466NOTE: P '�' " y
With proper validation `
'i:
this orm constitutes,an
encroachment pe`rrriit CITY OF LA QUINTA `.
APPLICATION FOR PERMIT
«- •P.UBLIC WORKS CONSTRUCTION (ENCROACHMENT) IpSw4�,
0F�ti
. 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 e
Subdivision Improvement Permit — Class III
October 25v . 1989
' DATE: ' � Minor Imp'r•ovement Permit Class IV -
�.• LOCATION OF CONSTRUCTION
On Avenida- Navyarro S , SPL, of Calle Hidalgo:, '
(Street address or Description of Location)'
PURPOSE OF CONSTRUCTION -1rl i ngi-a'1 1 n4-W CT P, main Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTIONtn install _292' of ?_"
nl a.qi- i r mPd i t7m • nrcz-_!fnrp cra c mai n RW /FPT, Of a -
Ave _ 1\Tava rrn hacri n i ncr 1_ S' fi /NPT. of. i^aI1P Hidalgo proceeding -south
DIMENSION OF INSTALLATION OR REMOVAL SEE SKETCH TgP 217 , D'l
Cut, and Bore 26'- of .MAC Cut
SIZE OF EXCAVATION, IF NEEDED Earth 222;
APPROXIMATE TIME WHEN WORK WILL BEGIN
J. APPROXIMATE TIME OF COMPLETION 2 /R /90
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, -materials, and debris, backfMing,
-` com-
paction and placing Permanent• resurfacing and/or replacing improvements)
' .
s
In consideration of•the'granting of this permit; the applicant hereby agrees,to: ,
•
Indemnify, defend an'i'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. ,
` J..M. Snyder; Distribution"Supervisor
Signature of Applicant or Agent
Southern California Gas Co. PO Bl*x 3003 Redlands CA 9237a 714 798-7742
Name of Applicant (please print) Business Address - Telephone No.
Name'of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No. City Business License No.
Applicant's Insurance Company Policy Number '
FEES:.. Subdivision Improvement Permit —.Class I I I
Public improvements:•3% of estimated construction costs -
Private improvements: 3% of estimated construction costs �.66
� /ate'
Minor Improvement Permit — Class IV: See attached schedule -f ~
Inspection Fee $ - .N /A• PERMIT VALIDATION '
Permit Fee j N/A 46`6 }
• PERMIT NO.
Penalty DATE APPROVED 10/•3,0/89
Cash Deposit -Surety Bond -
if required - t EXPIRATION DATE f A / 1 n / p Q '
TOTAL: . DATE ISSUED -
Receipt No.
By
Received by Date J Administrative Authority
A _
Recorded by TELEPHONE: (619) 564-2246
' - r, ;
58449-087
NOTE:
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
Subdivision Improvement Permit —Class II I
DATE: October 2i, 19.i9 Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION On Avenida -avvarro S . SPL of Calle Hidalgo
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION to install. new eras main Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTIONto install 252' of 2"
'nla�!tic medium tnressure aas main V W/EPL of
Ave. Navarro, becrinina 15' SINPT4 of Calle Hidalgo proceeding south
DIMENSION OF INSTALLATION OR REMOVAL SEE SKETCH TgP 217,D-1
Cut and Fore 26' of MAC Cut
SIZE OF EXCAVATION, IF NEEDED Earth 222;
APPROXIMATE TIME WHEN WORK WILL BEGIN 11/8/89
APPROXIMATE TIME OF COMPLETION 2/C/90
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property
happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application.
Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started.
Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result of this work.
J.M. Snyder, Distribution Supervisor
Signature of Applicant or Agent
Southern California'Gas Co. PO Boat 3003 Redlands CA 92373 714 795-774.2
Name of Applicant (please print) Business Address Telephone No.
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No.
City Business License No.
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class 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 N/A
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
Receipt No.
$ 7,, /A
Received by . Date
N. I D
PERMIT VALIDATION
466
PERMIT NO.
DATE APPROVED 10/30/99
EXPIRATION DATE 4/30/89
DATE ISSUED 10130/8'
By
Administrative Authority
Recorded by 11 TELEPHONE: (619) 564-2246
NOTE: 58449-087
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
OCT. 25 1989 Subdivision Improvement Permit — Class III
DATE: Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION - On Avenida Navarro S.SPL of Calle Hidalgo
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION To install nPw gag main Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION To install- 252' of 2" plastiC f
medium pressure gas main 8' W/EPL of Avenida Navarro- beginning
15' S/NPL of Calle Hidalgo. ^ roc_egdinng south. SEE SKETCH. TgP 217, D-1 CUT AND BORE•26' of
DIMENSION OF INSTALLATION OR REMOVAL MAC CUT' EARTH 222'
SIZE OF EXCAVATION, IF NEEDED "
APPROXIMATE TIME WHEN WORK WILL BEGIN 11-8-89
APPROXIMATE TIME OF COMPLETION 2-8-90
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, reprasentatires 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 remit of any work undertaken under the permit granted pursuant to this application.
Notify the Administrative. Authority at Isar twenty-four 124) hours is advance of the time when work will be started. ,
sy . ,yi• , r a., w,..,. �' �r-a.;,.. .t., ` -s,. s.. - :�.. .'s.; -s n� 5.
- •-,,
Applicint's Inwranoe Company' _ * s t.. ti .' °• ,' Policy`NumbiY
b�.
p'
Subdivision Improvement
,FEES:.
Public improvements 3% of estimated construction costs~
Private improvements: 39fi of estimated construction costs
Permit Class'IV: See ittsched
. Minor Improvement — scheduli
F Inspection es. S
PERMIT VALIDATION
�s
,
=PERMIT
Permt.iFee
NO.
Penalty:
DATE APPROVED
Cash Deposit -Surety Bond
if required'
EXPIRATION DATE
TOTAL:
Receipt No.
Received by Date
DATE ISSUED
By
Administrative Authority _
Recorded by
TELEPHONE: 16191564-2 246
. - . . ..m.
Ifs-v\-. 0-Za-8y
-
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FILE NO.
BASE SKETCH
CON STR. SKET COMPL. SKETCH
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'TOTAL FEET INST'D. '
-
Isolation Area Affected Yes El No
`^
�xkS��NG
AS pE��-6 S C TOTAL FEET RETIRED,
' -
'Pressure District Affected Yes..0. No
District Yes 0'. No��1'
INSTALLINAIN WITH AY LEAST
1
COVER BELOW
_
�\
RETIREMENT
PERMIT ISSUED BY.,
PERMIT NO. �
�
DATE MOVED �
ON JOB
DATEMOVED ..DATE OF
OFF JOB OPER.
- • -
Business Affected' -
rf
COUNTY
I•
%ii�
-
Supply Line Affected Yes 11N
:�'� �:�
��
I D fi ���5'T'�,
CREW FOREMAN
Valve(s) Required Yes O� No
DISTRICT .��T
REASON
PLANNED BY
.COMPANY
TRACT. . ,
'�
..
Reviewed By LQ^' (l
`
A.L. F-Sc p Cj rG DO
STAKED
Cl
COMPANY'FACILITY:
SO. CAL. EL P:L.S. ❑ -
_NO."
V.P.Reviewea
ed By. - - -
.
.ATLAS �. IN�. = I (:%
YEAR C.P.- �
INSTALLED
OPER.. 20y- OR OVER - ❑
. �REVMWEB�Y. -
'
STAKING-REQ'D..�
❑
"'-•�`�-•� ' �'-DIVISION
�,�'�
CATHODICAL'Y'
-
YES❑, NO
PROTECTED YES.
❑ y
LESS THAN '20y'• ❑ -S.M.Y.S.NO
DISTRICTSU�ERVISOR
STAKES. NEEDED
W.O. �:) -7�- '� `q
`vim ! CODE
SOUTHERN CALIFORNIA GAS CO-2956.3J• .
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SOUTHERN CALIFORNIA GAS CO._2936-4F (10.731
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TOTAL FEET INST'D.
MX'TC.VA LINE.
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INSTALL MAIN WITH AT LEAST -COVERBELOW
TAL FEET RETIRED_
NT
RETIREMENT
PI!
PERMIT ISSUED BY
PERMIT 140.
PE
CATS MOVED. DATE MOVED DATE OF
COUNTY RINERSIVE,
Lk lmu%NlTA%
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ON JOB Orr JOB- OPER.
REASON
CRRW FOREMAN
DISTRICT
cdlipAN
TRACT
NO.
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YEAR C.P.
INSTALLED
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7
L k t4 t) EMP X R E DIVISION
CATHODICALLY YES[D
NOE]
OPER. 20% OR OVER S.M.y.S
AT LESS THAN 20%
STAKES 0
NO ST
ORE.
-75.9-7 CODE
PROTECTED
I DISTRICT SUPERVISOR
SOUTHERN CALIFORNIA GAS CO. —2936-4F (10-73)
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