3191' a
NOTE:
With proper. validation.
this form' constitutes an CITY OF LA OUINTA
encroachment permit
APPLICATION FOR PERMIT
`t 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: 5/5/00 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Jeiiferson. St. & 53rd and t12001 On Ave. 52 n/o canal -
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Two 41' gas stubs Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Bore Jefferson Street See Attached Conditions
DIMENSION OF INSTALLATION'OR REMOVAL
SIZE.OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN 5/9/00
APPROXIMATE TIME OF COMPLETION 5/10/00
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. A
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 eguI tions of the City of
La Quinta and to pay for any additional replacement necessary as the result. of this ork
Signature of Applicant or Agent
Sc. Cal. Gas Co. 75095 Matfair Dr... Palm Desert, CA 92211 346-4248
Name of Applicant (please print) Business Address Telephone No.
Same
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
Penalty
Cash Deposit -Surety Bond
if required ,
TOTAL: $ -0-
Receipt No.; f�
Received by Date
Recorded by
1,111911
PERMIT VALIDATION
PERMIT NO. 3191
DATE APPROVED 5/5/00
EXPIRATION DATE 7/15/00
DATE ISSUED1 5/ /00
By�
v I A nistrative Authority
Telephone: (760) 777-7075
The following General and Special Provisions are attached to and made a part of Permit No.
3191
GENERAL PROVISIONS
The following shall always apply:,
ENROACEMM ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within City of La Quinta right of
way,ONLY. Whenever construction extends within private property, it is the responsibility of the permittee for his contractors to
secure permission from abutting property owners. Such authorization must be isecured by the permittee prior to starting work.
TRACKLAYING CONSTRUCTION EQUIPMENT Cleated tracklaying construction equipment shall not be permitted to operate on
any paved surface unless fitted with smooth -faced street pads. All mechanical outriggers shall be fitted with rubber street shoes to
protect the paving during excavations. Rubber4ired equipment only shall be used in backfill operations in paved areas. If the existing
pavement is scarred, spelled, or broken during the term of this contract, or if the pavement is marred, City of La Quinta shall request
that these portions of road be resurfaced over their entire width. Resurfacing shall consist of one coat of two inches (27 of A.C.
surfacing plus appropriate seal cost as specified above.
PROIECTION OF TRAFFIC: All excavations and work areas shall be properly lighted and barricaded as deemed necessary by the
City Engineer or La Quints City Public Works inspectors. Suitable demurs and detour signs shall -be placed and maintained for the
duration of the project. The City shall be notified,24 hours in advance of any traffic detours or delineations.
CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugated metal pipe, concrete pipe, steel culvert and
concrete structures encountered during excavation which necessitate removal shall be, replaced in kind. In the event it becomes
necessary to'remove or cut existing drainage structures, City of La Quints shall be notified prior to commencement of this work.
Drainage structures and open.drains shall be kept free of debris at all times for proper drainage.
RIGHT OF WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shallbe removed from the right
of way. All paved surfaces shall be broomed clean of earth and other objectionable materials immediately after backfill and'compaction.
Existing gutter line and drainage ditches shall be replaced to their original standard or better. All excess material shall be removed
prior to paving. Water tanker shall be used, as required, to sprinkle the job site to keep down dust conditions and shall be used
immediately after backfill.
DE -WATER OPERATIONS: If de -watering operations are required and pumps are forcing water on City of La Quints roads, it shall
be the responsibility of the permittee (contractor) 0 control this water and to provide off-street barricades when necessary..
CLOSING STREETS: No street shall be closed. A minimum of one lane of traffic shall be maintained at all times to provide limited
access for the adjoining property owners and emergency vehicles. In the event it is felt by the permittee that he *must close a street for
any length of time, permittee shall contact this office to obtain the necessary permission.
r . SPECIAL PROVISIONS
The following shall apply when indicated:
NOTIFICATION: Permittee shall notify the City q (619)777-7075 at least 48 hours in advance of starting construction,
&aurY CLEARANCE: (Suba cu.) Prior to making any excavation within the City of La Quinta right of way
authorized by permit, the permittee shall contact all concerned utility companies relative to the location of existing •
substructures. Damage to existing substructures resulting from operations conducted under this permit shall be the sole
responsibility of the permittee.
U7HXI`Y CLEARANCE: (Surface Structures) No work shall be done under this permit until all utilities are clear of the
proposed work site.' The permittee shall notify all concerned utility companies of the proposed work.
R4
PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing road pavement shall be surfaced
with. inches of A.C. paving placed on inches of class aggregate subbase course having an 'R'. .
value of not less than and in conformance with City of La Quints Road Improvement Standards and
Specifications, Ordinance #461.
R5
PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a elope of
1/4 inch to one foot (11.
R6
GRADE CHECKING: City of Le.Quinta shall check grades upon receipt of plan and profile and/or grades as established by
a licensed engineer.
R7
CURB, REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter _feet) shall be
removed. Curb and/or curb and gutter shall be saw cut prior to removal. Depressed curb, matching concrete gutter and
concrete driveway approach -shall be constructed in conformance with City of La Quints, Standard #207.
RS
DRIVEWAYS: A.C: driveways shell be constructed as not to alter yexisting 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/
SIGHT CLEARANCE: Sight clearance of 600 feet in all directions shall be assured and maintained at all times.
RIO
SOH, SIERUMM The area to be surfaced shall be treated with soil sterilizer. Rate of application shall commply with. the
manufacturer's . specifications.
61�' COORDINATE WORK: The proposed work shall be subordinated to any operation which the State of California or City of
La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or City of La
Quinta forces to preclude delay or interference with State of City of La Quints, projects.
SURVEY MONUM UM: Prior to excavation or beginning of concoction, all survey monuments which exist on the
�-� centerline of all streets or property lines when involved shall be completely tied out so they may readily and correctly he
replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete set of notes showing the ties to
these monuments shall be furnished to the City Engineer prior to the removal of any monuments. This office shall be notified
upon completion or replacement of all survey monuments for proper project clearance.
i
Rol PAVEM 4T C1T1-I1NG: Pavement will be mechanically saw cut to a straight to a straight edge prior to excavation. Method
of pavement cutting shall be approved through the office of the City Engineer. (Under no circumstances shall excavating
equipment be used to excavate prior to cutting of pavement.) Excavation material shall be placed in such a position as to best
facilitate the general flow traffic. Prior to final paving operations, any damage to pavement straight edges shall be corrected.
R14 LUM OF EXCAVATIONS: Excavations shall be limited to 1000 linear feet of open trench before backfill operations must
begin. All excavations shall be properly barricaded with lights overnight, on weekends and holidays for the protection of the
traveling public. The Public Works Inspector shall determine the suitability of excavation barricading in each can. No
excavation shall remain open for a period exceeding five (5) days. No excavation shall be made unless the construction
material is actually on the work site.
BACI[FILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimental to its use for purposes
of producing an adequately consolidated backfiff. Any material which the City of La Quinta deems unsuitable (spongy or
saturated material) which is encountered during excavation shall not be used for backfill, but shall be supplemented or replaced
by an approved sand or gravel.
R16 BACKFJLL SAND- Backfill shall be approved transit -mix sand or equivalent and shall be'placed in lifts of not greater than
three feet (3) and vibrated using vibrotamper or equivalent equipment. Alternate methods may be substituted, but in any case,
a relative compaction of 95 percent shall be attained with the structural section of the roadway.
R17 BACXFILL ]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 five-foot (51.1ifts where trenches are of excessive depths. Care is to be exercised that the
backfillmaterial is not subjected to extreme swell by flooding operations. Backfill material shall be placed so that the resulting
compaction shall be not lose than 90 percent or equivalent to the surrounding ground, whichever is the greater compaction.
Where ponding or flooding is used for a maximum settlement, adequate dikes will be constructed to retain the water. Where
jetting is used, the jets shall be of sufficient length to reach the bottom of each layer and the water supply shall becontinuous.
RIB COMPACTION TESTS: If so required by the inspector, compaction tests shall be made at intervals of not more than 1000
feet and a minimum of one (1) teat on each road. One (1) copy of each test shall be forwarded to the City Engineer for
approval and filed prior to making permanent repairs. Compaction testa shall be made as outlined in Section 6.3.01 of the
Standard Specifications, Division of Highways, State of California, dated January 1973.
R1.9 COMPACTION TESTS: If so required -by the inspector, compaction tests shall be made for each crossing or service line.
One (1) copy of each test shell be forwarded to the. City Engineer for approval and filed prior to making permanent repairs.
Compaction testa shall be made as outlined in Section 6.3.01 of the Standard Specifications, Division of Highways, State of
California, dated January 1973.
R20 TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch
consisting of 2 inches of SC400 shall be placed on a prepared subgrade. The SC -SW temporary paving shall be placed after a
maximum of 3000 linear feet of trench has been excavated and backfiU operations completed, but in no case shall the
placement of the temporary pavement exceed a five (5) day limit.
R21 PERMANENT. PAVEMENT REPAIR: After backfill and compaction have been completed, a temporary patch consisting of
two inches (2") of SC-800 shall be placed immediately. A permanent patch of inches A.C. surfacing placed on a
inch class base shall be placed no later than days after completion of temporary road repair.
R2 2 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.
R2 3 STREET RESTRIPING: Where street striping is still visible on streets to be excavated, such striping shall be replaced upon
completion of permanent repairs.
R24 TREE RELOCATION OR REMOVAL: Tree relocation within the City of La Quinta road right of way shall be
accomplished by a licensed, bonded and insured tree service, and handled safely without interference or hazard to the traveling
public. It shall be the responsibility of the permittee to maintain the tree in a vigorous growing condition at its new location.
Trees to be removed shall be in sections which can be handled safely without interference or hazard to highway traffic. The
entire width of the -tree stump shall be removed and disposed of so that no debris remains in view of the highway. The stump
bole shall be backfilled and thoroughly compacted as specified in the following paragraph. Where is becomes necessary to
restrict traffic, the work shall be restricted toe maximum of 500 feet at any one time. Adequate signs, flagmen and or
barricades shall be provided to protect the traveling public at all times.
Large holes resulting from tree removal shall be backfilled and compacted to not less than 90 percent or equivalent to the
surrounding ground, whichever is the greater compaction as determined by the impact or field method. Compaction testa shall
comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973.
q
SPECIAL CONDITIONS --PERMIT NO. 3191
-=- GAS CO.
In addition to the standard permit conditions, the following shall apply:
1. Pursuant to Section 14.16.320 of the La Quinta Municipal Code -(Ordinance 10 § 1 (part), 1982), all.
work shall be performed in accordance with the latest edition of the Standard Specifications For,
Public Works Construction. (SSPWC) and as directed by and to the satisfaction of the City Engineer.
2. The Gas Co., hereinafter referred to as "Permittee", shall be responsible for providing continuous
dust and erosion control. All areas shall be kept watered down daily including weekends.
3. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and
more frequently if required.
4. Pursuant to Section 6.08.050 of the La Quinta Municipal Code (Ordinance 18 § 1, 1982), throughout.
the work site, the Permittee shall comply with City regulated work hours. 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 5:30 p.m.
Saturday 8:00 a.m. to 5:00 p.m.
May 1st to September 30: Monday -Friday 6:00 a.m to 7:00 p.m.
Saturday 8:00 a.m. to 5:00 p.m.
Work shall. be* prohibited on legal holidays and Sundays.
5. Work performed within 500 feet of a signalized intersection is restricted between the hours of 9 a.m.
- 3 p.m: Traffic controf shall be set up after 9 a.m. and removed before 3 p.m.. The Permittee shall
contact the Riverside Country Traffic Signal Maintenance Department at (909) 275-6894 if signal
operation at the intersection is to be altered in any way.
b
6. Pursuant to Section 14.16.110 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982),
Permittee 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.
7. Pursuant to Section 14.16.250 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982),
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). A traffic control
plan, if required, shall be prepared in accordance with the WATCH Manual and submitted to the City
for review and approval one (1) week prior to starting any construction. It shall be. the Permittee's
responsibility to appropriately detour and barricade all construction sites.
Special Conditions - Permit No. 3191
Page 1 of 4
N
SPECIAL CONDITIONS --PERMIT NO. 3191
--- GAS CO. ---
Pursuant to Section 14.16.290 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982),
street closures shall not be permitted. A minimum of one travel lane of paved surface shall be
maintained with flagmen at all times.
9. Prior to excavating, if required, the Permittee shall contact Underground Service Alert at 1-800-422-
4133. It shall be the Permittee's responsibility to notify the Public Works Department of anticipated
excavation which impact City facilities, including but not limited to traffic signal conduits and loops,
irrigation lines, electrical conduits, and storm drain facilities.
10. 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.
11. Pursuant to Section 14.16.370 of the La Quinta Municipal. Code (Ordinance 10 § 1 (part), 1982),
backfill compaction within street rights -of -way shall conform with Section 306-1..3 of the latest
edition of the Standard Specifications For Public Works Construction (SSPWC), except as otherwise
specified herein.
Native material may be used as backfill material provided that minimum compaction, achieved in
the manner prescribed herein, is achieved. Backfill shall be performed by mechanical means; no
water densified compaction via jetting_or flooding or other means shall be allowed. It shall be the
Permittee's responsibility to provide appropriate geotechnical supervision, testing, and inspection,
onsite, at all times during backfill operations.
Backfill compaction shall be achieved by the following conditions:
A. When a firm foundation is not encountered due to soft, spongy or other unsuitable material,
such material shall be removed to the limits directed by the Geotechnical Inspector and/or the
City Inspector and the resulting excavation backfilled with pipe bedding material.
B. Backfill materials shall be brought to or maintained at an appropriate moisture content for
compaction. The appropriate moisture content range shall be established at the onset of the
project and ensured prior to use of the materials through progress testing on the stockpiles.
C. The first length of trench backfilled shall be backfilled in the presence of the City Inspector.
Compaction shall be tested at random depths at approximate three-foot vertical intervals as
.backfill is placed to ensure the effectiveness of the compaction methods and to establish the
depth of lift that can be compacted.
D. If lifts greater than one foot are attempted in this trial length of trench, compaction tests shall
be taken within the lifts to ensure that the full depth of the lift is compacted. Upon satisfactory
completion of this portion of trench, the City Inspector shall establish the maximum lift
thickness to be compacted for the remainder of the project.
Special Conditions - Permit No. 3191
Page 2 of 4
Y�
SPECIAL CONDITIONS --PERMIT NO. 3191
--- GAS CO. ---
F. In subsequent lengths of trench, the frequency of compaction tests shall equal one per each lift
of backfill, per 300 linear feet of open trench, at randomly selected locations within the open
length of trench.
G. The depth of the randomly selected compaction tests shall also be randomly selected except
that where multiple tests are required in a given length of trench, the tests shall be no closer
than three feet (vertically) from each other.
H. If any compaction test fails, previously placed backfill (in the same length of open trench or
previous lengths of trench) which is represented by the failing test (as determined by the City
Inspector), shall be tested for compliance with compaction requirements.
I. All costs incurred due to the conditions above shall be borne by the Permittee. Copies of all
test results shall be furnished to the City Inspector.
12. All excavations within City of La Quinta right-of-way shall be backfilled, and temporarily paved if
within the existing travel way, at the end of every workday as directed by and to the satisfaction of
the City Engineer for the protection of the public. Lengths of open trench shall not greatly exceed
that which can not be backfilled in the same day. -Excavated trenches shall not be allowed open
overnight, however, Permittee may leave a length of excavated trench, not to exceed twenty (20) feet
in length, open overnight at a point where construction will begin the next day, provided that this
length of trench is completely covered by steel plating.
13. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to
its original condition.
14. Access and egress to all local properties shall be maintained at all times.
15. Pursuant to Section 14.16.375 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982),
permanent pavement replacement shall. be completed no later than seven (7) days after the
completion of the work. Permanent pavement replacement shall conform to the following
conditions:
A. Existing asphalt concrete pavement shall be sawcut one (1) foot beyond trench edges. Edges
shall be straight and clean.
B. Permanent pavement replacement structural section, within all trenches, shall be 1" thicker
than existing of asphalt concrete over the same existing thickness of crushed aggregate base
or crushed miscellaneous base, meeting the requirements of Sections 200-2.2 and 200-2.4 of
the Standard Specifications for Public Works Construction. The replaced pavement and base
material shall be compacted to 95% relative compaction and respectively tested, for each 300
linear feet of trench. Verify exact structural replacement section thicknesses with the City
prior to. installation.
Special Conditions - Permit No. 3191
Page 3 of 4
SPECIAL CONDITIONS --PERMIT NO. 3191
--- GAS CO. ---
C. Permanent pavement replacement shall be installed using a City approved'/4." max medium
asphalt concrete as the base course lift and a City approved t/z" max medium finish course lift
for capping. Asphalt concrete mix design shall be approved by the City prior to its placement.
D. Cold -Mill and Overlay - The existing pavement which was properly protected in place during
the trenching operation located adjacent to the trench sawcut shall be cold -milled to a depth
of 0.10 feet with butt joint created next to the existing unmilled pavement surface. The cold -
milled area and base asphalt concrete in the trench area shall be overlaid with a City approved
C2-AR-4000 asphalt concrete mix. The width of the cold milling area shall be as follows:
• For longitudinal trenches located in a parking lane: two (2) feet outside the sawcut
removal lines.
• For longitudinal trenches located in a traffic lane: two (2) feet outside the sawcut
removal lines, or to the lane line striping, whichever is greater.
• For transverse trenches across existing street: two (2) feet outside the sawcut removal
lines.
E. If grinding and capping operations are not performed in the same day as base paving
operations, the base course lift of max medium asphalt concrete shall be installed from
saw -cut edge to saw -cut edge flush with the existing street surface. The base course lift of
paving shall not be left 0.10' low in anticipation of grinding and capping.
F. Any existing lane striping affected by this resurfacing shall be replaced in kind by the
Permittee, as directed by and to the satisfaction of the..City Engineer. Affected traffic signal
loops shall be removed and replaced in kind. The finished pavement surface shall be smooth,
consistent, and shall conform to the surrounding grades.
16. Permittee shall permanently stabilize any and all soil .that was disturbed as a. result of work
performed under this permit with an approved dust control treatment. Soil stabilization shall be done
immediately after completing the operation.
11. Pursuant to Chapter 12.56 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982) the City
has designated certain city streets as Truck Routes. The weight limit for restricted streets (i.e., streets
not part of the Truck Route network) is three (3) tons; trucks exceeding the weight limit may. use a
restricted street if making a delivery or pickup on the subject street, or if this permit specifically
grants permission to. use the street to deliver street construction materials and/or equipment.
18. This permit allows for the installation of two (2) 4" gas stub outs on Jefferson Street as shown on
the attached plan.
19. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
Special Conditions'- Permit No. 3191 •Page 4 of 4
NOTE: 5. ,
! _
With proper validation
this form constitutes an
oachment permit
CIVIN
+ TOW
1 For the nstruction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
�,!�
\ 1t'"'�� and ce public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
lvvv�iC�®
...-enQ Subdivision Improvement Permit —Class I II
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION — '-j���' / S�'� — �%�� — /200 11 S /10 —
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
(Street address or Description of Location�%Q
PURPOSE OF CONSTRUCTION
Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION
DIMENSION OF INSTALLATION OR REMOVAL 7 I
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN =� "' 'C!— 6D
APPROXIMATE TIME OF COMPLETION S- /4 -O�
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:
cuy_ork
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 ru nd regulations of the City of
LA Ouinta and to pay for any additional replacement necessary as the result ofW0 work.
Signature of Applicant or Agent
Name of Applicant (please print) Business Address Teel/lepp�one No
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No.
City Business License No.
Applicant's Insurance Company CvEN. LIAISILITy 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.
Received by
Date
Recorded by
PERMIT VALIDATION
PERMIT NO.
� 1�1 I
DATE APPROVED
76, S — 0 d
EXPIRATION DATE
%f J
DATE ISSUED
2 1 U D
By
Administrative Authority
TELEPHONE: (619)777-1075
ti
i The Gas Company®
Southern California
Gas Company
Patrick W. Doane
75095 Mayfair Drive
Field Planner
Palm Desert, CA
Distribution
92211-5102
tel 619 346-4248
Hours:
2:30-3:00 P.nt.
fax 619 773-9243
7:00-8:00 a.m. —
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C, ml PROFESSIONAL ENGINEERS, PLANNE
RS & SURVEYORS
74-410 HIGH -111, -92260
DM TOM IM WAY PALM DESERT, CAUFORNIA
No. 36198
�4t� FAX (760) 346.8315
(760) 346--.:7481 REVSED VISC. DIM., C04ST NOTM PRU
Eyq-, 6 2P0100 DE
ELEV &- SRT19. AN. CUfZ\r,- PAIrk
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EXP. 06/30/00 1. BRUZ�
R.C.F- 36198 R E V S 1 0 N
Ismalmm"a $91ya AtUff O� SOLq"3N CN-FOFM
TOTAL EET INST 0
NSTALL MAIN WITH AT LEAST—Z�--Av COVER BE
TOTAL FEET RETIRE.)
-TIREMENT PERMIT ISSUED BY PERM FT NO. DATE MOVED DATE MOVE— DATE OF
RL D
TY
As CO�IUN ONJOB— OFFJOB— OPER.—
REASON
DISTRI
L TRAcr PLAPN Y COMPANY -
NO
ATLAS STAKED 0 COMPANY FACILITY: SO. CAL. P.L.S.
YEAR C P. REVIEWED BY
NO. Z1447 INSTALiLE
STAKING REQ'D.
- -- — --------- CA 20% oROVER 0 0 r'IVIS ON
OkTI40DICALY opelt.
YES 0 NO 13
NO STAKES
DE
PROTECTED _3
AT LESS THAN 2046:"' [3 DISTRICT SUPERV ORG.
ISOR co
4 I'02 —4 ...... . ........ I... . ..... . ...... Inn "l) t I0 0 c 49.Arb 01. .......... 4, z . ..... 4 ... .... . . ..... ......... j I ....... ....... ......... I . ... ..... Gil= -2-;* MAIN EXTENSION ORDER 'G2:i=1.57 47945 . .... . WORK REQUEST # ........ ......... . . ............. NlR492 %B MAINS $ -.6 CATEGORY I � -* �? , I , I . I - . . I I - t - Gi=-40.41%-. to cp 14WL 611 & UNDER -PLASTIC -TYPE 15410254 COST CE14TER: OG ACCaJNT M I NU*BER
T DATE 1 05/09/2000 EST 114ATED STAR 05/03/00 __ + > E PREPARED DAT 16 . ..... �A DE 0 ........ PO!N F AVE. 52 LOCAL DISTRICT . ......... + 61 0. 1 ........ ........ . . ..... T RSON ST, SO/O YES wcRK I . .............. .* ....... ........... LOT NO. RIGHT OF WAY REQUIRED ITLE THE RANCH JEFFE 115 ........ , ....... PALM DES/YUC VLY ....... ....... TRACT NO. OPERATING DISTRICT MMM JOB ID NUMBE . R REGION CITY LA QUINTA i ------ R 31225060 .... .... .... . .. G CONTACT I.1- 6" REFERENCE WORK ORDE 0 ..... . . 57% MARKETIN 15 jo T GZ- No. of SERVICES co -FIZZ.S . . ... ATLAS Igo. LAQ 5 No. CUSTOMERS C3 TOTAL -DE R I �p T I 0 N IIIrHER NORTH OF -------- Ld rz. ALL AMERICAN -------- w Q I& 53 RD AVE. THE O' I1 To CROSS (BORE) STUBS c6 VING ONE AT JEFFERSOt L 760-219-4209. BOTH ........ MAIN STUBS AHEAD )F NEW PA CITY OF LA C3 -0 K PROJECT DIRECTOR OF KSI . to . .. ...... . . .... 0 CUSIC i mom PLASTIC LOCATIO ....... NS WILL INS TWO 4 POID UR
c� + JEFFERSON TO 4TMU E
CANAL, WEST PROP. LINE ON u NE . ...... . L END APPROX lU ............... .. .... I+ _-p0 _nCAL JEFFERSO IDEN QUINTA. CA 6 ..... 10 0 -35-;96 14.73 . ......... FvI ........ ..........
I.... . .......... 5-951 .................... ... ... .... . .. La w I0 ........ I ......... ............ - .............. .. ......... .. . ........ . . ............ . . ........... p 00 4 . ..... ..... 3!; : . : . - G2�7--V M A .. .......... ........ II N ........ I ............ IAJ vr WORK T'. 0 ....... .... ... I N SIZE/mATL/PRES . ....... ........ M WORK YPE LENGTH .. .. .. ..... ................. IRV J ....... . ...... LENGTH ------------- TYPE ... .. ...... WORK ------ ........ ... ... .......... .................. ....... 17 ---------
+ .. ..... I w Tnl jGG S _E/MATL/PRES - ........ ..... . . ..... . . T POINT 2 ------------- - AGE OF MA 242 t_j ...... Z -------- w W. _04 IN
.4- ....... 242 4.00, P M ....... '96 .... . .... . ... 42+35; cq 7rA 115 RU I......... . ... I jpmnal -2.237 55 96- IE M A R K S ..... . G2 ....... .. .............. ------ C:) ......... 41% JOB INSTRUCTIONS: I0 cl Ulf) .... ...... '73; -*-,-*--- -it % U) ...... . - - ------------ 32j;�7. I 1 9 ., .. I . ; I I
v . it, . - - . . ..... : — 0 * '! CD a ; . .. ............... ; ....... . ... 1--; ........ . IQ - - ----- L .......... IC) ktttn -w--+ + ?-j ...... ui If) ------- D 'ENbCA ............ ------ C'l p PON -.2. NOTED PREPARED By:" PROVED PDOANE tr) I5' APPROVED BY. -4 ....... ; . ....... ...... ....... C 1, c F: 200 0 i - - -PORTION r I+ + 7T i - I I26 ... p- =1.157% G2! )I;A .. . .............. . .. ..... JL- .4i% ... ... I40P to TECHNICAL SUPERVISOR ...... . ......... . . ...... ........ HORIZ: 4 3X VERT. 50 FORM 2376 1 COMPANY 48 .......... 0 + L cONC ...... EX CHI NNE
jo.F ......... SEE STRUC 11CAl. .......
.... . .. ........ + C4 01 ........ ....... ....... SHT' 6 + . .... ................ t 0 t p ------- PCIN It''s NQTE%
7 7 63 43 1 6 7. 32 42 t to REMOVE 03 C11ON
Sr-
UCTURAL tn C-4 D REMOVE EXISTING STIR IL500 Im tHE S 0 ATED 13Y 0 _R 23 It 4 R/W x 24 DAyUG ADJ x UNE 4:-/127 (AC/AB) CONSTR
UCT RJWSIDE TTER PER @ bONMUCT CURB AN
X:-. D GU E A-6 COUNTY STANDARD NO. 200, TYP -dad go 0 IL )ql ......... . cn E& . . . . . . . . ul C,4 0 7. 7--T- ul 0 tn i x W_ w 0 III 0 X:� X:-;. YUGHT CL NE I0 ..... . . . C4 ox, (x x v w 61 Q) x -6r 11 K) tj x ho LLA fw tz x 7 LJLJ 40 .1) SCALE I AppRovED . . ...... 120 80 CHP CITY ENGIN,EEr -100,7w z ?Z, 7/_ A S tes socl.a 4�V 7e-?Z7� :F0 t ------- TOTAL FEET S, �LANNERS� & SURVEYORS ISQ DIM;,' : _�_ A iNB'D )NAL ENGINEER 569ST 149- -
go TOTAL PALMDESERT- LALFORNIA '92260 AND CURVE rALL MAIN WITH ArLEAST__�� COVER BELO FEET RETIR 74-410 HIGHWAY I IkX (760) -346i8315 Z/lu/uu & STATIONING PERMIT ISSUED BY PERMIT NO. DATE MOVED DATE MOVED DATE OF (760) 346-7.--.. RETIREMENT OFFJOB_ OPER. ERT DESCRIPTION NTY ON JOB
No. 36198 DATE
P. 6-30-00 1-0 Si:x. AZA7 ZIE25E:)�7 DATE. 5/17/1, 9 I 9 E V I RICT R EASO DMTOLLFM 06/30/00 PLAN COMPAN I.36198 -,,-r STAKED 0 COMPANY FACILITY: 'SO. CAL. 0 P.L.S. 0 HAEL J. BRU Y EAR C.P. REVIEWED 13Y REQ'D. 0 DIVISION 4;-- STAL STAKING ORG. 0 THODICALY tn., 20% an OVER YE 'A ED T1 s 0 NO [3 S.M.Y.S. ZSZ/CODE
NO STAKES NEED *rw-O LED LE YS .ASr VO DX ORF YOU Dkka OTECTED AT LESS THAN 10% 13, DISTRICT'SUPERVISOR '�7 mvillim CA