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ENC2014-00044Print Form �a�r g aM-61S((atVOC1 Permit No 1, N� ��\ — 000y4 ?L1i�1'FY AMPBELL ENCROACHMENT PERMIT DEPT.OF PUBLIC WORKS (for working within the public X-Ref. File 70 North First Street right-of-way) Application, Date. Campbell, CA 95008 / Application Expiration Date Ph. (409) "6-2150 Issued, 2! I Lf APN Fx. (408) 376-0958 Permit Expiration Date~ APPLICATION -Application is hereby made for a Public Works Permit in accordance. with Campbell Municipal Code, Section 11.04. (Application expires in six (61 months ifthe permit is not issued. Application Fee is non-refundable.) A. Work Address or Tract No- —VTA LRT Bridge Over E. Hamilton Ave. Utility Trench Location: None - -- - -- - — --- ---- --- ----- ---- — -- _....� B. Nature of Work: " Maintenance C. Attach four (4) copies of an engineered plan showing the location and extent of the work, and.four (4) copies ofthe preliminary Engineer's Estimate ofwork. The plans shall showthe 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 workshall 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. Notice must be given to Public Works.at least 24 hours before restarting any work. Nameof Applicant' Valley Transportation Authority (VTA) Telephone: (408) 546-7940 Address: 3331 North First Street, Bldg. "A", San Jose, Ca. 95134 E-Mail Address: sal.lanzO@Vta.Org 124-HOUR EMERGENCY PHONE NUMBER:.. (408) 546-7688 Is this work being done by the property owners, at their own residence? YES IX NO The Applicant/Permittee hereby agrees by affixing their signature to this permitto hold the City of Campbell, its officers, agents,, and employees free, safe and harmless from any claim or demand For damages resulting fronn the work covered by this permit. The Applicant/Permittee hereby acknowledges that they have contractor(s) of the information. Applicant is advised that t responsible for any and all damages. arising out.ofthe condition Accepted: Sal Duckworth Lanza � (Applicant Permittee) (Contractor); andunderstano both the front and back of this permit, and they will inform their issuance oft ' permit, property owner, or property owner's successors, shall be y privat '" p ements in the public right-of-way. n--l� Z - 2 0 - (sign) Date (Print Name) Date SPECIAL PROVISIONS: 1. Stfeet'shall not be open cut for underground installations. Minimum cuts may be allowed for connections or exploration holes. Such cuts maybe specifically approved by the Inspector prior to cutting, 2.. Pavement may be cut for underground installations and must be restored in accordance with the Standard Details Trench Restoration Method "A", unless otherwise approved by the Engineer, 3. Workto: 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 4216 of the Government Code this permit is not valid for excavations. until Underground Service Alert (USA) has been notified and the inquiry identification number has been entered hereon. USA Phone: 1-800-227-2600. USA TICKET NO. S. Prior to any work, the property owner shall execute an Agreement for Private Improvements in the Public Right -of -Way, which shall be recorded, _�1_7, PERMIT APPLICATION FEE PLAN CHECK DEPOSIT SECURITY FOR FAITHFUL PERFORMANCEAABOR & MATERIALS CONSTRUCTION CASH DEPOSIT PLAN CHECK & INSPECTION FEE " EMERGENCY PERMIT FEE APPROVED FOR ISSUANCE v i W o\ w vcY YtW `(zt ',*>CVt2JUV i15 Cam. e_rM AMOUNT RECEIP T NV. $ $ $ �fdrCity Engineer ' Date Permit Exoires 12 Months After Date of Issuance GENERAL PERMIT CONDITIONS 1. 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 ofthe 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 or the cash deposit balance and refund or cancellation ofthe Faithful Performance Surety will be initiated by the written acceptance of the work by the City. 4. Submitproject schedule l0(ten) days prior to proposed startofwork.SpecialprovisionsmayberequiredforworkwithinCityfacilitiesand downtown Campbell. 5_ The Permittee must request in wilting a final inspection and acceptance of the work upon completion. Acceptance by the City, will be made in writing to the Permittee. 6. Maintain safe pedestrian and vehicular crossings and free access to private driveways,.bus stops, fire hydrants, and water valves. . 7. A Construction Traffic Control Plan and a Construction Schedule are required for all lane closures, detours, and street closures. This plan must be reviewed and approved prior to any lane closures. 8. A Construction Traffic Control Plan shall conform to 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. 9: Replace as directed by the City Engineer any damaged or removed improvements in accordancewith City Standards and Specifications at the sole expense ofthe Permittee. 10. Sawcutfor all PCCor AC removals. All PCC removals shall be to the nearest scoremarkand shall be doweled to existing improvements. 11. Prior approval of inspector is required for any work done after normal working hours, on weekends or holidays and may require reimbursement.of inspection costs at, the current overtime rate. 12. Adequate signing and barricading is required.on the job site. Failure to provide such signing and barricading may result in*the City's providing'signing and barricades andcharging'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:Contractoror Permittee shall provide a phone number atwhich they can be contacted outside the hours of &00 a.m.to 4.00 p.m. 15. iVo 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 andg"radingonprivatepropertyadjacenttothework'oranyotherworkforwhicha separate permit may be required, nor does it relieve the Permittee of any obligation to obtain any other permit required bylaw. V. 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 transferable. Work must be performed by the Permittee or his designated agent or contractor as specified thereon. 19. Callback (call out) due to erneregencies regarding this permitshall be atthe 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 Urban Runoff Pollution Prevention Program. 21. Ifthe public interest requires a modification of, or a departure from the plans and specifications, the City -shall have the authority to require or approve any modification or departure and to specify the manner in which the same is to be. made for City -owned or maintained facilities. 22, Permitttee must provide advance notification to all parties that may be affected bythe permit activities. Notification shall be reviewed by the City prior to distribution and include dates of work and a contact name and phone number. Applicant shall be responsible for ensuring that I those providing rvices under the applicant are aware and understand all of the above conditions. Sal Duckworth Danz© Applicant Date: Contractor (Print Name) Date; J_\FORMS\Teinplates\Encroachment Permits\Encroachment Permit STATIC form2.pdf Rev. 02/14 i S A N T A C L A R A ,A00 MEMORANDUM Writer's Direct Telephone: 408-546-7940 TO: City of Campbell FROM: Sal Duckworth Lanzo DATE: February 21, .2014 SUBJECT: ENCROACHMENT PERMIT The purpose of this memo is to obtain Encroachment permits for various locations within the City of Campbell limits. VTA has several Light Rail Facility Structures needing minor repairs throughout the County combined into one contract. Construction will start in April 22, 2014 and will be completed by end of year, December 22, 2014. Attached are 4 copies of plans with applications. Contractor will supply Traffic Control Plans, Certificate of Insurance and Bonds if needed. Sal ckworth La} zo l � Date �r� rea d 3A 5i Zrs- rs- arI Frei a A(QJ- i �^ jai r 0 r4ZzrrrLarH r r r- r^ rr^ r r- r^ rr 5-' O F.,' iara� I J 0-4 1 1 -ra o-4 S �tt y 0 0 2 E E x O N REMOVE LOOSE CONCRETE AND REPLACE WITH CONCRETE PATCH IN ACCORDANCE WITH PATCH REPAIR DETAILS, DRAWING SD-1 Fig. 3 Cracks on the curb around the power pole (2nd from N. end.) I 21 n n LL C , ,ISlllt REMOVE STAINS AND EFFLORESCENCE AND EPDXY INJECT CRACK LEACHING EFFLORESCENCE Fig. 4 Effloressence under outside deck overhang in several locations. SUBMITTED N ■ . APPROVED SHEET — NOTE: CONTRACTOR SHALL NOT FOR BIDDING LIGHT RAIL FACILITIES VERIFY ALL CONTROLLING FIELD OR CONSTRUCTION STRUCTURE REPAIR PROJECT OF DIMENSIONS BEFORE ORDERING 90% REVIEW SET BEYOND ENGINEERING DRAWING NUMBER _ 2a25 G�TEwRY FucE, SURE 15B snN msc G, vsuo OR FABRICATING ANY MATERIAL. 4/1/2013 wa3s2,�D,a M61920101 FPR �.NYs�, _ STRUCTURE No. 54 564-3 DESIGN® CHECKED S A N 7 A E I A I A CADD FILE DATE CA" � HAMILTON AVE OVERCROSSING (LRT REVBION — DGS /' r® Valley Transportation Authori 9/27/2012 N,T.S o DRAWN CADD HIE NAME • • PLOT DATE BOARD APPROVAL DATE PROTECT NO. CONTRACT N. FLLE LOCATION NO. DATE REVISIONS - DMS S54-03 HamiltonOO.dw9 9/27/2012 SJB026003 - Dy, rdlitoin, Ave 0 Seqjisma; 4:4 struwaturc-1 W-cicos 0 I 43 Sequence! 71A Hox'piftop Ave (0 C' (ILF17 's usp 54 Hamilton Ave 11W fAIAN VTA Light Rail Track Me Hamilton Station IR", - -11, %jv! I RfH40W,106. OP, Struoture.. XLY I ah,0, Kai - AC -% , 4 Wana-p- 52 1*trubturp. XX XX iJ Eom STATION ° 0 PROFILE GRADE o mn + 151.100± MEASURED ALONG LRT (EB & WB) CONTROL LINE _ � F- w TOP OF RAIL --VISUAL BARRIER PROFILE SOUND%YALL EYOND), SEE BR LLJ ------------- � RIGHT E OF DECK BENT 5 /—CONTROL LINE 1 ELEVATION ,TAg VISUAL BARRIER RETAINING WALL No. 4 (NIC) ---- 6\ ELEV 48�000--,,,, DAT --VISUAL BARRIER, SEE 'ARCHITECTURAL' DRAWING wmwnmuLw" 1(Nm) souxumALLw" 2. (Nm I RELOCATED FREIGHT TRACK ' PARTIAL PLAN / NOTE SE'GENERAL p�xw No.�. | VISUAL BARRIER, SEE oxxWIwou CONCRETE BO) Dos Valley Transportation Authority FLOTDAIE 9/27/2012 CONTROL LINE - ------------ L ................................... | i ! | TYPICAL SECTION I : «u uT.9 ALL DIMENSIONS ARE |w wcrcno UNLESS oTM[nwsc sHowwLIGHT RAIL FACILITIES OF STRUCTURE REPAIR PROJECT ORAWINGIMABER STRUCTURE No. 54 81554-2 Fig. 6 Rust on metal barrier posts and tubular rail on opposite side occurring at several places REMOVE STAINS AND EFFLORESCENCE AND EPDXY INJECT CRACK Fig. 10 Effloresence and rust stains on east barrier above Abutment 6 and in Span 4 and 5. REMOVE STAINS AND EFFLORESCENCE AND EPDXY INJECT CRACK ter.; �� ��\� III y � P f✓ �� t.�•� ,7t �' I r 4 pT,u Fig. 9 New rust effloresence under outside deck overhang in (2 locations east side Span 4). Fig. 11 Bolts loosening and working out of aluminum screen. Two hanging, 3 missing. SUBMITTED N 5 2025 GATEwABEY�DN—D EINI IND JMS c 95110 408.392.)20ll TEL 400.39iCiHECKED WrcM NVS COH NOTE: CONTRACTOR SHALL VERIFY ALL CONTROLLING FIELD DIMENSIONS BEFORE ORDERING OR FABRICATIN4 ANY MATERIAL. S A N T A ( l A 4 A Valley Transportation Authority PPROVED NOT FOR BIDDING OR CONSTRUCTION 90% REVIEW SET 4/1/2013 LIGHT RAIL FACILITIES STRUCTURE REPAIR PROJECT STRUCTURE No. 54 HAMILTON AVE OVERCROSSING (LRT SHEEPV OF DRAWING NUMBER S54-4 REVISION — — DESIGNED DGS CADD FILE DAZE 9/27/2012 SCALE N.T.S o NO. DATE REVISIONS - DRAWN DIAS CADD FILE NAME S54-04 HamiltonOC.dwg PLOT DATE 9/27/2012 BOARD APPROVAL DATE PROJECT NO. SJ6026003 CONiRAC1 NO. - FILE LOCATION l 3 PROFILE GRADE NTS BEGIN VISUAL BARRIER 29.500f 32.000f Bg VISUAL BARRIER (BEYOND), SEE Fl 'ARCHITECTURAL' DRAWINGS -------------------- ------------------ ----•---- ------------------- MIN CLR rOG=FG HAMILTON AVE , WALL No. 2 ;I (MSE), (NIC) ABUT 1 uBENT 2 DATUM ELEV = 48,000--,,\ 122+40 122+60 122+80 12 F+4D _________ - TO LOS GATOSLOS GATOS l r_-_____-=_.:r� __"-_ ir------------------------------------------------ L_________________________________________________--------- _ ei 7 HAMILTON'\�SSTATION PEDESTRIAN """ ""'" 1 '{� OVERCROSSIN;, SEE 'HAMILTON STATION PEDESTRIAN O RCROSSING' • DRAWINGS 0 _-122+40 HAMILTON STATION PLATFORM, SEE 'HAMILTON STATION' DRAWINGS \ �� On- \OVERCROSSING -� 122+8_ 0 .___________________________________________ I \ 122+80 � - 9x- \ 80 g--6w' P� u TOP OF RAIL S PROFILE OUNDWALLBEYOND, (NIC) r------------------------ N --- ----------SOUNDW OG ALONG DGE OF 4,- 3ENT 3 & WB) LINE N 42'16'58" E J 123+ 20 RELOCATED FREIGHT TRACK 123+20 Nu+� � EXIST R/W\ 'H' LINE \ PARTIAL PLAN /� \ 1 : zoo 6.000 d JA 123+41.000± P Q = 60.775t �as0 / D 0 0 N Q a ' + ° b M CL Q 1n ... 4-J .. m is : . s 32.000t -- LLI ti tit b I ' 'clPa,o ° �} U u— . u _ —._ �s ---- ---------•---.- 0 ]ENT 4 INDEX TO BRIDGE PLA 123+40 SHEET No, TITLE SP361 GENERAL PLAN No. 1 SP362 GENERAL PLAN No. 2 151 m 0 0 ui --------------- -------------- 't CV NOTES-. 1 FOR HAMILTON AVENUE OVERCROSSING (VTA) LAYOUT, — W SEE 'HAMILTON AVENUE OVERCROSSING (VTA) (C346) --�- J 2 FOR RETAINING WALL No. 1 & 2 (MSE) LAYOUT, SEE RETAINING WALL No. 1 & 2 (MSE)' DRAWINGS (C346) U 3 FOR RETAINING WALL No. 4 & 5 LAYOUT, SEE 'RETAINING ( WALL No. 4, & 5' DRAWINGS (C346) Q I 4 FOR SOUNDWALL No. 1, 2 & 3 LAYOUT, SEE 'SOUNDWALL No. 1, 2 & 3' DRAWINGS (C346) 5 FOR STATION FOUNDATION, SEE 'HAMILTON STATION' DRAWINGS (C346) ?.HCI'';;q.VLIJ,j_,OG; LIUfT.;ILIV,jjLVVJG,;�lJL.1.7,;v{y.;GIv.,U1?�.:.;4!-fw.lf,1_yi..;.; VERTICAL :6ARR1Ef2 ...(LS) SEE: FIG, ]1 ON ,DRAWING °S54 .4 . ALL DIMENSIONS ARE IN METERS UNLESS OTHERWISE SHOWN - SVLN.IfPED N v 15 EEYLwD Q!GlIEIIi6m 3Ol5GVC6AY FIACE St,IE to 54Y ASE.UYflID \'AA.IIVS.Ldt NQTE;.CONTRA.CTQR.SyALL;=;. s:`. VERIFY ntt coN7Rot�tN4, s 1ELR:. DIMENS.IONS;i. :; BEFORE, ORDERINQ: .._.........__......:... „. .................. ... OR:FABRIC: ATINQ'�ANY; MATERJALI S A R t A C L A C A ® Valley Transportation Authority APPROVED .::::NOT; FOR:BIDDING.` oR coNsrFtucnoN:_ ;..., ...... ...., ...:...:...: LIGHT RAIL FACILITIES STRUCTURE REPAIR PROJECT STRUCTURE No. 664 HAMILTON AVE OVERCROSSING (LRT aF YIP r S64-1 10¢9i212C01[1 A01102f1fAt DEi*I+ED GS ,AK CHECKED R`1DII 0 CADD FIE DALE 9,1/20t2 SCAIE N.T.S — — NO, DATE REVISIONS OSNI'Ir! DMS CADD FLE ILV.IE S5q-D7 NaIDIIEODOC.dwg PLOTDAPE 9/27/2012 9OAPDAPPROYALDATE PRDIECTInO. 5JB026003 CODIRAtIIb. - FLf LOCAIICII