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4077NOTE: With proper validation this form constitutes an encroachment permit CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS DATE: January 260 2004 Subdivision Improvement Permit — Class II I Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION 320WAvenida Montezuma 5Z , Z ,J (Street address or Description of Location) PURPOSE OF CONSTRUCTION Inatall Gan Main and Satrvinp Sketch (attach construction plans if appropriate) FKEe�A DESCRIPTION OF CONSTRUCTION install Gaa Mein and "a Ra rvica ***SEE ATTACHED*** DIMENSION OF INSTALLATION OR REMOVAL GOl I—P, SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION 1/29/04 ESTIMATED CONSTRUCTION COST $ 10=321M S2-250.00 MAR 112004 (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) CITY OF LA QUINTA 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. i'Da to of Applica t o ,A a .t lire 729560 Ha stead ltd, u ,sort, t ��� Name of Applicant (please print) Business Address Telephone No. Tri Star 15-501 Little Marongo _ _,� Name of Contractor and Job Foreman ' Bus e s Address A. `Z' Ila*�` Telephone No. 475513 N/A N/A ?0 7h Z Contractor's License No. City Business License No. Accord Insurance. 2537009743 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 100.00 Penalty Cash Deposit -Surety Bond j if required TOTAL: $ 100.00 Receipt No. Received by Date IS a 0- 4077 PERMIT VALIDATION 4077 PERMIT NO. �NTERfO C� DATE APPROVED 1/26/04 EXPIRATION DATE I /u4nq DATE ISSUED\� M) By�� Administrative Authority Recorded by Telephone: (760) 777-7075 City of La Quinta The following General and Special Provisions are attached to and made a part of Permit Number 4077 The following shall always apply: ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within the City of La Quinta's 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 secured by the permittee prior to starting work. TRACK -LAYING CONSTRUCTION EQUIPMENT: Cleated track -laying construction equipment shall not be permitted to operate on any paved surface unless fitted with smoother -faced street pads. All mechanical outriggers shall be fitted with rubber street shoes to protect the paving during excavations. Rubber -tired equipment only shall be used in backfill operation in paved areas. If the existing pavement is scarred, spalled, 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 (2") of A.C. surfacing plus appropriate seal coat 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 City of La Quinta Public Works Inspectors. Suitable detours and detour signs shall be placed and maintained for the duration of the project. The City shall be notified twenty-four hours (24) in advance of any traffic detours or delineation. CARE OF DRAINAGE STRUCTURES: Any drainage structure to include 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 Quinta 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 shall be 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 OPERTATIONS: If de -watering operations are required and pumps are forcing water on City of La Quinta roads, it shall be the responsibility of the permittee (contractor) to 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. SPECIAL PROVISIONS The following shall apply when indicated ® R1 NOTIFICATION: Permittee shall be notified the City at (760) 777 - 7097 at least forty-eight hours (48) in advance of starting construction. ® R2 UTILITY CLEARANCE: (Substructures) Prior to making any excavations 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. ® R3 UTILITY 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 ( ** N/A ** ) inches of A.C. paving placed on ( ** N/A ** ) inches of ( ** N/A ** ) aggregate sub -base course having an "R" value of not less than ( ** N/A **) and in conformance with the City of La Quinta 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 slope of one-fourth inch ('/<") to one foot (1'). ❑ R6 GRADE CHECKING: City of La 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 (** N/A **) 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 Quinta Standard #207. ❑ R8 DRIVEWAYS: A.C. driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the property line and the existing road paving shall be two and a half inches (2 ''/V) of A.C. paving on (** N/A **) of class (** N/A ** ) aggregate base. ® R9 SIGHT CLEARANCE: Sight Clearance of six -hundred feet (600') in all directions shall be assured and maintained at all times. ® R10 SOIL STERILIZER: The area to be surfaced shall be treated with soil strerilizer. Rate of application shall comply with the manufacturer's specifications. r : • City of La Quinta ® 1111 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 or City of La Quinta projects. ® R12 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the centerline of all streets or property lines when included shall be completely tied out so they may be readily and correctly, 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 clearance. ❑ R13 PAVEMENT CUTTING: Pavement will be mechanically saw cut 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 or 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 LIMIT OF EXCAVATIONS: Excavations shall be limited to one -thousand feet (1000') 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 case. 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. ® R15 BACKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimental to its use for purposes of producing and adequately consolidated backfill. Ant 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 BACKFILL SAND: Backfill shall be approved transit -mix sand or equivalent and shall be placed on lifts not greater than three feet (3') and vibrated using vibrostamper or equivalent equipment. Alternate methods may be substituted, but in any case, a relative compaction of ninety-five percent (95%) shall be maintained with the structural section of the roadway. ❑ R17 BACKFILL PLACEMENT: Backfill shall be applied in layers of not more than fifty percent (50%) of the total depth of the trench before flooding or a maximum of five feet (6) lifts where 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 so that the resulting compaction shall not be less than ninety percent (90%) 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 be continuos. ® R18 COMPACTION TESTS: If so required by the inspector, 'compaction test shall be made at intervals of not more than one - thousand (1000') feet and a maximum of one (1) test on each road. One (1) copy of each test shall be forwarded tot 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 Highways, State of California, dated January 1973. ❑ R19 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 shall be forwarded to the City Engineer for approval and filed prior to making permanent repairs. Compaction tests shall be made as outlined in Sections 6.3.001 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 two inches (2") of SC-800 shall be placed on a prepared sub -grade. The SC-800 temporary paving shall be placed after a maximum of three -thousand linear feet (3000') or trench has been excavated and backfill 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 ( *' N/A.** ) inches of A.0 surfacing placed on a ( ** N/A ** ) inch (** N/A " ) aggregate base shall be placed no later than (** N/A ") days after completion of temporary road repair. ❑ R22 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. ❑ R23 STREET RESTRIPING: Where street striping is still visible on street 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 permitte 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 hole shall be backfilled and thoroughly compacted as specified in the following paragraph. Where it becomes necessary to restrict traffic, the work shall be restricted to a maximum of five -hundred feet (500') 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 ninety percent (90%) or equivalent tot the surrounding ground, whichever is the greater compaction as determined by the impact or field method. Compaction tests shall comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973. PERMIT NO.4077 Avenida Montezuma/Gas Line Extension/Residence 52-230 to 52-450 In addition to the standard permit conditions, the following shall apply: 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. Mr. Jerry Ellenz, hereinafter referred to as "Permittee", shall be responsible for providing continuous dust and erosion control. 3. This permit or copy of it shall be on the work site for inspection during the actual work performed. 4. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently, if required. 5. 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. Note: Construction work (including setting up traffic control devices) is not permitted on any Arterial street (ie any 4 lane street) before 8:00 a.m. 6. Work within 500 feet of a signalized intersection shall be performed 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. 7. 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. Special Conditions Page I of 4 PERMIT NO.4077 Avenida Montezuma/Gas Line Extension/Residence 52-230 to 52-450 8. 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. 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 two (2) travel lanes 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 to 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 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. Special Conditions Page 2 of 4 PERMIT NO.4077 Avenida Montezuma/Gas Line Extension/Residence 52-230 to 52-450 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. 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: Asphalt demolition and/or construction is not anticipated nor permitted on this permit. Special Conditions Page 3 of 4 PERMIT NO.4077 Avenida Montezuma/Gas Line Extension/Residence 52-230 to 52-450 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. 20. If it is the intent of the permittee to cut the pavement and have it restored by a third party, the permittee shall postpone cutting the pavement until the intended third party has acquired a permit from the City to perform the required restoration work. Special Conditions Page 4 of 4 G3/1V/2004 00:d1/602515458 PAGE 02 PROPOSAL " Proposal Date: March 10, 204 Proposal No, $056430 15.501 Little Morongo Road PROPERTY L AES: Buyer shag toaete and point out pimpero, rtnes to hi-Stzir. Tri-Star may, at its option, Desert Not Springs, California 92240 rmquim buyer to provide a ttoensed surveyors map of ft property. SITE CONDMONS. Trt-Star is not Pius: (y60) 251.5454 Fax:(960) 251-5468 rrespgn8rtue fW tune 00ACiAMS widdacA sed wrw ro its :work, wwk raswnng tram unknown seta oondationa, Lluense Number 475515 (A & !) firer u0be& rocks. pms Brad asAft tanks. am Buyers VN=3/b& are aril! be blued as art antra. Submitted to: [: Jerry Eliena .sob dress: 52-230 Montezuma t_C! Job Phone- 486-93d3 Fax 836.0129 Architat:t: Date of plans; _ Standing date: TBD — - Completion (approx.): ASAP Dig and backbit for gas line extentlon. $2,250.00 Exr-ludes. Engineering; surveying; state, city i utility Inspection fum S oerrnita; compacdon tea. NUTS: Water and water service paid by owner. Total pr000sal*: $2,250.00 Any change to the Mma6cadons, blueprints or job itsed 1W modifies this proposal Will be billed as an extra. THIS PROPOSAL iS VALID FOR 30 DAYS ONLY, AND ONLY FOR THE SPECIFiED BLUEPRINTS a CONDITIONS, IF ANY. We propose to perform the above work In accordance with the drv*ings and specifcetions submitted, and to complete it in a worKmanlike mennw according to standard practices for the sum of: TWO T6 OUBAND TWO HUNDRED AND 14FTY DOLLARS mare Mqutro y w ro b,o f' nxT 9 s�bd y- thel (6 C1eiie License rcK h as 175M3EW f o inWF Wa1 am s t+orst contractrxr if a emnµ&hit rop erWng a pereni aV or onNsWan is Wd writrip rout y"n of ft date of iha eilegad vrckrkn. A mr#airit m 9ard rig a latent act or omfssAon pefthing to 61m(-Usl detects nwst bo t4a wftn ten years of the dare of ti're alleged vivletion. Any queetton Wining a wrtiveor may be relnntid to lhE Repisft$ Cw t L tds State Lidsaw Aoarrl, flat Office Bux 20MO Sacramento, Calftm a OW26. The above prIces, ts;pociticatione and oondltians are satisfactory end are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. It Is understood and agreed that this work Is not provided for in any other agreement and no contractual rights arise until this proposal Is accepted In writing. All disputes under this oontract, including the performance of work, shall be submitted to the Amer{Icrn Arb(tretlon Aysot iadon With thtf arbfiretion headnq site being Palm Dolour, California. the prevei ing party shall be anilHed to a# artbrtratlon and court casts, as well as masonable attorney's fees. All sums are due end payable es stated above. Any unpaid sums incur ietnsarest at the rate of eighteen porcent (18%) per annum from the data said sum Is due. If any installmw payment due hersunder is past Cue, or d auye disputes.an extra charge hereunder, Tri-Star may stop wo . Autnacb ed Date_! G ' AcceptanceW Date-110 V 1 J. t�sena, tsresk�ror PUBLIC WORKS DEPARTMENT APPLICATION FOR PERMIT Date: Location of Construction: 2 23o Tlry f.2 - �O Purpose of Construction: Description of Construction: &9 VAR Dimension of Installation or Removal: Approximate Construction Start Date: 3 - 2 - 0,9 Approximate Construction Completion Date: -3 -/ :2 - o Estimated Construction Cost: $ f I 1 2-xO Sr-P Estimated Construction Cost shall include the remdval of all obstructions, materials, and debris, back -filling, compaction and placing permanent resurfacing and or replacing improvements Name of Contractor: Contractor Address: C.J Im L4 e Contractor Telephone Number: 3,340-6182 Contractor State License Number: 2 ,Y Contractor City Business License Numbers_ _ 1 Applicant or C,pntractor,General Liability Insurance. Company.:. Applicant or Contractor General Liability -Insurance Policy Number, .2 -6 3 SOD IY-3 Office Use Only: Inspection Fee: Permit Fee: As -Built Deposit: Dust Control Deposit: Credit Amount: TOTAL FEE DUE: Office Use Only: Assigned Permit Number: Approval Date: Expiration Date: Issue Date: Administrative Authority: 6af C,. Sent By: GAS CO; f 760 773 9243; 19 Nov 03 3:10PM;Job 268;Page 1!1 rep Gas (amga�y Sempra Energy',mi pa y INFORIiMATIUN IkkATION A APPLIC:A.NT INFORrNA TION REQUEST FOR RESIDENTIAI. GAS FACILI'1'lES RETURN TO FAX 760-773.9243 ATT: P. DOANE PHONE 760-346-4248 TRACT(N) # — COUNTY LOT(S) T IQANIE (:16 itabrnlld appear Un � DAY T81)NLlude Area (:oAe) ry z ��0 ��� ._ _._.._ sTRk'.Srar�iiRR.SS CYTY STATE iris<iuL" i'A:tFNT CO�.'4PAXYyy(jif di j,erml) MAL( (i ADDRESs (if different than street a(idreaa CITY h PATE ZIP CODE CaNTAC'1' NAME AND TiiT.i: DAY PHONE # (Irwlude Areu Cudu) FAX ,,.. PAGER A (Include Area Co&,) MOBILE # (Iuoludu Am Cusk) Code)y 11,-tyLU , ADDRESS CONSTRIV070N CONTACTS _ NAMI' TITLE DAY PHONE, # (Include Area Codc) FAX # TYPE OF GAS IJVSTALLA PION REQUIRES=: U Main U Service; MSA 0 Stubs • ]%ZFERRED 11IETIIOD OF 1NiSTAL-LAnoN: ❑ Applim%t Provided Join! Trench Cl Um Company Providw Cias only Ttelmh Apyliettut Provided Gas only'trench vs,l, GAS INST START DATE: FED TAX TD# or & TYPE OF CONSTRUCTION (Chcuk One): Single Fri-Uy MultiTamily Rental . U Tomil►umc 11 Condo El Other (Describe); LOAD INFOli'MA]ION Planned # of Dwelling Unite: _ Plauued # of Community Facilities (R,h.'reation Center, Pool Heatcr, Spa, laundry !loom, Lite.): Planned # of (:antral FacW4 Meters (those that service dwelling unitw): Dwelling Units f _ Cctrtral P`ucility Corn_munity Faculty Gas Appliance Quuntily M 13TU ;. Quantity # of tri is Served MSTU w Quantity MBTU Cooktuy >e; V Mar heater i 5 Heating 1. _-C11uthcs rCdoAiontiUiLg DIym Stull o. .._ —........•..,, -. P�.1''ireplace blob I'Atio Seth ' S a/Pool Jleatfx _,......._...._... _ C� Oiler 6a4 Apph:mef_� (Qnccity): Please p;:uvice (taa Cuaipuuy RepieseWative. if lino•:..: Pei HW, DO Gt /✓� Plr,i^ provide me arch additinttal intctxnation on, fXApnftant Design _- Applicant .histall -uttn 4 •t0,I)Q) i 03 I Sent By: GAS CO; 760 173 9243; 12 Jan 04 9:49AM;Job 902;Page 717 Project ID 000.00063694 E,)a-t,, m 4 E:xhibit C COSI� ANu ALLOWANCE r:ALCULATION (ESTIMATES) by ;,Qf-.3 Joint Tlenrtl 472,90 0 Allowano® Applied projeot cost >v site Proparati-Oft AdvancO AdvCAILCP 221 ITC"�A (ClAr PhYLTLent Received TmiLal-I Total Amount DvC de . he r-rA-Ated I t oll 1-9 t'JUQ- n t dqreAcl 1.1pon 6itp PS P t i , rf, 1L ' . P,yr 1� any, ou the per TaLift gulp& 20 & 23 an,- iich price Per loot ti-fteL� the ar-t"',Al )f t.,.-Ie used. . e 0.0x1r, 3905-,), g2f,",:uive Tuiy Date. Mailed 01/12/2004 wa Lwi,,�h eald p,nLioft Wli;ll VOL" THIS BILL IS NOW DUB AND PAYABLE j�.RFY ELLENZ jmogQ j-'0MLS "rF -AL) RD FALM L)F.FEF- > ---SF, ?AY TqIS AMOUNT 17.42.68 9L - 0C,0o6.61( 920000C ?6(.34 CIA 426-Al-0000 . - 94 �e.rt By: GAS CC; 760 773 9243; 12 Jan 04 9:48AM;Job 902;Page 6!7 The Gas CompanY" 00 1�t2/�, $()UTHERN CALIFORNIA GM-3 cOMPANY SPECIFIC:ATI0N;5 FOR APPLICANT PROVIDED TRENCH Project Number 63694 job ID ,)r Work Request Number! 1429277 job location: 53230 AVENIDA MONTEZUM.A, LA QU1NTA. Tract Nurnbe&,ot Number(s): 2S as Company SoC;alGas) It is understood by acceptance of this agreement that Southern California Gany (: requirements related to trenching and ba.ckfilling are to be met. in all instances. Any deviation from these requirements that is not approved by an authorized SoCalC+as representative shall be considered cause liar this agreement to become void and releases SoCalUtts from any obligation of participation in an applicant: provided trench installation. The; Applicant: will notify;OCHIGns at le,"t ten days in advance of starting work. SuCalCias may coordinate die installation of main and service piping with ether operations. The Applicant or his authorized agent Tall, at no cost to SoCalCias, obtsin the necessary trenching permits, pay all inspection fees, aatd satisfy any and all other requirements pcitaining to trenching, backfilling and crmtpaction called for by authorized governing agencies. It is agreed that trenches shall be of such 4ize as to provide a minimum vertical clearance of twelve inches from power conductors of any size and n minimum separalicT11 of six inches from all other le ob.sttru All ern s. must gas main and service piping shall have a minimum thirty inches cover below finished gr be level and tree of debris at the time gas lines are to be installed. All joint trench and gas, -only trench will be backfillcd with sand to be a minimum of twelve inches of cover over all gas main and service pipe in normal sail and a minimum of eighteen inches in rocky soil. Mpth to be determined by a SoCal(ims representative. Applicant shall be responsible for repair or relocation costs al' any gas facility which has been )changed, altt`ed, or modified inside the pr<!ject limit:, without S(calGas authorization. Refer to the drawing(s) s dated 02/02/ )6 of a cross section of xjoint trench (no scale) attached hereto and incorporated by referctice. SUCalGas will reimburse or credit Applicant for acceptable trench at the agreed to rate or $1.00 per lout, which will be identified on EXHIBIT A-1 or EXHIBIT A-2 as Site Preparation. This agree meat is subject to SoC:alGas Tariff Rules 20 and/or 21, which are incorporated by reference, and is ions as the Commission may direct from time to time in the exercise oI• its subject to such changes or madificaL jurisdiction. Acmpted By Applicant: Accepted By Southern California Gas C;otnpany: Company Name:, c i ►.'C ���i /!� j �� Signature; e67,7---—.L�' Print Nand T'e .. _'�' ���`�`�� Print NameTATRICK DOAN h Print ante: 01 / 12120U Date:.... .- 51 rTRENCHI.Dr C: Sent By: GAS CO; 760 773 9243; 12 Jan 04 9:48AU;Job 902;Page 5!7 V. JOINT...A SEVTRF+L LzpaiLITY _.. (:uirtar..y ;�ha I I U-re,t all Whexc two or m�_a } arC Lei a+'p ti+-p l ivan' Ltr a hi115 aitd Kpr refunds Lc t' �e+" i yuataci :l i.ca:[tE: She ll r�' u+�m1171c3t i.-:i , rr•rrna a:�d nurvIirio[ro harem. },p julnt..Ly wnct uver.dlly lial_+.1F Lu ^nmN+1y sail.a •aI.L - yI, SIo2da' :stub -uyLs arcs retu[sdahle on'y Cp ttlt cxte[1C the cDllnwdr)ces aC[i_ra.•eci y nsta'i latic+n ^osL�•, alt�t or l.v fpr ter, years fYonl L'`. p naLt of. that exceed the :vain to met.er� i ini_rlr°�t. and nu x-eflincl tai'I !.. fJt:: made in stub instdllat..iuir. Ref-+ancta Wil.'I L4 ma(ie s�i.l-.huut r a?{Cte;4 of th.R (AmoUnL advA[:'-Cd. VII - AUTiiORIZEA SIGNATU:4E 11G.q"t is C:t;+rX:;�x'tiL•1:'�rt, E��rt[1CYShiP, Joint Vent:U'l:, Ar it 91.OuP Cf 171a1v=C,indi ,e lr App =.ntd that l:c has -he. aulhorUy to hind saki a�r.pu�ati gin, P •artner s, suhscxi.nar 1'[eratu rt Pt' rarLnpr9, ;GjnL ventul;r., c1r ir,ti.il�i�iva.i� ac t.i:r; cage May Jae.parLners. My signature helcw r..eprr-sRl{L_ Ir,y dgrePn[e rt ;n i-aC;eAul.aylr..Pu+ rit,iUrjs Fortune ExLenSign. I 1Jx1':ihit A and S,+.:thern dli Por:13 a s;as {.:umpa[[y - ry d ro? Lfi3t Ttlt G85 Camp•a'ly' r..;)sL and dllr�wanc:v ��t iluates bur this L ro jRcL 3r:knurrledg an nr 1n" ai-Ir.hutiz�d='_•prp'senuativa. I Pxojor_r �iex ha3td nr: infolutatSnu prov.id:td 1')1 ult: 4P.T.t. j m /m • �:olrphr;y's agrecrnent al[a ful thrsr acknovtled Vie. ar[d 3;}l ce ti[at my y_gn:3t lc '^apic_ . y y furtt:totaacii:tg that s'an�e' uPnt: +.l:.anyes in YLoj2r.t. :Copy+ [{{ay 2tfeCt the installation pti+=? and further, that if allol.ances have bean gsantad, an additional aentribution may be hioh the allowances were based do not materialize. required if the .futur® loasia on w App'.CANT: JERRY F-ILFNZ Ry: t.. 't 1qr i ed T Lw Ti.tly: ilat$.': y l�dclr/e�� To I Ar hUrkc : :lUC1a1. :ifiCUr:.}y (j: F`eder'dl Tay: 10 "'n• r+pPl,;can '-f1P.!:Y. cna) : rd. L'uttl;ergtli� T.LC Cnrputat1nn Gin, i�ar}.nershi.p �1 - _?[[uivl dual/ o.le Fx'c:p. ic:t G� _ 1 — p'O rn a9U5-G, RL�e�t'_v:• ndte4: i', 11:/2001 Fd99 Of 1 July 201)2 Lir.r. LutOr:91f}n Uontr';:I, b: 600{: fYJGJ d99-1 . 'Sent By: GAS CO; 760 773 9243; 12 Jan 04 9:47AM;Job 902;Page 4!7 AS GGom any harn:leBF from. Mid i"nvirQnme:itAL, h plicen+. s'.`ra!1 it:denuiity al:ri tw dtel`'y.l:lt piny Out of 4r in any a-aY ut�91119t any �r+Ci a17 L.L3}'l1.1ity (LnC•11L11.11 aLtorneyo' y e'.'a14, n" fPl,•!HL'dl existirty conditions at the project r_.gmplianc:e wl.th of any lOra connected With the vio].at..iOn ctL nf. 1 .. - environmetlta l Law ot rat u. ati u[: is u L".•Stjcj P oi: nr.' Out of the • 11 Of .any pLa •exigt•ittr nazardOt:a mat.P..Llals yr was ' i:, haLar^Inus Fite, release Cr ..i.i �yiyting ui:nkart_ilar.ad :oils or gr'UUnC1waLCr, tnanaC.elttent, a[•[d d_0FORdl Of a.Ay err-- . or nus:hazaidO+.ls, samovars frG�t efts: c�r.ound as a result of ThP Vas Cortgany' work �crf.nrntE,_ t to _i.ability _ur tr•e in,^ I udintJ, Lut nc1L D.miL ;d ("FLe�F:X1�ti.nQ F+nvlLonmelLtal ljla'• a t1Lyr,1+ �lU['litorlllg, tllt r..nsls, f=,v(�CI'1aeJr and 199a1 r.1a171.1?ty CI.Cai,�Ver��^tS�-nTct1lf:nr•PyGmAdla' wo-L PP rRatuval , r,-pail, T' f ryHr 11 1 aft er rHyulati otl, conr.ai:unan+_, ahalemZ.QM stat,-, car' vi ctlat i ntl us atly 1� al, (=.as and zir�Ps ari.eir[g =xum ,.ht e c:vats. Ac; 1>ptw%cn AFpli.r.auL and �l'1'[a attorneys' fees:, Liisbursemar.Lar and orheL 1P,.Aptti p�wliranl 2,'.reCs to a' f+ill raspuils_hiiity for and Lear all tORGas Gas rrpm�arly, t�llvirnttl:[ental Liability • Aprl i.r:unt agt.:es i:hat associaked.wi.tl'+ pre -ExisLl.19 (:umpany may ytrJP work, L nnalldt t:cL, 'gaIV to om�,LeLc itsrwot kPwithout inc:urdiff8rtiingla iyLP"a, or take Other at__ aSnTT.jdlll i t:y. Existing Envi runrr.enLu_ Company may c. WiU'th� 1•t',•„ Ricghts . Trt addi t..ion to any uLher Lights l'Ji nl ThP`rGa9 t Cnmpany' S reusnnablc withhold froth paymenL:; d':e F.pr:lir ar.e auch :amuur3l s naL a1, l i�•-s, tasdaage, "Pell:;c and liability nniilion are. nec,35sary to ,rnviu,- •sQuri.t.y a ai liability covc'r.ad 'oy thefnregoiny irldattttli}yy} uvi.siuits III. yvP,EtRAN7.'Y The Las Cu or Yrruireg t.ltut fipt✓lir�a:tl narra[[t a I i raat.t?rials tit:C] wnr.kn,anEhv per torn••cd by T.pas C +n`. luiras Lly or through a cuntt^aulcr ntllcp that' PdY war.-dti[ty~nn? anyamaLeei.f .Lsa _it for t.:tail' 1n'�cnded pttrpusc. Y - licant' of all detHuts ant] inaLal IaLion wuilc prt,vid?d arc rH lu'reci. Ir APe anda twr. yt aY +Narranty O^ ai,y work r-.r materials tail to c:-,n.forlt, to thc• wariantY, p�rhl.ivant S}1G2 Comcary4tnayhgie. Gaa Cwnpany for L}lc r.oLal rust Of i,:pa ..r an,7lut rap��c,-mPt1L or Ttle i' Appl.i.cant tile: op?o ti.in to fix v;.n a reasuuaL�-IP '-im? such �iP.1t�t (4; • y L)e rai.mYtursHmtnts at'c. nU[i�ratu[[Cla:n.le �tnci tilt nuuit`- nt_ir..h _oimhur ieZtents tnAy t+t wi,thtte�d "ay The C�a; Cn:nt+any a['ld nt= ;ct ayair9i: laL,l.e a[GvUrta owed q.�pl.i c:atit: S CplpdI$SIOF IV . TARIFF RV7--- +�. `?'l1i.S )ring l,'.xt?nyli,n (:UIILY.at%L of a::Ci it7C'i_,r�)C?LatAl by TC•.he 111lC.r^. r 1�@nP.L'al Cnndltl.nn� and all n.t^ T};c: Ga4 the line RxL=nsiL:t1 r..nnLrar..t, 1CtT , , �Xhik it.• p, the fnmEany's arpliCsbi.e tat^iit s- _dul9s ai:c! r:ll�� as lilacs v10 tict- to ITrnF will[ the q, 9, l.:i, 2D, 21 anti 2 C:oUlos of these X. may L.d11tQYC11•a L'Uulan LttiiilL,-� (;ununisv-or, ("C:UalmiSa�0:1"}r ].tiCllld�t'lg ht.:L not. limit? Ur Prel.intinAry gtateR�cnt ant Rt:1es 7., 2, y.-- ba ctkaai.ned by •lisiti[i,f the SnCal+ma's' l[•aarnst site at :.vrN.�ncalas.<_yin n.r by req��lealLn.g copies from yu4r Gdl� Conpany _epL"agenta`ti.ve. g. I'llls •^otytrant is aL a_,'! Litr:e5 9llbjpcL tO such ntld:ig'S frlmgciltrcyd1ctionS l.l1C �nc[uttis~ion m%.y di`-H t f. root time Cr_ t.iuv~ in ' e pxexc.i1e U. ] No agAnl of '.1[c (;na c_cmpa[ihas y authL;Gity to rn2ke any r:erms n_ z�.�?r.eart:tat.iutis nnr- annlainad in t`tis Cotttrant: 4nd 1..}[C Tariff Gc:'led:lHa and APPIAcatt' harebY waivs:, r.-hen[ anti ayreps ticit. s The GYs t•%un'r^anY iiOY^ pW6 li,.at:C shall Y.:p bound by t:iRm. t•prm 3y05••D, F.Lf•^ti'+r. .Vas ZUUi f:itte ilto•,ua0� f;nnLSdGC #: IiU�G4�lh.1b�4-1 nnl.r�. C•:/t=1100A r•yye J of 4 Sent By: GAS CO; 760 773 9243; 12 Jan 04 9:47AM;Job 902;Page 3!7 SOUTR�'i CRLIFORNIA�,,..CA3 CQi!HpANY, -,GENER,F�L_....COPi�ITIOBdS..FOA LIMP 87�TEPdSIONS • <_i)nditlrYn-= U:;C1Rr' •ah}rh :i'�'�lr.h��il (:`lll..':Jrnl.a I,;35 (:Jlll�'5ny ("T'r1? �ia:i ^,'heat• Are the pionc.: ,amal CQ.Mp.any") will I,r.o �irle ling. P::tcnsi. Ill . for RPI'l i i uallt L, COSTS �xhiLit A eLsCimat.e is valid for 90 daya Cnd tray 1111i,:_tlo'i. The. eii'-.,oSe'� for LY:o ProjeCt has :lot 4. F_.�--. - _....... has tauill.tie 1�c YPvi�ed aftr_^ tliat t.itar it L:;,= illitz•'!aLic'n ^g t will remaill in h�guil. 12 since Tha Cje• (:Jt1�i1-':,ny uQrj.ina Che instal !.atioY„ Li c �stiiii.;ted u��- €�tfv'=" fur 1>'. tnCntFs. T' aL the eis'i at _ twelve rwelrF m•:tllttSAtil1aNwcitkmrk +^.om�lct�milt;es ^hP �JiJ h� r:3lc:ulat.e its r,LI�Cs a C'unlpiry r-•servu:s t ne 1: irJ,,,. C'- Ppli able dllowallc:<.5, and issue. a Ltk_w rru.jccr. and Line Ext?nylon ContxaGt. ftr pay is A pli r.nliL agrme to pa them r.etv.ainirq ing,allat.iuli work. TA t�l cti LIw111c}�-cyFyVpnaitlle for cu5ts of cngi.neeti,ng, w thin 30 day3 af,er invcic=• p zt'.1nI11[,CJ, SUXveyiifg, Y.l4:'At ,)t 'r7lV 3C:CllIi Sl tlUn and 1:thR?' d.:iGOC.l.atvl�l f".Cia L:ii • , hp hi1_eri yabja<:a Co the fol'Iowin13: 'i:ie cxt.An�icn ly. h] Lclyrunr..aY. Tirpiic�r:t.a) reosiving allnwar:Ct� as ail ntt Iet to i:lle_nst.allar.ion ouszq are rr>,ponsik+le iv: finest rn�.� ar.,y may c- as loan! a:•:'tnsior.(�) whets a•!lt:varr.N; have `)een gLanted Lo the APP1i.c:ellt )-aseel on twiuh_ g� load within six (h) (y) mt:a1 hava they s mat.er (s) il':ct.5 !.-ed and turnery uil with krona iu ill ;t a 1 .t.aCionq alit twe_vc (12) ni onths for Se,rViCe- (9) montna for uuin/mair- an<3 ;e:'vi c t.'r y eted tha Only yYigta113t 7 Q[i:i • Ttle�C t i.l:t� f raLGt: r,.r.)r '�e i'2'vill the (lit e '!'l:a i�QR sampan, C Um��- 1 liQunt will be the installatiun of qas tauilit.ie�pGtimatla�i d jr:JA:lCQs andto CauthY�izcd allowances, as oil] Rd fro' th:: di t fcrenc:e b: tweeis {c�guiibed in Tariff R.ilcs %.ti) arsr_r 21. 'i'iie Li.l t u.0 vnr.. 'Trill. tnClLlrIP illCome 7'vi Colnpclaret rp5 1'IC('.Alr;'T�C) '1'ax. Applicant aeciuested tempusary sei'vic.e(s) are Cclitri huL: an a(:d A ivais ( , and ualrn lsL'..7 i n aC +�rd iilCc with Rule 'i2 . f �l i y CV1] PI:t1��.P.. lZ,af'Stid: snail ha maa~ (: P.ttnr.ney_Gees •9n.ci. f.sRt. Tf 'flIi '=.aG �,�:ni,any i= rryuired to t�rinq on a,,t.iuis t0 c:u'_1^Ct r P_31iGr! R 2Ch.h(L r1.'ailL at° rtemcdy, !;pl,.l ir:a'!C 8 reeS that 'iilC r.qs (;C;LIIr7Any lu'7niPs �dus or tc y s' gets and uosts. The Gas Company may i9 RIILitlRd to r.e:;uvpr. iC= rc'a���^-ahle atr..nracy it..11hclid tium an, I,ayruetit8• nut "sppLicn.nt ally amou[l, Rp�11C3TIt ut.es The Gas C:cuipary. i a . Y1�ir�72 T_Y Xs. CP�Rral• AI.)Ul.ir.Ant h.411 i-le iif'- anti ho ] ,►,- Gri•Y �prnPany ilarmies from alit; .a'taii:�t �lli .tiabil.it.y r:'•v,cluding visly Pr;-Existin(J rnvjccmme:iLi1 T,ia}aili.t.yi ConnFcttd with viot re?uiCincl fsom i.:l;ury tc ,r death nY Ncrsona, inr.iuiiin0 buL nor lilil_twd tV �rrllioyecs The Gas C�mpa ly or A�ylirari , i.njuy `.� F1�Far' y of The la (:umpany, Applloart Or a third p4irty, or violat i cll. c luArlu' 4i ate or federal law., ut re-TIlatinns taxr_.!udilig envir'onir.ental ]aw: 03. reuu].atiuna) (ii:clt'ry'or lia}�i]s ty to�tt,e cxta^trJituis'Jcauned by t1le. perforrnaucc nt Lhis f:wltr.aai, i-�r ;:ulapany• Ilegligence Or w;_- 1.gul m'.9coariuc:t of Trig Y:CIP .l.fb J-L, Fl liri.Cive �*rLIY 20'" Lia^ R:. Ldl1s 1911 Cv436.aC,: 1: u)vo(.If)PA yq EgtI ,I: U1/12/2004 F•e,h 2 vL 4 Sent By: GAS CO; 760 773 9243; 12 Jan 04 9:46AM;Job 902;Page 2!7 t>b 4csa� af5efnnPII.[:ncJyy uAJly 01/2-2/2004 JERRY ELL MZ 7l!900 HCMMI ' 1'E:1D r"0 PALM DFC1ERT, CA 9226J; Project Scope: Line Extension Contract Reference: C;as company Ptajer,t A: ;i)()G006363.1 F_•vjcr_.r. Lunation: 52230 AVENIDA MONTEZUMA _, t. 52230 Avel:id.9 MQ1LLCZC.r1.1-q, in thy.. Resid�'nt ial, :; i rlgl�- family. Pro }��=t f ::>c.ilL'•3 e) City of La 1:AcirlLa, i.o,.alty of 1{yvrpGi.du, lift? 1 i Main, S rvi nei P:'-t a' LU (1 I p1ai:nPd ciw�lling unit (•s) , if' A.1>p Licari ga'rvidcd trei:ctl. 'Phi anyii,r_,ariny rF'g'•Jitd firs Llic i-na'_a1J.ati�iJ Ja.S t:cTii.ti 'y a� f1P.SC1'1}'CCi •9riUVt in the Pri:jer.t L.cc,pa, iraw�'d o:l tl:a iJltorm?tiuJ', you hrrvC nrov_dC,a 1)S, lias haell %gmpl Ptea. Thp attduhed "Exhibit A" raLed .l i /12/2004 cle.ai Is Lily est.il:latc,i C'Qa :; anddilowanf ea, and ai00 i.ndicatpts ar,y AcVar.r_.a5 all' rnrtrib,.rt'Ao:is, if requirpti J;I� thi s '"me. PJaaar prnviuC US with a:_ addrasa list for: the y=upr_,ir.y, i ?palioabJG,, ii,cludiny any i.nLe>na1 aNNrtmat,L' or i1111* J1111[`�ki�� 7Y' 1'.ttFry ao ,ui.c:kly .as pusrib F;... This Will a C1,5- U7 in providing t.i-mo3Y i11Nta1 L3Lior ot: Lhe requQrterl qa� matAJ � and/or icfUnCis oP yn:}r- refundable advances. 1'G ar..krlvwlAdce your �eCe_.1>t. Ut the gac2� b t_A, con irma ions of the. segpe••.21 tha project, an9 rec®i�t and,_agre ►ent with the enalos®d,G©neral Co>?ditiens, F>lCa3? hdvea�ryi eLurrCRU axeCutPd by ycnr authnriz, d rc�`.xCo?nt3tioetiGi (uwl:r9r or uorhnr3_0 -ticeil gages to The Gd5 Com:aarly rppruu rntativc 1 i.sLed below. YO!lr return nLf,CT'hAPGaauCpmtiacyytUf this lwzCter plus ?n'/ c'('v lC:l will ;,4rlgr.7.t..rCC• yC)A ndC1uJ?St .sr.htdule tide inst calla .ic)" ana yc:ur ?greemont to �i�L:"7hi`: �i 3f1f1 t:fl,GPnArill Gyed.t71 C-n 1'iri,cly return 0i thiG lCtce'^ will P.nsuiC that yo%ir r:orlstr+. rtiura is r.-L dr']aye1. F, rnpy Of the I oLLCr has been ayOvided for Four; rp• co: '.U:i • . ihaiik you Eor t.t:iti appo_l:un1.t.y Lo providC yrrl with natuLal nay Lu sarvr your Pnt,tyy �e.t,i.r.eruunts. We a.re U1Ca•sP.CS Lo have you as a C';s Contpany cuaLCm'leasCdr_.nntac:Lome At.`(909)you ynil with the test puosih l e s,-r, - C•.e . If you hav? any a IP,.A .iV:16 ,' p a35-7GP9- Si.n:.0 Qly, 4JN SLACKPRO,TEC T MANAGER r 1!)090 MAYFAIR DR 'ALM DESERT, (:A 52211 FllLJil ?05-D, !:£!'b Cti v,: July 200L ;.ine Ra _el;s iOT :1rt,!L'ACC I�OJ000655�a'1-t !lilted: C'./13/2C04 Faye 1 OP 4 PLAN FILE # BA;E SKETCH CONSTR. SKETCH COMPL. SKETCH W.O. SHEET # BY: CD 12-15-03 BY: BY: 01 OF 01 PARCEL #15594 f The Gas Company Sempra Energy company M. NY MAIN COND. CODE EXT INT EXIST: ❑ INST: ❑ ABAND: ❑ INT: CODE: P / LOT #: Isolation Area Affected Yes ❑ No IS Pressure District Affected Yes ❑ No Business District Affected Yes ❑ No Supply Line Affected Yes ❑ No Regulator Station Affected Yes ❑ No Valve(s) Required Yes ❑ No Reviewed By: /P`«� C. P. Reviewed By: „f}_ `AC 25 N N. 7 17 16 o E 2'PEM O �o I 0 x w 0 Q Q ti 60' I 60' L m 9' IT O N N M i 31248-918 6-93-•' 0 CP N M w N .• 3'PEM 3-79 O c0 // TOTAL FEET INST'D INSTALL MAIN WITH AT LEAST 300 COVER BELOW4! "i 'TA:JC- �"L V-tOTAL FEET RETIRED COUNTY RIVERSIDE DISTRICT PALM DESERT TRACT # ATLAS # LAO 1 TAX CODE # PE: YES® NO 0 CATHODICALLY PROTECTED: YES O NO ZI RETIREMENT REASON: PERMIT ISSUED BY: PERMIT #: YEAR C.P. INSTALLED: PLANNED BY: P. DOANE STAKED.......... STAKING REQUIRED NO STAKES NEEDED OPER. 20% OR OVER ❑ S.M.Y.S. AT LESS THAN 20% ® S.ML Y. � �% PIPING LEAK TEST (MEDIUM) TESTED AT:-LO—O P.S.I. &ZAIR [:]NITROGEN ❑ OTHER FOR: _ HRS. AND/OR — MIN. (GAS STANDARD #184.0150) SIGN: DATE: PRINT NAME/TITLE: GAS HANDLING WAS REVIEWED AND PERFORMED AS PLANNED PER GAS STANDARD 9184.06 + NO ❑ YES ❑ + IF NO PLEASE GIVE EXPLANATION TO LEFT SIGN: DATE: PRINT NAME/TITLE: ANY CHANGES TO THE DESIGNED PIPE AND COMPONENTS REQUIRES APPROVAL FROM TECHNICAL SERVICES PLANNING. IF CHANGES WERE MADE TO THE PLANS: ENGINEER CONTACTED: DATE: FPA / PA: DATE: I UPDATED TO R.E.R.: { JOINT TRENCH (TYPICAL) Yes ❑ No ❑ I N ! a cD GAS - - - - -- ❑ z z TEL ELECTRIC- - ❑ LCATV TELEPHONE ❑s - - - P0WER T. V- CABLE ❑ OTHER - - -- ❑ THOMAS GUIDE 879 E-2 CITY OF LA QUINTA LPRESS. DIST. NO. DIST. PRESS./MAOP: _&-0- SET/MOP: Ys� CLASS LOCATION ❑1 ❑2 K ❑4 ISO MAP NO. .0 SUPPLY LINE NO. SUPPLY LINE PRESS. REGULATOR STATION I.D.# / R.S.# VALVE(S) REQUIRED Yes ❑ No ❑ PIPELINE MARKERS REQUIRED: Yes ❑ No ❑ IF YES SHOW LOCATION REVIEWED BY PRINT NAME DATE REG. ENG. TECH. SUP. L.P.A. I L.S.P.S. E P.A./F.P.A. JCL I D.O.M./P.M. F.O.S./F.S. Underground Service Alert REF 0RE roG Ca 1 I Two Working Days P c, c+ BEFORE YOU DIG Z � Q 1-800-227-2600 i c9o�N0 SER�T i cket # I PROJ. # 63694 WR- # 1429277 EPOCH # RER.# PLANNING PRINT DATE MOVED I NOTICE OF DATE MOVED COMPLETION ON JOB: OPER. DATE: I OFF JOB: I DATE: CREW FOREMAN COMPANY SOUTHERN CALIFORNIA GAS COMPANY FACILITY: X❑ EAST REGION W.O.# 39143-023 COST CENTER OG