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ENC2014-00096
TWBE RECORDED WITHOUT FEE :ECTION 6103 GOVERNMENT CODE AT THE REQUEST OF CITY OF CAMPBELL 23806376 1419C "iIVEK. Regina Alcomendras Recording Requested By: ) Santa Clara County - Clerk -Recorder 11/17/2017 08:21. AM JAN 2018 City of Campbell ) Titles: 1 Pages.: 2 CITY CLERK'SOFFIC_ And When Recorded Return To: ) Fees: 23.00 Taxes: 0 Total: 123-00 City Clerk City of Campbell ) 70 N. First Street ) Campbell, CA 95008. ) APN: 412-04-013, 412-04-012, 412-04-078 (Space Above This Line For Recorder's Use Only) ADDRESS.45, 59-63-67, 69 and 81 Kennedy Ave., Campbell, CA 95008 NOTICE OF RELEASE BY CITY OF CAMPBELL NOTICE IS HEREBY GIVEN concerning the real property located in the City of Campbell, Santa Clara County, California, and described specifically as follows: 45, 59-63-67, 69 and 81 Kennedy Avenue, Campbell, CA. That whereas, Western Pacific Housing Inc., a Delaware Corporation, entered into a Street Improvement Agreement with the City of Campbell, recorded December 16, 2014, Document# 22801739, in the Office of the County Recorder, County of Santa Clara, State of California. City. That, whereas, said conditions of said Agreement have been met to the satisfaction of the That, Now Therefore Western Pacific Housing Inc. is hereby released from all requirements contained in the agreement recorded December 16, 2014, Document #22801739, in said County Recorder's Office. IN WITNESS WHEREOF, said City has caused its name to be affixed by its City Engineer and City Clerk, who are duly authorized by Ordinance 2059 adopted September 20, 2005. ATTEST: j Wendy ood, City Cl �rk� (Attach Notary Acknowledgment) OF I Olay V A Engineer, of Campbell Dated: k I 131 rt CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT CLEARANCE FOR NOTICE OF RELEASE OF RECORDED STREET IMPROVEMENT AGREEMENT Encroachment Permit # moo\-��' Property Address 1 Date Street Improvement Agreement recorded Date of Final Acceptance Letter Date of One -Year Maintenance Acceptance Letter \\1 `6 `� 1 All deposits refunded (Date of last refund) ZCp l`l Inspector's Encroachment Permit file merged with Main Permit File Date Permit archived in Permit Plan Processed by: Reviewed By: Reviewed by: 11/6 h nspector l G. Land Development Engi eer Date Check Request Submitted to Finance for Recording Fee Date Notice of Release sent for recording: `A VI V_cgv\C\ cm� .Nc J:VoAnnaT\Deposit refunds\CFIECKLISTS\Checklist - Release of Street Improvement Agreement.doc (Rev. 10/11) TO BE RECORDED WITHOUT FEE SECTION 6103 GOVERNMENT CODE AT THE REQUEST OF CITY OF CAMPBELL Recording Requested by: City of Campbell When recorded mail to: City Clerk City of Campbell 70 North First Street Campbell, CA 95008 IIIIIG�II�IIf III!IIIIIII'BIIIi111�N11 REGINA ALCOMENDRAS - SANTA CLARA COUNTY RECORDER Recorded at the request of City Pages: 11 Fees.... ' No Fees Taxes... Copies.. AMT PAID RDE # 025 12/16/2014 10:55 AM APN: 412-04-013, 412-04-012, 412-04-078 (Space above this line for Recorder's use only.) ADDRESS: 45, 59-63-67, 69 and 81 Kennedy Avenue, Campbell, CA 95008 STREET IMPROVEMENT AGREEMENT RECITALS THIS AGREEMENT, identified by File No(s). ENC2014-00096 is entered into this t' day of e.��r.'`� 2014, by and between WESTERN PACIFIC HOUSING, INC., A DELAWARE CORPORATION, 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 February 18, 2014 the City Council adopted Resolution No. 116432, approving a Tentative Final Map to construct 18 residences, for that certain real property described in Exhibit A attached hereto and incorporated as though fully set forth herein, and commonly known as 45, _. 59-63-67, 69 and 81 Kennedy 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. (Rev11/13) 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 prepared by a civil engineer registered by the State of California and 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 (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 (Rev 11/13) 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 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 (Rev 11/13) 3 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 010692 including symbol 1 (Any Auto); and 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 (Rev 11/13) Owner shall maintain limits no less than: 4 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: 1. 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, 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 (Rev 11 /13) 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 party, 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 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 (Rev11/13) improvement of the subject real property for the mutual benefit of Owner's property, commonly known as 45, 67, ' 69 Kennedy Avenue, and the City's property, commonly described as Kennedy 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 — 45, 59-63-67, 69 and 81 KENNEDY AVENUE," which are subject to approval by the City Engineer, prepared by Sterling Consultants. (Rev 11/ 13) C 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: /" e � � 7 Z' - Z'C'416 ne Bybee, City Clerk (Rev I1/13) WESTERN PACIFIC HOUSING, INC., A DELAWARE CORPORATION Dean K. Mills, Assistant Secretary of the Corporation CITY OF CAMPBELL Todd Capurso, �Pubc Wor�Dire�ctor City of Campbell (Notary Acknowledgment for above signator(ies) MUST be attached.) 9 STATE OF CALIFORNIA ) - COUNTY OF ALAMEDA ) On 1Veo em bec 3 , 2014, before me, Arnie Bautista , Notary Public, personally appeared Dian K • � V 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. Signature AMIE BAUTISTA Commission # 1980565 z a llotary Public - California z(Seal) z Alameda County My Comm. Expires Jun 2, 2016 Exhibit A PARCEL ONE: LOT 4, BLOCK 1, AS DELINEATED UPON THAT CERTAIN MAP ENTITLED "SUNNYSIDE TRACT", FILED_ FOR. ,RECORD IN THE OFFICE OF THE RECORDER OF THE COUNTY OF SANTA CLARA, STATE OF CALIFORNIA, ON DECEMBER 15 T H, 1904 IN BOOK K OF MAPS, AT PAGE 27, EXCEPTING THEREFROM ALL THAT PORTION CONVEYED TO THE CITY OF CAMPBELL, A MUNICIPAL CORPORATION BY INSTRUMENT RECORDED DECEMBER 11TH, 1959 IN 1300K 8766 OF OFFICIAL RECORDS, PAGE 695, AS FOLLOWS; BEGINNING AT THE SOUTHEAST CORNER OF LOT4, BLOCK I AS SHOWN UPON THAT CERTAIN "MAP OF THE SUNNYSIDE TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE COUNTY RECORDER, COUNTY OF SANTA CLARA, STATE OF CALIFORNIA, ON DECEMBER 1.5, I.904r IN BOO}( "K" OF MAPS, PAGE 27; THENCE, WEST ALONG THE NORTHERLY LINE OF KENNEDY AVENUE, AS SHOWN UPON SAID "MAP OF THE SUNNYSIDE TRACT", 60 FEET, MORE OR LESS, TO THE SOUTHWEST CORNER OF SAID LOT 4� THENCE NORTHERLY ALONG THE WESTERLY LINE OF SAID LOTS 4, S, FEET, MORE OR LESS, TO A LINE PARALLEL WITH AND DISTANT 25 FEET NORTHERLY, MEASURED AT RIGHT ANGLES, FROM THE CENTER LINE OF KENNEDYAVENUE, AS SAID CENTER LIFE SHOWN UPON SAID "MAP OF THE SUNNYSIDE TRACT"; THENCE EAST ALONG SAID PARALLEL LINE 60 FEET, MORE Ok LESS, TO THE EASTERLY LINE OF SAID LOTS 4, THENCE SOUTHERLY ALONG SAID EASTERLY LINE OF LOTS 4, S FEET, MORE OR LESS, TO T HE POINT OF BEGINNING. PARCEL TWO: LOTS, BLOCK 1, DELINEATED UPON THAT CERTAIN MAP ENTITLED "MAP OF THE SUNNYSIDE TRACT" r FILED FOR RECORD IN THE OFFICE OF THE RECORDER OE THE COUNTY OF SANTA CLARA, STATE OF CALII;ORNIA, ON DECEMBER 1STHr 1904 IN BOOK K OF MAPS, AT PAGE 27. EXCEPTING THEREFROM ALL THAT PORTION CONVEYEID To THE CITY OF CAMPBELL, A MUNICIPAL CORPORATION BY. INSTRUMENT RECORDED DECEMBER ilTHr 19G9.IN BOOK 8766 OF OFFICIAL RECORDSr PACE 695, AS FOLLC WS, 1EGINNING AT THE SOUTHEAST CORNER OF LOT S, 13LOCK I AS SHOWN UPON THAT CERTAIN "MAP OF THE SUNNYSIDE TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE,COUNTY RECORDER, COUNTY OF SANTA CLARA, STATE OF CALIFORNIA, ON DECEMBER 151904 IN 1300K"FC" OF MAPS, PAGE 27; THENCE, WEST ALONG THE NORTHERLY LINE OF KENNEDY AVENUE, AS SHOWN UPON SAID "MAP OF THE SUNNYSIDE TRACT", 60 FEET, MORE OR LESS, TO THE SOUTHWEST CORNER OF SAID LOT 5; THENCE NORTHERLY ALONG THE WESTERLY LINE OF SAID LOT a", FIVE (5) FEET, MORE OR LESS, TO A LINE PARALLEL WITH AND DISTANT TWENTY-FIVE (25) FEET NORTHERLY, MEASURED AT. RIGHTANGLES, FROM TIDE CENTERLINE OF KENNEDY .AVENUE,.AS SAID CENTERLINE SHOWN UPON SAID "MAP OF THE SUNNYSIDE TRACT"; THENCE EAST ALONG SAID PARALLEL LINE 60 FEET, MOREOR LESS, TO THE EASTERLY LINE OF SAID LOT 5; THENCE SOUTHERLY ALONG SAID EAST5RLY LINE OF LOT 5, FIVE (b) FEET, MORE OR LESS, TO THE POINT OF BEGINNING. PARCEL THREE: LOT 6 IN BLOCK 1 AS DESXGNATED ,AND DELINEATED UPON A CERTAIN MAP ENTITLED "MAP OF THE SUNNYSIDE TRACT, BEING A SUBDIVISION OF LANDS FORMERLY OWNED BY MRS. M.A. KENNEDY, RECORDED IN BOOK 1 PAGE 117 OF MAPS, RECORDS OF SANTA CLARA COUNTY" RECORDED DECEMBER 15, 1.904 III THE OFFICE OF THE COUNTY RECORDER OF THE COUNTY OF SANTA CLARA, STA`rE OF CALIFORNIA, IN BOOK "K" OF MAPS, AT PAGE 27 OF SAID COUNTY, PARCEL FOUR: LOT 7 IN BLOCK I. AS DESIGNATED AND DELINEATED ON A CERTAIN MAP ENTITLED, "MAP OF THE SUNNYSIDE TRACT, BEING A SUBDIVISION OF LOTS 1 AND 2 UPON MAP OF ��,v SUBDIVISION OF LANDS FORMERLY OWNED BY MRS. M,A, KENNEDY, RECORDED IN BOOK, I OF MAPS, PAGE 117, RECORDS OF SANTA CLARA COUNTY", WHICH MAP OF SAID' SUBDIVISION WAS RECORDED IN THE OFFICE OF THE COUNTY RECORDER OF THE COUNTY OF SANTA CLARA, STATE OF CALIFORNIA, DECEMBER 15, 1904IN 1300K "K" OF MAPS, PAGE 27, RE CORDS OF SAID COUNTY. CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California County of����c LVA One L e ����,( `(� before me, personally appeared \� (Here insert name and title of the 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. Signature of hand and official seal. r- __� - ' "'M 0JOANN THOMASON Commission # 1930682 i -r Notary Public - California D z Santa Clara County My Comm. Ex ires Mar 28, 2015 (Notary Seal) ADDITIONAL, OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT (Title or description of attached document) (Title or descriptio of attached document continued) Number of Pages Document Date (Additional information) CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) ❑ Corporate Officer (Title) ❑ Partner(s) ❑ Attorney -in -Fact ❑ Trustee(s) ❑ Other INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment completed in California must contain verbiage exactly as appears above in the notary section or a separate acknowledgment form must be properly completed and attached to that document. The only exception is if a document is to be recorded outside of California. in such instances, any alternative acknowledgment verbiage as may be printed on such a document so long as the verbiage does not require the notary to do something that is illegal for a notary in California (i.e. certifying the authorized capacity of the signer). Please check the document carefullyfor proper notarial wording and attack this form if required. • State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s) personally appeared which 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 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 notarization. • Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. he/she/they,— is /are) or circling the correct forms. Failure to 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). • Securely attach this document to the signed document 2008 Version CAPA v12.10.07 800-873-9865 www.NotaryClasses.com Print For . CITY OF CAMPBELL ENCROACHMENT PERMIT Permit NoL-f C7 w` l 1P DEPT. OF PUBLIC WORKS (for working within the public X-Ref. File ` 70 North First Street right-of-way) Application Date Campbell, CA 95008 Issued Application Expiration Date Ph. (408) 866-2150 APN Fx. (408) 376-0958 Permit Expiration Date APPLICATION -Application is hereby made fora Public Works Permit in accordance with 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.: �z45 Utility Trench Location: B. Nature of Work:�..._..`�..fiM. V e LC l C. Attach four (4) copies of an engineered plan showing the location and extent of the w rk, 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: �, {�p�� �� C/o EtDIC I<'i577LLE/z Telephone: Z 71/b0 ............ .. .._ . _ __._............. . Address: 50' *1 7T0%Py/'},�Z> 5%E (�O Pt_6_J45/ IJTaZI er,- 0/ys� 8 ...,�.A.�__ E-Mail Address: ! �-�`� l � � �Or�� i 24-HOUR EMERGENCY PHONE NUMBER: Is this work being dome by the property owners at their own residence? F—YES NO The Applicant/Permittee hereby agrees by affixing their signature to this permit to hold the City of Campbell, its officers, agen s, and�pJq�y free, safe and harmless from any claim or de d for d mages �evy gfrom t e o k covere b th' per t. r— L irThe Applicant/Permitte'e hereby ac nowledges tha ave 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 upon issuance of this permit, property owner, or property owner's successors, shall be responsible for any and all damages *sing out of the condition of any private improvements in the public right-of-way. Accepted: (Applicant Permittee) (sign) Date 574qlS (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. 5. 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: II SEE PUBLIC WORKS FEE SCHEDULE FOR CURRENT FEES AMOUNT PERMIT APPLICATION FEE $ PLAN CHECK DEPOSIT S 2FO SECURITY FOR FAITHFUL PERFORMANCE/LABOR &MATERIALS 0-;jlsj%J5 $ 7_0 9r CONSTRUCTION CASH DEPOSIT(l54VWyrW Nv? 3 (n PLAN CHECK & INSPECTION FEE $ 7. 2 (a 5'tC R411A APPROOVEDVED �F b3 FORISSUANCE ODo .— on— RECEIPT NO S� S(o�?,� b 2.5 3) tf (p ,4co&,`7 For City Engineer Date 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. 5. 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 watervalves. 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 im.provements 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 may be required, nor does it relieve the Permittee of any obligation to obtain any other permit required by law. 17. This permit does not release the Permittee from any liabilities contained in other agreements or contracts with, the City and any other public agency. 18. This permit is not 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 Date: Contractor (Print Name) Date: J.\FORMS\Templates\Encroachment Permits\Encroachment Permit STATIC form2.pdf Rev. 02/14 JAFORM51TemplateslAd mmsV,U,eNeceipl Form Lend Development -15 CITY OF CAMPBE_L RECVD BY: CASHIER 01000256030 PAYDR. IE R 'HDPTOH, TODAY'S I+ATE: 11107/14 REGISTER IRATE: 11/07/44 TME: 10:40 IlESCRIPTIM AIM 0Ui1T EN6jR & SUBDIV FILMO F $29,260.00 CUST ID: ENC-2019-000016 REF IfEPOSIT - 101 $8,360.00 CUST III: ENC2014-000% REF IiEPOSIT - 101 13,SDD.DD GUST 'Ilia VIC2014-00096. TOTAL DUE: ----------------- $51,1210.0 TE1dltrccr. �.—. CU-4 File Copy - Do Not Mail Check Number 0524503 Date 11/04/14 Stub 1 of 1 1665341 ,ot Address Cost Cde Legal Desc Gross Deductions ------------- Amount Paid ------------- ------------------------------------------ ige Place Master ------------- 51;120.00 51,120.00 . 51,120:00 51,120.00 V. . Check Number 0524503 Date 11/04/14 Stub 1 of 1 1665341 �'V3,1Ll.UU N.DD Amount Paid Lot Address Cost Cde Legal Desc -Gross Deductions ---------------------------------------------------------------------------------- tage Place Master. 51,120.00 51,120.00 51,120.00 51,120.00 CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT CLEARANCE FOR ONE YEAR MAINTENANCE ACCEPTANCE LETTER Encroachment Permit # Property Address Date of Final Inspection: On File: ds CD Cash �..=- (f� Faithful Performance $ Labor and Material $ c� o Construction Cash Deposit to be released: $ Other overdue deposits to be released (Description): � Processed by: Reviewed by: Reviewed by: Administrator I Land Developmen£lEngineer W4 QcyY � S \ Re\Crz�SL. Cam.41& bC,,/%L L4\ JAJoAnnaT\Deposit refunds\CHECKLISTS\2 Checklist - I yr Maint. Acceptance.doc (Rev. 10/11) Encroachment Permit Final Sign Off Encroachment Permit Address: Date of Final Inspection and Acceptance: Inspected by: OK to release deposits: 100% /7.5 Comments: 00 Recording Requested By R.E.Y. Engineers, Inc. 707 N. Shoreline Blvd. Mountain View, CA 94043 AND WHEN RECORDED MAIL TO 23488®93 Regina Alcomendras Santa Clara - Clerk -Recorder 11/04/2016 11:19 AM Tit1es:"1 Pages: 4 Fees: $34.00 Taxes: 0 Total: $34.00 w.:A5`AA it II Name: City Clerk �.�, . -- . City of Campbell rL lam, R; U C t, ) Address: 70 North First Street City & State: Campbell, CA 95008 2 2016 CERTIFICATE OF CORRECTION CITY GLEPI ,S Nhu" NOTICE IS HEREBY GIVEN THAT: Sheet 3 of Tract No. 10238 — Cottage Place filed in Book 881 of Maps at Pages 47-49, Santa Clara County Records, State of California, is corrected in accordance with Chapter 3-, Article 7, Section 66469 of the Subdivision Map Act as described as follows: 1. Set Magnetic Nail and washer stamped LS 7616 in asphalt instead of 3/4" iron pipe with plug stamped LS 7739 due to pavement at the northwest corner of Lot 9. 2. Set 3/4" iron pipe with plug stamped LS 7616 at a 1'x2' offset to,the northeast corner of Lot 18 instead of 3/4" iron pipe with plug stamped LS 7739 due to fence corner at the northwest corner of Lot 18. 3. Set plug with washer stamped LS 7616 in curb, 9.75' from the southeasterly property corner, on the projected easterly property line of Lot 8, instead of 3/4" iron pipe with plug stamped LS 7739 due to back of sidewalk at the southeast corner of Lot 8. 4. Intersection monument at Braxton Terrace and Kennedy Avenue was moved 5.00' easterly along the centerline of Kennedy Avenue due to utility conflict. 5. The stamping for all Monuments and Iron Pipes shown to be "SET" on Sheet 3 of said Map has been changed from LS 7739 to LS 7616. Corner Record Document No. 2561 for the above has been submitted for record with the Santa Clara County Surveyor. A plat showing the corrections described above is attached hereto. -On the date of the filing of said map, the names of the fee owners of real property affected by such correction or omission were as follows: Western Pacific Housing, Inc. A Delaware Corporation Page 1 of 4 CERTIFICATE OF SURVEYOR THIS IS TO CERTIFY that the above Certificate of Correction was prepared by or under the direction and control of the undersigned Licensed Land Surveyor. UAND A No: 7616 -° Michael Shoup Dated: 10/20/2016 * ° * LS 7616 Expires: 12/31 /2016 ° o 0 �TgTF OF CAS\E���\P CERTIFICATE OF CITY ENGINEER THIS DOCUMENT HAS BEEN APPROVED BY THE CITY OF CAMPBELL. SEND COPY TO: R.E.Y. Engineers, Inc. 707 N. Shoreline Blvd. Mountain View, CA 94043 Amy Clay, Ciiyn n RCE 1922 Expires f City of Campbell, Cal 0/17 rnia Page 2 of 4 CORNER RECORD Dozuwhant Number City orCampb6i C01MOf 5af-Y-1Califond a 87icf Legal Dcscription-, T-,M, �t a Ic Mnicc filed h 71 7,015 in R(mk 87t I OfIvInp at Pqge4 47-49, CORNERTYPE Government CorncT Control Mander Property Rancho 0 other 0 Dam or survey OjIQ2116 COORDINATrS' (OpAlunaf) K E. ZOIX.��XM)Tilj IZ—Kinin NAM Epoch_ Vcr,t, Data= NGV-D29 El NAVMR [I 0 lmlvcHal 0 "'Itas. UnL- Metric Corner- Lettits found 0 Found and tag gedo atablUsjod 0 Reest-ablishcd 0, Rebuilt Identification andtype —of conv,!r, found: ffA—dance used to idanfify or prote'aute Used " lo—esm-"760-1 Or 'rees-mbrisil the comer CENTERLINE AND PROPERTY CORNERS AS FOUND kljD - �r _5p_T 5 ON .AS PAGE 2 OF THIS COMM RECORD, A descep6on ofdw, physizat condition of the monum.emw, I fouadandas set or reset-; SURVEYOR'S STATt MENT T I his Comer Record %w prepared �y meor under my direction in confomiance h the Land Surveyor's Act on2e,?51-402 -6—7- Signed No. 7616 Expires IM IP-01 6 COUNTY SURVEYORYS STATEMENT The Comer Record xns received And Si Till LAND ...... IIN . .. -fln A 'A.0. I Ka 7% EN Page 3 of 4 BASIS Or' BEARINGS: THE BEARING OF N8951',la`W BETWEEN THE FOUND MONUMENTS ALONG THE GENTERILINE OFIENNEDY AVENUE PER *881 PS PAGE 47, SAN"I'A CLARA COUNTY RECORDS. LEGEND: eSET 2" BRASS DISK STAMPED LS 7616 IN MONUMENT NIONUMENIT STAMPED 1-5 7739 IN WELL PER 881 MAPS CLARA COUNTY %CO.RDS. ------------- I N 89*5148' 0 T' ' - - 7" T� SET MA�(G NAlt� ANC) WASH R. LST \ : P� - I It _T INf ASPHALT INSTEAD OF 3/4 WELL rNsTEAD OF PAGE 47. SANTA ON PROJECTED PROPERTY LINE VC is ' I 9.75' FROM CGRNER OF LOT 1 S,99'51'48E 319,67' AWINED Y -d p . FA ruE R, E. Y, EN G INFERS, Inc. c jVCtt,RP44 kla'V. CA 19404 3 FH--I,f t"IVM, 1013 2 10-"-36 IRON PIPE PER 8814 47 NOT SET DUE TO FENCE CORNER MAPS z �b 00 i -I- fn -0 M L4 C T m vrl Aj ca ril z 109,81' (0—M) CD rf TeRpu CIE co CD cn > rt) z --q 240.00' SET L&T LS 7616 IN CURB —0 ON PROJECTED PROPERTY LINE 10 9.75' FROM CORNER OF LOT 8 — v E n46' S 8-9 *5 1—'4 _8 M WENT PER 881 MAPS 47 ON NOT SE-1 DUE TO UTILITY CONFLICT Cn Itt 4- 0 Encroachment Permit Final Sign Off Encroachment Permit l'��C 2t-��F� GGc�i� Address:S Date of Final Inspection and Acceptance: Inspected by: SW OK to release deposits: 100% ✓ 75% Comments: � v-r—-11r�A` 1 1y S-N C JlS N�\,SA- P CITY OF CAMPEELL August 28, 2017 Public Works Department Eric Keller Western Pacific Housing C/O DR Horton 5050 Hopyard Rd., #180 Pleasanton, CA 94588 SUBJECT: PERMIT NO. ENC 2014-00096 Cottage Place FINAL INSPECTION AND ACCEPTANCE Dear Eric: Enclosed are your deposit refunds for The Cottage Place Project located on Kennedy Dr. The refunds include the construction cash deposit for $8,360.00, the plan check deposit for $7,380.00 and the monumentation deposit for $13,500.00. As you are aware, after the, first inspection was completed a Certificate of Correction was required regarding monumentation. The one-year maintenance period began on - �lo7aerrll7er.1, �,,+0'�l� (the date the Certificate of Correction was recorded.) The permittee is responsible for the repair and/or replacement of any defective work or failures that occur within that one year. The City will inspect the improvements within one year and notify you, in writing, whether or not any repairs are required. Your Faithful Performance of Maintenance Bond in the amount of $52,250.00 will be kept in force for the one-year maintenance period. If you have any questions, please call me at (408) 866-2157 Sincerely, Doris Qui Hoi Assistant Engineer Cc: Inspector /Suspense Files Permit File: ENC2014-00096 70 North First Street • Campbell, California 95008-1436 - T6L 408.866.2150 - Fax 408.376.0958 - TDD 408.866.2790 CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT CLEARANCE FOR ONE YEAR MIAINTENANCE ACCEPTANCE LETTER Encroachment Permit # ENC2014-00096 Property Address Cottage Place, 45-81 Kennedy Date of Final Inspection: 11/6/17 On File: Bonds CD Cash Faithful Performance Labor and Material $ Construction Cash Deposit to be released: $ Other overdue deposits to be released (Description): ,MLd,,7 I itten>anee Bond For $.52-,2 ;� , 0 Processed by: Reviewed by: Reviewed by: rator Inspector Land Development Engineer J:UoAnnaT\Deposit refunds\Kennedy 45-81 cottage place.doc (Rev. 10/11) JoAnna Thomason From: Syed Wahidi Sent: Thursday, November 09, 2017 8:21 AM To: JoAnna Thomason Cc: 'Daryl A Bauman' Subject: FW: Cottage Place ThxJoAnna, Please note their change of address. Daryl, Please see JOAnna's response below. OF •CAy Syed Wahidi ���C Public Works Inspector U r City oi'C;amphCll ! Public Works Departrnent o o 70 N. First Street 1 Campbell, CA 95008 tw%y%y.citvo�Ic-am ll.com 1 408.866.2165 G °RCHAR� •.- .... From: JoAnna Thomason Sent: Thursday, November 09, 2017 8:15 AM To: Syed Wahidi Cc: Roger Storz Subject: RE: Cottage Place Hi Syed, yes that's the. release you just signed for me yesterday. I still need to get Doris' signature and it will be good to go. Should go out today. I'll let them Know. p4 -CA1, JoAnna Thomason, .4* �Office Specialist U r City" of'Camphell Public Works Department 0 o 70 N. First Street Campbell, CA 95008 408.86Ei.?150 From: Syed Wahidi Sent: Thursday, November 09, 2017 7:20 AM To: JoAnna Thomason Cc: Roger Storz Subject: FW: Cottage Place JoAnna, ��.pF °CAAtf,��t Can you please check this one? Thx. � U r 0 0 Syed Wahidi °RCtinRO El J:IFGRMSlTamDlalesV�tlrrunistrativeViecai0l Form Land Develanmenl Ig14 1�1 \ - \ � . i | cI i OF CANPRELL RECVDaa &§m±; @ky2la e;qa BEGAN HOMES INC ! mm2§DATE: GG a ) «3S7 m;mg SR;a:2 � AkRDQA AMOUNT Um A mGm FILING F $p\ m m4 ID; 4-±KEN7 A we# i E«mgT -!q 77-� 2# G:B±% ,&Gk ERR amgD FILING w.SGm m# G:y±m mamgD SGmF >G& m ma D;/TECH Sqb MAIN FEES q 2 #,qG m EUST D; yaq Um&mmD Sdm\ #l2±m my G:7almqEDf+ 9a9,4 DATE ma h21 2/ DARK mG= GQIS.m CHECK NO: Sk GNIJD. \ly.m CHANGE: £ 0 Public Works Inspector City ol'Campbell Public Works Department 70 N. First Street Campbell_ CA 95008 ww«.citvolcam�bell.com j 408.866.21 65 From: Daryl A Bauman [mailto:DABauman(&drhorton.com] Sent: Wednesday, November 08, 2017 3:37 PM To: Syed Wahidi; SOREN FAJEAU Subject: Cottage Place Good Evening Gents, Just wanted to follow up on the warranty bond release? Also if your mailing it out please note our address below as we moved a little while back. Thanks Best, Daryl Daryl Bauman Director of Land Development, Bay Area I D.R. HORTON - AMERICA'S BUILDER [NYSE: DHI] 6683 Owens Drive, Pleasanton, CA 94588 Cell: 209-992-0396 Fax: 866-427-9186 Email: Dabauman(a)drhorton.com CITY OF CAMPBELL August 28, 2017 Public Works Department Eric Keller Western Pacific Housing C/O DR Horton 5050 Hopyard Rd., 4180 Pleasanton, CA 94588 SUBJECT: PERMIT NO. ENC 2014-00096 Cottage Place FINAL INSPECTION AND ACCEPTANCE Dear Eric: Enclosed are your deposit refunds for The Cottage Place Project located on Kennedy Dr. The refunds include the construction cash deposit for $8,360.00, the plan check deposit for $7,380.00 and the monumentation deposit for $13,500.00. As you are aware, after the first inspection was completed a Certificate of Correction was required regarding monumentation. The one-year maintenance period began on November 4, 2016 (the date the Certificate of Correction was recorded.) The permittee is responsible for the repair and/or replacement of any defective work or failures that occur within that one year. The City will inspect the improvements within one year and notify you, in writing, whether or not any repairs are required. Your Faithful Performance of Maintenance Bond in the amount of $52,250.00 will be kept in force for the one-year maintenance period. If you have any questions, please call me at (408) 866-2157 Sincerely, Doris Qui Hoi Assistant Engineer Cc: Inspector /Suspense Files Permit File: ENC2014-00096 70 North First Street . Campbell, California 95008-1436 . TEL 408.866.2150 • FAx 408.376.0958 • TDD 408.866.2790 ................ . . .... . ..... ................ . . . ........................ -.J ......... ......... . .... . ........... .............. . . ......... ... . . ........... . .... . ............... .. . ............... — --- - -- --------- ------------- - --------------------- ---- - --------- ----------------------------- ------------- - ------------ ----1) c 13 a Q c ---- ----- ------ ---------- --- --- ----------- - ---------------- DO NOT ACCEPT THIS CHECK UNLESSTHE PINK LOCK TaICONS m, WEI F, 77- CHECK�..�DgTEF,7�- CHECK. 140. D R HORTON INC 5050 HOPYARD RD—.#180 PLEASANTON CA 94588 J y P o�,-CA'V A CG C�CH ARV• CITY OF CAMPBELL Public Works Department November 8, 2017 Eric Keller Western Pacific Housing 5050 Hopyard Rd., #180 Pleasanton, CA 94588 - SUBJECT: PERMIT NO. ENC 2014-00096 Cottage Place., Campbell, CA FINAL INSPECTION AND ACCEPTANCE To Whom It May Concern: 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 Maintenance Bond in the amount of 52,250.00 is enclosed. Sincerely, 5 7— Syed Wahidi Public works Inspector Maintenance Bond #CMS291945 70 North First Street • Campbell, California 95008-1423- • TEL 408.866.2150 • FAx 408.376.0958 • TDD 408.866.2790 r1'v C.. a.ci i Ll —t3Z6 ",� BOND FOR FAITHFUL PERFORMANCE OF MAINTENANCE PERIOD ENCROACHMENT PERMIT NO.2014-00096 We, the undersigned —Western Pacific Housing, Inc. a Delaware Corporation (hereinafter "Principal") and RLI Insurance Company , a corporation organized under the laws of the State of inols and authorized to transact business in the State of California, as Surety, are obligated to the Citx of Campbell (hereinafter "City") a municipal corporation under the laws of the State of California, in the sum of i if tV-two Thousand, Two Hundred and Fifty Dollars ($ 52,250.00 ) for the payment of which sum we obligate ourselves and our successors and assigns, jointly and severally by the following provisions: The condition of this obligation is that the Principal entered, or is about to enter, into a certain written Contract with the City dated December 3 , 2014 _and entitled Street Improvement Agreement aone year maintenance period of the work described in said Contract, a true and correct copy of which is presently on file in the office of the City Clerk of the City of Campbell, which said agreement is hereby referred to and made a part hereof. And, the City requires a guarantee from the Principal against defective materials and workmanship in connection with that maintenance. Now, therefore, the Principal agrees that it shall make all repairs or replacements necessary during the period of one-year from the date of acceptance of the contract work, by reason of defective materials or workmanship in connection with the Contract. If those defective materials or workmanship occur within that period, the City shall give the Principal and Surety written notice of that defect within 60 days after discovery. When each replacement is made to the satisfaction of the City, the obligation of the Principal and Surety shall be discharged as to that replacement, otherwise to remain in full force and effect, with surety obligated to secure full and faithful performance of all of Principal's obligations under the above -referenced contract. Any repairs or replacements made under this bond shall in like manner be subject to the terms and conditions of it. No prepayment or delay in payment and no changes, extensions, addition or alteration of any provision of said Contract or in any plans and specifications referred to herein, and no forbearance on the part of the City shall operate to release the Surety from liability on this bond, and consent to make such alterations without fiuther notice to or consent by the Surety is hereby given, and the Surety hereby waives the provisions of Section 2819 of the Civil Code of the State of California. In witness, the parties have executed this agreement as of October 21 , 20 16 (Attach Acknowledgements) (Both Principal's and Surety's Attorney in Fact) (Principal)_ Western Pacific Housing, Inc., _ a Delaware Corporation BY Title Dean K. Mills, Vice President (Surety) RLI Insurance Compan ////� � Margaret A inem, Attorney -in -fact Address of Surety 3655 North Point Pkwy, #t400 Alpharetta, GA 30005 Surety's Bond Number CMS291945 (Accompany this bond with Attorney-in-fact's authority from Surety to execute the bond certified to include the date of the bond.) c/o Willis of Florida, Inc, 4211 W. Boy Scout Blvd., Ste, 1000 Tampa, FL 33607 Inquiries: (813) 281-2095 J:\FORMS\Templates\Encroachment Permits\Encroachment Permit Maintenance Bond.doe (Rev. 03/08) 0 ACKNOWLEDGEMENT BY SURETY STATE .OF FLORIDA COUNTY OF HILLSBOROUGH I SS. On this 21St day of October, 2016 before me, personally came Margaret A. Ginern, who is personally known to me (or proved to me on the basis of satisfactory evidence) to be the person who executed the within Instrument as Attorney -In -Fact on behalf of RLI Insurance Company, and acknowledged to me that he/she executed the within instrument on behalf of said surety company and was duly authorized to do. In witness whereof, I have signed and affixed my official seal on the date in this certificate first above written. Signature Eileen C. Heard :�v`.'"Y°9•: EILEEN C. HEARD =•: �= commi89ian # FF 16346 F qs Expires October 22, 2018 P,,,,f1 SOWThNNYFANhourenea00A.aAAaot® This area for Official Notarial Seal .. 1.Seaate Bill 1050 airzends ;Secttoi s l)" :,and 1195: of the Gzvzl. Code arid„ Sectzorz ; 8202 of the Go-verrzznenC Coele, relatirzd to notaries p ibhc The below phys" t farr iat of 'the new disclosure; notice xs an.exanple; for ptuposes-,af illustration: ;A: notary publ;ic::or.otlier officer coixipleting thzs:; certificate verifies.only the i.denoiy auio :i�d�vidual who,signedjhe docuanent:to Which this. certificate is attached, and nat the truthfii'l less accuracy;, of validity% of'that,docurr►eit, State of California Comity of ; A la�nedla, . On Insert name and title of officer), personally appeared. who. proved to xie on the basis. of satisfactory evidence to be the,personjwliose naiil isle subscribed to the within :instruanent:. and ac no �%le6ed =to me -that., h! sl�u .executed the.. sazue in ;hisfthef/tWjr. autliorzled capacity(i ,and t..: , hi$/ly flti r s pat'the intruineut the 'person the egti u one _ ty p behalfof`w1lich the;persoia'acteii, execirted Elie instrument. I certify under ,PENALTY OF PER BURY iin'dei the laws'of-tle State of California "fhat the. fore o.ing paragraph: zs true and' correct WITNE-,S.S my;hand.and=:officialaeal SZhature '(Seal)" KRISTIN M. CASEY Commissim # 2124729 " Notaty POIC - COOM AlaQ as Courdr LQMvCw=qPMw!9MS!421 MO POWER OF ATTORNEY 9025 N. Lindbergh Dr, I Peoria, IL 61615 i PhRIoIne: (80Suety0)645-2402I Fax: (309)689-2036 RLI Insurance Company www.rlicorp.com Know All Men by These Presents: That this Power of Attorney is not valid or in effect unless attached to the bond which it authorizes executed, but may be detached by the approving officer if desired. That RLI Insurance Company, an Illinois corporation, does hereby make, constitute and appoint: David H. Carr Anett Cardinale Margaret A Ginem Eileen C. Heard Brandy L. Baich, Jointly or severally in the City of Tampa , State of Florida its true and lawful Agent and Attorney in Fact, with full power and authority hereby conferred, to sign, execute, acknowledge and deliver for and on its behalf as Surety, the following described bond. Any and all bonds provided the bond penalty does not exceed Twenty Five Million Dollars ($25,000,000.00). The acknowledgment and execution of such bond by the said Attorney in Fact shall be as binding upon this Company as if such bond had been executed and acknowledged by the regularly elected officers of this Company. The RLI Insurance Company further certifies that the following is a true and exact copy of the Resolution adopted by the Board of Directors of RLI Insurance Company, and now in force to -wit: _"All bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or Agents who shall have authority to issue bonds, policies or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile." IN WITNESS WHEREOF, the RLI Insurance Company has caused these presents to be executed by its Vice President with its corporate seal affixed this 31 st day of March 2016 RLI Insurance Company �paoearF Al. By: Barton W. Davis Vice President State of Illinois SS County of Peoria CERTIFICATE On this 31 st day of March , 2016 before me, a Notary Public, personally appeared Barton W. Davis who being by me duly sworn, acknowledged that he signed the above Power of Attorney as the aforesaid officer of the RLI Insurance Company and acknowledged said instrument to be the voluntary act and deed of said corporation. By: Jacque ' e M. Bockler Notary Public L' "OFFICIAL SEAL" NOTARY OO ':,era10UG JACQUELINE M. BOCKLER �uNocs COMMISSION EXPIRES 01/14l18 0935915020212 I, the undersigned officer of RLI Insurance Company, a stock corporation of the State of Illinois, do hereby certify that the attached Power of Attorney is in full force and effect and is irrevocable; and furthermore, that the Resolution of the Company as set forth in the Power of Attorney, is now in force. In testimony whereof, I have hereu to set my d the seal f the RLI Insurance Company this day o!, RLI Insurance Company By: / .a j J. Barton W. Davis Vice President A0058514 .L ti Recording Requested By: ) City of Campbell ) After Recording Return To:) City Clerk ) City of Campbell ): 70 North First Street ) Campbell, CA` 95008 ) APN: 412-04-013, 412-04-012, 412-04-078 (Space Above this Line for Recorder's Use Only) ADDRESS: 45, 59-63-67, 69 and 81 Kennedy Avenue, Campbell, CA 95008 COVENANTS FOR OPERATION AND MAINTENANCE . OF STORMWATER RUNOFF FACILITIES These COVENANTS, are made on this !�`u day of1) -ILty t, b4y' " 2014, by WESTERN PACIFIC HOUSING, INC., A DELAWARE CORPORATION (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 C, and commonly known as 45, 59-63-67, 69 and 81 Kennedy.Avenue, which property is hereinafter referred to as "said real property. 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. 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 (Rev.03/08) - 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. 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 note 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 (Rev. 03/08) N 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. 10 RECORDATION. These covenants shall be recorded in the Offices of the County Recorder for the County of Santa Clara, State of California. I.N1WITNESS WHEREOF, the undersigned Covenantor has executed this declaration this day of t %.-/ , 2014. WESTERN PACIFIC HOUSING, INC., . A_ DELAWARE CORPORATION. Dean K. Mills, Assistant Secretary of the Corporation. (Acknowledgment/Notarization Required) (Rev. 03/08) STATE OF CALIFORNIA ) COUNTY OF ALAMEDA ) On 12-5-14, before me, Tiffany M. Zamora , Notary Public, personally appeared Dean K. Mills 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. L1 21 L Signature (Seal) MAW �A 929217CALIFORNIA nA COUNTYCH 19, 2015 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. Geotechhical 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 berequiredfor 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. (Rev. 03/08) We L X W MITIGATION MEASURES I' (aRRs Mm I u�.; IDI A2I-r. IJ asr-PArorc ourLsfm Lawxlc caysrRxnav LRavrs AVm • JACOUELrtJ HESiER JACCUELYN HESiER 4HASH HAHINI I ARPSH RAHINI AHD. I Tl x:AnR U4 CDIeR SrUG"➢ACS Or e(W6S Soa ANo DMflf vAILWaS rHAI TRUSTEES i926 i 5.S 2-12E 1-1 IAOUSiAY.gS CAN Bf MUNN BY 11S INNA 1991-10926335. SCCR 1991-10936333. SCCR 3011-31N912]D. SCCR Ot - 2. 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WV Mo9B SLF 9rEEr B F.CGYSiFU.. i.IM1N Df! t 20135 ,• f,G .:1 �? w' I / -~ y sff rorva lwRDrcArLNr nnNs SCALE: Io s D ID z9 5D :�'•q'�y F scat£ M 10 °`D Y 23 jc 1= lo5TI13271. =1 fl2 — — — — — — —L— — — — — L DMA #3TR DMA #4TR DMA #6TR DMA #7TR SELF TREATING AREA SELF TREATING AREA '' w SELF TREATING AREAsE TREATING AREA N 14a 14 I F- DMA -&4 DMA 5 3 1 DMA _U6 DMA A7 DMA #8 D rl,492 SF (TOTAL) 1.472 SIF Q 1,457 SF (TOTAL) 1.455 SF (TOTAL) 951 sr 1.115 SF (IMPERVIOUS) 910 SF TOTAL) us) SF �TWOTEARVIO 1.115 SF ((PERVIOUS 1,116i 3F (I PERVIOUS) X: 1,114 SF (IMPERVIOUS) 525 us) 377 SF PERVIOUS) 356 SF (P RVIOUS) f-.: 342 SF (PERVIOUS) 341 SF (PERVIOUS) 505 SF 425 sr PERVIOUS) XIMPEW IOUS 75% XIMPERIVVIO 76% %ImPER 10 S = 77X XIMPERVI US = 77% 415 SF PERVIC %I ERVIOUS = 56%. WL.LWLA "PERVIOUS *�DETAJL I SEESHEET8 5 DMA #1 DMA # 8.937 SF (TOTAL) bi 8,937 SF (TOTAL) 1 1 510 SF (IMPERVIOUS) 1.510 SF (IMPERVIOUS) 6' 5 2, ,17 S, �'IER"..S) BRAXTON TERRACE2.427 SF (PERVIOUS) %IMPERVIOUS 73—' XIMPERIAOUS 73% — — — — — - - — — — ------ ----------- ------- --------- 2,12 XM, 6 S DMA #9 Q JA—#LO UMA #11 1 1 I DMA #14 D A 5 MA #1 1.710 SF (TO TAIL) 1 592 SF (TOTAL) 1.749 SF TO 05 848 SF ((TOTAL 6 (TOTAL) 930 F (TAPE LIOU4 SF 930 -F PEPVIOUS) 4 5 SF NPERVIOU 171 ER111 I=( IM VUS) S) (IMPERVIOUS) RVI( US 54% SELF TREATING AREA 'N�')`US S) 700 1 SF PERVIOUS) NPERVIOUS RVI! US 53% PERVIOUS DMA #1 ISTR S' Sr ""P 2 11 (lE mPEI?vIOUS 69) SF (lE.OU DMA #9T 731PERVIOUS 5 % XIMPE W, llf�l —Ts SELF TREATINKG AREA---, pg r F7 0 ------------ — T� DMA 12 DMA #1 702 SF (TOTAL) 702 sr (TOTAL) 56D SFIMPrRVI.) 56o sr 142 5F IPERVIOUS) !2 SF (PERVIOUS) AVE %IMPERVIOUS = 80% KENNEDY AVE.. xrmr�,R VlOus-- aox — — — — — — — — — - !6= 7 -23— Tr rr IDFIJ T 1W5 � DFIN ?xt � LOP n mr mn a raa � 1 rA� fi •JL Dr�MMP/a /tM6' lRl .;WL:•. �C ��... ••�••>-i}ii i t ♦¢�rAYO ��� A!'/R3LCPQf AT PMt[CIDn P[ModlrD f �� � ��ARD SUJ-MAN iFR S1bF� ! I!3. 95/FWtA/ PR( SE�ION sE 1 OZ SD d DD flA9S PD DtflD®!AZ I 1 I � DO PfaYx9 __ __ •; ir•�•��• ' .ef.itZ {... e-m � F!-t F�.gRA 9 ii •� 'Talli.�'.' m>:n ___ °L,e •.. :B • 1 1. •.•. •j•. :• ••a °s�ai xrr o m nC�94P J9�.l� ..p �} ••• 11 t� I•RW M!NS0.D9! 39 wY. n aBasgNA D.... M rJ'S!?nt -•�'.l '. �ry � .�.P aJ tax.a �i1 AM ctt,`oa+ .20712 I , r� 6;z' • ' 2 =�'•1••s�'•ks•;: I IMV-N!1® MAN lLR 1C )0 M D1fir IJ reAry AT.ID 11099IIK II, DETAIL 1 — BIG— y�NTION AREA srnl 1 . 6MI-RMSD� I4R s n ] n SfN[ . I!II IaN-srt. STORM WATER MANAGEMENT NOTES: 1. GVLI]IATfONs SNDWN HERB AT.EPF)ITHE LATE4r9L1TBlR C]DTDRMB'ATER 3RQMICALGt]mANCE HANDOOOR i MY-319Am3UAL fl@CIRTATR)N rysAr)rDRrsre Dt0D3TSDR]lIU MCHFD rER f10[ME 61 L 9A'QI'ROIFDTMA}OP 16MdIDB6CLDlHI']OTNCRAW ODAOEATIANJOSCAIRIORT WDN AEW OF I1.9M06'S,1N8 MAT ADN6tafCM'}ACTOR-1[WI]9-�1 ' 4 SMUTOFRIMOFF TRRIIJTARYTDDFWY!-/11 i/le•/1MARDFH'FD[RMDET'N lPOQIDAATI TE]MQiATE4 ATTHH BNINETBt.-LION NFAB YIAABUBBLB1R lDlDEFAd ' SHOWN ONTD59ffl�i.80[DINO OFDOWN DFOIr198 81g8'N 9CffiMATCALLY ON T09 f1,121. 31D:RIINIlPFO r•ROOMGHADNAaAi R6URFACE GRAM MIOIHALIC TM H34BEIFNDON ARFAS THROUGH ATHRVLVRB WtARJ DIIIDI]tl/]ElIDLTYAILFEATHD DETAILON SNFEr 12 IHEDThFETRVNOFF FROMDAW w3 iYl] 6CDNVEYED lHD] T1{E APSI'LGRYB BrtFRPIINI]ON AREAITNRMIGNAQBIB OeFJtM0 ATD3E IDW POMT. T. AILOVERFTDW RIlR9 SFIu]. BED MMDM1DI M DL3MEIERA SAA12. BE ='W CARIIY IOYEAA 610 MEVFNI. UNIF595TAT3B9ODminISk AILBDBORAM PIPES MTIIE Dlanetmr]IDNARBAs s11ALLBBr evc. NVMERcc SIZING - COMEuED FLOW-VOLV E METHOD OBAONGD TOTAL t1USAiDO!MABBA POIATWO DEl18 MAN.IA�A SAtt3OHUiAAY %BCF[310IC PAOYm6D (Dw.) DMAY1 DDIT sF Dx 24]T [D • DMA 02 "ru Tlx 1•I SF 63 iN.� DMAY3 931w lz n n 6.9 bdn DE]A/3TA TlP 11IA1 DMAY4 L. 9P 13Y. Tl�w e�fadn DMA64M DMA Y! 1.4n" T6x AD SF aD;� DMA/6 LAsru Tlx e¢4a DMANM - _ l61F TATAmw DMA YI 14!!v -A DMAftM DMA AS fta 9l ]!% �� 613ed� DMA 19 "111 !6x M 6]lvmn DMA/4IR - - -ffiiL. _ DNAYIo 1,71.v "A 4mn iLxM DMAY11 6M ST 19x I�L;,v [9 h<M DMAY12 -. DN. Iytgl e1 Sed.. DMAYI3 mlF I9x DMA/14 H.`!F bf!D 196P BIlF11 [Ibda DMA/I! I,T49 SP Jnt !� O eJ lm[e� PMAY16 aDI SF !4]i 2l sP DRIII /3i�1 DMA916TR - - M.ITMIIu ATPA- !]a93 St (D.]Tt1 Ae3 wm M ]D DrrA s1PTL1rARR DADg23RDYs FDI mcr ]RLM w� 7�M.6 (ppp3Ap(3GGGGll Q OR " Exhibit C PARCEL ONE: LOT 4, BLOCK 1, AS DELINEATED UPON THAT CERTAIN MAP ENTITLED "SUNNYSIDE TRACT", FILED FOR RECORD IN THE OFFICE OF THE RECORDER OF THE COUNTY OF SANTA CLARA, STATE OF CALIFORNIA, ON DECEMBER 15TH, 1904IN BOOK K OF MAPS, AT PAGE 27, EXCEPTING THEREFROM ALL THAT PORTION CONVEYED TO THE CITY OF CAMPBELL, A MUNICIPAL CORPORATION BY INSTRUMENT RECORDED DECEMBER 11TH, 1969 IN BOOK 8766 OF OFFICIAL RECORDS, PAGE 695, AS FOLLOWS: BEGINNING AT THE SOUTHEAST CORNER OF LOT 4, BLOCK 1 AS SHOWN UPON THAT CERTAIN "MAP OF THE SUNNYSIDE TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE COUNTY RECORDER, COUNTY OF SANTA CLARA, STATE OF CALIFORNIA, ON DECEMBER 1.5, 1904, IN BOOK "K" OF MAPS, PAGE 27; THENCE, WESTALONG THE NORTHERLY LINE OF KENNEDY AVENUE, AS SHOWN UPON SAID "MAP OF THE SUNNYSIDE TRACT", 60 FEET, MORE OR LESS, TO THE SOUTHWEST CORNER OF SAID LOT 4; THENCE NORTHERLY ALONG THE WESTERLY LINE OF SAID LOTS 4, S, FEET, MORE OR LESS, TO A LINE PARALLEL WITH AND DISTANT 25 FEET NORTHERLY, MEASURED AT RIGHT ANGLES, FROM THE CENTER LINE OF KENNEDY AVENUE, AS SAID CENTER LINE SHOWN UPON SAID "MAP OF THE SUNNYSIDE TRACT"; THENCE, EAST ALONG SAID PARALLEL LINE 60 FEET, MORE OP, LESS, TO THE EASTERLY LINE OF SAID LOTS 4, THENCE SOUTHERLY ALONG SAID EASTERLY LINE OF LOTS 4, S FEET, MORE OR LESS, TO THE POINT OF BEGINNING, PARCEL TWO: LOT 51 BLOCK 1, DELINEATED UPON THAT CERTAIN MAP ENTITLED "MAP OF THE SUNNYSIDE TRACT', FILED FOR RECORD IN THE OFFICE OF THE RECORDER OF THE COUNTY OF SANTA CLARA, STATE OF CALIFORNIA, ON DECEMBER 15TH,1904 IN BOOK K OF MAPS, AT PAGE 27, EXCEPTING THEREFROM ALL THAT PORTION CONVEYED TO THE CITY OF CAMPBELL, A MUNICIPAL CORPORATION BY INSTRUMENT RECORDED DECEMBER 11TH, 1969_IN BOOK 8766 OF OFFICIAL RECORDS, PAGE 695, AS FOLLOWS; BE -GIN .NING AT THE SOUTHEAST CORNER OF LOT 5, BLOCK I, AS SHOWN UPON THAT CERTAIN "MAP OF THE SUNNYSIDE TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE COUNTY RECORDER, COUNTY OF SANTA CLARA, STATE OF CALIFORNIA, ON DECEMBER 15 1904 IN SOOIf "K" OF MAPS, PAGE 27p THENCE, WEST ALONG THE NORTHERLY LINE OF KENNEDY AVENUE, AS SHOWN UPON SAID "MAP OF THE SUNNYSIDE TRACT", 60 FEET, MORE OR LESS, TO THE SOUTHWEST CORNER OF SAID LOT 5; THENCE NORTHERLY ALONG THE WESTERLY LINE OF SAID LOT 5, FIVE (5) FEET, MORE OR LESS, TO. A LINE PARALLEL WITH AND DISTANT TWENTY-FIVE (25) FEET NORTHERLY, MEASURED AT. RIGHT ANGLES, FROM THE CENTERLINE OF KENNEDY AVENUE,.AS SAID CENTERLINE SHOWN UPON SAID "MAP OF THE SUNNYSIDE TRACT"; THENCE EAST ALONG SAID PARALLEL LINE 60 FEET, MORE OR LESS, TO THE EASTERLY LINE OF SAID LOT 5; THENCE SOUTHERLY ALONG SAID EASTERLY LINE OF LOT 5, FIVE (5) FEET, MORE OR LESS, TO THE POINT OF BEGINNING. PARCEL THREE: LOT 6 IN BLOCK 1 AS DESIGNATED AND DELINEATED UPON A CERTAIN MAP ENTITLED "MAP OF THE SUNNYSIDE TRACT, BRING A SUBDIVISION OF LANDS FORMERLY OWNED BY MRS. M.A. KENNEDY, RECORDED IN BOOK 1 PAGE 1.17 OF MAPS, RECORDS OF SANTA CLARA COUNTY", RECORDED DECEMBER 15, 1904 IN THE OFFICE OF THE COUNTY RECORDER OF THE COUNTY OF SANTA CLARA, STATE OF CALIFORNIA, IN BOOK "K" OF MAPS, AT PAGE 27 OF SAID COUNTY, PARCEL FOUR: LOT 7 IN BLOCK I. AS DESIGNATED AND DELINEATED ON A CERTAIN MAP ENTITLED, "MAP OF THE SUNNYSIDE TRACT, BEING A SUBDIVISION OF LOTS 1 AND 2 UPON MAP OF SUBDIVISION OF LANDS FORMERLY OWNED BY MRS. M,A: KENNEDY, RECORDED IN BOOK 1 OF MAPS, PAGE 117, RECORDS OF SANTA CLARA COUNTY", WHICH MAP OF SAID SUBDIVISION WAS RECORDED IN THE OFFICE OF THE COUNTY RECORDER OF THE COUNTY OF SANTA CLARA, STATE OF CALIFORNIA, DECEMBER 15, 1904IN BOOK "K" OF MAPS, PAGE 27, RE CORDS OF SAID COUNTY. /lL -vi / 7/25/2017 1:42 PM !�-�CCEL1k� PCDP 201404251439030400 AF02 201404251439207740 GRA4 201404251439540080 SDC 201404251440372270 FMTM 201404251441151490 CASH 2O1410301136594060 PCI1 201410301147099840 CASH 2O1411101111123320 MONU 201411101111364570 CORR 201610241418308050 Payment History For Case #: ENC2014-00096 �Pl MaFTWEMWDBpeaji11� 7,380.00 PrmtAppFee-Major-Eng 377.00 Est>=10K Grdng&Drain Pln Rev>= 1,590.00 .5 Ac Storm Drain Fee - All 4,448.00 Others Tract Map Fees-5 or More 6,718.00 Lots Constructio aa�h nP^^��* Q,3„�0 Non-Util Plan Ck/Insp < 29,260.00 $250K C�n-sV toti a hrtD pa i[ 8,360.00 onumerr `e urw 13,500.00 Certificate of Correction 561.00 Total Fees: $80,554.00 r&!LS w@ftw*1/24/2014 253146 JT 377.00 4/24/2014 253146 JT 1,590.00 4/24/2014 253146 JT 4,448.00 4/24/2014 253146 JT 6,718.00 4/24/2014 253146 JT 8-3 A .00 266b"— JT 29,260.00 11 /7/2014 256030 JT 8,36 "'11"0/ 11/7/2014 256030 JT W1,6 9.''' • I1/7/2014 256030 JT 561.00 10/17/201 , 266334 JT Paid: $80,554.00 TOTAL REMAINING DUE: 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $0.00 Page 1 of 1 CasePaymentHistory.. rpt R.E.Y. ENGINEERS, INC. Engineers I Surveyors I LiDAR May 10, 2016 D.R. Horton - Northern California 5050 Hopyard Road, Suite 180 Pleasanton, CA 94588 Subject: Cottage Place Monumentation Acceptance Letter The property corners and monumentation for Cottage Place were field surveyed and verified on May 2, 2016 and to be found in conformance to the Approved Plan Set and Tract Map Number 10238 — Cottage Place which was filed for record at the Santa Clara County Recorder's Office on March 27, 2015 in Book 881 of Maps at Pages 47-49. Lot 1— 45 Kennedy Avenue, Campbell, CA Building Permit BLD 2015-00268 Lot 2 — 47 Kennedy Avenue, Campbell, CA Building Permit BLD 2015-00269 Lot 3 — 49 Kennedy Avenue, Campbell, CA Building Permit BLD 2015-00953 Lot 4 — 51 Kennedy Avenue, Campbell, CA Building Permit BLD 2015-00954 Lot 5 — 53 Kennedy Avenue, Campbell, CA Building Permit BLD 2015-00955 Lot 6 — 55 Kennedy.Avenue, Campbell, CA Building Permit BLD 2015-00956 Lot 7 — 57 Kennedy Avenue, Campbell, CA Building Permit BLD 2015-00957 Lot 8 — 59 Kennedy Avenue, Campbell, CA Building Permit BLD 2015-00958 Lot 9 — 61 Braxton Terrace, Campbell, CA Building Permit BLD 2015-00270 Lot 10 — 63 Braxton Terrace, Campbell, CA Building Permit BLD 2015-00281 707 North Shoreline Blvd., Mountain View, CA 94043 1 Tele (408) 219 - 3236 �-, ,gCORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/UUly 7 T 7 J „/°°'^ CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED BELOW. THIS CERTIFICATE OF.INSURANCE DOES NOT CONSTITUTE REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. - If SUBROGATION IS WAIVED, subject to IMP11 ORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. this certificate does not confer rights to the :c the terms and conditions of the policy, certain policies may require an endorsement. A statement on certificate holder in lieu of such endorsement(s). 9 PRODUCER _ AOn Risk Services Southwest, Inc. CONTACT NAME: . PHONE (866) 283-7122 FAX No.)'(800) 363-0105 (AIC. No. Ext):G Dallas TX Office E-MAIL _ cityplace Center East ADDRESS: 2711 North Haskell Avenue - INSURER(S) AFFORDING COVERAGE - NAIL# suite 800 Dallas TX 75204 USA INSURER A: AIG Specialty Insurance Company 26883 INSURED INSURERS: Liberty insurance Corporation 6 western Pacific HoUsinq. Inc. 5050 Hopyard Road, Suite 180 and 225 _ INSURER C: Liberty Mutual Fire Ins Co 23035 Pleasanton CA 94588 USA INSURER D: INSURER E: INSURER F: REVISION NUMBER: U V tt'(AbGJ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO -THE INSU 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. Limits shown are as requested POLICYNUMBER MMIDD MMIDD LIMITS rR TYPE OF INSURANCE INSD WVD - - .EACH OCCURRENCE $5,000,000 X COMMERCIAL GENERAL LIABILITY. RMGGL CLAIMS -MADE M OCCUR SIR applies per policy ter s & condi ions $50,000 PREMISES Ea.ocwnence MED EXP (Any one person) PERSONAL & ADV INJURY $5,000,000.11 GENERAL AGGREGATE $5'000,000 -Co GEN'LAGGREGATE LIMITAPPLIES PER: PRODUCTS-COMPIOP AGG $5,000,000 N X POLICYEl ECT . El LOC _ OTHER: h • • A52-651-288173-034 07/01/2014 07/Ol/2015 COMBINED SINGLE LIMIT Ea accident $1, 000, 000 C AUTOMOBILE LIABILITY C - BODILY INJURY ( Per person) Z BODILY INJURY (Per accident) ANYAUTO .d., ALLOWNED SCHEDULED AUTOS t�.7 PROPERTY DAMAGE AUTOS 1xx HIREDAUTOS NON -OWNED Per accident AUTOS N U UMBRELLA LIAB OCCUR - EACH OCCURRENCE AGGREGATE - EXCESS LIAB CLAIMS-MJ DED RETENTION WA765D288173014 AOS 07/01 2014 77O1/2015 X PER STATUTE B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY E.L EACH ACCIDENT $1, 000, 000 ANY PROPRIETOR/PARTNER 1EXECUTIVE WC7651288173024 07/Ol/2014 07/Ol/2015 E.L DISEASE -EA EMPLOYEE $1,000,000 B OFFICERIMEMBEREXCLUDED7(Mandatory In NH) If -s. describe under wi E.L. DISEASE -POLICY LIMIT $1, 000, 000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Addrtronat Remarks Schedule, may be attached if more space is required) The City of Campbell, its agents, ifiicers, theoGeneraleLPabilit� officialsandpors licies. General luded aS dLiability and in accordance with the policy p Automobile Liability evidenced herein are 'Primary and Non-contributory to other insurance available to an Additional insured, but only in accordance with the policy's provisions. A waiver of Subrogation is granted in favor of City of Campbell, its agents, officers, attorneys, employees, officials and volunteers in accordance with the policy provisions of the workers' Compensation policy. CERTIFICATE HOLDER CANCELLATION �EN OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE ONS. City Of Campbell - AUTHORIZED REPRESENTATIVE 70 North First Street �JL Campbell CA 95008 USA OL y�dJJfG!/ ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD i UOLIC WORKS DEPARTMENT LAND DEVELOP::_-..'f Effective July 1, 2014 n TO: City Clerk PUBLIC WORKS FILE NO.'�C PROPERTY ADDRESS k1r. -t- \A-1, Please collect & receipt for the following monies: ACCT.,'. :ITEM . CAND DEVELOPMENT AM ,. 4722 Encroachment Permit Application Fee Non -Utility Encroachment Permit Major >_$10 000 $385.00 Minor Encroachment Permit <$io,om $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 47221 Utility and R-1 Permits Grading & Drainage Plan Review no deposit required 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 En ineet'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 Engineers Estimate 2203 Emerqency Cash Deposit 4% of En r. Est.* $500 min/$10 000 Max 2203 Faithful Performance Securit 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 100% of Cit 's Monumeritation Estimate 4920 Parkland Dedication Fee 75%/25% Due Upon Cert. of Occupancy) 4722 Lot Line Ad'ustment Includes Certificate of Compliance) $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 5117424 MISCELLANEOUS.,': Postage _ _ y Other Please Specify) *Engineer's Estimate shall be as approved by the City Engineer and shall include all items of work. TOTAL $ L(. NAME OF APPLICANT NAME OF PAYOR �' t ;' r _ PHONE `e ADDRESS -'e,, :a zip FOR RECEIVED BY .. CITY CLERK ONLY Date �' f u Recei t # J:IFgF MS\Tamplales\Adm,n,it,aU,eV occ5,pt Form Land Development 14.15 Date! nitials U !& 5;MAA File Copy - Do Not Mail CITY OF CAMPBELL , 70 NORTH FIRST STREET T —t' Anna' Stub 1 of I Number Date 0013236 12/16/14 1665341 /1\ll ila �.• �vaa ..a vaavw +� ��w � ��--- PO Numb Invoice Number Subdv Lot# Lot Address '-Cost Cde Legal Desc Gross Deductions Amount Paid- -------- --------------- ----- -------- ---------- 75PERCENTSFDPAR 60295 Cottage Place Single Family 24,1.92.50 24,192.50 ---24,192.50 24,192.50' CITY OF CAMPBELL 70 NORTH FIRST STREET rT TT T__ - 1-1--11- A "-*-I- A --4. Check Number 0013236 Date 12/16/14, Ctnh 1 of 1 1665341 ICl� lI1C. i.VllLiUllCCI 1/1JU til.a.1.. '-""-" -- - PO Numb invoice Number Subdv Lot# Lot Address Cost Cde Legal Desc Gross Deductions Amount Paid --------- -------- -------------- - ----------------------- ----- g Y 75PERCENTSFDPAR 60295 Cottage Place Single Family 24,192.50 24,192.50 ----------- ----------- ----------- 24,192.50 24,192.50 .,..i ice'. 12, P. C ORhS DEPARTMENT LAND DEVELOPh, Effective July 1, 2014 TO: Cite Clerk PUBLIC WORKS FILE NO-�C PROPERTY ADDRESS Z Z: Please collect & receipt for the followin monies ; AM C'AND .DEVELOPMENT 2 ncroac ment ermlt lcetlon ee Non -Utility Encroachment Permit Major >_$10 000 $385.00 Minor Encroachment Permit <$io,000 $220.00 _ Initial R-1 Permit N/C Subsequent R-1-Permits within Two Year Period $220.00 Ins ection Fee Minimum Charge per Location $385.00 Street Tree Planting/Removal N/C 2203 $500 per Tree Planting De asit Re uired $500.00/tree 2203 Plan Check Deposit 2% of Engineer's Estimate $500.00 min 4722 Utility and R 1 Permits Gradinq & Drainage Plan Review no deposit required 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 proiects 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 + 70/o of En ineers Estimate 2203 Emeraency 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 + $83110t 4722 Final Tract Ma 5 or More Lots $4,681.00 + $114/10t 2203 Monumentation Security 1 o0% of Cit 's Monumentation Estimate 4920 Parkland Dedication Fee 75%/25% Due Upon Cert. of Occu anc 4722 Lot Line Adjustment Includes Certificate of com Hance $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 $270.00 5117424 Postage MISCELL 4iVEOU$.01 Other Please Specify) "Engineer's Estimate shall be as approved by the City Engineer and shall include all items of work. TOTAL $ ~� �' •�� NAME OF APPLICANT NAME OF PAYOR@. PHONE ADDRESS Co. c .r� 1 `� \. i1J; zip !-- FOR .. ..... :: RECEIVED L F l 1.-.:� AINII- :_ l y %. CITY CLERK ONLY. Z C Date �., r. J:IFORMS\TemplalesWdministratve%Recaipl Poem Land Devalopmenl 14-15 Date! D:PiIl0I6PJ1N' .�;� f�nar•iGds ,L�(iilc%r , . CITY OF CAMPBELL "11 }ftTnn'TTS I'TTI QT QTU L`V P File Copy - Do Not Mail Stub 1 of 1 ck Number Date 0013224 12/16/14 1665341 PO Numb Invoice Number Subdv Lodi Lot Address Cost Cde Legal Desc Gross Deductions Amount Paid -------- --------------- ----- -------------------------------------------------- -------------------------- ------------- 75oMFDPARKFEE 60296 Cottage, Place Townhomes _ 30,220.00 30,220.00 30,220.00 30,220.00 Check Number 0013224 CITY OF CAMPBELL Date 12/16/14 70 NORTH FIRST STREET DRH Inc. Controlled Disb Acet. Stub 1 of 1 1665341 PO Numb Invoice Number -Subdv Lot# Lot Address Cost Cde Legal Desc Gross Deductions Amount Paid -------- --------------- - -- ----------------------------------------------------------------------------------------- 75sMFDPARKFEE 60296 Cottage Place Townhomes 30,220.00 30,220.00 30,220.00 30,220.00 l i c--, I7-1 h� 1 f'I r'.t 1 C:'. r_i 1 _. r} BOND FOR FAITHFUL PERFORMANCE OF MAINTENANCE PERIOD ENCROACHMENT PERMIT NO.2014-00096 We, the undersigned _ Western Pacific Housing, Inc. a Delaware Corporation (hereinafter "Principal") and RLl Insurance Company , a corporation organized under the laws of the State of inois and authorized to transact business in the State of California, as Surety, are obligated to the Cit of Campbell (hereinafter "City") a municipal corporation under the laws of the State of California, in the sum of Fifty-two Thousand, Two Hundred and Fifty Dollars (s 52,250.00 ) for the payment of which sum we obligate ourselves and our successors and assigns, jointly and severally by the following provisions: The condition of this obligation is that the Princival entered, or is about to enter, into a certain written Contract with the City dated December 3 , 2014 _and entitled Street Improvement Agreement a one year maintenance period of the work described in said Contract, a true and correct copy of which is presently on file in the office of the City Clerk of the City of Campbell, which said agreement is hereby referred to and made a part hereof. And, the City requires a guarantee from the Principal against defective materials and workmanship in connection with that maintenance. Now, therefore, the Principal agrees that it shall make all repairs or replacements necessary during the period of one-year from the date of acceptance of the contract work, by reason of defective materials or workmanship in connection with the Contract. If those defective materials or workmanship occur within that period, the City shall give the Principal and Surety written notice of that defect within 60 days after discovery. When each replacement is made to the satisfaction of the City, the obligation of the Principal and Surety shall be discharged as to that replacement, otherwise to remain in full force and effect, with surety obligated to secure full and faithful performance of all of Principal's obligations under the above -referenced contract. Any repairs or replacements made under this bond shall in like manner be subject to the terms and conditions of it. No prepayment or delay in payment and no changes, extensions, addition or alteration of any provision of said Contract or in any plans and specifications referred to herein, and no forbearance on the part of the City shall operate to release the Surety from liability on this bond, and consent to make such alterations without further notice to or consent by the Surety is hereby given, and the Surety hereby waives the provisions of Section 2819 of the Civil Code of the State of California. In witness, the parties have executed this agreement as of October 21 , 20 16 (Attach Acknowledgements) (Both Principal's and Surety's Attorney in Fact) (Principal)_ Western Pacific Housing, Inc., _ a Delaware Corporation By Title Dean K. Mills. Vice President (Surety) RLI Insurance Company r ByG Margaret A inem, Attorney -in -fact Address of Surety 3655 North Point Pkwy, #400 Alpharetta. GA 30005 Surety's Bond Number CMS291945 (Accompany this bond with Attomey-in-fact's authority from Surety to execute the bond certified to include the date of the bond.) cto Willis of Florida, Inc. 4211 W.:Boy scout Blvd., Ste.1000 Tampa, FL 33607 Inquiries: (813) 281-2095 J:\FORMS\Temp]ates\Encroachment Permits\Encroaclunent Permit Maintenance Bond.doc (Rev. 03/08) ACKNOWLEDGEMENT BY SURETY STATE OF FLORIDA COUNTY OF HILLSBOROUGH I SS. On this 21St day of October, 2016 before me, personally came Margaret A. Ginem, who is personally known to me (or proved to me on the basis of satisfactory evidence) to be the person who executed the within Instrument as Attorney -In -Fact on behalf of RLI Insurance Company, and acknowledged to me that he/she executed the within instrument on behalf of said surety company and was duly authorized to' do. " In witness whereof, I have signed and affixed my official seal on the date in this certificate first above written. Signature C Eileen C. Heard EILEEN C, HSARD •; `_ CDmmIs8lon # FF 163460 a= Ex�+ires October 22, 2018 p, ;, MQ Boddkl Thru Trey FNn In�urenes 80GdAA•70fe This area for Official Notarial Seal Senate Bill 1 OSa, amends Sections:1189 ,am '1 l 95 'of 'fhe GzVtl. Code. arid. Secttori 8202 ;of'tlie G'o ernnient, Code; :relating to notaries public. The below physical` format of the ne disclosure; notice is an eaanlple, for purposes;of illustration. A nota y. public;>;or other of eer co�np.leting this:; certificate verifies onlytlie identity, cif the in,, IuIdu,0 whosigned the documec t:to which this certifcate,is;attached, and not`the. truthfulness; =accurac}�; of vali',.1 ofthat document.. State of tajifornia, County ofA_�+(Y�Q(, :on /(0/29. Abefoa.'e me .i� I .. Ivl . QS-2 (here U ansert:name and title 6f sffcer), personally appeared,: � n tl-A i i l S NM o proved to me on. t1 e basis of satisfactory evidence to be ihd personX �ti:liosc natho(<) is/fie subscribed; to; ahe avithin �instr..ument, and acknoN ledged to .me that he/sjxcrltlyey executed the. same an =lii�/]yeflt) r. autlionced capac dolt and .that by ;l esQ fltl�e)-r: gnatute(,s'on the instrum ent the.'person or the entity upon: behal.f.of �vliich the person }'acted,. executed the nstrument. J. certify under PENALTY OF `I'ERIMY d der toe laws of th'e. State of Cal`iforiva'fhat t1 e; foregoing paragraph is true and,;Qorreof WJTNESS;myh'and and=official seal. Signature (Seal)' La KRISTIN M. CASEY Commission # 212472S9 Nowy Public - Cm mft Alameda COUM (�p{n,EWM Aug24 M9, I `i ® RLI Surety RU 9025 N. Lindbergh Dr. I Peoria, IL 61615 Phone: (800)645-2402 1 Fax: (309)689-2036 www.rlicorp.com Know All Men by These Presents: POWER OF ATTORNEY RLI Insurance Company That this Power of Attorney is not valid or in effect unless attached to the bond which it authorizes executed, but may be detached by the approving officer if desired. That RLI Insurance Company, an Illinois corporation, does hereby make, constitute and appoint: David H. Carr Anett Cardinale Margaret A Ginem Eileen C. Heard- Brandy L. Baich jointly or severally in the City of Tampa , State of Florida its true and lawful Agent and Attorney in Fact, with full power and authority hereby conferred, to sign, execute, acknowledge and deliver for and on its behalf as Surety, the following described bond. Any and all bonds provided the bond penalty does not exceed Twenty Five Million Dollars ($25,000,000.00). The acknowledgment and execution of such bond by the said Attorney in Fact shall be as binding upon this Company as if such bond had been executed and acknowledged by the regularly elected officers of this Company. The RLI Insurance Company further certifies that the following is a true and exact copy of the Resolution adopted by the Board of Directors of RLI Insurance Company, and now in force to -wit: "All bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or Agents who shall have authority to issue bonds, policies or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile." IN WITNESS WHEREOF, the RLI Insurance Company has caused these presents to be executed by its Vice President with its corporate seal affixed this 31 st day of March , 2016 RLI Insurance Company . �Raa9rF•' E By '• E _ Barton W. Davis Vice President State of Illinois SS County of Peoria On this 31st day of March 2016 before me, a Notary Public, personally appeared Barton W. Davis , who being by me duly sworn, acknowledged that he signed the above Power of Attorney as the aforesaid officer of the RLI Insurance Company and acknowledged said instrument to be the voluntary act and deed of said corporation. By:. Jacque ' e M. Bockler Notary Public I� NOTAR "OFFICIAL SEAL" aueuc JACQUELINE M. BOCKLER STATr OF autrors COMMISSION EXPIRES 01/14/18 CERTIFICATE I, the undersigned officer of RLI Insurance Company, a stock corporation of the State of Illinois, do hereby certify that the attached Power of Attorney is in full force and effect and is irrevocable; and furthermore, that the Resolution of the Company as set forth in the Power of Attorney, is now in force. In testimony whereof, I have hereu to set my d the seal� Qjf�� the RLI Insurance Company this day o�, acel (9 RLI Insurance Company By: �6-' r H/ . • Barton W. Davis Vice President 0935915020212 A0058514 Bond No. 0188395 BOND FOR LABOR AND MATERIAL ENCROACHMENT PERMIT NO. c ? DI t I — DDDCl6 We, the undersigned D.R. HortonInc.,BAY, Ia Delaware* (hereinafter "Principal") and Berkley Insurance Company a corporation organized under the laws. of the State of Delaware and authorized to transact business in the State of California, as Surety, are obligated to die City of Campbell (hereinafter "CiV'), a municipal corporation under the laws of the State of California, in the sum of Two Hundred Nine Thousand and 00/100------------------ Dollars ($ 209,000.00 ) for the payment of which sum we obligate ourselves and our successors and assigns, jointly and severally by the following provisions: *Corporation The condition of this obligation is that the Principal entered, or is about to enter, into a certain written Encroachment Permit with the City dated-(�t�Dt `n 20 \ LAwhich said Encroachment Permit No. is hereby referred to and made a part hereof. t✓ �C�.o��t-cAcSc� Because Principal is required to furnish a bond in connection with the Encroachment Permit, providing that if Principal, or any of its subcontractors, shall fail to pay for any materials, or other supplies; or for any work or labor on the permitted work of any kind, or for amounts due under the unemployment insurance act with respect to any work or labor on this project, the Surety on this bond will pay for the debt, in an amount not exceeding the sum specified in this bond, and also, in case suit is brought upon the bond, a reasonable attorney's fee to be fixed by the court. Now, therefore, we, D R Horton BAY Inc. a Delaware Corporation as Principal, AND Berkley Insurance Company as Surety, are obligated to the City of Campbell, and all contractors, subcontractors, laborers, material men and other persons employed in the performance of the aforesaid agreement in the sum of Two Hundred Nine Thousand and 00/100-------- ----------------------------------- Dollars ($2091000.00 ), lawful money of the United States, for the payment of wMelh sums will and truly to be made, we the said Principal and Surety bind ourselves, successors and assigns, jointly and severally, by these provisions. The condition of this obligation is that if Principal, its successors or assigns, or its subcontractor, or subcontractors, shall fail to pay for any labor, materials, or other supplies, used in the performance of the work permitted to be done, or for amounts due under the unemployment insurance act with respect to this work or labor, then the Surety on this bond will pay for them, in an amount not exceeding the sum specified in this bond, and in case suit is brought upon this bond will also pay a reasonable attorney's fee, to be fixed by the court. Venue for any action arising out of this obligation shall lie in the County of Santa Clara, State of California. It is expressly stipulated and agreed that this bond shall inure to the benefit of any and all persons, companies and corporations entitled to file claims under Title 15 (commencing with Section 3082) of Part 4 of Division 3 of the Civil Code, so as to give a right of action to them or their assigns in any suit brought upon this bond. Should the condition of this bond be fully performed, then this obligation shall become null and void, otherwise it shall be and remain in full force and effect. No prepayment or delay in payment and no changes, extensions, addition or alteration of any provision of said Encroachment Permit or in any plans and specifications referred to herein, and no forbearance on the part of the City shall operate to release the Surety from liability on this bond, and consent to make such alterations without further notice to or consent by the Surety is hereby given, and the Surety hereby waives the provisions of Section 2819 of the Civil Code of the State of California. In witness, the parties have executed this agreement as of October 22, 20 14 (Principal) D.R. Horton BAY, Inc., a Delaware Corporation ti T;11, 5 5 t V i (:- e- re_ S i d d'-t- � (Surety) Berkley Insurance Company ByG�� iC� . ✓%i,� Margaret A. Gtnem, Attorney -In -Fact Address of Surety: c/o Willis of Florida (Attach Acknowledgments 4211 W. Boy Scout Blvd. #1000 Tampa, FL 33607 Inquiries: (813) 281-2095 Both Principal's and Surety's Attorney in Fact) Surety's Bond Number 0188395 (Accompany this bond with attomey-in-fact's authority from Surety to execute the bond, certified to include the date of the bond.) J:TORMSUemplatesEncroachment PermitslBond for Labor & Materials.doc (Rev. 03/08) cALWORNIA A . UP.01-00:88. ACKNOWLEDGE.-MENT I + , + + State Or County Of CA- 0-4 V-n V, before me, Wary Date porsoNa 11 . y'appb,OrQd' L) C> Name andurNames QfSig.00*.) b — of bVideft VV.ho:pro 00A Me-b pe is/bTO 80b, q�-0 bed to bQ-1 the person(5)—, subscribed andbckhbv&dg0d'to: me that to. the within instrument j:�Jhi��dftir authorizedh helshelfhey executed the same . in .. �ignafum(s) on Ifid cap and that W hWhorAheir +. Opity .)� acid 0 behalf Of jn!�tnjq1qhtffie perEOP(g)i or the 0,ntjjtY.- YPG wh)ic,fi, the per$60(.5) acted, executed tjhoinstrument. Iceriify under PENALTY' CtpE. 4.UPY under the 18WG: of a paragraph i* at j4 J' , P. true the8t�.ebfQ ifbmi and,wTOct.. Wi1n08!9 (0Y hand. and Official. seal, S.Ijlbrofurq.-�,-)l ovary Fut9c bkgpaW!5 OP-TIONAL, TIFFANY lVi. ZAMORA (;OMm,#1929217 t,)oTARY PUBLIC 0 CALI FORMA C9 CONTV COSTA COUNTY ti C 'mrn. Exp. MARCH 19,201F� Place Notary - F�Ubrir .y e Seal Aqve: thd.ppr�o!h$ r*Pt' t -ova _lying og the dodurne.1h. and CdOld P fofmqtfQn below it not rPq*fP,d,4Y Vq -kotdiWe, (0 Though;the in do -and reattachment of this fb&nJd.,anoth&r cufn6ht. Description of Aftadhed Documbnt Title: or Type of Document Document Date Signer's Name. E! individual E! corporate,offiber =Tiffe(s)' 11 Partner - El Limited El Gener.pF 0 Guardian a'h or Conservator El Attorriey-innFact. ETTrustee- Q Other, Signer is. representing Numberof. Pages: ElfndiVid.baf Q Corporate -officer — Titllle(s): - D Partne '[]Limited E! Gen'eral 0 Guardian br Conservator Top ofjh6mb ToP of thumb 11 Attorney-in-Fact 0,:Trustee: Q Other- 77 Signer is representing ---------- 7— ACKNOWLEDGEMENT BY SURETY STATE OF FLORIDA Ss. COUNTY OF HILLSBOROUGH On this 22"d day of October, 2014 before me, personally came Margaret A. Ginem, who is personally known to me (or proved to. me on the basis of satisfactory evidence) to be the person who executed the within Instrument as Attorney -In -Fact on behalf of Berkley Insurance Company, and acknowledged to me that he/she executed the within instrument on behalf of said surety company and was duly authorized to do. In witness whereof, I have signed and affixed my official seal on the date in this certificate first above written. Signature�✓L.t�J✓`e'�lA,l� Brandy L. Baich Brandy L. Baidt ' __�� _Commission # FF 155500 =ADS `-E Aires: AUG 27, 2018 �'�•FOFF` SONDEDTHRU •• 1ST FLORIDA NOTARY, LLC This area for Official Notarial Seal IN0. 151- / /3ou # POWER OF ATTORNEY __AKLEY INSURANCE COMPANY WILMINGTON, DELAWARE NOTICE: The warning found elsewhere in this Power of Attorney affects the validity thereof. Please review carefully. KNOW ALL MEN BY THESE PRESENTS, that BERKLEY INSURANCE COMPANY (the "Company"), a corporation duly organized and existing under the laws of the State of Delaware, having its principal office in Greenwich, CT, has made, constituted and appointed, and does by these presents make, constitute and appoint: David H. Carr, Anett Cardinale, Margaret A. Ginem, Linda Horn, Eileen C. Heard or Diane Sidebothmn of Willis of Florida, Inc. of Tampa, FL its true and lawful Attorney -in -Fact, to sign its name as surety only as delineated below and to execute, seal, acknowledge and deliver any and all bonds and undertakings, with the exception of Financial Guaranty Insurance, providing that no single obligation shall exceed Fifty Million and 00/100 U.S. Dollars (U.S.$s0,000,000.00), to the same extent as if such bonds had been duly executed and acknowledged by s the regularly elected officers of the Company at its principal office in their own proper persons. This Power of Attorney shall be construed and enforced in accordance with, and governed by, the laws of the State of Delaware, without giving effect to the principles of conflicts of laws thereof. This Power of Attorney is granted pursuant to the following y y resolutions which were duly and validly adopted at a meeting of the Board of Directors of the Company held on January 25, 2010: RESOLVED, that, .with respect to the Surety business written by Berkley Surety Group, the Chairman of the Board, Chief ;L Executive Officer, President or any Vice President of the Company, in conjunction with the Secretary or any Assistant Secretary are hereby authorized to execute powers of attorney authorizing and qualifying the attorney -in -fact named therein to execute bonds, undertakings, recognizances, or other suretyship obligations on behalf of the Company, and to affix the o corporate seal of the Company to powers of attorney, executed pursuant hereto; and said officers may remove any such S attorney -in -fact and revoke any power of attorney previously granted; and further RESOLVED, that such power of attorney limits the acts of those named therein to the bonds, undertakings, recognizances, or other suretyship obligations specifically named therein, and they have no authority to bind the Company except in the manner and to the extent therein stated; and further G RESOLVED, that such power of attorney revokes all previous powers issued on behalf of the attorney -in -fact named; and furth er 5n RESOLVED, that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or y other suretyship obligation of the Company; and such signature and seal when so used shall have the same force and effect as L ue to use for the purposes herein stated the facsimile signature of any though manually affixed. The Company may contin person or persons who shall have been such officer or officers of the Company, notwithstanding the fact that they may have ceased to be such at the time when such instruments shall be issued. IN WITNESS WHEREOF, the Company has caused these presents to be signed and attested by its appropriate officers and its S n corporate seal hereunto affixed this 2 day of Aor ( 1 12014. ti Attest: Berkley Insurance Company "President (Seal) By BIra . Lederman J yvSenior Vice President & Secretarynior WARNING: THIS POWER INVALID IF NOT PRINTED ON BLUE "BERKLEY" SECURITY PAPER. _ y .� STATE OF CONNECTICUT ) ss: COUNTY OF FAIRFIELD ) Sworn to before me, a Notary Public in the State of Connecticut, this day of i 2014, by Ira S. Lederman and Jeffrey M. Hafter who are sworn to me to be the Senior Vice President and Secreta ,and the en/ r Vice�President, respectively, of Berkley Insurance Company, KATHLEENCAREY otary Public, tape o ` necti QQTARYPUBLIG DNNECTICUT CERTIFICATE MY SSIONEXPIRES OCTOBER312017 I, the undersigned; Assistant Secretary of BERKLEY INSURANCE COMPANY, DO HEREBY CER IFY that the foregoing is a true, correct and complete copy of the original Power of Attorney; that said Power of Attorney has not been revoked or rescinded _ = and that the authority of the Attorney -in -Fact set forth therein, who executed the bond or undertakin which this Power of Attorney is attached, is in full force and effect as of this date. ® n � E 1 Given under my hand and seal of the Company, this ad- day of �(�`�g1 �h'T (Seal) We, the undersignedD R Horton BAY Inc., a Delaware, (hereina a corporation or, Delaware and authorized to transact obligated to the City of Campbell, (hereinafter "City") a municipal corporatit sum of Two Hundred Nine Thousand and 00/100 ------------- (S 209.000.00------- ) for the payment of which sum Are obligate ourselves ani the following provisions: *Corporation The condition of this obligation is: . , Because the obligated Principal has, on gA \--, e.<, ac Permit with the City for the Project, a copy of which Encroachment construction of Project Cottage Place Tract 10238 Bond No. 0188395 L4-QOC�1& ;r "Principal ") and Berkley Insurance Company nized under the laws - of the State of )usiness in the State of California, as Surety, are under the laws of the State of California, in the our successors and assigns, jointly and severally by _ 20 �- entered into written Encroachment is attached and made a part of this bond, for Now, therefore, if the Principal shall faithfully perform the work in accordance with the plans, specifications and permit documents during the original tetra, and any extensions of the permit which may be granted by the City, with or without notice to the surety, and if it shall satisfy all claims and demands incurred under the permit, and shall frilly indemnify and save harmless the City from all costs and damages which it may suffer by reason of failure to do so, and shall reimburse and repay the City all outlay and expense which the City may incur in curing any default, then this obligation shall be void; otherwise to remain in full force and effect, with surety obligated to secure the full and faithful performance of all of Principal's obligations under the attached Encroachment Permit. If any legal -action be filed upon this bond, it shall be filed within i Encroachment Permit excluding the warranty period, if any, provided for in County of Santa Clara, State of California, and that surety, for value receiv time, alteration or addition to the terms of the Encroachment Permit or to tl accompanying it shall in any way affect its obligation on this bond, and extension of time, alteration or addition to the terms of the Encroachment Per waives the provisions of Section 2819 of the Civil Code of the State of Calife In witness, the parties have executed this agreement as of Octobe (Surety) B By Margai Address o 4211 W. l (Attach Acknowledgements) Surety's (Both Principal's and Surety's Attorney in Fact) authority h certified to J:\FORMS\Templates\Encroachment Perrnits\Bond for Faithful Performance.doc (Rev. e year after final payment has been made under the to Encroachment Permit, and venue shall lie in the stipulates and agrees that no change, extension of work to be performed under it or the specifications does by this means waive notice of any change, it or to the work or to the specifications, and thereby 20 14 .R. Horton BAY, Inc., a Delaware Corporation Insurance Company - t •ety:c/o Willis of Florida Scout Blvd., 41000, Tampa, FL 33 [Number 0188395 this bond with Attorney-in-fact's a Surety to execute the bond, elude the date of the bond.) :(813)281-2095 KNOW L I EDGEMENT CALWORNIA ALLRUR[508E AC ++*+ ++++ **++,+ + ++ + + +.+,++ + + + + + + + + State of County of C before me', 0, On Name ana I jue or NotaFy pate personally appewed Name andor NaME6 of signer(s) Who` proved to me on the, basis: ofsafisfaqfbry OVidenco tobe the. person.(5jwhose r)pme� s isla 0 r . subscribed ib r :ed t acknowledged 0 MO that ; the thin ift Menf and ockno6WI I sfr6 .. he/8helfhay" ecuted,thes*ame in his/her/their r/jheir authorized capap . ,and that 0y,hW1he.ritfiE0Jr signaturp(s). on: t.he. instrument the pers,o(s)j or the entify, upon behalf of; which; the:ttojns ment x 1 certifyd y, underthe b 0 laws of under F)'ENA.1-Ty- OF PER)IJR a h p true f California ,t the fore - tr the at 0..+,.hat 90 109" pafag r P andcorrect: Witnessmy4 qdarjdpfjqiar8pa(. Signature ::4 Notary is Signature OPTIMAL TIFFANY M. 7AMORA COMM, #1929217 KE L) G NOTARY PUBLIC *CALIFORNIA CONTRA COSTA COUNTY %Comm. Exi,. MARCH 19, 2015( poallotar.Y.P.jiblic Seal;?"ve on th&,dpctji�ehtand d&dldP'rO�P�(:FrOuqo�(re'ma.va.1' 6blbtbthei�,6&r§6i7$.ielyif7 7hoqgh1heir?f9 ffiW''-fi ,; it may prpve valuable 5ijd re6tjd6hrjjerjt6f.this form: _t6,anotfierdo&ijMdht DdsdrJiPti6t1 aAtfadhed Documeht Title, or Type: of Document Document D`ate' Signee's-Name: 11. individubf El Corporate- Officer 11 Partner - El Limited El General, El Guardian Or Conservator El, Attorney -in" Fact. El Trustee Other. Signer is. representing Number of Pages: El [ndiVidual. cOrporate. OfficOr -- Title(b): El .P artner - 1] Limited. 11.General • EI.Guardiah or Conservator Top. of. thumb Too, of thumb El Attorney -in -Fact. 0 Trdstbe. Q Other: Signer is; reprpsenti.nN.- + + + + + + 41 + + + + + + + + ACKNOWLEDGEMENT BY SURETY STATE. OF FLORIDA SS - OF HILLSBOROUGH On On this 22"d day of October, .2014 before me, personally came Margaret A. Ginem, who is personally known to me (or proved .to me on the basis of satisfactory evidence) tobe the person who executed the within Instrument as Attorney -In -Fact on behalf of Berkley Insurance Com-pany, and- acknowledged to me that he/she executed the within instrument on behalf of said surety company and was duly authorized to do. In witness whereof, I -have signed and affixed my official seal on the date in this certificate first above written. Signature. Brandy L. Baich ,•�,rp�I Brandy L. Baict��=�.,:. - a =:commission # FF Mid "Expires: AUG 27,.26if I"'•„ F; •• BONDED TN1"11, +'L 1 ST FLORIDA NDrxai 4`'C This area for Official Notarial Seal 11I U. Dl-i i.wu POWER OF ATTORNEY F 9tRKLEY INSURANCE COMPANY WILMINGTON, DELAWARE NOTICE: The warning found elsewhere in this Power of Attorney affects the validity thereof. Please review carefully. KNOW ALL MEN BY THESE PRESENTS, that BERKLEY INSURANCE COMPANY .(the "Company"), a corporation duly organized and existing under the laws of the State of Delaware, having its principal office in Greenwich, CT, has made, constituted and appointed, and does by these presents make, constitute and appoint: David H. Carr, Anett Cardinale, -Margaret A. Gilzem, Linda Horn, Eileen C. Heard or Diane Sidebotham of Willis of Florida, Inc. of Tampa, FL its true and lawful Attorney -in -Fact, to sign its name as surety only as delineated below and to execute, seal, acknowledge and deliver any and all bonds and undertakings, with the exception of Financial Guaranty Insurance, providing that no single obligation shall exceed Fifty Million and 00/100 U.S. Dollars (U.S.$50,000,000.00), to the same extent as if such bonds had been duly executed and acknowledged by the regularly elected officers of the Company at its principal office in their own proper persons, This Power of Attorney shall be construed and enforced in accordance with, and governed by, the laws of the State of Delaware, without giving effect to the principles of conflicts of laws thereof. This Power of Attorney is granted pursuant to the following resolutions which were duly and validly adopted at a meeting of the Board of Directors of the Company held on January 25, 2010: RESOLVED, that, with respect to the Surety business written by Berkley Surety Group, the Chairman of the Board, Chief Z; Executive Officer, President or any Vice President of the Company, in conjunction with the Secretary or any Assistant 2' Secretary are hereby authorized to execute powers of attorney authorizing and qualifying the attorney -in -fact named therein to execute bonds, undertakings, recognizances, or other suretyship obligations on behalf of the Company, and to affix the a corporate seal of the Company to powers of. attorney executed pursuant hereto; and said officers may remove any such attorney -in -fact and revoke any power of attorney previously granted; and further RESOLVED, that such power of attorney limits the acts of those named therein to the bonds, undertakings, recognizances, or other suretyship obligations specifically named therein, and they have no authority to bind the Company except in the manner and to the extent therein stated; and further RESOLVED, that such power of attorney revokes all previous powers issued on behalf of the attorney -in -fact named; and further n� RESOLVED, that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any :l_power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or r other suretyship obligation of the Company; and such signature and seal when so used shall have the same force and effect as though manually affixed. The Company may continue to use for the purposes herein stated the facsimile signature of any person or persons who shall have been such officer or officers of the Company, notwithstanding the fact that they may have P ceased to be such at the time when such instruments shall be issued. V IN WITNESS WHEREOF, the Company has caused these presents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed this day -of AOrl , 2014. Berkley Insurance Company Attest: as B , i^ (Seal) By Ira .Lederman In y . tfer 411� Senior Vice President & Secretary r ce President WARNING: THIS POWER INVALID IF NOT PRINTED ON BLUE "BERKLEY" SECURITY PAPER. U STATE OF CONNECTICUT ) ss: o COUNTY OF FAIRFIELD ) Sworn to before me, a Notary Public in the State of Connecticut, this day of ( 2014, by Ira S. Lederman and Jeffrey M. Hafter who are sworn to me to be the Senior Vice President and Secreta ,and the enigr VicePresident, respectively, of = = Berkley Insurance Company. % l/ /r KA LEEN COREY otary Public, tie o necti1%)NNEMUC NNECTiCUT MY SSION EXPIRES OCTOBER 39 20 CERTIFICATE Y. I, the undersigned, Assistant Secretary of BERKLEY INSURANCE COMPANY, DO HEREBY CER IFY that the foregoing is a true, correct and complete copy of the original Power of Attorney; that said Power of Attorney has not been revoked or rescinded and that the authority of the Attorney -in -Fact set forth therein, who executed the bond or undertakin which this Power of Attorney is attached, is in full force and effect as of this date. to F _ Given under my hand and seal of the Company, this Za - day of (Seal) WORKS DEPARTMENT LAND DEVELUPMLN 1 Effective July 1, 2016 f 0-1 PUBLIC WORKS FILE NO. cr-w �`4 �® PZ1 PROPERTYADDRESS g7`91 CITY OF CAMPBELL ==__ RECVi BY: CASHIER 01000266334 PAYOR: Its: HORTON alor >9 TODAY'S DATE: 10/17/16 0 REGISTER DATE: 10/17/16 TIME: 00:00 )Year DESCRIPTION AMOUNT w Loci CUST !D:ENC2014-0009,4 ENGR & SUBDIV FILING F $561.00 osit R ---------------- is Est TOTAL DUE: $561.00 _ TENDERED-. $561.00 $281.00 CHANGE: $.00 $841.00 CREDIT CARD: $561.00 $1,127.00 REF NUM: $1 688.00 N/C $23 N/C $500.00/tree $500.00 min no deposit re numeric sizing $163.00 ieric sizing Ft to 1 Acre $704:00 'olt "crowu.i $918.00 4722 For projecissent to Consultant for review Consultant Cost+20% 4722 Additional treatment facilities $300 ea Plan Check & Inspection Fee(Non-Utility) .4722 En r.:Est. < $250 000 14% of Engineers Estimate. 4722 Enw. Est. >-$250;000 and 5$500,000 $35,000 + 8% of Engineers Estimate 47221 Enar_ Est_ >$500.000 $56,000 + 7% of Engineers Estimate 0 2203 Faithful Performance Securi FPS 100% of ENGR. EST.* 2203. Labor andSecurity 100% of ENGR. EST.* 4721 .Materials Storm Drainage Area Fee Per Acre R-1 $2,120.00 (Multi -.Res $2,385.00) (All Other $2,650.00) . 4722 Parcel Map 4 Lots .or Less) $4009.00 + 8Mot 4722 Final Tract Ma 5 or More Lots $4.871.00 + $118/lot 2203 Monumentation Security 100% of City's Monumentation Estimate 4920 Parkland Dedication Fee (75%/25% Due Upon Cert. of Occupancy) 4722 Lot Line Adjustment (IndudesCeriffcate(if Comprrance) $1,893.00 4722 Vacation of Public Streets & Easements $2;530.00 - 4722 Certificate of Compliance' $1,877.00 4722 Certificate of Correction $561.00 4722 Document Recording Fees $15.00/first.page $3 ea. Additional 4722 Private Improvement in Public ROW $50.00 4722 Approved Plan Revision Fee $100/sheet 4722 Appeal Filing Fee $200,00 4722 Notary Fee (per signature) $10.00 4Assessment egrega ion or Keapporoonment First Split $895.00 Each Additional Lot $281.00 511.74241 Postage *Engineer's Estimate shall be as approved by the City Engineer and shall include all items of work. TOTAL � p p l f�i�rr NAME OF APPLICANT W&*UV\ NAME OF PAYOR PHON ADDRESS ZIP FOR 7f CLERK ONLY $ gs(g I. 0 G L / C&TTACeVjC=W Syed Wahidi From: Syed Wahidi Sent: Wednesday, June 15, 2016 7:47 AM To: Doris Quai Hoi; 'Jesus G Ramirez' Subject: RE: Cottage Place- Punch List Jesus, Please also submit as -built drawings besides certificate of correction. Thx Syed Wahidi 1 Public Works Inspector Cite of Campbell j Public Worlis Dept. svedw(i).citvofcampbell.conn "off' 41) S.86(;.2 b 65 : 408.3 6-091-58 70. N. F-irst Street 0impbell, CA 96,008 wwxv.C'itvofCam�beI l.com From: Syed Wahidi Sent: Monday, June 13, 2016 7:54 AM To: Doris Quai Hoi; 'Jesus G Ramirez' Subject: RE: Cottage Place- Punch List Hi Jesus, I have verified the markers. Is the certificate of correction submitted to Doris? Syed Wahidi 1 Public Works Inspector City of (-'a 11pbell 1 Public Worl:s Dept. svedw(a)eitvofcanppbell.coin "0, N. 1 irst Street I Campbell, CA 95008 www.Citvo1'CainpbeII.com From: Doris Quai Hoi Sent: Tuesday, May 24, 2016 3:42 PM To: Syed Wahidi; 'Jesus G Ramirez' Subject: RE: Cottage Place- Punch List Certificate of Correction needs to be submitted. Doris C. Quai Hoi Assistant Engineer City of Campbell Public Works Dept. P 408.866.2157 F 408.376-0958 70 N. First Street I Campbell, CA 95008 From: Syed Wahidi Sent: Tuesday, May 24, 2016 11:10 AM ` To: 'Jesus G Ramirez' Cc: Doris Quai Hoi Subject: RE: Cottage Place- Punch List Doris, The header board has been installed between the bark and bio-retention area and after confirming with Dave that electrical punch list is all done and inspected, I have signed off the remaining 5 houses. We will release the deposits after the following works are done: 1. Contractor to submit monument bond release form. 2. Submit as -built drawings 3. Surveyor to expose and show the property corner markers. (Jesus will arrange field meeting with the surveyor) Syed Wahidi I Public Works Inspector City of Campbell 1 Public -V'or s Dept. sycdw(fi.';eitvofcarnpbell.coru rll. N. First Street 1 C'ampb ll, CA 95,008 wwNv.CityofCampbelLcom From: Syed Wahidi Sent: Wednesday, April 27, 2016 2:16 PM To: 'Jesus G Ramirez' Cc: Doris Quai Hoi; Syed Wahidi Subject: Cottage Place- Punch List Jesus, Here is a list of punch list items: GENERAL - Monuments need to be stamped and certified by land surveyor. Submit monument bond release form. - Remove and replace concrete pad around power pole at the east end of project - Replace the green cable box in front with an underground service box - Submit as -built drawings - Replace the damaged cover lid of CATV box in the park strip and adjust both CATV service boxes to grade - Submit video for the newly installed storm drain line in the street r - Remove bark from all basins to completely expose the designated area of bio retention - Remove bark around the roof drain bubblers in all basins so that they are fully exposed. - Install cobbles per plans in the two big L-shaped basins in the middle of the project - Clean both inlet drains at the two big bio retention basins' entrances Street light pole #P8803 - Pull box lid should say "Campbell Street Light" or "Campbell St. Light". - Fuse holder have tape on the fuse connectors. City specs States "Splice insulation on conductor splices and on fuse holders shall be mastic -lined, heat -shrinkable, heavy wall polyolefin shrink tubing." -Fuse holder is connected to wires with wire nuts. Wire nuts are not allowed in City of Campbell for street lighting. Connect wires directly to fuse holder. Street light pole #P8804 - Pull box lid should say "Campbell Street Light" or "Campbell St. Light". - Fuse holder have tape on the fuse connectors. City specs States "Splice insulation on conductor splices and on fuse holders shall be mastic -lined, heat -shrinkable, heavy wall polyolefin shrink tubing." Syed Wahidi I Public Works Inspector City of Campbell I Public Works Dept. sve(lw;ii;citvofeantobell.coin 308,866.2 16,5 ' A 408.3-1649i8 ` 0. N, first Street E Campbell, C"A 9 008 ).vNv.)�!._C_.it`..ofC;am.t)be..l_I :coda From: Syed Wahidi Sent: Wednesday, April 13, 2016 1:58 PM To: 'Jesus G Ramirez' Cc: Doris Quai Hoi Subject: Cottage Place- List Of Corrections Hi Jesus, Here is a list of corrections to be completed before City will do the final job walk to release the remaining houses: GENERAL - Install Monuments (both off -site & on -site) - Remove and replace concrete pad around power pole at the east end of project - Remove and replace damaged sidewalk as marked in the field - Clean up the green utility box in front - Clean up the tire/oil marks on driveway approach - Submit monument bond release form - Submit as -built drawings BIO RETENTION a) Raise the overflow drain 6" above the soil in all basins b) Remove bark from all basins to completely expose the designated area of bio retention c) Remove bark around the roof drain bubblers in all basins so that they are fully exposed. d) BR#13--Cut off excess DIP e) Install cobbles per plans in the two big L-shaped basins in the middle of the project ELECTRICAL Street light pole #P8803 - Pull box lid should say "Campbell Street Light" or "Campbell St. Light". - Fuse holder have tape on the fuse connectors. City specs States "Splice insulation on conductor splices and on fuse holders shall be mastic -lined, heat -shrinkable, heavy wall polyolefin shrink tubing." -Fuse holder is connected to wires with wire nuts. Wire nuts are not allowed in City of Campbell for street lighting. Connect wires directly to fuse holder. Street light pole #P8804 - Pull box lid should say "Campbell Street Light" or "Campbell St. Light". - Fuse holder have tape on the fuse connectors. City specs States "Splice insulation on conductor splices and on fuse holders shall be mastic -lined, heat -shrinkable, heavy wall polyolefin shrink tubing." I am still waiting for the list of corrections from Parks Dept regarding trees/planting and will forward to you once we have received it. Syed Wahidi I Public Works Inspector City ol" Caflipbell I Public Works Dept. svedwQ)cityofcanipbeli.com IN 408.866216.5'LA 409.376-0958 ?i}. N. P'irst Street ' (: dipped, (A 95008 i-vie w.CitvofCamnhel l.com CoTTAq FL Syed Wahidi From: Syed Wahidi Sent: Tuesday, May 24, 2016 11:10 AM To: 'Jesus G Ramirez' Vol— S47,nn,'s Cc: Doris Quai Hoi Subject: RE: Cottage Place- Punch List Doris, The header board has been installed between the bark and bio-retention area and after confirming with Dave that electrical punch list is all done and inspected, I have signed off the remaining 5 houses. We will release the deposits after the.following works are done: 1. Contractor to submit monument bond release form. 2. Submit as -built drawings \,3' Surveyor to expose and show the property corner markers. (Jesus will arrange field meeting with the surveyor) Syed Wahidi I Public Works Inspector Cily of C:aivipbcli j Public N orks Debt. SVedw(i citvofcainpbell.corn 408.960.2105 j A 408.376-11958 '70. N. i-irs! Street 1 Campbell, CA 95008 eti ww.CitvofCainpbell.coin From: Syed Wahidi Sent: Wednesday, April 27, 2016 2:16 PM To: 'Jesus G Ramirez' Cc: Doris Quai Hoi; Syed Wahidi Subject: Cottage Place- Punch List Jesus, Here is a list of punch list items: GENERAL - Monuments need to be stamped and certified by land surveyor. Submit monument bond release form. - Remove and replace concrete pad around power pole at the east end of project - Replace the green cable box in front with an underground service box - Submit as -built drawings - Replace the damaged cover lid of CATV box in the park strip and adjust both CATV service boxes to grade - Submit video for the newly installed storm drain line in the street BIO RETENTION - Remove bark from all basins to completely expose the designated area of bio retention - Remove bark around the roof drain bubblers in all basins so that they are fully exposed. - Install cobbles per plans in the two big L-shaped basins in the middle of the project - Clean both inlet drains at the two big bio retention basins' entrances ELECTRICAL Street light pole #P8803 - Pull box lid should say "Campbell Street Light" or "Campbell St. Light". - Fuse holder have tape on the fuse connectors. City specs States "Splice insulation on conductor splices and on fuse holders shall be mastic -lined, heat -shrinkable, heavy wall polyolefin shrink tubing." -Fuse holder is connected to wires with wire nuts. Wire nuts are not allowed in City of Campbell for street lighting. Connect wires directly to fuse holder. Street light pole #P8804 - Pull box lid should say "Campbell Street Light" or "Campbell St. Light". - Fuse holder have tape on the fuse connectors. City specs States "Splice insulation on conductor splices and on fuse holders shall be mastic -lined, heat -shrinkable, heavy wall polyolefin shrink tubing." Syed Wahidi I Public Works Inspector C::it% of' Campbell i Public Works Dept. syedw(a;citvofca►npbell.com 408.866.21 165 1 ?, 408.376-09 8 70. N. First Street 1 Campbell, CA 95008 w« w.Citvoi'Campbell.com From: Syed Wahidi Sent: Wednesday, April 13, 2016 1:58 PM To: 'Jesus G Ramirez' Cc: Doris Quai Hoi Subject: Cottage Place- List Of Corrections Hi Jesus, Here is a list of corrections to be completed before City will do the final job walk to release the remaining houses: GFNFRAI - Install Monuments (both off -site & on -site) - Remove and replace concrete pad around power pole at the east end of project - Remove and replace damaged sidewalk as marked in the field - Clean up the green utility box in front - Clean up the tire/oil marks on driveway approach - Submit monument bond release form - Submit as -built drawings BIO RETENTION a) Raise the overflow drain 6" above the soil in all basins b) Remove bark from all basins to completely expose the designated area of bio retention c) Remove bark around the roof drain bubblers in all basins so that they are fully exposed. d) BR#13--Cut off excess DIP e) Install cobbles per plans in the two big L-shaped basins in the middle of the project ELECTRICAL Street light pole #P8803 - Pull box lid should say "Campbell Street Light" or "Campbell St. Light". - Fuse holder have tape on the fuse connectors. City specs States "Splice insulation on conductor splices and on fuse holders shall be mastic -lined, heat -shrinkable, heavy wall polyolefin shrink tubing." -Fuse holder is connected to wires with wire nuts. Wire nuts are not allowed in City of Campbell for street lighting. Connect wires directly to fuse holder. Street light pole #P8804 - Pull box lid should say "Campbell Street Light" or "Campbell St. Light". - Fuse holder have tape on the fuse connectors. City specs States "Splice insulation on conductor splices and on fuse holders shall be mastic -lined, heat -shrinkable, heavy wall polyolefin shrink tubing." I am still waiting for the list of corrections from Parks Dept regarding trees/planting and will forward to you once we have received it. Syed Wahidi I Public Works Inspector C'ity of Campbell I Public Works Dept. syce w,u' `)citrlofcampbell.coni 22, 408.866.2165 I:=_ 408,376-0958 70. N. First Street 1 Campbell, C'A 95008 wvw.CitvofCampbell.com r CORNER RECORD City of Campbell Document Number County of Santa Clara . Califomia Brief Legal Description: Tract 10238 -- Cottage Place filed March 27, 2015 in Book 881 of Mans at Paces 47-49. CORNER TYPE Government Corner ❑ Control ❑ Meander ❑ Property Rancho ❑ Other ❑ Date of Survey 0l02/16 COORDINATES (Optional) N. E. Zonc NAD27 ❑ NAD83 ❑ NAD83 Epoch Elcv. Vert. Datum: NGVD29 ❑ NAVD88 ❑ Meas. Units: Metric ❑ Imperial ❑ Corner - Left as found ❑ Found and tagged ❑ Established ❑ Reestablished ® Rebuilt ❑ Identification and type of comer found: Evidence used to identify or procedure used to establish or reestablish the corner: CENTERLINE AND PROPERTY CORNERS AS FOUND AND SET AS DESCRIBED/S OWN ON PAGE 2 OF THIS CORNER RECORD. A description of the physidiil condition of the monument asTound and as set or reset: CENTERLINE AND PROPERTY CORNERS AS FOUND AND SET AS DESCRIBEDISHOWN ON PAGE 2 OF THIS CORNER RECORD. SURVEYOR'S STATEMENT 5�.0•L"".° SL,p This Comer Record was prepared by me or under my direction in conformance ' h the Land Surveyor's Act o .b2•/ "•��° -� = Ma 7615 = *:Or Signed P.L'.S. No. 7616 E••..,�•••,..•• License Expires 12/3112016 pp gpL� COUNTY SURVEYOR'S STATEMENT Page I of 2 if BASIS OF BEARINGS: THE BEARING OF N89'51148"W BETWEEN THE FOUND MONUMENTS ALONG THE CENTERLINE OF KENNEDY AVENUE PER 881 MAPS PAGE 47, SANTA CLARA COUNTY RECORDS. LEGEND: 0 SET 2" BRASS DISK STAMPED LS 7616 IN MONUMENT WELL INSTEAD OF MONUMENT STAMPED LS 7739 IN WELL PER 881 MAPS PAGE 47, SANTA CLARA COUNTY R CORDS. -----at ------------------------,---------- ON PKUJtC; I tU h'KUt'tK I T LINL K 9,75' FROM CORNER OF LOT 1 S89'51'48"E 319.67' ACE VJVE,0Y AVENUE R. E. Y. ENGINEERS, Inc. 7m N W 9iCFRPE BaMV= bAaMAN VEW,CA 94XI 1113E NYNB6t (4M) 219.3236 IRON PIPE PER 881 MAPS 47 NOT SET DUE TO ON PROJECTED PROPERTY LINE 9.75' FROM CORNER OF LOT 8 S89'51'48"E 247.86' MONUMENT PER 881 MAPS 47 NOT SET DUE TO.UTILITY CONFLICT U) 0 �r _ o II yt 0 m v I� m ,b I� r" o f a v 4 z `C rn � 410 V Z c� m z rLn 0 0 Ln 6 to e Syed Wahidi From: Sent: To: Cc: Subject: Jesus, Here is a list of punch list items: Syed Wahidi Wednesday, April 27, 2016 2:16 PM 'Jesus G Ramirez' Doris Quai Hoi; Syed Wahidi Cottage Place- Punch List GENERAL - Monuments need to be stamped and certified by land surveyor. Submit monument bond release form. VRemove and replace concrete pad around power pole at the east end of project replace the green cable box in front with an underground service box - Submit as -built drawings vReplace'the damaged cover lid of CATV box in the park strip and adjust both CATV service boxes to grade Vubmit video for the newly installed storm drain line in the street k; ve bark from all basins to completely expose the designated area of bio retention v}7emove bark around the roof drain bubblers in all basins so that they are fully exposed. i,,, install cobbles per plans in the two big L-shaped basins in the middle of the project Z oth inlet drains at the two big bio retention basins' entrances AL Street light pole #P8803 - Pull box lid should say "Campbell Street Light" or "Campbell St. Light". - Fuse holder have tape on the fuse connectors. City specs States "Splice insulation on conductor splices and on fuse holders shall be mastic -lined, heat -shrinkable, heavy wall polyolefin shrink tubing." -Fuse holder is connected to wires with wire nuts. Wire nuts are not allowed in City of Campbell for street lighting. Connect wires directly to fuse holder. Street light pole #P8804 -/Pull box lid should say "Campbell Street Light" or "Campbell St. Light". Fuse holder have-taoeon,de fuse connectors. City specs States "Splice insulation on conductor splices and on fuse /holdeJrs_shall"be mastic-liried, heat -shrinkable, heavy wall polyolefin shrink tubing." Syed Wahidi 1 Public Works Inspector C`itN or 0ampbc:ll i Public Works Dept. syedw(u.citvofeampbell.com "0. N. First Street I Canopbell, ('A 95008 y, �� Nv._(it)_o(Cpn1p.be11.c,om From: Syed Wahidi Sent: Wednesday, April 13, 2016 1:58 PM To: 'Jesus G Ramirez' Cc: Doris Quai Hoi Subject: Cottage Place- List Of Corrections Hi Jesus, Here is a list of corrections to be completed before City will do the final job walk to release the remaining houses: GENERAL - Install Monuments (both off -site & on -site) - Remove and replace concrete pad around power pole at the east end of project - Remove and replace damaged sidewalk as marked in the field - Clean up the green utility box in front - Clean up the tire/oil marks on driveway approach - Submit monument bond release form - Submit as -built drawings BIO RETENTION a) Raise the overflow drain 6" above the soil in all basins b) Remove bark from all basins to completely expose the designated area of bio retention c) Remove bark around the roof drain bubblers in all basins so that they are fully exposed. d) BR#13--Cut off excess DIP e) Install cobbles per plans in the two big L-shaped basins in the middle of the project ELECTRICAL Street light pole #P8803 - Pull box lid should say "Campbell Street Light" or "Campbell St. Light". - Fuse holder have tape on the fuse connectors. City specs States "Splice insulation on conductor splices and on fuse holders shall be mastic -lined, heat -shrinkable, heavy wall polyolefin shrink tubing." -Fuse holder is connected to wires with wire nuts. Wire nuts are not allowed in City of Campbell for street lighting. Connect wires directly to fuse holder. Street light pole #P8804 - Pull box lid should say "Campbell Street Light" or "Campbell St. Light". - Fuse holder have tape on the fuse connectors. City specs States "Splice insulation on conductor splices and on fuse holders shall be mastic -lined, heat -shrinkable, heavy wall polyolefin shrink tubing." I am still waiting for the list of corrections from Parks Dept regarding trees/planting and will forward to you once we have received it. Syed Wahidi I Public Works Inspector City of C8rnpbell I Public Works Dept. svedw(iz citvofcampbell.com '10. N. First Street I Campbell, CA 95008 w%vw.CitvofC.ampbell.com 7 R.E.Y. ENGINEERS, INC. Engineers I Surveyors I LiDAR May 10, 2016 D.R. Horton - Northern California 5050 Hopyard Road, Suite 180 Pleasanton, CA 94588 Subject: Cottage Place — Monumentation Acceptance Letter The property corners and monumentation for :Cottage Place were field surveyed and verified on May 2, 2016 and to be found in conformance to the Approved Plan Set and Tract Map Number 10238 — Cottage Place which was filed for record at the Santa Clara County Recorder's Office on March 27, 2015 in Book 881 of Maps at Pages 47-49. Lot 1 — 45 Kennedy Avenue, Campbell, CA Building Permit BLD 2015-00268 Lot 2 — 47 Kennedy Avenue, Campbell; CA Building Permit BLD 2015-00269 Lot 3 — 49 Kennedy Avenue, Campbell, CA Building Permit BLD 2015-00953 Lot 4 — 51 Kennedy Avenue, Campbell, CA Building Permit BLD 2015=00954 Lot 5 — 53 Kennedy Avenue, Campbell, CA Building Permit BLD 2015-00955 Lot 6 — 55 Kennedy Avenue, Campbell, -CA Building Permit BLD 2015-00956 Lot 7 — 57 Kennedy Avenue, Campbell, CA Building Permit BLD 2015-00957 Lot 8 — 59 Kennedy Avenue, Campbell, CA Building Permit BLD 2015-00958 Lot 9 — 61 Braxton Terrace, Campbell, °CA Building Permit BLD 2015-00270 Lot 10 — 63 Braxton Terrace, Campbell, CA Building Permit BLD 2015-00281 707 North Shoreline Blvd., Mountain View, CA 94043 1 Tele (408) 219 - 3236 ° R.E.Y. ENGINEERS, INC. Engineers I Surveyors] LiDAR Lot 11 — 65 Braxton Terrace, Campbell, CA Building Permit BLD 2015-00282 Lot 12 — 67 Braxton Terrace, Campbell, CA Building Permit BLD 2015-00283 Lot 13 — 71 Braxton Terrace, Campbell, CA Building Permit BLD 2015-00284 Lot 14 — 77 Braxton Terrace, Campbell, CA Building Permit BLD 2015-00960 Lot 15 — 79 Braxton Terrace, Campbell, CA Building Permit BLD 2015-00961 Lot 16 — 81 Braxton Terrace, Campbell, CA Building Permit BLD 2015-00962 Lot 17 — 83 Braxton Terrace, Campbell, CA Building Permit BLD 2015-00963 Lot 18 — 85 Braxton Terrace, Campbell, CA Building Permit BLD 2015-00964 The monuments and property corners set are in compliance with the provisions of both the Subdivision Map Act and the California Land Surveyor's Act. Sincerely, R.E.Y. Engineers, Inc. o CM76 S��P G �.�poo°$ao"Michael Shoup, PLSo�Dated: 05/10/16 License Expires: 12/31/16 707 North Shoreline Blvd., Mountain View, CA 94043 1 Tele (408) 219 - 3236 IL\-GG Contractor: Attention: DEED & GRAHAM, INC. Over P0:7-BOX5i940 - 95150 5940 Edo SUNOL STREET 95126-37 51 - (j�0 PTO EXCEPTION TAXER SAN JOSE, CALIFORNIA , ❑PRE_ICE ✓✓✓❑��`REJECTED CORP :LgEB SITE: http:;,r;v3trginc.corr� ,`,+ rroTED TELEFtl lQ,, P.-(4q `u1 � �i�,.1fa',eIT Fri:: (409) 2J>-3B P, Y for �eae:aI corfo Mace v; it'_x the design concept Of tlae . Ofeck Pr -� GILROY CONSTRUCTION INC. .to�Cmcl -^•g,.... ce t _,ec__ -ri'x t:.a i:.:maScn RS�en in Qati."'I" q `c`8% /2D'#'S 'nx acgic:;^ Iaaw;a is E'!Lu ect to the reci ne::., a:i:e- P.O. BOX 397 of t"tom . _..,:�r n qs anci �= ec__ s. GILROY, CA 95020 Submittal#_tc; 51;R7��2�.e 'or, 1 ior� c,,,icYx T sha.I Le an ::orr.,, rr..E confirmed - al t..e io': rite. faLxicctfio. , processes, and technioues Of corasttaa lice, ceorcti_-a+o of t+ woe: S•;iq$ the of all other tRrojecti r d li tea oiJ��arI�f��ell per mance of the work. FLpcation: �Cr DK17E J CITY OF CAA'IPBELL 19mm (3/4") Recycled PF.OJECT# s J DEPT. OF PUBLIC YZORKS SUBDUTTAL}� Class-WAggregate Base .�, y..._ GRADATION - CTM 202 SIEVE 25mm 19mm 12.5mm 9.5mm 4.75mm 2.36mm I.18mm 600gAn 300µm 150µm 75 % Passing 100 96 84 76 54 38 26 18 12 9 6.4 CSJ Spec. 100 100-90 35-60 10-30 2-9 SAND EQUIVALENT - CTM 217 DURABILITY INDEX -CTM 229 SE: 62 SPEC.: Min 25 Di: 43 Di SPEC.: Min 35 LOS ANGELES RATTLIER - CTM 301 RESISTANCE (R-Value) - CTM 301 % loss @500 revs: 29.2% SPEC.: 50% Max 'R-Value: 83 SPEC.: 78 Mn PLASTICITY INDEX OF SOILS - ASTM D4318 MOISTURE CONTENT - CTM 226 Liquid Limit: na Plastic Limit: na Plasticity Index: NonPlastic MC: 4.0% MAX. DENSITY CURVE (ASTM D1557 METHOD C) SPECIMEN A B C D DRY UNrr WT. (pcf) 127.0 128.4 129.0 125.7 MOISTURE (%) 3.8 5.3 7.0 8.2 MAX. DRY DENSITY @ OPTIMUM MOISTURE (pbf) 128.4 OPTIMUM MOISTURE CONTENT (%) 7.0 100% Saturated Curve - Estimated Sp. Gr. 1 2.465 134.0 D 132.0 E 130.0 N 128.0 _ - S I 126.0 T 124.0 - y 122.0 _ 2.0 3.0 4.0 5.0 6.0 7.0 8.0 9.0 MOISTURE CONTENT ( o) If any further information is required, please call. Approved By, Eric Richard Quality Control Manager Submitted by, Salvador Lopez Senior Laboratory Technician - OVER 80 YEARS OF SERVICE TO THE ROAD CONSTRUCTION INDUSTRY- €SEE€] & GRAHAM, INC. Over �' ® P.O. BO:1x; 5940 - 95150-5940 690 SUNOL STREET - 951 26-3 51- iI S, N JOSE, CALIFORNIA , NO rXCEPTION TAX1,0I ❑ XR ORRECTIO'_+IS NOTED ! ),r%tEESITE: http:/a4aoN-1ay.rginc.corn ❑ gF,CygD TELEPHONEL�," _,a Fi,7-I�(10, ! ,r. rEBUv.rIIT FAQ.: (408) 2,6 -3696 / Checking is only for gea=_:al con fonnance wi;h the design concept . of the project an general con, n:iance with the information given in Contractor: GILROY CONSTRUCTION INC. Date: the co8ft/001+.'ramants. Any action shown is subject to the require- i P.O. BOX 397 ments of ilae Drawings and .Specifications. f GILROY, CA 95020 SubmiftaA. contractor is resporsi5le fo: dimensions which shall be confirmed and coarFc[e:i at the job site, iahrication, processes, and tDchnigees + of co to ction co ,d. of tt:e work with that of all other Attention: Projeci:oti�i� inti`�il ; fades, an a sc+ , + : performance of the work. Location: Campbell BY DA TE r CITY OF CAMPBELL PROJECT# 19mm 3/4 Recycled Class II A DE F T WORKS SUBMITTAL# GRADATION - CTM 202 SIEVE 25mm 19mm 12.5mm 9.5mm 4.75mm 2.36mm 1.18mm 600µm 300µm 150µm 75µm % Passing 100 96 84 76 54 38 26 18 12 9 6.4 CSJ Spec. 100 100-90 35-60 10-30 2-9 SAND EQUIV NT - CTM 217 DURABILITY INDEX - CTM 229 SE: SPEC.: , Minim Di: 43 Di SPEC.: Mn 35 LOS ANG_ ELES R TTLIER - CTM 301 RESISTANCE (R-Value) - CTM 301 - - - ca ; � i L4s % loss @500 revs: 2% SPEC.: ', � Max . R-Value:, 83 SPEC.: 78 min PLASTICITY INDEX OF SOILS - ASTM D4318 MOISTURE CONTENT - CTM 226 Liquid Limit: na Plastic Limit: na Plasticity Index: NonPlastic MC: 4.0% MAX. DENSITY CURVE (ASTM D1557 METHOD C) SPECIMEN A B C D DRY UNrr WT. (pcf) 127.0 128.4 129.0 125.7 MOISTURE % 3.8 5.3 7.0 8.2 MAX. DRY DENSITY @ OPTIMUM MOISTURE (pcf) 128.4 OPTIMUM MOISTURE CONTENT (%) 7.0 100% Saturated Curve Estimated Sp. Gr. 2.465 134.0 D 132.0 E 130.0 _ N 128.0 - -- - - -.. ---- S I 126.0 T 12,10 - _ Y 122.0 2.0 3.0 4.0 5.0 6.0 7.0 8.0 9.0 MOISTURE CONTENT (%) If any further information is required, please call. Approved By, Eric Richard Quality Control Manager Submitted by, Salvador Lopez Senior Laboratory Technician - OVER 80 YEARS OF SERVICE TO THE ROAD CONSTRUCTION INDUSTRY - STATE OF CALIFORNIA - DEPARTMENT OF TRANSPORTATION CONTRACTOR JOB MIX FORMULA PROPOSAL Page 1 of 2 CEM-3511 (NEW 3/2008) CONTRACTOR NAME, ADDRESS, AND PHONE NUMBER CONTRACT NUMBER/CO/RTE/PM Bill PROJECT INFORMATION/NAME K&M Asphalt 5724 Halleck Dr. Winchester & Kennedy - San Jose San Jose, CA 95123 (408) 225-8822 SUBMITTED BY CONTRACTOR (PRINT NAME AND SIGN) DATE July 30, 2015 HOT MIX ASPHALT (HMA) TYPE ASPHALT BINDER, ASPHALT MODIFIER AND CRUMB RUBBER MODIFIER 1 /2" Medium Type A (CRM) SUPPLIER/ASPHALT RUBBER BINDER PRODUCER Asphalt Binder: Greka Santa Maria HMA PRODUCER NAME AND ADDRESS Reed & Graham, Inc. 690 Sunol Street San Jose, CA 95126 (408) 284-1400 PRODUCER MIX IDENTIFICATION NUMBER/NOTES GRADE OF ASPHALT BINDER/NOTES 1/2" Med CSJ Mix I.D. #2015-1 PG 64-1 Remainder of this page is for the resident engineer's use - Proceed to page 2 Qualified HMA Plant: ❑ Yes ❑ No (Plants must be qualified under Caltrans MPQP before production) Approved Asphalt Binder Supplier: ❑ Yes ❑ No (Reference: Asphalt Binder Lab Certificate of Compliance Program) Job Mix Formula (JMF) Submittal: ❑ CEM-3512 attached with contractor hot mix asphalt design data ❑ CEM-3513 attached, if applicable, with JMF verification Material Safety Data Sheets (MSDS) submitted: ❑ Supplemental Fines (except fines from dust collectors) ❑ Antistrip ❑ Asphalt Binder ❑ Asphalt Rubber Binder ❑ Asphalt Modifier ❑ Scrap Tire CRM ❑ High Natural CRM Materials Samples: Samples requested by the engineer? ❑ Yes ❑ No Samples taken under CT 125 in the engineer's presence? ❑ Yes ❑ No ❑ Aggregate and Supplemental Fines ❑ Reclaimed Asphalt Pavement (RAP) ❑ Antistrip ❑ Asphalt Binder and Asphalt Rubber Binder JMF Submittal Complete: ❑ Yes Date complete submittal received: ❑ No RESIDENT ENGINEER'S ACCEPTANCE JMF complies with the specifications? ❑ Yes ❑ No JMF verified within 12 months before production (CEM-3513 required)? ❑ Yes ❑ No JMF accepted for use on contract number noted above? ❑ Yes ❑ No Accepted by (Print Name and Sign): Title: Date: Rejected by (Print Name and Sign): Title: Date: Contractor notified of accepted or rejected JMF by: (Date: CONTRACTOR JOB MIX FORMULA PROPOSAL (Continued) CEM-3511 (NEW 3/2008) Page 2 of 2 The information provided in this form must be in accordance with Section 39, "Hot Mix Asphalt," of the Standard Specifications, and the California Test Method indicated. For Information concerning this form, contact the METS Office of Flexible Pavement Materials at (916) 227-7322. CONTRACTOR NAME, ADDRESS, AND PHONE NUMBER BIII K&M Asphalt 5724 Halleck Dr. San Jose, CA 95123 (408) 225-8822 CONTRACT NUMBER/CO/RTEIPM PROJECT INFORMATION/NAME & Kennedy - San Jose JOB MIX FORMLA Sieve Size Job Mix Formula Target Value Project Specification Limits (TV ±Tolerance) 2" 1 1/2" V. 3/4' 100 100 /2 97 95 - 100 85 80 - 95 a No. 4 59 54 - 64 x ± 5 No. 8 45 39 - 49 x ± 5 No. 16 30 No. 30 18 13 - 23 x ± 5 No. 50 8 - No. 100 4 - No. 200 3 1.0 - 7.0 x ± 3 RAP Percentage 1 Antistrip Percentage 2, 3 Asphalt Binder Percentage 4, 5 Asphalt Binder: 5.7% DWA Note: Aggregate Sources and California Mine and SMARA Identification Numbers for each bin: Bin 1 - Aromas Sand - Granite Rock SMARA #: 91-35-0012 Bin 2 - 3/8" Crushed Aggregate - Vulcan Materials SMARA #: 91-01-0010 Bin 3 - 1/2" Crushed Aggregate - Vulcan Materials SMARA #: 91-01-0010 Reclaimed Asphalt Pavement (RAP) Source: Antistrip Type and Source: ADA Notice For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 654-6410 or TDD (916) 654-3880 or write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814 STATE OF CALIFORNIA - DEPARTMENT OF TRANSPORTATION CONTRACTOR HOT MIX ASPHALT DESIGN DATA CEM-3512 (NEW 3/2008) ADA Notice For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 654.6410 or TDD (916) 654-3880 or write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814. The information provided in this form must be in accordance with Section 39, "Hot Mix Asphalt," of the Standard Specifications, and the California Test Method indicated. For Information concerning this form, contact the METS Office of Flexible Pavement Materials at (916) 227-7322 , HOT MIX ASPHALT PRODUCER NAME, ADRESS, AND PHONE NUMBER Reed & Graham, Inc. 690 Sunol Street San Jose, CA 95126 (408) 284-1400 NAME OF QUALIFIED LABORATORY PREPARING THE MIX DESIGN: Reed & Graham, Inc. Laboratory HMA TYPE 1/2" Medium Type A PRODUCER MIX IDENTIFICATION NUMBER 1/2" Med CSJ Mix I.D. #2015-1 DATE July 30, 2015 Pagel of 10 Bin 1 2 3 4 5 6 7 LIME Combined Gradation / Material Size 3/4" 1/2" 3/8" Dust Sand MF RAP (JMF TV) ✓ Bin % 15 36 48 1 100 Sieve Size % PASSING 2" 100 100 100 100 100 1 1/2" 100 100 100 100 100 1" 100 100 100 100 100 3/4" 100 100 100 100 100 1/2" 77 100 100 100 97 3/8" 13.6 94 100 100 85 #4 1.5 26.7 100 100 59 #8 1.2 1.7 89.1 100 45 #16 1.0 59 100 30 #30 0.8 34.1 100 18 #50 0.7 15 100 8 #100 0.6 6 100 4 #200 0.4 3.1 100 2.6 CONTRACTOR HOT MIX ASPHALT DESIGN DATA (Continued) CEM-3512 (NEW 3/2008) Page 2 of 10 GRADATION CHART 100 90 ' 80 70 ' 60 a 50 U CD 40 30 20 10 ----- - ----- ---- 1 " 3/a" 1/2' 3/8" No. 4 No. 8 No. 16 No. 30 No. 50 No. 100 No. 200 Sieve Size CONTRACTOR HOT MIX ASPHALT DESIGN DATA (Continued) Page 3 of 10 CEM-3512 (NEW 3/2008) HMA TYPE (PRODUCER NAME 11/2" MIX ID# (DATE 1/2" Medium Type A Reed & Graham, Inc. Med CSJ Mix I.D. #2015-1 July 30, 2015 AGGREGATE QUALITY* Quality Charactertistic/Property Test Method Test Result Crushed particles, coarse aggregate One fractured face (%) 1 CT 205 _ 100% Crushed particles, coarse aggregate Two fractured faces (%) CT 205 98% Crushed Particles, fine aggregate (Passing No. 4 sieve and retained on No. 8 sieve) One fractured face (%) CT 205 100% Los Angeles Rattler, Loss @ 100 Rev. (%) CT 211 5.9% Los Angeles Rattler, Loss @ 500 Rev. (%) CT 211 23% Sand Equivalent CT 217 69 68—F 69 verage: 69,---'- Fine aggregate angularity (%) AASHTO T 304 (Method A) 45.6 Flat & elongated particles (% by mass @ 3:1) ASTM D 4791 - Flat & elongated particles (% by mass @ 5:1) ASTM D 4791 0% Plasticity Index CT 204 NP Sodium sulfate soundness CT 214 - Cleanness Value CT 227 86 Fine Aggregate Durability Index CT 229 62 Coarse Aggregate Durability Index CT 229 76 Kc factor (not mandatory until further notice) CT 303 - Kf factor (not madatory until further notice) CT 303 - Bulk specific gravity (oven dry) of coarse aggregate CT 206 2.715 Absorption of coarse aggregate CT 206 1.0% Bulk specific gravity (SSD) of.fine aggregate CT 207 2.688 Bulk specific gravity (oven dry) of fine aggregate LP-2 2.628 Absorption of fine aggregate CT 207 2.3% Apparent specific gravity of supplemental fines CT 208/1-P-2 Bulk specific gravity of aggregate blend LP-2 2.679 - Aggregate must comply with the quality specifications before it is treated with lime. CONTRACTOR HOT MIX ASPHALT DESIGN DATA (Continued) Page 5 of 10 CEM-3512 (NEW 3/2008) HMA TYPE PRODUCER NAME PRODUCER MIX IDENTIFICATION NUMBER JDATE 1/2" Medium Type A Reed & Graham Inc. 1/2" Med CSJ Mix I.D. #2015-1 July 30, 2015 ASPHALT -BINDER 1,2 Asphalt binder supplier: Greka Refinery Asphalt binder grade: PG 64-10 Supplier recommended mixing temperature: 309-320 F Quality Characteristic Test Method Test Result Specific gravity AASHTO T 228 1.025 Dynamic Shear (RTFO residue), Test Temp. at 10 rad/s, 60°C AASHTO T 3153 4.94 Note: Including base asphalt in asphalt rubber binder. 2 Asphalt binder treated with liquid antistrip must comply with Section 92, 'Asphalts," of the Standard Specifications for the grade specified. 3 For use in CT 303. ANTISTRIP ADDITIVES Antistrip type: Antistrip source: Antistrip percentage (JMF TV):1• z Method of antistrip addition: Quality Characteristics Test Method Test Result Liquid antistrip (LAS) total amine value (min.) ASTM D 2074 Note: 1 Liquid Antistrip must be between 0.5 and 1.0 percent by weight of asphalt binder. 2 Combined lime ratio must be between 0.8 and 1.5 by weight of dry aggregate (maybe reduced to 0.5 to 1.0 for OGFC). CONTRACTOR HOT MIX ASPHALT DESIGN DATA (Continued) CEM-3512 (NEW 3/2008) Page 7 of 10 HMA TYPE PRODUCERS NAME (PRODUCERS MIX ID # (DATE 1/2" Medium Type A Reed & Graham, Inc. 1/2" Med CSJ Mix I.D. #2015-1 July 30, 2015 APPROXIMATE BITUMEN RATIO (ABR)' Property Test Method Test Results Surface area of aggregate blend (ft2/lb) CT 303 Surface area of aggregate blend, K,,, CT 303 ABR CT 303 Corrected ABR2 CT 303 Note: ' Not mandatory until further notice. 2 Determine ABR using LP-9 if reclaimed asphalt pavement (RAP) is used. HOT MIX ASPHALT DESIGN DATA Quality Characteristic Test Method ABR (Corrected) - 0.5% ABR (Corrected) Asphalt binder content (%) by DWA CT 367 4.5 5 Briquette height (inches) CT 304 2.50 2.51 Briquette specific gravity CT 308 (Method A) 2.369 2.375 Maximum specific gravity CT 309 2.539 2.521 Air voids content (%) CT 308(A) and CT 309 6.7 5.8 Voids in Mineral Aggregate (VMA) LP-2 15.4 15.6 Effective specific gravity of RAP aggregate LP-2 Voids Filled with Asphalt (VFA) LP-3 56.5 62.8 Dust Proportion LP-4 0.7 0.6 Effective specific gravity of aggregate LP-1/1-P-4 2.721 2.721 Stabilometer value CT 366 45 43 Modified stabilometer value CT 366 - Quality Characteristic Test Method ABR (Corrected) + 0.5% ABR (Corrected) + 1.0% Asphalt binder content (%) by DWA CT 367 5.5 6 Briquette height (inches) CT 304 2.50 2.50 Briquette specific gravity CT 308 (Method A) 2.392 2.41 Maximum specific gravity CT 309 2.502 2.482 Air voids content (%) CT 308(A) and CT 309 4.4 2.9 Voids in Mineral Aggregate (VMA) LP-2 15.4 15.1 Effective specific gravity of RAP aggregate LP-2 Voids Filled with Asphalt (VFA) LP-3 71.4 80.8 Dust Proportion LP-4 0:6 0.5 Effective specific gravity of aggregate LP-1/1-P-4 2.719 2.716 Stabilometer value CT 366 41 38 Modified stabilometer value CT 366 - - CONTRACTOR HOT MIX ASPHALT DESIGN DATA (Continued) Page 8 of 10 CEM-3512 (NEW 3/2008) 1/2" Medium Type A (Reed & Graham, Inc PRODUCERS MIX ID # IJuly DATE 112" Med CSJ Mix I.D. #2015-1 30, 2015 HOT MIX ASPHALT DESIGN DATA AT JOB MIX FORMULA' Quality Characteristic Test Method Test Result Asphalt binder content (%) by TW M CT 367 5.7 Briquette bulk specific gravity CT 308 (Method A) 2.397 2.375 2.379 Average verag 2.384 Maximum specific gravity CT 309 2.484 Air voids content (%) CT 308 and CT 309 3.5 4.4 42 verage 4.0 Voids in Mineral Aggregate (%) LP-2 15.4 16.1 16.0 1Average Effective specific gravity of RAP aggregate Voids Filled with Asphalt (%) LP-3 77.2 72.8 73.6 74.5Average Dust proportion LP-4 0.6 Effective specific gravity of aggregate LP-4 2.705 Stabilometer value CT 366 40 39 40 Average 40 Modified stabilometer value CT 366 40 39 40 verage 40 Surface abrasion (%) CT 360 Average Tensile strength ratio (TSR) untreated CT 371 Tensile strength ratio (TSR) treated CT 371 Note: For mix design, prepare three briquettes separately at the proposed JMF and test for compliance. Report the average of three tests. Prepare new briquettes and test if the range of stability for the three briquettes is more than 12 points 2 Attach Fioure 1 from CT 371 Notes/Remarks: CONTRACTOR HOT MIX ASPHALT DESIGN DATA (Continued) CEM-3512 (NEW 3/2008) 18.0 17.0 16.0 15.0 14.0 13.0 12.0 11.0 v 10.0 0 > 9.0 8.0 o 7.0 6.0 5.0 4.0 3.0 2.0 1.0 0.0 56 54 52 50 48 46 44 42 40 n 38 m in 36 34 32 30 28 26 24 22 20 AIR VOIDS I 3.0 4.0 4.5 5.5 7.0 8.0 % Binder Content STABILOMETER VALUE 1 4.0 4.5 5.5 7.0 % Binder Content 90 88 86 84 82 80 78 76 74 a 72 70 68 66 64 62 60 58 56 54 52 50 3.0 4.0 Page 9 of 10 VOIDS FILLED WITH ASPHALT 4.5 5.5 7.0 8.0 % Binder Content VOIDS IN MINERAL AGGREGATE 28 27 26 25 24 23 22 21 a 20 j , 19 0 18 17 16 15 14 - - ..-..- -- -- - - -- - 13 12 11 10 3.0 4.0 4.5 5.5 7.0 8.0 % Binder Content CONTRACTOR HOT MIX ASPHALT DESIGN DATA (Continued) CEM-3512 (NEW 3/2008) 160.0 157.0 154.0 151.0 148.0 145.0 142.0 139.0 h 136.0 133.0 130.0 127.0 .E 124.0 M 121.0 118.0 115.0 112.0 109.0 106.0 103.0 100.0 2.70 2.68 2.65 2.63 2.60 2.58 2, 2.55 .5 2.53 0 2.50 U 2.48 0 2.45 cn E 2.43 E 2.40 2.38 2.35 2.33 2.30 2.28 2.25 2.23 2.20 UNIT WEIGHT i I {t 3.0 4.0 4.5 5.5 7.0 8.0 Binder Content MAXIMUM SPECIFIC GRAVITY 4.0 4.5 5.5 7.0 Binder Content Page 10 of 10 BULK SPECIFIC GRAVITY 2.60 2.58 2.56 2.54 2.52 2.50 2.48 2.46 2.44 2.42 U 2.40 a 2.38 s 2.36 m 2.34 2.32 2.30 2.28 2.26 2.24 2.22 2.20 3.0 4.0 4.5 5.5 7.0 8.0 Binder Content DUST PROPORTION 4.0 -- - - - 3.8 3.6 3.4 3.2 3.0 2.8 2.6 c 2.4 0 2.2 o. 0 2.0 a` N 1.8 � p 1.6 1.4 1.2 1.0 0.8 0.6 0.4 0.2 0.0-9 - ___L� 3.0 4.0 4.5 5.5 7.0 8.0 Binder Content -DET-ERMINaNG OPTIMUM BITUMEN CONTENT (OBC) CAL 367 Average Values Unit % AC Corrected Stability % Va % VMA % VFA DP Weight (lb/cuft) 4.5 45 6.7 15.4 56.5 0.7 147.8 5.0 43 5.8 15.6 62.8 0.6 148.2 5.5 41 4.4 1,5.4 71.4 0.5 149.3 6.0 38 2.9 15.1 80.8 0.5 150.4 % AC: % Va: Stability: Flushing: 5.5 5.0 5.0 ♦- 4.5 Highest AC 4 5.5 5.5 6.0 5.5 5.0 4.5 2.9 4.4 5.8 6.7 38 41 43 45 slight none none none Optimum Binder Content Hyramid. V Content meeting % Va Highest 2 ACs with Min. Stability 4- Highest 3 ACs without Flushing I REKA MANTA MARIA REFINING)f COMPANY CERTIFICATE OF COMI PLIIAj' GE I NO EXCEPTION TAXEPI CORF-EC ills NOTED REJECTED RE � ❑ J ❑ REVISE ?f P3D ZESib3IM C erI_in-, .c on3y foz rczP cn ,fa.; a,are TrIth t; a desiin concept of .t'•.le zrc's�> Mnd ,snsza2 r..crnn'iattcc ,: tF2 i o inkr ration given in contract data 2ants, n—v act_'c;2 :hown is subject to the require - Check e mento of tlxo Dzu—"Angs an-1 snocikaticus. ' Product Dame: PG 64-10 The r•;-2,rccioy is zecnc acz` le for cTimenoicras ZvS:ich chaIl he confirmed cone 2 vt C n r,� c?Ee, fa"--rication, prece.^.ses, and t chniques PG641KJ � Of co _;tn2rt2o�, cc r 2 nc-oa of tLe work with t1:at of all other CD PG tzades, :sfactory pezfornancs of the ro:I:. BY DATE Date Shipped: x v i CITY OF CAP: PULL PROJECT.# Contractor: -C?I77�ie PA tJF PaaBLiC Uvriwus SUBiVIliTAL# Destination: �. BFlI ofLadln# Quantity (tons) a! Taral OT P�J- Santa Maria Refining certifres that the asphalt product accompanying this certificatron raproduce in accordance with the California Department of Trasp4rttion'sCertification Program for Suppliers. This product complies ii all rs ects with the requirements of the applicable specifications, for the asphalt product identified on this document. I hereby certify that I have the authority to represent the supplier providing this document. r By: Edgar Ci me A,A-SHro Pt's Quality Control upervisor 1660 Sinton Road, Santa Maria, CA 93454 * Ph: 805-347-8700 * Fax 805-347-1072 R002 09112 Nblic:Cireka Forms:SWC COC h'O EXCEPTION TAKEN NOTED H rn-OTE D ❑ l�s.??I'E CORRECTIOAfS NN ❑ REjECTs D ❑ HEVIZE AND HESUEI�;IT Chocking - is 1 for 3 at=_neral confrrearce with the design concept of the prove t at:1 General compiiaarce with the info_-:aation aiven in the contract dac uth'ts. e3ng actieza showi*n is ubiect to the requ.ire- San Jose Plantreat�14�4�Sos�;:rSt,a�a�r> �os�,;G&s95112 Ph: (408) 947-�U g6lj`FgRi pensions which shall be confirmed s9' (4f!$)' 94FF=0434'' F and ccrrezctea et t-s e ic?) elite, fabrication, processes, and techniques . of ccastruc:ion, ccoldL--laflon of the work with that of all other 9 Cit.(A)AT-k, c to aslt :a` ' traormance of thew k. BYdes, [ e GtLfa'tCij7 perfDATE Contractor: GCI Concrete Mix Design: 6 sk 1" X #4 Cl s A Project: City of Campbell Mix DeCITY nc t900P PR �# i SUBMITTAL# Date:-:.....8�4-3a15���..:.� Use : Class A concrete - curbs, gutter, walks Plant: San Jose, CA Mechanical analyses percent passing U.S. standard sieves Sieve 11/2" 1" 3/4" 1/2" 3/8" #4 #8 #16 #30 #50 #100 #200 1"X #4 100% 100% 82% 46% 27% 1% 0% 0% 0% 0% 0% 0% rete Sand 100% 100% 100% 100% 100% 99% 81 % 68% 49% 25% 6% 2% ombined 100% 100% 90% 70% 60% 45% 36% 31% 22% 11% 3% 1% Sack Content: 6.00 sk equiv. 100% Specified Strength: 3300 psi =UpperLimit 50% - - Combined W/Cm Ratio: 0.50 -�-Lower Limit Slump: 4.00 +/-1 Cement Type: Type II/0% Material , Specific Gravity Density Ib/ft3. S.S.D. Weight Vol. ft3 1" x #4" 53.0% 2.80 174.72 1777 lb 10.17 Concrete Sand 47.0% 2.78 173.47 1564 lb 9.02 Cement, Type II/V 100% 3.15 196.56 Cff-43),..,� 2.87 Slag, 120 Grade 0% 2.92 182.21 0 lb 0.00 Pozzolan, Class F Ash 0% 2.32 144.77 0 lb 0.00 34 Gallons Water 1.00 62.40 283 lb 4.54 Entrapped Air 1.5% 0.41 Admix 1 0.00 oz/cwt 0.0 oz/yd Admix 2 0.00 oz/cwt 0 oz/yd Admix 3 0.00 oz/cwt 0 oz/yd Total Unit Weight = 155.1 pcf 4188 lb 27.00 Note: Based upon aggregate in saturated surface dry conditions. Correction necessary for free moisture on aggregates. In the event of an aggregate change or shortage, weights may change however the material will still meet ASTM C-33. Please verify pumpability with your pumping contractor. The above mix is based on the consideration that the compressive strengths will equal or exceed the strength shown above when cylinders are taken, handled and cured in accordance with ASTM (C-31). If the correct procedures for testing are not followed or if the water/cementitious materials ratio is exceeded, this mix as shown above cannot be expected to produce the desired properties. Submitted by Star Concrete Mix Design History Report For Mix Design # S600900P Date: 8/5/2015 Compression Strength Summary No of Tests Average Avg 7 Day Avg 28 Day Slump (in) (psi) (psi) 30 4.25 2898 5304,� Detailed Compression Strength Batch 7 Day (psi) 28 Day (psi) 56 Day (psi) Mix Number Test Facility Slump (in) Number Date Strength Strength Strength S600900P .Korbmacher 4.50 331564 7/28/2014 3170 6470 Korbmacher 4.00 318659 7/29/2014 3640 6420 Korbmacher 4.50 331694 8/2/2014 3200 5750 Korbmacher 3.50 331887 8/23/2014 2610 5160 Korbmacher 4.50 331899 9/20/2014 2950 5050 Korbmacher 4.75 331706 9/21/2014 3100 5560 Korbmacher 4.50 318476 9/23/2014 3240 5550 Korbmacher 4.50 318564 9/27/2014 -3400 5480 Korbmacher 4.25 319854 9/28/2014 2150 4150 Korbmacher 5.00 319842 9/29/2014 2530 4560 Korbmacher 4.25 332669 9/30/2014 2320 5080 Korbmacher 4.50 332755 10/4/2014 3340 5680 Korbmacher 3.75 332774 10/11/2014 2600 4500 Korbmacher 4.25 320326 10/12/2014 3140 5170 Korbmacher 5.00 50187 10/26/2014 2600 5120 Korbmacher 3.50 320160 10/28/2014 2440 5260 Korbmacher 3.00 320139 11/1/2014 2320 5110 Korbmacher 3.50 320123 11/11/2014 2680 5410 Korbmacher 4.00 333486 11/15/2014 2400 5590 Korbmacher 5.00 320341 11/24/2014 3760 5900 Korbmacher 4.50 333469 12/1/2014 2940 6130 Korbmacher 4.00 333690 12/15/2014 3100 5750 Korbmacher 4.00 - 333486 12/20/2014 2400 5590 BAGG 4.50 458873 12/21/2014 2620 5260 BAGG 5.00 459185 1/5/2015 2980 5730 BAGG 4.00 459208 1/6/2015 2120 4980 Const Test 5.00 158831 1/19/2015 3000 4920 Const Test 4.50 158813 2/2/2015 3320 4680 Const Test 5.50 158800 2/17/2015 3400 4440 Const Test 4.00 158946 3/29/2015 3480 4680 AL AF"lC7 HEIDELSERGCEMENTGroup TECHNICAL SERVICES SALES & MARKETING PERMANENTE PLANT 12667 Alcosta Blvd., Suite 400 6` 24001 Stevens Creek Blvd. San Ramon, CA 94583 � Cupertino, CA 95014-5659 Telephone (925) 244 6500 Telephone (408) 996-4033 FAX (925) 244 6586 FAX (408) 996-4033 CEMENT TEST REPORT - Cement: Permanente Type II-V, Low Alkali; ASTM C 150-09 Production Period: AUGUST 2012 Report Date: 9/18/2012 STANDARD CHEMICAL REQUIREMENTS TEST ASTM C 150-09 SPECIFICATIONS TYPE II TYPE V ASTM C 114 RESULTS Silicon Dioxide (SiO2), % 21.3 20.0 Min ---- Aluminum Oxide (A1203), % 3.6 6.0 Max ---- Ferric Oxide (Fe203), % 3.6 6.0 Max ---- Calcium Oxide (CaO), % 65.5 -- - Magnesium Oxide (MgO), % 0.9 6.0 Max 6.0 Max Sulfur Trioxide (S03), % N,1, B 3.6 3.0 Max 2.3 Max Loss on Ignition (LOI), % 2.0 3.0 Max 3.0 Max Insoluble Residue, % 0.52 0.75 Max 0.75 Max , lll alies (Na20 enuivalent) % 0.22 0.60 Max 0.60 Max Tricalcium Silicate (C,,S), % a 61 -- ---- Dicalcium Silicate (C,S), % a 12 - Tricalcium Aluminate (C3A), % e 3 8 Max 5 Max Tetracalcium Aluminoferrite (C4AF), % e 11 - 2 (C3A) + C4AF, . 18 - 25 Max PHYSICAL REQUIREMENTS (ASTM C 1038) Expansion @ 14 days, % 0.003 0.020 Max 0.020 Max (ASTM C 452) Expansion @ 14 days,% 0.021 -- 0.04 Max (ASTM C 430) -325 Mesh, % 95.6 --- ---- (ASTM C 204) Blaine, m2/kg 359 280 Min 280 Min (ASTM C114) Limestone, max, % NO1, c 4.1 5 Max 5 Max (ASTM C114) Limestone, %CaCO3 74.9 ---- - (ASTM C114) Cement, %CO2 1.35 --- ---- (ASTM C 191) Time of Setting - Initial (Vicat) 101 45 Min 45 Min (ASTM C 191) Time of Setting - Final (Vicat) 218 375 Max 375 Max (ASTM C 451) False Set, % 88 50 Min 50 Min (ASTM C 185) Air Content, % 6.6 12 Max 12 Max (ASTM C 151) Autoclave Expansion, % 0.02 ✓ 0.80 Max 0.80 Max (ASTM C 187) Normal Consistency, T. 26.1 -- --- (ASTM C 109) Compressive Strength, psi (MPa) 1 Day 1572 --- - 3 Day 2892 1500 (10.3) Min 1160 (8.0) Min 7 Day 3827 2500 (17.2) Min 2180 (15.0) Min 28 Da (previous month) 6961 --- 3050 (21.0) Min This cement meets the requirements of specification: ASTM C150-09 Type 11-V, Low Alkali " Adjusted per ASTM C-150-09 Section A1.6 j Caltrans Section 90-2.01-Type II-V Modified C ASTM C 1157 Portlan Cement Type HS Alan Sabawi, QualityControl Manager AASHTO Practice R18 a redited laborato Applicable ASTM C 150 Notes: Note B: There are cases where the optimum S03 (using Test Method C563) for a particular cement is close to or in excess of the limit i\tallerm,cilelt"it.11as atio n such cases where properties of a cement can be improved by exceeding the S03 limit stated in this table it is permissible to exceed the values in thbeen demonstrated by Test Method C1038 that the cement with the increased S03 will not develop expansion in water exceeding 0.020% aten manufacturer supplies cement under this provision, he shall, upon request, supply supporting data to the purchaser. Note C: Limestone addition as per C 150-09 Item 5.1.3 pc-c- ST C fee c -5c n D - Iv.O2-A --:> Cct H%N 2,0 ( A 4, 15 D�� 350 Technology Drive; Watsonville, CA 95076 Baldrige Award Winner Research -Technical Services Ph. (831) 768-2330 FAX (831) 768-2403 Wilson Quarry Material Certification Aromas, CA Product: Wilson 1" x #4 Concrete Aggregate SMARA# 91-35-0012 (#003) Date: May 6, 2013 Contractor: Star Concrete Graniterock conducts regular sampling and testing of its materials, in accordance with ASTM or other applicable standards. The results listed below are average results derived from these tests. Based on the testing conducted, Graniterock certifies that the material identified on this certificate typically has the following physical properties, and meets the specification shown below. Gradation : Cumulative Percent Passing (CT 202) Sieve Sizes Wilson Caltrans inches mm/um 1" x #4 Sec. 90 1 %" 38.1 mm 100 100 1 25mm 100 88-100 '/ 19mm 89 (x= 85) x +/- 15 lh 12.5mm 29 --- 3/8 9.5mm 12 (x= 18) x +/- 15 #4 4.75mm 5 0-16 #8 2.36 min 3 0-6 Aggregate Quality Test Results: Abrasion Loss (L.A. Rattler) (CT 211): 30.0% @ 500 rev >_ 45% Cleanness Value (CT 227): 86 / >_ 75 Sodium Sulfate Soundness (ASTM C 88): 1.4%✓ <_10% Specific Gravity, SSD 2.76 Submitted by: Gregory A. Wilkinson Representative, LEED AP BD+C Research Technical Services e! , SAND & GRAVEL. LTE). Revised: October 1, 2012 ORCA WASHED CONCRETE SAND The Orca concrete aggregates are produced at the Orca Quarry, Port McNeill, B.C., in a modern and efficient washing and processing plant opened in March 2007 and are distributed via ocean-going slips or barges. The California Department of Transportation has established that aggregates from this source are innocuous with respect to Alkali Silica Reactivity and has approved them for use in reduced mineral admixture concrete. Caltrans # 10-Can-OR-1 (=vw dot ca�ov/hq/esc/approved products list/pdf/aggregate for concrete.pdf ) Independent laboratory concrete trial mixes using Orca 1" x #4 gravel and Orca washed concrete sand produced results designated "Low Shrinkage" in accordance with test method ASTM C157 (Modified). GRADATION — PERCENTAGE PASSING SIEVE SIZE ORCA SAND. (Typical Values) SPECIFICATIONS CALTRANS 90-1.02C(4)(c)(2010) ASTM C 33-03 9.50 mm 3/8") 100 100 100 4.75 mm (#4) 99 95 —100 95 —100 2.36 mm (#8) 80 65 — 95 80-100 1.18 mm (#16) "A" 66 X = 68 58 — 78 X ± 10 50 — 85 600 µrn (#30) `B" 47 X = 46 37 — 55 X ± 9 25 — 60 300 µm (#50) "C" 24 X = 24 18 — 30 X ± 6 5 — 30 150 µm (#100) 6 2 —12 0 — 10 75 µm (#200) <2 0-8 0-3 A—B 19 10-40 B—C 23 10-40 Fineness Modulus 2.65 — 2.85 2.3 — 3.1 PROPERTIES TEST ORCA SPECIFICATIONS CALTRANS ASTM Specific Gravity, bulk SSD CT 207 2.78 Absorption CT 207 0.5 Dry Rodded Unit Weight, pcf CT 212 115 Sand Equivalent CT 217 88./ 75 Min. Durability CT 229 80 Sodium Sulfate Soundness C-214 <2% 10% Max. 10% Max. Magnesium Sulfate Soundness C-88 <1% 15% Max. Relative Mortar Strength C-87 110% 95% Min. Materials Finer Than No. 200 C-117 <2% 8% Max. 3% Max. Lightweight Pieces (Coal or Lignite) C-123 0.3% 0.5% Max. Clay Lumps and Friable Particles C-142 <1% 3.0% Max. Organic Impurities C-40 Satisfactory Alkali Silica Reactivity C-1260 Innocuous 0.15% Max. Alkali Silica Reactivity C-1293 Innocuous 0.04% Max. 0.04% Max. Ken Palko, P. Eng Vice President, Operations Orca Sand 8.; Gravel Ltd. • 6505 Island Highway • Port McNeill • BC • VON 2R0 Telephone: (604) 628-3353 Facsimile: (604) 628 3354 Li ILI�� BASF The Chemical Company Description Pozzolith 322 N ready -to - use, liquid admixture is used for making more uniform and predictable quality concrete. It meets ASTM C 494/C 494M requirements for Type A water - reducing, Type B retarding, and Type D retarding and water - reducing admixtures. I. �r D`sil G i T� / P®ZZ®LITH° 322 N Water- Reducing k b�tur Features D Reduced water content required for a given workability G! Normal setting characteristics Benefits Applications a Improved workability Recommended fo use in: G Reduced segregation Prestressed concrete Superior finishing characteristics for flatwork and cast surfaces Precast concrete I Increased compressive and flexural strength d Reinforced concrete * Shotcrete * Lightweight or standard weight concrete Pumped concrete • 4x4TM Concrete • Pervious Concrete Ci Rheodynamic® Self - Consolidating Concrete (SCC) Performance Characteristics Mix Data: 400 Ib/yd3 (237 kg/m3) of Type I cement; slump 5 inches (125 mm); non -air - entrained concrete; concrete temperature 76 °F (24 °C); ambient temperature 74 °F (23 °C). Setting Time Mix Design Initial Set (h:min) Difference (h:min) Plain Concrete 5:20 REF Pozzolith 322 N admixture @ 3 fl oz/cwt (195 mU100 kg) 5:15 —0:05 5 fl oz/cwt (325 mU100 kg) 5:40 +0:20 7 fl oz/cwt (460 mU100 kg) 6:20 +1:00 Compressive Strength 7 Days 28 Days Mix Design psi MPa % psi MPa % Plain Concrete 2150 14.8 100 3070 21.2 100 Pozzolith 322 N admixture @ 3 fl oz/cwt (195 mU100 kg) 2820 19.4 131 3970 27.4 129 5 fl oz/cwt (325 mU100 k9) 3160 21.8 147 4100 28.3 134 7 fl oz/cwt (460 mU100 kg) 3190 22.0 148 4390 30.3 143 Note: The data shown is based on controlled laboratory tests. Reasonable variations from the results shown here may be experienced as a result of differences in concrete -making materials and jobsite conditions. Setting time of concrete is influenced by the chemical and physical composition of the basic ingredients of the concrete, the temperature of the concrete and the climactic conditions. Trial mixes should be made with job site materials to determine the dosage required for specified setting time and a given strength requirement. Product Data: OZZV a H° 322 Guidelines for Use Dosage: PozzolithO 322 N admixture is recommended for use within a range of 3-7 fl oz/cwt (195-460 mIJ100 kg) of cement for most concrete mixtures using average concrete ingredients. Because of variations in job conditions and concrete materials, dosages other than the recommended amounts may be required. In such cases, contact your local BASF Construction Chemicals representative. Product Notes Corrosivity- Non -Chloride, Non -Corrosive: Pozzolith 322 N admixture will neither initiate nor promote corrosion of reinforcing steel in concrete. This admixture does not contain intentionally -added calcium chloride or other chloride -based ingredients. Compatibility: Pozzolith 322 N admixture may be used in combination with any BASF Construction Chemicals admixtures. When used in conjunction with other admixtures, each admixture must be dispensed separately into the mix. Storage and Handling Storage Temperature., If Pozzolith 322 N admixture freezes, thaw at temperatures above 35 °F (2 °q and completely reconstitute by mild mechanical agitation. Do not use pressurized air for agitation. Shelf Life: Pozzolith 322 N admixture has a minimum shelf life of 18 months. Depending on storage conditions, the shelf life may be greater than stated. Please contact your BASF Construction Chemicals representative regarding suitability for use and dosage recommendations if the shelf life of Pozzolith 322 N admixture has been exceeded. Packaging Pozzolith 322 N admixture is supplied in 55 gal (208 L) drums, 275 gal (1040 L) totes and by bulk delivery. Related Documents Material Safety Data Sheets: Pozzolith 322 N admixture. Additional Information For additional information on Pozzolith 322 N admixture, contact your BASF Construction Chemicals representative. The Admixture Systems business of BASF Construction Chemicals is a leading provider of innovative additives for specialty concrete used in the ready mix, precast, manufactured concrete products, underground construction and paving markets throughout the NAFTA region. The Company's respected Master Builders brand products are used to improve the placing, pumping, finishing, appearance and performance characteristics of concrete. BASF Construction Chemicals, LLC Admixture Systems www.masterbuilders.com United States 23700 Chagrin Boulevard, Cleveland, Ohio 44122-5544 C Tel: 800 628-9990 M Fax: 216 839-8821 Canada 1800 Clark Boulevard, Brampton, Ontario L6T 4M7 C Tel: 800 387-5862 13 Fax: 905 792-0651 1' k O Construction Research & Technology GMBH © BASF Construction Chemicals, LLC 2007 0 Printed in USA 0 03/07 0 LIT # 1016972 O! B V The Chemical Company -Product Name POZZOLITH 322N, California DOT certification BAI Certificate of Conformance Pozzolith 322N BASF Construction Chemicals, LLC* Admixture for Concrete (*Previously doing business as BASF Admixtures, Inc. and prior to that as Degussa Admixtures, Inc. and Master Builders, Inc.) That no celcium- chWid�r-eh�r; a based ingredient is used in the manufacture of Pozzolith 322 ; an That Pozzolith 322N, based on the chlorides originating from all the ingredients used in its manufacture, contributes less than O.00Q2,4-p-ercent (2.4 ppm) chloride ions by weight of the cement when used at the rate of 65 mL per 100 kg (1 fluid ounce per 100 pounds) of cement; and That Pozzolith 322N meets the requirements for a Type A, Water -Reducing Admixture specified in ASTM C 494, Corps of Engineers' CRD-C 87 and AASHTO M194, the Standard Specifications for Chemical Admixtures for Concrete; and That Pozzolith 322N complies in all respects with the requirements of the State of California Standard Specification dated 1992, specifically Section 6-1.07 that the materials involved comply in all respects with the requirements of the specifications; and That PolyHeed 1025 has not been altered in any way from the original composition submitted to and approved by the California Department of Transportation. The latest system revision was made at 04/09/2007 08:35 AM by Richard Hubbard. BASF The Chemical Company Description Pozzolith NC 534 patented, ready -to -use, liquid admixture is formulated to accelerate time of setting and to increase early concrete strengths. Pozzolith NC 534 admixture does not contain calcium chloride and is formulated to comply with ASTM C 494/C 494M Type C, accelerating, admixture requirements. Applications Recommended for use in: o Reinforced, precast, pumped, flowable, lightweight or normal weight concrete and shotcrete (wet mix) * Concrete placed on galvanized steel floor and roof systems which are left in place o Prestressed concrete c? Fast -track concrete construction o Concrete subject to chloride ion constraints 0 4x4TM Concrete o Rheodynamic® Self - Consolidating Concrete (SCC) • Pervious Concrete p it ~'f� 91LC�til���t�il POZZOLITH° NC 534 fAc slam-Ung Aid opbl uF Features 0 Accelerated setting time across a wide range of temperatures c Increased early compressive and flexural strength Benefits c Earlier finishing of slabs — reduced labor costs 0 Reduced in -place concrete costs v Reduced or eliminated heating and protection time in cold weather G- Earlier stripping and reuse of forms c Superior finishing characteristics for flatwork and cast surfaces Performance Characteristics Mix Data: 453 Ib/yd3 (269 kg/m) of Type I cement; 3-4 in.; (75-100 mm) slump; concrete temperature 74 °F (23 °C); ambient temperature 50 and 75 °F (10 and 24 °C); Non -air -entrained concrete. Setting time Mix @ 50 °F (10 °C) Initial Set (h:min) Difference (h:min)) Plain 13:44 REF Pozzolith NC 534 admixture @ 20 fl oz/cwt (1300 mU100 kg) 7:11 — 6:33 40 fl oz/cwt (2600 mU100 kg) 6:05 — 7:39 Mix @ 75 °F (24 °C) Plain 8:18 REF Pozzolith NC 534 admixture @ 20 fl oz/cwt (1300 mU100 kg) 4:59 — 3:19 40 fl oz/cwt (2600 mU100 kg) 4:18 — 4:00 Guidelines for Use Dosage: The recommended dosage range for Pozzolith NC 534 admixture is 10-45 fl oz/cwt (0.65 — 2.9 U100 kg) of cementitious materials for most concrete mixtures using average concrete ingredients. Because of variations in job conditions and concrete materials, dosage rates other than the recommended amounts may be required. In such cases, contact your BASF Construction Chemicals representative. The maximum dosage of Pozzolith NC 534 in potable water applications that require the use of NSF Certified products is 30 fl oz/cwt (2.0 Ukg) of cementitious materials. For specialty concrete mixtures such as 4x4TM Concrete, dosages up to 100 fl oz/cwt (6.5 U100 kg) may be required. e�. 'Ti 6f , a O, (NSF I frgq.':M t0 I Product Data: 471_17 HO 1,1 534 Product Notes Corrosivity - Non -Chloride, Non -Corrosive: Pozzolith NC 534 admixture will neither initiate nor promote corrosion of reinforcing steel in concrete. Compatibility: Pozzolith NC 534 admixture may be used in combination with any BASF Construction Chemicals admixture. When used in conjunction with other admixtures, each admixture must be dispensed separately into the mix. Storage and Handling Storage Temperature: Store at 5 °F (-15 °C) or above. If Pozzolith NC 534 admixture freezes, thaw at 35 °F (2 °C) or above and, completely reconstitute by mild mechanical agitation. Do not use pressurized air for agitation. Shelf Life: Pozzolith NC 534 admixture has a minimum shelf life of 18 months. Depending on storage conditions, the shelf life may be greater than stated. Please contact your BASF Construction Chemicals representative regarding suitability for use and dosage recommendations if the shelf life of Pozzolith NC 534 admixture has been exceeded. BASF Construction Chemicals Admixture Systems www.masterbuilders.com Packaging This product is supplied in 55 gal (208 L) drums, 275 gal (1040 L) totes and by bulk delivery. Related Documents Material Safety Data Sheets: Pozzolith NC 534 admixture. Additional Information For additional information on Pozzolith NC 534 admixture or its use in developing a concrete mixture with special performance characteristics, contact your BASF Construction Chemicals representative. The Admixture Systems business of BASF Construction Chemicals is a leading provider of innovative admixtures for specialty concrete used in the ready mix, precast, manufactured concrete products, underground construction and paving markets throughout the North American region. The Company's respected Master Builders brand products are used to improve the placing, pumping, finishing, appearance and performance characteristics of concrete. United States 23700 Chagrin Boulevard, Cleveland, Ohio 44122-5544 0 Tel: B00 628-9990 G Fax: 216 839-8821 Canada 1800 Clark Boulevard, Brampton, Ontario L6T 4M7 C, Tel: 800 387-5862 C' Fax: 905 792-0651 0 Construction Research & Technology GMBH © BASF Construction Chemicals 2008 0 Printed in USA G 10/08 C' LIT # 1016976 0 Product and/or use covered by: US685807 and other patents pending 7 The Chemical Company July 11, 2013 Star Concrete 1404 S 7th St San Jose, California 95112 Attention: Star Concrete Project: General Use Project location: General Use Certificate of Conformance Pozzolith® NC 534 BASF Corporation* Admixture for Concrete *(successor in interest to BASF Construction Chemicals, LLC , which is successor by merger to BASF Admixtures, Inc., formerly known as Degussa Admixtures, Inc., formerly known as Master Builders, Inc.) I, Richard Hubbard, Sr. Technical Marketing Specialist for BASF Corporation, Cleveland, Ohio,certify: That Pozzolith NC 534 is a non chloride Accelerating Admixture for concrete; and That no calcium chloride or chloride based ingredient is used in the manufacture of Pozzolith NC 534; and That Pozzolith NC 534, based n the chlorides originating from all the ingredients used in its manufacture, contributes less than Q,98045 percent (0.45 ppm) chloride ions by weight of the cement when used at the rate of 65 mL per 100 kg (1 fluid ounce per 100 pounds) of cement; and That Pozzolith NC 534 meets the requirements for a Type C, Accelerating Admixture specified in ASTM C 494, Corps of Engineers' CRD-C 87 and AASHTO M194, the Standard Specifications for Chemical Admixtures for Concrete. Richard Hubbard Sr. Technical Marketing Specialist, BASF Corporation BASF Corporation 23700 Chagrin Boulvard aster Cleveland, OH 44122 216 839-7500 ph Builders www.masterbuilders.com Admixture Solutions e/1 11 en 1.i —11. /,' % A-1—A/ MIXED CONCJ,1,E BEADY SAN JOSE PLANT GILROY PLANT OrL3 (] 1404 SOUTH 7TH STREET 25 BUENA VISTA WARNING SAN JOSE, CA 95112 GILROY, CA 1 ACCOUNTING OFFICE: (408) 947-0669 (408) 848-1560 IRRITATION TO THE SKIN AND EYES PROLONGED QUALITY CONCRE•I'E FAX: 408 947-0434 ( ) Contains Portland Cement. Wear Rubber Boots and Gloves. CONTACT MAY CAUSE BURNS. Avoid. Contact with. Eyes and Prolonged Contact With. Skin. In Case of Contact With Skin or Eyes, Flush Thoroughly With Water. If Irritation Persists; Get. KEEP CHILDREN AWAY. DISPATCH: (408) 947-0159 Medical Attention, FAX: (408) 947-0193 SOLD TO: SHIP TO: Yy r. }�IC.t.z i i�i. _ t. >•, i{'k,� r.'� 5t,)ri�;''s' ','I� '6r t �i..i 1, p3."", h 5•T bat._ A-Y z 11 V 1-•r f I•Fs,1,-(T T1'1 4 t,,..it :..-#l."_t ,'?tJl ' ('�`l. kE�"('I"' iri �i°..tl .•t: �,F,f 61 TIME LOAD. SIZE YARDSORDERED .USE.. DRI,VER/TRUCK. MAPCOORDlNATE .PLANT TRANSACTION # t t. t, .�� a �Y I�i `FORMULA .i Y,�Jif�i, YSe SIa'Y:�t -��t fk „ P,) pfC i�S f'� �••P-J?t. DATE,_, , , -,.. CHARGE C.0-D. LOAD # YARDS DEL. BATCH # WATERTRIM , ., -SLUMP TICKET NUMBER.. C e] .` it •�' , j. •, y :3 3 r J. r.r o r:.e --1 t_.c = C v.._7>` -' PROPERTY DAMAGE RELEASE (TO BE SIGNED IF DELIVERY TO MADE INSIDE CURB LINE) WEIGHMASTER CERTIFICATE Excessive Water is Detrimental to Concrete Performance' Dear Customerdriver of this truck is presenting this RELEASE to you for your signature is of the opinion that the size andweight of his truck may possibly cause damage to the premises and/or adjacent property if he places the material In this load where you desire it. It is our wish to help you in every way that we can, THIS IS TO CERTIFY that the following described com- modify Was weighed, measured, or counted by a ,fir ( H 0 Added B Re nest/Authorized B t L. 2 By- Q Y — (� but in order to do this the driver is requesting that you sign this RELEASE relieving his and his supplier from r�_,. - whose J ;, GAL ang responslbllitZImm any damage that may occdr to the premisses and/or adjacent property, buildings. by the delivery this thatyou tp,help him wefghmaster, signature is on this certificate, who _ - - ' ` ,CONCRETE is a PERISHABLE COMMODITY and BECOMES the PROPERTY of the PUR- sidewalks,'drive-ways, curbs, etc., of material, and also agree 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 consideration, the undersigned agrees to indemnity and, hold harmlessue driver of. this truck and this supplier> for any and all damage to the premises and/or adjacent property which may be claimed by anyone to have .Chapter 7 (commencing with sectioh' 12700). of Division CHASER WHEN TRUCK IS LOADED. ANY CHANGES or CANCELLATIONS' of ORIGINAL arisen cut of delivery of this order. Jurisdiction and Venue.Sellerand euyeragree that exclusivejunsdichonand 5 of California Business and Professions Code, adminis- INSTRUCTIONS MUST be TELEPHONED to the OFFICE. BEFORE LOADING STARTS. venue arising out of antl relate,tp the sublets matter of this credit application and any sale of goods from Sellerto Buyer shallliein the Supe rCa rt,pf the State of Catitomia, County of. Santa Clara, tered b the Division gf Measurement Standards Df the y The undersigned promises to pay 811 costs, including reasonable attorneys' fees, incurred in collecting any sums owed. SIGNED ram^ n California Department of Food and Agriculture. All COD-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 Quality. No Claims For Such Allowed _ r Y Y r • ° ' 1Y ' WEIGHMASTER '_ r, Y r „ 1 : • r : , o r Y •: Dnless Made at Time Material is Delivered. A $50.00 Service Charge and Loss of Cash Discount will be. Collected on all Returned, e L IL,b'iF-i1_. )? + �),.4tx } 1 LOAD RE�E-I ED BV: - X •,1,+ Checks. � Excess Delay Time Charged ®$1.5o/per minute QUANTITY CODE DESCRIPTION" UNITPRICE EXTENDED PRICE f=,1\11Vt 1 fiCl ti ; I 4 `I .!$? C Dti.39'•li iL.!°�' i't 31_. `r I L: t ._ N 'THERE WAS NO CONCRETE OR CEMENTI110US MATERIAL LEFT IN STREET OR STORM DRAIN BY STAR CONCRETE X RETURNED TO PLANT LEFT JOB FINISH UNLOADING DELAY EXPLANATION/CYLINDERTEST TIMEALLOWED n JOB NOT READY B:. TRUCK BROKE GOWN C r- 2 �i . SLOW POUR' OR PUMP P. ACCIDENT 1•„�' t 3 3. TRUCK AHEAD ON JOB B. CITATION ? r) Ij '1 u LEFT PLANT ARRIVEDJOB STARTUNLOADING 4: CONTRACTOR BROKE DOWN 9. OTHER TIME DUE 5. ADDED WATER m ADDITIONAL CHARGE 1 TOTALROUND'TRIP TOTALATJOB UNLOADTIME DELAY TIME ADDITIONAL CHARGE 2 itI I t PUMPER 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 E. The sand provides a cushion for the concrete darn,p sand and grade so concrete tl and good drainage. 17. poured is a consistent depth. STEPS. Separate your new concretefrom. all STEEP?. 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. STEP 4. Once over the surface, it helps vibrate, con- solidate and give you a better finish. STUP S. 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 joints perpendicular from edge STEP 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 7. If you do not wait for all bleed water to surface, then you can. finish the concrete evaporate, you end tip troweling your bleed with metal trowels. water back into the surface, dramatically changing your water/cement ratio, on. the surface, causing a weaker surface. STE-P8. 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, Never add water or dry cement to the STEP These two 9 things also change water/cernent 1-> surface of your slab. ratio on the surface and can ruin your slab. _,*'V—,f[1DY M1XCu c:vNCI��,T CAN IflCC DI ANT C11 Df1V PI AN �-•-� r z r i' RgADY MIXED CONCItE?,E SAN JOSE PLANT GILROY PLANT 0 p 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 CONCRF,— 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 E4es• Flush Thoroughly With Water:. It Irntatfon Persigts,. Get Medical Attention. KEEP CHILDREN^AWAY. FAX: (408) 947-0193 SOLD TO: SHIP TO: iaf l% ),I. !. ptf 9 ..15l 4 t',I ,:_t'i. lrtf a zjx r'1U.t. i" Al i 11'fI`;,F ?.r°Cet-rL:T'`sr't;'t ii') Tn 11tiV 1 `i , r41o`.P;I4 F, IE_- R [...."jI :;E§itr^: fhj' TIME FORMULA LOAD SIZE YARDSORDERED "- USE DRIVERITRUCK MAPCOORDINATE PLANT TRANSACTION# DATE. CHARGE C.O.D., LOAD# • YARDSDEL. . ° BATCH# WATERTRIM SLUMP TICKETNUMBER__ 1,*!,Jr ,t :' i ;'.J ❑ _ :ja _t ;"ta t_i e.l r_t--6 C. 1111ty �•C'l'S�r •aF,' PROPERTY DAMAGE RELEASE (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB LINE) WEIGHMASTER CERTIFICATE Excessive Water is Detrimental to Concrete Performance, Bear Customer- The driver of this truck is presenting this RELEASE to you for your signature is of the opinion that the size and weight of his truck. May Possibly cause damage to the premises and/or adjacent property if he places the material in this load where you desire t. It is our wish to elp you In every way that we can,, THIS IS TO CERTIFY That the fdllOWln described com- g modity was -weighed, measured, or counted by a H 0 Added B Re uest/Aµtkorized B s % Q )I + r but in order to do this the driver Is requesting that you sign this RELEASE relieving his and his supplier from "WIghmaster, - i•. li'bl. an9 res0onsihility,irom any damage that may acqur to the premisses and/or adjacent property, buildings, sidewalks, drive=Pfay's;'curbs, etc., by the delivery of this material, and that also agree to help. him whose signature is on this certificate, who _ CONCRETE is a PERISHABLE COMMODITY and BECOMES the PROPERTY of the PUR- you remove mud from the wheels of his vehicle so that he will not litter the public street Further, a' so'n tio- Is a recognized authority of accuracy, -as as prescribed bf. 9 Y Y P y consideration, the undersigned agrees to indemnity and hold harmless the driver of this truck and this suppliers for any and all damage to the premises and/or adjacent properly which may be claimed by anyone to have Chapter 7 (commencing With section 12700) Of Division CHASER WHEN TRUCK IS LOADED. ANY CHANGES or CANCELLATIONS of ORIGINAL arisen out of deliveryrof this order. Jurisdiction and Venue.selierand Buyeragres that exclusive jurisdiction and 5 of California Business and Professions Code, adminls- INSTRUCTIONS MUST be TELEPHONED to the OFFICE BEFORE LOADING STARTS. venue arising out ofand related to thesu"ject matteroithis credit application and anysale of goodsfrom Sellerto. buyer shall lie in the Superior Court ofthe State of California, Countyof Santa Clara, tered by the Division Of MeaSUr2fhe0t Standards Of the The undersigned promises to pay all costs, including reasonable attorneys' fees, incurred In collecting any sums owed. SIGNED {•'"�- "^�� California Department Of Food and Agriculture. All COD-s not paid at fime'ofdelivery will he 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 Unless Made at Time Material Is Delivered. r t r r WEIGHMASTER ' ^ ' r t r r , r r r r �'�':•li `h1 "h•� ' Chec0.00 Service Charge.and Loss of Cash Discount will be Collected on all Returned.• LOAD RE -tC� V BY: ' Excess Delay Time Charged ®57.50/per X % .� minute OUANTITY CODE DESCRIPTION UNIT PRICE EXTENDED PRICE fill 5I(if.'..9 'S(-]1 013EDV11 i 6 :30t_I'°. •_r; t n =:•1.`Il;:tf li.i' .i I'f 1, 136)0 C:ill] V I R0F` .4:;, ENV :.i p0i'Ii=iF71,41 01: 9='i=:f: 'THERE WAS NO CONCRETE OR CEMENTITIOUS MATERIAL LEFT IN STREET OR STORM DRAIN BYSTAR'CONCRETE X RETURNED TO PLANT LEFT JOB FINISH UNLOADING DELAY EXPLANATION/CYLINDERTEST TIMEALLOWED J� 1. JOB NOT READY B. TRUCK BROKE DOWN 4VI 2. SLOW POUR OR PUMP 7.: ACCIDENT j 3. TRUCK AHEAD ON JOB 8.`CITATION fa t.t ` o I_ a 12 LEFT PLANT ARRIVEDJOB STARTUNLOADING 4. CONTRACTOR BROKETOWN 9. OTHER TIME DUE - 5. ADDED WATER . ADDITIONAL CHARGE 1 TOTALROUNDTRIP TOTALATJOB UNLO�ADDjTffME DELAY TIME ADDITIONALCHARGE 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 1. The sand provides a cushion for the concrete damp sand and grade so concrete and good drainage. poured is a consistent depth. STEP 2. Separate your new concrete from all STEP. 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. S7 EP 3. Screen off your concrete. STEP 3, Make sure there are no low spots. STEP 4. Roller bug your concrete. STEP 4. Once over the surface, it helps vibrate, con- solidate and give you a better finish. 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. STEP6_ Cut control J oints perpendicular frorn. edge STEP 6. These joints should allow the concrete to crack. 1/4 the depth of the slab, using appropriate in the joint taldn.g the path of least resistance. spacing. 4" slab would be 8'x8'. STEP I. Allow all bleed water to evaporate from the STEP 7. 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 8. When surface is finished, spray with a concrete STEP H. 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. Never add water or dry cement to the sTEP9. These two things also change water./cement surface of your slab. ratio on the surface and can ruln. your slab. QUANTUM CiE07'ECHNIC'f$i, INC. COMPACTION TEST REPORT /oject #: A- 0 — Project Name r�roject Location: .r Client: mom 6D �- 6ontractor: HQQ) Report Date: % REL. COMPACTION Fall Owl Lab Curve # Soil Type / Description Max Dry Density (PCF) Optimum Moisture (%) f C r a b ACOJ120® CERTIFICATE OF LIABILITY INSURANCE DATE(1l 3/22014 ) 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 pollcy(les) 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 AOn Risk Services southwest, Inc. Dallas TX Office CONTACT NAME: PHONE (866) 283-7122 FAX (800) 363-0105 (A/C. No. Ext): A/C. No.): E-MAIL ADDRESS: cityplace center East 2711 North Haskell Avenue INSURER(S) AFFORDING COVERAGE NAIC # Suite 800 Dallas TX 75204 USA INSURED INSURER A: AIG specialty Insurance Company 26883 INSURER B: Liberty Insurance Corporation 42404 Western Pacific HOUsintl. Inc. 5050 Hopyard Road, suite 180 and 225 Pleasanton CA 94588 USA INSURERC: Liberty Mutual Fire Ins co 23035 INSURER D: - INSURER E: INSURER F: /`/1\/GO Al:GC r-FRTIFIt'elF NrrMW[ W- mulo6GR: 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. Limits shown are as requested LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER IMMIDDfYYyY1 fMMiDDIYYYylLIMITS X COMMERCIAL GENERAt�LIABILITY. CLAIMS -MADE X❑ OCCUR RMGGL1595449 SIR applies per policy ter 07, is & conditions EACHOCCURRENCE $5,000,000 PREMISES Ea. occurrence $50,000 MED EXP (Any one person) -, PERSONAL B ADV INJURY $5,000,000 GEN'LAGGREGATE LIMRAPPLIES PER: GENERALAGGREGATE $5,000,000 X POLICY ❑ PRO ❑ LOC JECT PRODUCTS-COMP/OPAGG $5,000,000 OTHER: C AUTOMOBILE LIABILITY As2-651-288173-034 07/01/2014 07/01/2015 COMBINED SINGLE LIMIT Ea accident) $1, 000, 000 BODILY INJURY (Per person) X ANYAUTO BODILY INJURY (Per accident) ' XIALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS NON -OWNED AUTOS P O RTYDAMAGE UMBRELLALIAB EACH OCCURRENCE AGGREGATE EXCESS LIAR HOCCUR CLAIMS -MADE DED I RETENTION B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYADS ANY PROPRIETOR! PARTNER / EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory In NH) NIA WA765D288173014 C7651288173024 WC7 WI 07 01 2014 07/Ol/2014 07 01 2015 07/Ol/2015 X PER STATUTE OTTH- E.L. EACH ACCIDENT $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 I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if moro space is required) The city of Campbell, its agents, officers, attorneys, employees, officials and volunteers are included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. General Liability and Automobile Liability evidenced herein are Primary and Non-contributory to other insurance available to an Additional Insured, but only in accordance with the policy's provisions. A waiver of subrogation is granted in favor of city of Campbell, its agents, officers, attorneys, employees, officials and volunteers in accordance with the policy provisions of the Workers' compensation policy. CERTIFICATE HOLDER city of Campbell 70 North First Street Campbell CA 95008 USA ACORD 25 (2014/01) CANCELLATION 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 i�� � 5? GIO/G �sGffrgeil r�� e! Ylet ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD . `m NZ INSURANCE REQUIREMENTS CHECKLIST Permit # �� e- ' C-I-P-Project # Consultant/Contractor: b 0 The following insurance is required of all consultants/contractors wo ing 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 ❑ $2,000,000 general aggregate limit. ,L Policy expiration date -7 1 1 S Automotive Liability: 1& "Any Auto" checked on certificate _�;r $1,000,000 per accident for bodily injury and property damage Policy expiration date,. -1 l I S Workers' Compensation and Employer's Liability Waiver of Subrogation clause ❑ $1,000,000 per accident for bodily injury or disease )i Policy expiration date 1 Course of Construction (if required in Special Provisions) o Completed value of the project ❑ Policy expiration date Reauired Endorsements to General Liabilitv and Automobile Liabilitv Policies Additional Insured Endorsement: y- 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 oblieation or liabilitv of anV kind upon the companv. its aeents 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 V—For Developer or Owner J:\50RMS\Templates\lnsuranceRequirements\lnsurance Requirements Cklist.dpc (Rev 02 14) Page 1 Acceptability of Insurer(s) u/ Insurer(s) has current A.M. Best Rating of A:VII and is authorized to transact business in the State of California. Name: %1 1�1 NAIC # RatinAuthorized in CA: Name: L\.WeOl NAIC # L42LA04 Rating: A - k f Authorized in CA: m Name: (�� �2< hl ,Jk\JL -,<e. NAIC # 3o35Jg� Ratin X,i Authorized in CA: �— Name: NAIC # Rating: Authorized in CA: Campbell Business License # 02-cb � �� Expiration: 3t I S r � �b Contractors License # �� `1 Class: Expiration: ICI 3� 1lp Insurance Certificate Reviewed 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 MKI TRAFFIC CONTROL PLAN o KENNEDY AVENUE (WINCHESTER SLVD TO INDUSTRIAL ST). CAMPBELL PHASE 3 W20-1 ! ROAD Z 0 YfORR� 4NEA0 I I m ED M 25D' i I A W I I � Lo t t r lr EL CAMINITO AVE (25 MPH)�77, \ , I I I W14L 4D' Y I I i 100' / I I 1 ••r 1 i I 1 ' RDaO I I � '1L1 ROPD WORR nHMO WORK I 1 I � AH[AO I i W20-1 Will-11• W204 29"TRAFFIC CONE-1 IS' MAX SPACING 29"TRAFFIC CONES( 15'MAX SPACING. W20-1 ` 25 C _ a PNfAO � D 'r -N'I 100' ' 3 M W14R W20-1 ROAD O WDRN 100, 4- -- _00000''T7Or _ . 350'TOW AWAY NO STOPPING • VT 65'SHIFTINC. TAPER 250'WORN AREA - 65 SHIFTING TAPER 125'iANGENi LANE LLOSEO C30(CA) NOTES: LEGEND: 1, ALL ADVANCED WARNING SIGNS SHALL BE EQUIPPED WITH 218" ORANGE FLAGS TEMPORARY 51cN 2. NO PARKING SIGNS SHALL BE PLACED A MIN OF 72HRS PRIOR TO START OF WORK. CONTRACTOR SHALL NOTIFY LOCAL AUTHORITIES ONCE SIGNS ARE POSTED. 3. ALL CONFLICTING SIGNS SHALL BE COVERED WHILE TEMPORARY ram• TYPEI ON TYPE II BARRICADE SIGNS ARE IN PLACE 4. ACCESS TO RESIDENTS AND LOCAL BUSINESSES SHALL BE MAINTAINED AT ALL TIMES. ACCESS TO BE DETERMINED IN FIELD BASED ON TRAFFIC FLOW ACTUAL EXISTING CONDITIONS S. CONTRACTOR SHALL MAINTAIN SAFE PEDESTRIAN ROUTES AT ALL TIMES . . ' . 20" TRAFFIC CONES A 5' MIN. WALKWAY SHALL BE MAINTAINED WHEN WALKWAY LEFT OPEN 6. ALL TRAFFIC CONTROL PLANS AND DEVICES SHALL CONFORM TO THE CAUFORNIA MANUAL OF UNIFORM TRAFFIC CONTROL DEVICES / WORK AREA SECTION 6 DATED 2014 �d0 � KENNEDY AVE (25 MPH) 100' L ROAD WO0.N AHMO d° W20-1 PREPARED BY: ROBERT SCULLY CAL -VET CONSTRUCTION SERVICES DVBE 679 SAN MIGUELAVENUE SANTACLARA• CA.,95050 40R477-6850 408-931-6111 FAX CONTRACTORS LIC.#894938 DVBE CERT. #1111002 TRAFFIC CONTROL PLAN - KENNEDY AVENUE (WINCHESTER BLVD TO INDUSTRIAL ST). CAMPBELL PHASE W20-1 Ih IZ 0 M M 250, C3 < EL CAMINITO AVE (25 --------- - - - - - - ---- O t WI-4R V120-1 W20-1 7" D"' E . CLOSED 28- TRAFFIC CONES a 15- MAX SPACINO ---------- --- - --- - --------- --------- ----------- --- - - - - - ------- ---- ----------- - 4—* 20' Z 7' p- . .. .................. . . . .... 3RO'TOW AWAY ND STOPPING B—G— 6-H-1 -TAPER 25D'WORKAREA NOTES: LEGEND: 1. ALL ADVANCED WARNING SIGNS SHALL BE EQUIPPED WITH 111" ORAIIr I FLAGS TEMPORARY Sl.. 2. NO PARKING SIGNS SHALL BE PLACED A MIN OF 72HRS PRIOR TO START OF WORK.CONTRACTOR SHALL NOTIFY LOCAL AUTHORITIES ONCE SIGNS ARE POSTED. qqq 1, ALL CONFLICTING SIGNS SHALL BE COVERED WHILE H TEMPORARYILE TYPE I OR TYPE 11 BARRICADE SIGNS ARE IN PLACE 4. ACCESS TO RESIDENTS AND LOCAL BUSINESSES SHALL BE MAINTAINED AT ALL TIMES. ACCESS TO BE DETERMINED IN FIELD BASED ON TRAFFIC FLOW ACTUAL 'TUAL EXISTING CONDITIONS S. CONTRACTOR SHALL MAINTAIN SAFE PEDESTRIAN ROUTES AT ALL TIMES . . . . 24" TRAFFIC CONES A S'MIN. WALKWAY SHALL BE MAINTAINED WHEN WALKWAY LEFT OPEN 6. ALL TRAFFIC CONTROL PLANS AND DEVICES SHALL CONFORM TO THE CALIFORNIA MANUAL OF UNIFORM TRAFFIC CONTROL DEVICES WORK AREA SECTION 6 DATED 2014 W20-1 10 'C: Ew Z�- '30 (CA) 100, W14R V120.1 LANE _ ROAD O WDRK .: I 100, ---------- ....... ......... ------------- ------ --------- - --- ----- ----------- KENNEDY AVE (25 MPH) WORK AHFAD 40 W20-1 PREPARED BY: ROBERT SCULLY CAL -VET CONSTRUCTION SERVICES DVBE 679 SAN to IGUELAVENUE SANTA CLARA, CA. 95050 40B477-6850 408-931 -6111 FAX CONTRACTORS U C.#894938 DVBE CERT. ft1111002 TRAFFIC CONTROL PLAN - KENNEDY AVENUE (WINCHESTER BLVD TO INDUSTRIAL ST). CAMPBELL PHASE'l IF W20-1 I 2 0 IT, 11-i HI m X co 250' i LANE CLOSED --- --------- ... ........... I ....... ... 7 - -'-1- _�_:_1 ------ -- -- ---7 ................. ...... . . . . ....... q— . . . ... . . . . . . . . . H- . . . . . . . . . . . . 20' --- --- - - - ---- --- ----- --- --------- ----------- --- ------------------- - - - - --- ----- - - - - ---------- - - - -- -------- 3.0- TOW AWAY NO STOPPING EL CAMINITO AVE (25 MPH) ".Tmow .-S-LINGTAPER 66-SHEMNGTAPER ......... . ......... W14R 28 TRAFFIC CONES 15 AIAX SPACING 28 TIZAFHC CONES @ IS MAX SPACING 40' 250' W20-1 1rl,r IW20-1 NOTES: LEGEND: 1. ALL ADVANCED WARNING SIGNS SHALL BE EQUIPPED O WITH2 11" ORANGE FLAGS TEMPORARY SIGN 2. NO PARKING SIGNS SHALL BE PLACED A MIN OF 72HR5 PRIOR TO START OF WORK. CONTRACTOR SHALL NOTIFY LOCAL AUTHORITIES ONCE SIGNS ARE POSTED. 111E I OR TYPE 11 BARRICADE 1 ALL CONFLICTING SIGNS SHALL BE COVERED WHILE TEMPORARY SIGNS ARE IN PLACE 4. ACCESS TO RESIDENTS AND LOCAL BUSINESSES SHALL BE MAINTAINED AT ALL TIMES. ACCESS TO BE DETERMINED IN FIELD BASED ON TRAFFIC FLOW ACTUAL EXISTING CONDITIONS 5. CONTRACTOR SHALL MAINTAIN SAFE PEDESTRIAN ROUTES AT ALL TIMES 28" TRAFFIC CONES A 5, MIN. WALKWAY SHALL BE MAINTAINED WHEN WALKWAY LEFT OPEN G. ALL TRAFFIC CONTROL PLANS AND DEVICES SHALL CONFORM TO THE WORK AREA CALIFORNIA MANUAL OF UNIFORM TRAFFIC CONTROL DEVICES SECTIONS DATED 2014 z A IM Wl.4L W20-1 11A' O WORD ,AD + 40- KENNEDY AVE (25 MPH) woax nnEno W20-1 PREPARED BY: ROBERT SCULLY CAL -VET CONSTRUCTION SERVICES DVBE 679 SAN MIGUELAVENUE SANTA CLARA, CA. 95050 408477-6850 408-931-6111 FAX CONTRACTORS LIC. 9894938 DVBECERT. #1111002 1111 WE -0 i nl I ili' i � 1 1, 11! 1 1 i 14 Rl. NEI 20• ----------------- ------------ EL CAMINITO AVE (25 MPH) ... . .... . ... - -------- - --------- ---- 1 'I II LEGEND: �\ TEMPORARY SIGN N.TES: TYPE OR TYPE II BARRICADE t ALL ADVANCED WARNING SIGNS SMALL BE EQUIPPED WITH 2 18" ORANGE FLAGS TRAFFIC FLOW 2. NO PARKING SIGNS SHALL BE PLACED A MIN OF 72HRS PRIOR To START OF WORK. CONTRACTOR SHALL NOTIFY LOCAL AUTHORITIES CONSTRUCTION FENCE ONCE SIGNS ARE POSTED. 3. ALL CONFLICTING SIGNS SHALL 86 COVERED WHILE TEMPORARY . . . . 42' TRAFFIC DELINEATOR SIGNS ARE IN PLACE 4. ALL TRAFFIC CONTROL PLANS AND DEVICES SHALL CONFORM TO THE WORK AREA CALIFORNIA MANUAL OF UNIFORM TRAFFIC CONTROL DEVICES SECTION 6 DATED 2014 ....... ... ............. . W21 -5 SHDIILOER ANEAO --------- 14.' - - ----------- ----------- ....... I - - - - - --------------- - - --------- - - - - ENNEDY AVE (25 MPH) PREPARED BY: ROBERT SCULLY CAL -VET CONSTRUCTION SERVICES DVBE 679 SAN MIGUELAVENUE SANTA C LARA, CA. 95050 408-477-6850 408-931-6111 FAX CONTRACTORS Ll C. $1894938 DVBE CERT. H1111002 Syed Wahidi From: Doris Quai Hoi Sent: Friday, April 24, 2015 8:47 AM To: Michelle Quinney; Roger Storz; Syed Wahidi; Alan Hom Subject: FW: Kennedy Avenue Project - St. Lucy's Church (Cottage Place) FYI Doris C. Quai Hoi. I Assistant Engineer City of Campbell I Public Works Dept. 408.866.2157 17 408.376-0958 70. N. First Street I Campbell, CA 95008 From: Eric T Keller [mailto:ETKeller@drhorton.com] Sent: Thursday, April 23, 2015 6:10 PM To: iabell@dsi.org; sue.grover@stlucyschool.org; rlangford@dsj.org; principal@stlucyschool.org Cc: Daryl A Bauman; Doris Quai Hoi Subject: RE: Kennedy Avenue Project - St. Lucy's Church (Cottage Place) My apologies — My fat fingers entered the wrong month in the schedule. Below in red bold face type show the correct dates. Eric T. Keller Forward Planner D.R. Horton America's Builder No. CA 5050 Hopyard Road, Suite 180 Pleasanton, CA 94588 C: 650-544-5504 O: 925-225-7400 D: 925-225-7438 F: 800-279-7607 etkeller(o)drhorton.com From: Eric T Keller Sent: Thursday, April 23, 2015 5:52 PM To: 'iabell @dsj.org'; 'sue.grover@stlucyschool.org'; 'rlangford@dsj.org'; 'principal@stlucyschool.org' Cc: Daryl A Bauman; Doris Quai Hoi Subject: Kennedy Avenue Project - St. Lucy's Church (Cottage Place) Dear Ian, Thanks for the follow-up phone call to my inquiries with Sue and Father Kevin. Attached you'll find my contact information, a site plan and color elevations of the project. Quick Project Summary: 1. The Planned Development Zoning and Vesting Tentative Map Application was approved on February 18, 2014 2. There will be a total of 18 homes (8 single family and 10 attached). 3. D.R. Horton applied for an amendment to the PD Architecture and obtained approval on March 3, 2015. Construction Program Summary: 4. We will be posting "No Parking" signs along our Kennedy frontage beginning today through site development. a. We will close off the sidewalk along our project frontage by installing a screened chain link fence roughly 1' off the lip of the gutter. b. No parking signs will be posted on the fence. c. These will be inspected daily to be certain they are posted, and to determine if any additional signs are needed. i. We will confirm conformance with the City and the City at any time may require adjustments or additional signage . 5. We anticipate site improvements to take up to three months to complete and vertical construction to last for a year ± . i. We would like to establish a collaborative program to assure safe traffic patterns • on Kennedy Avenue for students, parents, visitors and workers alike. c. This includes a traffic control plan using the standard Caltrans Traffic Control plans. 8. A sign on our project frontage will be posted listing contact information including name and phone number for any construction problems and complaints. a. Our site development manager is Daryl Bauman (209)-992-0396 and my information is attached and provided below Should you have any questions, please feel free to call me. Sincerely, Eric T. Keller Forward Planner D.R. Horton America's Builder No. CA 5050 Hopyard Road, Suite 180 Pleasanton, CA 94588 C:" 650-544-5504 O: 925-225-7400 D: 925-225-7438 F: 800-279-7607 etKeiiercayarnorton.com Eric Keller D.R. tto:r* FoR ard;P[anning Manager, 2 .: —a4381,yqfttr"i ife Mrd.Poad Suite, 80 April 28, 2015 Attn: Doris Quai Hoi, Re: Cottage Place by DR Horton — Letter regarding traffic control daily inspections. I will inspect the traffic control signage daily to assure it's per the approved traffic control plan. Sincerely, D.R. Horton BAY, Inc. Daryl Bauman Project Manager -tea 77, !4 � 4 r Z ,*--•- =, GG IN ;�J,w4 fm # # a iA4 IN a x { D Oak T 0 IN b -, SI z e ,jjgg a a, uk LmqEpt Ct( ft 'STM' WrYEJ 'LACL V �M NO Z� .K IM �1 31 54 NiF F'7r UrM Rwitni tm nit uARx. uncil C.R&M lrjLmxft VXCT MU RALL AXO 1=1W hH9 -4-4 Imam STREET TREt P-bosTvs 'UT 4C M L OFAP BFLL Int ICIAOS. AP�PROV I FOR (;�OtAsllmw ol campb011 city U � of 1� PLAN VIEW SCALE: 1 "=4' TRACT 10238 - COTTAGE PLACE REVISIONS TO 810-RETEN710N #13 SCALE: 1 "=4' DATE.• 3116116 PAGE 1 OF 2 210 FL=3' I PRonLE VIEW SCALES. HORZ 1"=4; VERT•1"=2' TRACT 10238 - COTTAGE PLACE REVISIONS TO BIO-RVENVON lf13 SCALE. 1 "=4' DATE: 3116116 PAGE 2 OF 2 I ITOP 0 WA E ■1■ ES 727 UNIVERSITY AVE. LOS GATOS, CA 95032 Phone: (408) 377-2793 Fax: (408) 354-7599 TO Mr. Syed Wahidi City Of Campbell LETTER OF TRANSMITTAL Date: May 10, 2016 Job NO- 473 Attn: RE: Cottage Place Campbell Tract 10238 WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items: ❑ Submittals ❑ Prints ❑ Plans ❑ Invoice ❑ Copy of letter ❑ Change Order COPIES DATE NO. DESCRIPTION 1 4/19/2016 Storm Drain Pipe TV Investigation - Encroachment Permit 2014-00096 MAC° Pub ._ droinistrat• THESE ARE TRANSMITTED AS CHECKED BELOW: ❑ For approval ❑ Approved as submitted ❑ For your use ❑ Approved as noted ❑ As requested. ❑ Returned for correction ❑ For review and comment ❑ FOR BIDS DUE 20 REMARKS COPY TO Signed ❑ Resubmit copies for approval ❑ Submit copies for distribution ❑ Return corrected prints PRINTS RETURNED AFTER LOAN TO US If enclosures are not as noted, kindly notify us at once. Project Name: Cottage Place Date: 4/19/2016 7:38:10 AM Asset ID: Location: Kennedy AVE Upstream MH Number: SDMH# 1 Length Surveyed: 137 Downstream MH Number: EXSDMH# 1 Run Number: Direction Of Survey: Downstream Pipe Size: 15" Pipe Material: Reinforced Concrete Pipe L� ID Number: SDMH# 1 (137.0) End - END INSPECTION..... Total Distance: 137 *00 ID Number: EXSDMH# 1 Created with the ., y� �� 1'* 'LI I report generator i Back t Project Name: Cottage Place Date: 4/19/2016 7:38:10 AM Asset ID: Location: Kennedy AVE Upstream MH Number: SDMH# 1 Length Surveyed: 137 Downstream MH Number: EXSDMH# 1 Run Number: Direction Of Survey: Downstream Pipe Size: 15" Pipe Material: Reinforced Concrete Pipe Distance Fault Observation Time Picture Y vok i' B�I'-f,4; END INSPECTION y: ' Severity: None 137.0 XCoord: 0 03:44 YCoord: 0 Measure From: U - T ',' `��''l report generator Back Created with the � -�—� -: = .� _� � � �, :� k Project Project Name Cottage Place Location Kennedy AVE Date 4/19/2016 7:38:10 AM Direction Of Survey Downstream City Campbell JOB NUMBER 473 Run Number Purpose Pre -Acceptance Operator Name Adrian Gonzales Completed Yes Comments Pipe Pipe Size 15" Pipe Material Reinforced Concrete Pipe Shape Circular Pipe Length Surveyed 137 Sewer Use Stormwater Manhole Upstream MH SDMH# 1 Number UpstreamMH 14+39.64 Location Downstream MH EXSDMH# 1 Number Downstream MH Location Amount of Flow 0 Other Media Number Truck Number Contractor Name Weather VCR Start Index VCR End Index Created with the --`, - ;i ! 1 report generator Back ` Project Name: Cottage Place Date: 4/19/2016 7:56:52 AM Asset ID: Location: Kennedy AVE Upstream MH Number: SDMH# 2 Length Surveyed: 36.4 Downstream MH Number: SDMH# 1 Run Number: Direction Of Survey: Upstream Pipe Size: 15" Pipe Material: Reinforced Concrete Pipe ID Number: SDMH# 1 r ,I (36.4) End - END INSPECTION Total Distance: 36.4 ID Number: SDMH# 2 Created with the � 9 E.1,f;d %rwj report generator ;'Back Project Name: Cottage Place Date: 4/19/2016 7:56:52 AM Location: Kennedy AVE Length Surveyed: 36.4 Run Number: Pipe Size: 15" Asset ID: Upstream MH Number: SDMH# 2 Downstream MH Number: SDMH# 1 Direction Of Survey: Upstream Pipe Material: Reinforced Concrete Pipe Distance Fault Observation Time Picture END INSPECTION Severity: None , 36.4 XCoord: 0 01:17 YCoord: 0 Measure From: D _ J � report generator Back Created with the. ` .�-- ��.._'._=:',�; ._.; �_, s ' .. ;� � i ., - { i 'AM .� IPEILENES Project Name Date City Run Number Operator Name Comments Project Cottage Place Location Kennedy AVE 4/19/2016 7:56:52 AM Direction Of Survey Upstream Campbell JOB NUMBER 473 Purpose Pre -Acceptance Adrian Gonzales Completed Yes Pipe Material Reinforced Concrete Pipe Length Surveyed 36.4 Upstream MH Number UpstreamMH Location Downstream MH Number Downstream MH Location Amount of Flow Media Number Contractor Name VCR Start Index SDM I# 2 Inside job sight SDMH# 1 14+39.64 0 Pipe Pipe Size Pipe Shape Sewer Use Manhole Other Truck Number Weather VCR End Index 15" Circular Stormwater Created with the4 . =- �1 report generator Back r 4 VCI L111CU IVIOII OC/ V1WV P1UVIUCA I A receipt (this portion of the Certified Mail label). I A unique identifier for your maiipiece. I Electronic verification of delivery or attempted delivery. A record of delivery [Including the recipient's signature) that Is retained by the Postal Service — for a specified period. 'mportant Reminders: I You may purchase Certified Mali service with First -Class Mail', First -Class Package Service°, or Priority Mail® service. I Certified Mail service is not available for International mall. Insurance coverage Is notavailable for purchase with Certified Mall service. However, the purchase of Certified Mall service does not change the Insurance coverage automatically included with certain Priority Mail items. For an additional fee, and with a proper endorsement on the mallplece, you may request the following services: - Return receipt service, which provides a record of delivery (including the recipient's signature). You can request a hardcopy return receipt or an electronic version. For a hardcopy return receipt, complete PS Form 3811, Domestic Retum Receipt; attach PS Form 3811 to your mailplece; LIIC IUIIUVVIIILJ LJCIICIILA. for an electronic return receipt, see a retail associate for assistance. To receive a duplicate return receipt for no additional fee, present this USPS®-postmarked Certified Mail receipt to the retail associate. Restricted delivery service, which provides delivery to the addressee specified by name, or to the addressee's authorized agent. Adult signature service, which requires the signee to be at least 21 years of age (not available at retail). Adult signature restricted delivery service, which requires the signee to be at least 21 years of agi and provides delivery to the addressee specified by name, or to the addressee's authorized agent (not available at retail). ■ To ensure that your Certified Mail receipt Is accepted as legal proof of mailing, it should bear a USPS postmark. It you would like a postmark on this Certified Mail receipt, please present your Certified Mail Item at a Post Office- for postmarking. If you don't need a postmark on this Certified Mall receipt, detach the barcoded portion of this label, affix It to the mailplece, apply appropriate postage, and deposit the mailpieco. IMPORTANT: Save this receipt for your records. ,c c,.,.., RAnn e..ai omt iae,.a.cel ocu �cortm_nnn_anno 1.5. Postat service"" ■ , ■ ■ ] r /� Only , uFor delivery information, visit bur websiteat wwl#.usps.cbM8. 00 FIF�CU A L USS E Certified Mail Fee n $ Extra Services & Fees (check box, add fee as appropriate) ❑ Return Receipt (hardcopy) $ ❑ Return Receipt (etectrenic) $ Postmark ❑ Certified Mall Restricted Delivery $ Here ❑ Adult Signature Required $ ❑Adult Signature Restricted Delivery $ 7 a Postage DR Horton � $ Total Post 6683 Owens Dr. $ Pleasanton, CA 94588 Sent To aZI Attn: Daryl Bauman Street and, City State, _ �----- ■ Complete items 1, 2, and 3. ■ Print your name and address on -the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece; or on the front if space permits. DR Horton.... 6683 Owens Dr. Pleasanton, CA 94588 Attn: Dar•J'Bauman ❑ Agent ee B. Receive by (Printed Name) C. Date of Deli n D. Is delivery address different from item 17 ❑ Yes If YES, enter delivery address below: -KNb I I I II II IIII III I II II I III i I I II I I I II II I I III 3. Service Type ❑ Adult Signature ❑ Adult Signature Restricted Delivery Certified Mail@ 9590 9402 2544 6306 4233 46 ❑ Certified Mail Restricted Delivery ❑ Collect on Delivery.. Article Number (TianSfer from SBNice label) _ Collect on Delivery Restricted Delivery L s ❑ Inured Mail 7 016 0 910 0 0 01 15 7 7 2 3 4 0 I Insured Mail Restricted Delivery ❑'Priority Mail Express@ p Registered MailTM ❑ Registered Mail RestOctm Delivery ❑ Return Receipt for Merchandise ❑ Signature Confirmationn ❑ Signature Confirmation Restricted Delivery Domestic Return ReceiDi USPS TRACKING # 9590 9402 2544 6301 4233 46 United States • Sender: Please print your name, address, Postal Service PUBLIC WORKS CITY OF CAMPBELL 70 North First Street Campbell, CA 95008 First -Class Mail Postage & Fees Paid USPS Permit No. G-10 01 ll:d IT CERTIFIED MAILTM KEGEIPT (Domestic Mail Only, No Insurance Coverage Provided) For'deftery information visit our website at www.usps.com® p Postage $ ] Certified Fee ] Postmark ] Return Receipt Fee Here ] (Endorsement Required) Restricted Delivery Fee ] (Endorsement Required) qTotal Pos Western Pacific Housing _ r' Sent To a C/O DR Horton ] Street Apt 5050 Hopyard Rd., #180 orPoBox i Pleasanton, CA 94588 CIty State,, Attn: Eric Keller Certified Mail Provides: ■ A mailing receipt ® A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years mportant Reminders: ■ Certified Mail may ONLY be combined with First -Class Mail® or Priority Mai ■ Certified Mail is not available for any class of international mail. rr NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. Fi valuables, please consider Insured or Registered Mail. o For an additional fee, a Return Receipt may be requested to provide proof c delivery. To obtain Return Receipt service, please complete and attach a Retur Receipt (PS Form 3811) to the article and add applicable postage to cover th fee. Endorse mailpiece "Return Receipt Requested". To receivd a fee waiver fc a duplicate return receipt, a USPS® postmark on your Certified Mail receipt 1 required. i For an additional fee, delivery may be restricted to the addressee c addressee's authorized agent. Advise the clerk or mark the mailpiece with th endorsement "Restricted Delivery". i If a postmark on the Certified Mail receipt is desired, please present the art cle at the post office for postmarking. If a postmark on the Certified Ma receipt is not needed, detach and affix label with postage and mail. MPORTANT: Save this receipt and present it when making an Inquiry. IS Form 3800, August 2006 (Reverse) PSN 7530-02-000-9047 ■ Complete items 1, 2, and 3.. A. Signature ■ -Print your name and address on the reverse X -so that we can return the card to y • Attach this card to the back of the #V - ce, B• Rec� ve or on the front if space permitsp,,_ Max, I. Article Addressed to: Western Pacitic 4iou �? St��MRHorton �gxwd >a� +r9stn �oVks�a�i; .®,, , Pleasanton, CA 94588 Attn: Eric Keller�y I IIII III IIIIII I II I I III � II IIIII 9590 9402 2544 6306 4233 15 2 Article Number jfransf-gq ervice label) _I j i j - I 0 7014 1200 0000 8354 92331 ° ❑ Agent j ee D. Is deTi ery adafess different from item 1? 'U_y_q5'1 If YES, enter deli— 0 No (f ",2 l��llb�C rIi 3. Service--' s ❑ Priority Mail Express® ❑ Adult Signature ❑ Registered MailTM gAdult Signature Restricted Delivery ❑ Registered Mail Restricti Certified Mail® Delivery Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise Collect on Delivery Restricted Delivery , me; p?a-u re ConfirmatloriT' Insu'red';Mail j j j I ; j j I i I t❑ Signature Confirmation Insured Mail Restricted Delivey Restricted Delivery Dc'r,,. %Zll '_Lu:;bnik rid_nnn_onr,2 n--fir Rofnrn Racoini LISPS TRACKING # First -Class Mail Postage & Fees. Paid USPS II Permit No. G-10 9590 9402 2544 L30L 4233 15 United States Postal ServlcO • Sender*.. Please print your name, address, and ZIP+4® in this box* PUBLIC WORKS CITY OF CAMPBELL 70 North First StrNt Campb*ll, CA 95008. eNc ao)M -pO W 151-1j,�l,1 111013111111)111 � �� ... _ �9I■W®7DIA7MA7271{EOM32Ltl � ar n��u.� c-,Et.l.,�.�x�- � _ : - .- � • NlaK14 KN.VITMIO7 KV. NH��d'e /amL eabi ! 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City of CarnRboTi 7o La 7W r-m p7rhlic Works Permit N d p,Y��awr�i- rµw.w.�..w.��. i a NOTES R SHALL MUM A CUALIFlED SUPEFMSOR ON IRE SITE, AT ALL TUB DUHNG COSST RXMN LEMON OF PAAC•NP WORK RRSSS! � PAT FOR ALL FORKS OF PLANT MMEAML.S AND W4WIED DISTALLAUK thbom 'CONTRACTOR WILL BE AESPONSIBLE FOR LOCJLIWN AND STAIQAG ALL SEWER, un ITV AND WATER OR 70 KANRND. LUllSCAPE COATRXTCR OWLLL JMNE $OLE FUPO11MTT FOR ANY COSTS 70 DOW PPo R WY OF SAID IBO.hIES. CALL mAOAON OROUND ALUMM MN AT AO YD IDMk OAOTAIOCOYPR AREAS SHALL EE ERDMSROM OR IUD TO A DEMN OF Mix Co IKL m THE [ALL BE UNMILY DROAD= PER LOCO SF. ABD SHOAOUWLY NWAPORATO TO A DEPTH OF V BY ROLLER OR EQUAL THE FW.LMW FORMULA MUM BE USED FOR BOOM PURp6&3 ORLYi NLYDD, NTROGEH SMOL9M, D-U4' RAW FIRM LDS 6.20.20 GOMMUMML FFRTUM TBS. NDN SULFATE LZoN Ad FREES AND $MES, THE WAIM PITS FOR TREES MD SHRUDS SHALL BE F1MAVATPD TO TNCE TIE TO THE DERR OF 7HE ROOTBAU. ON SITE SOL SHNL BE USED FOR 0AB011L PURP06EL THE SHALL BE USED FOR BIOORIB Putposes ONLTi R] BY VOLUME OROANC MENNO tL FVt ARME IW.Th OF MoC 6-w20 141-70. OF T,DC 1ROLt RLFATE PER CNLYD. OF Ma ONENTB SPEORED ARE FOR BIODW PURPOSES ONLY. ONCE$ATE HAS BEEN ROM GRADER HALL OBTAIN A SOILS REPORT FROM SOIL AHD T4.ART LABORATORY t4W-nr-=) FOR SOL COHARAOTOR TO SUSNIT ONE COPY OF THE SOILS REPORT TO THE CRY. ONE COPY TO THE OWNER, 70 THE LMDSUIPE AWMELT FOR USE 01 PFIOVONNO UPDATED IRRICATWN SCHFDULDLB OHS TO SE INMUDED PRIOR TO AFFROYAL OF OERTIFTPATE OF COMPLIANCE. CONTRACTOR RIALL DL PIEPAPAM ON AND BUN LL UK PER 711E REPORT. SMIJB8 SRUL T;ECEIYE TAO 0 a GRAN AGRH RV FLANTINB'TABLE75. ALL 15 OALLDN TREES SHR.L H 6 GMR6RIFORM PLUM TABLETS AID ALL 1 MC TREES MILL RECEIVE EIGIR AEI 2I CRAM D OROUNDCDYEA PLANMMI G AREW SHALL DE UNEO TO A EFDBWM OEPTH OF V UAAN to BE D WAVE, COLOR TO BE BLACK V TD I' DIAIMER FROM WASTE UANASOMQIT. BE, 8A6AAVMM. BRAY MN WEEDS IV K D AREAS PRM TO HL°F1 O AND APPLY FAE-OMM IT TO AFTPLANTISM SHALL APPLY FMTILM AND PRE-nfpAE r AT END OF NAmucE amom XTECT AW / OR MHER RESEFNES THE MONT TO SEI.EGT OR REJECT AM OR ALL PUUTT WTEXAL. 'TREE PIANIO{OFSTAUNG DETAD. THIS SHEET. PLIES YRM THE C KTFJDA OF THE OBYS WATER EHF{C{'W LANASWWE ORDMANCE AND APPLIES THEN ONY USE OF WATER! IN ME LANDSCAPE DENDR MAU. �� � i annot. EO11TANI C1L HAW COMMON MAMC MWE N UM INERMY TTS>'J: AGE' LL' AM F. M SUNSET' RED SUNSET MAPLE IGDALM 40DLNDCOW EGNEUVLA YLAM UMSTERS' FAN FLOWER to ICALLON•WM -.T cTYiTo!,'IhiziI TIIzt3.�'T] EIIR BOMIlM /�IR11t wwwc tlM vows A ® 0061 TW TEASER mm 4'Y OM SR.TION OF CDNOW Pal HMM CUNIRO(LER TBRD-7"12 TIIILLT3-SENSE (♦T-aw) 0 SART r ONCE -�yDlWS-MODEL 3547m S mmo VACUUM RoID:R 9 ROADIE CMIRROt. was -IRR+IROL-29131PR - M F4iTDFE COHRDL VALY65 •COL-2 IYA W/YE7aum R AEmc •t F�iY�.Ly�1RLM -�ppH��B��C�ryD-pT�.-��G��B����p-/B�.R�-20-IR1rR4MSn 4 am co" 'lvMRD-Taw CR Evix A � �BPvO-oCl2D 1.0 aD mom -PQ'CO-OCTA-BIlH1:R aD 8D a 4' POP-UP SPRAT LEA -FWNIFR-Lt4RCS61 SW -D' X FE' GM 50 LD i' POP-M SPRAT' TAM -W!<itETt-IdP1C591S-TF}T SHOP -0 X le 0?S 9D F3 4' POP-W SOW HOBS -HMMt-MM530-SmE SMP -V Tt aw BAR 5D NJMMN SMIPLYUAE - 1-111C IRGM UNE SEEEUN G -1120/SOIIET L 40 FYC PRE -lIr OM _132o� 200 THUD MIr COVE1t /SDHFDULE:40 FM FYPE -2P WM -F12 AM ULE 40 V4 PIE -24. DOM " �-- .,. [ j SAWN "jam L VAORSLFF DltmuON WLLYE CONTROL 9 SIZE HYDROZONES MAUL VMS WilTlk U E CEStlI/110M L'-C MIL. IV woulaim L OAT. a 7� oe a a iamaLs ie QAi. 8 F1DUTd A90N, M) w' Bar is Tib= etas (A T-) Lffi QaF mD) a nM' M;L RUBAfl{ Ym! PLA® s' W= . emw Mta( 7DTRt HA! swam . w: In= MPC�B�S4 - DDTL OTI.AALaaMO UU � t''d� SY4 AOLgR 8wT000 � (0 >+� CWF. INAa9 aCN Wd0RL71DN e (roc4sc oR r�FAanYG ILOHD atOey yt IIACR I= CIE= i/2 �N/•� ii66 _ I - �� • ' AYOYt Ie�4p CBA1fE 555iiip p �orvw an P¢¢® Ale •. 1 1 :AIR MP= . . FLAAWIM xmi m • 41mImNim'PLARMFY4 ' Ra' lOW PLAWMr. & SrAMG DETAIL Ho 't CITY OF C4MpML MAM 12 PLANT LEQEND 'Rogait ACER Fr 'RED SUNSET SCAEWILA ;MAUVE CLUSTERV f GALLON a 3W O.C. I KMTM SYSTEM LEG END RED SUNSET MAPLE FAN FLOWER MEDIUM L - CONFORMEO COPY: This-documentbas arotbcen compared :with the original. SANTA CLARA�COUNTY CLERK -RECORDER OWNERTSTATEMENT OYYNERS ApWDYYl EDGMEfdT ' T ACT 10238 COWAGE WEHEREBYSEBYSTATETHTHATWEARETHE OWNERS OFORiiA4TESC/h"IE�RIGIi;, •. - PLACE TITLEOR INTEREST INAND TOTHE REAL PROPERTYINCLUDED'WTIHIN HE , YuCORHR7CF?CMP NG7HISCRrCATVERFIsDNYH:EPIND AN EIGHTEEN LOTS98DN18101, CONSISTING OF THREE SHEETS' SUBDMSIONSHOWN ONTHE AMP, THATWEARETHE ONLYPERSONSWHOSE NOHWIDUALWHOSIGNEDTHEDOCMENTTOMICHTHISCERnF1CATEIS CONSENT !S'NECESSARY TO PASS CLEAR 777T.E TO SAID REAL PRORERT7Y„• TTACHED, ANDNOTTHEIRUTHFULNESSACCURAc:Y,'DRVALIDITYOFTHATDOCUMEM. BEING A SUBDIVISION OF THE LANDS OF WESTERN PACIFIC HOUSING , THAT WEHEREBYCONSENTToTHE MAKINGAND RECORDING OF'SAIDMAP STATEOFCAIJFORNM )SS.. INCORPORATED AS DESCRIBED IN SERIES2014-22630110 AND SUBDMSIONAS SHOWN WITHIN THEDISTINCTAEBORDER LINE COUN7YOFSAfffA-ekAR4-- • 4� °"mot " SANTA'Ci�±RA COUNTY RECORDS WEHEREBYOFfER FOR DEDICA710N IN FEE S1h7PLEF0R PUBLIC STREET USE ON iD - j , BEFORE ME a.► LA� NOTARYPUBL'IC IN {BEING LOTS 4-7 OF SUNNYSIDE TRACT, RECORDED IN BOOK K OF MAPS AT PAGE 27, SANTA CLARA RECORDS) THAT PORTIONOFKENNEDYAVENUE SHOWN ON THEMAP!WITHINSAID SUBDIVISIONAS LOT C AND ALSO DEDICATEEASEMENTS FORANI'AND ALL AND FOR SAID STA PERSONALL'YAPPEARED De- V_ M a L I- Po'�� a1 'WI1Q PUBLICUSESUNDER,UPONANDOVERLOTC. iq v I G a uaa PROVED T04VIEONTHEBASISOFSATISFACTORYEVIDENCETOBETHE CITY OFC BELL WEALSO HEREBY DEDICATE FOR PUBLIC PURPOSES EASEMENTS FOR INGRESS PERSONS)WHOSE:NAME(S)ISIARE SUBSCRIBED TO THE WITHIN COUNTY OF SANTA CLARA, STATE OF CALIFORNIA AND'EGRESSFOR EMERGENCY VEHICLEACCESS,UNDER,ONOROVER THOSE INSTRUMENTAND ACKNOWLEDGED TO ME TfiIATHEISH&THEYE (ECUTED THESAMEINHISIHERMIE1RAUTHORIZEDCAPACITY(IES),AND THATBY STERLING CONSULT'AN'".�r'S. CERTAIN PORTIONS OFBRAXTON TERRACE- DEL/NEATEDAND DESIGNATED AS HISIHER17MR SIGNATURE(S) ON THE!INSTRUMENT THE .PERSON(S),:ORTHE E KA:E,' (EMERGENCY VEHICLE ACCESS EASEMENT). SAID EASEi14ENT 747 BE ENTITYUPON BEHALF OFWHICHTHEPERSON(S)ACTED,.EXECUTED THE ENGINEERING a SURVEYING a •CONSiRU.CnON SUPPORT KEPTOPENAND FREE FROMALL 13UILDINGSAND STRUCTURES OFANY:KIND EJICEPTTRAFFICRATEDUNDERGROUNDUTILITYCOMPANYSTRUCTURES. 4AISTRUMENT SANRAMON, CALIFORRIA ' FEBRUARY, 2,015 WEALSO HEREBY DEDICATE TO PUBLIC USE EASEMENTS, TOGETHER WITH THE 4,CERTIFYUNDER PENALTYOFPERJURYVtJDERTHELAWS OFTHE STATE OFCALIFORNIA THAT THE FOREGOING PARAGRAPH'IS TRUE AND CORRECT. RIGHT OF INGRESS AND EGRESS, FOR ANYAND ALL PUBLIC SERVICE CERTIFICATE SHED' FACILITIES INCLUDING POLES, WIRES, CONDUITS, STORM SEWERS, SANITARY WITNESS:MYHAND SEWERS, GAS, WATER AND ALL PUBLIC UTILITIES AND ANYAND ALL APPURTENANCES TO THE ABOVE, UNDER, UPON, OR OVER THOSE CERTAIN NOTARY'S: SIGNATUREI_��— SURVEYOR'SSTATEMENT PORTIONS OFLAND DELINEATEDAND OESIGNATEDAS P S.E."(PUBLIC SERVICE EASEMENT). SAID PUBLIC SERVICE EASEMENTSARETOBEKEPTOPENAND PRINTEDNOTARY'SNAME_ri f4a, 2 C)Y-zk THISMAPWASPREPAREDBYrMEORdJNDER.M.YDIREC.TIONANDISBASED FREE FROM BUILDINGS AND STRUCTURESOFANYKINDEXCEPTPUBLIC SERVICE STRUCTURES, IRRIGATION SYSTEMS AND APPURIENANCESTHERETO, _ IVOTARYSPRINCIPALPLACEOFBUSINESS �,3 f-, li C�oS4-g L/POIilAFIELDSURVEY,INGONFORMA CE'WITH T19E,REQUIREMENTS OFTHE SUBDIVISION;MAPACTANDLOCAL:ORDINANCEATTHE:REQUESTOFDEGAN LAWFUL FENCES AND ALL LAWFUL UNSUPPORTED ROOFOVERHANGS. p q �L 1 J' �S UFIEREOVED ETHATf#iE DRACTUMESUCTANTI ALYCiNFOR WEALSO HEREBY DEDICATE TO PUBLIC USE EASEMENTS FOR PUBLIC UTILITY EXPIRA77ONOFNOTARY'SCOMMISSION 'I i CONFORMS TRACT:MAP'Sl7BSTAAf SUBSTANTIALLY COIIIFORMS TO TF IEAPPROVED OR COAIDFTIONA(1YAPPROVED7EAlAj1VE MAP7FANY, TfiATTHESURVE�".fS PURPOSES FOR THE USEAND BENEFIT OFTHEPUBLIC UTILTIYCOMPANIES NOTARYS,COMMISSION14UMBER 1� ''� 7RUEAND COMPLETEAS SHOWN, THATALL ,THE MONUMENTSAREOFTHE WHICHAREAUTHOREED TO SERVE SAID SUBDMSIONOVER, UNDER OR UPON THOSE CERTAIN PORTIONS OF LAND DELINEATED A$ PU.1~'(PUBLICU'l'IL1TY CHARACTERA'NDDCCUPYTHEPOSITIONSINDICATERORTHATTHEYWILL EASEMENT). SAID PUBLIC UTILITY EASEMENTS ARE TO BE KEPT OPEN ADD BE SET INTHOSEPOSITIONS ON ORREFORE DECEMBER 31„ 2616, AND FROM BUILDINGS AND STRUCTURES OFANYKINDEXCEPTPUBLIC, GWCLERM NTSARE OR2N/lL BE,SUFF.ICIENTTOENABLETHESl7RVEY � THfITPJfOlTRACED. .FREE SERVICE STRUCTURES, IRRIGATION SYSTEMS AND APPURTENANCES TOERETO, • HEREBYSTATETHATTHISMAP, DESIGNATED AS TRACT 10238, CONSISTING TOBERETRACSSiATEMEIYT. o shy LAWFUL FENCES AND ALL LAWFUL UNSUPPORTED ROOF OVERHANGS. ! .1 OFTHREESHEETS,WASAPPROVEbbYTHECIP,(COUNCILQFTHE�CITYOF WE ALSO HEREBY RESERVE FOR PRIVATE USE EASEMENTSFOR(STOR4 CAMPBELLAT'MEETINGOFSAIDCOUNCIL.HE1.DON7..- DA'Y,01= i DRAINAGEANDSTORM WATERTREATMENTPURPOSESUNDER, ON,OROVER. l' argah 201AWTHATSAWCOUNCILACCEPTEDSUBJECTTO 1IEL9LIUT,RMORSTICK,PLutT{39 � THOSE CERTA,NSTRIPSOFLANDDESIGNATEDANDDEUNEATEDASi?SD.E IMPROVEMENT, STREEiSANDEASEME=OFF :ZMfORDEDICATION,ASSHOWhION-SAID E 12131t20:15 oj9T NO..ns942, (PRIVATE STORMDRAINAGEEASEMENT)SAID EASEMENTS TOBEKEPTQQPEN AND FREEFROMALLBUILDINGSANDSTRUCTURES OFANYMNUEXCEP;'i MApwiTHINSAIDSUBDnisioN,1NCONFDRMrryWRHTHETERMS•OFTHE " fDrC1iL`�� IRRIGATION SYSTEMSAND APPURTENANCES THERETO, LAWFUL FENCFSAND OFFER OFDEDICATION. ALL LAWFUL UNSUPPORTED ROOF OVERHANGS THE C17Y WILL NOTACPEPT MAINTENAIVCERESPONSIBILITIESFOR THE ON-Sl7ESTORMDRAINS#OR, CLERKOF ECITYOFCAMPBELL PRIVATE STREETS. ,T CITYERSMIEERSSTATEMENT BY. I.HEREBYSTATE'THAT:IHAVE!EXAMINEDTHEIWITHIN,7RACTMAP;7,HAT7NE WEALSO HEREBY RESERVE EASEMENTS FOR INGRESS, EGRESS AND PARKING ANC EE DATE MAP:IS SUBSTANNAL'LY11HE'SAMEAS !T APPEARED ONTHE 7EUTATIVEMP, PURPOSES UNDER, ON OR OVER THOSE CERTAIN STRIPS OF LAND DE UIi1EATED AND AN:YAPPROVED,ALTERA77ONS THEREOF, AND THATALL PROWSIONSOF AND DESIGNATED AS 'I.E.E."(INGRESSIEGRESSEASEMENTS) SUBJECTTh T14E SOILREPORT THE:CALIF.ORNLASUBDiVISIONiAMP.ACTAND ANYLOCALORDINANCE UMITATIONSANDI2ESTRICTTONSCONTAINED 1N71IEDECLARA710NOF ' APPLICABLEATTilET1MEbFARPROVALOF�EiTiElyTA1ITVEMAP ilF .. COVENANTS, CONDITIONS AND RESTRICTIONS. THEFRIVATEDRWECOI0AINED ASOILS REPORT WASPREPAREDBYTMAKDISSYCONSULTING, i1NC, REQUIRED, HAVEiBEEN:CdMPLIED:WITM WITHIN THIS TRACT MAP ARE NOT OFFERED NOR ACCEPTED FOR DsbidATION .. PROJECTNO. 083-1, DATED JULY17, 2014, ANDSIGNEDBYSIMON �OFeSSID� FOR PUBLIC STREET PURPOSES. ? MAKDESSI, P.E, G.£, AND IS ON HLEAT THEOFFICEOF THE,CL71' ENGINEER. QUA WEALSO HEREBYRESERVE FOR THE OWNERS,1OFLOTS 1 THROUGH 18 THOSE CERTAIN STRIPS OF LAND DELINEATED AND DESIGNATED AS'LOTA"AND YOT EASISOFBEAR/NGS MICHEUI!10UINAIE;Y,�f?,C.E?,4414 DATE B"SUBJECT TO THE LIMITABONSANDRESTRICTIONSCONTAINEDINTug CNYENGINEER �4 ! DECLARA710NOFCOVENANTS,COND17)ONSANDRESTRICAONS. TNEPRNATE THE 9EARINGOFN895148WBEMEENTHE440011DMONUWjENTALONGrTHE0EWRLINE OFiCENNEDYAVENUENFJIRTHElNTaiSECITQN'1NfTJ1TFIEHIDNUMENTUNEOFIINDUS7RTAI EXP_(06i30tQ5 DRIVES CONTAINED WITHIN THISTRACTMAPARENOTOFFEREDNOR WAYANDHEEDUNDMONUMENTALONGTHeCbViERUNEDF,IXNNEDYAVENUEVEAR ACCEPTED FOR DEDICATION FOR PUBLIC STREET PURPOSES. THEINTERSECTIONWITH THEMONME01t ArEOFSOUTHiMNCHESTEKBOULEVARDAS' WEALSO HEREBYDEDICATEANDRELINQUISH TOTHE CRYOFCAMPBE&ANY SHOMON 7HERECORD'QFSURVEYRECORQED MARCHJ, 2008�INBOOK.798rOFMAPSAT AND ALL RIGHTS OF INGRESSAND EGRESS TO VEHICULAR TRAFFICAOOSS . PAGE22,SANTACLARACOUIMRECORDS . C � Dq A EMENT AT THE .NORTH LOT LINE OF LOTS 9 THROUGH IBANf) LOT BAS SHOWNON ITHE iRECORITER'S STA7Eh7ENi IAMSATISFIED THAT E�,WI771fN 1CR ACT MA'PIISTECWNICALUYCORRECT MAPAND DESIGNATED (NO ACCESS). AS OWNER:- WESTERN PACIFIC HOUSING, INC., A DELAWARECORPORAWN FILM MIS_Z_ DAYOF , 200, AT1-PM , ,lNBOOK OF - MAPS ATPAGE:S g7AND",ATTHEREQUESTOFSIERUNG �t & WD �4P` `�,4 tKlq yA CONSULTANTS. �Js FlLE1i1D. Z,15 REGINAAliCiMENDPAS, COUNTFRECOFDER CYRUS' L57 OURDAB°Z�$ , iNO. psis' FXP 1 K.MILLS, ASSISTANT SECRETARYOFTHE CORPORATION t SANTA:CLARA•COUNTY,:CALIFORNIA FEE &2 m PAID , 9' OF,CAli�� ' ufry �,a. 8. SHEET.1 OF 3 j LNI EMPTY MON BOX • LOCATED AT THE INTERSECTION OF 4 STRADDLERS HELD AS CL INTERSECTION AS PER (R2) AND (R3) DETAIL A (NTS) S89'49'5D'W 0.08' (M) 'fma M N 3 CATALPA LAMA' o _ (80' ME) 1 5 z z FND 2" IP IN WELL MONUMENT AS PER (R6) SEE DETAIL A ' FND 3/4' IP RCE 8137 b N in HELD AS NE CDR OF ALLEY AS PER (R3) o 6 o ALSO BEING SE CDR PCL 2 PER (R4) nnn I 3 3 D IRON PIN (UNKNOWN ORIGIN) O O N b 589'48136'E 0.04' FROM. NW CDR PARCEL A o ro P 0 0 0 z�� 1 v - Gl se s•48'3B•E 1ss.se' (c (C—C) m (SB9T51'E 160.00') (R30-C) N � r O U U o _+ O I V v� o ,� N89'48'38"W 45.OD' (C) vv z �� w NW CDR PARCEL A TO CL V WINCHESTER BLVD. o.o^ • ^ S ALBINA ALVARADO g v 207-19520916, SCCR PARCEL A 3 n 4 BOOM. 263 OF MAPS AT PACE 45 0 0 y o� zz 3/4• IP RCE 15827 LNOD*10'31"W NOWN ORIGIN) ' AS SE CDR PARCEL (R3) PARCEL A 0.16 FROM CORNER S.OD' • 1 NOD'08'12"E 25.OD' (M CL TO COR TRACT 10238 - COTTAGE VILLAS A EIGHTEEN LOT SUBDIVISION, CONSISTING OF THREE SHEETS • FND 3/4' IP IN WELL MONUMENT AS PER (R2) AND (R5) BEING A SUBDIVISION OF THE LANDS WESTERN PACIFIC HOUSING, S89.52'30•E 5.00'(M) TO CL INT. INCORPORATED AS DESCRIBED IN SERIES 2014-22630110 S69'S2'3WE 567.52' (M)(M-M) SANTA CLARA COUNTY RECORDS SUMJYiulDE AYE (S89'53'30"E) (R4) BEING LOTS 4-7 OF R1 (ltlBCL YARIE 5) (s695148'E 567.45') (Rz) — _ — — (BEING LOTS 4-7 OF SUNNYSIDE TRACT, RECORDED IN BOOK K OF MAPS AT PAGE � /27,SANTA CLARA RECORDS) 5.00' (M)(R2) MY 1., OF BEj L COUNTY OF SANTA CLARA, STATE OF CALIFORNIA I� V � PARCEL MAN 80OK 798 MAP: PACE 21-22 SCCR LARRY AND IACQUELYN HESTFR V n TRUSTEES •'j� i : ;991-•10926225.'SCL`R I z G LOTS (R2) a, .. SDD'10'31"E 10.00' (M n P SOD'11'00"E 10,01) (R�) Loo' 3 (I?2) W w TARRY AFJU LOT a (R2) ARASH RfiHIMI 17 •IACQUELYN RESTER I ABASH RAHWI AND TP.iJSTLES TRUSTEE IRENE MOU57a.1:P,5 P 19_01-10926225, SCCP• 2012-21591270. SCCR 2012-21891272. SCCR o o I� SFNF ON PER (R � rn � 10' ALLEY AS PER (R1), (112), (113), AND (R4) CITY OF CA&PBELL I , O■® m m,® m r® m, r r c m r r ®, r u r0® 13 r S89'51'48� 240.OD' C) I A Q DUE EAST 240' (R1)(CUMULATIVE LOTS 4-7)i $3 e F NE COR jPCL A AS PER (R3) s^ �_ I I I ■ v� � U I I ®� LAAI�S OF A?a9MW 4CIFIC HOUSING, J6YC0RT0B,42Ej9 o ci I SERIE'S R014-RRN30110 SCCR 1 In a o zj Wj z� c W p JON AND ANNETTE DREW o ua' SERIES 200--18474428 3 m •R J I 5 O I 6 oI 7 o cn 91 91 I o GT p 17 �I �j 01 Apr re I o v z I z z r I I ■ I I I I I S00 1 5.00 LY ' (0) B N89.51'48g'W112 AD' (M) I LY (WLY 1201,OD(Rt) I I ' 127.53'(C) FROM INDUSTRIAL WAY CL I I �� ® ®0716 01 , N8951'48"W 120.00' (C)127.5') (R7) FROM INDUSTRIAL WAY C 199.86'(C)(FROM MON) I (WEST 120') (R1) NI _ (20D')(FROM MON)(R3,_ CL -1n�� N 89' 51'48' W (R2) 572.42' (C) (CL TO CL) o 'BASIS OF BEARINGS' N 89' S1'48' W 557.35'(M) (M-M (•A'-B")) CL (N 89' 52'10• W 557.40') (RS) (M-M (•A"-"B')) YMTH V R& (TYID77f T�AftlLu) N 89' 51'48' W 56Y.42'(M) (M-M ('A'-C")) (N 89' 52'10' W) 562.45(115) (M-M (•A'-C")) NOD90'31"W 20.00'-(M) MONUMENT .A' FND 1' IP IN WELL MONUMENT HELD AS MONUMENT IN CL OF KENNEDY AVENUE AT 5' OFFSET TO CL OF SOUTH WINCHESTER BLVD. AS SHOWN ON (R2), ( 113). AND (RS) GRAPHIC SCALE 0 40 "0 x ( IN FEET ) I inah - 40 fL MONUMENT "B" FND 1' IP IN WELL MONUMENT (SHOWN AS 4 TIES AT BOX ON (R5)) MONUMENT "C' BASIS OF BEARINGS FND 3/4' IP IN WELL MONUMENT AS PER (R2) THE BEARING OF N89'51.48"W BETWEEN THE FOUND MONUMENT ALONG THE (SHOWN AS TIES AT BOX ON (R5)) CENTERLINE OF KENNEDY AVENUE NEAR THE INTERSECTION WITH THE MONUMENT LINE OF INDUSTRIAL WAY AND THE FOUND MONUMENT ALONG THE CENTERLINE OF KENNEDY AVENUE NEAR THE INTERSECTION WITH THE MONUMENT LINE OF SOUTH WINCHESTER BOULEVARD, AS SHOWN ON THE RECORD OF SURVEY RECORDED MARCH 9, 2006 IN BOOK 798 OF MAPS AT PAGE 22, SANTA CLARA COUNTY RECORDS. NOTES 1. ALL DISTANCES AND DIMENSIONS ARE IN FEET AND DECIMALS THEREOF. 2. THE AREA OF THE LAND WITHIN THE DISTINCTIVE BORDER LINE IS 35,400f SQUARE FEET 3, THE DISTINCTIVE BORDER LINE DENOTES THE BOUNDARY OF THE SUBDMSION. STERLING CONSULTANTS ENGINEERING 0 SURVEYING 0 CONSTRUCTION SUPPORT SAN RAM1AON, CALIFORNIA DECEMBER 2014 BOUNDARYSHEET T REFEhENCES (R1) SUNNYSIDE TRACT, BOOK K OF MAPS AT PAGE 27, SCCR (R2) PARCEL MAP, BOOK 798 OF MAPS AT PAGES 21-22, SCCR (R3) PARCEL MAP, BOOK 263 OF MAPS AT PAGE 45, SCCR (R4) PARCEL MAP, BOOK3,36 OF MAPS AT PAGE 23, SCCR (R5) PARCEL MAP, BOOK 538 OF MAPS AT PAGE 391 SCCR (R6) PARCEL MAP, BOOK 625 OF MAPS AT PAGES 38-39, SCCR (R7) 5X60' STRIP GRANTED TO THE CITY OF CAMPBELL AS PER DEED DESCRIBED IN BOOK 8766 OR PAGE 695-697 SCCR (R8) 5X60' STRIP GRANTED TO THE CITY OF CAMPBELL AS PER DEED DESCRIBED IN BOOK 8766 OR PAGE 698-700 SCCR ABBREVIATIONS 7 R1 LOT NUMBER (C) CALCULAIED CL CEN7ERUNE (C-V CORNER TO CORNER (CL-CL) CENTERLINE TO CENTERLINE COR CORNER FND FOUND IN• 1AfM?SECn0N IP IRON PIPE (M) MEASURED (M-C) MONUMENT TO CORNER (M-M) MONUMENT TO MONUMENT ML MONUMENT UNE NE NOR7HE4ST NTS NOT T7 SCALE NW NORTHWEST PCL PARCEL 01) REFERENCE MAP OR DEED NUMBER SCCR SANTA CLARA COUNTY RECORDS SE SOUTHWEST SFNF SEARCHED FOR AND NOT FOUND SW SOUTHWEST SQFT. SOUARE FEET (% RECORD DATA NOT USED LEiGEND r FOUND MONUMENT, AS NOTED 0 SET 3/4- IP & PLUG (LS 7739) — — — AD✓OINER PARCEL LINE'S ®r ■ ®e ■ �v r ■ ® D/SnNC71W BORDER 111W/ OUNDARY WST7NG RIGHT-OF-WAY — CEN7ER LINE - - MONUMENT LINE --------------=----------- OLD L•OT LINES SHEET 2 OF 3 A c LARRY AND JACQUELYN HESTER I LARRY AND JACQUELYN HESTER I ARASJ RAHIMI TRUSTEE TRUSTEES TRUSTEES 1991- 926225. SCCR I 1991- 0 26225, SCCR I 1991H-21891270, SCCR FND 3/4" IP — — RCE 813 Q: — — — — — — {-�6— S 89'51'48" E O ACCESS — — — 25.44'- 20.17' 20.17' 20.17' I 1 n n to I n LOT 9 LOT 10 LOT 11 LOT 12 l ;D 1,560 SF w 1,245 SF w 1,245 SF w 1,245 Sf N ALBINA ALVARADO O 0 Do o 2007-19520916, SCCR �cOI O o 0 BOOK 263 OF MAPS AT PAGE 45 "rl z z z e 1 'I oI LOT 1 z�n 1,501 SF H I� FND 3/4" IP RCE 15827 IP NOD'10'31"W — 0.10' FROM CORNER 7.5�3',-s 7' 1 20.17' 10' ALLEYWAY (CITY OF CAMPBELL) I 240.OD C 20.1T 28.20' 2D.17 �r 20.17' w T 0�� I TRACT 10238 - COTTAGE PLACE AN EIGHTEEN LOT SUBDIVISION, CONSISTING OF THREE SHEETS BEING A SUBDIVISION OF THE LANDS OF WESTERN PACIFIC HOUSING, INCORPORATED AS DESCRIBED IN SERIES 2014-22630110 SANTA CLARA COUNTY RECORDS (BEING LOTS 4-7 OF SUNNYSIDE TRACT, RECORDED IN ARASH RAHIMI AND IRENE I BOOK K.OF MAPS AT PAGE 27, SANTA CLARA RECORDS) MOUSCITY OF CAMPBELL 2012-218912721272. SCCR COUNTY OF SANTA CLARA, STATE OF CALIFORNIA STERLING CONSULTANTS 20.17' 25.03 ` I ENGIl-NWR NG ® SURVEYING 0 CONSTRUCNON SUPPORT SAN RAMON, CALIFORNIA DECEMBER 2014 tl:n n n I r' n io n I SUBDIVISION SHEET LOT B Z6 LOT 13 (COMMON AREA) 1,741 SF LOT 14 LOT 15 LOT 16 LOT 17 LOT 18 ABBREVIATIONS I+l 1,245 SF w w 1,245 SF w 1,245 SF w 1,245 SF w 1,245 SF w 1,556 SF N a cq N I 7 LOT NUMBER 0 0 o IA co m � I CL CENTERLINE 0 z o z 0 0 0 ', 0 0 (C-C) CORNER TO CORNER z z z , z z Ioo COR CORNER I0 E.VAE. EATERGENCY VEHICLE ACCESS EASEMENT S 89'51'48_E 110.20' �,... 729S - -- LOT 2 L1 !2 LOT"3 LOT 4 1,434 SF 1,434 SF 1,38} eSF 3 W 0 a in p ?8.20' I 20.17' 1 20.17' 1 20.17' 1 20.17' 1 2,9 36' 51'48W o N89'51'48"W 106.03, b C,4 _ S 89.51'48" E LOT A_109.81' 10.OD'(M-7L �I o BRAXTON TERRACE (PVT.) Ic�i (EVAE, IEE, PUE, AND PSE) w SB9'51'48'E 45.73' S89'51'Cl 51.15' h a� 22.14' 23.59' w w 23.59' ' 27.56 W o No o �0 13 �-I 41 t0 N 00 N 00 N I M N' O U) a LOT 5 a LOT 6 z z LOT 7 LOT 8 ci to EW' tai w 1,361 SF 'n 1,434 SF L3 L4 1,434 SF 1,503 SF cv'i w z '! � La CO N U) -to N OI w o ' w o +F�1 P 13a d. co 1 o `.' z ,jp 00 O o V) .b -- u' --- — Im ?a$i 5"E," — FND FOUND I /EF INGRESS & EGRESS EASEMENT JON AND ANNETTE DREW /P IRON P/PE SERIES 2005-18474428 (M) MEASURED (M-CJ MONUMENT TO CORNER (M-M) .(At-TL) MONUMENT TO'MONUMENT MONUMENT 70 TRACT BOUNDARY I ML MONUMENT LINE 1n NTS NOT TO SCALE NW NORTHWEST a�a PCL PARCEL y PSOE PRIYAX S7URM DRAIN EASEMENT PSE PUBLIC SERWCE EASS/ENT PUE PUBLIC UT7L?Y EASEMENT LA A PVT. PRNA7E i� (R1) REFERENCE MAP OR DEED NUMBER .. SCCR S4NTA CLARA COUNTY RECORDS SE SOUTHEAST SFNF SEARCHED FOR AND NOT FOUND SW SOFT. SOUTHE'ST SOUARE FEET .z .. NBs•s1 4s w 120.0o Soo•1 t 44 E LOT C (KENNEDY AVE) LEGEND 5.00' r1�oJ o S89'51'48 E 120.00 I O FOUND MONUMENT, AS N07FD c1 o I AREA HEREON DEDICATED o n 0I N "� TO CITY OF CAMPBELL �I 5.00. O SET 3/4" IP & PLUG (LS 7739) j-5.OD' o FOR STREET PURPOSES cov o O SET CITY STD. #M'MONUMEM I _ 199.86' n �I� _ _119AREA = 1,800 SQ.FT. _ 120.33' _ _ 0 127.53'• — — — ALl/OINER PARCEL UNES FIi OUND 1' IP IN MONU ENT WELL —BASIS—OF HEARINGS N89'S1'48"W 572.42' (OL TO OL) — — DIS IVCnVE BORDER LINE/BOUNDARY KENNEDY AVENUE FND 1" IP IN MONUMENT WELL CENTER UNE/MONUMEM LINE (AS N07F0) (WIDTH VARIES) FND 1" IP IN MONUMENT WELL PUBLIC STREET DEDIC47701V BASIS OF -BEARINGS THE BEARING OF N89'51'48'W BETWEEN THE FOUND MONUMENT ALONG THE CENTERLINE OF KENNEDY AVENUE NEAR THE INTERSECTION WITH THE MONUMENT LINE OF INDUSTRIAL WAY AND' THE FOUND MONUMENT ALONG THE CENTERLINE OF KENNEDY AVENUE NEAR THE INTERSECTION WITH THE MONUMENT LINE OF SOUTH WINCHESTER BOULEVARD AS SHOWN ON THE RECORD OF SURVEY. RECORDED MARCH 9, 2006 IN BOOK 798 OF MAPS AT PAGE 22, SANTA CLARA COUNTY RECORDS. NOTES 1) ALL DISTANCES SHOWN ARE IN FEET AND DECIMALS THEREOF. LINE TABLE LINE LENGTH BEARING L1 4.50' S89-51.48"E L2 4.50' S89'51'48"E L3 4.50' S89'51'48"E L4 4.50' S89'51'4B" E CURVE TABLE CURVE LENGTH I RADIUS DELTA Cl 3.47' 5.50' 36'1737" C2 3.25' 4.50' 1'24'35" C3 3.25' '4.50' 41'24'34" C4 3.47' 5.50' 36'11'37" C5 5.50' 3.50' 91)'00-00- ARE4S GROSS TRACTAREA = 35,400 SQ.FT. NET TRACTAREA = 33,600 SQ.FT. STREET DEQICATION (KENNEDY AVE.) = 1,800 SQ.FT. GRAPHIC SCALE p to m 40 (IN FM) I Inch_ 20fLSHEET 3 OF 3 L�9 BASIS OF BEARINGS: -THE BEARING OF N89'51 48 W BETWEEN THE FOUND MONUMENTS ALONG THE CENTERLINE OF KENNEDY AVENUE PER 881 MAPS PAGE 47, SANTA CLARA COUNTY RECORDS, LEGEND: ® SET 2" BRASS DISK STAMPED LS 7616 IN MONUMENT MONUMENT STAMPED LS 7739 IN WELL PER 881 MAPS CLARA COUNTY RECORDS------------------ N 89"51048" W WELL INSTEAD OF PAGE 47, SANTA R. E. Y. ENGINEERS, Inc. 7W N0W 9-CffiM bDM fD &$QMAN VM, U 940Q MOM WARR ig) 219.3236 IRON PIPE PER 881 MAPS 47 NOT SET DUE TO FENCE CORNER ----------- —- �-, 240.001 Co M z SET MA . G NAZI AND WASHER LS 7616' Q --& m o IN XSER AMOT INSTEAD OF 3/4" y �� IRON PIPE PrR 881 MAPS 47 rr- b 0 CA Z U) � ® O I�, .p -� m .®� a bd fl�rnv � SET 3/4" IR NKOWE WITH PLUG tsTAMP D LS 7616 O O Ln G1 v Go Co -? S89°51'48"E 110.20' (M-M) _ - 589051'48"E 109.81' (M-M) t* AR�AAWWANfff ft TERRACE �z oz0 oI A i va • t is 0o = ® t-° r` �' �'rn y a r r0 f z o co I Lin z CD �'I 4 z 55 N, �z In k --I 'u c vm mm c o va o0 a� rn� cn e rnj -3 . z mZ Co Co �i r Low i IZ—S 89'51'48 E ^ 240.00 cry SET L&T LS 7619 . IN ft1l8 u, SET L&T LS 7616 IN amB -° ,p ON PROJECTED PROPERTY LINE ® ON PROJECTED PROPERTY LINE o 9,75' FROM CORNER OF LOT 1 'C) 0,75' FROM CORNER OF LOT 8 - - - - - - - _ - - -- - - -— - - ---- S89'51'48"E 319.67' S89851'48"E 247.86' ,IMNNL!Y MONUMENT PER 881 MAPS 47 Lp AVENNUE- NOT SET DUE TO. -UTILITY CONFLICT v City of Campbell Document Number ls-i County of Santa Clara , California Brief Legal Description: %et 10238 = Cottage Place: filcd March 27, 20I5 in Hook 881 of Maps at Pines 47-49. CORNER TYPE N. COORDINATES (Optional) Government Comer ® Control ❑ E. Meander ❑ Property ® Zone NAD27 ❑ NAD83 Rancho ® Other ❑ NAD83 Epoch Elev. Date of survey 05/02/16 Ven. Datum: 96VD29 ❑ NAVD88 ❑ Maas. Units: Metric ❑ ImpLKial ❑ !k Corner - Left as found ❑ Found and tagged ❑ Established ® Reestablished ® Rebuilt ❑ Identification and type of corner found: Evidence used to identify or procedure used'to establish or reestablish the corner: CENTERLINE AND PROPERTY CORNERS AS FOUND AND SET AS DESCRIBED/SHOWN ON PAGE 2 OF THE$ CORNER RECORD. A description of the physidal condition of the monument as -found and as set or reset: CENTERLINE AND PROPERTY CORNERS AS FOUND AND SET AS DESCRIBED/SHOWN O PN_ AGE 2, gF:rHIS CORNER RECORD. SURVEYOR'S STATEMENT This Corner Retord was prepared by the or under my direct itn.in conformance' h the Land Surveyor's Act on •!LZ. Signed License Expires 12/31/2016 P.L.S. No. 7616 COUNTY SURVEYOR'S STATEMENT The Corner Record was received I }K 2 i And Sign Titl I LAND sG� C,;. ` a�L A. No. 7616 examined d filed ed P.L.S or R.C.E. No. �70/ e Page l of 2 I " \1 . 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DETAIL D-1 fi. 3 ' -, cn -r ' - TC 2OZ 89 PROJECTED AN 13- 44. fi '� 4 ° rri 1 +50 , c� r- -a,,� .� 'Z b LUGi �' : 13+60 22.75 LT. C L STREET TREE _' _ SEE NOTE 4 3 13+60.81 3_ e REMOVE EX WA R ? # � � # � � = � �" :a � • � . .. TE METER Na SEE NOTE 15 -- THIS SHEET oo , 3 } F 1 +75 208.04 13 90 22.75' LT. C1L STREET TREE c j t3a i SEE NOTE 14 _ _ 13+88.89 k 13+9 .37 A G, :PT, Tc I ? , 10 PSDE F� » i # ° 14 998 c� u, K 08 02 CIL : w av 14+2 14 z o , NOTE SEE 1 +25 ;* � REMOVE X. A E W TER M R try SEE NOTE �j5 -THIS SHEET 1r 00 , r `... ? :.. : "'i .. r':r .'v,: .r'Yr lr vrl r'..•i.l r' rlr 'r�l m'4y Y } � } _ f�CT_} W. D 14+44. 4 TRACT BNDY. 4+ 4,8 TR 8 DARY i i 1 TC ,94 -Y t C 207.91 r 2,96� f .� z SH.T 14+42,32 20 00' LT. A.P. 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