ENC2005-00075j:\forms\receipt form 04-05 rev.11/9/04
IX
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4/13/2006 \
1:24PM
g:iXC7CEL
Payment History For
Case #: ENC2005-00075
Page 1 of 1
CasePaymentM story..rpt
CITE' OF CAMPBELL
ENGINEERING DIVISION
APPLICATION NO(S): PLN 2003-057/058
ENCROACHMENT PERMIT NO: ENC. 2005-00075 �-�`��
ADDRESS: 725 Hacienda Avenue
APPLICANT NAME AND PHONE: Richard Morgan
CONSULTANT NAME AND PHONE: SMP Engineers - Saeid Razavi
REQUIRED?
AMOUNT
DATE
RECEIVED/RECEIPT #
1
Encroachment Permit Application and Fee
»><>II'>«»<<
$275.00
12 o{,
2
Construction Cost Estimate
26 702.43
,
6/6/2006' ESTIMATE
3
Engineerin Plan Check Deposit
>«>':>>°'
$534.05
12 A oL
4
Engineerrna � Plan Check and Inspection Fees
$3,471.32I
z o io
4 f
5
Faithful Performance Security
$ 2 6 702.43
H P�
6
`
Labor and Material Security hod•
26 702.43TQG.Y3
,
7
i
Emergency Cash Deposit
l€I[><> YEi?!>
$ 5 3 4.05
Iz A o(,
8
Storm Drain Area Fee
4 8
00 l
►2 4 0�
9
Final Map Fee (Public Works)
) .;;..;;:
$3,700.0 0
a o-
l /q (,
10
Traffic Engineering Fee
NO
-
11
i n Security 1 000/monument
Monumentat S o y ($ )
$6 000.00
i
12
Park Impact Fees at Final p
6 55 75
1 1
i 4 0
/
Park Impact Fees at Building Occupancy
�
'I.
112a
$ 5 ,385.25
13
Notice of Improvement Obligations **
NO
NONE
14
Miscellaneous Fees
NONE
1'S
(T n n Attachments
Standard A�reeme tad
»><I};«>'`<<>
r j �;u�
.i;1
, ''�' B City
:plc 7 Y Y
16
ecial Agreement and Attachments
NONE
-
f
Statement o Subdivision Security y
'>I>€YJ;€I»>>
Fr. Title Co.
/
�>
Covering Secured Property Taxes and
Security Co p y
' <> . ... ><
�1, (.
Fr. Title'Co.
Special Assessments Filed with the Clerk of the
Board of Supervisors
19
Local Improvement Districts (LIDs 27 & 30)
NO
20
Ti le Re ort
Current Prelirninary t p
'<»YES><<`<`><
OK
Received 10/20/06
r ntee
Subdivision Gua a
'> ..... >
Fr. Title Co.
("
22,
Covenants, Conditions and Restrictions ll
<`''<<'» '`»«<
E
D� L
Fr. Lawyer
wy
23
and Signature Res.
Fictitious Name Certificate a S g
»>>YE'<I<<
V
Fr. Pro ert Owner
P Y
_j
fi
Clearance om Lien Holders
Fr. Bank
25
Right -of -Way by Separate Instrument
NO
26
Soils Re ort
p
...... <
.:.........................
9/5/2006
27
jPlans
A. Street Improvements ` ✓
p
::: <>>`>
�G�
9/18/2006
a
B. Gradrn Drarna e and Utilities
1D 1 -
»<'»'
r (
J
9/18/2006
C. LandscapeI11€
.....................................
D. Traffic Control j
NO
E. Final M
Fr. Land Surveyor
Checklists Signed r�eei/rrvf
OKFC
c:\desktop\landdevelopment\Checklist= 705 W. Hacienda Ave. i
UIRED I AMOUNT I DATE RECEIVED I
28
Non-interference Letters (NILS)/Permits
A. SCVWD (Water District)
NO
D sewer
C. SJWC (water)
<>»''><
< ':' .:.:......:::.:;:::.
0
!
D. PG&E
><
E. SBC (phone)
»` <`><``
F. Comcast (tv cable)
><»<`
G. SCCFD (fire)
NO
H. Cal Trans
NO
I. City of
J. Private
NO
NONE
K. Other
NONE
29
n General Permit SWPPP
State Construction G (
`111I'
30
City Council and Planning Comm. Resolution(s)
.;,;,:.;.;;,.,,.,;,
�Q
By City
31
Coordination Plan
Utility Cooi d
� ���` <<!>' .....
In S.I. Plan
�2
g w/Conds. Of Approval
Letter Stating Compliance pp
» > > ;�> >'>< >
c0�
From SMP
33
Planning Division Clearan s
D
7
Fr. Planning Dept.
g P
IBuilding Division Clearance i.e. Demolition
Fr. BuildingDept.
35
ITraffic Division Clearance
N/A
36
1 County Planning Tract Number Receipt/Renewal
37
1 City Will Provide Escrow Letter with
From City
Recording Instructions
38
Original of Final Ma & One 1
One (1) Myla� O � p O
`'lt»>>»»
.......................................
Fr. En ineer/Surveyor
g
8.5 x I 1 Copy shall be provided by Owner
39
One Recorded Mylar Copy of the Final Map
.........................................
'''?
Fr. Title Co.
40
Notes:
A.
B.
Reviewed with, Richard Morgan on _10-16-06
Comments:
Prepared by-, _AL OXONIAN_ Date: _9-18--06 7117107
** (i.e. Burrows Roas, San Tomas Aquino Road, McGlincey Lane Sdiewalk Improvements, Westmont Ave,
White Oaks Road Street Improvement, etc.)
Rev. 04/05/06
c:\desktop\landdevelopment\Checklist- 705 W. Hacienda Ave.