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ENC2015-00029
Recording Requested By: j City of Campbell j And When Recorded Return To: j City Clerk ) City of Campbell ) 70 N. First Street ) Campbell, CA 95008 ) 368798 der R ina County ploomendras Recor eg — Clerk— Santa Clara 07/17/2017 10:11 AM 0agest 2 SEP2 2017 CITY CLERK'S OFFIGc Titles: 1 Fees' 0 .00 11� I i uu �yYl ®I I{I Taxes. Total. 28. APN: 288-08-078, 288-08-054 ADDRESS. 2000,S. Bascom Ave., Campbell, CA 95008 Ti 9 (Space Above This Line For Recorder's Use Only) NOTICE_ OF RELEASE BY CITY OF CAMPBELL NOTICE IS HEREBY GIVEN concerning the real property e ted in is e City Of S. Campbell, Santa Clara County, California, and described specifically as Bascom Avenue, Campbell, CA. That whereas, MV Campbell, LLC, a California Limited Liability COMP an�OlStD Street Improvement Agr ocument# eement with the o, CountCampbell, of Santa Clara) State of California. '22980802, In the Office of the County Rcorder, That, whereas, said conditions of said Agreement have been met to the satisfaction of the \, City. That, Now Therefore MV Campbell, LLC is hereby released from all requirements `,.contained in the agreement recorded June 9, 2015, Document# 22980802, in said County Recorder's Office. IN WITNESS WHEREOF, said City has caused its name 9eado1 ted September 20, Engineer and City Clerk, who are duly authoxed by its City rized by Ordinance p CITY OF CAMPBELL \iv EST: Todd Capurso Public Works Director, City of Campbell dy ood, City Clerk (Attach Notary Acknowledgment) Dated: � 2 CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this. certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. i State of California County of`(���h `� before me, l� �v� �the Cer) O n �\� t�� � � <�� �y�� Here insert name anab tle Df the omcert ` personally appeared i✓ ' who .proved to me on the basis of satisfactoly evidence to be the person(g) whose namewis/a-pe. subscribed to. the within instrument and acknowledged to me that he(.§heAhe)f executed the same in his/her/their'authorized capacity, and that by his/her{threifsignature,( on the instrument the person'; or the entity upon behalf of Which the personXacted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State 'of California that the, foregoing paragraph is true and correct.. JOANN THOMASON commission # 2110789 WITS my and and official seal. & -o Notary -Public - California Z z Santa Clara County r Mg Comm. Expires May 9, 2019 otary (Notary Public Seal) INSTRUCTIONS FOR COMPLETING THIS FORM ADDITIONAL OPTIONAL INFORMATION Thisfoimcomplieswith current California statutes regarding noiary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT if needed. should be completed and attached to the document. Acknowledgments from other states may be completed for documents being sent to that state so long ` as the wording does not require the California notate to violate California notary "M lair. (Title or description of attached document) • State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment. i Date of notarization must be the date that the signer(s) personally appeared which (Title or description of attached document continued) must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her Number of Pages Document Date commission followed by a comma and then your title (notary public). • Print the name(s) of document signer(s) who personally appear at the time of nnt—i7ation • Indicate the correct singular or plural forms by crossing off incorrect torms ti.e. he/she/they, is /are ) or circling the correct forms. Failure io correctly indicate this information may lead to rejection of document recording. • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges, re -seal if a sufficient area permits, otherwise complete a different acknowledgment form. • Signature of the notary public must match the signature on file with the office of the county clerk. Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document. Indicate title or type of attached document, number of pages and date. Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary). 20; 5 version vtvnw.NotaryClasses.cur: 800-873-9865 Securely attach this document to the signed document with a staple. of C4.� U .. �RCHARO CITY OF C,A:MPBELL Public Works Department June 22, 2017 Mr. Micah Bycel MV Campbell, LLC. -580 2„ d St., 4260 Oakland, CA 94607 SUBJECT: PERMIT NO. ENC 2015-00029 2,000 S. Bascom Ave., Campbell, CA FINAL INSPECTION AND ACCEPTANCE Dear Micah: The City of Campbell has made the final inspection of the subject Public Works improvements and finds that no remedial work is required. Your warranty requirements and any surety, therefore,. are hereby released. Your Emergency Cash Deposit in the amount of $5,952.00 and your original CD with the signed release are enclosed. Sincerely, s Syed Wahidi Public works Inspector Eric: CD#0150013845/Release of Assignee, Check # 70 North First Street • Campbell, California 95008-1436 • TEL 408.866.2150 . Fnx 408.376.0958 • TDD 408.866.2790 I I I I I M V CAMPBELL, LLC 580 2ND STREET $#260 OAKLAND CA 1194607 ASSIGNMENT AND RECEIPT OF INVESTMENT CERTIFICATE TO CITY OF CAMPBELL, 70 N. FIRST STREET CAMPBELL, CALIFORNIA 95008 (408)866-2150 P.W. Permit No. 'F 'r' TR or DEV Loc. ? Q0-,r, I am/We are the owner(s) of.a savings account at / 1Av r� at its branch office at uL)U 5�&,�"J PAtz P� t� California, investment certificate No. b I'� Oat 3 ?�T in the names of CA.Vv%r&&V _) CA t and having a present balance of $ J`-{ 6 > 2013 I hereby grant, transfer and assign said account, said investment certificate, said balance (including interest which - accrues thereon), and all other rights in connection therewith to the CITY OF CAMPBELL, assignee, for a good and valuable consideration, receipt of which is hereby acknowledged, for the purpose of insuring construction . described as follows: I have physically delivered verification of said investment certificate and duplicate of this Assignment and Receipt to said assi�gnee. I understand that assignee can withdraw from said account any time on his signature alone upon presentation of a written order to the issuer. I also understand that I may not withdraw from said account unless I present a signed release from -the assignee. The issuer of the certificate assumes no responsibility for the conduct of the assignee and may act on the signature of the assignee without further inquiry. Executed on20 i�`� , at said office of the issuer. Assignor (sigh) A4 c�9 (print) ACKNOWLEDGMENT BY ISSUER Issuer affirms that there are no other holds on subject account, that subject monies are available, and that the above -described assignment has been noted on the Records of said issuer.�— Date (Authorized Signature) ATTACH NOTARY ACKNOWLEDGMENT Title INSTRUCTIONS TO ASSIGNEE Please sign below for signature identification and as acknowledgment of your notice of Assignment. Return this Assignment and Receipt to the issuer at its address above. Retain one copy ofthis Assignment and -Receipt for your files. Date City of Campbell By -- RELEASE OF ASSIGNEE Said assignee hereby releases and relinquishes all his right, title and interest in and to said account, said investment certificate, said balance and all other rights in connection therewith. Date + Cit of Ca- ipbe By Docum end (Rev.03/08) 01V Ca,y r •UkCHAR •� CITY OF CAMPBELL Public Works Department June 22, 2017 Eddie T. Reis AvidBank 400 Emerson St. Palo Alto, CA 94301 Dear Mr. Reis: Please find enclosed the signed CD release for MV Campbell, LLC. (CD #0150013845). Please feel free to contact me if you have any questions. CC: MV Campbell, LLC., File 70 North First Street • Campbell, California 95008-1436 • TEL 408.866.2150 • Fax 408.376.0958 • TDD 408.866.2790 — — — _ .. , —�.l — — — — 1 t — y -.. _ _ , _ .✓ ` ' Ref undnbl-e -Deposit Check= Request - = I - _>. To Finance Director , �/ _, _.. . ��' Check Payable To_ .'. MV Campbell, LLC •'' '' _ ` :,. 1 _ Address = Llne 1 580 2nd Street #260 ; , - _ ..,. - Line 2: .. f :- .. City y Oakland" State CA Zip ;946- .t - '1 - .., -, pescFiption .= ;.. 2000 S _Bascom!Ave . -:_ . :. , ,„ _ ,.._ , : .. -- - - . :• -' . Account'Number 10`12203 ;, Amop`nt $5,95200 _ - i �'' _; - _. .. __ 101 �2203- - :_. Amount - Account Number. ` - _ _ - _ _ _. _ , , — Y Account Number _ 101 540 7448 : Amount i s • ,(Fria__ • Dept only) •' - ...rnterestTEa ' d (Finaece Dept only) - , - l Total Payable - ` (6j6t'Arn6unt) - - -'I ,. Purpose - Emg Deposit Refund _ ..�. :-.:. _ - i , - . - - Permit # ENC2015 b0029 r _ i , F Id -, • Rec`eipt #, __ -258625 pate 5/19/2015 ,_ . - 1 r Date Receipt # - ,, ._ _ , _ ,. b nested u Title ,Inspector Date Lt�� _ ,Re ,_ , , . _.. Syed Wahidi ' , , r ,. A roved b Title Sr 'Engmt3er Date`:.' - Pp, Y , . ;' [- Roger Storz - ;I , •I _ - _ . 'I ,. Finance Dept Only' - Verified by . Title Accounting,Clerk II Date , `° t Approved by; Title Accountarit` Date' - "' . - `, ti Special Instructions For Handain Check, .. ., - - .. Ma I,As IS Mail ui'Attached Envelope lriterlm--Check ` - Needed By ` Return To Jo,.nna;_Thoriiason Public;Works : (Name) (Department) r ' „ _, _ •; ,, - , , - .._ _ , -_ Other P,lease:�etum`check to aoAnna .. ;.,. ,S` P { 5 t ] — 1 , - _ — ' . '.i O''cs If,. JoAnnaThc _n .. City of Campbeti r Department of Public Works w. ce � o n 70 North First Street Campbell, CA 95008 �.� �4Q Phone: (408) 866-2150 O,6 C'd`�� Fax: (408) 376-0958 E-Mail: Joannat@cityokampbell.com Transmittal To: Micah Date: June 8, 2015 Company: MV Campbell, LLC. Address: Re: Plan Check Deposit Return Enclosed is your deposit refund in the amount of $2,000.00 Thank you, JoAnna cc: ENC File 2015-00029 J:WoAnnaT\Deposit refunds\Transmittals\Bascom2000.PCrefund.doc (Rev. 03/08) I 1 CI Pk 'OF CAMPBELL VENDOR No. 10013281 CHECK NO. 251829 10013281 M V CAMPBELL, LLC " r , •. y t WEliLS' FARGO HANK, N.A. o c� CITY OF: CAMPBEL� 11— 24 CHECK DATE o 6/ o s/ 15 CHECK N0. 251829 `. 420 MONTGOMERY STREET 1210 70 NORTH FIRST STREET ar SAN FRANCISCO, CA 94104 95008 C; r CAMPBELL CALIFORNIA !o *****2, 000. 00* o AMOUNT I otrrtlARo . :',VOID AFTER 90 DAYS o PAY THE SUM OF TWO THOUSAND DOLLARS & ZERO CENTS ml F4 �i TO THE M V CAMPBELL, LLC v` ORDER 580 2ND STREET #260 I OF I OAKLAND CA 94607 J I i� 1102518291I' 1:1210002481: 4L2L8554L5110 � E lfur ue1 f f� er is plrnr �a 1uf vie ofvi V 9L�3 G 3ur� �1 �v�Dvr Sarc u��u r Drrsn� sr r IsDa.�uc �sI ... ... ., . _. .......... _._... _ , ., .... _.. �,R co *S Pleverse Side For Easy Opening lnstrucl ons . CITY OF CAMPBELL 70 NORTH FIRST STREET CAMPBELL, CALIFORNIA 95008 M V CAMPBELL, LLC 580 2ND STREET 4260 OAKLAND CA 94607 To: Finance Director Check Payable To: Address - Line 1: Line 2: City: Description: Account Number: Account Number: Account Number: (Finance Dept only) Total Payable: Purpose: Ref undadble Deposit Check bequest � MV Campbell, LLC. 580 2nd St. #260 Oakland, State: CA ENC2015-00029 101.2203 Amount: Amount: 101.540.7448 Amount: _ Interest Earned (Exact Amount) �7 ck ee"/, Zip: 94607 $2,000.00 (Finance. Dept only) �0 S. 6__1 Receipt #: Permit #: ENC2b15-00029 Receipt #: 257308 Date: 2/19/2015 Requested by: Title: Office Asst. Date: S i JoAn ason E Approved by: Title. Sr. Engineer Dater " Roger Storz Finance Dept Only: Verified by: Title: Accounting Clerk II Date: Approved by: Title: Accountant Date: Special Instructions for Handlinq Check Mail As Is: Mail in Attached Envelope: Interim Check: Needed By: Return To: JoAnna Thomason Public Works (Name) (Department) Other: Please return check to JoAnna f/n: Forms/excel/chkreq - Revised 05/00 i PUBLIC WORKS DEPARTMENT LAND DEVELOPMENT Effective July 1, 2014 PUBLIC WORKS FILE NO. TO: City Clerk PROPERTY ADDRESS '�_t✓C�%7 �' Please collect & recei t for the followin monies: �: ACCT ! ITEM LANWDEVELOPMENT. 1 ncroachment Permif APPlication. F ee Non -Utility Encroachment Permit Major _>$10 000 $385.00 Minor Encroachment Permit<$10,000 $220.00 -- Initial R-1 Permit N/C Subsequent R-1 Permits within Two Year Perlod $220.00 Inspection Fee Minimum Charge per Location $385.00 Street Tree Planting/Removal N/C 2203 $500 per Tree PlantingDeposit Re uired $500.00/tree 2203 Plan Check Deposit 2% of Engineer's. Estimate $500.00 min Utility and R-1 Permits no deposit required _ 4722 Gradinq & Drainage Plan Review '" Sin le FamilyLot $210.00 Site < 10,000 s.f. $810.00 Site ? 10,000 s.f. < 0:5-Acre $1 081.00 Site z 0.5 Acre $1 621.00 4722 NPDES Review C3 Requirements) For projects not required to submit numeric sizing $156.00 For projects required to submit numeric sizing Impervious Area 10,000 S • Ft to 1 Acre $676.00 Impervious Area :1 Acre or more $884.00 4722 For projects sent to Consultant for review Consultant Cost+20% F� Plan Check & Inspection Fee Non-Utilit 4722 En r. Est. < $250,000 14% of En ineers Estimate _ En r. Est. >_$250 000 and <$500 000 $35 000 + 8% of En ineers Estimate 2203 2203 En r. Est. >_$500 000 $55,000 + 7% of En ineers Estimate 2203 Emergency ' Cash De osit 4% of En r. Est- $500 min/$10 000 Max 2203 Faithful Performance Security FPS 100% of EN(-,R. EST.* 22031 Labor and Materials Security 100% of ENGR. EST.* 4721 Storm Drainage Area Fee Per Acre R-1 $2 120.00 (Multi -Res $2 385.00) _ 4722. 2203 Final Tract Ma 5 or More Lots $4 681.00 + $114110t Monumentation Security1l)0% of Cit '.s Monumentation7,E 4920 Parkland Dedication Fee 75%/25% Due.0 on Cert. of Occu anc 4722 Lot Line Adjustment Includes Certificate of com iiance $1 820.00 4722 Vacation of Public Streets & Easements $2 434.00 4722 Certificate of Compliance $1 800.00 4722 Certificate of Correction $540.00 A Inn A....-- tea;..,, r=,,,, - $200.00 First Split uu Each Additional Lot $270 00 511 7424 MESCELLRNERU�u Postage 4 k r bx x,.,.. . .s03 Other (Please S eci `Engineer's Estimate shall be as approved by the City Engineer and shall Include all items of work. TOTAL $-Z ? 5 ®® ,s NAME OF APPLICANT. CA4,,A p &e Lt, NAME OF PAYOR j4.n,.� C.A i t e: M• / P'`d% €'ear.- v�aa o ��� _PHONE ADDRESS ' z &` � Z t°r GAA ivs a � •C�'' (A ZIP ��� Q FOR :REd CITY CLERK n ONLY Date. alP l I:Recei t# . i t. _ DatelIrntials ,. ... .r J:1F°RM51T•mDleleaNdmWebe3m14eceyl Form l•r,d D... lopneM 14-15 _ ,. �_/; .( �,-1, f;'T �F}• •�};+f r t. • JoAanalhomason From: Roger Storz Sent: Wednesday, May 27, 2015 1:05 PM To: JoAnna Thomason Cc: 'micah@metrovation.com' Subject: Plan Check Deposit Refund Attachments: 20150219 SI Fees.pdf Follow Up Flag: Follow up Flag Status: Flagged Hi JoAnna, Let's go ahead and process a refund for the Plan Check Deposit ($2,000.00) collected for the 2000 S. Bascom Avenue project. The Encroachment Permit has been issued and all fees have been paid, so there is no need to hold onto this deposit. I have attached a copy of the receipt for your use in processing the refund. Thank you, Roger K. Storz, P.E. I Senior Civil Engineer City of Campbell I Public Works Department rogers@cityofcampbell.com 408.866.2190 70 N. First Street, Campbell, CA 95008 1 CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT ENGINEERING DIVISION Revised 10/14 ENGINEER'S ESTIMATE FOR LAND DEVELOPMENT PROJECTS Date: A_ rit1;4, 2015.. For FileNo(s): - PLN201'4' 157,, BLD2015�,OOi63",_ -SiteAddress: S I$ascom Avenue, - ENC. No. I NC201-5 00029 z..ti Estimated Cost of Im rovemenis Vz $100;000 ITEM NO. DESCRIPTION QTY UNIT UNIT PRICES FOR PROJECT AMOUNT < $250 K > $250 K - $ AMOUNT I. 1. 2. 3. 4. 5. 6. H. I. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. III. I. 2. 3. 4. 5. 6. 7. 8. 9. 10. DEMOLITION/CLEARING CLEARING & GRUBBING SAWCUT P.C.C./A.C.(UP TO 6") P.C.C. REMOVAL CURB AND GUTTER REMOVAL MEDIAN REMOVAL DEMOLISH EXISTING INLET/PLUG RCP'S STORM DRAINAGE 12" R.C.P. (CLASS V) 15" R.C.P. (CLASS III) 18" R.C.P. (CLASS 111) 24" R.C.P. (CLASS III) 30" R.C.P. (CLASS 111) T.V. INSPECTION (12") STD. DRAINAGE INLET (C.C. DETAIL 5) FLAT GRATE INLET (C.C. DETAIL 6) STD MANHOLE (C.S.J. DETAIL D-11) STD MANHOLE (C.S.J. DETAIL D-12) BREAK AND ENTER M.H./D.I. CONCRETE IMPROVEMENTS SIDEWALK DRIVEWAY APPROACH CURB AND GUTTER VALLEY GUTTER CURB RAMP TYPE B-1 CURB TYPE AI-B3 CURB COBBLESTONE MEDIAN SURFACE P.C.C. DRIVEWAY CONFORM A.C. DRIVEWAY CONFORM LS LF SF LF SF EA LF LF LF LF LF LF EA EA EA EA EA SF SF LF SF EA LF LF SF SF SF $2,000.00 $6.10 $4.00 $7.05 $5.25 $1,800.00 $210.00 $225.00 $240.00 $260.00 $280.00 $1.25 $2,800.00 $1,620.00 $5,000.00 $6,500.00 $1,000.00 $12.00 $14.00 $45.00 $20.00 $1,800.00 $34.00 $20.00 $20.00 $8.20 $5.25 $1,500.00 $4.10 $3.00 $3.45 $2.65 $1,200.00 $180.00 $195.00 $210.00 $240.00 $260.00 $0.80 $2,300.00 $1,275.00 $4,000.00 $6,000.00 $835.00 $8.00 $10.00 $35.00 $15.00 $1,500.00 $29.00 $17.00 $15.00 $6.30 $4.40 $ $ 2,055.70 $ 10,688.00 $ 2,375.85 $ $ $ $ $ $ $ $ $ $ $ $ - $ - $ 25,776.00 $ 7,336.00 $ 15,165.00 $ - $ 1,800.00 $ - $ $ - $ 4,296.80 $ 693.00 0 337 2672 337 0 0 0 0 '0 0 0 :0 0 '0 0 0 0 21'48 524 337 0 ;1 0 0, 0 524_ 1132 W:\429-00 Campbell\Spreadsheets & Calcs\cost estimates\City Offsite Estimate.xls (Rev. 03/08) Page 1 of 4 CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT ENGINEERING DIVISION Revised 10/14 ENGINEER'S ESTIMATE FOR LAND DEVELOPMENT PROJECTS Date: For File No(s):PLN201x4 15A7,ssBLD20;1�5 00163' Site Address: 320D0 SBascom,AVenue ENC.- No. �I;NC2015 Q0029 Estimated Cost of Improvements $1�00 00,0'7 ITEM NO. - DESCRIPTION QTY UNIT UNIT PRICES FOR PROJECT AMOUNT <$250 K '> $250 K ' $ AMOUNT IV. 1. 2. 3. 4. 5. 6. 7. 8 V. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. VI. 1. 2. 3. 4. 5. 6: 7. 8. 9. 10. PAVEMENT ASPHALT DIGOUT AND REPLACE PAVEMENT WEDGE CUT (6) PAVEMENT GRINDING PAVEMENT FABRIC (PETROTECH) ASPHALT CONCRETE (TYPE A) AGGREGATE BASE (CLASS 2) SLURRY SEAL (TYPE R) AC REMOVAL/OFFHAUL/DISPOSAL TRAFFIC SIGNALS/LIGHTS DETECTOR LOOP (6' ROUND) DETECTOR LOOP (6' x 30) DETECTOR LOOP (6' x 50) ELECTROLIER=0_ 1 1/2" RIGID CONDUIT 2" RIGID TRAFFIC SIGNAL CONDUIT CONDUCTOR PULL BOX (NO. 3 1/2) TRAFFIC SIGNAL PULL BOX (NO. 5) PULL ROPE STRIPING AND SIGNS REMOVE PVMT. MARKINGS (PAINT) REMOVE PVMT. MARKINGS (THERMO) REMOVE PVMT STRIPING STRIPING DETAIL 9 STRIPING DETAIL 22 STRIPING DETAIL 29 STRIPING DETAIL 32 STRIPING DETAIL 37 (THERMO) STRIPING DETAIL 38 (THERMO) STRIPING DETAIL 39 CF LF SF SY T T SF CF EA EA EA EA LF LF LF EA EA LF SF SF LF LF LF LF LF SF SF LF $5.80 $5.00 $0.95 $2.30 $210.00 $80.00 $0.25 $14.00 $520.00 $752.50 $1,042.00 $4,000.00 $10.40 $19.70 $0.85 $347.00 $463.00 $0.57 $2.65 $3.70 $1.50 $3.00 $3.00 $4.00 $4.00 $5.00 $5.00 $5.00 $4.10 $2.65 $0.63 $2.10 $150.00 $40.00 $0.20 $12.00 $347.00 $626.25 $868.30 $3,500.00 $8.20 $15.05 $0.65 $278.00 $405.25 $0.57 $1.60 $3.40 $1.00 $2.00 $2.00 $3.00 $3.00 $3.50 $3.50 $3.00 $ 6,559.80 $ $ $ $ 3,570.00 $ .5,440.00 $ - $ 15,834.00 $ $ $ - $ $ $ $ $ 347.00 $ $ $ - $ $ $ $ $ - $ - $ $ $ 11=31' 0; 0" 0 =17 68:'. .01, 113'1' 0'__ 0' 0` 0 0 0? 1' ' 0' 0 0, _ a 0 0- 0 0 0 v 0 0 0 W:\429-00 Cam pbell\Spreadsheets & Calcs\cost estimates\City Offsite Estimate.xls (Rev. 03/08) Page 2 of 4 CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT ENGINEERING DIVISION Revised 10/14 ENGINEER'S ESTIMATE FOR LAND DEVELOPMENT PROJECTS Date: _ April 142011_5 -For File No(s): PLN2014-15 , B D2015-00453 Site Address: - 00O S Ba_s'o rn Avenue ENC. No. - NC+-20P 00029 Estimated Cost of hn rovements $�1 OQ,000 ITEM NO. DESCRIPTION QTY UNIT UNIT PRICES FOR PROJECT AMOUNT . < S250 K > $250 K $ AMOUNT 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. VII. 1. 2. 3. 4. 5. 6. 7. 8. 9. VIII. 1. 2. 3. 4. 5. LIMIT LINE? CROSSWALK, 12" WHITE PAVEMENT MARKINGS (PAINT) PAVEMENT MARKINGS (THERMO) PAVEMENT MARKER (NON-REFL.) PAVEMENT MARKER (REFLECTIVE) TYPE K MARKER TYPE N MARKER SALVAGE ROAD SIGN RELOCATE ROAD SIGN (W81 ON NEW POST) INST. RD. SIGN ON EXIST. POLE ROAD SIGN WITH POST INSTALL 1226S SIGN WITH POST STANDARD BARRICADE LANDSCAPING IRRIGATION, PLANTING WORK PRUNE TREE ROOTS TREE REMOVAL ROOT BARRIER (12") ROOT BARRIER (18") STREET TREE STREET TREE (36" BOX) TOP SOIL BACKFILL IRRIGATION MISCELLANEOUS PEDESTRIAN BARRIER CHAIN LINK FENCE (6) RAISE MISC. BOX TO GRADE RAISE MANHOLE TO GRADE INSTALL MONUMENT BOX . LF LF SF SF EA . EA EA EA EA EA EA EA EA LF SF EA EA LF LF EA EA CY LS LF LF EA EA EA $6.00 $6.00 $3.25 $6.60 $5.20 $6.95 $109.50 $109.50 $99.00 $115.75 $231.55 $347.36 $350.00 $19.50 $8.00 $147.35 $684.10 $21.05 $26.30 $447.30 $710.40 $26.30 $1,368.25 $86.85 $17.35 $315.75 $421.00 $1,500.00 $4.50 $4.50 $2.50 $5.05 $3.50 $4.75 $92.50 $92.50 $87.35 $99.00 $168.50 $277.85 $252.60 $15.75 $7.35 $115.75 $526.25 $10.50 $15.80 $342.05 $589.40 $22.60 $710.40 $69.45 $13.70 $210.50 $364.45 $900.00 $ $ - $ 8,1.25 $ - $ - $ - $ - $ - $ $ $ $ $ $ $ - $ $ - $ 1,052.50 $ - $ - $ 2,131.20 $ 26.30 $ - $ - $ - $ - $ - $ :';',,; (lO,u :;;+ -25 .. " y 0: =',( K, pw_ •=s' 0 ^I 0`; ` =' 0 P Ol°: { Y 0 0i 0' "'i '0! _'', :'0 ?`.+'i ;CO" * ' k:" : 0'," =''-50 `' '0, 'CL '` __" ;3 - ' 71! 0' ' ` 0 0_; 0 0 0 W:\429-00 Campbell\Spreadsheets & Calcs\cost estimates\City Offsite Estimate.xls (Rev. 03/08) Page 3 of 4 _ t CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT ENGINEERING DIVISION Revised ENGINEER'S ESTIMATE FOR LAND DEVELOPMENT PROJECTS Date: Apn1�14;20�I5r; _ For File No(s): PLN20!14 157 BLD20.15001`63 Site Address: [2000 S Bscorl>�Au_ x ENC.No. TC20n+500,029 Estimated Cost of hn rovements :$100 00( ITEM - - - UNIT PRICES FOR PROJECTAMOUNT - - NO. DESCRIPTION QTY UNIT < $250 K > $250 K - $ AMOUNT : 6. MEDIAN BACKFILL . 0 _ CY $22.10 $19.70 $ - SUBTOTAL $ 105 228.4 PREPARED BY: ? 10% MOBILIZATION, CONSTRUCTION $ . 10,522.8 TRAFFIC CONTROL/PHASING, REVIEWED BY: CONSTRUCTION STAKING, $ �q 000 0 CONSTRUCTION TESTING a APPROVED BY: 10% CONTINGENCY $ 10,522.& 10% SECURITY ENFORCEMENT $10 522.8 TOTAL FAITHFUL PERFORMANCE SECURITY $ 148,796.9: USE THIS AMOUNT FOR SECURITY W:\429-00 Campbell\Spreadsheets & Calcs\cost estimates\City Offsite Estimate.xls (Rev. 03/08) Page 4 of 4 TO BE RECORDED WITHOUT 2!7E SECTION 6103 GOVERNMENT CODE AT THE REQUEST OF CITY OF CAMPBELL DOCUMENT: 22980802 Pages: 12 Recording Requested by: ) City of Campbell RE QW. Ove fI) A 2 2J201a When recorded mail to: CITY CLEHK' OFFICE. City Clerk ) City of Campbell ) 70 North First Street ) Fees.... No Fees Taxes... Copies.. AMT PAID REGINA ALCOMENDRAS SANTA CLARA COUNTY RECORDER Recorded at the request of City Campbell, CA 95008 ) N 7 2AI�vo $0Z APN: 288-08-078, 288-08-054 (Space Above for Recorder's Use Only) Address: 2000 S. Bascom Avenue, Campbell, CA 95008 STREET IMPROVEMENT AGREEMENT RECITALS RDE # 005 6/09/2015 2:17 PM THIS AGREEMENT, identified by File No(s). PLN2014-157, is entered into this day of M H , 2015, by and between MV CAMPBELL, LLC, A CALIFORNIA LIMITED LIABILITY COMPANY, hereunder referred to as "Owner," and the CITY OF CAMPBELL, a municipal corporation of the County of Santa Clara, State of California, hereinafter referred to as "City." On January 27, 2015 the Planning Commission granted conditional approval of a New Commercial Building for that certain real property described in Exhibit A attached hereto and incorporated as though fully set forth herein, and commonly known as 2000 S. Bascom Avenue, which property is hereinafter referred to as "said real property." TERMS AND CONDITIONS Now, therefore, in consideration of the above referenced approvals, and in satisfaction thereof, the parties to this Agreement shall comply with the following terms and conditions: (1) The Owner shall provide, construct and install at his/her own proper cost and expense, street improvements as described in Section 11.24.040 of the City Code within 12 months from the date first mentioned hereinabove; provided, however, that in the computation of said 12 month period, delays due to, or caused by acts of God, viz., unusually inclement weather, major strikes, and other delays beyond the control of the Owner or his/her successors shall be excluded. (2) If the Owner fails to complete the work required by this Agreement within the said 12 month period, the City, after giving ten (10) days written notice to the Owner, or his/her successors, may construct and/or install said improvements and recover the full cost and expense from the Owner, or his/her successors. J:\LandDev\Forms\Street Improvements - incl specific agmts, engineers estimate, specifications, ramp notes, pavement notes, tree removal notice\Specific Agreements - Street Improv and Deferred\Bascom S 2000 SI.doc (Revl 1/13) 1 STREET IMPROVEMENT PLANS (3) The Owner, shall cause to be prepared at his/her cost and expense street improvement plans for the construction and installation of said improvements prior to such construction or installation. Said plans shall be submitted to the City Engineer for examination and approval. (4) All of said improvements embraced in this Agreement shall be constructed and installed in accordance with the plans approved by the City Engineer and shall be made under the inspection and to the satisfaction of the City Engineer. Said construction and/or installation shall be in accordance with the existing ordinances and resolutions of the City of Campbell and all applicable plans, specifications, standards, sizes, lines and grades approved by the City Engineer, and all State and County statutes. Upon completion and acceptance of the improvements by the City, the Owner, shall provide reproducible as - built plans to the City Engineer. PLAN CHECK AND INSPECTION FEE (5) Prior to approval of the plans by the ' City Engineer pursuant to Section (3) of this Agreement, Owner, or his/her successors, shall pay the City for plan checking of improvement plans, field inspection of construction of improvements and all necessary expenses incurred by City in connection with said improvements, a sum calculated in accordance with Resolution No. 10494 as adopted by the City Council on May 3, 2005, or as may subsequently be adopted by the City Council. FAITHFUL PERFORMANCE SECURITY (6) The Owner, or his/her successors, shall file with City, prior to beginning construction, security acceptable to the City in amount equal to the City Engineer's estimated cost of the street improvements to ensure full and faithful performance of the construction of all the aforementioned improvement work. Said security shall guarantee that Owner, and his/her successors, will correct any defects which may appear in said improvement work within one (1) year from the date of acceptance of the work by City and pay for any damage to other work resulting from the construction thereof, as well as pay the cost of all labor and materials involved. This security shall remain in effect until one (1) year after date of final acceptance of said improvements by City. Said security amount may be reduced by the City Engineer in his/her sole discretion after the date of final acceptance to not less than twenty-five (25) percent of its full value. (7) Upon final release of said security by City, the obligations of Owner, and his/her successors, contained in this Agreement shall be considered null and void, except as otherwise provided by applicable law, or Sections 12 or 13 of this Agreement. FORMATION OF A SPECIAL ASSESSMENT J:\LandDev\Forms\Street Improvements - incl specific agmts, engineers estimate, specifications, ramp notes, pavement notes, tree removal notice\Specific Agreements - Street Improv and Deferred\Bascom S 2000 SI.doc Rev 11/13 0 (8) The Owner, when called upon by City to do so, shall execute a petition for the formation of any special assessment district created pursuant to any special assessment act as provided in the Streets and Highways Code of the State of California created for the purpose of constructing and/or installing any or all of said improvements. Owner, or his/her successors, shall participate in and become a part of any special assessment district as described in Section (8) of this Agreement. (9) The Owner's, or his/her successors' obligations contained in this Agreement that are accomplished to the satisfaction of said City Engineer by said special assessment district shall be considered to satisfy those obligations. RIGHT-OF-WAY ACQUISITION (10) Owner at his/her own cost and expense, shall acquire any easement and right-of-way within or without said real property necessary for the completion of the improvements shown upon aforesaid improvement plans. It is provided, however, that in the event eminent domain proceedings are required for the purpose of securing said easement and right-of-way, Owner, shall deposit or cause to be deposited with City a sum covering the reasonable market value of the land proposed to be taken and to be included in said sum shall be a reasonable allowance for severance damages, if any. It is further provided that in addition thereto such sums as may be required for legal fees and costs, engineering and other incidental costs shall be deposited with the City. (11) The Owner, shall carry out any and all negotiations with all interested parties and shall perform or cause to be performed at his/her own cost and expense and to the satisfaction of the City Engineer any and all work required to abandon, remove, raise, lower, relocate and otherwise modify irrigation lines within or without the boundary of said real property. INDEMNITY AND INSURANCE (12) The Owner, and his/her successors, to the fullest extent permitted by law, shall indemnify, defend and hold the City of Campbell, its agents, employees, attorneys, officers, officials and assignees harmless from any and all claims, actions, causes of action, liabilities, damages, losses and expenses, including, but not limited to, attorneys' fees, arising out of, or resulting from, or alleged to arise out of or result from any negligent or intentional act or omission (including misconduct) of said Owner, or his/her successors, or any subcontractor, or anyone directly or indirectly employed by him, or anyone for whose acts any of them may be liable in the course of performance of the Agreement, except for any claims, actions, causes of action, liabilities, damages, losses and expenses proximately caused by the sole negligence or willful misconduct of the City. (13) The Owner, and his/her successors, shall also indemnify, defend and hold the City of Campbell, its agents, attorneys, employees, officers, officials, and assignees harmless J:\LandDev\Forms\Street Improvements - incl specific agmts, engineers estimate, specifications, ramp notes, pavement notes, tree removal notice\Specific Agreements - Street Improv and Deferred\Bascom S 2000 SI.doc Rev 11113 3 against and from any and all claims, actions, causes of action, liabilities, demands, losses, lawsuits, judgments, damages, costs and expenses (including, but not limited to, attorneys' fees and court costs, whether incurred at trial, appellate or administrative levels) which the City of Campbell may incur or suffer, or to which the City of Campbell may be subjected resulting from, or alleged to result from the failure of Owner, or his/her heirs, assignees, successors, grantees, agents, employees, subcontractors, or anyone performing services under him, to fulfill any of the obligations imposed under this Agreement, except for any claims, actions, causes of action, liabilities, judgments, damages, costs and expenses proximately caused by the sole negligence or willful misconduct of the City. (14) The Owner and his/her successors shall also indemnify, defend and hold harmless the City, its agents, officers and employees from any claim, action, or proceeding against the City or its agents, officers or employees to attach, set aside, void or annul an approval of the City, its City Council, Planning Commission, Community Development Director, Public Works Director, Building Official, City Engineer, or other such City official concerning a subdivision, which action is brought within the time period provided for in California Government Code Section 66499.37. (15) In the event that this contract is subject to California Civil Code section 2782(b), the foregoing indemnity provisions shall not apply to any liability for the active negligence of the City. The foregoing indemnity provisions are intended to fully allocate all risk of liability to third -parties. No other rights of indemnity or contribution shall exist between the parties in law or in equity. The provisions set forth in this section shall survive the termination of this Agreement. (16) The City will promptly notify the Owner of any claim, action or proceeding to attack, set aside, void or annul any approval concerning a subdivision of said real property, and will cooperate fully in the defense. (17) Owner and his/her/its successors shall maintain insurance for injuries to persons or damage to property conforming to the following specifications: A. Minimum Scope of Insurance Coverage shall be at least as broad as: 1. Insurance Services Office (ISO) CGL form CG 00 01 11 85; and 2. ISO form G0009 11 88 Owners and Contractors Protective Liability Coverage Form — Coverage for Operations of Designated Contractor; and 3. Course of Construction Insurance covering all risks of loss; and 4. ISO CA 00 0106 92 including symbol 1 (Any Auto); and J:\LandDev\Forms\Street Improvements - incl specific agmts, engineers estimate, specifications, ramp notes, pavement notes, tree removal notice\Specific Agreements - Street Improv and Deferred\Bascom S 2000 SI.doc Rev 11/13 4 5. Workers' Compensation insurance as required by the Labor Code of the State of California and Employer's Liability insurance. B. Minimum Limits of Insurance Owner shall maintain limits no less than: 1. General Liability: $1,000,000 combined single limit per occurrence for bodily, personal injury and property damage. If Commercial General Liability Insurance or other form with a general aggregate limit is used, either the general aggregate limit shall apply separately to this project/location or the general aggregate limit shall be twice the required occurrence limit. 2. Automobile Liability: $1,000,000 combined single limit per accident for bodily injury and property damage. 3. Workers' Compensation and Employer's Liability: Workers' Compensation limits as required by the Labor Code of the State of California and Employer's Liability limits of $1,000,000 per accident. C. Deductible and Self -Insured Retention Any deductibles or self -insured retention must be declared to and approved by the City. At the option of the City, either: the insurer shall reduce or eliminate such deductibles or self -insured retention as respects the City, its agents, officers, attorneys, employees, officials and volunteers; or the Owner shall procure a bond guaranteeing payment of losses related to investigations, claim administration, and defense expenses. D. Other Insurance Provisions The policies are to contain, or be endorsed to contain, the following provisions: l . General Liability and Automobile Liability Coverage: a. The City, its agents, officers, attorneys, employees, officials and volunteers are to be covered as insureds as respects: liability arising out of activities related to this Agreement performed by or on behalf of the Owner, products and completed operations of the Owner, premises owned, occupied or used by the Owner, or automobiles owned, leased, hired or borrowed by the Owner. b. The Owner's insurance coverage shall be primary insurance as respects the City, its agents, officers, attorneys, employees, officials and volunteers. Any insurance or self-insurance maintained by the City, its agents, officers, attorneys, employees, J:\LandDev\Forms\Street Improvements - incl specific agmts, engineers estimate, specifications, ramp notes, pavement notes, tree removal notice\Specific Agreements - Street Improv and Deferred\Bascom S 2000 SI.doc Rev 11/13 E officials and volunteers shall be excess of the Owner's insurance and shall not contribute with it. C. Any failure to comply with reporting provisions of the policies shall not affect coverage provided to the City, its agents, officers, attorneys, employees, officials, and volunteers. d. The Owner's insurance shall apply separately to each insured against whom claim is made or suit is brought except with respect to the limits of the insurer's liability. e. Coverage shall not extend to any indemnity coverage for the active negligence of the City in any case where an agreement to indemnify the City would be invalid under Subdivision (b) of Section 2782 of the California Civil Code. 2. Workers' Compensation and Employer's Liability Coverage: The insurer shall agree to waive all rights of subrogation against the City, its agents, officers, attorneys, employees, officials, and volunteers for losses arising from work performed by the Owner for the City. 3. Course of Construction Coverage: Course of Construction policies shall contain the following provisions: (a) the City shall be named as loss payee; and (b) the insurer shall waive all rights of subrogation against the City. 4. All Coverages: Each insurance policy required by this clause shall be endorsed to state that coverage shall not be suspended, voided, canceled by either parry, reduced in coverage or in limits except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the City. E. Acceptability of Insurers Without limiting Owner's indemnification provided hereunder, Owner shall take out and maintain at all times during the life of this contract, up to the date of acceptance of the work by the City, the policies of insurance listed in Paragraphs 12 through 16 of this Agreement. Insurance is to be issued by an issuer with a current A.M. Best Rating of A:VII and be authorized to transact business in the State of California, unless otherwise approved by the City. F. Verification of Coverage Owner shall furnish the City with certificates of insurance evidencing coverage required by this clause. The certificates for each insurance policy are to be signed by a person authorized by that insurer to bind coverage on its behalf. The certificates are to be on forms provided by the City. Where by statue, the City Workers' Compensation related forms cannot be used, equivalent forms approved by the Insurance Commissioner are to be substituted. All certificates are to be J:\LandDev\Forms\Street Improvements - incl specific agmts, engineers estimate, specifications, ramp notes, pavement notes, tree removal notice\Specific Agreements - Street Improv and Deferred\Bascom S 2000 SI.doc Rev 11/13 6 received and approved by the City before work commences. G. Subcontractors Owner shall include all subcontractors as insured under its policies or shall furnish separate certificates by each subcontractor. All coverage shall be subject to all of the requirements stated herein. MUTUAL BENEFIT COVENANTS BINDING ON HEIRS, ASSIGNEES, SUCCESSORS, AND GRANTEES OF OWNER (18) It is acknowledged that the provisions of this Agreement constitute covenants for the improvement of the subject real property for the mutual benefit of Owner's property, commonly known as 2000 S. Bascom Avenue, and the City's property, commonly described as East Campbell Avenue and South Bascom Avenue where it adjoins Owner's property. These covenants shall be considered to affect rights in the above - described real properties, and shall be binding on the heirs, assignees, successors, grantees and agents of the Owner to said real property. UNVESTED INTERESTS (19) Nothing contained herein shall be construed to transfer any unvested interests in real or personal property for purposes of the rule against perpetuities. BREACH OF CONTRACT (20) The City, upon breach any of the terms, conditions, or covenants of this Agreement by the Owners, shall be entitled to recover from the Owner, in addition to any other relief available in law or equity, all costs and compensation incurred in attempting to obtain enforcement of the Agreement, including reasonable attorneys' fees and court costs. ENTIRE AGREEMENT BINDING (21) This is the entire Agreement between the parties, and there are no representations, agreements, arrangements or understandings that are not fully expressed herein. This Agreement can be executed in counterparts by the parties hereto, and as so executed shall consist of one agreement, binding on all parties. PRELIMINARY PLANS (22) Owner shall provide and construct public street improvements per preliminary plans titled "STREET IMPROVEMENT PLANS — OFFSITE — 2000 South Bascom Avenue" which are subject to approval by the City Engineer, prepared by C2G Engineers. J:\LandDev\Forms\Street Improvements - incl specific agmts, engineers estimate, specifications, ramp notes, pavement notes, tree removal notice\Specific Agreements - Street Improv and Deferred\Bascom S 2000 SI.doc Rev 11/13 7 IN WITNESS WHEREOF, said City has caused its name to be affixed by its Public Works Director and City Clerk, who are duly authorized by Ordinance 2059 adopted September 20, 2005, and said Owner has caused his/her name to be affixed the day and year first above written. Attest: f IJ MY CAMPBELL, LLC, A CALIFORNIA LIMITED LIABILITY COMPANY By: Mark Seiler, its Manager 580 2nd Street, Suite 260 Oakland, CA 94607 CITY OF CAMPBELL Todd Capurso, Public Works Director City of Campbell (Notary Acknowledgment for above signator(ies) MUST be attached.) J:\LandDev\Forms\Street Improvements - incl specific agmts, engineers estimate, specifications, ramp notes, pavement notes, tree removal notice\Specific Agreements - Street Improv and Deferred\Bascom S 2000 SI.doc Rev 11/13 8 MV CAMPBELL, LLC As set forth in the Operating Agreement for MV Campbell, LLC dated March 4, 2014, the manager of MV Campbell, LLC is Metrovation, LLC. Mark Seiler is manager of Metrovation, LLC and is authorized to enter into agreements on behalf of MV Campbell, LLC. Signed: Mark Seiler Manager of Metrovation, LLC ,.„ .. (AVY .09) .L99YJS Amum H.Lnos ' MARTIN TESTAMENTARY TRUST APN 288-08-078 LOT 4 12-M-54 N 00'41'03" E 172.63' (A) 30.0142.63' (A) w W I v c00 ZD m 00 Lu N APN w > 288-08-078 Q Q CO O.T. MARTIN TESTAMENTARY TRUST c m DOC# 14166197 °J � PARCEL 1 620-M-44 & 45 U v cq REMAINDER 53,102 SF t W r M d Ln M N I J � W Q 0r- U 00 AREA 'B' AREA 'A' ~ Vm r I U) I AREA 'C' Q W N 89'16'46" W 19.00' L1 S 00'43'14" W 125.57' R=20.00' D=89'57'49" L=31.40 TRAN APN 288-08-051 LOT 14 71-M-53 WEINMAN 288-08-052 LOT 15 71-M-53 N 00°41'03" E 71.57' (A) i APN 288-08-054 f PRIES APN 288-08-053 Q � LEGEND & ABBREVIATIONS c� POB POINT OF BEGINNING o FD FOUND co IP IRON PIPE co PROPERTY LINE CENTER LINE TIE LINE -- APN LINE P.O.B. STORMWATER 68.60' TREATMENT AREA o. L1 = S 89'18'57" E 9.00' N 00'43'14" E 244.13' (244.13)(A) FD IP & NAIL N 00'43'14" E 346.63' (N 00'42'53" E)(A) INMON. WELL SOUTH BASCOM AVENUE AREA 'A' AREA 'A' AREA 'A' 215 SF f 199 SF f 265 SF f FD IP & NAIL IN MON. WELL ALPHA LAND SURVEYS, INC. STORMWATER TREATMENT AREA EXHIBIT APR 13, 2015 4444 SCOTTS VALLEY DRIVE, SUITE 7 2000 S BASCOM AVENUE, CAMPBELL SCALE 1"=60' SCOTTS VALLEY, CA 95066 (831) 438— 4453 PAGE 1 OF 1 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1188 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California Countv of auvft d& On WN'^^' l , d o )S before me, P Date personally appeared L /NA ® 4G (,0/1000Aj0 0 Noy I&y Here Insert Name and Title of the Officer SEIcERj Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to .be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. �f Signature CUYta eftA � a, i d o - ° 7�,1 Signatu of Notary Public 141"), P,I a 17 Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Number of Pages: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: L 'v" `d '�: e> �G'er •er '¢r •ei 'ci ✓ -ter •ei •er •✓ er 'tr:v4'rr4�u.� •a' •er6'ei.'er •cry`e�, '�G"er •e> •ems ' 'cam -ei •e> •e' 'er -tr -ate -rrG-r� • -ems •ems •� 'er.�i @2014 National Notary Association - www.NationalNotary.org - 1 -800-US NOTARY (1 -800-876-6827) Item#5907 PUBL)b ac�ccCALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of M°K_ rnia County o � / r On � �/ D before me, / I ea Date , Here Insert Name and Title Sf the Officer personally appeared Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose names) is/aFe- subscribed to the within instrument and acknowledged to me that he/sheAher executed the same in his/fir authorized capacityf e*, and that by his/her4heir-signature(*on the instrument the person(&), or the entity upon behalf of which the persons} acted, executed the instrument. .; SHERRIE DOHERTY Commission # 1970329 Notary Public - California s 2 F' Santa Clara County My Comm. Expires Mar 21. 2016 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official eal. Signatur i Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Docume t � vt Title or Type of Documenti*l �/y�D�IIl1 M4-9fV li-"4'�I�Document Date: Number of Pages-,,A�i'&--' Signer(s) Other Than Named Above: Cipa-city(iies) Claimed by Signer(s) Signer's ElCorporjamoa—. te fficer — El Partner — ❑ Limited ❑ Gener ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator n Other: Si ner Is Representing: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact trustee ❑ Guardian or Conservator ❑ Other: Signer Is �-•✓: cr.�trv.��.�.2"�..v.v�.��, v.'✓ �.�4t✓.v.'d: �6v.v.�4"✓6�.'.rGV4'.v.� V��.L'�.:v.v.�✓4V .�.�:'� v.vGv4�.V .�: eYti.- @2014 National Notary Association - www.NationalNotary.org - 1-800-US NOTARY (1-800-876-6827) Item-#590 7 PUBLIC WORKS DEPARTMENT LAND DEVELOPMENT Effective July 1, 2014 TO: City Clerk PUBLIC WORKS FILE NO. ENC2015-00029 PROPERTY ADDRESS 2000 S Bascom Avenue Please collect & receipt for the following monies: -ACC ITEM " AMOUNT ` LANDDEVELOBMENT� 4722 Encroachment Permit Application ee Non -Utility Encroachment Permit Major >_$10,000 $385.00 Minor Encroachment Permit <$ao,000 $220.00 Initial R-1 Permit N/C Subsequent R-1 Permits within Two Year Period $220.00 Inspection Fee Minimum Charge per Location $385.00 Street Tree Planting/Removal N/C 2203 $500 per Tree Planting Deposit Required) $500.00/tree 2203 Plan Check Deposit 2% of Engineer's Estimate $500.00 min Utility and R-1 Permits no deposit required 4722 Grading & Drainage Plan Review Single Family Lot $270.00 Site < 10,000 s.f. $810.00 Site >_ 10,000 s.f. < 0.5 Acre $1 081.00 Site >_ 0.5 Acre $1 621.00 4722 NPDES Review C3 Requirements) For projects not required to submit numeric sizing $156.00 For projects required to submit numeric sizing Impervious Area 10,000 S . Ft to 1 Acre $676.00 Impervious Area 1 Acre or more $884.00 4722 For projects sent to Consultant for review Consultant Cost +20% _ Plan Check & Inspection Fee(Non-Utility) 4722 En r. Est. < $250,000 14% of Engineer's Estimate 2203 En r. Est. >_$250,000 and <$500 000 $35 000 + 8% of Engineers Estimate 2203 En r. Est. >_$500 000 $55 000 + 7% of En ineers Estimate 2203 Emergency Cash Deposit 4% of En r. Est.* $500 min/$10,000 Max 2203 Faithful Performance Security FPS 100% of ENGR. EST.* 2203 Labor and Materials Security 100% of ENGR. EST.* 4721 Storm Drainage Area Fee Per Acre R-1 $2 120.00 (Multi -Res $2 385.00) All Other $2,650.00 4722 Parcel Ma 4 Lots or Less $3 850.00 + $83/lot 4722 Final Tract Ma 5 or More Lots $4 681.00 + $114/lot 2203 Monumentation Security Refundable Deposit) 100% of Cit 's Monumentation Estimate 4920 Parkland Dedication Fee 75% / 25%* Due Upon Cert. of Occupancy) 4722 Lot Line Adiustment (Includes Certificate of Compliance) $1 820.00 4722 Vacation of Public Streets & Easements $2,434.00 $1,217.00 4722 Certificate of Compliance $1 800.00 4722 Certificate of Correction $540.00 4722 Appeal Filing Fee $200.00 4722 Notary Fee(per signature) $10.00 4722 Assessment Segregation or Reapportionment First Split $860.00 Each Additional Lot $270.00 511.74241 MISCELLANEOUS Postage TOTAL $1,217.00 NAME OF APPLICANT MV CAMPBELL LLC NAME OF PAYOR MICAH BYCEL / METROVATION PHONE 415 828-0614 ADDRESS 580 2ND ST, #260, OAKLAND, CA ZIP 94607 FOR L 3 7 r RECEIVE 13Y. CITY CLERK ONLY Date Recei Date} InitiMii J1lanO PI Check CI-11l1-Species Plq-- AIM ProjMm Progr¢slBascdn Ake. 2000 MIe Vac—F- PUBLIC WORKS DEPARTNT MELAND DEVELOPMENti Effective July 1, 2014,E PUBLIC WORKS FILE NO.���'� FTO:City Clerk PROPERTY ADDRESS � )00 Please collect & recei t for the following monies. 71CCT ITEM ,: Um LAND.DEVELT. OPMEN ncroac ment ermlt ication Fee 111).5,0 Non -Utility Encroachment Permit Major >_$10 000 $385.00 Minor Encroachment Permit•<$10,000 $220.00 Initial R-1 Permit N/C. Subsequent R-1 Permits within Two Year Period $220.00 Inspection Fee Minimum Charge per Location $385.00 Street Tree Planting/Removal N/C 2203 $500 per Tree PlantingDeposit Re uired $500.00/tree pp0 O� 2203 Plan Check Deposit 2% of Engineer's Estimate $500.00 min Utility and R 1 Permits no deposit required 4722 Grading & Drainage Plan Review " Single Family Lot $270.00 Site < 10,000 s.f. $810.00 Site >_ 10,000 s.f. < 0.5 Acre Site >_ 0.5 Acre NPDES Review C3 Requirements) For projects not required to submit numeric sizing For projects required to submit numeric sizin Impervious Area 10,000 S . Ft to 1 Acre $1 081.00 $1 621.00 $156.00 $676.00 4722 Impervious Area 1 Acre or more $884.00 4722 For projects sent to Consultant for review Consultant Cost+20NEstima�te Plan Check & Inspection Fee (Non -Utility) En r. Est. < $250 000 En r. Est. ?$250,000 and <$500 000 En r. Est. >_$500 000 Emer enc Cash De osit 14% of Engineer's E2203 $35 000 + 8% of En2203 $55,000 + 7% of En2203 4% of En r. Est.* $ax2203 4722 Faithful Performance Securit FPS 100% of ENGR. ES Labor and Materials Security 100% of ENGR. EST.* 2203 4721 Storm Drainage Area Fee Per Acre R-1 $2 120.00 (Multi -Res $2 385.00) All Other $2,650.00 4722 Parcel Ma 4 Lots or Less) $3 850.00 + $8311ot $4,681.00 + $114/lot 4722 Final Tract Ma 5 or More Lots Monumentation Security 100% of Cit 's Monumentation Estimate 2203 4920 Parkland Dedication Fee 75%/25% Due Upon Cert. of Occupancy) 4722 Lot Line Adjustment Includes Certificate of Cam Hance $1 820.00 4722 Vacation of Public Streets & Easements $2,434.00 4722 Certificate of Compliance $1 800.00 47221 Certificate of Correction $540.00 47221 Appeal Filing Fee $200.00 4722 Notary Fee(per signature) $10.00 4722 Assessment Segregation or Reapportionment First Split $860.00 Each Additional Lot $270.00 5117424 Postage IVIIS `12ANEQU$„ .. _... Other (Please S eci "Engineer's Estimate shall be as approved by the City Engineer and shall include all items of work. TOTAL $ �� �Q 'NAMEOFAPPLICANT MV GA0 6f_L(_ Lk(— / Ct6S NAME OFPAYOR jvklC _4 9 CC-Z— tAC ��ti✓OVA�ioTJ PHONE ADDRESS ��`� `� � U o 0AW- - pr f7,,,A ZIP � U 1 ;f , FOR RECEIVED BY ..v ; CITY CLERK ONLY Date ��( C Recei t # v� _. k, �f Date/ initials F Form LaM Ooveiopment t4-15 CITY OF AAA-Pb J:1F0RMS\TamplatesWGmWSVeYveViowipl ---LA-. December 9, 2015 Stephen Rose Planning Division The City of Campbell 70 N. First Street Campbell, CA 95008 Roger Storz Public Works Division The City of Campbell 70 N. First Street Campbell, CA 95008 Dear Stephen and Roger, Delivered Via Email I am writing to outline the anticipated schedule regarding correcting the placement of the transformer at 2000 S. Bascom Avenue. My goal is to facilitate the opening of our tenant, Habit Burger, under a temporary certificate of occupancy. Habit has communicated to me that they are ready to get their TC of 0 by the end of this week. We have reached out to a new electrical contractor (Pat Gowan of Bronco Electrical Contractors) and electrical engineer (Kevin Moore of Belden Engineers). We are working to implement your proposed 'cadillac' solution: to install a new transformer pad farther down the grass berm, near the current PG&E splice box. A preliminary plan showing the location of the transformer is attached here. The new transformer pad would be installed in parallel to the existing one and once installed, our electrical engineer believes we will be able to splice it into existing conduits (he has done this on other PG&E projects) and then crane the existing transformer to the new location. This solution will allow a cleaner switch over. We are continuing to gather information regarding the logistics and documentation needed to accommodate this move (including approval from the owner of the property, and PG&E engineering). Yesterday, I submitted an application for transformer relocation with PG&E. The application number is 11053662. Our next steps are the following: 1. Field visit with Kevin Moore and Pat Gowan (engineer & contractor)- By December 16, 2015 2. Kevin Moore developing plan for new transformer, By December 18, 2015 PP TMHO O TB FM, HO pr?Mew transformer pad is set while existing remains 0 energized. cxlsnng rnmary 4. Existing 2. New service conduits service conduit Transformer pad is are connected with splice and feeder to _ removed when new — boxees o ffie &ii g xis — —i existing —-trailSfIICCYIP iS ^ COndUlt_ _tancform_ r _ _ - energized. 3. At cut -over, new conduits are connected to ,+E IAY existing. Y / (E) Ci"NCRET SIDEtarKLK j% / VrM �� �i 1 1 P 1"rP,•9 iBFPO BFP 1 FARE 5 (E; +t'TREE 1 ;E} 12' THE I (E)17_"TREE, (E)GRASS j (E �. SS I 1 �} TI,.,S (E) PA�RXINS (E) < Maintenance clearance faces condlifaWd �plice 28"REDWOQoI New Secondary private parcel instead of public box. conduit and splice box. right-of-way. CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT CLEARANCE FOR FINAL INSPECTION AND ACCEPTANCE LETTER c� Encroachment Permit # Property Address Date of Final Inspection: �1 1 On File: Bonds (!D) Cash To be Refunded: &3 Faithful Performance $ Labor and Material $ �n Construction Cash Deposit to be released: $ ri C( S� EMeJ��.nCy > Other overdue deposits to be released (Description): k F \p.v\ NOTICE OF RELEASE OF STREET IMPROVEMENT AGREEMENT (if applicable): Date Street Improvement Agreement Recorded Date of Final Acceptance Letterf Processed by: Reviewed by: Reviewed by: ministrator Land Deve oobment EhAineer �Q Date Check Request Submitted to Finance for recording fee Date Notice of Release sent for recording: J:\FORMS\Templates\Administrative\Cliecklist - Clearance for Final lnsp and Acceptance & release of SIA.doc (01/14/14) JoAnna Thomason ao lS'3�a q From: Roger Storz Sent: Friday, June 02, 2017 11:29 AM To: Syed Wahidi; JoAnna Thomason Cc: Micah Bycel; Stephen Rose Subject: FW: Closing out The encroachment permit (ENC2015-00029 2000 S. Bascom) Attachments: IMG_5890.JPG; IMG_5891.JPG Syed, Now that the wall is gone, please process the closeout of the encroachment permit (ENC2015-00029) and the release of the Certificate of Deposit used for the surety. Since this project has been substantially completed for over one year f now, we will consider the one year warranty period to be satisfied and release 100% of the deposit and release the associated Street Improvement Agreement. Thank you, Roger Storz, PE City of Campbell (408) 866-2190 (direct) roaersO-citvofcampbell. com Land Development Website From: Micah Bycel [mailto:micah@metrovation.com] Sent: Friday, June 02, 2017 11:19 AM To: Roger Storz Subject: Closing out The encroachment permit Hi Roger, Hope you are well. See attached transformer area. Now that the cinder blocks have been removed, I wanted to see what the process is to get our deposit back from public works? Thank you, Micah Syed Wahidi From: Syed Wahidi Sent: Thursday, January 14, 2016 7:46 AM To: 'Micah Bycel'; 'Joe Schlemmer' Cc: Roger Storz Subject: Habit Burger (2000 S Bascom Ave) Hi Joe, Here are the remaining items on this project that need to be completed: - Removal of block wall from city r.o.w Syed Wahidi I Public Works Inspector `.`i v oi•C�i=t nheli 1 Public Works Dept. svedw(a:cilvol'can)pbeil.com "N1. '. Vh-st Sl o-ect j (—"nnphdl, CA 945008 \.vz:v',� .CitvofCampbell.com 1 2CW* Syed Wahidi From: Roger Storz Sent: -Friday, December 18, 2015 9:23 AM To: Syed Wahidi Subject: FW: 2000 S. Bascom FYI - for #6 1 think he means the streetlight pullbox on Bascom From: Micah Bycel [mailto:mica h@metrovation.com] Sent: Friday, December 18, 2015 9:21 AM n, To: Bill Bruckart Cc: Stephen Rose; Roger Storz _ f k Subject: Re: 2000 S. Bascom - Hi Bill, Stephen, and Roger, SQL S k' �"` I wanted to re -connect regarding our progress at 2000 S. Bascom and update the list of our outstanding items: 1. Parking Lot Striping/Handicap signage- COMPLETE 2. and ea -in- By Wednesday 12/ 23 3. - ioswales-Rock and drains, soil media will be complete by 12/22. 4. ra, sfo er- Per separate communication with Stephen Rose/ Roger Storz 5. g- lmost complete (small area on Campbell needs to be paved). Scheduled for Mon 12/ 6. - COMPLETE 7. She Fare Final- COMPLETE When can we start calling for inspections to get the shell 'finaled,' or do we need to wait for Habit to go in for their TC of O? 1 want to make sure that when Habit goes in for their TC of O that nothing on the shell portion holds them up. I'm still a bit unclear on the process, so thanks in advance for your patience with my questions. Thanks, Micah Micah Bycel Metrovation (415) 828-0614 micah(5metrovation.com From: Micah Bycel <micah(cbmetrovation.com> Date: December 10, 2015 at 8:35:56 AM To: bill b(a,)cityofcampbell.com <billb a.cityofcampbell.com>> Cc: rogers(a�cityofcampbell.com <rogers(o)-cityofcampbell.com>>, stephenr(a-_)cityofcampbell.com <stephenr(a-)-cityofcampbell. com>> Subject: 2000 S. Bascom r: Thanks for your voice message yesterday. Below is the list of outstanding work that we still need to complete. The list below consists only of items that are related to the site & shell work, not for the Habit tenant improvement. (Given that is under separate submittal, I will advise them to reach out to you with their time frame.) My goal here is to identify anything related to our -work (the shell component) that might hold up Habit receiving a TC of O. Let me know if you need any more information and what the next step is here. Thank you, Micah 1. Parking Lot Striping/Handicap signage- Monday 12/14 2. Landscaping- By Wednesday 12/ 23 3. Bioswales-Rock and drains, soil media will be complete by 12/22. 4. Transformer- Per separate communication with Stephen Rose/ Roger Storz 5. Paving- By Saturday 12/12. 6. Traffic Signal Splice box- by Friday 12/11 7. Shell Fire Final- Re -inspection currently scheduled for Wednesday 12/10. ('Site work is subject to delay based on the weather) Micah Bycel Metrovation (415) 828-0614 micah metrovation.com L.H.VOSS MATERIALS, INC 2445 VISTA DEL MONTE CONCORD, CA 94520 PH# (510) 676-7910 FAX (925) 676-7976 Sample # 7 Submittal Requirement CONTRACTOR NAME: �4 le*13 4 5 JOB LOCATION: 2® 8 D "s'&9 % c- 7 00e c Contra Costa C3 and Bay Area Stormwater'Management Agency Association BASMAA Clean Water Program This Compliance Sheet will be furnished With Each Transfer Truck Load, per section 6-1.07, Of the Standard Specification. Product: "LENNOX BLEND" Biotreatment Soil Mix for Bioretention Facilities. L.H. Voss Materials "Lennox Blend" Biotreatment Soil Mix meets and or exceeds the requirement of Contra Costa County Stormwater C3 Guidebook Appendix B, Dated November 28, 2011 and the Bay Area Stormwater Agencies Association Appendix 2 Attachment L per Requirement (B). This biotreatment soil mix is put together by Front Loaders and mixed to a homogenous consistency. Nyoka Corley (510) 773-7063 Rob Hawkins (510) 813-8241 Butch Voss (510) 813- 9100 L.H.VOSS MATERIALS, INC 2445 VISTA DEL MONTE CONCORD, CA 94520 PH# (510) 676-7910 FAX (925) 676-7976 Sample # 7 Submittal Requirement CONTRACTOR NAME: 5 4 leOV5 JOB LOCATION: ®� V .� ., � C � � . Contra Costa C3 and Bay Area Stormwater Management Agency Association BASMAA Clean Water Program This Compliance Sheet will be furnished With Each Transfer Truck Load, per section 6-1.07, Of the Standard Specification. Product: "LENNOX BLEND" Biotreatment Soil Mix for Bioretention Facilities. L.H. Voss Materials "Lennox Blend" Biotreatment Soil Mix meets and or exceeds the requirement of Contra Costa County Stormwater C3 Guidebook Appendix B, Dated November 28, 2011 and the Bay Area Stormwater Agencies Association Appendix 2 Attachment L per Requirement (B). This biotreatment soil mix is put together by Front Loaders and mixed to a homogenous consistency. Nyoka Corley (510) 773-7063 Rob Hawkins (510) 813-8241 Butch Voss (510) 813- 9100 !.' f J.M. STITT CONSTRUCTION, INC. Project: 2000 Bascom Campbell. Ca. 3165 PALISADES DRIVE CORONA, CALIFORNIA 92880 (951) 271-3440 FAX (951) 271-3458 LIC #696272 Request for Information Form Store#: N/A Date: 11-18-15 Time:8:30am Send to: Surround Architecture, Inc. Attn: Mark VanderZanden Phone # 503-244-6484 Fax # 503-244-6485 email mark(cDsurroundinc.com greggsurroundinc.com CC micahnaanetrovation.com schlemmr@aol.com Hand delivered Faxed Uu E-Mailed From: Of: Phone # Fax # Cell# CPM: Specification section(s): Reference Drawing # N/A Joe Schlemmer J.M. Stitt Cons- 951-271-3440 951-271-3458 909-717-1015 APM: To: Architect from Project Manager — State problem/Information Requested: From; Architect to Contractor - Response RFI# 19 Inc. Question;1) Syid of the City of Campbell Public Works Dept. has asked us to get verification from the Civil engineer that details 1,2 &3 on sheet C3.2 are showing what is required. The elevations for Rim to Invert at the grated inlets are averaging 1.85' difference in height. As little as 1.73 and as much as 2.11. Please verify this is correct and explain detail showing pipe in bottom of 4.5' deep trench in conflict with engineered elevations of 2) What is the "Soil Media per C3 req." Shown at a depth of 1.5 feet? Need clarification. This is on the 1, 2 & 3 details on sheet C3.1. Response: 1. The storm drain lines (identified as 'SD' on C4.1) connect the storm drain basins via engineered slopes through the entire site. The storm drain basins are designed with various rim and invert elevations to accommodate these piping slopes and the final grades of the bioswales. The perforated drain lines (identified as'perf' on C4.1) extend from storm drain lines or basins into the drainage rock sections of the bioswales. These perforated drain lines may be laid at zero slope in the drainage rock at a minimum of 3" above the bottom of the r drainage rock section (but likely considerably higher) per details 1, 2, & 3 on C3.2. 2. See note 11 on L2.1 for soil media specification. Sketch attached Sketch to follow Plan revision to follow Signed by: (Architect): Greg Flinders Date/Time:_ 11/18/2015 a.m./p.m. CPM Approval for changes in the scope of work: [F-� Proceed with Project Manager's direction [FJ Do not proceed with architects direction [❑] Proceed as instructed Signed by CPM: Date: 1 VL Y t u n coz rcJ�r� SAN JOSE PLANT GILROY PLANT 707354 0 1404 SOUTH 7TH STREET 25 BUENA VISTA WARNING SAN JOSE, CA 95112' GILROY, CA ACCOUNTING OFFICE: (408) 947-0669 (408) 848-1560 IRRITATION TO THE SKIN AND EYES QUALITY CONCRETE FAX: (408) 947-0434 Contains Portland Cement. Wear Rubber Boots and Gloves. PROLONGED CONTACT MAY CAUSE BURNS. Avoid contact with. Eyes and Prolonged Contact With Skin. In Case of DISPATCH: (408) 947-0159 Contact With Skin or Eyes, Flush Thoroughly With Water. If Irritation Persists, Get Medical Attention. KEEP CHILDREN AWAY. FAX: (408) 947-0193 SOLD TO: SHIP TO: Pc{ 11; t'f l .l l}tJ'_I i t l'i,; e; t;,- a$ tp -:,lal Y' t ;E 4'I{',j wt.,. A I"JI-J .t Ix,,:� .f /. (..:i,':1:'t"Fdt1r`t' {.:f-�--,.P•_.J•..rt-i {+,�.�i{•'. l,tlt'3{•.}i{'..{,I. "Fir4E TIME FORMULA LOAD SIZE YARDS ORDERED USE I'd IDRIVER%TRUCK MAPCOORDINATE PLANT TRANSACTION# t•) o G::l'i . 4t".f} "_0 f h37I(E r [ 401 ?a , DATE CHARGE C.O.D. LOAD # YARDS DEL. It BATCH # WATERTRIM SLUMP TICKET NUMBER PROPERTY DAMAGE RELEASE (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) WEIGHMASTER CERTIFICATE Excessive Water is Detrimental to Concrete Performance Dear Customer-Thedriverofthis truck is presentinglhis RELEASEtoyouforyoursignature is of the opinion that the size and weight of his truck may possibly cause damage to the prardws and/or adjacent property THIS IS TO CERTIFY that the following described com- 11,111 Added B Re uest/Authorized B Y Q i If he places the material in this load where you desire it. It is our viah!,tp help you in every way that we can, but in order to do this the driver is requesting that you sign this RELEASE relieving his zmILhis supplier from modify Was weighed, measured, Or counted by a any responsibility from any damage that may occur to the premissetl and/or adjacent property, buildings, weighmaster, whose signature is on this certificate, who GAL sidewalks, drive -ways, curbs• etc., by the delivery of this material, and that you also agree to help him remove mud from the wheels of his vehicle so that he will not litter the public street. Further, as additional is a recognized authority of accuracy, as prescribed by CONCRETE is a PERISHABLE COMMODITY and BECOMES the PROPERTY of the PUR- conslderation, the undersigned agrees to indemnity and hold harmless the driver of this truck and this supplier for any and all damage to the,premisa and/or adjacent property which may he claimed by anyone to have Chapter 7 (Commencing with section 12700) of Division CHASER WHEN TRUCK IS LOAD EO. ANY CHANGES or CANCELLATIONS of ORIGINAL arisen out of delivery of this o(der.Jurisdlcuon and Venue.Seiler and Buyer agree. that exclusivejurlsdlction and 5 of California Business arldt Professions Code, adminiS- INSTRUCTIONS MUST be TELEPHONED to the OFFICE BEFORE LOADING STARTS. venue arising out of and related irvthe subject matter of this credit application and any sale of goods from Seller to Buyer shall lie in The Superior Court of the State of California,County of Santa Clara. Y P ry feted by the Division of Measurement Standards Of the 1 The undersigned g promises. to pay all costs, including reasonable attorneys' tees, Incurred in Collecting any Sums owed. SIGNED California Department Of Food and Agriculture. All coo-s not paid at time of delivery will be charged a $50.00 Service Charge and bear interest at the rate of 10 % ,per annum. Not responsible for Reactive Aggregate or Color Duality. No Claims For Such Allowed r r r r WEIGHMASTER elip 11US"" r •r r• rr Unless Made at Time Material is Delivered. r r • ° `` _ t.' i�,. { {•-J I 1 ={ - i ( ( A 550.00 Service Charge and Loss of Cash Discount will he Collected on all Returned LOAD RECEIVED BY: ,(1„ "' Checks. , Delay Time Charged XExcess ® 51.50/per minute , QUANTITY CODE DESCRIPTION UNITPRICE EXTENDED PRICE f' 4; t af`I{iw .i YV)- W I, 141141tt•l t'Ni'.I V 11R[i{' i-:i:; t" i'.11ra.11'11.?1'{{'{�:..{ I j t{. {::: �'[` ;y a i `THERE WAS NO CONCRETE OR CEMENTITIOUS MATERIAL LEFT IN STREET OR STORM DRAIN BY STAR CONCRETE X RETURNED TO PLANT LEFT JOB FINISH UNLOADING DELAY EXPLANATION/CYLINDER TEST TIME ALLOWED qq 1. JOB NOT READY 6. TRUCK BROKE DOWN 2. SLOW POUR OR PUMP 7. ACCIDENT 3. TRUCK AHEAD ON JOB B. CITATION To , Total. LEFT PLANT ARRIVEDJOB STARTUNLOADING 4. CONTRACTOR BROKE DOWN 9. OTHER TIME DUE 5. ADDED WATER ADDITIONAL CHARGE 1 TOTALROUNDTRIP TOTALATJOB UNLOADTIME DELAY TIME ADDITIONAL CHARGE 2 CUSTOMER COPY SUGGESTIONS FOR PLACING CONCRETE SLAB TO MINIMIZE RANDOM CRACKING WHAT YOU DO WHY YOU DO IT STEP 1. Level and compact sub grade, place 4" of STEP,. The sand provides a cushion for the concrete damp sand and grade so concrete and good drainage. poured is a consistent depth. STEPS. Separate your new concrete from all STEP2. The felt separates your new concrete from existing concrete with. 1/2" felt. Felt must existing, so it may shrink, expand, move up match the depth of your new slab. or down without a detrimental affect. STEP 3. Screen off your concrete. STEP 3. Make sure there are no low spots. STEP 4. Roller bug your concrete. STEP4. Once over the surface, it helps vibrate, con- solidate and give you a better finish. STEP5. Float concrete with wood bull float only. STEP5. Wood keeps the surface open and allows the concrete to bleed preventing water entrapment and discoloration and/or plastic cracking. STEP 6. Cut control joints perpendicular from edge STEP 6. These joints should allow the concrete to crack 1/4 the depth of the slab, using appropriate in the joint taking the path of least resistance. spacing. 4" slab would be 8'x8'. STEP 7. Allow all bleed water to evaporate from the STEP % If you do not wait for all bleed water to surface, then you can fini.sh the concrete evaporate, you end up troweling your bleed with metal trowels. water back into the surface, dramatically changing your water/cement ratio, on the surface, causing a weaker surface. STEP 8. When surface is finished, spray with a concrete STEP 8. This protects the concrete from wind, heat cure, if the concrete is colored you must use a and allows your slab to clue on its own cure formulated for colored concrete. giving you a much better finished product. STEP 9. Never add water or dry cement to the STEP 9. These two things also change water/cement surface of your slab. ratio on the surface and can. ruin your slab. Interim Observation and Testing Letter 2000 S. Bascom Avenue Santa Clara County, California October 1, 2015 Project No. 14-132-SCL Page 2 FIELDSUMMARY OF DENSITY CMAG ENGINEERING, INC. P.O. BOX 640, APTOS, CALIFORNIA 95001 PHONE: 831.475.1411 WWW.CMAGENGINEERING.COM October 1, 2015 Project No. 14-132-SCL Metrovation, LLC 580 2nd Street, Suite 260 Oakland, California 94607 Attn: Micah Bycel SUBJECT: 'INTERIM OBSERVATION AND TESTING LETTER Proposed Restaurant 2000 S. Bascom Avenue, Campbell, Santa Clara County, California APN 288-08-078 REFERENCE: CMAG Engineering, Inc. (November 4, 2014). Geotechnical Investigation, Proposed Restaurant, 2000 S. Bascom Avenue, Campbell, Santa Clara County, California, APN 288-08-078. Project No. 14-132-SCL. Dear Mr. Bycel: This letter presents the results of our observation and testing for the aggregate base course for the curb, gutter, and driveway approach adjacent to East Campbell Avenue. We observed the subgrade beneath the curb, gutter, and approach on September 29, 2015. The subgrade probed firm. Our firm tested the relative compaction of the finished aggregate base course on October 1, 2015. Class 2 baserock was used as the aggregate base course material. The following test methods were adopted: ASTM D-1557, Standard Test Methods for Laboratory Compaction Characteristics of Soil Using Modified Effort. ASTM D-6938, Standard Test Methods for In -Place Density and Water Content of Soil and Soil -Aggregate by Nuclear Methods (Shallow Depth). The results of the tests are presented in Table 1 and Table 2. Interim Observation and Testing Letter 2000 S. Bascom Avenue Santa Clara County, California October 1, 2015 Project No. 14-132-SCL Page 2 The results of our tests indicate that the aggregate base course achieved a minimum relative compaction of 95 percent. Our verification applies to conditions in the subject areas observed and tested by us, as on the date of our final visit.'We are not responsible for any changes in conditions which may occur after that date and outside our purview. Our firm is not responsible for work not observed by us. Our firm is not responsible for line and grade. Our work is considered to be in accordance with the usual standards of the profession and with local practice. No other warranty is expressed or implied. It is a pleasure being associated with you on this project. If you have any questions or if we may be of further assistance please do not hesitate to contact our office. Sincerely, CI IAG ENGINEERING, INC. `z M T �=� OF CA Adrian L. Garner, PE, GE Principal Engineer C 66087, GE 2814 Expires 6/30/16 Attachments: 1. Table 1 Laboratory Compaction Curve Results 2. Table 2 Summary of Field Density Test Results Distribution: Addressee (Electronic Copy) Marc Freedman (Electronic Copy) Interim Observation and Testing Letter October 1, 2015 2000 S. Bascom Avenue Project No. 14-132-SCL Santa Clara County, California Page 1 TABLE 1 LABORATORY COMPACTION CURVE RESULTS ASTM D1557 CURVE SOURCE AND SOIL DESCRIPTION MAXIMUM DRY OPTIMUM MOISTURE NUMBER DENSITY (pco CONTENT (%) 5 Stevens Creek Class 2 Baserock 143.0 7.8 ADy MD�D CONC , aETF SAN JOSE PLANT GILROY PLANT t 7 d 5 p 1404 SOUTH 7TH STREET 25 BUENA VISTA SAN JOSE, CA 95112 GILROY, CA W RNING ACCOUNTING OFFICE: (408) 947-0669 (408) 848-1560 IRRITATION T�THE' SKIN AND EYES QUALITY CONCRETE FAX: (408) 947-0434 Contains Portland Cement, Wear Rubber Boots and Gfoves. PROLONGED CONTACT MAY CAUSE BURNS. Avoid Contact with Eyes and Prolonged Contact With Skin. In Case of DISPATCH: (408) 947-0159 Contact With Skin or Eyes, Flush Thoroughly With Water. If Irritation Persists, Get Medical Attention_. KEEP CHILDREN AWAY. FAX: (408) 947-0193 S0LDITO.,g (=i1 1.rli tA,_i 1.,tz r ,,I. (-!,0_ L'i&A3 . SHIP TO: - q dE-e3tr,�R. . g 1!] d. �..}!�tt)fti.)t(/('j} ,Jj y$ p}{"-.. y�d--3ip i ��}} ,1 ii,,C t-, cz. .�-Illi S.19..-r-�. ,.1 �4.'. f a�.l � .lFj C�'w' .X. b. &'�. RS .. L. i t�',7�rF tM! .•3'7 �L'0M A Y+L�- 1 •.i':! Fij'`.k ;.,; r, ..<3.. S"?i-{S`� .,JtY L`;'i#..'. �,t1 !�f•.,-r, L,+;T .:, # 1.kdr.tf'llCIT f'? ?i','1ttZ ,ll.'Y. ;1, VI 3 .:'� ti+•a:�; + :l'�fvf-�`t�l!•.�' r•�.t;t..a � ::t t;�.r ' TIME FORMULA LOAD SIZE YgARDSORDERED USE DRIVER/TRUCK COORDINATE PLANT TRANSACTION# 0 .i , II.r+.X rMAP +> DATE- ,i ,# CHARGE C.O.D. LOAD# 'YARDS DEL. 8, BATCH# WATER TRIM"" "i SLUMP TICRETNLIMBER PROPERTY DAMAGE RELEASE (To BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) WEIGHMASTER CERTIFICATE Excessive Water is Detrimental to Concrete Performance Dear Customer- The driver of this truck is ..... gti,,,this: RELEASE to you for your signature is of the opinion that the size and eight of tits truck may possibly cause damage to the premises and/or adjacent property THIS IS TO CERTIFY that the following described com- H 0 Added B Re uest/Authorized B 2 y 4 Y If he places the material In this load where you desire it. II is our wish to help you in every way that vre can. but in order to do ihisdhe driver is requesting that you sign this. RELEASE relieving his and his supplier from modity Was Weighed, measured„Or Counted by a any respponsihility from any damage that may occur to the premises and/or adjacent property, buildi,,ge, weigh master; whose signature is on this certificate, Who GAL sidewalks, drive-vrays, torus, etc., by the delivery of this material, antl thaI you also agree to help him remove mud from the. wheels of his vehicle so that he will not litter the public street. Further, as additional Is a recognized authority Of accuracy, as prescribed b 9 y Y P y ' CONCRETE is a PERISHABLE COMMODITY and BECOMES. the PROPERTY of the PUR- consideration, the undersigned agrees to Indemnity .and hold harmless the driver of this frock and thlssuppller for any and all damage to the premises an adjacent property which may be claimed by anyone to have Chapter? (commencing with section 12700) of Division CHASER WHEN TRUCK IS LOADED. ANY CHANGES or CANCELLATIONS of ORIGINAL arisen out of delivery of this order.JurisdictlonendaVenue,SellerandBuyeragreethat exclusive junedictionand 5 of California Business and Professions Code, adminls- INSTRUCTIONS MUST be TELEPHONED to the OFFICE BEFORE LOADING STARTS. ve no a arising out of and related to the subject matter of this credit application and any sale of goods from Sellerto Buyer shall lie In the Superior Court of the State of California, County of Santa Clara. - taped b the Division of Measurement Standards of the y The undersigned promises to pay all costs, including reasonable attorneys' fees',, incurred in collecting any sums owed. SIGNED x California Department_Of Food and Agriculture. _ All COD-s not paid at time of delivery will be charged a S50.00 Service Charge and,bear ' Interest at the rate of 10% per -antrum. Not responsible for Reactive Aggregate or Color Quality. No Claims For Such Allowed Unless Made at Time Material Is Delivered. 1 r • 1 WEIGHMASTER"t +J • 1 +�_t"� (. 1 1 A $50.00 Service Charge and Loss -of Cash Discount will be Collected on all Returned LOAD RECEIVED BY: Checks. Excess Delay Time Charged $1.50/Der X ® minute I t10UANTITYbid 1,{{a COD Y={:1 '=, DESCRIPT(ON'�� `/;,; ;s t+. tx�{, p- 'j,ij = UNITPRICE EXTENDED PRICE F�Ii 1V f IN, iF;1-7 E k`t'#t:' T FtQi10'1FM` (4I._. FE= s �4 `THERE WAS NO CONCRETE OR CEMENTITIOUS MATERIAL LEFT IN STREET OR STORM DRAIN BY STAR CONCRETE X RETURNED TO PLANT LEFTJOB FINISH UNLOADING DELAY EXPLANATION/CYLINDERTEST TIMEALLOWED 1 . JOB NOT READY 6. TRUCK BROKE DOWN rr _ 2.. SLOW POUR. OR PUMP 7. ACCIDENT 3. TRUCK AHEAD ON JOB 8. CITATION LEFTPLINT ARRIV DJOB STARTUNLOADING 4•CONTRACTOR BROKE DOWN 9.OTHER TIME DUE 5. ADDED WATER I` C 1 ADDITIONAL CHARGE 7 � . 13 TOTAL ROUND TRIP TOTALATJOB UNLOADTIME DELAY TIME ADDITIONAL CHARGE 2 • + I I 1 CUSTOMER COPY WIAT YOU LSO WHY YOU DO IT STEP 1. Level and compact sub grade, place 4" of STEP 1. The sand provides a cushion for the concrete damp sand and grade so concrete and good drainage. poured is a consistent depth. STEP2. Separate your new concrete from all. STEP2. The felt separates your new concrete from existing concrete with. 1/2" felt. Felt must existing, so it may shrink, expand, move up match the depth of your new slab. or down without a detrimental affect. STEP3. ,Screen off your concrete. STEP3. Make sure there are no low spots. ST[EP4. Roller bug your concrete. STEP4. Once over the surface, it helps vibrate, con- solidate and give you a better finish. STEP 5. Float concrete with wood bull float only. STEP 5. Wood keeps the surface open and allows the concrete to bleed preventing water entrapment and discoloration and/or plastic cracking. STEP 6. Cut control. j oints perpendicular from edge STEP 6. These joints should allow the concrete to crack 1/4 the depth of the slab, using appropriate in the joint taking the path of least resistance. spacing. 4" slab would be 8'x8'. STEP". Allow all bleed water to evaporate from the STEP If you do not wait for all bleed water to surface, then you can. finish. the concrete evaporate, you end up troweling your bleed with metal trowels. water back into the surface, dramatically changing your water/cement ratio, on the surface, causing a weaker surface. STEP s. When. surface is finished, spray with a concrete STEP 8. This protects the concrete from wind, heat cure, if the concrete is colored you must use a and. allows your slab to cure on its own cure formulated for colored concrete, giving you a much better finished product. STEP 9. Dever add water or dry cement to the STEP 9. These two things also change water/cement surface of your slab. ratio on the surface and can ruin your slab. P. CMAG ENGINEERING, INC. P.O. BOX 640, APTOS, CALIFORNIA 95001 PH0INE: 801.475.1411 WWW.CMAGENGINEERING.COM June 29, 2015 Project -No. 14-132-SCL Metrovation, LLC 580 2"d Street, Suite 260 Oakland, California 94607 Attn: Micah Bycel SUBJECT: INTERIM OBSERVATION AND TESTING LETTER Proposed Restaurant 2000 S. Bascom Avenue,, Campbell, Santa Clara County, California APN 288-08-078 REFERENCE: CMAG Engineering, Inc. (November 4, 2014). Geotechnical Investigation, Proposed Restaurant, 2000 S. Bascom Avenue, Campbell, Santa Clara County, California, APN 288-08-078. Project No. 14-132-SCL. Dear Mr. Bycel: This letter presents the results of our observation and testing for aggregate base course for the curb, gutter, sidewalk, and driveway approach. Our firm tested the relative compaction of the finished aggregate base course on June 29, 2015. Class 2 Recycled baserock was used as the aggregate base course material. Our firm did not observe or test the subgrude heneath thin c,lrh, m iffmr, SiddM::101k, and drive::iay approach. The following test methods were adopted: ASTM D-1557, Standard Test Methods for Laboratory Compaction Characteristics of Soil Using Modified Effort. ASTM D-6938, Standard Test Methods for In -Place Density and Water Content of Soil and Soil -Aggregate by Nuclear Methods (Shallow Depth). The results of the tests are presented in Table 1 and Table 2. FAI Interim Observation and Testing Letter 2000 S. Bascom Avenue Santa Clara County, California June 29, 2015 Project No. 14-132-SCL Page 2 The results of our tests indicate that the aggregate base course achieved a minimum relative compaction of 95 percent. Our firm makes no warranty, expressed or implied to the suitability of the subgrade beneath the aggregate base course for the curb, gutter, sidewalk, and driveway approach. Our verification applies to conditions in the subject areas observed and tested by us, as on the date of our final visit. We are not responsible for any changes in conditions which may occur after that date and outside our purview. Our firm is not responsible for work not observed by us. Our firm is not responsible for line and grade. Our work is considered to be in accordance with the usual standards of the profession and with local practice. No other warranty is expressed or implied. It is a pleasure being associated with you on this project. If you have any questions or if we may be of further assistance please do not hesitate to contact our office. Sincerely, CIVIAG ENGINEERING, INC. Adrian L. Garner, PE, GE Principal Engineer C 66087, GE 2814 Expires 6/30/16 Attachments: 1. Table 1 Laboratory Compaction Curve Results 2. Table 2 Summary of Field Density Test Results Distribution: Addressee (Electronic Copy) Marc Freedman (Electronic Copy) R ° Interim Observation and Testing Letter 2000 S. Bascom Avenue Santa Clara County, California June 29, 2015 Project No. 14-132-SCL Page 1 TABLE 1 LABORATORY COMPACTION CURVE RESULTS ASTM D1557 CU6;/E SOURCE AND SOIL DESCRIPTION MAXIMUM DRY OPTIMUM MOISTURE NUMBER DENSITY (pcf) CONTENT (%) 4 Stevens Creek Class 2 Recycled Baserock 125.6 10.1 Interim Observation and Testing Letter 2000 S. Bascom Avenue Santa Clara County, California June 29, 2015 Project No. 14-132-SCL Page 2 T ABLE 2 SUMMARY OF FIELD DENSITY TEST RESULTS TEST NUMBERDATE LOCATION LIFT IMOISTUR4DRY CONTENT (%) DENSITY (pcf I RELATIVE COMPACTION (%) CURVE NUMBER RETEST NUMBER 36 6/29/2015 Sidewalk - North FAB 4.6 124.7 99.3 4 37 6/29/2015 Sidewalk - Center FAB 5.2 125.9 100.2 4 38 6/29/2015 Sidewalk - South FAB 4.5 123.0 97.9 4 39 6129/2015 Driveway Approach FAB 4.7 1 122.5 97.5 1 4 40 6/29/2015 Curb/ Gutter - South FAB 2.1 118.9 94.7 4 41 6/29/2015 Curb/ Gutter - North FAB 3.2 119.3 95.0 4 An YG 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 e. SWPP�P + NOI h. Geotech Letter ENCi _�` , CHMENT PERMIT ISSUANCE CHECE ' L City of Campbell Encroachment rermit No. ENC ?�Dj S — 000Z-9 Department of Public Works Tract No. Address: %Cl S • l�"1 ITEMS REQUIRED FOR PERMIT APPLICATION: 1. 1,"'- Encroachment Permit Application complete, with applicant signature and date (front and back) 2. ✓ Permit Application Fee paid $ 36S ,00 - Receipt Number & Date 25-?'�ag 2-1I't I t S 3. %/ Plan Check Deposit Paid (2% of Engineer's Estimate, $500 min) $ Z 1000,00 Receipt Number -2—Sr7 SO?) 4. L-'- Grading Plan Review Fee paid $ , O R 1, oO -Receipt Number & Date S. V City Engineer's Estimate Completed and Submitted 6. Four (4) Sets of Street Improvement Plans 7. CI -Four (4) Sets of Grading and Drainage Plans 8. Check Lists (Grading and Drainage, Street Improvement) Plan Check & Inspection Fee: Engineer's Estimate (EE) = $ ©O ; if EE is <$250,000, then fee is 14% of EE. If EE >_ $250,000 and < $500,000, fee is $35,000 + 8% of EE. If EL is >_ $500,Q00, ee is $55,000 + 7% of EE. Amount $ '-ZJ2s 00 Receipt No. & Date Z_S6 (p2S S 10. Security for Faithful Performance and Labor and Materials, 100% each of Engineer's Estimate, supplied or paid. Amount $ M%136D Form CX> Receipt No. & Date Security for Monumentation Amount Receipt No. & Date Construction Emergency Cash Deposit: 4% of Engineer's Estimate. ($500 minimu , $10,000 maximum) Amount $ S SZ . © O Receipt No. & Date 13. ✓ Other Public Works requirements listed in the Conditions of Approval of the development. a. l/ Storm Drainage Area Fee Amount $ S •Ofl Receipt No. & Date 25b(P25_ I l� b. Street Improvement Agreement signed and notarized (proof of ownership submitted) f C. t/ Right of Way Documents Completed and Fees Paid. d. Other Fees, Payments, Deposits For: Receipt No. & Date Le""0 Certification Amount $ g. Covenant Agreement Storm Water Management Plan ITEMS REQUIRED PRIOR TO ISSUANCE OF ENCROACHMENT PERMIT: 14. Contractor's signature added to the permit application (front and back) Other 15. Contractor's City of Campbell Business License # 16.y Worker's Compensation Insurance Information Sheet received from Contractor. 17. Certificate of Insurance with Additional Insured's Endorsement received from Applicant or Contractor. 18. One mylar set and six (6) or less sets of off -site plans signed by engineer, stamped APPROVED FOR CONSTRUCTION. 1 Contractor, Inspector r PW Superintendent (Service Center) CEP File l LD File _Signals & Lighting Supervisor (Service Center) 19. Permit signed by City Engineer. WHEN ALL OF THE ABOVE ITEMS ARE COMPLETE, PERMIT MAY BE ISSUED. Issuer: Initial and date and file with permit 20. INITIATE CHECK REQUEST FOR PLAN CHECK DEPOSIT REFUND J:\FORMS\Templates\Land Development\Street Improvements\Encroachment Permit Issuance Checklist.doc rev 5 13 14 CITY OF CAMPBELL ENCROACHMENT PERMIT Permit No GZO` S — 000z DEPT. OF PUBLIC WORKS (for working within the public X-Ref. File s " COO; 12 70 North First Street ri ht of-wa) Application Date Campbell, CA 95008 C Application Expiration tD�ate Ph. (408) 866-2150 Issued J APN ,•Z�� „ � G ,_�-•7 �j Fx. (408) 376-0958 .� l Permit Expiration Date Try APPLICATION - Application is hereby made for a Public Works Permit in accordance wit Campbell Municipal Code, Section 11.04. (Application expires in six (6) months if the permit is not issued. Application Fee is non-refundable.) A. Work Address or Tract No.: 2000 S. Bascom Avenue Utility Trench Location: B. Nature of work: Street Improvements for new building ........ ..... ... ..... .._.. _ ....... _......... - . _ _ 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. Notice must be given to Public Works at least 24 hours before restarting any work. Name of Applicant: �� f��p�. LL�_ Telephone �`)� ..-......p ....._._.. .. ..._....._. _...---_._.___..._.. ........_...----_' . .................. Address: p �"►� 4260 OALLCAVV (A 1 d E-Mail Address: + 24 HOUR EMERGENCY PHONE NUMBER: CkA Grrw vA� wv .c d m Is this work being done by the property owners at their own residence? rl YES �0 The Applicant/Permittee 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. Applicant is advised that pon issuance of this permit, property owner, or property owner's successors, shall be responsible for any and all damages arising out,gf the condiOof any private improvements in the public right-of-way. 7 Accepted: (ApplicarVPermittee) (sign) DAe (Contractor) (Print Name) Date SPECIAL PROVISIONS: 1. Street shall not be open cut for underground installations. Minimum cuts may 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 with the Standard Details Trench Restoration Method "A", unless otherwise approved by the Engineer. 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 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. 6. Public Notification Requirements: 7. SEE PUBLIC WORKS FEE SCHEDULE FOR CURRENT FEES AM U T RECEIPT NO. PERMIT APPLICATION FEE $ _ 5 -Lsl soej PLAN CHECK DEPOSIT $ poo, 00 . 2—S-1 '?.®Z SECURITY FOR FAITHFUL PERFORMANCE/LABOR & MATERIALS $ 14 �,P�o yo• " f c� CF_ CONSTRUCTION CASH DEPOSIT $ 15 j/► .cJZw�iJ S V5 PLAN CHECK & INSPECTION FEE $ 'lam SS3 2.0 DS Z EMERGENCY PERMIT FEE $ •, APPROVED FOR ISSUANCE 1 For City Engineer Date Permit Expires 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 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 or 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. Submit project schedule 10 (ten) days prior to proposed start of work. Special provisions may be required for work within City facilities and downtown Campbell. S. 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. 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 accordance with City Standards and Specifications at the sole expense of the Permittee. 10. Sawcut for all PCC or AC removals. All PCC removals shall be to the nearest scoremark and 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 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 maybe required, nor does it relieve the Permittee of any obligation to obtain any other permit required bylaw. 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 transferable. Work must be performed by the Permittee or his designated agent or contractor as specified thereon. 19. Call back.(call out) due to emeregencies 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 Urban Runoff Pollution Prevention Program. 21. If the 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 by the 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 all those providing services under the applicant are aware and understand all of the above conditions. Applicant �p Date: \ &CAJ K-n CQSG fib , �"CZT� � ONV Contractor (Print Name) Date: J:\FORMS\Templates\Encroachment Permits\Encroachment Permit STATIC form2.pdf Rev. 02/14 r PUBLIC WORKS DEPARTMENT LAND DEVELOPMENT Effective July 1, 2014 TO: City Clerk PUBLIC WORKS FILE NO. PROPERTYADDRESS Please collect & receipt for the following monies: ENC2015-00029 2000 S Bascom Avenue ACCT.:. ITEM LAND DEVELOPMENT AMOUNT 4722 Encroachment Permit Application ee Non -Utility Encroachment Permit Major >_$10,000 $385.00 Minor Encroachment Permit <$to,000 $220.00 Initial R-1 Permit N/C Subsequent R-1 Permits Wthin Two Year Period $220.00 Inspection Fee Minimum Charge per Location $385.00 Street Tree Planting/Removal N/C 2203 ($500 per Tree Planting Deposit Required) $500.00/tree 2203 Plan Check Deposit 2% of Engineer's Estimate $500.00 min Utility and R-1 Permits no deposit required 4722 Grading & Drainage Plan Review Single Family Lot $270.00 Site < 10,000 s.f. $810.00 Site >_ 10,000 s.f. < 0.5 Acre $1,081.00 Site > 0.5 Acre $1,621.00 4722 NPDES Review(C3 Requirements) For projects not required to submit numeric sizing $156.00 For projects required to submit numeric sizing Impervious Area 10,000 Sq. Ft to 1 Acre $676.00 Impervious Area 1 Acre or more $884.00 4722 For projects sent to Consultant for review Consultant Cost+20% Plan Check & Inspection Fee (NorrUtility) 4722 Engr. Est < $250,000 14% of Engineer's Estimate $20,832.00 2203 Engr. Est. >_$250,000 and <$500,000 $35,000 + 8% of Engineers Estimate 2203 Engr. Est. >_$500,000 $55,000 + 7% of Engineers Estimate 2203 Emergency Cash Deposit 4% of Engr. Est* ($500 minl$10,000 Max) $5,952.00 2203 Faithful Performance Security (FPS) 100% of ENGR. EST.* 2203 Labor and Materials Security 100% of ENGR. EST.* 4721 Storm Drainage Area Fee Per Acre R-1 $2,120.00 (Multi -Res $2,385.00) (All Other $2,650.00) $795.00 4722 Parcel Map (4 Lots or Less) $3,850.00 + $83/lot 4722 Final Tract Map (5 or More Lots) $4,681.00 + $114/lot 2203 Monumentation Security (Refundable Deposit) 100% of Citys Monumentation Estimate 4920 Parkland Dedication Fee (75% / 25%* Due Upon Cert. of Occupancy) 4722 Lot Line Adjustment (Includes Certificate of Corrpliance) $1,820.00 4722 Vacation of Public Streets & Easements $2,434.00 4722 Certificate of Compliance $1,800.00 4722 Certificate of Correction $540.00 4722 Appeal Filing Fee $200.00 4722 Notary Fee (per signature) $10.00 4722 Assessment Segregation or Reapportionment First Split $860.00 Each Additional Lot $270.00 511.74241 Postage M18CELLAN NAME OF APPLICANT MV CAMPBELL LLC TOTAL $27,579.00 NAME OF PAYOR MICAH BYCEL / ME T ROVA T ION PHONE (4 15) 828-06 14 ADDRESS 580 2ND ST, #260, OAKLAND, CA 7JP 94607 FOR RECEIVE BY `t,G f.F CITY CLERK ONLY Date `� Receipt; Date/ Initials ( i INSURANCE REQUIREMENTS CHECKLIST Permit# �`"� CIPProject # Consultant/Contractor: \ r ��'f r>���`�' ( R),eye\o�(�e� The following insurance. is required of all consultants/contractors working in the City of Campbell public right-of-way. Insurance certificates must be accepted by City staff before work can begin. These insurance requirements apply to work being performed under an Encroachment Permit and work being performed under contract for Capital Improvement Projects. Limits Commercial General. Liability for bodily, personal injury and property damage: $1,000,000 per occurrence, and ❑ $1,000,000 general aggregate limit applying separately to the project, or -/3" $2,000,000 general aggregat limit. i„ Policy expiration date (�P Automotive Liability: V;,reA- %Ap�\- o "Any Auto" checked on certificate i- $1,000,000 per accident for bodily injury and property damage Policy expiration date 3 ao 10 _ workers' Compensation and Employer's Liability ( (So�,,aiver of Subrogation clause �- $1,000,000 per accident for bodily injury or disease Policy expiration date 3 I?Olt (D Course. of Construction (if required in Special Provisions) ❑ Completed value of the project ❑ Policy expiration date Reauired Endorsements to General Liability and Automobile Liability Policies Additional Insured Endorsement: The City, its officers, employees and volunteers are named as additional insured. (Reference Project Location/Permit Number) ❑ The insurance coverage afforded to the Additional Insured is primary insurance.. Cancellation area: ❑' Cancellation area of certificate edited to delete "endeavor to" and "but failure to mail such notice shall impose no obligation or liabilitv of anv kind upon the companv, its agents or representatives". OR should say: Should any of the above described policies be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy provisions. ❑ Workers' Compensation Insurance Sheet Submitted ❑ For General Contractor Q ❑ For Developer or Owner J:\FORMS\Templates\Insurance Requirements\Insurance Requirements Cklist.doc (Rev 0214) Page 1 Acceptability of Insurer(s) ❑ Insurer(s) has current A.M. Best Rating of A:VII and is authorized to transact business in the State of California. Name: NAIC # Rating: VW Authorized in CA: Name: NAIC# 1LS35Rating: XA-11 Authorized in CA: Name: NAIC # Rating: Authorized in CA: _ Name: Da, NAIC #3% Nating: ^N� i4\1 Authorized in CA: ❑ Campbell Business License # f e\o ( � ❑ Contractors License # Insurance Certificate Reviewed Expiration: Class: Expiration: Initials Date ❑ Copy of Insurance Certificate placed in tickler file one month prior to expiration. J:-\FORMS\Templates\Insurance Requirements\Insurance Requirements Cklist.doc (Rev 08 14) ° Page 2 METRLLC-01 ZAKKA1 ACOR® 4*�- CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 5/13/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License # OH81923 G2 Insurance Services, LLC 140 New Montgomery, 21st Floor San Francisco, CA 94105 CONTACT NAME: 11ONNo EAI: (415) 426-6600 alc No ; (415) 426-6601 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Atain Specialty Insurance Company 17159 INSURED INSURER B;Zurich American Insurance Company (UVIS) 16535 MV Campbell, LLC INSURER C:Oak River Insurance Company 34630 INSURER D : 580 Second Street, Suite 260 INSURER E : Oakland, CA 94607 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE OCCUR CIP248309 05/07/2015 05/07/2016 pREM SESOEs ocRENED curs nce $ 100,000 X Owners' Protective MED EXP (Any one person) S 5,000 X Liability PERSONAL & ADV INJURY S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY FX] jE O LOC PRODUCTS - COMP/OP AGG $ Excluded $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ B ANY AUTO CP0574669002 03/20/2015 03/20/2016 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X X NON -OWNED HIREDAUTOS AUTOS PROPERTY l DAMAGE Peracciden S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) NIA MEWC602288 03/20/2015 03/20/2016 X I PER OTH- STATUTE ER E.L. EACH ACCIDENT S 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: 2000 Bascom Avenue, Campbell, CA / BLD2015-00163 City of Campbell, its officers, employees and volunteers are named as additional insureds with respects to the General Liability, where required in contract. Insurance is primary and non-contributory. CERTIFICATE HOLDER CANCELLATION City of Campbell 70 N. 1 st Street Campbell, CA 95008 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE P-y- ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: CIP248309, COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Locations Of Covered Operations City of Campbell, its officers, employees and volunteers All work in public right-of-way 2000 Bascom Avenue, Campbell, CA (BLD2015-00163) Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, .the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor. engaged in performing operations for a principal as a part of the same project. CG 20 10 04 13 ' © Insurance Services Office, Inc., 2012 Page 1 of 2 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of . Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 04 13 WORKERS' COMPENSATION INSURANCE INFORMATION The following worker's compensation insurance information is required for all Applicants and Contractors. One of the following items for each Applicant and Contractor must be submitted prior to working under a Public Works permit or contract. WORKERS' COMPENSATION INFORMATION: Name of Contractor/Applicant ❑ A Certificate of Consent to Self -Insure issued by the Director of Industrial Relations: OR ❑ A Certificate of Workers' Compensation Insurance Insurance Co. Policy No. Expiration Date :OR ❑ A signed Certificate of Exemption from the Workers' Compensation laws as printed below. CERTIFICATE OF EXEMPTION I certify that in the performance of the work for this contract, I shall not employ any person in a manner so as to be co Date S ubject to the Workers' Compensation Laws of California. Signed 4 G� //a' /5— Title 'IIr*cT /14A -4 66-& NOTICE TO APPLICANT/CONTRACTOR: If after signing this Certificate of Exemption, you should become subject to the Workers' Compensation provision of the Labor Code, you must forthwith comply with such provisions or the permit or Contract will be cancelled or revoked. Macintosh HD:Users:micahbycel:Library:Containers:it.bloop.airmail2:Data: Library:Application Support:Airmail:General:Tmp:Workers Comp Waiver.doc (Rev 9/11) p TO BE RECORDED WITHOUT FEE SECTION 6103 GOVERNMENT CODE AT Tf'E REQUEST OF CITY OF CAMPBELL Recording Requested by CITY OF CAMPBELL When Recorded Mail To: S86G�IYs. I6I��I11111IIIWIII�fI�IT1IA I,,.j es �—AMT PAID City Clerk MAY 2 2 20G 1 NA ALCOMENDRAS Cityof Campbell CLARA COUNTY RECORDER P 0ITY CLERK'S ®orded at the request of 70 North First Street Campbell, CA 95008 County Agency l Pages 4 No F ees RDE # 025 4/20/2015 1:36 PM APN: 288-08-078, 288-08-054 (Space Above This Line For Recorder's Use) ADDRESS: 2000 S. Bascom Avenue, Campbell, CA 95008 No Consideration Given GRANT DEED FOR PUBLIC STREET PURPOSES LYNNE PICKERING AND TAMI ANTHONY, CO -TRUSTEES OF THE O. T. MARTIN TESTAMENTARY TRUST CREATED BY DECREE OF. DISTRIBUTION RECORDED JULY 23, 1970, IN BOOK 8997, PAGE 273, AND BY JUDGMENT CONFIRMING EXERCISE OF POWER OF APPOINTMENT BY EMMA A. MARTIN, CONTINUING O. T. MARTIN TRUST AND APPOINTING CO -TRUSTEES, RECORDED APRIL 21, 1987, INSTRUMENT NO. 9238988, AND BY ORDER APPOINTING CO -TRUSTEE, RECORDED APRIL 17, 1991, AS INSTRUMENT NO. 10868223, hereby GRANTS in fee to the City of Campbell, a municipal corporation, of the County of Santa Clara, State of California, for public street and related purposes, all of that certain real property within said City and more particularly described as follows: SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF. Said property contains 1.310 square feet, more or less, and is generally shown on the attached Plat Map. Dated: 3) S f l 5 O.T. MARTIN TESTAMENTARY TRUST � �zc 6-101-add Tami Anthony, Co-T ustee { I Ly e Pickering, Co -Tx stee Y .. = 111 �'7'. A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. ACKNOWLEDGMENT ■ ■ ■ ■ ■ ■-■ ■ ■ ■-■ ■ ■-■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ r■ ■ ■ ■ ■ IN ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■-■ ■ ■r■`I State of California County of Santa Clara} ss. On ux ckk 201T- before me, RINKOO R. NAT, Notary Public, personally appeared '�ayMk �E b-AM£? 'ICk-eY►yA , who pro to, me on the basis of satisf"actory evic-Mnce to be the persor�) whose name i re ubscribed to the within ' rument and acknowledged to me that he/sh th executed the same in his/he t heirauthorized capacity(ies), and that by his/her heir signatures(s) on the instrumeperson(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. ji p, EpO 'hf RINKOO R. NAT a NOTARY PUBLIC - CALIFORNIA do COMMISSION # 2004168 a SANTA CLARA COUNTY C9liF FNP My Comm. Exp. February 13, 2017 > (Seal) OPTIONAL INFORMATION Date of Document Type or Title of Document Number of Pages in Document Document in a Foreign Language Thumbprint of Signer Type of Satisfactory Evidence: Personally Known with Paper Identification Paper Identification Credible Witness(es) Check here if Capacity of Signer: no thumbprint Trustee or fingerprint Power of Attorney is available. CEO/CFO/COO President / Vice -President / Secretary / Treasurer Other: Other Informati 2Ci GS Allstate ILOiciri P`et:i:irciit'Jfl. Inc. - (:;i j CiJ:s-i3'-SJ6 - V'J41�4:':BIiS�3lEi1D3?'V.CC7T;"!- EXHIBIT "A" Legal Description for Street Dedication Lynne Pickering and Tam! Anthony Co -trustees of the O.T. Martin Testamentary Trust 2000 S Bascom Avenue, Campbell, Ca Situate in the City of Campbell, County of Santa Clara, State of California. Being a portion of the lands of Lynne Pickering and Tami Anthony, Co -Trustees of the 0. T. Martin Testamentary Trust created by Decree of Distribution recorded July 23,1970, in Book 8997, Page 273, and by Judgment Confirming Exercise of Power of Appointment by Emma A. Martin, continuing 0. T. Martin Trust and appointing Co -Trustees, recorded April 21,1987, Instrument No. 9238988, and by Order Appointing Co -Trustee, recorded April 17, 1991, as Instrument No. 10868223, Santa Clara County Records. Being a portion of Parcel 1 as shown and delineated on that certain Parcel Map filed for record on October 30, 1990 in Book 620 of Maps at Pages 44 & 45, Santa Clara County Records, described as follows: Beginning at a point in the western boundary of said lands of Martin Testamentary Trust from which the southwestern corner thereof bears South 000 43' 14" East 68.60 feet distant. Thence from said point of beginning along said western boundary of lands of Martin Testamentary Trust North 000 43' 14" East 125.56 feet; thence along a curve to the right having a radius of 20.00 feet through a central angle of 89157' 49" an arc length of 31.40 feet to a point in the northern boundary of said lands of Martin Testamentary Trust; thence along said last mentioned boundary South 89" 18' 57" East 9.00 feet to a point of curvature; thence leaving said last mentioned boundary along a curve to the left having a radius of 20.00 feet through a central angle of 890 57' 49" an arc length of 31.40 feet to a point which bears 82.00 feet distant, measured perpendicularly, from the center line of South Bascom Avenue as said street is shown on the aforementioned Parcel Map; thence parallel with the center line of South Bascom Avenue South 000 43' 14" West 125.57 feet; thence North 89' 16' 46" West 9.00 feet to the point of beginning. Cbr<taining approximately. 1,310 square feet of land, more or less. Basis of Bearings is South 89' 18' 57" East and based upon the center line of East Campbell Avenue as shown on that map filed in Book 620 of Maps at Pages 44'& 45, Santa Clara County Records and established between found monuments as shown thereon and on the accompanying Plat for this description, labeled Exhibit B. Attached hereto is a plat labeled Exhibit B and by this reference made a part thereof. Compiled by Alpha, Land Surveys, Inc. in January of 2015. Jean -Paul Ha Page 1 of 2 SO'UT'Hi MIDWAY S T FD IP & NAIL IN MON. WELL MARTIN TESTAMENTARY TRUST APN 288-08-078 TRAN LOT 4 12-M-54 APN 288-08-051 N .00'41'03" E 172.63' (A) LOT 14 71-M-53 30.0' 142.63' (A) w a W 00 o, WEINMAN I rn rn 00 288-08-052 O0 ao LOT 15 71-M-53 Z to LJJ N APN Q � 288-08-078 N 00-41,03" E Q 71.57' (A) .. co o� r 00 i. APN J v n N 288-08-054 W '- W 40 n ^ N .-. v m O.T. MARTIN TESTAMENTARY TRUST o a n M to N DOC# 14166197 I o ao W PARCEL 1 620-M-44 & 45 v n Go I REMAINDER 53,102 F t N Q - 0 W U N co o I 0) °0 N L1 = S 89'18'57" E 9.00' -co I- to o, co co) R=20.00' D=89'57'49" L=31.40 rn Q W � N 89'16'46" W 19.00' L1 S 00 43'14" W 125.57' P.O.B. .0001, 68.60' `- 125.56' N 00'43'14" E 194.16' (N 00'42'53" E 194.16')(A) R=20.00' ., D=89"57-49- L=31.40' b� (R=20.00' D=89-58'08" L=31.41')(A) N 00*43'14" E 244.13' (244.13)(A) FD IP & NAIL N 00'43'14" E 346.63' (N 00'42'53" E)(A) IN MON. WELL SOUTH BASCOM AVENUE �p tAND S� L? UL 7 �P lFr)F CAt�Fo�� PRIES APN 288-08-053 LEGEND & ABBREVIATIONS POB POINT OF BEGINNING FD FOUND IP IRON PIPE PROPERTY LINE --- CENTER LINE DEDICATION AREA ...... • • • TIE LINE — — APN LINE REFERENCES (A) 620-M-44 & 45 FD IP & NAIL IN MON. WELL EXISTING AREA OFFERED FOR DEDICATION PROPOSED AREA 54,406 SF f 1,310 SF t 53,096 SF f BASIS OF BEARINGS IS SOUTH 89' 18' 57" EAST ARID BASED UPON THE CENTER LINE OF EAST CAMPBELL AVENUE AS SHOWN ON THAT MAP FILED IN BOOK 620 OF MAPS AT PAGES 44 & 45, SANTA CLARA COUNTY RECORDS AND ESTABLISHED BETWEEN FOUND MONUMENTS AS SHOWN THEREON. EXHIBIT B PLAT TO ACCOMPANY LEGAL DESCRIPTION FOR STREET DEDICATION ALPHA LAND SURVEYS, !NC. LYNNE PICKERING AND TAMI ANTHONY JAN 13, 2015 4444 SCOTTS VALLEY DRIVE, SUITE 7 CO -TRUSTEES OF THE SCALE 1"=60' O.T. MARTIN TESTAMENTARY TRUST SCOTTS VALLEY, CA 95066 831 438-4453 2000 S BASCOM AVENUE, CAMPBELL , PAGE 2 OF February 10, 2015 Roger Storz, P.E. Senior Civil Engineer City of Campbell, Public Works Department 70 N. First Street Campbell, CA 95008 RE: 2000 S. BASCOM AVENUE Dear Roger, Please find attached for your review the documents for the application to cause additional right-of-way to be granted in fee for public street purposes along South Bascom Avenue. Enclosed herein are: 1) Three (3) original copies of plat and legal description 2) Two (2) copies of closure/area calculations to verify all descriptions. 3) Two (2) copies of all referenced maps and documents used for description and plan map 4) Two (2) copies of separate map showing structures, walls, fences, trees and sidewalks located adjacent to property lines. 5) Proof of Ownership If you have any questions, you can reach me at micah@metrovation.com or (415) 828-0614. Sincerely, Micah Bycel EXHIBIT "A" Legal Description for Stree:t.Dedication Tami Anthony and Lynne Pickering, co -trustees of the O.T. Martin Testamentary Trust 2000 S Bascom Avenue, Campbell, Ca Situate in the City of Campbell, County of Santa.Clara, State of California. Being a portion of the lands of Tami Anthony and Lynne Pickering, co -trustee. of O.T. Martin Testamentary Trust, conveyed by Grant Deed dated April 28,,1998 and recorded May 1, 1998 as Document- Number 14166197, Santa Clara County Records. Being aportion-of Parcel 1 as shown and delineated on that certain Parcel Map filed for record..::: on October 30, 1990 in ,Book 620 of Maps at Pages 44 & 45, Santa. Clara County Records. Beginning at a point in the western. boundary of said lands: of Martin Testamentary Trust from which the southwestern corner thereof bears South 006 43' 14" East 68.60 feet distant. Thence from said point of beginning leaving said western boundary of lands of Martin Testamentary Trust South 89' 16' 46" East 9.00 feet to: a point which bears 82.00 feet distant, measured perpendicularly, from the center line of South'Bascom Avenue as said street is shown on the aforementioned -Parcel Map; thence parallel with the center line of South Bascom Avenue North-00 43' 14" East 125.57 feet; thence along a curve to the right having a radius of 20.00 feet through a central angle of 89' 57' 49" an arc length of 31.40 feet to a point in the northern boundary of said lands of Martin Testamentary Trust; thence along said last mentioned boundary North:890 18' 57" West 9.00 feet to a point of.curvature; thence along.a curve to the left having a radius of-20.00 feet through a central angle of.89° 57' 49" an arc length: of 31.40 feet to:a point in the western boundary of said lands of Martin Testamentary Trust; thence along:said last mentioned boundary South 00' 43' 14" West 125.56 feet to the point of beginning. Containing approximately,1,310 square feetof land, more or less: Basis of Bearings is South 89' 18' 57' East and based upon the center line of East Campbell Avenue as shown on that:map filed in Book 620 of Maps at Pages 44 & 45, Santa Clara County. Records and established between found monuments as shown thereon and on the accompanying Plat for this description, labeled Exhibit B. Attached hereto is a plat labeled -Exhibit B and by this reference made a part thereof. . Compiled by Alpha Land Surveys, Inc'.Jn,January of 2015. LAND S& AC�'PAUL 8.4,0 6D 8807 J' /P e OF CA 0 - Page 1 of 2 : SOUTH MIDWAY ST FD .IP & NAIL IN. MON. WELL MARTIN TESTAMENTARY TRUST APN 288-08-078 LOT :41..2-M-54 TRAM APN 288-08-051 %%,AND S QpUI 4, 7v ' )* N 00'41'03" :E 172.63' (A) LOT 14 71-M=53 f \ 30.0' 142.63' (A) jr ��Q• QF t` ALIFD� W 00 0, WEINMAN ^ n r 00 288=08-052 00:ao LOT -15 71-M-53 _ W N w APN -. 288-08-07.8 : N 00'4:1'03" :E 1: 71.57' (A) coo. 00 r�cri APN J ¢ N - 288=08-054 _ v Lo PRIES W w ^_ n a . APN 288=08-053 .= MARTIN TESTAMENTARY TRUST n: • Lo Ln co M a DO:C# 14166197 I 0 00 w PARCEL 1 620-M-44 & 45 ¢ n co -REMAINDER 53,102 F f N w Q r- o U N- 'co ci ^ LEGEND & ABBREVIATIONS co L1 = N 89*18'57" W 9.00' I N POB POINT OF BEGINNING. N I o, 00 FD FOUND. =20.0V .D=.89'57'49" L=31.40 V) IP IRON PIPE:: : . PROPERTYINE W ....S 89`I6'46. .E I9.00' CENTER LINE L1 LN '43'14" E 125.57' P.O.B. ®. DEDICATION AREA 68.60' 125.5V. S .00'43'14" W 194.16' (A) REFERENCES R=20.00' D=89'57'49 1=31.40' (R=20.00' D=8958'08" L=31.41')(A) (A) 620-M-44 & 45: N 00'43'14" E 2:44.13' (244.13)(A) ' — -j FD IP 8c NAIL.: N 00'43'14" E 346.63:.(N 00'42'53" E)(A) INMON. WELL SOUTH BASCOM AVENUE FDIF:&NAIL IN MON. WELL EXISTING AREA OFFERED FOR DEDICATION PROPOSED: AREA 54,412 SF f 1,310 SF f 53,.102 Sr f BASIS OF. BEARINGS IS SOUTH::89' 18'. 57" EAST AND BASED UPON THE CENTER LINE OF EAST CAMPBELL AVEN..UE A.S -SHOWN ON THAT MAP FILED IN . BOOK 620 OF MAPS AT PAGES 44 & 45, SANTA CLARA COUNTY. RECORDS AND ESTABLISHED BETWEEN FOUND MONUMENTS AS SHOWN THEREON. . ALPHA LAND SURVEYS; INC. EXHIBIT B JAN 13, 2015 PLAT TO :ACCOMPANY LEGAL DESCRIPTION SCALE: 1 "=60' 4444. SCOTTS VALLEY.•DRIVE,, SUITE 7 FOR STREET DEDICATION SCO.TTS `VALLEY, CA 95066: 831 : 438-4453.. 2000 S BASC.OM. AVENUE, CAMPBELL ' , PAGE 2: OF 2 Parcel name: DEDICATION PARCEL North: 4848.4727 Line Course: S 89-16-46 E North: 4848.3596 Line Course: N 00-43-14 E North: 4973.9196 Curve Length: 31.40 Delta: 89-57-49 Chord: 28.28 Course In: S 89-16-46 E RP North: 4973.6681 End North: 4993.6667 Line Course: N 89-18-57 W North: 4993.7742 Curve Length: 31.40 Delta: 89-57-49 Chord: 28.28 Course In: S 00-41-03 W RP North: 4973.7756 End North: 4974.0271 Line Course: S 00-43-14 W North: 4848.4770 East : 30296.3112 Length: 9.00 East : 30305.3105 Length: 125.57 East : 30306.8896 Radius: 20.00 Tangent: 19.99 Course: N 45-42-08 E Course Out: N 00-41-03 E East : 30326.8881 East : 30327.1269 . Length: 9.00 East : 30318.1275 Radius: 20.00 Tangent: 19.99 Course: S 45-42-08 W Course Out: N 89-16-46 W East : 30317.8887 East : 30297.8903 Length: 125.56 East : 30296.3113 Perimeter: 331.94 Area: 1,310 sq.ft. 0.03 acres Mapcheck Closure - (Uses listed courses, radii, and deltas) Error Closure: 0.0043 Course: N 00-44-41 E Error North: 0.00428 East : 0.00006 Precision 1: 77,193.02 RECORDING REQUESTED BY: Fidelity National Title Company Escrow NO. 1 eoa223-To Thfo order No. 01 e00223 When Recorded Maid Document and Tax Statement To: O.T. Martin Testamentary Trust 20540 Leonard Road Saratoga, CA 95070 DOCUMENT: 14166197 Titles• 1 / pages: 1111111111111 TFees axes 37 00• ■081416619�■ Copies AMT PAID 37 00 BRENDA DAVIS RDE a 005 SANTA CLARA COUNTY RECORDER 5/01/1998 Recorded at the request of 8:00 AM Fidelity National Title Ins GRANT DEED The undersigned grantor(s) declare(*) Documentary transfer tax is 8 City .Transfer Tax is $ [ ] computed on full value of property conveyed, or ( ] computed on full value less value of liens or encumbrances remaining at time of sale, I X 1 Unincorporated Area City of FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Maurice L. Martin, as trustee of the Last Will and Testament of O.T. Martin, deceased hereby GRANT(S) to Maurice L. Martin, Ayumi Martin and Lynne Pickering, co -trustee of O.T. Martin Testamentary Trust created by the Decree of Distribution recorded July 23. 1970 in book 8997, page 273 and by Judgement Confirming Exercise of Power of Appointment by Emma A. Martin, continuing O.T. Martin Trust and appointing co - trustees recorded April 21. 1987 instrument no. 9238988 the following described real property in the City of ,Campbell County of Santa Clara, State of _California Parcel 1, of that certain Parcel Map, which map was filed for record in the Office of the Recorder of the County of Santa Clara, State of California on October 30, 1990 in Book 620 of Maps at pages 44-45. DATED: April 28, 1998 STATE OF CALIFORNIA COUNTY OF 1 ON before me, c personally appeared C Z personally known to me for proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within ?nstrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witness my hand and official seal. Signature unce L. Martin, trustee T. DITMARS N COMM. 010429" NOTARY PUBLIC -CALIFORNIA SANTA CLARA COUNTY my Comm. Eiplr■s November to,1990 MAIL TAX STATEMENTS AS DIRECTED ABOVE FD-213 (Rev 7/96) GRANT DEED CAMPBELL AVENUEI 1 r W Z w a 0, oO V to Q to `4 CAMPBELL AVENUE ?Imra 5 89' 18' 57 E. 1359,61'__ WEST) 261. l�d, 3�jy'r6 - as Bad9 �AiJ aJ i � I m P PA rr \ NCI a� Z' Q a-r J- E ! J✓rr °C m 20 7F3r1�7 NC. :1406 12 J`ilr\Ps 3 I N89°S9'20"W 8484') N 89• IB' IT' W 81.89' c ND J l65 pr r, �1� o ! J j\jl PS 512) y to' 811. ? o LOT 15 LOT J4 N89'I8'11'W (8 I f LEGEND AND NOTE$ BOUNDARY LINE LOT LINE ( ) RECORD DATA o SET 3/4° IRON PIPE OR AS NOTED O MONUMENT FOUND B.S.L. BUILDWG' SETBACK LINE . ALL DIVIKSION5 SHOWN HEREON ARE IN FEET AND DECIMALS THEREOF ,ME AREA WITHIN THE DDAIBCTIVE BORDER IS I.249 ACRES BASIS OF BEARINGS "s �^�O THE BEARINGS 89' ITSN E OF 'ME CENTERLINE Of CAMPBELL AVERM •-' AS RECORDED ON THE RECORD OF SURVEY BOOK 241 OF MAPS, PAGE41 SANTA CLARA COUNTY RECORDS WASTAKEN AS THE BASIS OFALL BEARINGS ON THIS MAP. PARCEL MAP CONSISTING OF(2) TWO SHEETS: ELIMINATION OF LOT LINES PARCEL L BEING ALL OFPARCEL'A AS SHOWN ON THE PARCEL MAP RECORDED IN 860K 212 OF NAPS,PAGE 6, SANTA CLARA COUNTY REGARDS. PARCEL 2. BEING ALL OF LOT 3 AS SROWN ON THE MAP OF TRACT NO,406 RECORDEDIN BOOK 120F MAPS,PAGE 54,SAHTA CLARA COUNTY RECORDS. PARCEL 3, BEING A PORTION OF LOT O AS SHOWN ON THE SUSDMSIDNINiP RECORDED INBOMW OFMAPS,PAGE31,SANTACLARACOUNTY RECORDS. CITY OF CAMPBELL SANTA CLARA COUNTY, CALIFORNIA h SCALE: 1° 8NOVEMSER 1989 VzRA CORPORATION 12S E.SUNNYOAKS AVE.SUITEM (408)319.5450 - CAMPBELL CA950011 SHEET 2 OF 2 SHEETS EXHIBIT "A" Legal Description for Street Dedication Tami Anthony and Lynne Pickering, co -trustees of the O.T. Martin Testamentary Trust 2000 S Bascom Avenue, Campbell, Ca Situate in the City of Campbell, County of Santa Clara, State of California. Being a portion of the lands of Tami Anthony and Lynne Pickering, co -trustee. of O.T. Martin Testamentary Trust, conveyed by Grant Deed dated April 28, 1998 and recorded May 1, 1998 as Document Number 14166.1-97, Santa Clara County Records. Being a portion of Parcel 1 as shown. and delineated on that certain Parcel Map filed for record .. . on:October 30, 1990 in Book 620 of'Maps at. Pages 44 & 45, Santa. Clara County Records. Beginning at a: point in the western boundary of said lands of Martin Testamentary Trust from Which the southwestern corner thereof bears South 00' 43' 14" East 68.60 feet distant. Thence from said point of beginning leaving said western boundary of lands.of Martin Testamentary Trust South 89' 16':46'East 9.00 feet to a point which bears 82.00 feet distant, measured perpendicularly, from the center line of South Bascom-Ave.nue as said street is shown on the aforementioned Parcel Map; thence parallel with the center. -line of South Bascom Avenue North 00' 43' 14" East 125.57 feet; thence along a curve to the right having a radius of . 20.00 feet through a. central angle of 89' 57' 49" an arc length. of 31.40 feet to a point in.the northern boundary of said lands of Martin Testamentary Trust; thence along said last mentioned boundary North 89' 18' 57" West 9,00 feet to a point of:curvature; thence along a curve to the left having a radius of 20.00 feet through a. central angle of 89° 57' 49" an arc length of 31.40 feet...o:a point in the western boundary of said lands of Martin Testamentary Trust; thence along said last mentioned boundary South 00' 43' 14" West 125.56 feet to the point of beginning. Containing approximately 1,310 square feet of land,.more or less: Basis of Bearings is South 89' 18' 57" East and based upon the center line of East Campbell Avenue as shown on thatmap filed in Book 620 of Maps at Pages 44 & 45, Santa Clara County Records and established between found monuments as shown thereon and on the accompanying: Plat'for this description; labeled Exhibit B. Attached hereto is a plat labeled Exhibit B and by this reference made a part thereof. Compiled by Alpha Land Surveys, Inc. in January of 2015. AU L Ngpe �bn Page 1 of 2 SO--UTH MIDWAY ST FD .IP & NAIL IN: MON., WELL MARTIN TESTAMENTARY: TRUST APN 288-08-078 LOT 4.:1:2—M-54 N 00'41'03".:E 172.63' (A) 30.0' 142.63' (A) TRAN. APN 288-08=051 LOT 14 71=M=53 07 ©I1 a W co -m WEINMAN 0) rn °0 288-08-052 n OD; ao LOT 15 71-M-5.3 . Z VI' N w APN w :288-08-078 00'4 N 1'03 j E 71.57' (A 1 v .. 00 .. 0. - I APN J � < v N ..: 288: 08-054 PRIES uJ w N APN 288-08-053. co ' .= . . MARTIN TESTAMENTARY I TRUST..... -o p; M N DOC#14166197 0 ao LiPARCEL 1 620—M-44 & 45 :REMAINDER 53,102 �F f o N Q a°'o r* o W U 00 0 LEGEND & ABBREVIATIONS N .- 00 " POB POINT OF BEGINNING. L1 N 89'18'57 W 9.00.. r . rn ao FD FOUND 0 R=20.00' D.=.89'57'49" -L=31.40 -0 IP IRON PIPE_ Q iu S 89^16'46--" E 19.00' PROPERTY LINE .CENTER LINE L1 - N. 00'43'14" 'E..125.5T. DEDICATION .AREA P.0.6. 68.60' 125.56' S 00'43'14" W 194.16' (A) REFERENCES R=20.00' D=89'57'49" L=31.40' �. (R=20.00' :D=89'58'08" L=31.41')(A) M; (A) 620—M-44 & 45 N 00'43'14" E 244:13' (244_13)(A)� FD IP &NAIL: N. 00'43'14" E 346:63' (N 00-42-53". E)(A) INMON. WELL SOUTH BASCOM AVENUE1. FDIP&NAIL IN MON. WELL EXISTING AREA OFFERED FOR .DEDICATION :::: :PROPOSED: AREA 54,412 SF- f 1,310 SF f 53,102 SF f BASIS bF BEARINGS IS SOUTH. 89' 18' 57" EAST AND BASED UPON THE CENTER LINE OF EAST CAMPBELL AVENUE AS'. SHOWN ON:THAT -MAP FILED IN:BOOK 620 OF MAPS AT PAGES 44 & 45,.SANTA CLARA COUNTY RECORDS AND ESTABLISHED BETWEEN FOUND MONUMENTS AS SHOWN THEREON. EXHIBIT B- ALPHA LAND SURVEYS, :INC: JAN 13, 2015 PLAT TO ACCOMPANY LEGAL DESCRIPTION SCALE. 1"=60' 4444 SCO.TTS VALLEY DRIVE, SUITE 7 FOR STREET DEDICATION SCO.TTS VALLEY, CA 95066: 831 438-4453.. 2000 S BASCOM: AVENUE, CAMPBELL PAGE 2: OF 2 EXHIBIT "A„ " Legal. Description for Street:Dedication Tami Anthony and Lynne Pickering, co -trustees of the O.T. Martin :Testamentary Trust 2000 S Bascom Avenue, Campbell, Ca . Situate in the City of Campbell, County of Santa.Clara, State of California. sw Being a portion of the lands ofTami;Anthony and Lynne: Pickering, co -trustee. of O.T. Martin Testamentary Trust, conveyed by Grant Deed dated April 28,.1998 and recorded May 1, 1998 as Document Number 141:6619:7, Santa Clara County Records. Being a portion of Parcel 1 as shown: and delineated on that certain Parcel Map filed for record..: on:October 30,-1990 in:Book 620 of Maps at Pages 44 & 45, Santa Clara County Records. - Beginning at a: point in the western boundary of said lands of Martin Testamentary'Trust from Which the southwestern corner thereof bears South 006 43' 147 East 68.60 feet distant. Thence from said point of beginning leaving said western boundary of lands of Martin TestamentaryTrust South 890 16' 46." East 9.00 feet to a point.which bears 82 00 feet distant, measured perpendicularly, from the center line of South Bascom Avenue: as said street -is shown on the aforementioned -Parcel Map; thence parallel with the centerline of South Bascom „ Avenue North,00° 43-' 14" East 125.57.feet; thence along:acurve to the right having.a radius of 2:0.00 feet through a central angle of 89' 57' 49" an arc:length of 31.40 feet to a point, in.the northern, boundary of said lands:of Martin Testamentary Trust; thence along said last: mentioned boundary North 89' 18' 57" West 9.00 feet to a point of:cu.rvature; thence along.a curve to the left having a radius of20.00 feet through a central angle of89°. 57' 49" an arc length of 31.40 feet:to:a point in the western boundary of said. wands of Martin Testamentary Trust; thence along said last mentioned boundary South 00043' 14" West 125.56:feet to the point of beginning. Containing opproximately:1,310 square feet of land;,more or less. as Basis of Bearings is South 89' 18' 57" East and based upon the center line of East Campbell Avenue as shown on that:map filed in Book 620 of Maps at Pages 44 & 45, Santa Clara County, Records and established between found monuments as shown thereon and on the accompanying: Plat -for this description; labeled Exhibit:B: : Attached hereto is a plat:labeled Exhibit B and by this reference made a part thereof. S .R p y p Surveys, Inc: in January of 2015.:: �pND Compiled e Alpha Lan U 5 � AU L HgAla Gp 8807 J an-Paul:Ha pee, PLS 8807:,: f of C auF°��•� Page 1 of 2 S O: U:T H M I D W:A Y. S T FD IP & NAIL IN MON. WELL MARTIN TESTAMENTARY1': TRUST APN 288-08-078 TRAN I LOT 4 12-M-54 APN 288- 08-051 07 N 00'41'03" E 172.63' (A) LOT 14 71-M-53 30.0' 142.63' (A) I' 41:� FOF CAlW3 ry W00o, WEINMAN =- 00 288-08-052 rn n °D ao LOT 15 71-M7-:53 Z W N APN � 288-08-078 N 00'4:1'03" E ` Q d gin. 71.57' (A) -. 00 - - coo I n -APN co to ¢ v N 288=08-054 to PRIES W w : r APN 288-08=053 m MARTIN TESTAMENTARY I TRUST =o a M N DOC#_ 14166197 0 ao w rn PARCEL 1- 620-M-44 & 45 Q Q (I - :REMAINDER 53,102 �F f N o w U 00 0 LEGEND & ABBREVIATIONS N coo L1 N • 89'18'57" W 9.00' I 00 POB POINT OF BEGINNING. 00 FD -FOUND co R=20.00' D=89'57'49" .I L=31.40 v) IP IRON 'PIPE:: d PROPERTY LINE w S 89'16'46" E 19.00' C1 CENTER LINE N. 00'43'14" �E .125.57' P.O.B. ®. DEDICATION AREA 68.60' \ 125.56' " . „ • ' S '00'4314 W 194.16' (A)', REFERENCES R=20.00' D=89'57'49" - L=31.40' (R=20.00' D=89'58'08" L=31.41')(A) M; (A) 620-M-44 & 45 N :00'43'14" E 244:13'-(244.13)(A) ' FD IP &NAIL N. 00'43'14" E 346.63' (N 00'42'53" E)(A) IN MON. WELL S O U T H B A S C O M A V E N U E FD IP: & NAIL - IN MON. WELL ILAND S '�P�.PPOL q, EXISTING AREA ' .OFFERED FOR . DEDICATION PROPOSED AREA. 540412 SFf . .. :....1,310 SF f .53,102 Sr f.. :- BASIS OF BEARINGS IS SOUTH.:8918' 57" EAST AND BASED UPON THE CENTER LINE OF EAST CAMPBELL AVENUE AS SHOWN ON THAT :MAP FILED IN BOOK: 620 OF MAPS AT PAGES 44 & 45, SANTA CLARA COUNTY RECORDS AND ESTABLISHED BETWEEN FOUND MONUMENTS AS SHOWN THEREON. ALPHA LAND SURVEYS., INC. EXHIBIT B JAN 13, 2015 PLAT TO ACCOMPANY LE6AL DESCRIPTION SCALE 1 "=60' 4444 SCOTTS VALLEY DRIVE, SUITE 7 FOR STREET DEDICATION SCOTTS VALLEY, CA 95066 831 : 438-4453:. 2000 S BASCOM AVENUE, CAMPBELL PAGE 2, OF 2 Parcel name: DEDICATION PARCEL North: 4848.4727 Line Course: S 89-16-46 E North: 4848.3596 Line Course: N 00-43-14 E North: 4973.9196 Curve Length: 31.40 Delta: 89-57-49 Chord: 28.28 Course In: S 89-16-46 E RP North: 4973.6681 End North: 4993.6667 Line Course: N 89-18-57 W North: 4993.7742 Curve Length: 31.40 Delta: 89-57-49 Chord: 28.28 Course In: S 00-41-03 W RP North: 4973.7756 End North: 4974.0271 Line Course: S 00-43-14 W North: 4848.4770 East : 30296.3112 Length: 9.00 East 30305.3105 Length: 125.57 East 30306.8896 Radius: 20.00 Tangent: 19.99 Course: N 45-42-08 E Course Out: N 00-41-03 E East : 30326.8881 East : 30327.1269 Length: 9.00 East : 30318.1275 Radius: 20.00 Tangent: 19.99 Course: S 45-42-08 W Course Out: N 89-16-46 W East : 30317.8887 East : 30297.8903 Length: 125.56 East : 30296,3113 Perimeter: 331.94 Area: 1,310 sq.ft. 0.03 acres Mapcheck Closure - (Uses listed courses, radii, and deltas) Error Closure: 0.0043 Course: N 00-44-41 E Error North: 0.00428 East : 0.00006 Precision 1: 77,193.02 OLD REPUBLIC 4 TITLE COMPANY 4t METROVATION 580 2nd Street #260 Alameda, CA 94607 Attention: MICAH BYCEL Property Address: PRELIMINARY REPORT 275 Battery Street, Suite 1500 San Francisco, CA 94111 (415) 397-0500 Fax: (415) 397-0199 FIRST AMENDED REPORT Our Order Number 0227014216-DP When Replying Please Contact: David Phillips DPhillips@ortc.com (415) 397-0500 2020 South Bascom Avenue and 1062 East Campbell Avenue, Campbell, CA 95008 In response to the above referenced application for a policy of title insurance, OLD REPUBLIC TITLE COMPANY hereby reports that it is prepared to issue, or cause to be issued, as of the date hereof, a Policy or Policies of Title Insurance describing the land and the estate or interest therein hereinafter set forth, insuring against loss which may be sustained by reason of any defect, lien or encumbrance not shown or referred to as an Exception below or not excluded from coverage pursuant to the printed Schedules, Conditions and Stipulations of said policy forms. The printed Exceptions and Exclusions from the coverage and Limitations on Covered Risks of said Policy or Policies are set forth in Exhibit A attached. The policy to be issued may contain an arbitration clause. When the Amount of Insurance is less than that set forth in the arbitration clause, all arbitrable matters shall be arbitrated at the option of either the Company or the Insured as the exclusive remedy of the parties. Limitations on Covered Risks applicable to the Homeowner's Policy of Title Insurance which establish a Deductible Amount and a Maximum Dollar Limit of Liability for certain coverages are also set forth in Exhibit A. Copies of the Policy forms should be read. They are available from the office which issued this report. Please read the exceptions shown or referred to below and the exceptions and exclusions set forth in Exhibit A of this report carefully. The exceptions and exclusions are meant to provide you with notice of matters which are not covered under the terms of the title insurance policy and should be carefully considered. It is important to note that this preliminary report is not a written representation as to the condition of title and may not list all liens, defects, and encumbrances affecting title to the land. This report (and any supplements or amendments hereto) is issued solely for the purpose of facilitating the issuance of a policy of title insurance and no liability is assumed hereby. If it is desired that liability be assumed prior to the issuance of a policy of title insurance, a Binder or Commitment should be requested. Dated as of March 7, 2014, at 7:30 AM OLD REPUBLIC TITLE COMPANY For Exceptions Shown or Referred to, See Attached Page 1 of 12 Pages (1RT R1 SR -A (Rav nR/n7/nR1 OLD REPUBLIC TITLE COMPANY ORDER NO. 0227014216-DP FIRST AMENDED REPORT The form of policy of title insurance contemplated by this report is: ALTA Loan Policy - 2006. A specific request should be made if another form or additional coverage is desired. The estate or interest in the land hereinafter described or referred or covered by this Report is: Fee Title to said estate or interest at the date hereof is vested in: Maurice L. Martin, Ayumi Martin, Lynne Pickering and Tami Anthony, Co -Trustees of the 0. T. Martin Testamentary Trust created by Decree of Distribution recorded July 23, 1970, in Book 8997, Page 273, and by Judgment Confirming Exercise of Power of Appointment by Emma A. Martin, continuing 0. T. Martin Trust and appointing Co -Trustees, recorded April 21, 1987, Instrument No. 9238988, and by Order Appointing Co -Trustee, recorded April 17, 1991, as Instrument No. 10868223 The land referred to in this Report is situated in the County of Santa Clara, City of Campbell, state of California, and is described as follows: Parcel 1, of that certain Parcel Map, which Map was filed for record in the Office of the Recorder of the County of Santa Clara, State of California, on October 30, 1990, in Book 620 of Maps, at Pages 44-45. At the date hereof exceptions to coverage in addition to the Exceptions and Exclusions in said policy form would be as follows: Taxes and assessments, general and special, for the fiscal year 2014 - 2015, a lien, but not yet due or payable. 2. Taxes and assessments, general and special, for the fiscal year 2013 - 2014, as follows: Assessor's Parcel No Code No. 1st Installment 2nd Installment Land Value Imp. Value 288-08-054 010-001 $4,119.33 $4,119.33 $102,608.00 $445,483.00 Marked Paid Marked Paid Said Taxes and Assessments are assessed to only a portion of the herein described land. 2of12 3 a 5. A OLD REPUBLIC TITLE COMPANY ORDER NO. 0227014216-DP FIRST AMENDED REPORT Taxes and assessments, general and special, for the fiscal year 2013 - 2014, as follows: Assessor's Parcel No 288-08-078 Code No. 010-001 1st Installment $3,047.00 Marked Paid 2nd Installment $3,047.00 Marked Paid Land Value $241,444.00 Imp. Value $138,445.00 Said Taxes and Assessments are assessed to the remainder of the herein described land. The lien of supplemental taxes, if any, assessed pursuant to the provisions of Section 75, et seq., of the Revenue and Taxation Code of the State of California. Any special tax which is now a lien and that may be levied within the Santa Clara County Library District, notice(s) for which having been recorded. NOTE: Among other things, there are provisions in said notice(s) for a special tax to be levied annually, the amounts of which are to be added to and collected with the property taxes. NOTE: The current annual amount levied against this land is $77.42. NOTE: Further information on said assessment or special tax can be obtained by contacting: Name Fiscal Agent of the Santa Clara County Library District, Joint Powers Authority Address 14600 Winchester Blvd., Los Gatos, CA 95032 Telephone No. (408) 293-2326, Ext. 3004 An easement affecting that portion of said land and for the purposes stated herein and incidental purposes as provided in the following Granted To San Jose Water Works, a California corporation For Water pipeline Recorded March 14, 1874 in Book 31 of Deeds, Page 464 Affects The exact location and extent of said easement is not disclosed of record 3 of 12 nPT 41 SR-R OLD REPUBLIC TITLE COMPANY ORDER NO. 0227014216-DP FIRST AMENDED REPORT 7. An easement affecting that portion of said land and for the purposes stated herein and incidental purposes as provided in the following Granted To Pacific Gas and Electric Company For Electrical facilities Recorded September 19, 1918 in Book 474 of Deeds, Page 559 Affects As disclosed by said document 8. Building set -back line as shown on the filed map. Affects Westerly 10 feet and Northerly 25 feet, as disclosed by the Map of said Tract 9. Covenants, Conditions and Restrictions which do not contain express provision for forfeiture or reversion of title in the event of violation, but omitting any covenants or restriction if any, based upon race, color, religion, sex, handicap, familial status, or national origin unless and only to the extent that said covenant (a) is exempt under Title 42, Section 3607 of the United States Code or (b) relates to handicap but does not discriminate against handicapped persons, as provided in an instrument. Recorded March 19, 1947 in Book 1439 of Official Records, Page 59 Said Covenants, Conditions and Restrictions provide that a violation thereof shall not defeat or render invalid the lien of any Mortgage or Deed of Trust made in good faith and for value. NOTE: "If this document contains any restriction based on race, color, religion, sex, sexual orientation, familial status, marital status, disability, national origin, source of income as defined in subdivision (p) of section 12955, or ancestry, that restriction violates state and federal fair housing laws and is void, and may be removed pursuant to Section 12956.2 of the Government Code. Lawful restrictions under state and federal law on the age of occupants in senior housing or housing for older persons shall not be construed as restrictions based on familial status." 10. PERPETUAL RESTRICTIONS, but omitting any covenants or restrictions if any, based upon race, color, religion, sex, handicap, familial status, or national origin unless and only to the extent that said covenant (a) is exempt under Title 42, Section 3607 of the United States Code or (b) relates to handicap but does not discriminate against handicapped persons, as provided in the Deed From Ernest Barbano and Gulielma Barbano Recorded July 3, 1950 in Book 2008 of Official Records, Page 314 4of12 nPT'A1 SR-R OLD REPUBLIC TITLE COMPANY ORDER NO. 0227014216-DP FIRST AMENDED REPORT NOTE: "If this document contains any restriction based on race, color, religion, sex, sexual orientation, familial status, marital status, disability, national origin, source of income as defined in subdivision (p) of section 12955, or ancestry, that restriction violates state and federal fair housing laws and is void, and may be removed pursuant to Section 12956.2 of the Government Code. Lawful restrictions under state and federal law on the age of occupants in senior housing or housing for older persons shall not be construed as restrictions based on familial status." 11. An easement affecting that portion of said land and for the purposes stated herein and incidental purposes as provided in the following Granted To Pacific Telephone and Telegraph Company For Communication facilities Recorded March 15, 1965 in Book 6881 of Official Records, Page 688 Affects The Westerly 2 feet of the Easterly 12 feet 12. Agreement for Improvements Executed By City of Campbell and Between Emma A. Martin On the terms, covenants and conditions contained therein, Dated May 12, 1969 Recorded May 22, 1969 in Book 8549 of Official Records, Page 666 13. PERPETUAL RESTRICTIONS, but omitting any covenants or restrictions if any, based upon race, color, religion, sex, handicap, familial status, or national origin unless and only to the extent that said covenant (a) is exempt under Title 42, Section 3607 of the United States Code or (b) relates to handicap but does not discriminate against handicapped persons, as provided in the Deed From Emma Martin Recorded November 30, 1972 in Book 134 of Official Records, Page 334 NOTE: "If this document contains any restriction based on race, color, religion, sex, sexual orientation, familial status, marital status, disability, national origin, source of income as defined in subdivision (p) of section 12955, or ancestry, that restriction violates state and federal fair housing laws and is void, and may be removed pursuant to Section 12956.2 of the Government Code. Lawful restrictions under state and federal law on the age of occupants in senior housing or housing for older persons shall not be construed as restrictions based on familial status." 5of12 nPT 71 SR-R OLD REPUBLIC TITLE COMPANY ORDER NO. 0227014216-DP FIRST AMENDED REPORT 14. Terms and provisions as contained in an instrument, Entitled Notice of Consent to use Executed By Maurice L. Martin, as Trustee of the 0. T. Martin Trust Recorded December 1, 1977 in Book D312 of Official Records, Page 313 under Recorder's Serial Number 5858826 15. Terms and provisions as contained in an instrument, Entitled Notice of Consent to use Executed By Maurice L. Martin, as Trustee of the 0. T. Martin Trust Recorded December 1, 1977 in Official Records under Recorder's Serial Number 5831177 16. An unrecorded lease upon the terms, covenants, and conditions contained or referred to therein, Lessor Maurice L. Martin Lessee Michael Callahan Disclosed by Notice of Non -Responsibility Recorded March 30, 1987 in Official Records under Recorder's Serial Number 9211316 NOTE: The present ownership of said leasehold or leaseholds and other matters affecting the interest of the lessee or lessees are not shown herein. 6 of 12 nPT R1SA-R 17 OLD REPUBLIC TITLE COMPANY ORDER NO. 0227014216-DP FIRST AMENDED REPORT Deed of Trust to secure an indebtedness of the amount stated below and any other amounts payable under the terms thereof, Amount $350,000.00 Trustor/Borrower Maurice L. Martin, Ayumi Martin, Lynne Pickering and Tami Anthony, Co -Trustees of the 0. T. Martin Testamentary Trust created by Decree of Distribution recorded July 23, 1970, in Book 8997, Page 273, and by Judgment Confirming Exercise of Power of Appointment by Emma A. Martin, continuing 0. T. Martin Trust and appointing Co -Trustees, recorded April 21, 1987, Instrument No. 9238988, and by Order Appointing Co -Trustee, recorded April 171 1991, as Instrument No. 10868223 Trustee Fidelity National Title Insurance Company, a California corporation Beneficiary/Lender Maurice L. Martin and Ayumi Martin, Trustees of the Maurice L. Martin and Ayumi Martin Trust under the 1989 Declaration of Trust dated December 28, 1989, as amended on December 10, 1991, and as further amended on July 9, 1993 Dated April 23, 1998 Recorded May 1, 1998 in Official Records under Recorder's Serial Number 14166198 Returned to 20540 Leonard Road, Saratoga, CA 95070 The record beneficial interest under said Deed of Trust as a result of the last recorded assignment thereof is, Vested In Ayumi Martin, et al By Assignment From Ayumi Martin, Lynne Pickering and Tami Anthony Dated April 13, 2000 Recorded June 13, 2000 in Official Records under Recorder's Serial Number 15278996 Returned to 20540 Leonard Road, Saratoga, CA 95070 Address 7of12 nPT R1 SA-R 18 OLD REPUBLIC TITLE COMPANY ORDER NO. 0227014216-DP FIRST AMENDED REPORT Deed of Trust to secure an indebtedness of the amount stated below and any other amounts payable under the terms thereof, Amount $50,000.00 Trustor/Borrower Maurice L. Martin, Ayumi Martin, Lynne Pickering and Tami Anthony, Co -Trustees of the 0. T. Martin Testamentary Trust created by Decree of Distribution recorded July 23, 1970, in Book 8997, Page 273, and by Judgment Confirming Exercise of Power of Appointment by Emma A. Martin, continuing 0. T. Martin Trust and appointing Co -Trustees, recorded April 21, 1987, Instrument No. 9238988, and by Order Appointing Co -Trustee, recorded April 17, 1991, as Instrument No. 10868223 Trustee Fidelity National Title Insurance Company, a California corporation Beneficiary/Lender Maurice L. Martin and Ayumi Martin, Trustees of the Maurice L. Martin and Ayumi Martin Trust under the 1989 Declaration of Trust dated December 28, 1989, as amended on December 10, 1991, and as further amended on July 9, 1993 Dated April 23, 1998 Recorded May 1, 1998 in Official Records under Recorder's Serial Number 14166199 Returned to 20540 Leonard Road, Saratoga, CA 95070 The record beneficial interest under said Deed of Trust as a result of the last recorded assignment thereof is, Vested In Ayumi Martin, et al By Assignment From Ayumi Martin, Lynne Pickering and Tami Anthony Dated April 13, 2000 Recorded June 13, 2000 in Official Records under Recorder's Serial Number 15278997 Returned to 20540 Leonard Road, Saratoga, CA 95070 Address 8of12 (1RT 11 SR-R OLD REPUBLIC TITLE COMPANY ORDER NO. 0227014216-DP FIRST AMENDED REPORT 19. Deed of Trust to secure an indebtedness of the amount stated below and any other amounts payable under the terms thereof, Amount $250,000.00 Trustor/Borrower Ayumi Martin, Lynne Pickering and Tami Anthony, Co -Trustees of the 0. T. Martin Testamentary Trust created by the Decree of Distribution Trustee Fidelity National Title Insurance Company, a California corporation Beneficiary/Lender Ayumi Martin, Lynne Pickering and Tami Anthony, Co -Trustees of the Maurice L. Martin and Ayumi Martin Declaration of Trust, december 28, 1989, Survivor's Trust Dated February 28, 2002 Recorded March 8, 2002 in Official Records under Recorder's Serial Number 16148318 Returned to 20540 Leonard Road, Saratoga, CA 95070 20. An unrecorded lease upon the terms, covenants, and conditions contained or referred to therein, Lessor Tami Anthony, Trustee of O.T. Martin Trust Lessee Julie Griffith, Cedavivienda Realty Disclosed by Notice of Nonresponsibility Dated August 30, 2013 Recorded August 30, 2013 in Official Records under Recorder's Serial Number 22371750 NOTE: The present ownership of said leasehold or leaseholds and other matters affecting the interest of the lessee or lessees are not shown herein. 21. Any unrecorded and subsisting leases. 22. Any facts, rights, interests, or claims that are not shown by the Public Records but that could be ascertained by an inspection of the Land or that may be asserted by persons in possession of the Land. 23. The requirement that this Company be provided with a suitable Owner's Declaration (form ORT 174). The Company reserves the right to make additional exceptions and/or requirements upon review of the Owner's Declaration. 9 of 12 Pages (1RT R1 SR-R OLD REPUBLIC TITLE COMPANY ORDER NO. 0227014216-DP FIRST AMENDED REPORT 24. The requirement that this Company be provided with an opportunity to inspect the land (the Company reserves the right to make additional exceptions and/or requirements upon completion of its inspection). 25. Terms and conditions contained in the 0. T. Martin Testamentary Trust as disclosed by Grant Deed Dated April 28, 1998 Recorded May 1, 1998 in Official Records under Recorder's Serial Number 14166197 NOTE: The requirement that: A Certification of Trust be furnished in accordance with Probate Code Section 18100.5 The Company reserves the right to make additional exceptions and/or requirements. -------------------- Informational Notes ------------------- A., The applicable rate(s) for the policy(s) being offered by this report or commitment appears to be section(s) 2.2. B. The above numbered report (including any supplements or amendments thereto) is hereby modified and/or supplemented to reflect the following additional items relating to the issuance of an American Land Title Association loan form policy: NONE NOTE: Our investigation has been completed and there is located on said land a commercial building known as 2000 South Bascom Avenue and 1062 East Campbell Avenue, Campbell, CA 95008. The ALTA loan policy, when issued, will contain the CLTA 100 Endorsement and 116 series Endorsement. Unless shown elsewhere in the body of this report, there appear of record no transfers or agreements to transfer the land described herein within the last three years prior to the date hereof, except as follows: NONE e 10 of 12 nPT 31 SA-R X OLD REPUBLIC TITLE COMPANY ORDER NO. 0227014216-DP FIRST AMENDED REPORT NOTE: The last recorded transfer or agreement to transfer the land described herein is as follows: Instrument Entitled Grant Deed By/From Maurice L. Martin, Trustee of the 0. T. Martin Trust To Maurice L. Martin, Ayumi Martin and Lynne Pickering, Co -Trustees of the 0. T. Martin Testamentary Trust created by Decree of Distribution recorded July 23, 1970, in Book 8997, Page 273, and by Judgment Confirming Exercise of Power of Appointment by Emma A. Martin, continuing 0. T. Martin Trust and appointing Co -Trustees, recorded April 21, 1987, Instrument No. 9238988 Dated April 28, 1998 Recorded May 1, 1998 in Official Records under Recorder's Serial Number 14166196 Grant Deed executed by Maurice L. Martin, as Trustee of the Last Will and Testament of 0. T. Martin, deceased to Maurice L. Martin, Ayumi Martin and Lynne Pickering, Co -Trustees of the 0. T. Martin Testamentary Trust created by Decree of Distribution recorded July 23, 1970, in Book 8997, Page 273, and by Judgment Confirming Exercise of Power of Appointment by Emma A. Martin, continuing 0. T. Martin Trust and appointing Co -Trustees, recorded April 21, 1987, Instrument No. 9238988 recorded May 1, 1998 in Official Records under Recorder's Serial Number 14166197. 11 of 12 nPT'At SR-R OLD REPUBLIC TITLE COMPANY ORDER NO. 0227014216-DP FIRST AMENDED REPORT D. Effective October 1st, 2013, recording service fees for the types of transactions listed below are as follows: Finance transactions - $105.00 to record all documents necessary to close and issue the required title insurance`policy(ies). Sale transactions - $130.00 to record all documents necessary to close and issue the required title insurance policy(ies). Commercial transactions - $20.00 recording service fee plus all actual charges required by the County Recorder. All Cash transactions - $50.00 to record all cash, non-commercial, sale transactions wherein no new deed of trust is recorded. MV/dmu If you anticipate having funds wired to Old Republic Title Company, our wiring information is as follows: City National Bank, One Centerpointe Drive., #160, La Palma, CA 90623, credit to the account of Old Republic Title Company, Account Number 013-358788, ABA Number 122016066. When instructing the financial institution to wire funds, it is very important that you reference Old Republic Title's Order Number 0227014216. ON-LINE BANKING TRANSFERS ARE NOT THE SAME. "Electronic Funds Transfer" is a generic term for funds transfers, one of which is an ACH Transfer. On-line banking transfers are often completed through an ACH Transfer, not a Wire Transfer. Old Republic Title rejects all ACH Transfers and returns the funds to the sender (Government Entities/Agencies excluded.) Close of Escrow may be significantly delayed as a result of an ACH Transfer. OLD REPUBLIC TITLE DOES NOT AUTHORIZE FUNDS TO BE DEPOSITED DIRECTLY INTO OUR ACCOUNT AT City National Bank LOCAL BRANCH LOCATIONS. Funds deposited directly into an account of Old Republic Title Company at a City National Bank branch are subject to verification. Verification of unauthorized deposits is not immediate or automated following deposit. Delay in credit of funds to an escrow and delay in Close of Escrow may result. If you want to transfer funds by Wire Transfer from a non -United States financial institution, or have questions with regard to acceptable funds, please contact your Escrow or Title Officer immediately. 12 of 12 Pa f1RT 315R-R Exhibit A AMERICAN LAND TITLE ASSOCIATION LOAN POLICY OF TITLE INSURANCE - 2006 EXCLUSIONS FROM COVERAGE The following matters are expressly excluded from the coverage of this policy, and the Company will not pay loss or damage, costs, attorneys' fees, or expenses that arise by reason of: 1. (a) Any law, ordinance, permit, or governmental regulation (including those relating to building and zoning) restricting, regulating, prohibiting, or relating to (i) the occupancy, use, or enjoyment of the Land; (ii) the character, dimensions, or location of any improvement erected on the Land; (iii) the subdivision of land; or (iv) environmental protection; or the effect of any violation of these laws, ordinances, or governmental regulations. This Exclusion 1(a) does not modify or limit the coverage provided under Covered Risk 5. (b) Any governmental police power. This Exclusion 1(b) does not modify or limit the coverage provided under Covered Risk 6. 2. Rights of eminent domain. This Exclusion does not modify or limit the coverage provided under Covered Risk 7 or 8. Defects, liens, encumbrances, adverse claims, or other matters (a) created, suffered, assumed, or agreed to by the Insured Claimant; (b) not Known to the Company, not recorded in the Public Records at Date of Policy, but Known to the Insured Claimant and not disclosed in writing to the Company by the Insured Claimant prior to the date the Insured Claimant became an Insured under this policy; (c) resulting in no loss or damage to the Insured Claimant; (d) attaching or created subsequent to Date of Policy (however, this does not modify or limit the coverage provided under Covered Risk 11, 13, or 14); or (e) resulting in loss or damage that would not have been sustained if the Insured Claimant had paid value for the Insured Mortgage. 4. Unenforceability of the lien of the Insured Mortgage because of the inability or failure of an Insured to comply with applicable doing -business laws of the state where the Land is situated. 5. Invalidity or unenforceability in whole or in part of the lien of the Insured Mortgage that arises out of the transaction evidenced by the Insured Mortgage and is based upon usury or any consumer credit protection or truth -in -lending law. 6. Any claim, by reason of the operation of federal bankruptcy, state insolvency, or similar creditors' rights laws, that the transaction creating the lien of the Insured Mortgage, is (a) a fraudulent conveyance or fraudulent transfer, or (b) a preferential transfer for any reason not stated in Covered Risk 13(b) of this policy. 7. Any lien on the Title for real estate taxes or assessments imposed by governmental authority and created or attaching between Date of Policy and the date of recording of the Insured Mortgage in the Public Records. This Exclusion does not modify or limit the coverage provided under Covered Risk 11(b). EXCEPTIONS FROM COVERAGE — SCHEDULE B, PART 1, SECTION ONE This policy does not insure against loss or damage (and the Company will not pay costs, attorneys' fees or expenses) that arise by reason of: 1. (a) Taxes or assessments that are not shown as existing liens by the records of any taxing authority that levies taxes or assessments on real property or by the Public Records; (b) proceedings by a public agency that may result in taxes or assessments, or notices of such proceedings, whether or not shown by the records of such agency or by the Public Records. 2. Any facts, rights, interests, or claims that are not shown by the Public Records but that could be ascertained by an inspection of the Land or that may be asserted by persons in possession of the Land. 3. Easements, liens or encumbrances, or claims thereof, not shown by the Public Records. 4. Any encroachment, encumbrance, violation, variation, or adverse circumstance affecting the Title that would be disclosed by an accurate and complete land survey of the Land and not shown by the Public Records. 5. (a) Unpatented mining claims; (b) reservations or exceptions in patents or in Acts authorizing the issuance thereof; (c) water rights, claims or title to water, whether or not the matters excepted under (a), (b), or (c) are shown by the Public Records. 6. Any lien or right to a lien for services, labor or material not shown by the public records. Page 1 of 1 OLD REPUBLIC TITLE COMPANY Privacy Policy Notice PURPOSE OF THIS NOTICE Title V of the Gramm -Leach -Bliley Act (GLBA) generally prohibits any financial institution, directly or through its affiliates, from sharing nonpublic personal information about you with a nonaffiliated third party unless the institution provides you with a notice of its privacy policies and practices, such as the type of information that it collects about you and the categories of persons or entities to whom it may be disclosed. In compliance with the GLBA, we are providing you with this document, which notifies you of the privacy policies and practices of OLD REPUBLIC TITLE COMPANY We may collect nonpublic personal information about you from the following sources: Information we receive from you such as on applications or other forms. Information about your transactions we secure from our files, or from [our affiliates or] others. Information we receive from a consumer reporting agency. Information that we receive from others involved in your transaction, such as the real estate agent or lender. Unless it is specifically stated otherwise in an amended Privacy Policy Notice, no additional nonpublic personal information will be collected about you. We may disclose any of the above information that we collect about our customers or former customers to our affiliates or to nonaffiliated third parties as permitted by law. We also may disclose this information about our customers or former customers to the following types of nonaffiliated companies that perform marketing services on our behalf or with whom we have joint marketing agreements: Financial service providers such as companies engaged in banking, consumer finance, securities and insurance. Non -financial companies such as envelope stuffers and other fulfillment service providers. WE DO NOT DISCLOSE ANY NONPUBLIC PERSONAL INFORMATION ABOUT YOU WITH ANYONE FOR ANY PURPOSE THAT IS NOT SPECIFICALLY PERMITTED BY LAW. We restrict access to nonpublic personal information about you to those employees who need to know that information in order to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information. ORT 287-C 5/07/01 Disclosure to Consumer of Available Discounts Section 2355.3 in Title 10 of the California Code of Regulation necessitates that Old Republic Title Company provide a disclosure of each discount available under the rates that it, or its underwriter Old Republic National Title Insurance Company, have filed with the California Department of Insurance that are applicable to transactions involving property improved with a one to four family residential dwelling. You may be entitled to a discount under Old Republic Title Company's escrow charges if you are an employee or retired employee of Old Republic Title Company including its subsidiary or affiliated companies or you are a member in the California Public Employees Retirement System "CaIPERS" or the California State Teachers Retirement System "CalSTRS" and you are selling or purchasing your principal residence. If you are an employee or retired employee of Old Republic National Title Insurance Company, or it's subsidiary or affiliated companies, you may be entitled to a discounted title policy premium. Please ask your escrow or title officer for the terms and conditions that apply to these discounts. A complete copy of the Schedule of Escrow Fees and Service Fees for Old Republic Title Company and the Schedule of Fees and Charges for Old Republic National Title Insurance Company are available for your inspection at any Old Republic Title Company office. O F F I C E O F COUNTY ASSESSOR SANTA C L A R A COUNTY, C A L I F O R N I A BOCCKPAGE 11 288 O I i E CAMPBELL irrl frTi nia l:eg --AVENUE - f TRACT N" 406 - CAR}PBELL GAt1DEN5 Nre uw rtoa rtra rvr mo P.M. 620-M-44 ror# fDra fla.' is 7s ss.lc raLf9 ]G S is t 75 ; 75 i 7S I 75 75 I T5 t 7s ; 75 i I i fa w s S7 �' 58 DI 5.9 SO ri _I 3 i 63 ri 64 �; 65 �I 66 67 0 69 I f a 1 I ' I 1 { I I I 1 1 1 N a9za78 c.NeT .T 4 1 5 I 6 1 7 8 I 9 i 10 I 11 i 12 13 E 14 1 15 16 ^ lllililil o PTN. PCL. 1 1 1 I I I --_--vlY��E— tt 21.99 T��... T� __r I roD lt.vt - t Ta 7D I I 5 4 j J j 2 I 1 @5� 1 S4 PTN. 15 i 14 1312j17 10 9 8 7 6 PCL I I I ' ' ' 1C. 52 �� __i „� 50 49 847 �8 $f 44 t i a j 4i 9 39 �2DD 7a.fE7D 7D�q�fray I]3- 1_9rlrrTRACT N" 1765ARROYO GARDENS DRIVE 2 1 - 100',eDSGC� -o- ra r. i N P. M. ro9e mD rrr+ fr a 1.ev ucn rroe lefr rrrn 41Z ARROYO n'e 6)O 7° 71 T° 7a 70 70 1 rlO 70 I 70 t TO TD I SD 9c I ;----- -5369-M-24 c t t I ARROYO NCO i 1°o 'Merlp'Merl69� i 1 1 1 1 i 1 ,a Et" I.o7 Ac.NET �I 24 25 cj Z¢ i 27 ; 28 ; i 60 _1 31 i 32 ; 73 34 1 35 J6 37 k 16 Vr—e a d: I- O w v 16 17 I 18 19 20 y 21 22 12.3 j 24 i 25 i 26 27 L 28 I 29 i 0 - 14T 1e19i N 1 7scr PL L.A 1 �• z IO.SS AC. PTH. LDT 7Y m ? O D v PCL. A ,\eQ� �. �,. I TL,79 v .__ -}.___ Y—.._•s_>� Q lt! Q 4 i 5 6 I 7 e I 9 1 10 P 12 I 13 I 14 15 1 16 m p It I I I ei.>r • 1 I I �7 r< a_ m m a 20 �I^ 7] nl 16 1 iei� 14 13 1 12 i 11 f0 °I 9 I B PTn Pn 6 ¢ I 3 gX e s M a 1 I 1 I 1 I 1 I I I ..3 °c 1 I 13, .� i 1+b- T]11 t I 1 ' 1 Ici l] c19] 3(IVii T3 T3 1 T] 73 I 73 T7 73 919f a 71 73 71 73 t^ fn ra+n-yr msa m3T ron m.9s nor TRACT N° 225 - EL SoLYO TRACT nsr rr.r W.1 11y9 ten rrr -� q ` :u3 urs U's uel AVENUE ti EL SOLYO P.M.435•M-45 R.o_5 819115 I I I I L.A7'rRENCE E. STOVE - ASSESSOR 1 Cak*d mp Er _L pap— oij Coughd mda• R d: L C.* Sap 377. ERadh. RM Y— 2012-2013 t NOTICE ... This is neither a plat nor a survey, it is furnished merely as a convenience to aid you in locating the land indicated hereon with reference to streets and other land. No liability is assumed by reason of any reliance hereon. ORDER NO.: 0227014216-DP EXHIBIT A The land referred to is situated in the County of Santa Clara, City of Campbell, State of California, and is described as follows: Parcel 16 of that certain Parcel Map, which Map was filed for record in the Office of the Recorder of the County of Santa Clara, State of California, on October 30, 1990, in Book 620 of Maps, at Pages 44-45. .. . , �MIUZIFVIIFN Page 1 of 1 RECORDING REQUESTED BY: Fidelity National Title Company IFearow NO. 1 e0e223-TD Thh Order No. 01000223 When Recorded Mail Document and Tax Statement To: O.T. Martin Testamentary Trust 20540 Leonard Road SarAtogar CA 95070 The undersigned grantor(s) declarels) DOCUMENT: 14166197 Titles. 1 / pages: I Fees 37 SO - Taxes e0014166197e Cop I es AMT PAID 37 80 BRENDA DAVIS RDE p 005 SANTA CIARA COUNTY RECORDER 5/01/1998 Recorded at the request of 8:00 AM Fidelity National Title Ins GRANT DEED Documentary transfer tax is S City Transfer Tax is $ [ 1 computed on full value of property conveyed, or [ J computed on full value less value of liens or encumbrances remaining at time of sale, I X J Unincorporated Area City of FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Maurice L. Martin, as trustee of the Last Will and Testament of O.T. Martin, deceased hereby GRANT(S) to Maurice L. Martin, Ayumi Martin and Lynne Pickering, co -trustee of O.T. Martin Testamentary Trust created by the Decree of Distribution recorded July 23, 1970 in book 8997, page 273 and by Judgement Confirming Exercise of Power of Appointment by Emma A. Martin, continuing O.T. Martin Trust and appointing co - trustees recorded April 21. 1987 instrument no. 9238988 the following described real property in the City of ,Campbell County of Santa Clara, State of _California Parcel 1, of that certain Parcel Map, which map was filed for record in the Office of the Recorder of the County of Santa Clara, State of California on October 30, 1990 in Book 620 of Maps at pages 44-45. DATED: April 28, 1998 STATE OF CALIFORNIA ��i/!!e✓✓`"� COUNTY O '� IMfurlce L. Martin, trustee ONZ before me, personally appeared C� personally known to me for proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within-natrument and acknowledged to me that he/she/they executed the some in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witness my hand and official seal. r� Signature T. N CCOYIP YIii0042WS c NOTARY PUBLIC - CALIFORNIA SANTA CLARA COUNTY my COMM. Expire, November Is, Ie♦®B MAIL TAX STATEMENTS AS DIRECTED ABOVE FD-213 IRev 7/96) GRANT DEED CAMPBELL AVENUE rl CAMPBELL AVENUE BASIS OF BEARINGS 6 89' 18' S"I° E 1359.61'_ W - 354. 1(0' 3 Z S 89° IS' 51" E (WEST) 261,19' W -- (186.95) (T4.84') I m V N rr�� \\ _ O/� P—*Rc r1 t LOT :J �" LOT r if wol MARS ocm Q F N I 7:,-12 ARS 6 Z o 1� I 12 jM-,\PS ''-5'f Z N m I �to IN89°59'20'W 8484') " N89° IB' Il'_W 81-89' Q Vj m I � NO ✓J�65 41' 1 13' LOT 15 10-r 14 8918,11. W 1 0 J w wlR LEGEND AND NOTES BOUNDARY LINE LOT LINE ( ) RECORD DATA o SET 3/4° IRON PIPE OR AS NOTED p MONUMENT FOOND B.S.L. BUILDNG'SETBACK LINE _ ALL DIMENSIONS SHOWN HEREON ARE IN FEET AND DECOLS THEREOF ' 11E AREA WITHIN THE DISTINCTIVE BORDER 15 I.249 ACRES BASIS OF BEARINGS AVENUE %J '± �'. �� THE BEARING S 81, 181 511 E OF THE CENTERLINE Of CAMPBELL } AS RECORDED ON THE RECORD OF SURVEY BOOK 241 OF MAPS, PAGE 41 SANTA CLARA COUNTY RECORDS WASTAKEN AS THE BASIS OFALL BEARINGS '• OR THIS MAP. PARCEL MAP CONSISTING OF(2) TWO SHEETSi ELIMINATION OF LOT LINES PARCEL 1. BEING ALL OF PARCEL'A' AS SHOWN ON THE PARCEL MAP RECORDED IN BOOK 212 OF MAMPAGE O, SANTA CLARA COUNTY RECORDS' PARCEL 2. BEING ALL OF LOT 3 AS SHOWN ON THE MAP OF TRACT 110,408 RECORDED IN ISM 12OF MAPS, PAGE 54, SAM CLARA COUNTY RECORDS. PARCEL 3, BEING A PORTION OF LOT b AS SHOWN ON THE 91BDMSIOMTbWP RECORDED IN BOOK'K OF MAPS,PAGE 31,SANTA CLARA COUNTY REGARDS, CITY OF CAMPBELL SANTA CLARA COUNT`f, CALIFORNIA SCALE: W 8V NOVEMBER 1989 .{!� VICRA CORPORATION 125E.SUNNYOAKS AVE.SUITEM-400M.5450 - CAMPBELL CA9500S SHEET 2 OF 2 SHEETS - r° ' TO BE RECORDED WITHOUT FEE SECTION 6103 GOVERNMENT CODE AT THE REQUEST OF CITY OF CAWBELL Recording -Requested By: City of Campbell After'Recording Return To; City Clerk City of Campbell 70 North First Street Campbell, CA 95008 DOCUMENT: 229591 I�II�I'NIIIII�0I�IIIIIIIIIIIIIIII op�;, Pages: No �:eb REGINA ALCOMENDRAS RDE # 001 SANTA CLARA COUNTY RECORDER 5/20/2015 Recorded at the request of 11:38 AM Grantor L-Lq t5`/\6'� APN: 288-08-078, (Space Above this Line for ADDRESS: 2000 S. Bascom Avenue, Campbell, CA 95008 'JUN 29 2015 COVENANTS FOR OPERATION AND MAINTENANCE CITY CLERK'S OFFICE OF STORMWATER RUNOFF FACILITIES These COVENANTS, are made on this N day of Ae"4e- 2015, by LYNNE PICKERING AND TAM[ ANTHONY' CO -TRUSTEES OF THE O. T. MARTIN TESTAMENTARY TRUST CREATED BY DECREE OF DISTRIBUTION RECORDED JULY 23, 1970, IN BOOK 8997, PAGE 273, (hereinafter referred to as "Owner") and MV CAMPBELL, LLC, A CALIFORNIA LIMITED LIABILITY COMPANY (hereinafter referred to as "Tenant" and with Owner and Tenant being sometimes hereinafter collectively referred to as "Covenantors") with reference to the following facts: A. Owner is the owner of certain property located in the City of Campbell, County of Santa Clara, State of California (the "City"), more particularly described in Exhibit B, and commonly known as 2000 S. Bascom Avenue, Campbell, CA 95008 (the "Property"). Owner is leasing the Property to Tenant pursuant to .the terms and conditions of that Ground Lease dated May 28, 2014, as may be from time to time amended (the "Ground Lease"), a memorandum of which entitled "Memorandum of Lease" and dated May 28, 2014 was recorded on April 9, 2015 as recorder's Series No. 22913047 in the Official Records of Santa Clara County, California. Owner has granted Tenant the right to develop the Property at Tenant's sole expense in accordance with the provisions of such Ground Lease. B. Tenant desires to develop the Property in accordance with the rights granted to it in such Ground Lease and both Owner and Tenant understand that the size of the Property requires that such Property be developed with certain stormwater runoff facilities (the "Facilities") in accordance with "Best Management Practices" ("BMPs") required by the National Pollution Discharge Elimination System ("NPDES") Stormwater Discharge Permit issued by the California Regional Water Quality Control Board -San Francisco Bay Region. C. The required Facilities are shown on the approved development plans and specifications for the Property (the "Plans"), copies of which are kept on file in the Office of the City Engineer and are generally shown in the attached Exhibit B. D. In accordance with the NPDES Stormwater Discharge Permit and in consideration for discretionary approvals granted by the City allowing the development and use of the Property, Tenant freely and voluntarily agree by these covenants to bind the Tenant and their respective heirs, assigns and successors to construct the Facilities in- accordance with the Plans and to maintain the Facilities in good and workable condition based for long term operation. Once the Ground Lease terminates the obligation to maintain the Facilities shall be the responsibility of the Owner. NOW, THEREFORE, Covenantors hereby declares that all of the Property described above shall be held, sold, leased, mortgaged, encumbered, rented, used, occupied, improved and conveyed subject to the following limitations, restrictions, covenants, and conditions, which are imposed as covenants running with the land and shall both burden and benefit the land for the purpose of complying with the NPDES Stormwater Discharge Permit. 1. PERPETUAL MAINTENANCE OF THE FACILITIES. Tenant voluntarily and willingly, hereby binds itself and its administrators, executors, successors, heirs, assigns and successors to construct the Facilities in accordance with the Plans and to have Covenanters (based upon the length of the Ground Lease) thereafter maintain the Facilities in good and workable condition for long term operation; Tenant will have no obligation to maintain the Facilities once the Ground Lease terminates. No improvements, structures, or appurtenances shall be placed, constructed or developed on the Property in such a way as to interfere with this obligation. 2. Tenant shall prepare a Stormwater Management Plan (SMP) that details how runoff and associated water quality impacts resulting from the development will be controlled or managed. The Plan shall include sufficient information to evaluate the environmental characteristics of affected areas, the potential impacts of the proposed development on water resources, and the effectiveness and acceptability of measures proposed for managing the stormwater runoff. The minimum information in the SMP is as shown in the attached Exhibit "A". 3. OPERATIONS AND MAINTENANCE (O&M) REPORTING. The Facilities installed and constructed in accordance with the C.3 provisions of the City's NPDES Storm Water Permit shall be maintained and inspected on a regular basis per the inspection frequency delineated in the Stormwater Management Plan. The operation and maintenance of theseFacilities are to be certified by .a qualified individual to ensure that the treatment Facilities are being operated and maintained accordingly. A list or summary of treatment Facilities that have been inspected with inspection results and certification shall be submitted to the City annually. C:\Users\tami\AppData\Local\Temp\Tempi_attachments 2015_04_14.zip\Covenants for Operations Maintenance of Storm Water Runoff Facilities 4-8-15_CLEAN COPY.doc (Rev. 09/12) Page 2 4. COVENANT RUNNING WITH LAND. The obligations established in these covenants both benefit and burden the land and are to run with the land and shall be binding on Covenantors, its administrators, executors, successors, heirs, assigned and successors. - 5. ENFORCEMENT AND THIRD PARTY BENEFICIARY. Enforcement of these covenants shall be by proceedings at law or in equity against any person or persons violating or attempting to violate covenant either to restrain a violation or to recover damages. The City shall be deemed a third party beneficiary for purposes of enforcement established herein and shall be able to enforce these covenants should Covenantors, it's administrators, executors, successors, heirs, assigns and successors fail or refuse to do so. 6. CITY RIGHT OF ENTRY TO MAINTAIN. Covenantors, its administrators, executors, successors, heirs, assigns and successors hereby grants a right of entry to City, its authorized agents and employees, for purposes of inspection of the Facilities at reasonable times whenever deemed necessary by City and maintenance of the Facilities by City should Covenantors, its administrators, executors, successors, heirs, assigns and successors fail to properly maintain the Facilities in a manner acceptable to the City. In the event Covenantors, its administrators, executors, successors, heirs, assigns and successors fail to properly maintain the Facilities in good and workable order, the City may take any necessary steps to keep the Facilities in good working order. Unless health and safety reasons require immediate access, the City shall provide reasonable notice in advance of the entry on the Property. 7. COST REIMBURSEMENT AND LIEN. If the City performs work of any nature or sort to maintain the Facilities and expends funds for the performance of that work for materials, equipment. and/or labor, Covenantors, its administrators, executors, successors, heirs, assigns and successors hereby covenant and agree that upon written notice by City, City shall be reimbursed by Covenantors, its administrators, executors, successors, heirs, assigns and successors for all such costs incurred City for said maintenance within thirty days of receipt of the notice. If payment is not made within the timeline established herein, Covenantors, its administrators, executors, successors, heirs, assigns and successors, agree the amount of the costs incurred by City shall become a lien upon the Property and the City shall have all rights, in law and/or equity, to enforce the lien by foreclosure or other lawful action. The actions available to City as described in this covenant shall not be deemed to limit any other legal or equitable remedy of City. 8. BREACH. Breach of any of the covenants or any re-entry by reason of such breach, shall not defeat or render invalid the lien of any mortgage or deed of trust made in good faith and for value as to the Property or any part thereof; but such covenants shall be binding and effective against any owner of the Property whose title thereto is acquired by foreclosure, trustee's sale or otherwise. C:\Users\tami\AppData\Local\Temp\Templ_attachments_2015_04_14.zip\Covenants for Operations Maintenance of Storm Water Runoff Facilities 4-8-15_CLEAN COPY.doc (Rev. 09/12) Page 3 9. TIME OF ESSENCE. Time is of the essence hereof and any individual waiver of time in any instance shall not constitute any subsequent waiver of these provisions. C:\Users\tami\AppData\Local\Temp\Temp 1_attachments 2015_04_14.zip\Covenants for Operations Maintenance of Storm Water Runoff Facilities 4-8-15_CLEAN COPY.doc (Rev. 09112) Page 4 10. RECORDATION. These covenants shall be recorded in the Offices of the County Recorder for the County of Santa Clara, State of California. IN WITNESS WHEREOF, the undersigned Covenantorss have executed this declaration this l day ofi, 7 , 2015. "OWNER" O.T. MARTIN TESTAMENTARY TRUST Tami ' nthony, C -Trustee Lynne Pickering, Co -Trustee N cs�A--y y o`(-tc- O�C,I . "TENANT" MV CAMPBELL, LLC, A CALIFORNIA LIMITED LIABILITY COMPANY .'4� _,9� By: Mark Seiler, its Manager 580 2nd Street, Suite 260 Oakland, CA 94607 (Acknowledgment/Notarization Required) C:\Users\tami\AppData\Local\Temp\Temp 1_attachments_2015_04_14.zip\Covenants for Operations Maintenance of Storm Water Runoff Facilities 4-8-15_CLEAN COPY.doc (Rev. 09/12) Page 5 CALIFORMIA ALL-PURPOSE ACKNOWLEDGMEMT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of awwu4 A/ On i�: IS before me, Date personally appeared (, I114 ©IJG eorOwffoj NOTARY P0800, Here Insert Name and Title of the Officer SEILER Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person( whose name(, is/a subscribed to the within instrument and acknowledged to me that he/sole/t ey executed the same his/h)6r/thdr authorized capacity(ip4), and that by his/Wr/th it signature(,s'j on the instrument the person, or the entity upon behalf of which the person(s) acted, executed the instrument. t.t A a G�ON Commission #p 2024721 N*MV PUWIC - CamorroiQ AMMU County ,hm 12 2017 C ry r kWh di0di`l7d emy I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature JWjp'' '^'" Wy U."t Signature f Notary Public 11, aij Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): 11 Partner — ❑ Limited ❑ General ❑ Individual D Attomey in Fact El Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Signer's Name: ❑ Corporate Officer — Title(s): • Partner — ❑ Limited ❑ General • Individual Ci Attorney in Fact J1 Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: ©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6627) Item #5907 CALIFORNIA ALL-PURPOSE ACKWOWLEOGMENT CIVIL CODE § 1189 :fc�^•,{:<`.cry,M=Md��'��Y'�-Y`�"�,,.f.".�-,e:^n.�^��4'.��Y`sS.,�Y�.e=r.:=1^.<-r�, r.nn--M.-n - . - A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California On \ a'01 before me, QjM G (L - i L -I Pu b) f c Date Here Insert Name and Title of the Officer personally appeared iG`M\ �A• 4 Name(s) of ignerw oe,eY i vA who proved to me on the basis of satisfactory evidence to be the persons whose name(s) is are subscribe to the within instrument and acknowledged me that he/sh hey executed the same in his/her heir uthorized capacity(ies), and that by his/he /their ignature(s) on the instrument the person(s), or the effiy upon behalf of which the person(s) acted, a uted the instrument. °P>yF RINKOO R. NAT ly Q�" v NOTARY PUBLIC - CALIFORNIA o®" m COMMISSION # 2004168 ~ ® w* SANTA CLARA COUNTY �j Cn, �FQF My Comm. Exp. February 13, 2017 F Place Notary Seal Above I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Signature of Notary Public OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Corporate Officer — Title(s): El Partner — ❑ Limited ❑ General ❑ Individual L7 Attomey in Fact ❑ Trustee ❑ Guardian or Conservator • Other: Signer Is Representing: Signer's Name: ❑ Corporate Officer — Title(s): C; Partner — ❑ Limited 0 General 0 Individual ❑ Attorney in Fact Ej Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: ©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 i EXHIBIT "A" STORMWATER MANAGEMENT PLAN CONTENTS The minimum information submitted for support of a Stormwater Management Plan shall be as follows: 1. Common address, parcel number and legal description of the site. 2. Contact information for all persons having a legal interest in the property. 3. Vicinity or area map. 4. A brief narrative description of the project. 5. Geotechnical investigations including soil maps, borings, site -specific recommendations, and any additional information necessary for the proposed stormwater management design. 6. Written or graphic inventory of natural resources existing at the site and in the surrounding area, including, but nit limited to, watercourses, wetlands, and native vegetative areas. 7. Data for total site area, disturbed area, new and/or replaced impervious surface area, and total impervious surface area. 8. Topographic survey information showing existing and proposed contours, including all areas necessary for the post -development hydraulic analyses of proposed stormwater management facilities. 9. Erosion and sediment control plan, as required by City Code Section 16.08, Excavation, Grading and Retaining Walls. 10. A list of any other applicable environmental permits that will be required for the project and the responsible agencies (examples: Santa Clara Valley Water District, State Department of Fish and Game, Regional Water Quality Control Board). 11. Hydrologic computations, including drainage area maps depicting existing and - post - development runoff flow paths and land use. 12. Hydraulic computations for existing and post -development conditions. 13. A list of all stormwater management facilities and practices to be employed at the site. 14.- A list of any regular on -site cleaning activities to be used as stormwater pollutant source controls (example: pavement sweeping) and the schedules for these cleaning activities. 15. Numeric sizing criteria computations for stormwater treatment BMP's according to the SCVURPP "Guidance for Implementing Stormwater Regulations for New and Redevelopment Project." 16. Structural and construction details for all components of the proposed drainage system or systems and stormwater management facilities. 17. Landscaping plan showing disposition of existing vegetation and any vegetative site stabilization and/or landscape -based storm water management measures. 18. Cost estimates for all proposed on -site stormwater management facilities for the purpose of calculating the amount of any required performance bonds and determining BMP practicability. 19. BMP operation and maintenance procedures, including maintenance tasks, inspection and maintenance schedule, the parties responsible for BMP operation and maintenance, funding mechanisms for on -going operation and maintenance and access and safety issues. 20. Certification by the owner/developer that all stormwater management construction will be done according to this Stormwater Management Plan. 21. An as -built certification .signature block to be executed by the responsible registered civil engineer after project completion. 22. Any other information as may be required by the Director of Public Works.. a � (41Y ,09) L9ff9JS AVA UTAT HJ120S MARTIN TESTAMENTARY TRUST APN 288-08-078 LOT 4 12-M-54 - N 00'41'03" E 172.63' (A) _ 30.0' 142.63' (A) w w a c m 7) I n Do rn - c� Zcc v� w N APN > w 288-08-078 Q Q n � v O.T. MARTIN TESTAMENTARY TRUST c 00 DOC# 14166197 '5; < °� � PARCEL 1 620-M-44 & 45 Lo v c-� REMAINDER 53,102 SF f w QD n N a w Lo n N 2 w 1� Q o I -AREA 'A' U �' 00 AREA 'B' m ro Exhibit TRAN APN 288-08-051 LOT 14 71-M-53 WEINMAN 288-08-052 LOT 15 71-M-53 N 00°41'03" E 71.57' (A) APN PRIES 288-08-054 APN 288-08-053 Q 0 N LEGEND & ABBREVIATIONS 0 w 0 POB POINT OF BEGINNING 6 0 FD FOUND N ; IP IRON PIPE ~ PROPERTY LINE co AREA 'C' Q I CENTER LINE w N 89"16'46" W 9.00`- TIE LINE L1 APN LINE S 00`43'14" W 125.57' P.O.B. STORMWATER 68.60' TREATMENT AREA i R=20.00' D=89`57'49" L=31.40 I o- L1 = S 89°18'57" E 9.00' N 00°43' 14" E 244.13' (244.13)(A) FD IP &NAIL N 00'43'14" E 346.63' (N 00`42'53" E)(A) INMON. WELL SOUTH BASCOM AVENUE AREA 'A' AREA 'A' AREA 'A' 215 SF ± 199 SF f 265 SF f ALPHA LAND SURVEYS, INC. 4444 SCOTTS VALLEY DRIVE, SUITE 7 SCOTTS VALLEY, CA 95066 (831) 438-4453 STORMWATER TREATMENT AREA EXHIBIT 2000 S BASCOM AVENUE, CAMPBELL FD IP & NAIL IN MON. WELL APR 13, 2015 SCALE 1 "=60' PAGE 1 OF 1 CITY OF CAMPBELL Statement of Engineered Stormwater Treatment for New and Re -development Projects The Purpose of this statement is to state that: The project's engineered storm water treatment BMPs and other control measures have met the selection, sizing, and preliminary design criteria required by the City's NPDES permit No. 01-119. e Qualified Engineer,, hired by the developer, will provide or has dew`and "assessmentof the accuracy of`costestirh a for the`desi istruction.' and,/or installation of the stormwater treatment BMPs al Note + Numeric sizing criteria for pollutant removal treatment systems based on the amount of impervious surface present at a site, are addressed in Chapter 4 of the SCVURPPP C.3 Stormwater Handbook — May 2004. • Reference www.scvurppp.org, link to "Reports and Products" for 2003-3004. Review the "Guidance Manual" called C.3 Stormwater Handbook. Statement By A Qualified Engineer The engineer providing this statement must be qualified, or have a qualified individual under their supervision, according to the requirements in the City's NPDES permit, No. 01-119, Provision C.3.h. The City of Campbell requires developers of Group 1 and Group 2 projects to provide a signed Statement from a civil engineer or a licensed architect or landscape architect, registered in the State of California. Each person shall provide said statement establishing that such person, or a qualified individual under their supervision, has been trained on best management practice design for water quality not more than three years prior to the signature date, and that each qualified person understands the groundwater protection principles applicable to the project site. Training conducted by an organization with storm water treatment best management design expertise such as a university, the American Society of Civil Engineers, American Society of Landscape Architects, American Public Works Association, or the California Water Environment Association may be considered qualifying. Statement of adherence to design criteria Treatment best management practices (BMPs) for Group 1 and Group 2 projects shall incorporate the following hydraulic sizing design criteria to treat storm water runoff. NPDES permit 01-119, Provision C.3.d. - numeric sizing criteria for treatment systems JAFORMS\Templates \Storm Water Requirements\Certification of Engineered Storm Water Treatment for New & Redevelopment Projects.doc (Rev. 03/08) Page 1 of 2 1. Volume Hydraulic Design Basis: Treatment BMPs whose primary mode of action depends on volume capacity, such as detention/retention units or infiltration structures, shall be designed to treat stormwater runoff equal to: A. The maximized stormwater quality capture volume for the area, based on historical rainfall records, determined using the formula and volume capture coefficients set forth in Urban Runoff Quality Management, WEF Manual of Practice No. 231 ASCE Manual of Practice No. 87, (1998), pages 175-178 (e.g., approximately the 85th percentile 24-hour storm runoff event); or B. The volume of annual runoff required to achieve 80 percent or more capture, determined in accordance with the methodology set forth in Appendix D of the California Stormwater Best Management Practices Handbook, (2003), using local rainfall data. 2. Flow Hydraulic Design Basis: Treatment best management practices (BMPs) whose primary mode of action depends on flow capacity, such as swales, sand filters, or wetlands, shall be sized to treat: A. 10% of the 50-year peak flow rate; or B. The flow of runoff produced by a rain event equal to at least two times the 85th percentile hourly rainfall intensity for the applicable area, based on historical records of hourly rainfall depths or C. The flow of runoff resulting from a rain event equal to at least 0.2 inches per hour intensity. The sizing, selection, and preliminary design of treatment BMPs and control measures for the site named below, meet the requirements of the City of Campbell's NPDES permit, No. 01-119, Provision C.3. Date: 2/18/15 Project Location/Name 2000 South Bascom Avenue, Campbell, CA Project APN # 2 8 8- 0 8- 0 7 8 Responsible Engineer Todd Creamer License No. 64561 Expiration Date.. 6/30/15 eROFESSloNq� R. CRfa.. No-C 64561 * Exp. 6/30/15 yF s�9 CI V OF CA\F 0� This form must be signed and stamped, by the responsible Engineer. JAFORMS\Templates \Storm Water Requirements\Certification of Engineered Storm Water Treatment for New & Redevelopment Projects.doc (Rev. 03/08) Page 2 of 2 i r- Storm Water Control Plan Restaurant Buildings Renovation 2000 South Bascom Avenue Campbell, CA APN 288-08-078 Client: Metrovation 650 5th Street #303 San Francisco, CA 94107 (415) 538-1400 C2G / Civil Consultants Group, Inc. 4444 Scotts Valley Drive, Suite 6 Scotts Valley, CA 95066 (831) 438-4420 r CONTENTS Listof Figures................................................................................................................................................................................2 Listof Attachments.......................................................................................................................................................................3 ProjectSummary ......................................................................................................................................................................4 Introduction..................................................................................................................................................................................4 NarrativeDescription....................................................................................................................................................................4 VicinityMap..................................................................................................................................................................................4 ParcelInformation........................................................................................................................................................................5 The Assessor's Parcel Number for the project site is 288-08-078. The Assessor's Parcel Map is included in Attachment B.......5 summaryof project information..................................................................................................................................................5 SitePhysical characteristics......................................................................................................................................................6 SoilClassification..........................................................................................................................................................................6 Precipitationand Drainage...........................................................................................................................................................6 DesignInformation.................................................................................................................................................................10 Worksheets.................................................................................................................................................................................10 Project Drainage Patterns and Tributary Areas..........................................................................................................................10 SCMDescriptions and Sizing.......................................................................................................................................................11 Summary of Stormwater Management SCMs............................................................................................................................11 Structuraland Construction Details............................................................................................................................................11 DesignEngineer Qualifications...................................................................................................................................................12 Routine SCM Maintenance and inspections...............................................................................................................................12 Periodic SCM Maintenance and Inspections..............................................................................................................................12 LIST OF FIGURES Figure 1: Vicinity map 5 Figure 2: Soils Map 6 Figure 3: Isohyetal Map of Santa Clara County 7 Figure 4: Watersheds Map 8 Figure 5: Flood Zone Information 9 Figure 6: HMP Applicability Map 10 2 1 7 LIST OF ATTACHMENTS Attachment A - Project Site Soil Map - Project Site Soil Data Attachment B - Assessor's Map Attachment C - Watershed Map Attachment D - Flood Zone Map Attachment E - HMP Applicability Map Attachment F - C3 Data Worksheet - Infiltration/Harvesting and Use Feasibility Screening Worksheet Attachment G - Grading Plan - Stormwater Control Plan Attachment H - Sizing Calculations Attachment I - Todd Creamer's Resume Attachment J - Bio-Retention Area Operation and Maintenance Attachment K - Sample Maintenance Checklist Attachment L - Campbell Municipal Code Section 14.02 Attachment M - Covenants for Operations & Maintenance of Storm Water Runoff Facilities - Stormwater Treatment Area Exhibit 3 L Z PROJECT SUMMARY INTRODUCTION The project is located at the intersection of South Bascom Avenue and Campbell Avenue where a restaurant building and parking lot now exist. The project proposes to construct a new restaurant building and new adjacent parking stalls (with ADA compliance) and leave the majority of the parking lot intact. Various aspects of the site and the proposed development were considered in the design of the Stormwater Best Management Practices (BMPs). The design incorporated the Infiltration/Harvesting and Use Feasibility worksheet. Due to the drainage patterns and soil classification of the proposed site, three tributary areas were established with no self -treating or self - retaining areas. This project implements bioretention areas for post -construction storm water best management practices (BMP's) to treat the site runoff from new and/or replaced impervious areas. NARRATIVE DESCRIPTION The proposed development is comprised demolishing a one-story restaurant building and the adjacent parking stalls. and constructing a new one-story restaurant building with new, ADA compliant adjacent parking stalls. Access is provided by two driveways in the areas of the parking lot to remain. There are 56 parking stalls including a van -accessible stall to remain. The project creates or replaces 19 parking stalls including a van -accessible stall. All of the roofing materials are also considered to be essentially impervious. The site layout includes a few small landscaped areas, a larger landscaped area, and three new bioretention areas. VICINITY MAP See Figure 1: Vicinity map on page 5 with a red arrow pointing to the project location indicated by a gray box. 4 I A" 6nk &A—meric—,aA; Yk NOW R*qw� _-immwgw* j" i nalH The *el, i, i ck. gi ' ry r CD 71% - -.A rD S PC i—ell Ave r LT r YL ME F - SITE PHYSICAL CHARACTERISTICS SOIL CLASSIFICATION The soil at the site consists mainly of Urban land-Elpaloalto complex (lnszz). These soils are considered well -drained, belong to the low runoff class, with 0 to 2 percent slopes. See the site location on the map shown in Figure 2: Soils Map on page 6. The site location is shown with a red arrow and shaded region at the center of the figure. FIGURE 2: SOILS MAP The soil types belong to Hydrologic Soil Group C. The most limiting layer has moderately high hydraulic conductivity (0.20 to 0.57 in/hr). Typically the water table is more than 80 inches deep. See the Web Soil Survey Soil Map and Summary of Site Characteristics in .Attachment A. PRECIPITATION AND DRAINAGE The mean annual precipitation is about 14.5 inches. See Figure 3: on page 7. 6 Figure A-2 Mean Annual Precipitation Map Santa Clara County `N 10 0 10 20 Miles SOURCE: Santa Clara Valley Water District, Mean Annual Precipitation Map, San Francisco & Monterey Bay Region, 1998 , FIGURE 3: ISOHYETAL MAP OF SANTA CLARA COUNTY The project is located in the Guadalupe River Watershed just outside the City of San Jose Limits. See Figure 4: Watersheds Map on page 8. The entire Watersheds Map of the City of San Jose is provided in Attachment C. FIGURE 4: WATERSHEDS MAP The project is not located on a flood plain. See Figure 5: Flood Zone Information on page 9. The Flood Map provided by the Federal Emergency Management Agency is provided in Attachment D. 8 'l FIGURE 5: FLOOD ZONE INFORMATION It is not necessary to meet the requirements of the Hydromodification Management Plan (HMP) for this project. See Figure 6: HMP Applicability Map on page 10. The yellow area indicates subwatersheds less than 65% impervious and greater than 90% built out: hydromodification is required for projects over 50 acres and encouraged (but not required) on other projects. The HMP Applicability Map provided by the County of Santa Clara is provided in Attachment E. 9 - Legend. Jurisd Upstre Major Reset Contin 0 Catchi HMPr Subwa HMP encouragedbutnot required. - Subwatersheds less than 90% built out. HMP required: ® Subwatersheds less than or equal to 65% impervious and greater than or equal to 90% built out. HMP required on projects over 50 as:, encouraged on others. 0 Watershed Area Outside of SCVURPPP Permit Area FIGURE 6: HMP APPLICABILITY MAP DESIGN INFORMATION 2 0 2. 4 Miles WORKSHEETS The C.3 Data Form for the Santa Clara Valley Urban Runoff Pollution Prevention Program is provided in Attachment F. An "Infiltration/Harvesting and Use Feasibility Screening Worksheet" is also provided for reference in Attachment F. The results indicate that bioretention areas should be used. The worksheet also indicates that. it is not necessary to complete the "Rainwater Harvesting and Use Feasibility Worksheet" or the "Infiltration Feasibility Worksheet." PROJECT DRAINAGE PATTERNS AND TRIBUTARY AREAS The drainage patterns for the proposed site were established from the elevations and grades shown in the improvement plans. See the grading plan (sheet C3.1 from the improvement plans) included in Attachment G. Three tributary areas were identified as established as the Drainage Management Areas (DMAs). of the site. Downspouts are disconnected. Stormwater will sheet flow across the finished grades to valley gutters and into storm drain inlets. Stormwater is then carried in pipes that 10 x daylight at each bioretention area. See the plan view of the site, cross sections of the bioretention areas, and sizing calculations shown on the Stormwater Control Plan (sheet C3.2 from the improvement plans) also included in Attachment G. It shows the location and sizes of bioretention areas relative to building locations, parking areas and other site elements. SCM DESCRIPTIONS AND SIZING The Site includes three bioretention areas, which not only treat and filter the storm water but also detain runoff in the soil media & gravel packed portion of the trench. These Stormwater Control Measures (SCMs) collect the building: and hardscape runoff. Each bio-retention area was sized according to the conservative "4 Percent Rule" where the surface area of each is at least 4 percent of the size of the total impervious tributary area. The Runoff Coefficient "Cw" was computed for each DMA to be: C. = 0.858i3 — 0.78i2 = 0.774i + 0.04 where "I" is the fraction of the tributary area that is impervious. The bioretention areas consists of a depressed landscaped Swale, a variety of plants and soil amendments, soil media that allows for infiltration rate of 5 inches per hour, a class II permeable rock section and a perforated drain pipe. During a storm, the bioretention area will store 6-inches of water (minimum) above the high -infiltration soil media. Once the designed freeboard volume of water has been maximized, drainage will safely enter into an overflow inlet and eventually enters the public storm drainage system. SUMMARY OF STORMWATER MANAGEMENT SCMS Tributary Total Imper- Rainfall Swale Swale Swale Soil Drain Swale Area Area vious Volume Length Width Area Media Rock Volume (sq.ft.) Area (cu.ft.) (ft) (ft) (sq.ft.) Depth Depth (cu.ft.) (sq.ft.) (ft) (ft) A 5,793 5,632 425.10 15 14.5 217.5 2.0 2.0 435 B 3,593 3;593 278.37 14 13.7-5 192.5 1.5 1.0 281 C 1 4617 3,284 202.14 28 5 1140 1.5 1.0 204 STRUCTURAL AND CONSTRUCTION DETAILS The bioretention areas are trenches filled with an upper layer of soil media as determined by C.3 requirements providing an infiltration rate of 5 in/hr minimum. Below that is clean %" drainage rock. See Attachment G for cross sections of each bioretention area. The bioretention areas are typically at least 5 feet wide with the adjacent ground sloping at 6:1 (horizontal: vertical) maximum to the surface of the trench. The cross sections show adjacent hardscape features such as curb, gutter and 11 sidewalk and adjacent building foundations. All trenches include 6 inches of freeboard. The bioretention areas have been sized to retain the total volume of water calculated by the URQM method. See the calculations shown in Attachment G and included separately in Attachment H. An overflow pipe is located with the open end at the top of the freeboard height that will flow to the public storm drain system. DESIGN ENGINEER QUALIFICATIONS The design of bioretention ,areas was done under the supervision of Todd Creamer, PE. His qualifications include California Civil Engineer Registration (RCE 64561), California Qualified Storm Water Pollution Prevention Plan (SWPPP) Practitioner/Developer (CA QSP/QSD 00439) and National Certified Erosion and Sediment Control (CESC 2752). See Todd Creamer's resume in Attachment I. ROUTINE SCM MAINTENANCE AND INSPECTIONS Monthly inspections during the rainy season by the maintenance crew will include checking for trash and debris, checking for standing water, inspecting storm water intermediaries such as downspouts, checking for sediment accumulation, checking health of vegetation and checking appearance of soils. The schedule of routine SCM maintenance and inspections shall be bimonthly with additional inspections and/or maintenance as required. Regular maintenance of the bioretention areas includes removal of trash and debris, weeding, and a check of the appearance of the SCMs and storm water intermediaries such as downspouts. See Attachment J for suggested guidelines for bioretention area operation and maintenance. If the results of an inspection recommend additional maintenance for one or more SCMs, the inspector shall notify the owner and provide a detailed list of the work to be done. See Attachment K for a sample maintenance checklist. PERIODIC SCM MAINTENANCE AND INSPECTIONS Each SCM will be inspected twice a year to ensure it is operating to designed specifications and per industry standards for the landscape BMPs. Detention basin vaults should be inspected prior to and following the rainy season. Landscape -based BMPs (bioretention swales) will be inspected monthly during the rainy season by the maintenance crew. Semiannual inspections will be performed as directed by a civil engineer registered in the state of California. The engineer may direct other inspections and/or maintenance to occur based on the findings. See Attachment L for Section 14.02 of the Municipal Code relating to stormwater. 12 Attachment A Soil Map Soil Data 37° 1712°N 37" 17 10"N 3 Soil. Map —Santa Clara Area, California, Western Part 3 R (Campbell'Restaurant Replacement) 594710 594720 594730 594740 594750 594760 594770 594780 594790 3 Map Scale: 1:533 if printed on A landscape (11" x 8.5") sheet. . " Meters N 0 5 10 20 30 AFeet 0 25 50 100 150 Map projection: Web Mercator Comer coordinates: WGS84 Edge tics: UFM Zone 10N WG584 usDA Natural Resources Web Soil Survey Conservation Service National Cooperative Soil Survey 5948M 3T 1712" N i 37' 1T10'N 594810' 3 v 2/17/2015 Page 1 of 3 Soil Map —Santa Clara Area, California, Western Part (Campbell Restaurant Replacement) MAP LEGEND Area of Interest (AOI) 0 Area of Interest (AOI) Soils 0 Soil Map Unit Polygons s� Soil Map Unit Lines ® Soil Map Unit Points Special Point Features (off Blowout M Borrow Pit { Clay Spot `) Closed Depression Gravel Pit Gravelly Spot Landfill >� Lava Flow i Marsh or swamp Mine or Quarry Miscellaneous Water Perennial Water ea Rock Outcrop + Saline Spot e Sandy Spot Severely Eroded Spot Sinkhole ,y. Slide or Slip Sodic Spot MAP INFORMATION Spoil Area The soil surveys that comprise your AOI were mapped at 1:24,000. Stony Spot Warning: Soil Map may not be valid at this scale. Very Stony Spot Enlargement of maps beyond the scale of mapping can cause { Wet Spot misunderstanding of the detail of mapping and accuracy of soil line placement. The maps do not show the small areas of contrasting Other soils that could have been shown at a more detailed scale. •� Special Line Features Please rely on the bar scale on each map sheet for map Water Features measurements. Streams and Canals Source of Map: Natural Resources Conservation Service Transportation Web Soil Survey URL: http://websoilsurvey.nres.usda.gov e e i Rails Coordinate System: Web Mercator (EPSG:3857) rti,a Interstate Highways Maps from the Web Soil Survey are based on the Web Mercator s� US Routes projection, which preserves direction and shape but distorts distance and area. A projection that preserves area, such as the Major Roads Albers equal-area conic projection, should be used if more accurate Local Roads calculations of distance or area are required. Background This product is generated from the USDA-NRCS certified data as of ® Aerial Photography the version date(s) listed below. Soil Survey Area: Santa Clara Area, California, Western Part Survey Area Data: Version 3, Sep 18, 2014 Soil map units are labeled (as space allows) for map scales 1:50,000 or larger. Date(s) aerial images were photographed: Oct 7, 2013—Nov 3, 2013 The orthophoto or other base map on which the soil lines were compiled and digitized probably differs from the background imagery displayed on these maps. As a result, some minor shifting of map unit boundaries may be evident. USDA Natural Resources Web Soil Survey 2/17/2015 Conservation Service National Cooperative Soil Survey Page 2 of 3 Soil Map —Santa Clara Area, California, Western Part Map Unit Legend Campbell Restaurant Replacement Santa Clara Area, California, Western Part (CA641) Map Unit Symbol Map Unit Name Acres in AOI Percent of AOI 131 Urban land-Elpaloalto complex, 0 to 2 percent slopes 1.2 100.0% Totals for Area of Interest 1.2 100.0% USDA Natural Resources Web Soil Survey 2/17/2015 Conservation Service National Cooperative Soil Survey Page 3 of 3 Map Unit Description: Urban land-Elpaloalto complex, 0 to 2 percent slopes —Santa Clara Area, California, Western Part Santa Clara Area, California, Western Part Campbell Restaurant Replacement 131-Urban land-Elpaloalto complex, 0 to 2 percent slopes Map Unit Setting National map unit symbol: 1 nszz Elevation: 10 to 390 feet Mean annual precipitation: 14 to.24 inches Mean annual air temperature: 57 to 61 degrees F Frost -free period: 275 to 325 days Farmland classification: Not prime farmland Map Unit Composition Urban land. 70 percent Elpaloalto and similar soils: 23 percent Minor components: 7 percent Estimates are based on observations, descriptions, and transects of the mapunit. Description of Urban Land Setting Landform: Alluvial fans Landform position (three-dimensional): Talf Down -slope shape: Linear Across -slope shape: Linear Parent material. Disturbed and human transported material Description of Elpaloalto Setting Landform: Alluvial fans Landform position (three-dimensional): Talf Down -slope. shape: Linear Across -slope shape: Linear Parent material: Alluvium derived from metamorphic and sedimentary rock and/or alluvium derived from metavolcanics Typical profile Oi - 0 to 8 inches: slightly decomposed plant material A - 8 to 17 inches: clay loam Bw1- 17 to 26 inches: silty clay loam Bw2 - 26 to 35 inches: silty clay loam Bw3 - 35 to 47 inches: silty clay loam Bw4 - 47 to 71 inches: silty clay loam C - 71 to 94 inches: silty clay loam Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: More than 80 inches Natural drainage class. Well drained Runoff class. Low USDA Natural Resources Web Soil Survey 2/17/2015, Conservation Service . National Cooperative Soil Survey Page 1 of 2 j Map Unit Description: Urban land-Elpaloalto complex, 0 to 2 percent slopes -Santa Clara Area, Campbell Restaurant Replacement California, Western Part Capacity of the most limiting layer to transmit water (Ksat):. Moderately high (0.20 to 0.57 inihr) Depth to water table: More than 80 inches Frequency of flooding. None Frequency of ponding. None Salinity, maximum in profile: Nonsaline to veryslightly saline (0.4 to 4.0 mmhos/cm) Sodium adsorption ratio, maximum in profile: 2.0 Available water storage in profile: Very high (about 13.4 inches) Interpretive groups Land capability classification (irrigated): 1 Land capability classification (non' igated): 3s Hydrologic Soil Group: C Minor Components Still Percent of map unit. 5 percent Landform: Flood plains, alluvial fans Landform position (three-dimensional): Talf Down -slope shape: Linear Across -slope shape: Linear Hangerone, drained Percent of map unit. 2 percent Landform: Basin floors Landform position (three-dimensional): Talf Down -slope shape: Linear Across -slope shape: Linear Data Source Information Soil Survey Area: Santa Clara Area, California, Western Part Survey Area Data: Version 3, Sep 18, 2014 USDA Natural Resources Web Soil Survey 2/17/2015 Conservation Service National Cooperative Soil Survey Page 2 of 2 Attachment B Assessor's Map O F F I C E O F C O U N T Y A S S E S S O R S A N T A C L A R A C.0 U N T Y, C A L I F 0 R N I A BOpOK PACE 288 8 O I 4 - - CAMPBELL - 1122 1134 //4H /�62 AVENUE- E.-4 m m P.M. 620-M-44 1074 /ORB /102 TRACT No 406 - CAMPBELL GARDENS Ins 194 1206 1222 1236 /zs0 4 26179 75 75 1 .75 1 75 1 75 1 75 1 75 I 75 1 75 1 7s 1 75 75 1 55.16 30 731 6 • I I I I I I I � I I I I I I I 1 I 1 1 I I I I I 1 I I I I a1 4 78 a 57 �j 58i 59 �� 60 �i 61 FI 62i 63i 64 vI 65 �I 66j 67 vi 68 �i 69 N v vl '1 a1 -I -I 1 r 0.92 AC.NET I I I I I I I I 1 w PTN. PCL. 1 4 5 i 6 1 7 8 1 9 1 10 11 12 1 13 i 14 i 15 7564 2er.e9 i r1 TL___� I I -__ I i r --1 --- t 7s.65 W E- zoo 7r.9r I 70 70 I I I I 54 PTN. 15 14 13 12 11 i 10 i 9 i 8 7 6 i 5 I 4 1 3 1 2 1 1 %l/ PCL.I I Sl m1 I I I I I I I I 1 a l . 0.33 AC. 2O° ..•JI,I 52 '.l 51i 50 =i 49 i 48 i 47 i 46 i 45 44 i '13 i 42 j 41 i 40 i 39 i 38 n 53 '1 I I I 1 I I I I I I ;O.IE 1 70 1 70 I 70 1 70 70 70 70 70 70 70 70 56.20 r4•' '� I 7116 109.5 1115 //l9 1/33 1145 /157 1171 1/85 1199 1209 1227 124/ 1073 IOH5 BO 6qD -0 TRACT N' 1765-ARROYO GARDENS DRIVE -' 1069 seco 1�� = 100� m P. M. �' LV 1084 09H ///O /24 /36 //GO 60 9 1P02 212 226 "M 369. M-24 ARROYO 63.07 70 70 70 70 70 70 70 70 70 70 70 50.64 n fso Boe I " I I I I I 4 ARROYO SECO 1.07 AC. NET �I 24 Mi 25 _� 26 i 27 i 28 29 i 30 ri 31 i 32 i 33 1 34 i 35 I 36 i 37 m m. DRIVE 0. - '- 16 i 17 1 18 I 19 1 20 I 21 22 I 23 24 25 1 26 27 I 28 j 29 7Z ' t 73 i1 60.z7 70 I 1 _ J _ �- 1 1 1 ... 71.26 to 72.97 147-_� 140.9T 145.% Tt .� PCL. A �(oy m m 0.33 AC. 76 PTN. LOT 7 � 08s 72.90 ...� _._� .._� •"T2.56 4IQ Q �a 3 _1 4 1 5 I 6 i 7 1 8 I 9 10 Pc ' A 12 i 13 14 15 16 i I I sz.9r - �73oo 1�16 151m 14 i 13 12 I 11 f0 s� 9 I 8 PTN PBCL " 6 1 5 I 4 3 vim -_•- 166 I 18 1 2 77 f9 1 ^a VI 1 I 1 1 1 1 v I I I 1 I 1 I I 0.15aC I I I el tat) (m) I I I I I I Iry 57A2 m 30 I46 73 41.90 30.99 73 73 73 73 I 73 73 73 ]2.97 I] 73 73 73 1049-51 1055 1057 1071 1085 /1O1 TRACT No 225 - EL SOLYO TRACT /161 1171 1165 /199 /2/1 1227 •m 4 _m //16 1129 1/4.a 1157 AVENUE 4f- 4 EL SOLYO - P.M.435•M45 I I - R.O.S. 819/15 ' O rat ot-r. ,,,P ra7 LAWRENCE E. STONE - ASSESSOR Cadastrd map for assessment purposes only. CompOed under R. & T. Code, Sec. 327. Eifecllw Roll Year 2014-2015 Attachment C Watershed Map COYPI, \NG RO \ KU RD J " y N R 'd a FRTER RD �O TASMA DR !9 G,4n 9 ¢ .. coCO p F O T !0-1 Cr FFL CENTRALE Yu' co REED m fc K i -y N� wtoo. O > N E :: • vp? 9A pY O 5Ct J,, APO a 9! O�J Rp. co w; O NEWHALLS COLE N AVE �tpG 90 c Ca R , �qL uL SS W EDDI EVE S CREEK BL W SAN CARLOS ST 8 !96 ; C yliL OLL ER RD w -LAMS w RD > ,, > \0S G2 N O �2T rn Ofw w F w ~ � v� w OXA CAMPBEL AVEZl G U�p1EaPJ� Ni u� HELLYI z o ON ANE W CAP O EXPY Q 5 J E EP 0 P w N\130)0� uJ w z Q a t� o z �i w z L SOM HILL RD w h a o C -G1 �RHT v A-1 c SHAN NON RD WATERSHEDS ' C--,-1 Baylands Calabazas } Coyote Guadalupe River Lower Penitencia [� San Tomas San Jose City limits 0 0.5`)�1 3 4 I QUIMBY RD �O CURIE DR Qy Q� 9T o CR1a8 ep ti� Fq G� Attachment D Flood Zone Map NOTES TO USERS r.. xa r*�c«yay rm..usoa�: m.aeao=mxwu+a y.e+y.rmm rwwa.e. .. ra..v m � s,�•.n a srw e�..a. w�.ae«nay - .x..a.,. N.wmoanv ronn>m: w.v� .nnPr4 �+sd M�lnu Wi�u�szrye au«r .rryRTLRl2eah LEGEND �� mn¢ran°pOim,a�avny'''n°°° Rrolumnun n....wa ® m.n..e.e .emusss»srtnims�uru D YV� lAII[L'ONiN FIRM FLOW D7OWCE RATE' WP SUVTA CLARA COONTY, PAHE1.2410F070 �¢e N.a oau r°x roa oust urMi BER MAP OC 41H 06�5CO2l1H >' EFFECTIVE DATE WY is, 2009 n,e.n mewi��•ss..,r..w.o Attachment E Hydromodification Management Plan (HMP) Map Santa Clara Valley C.3 Stormwater Handbook Urban Runoff Pollution Prevention Program Figure V-1. Classification .of Subwatershed and Catchment Areas For Determining Applicability. of HMP Requirements Legend Jurisdictional Boundaries • Upstream Point of.Tidel Influence (MHWA Major Creeks Reservoirs in Santa Clara Basin Continuously Hardened Channel 0 Catchments draining to exempt channels. HMP not required. ® Subwatersheds greaterthan or equal to 65% impervious and greater than or equal to 90% built out. HMP encouraged but not required. Subwatersheds less than 90% built out. ''HMP required. ® Subwatersheds less than or equal to 65% impervious and greater then or equal to 90% built out. HMP. required on projects over50 ac., encouraged on others. 0 Watershed Area Outside of SCVURPPP Permit -Area 2 0 2 4 Miles V. HMP Guidance Page V-5 DRAFT F:\SC62\SC62-01\C3 Hndbk Chap 5\Finat\Figure V-1'f nal.doc June 2006 Attachment F C3 Data Worksheet Infiltration Harvesting & Use Feasibility Worksheet _ Santa Clara Valley Urban Runoff Pollution Prevention Program PROVISION C.3 DATA FORM Which Projects Must Comply with Stormwater Requirements? All projects that create and/or replace 10,000 sq. ft. or more of impervious surface on the project site must fill out this worksheet and submit it with the development project application. All restaurants, auto service facilities, retail gasoline outlets, and uncovered parking lot projects (stand-alone or part of another development project, including the top uncovered portion of parking structures) that create and/or replace 5,000 sq. ft. or more of impervious surface on the project site must also fill out this worksheet. Interior remodeling projects, routine maintenance or repair projects such as re -roofing and re -paving, and single family homes that are not part of a larger plan of development are NOT required to complete this worksheet. What is an Impervious Surface? An impervious surface is a surface covering or pavement that prevents the land's natural ability to absorb and infiltrate rainfall/stormwater. Impervious surfaces include, but are not limited to rooftops, walkways, paved patios, driveways, parking lots, storage areas, impervious concrete and asphalt, and any other continuous watertight pavement or covering. Pervious pavement, underlain with pervious soil or pervious storage material (e.g., drain rock), that infiltrates rainfall at a rate equal to or greater than surrounding unpaved areas OR that stores and infiltrates the water quality design volume specified in Provision C.3.d of the Municipal Regional Stormwater Permit (MRP), is not considered an impervious surface. For More Information For more information regarding selection of Best Management Practices for stormwater pollution prevention or stormwater treatment contact: 1. Project Information Project Name: 2000 S. Bascom Avenue (PLN2014-157) APN # 288-08-078 Project Address: 2000 S Bascom Ave., Campbell, CA Cross Streets: Campbell Ave. Applicant/Developer Name: Micah Bvicel for Metrovation Project Phase(s): 1 of 1 Engineer: C2G / Civil Consultants Group, Inc. Project Type (Check all that apply): ❑ New Development ❑ Redevelopment ❑ Residential ❑ Commercial ❑ Industrial ❑ Mixed Use ❑ Public ❑ Institutional ■ Restaurant ❑ Uncovered Parking ❑ Retail Gas Outlet ❑ Auto Service (SIC code) 0 Other (5013-5014, 5541, 7532-7534, 7536-7539) Project Description: Demolition of 5,050 sf with 113 seated single story restaurant, and creation of 5,172 sf of restaurant building with a new covered trash enclosure. Project Watershed/Receiving Water (creek, river or bay): Guadalupe River SCVURPPP C.3. Data Form Page 1 of 4 November2011 2. Project Size a. Total Site Area: 1.22 acre b. Total Site Area Disturbed: 0.32 acre (including clearing, grading, or excavating) Z Exsting Area (ft) Proposed Area (W) Total Post -Project Area (ftZ) Replaced New Impervious Area Roof 5,045 5,048 0 5,048 Parking 5,105 4,205 0 4,205 Sidewalks and Streets 1,296 1,632 0 1,632 c. Total Impervious Area 11,446 10,882 0 10,882 d. Total new and replaced impervious area 110,885 Pervious Area Landscaping 2,493 2,493 223 2,716 Pervious Paving p 0 341 341 Other (e.g. Green Roof) p 0 0 0 e. Total Pervious Area 2,493 2,493 564 3,057 f. Percent Replacement of Impervious Area in Redevelopment Projects (Replaced Total Impervious Area Existing Total Impervious Area) x 100% = 25 % 3. State Construction General Permit Applicability: a. Is #2.b. equal to 1 acre or more? ❑ Yes, applicant must obtain coverage under the State Construction General Permit (i.e., file a Notice of Intent and prepare a Stormwater Pollution Prevention Plan) (see www.swrcb.ca.gov/water issues/programs/stormwater/construction.shtml for details). ■ No, applicant does not need coverage under the State Construction General Permit. 4. MRP Provision C.3 Applicability: a. Is #2.d. equal to 10,000 sq. ft. or more, or 5,000 sq. ft. or more for restaurants, auto service facilities, retail gas outlets, and uncovered parking? (*Note that for public projects, the 5,000 sq. ft threshold does not take effect until 1211112.) ■ Yes, C.3. source control, site design and treatment requirements apply ❑ No, C.3. source control and site design requirements may apply — check with local agency b. Is #21 equal to 50% or more? ❑ Yes, C.3. requirements (site design and source control, as appropriate, and stormwater treatment) apply to entire site ® No, C.3. requirements only apply to impervious area created and/or replaced 5. Hydromodification Management (HM) Applicability: a. Does project create and/or replace one acre or more of impervious surface AND is the total post -project impervious area greater than the pre -project (existing) impervious area? ❑ Yes (continue) ■ No — exempt from HM, go to page 3 b. Is the project located in an area of HM applicability (green area) on the HM Applicability Map? (www.sevurppp-w2k.com/hmp maps.htm ) ❑ Yes, project must implement HM requirements ■ No, project is exempt from HM requirements SCVURPPP C.3. Data Form Page 2 of 4 November2011 6. Selection of Specific Stormwater Control Measures: Site Design Measures ■ Minimize land disturbed ❑ Minimize impervious surfaces ❑ Minimum -impact street or parking lot design ❑ Cluster structures/ pavement ■ Disconnected downspouts ❑ Pervious pavement ❑ Green roof ❑ Microdetention in landscape ❑ Other self -treating area ❑ Self -retaining area ❑ Rainwater harvesting and use (e.g., rain barrel, cistern connected to roof drains)1 ❑ Preserved open space: ac. or sq. ft .(circle one) ❑ Protected riparian and wetland areas/buffers (Setback from top of bank: ft.) ❑ Other Source Control Measures ❑ Alternative building materials ❑ Wash area/racks, drain to sanitary sewer2 ■ Covered dumpster area, drain to sanitary sewer ❑ Sanitary sewer connection or accessible cleanout for swimming pool/spa/fountain2 ■ Beneficial landscaping (minimize irrigation, runoff, pesticides and fertilizers; promotes treatment) ❑ Outdoor material storage protection ❑ Covers, drains for loading docks, maintenance bays, fueling areas ❑ Maintenance (pavement sweeping, catch basin cleaning, good housekeeping) ❑ Storm drain labeling ❑ Other ❑ Detention basin ❑ Underground ❑ Bioretention with outlet tank or vault control Treatment Systems ■ None (all impervious surface drains to self -retaining areas) LID Treatment ❑ Rainwater harvest and use (e.g., cistern or rain barrel sized for C.3.d treatment) ❑ Infiltration basin ❑ Infiltration trench ❑ Exfiltration trench ❑ Underground detention and infiltration system (e.g. pervious pavement drain rock, large diameter conduit) Biotreatment 3 ■ Bioretention area ❑ Flow -through planter ❑ Tree box with bioretention soils ❑ Other Other Treatment Methods ❑ Proprietary tree box filte? ❑ Media filter (sand, compost, or proprietary media)4 ❑ Vegetated filter strips ❑ Dry detention basins ❑ Other ❑ Other t Optional site design measure; does not have to be sized to comply with Provision C.3.d treatment requirements. 2 Subject to sanitary sewer authority requirements. 3 Biotreatment measures are allowed only with completed feasibility analysis showing that infiltration and rainwater harvest and use are infeasible. 4 These treatment measures are only allowed if the project qualifies as a "Special Project". 5 These treatment measures are only allowed as part of a multi -step treatment process. SCVURPPP C.3. Data Form Page 3 of 4 November 2011 7. Treatment System Sizing for Projects with Treatment Requirements Indicate the hydraulic sizing criteria used and provide the calculated design flow or volume: Treatment System Component Hydraulic Sizing Criteria Used3 Design Flow or Volume (cfs or cu.ft. Bio-Retention Areas (3 separate areas) 1b Cu.ft. 3Key: la: Volume — WEF Method IN Volume — CASQA BMP Handbook Method 2a: Flow — Factored Flood Flow Method 2b: Flow — CASQA BMP Handbook Method 2c: Flow — Uniform Intensity Method 3: Combination Flow and Volume Design Basis 8. Alternative Certification: Was the treatment system sizing and design reviewed by a qualified third - party professional that is not a member of the project team or agency staff? ❑ Yes ■ No Name of Reviewer 9. Operation & Maintenance Information A. Property Owner's Name O.T. Martin Trust B. Responsible Party for Stormwater Treatment/Hydromodification Control O&M: a. Name: Tami Anthony b. Address: 2020 South Bascom Avenue c. Phone/E-mail: This section to be completed by Municipal staff. O&M Responsibility Mechanism Indicate how responsibility for O&M is assured. Check all that apply: ❑ O&M Agreement ❑ Other mechanism that assigns responsibility (describe below): Reviewed: Community Development Department Planning Division: Building Division: Return form to: Public Works Department Engineering: Other (Specify): Data entry performed by: SCVURPPP C.3. Data Form Page 4 of 4 November2011 1. Santa Clara Urban Runoff Valley Pollution Prevention Program Infiltration/Harvesting and Use Feasibility Screening Worksheet Apply these screening criteria for C.3 Regulated Projects* required to implement Provision C.3 stormwater treatment requirements. See the Glossary (Attachment ])for definitions of terns marked with an asterisk (*). Contact municipal staff to determine whether the project meets Special Project* criteria. If the project meets Special Project criteria, it may receive LID treatment reduction credits. Applicant Info Site Address: 2000 South Bascom Avenue CA APN: Applicant Name: Micah Bycel for Metrovation Phone No.: (510) 839-4000 ext. 223 Mailing Address: 2000 South Bascom Avenue, Campbell, CA 2. Feasibility Screening for Infiltration Do site soils either (a) have a saturated hydraulic conductivity* (Ksat) that will NOT allow infiltration of 80% of the annual runoff (that is, the Ksat is LESS than 1.6 inches/hour), or, if the Ksat rate is not available, (b) consist of Type C or D soils?' © Yes (continue) ❑ No— complete the Infiltration FeasibilityWorksheet. If infiltration of the C.3.d amount of runoff is found to be feasible, there is no need to complete the rest of this screening worksheet. 3. Recycled Water Use Check the box if the project is installing and using a recycled water plumbing system for non -potable water use. ❑ The project is installing a recycled water plumbing system, and installation of a second non -potable water system for harvested rainwater is impractical, and considered infeasible due to cost considerations. Skip to Section 6. 4. Calculate the Potential Rainwater Capture Area* for Screening of Harvesting and Use Complete this section for the entire project area. If rainwater harvesting and use is infeasible for the entire site, and the project includes one or more buildings that each have an individual roof area of 10,000 sq. ft. or more, then complete Sections 4 and 5 of this form for each of these buildings. 4.1 Table 1 for (check one): ® The whole project ❑ Area of 1 building roof (10,000 sq.ft. min.) Table 1: Calculation of the Potential Rainwater Capture Area* The Potential Rainwater Capture Area may consist of either the entire project area or one building with a roof area of 10,000 sq.ft. or more. 1 2 3 4 Pre -Project Proposed Impervious Surface (IS), in Post -project Impervious surface sq.ft. landscaping (sq.ft.), if applicable 3 °IS Replaced IS Created (sq.ft.), if applicable a. Enter the totals for the area to be evaluated: b. Sum of replaced and created impervious surface: N/A 10,882 , N/A c. Area of existing impervious surface that will NOT 32,767 N/A N/A be replaced by the project. 'Base this response on the site -specific soil report, if available. If this is not available, consult soil hydraulic conductivity maps in Attachment 3. Z, Enter the total of all impervious surfaces, including the building footprint, driveway(s), patio(s), impervious deck(s), unroofed porch(es), uncovered parking lot (including top deck of parking structure), impervious trails, miscellaneous paving or structures, and off -lot impervious surface (new, contiguous impervious surface created from road projects, including sidewalks and/or bike lanes built as part of new street). Impervious surfaces do NOT include vegetated roofs or pervious pavement that stores and infiltrates rainfall at a rate equal to immediately surrounding, unpaved landscaped areas, or that stores and infiltrates the C.3.d amount of runoff-. 3 "Replaced" means that the project will install impervious surface where existing impervious surface is removed. ° "Created" means the project will install new impervious surface where there is currently no impervious surface. * For definitions, see Glossary (Attachment 1). Page 1 of 3 FINAL November 2011 Infiltration/Harvesting and Use Feasibility Screening Worksheet 4.2 Answer this question ONLY if you are completing this section for the entire project area. If existing impervious surface will be replaced by the project, does the area to be replaced equal 50% or more of the existing area of impervious surface? (Refer to Table 1, Row "a ". Is the area in Column 2 > 50% of Column 1 ?) ❑ Yes, C.3. stormwater treatment requirements apply to areas of impervious surface that will remain in place as well as the area created and/or replaced. This is known as the 50% rule. ® No, C.3. requirements apply only to the impervious area created and/or replaced. 4.3 Enter the square footage of the Potential Rainwater Capture Area*. If you are evaluating only the roof area of a building, or you answered "no" to Question 4.2, this amount is from Row "b" in Table 1. If you answered "yes" to Question 4.2, this amount is the sum of Rows "b" and "c" in Table 1.: 10,882 square feet. 4.4 Convert the measurement of the Potential Rainwater Capture Area* from square feet to acres (divide the amount in Item 4.3 by 43,560): 0.250 acres. 5. Feasibility Screening for Rainwater Harvesting and Use 5.1 Use of harvested rainwater for landscape irrigation: Is the onsite landscaping LESS than 2_5 times the size of the Potential Rainwater Capture Area* (Item 4.3)? (Note that the landscape area(s) would have to be contiguous and within the same Drainage Management Area to use harvested rainwater for irrigation via gravity flow.) ® Yes (continue) ❑ No — Direct runoff from impervious areas to self -retaining areas* OR refer to Table 11 and the curves in Appendix F of the LID Feasibility Report to evaluate feasibility of harvesting and using the C.3.d amount of runoff for irrigation. 5.2 Use of harvested rainwater for toilet flushing or non -potable industrial use: a. Residential Projects: Proposed number of dwelling units: Calculate the dwelling units per impervious acre by dividing the number of dwelling units by the acres of the Potential Rainwater Capture Area* in Item 4.4. Enter the result here: Is the number of dwelling units per impervious acre LESS than 100 (assuming 2.7 occupants/unit)? ❑ Yes (continue) ❑ No — complete the Harvest/Use Feasibility Worksheet. b. CommerciaYIndustrial Projects: Proposed interior floor area: 4,906 (sq. ft.) Calculate the proposed interior floor area (sq.ft.) per acre of impervious surface by dividing the interior floor area (sq.ft.) by the acres of the Potential Rainwater Capture Area* in Item 4.4. Enter the result here: 19,624 Is the square footage of the interior floor space per impervious acre LESS than 70,000 sq. ft.? N Yes (continue) ❑ No — complete the Harvest/Use Feasibility Worksheet c. School Projects: Proposed interior floor area: (sq. ft.) Calculate the proposed interior floor area per acre of impervious surface by dividing the interior floor area (sq.ft.) by the acres of the Potential Rainwater Capture Area' in Item 4.4. Enter the result here: Is the square footage of the interior floor space per impervious acre LESS than 21,000 sq. ft.? ❑ Yes (continue) ❑ No — complete the Harvest/Use Feasibility Worksheet * For definitions, see Glossary (Attachment 1). Page 2 of 3 FINAL November 2011 Infiltration/Harvesting and Use Feasibility Screening Worksheet d. Mixed Commercial and Residential Use Projects • Evaluate the residential toilet flushing demand based on the dwelling units per impervious acre for the residential portion of the project, following the instructions in Item 5.2.a, except you will use a prorated acreage of impervious surface, based on the percentage of the project dedicated to residential use. • Evaluate the commercial toilet flushing demand per impervious acre for the commercial portion of the project, following the instructions in Item 5.2.a, except you will use a prorated acreage of impervious surface, based on the percentage of the project dedicated to commercial use. e. Industrial Projects: Estimated non -potable water demand (gal/day): Is the non -potable demand LESS than 2,400 gal/day per acre of the Potential Rainwater Capture Area? ❑ Yes (continue) ❑ No — refer to the curves in Appendix F of the LID Feasibility Report to evaluate feasibility of harvesting and using the C.3.d amount of runoff for industrial use. 6. Use of Biotreatment If only the "Yes" boxes were checked for all questions in Sections 2 and 5, or the project will have a recycled water system for non -potable use (Section 3), then the applicant may use appropriately designed bioretention facilities for compliance with C.3 treatment requirements. The applicant is encouraged to maximize infiltration of stormwater if site conditions allow. 7. Results of Screening Analysis Based on this screening analysis, the following steps will be taken for the project (check all that apply): ® Implement biotreatment measures (such as an appropriately designed bioretention area). ❑ Conduct further analysis of infiltration feasibility by completing the Infiltration Feasibility Worksheet. ❑ Conduct further analysis of rainwater harvesting and use (check one): ❑ Complete the Rainwater Harvesting and Use Feasibility Worksheet for: ❑ The entire project ❑ Individual building(s), if applicable, describe: ❑ Evaluate the feasibility of harvesting and using the C.3.d amount of runoff for irrigation, based on Table 11 and the curves in Appendix F of the LID Feasibility Report ❑ Evaluate the feasibility of harvesting and using the C.3.d amount of runoff for non -potable industrial use, based on the curves in Appendix F of the LID Feasibility Report. x For definitions, see Glossary (Attachment 1). 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" �-- 3—,e.Y•`9`---' � :�`d—�zc—' = 5 =-"` , ,.a.. 3Atl ill 9d Wtl3 IS a / �vLmmroautK�J OLCL IR4aN N �,,` `"' �_ faLZLn•aumpta/ raandmwvw -- - - -�_ _ _ _ _ _ oa arvos on�avuo � a X1tlOH Attachment H Sizing Calculations DRAINAGE AREA FOR BMP: Area (ac) 0.133 Determine the drainage area flowing into treatment area WATERSHED IMPERVIOUS RATIO: Imp. Area (ac) 0.129 Amount of impervious area divided by the total area flowing to flow thru planter. i.r. 0.970 WATERSHED RUNOFF COEFFICIENT CW 0.840 Cw = .858i3-.78i2+.774i+.04 i= watershed impervious ratio MEAN ANNUAL PRECIPITATION (MAP): Determine mean storm event at site using reference gages M.A.P at San Jose Airport MAPgage(inches) 13.9 Mean Storm Event at San Jose Airport P6gage(inches) 0.512 M.A.P at Site MAPsite(inches) 14.5 (Use figure 1,SCVURPPP) Mean Storm Event at Site P6site = [P6gage x MAPsite/MAPgage] 06site(inches) 0.534 REGRESSION CONSTANT: a 1.963 a = 1.963 for a 48 hour drain time MAXIMIZED DETENTION STORAGE DEPTH: PO(inches) 0.881 PO = (a x Cw) x P6site DESIGN VOLUME REQUIRED V(acre-inch) 0.117 V = PO x A V(ft3) 425.10 DESIGN VOLUME PROVIDED 15 Approximate Length Length(ft) Bottom Width of Swale Width(ft) 14.5 Freeboard Depth of Swale Depth(ft) 0.5 Freeboard Volume (V=L x A) Vfree(ft3) 108.8 Treatment Soil Section (Void Ratio = .42) 1.5 FT Vsoil(ft3) 137.03 Drain Rock Section (Void Ratio = .3) 3.0 , FT Vrock(ft3) 215.325 Vtotal(ft3) 461.100 Bio Retention is Adequate for Treatment Event AREA „A.. URBAN RUNOFF QUALITY MANAGEMENT DRAINAGE AREA FOR BMP: Area (ac) 0.082 Determine the drainage area flowing into treatment area. WATERSHED IMPERVIOUS RATIO: Imp. Area (ad) 0.682 Amount of impervious area divided by the total area flowing to flow thru planter. i.n 1.000 WATERSHED RUNOFF COEFFICIENT Cw 0.892 Cw = .858i3-.78i2+.774i+.04 i= watershed impervious ratio MEAN ANNUAL PRECIPITATION (MAP): Determine mean storm event at site using reference gages M.A.P at San Jose Airport MAPgage(inches) 13.9 Mean Storm Event at San Jose Airport P6gage(inches) 0.512 M.A.P at Site MAPsite(inches) 14.5 (Use figure 1,SCVURPPP) Mean Storm Event at Site P6site = [136gage x MAPsite7MAPgage] P6site(inches) 0.534 REGRESSION CONSTANT: a 1.963 a = 1.963 for a 48 hour drain time MAXIMIZED DETENTION STORAGE DEPTH: PO(inches) 0.935 PO = (a x Cw) x P6site DESIGN VOLUME REQUIRED V(acre-inch) 0.077 V =. P.0 x A VM) 218.37 DESIGN VOLUME PROVIDED Approximate Length Length(ft) 14 Bottom Width of Swale Width(ft) 13.75 Freeboard Depth of Swale Depth(ft) 0.5 Freeboard Volume (V=L x A) Vfree(ft3) 96.3 Treatment Soil Section (Void Ratio = .42) 1.5 FT Vs0il(ft3) 121.28 . .Drain Rock Section (Void Ratio = .3) 3.0 FT Vrock(ft3) 100.575 Vtotal(ft3) 408.100 Bio Retention is Adequate for Treatment Event AREA "B" URBAN RUNOFFQU4bW MANAGEMENT DRAINAGE AREA FOR BMP: Area (ac) 0.106 Determine the drainage area flowing into treatment area WATERSHED IMPERVIOUS RATIO: Imp. Area (ac) 0.075 Amount of impervious area divided by the total area flowing to flow thru planter. Lr. 0.708 WATERSHED RUNOFF .COEFFICIENT Cw 0.501 Cw = .858i3-.7N2+.774i+.04 i= watershed impervious ratio. MEAN ANNUAL PRECIPITATION (MAP): Determine mean storm event at site using reference gages M.A.P at San Jose Airport MAPgage(inches) 13.9 Mean Storm Event at San Jose Airport P6gage(inches) 0.512 M.A.P at Site MAPsite(inches) 14.5 (Use figure 1,SCVURPPP) Mean Storm Event at Site 06site = [136gage x MAPsite/MAPgage] P6site(inches) 0.534 REGRESSION CONSTANT: a 1.963 a = 1.963 for a 48 hour drain time MAXIMIZED DETENTION STORAGE DEPTH: PO(inches) 0.525 PO = (a x Cw) x P6site DESIGN VOLUME REQUIRED V(acre-inch) 0.056 V = PO x A V(ft3) 202.14 DESIGN VOLUME PROVIDED Approximate Length Length(ft) 28 Bottom Width of Swale Width(ft) 5 Freeboard Depth of Swale Depth(ft) 0.5. Freeboard Volume (V=L x A) Vfree(ft3) 70.0 _ Treatment Soil Section (Void Ratio = .42) 1.5 FT Drain Rock Section (Void Ratio = .3) 3.0 J FT Vsoil(ft3) Vrock(ft3) 88.20 138.6 Vtotal(ft3) 296.800 Bio Retention is Adequate for Treatment Event AREA "C" URBAN RUNOFF QUALITYMANAGEMENT Attachment I Todd Creamer Resume Todd R. Creamer, PE Position: Principal Engineer, C2G/Civil Consultants Group, Inc. Scotts Valley, California Education: Marquette University, BS/Civil Engineering f:gistration: California: RCE 64561 California: QSP/QSD No. 00439 National: CESC No. 2752 Experience: Mr. Creamer serves as President of C2G/Civil Consultants Group, Inc. and as Principal Engineer on assignments for both public and private sector clients. His design experience in California has primarily been located in the South Bay counties of Santa Clara, Santa Cruz and Monterey Counties. Mr. Creamer has also worked in Illinois, Wisconsin and Minnesota. Recently, Mr. Creamer has been involved with multiple projects associated with school construction within the South Bay area. He has been the project manager for utility infrastructure improvements, road improvements, and offsite improvements for the K-12 schools and community college. Mr. Creamer has also been the civil consultant associated with multiple water distribution system designs throughout the Santa Cruz County area. Much of Mr. Creamer's professional career has been devoted to site development for public and private sector building complexes, as well as roadway and utility system improvements.. His knowledge of municipal and land development engineering is based on consulting work in California, Northern Illinois as well as public works employment with the Cities of Fridley, Minnesota and Franklin, Wisconsin. Mr. Creamer breadth of experience in land development has also exposed him to various storm water quality and erosion control requirements throughout the country. This experience has allowed Mr. Creamer to create numerous Storm Water Pollution Prevention Plans (SWPPP's) as well as inspection for erosion and sediment control associated with improvement projects. Mr. Creamer's devotions to storm water quality has resulted in his pursuit of Certification by the Soil and Water Conservation Society and International Erosion Control Association in Erosion and Sediment Control. Affiliations: American Society of Civil Engineers (ASCE) Exchange Club of Scotts Valley — President Elect 05-06 President 06-07 Treasure 07-08 Certifications: Certified Professional in Erosion and Sediment Control - CESC No. 2752 Certified Master WaterCAD modeler — Haestad Methods Attachment 1 Bioretention Operation & Maintenance Bi®retenti®n TC-32 µE7aintenance G�T. ii= Concerns, E.w lei i objectives, and Goals ■ Clogged Soil or Outlet Structures ® Invasive Species ■ Vegetation/Landscape Maintenance ■ Erosion ■ Channelization of Flow ^' ■ Aesthetics General Description The bioretention best management practice (BMP) functions as a Targeted Constituents a soil and plant -based filtration device that removes pollutants through a variety of physical, biological, and chemical treatment ✓ Sediment ■ processes. These facilities normally consist of a grass buffer ✓ Nutrients strip, sand bed, ponding area, organic layer or mulch layer, ,/ Trash ■ planting soil, and plants. The runoffs velocity is reduced by ✓ Metals ■ passing over or through a sand bed and is subsequently a/ Bacteria ■ distributed evenly along a ponding area. Exfiltration of the Oil and Grease ■ stored water in the bioretention area planting soil into the Organics ■ underlying soils occurs over a period of days. Legend (Removal Effectiveness) Inspection/Maintenance Considerations • Low M High Bioretention requires frequent landscaping maintenance, ♦ Medium including measures to ensure that the area is functioning properly, as well as maintenance of the landscaping on the practice. In many cases, bioretention areas initially require intense maintenance, but less maintenance is needed over time. In many cases, maintenance tasks can be completed by a landscaping contractor, who may already be hired at the site. In cold climates the soil may freeze, preventing runoff from infiltrating into the planting soil. CAS CIA :? California Stormwater Quality Association January 2003 California Stormwater BMP Handbook 1 of 3 Industrial and Commercial www.cabmphandbooks.com TC-32 Bioretention Inspection Activities ® Inspect soil and repair eroded areas. ! ■ Inspect for erosion or damage to vegetation, preferably at the end of the wet season to r schedule summer maintenance and before major fall runoff to be sure the strips are ready for winter. However, additional inspection after periods of heavy runoff is desirable. e Inspect to ensure grass is well established. If not, either prepare soil and re seed or l replace with alternative species. Install erosion control blanket. 'i ■ Check for debris and litter, and areas of sediment accumulation. ■ Inspect health of trees and shrubs. Maintenance Activities ■ Water plants daily for 2 weeks. ■ Remove litter and debris. ■ Remove sediment. ■ Remulch void areas. ■ Treat diseased trees and shrubs. ■ Mow turf areas. ■ Repair erosion at inflow points. ■ Repair outflow structures. ■ Unclog underdrain. Suggested Frequency Monthly Semi-annual inspection Suggested Frequency - -- -- - `- - - At project completion 4 As needed {{I f I { l ■ Regulate soil pH regulation. ; ■ Remove and replace dead and diseased vegetation. ■ Add mulch. �e Replace tree stakes and wires.nv�i�l-�-���_�_:.�.,__.��___�.,__,_®...._.- u Mulch should be replaced every 2 to 3 years or when bare spots appear. Remulch prior to i;�Every 2-3 years, or the wet season. as needed Additional Information Landscaping is critical to the function and aesthetic value of bioretention areas. It is preferable to plant the area with native vegetation, or plants that provide habitat value, where possible. Another important design feature is to select species that can withstand the hydrologic regime they will experience. At the bottom of the bioretention facility, plants that tolerate both wet and dry conditions are preferable. At the edges, which will remain primarily dry, upland species will be the most resilient. It is best to select a combination of trees, shrubs, and herbaceous materials. References Metropolitan Council, Urban Small Sites Best Management Practices Manual. Available at: h=://www.metrocouncil.org/environment/Watershed/BMP/manual.htm 2 of 3 California Stormwater BMP Handbook January 2003 Industrial and Commercial www.cabmphandbooks.com Y Bioretention TC-32 Model Urban Runoff Program: A How -To Guide for Developing Urban Runoff Programs for Small Municipalities. Prepared by City of Monterey, City of Santa Cruz, California Coastal Commission, Monterey Bay National Marine Sanctuary, Association of Monterey Bay Area Governments, Woodward -Clyde, Central Coast Regional Water Quality Control Board. July, 1998, revised February, 2002. U.S. Environmental Protection Agency, Post -Construction Stormwater Management in New Development & Redevelopment BMP Factsheets. Available at: cfpub.epa.gov/npdes/stormwater/menuofbmps/bmp files cfm Ventura Countywide Stormwater Quality Management Program, Technical Guidance Manual for Stormwater Quality Control Measures. July, 2002. January 2003 California Stormwater BMP Handbook 3 of 3 Industrial and Commercial www.ca6mph6ndbooks.com Attachment K Sample Maintenance Checklist Exhibit D: Landscaped Based Inspection and Maintenance Checklist Property Address: Property Owner: Treatment Measure No.: Date.of Inspection: Inspector(s): Type of Inspection: O Monthly, Q Pre -Wet Season O.After heavy runoff (V or greater) Q End of Wet Season Q Other: Type of Treatment Measure: 0 Bio-retention Area Q Dispersion Trench Defect Conditions When Maintenance Is Maintenance Comments* Results Expected When Maintenance is Needed. Needed (Y/N) Performed 1. Trash and Trash and debris accumulated in the Treatment measures is free of trash and debris Debris treatment measure. Accumulation 2. Standing When water stands in.the treatment No standing.water after 5 days of rain event. Water measure between storms and does not drain within 5 days after rainfall. Conditions within treatments measure provide mosquito breeding habitat. 3. Storm water Downspouts, curb cuts, overflow pipes All storm water intermediaries are cleaned and Intermediaries are damaged and/or debris. Splash repaired. Treatment measure flows as intended blocks or rocks -are damaged or per design specifications. missing. 4. Erosion Treatment measure has channels, ruts There is no evidence of channeling, ruts and or holes, and/or soil exposure due to holes, soil exposure or other evidence of erosion . erosion. 5. Sediment Sediment accumulation near and/or in When finished; treatment measure should be Accumulation inlets is built up to 2 inches at any. level from side to side and drain freely.toward on Vegetation spot, or it covers vegetation. outlet. There should be no areas of standing water once inflow -has ceased and sediments are disposed of properly. 6. Structural Concrete lined measure has cracks Cracks andleaks are repaired and treatment integrity and/or leaks measure is structurally sound. Exhibit.D: Landscaped Based Inspection. and Maintenance Checklist Date of. inspection Defect Conditions When Maintenance Is Maintenance Comments* Results Expected -When Maintenance.is: Needed. Needed (Y/N) Performed 7. Vegetation Vegetation is either dead or diseased. Vegetation is healthy and receives proper Health Growth of planted vegetation is poor amount of sunlight. Dyingor diseased vegetation because sunlight does not reach the have been properly removed and replaced with treatment measure. vegetation having similar growth requirements. 8. Vegetation Vegetation isn't being properly Vegetation is irrigated & mowed/trimmed when Maintained irrigated. When the planted necessary. There is no sign of invasive vegetation vegetation becomes excessively tall; and/or weeds when invasive venation and/or weeds start to take over. 9, Mulch, Mulch, cobble,. and/or treatment soil Mulch, cobble, and/or treatment soil meet cobble, and/or. is missing.or patchy in appearance. design specifications.. . treatment soil 10. Any condition not covered above that Treatment measure operates per the design Miscellaneous needs attention in order for the specification. treatment. measure to function as designed. Attachment L Campbell Municipal Code Section 14.02 • Chapter 14.02 - STORMWATER POLLUTION CONTROL Sections: • 14.02.010 - Purpose. (a) (b) The U.S. Environmental Protection Agency has identified urban stormwater runoff as the leading cause of water pollution in the United States. Furthermore, both federal and state agencies have identified stormwater runoff from the city as a major source of pollution adversely impacting the beneficial uses of the South San Francisco Bay. As a result, the California Regional Water Quality Control Board, San Francisco Bay Region, has issued a National Pollutant Discharge Elimination System ("NPDES") permit requiring the city to establish legal authorities sufficient to protect its municipal storm drain system from certain prohibited discharges. The city is also required to implement a stormwater management program to assure that stormwater runoff from the city does not cause or contribute to a violation of the water quality standards of South San Francisco Bay. The purpose of this chapter is therefore to provide minimum requirements designed to control the discharge of pollutants into the city municipal storm drain system and to assure that discharges from the city municipal storm drain system comply with applicable provisions of the Federal Clean Water Act and the current National Pollutant Discharge Elimination System Permit No. CA0029718 including amendments and California Regional Water Quality Control Board approvals. Enactment of this chapter falls within the scope of the city police power to protect the health, safety and welfare of its residents. Nothing in this chapter is intended to preclude more stringent federal or state regulation or any activity covered by this chapter. (Ord. 2046 § / (pail), 2004; Ord. 1869 § I (&12 A)(parl), 1993). • 14.02.020 - Definitions. The following words and phrases, when used in this chapter, shall be as defined in this section. Words and phrases used in this chapter and not otherwise defined shall be as defined in the regulations promulgated by the U.S. Environmental Protection Agency to implement the requirements of the Federal Clean Water Act, or as defined by the State Water Resources Control Board to implement the California Water Code: "Applicable materials" mean all materials used in industrial or commercial establishments that are stored outdoors, that may be exposed to stormwater, and that have the reasonable potential to degrade the quality of runoff from the site. These include, but are not limited to, all materials containing cadmium, chromium, copper, lead, mercury, nickel, selenium, silver and zinc, which are pollutants that have specifically been identified as known to contribute to impairment of applicable water quality standards. "Deemed complete" means that a project applicant has submitted a development application package for discretionary approval that is determined to be a complete and acceptable application by the community development director. Public projects are deemed complete if funding has been approved by the city council and construction has been scheduled. "Discharge" means the discharge, addition, placement, deposit, release or dumping of any pollutant or combination of pollutants to surface waters from any point source. This definition includes, but is not limited to, additions of pollutants into waters, from: surface runoff and discharges through pipes, sewers, channels or other conveyances owned by a state, municipality or other person which do not lead to a treatment works. "Discharge," within the meaning of this chapter, shall also mean any discharge on public or private property which results or will reasonably result in a discharge into any and all watercourses. Such discharges represent a process whereby pollutants, debris and chemicals are placed or otherwise deposited on streets, construction sites, parking lots and other exposed surfaces and are subsequently washed off and carried away by stormwater runoff into watercourses. "Grease" means and includes fats, oils, waxes or other related constituents. Grease may be of mineral origin, including kerosene, lubricating oil and road oil. Grease may also be of vegetable or animal origin, including butter, lard, margarine, vegetable fats and oils, fats in meats, cereals, seeds, nuts and certain fruits. Grease is generally present as, but need not be, a floatable solid, a liquid, a colloid, an emulsion, or in a solution. "Grease generating activity" means any commercial or industrial activity that uses or produces grease on an ongoing basis. "Grease removal device" means an interceptor or other mechanical device designed, constructed and intended to remove, hold or otherwise prevent the passage of grease to the (sanitary sewer or) municipal storm drain system. "Impervious surface" means a constructed or modified surface that does not allow rainfall to percolate through to the subsoil and thus creates stormwater runoff. Impervious surface includes, but is not limited to, building rooftops, pavement, sidewalks, patios, driveways or other hardscape where such surfaces are not constructed with pervious materials and/or are not designed so as to have zero stormwater discharge. "Interceptor" means a receptacle or trap designed and constructed to intercept, separate and prevent the passage of prohibited substances into the (sanitary sewer or) municipal storm drain system. "Major development or redevelopment project" means a project that creates, adds, or replaces an amount of impervious surface as defined in the current NPDES permit. "Municipal storm drain system" means and includes, but shall not be limited to, those facilities within the municipality by which stormwater may be conveyed to waters of the United States, including any roads with drainage systems, municipal streets, catch basins, curbs, gutters, ditches, manmade channels or storm drains, which are not part of a publicly owned treatment works (POTW). "NPDES permit" means a valid National Pollutant Discharge Elimination System permit issued by the California Regional Water Quality Control Board, San Francisco Bay Region, in accordance with regulations promulgated_by the U.S. Environmental Protection Agency to implement the requirements of the Federal Clean Water Act. "Pollutants" mean and include all sewage, sewage sludge, garbage, biological materials, radioactive materials, and chemical, industrial and agricultural waste discharge into water. "Project with significant pollution potential" means any project determined by the city to be likely to have sources of pollutants on -site and/or to contribute pollutants to stormwater after project completion, based on a review of the proposed uses of or activities planned for the site. "Stormwater" means all rainfall runoff, surface runoff and drainage. "Watercourses" mean and include all natural waterways and definite channels and depressions in the earth that carry water, even though such waterways may only carry water during rains and storms and may not carry stormwater at and during all times and seasons. Watercourses include facilities owned and operated by the Santa Clara Valley Water District. (Ord. 2046 § I (part), 2004; Ord. 1916 § 1, 1995; Ord. 1869 § 1(Exh. A)(part), 1993). • 14.02.030 - Requirements. (a) Non-stormwater Discharges. (1) Discharge Prohibition. No person shall discharge or cause to be discharged into the municipal storm drain system or watercourses any materials other than stormwater. In addition, no person shall discharge or cause to be discharged into the municipal storm drain system or watercourses, any pollutants or waters containing any pollutants that cause or threaten to contribute to a violation of applicable water quality standards. It is also unlawful to discharge, or cause to be discharged into any storm drain or natural outlet or channel, any sewage, industrial waste or other polluted waters or materials without a valid NPDES permit or written authority from the U.S. Environmental Protection Agency or its designated enforcement agent. (2) Exceptions to Discharge Prohibition. The preceding discharge prohibition in subsection (a)(1) of this section shall not apply to any discharge that is specifically authorized by an NPDES permit to flow to a storm drain or natural outlet or channel. In addition, the California Regional Water Quality Control Board, San Francisco Bay Region, has determined that the discharge prohibition shall not apply to the following "permissible" activities: water line flushing, landscape irrigation/lawn watering, uncontaminated foundation drains, uncontaminated nonindustrial roof drains, irrigation water, uncontaminated groundwater infiltration, residential car washings, flows from firefighting, flows from potable water sources, and dechlorinated swimming pool waters. (3) Protection Against Accident Discharge. The owner or operator of a commercial or industrial establishment shall provide reasonable protection from accidental discharge of prohibited materials or other wastes into the municipal storm drain system or watercourses. Facilities to prevent accidental discharge of prohibited materials or other wastes shall be provided and maintained at the owner or operator's expense. (4) Report of Accidental Discharges. Where an accidental discharge of prohibited materials or other wastes has entered the municipal storm drain system or a watercourse, such incident shall be reported to city or designated agent as soon as possible, but in no event later than twenty-four hours after such a discharge. If the accidental discharge or prohibited materials or other wastes emanates from a commercial or industrial establishment, the owner or operator of such establishment shall also retain an on -site written record of the discharge and the actions taken to prevent its recurrence. Such records shall be retained for at least three years. A notice shall be permanently posted in a conspicuous place on the premises of each commercial or industrial establishment advising employees of the department or agency to call in case of such an accidental discharge. (5) Abatement of Prohibited Discharge by Responsible Party. The prohibited discharges are declared to constitute a public nuisance. Remediation and abatement of prohibited discharges shall be the responsibility of persons causing such discharge. The city shall be advised of the abatement and shall inspect the discharge site to insure that the nuisance has in fact been abated. (b) Watercourse Protection. (c) (1) (2) Watercourse Protection Requirements. Every person owning property through which a watercourse passes, -or such person's lessee, shall keep and maintain that part of the watercourse within the property reasonably free of trash, debris, excessive vegetation, and other obstacles that would pollute, contaminate or significantly retard the flow of water through the watercourse. In addition, the owner or lessee shall maintain existing privately owned structures within or adjacent to a watercourse, so that such structures will not become a hazard to the use, function or physical integrity of the watercourse. The owner or lessee shall not remove healthy bank vegetation beyond that actually necessary for maintenance, nor remove the vegetation in such a manner as to increase the vulnerability of the watercourse to erosion. Acts Requiring Permit. No person shall commit or cause to be committed any of the following acts, unless a written permit has first been obtained from the city or designated agent: (A) Discharge into or connect any pipe or channel to a watercourse; Modify the natural flow of water in a watercourse; Carry out development within a setback designed in whole or in part to protect a watercourse; Deposit in, plant in, or remove any material from a watercourse, including its banks, except as required for necessary maintenance; Construct, alter, enlarge, connect to, change or remove any structure in a watercourse; or Place any loose or unconsolidated material along the side of or within a watercourse or so close to a side as to cause a diversion of the flow, or to cause a probability of such material being carried away by stormwater passing through such watercourse. Outdoor Storage of Materials. (1) (2) (3) Proper Outdoor Storage of Materials Required. All applicable materials stored outdoors at a commercial or industrial establishment shall be managed in a manner that minimizes the discharge of pollutants to stormwater and as is required to meet water quality standards. Establishments covered by the general NPDES permit for stormwater discharges associated with industrial activities that has been promulgated for Santa Clara County by the California Regional Water Quality Control Board, San Francisco Bay Region, shall address this requirement in applicable provisions of their stormwater pollution prevention plan. Protection Against Accidental Discharge. The owner or operator of a commercial or industrial establishment shall provide reasonable protection from accidental discharge of applicable materials to the municipal storm drain system or watercourses. Specifically, secondary containment systems or equivalent measures approved by the fire department shall be provided for all applicable materials that are liquids. All facilities to prevent the accidental discharge of applicable materials to the municipal storm drain system and watercourses shall be provided and maintained at the owner or operator's expense. Report of Accidental Discharge to the Storm Drain. Where applicable materials have entered the municipal storm drain system or a watercourse due to an accidental discharge at a commercial or (d) industrial establishment, the owner or operator of such establishment shall report such incident to public works department as soon as possible, but in no event later than twenty-four hours after such a discharge. The owner or operator of such establishment shall also retain an on -site written record of all accidental discharges of applicable materials (whether or not such discharge actually entered the municipal storm drain system or a watercourse) and the actions taken to prevent their recurrence. Such records shall be retained for at least five years. A notice shall be permanently posted in a conspicuous place on the premises of each commercial or industrial establishment advising employees of the department or agency to call in case of such an accidental discharge. Grease Disposal and Control. (1) Grease Disposal Prohibited. No person shall dispose of any grease, or cause any grease to be disposed, by discharge into any drainage piping, (any public or private sanitary sewer), any part of the municipal storm drain system, or any land, street, public way, river, stream or other watercourse. (2) (3) Grease Removal Device Required. The owner or operator of every newly constructed, remodeled or converted commercial or industrial establishment with one or more grease generating activities shall install or cause to be. installed for each grease generating activity, a grease removal device (of an approved design) for preventing the passage of grease to the municipal storm drain system and watercourses. Maintenance of Grease Removal Devices Required. The contents of all grease removal devices shall be removed periodically as necessary to prevent a violation of this chapter. At a minimum, the contents shall be removed every ninety days. All grease removal devices shall be kept in good repair, and shall be maintained in continuous operation at the owner or operator's expense. (e) New Development/Redevelopment. (1) (2) (3) Stormwater Management Required for Major Projects. Every applicant for a building permit and/or grading permit for a major development or redevelopment project shall identify the potential for stormwater to be discharged from the project site following completion of construction activity and shall demonstrate that the plans, drawings or specifications for such project include the installation of management techniques, practices, and control measures designed to mitigate the potential adverse impacts of stormwater that may be discharged from the project site on an ongoing basis including stormwater treatment measures. In addition, applicants for building and/or grading permits for projects with significant pollution potential may be required to demonstrate that sources of pollutants will be controlled on -site with appropriate measures. The stormwater management techniques, practices, and control measures shall be selected, designed, and maintained in accordance with the city's current NPDES permit requirements and the city's Stormwater Management Manual. Issuance Permits. The city shall not issue a building permit and/or grading permit for a major development or redevelopment project or a project with significant pollution potential until it has reviewed the mitigation measures proposed by the applicant pursuant to subsection (e)(1) of this section, where appropriate, and determined that they are sufficient to address the potential adverse impacts of stormwater that may be discharged from the project site on an ongoing basis. Occupancy. The building official shall not issue a certificate of occupancy or other equivalent permit for a major development or redevelopment project or a project with significant pollution -A potential until it has determined that the mitigation measures identified in the building permit and/or grading permit issued for such project have been adequately implemented and that appropriate arrangements have been made to ensure that these management techniques, practices and control measures will be maintained on an ongoing basi's in accordance with the city's current NPDES permit requirements and the city's Stormwater Management Manual. (Ord. 2046 § I (part), 2004; Ord. 1869 § I (Exh. A)(parl), 1993). • 14.02.040 - Enforcement —Violation —Penalties. (a) (b) (c) (d) (e) Criminal Penalties. Any person who violates any provision of this chapter shall be guilty of a misdemeanor and upon conviction thereof shall be punishable by imprisonment for a term not to exceed six months or by a fine not to exceed one thousand dollars or by both. Each and every violation of this chapter shall constitute a separate offense. Every day each such violation continues shall be an additional offense. Civil Penalties. Any person who violates any provision of this chapter shall be civilly liable to the city in a sum not to exceed one thousand dollars per day for each day in which the violation occurs. Each and every violation of this chapter shall constitute a separate offense. Every day each such violation continues shall be an additional offense. Civil Liability. Any person who violates any provision of this chapter shall be civilly liable to the city for all costs, including attorney's fees, associated with the investigation and remediation of environmental conditions caused by the discharge of pollutants into the municipal storm drain system or watercourse in violation of this chapter. Remedies Cumulative. The remedies provided for in this chapter are cumulative and not exclusive and shall be in addition to any and all other remedies available to the city under state and federal law. Public Nuisance. The discharge of pollutants and related applicable materials into any municipal storm drain system or other watercourses, in violation of any provision of this chapter, is declared to be a public nuisance and shall be subject to any and all remedies available, pursuant to city, state and federal law, including but not limited to injunctive relief. The director of public works may record with the county recorder's office a declaration of nuisance for the particular parcel so noticed. (Ord. 1930 § 3, 1995; Ord 1916 § 2, 1995; Ord. 1869 § 1(Exh. A)(part), 1993). • 14.02.050 - Inspection. (a) (b) During Regular Business Hours. Every business establishment that is open to the public shall permit agents of the city to inspect their premises for compliance with this chapter at any time the business is open to the public. Other Times. Notwithstanding subsection (a) of this section, agents of the city may inspect any property for compliance with this chapter upon providing the owner and occupants of the property at least twenty- four hours' advance notice of the inspection in the following manner: (1) (c) (2) A notice shall be conspicuously posted on the property to be inspected, specifying the date, time and reason for the proposed inspection and setting forth a telephone number with directions for the residents or property owners to call for further information; and If the identity and address of the owner is known, such owner shall be notified of the proposed inspection by first class mail, setting forth the same information required by subsection (b)(1) of this section. Provisions Supplemental. The inspection provisions set forth in this section are intended to supplement, and not supersede, any existing authority for inspection by city officials. In the event that any provision of this section is found by a court of competent jurisdiction to be void or unenforceable, the remaining portions shall remain in full force and effect. (Ord. 1947, 1997). Attachment M Covenants for Operations & Maintenance of Storm Water Runoff Facilities Stormwater Treatment Area Exhibit TO BE RECORDED WITHOUT FEE SECTION 6103 GOVERNMENT CODE AT THE REQUEST OF CITY OF CAMPBELL Recording Requested By: ) City of Campbell ) After Recording Return To; City Clerk City of Campbell 70 North First Street Campbell, CA 95008 APN: 288-08-078, 288-08-054 (Space Above this Line for Recorder's Use Only) ADDRESS: 2000 S. Bascom Avenue, Campbell, CA 95008 COVENANTS FOR OPERATION AND MAINTENANCE OF STORMWATER RUNOFF FACILITIES These COVENANTS, are made on this day of , 2015, by LYNNE PICKERING AND TAMI ANTHONY, CO -TRUSTEES OF THE O. T. MARTIN TESTAMENTARY TRUST CREATED BY DECREE OF DISTRIBUTION RECORDED JULY 23, 1970, IN BOOK 8997, PAGE 273, (hereinafter referred to as "Covenantor") with reference to the following facts: A. Covenantor is the owner of certain property located in the City of Campbell, County of Santa Clara, State of California (the "City"), more particularly described in Exhibit B more commonly known as 2000 S. Bascom Avenue, Campbell, CA 95008. B. Covenantor desires to develop the Property but the size of the Property requires it be developed with certain stormwater runoff facilities (the "Facilities") in accordance with "Best Management Practices" ("BMPs") required by the National Pollution Discharge Elimination System ("NPDES") Stormwater Discharge Permit issued by the California Regional Water Quality Control Board -San Francisco Bay Region. C. The required Facilities are shown on the approved development plans and specifications for the Property (the "Plans"), copies of which are kept on file in the Office of the City Engineer and are generally shown in the attached Exhibit B. D. In accordance with the NPDES Stormwater Discharge Permit and in consideration for discretionary approvals granted by the City allowing the development and use of the Property, Covenantor freely and voluntarily agrees by these covenants to bind Covenantor and its heirs, assigns and successors to construct the Facilities in accordance with the Plans and to maintain the Facilities in good and workable condition based for long term operation. 1 �r NOW, THEREFORE, Covenantor hereby declares that all of the Property described above shall be held, sold, leased, mortgaged, encumbered, rented, used, occupied, improved and. conveyed . subject to the following limitations, restrictions, covenants, and conditions, which are imposed as covenants running with the land and shall both burden and benefit the land for the purpose of complying with the NPDES Stormwater Discharge Permit. 1. PERPETUAL MAINTENANCE OF THE FACILITIES. Covenantor voluntarily and willingly, hereby binds itself and its administrators, executors, successors, heirs, assigns and successors to construct the Facilities in accordance with the Plans and to thereafter maintain the Facilities in good and workable condition for long term operation. No improvements, structures, or appurtenances shall be placed, constructed or developed on the Property in such a way as to interfere with this obligation. 2. Covenantor shall prepare a Stormwater Management Plan (SMP) that details how runoff and associated water quality impacts resulting from the development will be controlled or managed. The Plan shall include sufficient information to evaluate the environmental characteristics of affected areas, the potential impacts of the proposed development on water resources, and the effectiveness and acceptability of measures proposed for managing the stormwater runoff. The minimum information in the SMP is as shown in the attached Exhibit "A". 3. OPERATIONS AND MAINTENANCE (O&M) REPORTING. The BMP's installed and constructed in accordance with the C.3 provisions of the City's NPDES Storm Water Permit shall be maintained and inspected on a regular basis per the inspection frequency delineated in the Stormwater Management Plan. The operation and maintenance of these BMP's are to be certified by a qualified individual to ensure that the treatment BMP's are being operated and maintained accordingly. A list or summary of treatment BMP's that have been inspected with inspection results and certification shall be submitted to the City annually. 4. COVENANT RUNNING WITH LAND. The obligations established in these covenants both benefit and burden the land and are to run with the land and shall be binding on Covenantor, its administrators, executors, successors, heirs, assigned and successors. J:\LandDev\Plan Check Comments\] - Specific Projects - Active Project in Progress\Bascom Ave. 2000\C.3\Covenants for Operations & Maintenance of Storm Water RunoffFacilities.doc (Rev. 09/12) Page 2 5. ENFORCEMENT AND THIRD PARTY BENEFICIARY. Enforcement of these covenants shall be by proceedings at law or in equity against any person or persons violating or attempting to violate covenant either to restrain a violation or to recover damages. The City shall be deemed a third party beneficiary for purposes of enforcement established herein and shall be able to enforce these covenants should Covenantor, it's administrators, executors, successors, heirs, assigns and successors fail or refuse to do so. 6. CITY RIGHT OF ENTRY TO MAINTAIN. Covenantor, its administrators, executors, successors, heirs, assigns and successors hereby grants a right of entry to City, its authorized agents and employees, for purposes of inspection of the Facilities at reasonable times whenever deemed necessary by City and maintenance of the Facilities by City should Covenantor, its administrators, executors, successors, heirs, assigns and successors fail to properly maintain the Facilities in a manner acceptable to the City. In the event Covenantor, its administrators, executors, successors, heirs, assigns and successors fail to properly maintain the Facilities in good and workable order, the City may take any necessary steps to keep the Facilities in good working order. Unless health and safety reasons require immediate access, the City shall provide reasonable notice in advance of the entry on the Property. 7. COST REIMBURSEMENT AND LIEN. If the City performs work of any nature or sort to maintain the Facilities and expends funds for the performance of that work for materials, equipment and/or labor, Covenantor, its administrators, executors, successors, heirs, assigns and successors hereby covenant and agree that upon written notice by City, City shall be reimbursed by Covenantor, its administrators, executors, successors, heirs, assigns and successors for all such costs incurred City for said maintenance within thirty days of receipt of the notice. If payment is not made within the timeline established herein, Covenantor, its administrators, executors, successors, heirs, assigns and successors, agree the amount of the costs incurred by City shall become a lien upon the Property and the City shall have all rights, in law and/or equity, to enforce the lien by foreclosure or other lawful action. The actions available to City as described in this covenant shall not be deemed to limit any other legal or equitable remedy of City. 8. BREACH. Breach of any of the covenants or any re-entry by reason of such breach, shall not defeat or render invalid the lien of any mortgage or deed of trust made in good faith and for value as to the Property or any part thereof; but such covenants shall be binding and effective against any owner of the Property whose title thereto is acquired by foreclosure, trustee's sale or otherwise. 9. TIME OF ESSENCE. Time is of the essence hereof and any individual waiver of time in any instance shall not constitute any subsequent waiver of these provisions. J:\LandDev\Plan Check Comments\1 - Specific Projects - Active Project in Progress\Bascom Ave. 2000\C.3\Covenants for Operations & Maintenance of Storm Water Runoff Facilities.doc (Rev. 09/12) Page 3 10 RECORDATION. These covenants shall be recorded in the Offices of the County Recorder for the County of Santa Clara, State of California. IN WITNESS WHEREOF, the undersigned Covenantor has executed this declaration this day of , 2015. "COVENANTOR" O.T. MARTIN TESTAMENTARY TRUST Tami Anthony, Co -Trustee Lynne Pickering, Co -Trustee (Acknowledgment/Notarization Required) J:\LandDev\Plan Check Comments\1 - Specific Projects - Active Project in Progress\Bascom Ave. 2000\C.3\Covenants for Operations & Maintenance of Storm Water Runoff Facilities.doc (Rev. 09/12) Page 4 EXHIBIT "A" STORMWATER MANAGEMENT PLAN CONTENTS The minimum information submitted for support of a Stormwater Management Plan shall be as follows: 1. Common address, parcel number and legal description of the site. 2. Contact information for all persons having a legal interest in the property. 3. Vicinity or area map. 4. A brief narrative description of the project. 5. Geotechnical investigations including soil maps, borings, site -specific recommendations, and any additional information necessary for the proposed stormwater management design. 6. Written or graphic inventory of natural resources existing at the site and in the surrounding area, including, but nit limited to, watercourses, wetlands, and native vegetative areas. 7. Data for total site area, disturbed area, new and/or replaced impervious surface area, and total impervious surface area. 8. Topographic survey information showing existing and proposed contours, including all areas necessary for the post -development hydraulic analyses of proposed stormwater management facilities. 9. Erosion and sediment control plan, as required by City Code Section 16.08, Excavation, Grading and Retaining Walls. 10. A list of any other applicable environmental permits that will be required for the project and the responsible agencies (examples: Santa Clara Valley Water District, State Department of Fish and Game, Regional Water Quality Control Board). 11. Hydrologic computations, including drainage area maps depicting existing and post - development runoff flow paths and land use. 12. Hydraulic computations for existing and post -development conditions. 13. A list of all stormwater management facilities and practices to be employed at the site. 14. A list of any regular on -site cleaning activities to be used as stormwater pollutant source controls (example: pavement sweeping) and the schedules for these cleaning activities. 15. Numeric sizing criteria computations for stormwater treatment BMP's according to the SCVURPP "Guidance for Implementing Stormwater Regulations for New and Redevelopment Project." 16. Structural and construction details for all components of the proposed drainage system or systems and stormwater management facilities. 17. Landscaping plan showing disposition of existing vegetation and any vegetative site stabilization and/or landscape -based storm water management measures. 18. Cost estimates for all proposed on -site stormwater management facilities for the purpose of calculating the amount of any required performance bonds and determining BMP practicability. 19. BMP operation and maintenance procedures, including maintenance tasks, inspection and maintenance schedule, the parties responsible for BMP operation and maintenance, funding mechanisms for on -going operation and maintenance and access and safety issues. 20. Certification by the owner/developer that all stormwater management construction will be done according to this Stormwater Management Plan. 21. An as -built certification signature block to be executed by the responsible registered civil engineer after project completion. 22. Any other information as may be required by the Director of Public Works. (9/u .09) S:IffffSS AVAQIW H.009 MARTIN TESTAMENTARY TRUST APN 288-08-078 LOT 4 12-M-54 N 00'41'03" E 172.63' (A) 30.0, 142.63' (A) w Lu c ^ 00 rn r 00 � Z cn W N LiAPN > 2 288-08-078 Q a � 00 O.T. MARTIN TESTAMENTARY TRUST � I DOC# 14166197 00 Q; Q r- PARCEL 1 620-M-44 & 45 REMAINDER 53,102 SFLo t w (O N w � � m u) a- N 00 W Q U cn 00 AREA 'B' AREA 'A' 0) co �r cn I AREA 'C' Q W I N 89'16'46" W L1 S 00'43'14" W 125.57' TRAN APN 288-08-051 LOT 14 71-M-53 WEINMAN 288-08-052 LOT 15 71-M-53 N 00'41'03" E I`1 71.57' (A) APN I PRIES 288-08-054 APN 288-08-053 9.00' a v O O Q " � N LEGEND & ABBREVIATIONS o W POB POINT OF BEGINNING o o - FD FOUND N 00 IP IRON PIPE 00 PROPERTY LINE N CENTER LINE TIE LINE APN LINE P.O. B. STORMWATER 68.60' TREATMENT AREA LR=20.00' D=89'57'49" L=31.40 I o: L1 = S 89'18'57" E 9.00' ti N 00'43'14" E 244.13' (244.13)(A) FD IP &NAIL N 00'43'14" E 346.63' (N 00.42'53" E)(A)� IN MON. WELL S O U T H B A S C O M A V E N U E IN IP &NAIL N MON. WELL AREA 'A' AREA 'A' AREA 'A' 215 SF f 199 SF f 265 SF f ALPHA LAND SURVEYS, INC. 4444 SCOTTS VALLEY DRIVE, SUITE 7 SCOTTS VALLEY, CA 95066 (831) 438-4453 STORMWATER TREATMENT AREA EXHIBIT 2000 S BASCOM AVENUE, CAMPBELL APR 13, 2015 SCALE 1 "=60' PAGE 1 OF 1 GEOTECHNICAL INVESTIGATION 2000 S. Bascom Avenue Campbell, Santa Clara County, California Submitted to: Metrovation, LLC 580 2"d Street, Suite 260 Oakland, California 94607 2000 S BASCOM AVE 288-08-078 Prepared by: CMAG ENGINEERING, INC. Project No. 14-132-SCL November 4, 2014 RECEIVED Fro 'iQ2015 CITY OF CAMPBELL CMAG ENGINEERING, INC. P.O. BOX 640, APTOS, CALIFORNIA 95001 PH: 831.475.1411 WWW.CMAGENGiNEERING.COM November 4, 2014 Project No. 14-132-SCL Metrovation, LLC 580 211 Street, Suite 260 Oakland, California 94607 Attn: Micah Bycel SUBJECT: GEOTECIHNICAL INVESTIGATION Proposed Restaurant 2000 S. Bascom Avenue, Campbell, Santa Clara County, California APN 288-08-078 Dear Mr. Bycel: CMAG Engineering, Inc. has been retained by Metrovation, LLC to provide a geotechnical investigation report for the proposed restaurant at 2000 S. Bascom Avenue in Campbell, Santa Clara County, California. It is our understanding that the project consists of the construction of a new one-story, 5,200 square foot restaurant and associated improvements. Anticipated construction consists of both steel frame walls and CMU walls with an open web truss roof system founded on a conventional shallow foundation system with concrete slab -on -grade floors. Currently, an existing building occupies the approximate same footprint as the proposed structure. The existing building and the surrounding parking area immediately adjacent is to be removed and replaced. New asphalt, concrete sidewalks, curb and gutter, a trash enclosure, and a bio-retention system is proposed to facilitate the new restaurant. The subsurface profile encountered in our field exploration consisted of alluvial deposits within the depths explored. The deposits were generally cohesionless and very loose to loose in the upper 6± feet. Cohesive soils were encountered from approximately 6 feet to 12 feet below grade and based on our laboratory testing, compressible. Loose to medium dense relatively cohesionless soils were encountered from approximately 12 feet to a depth of 20+ feet. The deposits from 20+ feet below grade to the extent of our field exploration at 34+ feet, consisted of dense to very dense granular soils. Groundwater was not encountered during our field exploration to a maximum explored depth of 34± feet. Geotech nical Investigation 2000 S. Bascom Avenue Santa Clara County, California November 4, 2014 Project No. 14-132-SCL Page ii It is our opinion that the near surface soils, in their current loose to very loose state, are unsuitable to support the proposed conventional shallow foundation system, with the anticipated loads, without intolerable differential settlements. In addition, large loads may cause compression of the underlying cohesive soils. It is our opinion that a conventional shallow foundation system is suitable, however, overexcavation and recompaction of the near surface soils, coupled with moderate bearing pressures will be required to achieve tolerable total and differential settlements. We have provided recommendations for conventional shallow foundations founded on compacted engineered fill. This summary omits detailed recommendations; therefore, anyone relying on the report should read it in its entirety. It is a pleasure being associated with you on this project. If you have any questions, or if we may be of further assistance, please do not hesitate to contact our office. Sincerely, CMAG ENGINEERING, INC. Adrian L. Garner, PE, GE Principal Engineer C 66087, GE 2814 Expires 6/30/16 Distribution: Addressee (4 Hard Copies; Electronic Copy) ti Geotechnical Investigation 2000 S. Bascom Avenue Santa Clara County, California TABLE OF CONTENTS November 4, 2014 Project No. 14-132-SCL Page iii 1.0 INTRODUCTION....................................................... 1 1.1 Terms of Reference ............................................... 1 1.2 Site Location .................................................... 1 1.3 Surface Conditions................................................1 2.0 PROJECT DESCRIPTION ............................................... 2 3.0 GEOLOGIC SETTING AND SEISMICITY .................................... 2 3.1 Geologic Setting . ................................................ 2 3.2 Regional Seismicity and Faulting ..................................... 2 4.0 FIELD EXPLORATION AND LABORATORY TESTING PROGRAMS .............. 4 5.0 SUBSURFACE CONDITIONS AND EARTH MATERIALS ....................... 4 5.1 General........................................................4 5.2 Alluvial deposits - 4a.............................................. 4 5.3 Groundwater....................................................4 6.0 GEOTECHNICAL HAZARDS ............................................. 5 6.1 General........................................................5 6.2 Seismic Shaking.................................................5 6.3 Collateral Seismic Hazards ......................................... 6 6.3.1 Liquefaction.....................................................6 7.0 DISCUSSIONS AND CONCLUSIONS ...................................... 7 8.0 RECOMMENDATIONS..................................................7 8.1 General ....................................... ...............7 8.2 Site Grading ..................................................... 8 8.2.1 Site Clearing .................................................... 8 8.2.2 Preparation of On -Site Soils ......................................... 8 8.2.3 Utility Trenches .................................................. 9 8.2.4 Vibration During Compaction ....................................... 10 8.2.5 Excavating Conditions ............................................ 10 8.2.6 Surface Drainage ................................................ 10 8.3 Foundations....................................................11 8.3.1 Conventional Shallow Foundations .................................. 11 8.3.2 Concrete Slabs -on -Grade ......................................... 12 8.3.3 Settlements ............................... ...................12 8.4 Plan Review....................................................12 8.5 Observation and Testing .......................................... 13 9.0 LIMITATIONS........................................................13 Geotechnical Investigation November 4, 2014 2000 S. Bascom Avenue Project No. 14-132-SCL Santa Clara County, California Page iv REFERENCES.............................................................14 TABLES Table 1, Regional Active Faults .................................................. 3 Table 2. Seismic Design Parameters - 2013 CBC.................................... 5 Table 3. Allowable Bearing Capacity ............................................. 11 FIGURES AND STANDARD DETAILS Figure 1: Site Location Map Figure 2: Quaternary Faults APPENDICES APPENDIX A Field Exploration Program APPENDIX B Laboratory Testing Program Geotechnical Investigation November 4, 2014 2000 S. Bascom Avenue Project No. 14-132-SCL Santa Clara County, California Page 1 1.0 INTRODUCTION This report presents the results of our geotechnical investigation for the proposed new restaurant at 2000 S. Bascom Avenue in Campbell, Santa Clara County, California. The purpose of our investigation was to provide information regarding the surface and subsurface soil conditions, and based on our findings, provide geotechnical recommendations for the design and construction of the proposed restaurant and associated improvements. Conclusions and recommendations related to geotechnical hazards, site grading, drainage, conventional shallow foundations, slabs -on -grade, and pavements are presented herein. 1.1 Terms of Reference CMAG Engineering, Inc.'s (CMAG) scope of work for this phase of the project included site reconnaissance, subsurface exploration, soil sampling, laboratory testing, engineering analyses, and preparation of this report. The work was undertaken in accordance with CMAG's Proposal for Geotechnical Services dated July 25, 2014. The recommendations contained in this report are subject to the limitations presented in Section 9.0 of this report. 1.2 Site location The project site is located on the east side of Highway 17, north of Highway 85 and south of Highway 280 in Campbell, Santa Clara County, California. The site location is shown on the Site Location Map, Appendix A, Figure A-1. 1.3 Surface Conditions The parcel is approximately 0.95 acres in size and rectangular in shape. The parcel is currently developed with an existing single -story restaurant, parking area, and associated improvements. The parking area is surfaced with asphalt. Small landscape areas are located within the parking area and adjacent to the existing restaurant. The parcel has a slight slope that descends to the northeast. Geotechnical Investigation 2000 S. Bascom Avenue Santa Clara County, California 2.0 PROJECT DESCRIPTION November 4, 2014 Project No. 14-132-SCL Page 2 It is our understanding that the project consists of the construction of a new one-story 5,200 square foot restaurant. The existing building is to be removed and the proposed structure is to be located in approximately the same footprint as the existing building. The parking area immediately surrounding the proposed restaurant is to be removed and replaced with new asphalt, concrete sidewalks, and curb and gutter. A new trash enclosure is also proposed, to the east side of the proposed structure in the existing parking area. Bio- retention areas are also proposed in landscape areas. Anticipated construction forthe restaurant consists of both steel frame walls and CMU walls with an open web truss roof system founded on a conventional shallow foundation system with concrete slab -on -grade floors. 3.0 GEOLOGIC SETTING AND SEISMICITY 3.1 Geologic Setting The geologic map by T.W. Dibblee (2007) depicts the site as underlain by alluvial deposits (Qa.2; Holocene). The deposits are described as consisting of alluvial gravel, sand, silt, and clay derived from younger stream alluvium in fan deposits. Numerous faults are located in the region, surrounding the site, discussed in Section 3.2 below. 3.2 Regional Seismicity and Faulting The 2007 Working Group on California Earthquake Probabilities (2007 WGCEP) at the U.S. Geological Survey (USGS) developed estimates of earthquake probabilities in the San Francisco Bay area. The 2007 WGCEP estimates a probability of 63 percent of a magnitude 6.7 or larger earthquake striking the San Francisco Bay area over the next 30 years. The major active faults in the area are the San Andreas Fault Zone, the Calaveras Fault Zone, and the Hayward -Rodgers Fault Zone. A probability of a magnitude 6.7 or larger earthquake on the N. San Andreas and the Hayward -Rodgers Creek Faults Zones is predicted by the 2007 WGCEP to be 21 percent and 31 percent, respectively, over the next 30 years. The USGS has published national seismic hazard maps displaying earthquake ground motions for various probability levels across the United States. The approximate distances to the active faults from the site and the estimated Mean Characteristic Moment Magnitudes are presented in Table 1. The distance to the faults and the Mean Characteristic Moment Magnitudes were determined from the Geotechn ical Investigation 2000 S, Bascom Avenue Santa Clara County, California November 4, 2014 Project No. 14-132-SCL Page 3 USGS 2008 National Seismic Hazard Maps (NSHMP) model. A latitude and longitude of 37.2866 degrees and-121.9313 degrees, respectively was used for our spatial query. Table 1. Regional Active Faults Fault Segment Approximate Distance to Site (miles) Mean Characteristic Moment Magnitude Monte Vista -Shannon 3.3 6.50 N. San Andreas; SAN+SAP 8.1 7.73 N. San Andreas; SAN+SAP+SAS 8.1 7.87 N. San Andreas; SAO+SAN+SAP 8.1 7.95 N. San Andreas; SAO+SAN+SAP+SAS 8.1 8.05 N. San Andreas; SAP 8.1 7.23 N. San Andreas; SAP+SAS 8.1 7.48 N. San Andreas; SAS 8:6 7.12 Calaveras; CC 12.0 6.39 Calaveras; CC+CS 12.0 6.50 Calaveras; CN+CC 12.0 7.00 Calaveras; CN+CC+CS 12.0 7.03 Hayward -Rodgers Creek, HN+HS 12A 7.00 Hayward -Rodgers Creek; HS 12.4 6.78 Hayward -Rodgers Creek; RC+HN+HS 12.4 7.33 Calaveras; CN 12.9 6.87 Zayante-Vergeles 13.9 7.00 San Gregorio Connected 23.3 7.50 Greenville Connected 26.0 7.00 Monterey Bay - Tularcitos 27.3 7.30 See Figure 2 for a map depicting faults that are believed to be sources of earthquakes greaterthan Magnitude 6 within the Quaternary (past 1.6 million years). The faults presented in Table 1 have been labeled on Figure 2. Geotechnical Investigation 2000 S. Bascom Avenue Santa Clara County, California November 4, 2014 Project No. 14-132-SCL Page 4 4.0 FIELD EXPLORATION AND LABORATORY TESTING PROGRAMS Our field exploration program included drilling, logging, and interval sampling of 4 borings on October 18, 2014. The borings were advanced to depths ranging from 13.5+ feet to 34± feet below existing grades. Details of the field exploration program, including the Boring Logs, Figures A-3 through A-6, are presented in Appendix A. Representative samples obtained during the field investigation were taken to the laboratory for testing to determine physical and engineering properties. Details of the laboratory testing program are presented in Appendix B. Test results are presented on the Boring Logs and in Appendix B. 5.0 SUBSURFACE CONDITIONS AND EARTH MATERIALS 5.1 General Four borings were advanced in the vicinity of the proposed restaurant. The subsurface profile encountered in our field exploration consisted of alluvial deposits within the depths explored. Complete soil profiles are presented on the Boring Logs, Appendix A, Figures A-3 through A-6. The boring locations are shown on the Boring Location Plan, Figure A-1. 5.2 Alluvial Deposits - Qa The upper 6± feet generally consisted of very loose to loose, moist, non plastic, silty sand and sandy silt with varying amounts of gravel. From 6+ feet to 12+ feet, the soil generally consisted of moist, plastic, firm to stiff lean clay with sand, to silt with sand. The soil consisted of loose to medium dense silt with sand and silty sand below 12+ feet to a depth of 20+ feet. Beneath this depth, the alluvial deposits increased in relative density to dense and very dense. The deposits from 20+ feet below grade, to the extent of our field exploration at 34+ feet, consisted of silty sand with gravel and silty gravel with sand. 5.3 Groundwater Groundwater was not encountered during our field exploration. It should be noted that groundwater conditions, perched or regional, may vary with location and may fluctuate with variations in rainfall, runoff, irrigation, and other changes to the conditions existing at the time our field investigation was performed. Geotechnical Investigation 2000 S. Bascom Avenue Santa Clara County, California 6.0 GEOTECHNICAL HAZARDS 6.1 General November 4, 2014 Project No. 14-132-SCL Page 5 In our opinion, the geotechnical hazards that could potentially affect the proposed project are: Seismic shaking 6.2 Seismic Shaking The seismic hazard due to seismic shaking in California is high in many areas, indicative of the number of large earthquakes that have occurred historically. Intense seismic shaking may occur at the site during the design lifetime of the proposed structure from an earthquake along one of the local fault systems. Generally, the intensity of shaking will increase the closer the site is to the epicenter of an earthquake, however, seismic shaking is a complex phenomenon and may be modified by local topography and soil conditions. The transmission of earthquake vibrations from the ground into the structure may cause structural damage. The County of Santa Clara has adopted the seismic provisions set forth in the 2013 California Building Code (2013 CBC) to address seismic shaking. The seismic provisions in the 2013 CBC are minimum load requirements for the seismic design for the proposed structure. The provisions set forth in the 2013 CBC will not prevent structural and nonstructural damage from direct fault ground surface rupture, coseismic ground cracking, liquefaction and lateral spreading, seismically induced differential compaction, or seismically induced landsliding. Table 2 has been constructed based on the 2013 CBC requirements for the seismic design of the proposed structure. The Site Class has been determined based on our field investigation and laboratory testing. Table 2. Seismic Design Parameters - 2013 CBC SS S; Site Class Fa F SMS SM1 Sos SDI PGAM 1.540g 0.600g D 1.0 1.5 1.540g 0.900g 1.027g 0.600g 0.579g Geotechnical Investigation November 4, 2014 2000 S. Bascom Avenue Project No. 14-132-SCL Santa Clara County, California Page 6 6.3 Collateral Seismic Hazards In addition to seismic shaking, other seismic hazards that may have an adverse affect to the site and/or the structure are: fault ground surface rupture, coseismic ground cracking, seismically induced liquefaction and lateral spreading, seismically induced differential compaction, and seismically induced landsliding. It is our opinion that the potential for collateral seismic hazards to affect the site, and to damage the proposed structure is low. 6.3.1 Liquefaction Seismically induced liquefaction tends to occur in loose, unconsolidated, noncohesive soils beneath the groundwater table. The site has been depicted as having a moderate liquefaction susceptibility (Witter et al., 2006). It is our opinion that the potential for seismically induced liquefaction to adversely affect the proposed structure is low due to the following: We did not encounter groundwater to a maximum explored depth of 34+ feet within our borings. Holzer et al. (2008) states the following: "Both ground water and surface water in the Santa Clara Valley are managed by the Santa Clara Valley Water District. Thus, the water table is subject to anthropogenic influence. This and annual rainfall variations causes the water table to fluctuate significantly from periods of extended drought to periods of high rainfall. This and annual rainfall variations causes the water table to fluctuate significantly from periods of extended drought to periods of high rainfall". However, the Annual Groundwater Report for Calender Year 2013 produced by the Santa Clara Valley Water District and the Groundwater Condition Report, February 2014, indicate that the groundwater table in the vicinity of the site is at about 90 feet below grade. The relative density of the alluvial deposits generally increased to dense and very dense at approximately 20 feet below grade. The results of our laboratory testing indicate that the lean clay encountered between approximately 6 feet to 12 feet has a Plasticity Index greater than 7. Based on the recommendations as outlined in the Monograph Soil Liquefaction During Earthquakes (I.M. Idriss and R.W. Boulanger 2008), the lean clay is considered to fall outside of the range of soils susceptible to "classic" cyclically induced liquefaction (Plasticity Index <7). Geotechnical Investigation November 4, 2014 2000 S. Bascom Avenue Project No. 14-132-SCL Santa Clara County, California Page 7 7.0 DISCUSSIONS AND CONCLUSIONS The subsurface profile encountered in our borings consisted of alluvial deposits to the extent of our field investigation at 34± feet below grade. The upper 6+ feet was loose to. very loose and consisted of silty sands and sandy silts with varying amounts of gravel. The results of our laboratory testing indicate that the lean clay encountered from 6± feet to 12+ feet is compressible. The soil from approximately 12± feet to 20+ feet is loose to medium dense and consisted of silts with sands and silty sands. Beneath this depth, the alluvial deposits consisted of dense and very dense silty sand with gravel and silty gravel with sand to the extent of our borings. It is our opinion that the potential for seismically induced liquefaction to adversely affect the proposed structure is low. See Subsection 6.3.1 for additional information. It is our opinion that the near surface soils, in their current loose to very loose state, are unsuitable to support the proposed conventional shallow foundation system, with the anticipated loads, without intolerable differential settlements. In addition, large loads may cause compression of the underlying lean clay soils. It is our opinion that a conventional shallow foundation system is suitable, however, overexcavation and recompaction of the near surface soils, coupled with moderate bearing pressures will be required to achieve tolerable total and differential settlements. The near surface silty sand and sandy silt with varying amounts of gravel is suitable for use as engineered fill. However, silty soils generally have a narrow range of moisture to achieve compaction and care will be required to adequately moisture condition the soils (drying or wetting) prior to use as engineered fill. Gravels were encountered in our borings. It should be noted that cobbles and boulders were not encountered, however, due to the nature of the depositional environment, they should be anticipated. 8.0 RECOMMENDATIONS 8.1 General Based on the results of our field investigation, laboratory testing, and engineering analysis, it is our opinion, from the geotechnical standpoint, the subject site will be suitable for the proposed development provided the recommendations presented herein are implemented during grading and construction. It is our opinion, from a geotechnical standpoint, the proposed single -story restaurant may be founded on a conventional shallow foundation system. To alleviate the potential for intolerable differential settlements due to the very loose to loose silty sands and sandy silts, we recommend site preparation consisting of overexcavation and recompaction per Subsection 8.2.2. Foundation recommendations are provided in Section 8.3. Geotechnical Investigation 2000 S. Bascom Avenue Santa Clara County, California November 4, 2014 Project No. 14-132-SCL Page 8 Earthwork recommendations beneath proposed drive areas and the trash enclosure are provided in Subsection 8.2.2. 8.2 Site Grading 8.2.1 Site Clearing Prior to grading, the areas to be developed for structures, pavements and other improvements, should be stripped of any vegetation and cleared of any surface or subsurface obstructions, including any existing foundations, utility lines, basements, septic tanks, pavements, stockpiled fills, and miscellaneous debris. Surface vegetation and organically contaminated topsoil should be removed from areas to be graded. The required depth of stripping will vary with the time of year the work is done and should be observed by the Geotechnical Engineer. It is generally anticipated that the required depth of stripping will be 6 to 12 inches. Holes resulting from the removal of buried obstructions that extend below finished site grades should be backfilled with compacted engineered fill compacted to the requirements of Subsection 8.2.2. 8.2.2 Preparation of On -Site Soils Beneath the foundation system (including the concrete slab), the native soil should be overexcavated a minimum of 3.5 feet below existing grade. The exposed surface should then be scarified a minimum of 6 inches, moisture conditioned, and compacted to a minimum of 90 percent relative compaction. The material which was removed should then be replaced with engineered fill compacted to a minimum of 90 percent relative compaction. This zone of reworking shall extend a minimum of 5 feet laterally beyond the foundation footprint. Depending on the time of year of construction, geotextile or other means may be required to stabilize the base of the overexcavation. In drive areas the native soil should be overexcavated to a minimum of 1 foot below the bottom of the aggregate base course, or 1 foot below existing grade, whichever is greater. The exposed surface should then be scarified a minimum of 6 inches, moisture conditioned, and compacted to a minimum of 90 percent relative compaction. The material which was removed should then be replaced as engineered fill compacted to a minimum of 90 percent relative compaction. The upper 6 inches of subgrade and all aggregate base and subbase in drive areas shall be compacted to achieve a minimum relative compaction of 95 percent. Beneath concrete walkways, the native soil should be scarified a minimum of 6 inches, moisture conditioned, and compacted to a minimum of 90 percent relative compaction. Geotechnical Investigation 2000 S. Bascom Avenue Santa Clara County, California November 4, 2014 Project No. 14-132-SCL Page 9 The on -site soils may be used as engineered fill. Note: See Section 7 regarding considerations for use of the native soils as engineered fill. The soil should be verified by a representative of CMAG in the field during grading operations. All soils, both existing on -site and imported, to be used as fill, should contain less than 3 percent organics and be free of debris and gravel over 2.5 inches in maximum dimension. Imported fill material should be approved by a representative of CMAG prior to importing. Soils having a significant expansion potential should not be used as imported fill. The Geotechnical Engineer should be notified not less than 5 working days in advance of placing any fill or base course material proposed for import. Each proposed source of import material should be sampled, tested, and approved by the Geotechnical Engineer prior to delivery of Any soils imported for use on the site. All fill should be compacted with heavy vibratory equipment. Fill should be compacted by mechanical means in uniform horizontal loose lifts not exceeding 8 inches in thickness. The relative compaction and required moisture content shall be based on the maximum dry density and optimum moisture content obtained in accordance with ASTM D1557. The Geotechnical Engineer should observe the overexcavations, and placement of engineered fill. Any surface or subsurface obstruction, or questionable material encountered during grading, should be brought immediately to the attention of the Geotechnical Engineer for proper processing as required. 8.2.3 Utility Trenches Bedding material should consist of sand with SE not less than 30 which may then be jetted. The on -site soils may be utilized for trench backfill. Imported fill should be free of organic material and gravel over 2.5 inches in diameter. Backfill of all exterior and interior trenches should be placed in thin lifts and mechanically compacted to achieve a relative compaction of not less than 95 percent in paved areas and 90 percent in other areas per ASTM D1557. Care should betaken not to damage utility lines. Utility trenches that are parallel to the sides of a building should be placed so that they do not extend. below a line sloping down and away at an inclination of 2:1 H:V (horizontal to vertical) from the bottom outside edge of all footings. A 3 foot concrete plug should be placed in each trench where it passes under the exterior footings. Geotechnical Investigation 2000 S. Bascom Avenue Santa Clara County, California November 4, 2014 Project No. 14-132-SCL Page 10 Trenches must be shored as required by the local regulatory agency, the State Of California Division of Industrial Safety Construction Safety Orders, and Federal OSHA requirements. 8.2.4 Vibration During Compaction Existing buildings are within close proximity to the proposed restaurant. The contractor should take all precautionary measures to minimize vibration on the site during grading operations. This may require that the engineered fill be placed in thin lifts using a static roller. It is the contractor's responsibility to ensure that the process in which the engineered fill is placed does not adversely affect the adjacent buildings. 8.2.5 Excavating_ Conditions We anticipate that excavation of the on -site soils may be accomplished with standard earthmoving and trenching equipment. Depending on the time of year of construction, geotextile or other means may be required to stabilize the base of the overexcavation. 8.2.6 Surface Drainage Pad drainage should be designed to collect and direct surface water away from structures to approved drainage facilities. A minimum gradient of 2± percent should be maintained and drainage should be directed toward approved swales ordrainage facilities. Concentrations of surface water runoff should be handled by providing the necessary structures, paved ditches, catch basins, etc. All roof eaves should be guttered with the outlets from the downspouts provided with adequate capacity to carry the storm water away from the structure to reduce the possibility of soil saturation and erosion. Drainage patterns approved at the time of construction should be maintained throughout the life of the structures. The building and surface drainage facilities must not be altered nor any grading, filling, or excavation conducted in the area without prior review by the Geotechnical Engineer. Irrigation activities at the site should be controlled and reasonable. Planter areas should not be sited adjacent to walls without implementing approved measures to contain irrigation water and prevent it from seeping under foundations and slabs -on - grade. The surface soils are classified as moderately erodible. Therefore, the finished ground surface should be planted with erosion resistant landscaping and ground cover and continually maintained to minimize surface erosion. Geotechnical Investigation 2000 S. Bascom Avenue Santa Clara County, California 8.3 Foundations 8.3.1 Conventional Shallow Foundations November 4, 2014 Project No. 14-132-SCL Page 11 We recommend that conventional shallow foundations be founded on compacted engineered fill per Subsection 7.2.2. Footing widths should be based on the allowable bearing value but not less than 12 inches for 1 story structures. The minimum recommended depth of embedment is 18 inches for exterior wall footings. Interior footings depths should be at least 12 inches for 1 story structures. Embedment depths should not be allowed to be affected adversely, such as through erosion, softening, digging, etc. Should local building codes require deeper embedment of the footings or wider footings, the codes must apply. The allowable bearing capacities are presented in Table 3. Table 3. Allowable Bearing Capacity Footing, Type Footing Depth (ft) Footing Width (ft) Footing Length {ft) Allowable Bearing Capacity(psf) Strip 1.5 1.5 - 2,000 Rectangular 1.5 3 9 1,100 Rectangular 2 5 18 800 Rectangular 1.5 4.5 16 800 Rectangular 1.5 3.75 3.75 1,100 Note: Concentric Loading Assumed The allowable bearing capacity may be increased by one-third in the case of short duration loads,_ such as those induced by wind or seismic forces. A passive pressure of 290 psf/ft (equivalent fluid pressure) may be assumed for design purposes. Neglect passive pressure in the top 12 inches of engineering fill. Passive pressures may be increased by one-third for seismic loading. A friction coefficient of 0.35, between engineered fill and rough concrete may be assumed for design purposes. Where both friction and the passive resistance are utilized for sliding resistance, either of the values indicated should be reduced by one-third. Footing excavations should be observed by the Geotechnical Engineer before steel reinforcement is placed and concrete is poured. D Geotechnical Investigation November 4, 2014 2000 S. Bascom Avenue Project No. 14-132-SCL Santa Clara County, California Page 12 8.3.2 Concrete Slabs -on -Grade We recommend that concrete slab -on -grade be founded on compacted engineered fill per Subsection 8.2.2. The subgrade should be proof -rolled just prior to construction to provide a firm, relatively unyielding surface, especially if the surface has been loosened by the passage of construction traffic. The slab -on -grade should be underlain by a minimum 4 inch thick capillary break of clean crushed rock. It is recommended that neither Class II baserock nor sand be employed as the capillary break material. Where moisture sensitive floor coverings are anticipated or vapor transmission may be a problem, a vapor retarder should be placed between the granular layer and the floor slab in order to reduce moisture condensation under the floor coverings. The vapor retarder should be specified by the slab designer. It should be noted that conventional slab -on -grade construction is not waterproof. Under -slab construction consisting of a capillary break and vapor retarder will not prevent moisture transmission through the slab -on -grade. CMAG does not practice in the field of moisture vapor transmission evaluation or mitigation. Where moisture sensitive floor coverings are to be installed, a waterproofing expert should be consulted for their recommended moisture and vapor protection measures. 8.3.3 Settlements Total and differential settlements beneath conventional shallow foundations are expected to be within tolerable limits. Vertical movements are not expected to exceed 1 inch. Differential movements are expected to be within the normal range ('/Z inch) for the anticipated loads and spacings. These preliminary estimates should be reviewed by the Geotechnical Engineer when foundation plans for the proposed structures become available. 8.4 Plan Review The recommendations presented in this report are based on preliminary design information for the proposed project and on the findings of our geotechnical investigation. When completed, the Grading Plans, Foundation Plans and design loads should be reviewed by CMAG prior to submitting the plans and contract bidding. Additional field exploration and laboratory testing may be required upon review of the final project design plans. Geotechnical Investigation 2000 S. Bascom Avenue Santa Clara County, California 8.5 Observation and Testing November 4, 2014 Project No. 14-132-SCL Page 13 Field observation and testing must be provided by a representative of CMAG to enable them to form an opinion regarding the adequacy of the site preparation, the adequacy of fill materials, and the extent to which the earthwork is performed in accordance with the geotechnical conditions present, the requirements of the regulating agencies, the project specifications, and the recommendations presented in this report. Any earthwork performed in connection with the subject project without the full knowledge of, and not under the direct observation of CMAG will render the recommendations of this report invalid. CMAG should be notified at least 5 working days prior to any site clearing or other earthwork operations on the subject project in order to observe the stripping and disposal of unsuitable materials and to ensure coordination with the grading contractor. During this period, a preconstruction meeting should be held on the site to discuss project specifications, observation and testing requirements and responsibilities, and scheduling. 9.0 LIMITATIONS The recommendations contained in this report are based on our field explorations, laboratory testing, and our understanding of the proposed construction. The subsurface data used in the preparation of this report was obtained from the borings drilled during our field investigation. Variation in soil, geologic, and groundwater conditions can vary significantly between sample locations. As in most projects, conditions revealed during construction excavation may be at variance with preliminary findings. If this occurs, the changed conditions must be evaluated by the Project Geotechnical Engineer and the Geologist, and revised recommendations be provided as required. In addition, if the scope of the proposed construction changes from the described in this report, our firm should also be notified. Our investigation was performed in accordance with the usual and current standards of the profession, as they relate to this and similar localities. No other warranty, expressed or implied, is provided as to the conclusions and professional advice presented in this report. This report is issued with the understanding that it is the responsibility of the Owner, or of his Representative, to ensure that the information and recommendations contained herein are brought to the attention of the Architect and Engineer for the project and incorporated into the plans, and that it is ensured that the Contractor and Subcontractors implement such recommendations in the field. The use of information contained in this report for bidding purposes should be done at the Contractor's option and risk. Geotechnical Investigation November 4, 2014 2000 S. Bascom Avenue Project No. 14-132-SCL Santa Clara County, California Page 14 This firm does not practice or consult in the field of safety engineering. We do not direct the Contractor's operations, and we are not responsible for other than our own personnel on the site; therefore, the safety of others is the responsibility of the Contractor. The Contractor should notify the Owner if he considers any of the recommended actions presented herein to be unsafe. The findings of this report are considered valid as of the present date. However, changes in the conditions of a site can occur with the passage of time, whether they be due to natural events or to human activities on this or adjacent sites. In addition, changes in applicable or appropriate codes and standards may occur, whether they result from legislation or the broadening of knowledge. Accordingly, this report may become invalidated wholly or partially by changes outside our control. Therefore, this report is subject to review and revision as changed conditions are identified. The scope of our services mutually agreed upon did not include any environmental assessment or study for the presence of hazardous to toxic materials in the soil, surface water, or air, on or below or around the site. CMAG is not a mold prevention consultant; none of our services performed in connection with the proposed project are for the purpose of mold prevention. Proper implementation of the recommendations conveyed in our reports will not itself be sufficient to prevent mold from growing in or on the structures involved. REFERENCES American Society of Civil Engineers (2010). Minimum Design Loads for Buildings and Other Structures. ASCE Standard 7-10. ASTM International (2014). Annual Book ofASTM Standards, Section Four, Construction. Volume 4.08, Soil and Rock (1): D 420 - D 5876. CMAG Engineering, Inc. (July 25, 2014). Proposal for Geotechnical Services, Geotechnical Investigation, Proposed Restaurant, 2000 S. Bascom Avenue, Campbell, Santa Clara County, California. Proposal No. P14-29. Dibblee, T.W., Minch, J.A. (2007). Geologic Map of the Cupertino and San Jose West Quadrangles, Santa Clara and Santa Cruz Counties, California. Dibblee Geologic Foundation, Map DF-351, scale 1-24,000. Holzer, T.L., Noce, T. E., Bennett, M.J. (2008). Liquefaction Hazard Maps for Three Earthquake Scenarios for the Communities of San Jose, Campbell, Cupertino, Los Altos, Los Gatos, Milpitas, Mountain View, Palo Alto, Santa Clara, Saratoga, and Sunnyvale,Northern Santa Clara County, California. U.S. Geological Survey Open -File Report 2008-1270, 29 p. International Code Council (2013). California Building Code. Volume 2. Geotechnical Investigation 2000 S. Bascom Avenue Santa Clara County, California November 4, 2014 Project No. 14-132-SCL Page 15 I.M. Idriss and R.W. Boulanger (2008). Soil Liquefaction During Earthquakes. Monograph MNO-12, Earthquake Engineering Research Institute. Knudsen, K.L., Sowers, J.M., Witter, R.C., Wentworth, C.M., Helley, E.J. (2000). Preliminary Maps of Quaternary Deposits and Liquefaction Susceptibility, Nine -county San Francisco Bay Region, California: A Digital Database. U.S. Geological Survey Open -File Report 00-444. Petersen, Mark D., Frankel, Arthur D., Harmsen, Stephen C., Mueller, Charles S., Haller, Kathleen M., Wheeler, Russell L., Wesson, Robert L., Zeng, Yuehua, Boyd, Oliver S., Perkins, David M., Luco, Nicolas, Field, Edward H., Wills, Chris J., and Rukstales, Kenneth S. (2008). Documentation for the 2008 Update of the United States National Seismic Hazard Maps. U.S. Geological Survey Open -File Report 2008-1128, 61 p. Petersen, M.D., Bryant, W.A., Cramer, C.H., Cao, T., Reichle, M.S:, Frankel, A.D., Lienkaemper, J.J., McCrory, P.A., and Schwartz, D.P. (1996). Probabilistic Seismic Hazard Assessment for the State of California. California Division of Mines and Geology, Open -File Report 96-08, and U.S. Geologic Survey, Open -File Report 96- 706, 59 pp. Santa Clara Valley Water District (2013). Annual Groundwater Report for Calender Year 2013. 74pp. Santa Clara Valley Water District (2014). Groundwater Condition Report, February 2014. 10pp. U.S. Geological Survey (2008). Interactive Deaggregations (http://egint.cr.usgs.gov/de aggint/2008/index.php). U.S. Geological Survey (2008). 2008 National Seismic Hazard Maps - Fault Parameters (http://geohazards.usgs.gov/cfusion/hazfaults_search/hf search—main.cfm). U.S. Geological Survey (2013). U.S. Seismic Design Maps Web Application (http://geohazards.usgs.gov/designmaps/us/application.php). Witter, R.C., Knudsen, K.L., Sowers, J.M., Wentworth, C.M., Koehler, R.D., Randolph, C.E. (2006). Maps of Quaternary Deposits and Liquefaction Susceptibility in the Central San Francisco Bay Region, California In cooperation with the California Geological Survey. U.S. Geological Survey Open -File Report 2006-1037. 2007 Working Group on California Earthquake Probabilities (2008). The Uniform California Earthquake Rupture Forecast, Version 2 (UCERF 2). U.S. Geological Survey, Open -File Report 2007-1437, California Geological Survey, Special Report 203. ` = .,.�y�-y'� G:f�z�'�l:r e'3Dn,e \)j } � � � �•� 1:+�-->=:,f,�.5.`.I ,s ,ti:•--, �r � � t ` " r �4'r � r�•1 1T. r.,.� t�.l•` j',�., h����tt Ts `� • �� x `-�. •, ••`� � �st�Footliilis Sunnyvale I t1s hvk fAlumiFtac4t `;., its `Santa Clara I- 0 '1.,h Rei '�Ilvie%,) Ta` 1U. til el ta_Vista Cupertino Meridian San ds T Fruitdale l' SITE LGCATI^,ly ��t. 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Bascom Avenue 1 EXPLANATION Historic - Known movement less than about 150 years Holocene to Latest Pleistocene - Younger than 15,000 years A I Late Quaternary - Younger than 30,000 years ' V Mid to Late Quaternary - Younger than 150,000 years I Quaternary - Younger than 1,600,000 years 1 inch = 25 miles BASEMAP: Google Earth T" 12.5 0 12.5 FAULT SOURCE: U.S. Geological Survey and California Geological Survey, 2008, Quaternary fault and fold database for the United States, accessed November 3, 2014, from USGS web site: htV/earthquake.usgs.govfreglonalfgfaults/. Miles CMAG ENGINEERING QUATERNARY FAULTS 2000 S. Bascom Avenue 25 FIGURE 2 APPENDIX A FIELD EXPLORATION PROGRAM Field Exploration Procedures Boring Location Plan Key to the Logs Page A-1 Figure A-1 Figure A-2 Logs of the Borings Figures A-3 through A-6 Geotechnical Investigation November 4, 2014 2000 S. Bascom Avenue Project No. 14-132-SCL Santa Clara County, California Page A-1 FIELD EXPLORATION PROCEDURES Subsurface conditions were explored by drilling 4 borings to depths between 13.5± and 34± feet below the existing grades. Boring B-1 was drilled with a CME 55 track mounted drill rig equipped with 8 inch diameter hollow stem augers. Borings B-2 through B-4 were drilled with a CME 55 track mounted drill rig equipped with 6 inch diameter solid stem augers. The Key to The Logs and the Logs of the Borings are included in Appendix A, Figures A-2 through A-6. The approximate location of the borings are shown on the Boring Location Plan, Figure A-1. The soils encountered in the borings were continuously logged in the field by a representative of CMAG. Bulk and relatively undisturbed soil samples for identification and laboratory testing were obtained in the field. These soils were classified based on field observations and laboratory tests. The classification is in accordance with the Unified Soil Classification System (Figure A-2). Representative soil samples were obtained by means of a drive sampler, the hammer weight and drop being 140 lb and 30 inches, respectively. The CME 55 drill rig is outfitted with a automatic trip hammer. The samples were recovered using a 3 inch outside diameter Modified California Sampler or a 2 inch outside diameter Terzaghi Sampler. The number of blows required to drive the samplers 12 inches are indicated on the Boring Logs. The penetration test data for the Terzaghi driven samples has been presented as Nso values. The Nso values are also indicated on the Boring Logs. A 3 inch outside diameter Shelby Tube Sampler was also used to obtain a relatively undisturbed sample of the on -site clayey soil. SOUTH ,BASCOM _,>41►'' EXPLANATION OF SYMBOLS APPROXIMATE LOCATION OF BORING 8-1 BASEMAP: TKM Land Surveyors (September 26, 2012). Topographic Survey, APf 288-08-078, 2000 South Bascom Avenue, San Jose, California. Original Scale 1" = 20'. I I I I I I I I 1 I I I U II dl�{ � 1 t APPROX SCALE: 1 INCH = 50 FEET 25 0 25 50 FEET BORING LOCATION PLAN FIGURE CMAG ENGINEERING 2000 S. Bascom Avenue A-1 KEY TO LOGS UNIFIED SOIL CLASSIFICATION SYSTEM GROUP PRIMARY DIVISIONS SYMBOL SECONDARY DIVISIONS CLEAN GRAVELS GW Well graded gravels, gravel -sand mixtures, little or no GRAVELS fines (Less than 5% GP Poorly graded gravels,. gravel -sand mixtures, little or no More than half of fines) the coarse fines COARSE fraction is larger GM Silty gravels, gravel -sand -silt mixtures, non -plastic GRAINED than the No. 4 GRAVEL fines GC Clayey gravels, gravel -sand -clay mixtures, plastic fines SOILS sieve WITH FINES More than half of the material is SANDS CLEAN SANDS SW Well graded sands, gravelly sands, little or no fines larger than the More than half of (Less than 5% No. 200 sieve fines ) SP Poorly graded sands, gravelly sands, little or no fines the coarse fraction is smaller Sly Silty sands, sand -silt mixtures, non -plastic fines than the No. 4 SAND sieve WITH FINES SC Clayey sands, sand -clay mixtures, plastic fines ML Inorganic silts and very fine sands, silty or clayey fine sands or clayey silts with slight plasticity FINE SILTS AND CLAYS CL Inorganic clays of low to medium plasticity, gravelly GRAINED Liquid limit less than 50 clays, sandy clays, silty clays, lean clays SOILS OL Organic silts and organic silty clays of low plasticity More than half of MH Inorganic silts, micaceous or diatomacaceous fine the material is sandy or silty soils, elastic silts smaller than the SILTS AND CLAYS No. 200 sieve Liquid limit greater than 50 CH Inorganic clays of high plasticity, fat clays OH Organic clays of medium to high plasticity, organic silts HIGHLY ORGANIC SOILS Pt Peat and other highly organic soils GRAIN SIZE LIMITS SAND GRAVEL SILT AND CLAY COBBLES BOULDERS FINE MEDIUM COARSE FINE COARSE No. 200 No. 40 No. 10 No. 4 314 in. 3 in. 12 in. US STANDARD SIEVE SIZE RELATIVE DENSITY SAND AND GRAVEL BLOWSIFT* VERY LOOSE 0-4 LOOSE 4 -10 MEDIUM DENSE 10 - 30 DENSE 30 - 50 VERY DENSE OVER 50 MOISTURE CONDITION DRY MOIST WET BEDROCK (GROUP SYMBOL) Brackets Denote Bedrock ' Number of blows of 140 pound hammer falling 30 inches to drive a 2 inch O-D. (1 3/8 inch I.D.) split spoon (ASTM D-1586). CONSISTENCY SILT AND CLAY BLOWSIFT* VERY SOFT 0-2 SOFT 2-4 FIRM 4-8 STIFF 8 -16 VERY STIFF 16 - 32 HARD OVER 32 CMAG ENGINEERING FIGURE A-2 LOG OF EXPLORATORY BORING Project No.: 14-132-SCL Boring: B-1 Project: 2000 S. Bascom Avenue Location: See Figure A-1, Boring Location Plan Santa Clara County, California Elevation: Date: October 18, 2014 Method of Drilling: Track Mounted Drill Rig, 8in. Hollow Stem Lo ed B : ALG Auger, 1401b. Automatic Trip Hammer p a T 0 U) A c j Y m 2" Ring 2.5" Ring ® Bulk ZSample Sample Sample Terzaghi Split 3"Shelby Static Water Spoon Sample Sample Table Description o O LL o mM ZCD v y 0 p ( O 'o N 5 H 5" Asphalt over 4" Aggregate Base Course. ML Qa: Dark Brown Sandy SILT with Trace Gravel. Very Loose, Moist, Sulfate Non Plastic. Sand - Fine Grained. Gravel - up to.3/4", Subrounded 4 97.1 13.4 Particle Size to Subangular. 8 9 11.6 5 SM Dark Brown Silty SAND with Gravel. Loose, Moist, Non Plastic. Sand - Fine Grained. Gravel - up to 3/4", Subrounded to Subangular. 6 7 12.5 Particle Size 1 CL Dark Brown Lean CLAY with Sand. Firm to Stiff, Moist, Plastic. Sand - Fine Grained. 7 9 18.9 1 Er ML Dark Yellowish Brown SILT with Sand. Loose, Moist, Non Plastic. Sand - Fine Grained. 4 6 17.8 Particle Size SM Dark Yellowish Brown Silty SAND with Gravel. Medium Dense, Moist, Non Plastic. Sand - Fine Grained. Gravel - up to 1", Subrounded. 7 10 14.5 2 SM Dark Yellowish Brown Silty SAND with Gravel. Very Dense, Moist, Non Plastic. Sand - Fine to Coarse Grained. Gravel - up to 1 ", Subrounded. 39 59 8.2 Particle Size 3 GM Dark Yellowish Brown Silty GRAVEL with Sand. Dense to Very Dense, Moist, Non Plastic. Sand - Fine to Coarse Grained. Gravel - up to 3", 58 89 6.7 Subrounded, Auger Refusal at 33.5' 27 42 6.3 Boring Terminated at 34+ ft. Groundwater Not Encountered. 20 31 3 Boring Backfilled with Cuttings and Grout. CMAG ENGINEERING FIGURE A-3 LOG OF EXPLORATORY BORING Project No.: 14-132-SCL Boring: B-2 Project: 2000 S_ Bascom Avenue Location: See Figure A-1, Boring Location Plan Santa Clara County, California Elevation: Date: October 18, 2014 Method of Drilling: Track Mounted Drill Rig, 6in. Solid Stem Lo ed B ALG Auger 1401b. Automatic Trip Hammer z2" Ring 2.5" Ring Bulk Sample ,r a Sample Sample o m T © A2 coTerzaghi Split S 3" Shelby Static Water ❑ Table LL z o p to Spoon Sample Sample — o :3 d j m �, in Description 0 o 2 5" Asphalt over 4" Aggregate Base Course. SM- Qa: Dark Brown Silty SAND to Sandy SILT with Trace Gravel. 4 4 11.5 ML Very Loose, Moist, Non Plastic. Sand - Fine Grained. Gravel - up to 1", 7 98.3 12.6 Subrounded to Subangular. 5 3 3 13.3 Sulfate CL Dark Brown Lean CLAY with Sand. Firm, Moist, Plastic. Firm, Moist, Plastic. Sand - Fine Grained. 6 7 19.5 1 ML Dark Brown SILT with Sand. Medium Dense (Stiff), Moist, Non Plastic to Plastic. 8 10 18.0 1 Boring Terminated at 13.5± ft. Groundwater Not Encountered. Boring Backfilled With Cuttings and Grout. 2 3 CMAG ENGINEERING FIGURE A-4 LOG OF EXPLORATORY BORING FProject14-132-SCL Boring: B-3 2000 S. Bascom Avenue Location: See Figure A-1, Boring Location Plan Santa Clara County, California Elevation: Date: October 18, 2014 Method of Drilling: Track Mounted Drill Rig, 6in. Solid Stem Auger, 1401b. Automatic Trip Hammer 2" Ring 2.5" Ring ® Bulk Sample Z o :. re,ALG SampleSample o m Terzaghi Split 3"Shelby Static Water MSpoon 1flSample Table Z O I- s Sample m � � 0 Descri tion 5" Asphalt over 4" Aggregate Base Course. SM Qa: Dark Gray Silty SAND with Gravel. Medium Dense, Moist, 11 11 9.3 Sulfate Non Plastic. Sand - Fine to Coarse Grained. Gravel - up to 1.5", SM Subrounded to Subangular. 5 13 13 7.9 Gravel Layer at 6', up to 3" in Cuttings. CL Very Dark Grayish Brown Lean CLAY with Sand and Trace Gravel. Firm, Moist, Plastic. Sand - Fine Grained. Gravel - up to 3/8", Subrounded. 7 8 22.0 Particle Size 1 ML Dark Yellowish Brown SILT with Sand. Medium Dense (Stiff), Moist, Plastic to Non Plastic. 10 12 19.0 1 Boring Terminated at 13.5+ ft. Groundwater Not Encountered. Boring Backfilled With Cuttings and Grout. 3 J . . . CMAG ENGINEERING FIGURE A-5 LOG OF EXPLORATORY BORING Project No.: 14-132-SCL Boring: B-4 Project: 2000 S. Bascom Avenue Location: See Figure A-1, Boring Location Plan Santa Clara County, California Elevation: Date: October 18, 2014 Method of Drilling: Track Mounted Drill Rig, 6in. Solid Stem Logged By: ALG Auger 1401b. Automatic Trip Hammer 2" Ring Ring ® Bulk Sample Sample ZSample n 0 c C L a> Sample o m N C m ~ o .0 N m Terzaghi Split 3" Shelby � Static Water Table LL W Z y a)2 O � p rn _ Spoon Sample Sample m 0 w O Description L o 2 5" Asphalt over 5" Aggregate Base Course. SM Q2: Dark Gray Silty SAND with Trace Gravel. Loose, Moist, Non Plastic. 5 5 12.1 Particle Size ML Dark Gray Sandy SILT.Very Loose, Moist, Non Plastic. Sand -Fine Grained. 5 99.7 14.9 E.I. = 4 GP- Dark Gray Poorly Graded GRAVEL with Silt. Loose, Moist, Non Plastic.Sand 5 GM Fine to Coarse Grained. Gravel - up to 1.5", Subrounded to Subangular. 8 8 4.3 Particle Size s CL Dark Brown Lean CLAY with Sand. Stiff, Moist, Plastic. Sand - Fine Grained. 106.8 21.5 q„ = 2,923 ps Consol Particle Size 1 CU Dark Brown Lean CLAY with Sand and SILT with Sand. ML Firm to Stiff, Moist, Plastic. 6 7 19.1 1 ML Dark Brown SILT with Sand. Stiff, Moist, Plastic. Sand - Fine Grained. 17.8 SM Dark Brown Silty SAND. Loose, Moist, Non Plastic. Sand - Fine Grained. 6 8 16.1 SM Dark Grayish Brown Silty SAND with Gravel. Dense, Moist, Non Plastic. Sand - Fine to Coarse Grained. Gravel - up to 1.5", Subrounded to 34 46 6.5 Subangular. SM Material Consistent. 36 50 5.6 Boring Terminated at 26.5+ ft. Groundwater Not Encountered. Boring Backfilled With Cuttings and Grout. 3 CMAG ENGINEERING FIGURE A-6 APPENDIX B LABORATORY TESTING PROGRAM Laboratory Testing Procedures Unconfined Compression Test Results Consolidation Test Results Particle Size Distribution Test Results Liquid Limit and Plastic Limit Test Results Expansion Index Test Results Page B-1 Figure B-1 Figure B-2 Figures B-3 through B-10 Figure B-11 Table B-1 Sulfate Test Results Table B-2 Geotechnical Investigation November 4, 2014 2000 S. Bascom Avenue Project No. 14-132-SCL Santa Clara County, California Page B-1 LABORATORY TESTING PROCEDURES Classification Soils were classified according to the Unified Soil Classification System in accordance with ASTM D 2487 and D 2488. Moisture content and dry density determinations were made for representative samples in accordance with ASTM D 2216. Results of moisture -density determinations, together with classifications, are shown on the Boring Logs, Figures A-3 through A-6. Unconfined Compression An unconfined compression test was performed on a representative sample of the on -site soils in accordance with ASTM D 2166. The test results are presented the boring logs and Figure B-1. Consolidation A one dimensional consolidation test using incremental loadings was performed in accordance with ASTM D 2435 on a representative, relatively undisturbed sample of the underlying soils to determine compressibility characteristics. The sample was saturated prior to the test to simulate possible adverse field conditions. A saturating device was used which permitted the samples to absorb moisture while preventing volume change. The test results are presented on Figure B-2. Particle Size Distribution Particle size distribution tests were performed on representative samples of the underlying soils to determine the particle size distribution in accordance with ASTM D 422. The test results are presented on Figures B-3 through B-10. Liquid Limit and Plastic Limit Liquid limit and plastic limit tests were performed on representative samples of the underlying soils in accordance with ASTM D 4318. The test results are presented in Table B-1. Geotechnical Investigation 2000 S. Bascom Avenue Santa Clara County, California Expansion November 4, 2014 Project No. 14-132-SCL Page B-2 An expansion test was performed on a representative remolded sample of the on -site soils in accordance with the ASTM D 4829. The test results are presented in Table B-1. Sulfates The sulfate content was determined for samples considered representative of the on -site soils likely to come into contact with concrete in accordance with Caltrans 417. The test results are presented in Table B-2. Table B-1. Expansion Index Test Results Test Location Soil Type Expansion Index Expansion Potential B-4 at 3 Feet ML 4 Very Low Table B-2. Soluble Sulfate Test Results (Caltrans 417) Test Location Soil Type Sulfate (as SO4) Sulfate Exposure Class B-1 at 2 Feet ML .0017 Negligible B-2 at 4 Feet SM - ML .0033 Negligible B-3 at 1 Foot SM .0022 Negligible UNCONFINED COMPRESSIVE STRENGTH 2500.000 I Q. 2000.000 W U) w w W 1500.000 N W a n1000.000 U 500.000 — I i 0.000 i 0.00 2.00 4.00 6.00 8.00 10.00 12.00 AXIAL STRAIN (%) UNCONFINED COMPRESSIVE STRENGTH RESULTS FIGURE CMAG ENGINEERING 2000 S. Bascom Avenue B-1 BORING: B-4 DEPTH (ft): 7.p SOIL TYPE (USCS): CL UNDISTURBED UCS (psti7 qu 2,923 MOISTURE: INSITU -SATURATED BORING: B-4 DEPTH (ft): 6.5 SATURATED SOIL TYPE (USCS): CL FIELD MOISTURE: 21.4% FI FINAL MOISTURE: 19.5% 0.62 I 0.61 0.60 I 0.59 0.58 0.57 0.56 0.55 0.54 0.53 O 0.52 P 0.51 �050� 0.49 I O 0.48 i I 0.47 0.46 0.45 0.44 0.43 —� 0.42 0.41 0.40 - 0.39 I 0.38 100 1000 10000 100000 NORMAL LOAD (psf) CMAG ENGINEERING CONSOLIDATION TEST RESULTS FIGURE B_2 2000 S. 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Bascom Avenue B-11 BLANK PAGE .(This:page .is .left blank intentionally) r MEMORANDUM CITY OF CAMPBELL TO: Stephen Rose, Project Planner DATE: 08/19/14 FROM: Roger Storz, Senior Civil Engineer CC: SUBJECT: DRC APPLICATION Site Address: 2000 S. Bascom Avenue For File No(s): PLN2014-157 Project Description: Demolition of existing single story 5,050 SF, 113 seat restaurant and replaced with new single story 5,172 SF, 113 seat quick service restaurant serving beer and wine. Site improvement work includes new trash enclosure, new parking on the south side of the proposed building, new landscaping and stormwater biotreatment areas, and reconstruction of access driveways and frontage improvements between them. Applicant: Metrovation, Micah Bycel COMMENTS Visit the City',s website and follow the submittal requirements for Public Works once this application has received entitlement. The checklist for the various plans required for submittal can be found on the City's Website at City Services -> Public Works -> Engineering -> Land Development -> Documents, (or use this link: http://www.cityofcampbell.com/206/Documents). See instructions on: 1. Checklist for Grading and Drainage and 2. Checklist for Street Improvement Plans. The building permit and grading permit will not be issued until all Public Works Conditions of Approval have been satisfied. These Conditions of Approval are a supplement to the plans dated 7/7/14 prepared by C2G. The plans are not approved for construction. Further plan checking by Public Works will be required post entitlement. PUBLIC WORKS DEPARTMENT CONDITIONS OF APPROVAL or PUBLIC WORKS DEPARTMENT PRELIMINARY COMMENTS 1. Response Letter: Upon submittal of the Street Improvement Plans and the Grading and Drainage Plans, the applicant shall provide an itemized response letter verifying that all the Public Works Conditions of Approval have been met or addressed. J:\LandDev\Conditions\Ping\Bascom S 2000.doc Page 1 of 5 123 Main Street (PLN2014-000) 2. Proof of Ownership: Prior to issuance of any grading, drainage, or building permits for the site, the applicant shall provide a current Preliminary Title Report, grant deed, or other satisfactory proof of ownership. 3. Right -of -Way for Public Street Purposes: Prior to issuance of any grading, drainage, or building permits for the site, the applicant shall fully complete the process to cause additional right-of-way to be granted in fee for public street purposes along the South Bascom Avenue frontage to accommodate the new sidewalk, unless otherwise approved by the City Engineer. The applicant shall submit the necessary documents for approval by the City Engineer, process the submittal with City staff's comments and fully complete the right-of-way process. The applicant shall cause all documents to be prepared by a registered civil engineer/land surveyor, as necessary, for the City's review and recordation. 4. Grading and Drainage Plan: Prior to issuance of any grading, drainage, or building permits for the site, the applicant shall conduct hydrology studies based on a ten-year storm frequency, prepare an engineered grading and drainage plan, and pay fees required to obtain necessary grading permits. Prior to occupancy, the design engineer shall provide written certification that the development has been built per the engineered grading and drainage plans. In addition, a plan review letter will be required of the Geotechnical engineer for the entire grading and drainage system which should include but is not limited to a review of the subsurface of the non -compacted biotreatment material that may have potential for subsurface failure and surface failure due to vehicle loads. 6. Drainage System: Prior to occupancy clearance, the applicant shall refurbish, remodel, and reconstruct the on -site drainage system, as necessary, to demonstrate that the facilities are functioning normally in accordance with the requirements of the City. 7. Storm Drain Area Fee: Prior to issuance of any grading, drainage, or building permits for the site, the applicant shall pay the required Storm Drain Area fee, currently set at $2,650.00 per net acre, which is $2,517.00. Utilities: All on -site utilities shall be installed underground per Section 21.18.140 of the Campbell Municipal Code for any new or remodeled buildings or additions. Applicant shall comply with all plan submittals, permitting, and fee requirements of the serving utility companies. 9. Utility locations shall not cause damage to any existing street trees. Where there are utility conflicts due to established tree roots or where a new tree will be installed, alternate locations for utilities shall be explored. Include utility trench details where necessary. 10. Water Meter(s) and Sewer Cleanout(s): Existing and proposed water meter(s) and sewer cleanout(s) that are being modified as part of this project shall be relocated or installed on private property behind the public right-of-way line. 11. Utility Coordination Plan: Prior to issuance of building permits for the site, the applicant shall submit a utility coordination plan and schedule for approval by the City Engineer for J:\LandDev\Conditions\Ping\Bascom S 2000.doe Page 2 of 5 123 Main Street (PLN2014-000) installation and/or abandonment of all utilities. The plan shall clearly show the location and size of all existing utilities and the associated main lines; indicate which utilities and services are to remain; which utilities and services are to be abandoned, and where new utilities and services will be installed. Joint trenches for new utilities shall be used whenever possible. 12. Pavement Restoration: Based on the utility coordination plan, the applicant shall prepare a pavement restoration plan for approval by the City Engineer prior to any utility installation or abandonment. The pavement restoration plan shall indicate how the street pavement shall be restored following the installation or abandomnent of all utilities necessary for the project. 13. Street Improvement Agreements/Plans/Encroachment Permit/Fees/Deposits: Prior to issuance of any grading, drainage, or building permits for the site, the applicant shall execute a street improvement agreement, cause plans for public street improvements to be prepared by a registered civil engineer, pay various fees. and deposits, post security and provide insurance necessary to obtain an encroachment permit for construction of the standard public street improvements, as required by the City Engineer. The plans shall include the following, unless otherwise approved by the City Engineer: a. Show location of all existing utilities within the new and existing public right of way. b. Relocation of all existing utilities including utility boxes, covers, poles, etc. outside of sidewalk area. No utility boxes, covers, etc. will be allowed in the sidewalk area. c. Removal of existing driveway approach and necessary sidewalk, curb and gutter. d. This project is subject to the City's Streetscape Standards for Bascom Avenue, which requires a 10 foot landscaped park strip with City approved street trees 40 feet on center, and a 7 foot sidewalk along S. Bascom Avenue. e. This project is subject to the City's Streetscape Standards for East Campbell Avenue, which requires a 10 foot wide sidewalk with City approved street trees in 4' x 4' tree wells 30 feet on center. f. Installation of ADA compliant driveways on S Bascom Avenue and East Campbell Avenue frontages, with new City standard curb, gutter, and sidewalk along the frontages between the two driveways. g. Installation of new ADA compliant ramp at the southeast corner of East Campbell Avenue and South Bascom Avenue. h. Installation of asphalt concrete overlay per street pavement restoration plan for utility installation and/or abandonment, as required by the City Engineer. i. Installation of streetlights, conduits, conductors and related facilities in accordance with the City of Campbell's Street Lighting Policies. Installation of traffic control, stripes and signs. j. Construction of conforms to existing public and private improvements, as necessary. Submit final plans in a digital format acceptable to the City. 14. Street Improvements Completed -for Occupancy and Building Permit Final: Prior to allowing - occupancy and/or final building permit signoff for any and/or all buildings, the applicant J:\LandDev\Conditions\Ping\Bascom S 2000.doe Page 3 of 5 123 Main Street (PLN2014-000) shall have the required street improvements and pavement restoration installed and accepted by the City, and the design engineer shall submit as -built drawings to the City. 15. Maintenance of Landscaping; Owner(s), current and future, are required to maintain the landscaped park strip and tree wells in the public right of way. This includes, but is not limited to: trees, lawn, plantings, irrigation, etc. Trees shall not be pruned in a manner that would not allow the tree to grow to a mature height. 16. Utility Encroachment Permit: Separate permits for the installation of utilities to serve the development will be required (including water, sewer, gas, electric, etc.). Applicant shall apply for and pay all necessary fees for utility permits for sanitary sewer, gas, water, electric and all other utility work. 17. Additional Street Improvements: Should it be discovered after the approval process that new utility main lines, extra utility work or other work is required to service the development, and should those facilities or other work affect any public improvements, the City may add conditions to the development/project/permit, at the discretion of the City Engineer, to restore pavement or other public improvements to the satisfaction of the City. 18. Stormwater Pollution Prevention Measures: Prior to issuance of any grading or building permits, the applicant shall comply with the National Pollution Discharge Elimination System (NPDES) permit requirements, Santa Clara Valley Water District requirements, and the Campbell Municipal Code regarding stormwater pollution prevention. Specifically the project must include source control, site design and treatment measures to achieve compliance with Provision C.3. of the NPDES Permit. Measures may include, but are not limited to, minimization of impervious surface area, vegetated swales, infiltration areas, and treatment devices. The primary objectives are to improve the quality and reduce the quantity of stormwater runoff to the bay. Resources to achieve these objectives include Stormwater Best Management Practices Handbook for New Development and Redevelopment ("CA BMP Handbook") by the California Stormwater Quality Association (CASQA), 2003; Start at the Source: A Design Guidance Manual for Stormwater Quality Protection ("Start at the Source") by the Bay Area Stormwater Management Agencies Association (BASMAA), 1999; and Using Site Design Techniques to Meet Development Standards for Stormwater Quality: A Companion Document to Start at the Source ("Using Site Design Techniques") by BASMAA, 2003. Upon submission of the grading permit, the applicant shall calculate and submit to the City the amount of impervious surface created by the development including the types of stormwater controls to be used. The applicant shall submit preliminary sizing and design showing stormwater controls meet the City's requirements. Prior to issuance of the grading permit: a. The applicant's designer or engineer shall submit the required certification indicating that sizing, selection, and design of treatment BMP's for the project site has been completed to meet the requirements of the City of Campbell's NPDES permit, No. 01-119, Provision C.3. b. The applicant shall sign the "Covenants for the Operation and Maintenance of Stormwater Facilities" and submit a Stormwater Management Plan. J:\LandDev\Conditions\Ping\Bascom S 2000.doc Page 4 of 5 123 Main Street (PLN2014-000) Prior to occupancy: a. A qualified BMP certifier is required to inspect the stormwater management facilities, submit a complete set of as -built drawings to Public Works Engineering, and certify on these drawings that: 1. The stormwater management facilities were constructed in compliance with the approved plans. 2. The as -built drawings show all pertinent constructed dimensions, elevations, shapes, and materials. 3. All variations in construction from the approved design plan have been identified, including omissions to and additions from the approved plan. 4. Any changes are in conformance with local, state, or federal regulations. b. The applicant shall provide security for the operation and maintenance of stormwater pollution prevention measures installed or provided as a part of this project. 19. Private Improvements Agreement: Prior to issuance of any grading, drainage, or building permits for the site, the owner shall execute an "Agreement for Private Improvements in the Public Right of Way". This agreement would be required to allow the existing utility facilities (water meters, backflow preventers, etc.) located in the public right of way along the frontage of this property, and any other non -City standard improvements, to remain. J:\LandDev\Conditions\Ping\Bascom S 2000.doc Page 5 of 5 I® 110 105 100 95 90 CROSS SECTION B-B W:\429-00 CAMPBELL\CAD\MODELS\CAMPBELL BASE.DWG 110 `EPEE..€...I- 105 100 95 90 00 of rn II c9 w Scale: 1:10 ® Q CAMPBELL AVE. CROSS SECTION DATE: C2G /CIVIL CONSULTANTS GROUP, INC. 2000 SOUTH BASCOM AVE. DRAWN::PP DDPP Engineers/Planners SCALE: 1"=10' 4444 Scotts Valley Drive / Suite 6 T (831) 4384420 CAM PB E LL, CA Scotts Valley, CA 95066 F (831) 438-4420 SHEET: 1 OF 1 OF C44�(� U r r�kcH Alto . CITE' OF CAMPBELL Community Development Department July 7, 2014 Micah Bycel 580 2"d Street, #260 Oakland, CA 94607 Re: Use Permit with Site and Architectural Review File No: PLN2014-157 Address: 2000 S. Bascom Avenue Status: Incomplete Dear Micah, The Planning Division has reviewed your application for a Use Permit with Site and Architectural Review (PLN2014-157) for remodel of the property at 2000 S. Bascom Avenue. Based on a review of the application materials and the Campbell Municipal Code (CMC), your application has been deemed incomplete. The following additional information and/or revisions are needed in order to continue processing of this application: 1. 'Revise Plans: Please revise the plans to provide revisions/information on the following: a. Sheet A100 o Please revise the site plan to delineate the entire property line. Please outline the building walls of the "[E] one story wood frame retail center" and identify the tenant spaces, size, address/suite number, and business names for each tenant (i.e. Kitty Hotel; Suite "X", "X" sq. ft.). o Please clarify if the loading/unloading area for the existing trash enclosure has been included in the parking count. o Pursuant to CMC 21.26.020, please provide dimensions of proposed landscaping areas along the public street and abutting property lines. b. All Sheets o Please show all existing trees on site, and clearly note which trees are proposed for removal. A number of trees observed on site have not been adequately captured on the plans, including two occurring in the new landscaping area (southeast of the proposed building) and one additional tree in each parking island. Some of these trees may be in poor condition and/or proposed for removal provided conflicts with the proposed design. Please see separate section pertaining to Tree -Removal Permit below. o Please clarify what the padded,area between the parking spaces and the new sidewalk area is on nearly the entire east side of the building with the exception of two parking spaces, and the southeast corner of the building for a length of approximately four parking spaces. This may be landscaping. c. Sheet A301 70 North First Street • Campbell, California 95008-1436 • TEL 408.866.2140 • FAx 408.871.5140 • TDD 408.866.2790 I iov, RECYCLED PAPER PLN2014-157 — 201-. Bascom Avenue Pajze 2 of 3 o Please provide color elevations of all proposed buildings and structures. o Elevations: Include the following height measurement on all proposed _ elevations. Please note that all measurements must be in relative values, (feet and inches) and elevation benchmark (AMSL) levels established by the .required grading and drainage plan: • Existing grade • Finished grade • Maximum structure height as measured from finished grade • _ . Finished floors as measured from finished grade e Plate heights as measured from finished grade 2. Site Visit Observations: The following details were noted on a visit of the subject project site: a. Potential Enforcement Issue: A trash bin (large roller) had not been stored in the existing trash enclosure — and was placed across , two parking spaces in the rear of the property. It is unclear if the existing trash enclosure is of sufficient capacity for two bins and/or if the existing facility needs to be expanded. As the subject building would share the parking, it may be an opportunity to create an enlarged trash facility to address the issue and address the impact to parking. b. Trees: More trees were observed on site than noted on the plans. Please see separate comments pertaining to this observation under site plan revisions and tree removal permit. c. Site Surroundings: The predominant retail/commercial buildings in the area include tile roofs- and a Spanish architecture. It would be advisable to prepare a brief justification statement as part of your resubmittal why the proposed architecture is complementary to the area and/or good for the project. 3. Tree Removal Permit: The plans appear to call for the removal of eight trees, by either conflict with the proposed plans and/or omission. A separate and concurrent tree removal permit shall be necessitated to permit their removal. In preparing the tree removal permit, please clarify which trees are proposed for removal. 4. Staff Recommendations: a. Staff recommends adding a pedestrian walkway connection to the East Campbell Avenue side of the building where the new sidewalk is proposed. This may result in a bridge feature/amenity (which could be attractive) being provided to transverse the new detention/bioswale area. In addition to the Planning Division, these project plans were reviewed by. the Building Division, the Public Works Department, and the County Fire Department and attached for your review. JACompleteness Letters\2014\PLN2014-157 2000 S Bascom (Thai Pepper) -- Incomplete.doc PLN2014-157 — 2000,5. Base'e, Avenue Pate 3 of When resubmitting the project plans, please provide four 24" x 36" and two 11"xl7" copies of the revised plans. Please additionally provide the revised plans electronically (PDF file). Also provide a response - letter itemizing the specific revisions made and/or additional materials provided. If you have any questions regarding this letter, please contact me at (408) 866-2142 or by email at stephenr(a cityofcampbell.com. Sincerely, to hen Rose Associate Planner cc: Aki Honda Snelling, Planning Manager OT Martin Trust; 20450 Leonard Road, Saratoga File: PLN2014-157 JACompleteness Letters\2014\PLN2014-157 2000 S Bascom (Thai Pepper) — Incomplete.doc CITY OF CAMPBELL BUILDING INSPECTION DIVISION — COMMENTS TO THE DEVELOPMENT REVIEW COMMITTEE DRC: June 10, 2014 ADDRESS: 2000 S Bascom Ave. _ RECOMMENDATION: Project Application: PLN2014-00157 Note: No building code issue has been reviewed at Development Review Committee; it will be reviewed in the Building Permit process. Please be aware that building codes are changing constantly; plans submitted for building permit shall comply with the code in effect at that time., Submit permit application together with required documents to the Building Inspection Division to obtain a building permit. No construction can be commenced without an appropriate building permit. It is recommended that this item be forwarded to the Planning Commission for review, with the following conditions. TO THE SATISFACTION OF THE BUILDING DIVISION MANAGER/BUILDING OFFICIAL: 1. PERMITS REQUIRED: A building permit application shall be required for the proposed new commercial structure. The building permit shall include Electrical/Plumbing/Mechanical fees when such work is part of the permit. 2. CONSTRUCTION PLANS: The conditions of Approval shall be stated in full on the cover sheet of construction plans submitted for building permit. 3.. SIZE OF PLANS: The minimum size of construction plans submitted for building permits shall be 24 in. X 36 in. 4. PLAN PREPARATION: This project requires plans prepared under the direction and oversight of a California licensed Engineer or Architect. Plans submitted for building permits shall be "wet stamped" and signed by the qualifying professional person. 5. SITE PLAN: Application for building permit shall- include a competent site plan that identifies property and proposed structures with dimensions and elevations as appropriate. Site plan shall also include site drainage details. Site address and parcel numbers shall also be clearly called out. Site parking and path of travel to public sidewalks shall be detailed. 6. SOILS REPORT: Two copies of a current soils report, prepared to the satisfaction of the Building Official, containing foundation and retaining wall design recommendations shall be submitted with the building permit application. This report shall be prepared by a licensed " engineer specializing in soils mechanics. - JABuilding DRC Comments\2000 S Bascom Ave.doc , i 7. FOUNDATION INSPECTIONS: A pad certificate prepared by a licensed civil engineer or land surveyor shall be submitted to the project building inspector upon foundation inspection. This certificate shall certify compliance with the recommendations as specified in the soils report and the building pad elevation and on -site retaining wall locations and elevations are prepared according to approved plans. Horizontal and vertical controls shall be set and certified by a licensed surveyor or registered civil engineer for the following items: a. pad elevation b. finish floor elevation (first floor) C. foundation corner locations 8. TITLE 24 ENERGY COMPLIANCE: California Title 24 Energy Standards Compliance forms shall be blue -lined on the construction plans. Compliance with the Standards shall be demonstrated for conditioning of the building envelope and lighting of the building. 9. SPECIAL INSPECTIONS:. When a special inspection is required by C.B.C. Chapter 17, the architect or engineer of record shall prepare an inspection program. that shall be submitted to the Building Official for approval prior to issuance of the building permits, in accordance with C.B.C- Chapter 1, Section 106. Please obtain City of Campbell, Special Inspection forms from the Building Inspection Division Counter. 10. The City of Campbell, standard Santa Clara Valley Non -point Source Pollution Control Program specification sheet shall be part of plan submittal. The specification sheet (size 24" X 36") is available at the Building Division service counter. 11. TITLE 24 ACCESSIBILITY — COMMERCIAL: On site general path of travel shall comply with the latest California Title 24 Accessibility Standards. Work shall include but not be limited to accessibility to building entrances from parking facilities and sidewalks. 12. TITLE 24 ACCESSIBILITY — NEW COMMERCIAL: This project shall comply fully with Chapter 11B of the California Building Code-2013 ed. 13. APPROVALS REQUIRED: The project requires the following agency approval prior to issuance of the building permit: a. West Valley Sanitation District b. Santa Clara County Fire Department C. School District: i) Campbell Union School District (378-3405) ii) Campbell Union High School District (371-0960) iii) Moreland School District (874-2900) iv) Cambrian School District (377-2103) . d. Bay Area Air Quality Management District (Demolitions Only) e. Santa Clara County Department of Environmental Health f. San Jose Water Company (279-7900) JABuilding DRC Comments\2000 S Bascom Ave.doc 14. P.G.& E.: Applicant is advised to contact Pacific Gas and Electric Company as early as possible in the approval process. Service installations, changes and/or relocations may require substantial scheduling time and can cause significant delays in the approval process. Applicant should also consult with P.G. and E. concerning utility easements, distribution pole locations and required conductor clearances. 15. TRASH ENCLOSURE: The propose Trash Enclosure shall meet the following design requirements: • Enclosure.shall have solid roof • Enclosure shall have floor drain connected to sanitary sewer • Floor drain shall be equipped with Trap Primer • Enclosure shall be equipped with Fire Sprinklers 16. LEED FOR NEW CONSTRUCTION: Applicant shall complete and return Leed Project Checklist prior to issuance of permit. 17. GREEN BUILDING CODE: This project will be subject to the mandatory requirements of Chapter 5 of the California Green Building Code 2013 ed. JABuilding DRC Comments12000 S Bascom Ave.doc MEMORANDUM CITY OF CAMPBELL TO: Stephen Rose, Project Planner DATE: 7/7/2014 FROM: Doris C. Quai Iloi, Project Engineer SUBJECT: DRC APPLICATION Site Address: 2000 S. Bascom Avenue For File No(s): PLN2014-157 (APN288-08-078) Project Description: Demolition of existing 5,050 sf with 113 seated single story restaurant, and creation of 5,172 sf of restaurant building with a new covered trash enclosure. PUBLIC WORKS DEPARTMENT COMPLETENESS COMMENTS 1: Provide a copy of the geotechnical report. 2. Give a title name to each of the Civil Sheets e.g. demolition plan, utility plan etc. 3. Special Land Use Category: Restaurant: This project creates and/or replaces 5,000 square feet or more of impervious surface therefore must comply with Provision C.3. 4. Provide a copy of the C.3 worksheets in 8.5x11 format. Calculations should include the new trash enclosure and exclude the dedication on Bascom Avenue. Visit the City website for these forms (navigate Public Works/Engineering/Environmental Services/Stormwater/Runoff Program. Include the entire parcel and use the "50 Percent Rule". "Projects that.replace 50% or less of (E) impervious surface need to treat stormwater runoff only from the portion of the site that is redeveloped. Projects that replace more than 50% of the (E) impervious surface are required to treat runoff from the entire site. 5. All site architectural plans should have the civil site plans as the baseline so that building set back requirements are met. Also, note all building setback lines shown on the map will need to be vacated. 6. Sheet C 1.1 and Sheet C3.1 both have different finish floor elevations. Architectural sheets do not show any finish floor elevations. Provide consistency. 7. For space management purposes, on the preliminary utility/on-site plans, show any major utility systems such as transformer, irrigation systems, backflow preventers, etc that will be located on private property. C:\Users\stephenr\AppData\Local\Microsoft\Windows\Tempoiary Internet Files\Content.Outlook\10 16 1 XZM\Bascom Ave S 2000 7-7-2014.doc Page 1 of 4 8. Show on all site sheets including Architectural and Civil, the CL to PL is 73 feet half right of way (not 75 ft) on Bascom Avenue. Dimension the new CL to PL with the additional dedication. (The existing PL on Bascom Ave should have alight line weight and a heavy line weight for the new property line). 9. Show on all site sheets including Architectural and Civil, the CL to PL is 30 feet half right of way (not 25 ft) on Campbell Avenue. - 10. This project is subject to the City's Streetscape Standards for Bascom Avenue, which requires a 10 foot landscaped park strip (w/40 f. street trees o.c.) and a 7 foot sidewalk along S. Bascom Avenue. Revise the site and civil plans to clearly show additional street dedication along S. Bascom Avenue to -accommodate 17 feet of right-of-way from _ existing face of curb to meet the Streetscape Standards. Indicate area of dedication in square footage. (Full removal of existing public improvements shall be shown to accommodate the new Streetscape Standards). Additionally review onsite landscaping requirements along the Bascom Avenue frontage (detailed comments will be driven by Planning Comments). 11. On the site and civil plans clearly show a 10 foot sidewalk with quantity six (6) - 4'x4' tree wells at 30ft o.c. from existing face of curb to meet the City Streetscape Standard on E. Campbell Avenue. 12. On the site and civil plans revise the plans to show the public improvements being implemented along Bascom Avenue and Campbell Avenue fronting the project, with work limits to begin just south of the driveway on Bascom Avenue to the east end of the property line on E. Campbell Avenue. Use Detail D-18 (Commercial Driveway Detail) for Campbell Avenue's driveway and Detail D-19 (Boulevard Driveway'Detail) for Bascom Avenue. 13. Show the new ADA ramp (Detail A88A) being implemented with the requirements on Bascom Avenue and Campbell Avenue. 14. Note that your connection to the SS from the floor drain inlet of the covered trash enclosure is over the bioretention area. Soil compaction during construction can severely restrict the infiltration capacity. Also note that any future trench work will require - replacement of the treatment facility. 15.' Remove truncated domes in the public right-of-way as shown at the approaching C:\Users\stephenr\AppData\L.ocal\Microsoft\Windows\Temporary Internet Files\Content.Outlook\I0161XZM\Bascom Ave S 2000 7-7-2014.doc Page 2 of 4 . driveways cross slopes on East Campbell Avenue and Bascom Avenue. 16. Storm drain Utilities C4.1: a. The storm drain inlet on Bascom Avenue has en existing 12" outfall per the City storm drain maps. Sheet C4.1 shows 8" instead of 12". Confirm that this is correct. b. The City does not allow connection of private storm drain laterals to connect directly behind a storm drain inlet.. Note any new SD connection requires an 18" RCP (min). The proposed storm should tie to the existing storm main on Bascom Avenue with a new manhole. Profiles of the new and existing storm mains and manholes should be engineered and provided including calculations that the proposed and existing storm system can handle the storm flows from a 10-year storm event. (TO BE SUBMITTED). Or provide alternate methods to retain on site. Show that your pre Q and post Q are equal; else provide calculations for sizing criteria. (Discuss with the owner). 17. Sheet C3.2: For the entire site (not just the area being disturbed) show the amount, in square footage, of: a. Existing impervious area. b. Proposed impervious area. c. Proposed pervious area. 18. Sheet C3.2 Area A — How are you going to collect run-off within Area A (pavement and roof) to the treatment area. How will you stop flow coming from across the parking lot on the south side of your project into the biotreatment area? 19. Sheet C3.2 (All Bioretention Areas): a. Detail-1 Surface ponding shall be a minimum of 6". b. Detail-1 Bioretention areas maximum side slope shall be 3:1. c. Side slopes shall not be part of the surface area calculations. d. Bioretention Area C sits near the building foundation. The retention area should be set back from* structures at least 10 feet or as required by the structural or geotechnical engineer. e. You have two Detail 1 and two Section B identify on the plan view where these sections apply. C:\Users\stephenr\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\10161XZM\Bascom Ave S 2000 7-7-2014.doc Page 3 of 4 f. The treatment areas in the parking lot have no support. The subsurface of the biotreatment material is not compacted. Potential for subsurface failure and surface failure due to vehicle loads. Address this concern. 20. Sheet C4.1 — You show a perforated SD line, what is its purpose? 21. Post Entitlement during plan check: (FYI) There should be one or more sheets designated for the civil storm water management plan. (This(ese) sheet(s) will be used for reference for the life of the project for maintenance purposes and annual inspections). 22. Post Entitlement during plan check: (FYI) please note that all C.3 Landscaping scope of work shall be part of the civil stormwater management plan sheets. Areas that are designated as bioretention areas shall have plant species selected that are suitable for the location. See planting guidance of the SCVURVPPP C.3 Handbook in Appendix D - "Plant List and Planting Guidance for Landscape -Based Stormwater Measures". 23. Additional comments may be generated in the next resubmittal. C:\Users\stephenr\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.0utlook\I0161XZM\Bascom Ave S 2000 7-7-2014.doc Page 4 of 4 CLARA SANTA CLARA COUNTY 14700 Winchester Blvd., Los Gatos, CA 95032-1818 (408) 378-4010 ®(408) 378-9342 (fax) m www.sccfd.org REVIEW No.. 14 1554 BLDG DEVELOPMENTAL REVIEW COMMENTS PERMIT No. Review of a proposed new 5,172 square -foot one-story commercial retail structure, which will be divided into two suites of approximately equal size. The plans state that both suites will be occupied with QSR businesses. Combined seating is stated as 113 persons. Tabular occupant load appears to .be aprox. 300 persons. Comment #1: Review of this Developmental proposal is limited to acceptability of site access and water supply as they pertain to fire department operations, and shall not be construed as a substitute for formal plan review to determine compliance with adopted model codes. Prior to performing any work the applicant shall make application to, and receive from, the Building Department all applicable construction permits. Review of this Developmental proposal is limited to acceptability of site access and water supply as they pertain to fire department operations, and shall not be construed as a substitute for formal plan review to determine compliance with adopted model codes. Prior to performing any work the applicant shall make application to, and receive from, the Building Department all applicable construction permits. Comment #2: Fire Sprinklers Required: Approved automatic sprinkler systems in new and existing buildings and structures shall be provided in the locations described in this Section or in Sections 903.2.1 through 903.2.18 whichever is the more restrictive. For the purposes of this section, firewalls used to separate building areas shall be constructed in accordance with the of Building Code and shall be without openings or penetrations. An automatic sprinkler system shall be provided throughout all new buildings and structures. Exception: Group A, B, E, F, I, L, M, S and U occupancy buildings- and structures that do not exceed 1,000 square feet of building area. NOTE: The owner(s),- occupant(s) and any contractor(s) or subcontractor(s) are responsible for consulting with the water purveyor of .record in order to determine if any modification or upgrade of the existing water service is required. A State of 'California licensed (C-16) Fire Protection Contractor shall submit plans, calculations, a completed permit application and appropriate fees to this department for review and approval prior to beginning their work. CRC Sec. 903.2 as adopted and amended by CMC City PLANS SPECS NEW RMDL AS CBL ® ❑ ® ❑ ❑ OCCUPANCY A-2 CONST. TYPE V-B . ApplicantName DATE Surround Architecture 06/ 12/ 2014 PAGE 1 OF 3 SEC/FLOOR 1 story AREA 5172 sf LOAD PROJECT DESCRIPTION Commercial Development PROJECT TYPE OR SYSTEM Design Review NAME OF PROJECT COMMERCIAL DEVELOPMENT LOCATION 2000- S. Bascom Av Campbell TABULAR FIRE FLOW 2000 REDUCTION FOR FIRE SPRINKLERS REQUIRED FIRE FLOW @ 20 PSI 1500 BY . Harding, Doug 50 jn Organized as the Santa Clara County Central Fire Protection District Seruing Santa Clara County and the communities of Campbell, Cupertino, Los Altos, Los Altos Hills, Los Gatos, Monte Sererio, and Saratoga F_P FIRE DEPAR7MENT SANTA CLARA COUNTY 14700 Winchester Blvd., Los Gatos, CA 95032-1818 (408) 378-4010 a(408) 378-9342 (fax) ® www.sccfd.org PLAN REVIEW No. 14 1554 BLDG DEVELOPMENTAL REVIEW COMMENTS PERMIT No. Comment #3: Hood/Duct Extinguishing Systems: Automatic fire -extinguishing systems installed as an alternative to the required automatic sprinkler systems of Section 903 shall be approved by the fire ,code official. to fire-extinguishing systems shall not be considered alternatives for the purposes of exceptions or reductions allowed by other requirements of this code. Commercial hood and duct systems. Each required commercial kitchen exhaust hood and duct system required by Section 609 to have a Type I hood shall be protected with an approved automatic fire -extinguishing system installed in accordance with this code. CFC Sec. 904 Comment #4: Water Supply Requirements: Potable water supplies shall be protected from contamination caused by fire protection water supplies. It is the responsibility of the applicant and any contractors and .subcontractors to contact the water purveyor supplying the site of such project, and to comply with the requirements of that purveyor. Such requirements shall be incorporated into the design of any water -based fire protection systems, and/ or fire suppression water supply systems, or storage containers that may be physically connected in any manner to an appliance capable of causing contamination of the potable water supply of the purveyor of record. Final approval of the system(s) under consideration will not be granted by this office until compliance with the requirements of the water purveyor of record are documented by that purveyor as having been met by the applicant(s). 2010 CFC Sec. 903.3.5 and Health and Safety Code 13114.7 Comment #5: Trash Enclosures: Dumpsters with an individual capacity of 1.0 cubic yard [200 gallons (0.76 m3)] or more shall not be stored in buildings or placed within 5 feet (1524 mm) of combustible walls, openings or combustible roof eave lines unless the dumpsters are constructed of, noncombustible materials or of combustible materials with a peak rate of heat release not exceeding 300 kW / m2 when tested in accordance with .ASTM E 1354 at an incident heat flux of 50 kW / m2 in the horizontal orientation. Exceptions:1. Dumpsters in areas protected by an approved automatic sprinkler system installed throughout in accordance with Section 903.3.1.1, 903.3.1.2 or 903.3.1.3.2. Storage in a structure shall not be prohibited where the structure is of Type I or IIA construction CFC Sec. 304.3.4 . Comment #6: Cooking Oil: Storage of cooking oil (grease) in commercial cooking operations shall comply with Chapter 57. Systems used to store cooking oils in larger than 60-gallon (227 Q City PLANS SPECS NEW RMDL AS ® ❑ ® ❑ ❑ OCCUPANCY A-2 CONST. TYPE V-B DATE 06/ 12/ 2014 Ap7tt�Doe tgn EPAAGECBL OF 3 SEC/FLOOR 1 story AREA 5172 sf LOAD PROJECT DESCRIPTION Commercial Development R SYSTEM iew NAME OF PROJECT COMMERCIAL DEVELOPMENT LOCATION 2000 S. Bascom AV ' Campbell TABULAR FIRE FLOW 2000 REDUCTION FOR FIRE SPRINKLERS REQUIRED FIRE FLOW @ 20 PSI 1500 BY Harding, Doug 507o Organized as the Santa Clara County Central Fire Protection District Serving Santa Clara County and the communities of Campbell, Cupertino, Los Altos, Los Altos Hills, Los Gatos, Monte Sereno, and Saratoga cLA�� c FIR _ 3PARTMENT 14700 Winchester Blvd., Los Gatos, CA 95032-1818 (408) 378-4010 m (408) 378-9342 (fax) e www.sccfd.org REVIEW No.. 14 1554 BLDG DEVELOPMENTAL REVIEW COMMENTS PERMIT No. above -ground tanks shall also comply with Sections 610.2 through 610.5. For purposes of this section, cooking oil shall be classified as a Class IIIB liquid unless otherwise determined by testing. CFC Sec. 610 Comment #7: Construction Site Fire Safety: All construction sites must comply with applicable provisions of the CFC Chapter 33 and our Standard Detail and Specification SI-7. Provide appropriate notations on subsequent plan submittals, as appropriate to the project. CFC Chp. 33 Comment#8:Address identification. New and existing buildings shall have approved address numbers,, building numbers or approved building identification placed in a position that is plainly legible and visible from the street or road fronting the property. These numbers shall contrast with their background. Address numbers shall be Arabic numbers or alphabetical letters. Numbers shall be a minimum of 4 inches (101.6 mm) high with a minimum stroke width of 0.5 inch (12.7 mm). Where access is by means of a private road and the building cannot be viewed from the public way, a monument, pole or other sign or means shall be used to identify the structure. CFC Sec. 505.1 Plans not approved. To prevent plan review and inspection delays, the above noted Developmental Review Conditions shall be addressed as "notes" on all pending and future plan submittals and any referenced diagrams to be reproduced onto the future plan submittal. City PLANS SPECS NEW RMDL AS CBL ❑ ® ❑ ❑ OCCUPANCY A-2 CONST. TYPE V-B ApplicantName DATE Surround Architecture 06/12/2014 I PAGE 3 OF:3 SEC/FLOOR 1 story AREA 5172 sf LOAD PROJECT DESCRIPTION Commercial Development PROJECT TYPE OR SYSTEM Design Review NAME OF PROJECT COMMERCIAL DEVELOPMENT LOCATION 2000 S. Bascom Av Campbell TABULAR FIRE FLOW 2000 REDUCTION FOR FIRE SPRINKLERS REQUIRED FIRE FLOW @ 20 PSI 1500 BY Harding, Doug 1 50% ized as the Santa Clara Countv Central Fire Protection District Seruing Santa Clara County and the communities of Campbell, Cupertino, Los Altos, Los Altos Hills, Los Gatos, Monte Sereno, and Saratoga MEMORANDUM CITY OF CAMPBELL TO: Stephen Rose, Project Planner DATE: 7/7/2014 FROM: Doris C. Quai Hoi, Project Engineer4 SUBJECT: DRC APPLICATION Site Address: 2000 S. Bascom Avenue For File No(s): PLN2014-157 (APN288-08-078) Project Description: Demolition of existing 5,050 sf with 113 seated single story restaurant, and creation of 5,172 sf of restaurant building with a new covered trash enclosure. PUBLIC WORKS DEPARTMENT COMPLETENESS COMMENTS 1. Provide a copy of the geotechnical report. 2. Give a title name to each of the Civil Sheets e.g. demolition plan, utility plan etc. 3. Special Land Use Category: Restaurant: This project creates and/or replaces 5,000 square feet or more of impervious surface therefore must comply with Provision C.3. .4. Provide a copy of the C.3 worksheets in 8.5xl 1 format. Calculations should include the new trash enclosure and exclude the dedication on Bascom Avenue. Visit the City website for these forms (navigate Public Works/Engineering/Environmental Services/Stormwater/Runoff Program. Include the entire parcel and use the "50 Percent Rule". "Projects that replace 50% or less of (E) impervious surface need to treat stormwater runoff only from the portion of the site that is redeveloped. Projects that replace more than50% of the (E) impervious surface are'required to treat runoff from the entire site. 5. All site architectural plans should have the civil site plans as the baseline so that building set back requirements are met. Also, note all building setback lines shown on the map will need to be vacated. 6. Sheet C1.1 and Sheet C3.1 both have different finish floor elevations. Architectural sheets do not show any finish floor elevations. Provide consistency. 7. For space management purposes, on the preliminary utility/on-site plans, show any major utility systems such as transformer, irrigation systems, backflow preventers, etc that will be located on private property. J:\LandDev\Completeness\Specific ProjectsTascom Ave S 2000 7-7-2014.doc Pagel of 4 8. Show on all site sheets including Architectural and Civil, the CL to PL is 73 feet half right of way (not 75 ft) on Bascom Avenue. Dimension the new .CL to PL with the additional dedication. (The existing PL on Bascom Ave should have a light line weight and a heavy line weight forthenew property line). 9. Show on all site sheets including Architectural and Civil, the CL to PL is 30 feet half right of way (not 25 ft) on Campbell Avenue. 10. This project is subject to the City's Streetscape Standards for Bascom Avenue, which requires a 10 foot landscaped park strip (w/40 ft street trees o.c.) and a Tfoot sidewalk along S. Bascom Avenue: Revise the site and civil plans to clearly show additional street dedication along S. Bascom Avenue to accommodate 17 feet of right-of-way from existing face of curb to meet the Streetscape Standards. Indicate area of dedication in square footage. (Full removal, of existing public improvements shall be shown to accommodate the new Streetscape Standards). Additionally review onsite landscaping requirements along the Bascom Avenue frontage (detailed comments will be driven by Planning Comments). 11. On the site and civil plans -clearly show a 10 foot sidewalk with quantity six (6) - 4'x4' tree wells at 30ft o.c. from existing face of curb to meet the City Streetscape Standard on E, Campbell Avenue. 12. On the site and civil plans revise the plans to show the public improvements being implemented along Bascom Avenue and Campbell Avenue fronting the project, with. - work limits to begin just south of the driveway on Bascom Avenue to the east end of the I property line on E. Campbell Avenue. Use Detail D-18 (Commercial Driveway Detail) for Campbell Avenue's driveway and Detail D-19 (Boulevard Driveway Detail) for Bascom Avenue. 13. Show the new ADA ramp (Detail A88A) being implemented with the requirements on Bascom Avenue and Campbell Avenue. 14. Note that your connection to the SS from the floor drain inlet of the covered trash enclosure is over the bioretention area. Soil compaction during construction can severely restrict the infiltration capacity. Also note that any future trench work will require replacement of the treatment facility. 15. Remove truncated domes in the public right-of-way as shown at the approaching J:\LandDev\Completeness\Specific Projects\Bascorri Ave S 2000 7-7-2014.doc Page 2 of 4 driveways cross slopes on East Campbell Avenue and Bascom Avenue. 16. Storm drain Utilities C4.1: a. The storm drain inlet on Bascom Avenue has en existing 12" outfall per the City storm drain maps. Sheet C4.1 shows 8" instead of 12". Confirm that this is correct. b. The City does not allow connection of private storm drain laterals to connect directly behind a storm drain inlet. Note any new SD connection requires an18" RCP (min). The proposed storm should tie to the existing storm main on Bascom Avenue with a new manhole. Profiles of the new and existing storm mains and manholes "should be engineered and provided including calculations that the proposed and existing storm system can handle the storm flows from a 10-year storm event. (TO.BE SUBMITTED). Or provide alternate methods to retain on site. Show that your pre Q and post Q are equal; else provide calculations for sizing criteria. (Discuss with the owner). 17. Sheet C3.2: For the entire site (not just the area being disturbed) show the amount, in square footage, of: a. Existing impervious area. b. Proposed impervious area. c. Proposed pervious area. 18. Sheet C3.2 Area A — How are you going to collect run-off within Area A (pavement and roof) to the treatment area. How will you stop flow coming from across the parking lot on the souih side of your project into the biotreatrrfent area? 19. Sheet C3.2 (All Bioretention Areas): a. Detail-1 Surface ponding shall be a minimum of 6". b. Detail-1 Bioretention areas maximum side slope shall be 3:1. c. Side slopes shall not be part of the surface area calculations. d. Bioretention Area C sits near the building foundation. The retention area should be set back from structures at least 10 feet or as required by the structural or geotechnical engineer. e. You have two Detail 1 and two Section B identify on the plan view where these sections apply. J:\L.andDev\Completeness\Specific Projects\Bascom Ave S 2000 7-7-2014.doc Page 3 of 4. f The treatment areas in the parking lot have no support. The subsurface of the biotreatment material is not compacted. Potential for subsurface failure and surface failure due to vehicle loads. Address this concern. 20. Sheet C4.1 — You show a perforated SD line, what is its purpose? 21. Post Entitlement during plan check: (FYI) There should be one or more sheets designated for the civil storm water management,plan. (This(ese) sheet(s) will be used for reference for the life of the project for maintenance purposes and annual inspections). 22. Post Entitlement during plan check: (FYI) please note that all C.3 Landscaping scope of work shall be part of the civil stormwater management plan sheets. Areas that are designated as-bioretention areas shall have plant species selected that are suitable_ for the location. See planting guidance of the SCVURVPPP C.3 Handbook in Appendix D - "Plant List and Planting Guidance for Landscape -Based Stormwater Measures". 23. Additional comments may be generated in the next resubmittal. J:\L.andDev\Completeness\Specific Projects\Bascom Ave S 2000 7-7-2014.doe Page 4 of 4 Doris Quai Hoi `i? l l-,-* r ,1 / /K OAG From: Stephen Rose Sent: Thursday, July 24, 2014 10:39 AM To: Doris Quai Hoi Subject: FW: 2000 S. Bascom Avenue - PLN2014-157 What Kenneth said. He's looking for help addressing comment 16.b., and what other options might be available to his civil engineer to explore. From: Ken Scates [mailto:kscates@hghb.net] Sent: Thursday, July 24, 2014 10:37 AM To: Stephen Rose Cc: Micah Bycel; Mark VanderZanden(mark@surroundinc.com); Dave Dauphin(david@c2gengrs.com) Subject: 2000 S. Bascom Avenue - PLN2014-157 Stephen, Per our phone conversation, can you please help facilitate a discussion with Public Works regarding their comment 16b. on this project. As discussed, our concern is that the requirement for an 18" RCP and manhole to the closest point of connection (northwest corner of Bascom and Campbell?) is extraordinary and impractical at this site. We would like to discuss alternate methods that would cause less disruption at this busy intersection. Thanks for your prompt attention. Regards, Ken Kenneth Scates, AIA, I,EED AP G Architecture, Planning, Urban Design. 9699 .Blue Larkspur, Suite 20.1 Monterey, California 93940 Telephone 831.375.9594 Facsimile 831.646.9042 kscates a•h hg b.net 7/25/2014 Photos of 2000 S. Bascom Ave. 'rh O S_ Frontage of the property on Bascom Ave. Frontage of the property on E. Campbell Ave. DWY 30' Driveway on E. Campbell Ave. Sewer Cleanout S WK } , * 5' ,[:w � �iAes"C,ppS f yr T i 14�t'iYi°j��+N�tt/�Jl�x3}� f 4�b a�4t�i'Stif d'F� dS lfl h� if f � Sidewalk on E. Campbell Ave. facing west Sidewalk view from driveway on E. Campbell Ave. LaL—I'Development Information sheet J� Prepared by: AA APN: 288-08-078 Address: 2000 S. Bascom Ave. - Any found records of building permits in last five years? Was permit issued? If yes, what is nature of work: None Date: 6/10/2014 Lot size: 41,700 (SF) Yes ❑ (provide info below) No Yes ❑ (provide info below) No Permit Number: None If this project is part of a larger development (new subdivision, new townhomes) or commercial development, skip A through D. COMMERCIAL. Demolishing existing restaurant and building new. A. Fxisting buildM',y area (SH: 13. Proposed addition area (SF): (USC the area from (ivc years b',.lck) C. TotaI area w/ addIIio❑ (A+},): _ 1). Percent increase (13/A): (if icss than 50Yo.. stop research) Tract or Parcel Map PM 620/45 Date recorded: Nov/1989 (Tract # or book & page) Any found records of Storm Drain Area fee previously paid? Yes ❑ (provide info below) No (Fee initiated for residential subdivisions 4 8/15/55; all developments 4 5/16/60) None Date paid None (file # & address or LID #) Storm Drain Area fee: 0.95 (area in acres) X $2,650.00(fee/acre) _ $2,517.50 Within STANP? Yes ❑ No ® (check one) STANP Requirements: Curb ❑ Gutter ❑ Sidewalk ❑ Rolled curb ❑ None ❑ NA Existing improvements present? Curb ® Gutter ® Sidewalk ® (check all that apply) Sidewalk dimension (BOW to FOW): Bascom (81), E. Campbell (5') Park strip dimension (FOW to BOC): None Driveway dimension(s): Basome (251 E. Campbell (301 D/W ADA compliant? Yes ® No ❑ Ramp ADA compliant? Yes ® No ❑ Street light info: JP ❑ older pole ❑ galvanized pole Water meter and sewer cleanout info: WM and Sewer cleanout found Street ROW half width (CL to PL): Bascom (731), E. Campbell (301) Date that street had been resurfaced: Oct/2009 on Bascom, no information on E. Campbell Electrical panel relocation? Yes ❑ No ❑ NA J:\LandDev\Land Develop Information Sheets\Bascom Ave. S. 2000.doc Photos of 2000 S. Bascom Ave. Traffic boxes on E. Campbell Ave. Water meter on E. Campbell Ave. Traffic pull box on comer ramp Pull boxes on E. Campbell Ave. Sewer cleanout on E. Campbell Ave. Sidewalk on Bascom Ave. facing north Photos of 2000 S. Bascom Ave. Water meter on E. Campbell Ave. Unknown utility box on Bascom Ave. r Water meter and pull box on Bascom Ave. CAMPBELL AVENUEI F1 U Q ca CAMPBELL AVENUE BASIS OF BEARINGS 3 890 15, 5,111 E 1359•l0l'__ - 354•lfo' N 89° 19' ll" W iRis�b p� WTI in N to N I N �-- d o� Z I �I I 5 890 l6' 51" E (IB0.95') V� 212 1\iJ11\p1s (>NfEST) M 711 tin ,3 :o o :- m m �� 0 261•l9' 'In m s c� v am z� 7.,r ACT NO, � �o 'f06 � 12 1MAP )1� 54 G�(/v (N 89e 59' 20"W 8b84') N 89e l8' III w 81.89' Q �'� 7r�r�r7 • o l 1 NJAp b_ C) 15 N 890 18, 111, W ( 8 89 °59, 20" E) 2 00.00, Na 1165 '53 I OT 14 W W H LEGEND AND NOTES -- BOUNDANI LINE LOT LINE ( ) RECORD DATA G SET 3f4° IRON PIPE OR AS NOTED o MONUMENT FOUND B.S.L. BUILDING' SETBACK LINE ALL DIMENSIONS SHOWN HEREON ARE IN FEET AND DECIMALS THEREOF THE AREA WITHIN THE DISTINCTIVE BORDER IS 1149 ACRES BANS OF BEARINGS THE BEARING S SY IS' 51" E OF THE CENTERLINE OF CAMPBELL AVENUE AS RECORDED ON THE RECORD. OF SURYEY BOOK 241 OF MAPS, PAGE 41 . SANTA CLARA COUNTY RECORDS WAS TAKEN AS THE BASIS OF ALL BEARIN65 ON THIS MAP. -PARCEL MAP CONSISTING OF(2) TWO SHEETS ELIMINATION OF LOT LINES PARCEL I. BEING ALLOFPARCEL A AS SHOWN ON THE PARCEL MAP RECORDED IN BOOK 212 OF MAPS,PAGE 6, SANTA CLARA COUNTY RECORDS. PARCEL' 2, BEING ALL OF LOT 3 AS SHOWN ON THE MAP OF TRACT KO-406 RECORDED IN BOOK I2 OF MAPS, PAGE 54, SANTA CLARA COUNTY RECORDS. PARCEL 3, BEING A PORTION OF LOT Io AS SHOWN ON THE SUBDIVISION MAP RECORDED IN BOOK'N OF MAPS,PAGE 31,SANTA CLARA COUNTY RECORDS. CITY OF CAMPBELL SANTA CLARA COUNTY, CALIFORNIA SCALE: P 301 NOVEMBER 19B9 VICRA CORPORATION 125 E• SUNNYOAKS AVE. SUITE 202 - (408) 319. 5450 - CAMPBELL CA 95006 SHEET 2 OF 2 SHEETS t dT E. CA M P B E L L AVE GALVANIZED SL TRAFFIC PULL BOX -� SPEED LIMIT SIGN-\ M GALVANIZED SL 261.7 WITH SIGNAL EX PARK GALVANIZED SL GALVANIZED SL SL PULL BO) PULL 1 : 30.0 • � • 1., \l/ mil/ W G&E BOX ULL BOX G&E BOX SEWER CLEANOUT TRAFFIC CABINET AND PULL BOXES WK X BUILDING 9.00'DEDICATED TO THE CITY 1 1 .Im a fl NKNOWN UTILITY t' BOX f � o EW PL ULL BOX �-EX BUILDING 81.8 BOX 30' 0' 30' 1" 0" 1" GALVANIZED SL OFFICE OF C.. N TY ASSESS'OR S A N T A C L A R A C 0 U N TY,. C A L I F 0 R N I A • BOOKPAGEPAGE 288 8 O I - AVENUE - -� - 4 — - — E. CAMPBELL 1122 _ 1134 1148 1162 '0 TRACT N° 406 - CAMPBELL GARDENS 1176 1194 1206 .1222 1236 /250- cn P.M. 620 M- 44 062 1074 /088 1102 ,111,111,1111, Q L rao/"� c .4 0a�-4roi�w��, •. ��-:r., PTN P_ C_�L_ 4 —1:-__��- - "II�' . -1 -1I�II I — - -tIi II II I 7-5rI 75 `*III I III II -III I 1III II 75 75 75 I 75 75 75 75 75 . 7375 N1 v II1i lI I 55.9 a63 64 65 66 67 68 n fi57 Ni — Ni _—w 62 N N78 Z70 '?II 0 92 AC NE1 10 11 12 1 I30 �wj 16 - o 4 1 5 6 1 7 8 9 1 75.64 1 261.89T 75.65 _ —W— �\\E — 20o 70 1 1 1 S16 43` 7 6 5 4 1 1 13 I 12 10 9 8 PTN. 15 14 Ln U, o. 54 PC L. I I of o.sa Ac. � �.I NI 50 =1 49 1 48 1 47 1 46 1 45 i 44 1 43 1 42 j 41 1 40 1 9- I 38 `. 652 �--2ao----- ��.>� �r I I 70 70 70 70 70 56.28 N � 53 h m 1 1 70.16 1 70 I '70 70 70 70 70 a� l 71.16 1085 /095 //15 //19 //33 1145 1157 1171 /185 1199 1209 1227 1241 l073 100, 18O 6590 -o— TRACT No 1765 ARROYO GARDENS DRIVE to BK 1059 r SFCO � I 1084 1098 ///0 1124 1136 1150 1160 II 1174 /2 1202 1210 i 1226 50,64mPM. ARROYO-a- Ii 70 1I I 70 I I I 70 I i 70 II i fn 70 I — 70 70 1 I I I 70 I I I••--7-0 1 1I1 I '7-0 - _01 -o369-M-24 6387 1 1 1 I 1 jII OARROYO IVESECO aoez 30 35 36 37 "' 1.07 AC. NET 26 127 28 29 :1 ia 0. CA 23 24 27 28 29w 18 19 20 21 22 0Z 73 41 68.2770 146.56 Z 147 I45.87co C 97 PCL.A O o 0.3 AC.76 PTNj2i.� LOT 7 T_; PCL. A 72.90 IQ 166 12 13 1 14 1 15 �16 m 1 PC B 9 0m m\ NC14 �5" 6 80 PTNPCL21 13 I I g Cl) 71 66 7 o 0 8 I I 1 I I N 1 0�l 1 I I I 1 I 1 1 Ln 0.15 AC I I 1 1 N 57.82 m B0` 73' r 19 �1 (42) (31) I I I I 1 I l - N l46 73 41.98 30.99 73 1 73 73 73 1 73 73 73 52.97 115 73 73 73 22 I^ /049-51 1055 1057 1071 1085 //0/ TRACT NO 225 - EL SOLYO TRACT I/61 1%i7 //85 //99 /2// l�2' O b - o - - - _ '" � EL SOLYO "'°" 1129 /;43 1157 AVENUE 4 _ PM .435• M •45 I L _ R.O.S. 819115 riza oEr. sna 107 LAWRENCE E. STONE — ASSESSOR Cadastral map for assessment purposes only. Compiled under R. & T. Code, Sec. 327. Effective Roll Year 2012-2013