3779NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
t .
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: 2fl02 Subdivision Improvement Permit — Class III x
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION —TriCt No.,MOM, The Quarry Ranh,. 1 QMn:y Lar�q. i8 Ouinta. CA
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION i402h SWAdiM fOr Site! Sketch (attach construction plans if appropriate•)>
k DESCRIPTION OF CONSTRUCTION Sim' s
•ty
s:
:DIMENSION OF INSTALLATION OR REMOVAL 'F"' 74 acres
' see moved "rough adirm", plan
gqSIZE OF EXCAVATION, IF.NEEDED.
3. �tsiTef#
JAPPROXIMATE TIME WHEN WORK WILL BEGIN U=n reCSitt
**SEC ATTAQW SPEC= M DITIC)i35*1.
i
APPROXIMATE TIME OF COMPLETION March 30. 2003
ESTIMATED CONSTRUCTION COST $ 503,007.00 CFffy0FL4QUI1yTA
(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.
Signature of Applicant or Agent
The y P4nCh► LW, 1 QW,=y Lune', La ' QttIAtat CA 92253 76Q. 777.1100
Name of Applicant (please print) Business Address Telephone No.
1__9*k41% Qb6 79811 &ADWIWEQI*,DiftftX1 760.345.1778
Name of Contractor and Job Foreman Business Address Telephone'No.
435834 00157
Contractor's License No. City Business License No.
IAxingt4n Insuranm Co. - 1070262
Applicant's Insurance Company Policy Number
FEES:
Inspecti
Permit F
o
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
n Fee * $ 15,090.21
ee 100400
Penalty
Cash Deposit -Surety Bond
if required Ciedirt pan CheCk (5,250.00)
TOTAL: $ 9:940.21
Receipt No.
Received by -Date
r Recorded by
I
3779
PERMIT VALIDATION
PERMIT NO.
'�779
DATE APPROVED Ncwembw 1# 2002
EXPIRATION DATE Novi 1• 2003
DATE ISSUED Iim: mbw 4' 2002 {
By
Addm.inistrative Authority.
Victc>t 'Assistant W a�nr
Telephone: (760) 777-7075
Td!t 4
CASH DEPOSIT STATUS SHEET*
Budget Account No. 101-000-261-
DIN: 2-3C)d,�,C_1 Project Location:
Developer: gvu ,97Y !�� / l
❑ CASH SECURITY - DESCRIPTION OF OBLIGATION PROMPTING DEPOSIT
❑ Dust control; ❑ As -built plans; ❑ Removal of temporary improvements
CYOther
,
I ❑ CASH 'PAYMENT - DESCRIPTION OF OBLIGATION PROMPTING DEPOSIT
IZ
C1
DATE
DEPOSIT
DEBIT
BALANCE
Amount
Receipt E
of Lp'
COMMENTS:
* Cash deposits placed in City administered trust accounts are typically received for two basic reasons: 1) CASH SECURITY - to provide a source of
funds for the.City to draw upon if the City incurs costs satisfying obligations of the developer, or 2) CASH PAYMENT- to provide a source of funding
for improvements, property, or services to be acquired, or administered, by the City at the developer's expense. The City will release the fund balance
%�rhen the developer's obligations that prompted the cash deposit are '-.Ay satisfied. The release function is initiated via the Request/Demand for
Release of Cash Deposit (Form F058)
F059 8/00
PERMIT NO. 3779
THE QUARRY RANCH, LLC
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 QUARRY RANCH, LLC, hereinafter referred to as "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. 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 1 st 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 control 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.
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 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 No3779_ Page 1 of 4
PERMIT NO. 3779
- THE QUARRY RANCH, LLC
8. Pursuant to Section 14.1.6.290 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), street
closures shall not be permitted. A minimum of two (2) travel lane of paved surface shall be
maintained 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 No3779_
Page 2 of 4
PERMIT NO. 3779
THE QUARRY RANCH, LLC
E. 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.
F. 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.
G. 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.
H. 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 F 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 No3779_ Page 3 of 4
PERMIT NO. 3779
THE QUARRY RANCH, LLC
C. Permanent pavement replacement shall be installed using a City approved V max medium
asphalt concrete as the base course lift and a City approved'`/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 saw cut 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 (3) feet outside the sawcut removal
lines.
• For longitudinal trenches located in a traffic lane: two (3) 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 or any existing detour lane stripingaffected 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.
17. 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. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
19. The permittee shall indemnify, hold harmless and assume the defense of the City from all damages,
delay costs, costs or expenses in law or equity that may arise out of work under this permit.
Special Conditions - Permit No3779_ Page 4 of 4
The following General and Special Provisions are anacbed to and made a part of Permit No. 3779
GENERAL PROVISIONS
The following shall always apply:
ENROA(IMIENI' ON PRIVATE PROPERTY: This permit authorizes work to be_accomplished within City of Ls Quints right of
way ONLY. Whenever construction extends within private property, it is the responsibility of the perminee for his contractors to
secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting work.
TR.ACKLAYING CONSTRUCTION EQUIPMENT: Cleated tracklaying construction equipment shall raw be permitted to operate on
any paved surface unless fitted with smomb-faced street pads. All mecbsnical outriggers shall be fitted with rubber Street oboes to
proteci the paving during excavations. Rubberiired 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 &ball consist of one coat of two inches (2) of A.C.
surfacing plus appropriate seal cost as Specified above.
PROTECTION OF TRAFFIC: All excavations and work areas shall be properly lighted and barricaded as deemed necessary by the
City Engineer or is Quints City Public Works inspectors. Suitable detours 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 structure encountered during excavation which necessitate removal absIl be replaced in kind. In the event it becomes
necessary to remove or cut existing drainage structures. City of 1s Quints shall be notified prior to commencement of this work,
Drainage structure 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 shalr be removed from the -right
of way. All paved surfaces shall be broomed clean of earth and other objectionable materials immediately after backftll and compaction.
Existing gutter line and drainage ditches iball be replaced to their original standard or better. All excess materiel shall be -removed
prior to paving. Water tanker shall be used, as required, to sprinkle the job site to keep down dust conditions and Shah be used
immediately after backftll.
DE -WATER OPERATIONS: If de -watering operations are required and pumps are forcing water on City of La Quinta roads, it &hall
be the responsibility of the permittee (contractor) to control this water and to provide off-stred barricades when necessary..
CLOSING STREETS: No street shallbe 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 be Inuit close a street for
any length of time, permince shall contact this office to obtain the necessary permission.
SPECIAL PROVISIONS
The following shell apply wk18B@@@& 760. 777. 7097
Rd NOTIFICATION: Perminn shall notify the City at ( at least 48 hours in advance of starting construction.
RZ UTIIYTY CLEARANCE: (Substructures) Prior to making any excavation within the City of Ls Quints right of way
authorized by permit, the pefmince 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.
R3 unLITY CLEARANCE: (Surface Swctures) 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 PAVEMIIdf WIDENING: Area between the proposed concrete gutter line and the existing road pavement shall be surfaced
with inches of A.G. paving placed on inches of Blabs aggregate subbase course having an 'R'
value of not less than abd in conformance with City of L Quints Road Improvement Standards and
Specifications, Ordinance 0461.
R5 PARKWAY GRADING: Area between' the property line and top of the proposed concrete curb &ball U graded to a elope of
1/4 inch to one toot (1).
RiS GRADE. CHECKING: City of La Quints 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) iball be
removed. Curb and/or curb and gutter shall be saw cut prior io removal. Depreaaed curb, matching concrete•gutter and
concrete driveway approach shall be constructed in conformance with City of Is Quince Standard #=.
R8 DRIVEWAYS: A.C. driveways abi l.be concocted as not to alter existing drainage pattern. Surfacing between the property
line and the existing road paving shall be 2 1/2 inches of A.C. paving placed on (_) of claw aggregate base.
Driveway construction shall conform to attached drawing.
R9 SIGHT CLEARANCE:. Sight clearance of 600 feet in all directions @ball be assured and maintained at all times.
RIO SOIL. STEAn 1ZER.- The area to be surfaced shall be treated with &oil sterilizer. Rate of application shall eommply with,tbe'
manufacturer's specifications.
.1 1 COORDINATE WORK: The proposed work shall be subordinated to any operation which the State of California or City of
Le Quints may conduct in this area during the period of this permit. Work shall be eoordinated.with the State or City of La
Quints forces to preclude delay or interference with State of City of La Quints, projects.
12 SURVEY MONUMENTS: Prior to excavation or beginning of coastruction, all aurvey monuments which exist on the
centerline of all streets or property lines when involved shall be completely tied out to they may readily and correctly be
replaced by a licensed civil engineer or surveyor at the expense of the permitee. A Complete set of notes showing the ties ta
these monuments shall be furnished to the City Engineer prior to the removal of any monuments.' Ilia office shall be notified
upon completion or replacement of all survey monuments for proper project clearance.
13 PAVEM NT' CUTLING: 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 to circumstances shall excavating
equipment be used to excavate prior to cutting of pavement.) Excavation material shall be placed in much a position as to bat
facilitate tbe.geDeral flow traffic. Prior to final paving operations, any damage to pavement straight edges sball be corrected.
ld LDMT OF EXCAVATIONS: Excavatigns 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 holiday@ 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.
15. BACKFUL MATERIAL: Backfill &hall be free of brush, roots or other organic substance detrimental to its use for purposes
of producing an adequately consolidated backfill. Any material which the City of IA Quints 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,
16 BACKFILL SAND: Backfill shall be approved transit -mix sand or equivalent and shall be'ptaced in lifts of not greater than
three feet (Y) and vibrated using vibrotamper or equivalent equipment. Alternate methods may be substituted, but in any ease,
a relative compaction of 95 percent shall be attained with the structural section of the roadway.
17 BACKFILL PLACEMEWT: Backfill shall be applied• in layers of Dot more than 50 percent of the total depth of the treneb
before flooding or a maximum of five -fool (51 lifts wbere trenches are of excessive depths. Care is to be exercised that the
backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed no that the resulting
compaction shall be not leas than 90 percent or equivalent to the surrounding ground, whicbever is the greater compaction.
Where ponding or flooding is used for a maximum settlement, adequate dikes will be eonatructed 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 be continuous.
18 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) test 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 tests shall be made as outlined in Section 6.3.01 of the
Standard Specifications, Division of Kgbweys, Stale of California, dated January 1973.
1.9 COMPACTION 7ESTS: If so required -by the inspector, compaction testa shall be made for each crossing or iervice line.
One (1) copy of each test shall be forwarded to the City EogiDeer for approval and filed prior to making permanent repairs.
Compaction teals shall be made as outlined in Section 6.3.01• of the Standard Specifications, Division of highways, State of
California, dated January 1973.
0 TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch
consisting of 2 inches of SC-800 shall be placed on a prepared rubgrade. 71e SC-800 temporary paving shall be placed after a
maximum of 3000 linear feet of trench hag been excavated and backfill operations completed, but in Do case shall the
placement of the temporary pavement exceed a five (5) day limit
1 ]PERMANENT. PAVEMET REPAIR: After backfill and compactioD have been completed, a temporary patch consisting of
two inches (2') of SC-800 shall be placed immediately. A permanent pateb of inches A.C. surfacing placed on a
inch clues base shall be placed Do later than day& after completion of temporary road repair.
2 FOG SEAL: A fog seal cost consisting of an application of asphaltic emulsion shall be applied over all patch areas as
determined by the City Engireer.
3 STREET RFS13UPING: Where street striping is still visible on streets to be excavated, such striping @ball be replaced upon
completion of permanent repairs.
lq TREE RELAXATION OR REMOVAL: Tree relocation within the City -of La Quints road right of way shall be
accomplished by a licensed, bonded and insured tree service, and bandied safely without interference or ba—rd to the traveling
public. It shall be the responsibility of the perminee to maintain the tree in a vigorous growing condition at its new location.
Trees to be removed shall be in sections which can be bandied safely without interference or hazard to Eighway 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. Wfore its becomes necessary to
restrict traffic, the work shall be restricted to a maximum of 500 feet at any one time. Adequate signs, fiagmen and or
barricades shall be provided to protect the traveling public at all times. "
Large boles resulting from tree removal shall be backfilled and compacted to Dot lea than 90 percent or equivalent to the
surrounding ground, whichever is the greater compaction u determined by the impact or field method. Compaction tests @ball
comply with Section 6.3.01 of the Standard Specifications, Division of highways, State of California, dated January 1973.
w
WEEKLY INSPECTION REART
PROJECT NAME cu lyrY R;r n c 1 .
PERMIT NO. ��rl PLAN SET NO.
DIN
INSPECTOR 7-1C 0?7-7J)ff7%
DATE
JOURNAL OF NOTABLE ACTIVITY & ACTION
11-27-6-2
d i ;�7
,177le.�
NOTICE SUMMARY FOR THIS WEEK (INDICATE ONLY DATE & TYPE OF NOTICE ISSUED IN THIS SECTION)
r i ov 04/02 1 Page 1 of 2
CONSTku%* ON ACTIVITY SUMMlY
YR 2 MO DATES: 21 thru 2
WORK BY SPECIAL
PERMISSION
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