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487.�j S.wf+»" .'` t, ry Y"$:...,, 1 •..... n.-, __ .. .• i„t--•.. •- .. �` -r �r n 1 , .: fi• a .. - -4, Cam. r .. 1•[X-. kJ. '' NOTE: t, ,, _ �. ` . ..,. '.. y - ". • � • With proper. validation r this form'constitutes an '`rr04 +LA t' CITY. OF QUINTA T• encroachment permit APPLICATION FOR, PERM IT' PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) 5 8'4 4 9 -- 217 ` • , • 4 of9�,w For the . construction - of public or private curbs, driveways, pavements,'sidewalks, parking lots; csevvers,- water mains and other like public worksimprovements in connection with MINOR.IMPROVEMENTSand APPROVED SUBDIVISIONS „ Subdivision Improvement Permit -Class II I - Dec.. 13; 1989 . ° DATE: - .. Minor Improvement Permit Class IV - rF LOCATION OF CONSTRUCTION ..Avenida Mendoza - (Street address or Description of Location). rSketch ` PURPOSE OF CONSTRUCTION tn' i i cta l 1 nchta"ga c ma i n (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION' ? ncta1 1 1 do °'• of 7" Tel aS•tiC m�ri;'»m r,r©catlr•a cta c tna i n 1 (1 ° .W /FPT" of 'A%Yzyi; na 'Mendoza bornnni,nrf tin° M/MPT,Gnf (`al1a. Thtr;; nq , nrooP-ding north DIMENSION OF INSTALLATION OR REMOVAL SIZE OF. EXCAVATION, IF,NEEDED „APPROXIMATE TIME WHEN WORK WILL BEGIN 12 /•?R /Roi /9tagn. APPROXIMATE TIME OF COMPLETION 1/ . • . � •`. ESTIMATED CONSTRUCTION COST. $ ' (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resdrfacing 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 allF 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, o this application." Notify the Administrative Authorityiat least •'twenty-four' Q4) 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 L , . payefor any additional replacement necessary as the. result of this work. • , . k J.M. Snyder, Distribution Supervisor ' Signature of Applicant "or Ageo't . •' •,'' ' 5rnithpr-n C'aliforxiia •Gas , Co.. FO �IIox..3003 Redlands, " CA. 92373 (7140� 5=1742'. 'Name of Applicant (please print) Business Address Telephone No. t " Name of Contractor, and -job Foreman Business. Address Telephone No. 4. ' Contractor's License No. City Business License No. •' Applicant's Company. r Policy Number. ' FEES`., Subdivision Improvement Permit — Class I II t ' Public improvements.- 3% of estimated construction costs• Private improvements: 3% of estimated construction costs4. p� Minorlmprovement Permit —'Class IV: See attached"schedule' ; Inspection Fee $ 0. T x PERMIT'VA'LIDATION Permit Fee i 0 PERMIT NO: 487 •' ' -'Penalty '1:2/20/89DATE D APPROVED Cash.•Depos_it-Surety Bond • . c:. � if•r11 6 / 30 / 90 . '• .equired EXPIRATION DATE ` TOTAL: $ n 1�/?0/89 DATE ISSUED ' 1 Receipt No. -Received'by Date - =Administrative Authority .. stet '-•, - r • � . _ � Recorded by ' TELEPHONE:'(619) 564-2246 " ' •' .,:-?4. ; `4�" w. •w , `iv.A y "�. NOTk,: F With proper validation 4 Q this form constitutes an CITY OF ' LA QUINTA encroachment permit- , 5;: APPLICATION FOR PERMIT a 'PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) ''rn pSw4� 5 8 4 _9 -217 �oF r[3$�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, ' Dec.13 , 1989 Subdivision Improvement Permit - Class III DATE: T` Minor Improvement Permit Class IV . LOCATION OF CONSTRUCTION Avenida Mendoza . (Street address or' Description of Location) PURPOSE OF CONSTRUCTION t0 i rectal 1. neow aaa ma's"m- 'Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION J natal I I AC' of 2" n..1 astir marl i VIM nrooaattra Kx1 r main 10PN/F.PT, of AVP.Y1l dR'1 Mendoza-, inn , nn i ng 5 n ° M /TJPTt nf r.a l i p ntiranan . nror.Fpding north-' DIMENSION OF INSTALLATION OR REMOVAL SIZE OF -EXCAVATION, IF NEEDED „ ,APPROXIMATE TIME WHEN•WORK WILL BEGIN 12 /28 /89 • i APPROXIMATE TIME OF COMPLETION 3 128190 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 Sotathern California'Gas Co. PO BQx. 300:: Redlands, CA' 92373 (714) 335-7742• 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 III ' • Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs 48 Minor Improvement Permit — Class IV: See attached schedule` Inspection Fee ' $ 0 PERMIT VALIDATION ' Permit Fee PERMIT NO. -487 Penalty/ /8' Cash Deposit-Surety'Bond DATE.APPROVED �2� , • 6/30/90 if required ' EXPIRATION DATE ' • TOTAL: $ DATE ISSUED 11/20/89' f' Receipt No. .// ,,JJJ.. . I By 94&_p '-j t '11 y Received by ' Date `" Administrative Authority Recorded by TELEPHONE: (619) 564,2246 - p The following General and Special Provisions are attached to and made a part. of Permit No. V� - ''i�r• GENERAL PROVISIONS r r The following shall always apply: ENCROACHMENT ON PRIVATE PROPERTY This permit authorizes work to be accomplished within City of La Quinta right of way. i ONLY. Whenever construction extends within private property, it shall be the responsibility of the permittee (or his contractors) to secure permission from abutting property owners. Such authorization must be secured b the permittee prior -to starting work. • f' P 9 P P Y Y P P 9 TRACKLA YING CONSTRUCTION EQUIPMENT: Cleatedtracklayingconstructionequipmentshallnotbepermittedtooperateonany• -.paved surface unless fitted with smooth'faced street pads. All mechanical outriggers shall be fitted with rubber street shoes to protect the paving during excavations. Rubber -tired equipment only shall be used in backfill operations 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 La Quinta 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 Hrs. in advance of any traffic detours or delineations. . CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugated metal pipe, concrete pipe, steel culvert and concrete structures encountered during excavation which necessitate removal shall be replaced in kind. In the event.it becomes necessary to remove or cut existing drainage structures, City of La 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. . F DE -WATER OPERATIONS: 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 oftraffic shall be maintained at all times to provide limited access for the adjoining property owners and emergency vehicles. In the event it isfeltbythe permittee thathe mustclose a streetfor any length of time, permittee shall contact this office to obtain the necessary permission. SPECIAL PROVISIONS r The follwing shall apply ONLY when indicated: R1 NOTIFICATION: Permittee shall notify the City at 564-2246 at least 48 hours in advance of starting construction. R2, CASH DEPOSITS OR BONDS: A cash bond or an approved surety bond in an amount of not less than $' shall be furnished in the name of City of La Quinta to cover all work involved in the restoration of the various La Quinta roads -and survey monuments.'This bond shall be continuous until cancelled by the City Engineer. This bond must be ' posted prior to commencement of any work on this project . ` f R3by TILITYCLEARANCE:(Substructures) Prior to making any excavation within the City of La Quinta right ofway authorized 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. R4 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. R5 PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing road pavement shall be surfaced with inches of A.C. paving placed on inchesof class aggregate subbase course having an "R"value of not less than and in conformance with City of La Quinta Road Improvement Standards and Specifications, Ordinance #461. R6 •'PARKWAY GRADING: Area between the property line and topoftheproposed concrete curb shall begradedtoaslope-of 1/4'inch to one foot (1'). ' R7 GRADES & STAKES: City of LaiQuintashall establish grades and stakes for the proposed concrete curb and gutter construction. t , R8 GRADE CHECKING: City of La Quinta shall check grades upon receipt of plan and pFofile and/or grades as established by a licensed engineer. ' R9 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter ( feet shall be removed. Curb and/or curb and gutter shall be saw cut prior to removal. Depressed curb, matching concrete gutter and _ " concrete driveway approach shall be constructed in conformance with City of La Quinta Standard #207. r r R10 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 2-1/2 inches of A.C. paving placed on ( ") of class aggregate base. Driveway construction shall conform to attached drawing. �. R11 CULVERTS: A inch diameter( )culvert shall be installed with the invert approximately 1-1/2• inches below and in line with the existing flow line. Culvert installation shall conform to the attached drawing. ' R12 SIGHT CLEARANCE: Sight clearance of 600 feet in either direction shall be assured and maintained. , R13 SOIL STERILIZER: The area to be surfaced shall be treated with soil sterilizer. Rate of application shall comply with the specifications. ,manufacturer's 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. • OSURVEY MONUMENTS: Prior to excavation or beginning'of construction, all survey monuments which exist on the centerline of all streets or property lines when involved shall be completely tied out so they maybe readily and correctly be replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete set of notes showing the ties to these monumentsshall be furnished to the City Engineer prior to the removal of any monuments. This office shall be notified upon completion of replacement of all survey monuments for proper project clearance. s - , ` R16 0EY MONUMENTS: Prior to excavation or beginning of co4ion, all survey monuments shall be tiedout by City o. La Quinta and suitable payment or guarantee of payment shad be made as reimbursement for all work involved. ' Rj7 .r PAVEMENT CUTTING: Pavement will be mechanically 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 of pavement). Excavation material shall be placed in such a positionlas to best facilitate the general flow of traffic. Prior to final paving operations; any damage to pavement straight edge shall be, . R1 corrected. PAVEMENT CUTTING: Pavement shall be saw cut prior to removal. Prior to final paving operations, any damage to pavement straight edge shall be corrected. R19 LIMIT OF EXCAVATIONS: Excavations shall be limited to 1,000 lineal feetof opentrench 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 t 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. ` R20 BACKFILL MATERIAL: Backfill shall 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 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. ` R21 BACKFILL SAND: Backfill shall be approved transit -mix sand or equivalent and shall be placed in lifts of notgreaterthan three feet (3') and vibrated using vibrotamper or equivalent equipment. Alternate methods maybe substituted, but in any ` case a relative compaction of 95 percent shall be attained within the structural section of the roadway.." BACKFILL PLACEMENT: Backfill shall be applied in layers of not more than50 percent of the total depth of the trench before flooding or a maximum offive-foot (5') liftswhere trenches are of excessive depths. Care isto beexercised thatthe t)backfil ' l material is not subjected to extreme swell by flooding operations. Backfill material shall be placed so that the resulting compaction shall be not less than 90percent or equivalenttothe surrounding ground, whichever isthe 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' R23 supply shall be continuous. COMPACTION TESTS: If so required bythe inspector, compactiontests shall be made at intervalsof not more than 1;000 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 Highways, State of California, dated January 1973. �ne OMPACTION TESTS: If so required by the inspector, compaction tests shall be made for each crossing or service line. (1) copy of eachtest shall beforwardedto the City Engineer for approval and filedprior 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. a)R25 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 subgrade. The SC-800 temporary paving shall be placed after a maximum of 3,000lineal feet of 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.. R 66 PERMANENT PAVEMENT' REPAIR: After backfill and compaction operations have been completed, a temporary patch ' consisting of two inches (2") of SC-800 shall be placed immediately. A permanent at h f inches A.C. po surfacing placed ona inch class base shall be placed no laterthan _ _days after completion of temporary road repair. A , q %' i, _.',(J 0 , l_ R27 PAVEMENT REPAIR: FA.S.: Upon completiibbnnoffbackfill and ccorim�p-aacttio hemp`orraarypatch consisting oftwo inches (2") of cold mix paving (SC-800) shall be placed immediately. A permanent patch of three inches (3") of A.C. surfacing shall be placed on six inches (6") concrete base as directed, but not later than fifteen (15) days after completion of temporary paving. Concrete base shall be of five -sack mix and shall conform to the City of La Quinta Road Improvement Standards _ and Specifications, Ordinance #461. R28 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. , R29 SEAL ARMOR COAT: A seal coat consisting of an application binder and screenings shall be applied on all patch areas where such seal coats existed prior to issuance of this permit. Seal or armor coats shall be applied as specified in Section 37, Standard Specifications, State of California, Division of Highways, dated January 1973. Work of pavement repair to be accomplished by a licensed contractor engaged in the business of pavement repair. R30 STREET RESTRIPING: Where street striping is still visible on streets to be excavated, such striping shall be replaced upon completion of permanent repairs. t . R31 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 interferenceor hazard tothe traveling public. It shall be the responsibility of the permittee to maintain the tree in a vigorous growing condition at its new location. Trees to be removed shall be removed in sectionswhich can be handled safelywithout 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 500 feet at anyone time. Adequate signs, flagmen and/or barricades shall be provided to protect the traveling public at all times. Large holes resulting from tree removal shall be backfilled and compacted to not less than 90 percent or equivalent to the surrounding ground, whichever is the greater compaction as determined by the impact or field method. Compaction tests shall comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973. R32 TREE TRIMMING: a. Only the necessary trimming shall be accomplished to provide clearance of the facility for one calendar year. All broken or weak sections within the trimming shall be removed. b. Where it becomes necessary to restrict traffic, the work shall be restricted to a maximum of 500 feet at anyone time. . Adequate signs, flagmen, and/or barricades shall be provided to protect the traveling public at all times. c. If tree trunks are partially outside of the City of La Quinta road right of,way, permittee shall make his own arrangements with adjoining property owners for consent to the trimming in addition to the authorization provided by this permit. d. All tree trimming on EVERGREEN TREES, PALM TREES, and other ORNAMENTAL TREES shall be accomplished to the satisfaction of the City Public Works Inspector. e. Abutting property owners shall be contacted, in all instances, prior to trimming or topping trees. r f. Pruning shall, in all instances, be at the shoulder of the crotch to insure even, fast healing in all cuts of two inches. 12" 1 and ahnve in size. Sealant shall he annlied to all cut sections as directed by the City Public Works Inspector. PERMIT NO. ----CONDITIONS-'` _)_.ADDITIONfW-ENCROACHMENT R33,' Survey -monuments shall be'protected in;place or a re-established,pursuant-.to-City standards and the.State'of -California,Land Surveyor'_:s Act. _. R34 ' Work shall be coordinated with -the City of La ;Quinta's forces to preclude delay or interference with the City of La . Quintals projects R35 Contractor shall comply with:the local'noise ordinance and construction operations and maintenance of equipment within ' one-half 'mile of human' occupancy. shall'�be "performed only -. during. the. time- periods as- follows: October 1st to April 30s Monday-Friday.7':00a.m.=5:30p.m.. Saturday 8:00a.m._5:,00p.m. May 1st to September 30:_ Monday -Friday 6:00a.m.-7:00p.m. Saturday.,{ 8:00a.m.-5':.00p.m•.. ` Work shall_ be prohibited anytime'on Sunday and Federal' holiday. R36. Traffic control shall be -as per Cal -Trans. TrafficTManual.•• Field adjustments'in detouring shall/be accomplished'as:,,'• •, directed in order.. to adjust • to actual. field , conditions ..'', It , shall be the contractors.responsibility to adequately_ :E barricade' and detour .this site. .. ` R37 All excavation at''or near the;.travel." way shall be backfilled at the ' eiid. of the •work day, °for the . protection .the' ' .of traveling public.'' R38 Street.closures'shall not.be allowed,at any time. ` R39 . A minimum of one travel lane shall •be° maintained. at all times with flagmen during working hours. R40 :All work to 'be performed .within the existing paved section' shall be temporary paved and maintained':by.the Permittee, permanent pavement shall.be.placed'no later than 15.days' after completion of the temporary road •repair . ` `R4L Ingress ,and egress for.• local -properties' shall -be maintained at -all -times.. R42. Prior to work starting,,Underground.Service Alert shall be contacted at 1-800-422-4133 and an "inquiry number" shall be ' provided to the City•Publ-ic.Works Inspector. R43 -Pavement shall be sawcut prior to removal.= ` R44 All backfill subgrade`soil-shall'be compacted to -nothing = ' less than 90% relative dry density, all,backfill,soil`within the top 2' of finish pavement,surface shall be,compacted to nothing. ,1•ess ',than' 95 0 'relative .dry density, all • base ' material shall be•compacted to'nothing'less.than 950 ' relative•dry'density. , R45 Replacement .:pavement aections, , shall be. 3" , AC over. 4" Class II aggregate base. - ' I 58449-217 NOTE: With proper. validation th(t form constitutes an CITY OF LA QUINTA encroachment permit 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 III DATE: DEC. 13, 1989 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Avanirla Wopdo7a: , (Street address or Description of Location) PURPOSE OF CONSTRUCTION To install new gas main Sketch (attach construction plans if appropriate) mediumTpressur gas main 10,!W OIMENSION,OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 1.2-28-89 " plastic ndoza, beginning APPROXIMATE"TIME OF COMPLETION. 3-28-90 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 lost 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 rewit of any work undertaken under the permit granted pursuant to this application. Notify the Administrative Authority at least twenty-four (241 hours in advance of the time when work will be started. Comply with all applicable City Ordinances, the terms and conditions of the emit and al cable Hiles and regulations of the City of La Quinse and to pay for any additional replacement necessary as tfta rain this ww SNY ER DI I$UT r SUPERVISORY`,- Signature o cant or Agarit... SOUTHERN CAL IFORNTn`.GAS­ i.Q__ ' P-oRoo -inoi rtFnT.ANnGr rA 92173 (71,4} ".335-7742 ..Name of Applicant (please print)-:..:. Businm Address Telephone No. Name of Contractor and Job Foreman • Business Address Telephone No. Contractors 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 - Privets improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ Permit Fee, Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by ate PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority Recorded by 1 TELEPHONE: (619) 564-2246 . • SOUTHERN CALIFORNIA GAS, COMPANY, , GWO '67587 a , To convert pressure,from 4",high pressure on steel.main.to.4" medium:pressure on,steel main. Located 19' E/WPL='of Jefferson St., beginning at thre .centerline. of•St Hwy-.111 and :proceeding north 2696_I.. To convert''pressure ,from-2 h;i.gh.pressure on steel. main, to 2,".;medium pressure •on',steel -main. Located 21-'S/NPL. of Vista Grande, beginnin `29'. E/WPL-.of Jefferson St., proceeding east. To installx2i` of 2'`steel medium pressure gas main 4' S/NPI of Vista Grande, beginning `. 70' .E•/centerline of•'Jefferson"St.`, proceeding east.' ToI II abandon 3 I of 2 high .h and. 3 • • g of 2 .mediumy'pressure gas. main 2 . S/NPt of, Vista�Grande • be innin 70':E ce : - nter l�i ' 9 9 / � ne of• Jefferson- St., proceeding ;east • 4_ ' To convert - pies sure from 2" high pressure` on . stee l,.,ma i n' to 2". medium pressure on - steel main. Located 10,`.S/NPL of 'Fiesta Dr:, beginning.19', E/WPL of`Jefferson St.'; proceeding west. To install: 15'. of 2 plastic medium' -pressure gas main 16' N/centerline of Palm Circle Dr:, 1` beginning 19'.E/wPL of.Jefferson St., proceeding east. . To .in`stalyl ,6' 'of 3 steel ,medium, pressure gas main .19' E/WPL` of Jefferson St., beginning 8' N/SPL of Westward Ho Dr. proceeding south and;,east. ' To abandon, 10' of 4" high pressure;. 17' , of 311. medium pressure, 48' of 2" high ^pressure. steel & 345' of 2"-plastic medium pressure gas main'34' E/WPL of•Jefferson Sty:, beginning 8'-'N/SPL of, Westward Ho Dr., proceeding=south. To% -convert pressure fromr211',hi.gh •pressure onr.stee,l to`2',', medium pressure on steed ma`in... Located .5' E/WPL- of Humingbird• Ln. beginning 11.. S/NPL of Fiesta Dr.,'.proceeding south. SEE -'SKETCH •t TGP 2159'A-2: CUT, ASPHALT CUT CONCRETE ' r• • r -'tom .. • 5 N