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ENC2005-00125A
CITY OF CAMPBELL DEPT. OF PUBLIC WORKS 70 North First St. Campbell, CA 95008 (408) 866-2150 Fax (408) 376-0958 ENCROACHMENT PERMIT (for working within the public right-of-wa ) -, Gj ~J~.--._ Issued Permit expires in 12 months Permit N~~ ~ ~ rJL'~~ c:%fi /~~~ X-Ref. File ~3 .~~) Application Date `~' ~ ~ O5 Application expires in 6 months APPLICATION -Application is hereby made for a Public Works Permit in accordance with Campbell Municipal Code, Section 11.04. (Application expires in 6 months if the permit is not issued. Application Fee is non-refundable.) A. Work address or tract #: Hamilton Avenue from Winchester Boulevard to Salmar Avenue: Winchester at Camnbell Utility trench location: Trench in Southwest corner of Hamilton at Winchester. Trench in Southwest corner of Winchester at Camnbell. (Directional drilling will be used across the Southern lee of Central Avenue). B. Nature of work: Installing 78mm (3") conduit at three locations. Installing 12-strand fiber optic (F/O) cable in existing and proposed conduits. Reulacing existing pull boxes with No. 6 or F/O Dull boxes. Installing multiulexer and video solitter into three (31 existing controller cabinets. Installing splice closure (Winchester at Camabelll. Splicing new F/O/ cable to existtng F/O cable at two locations (Hamilton at Salmar: Winchester at Camnbell). C. Attach four (4) copies of an engineered plan showing the location and extent of the work, and four (4) copies of the preliminary Engineer's Estimate of work. The plans shall show the relation of the proposed work to existing surface and underground improvements. When approved by the City Engineer, said plan becomes a part of this permit. D. All work shall conform to the City of Campbell Standard Specifications and Details for Public Works Construction; the General Permit Conditions listed on the reverse side; and the Special Provisions for this permit, listed below. Failure to abide by these conditions and provisions may result in job shutdown and/or forfeiture of Faithful Performance Sureties and cash deposits. (See General Permit Conditions 1 and 2.) E. THE CONTRACTOR MUST HAVE THIS PERMIT AND APPROVED PLANS AT THE SITE AND MUST NOTIFY THE PUBLIC WORKS DEPARTMENT AT LEAST TWO DAYS BEFORE STARTING WORK. BEFORE RESTARTING ANY WORK. Name of Applicant: Ken Jung, Associate Engineer, City of San Jose (print name) Address: 200 E. Santa Clara Suite 800, San Jose, CA 95113 NOTICE MUST BE GNEN TO PUBLIC WORKS AT LEAST 24 HOURS + c"" ^°"~ a~ ~i: a q~ Telephone: (408) 975-3262 „~ .-~' . ~ w~~~n 24-HOUR EMERGENCY TELEPHONE NO. Is this work bein done b the ro ert owners at their own residence? No , v''`~r.~,~ g Y P P Y t'j >°,t.4 ' r,~ l I~t1. The ApplicandPermittee hereby agrees by affixing their signature to this permit to hold the City of Campbell, its officers, agents and employees free, safe and harmless from any claim or demand for damages resulting from the work covered by this permit. The Applicant/Permittee hereby acknowledges that they have read and understand both the front and back of this permit, and they will inform their contractor(s) of the information. , Accepted ~' ? ~~ ~r~ ~~~ (sign) Date SPECIAL PROVISIONS 1. Street shall not be open cut for underground installations. Minimum cuts ~ be allowed for connections or exploration holes. Such cuts may be specifically approved by the Inspector prior to cutting. 2. Pavement may be cut for underground installations and must be restored in accordance wit h the Utility Restoration Standard Details Method "A" Backtill, unless otherwise approved by Inspector. 3. Work to be staked by a licensed Land Surveyor or Civil Engineer and two (2) copies of the cut sheets sent to the Public. Works Department / before starting work. +/ 4. Per Section 4215 of the Government Code this permit is not valid for excavations until Underground Service Alert (USA) has been notified and / the ' quiry identification numb r has been entere hereon. USA Phone 1-800-227-2600. ,.USA TICKET NO. SEE PUBLIC WORKS FEE SCHEDULE FOR CURRENT FEES TYPE AMOUNT RECEIPT NO. PERMIT APPLICATION FEE $ PLAN CHECK DEPOSIT $ SECURITY FOR FAITHFUL PERFORMANCE/LABOR & MATERIALS $ CONSTRUCTION CASH DEPOSIT PLAN CHECK & INSPECTION FEE ,l $ $ '~'v"l ~L~ ~' ~J ~~7 .. APPROVED FOR ISSUANCE For City Engineer D e 'Z- ©'- J:\forms\pwperm2\rev.2/O1 ~ ~1Ct~'i'~ ~~vf Ix t~ ~ ~ "`~' ~~ °~~~ 't''~`~--ter GENERAL PERMIT CONDITIONS I. A CONSTRUCTION CASH DEPOSIT is required. Charges will be made against this deposit if there is an emergency call-out, overtime inspection or when City ordered barricading is required. Any such costs in excess of the deposit will be billed to the Permittee. 2. A ONE-YEAR MAINTENANCE PERIOD AND SURETY are required. Such period will begin on date of written acceptance by the City. 3. REFUND of the cash deposit balance and refund or cancellation of the Faithful Performance Surety will be initiated by the written acceptance of the work by the City. 4. The Permittee MUST REQUEST IN WRITING a final inspection and acceptance of the work upon completion. Acceptance by the City will be made in writing to the Permittee. 5. MAINTAIN safe pedestrian and vehicular crossings and free access to private driveways, bus stops, fire hydrants and water valves. 6. A CONSTRUCTION TRAFFIC CONTROL PLAN and a CONSTRUCTION SCHEDULE is required for all lane closures, detours and street closures. This plan must be REVIEWED and APPROVED prior to any lane closures. 7. The CONSTRUCTION TRAFFIC CONTROL PLAN shall conform with the Caltrans Manual of Traffic Controls for Construction and Maintenance Work Zones, dated 1990, available at Caltrans. Traffic control equipment shall include Type II flashing arrow signs if required. 8. REPLACE IN KIND any damaged or removed existing improvements, including planting. 9. Sawcut for all PCC or AC removals. All PCC removals shall be to nearest scoremark and shall be doweled to existing improvements. ] 0. OVERTIME INSPECTION PREMIUM will be charged against the cash deposit for inspection required outside the hours of 8:00 a.m. to 4:00 p.m. at the current overtime rate, minimum one-hour charge. I l . SATURDAY INSPECTIONS must be arranged in advance. Saturday inspection time is charged at the current overtime rate with athree-hour minimum. Advance payment for the estimated time is required. 12. Adequate signing and lighted BARRICADING is required on the job site. Failure to provide such signing and barricading may result in the City's renting such signing and barricades and charging the cost (including all labor and materials) against the cash deposit. 13. Compaction testing of subgrade, base rock, and asphalt concrete by Permittee is REQUIRED unless otherwise stated by the City Engineer. 14. The Contractor or Permittee will have a SUPERVISORY REPRESENTATIVE available for contact on the project at all times during construction. Contractor or Permittee shall provide a phone number at which they can be contacted outside the hours of 8:00 a.m. to 4:00 p.m. 15. No STORAGE of materials or equipment will be allowed near the edge of pavement, the traveled way, or within the shoulderline which would create a hazardous condition to the public. 16. This permit shall not be construed as authorization for excavation and grading on private property ADJACENT to the work or any other work for which a separate permit may be required, nor does it relieve the Permittee of any obligation to obtain any other permit required by law. 17. This permit does NOT RELEASE the Permittee from any liabilities contained in other agreements or contracts with the City and any other public agency. 18. This permit is NOT TRANSFERRABLE. Work must be performed by the Permittee or his designated agent or contractor as specified thereon. 19. CALL BACK (call out) due to emergencies regarding this permit shall be at the current overtime rate with a three (3) hour minimum charge per occurrence. 20. Pursuant to Chapter 14.02 of the Campbell Municipal Code, applicant shall not cause to be discharged any material into the municipal storm drain system other than storm water. Applicant shall adhere to the BEST MANAGEMENT PRACTICES established by the Santa Clara Valley Nonpoint Source Pollution Control Program. Applicant shall be responsible for ensuring that all those providing services under the applicant are aware of and understand all of the above conditions ~7 r,»i«eniTt-------•• Date C~J J :\forms\pwperm2\rev.2/01 MAIN STREET: Hamilton DIRECTION: WB LOCATION: Salmar to Winchester STATIONS: LANE REQUIREMENTS AND HOURS OF WORK MID NOON NITEAM AM AM PM PM PM Be in Hour 12 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 Monda s -Thursdays ,' '~ ~ . , ~:<;>~•>:>~~: ~ '~:~ '' '"'' s v., :~ . ohs;; a~:~; , ;~ Fridays and days before •:.k•+~:; 'y'•;•i.{ Y,~ ~f.;i r pp..~~ I.: h'+i:• ::>i%4., . y..... 5~+.•?i :::;:; v'i{ ;:;iiti }: ;~~:~~.~ ~.c4>~.`.~.~~~{::;{ .'~~ x£.;`: >:•'~a~:rr, '.' .''~°,',•:`:rt Desi Hated Le al Holida s ~ ~ • • ... . : Saturdays °~:~ :• •: ~ {+~,+ ky" •`„F ~.;., ,~ ; :~~.:•:.. ' : ; , {. Sundays and Designated .'~;; x~ ~ , ;; ' ~~ ' •~ Le al Holida s ' At least one lane open in direction j:\jessep\ 123fi1e\laneclos\close04.wk3 ATP c-t-~ M~-t- of travel At feast two adjacent lanes open in direction of travel . All lanes open REMARKS: J. For mid-blocks on/y. 2. Based on latest traffic counts. 3. Based on max. service flow 1,200 vphpl with sufficient merging taper. ~~ 1~ ~~ OF Cq,L1n~C U r i ~ c; ~kCHAR~ ___ CITY of CAMPBELL Public Works Department City of San Jose Transportation Attn Kenneth W. Jung 200 East Santa Clara Street San Jose, CA 95113 July 31, 2006 Re: Encroachment Permit ENC 2005-00125 Hamilton Ave Permit time extension Mr Jung, Your permit ENC 2005-00125 dated 8-5-05 will be granted an extension of one year per your request. The new expiration date will be August 4, 2007. All work must be completed at that date and accepted by the City of Campbell. If you have further questions, please contact me at 866-2168. } J `.~ ~`, Alan Hom Senior Public Works Inspector Cc File MQ,SW,MJ 7n Nnrth Pirst titreet Campbell, California 95008-1 4 3~~ TCL. 408-ti6ii2150 I~AX 408.376.0958 TI>I: 40R.86(i.2790 (:;I"I~'Y OF ~~~~~~~~~ sA.~ JosE CAPITAL Ofl SILICON VALLEY March 28, 2007 Mr. Alan Hom City of Campbell 70 North First Street Campbell, CA 95008 Departme~it of Transportation JAMES R. HELMER -DIRECTOR Re: Encroachment Extension of Permit #ENC2005-00125 for Silicon Valley ITS West Dear Mr. Hom: The City of San Jose hereby submits this request for an extension to the encroachment permit for the Silicon Valley Intelligent Transportation Systems West Corridor Project. The scope has been reduced since the issuance of the existing permit. Below is a list of changes: Installation of new 3"PVC conduit across Central Avenue by directional drilling is removed. Cables/Conductors shall be pulled through existing conduit. Work from Winchester Boulevard to Central Avenue along Hamilton Avenue is removed. Work at the intersection of Campbell Avenue and Winchester Boulevard is removed. Please review the attached re-packaged plans. The Project was delayed due to the availability of construction management resources. The Project ~~~ill be re-advertised in middle of April and is moving forward. Included are the Project plans and specifications that were sent out for re-advertisement. Construction is anticipated to begin in August, 2007 and complete by April, 2008. In order to complete the work specified under the Project construction contract, we request that the permit be extended for an additional year beyond the current expiration date to August 4, 2007. Meihah Nguyen, Engineer City of San Jose Department of Transportation 200 E. Santa Clara Street, 8r~' Floor Tower San Jose, CA 95113 I would greatly appreciate a response by April 11, 2007. If you have any questions, please feel free to call me at (408) 975-3229. Thank you. Sincerely, Lan-Chi (Meihah) Nguyen Engineer Attachment: Encroachment permit 200 East Santa Clara Street, San Jose, CA 95113 tel (408) 535-3850 fax (408) 292-6090 ~~~~' ~~~ I~ ~I/~ A O ~x ~c C z n D ~~ O z~ z 0 ~ r-~ y ~~ -~ O z O 0 C y ~I~~ ~~ ~bb a9 e o ~~ H ~d3~s D N N ~ ~~~ D_ ~~~ H ~~ DC &~~ ~ ~ ? ~~g 0 D~ ~~ ~-,-1 :~~ ~ t ~~ a ~ A ~~ ~ ~, $~ VFq~ O A s ~, _ ~ a b -= x s~ o a m m m z 0 A Z C Z fors \a~ J ~; ~~ ~~ ~~ D D ~I ~ ~~ m O x ~Z N Of ~, w D 3 ' ~~ I' ~~3 'I~ m =' ( i 3 ' ~ ~ Y; f N X v~ i rn ;j I ,~ ~ 3 ~' ~~ E ' Y' "' r,~ ~ j ~ i ~, i `3~ r;` 1. pVE ' _ _ ~'~, SA~-M~ ~-- I ' ~: a a . .fib , 1 r __. i ~ 3 .- - i ILL -'Nm rn x __ L ° _> ~ ~ : _ Of f~ U . ,~ .. 3 ,. 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