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ENC2008-00142~~ ~ g~00.~~ 2 ciTY a~ cA~BELL. _ i;>~iexaAC~T ~~>:T pit ~~ -~~1~' 2 UOQi- bb ~~. DEBT. OF PUBLT~ W4RK5 (far worktn4;w1t1in tfie pttbles ~ ~-T:t~f ~i1e. : 7Q i`lortb }~trs[ S't, rtglit-of--way} (0 ^ ~, _p Campo 11, CA 9.~OCiB ~= ~d ~~ ~ 4ppCtaattan Data L-U_I (408;:86& ~ 1a0. Fsstiect. ~ 4~apTFc~t[an Expirariori I~atc ~`a~ j408j ~7~~i-0958 [,~ (jam p, Permit ExQFCaton F3ata ~ ~ /~ ~ r1k~N ` ~ ~' 1 ~ ' ~ ~ 1 APPE.ICATIE)]d.-. Application is. tiercRy made for a Pu6Ge Warl:s, Permit iii accardancawiCii..Campbeal Municipal Coda, Secrion i 1'Q4: (ApplFcatitn -zpires,a siz (Gj months Ff the geixlut is nbtissued, .Appltcation Fee is »an-reiuiid2biu;) ~ n r /~ ~ P:.. Woris address ar tract n h3' ~'t"J ~ ~ ~ ~ `''u I ~ • ~U G ~ "~ M ~ ~~ ~-' Uriiity [rcnclt.lo.^.a[iott '" O ~ ~To~~ CI ~r~~ ~~~ /''J~ ~d L V C 3', Nature oE:uork` I ~ ~- ~- ( /' ~-t ll 'mot `^' ~ l~ C.: Attacn four.{4) cop:cs of ,in engirlcerecl Pian.show[ng.ths Iacativn and.exttnt or the u~ork.; and four {~)`cpp[CS of (h~ preliiniiE3r~ Eng;u'e.,r s ESiimaCe;pf. vir~rl.i TIi mans 5hail shpw the relation of.tiie proposed work t~ extsting,surFace:and°undcr~6und impcovttncnts',, ~?Jhcn ajpr0ved hp the Ciiy Buglnt~r;.said plan becomes a. - partL3€ t1i15 ~ ~GL[LitL. A,.,A_lt wari :shalt aonfgtm try the City of Campbell 5tandatd 5pecifications:and Details £ar •Pu61iaTVarks:Canstructipn rile General Pertnt[ Conditrans listed pn the'. revers- side;. and thc.5onciat Provisions far this permit, listed below,. Failure ro abide Iry thew conditions-artd prpvisians:rtray TesuI[;in'jo2~ shul'dawh undlai•. fari"eilura•. of Fatthfill l'ccfottna?tee:Suret~:and cash iicposits. l,See C'iegernl, Permit Condiuaris 1'. and2:) E; ThG Gontraatgr mug[ have rizts:permic:antl approved' plans at the sitt;:and must:notify the Public Works Departlncn[ ~at Iciist.twEi days'be€ore-starting wbrlc:. Not¢c.. ,r ,must be brvCn to PuhliclWarks ~i;lcas[24hours 6cfore trstalvng anynnwn~~rl:. gyp' 1 C ~? Namc,o€A}spticant ~ ~ ~ ~.• ~~C~7J1`-~r~' ~rUL ~I Tel.piiail~~ ~~^ ~~2.~ J.]0 (print ramej AddresS~DO ~l ° S f'u'k `9 I S~ Md2Gi~ ~1 L z~ HouR~~M~IZ~HNCV TfL~pxolair rla. . I - g° ©-7 ~3- . T~ LT ~- ~ Pt;- ~ ~ H~ 5a3~ E7-Mail Address- ___-- ~ !S~[hiS work being Qoncby the ~property~:awners:aY~.their~own rrsidenc`7 Yes:' _ ... , ?ate Applic;uitlP~:rciittex.ileretsy a~~rees by affizna theirsl~*naturn to this permit trr hold tha pity, of Campbell, its ofto;.~rs :egenl.~:azscl amp'loyc-g frec;.safeArid "nurmlesz 'from any cluiin of demand for damages resulting from the work'pRyeted by Yliis pErrriit. 'TEle AppilcanVPermitteR. h reby. ac'rr+owled.~es.that they :,tiaye: read and undristand•hoi~`tlil; fremt and hack, of this pumiL-arid'tlicy.will inform tFitii cnntracmr(.c)`iif tTre . in€cirmal:on~ Aptili..aitt.is. v[sed that upon issuance: of rhls permit nr(>pCr[y'o,'wner, or property owricr's succssors..shall be responsible for, any and all' iiamatres ansmbnut of the candi'u are impravemcnu in.the p ' le ngli[-of?way; 4 D.~_7~iv~~ ~ /a-z2-off` dnrr..'rar) _._ (Applicant Pcrmittee). ~. CohtiactAr•' 2Z• _]~~ Sirrxt shall. tidf bd:oncn cut fgr uiidergrolind'nstallaaoirs~ Ntinimum cuCS ma he allowed'Farcottnectlnns ar czploration holes. _5uc6.cuLr mav:.. ..: be specifically annroveii by the Inspector oiitir to cutting, _ 2 Pavcinerlt tiiay bti cut for nndcr~round mst~:ilduoas and 'masCbe iestnred iif accordaecu wrth tha-Standsrd• Dcl.aiis. Trench Restnmtion M etha~i 'A'` unf ss otherwise approved by.lnsncctoSi ...,_3 Walk. wb4 Braked by aTicensed Land 3urveyiih ar,Ci'vi.I:Engineec and two;(3) copies pf the cut sheets serif r.6 the 1?it6lic WarkS Departmenh befai;~starun~ W9rk~ ___-4, Per 5ecuatt 4215 of [fir Ciaveramcnt Cod this pcrrtut is not ~aiid far cXCavalions. anal Lmdcrc~qund Scretz:c AItR.;(USAj nos CSebn riotiYfieiT and the: inquiry idtnufication aumnei Fiaa ne~-!t enercd liere~n , t7SA Rhone E=St70-2~7-2ti60. L1SA.T1CitiET NCk: ~. __•_,S. Friar tc a.-ty work. L~rc prcpc, ty uwncr ;.:all eM1c,.stc an A~recmcr,i far Priyatc lmprpvements itt dte Fu~iic ni;ht ui- qt':a~, which tnail:tie~ reaoidecL ..,G. Puhlit Natificaticn Ri"tjusreindnts; 7. F'L113LIL'. 4sJC)fLK~r F~ ~ SCHEDEJLB FOR CITRRENT r.~ES PEP MI'T' AP°L1C.4TlG`N EE~ PLAN CHECIf DSP~JSIT 5ECL1FtiTY FOR FATT'HF(7L PERFOItlvl,4P,rGE2.ABOI2 ~e 2v1ATETti.4l;5. CONSTR1JCTlON CASH DEl'OS1T PLAN CHECK &: INSP~CI']ON F>;E ,~ APPP:t7VED Ff?}t,1SSL Far Alvln[JhiT ltECcTPt` NC7: 5g5 ~ ~. .... . ~0/30~0 ~ Date ~k ~/tb./iS ~~ G~1~~~,L p~.IT Gt~:~II'I~?~S k, A Cnasta'tirceion Cash Deposit is required: Charges will be.rnade against this depa8it if theca is air crni:tgency aalE-out, overtime inspection •ar when City ordered barxicading,is rcgui;'cd. Aay shch costs in'exaess oftBe deppsitwill b» billed Yo;the:Pa1'tttit3ee. 2 ,4 Oise-year raainr~nanrr period and surety are trquir~. Such p:rlnd will begin an date of writt~t accvptanc» 1wy thw City. 3. F-~tnd of tn» tssh d.-posit ~a'sanz» and ~irrnd ar :.~ttztliztiaa pf tbw F-airltfrit ?'.°t:otYr~sce 5nre.~ Witt ~ istiE:~te3 3x s:s». writtttt a~acrs ar thi cv~l py-the Cisy. 4, Tlsr; Ptaurittec must repast in writing a ,~aaF' itesp.:^ tiara and acz»psatZC» of tizc cvarle unatt catnpi~'tau. Ac :rptauc» b} dtc City will.bc.m?rL• is writin; to T1tC P`CL'fIIY[tC. 5, Maintain safepedrszrian and vehicular ctossine acid frce.access to privafc driv»v~iays; bvs. SWps; is.tC hytitanta and-watts vaivcs. 6; A. Construction Tiar~'i'c Cantrai P'laa and a. Canswctiian 5ehediale are regstircd far alt lane ctpsttrs, detours and str.~»C eiasures. Tnis. plait must bt. itivie+~v~d xttd apps~vt d prior try any.Iane cftrsutrs. ~. TFt» CCtitsttuetiar+ T;afsie fnnetat P4,st snail cnuf°oiar to t?i Catk~2us MautTal pf Trafiie Contrpls tar ~t~ttua~tstt gad- 3+'faintc::auz» Wait: 2tsn~, R ;;~, L39d. as~ i12f~L at Cainans. "~:~{zid cbnsmi ~tupm..--st s~sa€t inrttsd*: `fypw II.I'3ashing asraw signs it r»onirrd: g. ~eplaca:.as il"avectcd ay the City fineine-r apq darrngctl rn" s~stavcd iinp~vcirtcnts iii ara;ontaura: with.. City Stattdsrds and Spwiit aTion& at rhM. sols expe:rs» of tite 1'etmitt: »: T 9. 3zwcut for all PC;C or A.C removals. All PCC remmals shatf bete nearest sagretitarlt titid shall Fie t{awcfnd'ttt »zisting imprnvemerits; 10.. t?riat' appriival of iitspcztcr, is rcquised fi>; any work: d¢ae after ntninal .Wcirking h'4ur;,. an wet~kttids.'tir holiiirips and' may r-`4uire :eirnhurctnNnt of ittspccuart casts at iltt zurttrat oucrtitnc rt.: t i. Adetatrat=siarsing•and barricading iS rta{uired,aas tlse ja`u. i rilurc tri prokicL sunk si~sia~ and'aas: iascls>:g tray result in t1iC City`s prn',doiag siQasirr° axed l;ar:i.:ad~ and'y' W ~a the cast finciucun3 all laixs: and mat»rin:sy' against LitC casts d.~sit. l2 Carnpaztion tasting of snher'sti», bas:: tuck, and asphalt:cancrct by Pcrmitt.- is required untc,s atAtrwise sated isy the Gity cstp nxr. 13. Tfrc C'antraetor or Pertttinac µ^ill have a supervisorp representative avaiL~bie tar zpntact =ari the prpjr~,t at elf times during construction. Conlractot at'. Pcrraitt°e shall prpvidq n phone nutubcr ac which thcycari bccbntaetaQ autsidc' khe,ht+urs.4f. &A4 a.tn, to ~:(1E) p.tti.. i4r b3a staragm of atatcrials areouiunt~st will' er allov:cii r.- r the rln» of pavemcnz, ifie rrsv»1: i1 w^a)~, ar within thw skouid^rfiitz which would cteaw 'r ira~'ElatrS CQnditirl7l EO ~.lta DiThtiL". I~: This psttrit sha11 net F~ wi~tinrtl s antirari~tra[t tat ex vttian. and },;tiin~T n7. tr,-ivate urop:tty adsaz~tt L4 thC.wtrrS. o: any oih~ ivari; its€- whiza a. sepacal: p~tait rrsy he r~uired, rats do-s it :~lte>. crte.t'a".-att~ 4S any d6ingabpn to osuain sni+ oc:4t..cp~rtiit rrgnir~ hv,laar. t ts. This p~tttit clots net rclrasp the P°..rmiu~ from airy t.aii'sliri~;canzained in oth~` agrtcments df aeintratCa ~tvith tits City grid soy ether ptiErfiC }sgcacYs l7. Tkris Hermit is not iratisfcrabic, Wnr1 must-6c pcrfiamsett by:thc Pccmitt;.c ar fits. dcslgnateci ngenror contattof tis sp„cin.,d tfieraon,. 1 S. Call hank {tall auto due ut emergencies re~arrlirg tlii5 Hermit shall ha.arthe-.current ocacrtimc eta with a ihr:.e j3~'haur trunimw`tt charge pct' occnrttnzc: i9. lfurstsat:t to Erltaptcr i+t.~? of tlic sdnir..i[. ;Vlunici€ril C_od=, avali: anE suatl nok as:.~ fG i~ tiisChst~°xt any tn,.t rat.iaicl rite muaizipzl storm grain svsi»^r atlsat L'zan stains sates. },pnlz~tu shaft. adFte.~ tb ;;n= 3a"'C" MA.IkIA,eszN.ENI" Pit.4~lC:.S ..snthsis3tr~ by t~ Sarsia Clara V'alisy U:aaa Snrsora ?otttttirxn Pi'eire,~atiosr n~• '2t1. if m» puh4t ititrxest rewires a rnodtf'icatifln q= ar a d~tatnu'Cf"carts tiie plans aad'sroxmzanoiis, tit. CiTy snail have the. anthoriry,to.requsrc. or~ppc©ve any.tnadifieniian or degattuTe gad ter. speciry. the zna>ascr' in wfiich:ih: same is to 6» mad» rot City,-own:.rl.or rsaintained facriitirs. ;.. Permiite~ must prdYidt advance nptif cati~ri to al! parties that ttisy be aiTectcd by the pcrutit acAv.iges., NonfjeaiidiG sbal[ b» re~~icwcd by City prier to dis,; ~~~~~ar,d ir,::ludc d-~.s of sear l.:.:d a conTactaatnc and phone nu,~,~cr. frliW ztct. ensuring, Etizt all those gra~*cun scr,,-ic:s. iiutlct the app}era aware ofand nndarsratzd all"of. tine a5~v~ coaaitiona: - -~,-~_~ .0.ppli»arrt. D . L 721 t/'~~ . P~ ~ f0 - 2 2-0 Dace Darr ~~p~r~n ~v .l tr~ras PG&E, Dependency Permit Desk 900 Lightpost Wny, Ste 150 ~ Morgan Hill, CA 95037 October 22, 2008 City of Campbell Public Works Department ~" ~ == 70 North 1St Street Campbell, CA 95008 Re: ENCROACHMENT PERMIT Attached is a permit application for the following location. 3495 5. Bascom Ave., Campbell Please mail the permits and invoice to: PG&E Dependency Permit Desk 900 Lightpost Way, Ste. 150 Morgan Hill, CA 95037 Additionally please reference PM #80003127 on the invoice. If you have any engineering or design questions, please contact Devendrn Trivedi at (408) 722-5309. Thnnk you, Kathy Donohue Dependency Permit Desk FAX (408) 722-5373 Z L X0008 ;wd l ~0 l ~1HS ~~3H1O s~as~~ao~ ~~~iloN' :as goo 3~~~0~ _ 3-5L6L , !~ ~ 00 l~ ~$~l r. a J.N`ddWO~ ~I~11~~~~ aNd Sd0 ~I~I~bd Z O 0 ~Q ~, o ~ 1138dWtl~ '3Atl WO~StlB `S S64£ VINaOjlltl~ 1~81tl H~Z~xS ~IOIZ~IIZSNO~ ..., h" ~~ ~~ NOS~I/l a7 1W ~l~llry'~~ ~/ i ~i i J/ ~.. F- ,.~ _. _ -- - r~,.~ t. ~'~ ~C ~~,°~ ''~ ~ ~ •~'~° ~ ~~ ~~ ~ ~ ~ ~~~ ~ r~ ~ ~ ~ asp ~ ~ ~~. ~~' -~~r~~y~~ ~~~ ~ ~ ~~ ~ ~ ~ ~ ~ ~ It1 N N _- '-----------1 ~ I N I w.i I I p ~ I Q I 0 of I\~va~oa'•'-I j~NY~~^ II I ION~Lli flip UI i-..~.. ~.nl ~ ~~ t , ~-, ~~~~ P 0 ~~ ~~ E'f\ ~ ~a y 3 ~~ JS \~ ~ bg ~~~~ s-Zs ~ ~ ' ~ 0 ~ ~ ~~ TtlNI,~ r~ 1 1~ ~~ ~~~ ~d ~~ LO-Ol ~31dd ia3~n3~ Zdl~ s3aaol so~ ia3niai daaN: { ~ 0 ~. 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