423i�{OTE•:
With proper validation
this form constitutes an
encroachment permit
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
r
For the construction of public or private curbs, driveways, ,pavements, sidewalks, parking lots, sewers,- water mains
and other like public works improvements in connection with MINOR,IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit — Class I I I
DATE: +1ul.tt 21.1989 _ Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION' On Velasco Ave.
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION To install new gas main. Sketch (attach construction plans if appropriate►
DESCRIPTION OF CONSTRUCTION to install 150' . of 2"
nl ast-i r- 'medium nressure aas main 10 ° W/EPL Of
t7Pl acc n. hegi.nriina 101 S/N lot, line_ of #9, nro_ceeding notth.
DIMENSION OF INSTALLATION OR REMOVAL
SEE SKETCH TGP 224, C-1 CUT EARTH
SIZE OF EXCAVATION, IF NEEDED
APPROXIMATE TIME WHEN WORK WILL BEGIN ASAP
APPROXIMATE TIME OF COMPLETION SeAt. 30. 1989 r
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 acciderit, 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. t
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.
J.M. SNYDER,.DISTRIBUTION SUEERVIS0.
Signature of Applicant or Agent
SOUTHERN CALIFORNIA GAS•CO. P.O. BOX 3003, REDLANDS, CA 92374, 7(714) 79�8` 742
Name of Applicant (please print) Business Address " TelephoneyNo..
Name of Contractor and Job Foreman Business Address,r{F._k ¢ jam+ � Telephone No.
Contractor's License No. «n . W,'. k. r ` City Bu�smess L"'icense No.
Applicant's Insurance Company ` f �.� a` e _,,� w Policy Number ,
FEES: .Subdivision Improvement Permit —Class I,I I.�
Public improvements: 3% of estimatediconstruction costs
Private improvements: 3% of estimated construction costs ,
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ —0— ' PERMIT VALIDATION
P i•t F -0- I� 42
PERMIT NO. 3
DATE APPROVED 7 / 21 / 89
EXPIRATION DATE 12/1/89 7/
DATE ISSUED -r'� /21105 -
i
By
Administrative Authority
ermee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: .
Receipt No.
Received by
Recorded by
$ -0-
Date
TELEPHONE: (619) 564-2246
'NOTE: a • • �'
• •With proper validation
this form constitutes an CITY.
L'A' }QUINTA
encroachment permit OF,
r APPLICATION ,FOR . PERMIT,
• •
' , ' . • - ; ,,, PUBLIC WORKS CONSTRUCTION; (ENCROACHMENT)
OF.
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
k }
•
Subdivision Improvement Permit — Classa 11
DATE: Ju . 21, 1989 ! Minor Improvement Permit Class IV
L Ori Velasco Ave.
LOCATION OF CONSTRUCTION
(Street address or Description of Location)
PURPOSE OF'CONSTRUCTION To ins all new gas main t Sketch (attach construction plans if appropriate)
'r .DESCRIPTION OF CONSTRUCTION {to. nstal-1, 150' of•, 2"
nl ast i r- mPrl i itm • presst re aas main 1'0' W/EPL ,Of
Sjp1 aGnnp hPai nni ng 10SIN 'lot line of #9,. proceeding °north'.-
DIMENSION OF INSTALLATION OR REMOVAL +'
SEE SKETCH TGP 224" .C71 CUT EARTH
SIZE OF EXCAVATION, IF NEEDED • '
r ,
APPROXIMATE TIME WHEN WORK WIL'L'BEGIN ASAP,- '
APPROXIMATE TIME OF COMPLETION Sept. •30 , 1989
ESTIMATED CONSTRUCTION COS
T`$
(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 appli cant agrees to: r
..Indemnify, defend and save the City, its authorized, agents -officer;, representatives and employees, harmless.feom 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 +
f happening or occurring as a proximate result of. ny work undertaken under, the permit.granted pursuant to this application.
Notify the Administrative Authority at least twenty-four (24) hours iri advance 'of the -time when work will be started. , t
Comply with all applicable City Ordinances; the terms and conditions of 'the -.permit and all applicable rules and regulations of the City of
La Quints and to a for an additional re lacemerit necessary,as'the result of this work.. +
pay Y P.
SNYDER, DISTRIBUTION SUPERVISOR +'
' Signature of Applicant or Agent i :r
SOUTHERN CALIFORNIA 'GAS CO. P.O. BOX'-'360.3, �REDLANDS, • CA1 92373 '(714) 798—,7742
Name of Applicant (please print) ;# . Business Address 3, Telephone No. -
' Name,of Contractor and Job Foreman , Business Address Telephone No.
{
= Contractor's License No. City Business License No s ;
` Applicant's Insurance Company Policy Number
`FEES: ' Subdivision] m provem'en�t'Perrn it —"Class' I I I
Public improvements: 3% of estimated construction costs' `.
Private improvements:.3% of estimated construction costs NO "
.423
Minor' Improvement'Permit — Class IV: See attached schedule '_ R '
• Inspection Fee ..�$ —0— .,� { PERMIT VALIDATION- '
'Permit Fee' , -0- �. • 423
Penalty ,
..
PERMIT NO.
Cash Deposit -Surety Bond, DATE APPROVED 7 / 21 / 89
if required EXPIRATION DATE 12 1 89
TOTAL: a $ =0— { �21% ,
t' DATE_ISSUED
Receipt No. )
By
Received by Date Administrative'Authority;'
Recorded by _TELEPHONE: (619) 564-2246
53449-630
NOTE: y .
With proper validation '
this form constitutes an CITY OF' LA QUINTA.
encroachment permit j
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
- ! 'Mop OAS.
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: JUNE 19, 1989
LOCATION OF CONSTRUCTION. on Velasco fAve.
(Street a Wross or Doacription of Location)
To install new gas main '
'PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate)
To install 150',;of 2 •SEE SKETCH TGP 2.24, C-1 CUT EARTH
,,DESCRIPTION OF CONSTRUCTION f
plastic medium pressure `gas main. 10' • W/EPL. of Velasco,r, -
Ave. , beginning 10' S/N Lot line of #.,9;:.proc'eeding north.
i
.,DIMENSION OF INSTALLATION OR. REMOVAL
1
SIZE OF EXCAVATION, IF NEEDED
i
APPROXIMATE TIME WHEN WORK WILL BEGIN. ASAP.
) ,t
APPROXIMATE TIME OF COMPLETION September 30 ,' 1989
ESTIMATED CONSTRUCTION COST $ '
(Including removal of all obstruction, materials; and debris; back Ming, 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; imauthorized 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 ithe 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 Quints and to pay for any, additional replacement necisuary-as the result of this wor
• - "J.M.•SNYDER, I TR UTION SUPERVISOR
u Signature of•Applicant or Agent .
SOUTHERN CALIFORNIi GAS CO_' P_0_ Rnx-10ny,, -i DT.&N _q, CA 92371 (71�4) 798-7742
Name of Applicant (please print) t Business Address Telephone No.
Name of Contractor and Job Foreman. -
Business Address Telephone No.
Contractor's License No. t t. City Business License No.
Applicant's Insurance Company Policy Number I
FEES: Subdivision Improvement Permit -:Class III
Public improvements: 3% of estimated construction costs '
Privz= 'Imr ov`ei—_nts: 3`X of estimated constructiorr costs -
'Minor Improvement Permit'— Class IV: See attached schedule '
• • y
Inspection Fee S - ,, PERMIT VALIDATION
Permit Fee 1 4
PERMIT NO.
Penalty I v '
Cash Deposit-S6rety Bond �. DATE.APPROVED
if required EXPIRATION DATE
TOTAL:' "$ ## DATE ISSUED
Receipt No. By
Received by' Date Administrative Authority
.'.Recorded by -TELEPHONE: (619) 564.2246. r
c. .Subdivision Improvement Permit.- ClassJU
i :Minor dmproventent Permit Class IV- _
- - IrPLAN FILE NO.
�j F711 ZZ41 G-I
v I ' _ '/ •s � n.. n.�•s eC. , I:o..�. ....cw I SHEET I' OF__1_
w
✓od mo'
_- -2 P_ CAP 6? U I IJTn
O T • Y 2 3 4010 ND 1 Y7 6 o �.
-rkeo .. "
} ilk �ajl Z"jam juj 7 b5.'. �'�4�-045 21PD M 389 p� �A p
31�8'3%�O
V�l�sGo i G u» �o-•l 5 AVM;
• Z. . 4 S I z. I 7 8 + 9Q t o I I I Z M Ul
lU m [
J to -
J (COI PWcN REDS{jt
v MAIN CONIID.
CODc• O•T."E. -
-
• I• IN Z7m6..
3; .7iE ,-0C- l
4. ?Ug6E @ RtSEn- LAG. Z
TOTAL FEET INST'D
Isolation Area Affected Yes ❑ No 13'
LEAK TEST Y pressure0istrlclAffected Yes ❑ NO J/' .INSTALLMAINWITHATLEAST—. COVER BELOW TOTAL FEET RETIRED
PSI Business District Affected - Yes ❑ NO LJ • p 1, /G�j �,/ RETIREMENT - PERMIT ISSUE. BY 11 PERMIT NO. . DATE MOVED OFFDATJOB MOVED DATE OF -
COUNTY y'��r,/� !jl•f'Y IrJF L�tXIJIt.IT ON JOB OFF JOB .PER.
HRS Supply Line Affected Yes ❑ No I CREW FOREMAN
DATE Valve(s) $ Required Yes ❑ No f3 DI STRICTY� REASON
�\ I <i PLANNED BY COMPANY
1 (/��TRACT /'��
BY
Reviewed By: �•+• AeKis AL (.1 :L 1p NO S'�•OUC STAKE. ❑ COMPANY FACILITY: 50. CAL. P.L.S. ❑
1 ATLAS I. 1 a. I YEAR C.P. REVIEWED BY I'aA
C.P. Reviewed 8 �/f✓ V INSTALLED ra�.�� STAKING REO�D. ❑ ��L fiAJV LIVI` Ifs DIVISION
Y CATHODICALV OPER. 10% OR OVER ❑ �r�. a� RG.
PROTECTED YES ❑ NO $ LE.A I.A. 2oa S.M.Y.S. NO STAKES NEEDED_ ❑ W.O. - ODE
DISTRICT SUPERVISOR
SOUTHERN CALIFORNIA GAS CO.-29
58.3.1
t, • I
711
ADI;t I T I l N6-L---'0ENCROAC.PRIENT -PERA I T NO. 4111---- COND I T,I ONS`.
' R33
St_trvey ,monum4nts- shal.l be protec.t;ed inor rh-establ ishd
'
.place
Turs int• to City >tapdaTds and -the State of0al"ife:+ nia. l-y9d
SurvexTs pct.
- '. R34,
Work: Hall be cc+ordinate with ttic: City of is Quirita _, forces to
,..
_
•1F'_ _.. ay (_+r-i6t,E.•.?'s"f:.r"dr et1C F.?,tad1.tit t�te. City �C:+'f• ��:..a (;?t_tinV '':c;-• �1 f C 1l..Id� r.:�c?1
Ric'
Cc+ritr-actor-,shall carnply with the local noile•or"di.nanc:e And r
.co07sti-y t:i. n yperaitions -arid mc' int:(:?hctphe'p'f'.eCjt_l).F:ifttE_'nt within Ine
half male o human occi.pancy. shall• be performed only dur'•ing the
ti.irte ppri.ods as �fol.lows pl
' -Cl 'ctol:ier, last ,to Apr-ilr O: Monday -Friday 7Q0a.. .--Je•36pame
,Saturday , c3;P!_)a.umA--;':.,u+'aQp.m.,
` May 11't:• tc+ aept:eMPeq ,3U: M6nday-f r idayj6:0 fa4m•.-Ia+_)0p.m.
r.. Saturday C-ie00aama - s,o+_0p..m':,
Work shall X prohibitedY ariytimti: r_+n Sunday. ar,'' Federal 'h ,lidaysa
R36
Trgff is control shal. l 'be`. "as`yer Cal Trans Traf•f is Manual i Field
c:ld justm6nt s,, In dC-=tour inCl�'s6al l' bF etc:C:ompl ished as diredtrd jn� v .
r
70
"- I','fiel.d,Kondlti.onse It shall be The
order 'l: (-+ adjust l< t+ ra C t l..i cl
•
_ � p i t y; -to `a ei e q t_I act; f: 1' y b a r r i c a d F, a n ci f F=' 'l: r_+ i..t r
r_ont.'rar.tior•'s rea onsibiIi.
this. site ;
R37
A.l .l' e ccavalion at or near' the tr'-avel wav shall be back:i' i l led' at
t"h6 'end of the work day for the p7oteetion of the traveling .-. •
public t ,
`'" R39
A; Minimum of Cij. e travel Tine shall 'be'rrainthined at al.'lt"times
during.
R39
r This pi-Qi,j.;ins only for'''worV within,the public street. night -of--
.
6vay e Ingr•et& and' oclr-ess- 'for `local ' pr-c+ppf t i e s shallbe maintained
I
oat, all. times.
F<4r:}
-
.Frio- the work: staOtinc-, Underground Service Alert; sha.11ibe
c::c+r'ttrdctdd "ate 4:-13+: 0-422 4123 apd an 4i.nq'uir-y number" shall"•be
provided toF't_tblir_ Wor•k:=_s Inspector., '
,the-City
R41
All back:fill subgrade'QiI shal..l'be compacted to nothing, less than
90M relative dry density, all abz_r`=le,mater..ial. shall' be c._c+crt;.-,Kcted-tc+
nothing less titan 95% ?el.ati5 `dry density. �
R42.
'
Pavement shall be s alract-lt plion to removal, repl6giement, p$vement
`
sh;_rll• A e ;isti.tid asphgl,t.thickness plus one 'inch, but not less
than 3+'. of AC, pavement Ahall 0F_ •,placed. Class 1I- adg euate base
shall be q's• per• pD(isSt:ln1,or 4" mirt1ml_tm (whiC:Iie`,/er is greatC•.c?r) e
IR423
.If the :work: As to be rpei;fdrmed y •ft!rces other ,thln 'l:l'lad o't the
l.ttillt:y c.c+mpany's than #h at: contracting company will be 'r equired .
to +_•Ipp1y .f!"r an additio.na1 ertcroacWr'tt permit and pay,/ t.f"ie.
appropr'late ,fees