ R21 BACKFILLSANO: Batstill snail be approvedeanslt-mix sand m Polemented or throe rest 13'1 and vibrated usingVfprOta equivalent and shall be placed in fine Of ^ ase a relatlVe c0 -barer eculva lent equipment Alternate rriaihOps may oe 7wD of greaterthan mpaction of 95 percent shalt be enained within the s-ructurat section of the roe R2 BACKFILL PLACEMENT: Backfill shall be applied in lavers of not more than 50 percent of the total t death Of but In env Oafine floodingO1"rey m a maximum at five -root 151 lifts where rrencnes aredt excessive e babktfll material is not saths. Care is to beekzer Of the [renes resultin ill be a not t° extreme swell by flooding opmetion1633 thans Backfill materiel snarl be dead Thelma Comparnan. Whereconatnq of not Is u9 San for � maximum settlement.totha0°unafn placed so trial Ine Me water. Wriere99rounq.wnirneveristnegreater letting f3 used. the lets shall be of sufficient length to reacnahetbottom ofallies tll be constructed to a en aver and the water awpOty snap be commuous. COMPACTION TESTS: If so required by the inspector. feet and a minimum o} poets ► [est on eecncompaaton testa shall be made at intervals of not m approval end tiled Prier so Makinread' One l 11 copy of each test snail be forwarded to trio Citymore than er for apprStanoval dSpeuheap0 gpermanentrepairs•Car^patio^testssnailbe me OasoutlinepfnSeaton Engineerrar ns. Divrafon at MighwnR State of California. dated Janus I 6.3.01 of the R24 COMPACTION TESTS: If so required by Met January 973. One( copy at aeon test shall be tprwerged togttmta carily, com ems f� s sm snail be made for earn cosset COthp1)cop tests snail t smear as OwlllneOln approval and filed Oftor to makinggOrkervro lime. of California. S°R1On 0.3.01 of the Standard Speertlemions. Oivia� Parmenentreoaus. oared January a as ' 973. RZS TEMPORARY PAVEMENT REPAIRS: After of rohyver•. Stela consisting of 2 incnes at SC -800 shall be placed ansa prepareOf d s�pq ace. The SC -800 temporaryill and compaction pria' a to orary after a maximum Of 3.000 lineal feet of trench nas peen excavated and pack}ill operations completed. put ,Sh O ease �ned the Placement Of the tempora Paving show a placed R26 PERMANENT PAVEMENT REPAIR: After oack ill and eexceed a ipm ave lrnondaylimit consisting of two Inches (21 of SC -800 shattie Operations have peen completed. a to surfacing placed on a inplaced immadlatety. A permanent patch of nf00►ary A.C. ch class —�sse snap bepiaced n0later than b--� inchesA.C. temporary roto faded. days after completion of R27 PAVEMENT REPAIR: F.A.S.: Upon cdmolationaf backfill ano comoaction. a temporary patch consistin of Of cold mix paving (SC -800) shalt be placed Immediately. A permanent Patch at three inches (31 of A -C. StUfacth be placed on six Inches f61 concrete base es 9 two inches (21 Paving. Centore pada anal) be offive-seat mrxaaendashabut tint to Me C Nnot later trian eo} � 50iunro aped 9 snap Ilttd SPeafications. Ordinance 0461. Piabortoftampmary R28 FOG SEAL: A fog seal coat consistin or�mgmStandards determined 9 of an application of aspnalwe emulsion snarl be applied over all W the City oat const Wren areae as R29 SEAL ARMOR COAT: A seal coat consisting at an application binder and screenings shall be applied an all where such sea( coats existed prim to Issuancoat this permit. Seal or armor coats snail be ays.ailed as spacdied In Seaton 37. Standard Specifications. State of California, Division of Ni Detain areae be accomolished by a licensed contractor engaged in the business at a paed vement ntaepa973. Work of Pavan R3 STREETtion at I Permanent repairs. striping is srnl y,siole on streets to be excavated. such striping snarl be repuraOPupon completion Of permanent repave. R31 TREE RELOCATION OR REMOVAL. Tree relocation w,tnin ine Ciry at La Quhnta road right of wsv snap be acedmpnsnsd by • licensed. panaad ano insured tree service. and handled safely without Interference or mallard to the w4hralrn It shall be the responsibility, Of the permittee to maintain the tree in a vigorous growing condition at Its new location - Trees ' Trees to be removed shall be removed In secttamsWhich can be handled safely Witnout interference or na °Canon_ traffic. The entire wialh of the tree stump snap be removed and disposed of so that no debris remains In view of the highway. The stump nate shall be oackfilled analMordugntycompactea as specified in the followinglard to highway becomes necessary to restria traffic. the Work shall be restricted t0 a maximum Of para signs. flagmen and/or barricades shall be r ��- Where it p anced to protect the traveling500 feet at any one time. Adequate Largenolesresurtingtromtree removal ehaUoebaatttlledand cpm publicatallhmes. LageholeSurrounding ground, whichever is the greater bpm paaea to not less inan 90 percent or equivalent to [fie testi shall comply with Seaton 6.3.01 of the Stanoard Specifications. Division of Mighwevs. State of California, dated paahon as determined by the Impact or field metngd. COmpaafon January 1973. R32 TREE TRIMMING: . a. Only the necessary trimming small be accO motisned to Orman clearance of the facility for one calendar Veer All broken or week sections witnln the trimming snail be removed. a Where It 08COmes necessary to restna traffic• the vyork shall be restricted to a maximum of 500 feetat anyone time. Adequate signs• flagman and/or oarncaam snail be provided to protea the traveling public at all times. C. It tree trunks are Danlally outside of the City at La Quints road right of way p i by thispermit. arrangements with adjoining propertownersowners tar armlttee snail metra his own by consent to the trimming in addition to the autnmi?atlan provided MIs RGREEN d. All tree trimming on�. ' the satisfaction of the City Public Works Inspector EES. and Other ORNAMENTAL TREES shall be accomplished to eI. Pruning ' Abunting cru°wry owners snail be coma�d in all instancepc Pinar to tnmmrng a. totmmq treat -------�tsnas On as me -- -- — — - — -- SPECIAL CONDITIONS --PERMIT NO. 2278 --- THE GAS CO. --- In. addition to the standard permit conditions, the following shall apply: 1. All work shall be performed in accordancewith 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. l st 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 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, 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 - Perni t No. 2278 Page Pof 2 SPECIAL CONDITIONS ---PERMIT NO. 2278 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 all times. 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. 2278 Page 2 of 2 T�= - 22 PLAN FILE NO. SASE SKETCHCONST R. 6KETGH COMPL, SKETCH ,_9fl __. �%C I � __. _- :.. _• ' . _ _ _ :_ ' - ��...J � /NOL.. // 1� G , 1" L.r9r1�0_.TEST /7i�iit/. :3jG�'�/v 1,0/111cIY ATL ©e tZ _ LC _:. .. _. _. .. - r .�. - �_ _.. _ ,.-. _ � _ _ - _ ' . �' _ -' __.. I ..._ _w<. •: `-` _ {__y- _ .. _ .. ,� _.-_-_. w_. _ ._ -._ .�a.�_ ..�J__ . _ _ ,.. _ .. _ .I ... � �. +- _.-_ r _~... l..1 -y � -- •' _ _'_ __ ".i .. ..�.... _. ,_ s _ ., I _ , , _ ..._�+., ... _.. _._ -- . ..�. _ ., _. - .. i - r � I ISo:ii:om Arm tkffe ,-,lYG5 ❑ N .... - . � ..._ :y ____ . _ _ - «. . , _ � ..._ -- _• _ _ - -TOTAL FEET I NSVD:. I'f(.SSiiTii JJui?< ;i _'ici°�uCil y� ..S ❑ G .._ - INSTALL MAIN WITH AT LEAST_" COVER BELOW - INSTALL TOTAL FEET RETIRED 1' lled Yes ❑ No � I _ .. • PERMIT ISSUED BY PERMIT NO. DATE MOVED DATE MOVED - DATE OF Supply 'X / /� RETIREMENT - !p_ l j L ziC �i�:' ;� ! Ye, ❑ No CI t I COUNTY %� �'` /� r /".q oulN%4 ON JOB OFF JOB OPER_ VaM,(SZ .�+'nquir: d Yes ❑ No I . JGJ�r"'T CREW FOREMAN C.F. fie:? No. DISTRICT r REASON ... ... - ., , COMPANY _. .... _.. - .... C. . .. y. _. TRACT _ .-�_ __ ... - I— _.. PLANNED BY - u��>>W B , �/ p `_ " • _ - t`Irl'�l!'�r.•'tyiYV: - .. C//�/� STAKED ❑ COMPANY FACILITY:. SO. CAL. P.L.S. ❑ - �'LG �....:.. .1...•.•..L._a_-..___ - .: ATLAS %� YEAR C.P. _.. �, .. NO. ��u �3 INSTALLED • - - REVIEWED BY - ^ 2L] �-^ _ STAKING REO'D. ❑ �/VC._/7 ���/-//�/-�//c�CC DIVISIONCATHODICALY - "•' R OVER PROTECTED-' NO ❑ NO OPER. • LE SOTHAN 20 y.' S.M.Y.S. U`J' ��� ] uCr� NO STAKES NEEDED W.O. % CODE DISTRICT SUPERVISOR SOUTHERN CALIFORNIA GAS CO. -2956.3) a- yz _- :.. _• ' . _ _ _ :_ ' - ��...J � /NOL.. // 1� G , 1" L.r9r1�0_.TEST /7i�iit/. :3jG�'�/v 1,0/111cIY ATL ©e tZ _ LC _:. .. _. _. .. - r .�. - �_ _.. _ ,.-. _ � _ _ - _ ' . �' _ -' __.. I ..._ _w<. •: `-` _ {__y- _ .. _ .. ,� _.-_-_. w_. _ ._ -._ .�a.�_ ..�J__ . _ _ ,.. _ .. _ .I ... � �. +- _.-_ r _~... l..1 -y � -- •' _ _'_ __ ".i .. ..�.... _. ,_ s _ ., I _ , , _ ..._�+., ... _.. _._ -- . ..�. _ ., _. - .. i - r � I ISo:ii:om Arm tkffe ,-,lYG5 ❑ N .... - . � ..._ :y ____ . _ _ - «. . , _ � ..._ -- _• _ _ - -TOTAL FEET I NSVD:. I'f(.SSiiTii JJui?< ;i _'ici°�uCil y� ..S ❑ G .._ - INSTALL MAIN WITH AT LEAST_" COVER BELOW - INSTALL TOTAL FEET RETIRED 1' lled Yes ❑ No � I _ .. • PERMIT ISSUED BY PERMIT NO. DATE MOVED DATE MOVED - DATE OF Supply 'X / /� RETIREMENT - !p_ l j L ziC �i�:' ;� ! Ye, ❑ No CI t I COUNTY %� �'` /� r /".q oulN%4 ON JOB OFF JOB OPER_ VaM,(SZ .�+'nquir: d Yes ❑ No I . JGJ�r"'T CREW FOREMAN C.F. fie:? No. DISTRICT r REASON ... ... - ., , COMPANY _. .... _.. - .... C. . .. y. _. TRACT _ .-�_ __ ... - I— _.. PLANNED BY - u��>>W B , �/ p `_ " • _ - t`Irl'�l!'�r.•'tyiYV: - .. C//�/� STAKED ❑ COMPANY FACILITY:. SO. CAL. P.L.S. ❑ - �'LG �....:.. .1...•.•..L._a_-..___ - .: ATLAS %� YEAR C.P. _.. �, .. NO. ��u �3 INSTALLED • - - REVIEWED BY - ^ 2L] �-^ _ STAKING REO'D. ❑ �/VC._/7 ���/-//�/-�//c�CC DIVISIONCATHODICALY - "•' R OVER PROTECTED-' NO ❑ NO OPER. • LE SOTHAN 20 y.' S.M.Y.S. U`J' ��� ] uCr� NO STAKES NEEDED W.O. % CODE DISTRICT SUPERVISOR SOUTHERN CALIFORNIA GAS CO. -2956.3)