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1826 Regina way (2) CITY OF CAM-?BELL l ENCROACHMENT PERMIT --Permit No. C, OOI JO933 I DEPT. OF PUBLIC WORKS' (for working within the X-Ref. file 70 North First St. public right-of-way) I Campbell, CA 95008 (408) 866-2150 Issued Application Date 1 Fax (408) 376-0958 Permit expires in 12 months Application expires in 6 months APPLICATION-Application is hereby made for a Public Works Permit in accordance with Campbell Municipal Code,Section 11.04. (Application expires in 6 months if the permit is not issued. Application Fee is non-refundable.) A.Work address or tract# Utility trench location B. Nature of work 2 (itTl/S S-vrG�w' � C. Attach four(4)copies'of an engineered plans showing the location and extent of the work,and four(4)copies of the preliminary Engineer's Estimate of work. The plans shall show the relation of the proposed work to existing surface and underground improvements. When approved by the City Engineer,said plan becomes a part of this permit. D. All work shall conform to the City of Campbell Standard Specifications and Details for Public Works Construction;the General Permit Conditions listed on the reverse side;and the Special Provisions for this permit,listed below. Failure to abide by these conditions and provisions may result in job shut-down 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 RESTARTINGG fANY WORK. Name of Applican[ t✓iYr✓'� t✓� \ Telephone pp -� (print name / Address Zr` J;1?lam'v 63i P // 24 HOUR EMERGENCY TELEPHONE NO. DX Is this work being done by the property owner at their own residence? Yes 'v No The Appiicant/Permittee hereby agrees by affixing their signature to this permit to hold the City of Campbell,its officers,agents and employees free,safe and harmless from any claim or demand for damages resulting from the work covered by this permit. The Applicant/Permittee hereby acknowledges that they have read and understand both the front and back of this permit,and they will inform their contractor(s)of the information. J Accepted (APPlicandPermittee) (sign) Date SPECIAL PROVISIONS 1. Street shall not be open cut for underground installations Iviitumum cots be.allowtd for comteaions or Exploration holes Such.cuts mav'be sttecifically aaQroved by the Inspectorarior to cuttin> 2 Pavement my be cut for underground installanons::and must;be restored m accordance with the UtiIiW:Trench Restoration Standard Details iMethod A $ackfrQ unless otherwise approved by Inspector: _3. Work to:be staked by a licensed Land Surveyor or Civil Engineer and two{2)copies of the cut sheets;sent to.the Pubhc.Works Depannim before staitiitg work _4 ;Per Section,4215 of.the'Government Code this permit is not:-valid for excavations:until Underground>Service:Alert(USA)>W been notified.and the mgpiiy _.. identification number.has been entered.hereon USA Phone 1-800-227=2600 USA TICKET NO. 5. -:. SEE PUBLIC:WORKS FEE SCHEDULE FOR CURRENT FEES TYPE AMOUNT <RECEIPT NO . PERMIT APPLICATION FEE $oS 5' llc PLAN CHECK DEPOSIT „ - SECURITY FOR FAITHFUL,PERFORMANCE/L;4BOR&MATERIALS CONSTRUCTION CASH DEPOSIT s: $ / PLAN CHECK&INSPECTION FEE S.. APPROVED FOR ISSUANCE forCity:Engineer . Date::: j:\forms\pwperm2/rev.6/96 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 of 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. 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. 5. MAINTAIN safe pedestrian and vehicular crossings and free access to private driveways,bus stops, fire hydrants and water valves. 6. A CONSTRUCTION TRAFFIC CONTROL PLAN and a CONSTRUCTION SCHEDULE is required for all lane closures,detours and street closures. This plan must be REVIEWED and APPROVED prior to any lane closures. 7. The CONSTRUCTION TRAFFIC CONTROL PLAN shall conform with 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. 8. REPLACE IN KIND any damaged or removed existing improvements, including planting. 9. Sawcut for all PCC or AC removals. All PCC removals shall be to nearest scoremark and shall be doweled to existing improvements. I0. OVERTIME INSPECTION PREMIUM will be charged against the cash deposit for inspection required outside the hours of 8:00 a.m. to 4:00 p.m. at the current overtime rate, minimum one hour charge. I1. SATURDAY INSPECTIONS must be arranged in advance. Saturday inspection time is charged at the current overtime rate with a three hour minimum. Advance payment for the estimated time is required. 12.Adequate signing and lighted BARRICADING is required on the job site. Failure to provide such signing and barricading may result in the City's renting such 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 TRANSFERRABLE. Work must be performed by the Permittee or his designated agent or contractor as specified thereon. 19. CALL BACK(call out)due to emergencies 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 Nonpoint Source Pollution Control Program. Applicant shall be responsible for ensuring that all those providing services under the applicant are aware of and understand all of the above conditions. 3 Applicant Date j:lformslpwperm2 6/96 10/03/2003 1:47:58PM Fees Associated With o a Case #: ENC2001-00033 fJ U Trans r.:- Revenue._ _. ,.., ._.;, � ,End., , ti �. ..o-. � f •.,. <.,....� .. ., . _ �-; :� . L s i Alpo nt'n „ I)ue . r_De t. ,, ,Descri t►on.<, ,e ,. _:, �r FMPM 08/07/2000 08/06/2001 Parcel Map Fees-4 Lots 101.730.4722 138472 JD 03/23/2001 1,220.00 0.00 SDB 08/01/1999 06/30/2001 Storm Drain Fee- 209.715.4721 139550 JD 05/04/2001 576.00 0.00 APP 07/01/2001 06/30/2002 Encroachment 101.730.4722 147999 JD 04/17/2002 255.00 0.00 Mr,-.TT T 07/01/2001 06/30/2002 Monument Security 101.2203 147999 JD 04/17/2002 3,000.00 0.00 P1 07/01/2001 06/30/2002 Non-Util Plan Ck/Insp to 101.730.4722 147999 JD 04/17/2002 500.00 0.00 PKD1 08/01/1999 06/30/2002 Park Ded Fee<6 Units 295.535.4920 147999 JD 04/17/2002 8,242.50 0.00 FPSD 07/01/1901 06/30/2002 Faithful Per£ 101.2203 147999 JD 04/17/2002 3,000.00 0.00 CASH 07/01/2001 06/30/2002 Construction Cash 101.2203 147999 JD 04/17/2002 500.00 �_--0�-001(0 00 MNMT 07/01/2003 06/30/2004 Monumentation Security 101.2203 JD 10/03/2003 3,000.00 ,00 Total Due: � 2-�o Page 1 of 1 CaseFees..rpt C 04/17/2002 11:07:21AM Payment History For Case #: ENC2001-00033 r° Recorded Type Descr�ptxon' �� Fees Paid i�atePaYd Reee�pt# Check#.: _ B,yrs Due Ed �,x FMPM Parcel Map Fees-4 Lots or$1,220.00 Less 1,220.00 03/23/2001 138472 245 JD 1,220.00 $0.00 SDB Storm Drain Fee- $576.00 Multi-Fam 576.00 05/04/2001 139550 JD 576.00 $0.00 APP Encroachment Application $255.00 Fee 255.00 04/12/2002 147999 CHARGEJD 255.00 $0.00 MONU Monument Security $3,000.00 3,000.00 04/12/2002 147999 CHARGEJD 3,000.00 $0.00 PCI1 Non-Util Plan Ck/Insp to $500.00 $250K 500.00 04/12/2002 147999 CHARGEJD 500.00 $0.00 PKD 1 Park Ded Fee<6 Units $8,242.50 8,242.50 04/12/2002 147999 CHARGEJD Page 1 of 2 CasePaymentHistory..rpt .C q 04/17/2002 =� *'K, 11:07:21 AM Payment History For Case #: ENC2001-00033 ,Recorded Descri tion`. Fees Patti Date Paid Recei t=#°::,. Check#, B Due ,n . YP p _ P Y' 8,242.50 $0.00 FPSD Faithful Perf. Security/DejS3,000.00 { 3,000.00 04/12/2002 147999 CHARGFJD 3,000.00 $0.00 CASH Construction Cash Deposit $500.00 500.00 04/12/2002 147999 CHARGFJD 500.00 $0.00 Totals: $17,293.50 $17,293.50 TOTAL DUE: $0.00 Page 2 of 2 CasePaymentHistory..rpt OF*CAM 16 4 9 Y, c F L� ARCH AKO CITY OF CAMPBELL City Clerk's Office April 9, 2001 Emily Chen The E & H Third Family LP 10190 Bret Ave. Cupertino, CA 95014 L Re: Check No. 245 `� ��ti�� Dated 3/23/2001 Amount $1,220.00 Service Charge $ 25.00 Total Due $1,245.00 Account No. 4722 - Permit#20Q1-033-Z--4 Dept. Receipt/Ref. #138472- 826 Regina Way Dear Emily Chen: Please be advised that your check has been returned by the bank. In addition to the amount of the check, you are required to pay a $25.00 service charge. Pursuant to Administrative Policy #94-11, you are required to submit money due in the form of cash, cashier's check or money order. Your check will not be redeposited. This.amount is to be submitted to the City Clerk's Office within fifteen days of the date of this letter, on or before April 24, 2001. If payment is not received by the deadline, your account will be turned over to a collection agency. Should you have any questions, please do not hesitate to contact the City Clerk's Office a at (408) 866-2117. Sincerely, Anne Bybe City Clerk cc Finance (2) FublYic' �©rksDept;- 70 North First Street • Campbell, California 95008.1423 TEL 408.866.2117 FAx 408.374.6889 TDD 408.866.2790 Pb..;WORKS DEPARTMENT RECEIPT E1Tcctive July 1.2001 e/ TO: City Clerk PUBLIC WORMS FILE NO. LI is 2D® 'o® t��I��JJ,,,, PROPERTY ADDRESS N�wV Please collect&receipt for the following moms-v: ACCT. ITEM AMO T 435.535.4921 Project Revenue(specify,project) $ ENCROACBMENT PERMIT 4722 Application Fee Non-Utility Encroachment Permit ($255.00) Minor Encroachment Permit<$5.000 ($55.00) R-I First Penult(No Fee)Subsequent Peru ($115.00) Utility Encroachment Permit Arterial/Collector Street ($370.00) Residential Street/Other Areas ($255.00) 2203 Plan Check Deposit-2%of ENGR.EST. ($500 min) 2203 Faithful Performance Security(FPS) (100%of ENGRES 7.) 2203 Labor and Materials Security (100%of ENGR EST.) 2203 Menumentation Security (100%of ENGRESI'.) 2203 Cash Deposit (4%of ENGR.EST.)($500 min/$10.000 max) 2203 Labor and Material Security (100%of ENGR EST.) Plan Check&Inspection Fee(Non-Utility) 4722 Engr.Est.<$250.000 (12%of ENGR EST'.) 2203 Engr.Est,8250.C(Dcposit 8%of ENGR EST./$30.000 min.-6 4722 Utility<$100.000 (8%) Minimum Charge Per Location ($135.001 Conduits/Pipelines up to 500 Feet ($2.10) Above 500 Linear Feet ($1.30) Manholes/Vaults/Etc. ($120.00/ea) Pole Set/Removal ($120.00/sal Street Tree Planting/Removal ($120.00/tree) 2203 Utility>$100,000 Actual Cost+20%•• 4760 Project Plans&Specifications Project No. 4760 Standard Specifications&Details ($1/Pg$I5.00/Bk) 4760 Copies of Engineering Maps&Plans Acrial Plot 24"x 36" ($50.00) Aerial Print 8 1/2"x 11" ($20.00) Maps and Plans 24"x 36" ($7.50) 4722 Penalties:Failure to restore public Improvements ($100/Calendar Dagmm.l code sm.11.34.0101 47221 Penalties: Failure to correct unsafe conditions ($100/Calendar Day) LAND DEVELOPMENT 4722 lot Line Adjustment ($625.00) 4722 Parcel Map(4 Lots or loss) ($1.215+$25/Lot) 4722 Final Tract Map(5 or Mom Lots) ($1.570+$25/Lot) 4722 Certificate of Compliance (SM5.00) 4722 Certificate of Correction ($345.001 E44722 Notary Fee(per signature) (810.00) 722 Vacation of Public Streets&Easements ($625.00) 4722 Assessment Segregation or Reapportionment First Split ($625.00) Each Additional Lot ($190.00) 4721 Storm Drainage Area Fee Per Acre (R-1.$2.000) (Multi-Res.$2.250) (All Other.$2.500) 4920 Parkland Dedication Fee(75%/25%Due Upon Cat of Occupancy) 511.7424 Postage TRAFFIC 4728 Intersection Thin Counts flWo-Hour Count) ($70.00) 4728 Intersection Term Counts(a.m or p.m peaks) (8140.001 4728 Traffic Flow Map(Daily Traffic Volumes) ($30.00) 4728 Campbell Traffic Model(Full Scope Assessment) ($2.560.00) 4728 CampbeH Traf c,Model(Reduced Scope Assessma($845.00) 4271 Truck Penults (816.00/per trip) 4728 No Parking Signs 1$1/each or$25/100) OTHER TOTAL NAME OF APPLICANT` NAME OF PAYOFF—+' lit PHONE ADDRESS ® ZIP --Actual Cost Plus 20%Overii, b os1U FOR CITY CLERK RFC q ONLY Date Receipt• 1 -For Plan Check and Cash Deposits.send yellow copy to Finance. Date/Initlalm j:VbnnsVecelptfonn 01-02.x1s rcv 2/12/02 " ' CD! 0FWMP9�LL` C� RECVD BY: JU'DYS O16OO147�9; PAM: �MY CO-` Y`S D�TE� O4. O2 REG!ST[R 8A�E: 12/O2 TIMEz GE SCR IPTION. AMOUNT REF DEPOSITS -101.22O3 $3,No, �0 REF KPos7Ts -1;1.2703 15;"I.JJC ------------- TOTAL DUE: $3,500.0O TENDERED: $3,500.0� � CHANGE: IS ` ` / Refundable Deposit Check Request To: Finance Director Check Payable To: Emily Chen Address-Line 1: Line 2: 21009 Seven Springs Parkway. City: Cupertino State: CA Zip: 95014 Description: Refund Deposit Account Number: 101.2203 Amount: $3,000.00 Account Number: Amount: Account Number: 101.540.7448 Amount: (Finance Dept only) Interest Earned (Finance Dept only) Total Payable: $3,000.00 (Exact Amount) Purpose: Refund of Monumentation Security for�6`Regina Way Voucher#: Permit#: ENC2001-0.0033 Receipt#: j/ 146866 Date: 03/05/02 Requeste Title: Sr.Office Assistant Date: 09/26/2003 Joan D'Ambrosia Approved by: Title: Land Development Mgr. Date: 09/26/2003 ?ar Lynn Peindyer Finance Dept Only: Verified by: Title: Accounting Clerk II Date: Approved by: Title: Accountant Date: Special Instructions For Handling Check Mail As Is: Mail in Attached Envelope: Interim Check: Needed By: Return To: Joanne D'Ambrosia . ` Public Works/City°Hall (Name) (Department) Other: f/n:Forms/exceVchkreq - Revised 05100 — Pu;. DRKS DEPARTMENT RECEIPT Effective July 1.2001 / /+ TO: City Clerk PUBLIC WORKS FILE NO. PROPERTY ADDRESS Please collect&receipt for the folio ving monies: ACCT. ITEM OUNT 435.535.4921 Project Revenue(specify project) 3 ENCROACHMENT PERMIT 4722 Application Fee Nan-Utillty Encroachment Permit ($255.00) Minor Encroachment Pemut<$5.000 ($55.00) R-i First Permit(No Fee)Subsequent Pem ($115.001 Utility Encroachment Permit Arterial/Collector Street ($370.00) Residential Street/Other Areas ($255.00) 2203 Plan Check Deposit-2%of ENGR.EST. ($500 min) 2203 Faithful Performance Security(FPS) (100%of ENGRFST.) 2203 Labor and Materials Security (100%ofENGR.EST.) 2203 Monumentation Security% (100%of ENGR.EST.) _ 2203 Cash Deposit (4%of ENGREST.)($500 min/$10.000 max) 2203 labor and Material Security (100%of ENGR.EST.) Plan Check&Inspection Fee(Non-Utility) 4722 Engr.Est.<S250.000 (1246 of ENGR EST.) / 2203 Engr.Est.>$250.C(Deposit 8%of ENGR EST./$30.000 min.)•• 1 4722 UUltty<$100.000 (8%) Minimum Charge Per Location ($135.00) Conduits/Pipelines up to 500 Feel (82.10) Above 500 Linear Feet ($1.301 Manholes/Vaults/Etc. ($120.00/ea) Pole Set/Removal ($120.00/ea) Street Tree Planting/Removal ($120.00/tree) 2203 Utility>$100.000 Actual Cost+20%•• 4760 Project Plans&Specifications Project No. 4760 Standard Specifications&Details (81/P4 S15.00/Bk) 4760 Coples of Engineering Maps&Plans Aerial Plot 24"x 36" ($50.00) Aerial Print 8 1/2"x I V ($20.00) Maps and Plans 24"x 36" ($7.501 4722 Penalties:Failure to restore public tmprovements I$100/Calendar Da9Havl code s—i I.34.oiot 47221 Penalties: Failure to correct unsafe conditions ($100/Calendar Dav) LAND DEVELOPMENT 4722 Lot Line Adjustment ($625.00) 4722 Parcel Map(4 Lots or Less) ($1.215+$25/1,ot) 4722 Final Tract Map(5 or More Lots) (S 1.570+$25/Lott 4722 Certificate of Compliance ($565.00) 4722 Certificate of Correcdon (5345.00) 4722 Notary Fee(per signature) ($10.00) 4722 Vacation of Public Streets&Easements ($625.00) 4722 Assessment Segregation or Reapportionment First Split ($625.00) Each Additional Lot (8190.00) 4721 Storm Drainage Area Fee Per Acre (R-1.$2.000) (Multi-Res.$2.250) (All Other.$2.500) 4920 Parkland Dedication Fee(75%/25%Due Upon Cert,of Occupancy) 511.74241 Postage TRAFFIC 4728 Intersection'firm Counts(Tvo-Hour Count) 1$70.00) 4728 Int—Lion-rum Counts(a.m.or p.m.peaks) ($140.00) 4728 Traffic Flow Map(Daily Traffic Volumes) (530.001 4728 Campbell Traffic Model(Full Scope Assessment) ($2.560.001 4728 Campbell Traffic Model(Reduced Scope Assessmet($845.00) 4271 'ruck Pernits ($16.00/per trip) 4728 No Parking Signs (S1/each or$25/100) OTHER TOTAL Jl g/J i NA.ME OF APPLICAN r NAME OF PAYOR I, :(�,J/ PHOtLE ADDRESSyy////� ZIP f "A 1'CO"s s-2O35 aerhe5d'(tYn-interat bearing deposit) FOR CITY CLERK RECEIVED BY ONLY l_ Date Receipt• MAR ��09, `U *For Plan Check and Cash Deposits.SIT E f00• � e I j: lo—Vocciptform 01-02..x1s rev 2/12/02 f REND BY: MY PAOT MY a D.TE ER DAT.--: 2 DESCRIPTION _-;,O POR a SUHT 7M F K 5 A MA I SUNI 705 F ---------------- S3 4,1 At TITAi DUE: $8,997.50 s,N TENIERES $0 193, Ogg PUB] ORKS DEPARTMENT RECEIPT Z17 tive August 1,2_000 L__ TO: City Clerk PUBLIC WORKS FILE NO. PROPERTY ADDRESS Please collect&,=CiPE for the Fol owing monies: ........................................ .................. ............ ..................... ... . ................ ... ..... ................ ............. x ............... .................................................. .............. ......... 435.535.1911 Pro ect Revenue"(sp i proiect) I'S ...... ENCROACHMENT PERMIT 47221 Application Fee Non-Utility Encroachment Permit (S245.00) Minor Encroachment Permit< S5M0 (S50.00) R-I First Permit(No Fee)Subsequent PermitlYr ($1101 Utility Encroachment Permit Arierial/Callemor Street (S355.00) Residential Street/Other Areas (S245.00) 2203) Plan Check Deposit-2%of ENGR.EST. ($500 min) '2031 Faithful Performance Securiry(FPS) (100%of ENGR.EST.) 22031 Labor and Materials Securitv (100%of ENGR.EST.) Monumentacion Securitv (100%of ENGR.EST.) 22031 Cash Deocisit (40 of ENGR.EST.)(S500 min/510.000 max) '2031 Labor and Material Securitv (f 00%of ENGR.EST.) Plan Check&Inspection Fee(Non-Utility) 47221 Enttr.Est. <S250.000 (12%of ENGR.EST.) '203 1 Engr.Est.>S250.000 (Deposit 8%of ENGR.EST.,'S30.000 mm.) 47221 Utility < S 100.000 (8%)- Minimum Charge Per Location ($130) Conduits/Pipelines uo to 500 Feet M.00) Above 500 Linear Feet (5I.25) ManholesiVaulEs/Erc. (S I 15.00/ea) Pole Set/Removal (S 115.00/ea) Street Tree PlantingiRemoval (S I 15.00/tree) 22031 unlity> S100.000 Actual Cost+20% 4722 1 Street Tree PlaritingiRemoval Permit (5115A001 .760 i Ptoiect Plans&Soccifications Proiect No. _60 i Standard Specifications&Details (S I/P�S12.50/13k) 17601 Comes of Engineering Maus&Plans Aerial Plot 24'x 36' (S45) Aerial Print 8 1!2'x-I 1' ($15) Maps and Plans 24*x 36" M) 47221 Penalties:Failure to restore public imorovements (SIOO/Calendar Dav) Mury �S-11.340�101 '722! Penalties: Failure to correct unsafe condi[ipns lSI00/Calendaz Da LAND DEVELOPMENT '712 Lot Line Adiusimeric (5600.00) -MV Parcel Nlao(4 Lors,br Less) ($1.170+S25/Loc) 47221 Final Tract Mao(5 or More Lots) (51.510+$25/Loc) — Certificate of Compliance (S545.00) _a722i Certificate of Correction ($330.00) Notary Fee(Der signature) (S10.001 Vacation of P-jolic Streets&Easements (5600.00) 4722 Assessment Segregation or ReariDortionment First Solit 1S600.00) Each Additional Let (SI85.00)-Storm Drainaee Area Fee Per (Multi-Res.S2.250) (All Other.S2.500) Parkland Dedication Fee(757i25-7 Due Ucion Cert.of Occupancy) Postaee TRAFFIC A31 Intersection Turn Counts(Two-Hour Count) (S65.50) Intersection Turn Counts(a.m.or p.m.peaks) (S136.50) Traffic Flow Nfap(Da[Iv Traffic Volumes) (S29.50) 17291 -amobell Traffic Model(Full Scone Assessmeno (S2..'60.00) 7281 C amobeii Traf*,--.c Model(Reduced Scone Assessment) Truck Permits (S32.00/rnd trip) No Parking Signs (SI/each or$25/100) OTHER TOTAL S INAME OF APPLICANT NAME OF PA'r'OR FL- P PHONE 3 P- ADDRESSgyycv ZIP (-T, *-Acz'.,al Cast P!,--s 291 0-rhead'Nor-Interest bearing de sit) ? ....... FOR MV X BY..*��- CITY RECEWED CLERK .......... .......... ............ .......... :-Rkd .......... 14 .......... .V4 ONLY ............ ......................... .. .................. .............. .................. Ptaa::Fleck and CmEDeposiLs,*ndj4ff1 V.:0.F.1:11-- :4. ow. .................. ................. h:Vorms%re:ipi form,00.0 I xis rev 7-171-00(mp) PUB), 'ORKS DEPARTMENT RECEIPT Effective August 1,2000 TO: City Clerk PUBLIC WORKS FILE NO. � �� PROPERTY ADDRESS Please &recei forth.e ollo..ing. :on:ies: .. ..... . .......: : : 435.535.4921 Project Revenue s ecif project) ENCROACITLIENT PERMIT 4722 Application Fee Non-Utility Encroachment Permit ($2q5 0D1 Minor Encroachment Permit<15,000 ($50 00) R-I First Permit No Fee Subsequent Permit/Yr $I10 Utility Encroachment Permit Arterial/Collector Street $355.00 Residential Street/Other Areas $245.00 2203 Plan Check De ;it-2%of ENGR.EST. $500 min 2203 Faithful Performance Security FPS (I00%of ENGR.EST. 2203 Labor and Materials Security 100%of ENGR.EST. 2203 Monumemation Security 100%of ENGR.EST.) 2203 Cash Deposit 4%of ENGR.EST. $500 min/$10 000 max 2203 Labor and Material Security 100%of ENGR.EST. Plan Check&Inspection Fee(Non-Utility) 4722 Engr.Est. <$250,000 (12%of ENGR EST.) 2203 Engr.Est.>$250.000 (Deposit 8%of ENGR.EST./530,000 min.)*' 4722 Utility<$100,000 8% _Minimum Charge Per Location ($130) Conduits/Pipelines up to 500 Feet ($2 00) Above 500 Linear Feet 131.25) Manholes/Vaults/Etc. ($115 001ea) Pole Set/Removal ($115 00/ea) Street Tree Planting/Removal $115.00/tree) 2203 Utilit >$100.000 Actual Cost+20%" 47111 Street Tree Plantin!Removal Permit $115.00 47601 Project Plans&Specifications Project No. 47601 Standard Specifications&Details ISI/P $12.50/13k) 4760 Co ies of Engineering Maps&Plans Aerial Plot 24'x 36' $45 Aerial Print 8 1/2'x I I' $15 Maps and Plans 24'x 36' $$ 4722 Penalties:Failure to restore public improvements $IOO/Calendar Da (M..i Code s«.t 1.34.01) 4722 Penalties: Failure to correct unsafe conditions $100/Calendar Da LAND DEVELOPMENT 4722 Lot Line Adjustment $600.00) 47221 Parcel Ma 4 Lots or Less $1,170+S25/1-ot 4722 Final Tract Ma 5 or More Lots SL510+$25/Lot 4722 Certificate of Compliance $545.00 4722 Certificate of Correction $330.00) 4722 Notary Fee(per signature) $10.00 4722 Vacation of Public Streets&Easements $600.00) 4722 Assessment Segregation or Reapportionment First Split ($600 00) Each Additional Lot $185.00 4721 Storm Drainage Area Fee Per Acre (R-1,$2 000) (Multi-Res,$2.250) (All Other $2 500 4920 Parkland Dedication Fee 75%/25%Due Upon Cert.of Occu ancv) 49651 Postage TRAFFIC 47281 Intersection Turn Counts Two-Hour Count $65.50 47281 Intersection Turn Counts a.m.or p.m.peaks) $136.50 4728 Traffic Flow Map fDailyTraffic Volumes 529.50 4728 Campbell Traffic Model Full Scope Assessment $2 460.00 4728 Campbell Traffic Model Reduced Scope Assessment $810.00 4271 Truck Permits $32.00/rnd trip) 4728 No Parking Signs $1/each or$25/100) OTHER ,y TOTAL NAME OF APPLICANT NAME OF PAYOR a rW, i ��L [j PHONE ADDRESS �7��" 7, ZIP *'Actual Cost Plus 20%Overhead(Non-Inzwz&bearing deposit) FO R ...... ...:;i i) ..... i':f;S i;"i vi i?ilii'?' 2:::i" s CITY CLE RK K .. ) Oi: S??i: :.'-:'.'. >`z;f:> ..>;>a> »:»:<:>;2»is>::<: 5» tii>::::>:; :E :;::>::i>:` ::i;»>:=::;zS>isz< :>::>'::i>:>:> <:::»::;«>>: :»>'s»»>: ONLY ... . . f:;:ii ;; Ai. :;.F.w';Afu.Check rtdC&sh75ettvs+r�,itnd3e awcopyta�tnaa�k ,.>;.:•::.::::::...:.:: .,.,..... h:\forms\receiptform00-01.x1s rev 7-17-00 Imp) .is.. -BY.' iFi?!i-D .j 01000138472 _ i[ ii THIRD FAMILY REGISTER DATE: r_. s.v. ra ...... 'v li=vL vr. r:r^^err.--O .ifO!i31' ENOa v .i..i LiiSV . 71 7Li_'v.!JV' -------------- CHECK PAID, CHECK NO! L+i5 t.ins__. .R r TENDERED: LniDER D: $ 2 f(5 00 OF c44( CITY OF CAMPBELL Public Works Department January 23,2019 Ms. Emily Chen 21009 Seven springs Pkwy Cupertino, CA 95014 Re: Deposit Refunds Dear Emily: Enclosed is a check in the amount of$4,500.00 representing two deposit refunds. The deposits were made by you to the City of Campbell several years ago. The deposits were made to obtain permits,for properties located at 1826 Regina Way(Permit 2001- 00033) and 739 751 Pecan Way(Permit EP98-103) in Campbell. The permits for these projects were never issued, and the work never completed,therefore; we are returning your deposits. . Please•feel free to contact me_ifyou have any questions., Sincere) , Roger Storz Sr. Civil Engineer Cc:Teri Flook, AMC r 70 North First Street• Campbell, California 95008-1436 TEL 408.866.2150 FAX 408.376.0958 TDD 408.866.2790 I i i CITY OF CAMPBELL' VENDOR NO. 00004589 ' CHECK NO. 271559 i 'C Gyy` 1 Purchas :::f7rder. .:.: . 101 2203 CRO11419`• } 4,500700 11826 REGINA,739/751 f ro I i a l 1 Af I I I 00O 4589 EMILY CHENHi I. LJ 7 CHECK'DATE CHECK NO. a� to C'�� 11 -:CAMPBELL. WEliLS�FARGO BANK. N.A. 11-24 .. . i �• 420:t4oirrGoMERY STREET Y200 01/2 1/19 271559 iy cA 7 7 NOk T FIRST STREET SAR FRANCISCO, CA 94104 ;U t" CAMPBELL, CALIFORNIA 95008 e u * *** 4 5 0 fl Q 0 ,. AMOUNT .... ! ` VOID AFTER 90 DAYS o r i �tI E PAY THE SUM OF FOUR;THOUSAND, FIVE HUNDRED DOLLARS & ZERO CENIS.,.:z' �Mli 14 TO THE EMILY CHEN r 0xnsa . 21009 SEVEN SPRINGS PARKWAY CUPERTINO CA 95014 ' v27ISS91I' ii8i & 210002to81: 4i2L ill SS4LSIIN ---- _._ _, _._...._ ........_ .f 'See Reverse Side For Easy Opp! ning Instructions* t CITY OF CAMPBELL 70 NORTH FIRST STREET i CAMPBELL, CALIFORNIA 95008 i � I � i EMILY CHEN 21009 SEVEN SPRINGS PARKWAY CUPERTINO CA 95014 ! ,r i AsSET MANAGEMENT C 4 n s U It ants 12841 Fitzwater Dr. _ Phone: (703)594-3100 Nokesville,Virginia 20181-2734 Fax: (703)594-2187 Request for Release of Funds Date:Thursday,November 08, 2018 THE118 Attn: Ms. Kathleen Overman Dept: Comm. Development* .Fax: . (408)8715140 Dear Ms. Overman: We believe all .necessary stabilization and other work activities have been completed, and that all necessary permits have been obtained, on the project known in your files as: File: CHEN,EMILY Account 4: 1 P oied-Dzscriiak_ Road Project Address: Project#: Bond Type: FAITHFUL Receipt#: 7999 PERFORMANCE — , Permit#: 2001-00033 I �heaccase,.please forward a list of any nonconforming or not completed items to us for our, ntion' on Otherwise, please refund the deposit Held by,CAMPBELL, CA in the amount of $3,000.0.0 pl s applicable interest to: E &H THIRD FAMILY, THE Ms. Emily Chen 21009 Seven Springs Pkwy Cupertino, CA 95014 Please also consider this to be a request for any additional funds held by you for this depositor that are due to be refunded, excepting such funds as are currently committed to any active construction project. It is our intention to have'all eligible funds returned directly to the depositor. Please inform AMC, as agent, of the refund date(s), and copy AMC on all of your correspondence to the depositor. If you have any questions concerning the above, then please feel free to call us at(703) 594-3100 Ext 102. Sincerely, Ms. Teri Flook Asset Management Consultants logo ASSET MANAGEMENT u ion s ltants 12841 Fitzwater Dr. Phone: (703)594-3100 Nokesville,Virginia 20181-2734 Fax: (703)594-2187 Request for Release of Funds Date:Thursday,November 08, 2018 THE118 Attn: Ms. Kathleen Overman Dept: Comm. Development* Fax: (40.8)8715140 Dear Ms. Overman: We believe all necessary stabilization and other work activities have been completed, and that all necessary permits have been obtained, on the project known in your files as: File: CHEN, EMILY Account#:21260235' P--r---ct-�scrrii�_tior�: - - Bond-Dale11999Project Address: Project#: Bond Type: ENCROACHMENT Receipt#: Permit#: PW98-03 (0'3 If this not the case, please forward a list of.any nonconforming or not completed items to us for.our attention and action..Otherwise, please refund the deposit held by CAMPBELL, CA in the amount of $1,500.00 plus applicable interest to: E &H THIRD FAMILY, THE Ms. Emily Chen 21009 Seven Springs Pkwy Cupertino, CA 95014 Please also consider this to be a request for any additional funds held by you for this depositor that are- due to be refunded, excepting such funds as are currently committed to any active construction-project. It is our intention to have all eligible funds returned directly to the depositor. Please inform AMC, as agent, of the refund date(s), and copy AMC on all of your correspondence to the depositor. If you have any questions concerning the above, then please feel free to call us.at(703) 594-3100 Ext 102.. Sincerely, Ms. Teri Flook Asset Management Consultants ` PUBLIC WORKS/PLANNING REFUNDABLE DEPOSITS ACCOUNT 0101.2203 NOVEMBER 2018 FISCAL YEAR 18119 Fm ' 4i)4102 d799 -007- Chick-Fil-A 106/I S/18 275749 PLN2018-00206 10,159.00I j I j i IO 159,00 Chick-Fil-A 10/I I/18 277627 I PLN2018-00206 1 7,811.00! j _ 7,81 Lao Chick-Fil-A 10/11/18 j 277627 !PLN2018-00206 i ; ! 39,053.00 39,053.00 Chun,Goon Jong ' 07/13/18 j 276197 ENC20I8-00196 500.00 (SUU.UO){ !269365 08/20/I9 'Climax Development 07/09/18 i 276093 PLN2018-00215 j 11,330.O0 11,330,00 'Climax Development 07/09/18 276093 j PLN2018-00215 i 379.00 i j I i 379.00 jCMT Partners " 11/27/00 135537 PL00-56 5,000.00 - I j i 5,000.UU j 'Copyco 08/07/03 159980 2003-00111 500,00 i ! i -0fo i Core Communications 02/13/15 257246 2013-00132 2.400.00' ( 2.400.00 Creekside Office CE OS/12/06 I86929 2005-00155 1 3,658.84 ! j 3.658.84 j Cresleigh Homes 03/27/17 I 268746 PLN2017-00109 8,230.00 (5,825,00)' j 26990 U<)..'24/IB 2,J05,0O j ICresleigh Homes II/30/16 266986 PLN2016-00388 4.820.00 270836 ll.'^_6,'I8 4391.fi5 ICresleigh Homes Corp i 11/30/16 ii 266986 j PLN2016-00388( 7,86100 i 7.861.00 CRP Vasona 1 10/17/17 1 271939 !ENC2016-00238 7,500.00 I i ^,a(t(k(i(i i Cusella,Stephen 1 11/22/02 ( 153493 i 2002-00134 3,000.00 ! D R Horton Inc 07/30/13 249315 2013-00147 10,000.00 1 ? 10.000.00j Do Vinci Homes Inc 09/05/17 271259 ENC2017-00210 625.00 ((25 269 M<-, 1 ,t10) -1 10i01118 1 DBI Construction 07/19/0t j 198632 1 2008-00078 ( 1.190.88 ( I � 1,190.88 De Colle,Cyril 03/07/18 i 274097 ENC2018-00050 j 500.00 500.OU i Eversified gan Homes Inc j 08/20/14 j 254918 j 2013-00043 5.000.00 versified Loan 04/11/03 ' 156903 2003- 1,080.0000048 500A0 500 00 j Loan � 04/30/03 i 157378 2003-00048 j ! ; Bollinger Properties 12/01/17 272678 PLN20 1 1-003 8 1 i 11,330.00 I 11.330.Ut}' Dollinger Properties 09/07/18 i 277076 PLN2018-00148 9,196.O0 9,196.00 1. Dollinger Properties 09/07/18 ! 277076 PLN2018-00148 1,639.00 1.839,00 Dollinger Properties 05/29/18 275422 PLN2018-00148 i 210.170.00 j ! 1 1 I (29.056.88}; (28.765.G1.)i .270533 11/05/18 152,34^+.51 i Dollinger Properties 05/29/18 i 275422 PLN2018-00148 41.034.00 42,034 UO Dome Construction 10/27/17 j 272102 ENC2017-00253f 750.00 ) ! 750.001 Dome Construction 10/27/17 ' 272102 j ENC2017-00253( S00.00 50O.{)0 'Ericsson Inc 06/20/11 j 235812 PLN2010-00260 839.00 I j 83500 i Financial Title Co(James Kennedy) 03/15/99 119425 98-238 ISll0.00 j 'Float Station 03/07/17 268450 PLN2017-00083 2SOO M ' ! 1 2,50000? - i I Follmar,Deborah 06/29/18 275968 ENC2018-00128 455.00, (455,00) JrE09.16�1 Folimar,Deborah 06/29/18 275968 'ENC2018-00128. 2,000.00 (2MU.00)j i 2692101 08;06118' Fran Lee Construction 03/17/06 185272 2006-00034 ( 643,414) I 643.OU Futurecom 01/II/02 i 145649 2001-00126 ! L,00.00 'Galitei Properties 12/20/17 272947 ENC2017-00294} 1,250.00 j i j 1.25U 00! Gera,Marko 04/10/18 ( 214695 ! 7,SUO.UO I i 7,50(LU0` 'Gerber,Leland 06/14/16 264411 PLN20I5-00293 1.000.00' Graham,Gerald 03/23/18 274337 PLN2017-00279 10,000.00 j i i i 10.000.00 j Graham,Gerald' 08/30/18 276954 PLN2017-00279 i 2,500.00 2,50{),00 IGraystone,Development 12/18/07 202622 2004-00242 i 3.000.00 3,000.00 'Habitec 06/03/16 f 264265 PLN2016-00073 70.00' 70.00 Hacienda Street Hot 1 05/24/18 275368 j PLN2018-00157 I0,000.00' Hamilton Campbell 09/09/15 260283 ENC2015-00190 8.698.93' (8,698.93) i '269587 09i03118 i Harrington,Thomas 1 10/29/18 277865 ,ENC2018-00284 1,400.00 1.400.00 PUBLIC WORKS/PLANNING REFUNDABLE DEPOSITS ACCOUNT N101.2203 NOVEMBER 2018 FISCAL YEAR 18/19 louI.` eo =mitt' 4;SY2 -'L99 E 2001-00033 112 PW98-03 i Chick-Fil-A 06/18/18 275749 !PLN2018-00206I 10,159.00 i i IO,L54.UU; 'Chick-Fil-A 10/11/18 277627 PLN2018-00206 I 7,8I LUU I -811 00 'Chick-Fil-A 10/11/18 277627 PLN2018-00206 39.053.00 ,39,U93.1}0 Chun,Goon Jong 07/13/18 276197 ENC2018-00196 500.00 I (500.00) 269365 08120IS _ Climax Development ! 07/09/18 ( 276093 PLN2018-00215 11,330.00 j 11330.00 Climax Development 07/09/I8 276093 PLN2018-00215 379.00 CMT Partners * 11/27/00 135537 PLOO-58 5,00()00 1 5.000.00- �Copyco 08/07/03 159980 2003-00111 500,00 i 500A0 Core Communications 02/13/15 257246 1 i kk "i 2013-00132 2.400.00 I i ; 2,4U0.110 Creekside Office CE j 05/12/06 186929 1 2005-00155 3,658.84 I 3.658.94 Creslei hHomes 03/27/17 268746 PLN2017-00109 8.231L00 c g (S.S25.(I(I) f))02 09;4/I8 2,405.00 Cresleigh Homes 11/30/16 266986 !PLN2016-00388 4.810.00 i (3,418.35), ! 1 70836` 11.26118 1,391.65 Cresleigh Homes Corp ! 11/30/16 i 266986 PLN2016-00388 1 7.86100 ?.86 t.00 CRP Vasona ' 10/17/17 271939 j ENC2016-00238 1 7,;tkt},00) 71,500A0 Cusella,Stephen 1 11/22/02 153493 2002-00134 i 3.000.00 3,000.001 D R Horton Inc 07/30/13 249315 2013-00147 10,000.00 10.000.00 �Do Vinci Homes Inc 09/05/17 271259 ENC2017-00210 625.00 (62500) 269958 10101/I8 _ DID Construction 07/19/07 198632 2008-00078 1.19044 EE I I,1q{)88 1 De Colle,Cyril 03/07/18 274097 ENC2018-00050E 500 OU J) c00 00 Degan Homes Inc 08/20/14 254918 20I3-00043 E 5,000 00 E ( S.itOO.00 E 1 Diversified Loan 04/11/03 ( 156903 2003-00048 1 500.00 ;400i) iDvversifed Loan E 04/30/03 ( 157378 2003-00048 1,080.60 1080 00 Dollinger Properties 12/01/17 272678 PLN2017-00381 i 11.330.00I 1 ! i 11330.00 Dollinger Properties 09/07/18 277076 PLN2018-001481 9.196:00 9,19600I Dollinger Properties 09/07/18 277076 PLN20I8-00148 1,83900 1.839.00 Dollinger Properties 05/29/I8 275422 PLN2018-00148 j 210,170.137 (29,056.88)1 (28.65.61) Os 3 II%03/18 15234Z51 Dollinger Properties ' 05/29/18 275422 PLN2018-00148 i 42.034 00 42,O34A0 Dome Construction � 10/27/17 ( 272102 ENC2017-00253E 750.00' I ' ;Dome Construction 1 10/27/17 272102 ENC2017-00253 500.00 i00,0O Ericsson Inc 06/20/11 235812 PLN2010-W260 835 00 835,00 Financial Title Co(James Kennedy) 03/15/99 119425 98-238 1 Sot OU i 500.00 Float Station 03/07/17 268450 PLN2017-00083{ 2,500 00; E I 2500.00 Follmar,Deborah E 06/29/18 275968 ENC2018-00128 455.00 j i45.Uti), J:E09 IE - lFollmar,Deborah ; 06/29/18 275968 ENC2018-00128 2,000.00 { f2,000.00), !269210 08/06iIS( _ Fran Lee Construction 03/17/06 185272 2006-00034 ( 643.00 i 643.00 Futurecom E 2 -0012 50 01/11/02 145649 0016 i 2. 0.00 j E � 'Galilei Properties 12/20/17 272947 i ENC2017-00294 1,250 00 { E 1 250.00 1 Gera,Marko j 04/16/18 274695 7,500 00 E .500 00. Gerber,Leland � 06/14/16 i 264411 PLN2015-00293E 1,000.00 ;Graham,Gerald 03/23/18 i 274337 1 PLN2017-00279 I0,00O.00; 10,0OU.00 Graham,Gerald 08/30/18 276954 PLN2017-00279 1 2,500.00, 1 2.500.00 Graystone,Development 12/18/07 202622 2004-00242 ( 3.00000 3000.00 Habitec 06/03/16 E 264265 PLN2016-00073E O 00 i 70.00 !Hacienda Street Hot 05/24/18 275368 PLN2018-00157E 10.000 00 ( 1(1,000.00 j Hamilton Campbell 09/09/15 260283 i ENC2015-00190 f 8.69Y 93 I E (8.698.93)' 269587 09iO3;l8 _ Harrington,Thomas IO/29/18 277865 ENC2018-00284 1,400.00 1 PUBLIC WORKS/PLANNING REFUNDABLE DEPOSITS - ACCOUNT#101.2203 NOVEMBER 2018 FISCAL YEAR 18/19 __...__....___...... _.._....._____._.__. _.._.•__-___..._--._................__.......................__:_._._....._........_........ .... ...._.....__..._......__.__ ...___._..........................y._.......__...............---......r..._.._._._..._..._...._._...__ _ _ CURRENT j PRIOR MOS. ....,.._CURRENT_..._. ..._..Y_T_p..._.._ ......__._ ......__ J/E ........_,......Y_T-D.._ ! j BEGINNING PRIOR MOS. } NAME DATE RECEIPT PERMIT BALANCE AMOUNT I MONTH AMOUNT MONTH OTHER ,CHECK CHECK E # ENDING "PlaaaiaPJBuildin¢ PAID # # j 07/01/18 , DEPOSITED 1 DEPOSIT REFUNDED REFUNDED ADJUSTMENTS # i DATE 00116 BALANCE i .725 Hacienda LLC 12/04/06 ! 192243 2006 00177 6,000.00( i T 6,00t oo i i95 Hamilton LLC 02/10/17 E 268091 PLN2015-00275 1,381.25 j 1,38 L25 1 .95 Hamilton LLC 12/14/17 i 272846 ENC2017-00289 1 00,00 I j j 50().00 1 'AKConstruction 10/16/17 j 271912 ENC2017-00243 5,000.00 269201 i 08,06,118( 1 - jA2 Land Investment 07/02/18 275994 r PLN2018-00224 11.330.00 ! 11,330.00! iAbdollahi,Akbar 11/24/15 261384 PLN2015-00329( 1,603.62 1 j 1.603.62 Access Dev Group 08/04/16 265222 ENC2016-00115 17,00.00 I (17,500.00) 270338 10'29/18 i - I Access Development 09/20/I8 ! 277269 ENC2018-00262 j { LOW()()+ j - 1,000.00. !Access Development 12/18/17 272898 PLN2017-00394! 117,3_0.00' ( _ 3 1(050.00 ' i I Adlparvan,Humid 08/14/06 1 189424 2006-00007 z,1100.00; j 5000.00 Advanced Radio Telecommunications* 11/13/00 ( 135269 PLOO-93/131 1.500.0+ ' ( 1,500.00 AGH Architecture 06/08/17 269986 ENC2017-00143I 100.00. (5{h).00}: 270041 1 104)8i18 - ' 'AGH Architecture j 06/08/17 269986 ENC2017-00143 .00AO (500 00}- 270041" 10%08,18 .'AGH Architecture ' 06/08/17 j 269986 'ENC2017-00143 6,000.00 6,OOt).00 'AGH Architecture 12/14/17 ( 272845 1ENC2017-00143 j 400.00 1 -I SU0.00 Arbonvorks Inc 04/23/18 274818 ENC2018-00083 900.00 f5tH100) 269814 09;17/18 - - ':.Asano,Rodney 09/25/18 277363 ENC2018-00289I '(70.00 1 _00A0' I 'Assyrian Chruch j 02/02/18 273604 j ENC2018-00016 j 500.011 i 1 500.00 'Assyrian Chruch 02/02/18 273604 ENC2018-00016 2.500.00 l Austin,Ben 01/26/18 273450 ENC2018-00016 j 500.00 j (500.00}; • 270227 - I i Banaag,Esther 04/20/06 1 186290 2006-00053 j 4 0 00 I 450.00 i {Banducci Assoc 06/28/10 227302 2010-00096 500.00 Black,Michael 10/01/07 I 200544 2007-00174 21000.00 ! I I 21000,00 j 'Black,Thomas 05/18/05 176993 500,00 j 500.00 i lomquist,Michael S * 02/28/01 137845 PLOI-185 500.00 i 500 00 i Boulay,Constance `. 09/17/16 277217 I ENC2018-00277�. 1.000.(10 Burman Family LTD 08/17/15 259923 ENC2015-00I71 DO 00 - SUU.OU 1 'Burr,Eric �. 12/05/06 192353 2006-00181 1 00.00' (-00.007� _70049 10i08/18 - 1 BWS Inc 's 10/07/16 I 266204 PLN2016-00318 I 8,040.00 8,040,00 i I !BWS Inc 12/21/17 272984 i ENC2017-00185 IQ000.00 j I0L0110.00 BWS Inc 12/21/17 i 272984 1 ENC2017-001851 25.00000 25-000.00 I Campbell 76 ( 01/26/16 262195 PLN2015-00375 195( j { I9567 "Campbell Ave LLC 09/11/07 199923 2007-00225 639.56 639.56 .Campbell Development * 06/16/00 ! 131553 PLOO-88 2,129.33 I 2,129 33 j Carden Day School 10/30/15 i 261045 PLN2015-00248 2,053 05 I 2,053 0 j I i Carden Day School 11/09/15 I 261159 20,)00 Oi) (13,53193) (6A68.07)i 26910 08.0618(J.'E07/W - ICarden Day School 03/01/16 262739 ENC2016-00038 !Carden Day School 05/06/16 263839 ENC2016-00038 3,680.22 3,680.22 CCBA 10/10/11 238280 2011-00163 1,870.(4 ( j 1.870.63 'Cellularphone* 10/11/00 134463 PLOO-58 I 6,000.00 i j CFEP Pruneyard 1 02/08/17 268035 ENC2016-002261 8,000.00 j I 8,000.00 'CFEP Pruneyard j 02/08/17 268035 �ENC2016-00226j 10,000.01)' I0.000.00 CFEP Pruneyard 02/08/17 268035 1 ENC2016-00226 500)0.00 1 j I 50,000.00 ICFEP Pruneyard 06/12/11 275662 PLN2018-0012- 4,900.00 d,900.00 j CFEP Pruneyard LLC ' 11/07/16 266686 ENC2016-00226 3,(,6., 1 3.056.59 j 1Chang,Jimmy 02/23/I8 ( 273907 !PLN2018-00257 980.00�, , � 930.00 j; . i c90 AsSET MANAGEMENT- Cons u Itants' 12841 Fitzwater Dr. Phone: (703)594-3100 Nokesville,Virginia 20181-2734 Fax: (703)594-2187 Request for Release of Funds Date:Thursday,November 08, 2018 THE118 Attn: Ms. Kathleen Overman Dept: Comm. Development* Fax: (408)8715140 Dear Ms. Overman: We believe all necessary stabilization and other work activities have been completed, and that all necessary permits have been obtained, on the project known in your files as: File: CHEN, EMILY Account#: f4/127/2002 Project Description: Bond Date: Project Address: Project#: Bond Type: A TIC U . Receipt#: 7999 t, iA E _ Permit#: 2001-00033 - = Ifh' the case, please forward a list of any nonconforming or not completed items to us for our attention an action. Otherwise, please refund the deposit held by CAMPBELL, CA in the amount of $3,000.00 pl s applicable interest to: E& H THIRD FAMILY, THE Ms. Emily Chen 21009 Seven Springs Pkwy Cupertino, CA 95014 Please also consider this to be a request for any additional funds held by you for this depositor that are due to be refunded, excepting such funds as are currently committed to any active construction project. It is our intention to have all eligible funds returned directly to the depositor. Please inform AMC, as agent, of the refund date(s), and copy AMC on all of your correspondence to the depositor. If you have any,questions concerning the above,then please feel free to call us at(703) 594-3100 Ext 102. Sincerely, Ms. Teri Flook Asset Management Consultants AsSET MANAGEMENT . Consultants 12841 Fitzwater Dr. Phone: (703)594-3100 Nokesville,Virginia 20181-2734 Fax: (703)594-2187 Request for Release of Funds Date:Thursday,November 08, 2018 THE118 Attn: Ms. Kathleen Overman Dept: Comm. Development* Fax: (408)8715140 Dear Ms. Overman: We believe all necessary stabilization and other work activities have been completed, and that all necessary permits have been obtained, on the project known in your files as: File: CHEN, EMILY Account#:21260!23 Project Description: Bond Date1999 Project Address: Project#: , - Bond Type: ENCROACHMENT Receipt#: Permit#:. IA- 'IOWL-` 3 ��0 3 If this not the case, please forward a list of.any nonconforming or not completed items to us for our attention and action. Otherwise, please refund the deposit held by CAMPBELL, CA in the amount of $1,500.00 plus applicable interest to: E& H THIRD FAMILY, THE Ms. Emily Chen 21009 Seven Springs Pkwy Cupertino, CA 95014 Please also consider this to be a request for any additional funds held by you for this depositor that are due to be refunded, excepting such funds as are currently committed to any active construction project. It is our intention to have all eligible funds returned directly to the depositor. Please-inform AMC, as agent, of the refund date(s), and copy AMC on all of your correspondence to the depositor. If you have any questions concerning the above,then please feel free to call us at(703) 594-3100 Ext 102. Sincerely, Ms. Teri Flook Asset Management Consultants �. � . ." �� \ � ��, `* C. 4- \,P` \1`� `�� "`�\ \ � � h` }„� [\ '�� [",��a \ \ ,fie J � � l� `� M`� � �`�,, ,, �'\ `', �l �" a� '`, `�J \. `, `v �� " � �� t, � `10� �, �, ., � ('� (� �� \ �h\ i�,` \ �� Y �� 1 :� .\ ,` ` �� :� V '� \ , _ 10/03%luu 1 � C 1:47:58PM = ` Fees Associated With �U Case #: ENC2001-00033 p .. t ,. -,. , .»,a„ .x.: a ._ -i.S3, #:. 't .'"-�+. -Ti .: .. ^�'..'�.'3 .� e4X_. § k� ♦ _ V, .. t ...: 3. q .hr r.. S,_ .-:.^,.._ ..- 4' �...� '�„' y, 1 s:9.�:,. .n v. zc.. .'zf.e` ..:m.. .S.v. 3r.v "�"v. -.»...'.ffii. a.. .j_P's£` n' z .. _ is x:b .'li"Xdt H., .F A. .,t -. .n..-, T,� .. ..fir. .; C C x i ..,..r..,.. .,... •e. sY.,... 'E.. d . H ,... C�' a...,.. .,x :�.s. r ..'�^X .. ., a...r?1...�.. .. S., w.r. '�[ i...,. _.. :,.c #.. .. _� .� tp.: :3.. .�. . .r-.. .,�.. ., .,.�. ... -...c,d :,� `xi.,�tso.. ., _ Created e . ,v �. rtr., '�, d �„ . _ �,�. _ ._ k�. .,;;_. .-� � . � . .,� r e _ to .. � :En � _F . ,._ � „ :� .._ , ._ , .�.. -:s,� ,..., � . �.� .. _,. r^'. ..r.._,r. .. �. _• -:,w,� x x .r.w�� . 7 ..�...,..., �:.:. ,. asxr. .. ... _ r � ..... .�. .�. r. �1 __x .r .I <� Y..>v FMPM 08/07/2000 08/06/2001 Parcel Map Fees-4 Lots 101.730.4722 138472 JD 03/23/2001 1,220.00 0.00 SDB 08/01/1999 06/30/2001 Storm Drain Fee- 209.715.4721 139550 JD 05/04/2001 576.00 0.00 APP 07/01/2001 06/30/2002 Encroachment 101.730.4722 147999 JD 04/17/2002 255.00 0.00 MONU 07/01/2001 06/30/2002 Monument Security 101.2203 147999 JD 04/17/�002 3,000.00 0.00 Pl,L, 07/01/2001 06/30/2002 Non-Util Plan Ck/Insp to 101.730.4722 147999 JD 04/17/2002 500.00 0.00 PKD1 08/01/1999 06/30/2002 Park Ded Fee<6 Units 295.535.4920 147999 JD 04/11/2002 8,242.50 0.00 FPSD 07/01/1901 06/30/2002 -F i 101.2203 JD i 0.00 CASH 07/01/2001 06/30/2002 Construction Cash 101.2203 147999 JD 04/17/2002 500.00 MNMT 07/01/2003 06/30/2004 Monumentation Security 101.2203 JD 10/03/2003 3,000.00 ,000.00 Total Due: t10O ,Y t, Page 1 of 1 CaseFees..rpt Refundable Deposit Check Request To: Finance Director Check Payable To: Emily.Chen Address- Line 1: 21069 Seven Springs.Pkwy �6 i Line 2: r City: Cupertino State: CA Zip: 95014 Description: 11826 Regina,739/751 Pecan Wy I Account Number: 101.2203 Amount: $4,600.00 i Account Number: 101.2203 Amount: Account Number: 101.540:7448 Amount: (Finance Dept only) Interest Earned (Finance Dept only) 1 Total Payable: (Exact Amount) j Purpose: Refund old deposits 33 Permit#: ENIk*16�C8�40 I Receipt#: 147999 - Date:- 4112/2002--_ - - Receipt M 126023 Date: 11/29/1999 Requested by: itle: Office Specialist Date: 7 1 / Jo omason Approved by: Title: Sr. Engineer Date: A Roger Storz Finance Dept Only: Verified by: Title: Accounting Clerk II Date: Approved by: Title: Accountant Date: Special Instructions For Handling Check Mall As Is: Mail in Attached Envelope: Interim Check: ded By: Return To: JoAnna Thomason Public Works (Name) (Department) ASSET MANAGEMENT Consultants 12841 Fitzwater Dr. Phone: (703)594-3100 Nokesville,Virginia 20181-2734 Fax: (703) 594-2181 Request for Release of Funds Date:Thursday,November 08, 2018 THE 118 Attn: Ms. Kathleen Overman Dept: Comm. Development* Fax: (408)8715140 Dear Ms. Overman: We believe all necessary stabilization and other work activities have been completed, and that all .necessary permits have been obtained, on the project known in your files as: File: CHEN, EMILY - Account#: 101 220.3 Project Description: Bond Date: 4/12/2002 Project Address: Project#: Bond Type: FAITHFUL Receipt#: 147999 PERFORMANCE Permit#: 2001-00033 If this not the case, please forward a list of any nonconforming or not completed items to us for our attention and action. Otherwise, please refund the deposit held by CAMPBELL, CA in the amount of $3,000.00 plus applicable interest to: E&H THIRD FAMILY, THE - Ms. Emily Chen 21009 Seven Springs Pkwy Cupertino, CA 95014 Please also consider this to be a request for any additional funds held by you for this depositor that are due to be refunded, excepting such funds as are currently committed to any active construction project. It.is our intention to have all eligible funds returned directly to the depositor. Please inform AMC, as agent, of the refund date(s), and copy AMC on all of your correspondence to the depositor. If you have any questions concerning the above, then please feel free to call us at(703) 594-3100 Ext 102. Sincerely, Ms. Teri Flook Asset Management.Consultants t CrI'Y EOF CAM;?BELL 4 ENCROACHMENT PERMIT `Permit No.6/ v 00162,:V33 DEFT..OF PUBLIC WORKS (for working within the X-Ref. file 70 North First St. public right-of-way) Campbell, CA 95008 (408) 866-2150. Issued Application Date Fax (408) 376-0958 Permit expires in 12 months -Application expires in 6 months APPLICATION-Application is hereby made for a Public Works Permit in accordance with Campbell Municipal Code,Section 11.04. (Application expires in 6 months if the permit is not issued. Application Fee is non-refundable.) A.Work address or tract#_ Utility trench location Fu-r zil" -4�� f B. Nature of work .� �.r!(/t - S rir�lr •,•�� C. Attach four(4)copies'of an engineered plans showing the location and extent of the work,and four(4)copies of the preliminary Engineer's Estimate of work. The plans shall show the relation of the proposed work to existing surface and underground improvements. When approved by the City Engineer,said plan becomes a pact 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 shut-down and/or forfeiture of Faithful Performance Sureties and cash deposits. (See General Permit Conditions I 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 ✓✓Q22"h Telephone (print naive Address Zf D-D "_ 24 HOUR EMERGENCY TELEPHONE N0. D�� d�� Is this work being done by the property owner u their own residence? Yes ZNo The Applicant/Permittee hereby agrees by affixing their signature to this permit to hold the City of Campbell,its officers,agents and employees free,safe and harmless from any eWra or demand for damages resulting from the work covered by this permit. The Applicant/Permittee hereby acknowledges that they have read and understand both the front and back of this permit,and they will inform their contractor(s)of the information. Accepted (Applicant%Perrnittee) (sign) /Date SPECIAL PROVISIONS �l. street shall not be open cut for underground rnstallattons Irltinmum cots be allowed for corrnec(tors of explorazton holes Such cttts tnay be speciticat� -approved by the-Inspectorpriar to canine: 2 :Pavement may be cut for underground instailauons and must be restored.m accordartce with the Utility Trench Restoration Standard Details Method A $adcfi[I unl, �othenvtse.'approve'd by'Inspetxor _3 Wotk to be staked`by a Itcerrsed Land Surveyor or;Crvil Engineer and two(2)copies of the,cut sheets sent to t1ic:Pubhc Works Departntent before starting work 4.. Per Secttdn4215 of;the Government Code. UnrviAert(US b e rd a o nquit identification number hasbeen ernered hereon .USA P y n1 T SEE PUBLIC:WORKS'PEE.SCHEDULE FOR CURRENT.FEES. TYPE:` • AMOUNT RECEIPT NO. PERMIT APPLICATION FEE $ J< .PLAN CHECK.DEPOSIT SECURITY FOR FAITHFUL,PERFORMANCE/LABOR&MATERIALS CONSTRUCTION CASH DEPOSIT :. S PLAN CHECK&INSPECTION FEE . APPROVED FOR ISSUANCE for Cuy Engineer Date wi JAforms pwperm2Jrev.6/96 Ass"ET ANAGEMENT C0nsuitantS 12841 Fitzwater Dr. Phone: (703) 594-3100 Nokesville,Virginia.20181-2734 Fax: (703) 594-2187 Request for-Release of Funds Date:Thursday,November 08, 20.18 THE118 Attn: Ms. Kathleen Overman Dept: Comm. Development* Fax: (408)8715140 Dear Ms. Overman: We believe all necessary stabilization and other work activities have been completed, and that all necessary permits have been obtained, on the project known in your files as: File: CHEN, EMILY Account#: 101 2203 . Project Description: Bond Date: 11/29/1999 Project Address: Project#: Bond Type: ENCROACHMENT Receipt#: 126023 Permit#: PW98-03 If this not the case, please forward a list of any nonconforming or not completed items to us for our attention and action. Otherwise, please refund the deposit held by CAMPBELL, CA in the amount of $1,50000 plus applicable interest to: E& H THIRD FAMILY, THE Ms. Emily Chen 21009 Seven Springs Pkwy Cupertino, CA 95014 Please also consider this to.be a request for any additional funds held by you for this depositor that are due to be refunded, excepting such funds as are currently committed to any active construction project. It is our intention to have all eligible funds returned directly to the depositor. Please inform AMC, as agent, of the refund date(s), and copy AMC on all of your correspondence to the depositor. If you have any questions concerning the above,then please feel free to call us at(703) 594-3100 Ext 102. Sincerely, Ms. Teri Flook Asset Management Consultants . .. •iiP}1-'(F�..... ter. IEisCvir L•v� . ' �l' ,f 41jt1 v'v.1}af'4i• .- ,, it ''nr1 i r e '• -- -.. _ ,:lv 111(�Y !' -n l�l 1'J LI )�r t i+•'•T}i� fvv 1 .t: V is�:L. •�•,_ . : 44-01 1TJi Is'-}—. '.• __ •.'' T TqL'- tt0 7i.7 CZ' fLi+tTi.aVLr . rf MPOTC-TIMrN .?:yr:Itur _�_ --------------- _•..Jv.:U ,hill. -...;tiiif i_i`: rq f tt :liCl[ � �•. i it= ^1:-��-,'S'`i!1 —.�.. MUt- rr.7:sifVl n JV •. . L.i �-�i1 ij In }tali%tom• •'3el_I/ ' i Fk: PIY=Publiew.d. B=Bidd-'s B-d BE-Sp.,;.I E,C,.( ACCOUNT OVI01.2203 PU=P.R.D,P, E=EnermaL,umt Pencil PS-P.11.S-rfty NOVEMBER 1998 PL=Pl,uti.,g Dept EIR=F-im-e, 5=S,bpae,,a Fee FISCAL YEAR 1998-99 VP-F,111.1.1 fte.-m- D BY PERMIT NUMBER L-Lm,d,enpe D,I,.,ii A:Ai.Iy House Deposit hng Bond P Park Dcl,,sit -R:6FNNINC FRIORMOSFCURRENT PRIOR"S*N CURRENT Y-T-D Y-T-D ...i.�NA III DATE RECEIPT PERMIT CODE BALANCE AMOUNT I MONTH AMOUNT MONTH OTHER CHECK CHECK "E ENDING NOTATIONIDESCRIPTION .PI N-1 g/u.ildh a PAID 4 9 a 711198 DEPOSITED DEPOSIT REFUNDED REFUNDED(ADJUSTMENT I DATE 0 BALANCE Earl Co 97-51-21 106911 97-279 E 509.20 1 0 508.2 Ear;Corporationp-1, 97-11.21 106911 97-279 E 1,524.60 IIIZ 0.00 0 1.52460 wes,Wleys-i-i.. :87:011-6 107019 97-281 E 500.00 0.00 0 co SID.a' 5mmgc USA S-21 111769 97-284 E 515.52 0.00 Bco 12 ..2,11'A 98-10-02 115234 97-294 E 2,200.00 2,20�N 1 Starnge USA 1:40,2 111111 97,211 E 1.61111 1.65, Neada AZ 109046 97-306 EP 1,000,00 0.00 0.00 1,000.D' ;0 ev "-,Y-Siz 02-12 109047 97-306 Ell 264.00 0.00 am 264.00 Nevada Sissy-Si. 98-02-12 109049 97-306 Ep 792BD 0.00 0.03 792 N Nevada Shly Si. 97-12-21 107951 97-306 E 50.0() 0.00 0.00 500.00 C.. .,-u• 98 08 26 114227 98-a4 I-L 14 90000 000. (9,404.59) 71059 12107198 5.95.12 no,. 9SY103 0 0.00 'A- E 'l FiMil -ao .0�00 A as - 0. P W Ix 140 109173 99-123 F 1,000.00 DID 0.00 1,()aD:0'0 B.d.-H,Glenn A. 98-01.05 109562 98-132 E 2,585.00 01 0.00 2.:95.00 -1)1D M.i 1.R"::1 :::0"19 110141 11-117 5DO.00 0, 0.00 0 Russell 06-16 112399 98-07 E 1.500.00 1.. 1.5aoD.'0'3 R-ell 93-06-16 112399 99-137 E 500.00 0,00 0.00 soo.uo Ridgeorest G..p,The 9&03.24 110170 98-14D E 500.00 0.00 0.00 500.00 VV6-1361,1- 9B-03-27 110308 98-141 E 1.700.00 0.00 0.00 S-fin.R,--i.. 1,70D.W 99-04-03 110497 98-146 E 500�00 0.00 a.. 500.00 Serafino Rrs,onlian 98-04-01 110498 9&146 FP 1.730.00 0.00 0.00 1.750.00 Ser.B.0 Restoration 98-04-03 110199 93-146 E 500.00 0.00 0.00 500.00 Cl,,m;,k U,i,, 9.11-18 116337 98-156 FPDecker,F-lorcnce 1.900.00 1,900.00 9-05-07 111353 98-170 FP 1.000.00 0.00 (1.000,00) 68321 07/21/98 I't Ck S8.12 Szige,i,Sere 98-05-08 11D.2 99-171 FP _20000 D.00 (2,200.00) 6R413 07/208 S16A8 9846-1 1 112208 99-187 E 500.00 0. co DM 5.00.00 �111Y PlusC-111"lli- 11"11-11 111171 1:�20 E 1,221.00 0.00 11 H.,:fig&S'l-n. 9&08-25 114196 9 219 E 10,800.00 ':�o, ':22':Io .0 Ke-d,,1,,"- 93-09-24. 114999 98-238 E 500.00 0.00 500.00 Hubbard,R.C. 9::�I,01 111111 11-114 E 429.00 (429.00) 70161 W..S I.ICk!1.92 Z.-i,Mike 9 0-07 115334 98.246 E 2.000.00 0.0 (2,00D.00] 1-111 -U--8 .j J.s C--W.. 98-10-08 115361 98-247 E I,owBo 0 1.000.00 est Earned :,Ypl,,C,,,[Mdi.. 99-10-08 115362 98-247 E 3.000.00 0.00 3.000.00 PAA ft.,rciel 98-10-12 115425 98-249 r 500.00 500.00 Azi,,Adhi N. 98-10.29 115944 99-256 E 500,00 Barns, eJ '::1::77 0 ::,19 1 11-114 IP 1.800.0 0.00 T500.00 ,d 0: 973 98-684 E 756.00 0.00 756.0 P.1.H.-C.,P • 93-09-05 113712 Elk PL 14,620.00 0.00 (8.879.92) 5,740.08 See page 7 f,,d-ils M.- 97-11-12 10672t 1.196-11 Pl. 6,ODD.00 11 (6.000.00) 68368 071/21198 IAI Ck S 176.68 0:1 7 D-27 111103 PD .5- (4.045.63) 7104 12107/99 T61"W..p.,1- I-27 Ussas P B 4,081.00 (4,081.00) 71117� :211 1 1Vrighl,Jim 99-10.27 115804 PD B 3.924.60 (3.924.60) 2107MB - N.W.-E-d AgI ftblisbwg 1- 98-07-31 113621 Mumma PL 25,000.00 25.000.00 CkR,q$21,0&0.0D-L�lS393.4l 1211198 ,-..y-dA,11d-,LP • 97-10-28 106136 pl-i., Pl, 3,050.88 0.00 0.00 3.050.89 See pogo 7 1.,deWb a.pfi. 96-1220 98I23 pj�j.& Pl. 11,00.00 0.00 0.00 11.500.00 95-04:24 9'll52 ('laming L 3-0000 0.00 0.00 3,000.00 C.,i.d, "-05-09 23206 Vw FP 39.143 3: 111 0.0. 39.943.39 09 2 3 w I 795.00 0 0.00 795.00 C...Eleph..,H.,• ::�BZ20, 110102 S97-16 PL 10.000.00 ID 10.0m.00 INe.1.1 98-06.19 112500 UP97-15. PL 2.0110.00 111 NB (2.00000) 71049 17107198 StIlith Cellular CL 470768 12n198 S1116.64 'Refundable Deposit Check Request To: Finance Director �� Check Payable.To: E& H Fourth Family Limited Partnersh .y Address-Line 1: 21609 Seven Springs Parkway Line 2: . r City: Cupertino State: CA Zip: 95014 Description: Refund Deposit Account Number: 101..2203 Amount: $1,500.00 Account Number: Amount: Account Number: 101.540.7448 Amount: (Vinance Dept only) Interest Earned Wmnce Depk may) Total Payable:, $1,500.00 (EnctAmount) Purpose: Refund of Monumentation Security Voucher#.: l'—`�, Permit#- 98-103 Receipt#: 111638 Date: 05/20/1998 Requested by: Title: Land Dev.Engineer Date: 06/04f2002 Har Id Hous eyfJ� T- Approved by: 7�-P/Lt Title: Land Dev.Manager Date: 06/04/2002 Lyn Penoyer Finance Dept Only: Verified by: Title: Accounting Clerk Il Date: - Approved by: Title: Accountant Date: Special Instructions For Handling Check Mail As Is: Mail in attached Envelope: Interim Check: LX-• Needed By: Return To: Joanne D%xiLbrosia� .i Vo �`� Public rks/City Hall (fame) ^r'.LA" (Department) Other: i � Vn:Fonnslexcetichkreq - Revised05l00 rI T rul l I nr LIMI NBCELL °A y Lli 1 UI le)il 1 Y 3 V { ,.; REND BY: SHARDieil 01000,11774 Jfirnui %��j iG• C i �J Cidi(��aTi1 CA]�7 v ,•1li7NT�. I.yN�`'v �fli�l:, L u :l 1 UU:Ii l: 1 rlii�•� n nr.n v:n ATr C•isr;t,li )3n TTOWS DOE! 114/20.1 T ID:CLC::T:vCT:C:...G. C4l.11T:C• ".ii JKi: nri+Trr n iitnATr+ Ar/Rn rnn TTur+ TTUC ri c L1••.^4 .it! [.Vi vv J . r - )r�Cl'1':7 i J 1�i1L nr^nnTnTTnu Auni uT 1,,i,• _ . 18till}1— nrr +ir.-n/•rTn ,. ^nn•7 ACAA AA kC Tg: C Tt _iAi I ij? i:)5iVO.{�(,� RCr iir;JDit� —iVi:�.Va iJ{iV,UV . - ----- ----- ----�-- —� ra i%i.i Aii,== Tlir 3'f1i1 iiii TGATA Iii�P a yr:a• ' svtV ac•: i-LJYI, Vt 7 rurnv DATr• @EZAAFROM Art M. wlL,n I r1:Ia - vv.vv CI?, N Q -- Try turn, senA An TCy^1l CTi• @i Citii U i .......:L 1 VIM-M IM rTTY tiF CARRELL: A DCr,m av• OUADnvti• A1AAAi i i7j.i �1S IV_:.rVIJ :J1= JiInllUlil ViYVYl1l!'rl � �l rG aar lii;rGuv�L1��;f i„l PAYOR; _ 1fE�0 FY;PAYD^ TODAY' T :y!OliSuT1ii,MG�Sr Z 117 ' rn TLY RCOT � �iu3F uT_f TiTaU:EI : t fiiLAJ:•L.U4Y74BA:' S . CR � — c 7 9p T4. +i'+}�irr _ nr_arninTj Cd Ai7_J T iCL•1'Lr DT7 DAC{JI nii8 i1Cu Ti:AT7n�1 CC <O 9ri� AA yLJLliii I i=S=f: ••i n ALMW ::L:.11 vn 1�UIL•I L YU 7L.7L,vJ REP rr RunuuT ----------- ■L� 1j TCITAI nllr• ♦ 1 AA GO a. pp r?rs lLai�q Gulya Z:-.Iif:.�Jti •vv Ci�y 1' .li a TCNTiCLCr• @A W-1 AA w:L J.'i ILituLicu;a act)a-r..vv _ I<ciilia tn177I:v� 1i•iJtJl'�a yyy $aiij JoAnna Thomason From: JoAnna Thomason Sent: Tuesday, December 18, 2018 2:53 PM To: Carolina Vargas Cc: Joy Francois Subject: Another Emily Chen deposit return Attachments: SKM BT_50118121815450.pdf Hi Carolina,this is another deposit refund Asset Management is trying to track down for Emily Chen. I'm attaching a copy of the check request, but I do not have a copy of the check because it looks like it was sent out directly from Finance without going to the person originally requesting the check. (Per a note on the bottom of the check request.) This one is from 1998. Permit ENC98-103, Receipt#111638 5/20/98 Is there a way of finding out which check it was and if it 1wever cashed? This one is still showing up on the Refundable Deposit List too. Let me know if you need any more info. Thanks - JoAnna 1 SIBLIC WORKS DEPARTMENT RECEIPT' ERective July 1,19% TO:City ClmL• PUBLIC WORKS FILE NO. i PROPERTY ADDRESS �G Please collect&receipt for the following monies: .... .. ........ ........................................ ............................................. ........................................................................ 433533.4921 Project Revenue(specify pmject) s ENCROACHMENT PERMIT 4722 Application Fee Non-Utility Fmoachment Pettit (S225) R-1 Fret Permit(No Fee),Subsequent Petmit/Yr(SIIRO Utility Fncmxhment Permit ' ArteriaVColleetor Street (S323) Residential Stmet(Other Areas (S225) 22U3 Plan Check Deposit-2%of ENGR EST. (S500 min) 22113 Faithful Performanco Securitv(FPS) (IOU3:cf ENGR.ESf.) 2203 labor and Matetials Seeurim (1 WY.of ENGR EST.) 2-103 Monamenmtion Security (II(I'/.of ENGRESf.) 22113 Cash Deposit (4%ofENGRESr.)(S5W min/S10.(1W mu) Plan Check&Inspection Fa(Non-Utility) 4722 Eagr.ESL<3250.0W (12%of ENGR.EST.) 2203 Engr.EsL>S250.000 (Deposit R%of ENGR.ESPJS30.0W min.)'• 47221 Utility<$1 mptil Minimum Charge Per location (S120) , Conduits/Fipelines up to 5W Feet (SI.60/R) Above 5110 Feet (suaa) ManholerNaults/Em ($105/m) Pole SCs/Removal (S1051m) Street Tme Planting/Rcmoval (SIIIShrec) ol 2203 Utilih•.SIUU.ml Actuol Cost+2(Y/.•' 4722 Street Tree Pl..d g/Rernmal Permit (5105) 4760 Pmiect Plans&Specifrad- Project No. 4760 Standard Specifications&Details (SI/Pg S12/13.k) 4760 Capin of Engineering Maps&Plans (SJO/sq.fL) 4722 Pmaldcs:Failure to msmm public improvements (SIW/Calendar Day) (Muni Code Section 11.34.010) 47221 Pcoalics:Failure to correct unsafe conditions (SI001Cilcndzr Day) LAND DEVELOPMENT 4722 Lot Line Adjustment ($SW) 4722 Pmcel Map(4 Lots or Lars) (S1,060+S25R,et) 4722 Futal Tmct Map(5 or Mom Lots) (SI,390+SM/Lut) 4722 Culifieta afCompliance (SSW) 4727. Certificate of C.—tion (S30Q) 4722 Vacation of Public Streets&Fisements (5350) 4722 Assessment Segregation or Reapportionment First Split (5350) Each Additi...I Lot (SI70) 4721 Slorm Drainage Area Fee Per Acre (R-1,32,0(RI) (Multi-Rea,S2250) (All Other,S2.500) 49211 Parkmnd Dedication Fee 4965 Pomp TRAFFIC 4729 Intersection Tom Counts(T. Hour Comt) (SW) 4729 Intersection Tom Counts(a.m.or p.m.peaks) (S125) 4723 T.M.Flow Map(Daily Trade Vol-) (S27) 472A Campbell Traf c Model(Full Scope As anen0 (S2.230) 472A Campbell T.M.Model(Redorcd Swpe.Asse.i.t) (S740) 4271 Tmek Permits (333/trip) ' 4728 No puking Signs (Sl/each or SZ3/1(M)) DINER TOTAL S NAMEOFAPPLICANT NAME OF PAYOR PHONE d ADDRESS ZIP —Actual Cost Plus 2(r/.Omhmd(Nan-Insemst bearing deposit) n FOR ...r-. :: �.:i.t .::..........:..:::...: .. .........•::.,:.::.:...: CITY CLERK RECEIVEDBY. ::I. .:':.:. : ..:'::•:•:::•:::::::..i•^�:...:.`...:...::•: :::::::..:.::•::.1::::,:::: RECEIVED ONLY D. .. ::-:}��.':i•�:r.'ii}:'rr ?:{i�}.��'`-'..: 1.:4��\i:`�:.._..'_.�,•.l•V.. 1�.� Due.. _....,: l'. .:..�.I(e......•::.:.::. JAIV 0 71998 •For Plan Che&eand CaA Deposits;rend:)cllow.eopy.t Fnwiea: •:ii: i:::i: :'. •:./• I L �t ��S^ CITY CLERK'S OFFICE h:4eefrm4(exehap(rev 1lL97) CITY OF CAMPBELL WARRANT NO. CAMPBELL,CA, 104037 :1.0:I...".;-140 l'448 CR09262003 91.,82 INTEREST E AR141:IY a^:0 3 G�'r�C?�'262003 3,000..00 {R}:-FUND T)I: I�(:+�3 f:r 00004589 REMITTANCE-ADVICE-PLEASE DETACH BEFORE BANKING oF'CA,$, VOID AFTER 90 DAYS 11.3b BANK of AMERICA WARRANT NO. CITY OF CAMPBELL CE ,2,o 125E.CAMP CAMPBELL L 4 r f25E.CAMPBELLAUE. 0 70 NORTH FIRST STREET caMPBELL,cA.ssooe so 3 _ y� �= CAMPBELL,CALIFORNIA95008 DATA •�aCMPP�. AMOUNT *;a ()91. ..8<'?I��k PAY Tf•iGLJ. :yAND N:[]-,I 'FY ONE )( OL.L.AP2S t? 82 C:i::l�f 1'wx TO SIGNATURE 21009 SI:::VI:::I%I f3PR J:ld( S, PAR,WAY (,l.!P{c.T.11'.1{tiO (.,A 9501.,-4 l� )�f��*� t�il�'1' •Oflwi'ri� 7Af t♦9 t II' It t,0 3 ?II` is 1 2 1000 3 58i: O 9 19 3t1180 20011'- CAMPBELL •ARCH ARC` .��\-,..,n. CITY OF CAM PBEL.L 1 Public Works Department Re CA-_ Date: October 6, 2003 TRANSMITTAL-FROM THE PUBLIC WORKS DEPARTMENT TO: Emily Chen 21009 Seven Springs Parkway Cupertino', CA 95014 FROM: Joanne M.D'Ambrosia, Senior Office Assistant SUBJECT: 1826'Regina Way Permit No. ENC2001-00033 Enc check in the amount of V,091.82 representing a refund of your maintenance securit lus accrued interest, in connection with the above property. Joanne M.D'Ambrosia Enclosure 70 North First Street - Campbell, California 95008-{436 TCL 408.866.2150 FAx 408.376.0958 TDD 408.866.2790 Sf J 1 ROACHMEN'T PERMIT ISSUANCE CF K LIST City of Campbell Encroachment Permo No. Department of Public Works 4!ra� 1 / Address: Sr ITEMS REOUIRED FOR PERMIT APPLICATION: ! =yeSJJ/� Gl �� Applicant section complete _ Applicant signature and date (front and back) Permit Application Fee$225.00 paid-Receipt Number) /DO �'/.L�-,' —74 Engineer's Estimate Submitted Plan Check Deposit Paid(2% of Engineer's Estimate, $500 min) Receipt Number��/J�//�G� ✓ ._ Five Sets of Improvement Plans Submitted ITEMS REQUIRED PRIOR TO PUBLIC WORK CLEARANCE FOR BUILDING PERMITS Plan Check&Inspection Fee: If Engineer's Estimate < $250,000, then 12% of Engineer's Estimate. If Engineer's Estimate > $250,000, then Actual Cost + 20%. (Deposit of 8% of Engineer's Estimate required; $30,000.minimum. deposit). Amount$ Receipt No. Security for Faithful Performance and Labor and Materials, 100% each of Engineer's Estgnate, supplied or paid. Amount$ L�� Form Cz? I.D. # O o,� o,a!:,je; � Security for Monumentation Amount$ Receipt No. Construction Emergency Cash Deposit: 4% of Engineer's Estimate. ($500 minimum, $10,000 maximum) Amount$ _e7W Receipt No. C7/ Storm Drainage Area Fee Amount$ X1;7/ i Receipt No. Worker's Compensation Insurance Information Sheet Received for Applicant. All other Public Works requirements listed in the Conditions of Approval of the development. Other Fees, Payments, Deposits Amount$ � r �` Receipt Nozfzff J/i117W ITEMS REQUIRED PRIOR TO ISSUANCE OF ENCROACHMENT PEWNUT: Contractor's signature added to the permit application(front and back) Worker's Compensation Insurance Information Sheet received from Contractor. Certificate of Insurance with Additional Insured's Endorsement received from Applicant or Contractor. One mylar set and four blueline sets of off-site plans signed by licensed engineer, stamped APPROVED FOR CONSTRUCTION. Permit signed by City Engineer. WHEN ALL OF THE ABOVE ITEMS ARE COMPLETE,PERMIT MAY BE ISSUED. Issuer: Initial and date and file with permit. UPON ISSUANCE, INITIATE CHECK REQUEST FOR PLAN CHECK DEPOSIT REFUND j:lwordlformslpmtcklst rev.4/97 OE CAMi, tea: �� U r f L •0R.CH NO ' CITY OF CAMPBELL Public Works Department Date: June 17, 2002 TRANSMITTAL FROM THE PUBLIC WORKS DEPARTMENT TO: Emily Chen E&H Fourth Family Limited Partnership 21009 Seven Springs Parkway Cupertino, CA 95014 FROM: Joanne M. D'Ambrosia, Principal Clerk SUBJECT: Permit#98-103 735-761 Pecan Way,,Campbell, CA We are forwarding the following: Check in the amount of $1,742.27 representing a refund of your monumentat ion security, plus accrued interest, in connection with the above-referenced permit. 1 Joanne A D'Ambrosia Principal Clerk Enclosure 70 North First Street Campbell, California 95008-I436 TEL 408.866.2150 FAx 408.376.0958 ADD 408.866.2790 of'CAMn �A U r ORCH NO CITY OF CAMPBELL Public Works Department Date: June 17, 2002 TRANSMITTAL FROM THE PUBLIC WORKS DEPARTMENT TO: Emily Chen E&H Fourth Family Limited Partnership 21009 Seven Springs Parkway Cupertino, CA 95014 FROM: Joanne M. D'Ambrosia, Principal Clerk SUBJECT: Permit#98-103 735-761 Pecan Way, Campbell, CA We are forwarding the following: Check in the amount of $1,742.27 representing a refund of your monumentation security, plus accrued interest;in connection with the above-referenced permit. 1 Joanne M. D'Ambrosia ��k V� Principal Clerk Enclosure Q ,t 70 North First Street Campbell, California 95008-1436 rEL 408.866.2150 FAx 408.376.0958 TDD 408.866.2790 b ASSET MANAGEMENT �i Cons u It ants 12841 Fitzwater Dr. Phone: (703)594-3100 Nokesville,Virginia 20181-2734 Fax: (703)594-2187 Request for Release of Funds Date:Thursday, November 08, 2018 THE1'18 Attn: Ms. Kathleen Overman Dept: Comm. Development* Fax: (40.8)8715140 Dear Ms. Overman: We believe all necessary stabilization and other work activities. have been completed, and that all necessary permits have been obtained, on the project known in your files as: File: CHEN, EMILY - Account#: 1012203 Project Description: Bond Date: 11/29/1999 Project Address: Project Bond Type: ENCROACHMENT Receipt#: 126023 Permit#: PW98-03 If this not the case, please forward a list of any nonconforming or not completed items to us for our attention and action. Otherwise, please refund the deposit held by CAMPBELL, CA in the amount of $1,500.00 plus applicable interest to: E &H THIRD rAMILY, THE Ms. Emily Chen 21009 Seven Springs Pkwy Cupertino, CA 95014 Please also consider this to be a request for any additional funds held by you for this depositor that are due to be refunded, excepting such funds as are currently committed to any active construction project. It is our intention to have all eligible funds returned directly to the depositor. Please inform AMC, as agent, of the refund;date(s), and copy AMC on all of your correspondence to the depositor. If you have any questions concerning the above, then please feel free to call us at(703) 594-3100 Ext 102. Sincerely, Ms. Teri Flook Asset Management Consultants Refundable Deposit Check Request To: Finance Director Check Payable To: E& H Fourth Family Limited Partnersh Address- Line 1: 21009 Seven Springs Parkway Line 2: City: Cupertino State: CA Zip: 95014 Description: Refund Deposit Account Number: 101.2203 Amount: $1,500.00 Account Number: Amount: Account Number: 101.540.7448 Amount: (Finance Dept only) Interest Earned (Finance Dept only) Total Payable: $1,500.00 (Exact Amount) Purpose: Refund of Monumentation Security Voucher#: Permit#: 98-103 Receipt#: 111638 Date: 05/20/1998 Requested by: Title: Land Dev. Engineer Date: 06/04/2002 Har PId Hous ejn Approved by: ILA , Yy �� _ Title: Land Dev. Manager Date: 06/04/2002 Lyn Penoyer Finance Dept Only: Verified by: Title: Accounting Clerk II Date: Approved by: Title: Accountant Date: Special Instructions For Handling Check Mail As Is: Mail In Attached Envelope: Interim Check: � ('r` �/�-I jYt� �. Needed By: Return To: Joanne D'Arabrosiaa z Public rks/City Hall (Name) t .1. (Department) Other: fln:FormstexceUchkreq - Revised 05/00 CITY OF C,JvIPBELL ENCROACHMENT PERMIT y .Per No. DEPT. OF PUBLIC WORKS (for working within the X-Ref. file 70 North First St. public,right-of-way) Campbell, CA 95008 (408) 866-2150 Issued Application Date .T?o-9g Fax (408) 376-0958 Permit expires in 12 months Applicati ,9 expires in 6 months APPLICATION-Application is hereby made for a Public Works Permit in accordance with Campbell Municipal Code,Section 11.04. (Application expires in 6 mouths if the permit is not issued. Application Fee is non-refundable.) V A.Work address or tract M Ly-21-2-61C Utility trench location B. Nature of work C. Attach four(4)copies of an engineered plans showing the location and extent of the work;and four(4)copies of the preliminary Enginca'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 Cond'nant listed on the reverse side;and the Special Provisions for this permit,listed below. Failure to abide by these conditions and provisions may taint in job sbut-down and/or forfeituttr of Faithful Performance Sureties and cash'deposits. (Sat 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 BEE PRE STARTING WORK. NsTICE U BE Gr TO UBLIC�WORKS AT LEAST 24 HOURS BEFORE RESTARTING ANY WORK. �?m, ,;,�. fly -y '0 / N�vyrof Aoolicant. _ - / Telepbone]F'Or Zb 7 U name) p Q Address f&zs 9 Swe err sn�.i.�-R ct � yr 24 HOUR Eh"dENCY TELEPHONE NCI , / 76',� Is this workork inthe,property owner az their vwn iaidt stce7 Yes _ZNo I The Applicam/Permittee hereby agrees by affixing,their signature to this permit to hold the City of Campbell,its officers.agents and employes free.We and harmless from any claim or demand for damages resulting from the work covered by this permit. The Applicant/Permittee hereby acknowledges that they have read and understand both the front and back of this permit,and they will inform their contractor(s)of the information. Accepted (Appli 'tree) (sign) Dye SPECIAL PROVISIONS —1. Street shall not be open act for underground installations. Minimum cuts may be allowed for conmcctions.or exploration hots Such cum may be meeifically approved by the inspector prior to amine. _2. Pavement may be cut for underground installations and must be restored in accordant with the Utility Trenell Restoration Standard Dewls,Method'A'Badtfill, unless otherwise approved by Inspector. _3. Work to be staked by a licensed Land Surveyor or Civil Engineer and two c2)copies of die cut sheets sent to.the Public Works Depar ment before starting work- . 4. Per Section 4215 of the Government Code this permit ism valid for excavations stud Underground Service Alert(USA)bat bee notified and ilte inquiry identification number has been entered hereon.. USA PhOae 1-so0.227-2600. USA TICKET No. SEE PUBLIC WORKS FEE SCHEDULE FOR CURRENT FEES TYPE AMOUNT :..RECEIPT M. PERMIT APPLICATION FEE PLAN CHECK DEPOSIT j SECURITY FOR FAITHFUL PERFORMANCEILABOR&MATERIALS. ..... ..s CONSTRUCTION CASH DEPOSIT S PLAN CHECK&INSPECTION FEE _ APPROVED FOR ISSUANCE for City Engineer Dye J: orm Npwpe /rcv, i PUBLIC WORKS/PLANNING REFUNDABLE DEPOSITS - -- ACCOUNT4101.2203 SEPTEMBER 2018 FISCAL YEAR 18/19 ' BEGINNING PRIOR MOS. CURRENT PRIOR MOS. CURRENT Y-T-D J/E Y-T-D NAME DATE RECEIPT PERMIT BALANCE AMOUNT MONTH. AMOUNT MONTH OTHER CHECK CHECK # LENDING -Planning/Building PAID # # 07101118 DEPOSITED DEPOSIT REFUNDED REFUNDED ADJUSTMENTS # DATE OD/16, BALANCE 725 Hacienda LLC 12/04/06 192243- 2006-00177 6,000.00 6,000.00 95 Hamilton LLC 02/10/17 268091 PLN2015-00275 1,381.25 1,381.25 , 95 Ham➢ton LLC 12/14/17 272846 ENC2017-00289 500.00 500.00 , A K Construction 10/16/17 271912 ENC2017-00243 5,000.00 (5,000.00) 269201 08/06/18 - A2 Land Investment: 07/02/18 275994 PLN2018-00224 11,330.00 11,330.00 Abdolahi,Aldar 11/24/15 261384 PLN2015-00329 1,603.62 1,603.62 Access Der Group - 08/04/16 265222 ENC2016-00115 17,500.00 17,500.00 Access Development 09/20/18 277269 ENC2018-00262 1,000.00 1,000.00 " Access Development 12/18/17 272898 PLN2017-00394 10,350.00 10,350.00 - -_ Adlpan•ar,Harold 08/I Advanced Radio Telecommunications* 11/13/00 135269 PLOO-93/131 1,500.00 1,500.00 AGH Architecture 06/08/17 269986 ENC2017-00143 500.00 - 500.00 - AGH Architecture 06/08/17 269986 ENC2017-00143 500.00 500.00 - AGH Architect ore 06/08/17 269986. ENC2017-00143 6,000.00 6,000.0.0 AGH Architecture 12/14/17 272845 ENC2017-00143 500.00 500.00 Arbonvorks Inc 04/23/18 274818 ENC2018-00083 500.00 (500.00) 269814 09/17/18 - Asano,Rodney 09/25/18 277363 ENC2018-00289 500.00 500.00 Assyrian Chruch 02/02/18 273604 ENC2018-00016 500.00 500.00 Assyrian Chruch 02/02/18 273604 ENC2018-00016 2,500.00 2,500.00 / Austin,Ben 01/26/18 1 273450 1 ENC2018-00016 500.00 500.00 Banaag,Esther 04/20/06 186290 2006-00053 450.00 450.00 Banducci Assoc 0629/10 227302 2010-00096 500.00 500.00 Black,Michael 10/01/07 200544 2007-00174 2,000.00 2,000.00 Black,Thomas 05/18/05 176993 500.00 500.00 " Blomquist,Michael S 0228/01 137845 PLOI-185 500.00 500.00 Boulay,Constance 09/17/18 277217 ENC2018-00277 1,000.00 1,000.00 Borman Family LTD 08/17/15 259923 ENC2015-00171 500.00 500.00 R Burr Eric 2/5 9 �- BWS Inc 10/07/16 266204 PLN2016-00318 8,040.00 8,040.00 BWS Inc 12/21/17 272984 ENC2017-00185 10,000.00 10,000.00 BWS Inc 12/21/17 272984 ENC2017-00185 25,000.00 25,000.00 Campbell76 01/26/16 262195 PLN2015-00375 195.67 - 195.67 Campbell Ave LLC 09/11/07 199923 2007-00225 639.56 639.56 Campbell Development * 06/16/00 131553 PLOO-88 2,129.33 2,129.33 Carden Day School 10/30/15 261045 _ PLN2015-00248 2,053.05 2,053.05 ' Carden Day School 11/09/15 261159 20,000.00 (13,531.93) (6,468.07) 269210 09/06/18 1/E07/16 - Carden Day School 03/01/16 262739 ENC2016-00038 1,500.00 1,500.00 - Carden Day School 05/06/16 263839 ENC2016-00038 3,680.22 3,680.22 CCBA 10/10/11 238280 2011-00163 1,870.63 1,870.63 Cellularphone* 10/11/00 134463 PLOO-58 / 6,000.00 6,000.00 CFEP Pruneyard 02/08/17 1 268035 - ENC2016-00226 J 8,000.00 - 000.00 FFP Prune and 02/OS/1 268035 - 22 _ _ _ _ _ - _ 0,01JUD 2/080 MOD 00226 ------ 00 PUBLIC WORKS/PLANNING REFUNDABLE DEPOSITS ACCOUNT#101.2203 t SEPTEMBER 2018 FISCAL YEAR I8/19 + CFEP Prtmeyard 06/12/18 275662 PLN2018-00129 4,900.00 i PLO 4,900.00 CFEP Pruneyard LLC 11/07/16 266686 ENC2016-00226 3,656.59 3 656.59 !" Chang,Jimmy 02/23/18 273907 PLN2018-00257 980.00 980.00 Chen,Emily 04/12/02 14799 2001-00033 3,000.00 3,000.00 Chen,Emily 11/29/99 126023 PW98-03 1,500.00 1,500.00 Chicle-Fil-A 06/18/18 275749 PLN2018-00206 10,159.00 10,159.00 Chun,Goon Jong 07/13/18 276197 ENC2018-00196 500.00 (500.00) 269365 i 08/20/18 - Climax Development 07/09/18 276093 PLN2018-00215 11,130.00 11,330.00 Climax Development 07/09/18 276093 PLN2018-00215 379.00 379.00 CMT Partners * 11/27/00 135537 PL00-58 5,000.00 5,000.00 Copyco 08/07/03 159980 2003-00111 500.00 C 500.00 Core Communications 02/13/15 257246 2013-00132 2,400.00 1 2,400.00 Creekside Office CE 05/12/06 186929 2005-00155 3,658.84 _ ! 3,658.84 Cresleigh Ilontes 03/27/17 268746 PLN2017-00109 8,230.00 (5,825.00) 269902 09/24/18 2,405.00 Cresleigh Homes 11/30/16 266986 PLN2016-00388 4,810.00 4,810.00 Cresleigh(Tomes Corp 11/30/16 266986 PLN2016-00388 7,861.00 1 7,861.00 CRP Vasona 10/17/17 271939 ENC2016-00238 7,500.00 I 7,500.00 Cusella,Stephen 11/22/02 153493 2002-00134 3,000.00 1 3,000.00 D R Horton Inc 07/30/13 249315 2013-00147 10,000.00 ( 10,000.00 Da Vinci Homes Inc 09/05/17 271259 ENC2017-00210 625.00 E 625.00 DBI Construction 07/19/07 198632 2008-00078 1,190.88 1,190.88 De Colic,Cyril 03/07/18 274097 ENC2018-00050 500.00 500.00 Degan Homes Inc 08/20/14 254918 2013-00043 5,000.00 5,000.00 Diversified Loan 04/11/03 156903 2003-00048 500.00 500.00 Diversified Loan 04/30/03 157378 2003-00048 1,080.00 / 1,080.00 Dollinger Properties 12/01/17 272678 PLN2017-00381 11,330.00 11,330.00 Dollinger Properties 09/07/18 277076 PLN2018-00148 9,196.00 9,196.00 Dollinger Properties 09/07/18 277076 PLN2018-00148 1,839.00 1,839.00 Dollinger Properties 05/29/18 275422 PLN2018-00148 210,170.00 (5,605.19) (6,545.04) 269796 09/17/18 198,019.77 Dellinger Properties 05/29/18 275422 PLN2018-00148 42,034.00 42,034.00 Dome Construction 10/27/17 272102 ENC2017-00253 750.00 750.00 Dome Construction 10/27/17 272102 ENC2017-00253 500.00 500.00 Ericsson Inc 06/20/11 235812 PLN2010-00260 835.00 835.00 Financial Title Co(James Kennedy) 03/15/99 119425 98-238 1,500.00 1,500.00 Float Station 03/07/17 268450 PLN2017-00083 2,500.00 2,500.00 Follmar,Deborah 0609/18 275968 ENC2018-00128 455.00 1 (455.00) J/E09/16 - Follmar,Deborah 06/29/18 275968 ENC2018-00128 2,000.00 (2,000.00) 269210 08/06/18 - Fran Lee Construction 03/17/06 185272 2006-00034 643.00 643.00 Futurecom 01/11/02 145649 2001-00126 2,500.00 2,500.00 Galilei Properties 12/20/17 272947 ENC2017-00294 1,250.00 i - 1,250.00 Gera,Marko 04/16/18 274695 7,500.00 7,500.00 Gerber,Leland 06/14/16 264411 PLN2015-00293 1,000.00 1,000.00 Graham,Gerald 03/23/18 274337 PLN2017-00279 10,000.00 10,000.00 Graham,Gerald' 08/30/18 276954 PLN2017-00279 2,500.00�. 2,500.00 Graystone,Development 12/18/07 202622 2004-00242 3,000.00 3,000.00 Habitec 06/03/16 264265 PLN2016-00073 70.00 70.00 PUBLIC WORKS/PLANNING REFUNDABLE DEPOSITS ACCOUNT#101.2203 - • SEPTEMBER 2018 FISCAL YEAR 18/19 Hacienda Street H01 05/24/18 275368 PLN2018-00157 10,000.00 10,000.00 Hamilton Campbell 09/09/15 260283 ENC2015-00190 8,698.93 (8,698.93) 269587 09/03/18 - Haukins,Elizabeth. 12/13/17 272836 ENC2017-00279 5,000.00 (3,750.00) 268774 07/09/18 1,250.00 Heritage Realty Group 05/24/13 248358 2013-00102 500.00 500.00 Highland Electrical 10/29/14 255899 ENC20M-00198 2,000.00 2,000.00 Hillhouse Construction 03/25/08 201113 500.00 500.00 Hurley Contractors 02/09/15 257144 PLN2014-00323 10,500.00 10,500.00 Hurley Contractors 0224/15 257381 PLN2014-00323 982.50 982.50 Imwalle Properties 09/27/16 266039 PLN2016-00309 10,800.00 ' - 10,800.00 In-N-Out Burgers 06/07/17 269962 PLN2017-00118 10,000.00 10,000.00 In-N-Out Burgers 08/08/17 270870 PLN 2017-00120 15.73 (15.73) VE07/16 - In-Out-Burgers 05/30/18 275446 PLN2017-00120 10,000.00 (10,000.00) J/E07/16 _ - In-Out-Burgers .' 05/30/18 i 275446 PLN2017-00120 27,269.00 (5,528.88) (19,654.89) 269889 09/24/18 2,085.23 In-Out-Burgers 05/30/18 1 275446 PLN2017-00120 136,345.00 - 136,345.00 Ivchenko,Volodymyr 06/13/18 275681 ENC2018-00124 1,040.00 ( 1,040.00 Ivchenko,Volodymyr 06/13/18 275681 ENC2018-00124 26,000.00 26,000.00 Iwagaki,Shirley 05/23/18 275337 ENC2018-00120 2,000.00 (2,000.00) 268777 07/09/18 - J3 Construction 0428/11 234672 2011-00045 1,000.00 1,000.00 J3 Construction 04/28/11 234672 2011-00045 140.00 140.00 Jeffrey Mar 06/30/14 254187 2013-00102 1,811.00 1,811.00 Jones,Zeden 08/13/03 160127 2003-00111 800.00 800.00 KDC Construction 12/19/17 272915 j ENC2017-00229 6,160.00 6,160.00 Khaziri,Hossain 09/03/14 255108 ENC2014-00162 6,390.00 6,390.00 Kim,Hae Young 07/06/16 264774 ENC2016-00130 1,250.00 - (1,250.06) i 269466 08/27/18 - Kirkorian Ent 06/06/14 253800 2013-00206 1,354.00 1,354.00 Kirkorian Ent 06/06/14 253800 2013-00206 33,850.00 y 33,850.00 Kirkorian Ent 06/06/14 253800 ( 2013-00206 9,000.00 9,000.00 Kirkorian/Carroll 10/29/13 250630 (I ENC2013-00206 700.00 i 700.00 La,Clara 01/25/02 145933 I 2002-00016 1,092.00 1,092.00 Lee,Dennis 09/25/18 277371 ENC2018-00294 748.00 i 748.00 i Lee,Fran j 05/18/07 196957 2006-00034 32,187.00 32,187.00 Lee,Fran 05/18/07 196957 2006-00034 6,000.00 6,000.00 Lee,Fran 05/18/07 196957 2006-00034 1,287.00 1,287.00 Lewis,John 06/07/18 275589 ENC2018-00149 1,000.00 (1,000.00) 269305 08/13/18 - - j i Liberty 21 fn•estments 08/13/18 276686 ENC2018-00203 2,000.00 2,000.00 Lim,Junsung 06/20/18 275806 ENC2018-00117 1,000.00 1,000.00 Lim,Junsung 06/20/18 275806 ENC2018-001.17 25,000.00 # 25,000.60 ' Lindsay Enterprises 06/01/88 19191 1988-00135 1,300.00 1,300.00 Madison Park 01/07/16 261951 ENC2015-00281 4,000.00 - 4,000.00 Madison Park of Campbell 10/08/15 260726 ENC2015-00055 10,000.00 - 10,000.00 Madison Park of Campbell 10/05/15 260667 ENC2015-00055 50,000.00 50,000.00 Madison Park of Campbell .04/04/16 263272 ENC2015-00281 5,069.20 ! 5,069.20 Madison Park of Campbell 04/04/16 263272 ENC2015-00281 126,730.00 126,730.00 Madison Park of Campbell 04/04/16 263272 ENC2015-00281 50,000.00 50,000.00 Malek,SaRvat 10/11/05 181045 2005-00170 500.00 500.00 ,Mar,Jeffrey 06/30/14 I 254187 2013-00102 45,280.00 45,280.00 PUBLIC WORKS/PLANNING REFUNDABLE DEPOSITS ACCOUNT#101.2203 SEPTEMBER 2018 FISCAL YEAR 18/19 Mar,Jeffrey 06/30/14 254187 j 2013-00102 11,000.00 ( 11,000.00 Marko Construction 07/06/18 276065 `{J 5,000.00 �1 5,000.00 Mastec 09/17/18 27720D ENC2018-00225 4,112.50 I 4,142.50 McVoy,Steve 07/21/03 159535 2003-00089 750.00 750.00 McVoy,Steve 07/21/03 159536 2003-00089 500.00 �- 500.00 Merrill Gardens 02/06/07 194013 260.73 260.73 Metro PCS 04/08/02 147849 2001-00145 3,500.00 ' 3,SOD.00 Milaninia,Ali 10/05/17 271786 I ENC2016-00160 3,160.00 t 3,160.00 Milaninia,Ali I 10/05/17 271786 ENC2016-00160 10,000.00 10,000.00 Millich Commercial 05/17/17 269592 ENC2017-00092 6,000.00 .6,000.00 Modus Inc 04/10/13 247696 !PLN2013-00092 1,500.00 1,500.00 Moore,Jeanne 07/12/17 270452 ENC2017-00174 500.00 (500,00) 269226 08/06/18 - Moore,Jeanne 07/12/17 270452 ENC2017-00174 12,000.00 (9,000.00) 269226 08/06/18 ,000. 0 .,0000 Moradi,Arash 08/01/16 265166 ENC2016-00084 7,437.50 30 Neztnav LLC 12/15/11 239811 2011-00173 1,500.00 ' 1,500.00 ` Nguyen,Lien 09/21/06 190429 2006-00141 310.00 310.00 Nichols,Andrew 05/15/15 258580 ENC2015-00097 500.00 (500.00) 269227 08/06/18 - NorcalManagement 03/14/18 274217 ENC2018-00003 6,000.00 6,000.00 Oddwalle Campbell 04/20/18 274790 ENC2018-00053 4,000.00 4,000.00 Oddwalle Campbell 04/20/18 274791 ENC2018-00053 1,480.00 1,480.00 Oddwalle Campbell 04/20/18 274791 ENC2018-00053 10,000.00 10,000.00 Oddwalle Campbell 05/04/18 275024 ENC2018-00052 100,000.00 too,000.00 Oddwalle Campbell 05/04/18 275025. ENC2018-00053 37,000.00 37,000.00 Pandey,Manish 04/27/18 274911 ENC2018-00106 500.00 500.00 Pandey,Manish 04/27/18 274911 ENC2018-00106 2,500.00 ? 2,500.00 Pandey,Manish 04/27/18 274911 ENC2018-00106 1,000.00 1,000.00 3 111 Pare Residences LLC 01/24, 273395 ENC2017-00186 1,660.00 1,660.00 Pare Residences LLC - 01/24/18 273395 ENC2017-00186 41,500.00 41,500.00 Park,Charlmon 07/03/18 276025 ENC2018-00177 500.00 (500.00)1 269560 09/03/18 - Paul's Enterprises 07/19/16 264956 ENC2016-00145 500.00 500.00 Paul's Enterprises 07/O8/16 264819 ENC2016-00137 500.00 500.00 Paustian,Daniel 05/03/18 275010 PLN2018-00133 - 2,200.00 — 2,200.00 Pavlovic,Cordana 03/22/17 268679 PLN2017-00103 10,000.00 10,000.00 Pa dar Mike 09/17/07 2 2 - 4 4.0fln110 Peretz,Meal 06/05/1 8 � 275531 E ENC2018-00142 500.00 � � 500.00 Peretz,Meal 06/05/18 275531 ENC2018-00142 18,000.00 18,000.00 Peter Thomas Assoclates 04/10/07 195829 2006-00151 500.00 ( 500.00 Plan,Jodi L 01/05/18 273111 i PLN2017-00155 17,600.00 - 17,600.00 Preston,Michael i 08/15/16 265386 ENC2016-00161 350.00 (350.00) VE09/16 - Pries,Paul 09/18/17 271488 ENC2016-00137 36,675.00 36,675.00 Pries,Paul 10/20/17 271990 !ENC2016-00137 1,467.00 1,467.00 Pries,Paul 10/20/17 271990 ENC2016-00137 10,000.00 10,000.00 Pries,Ten)' 07/07/17 270396 ENC2016-00145 683.00 i � 683.00 Pries,Terry 07/07/17 270396 ENC2016-00145 17,075.00 17,075.00 Pruneyard Associates L P * 10/28/97 106336 1 PL97-? 3,050.88 3,050.88 Raiutree Evergreen .06/19/18 275776i_E,PLN2018-00204 11,330.00 j 11,330.00 PUBLIC WORKS/PLANNING REFUNDABLE DEPOSITS ACCOUNT#101.2203 -+ SEPTEMBER 2018 FISCAL YEAR 18/19 Rapid Broadband 11/05/04 171684 2004-00218 200.00 200.00 Rasputin Records * 12/20/96 98323 PL96-7 11,500.00 11,500.00 Ranunich,John 03/07/18 274101 ENC2018-00053 740.00 740.00 Robson homes 07/22/15 259490 PLN2013-00340 2,000.00 2,000.00 Robson Homes LLC 03/31/15 257878 ENC2015-00055 3,603.00 3,603.00 Robson Homes LLC 07/03/18 276022 PLN2018-00181 10,000.00 - 10,000.00 Rose Villas 11 HOA 62/28/11 233211 2011-00022 1,125.00 1,125.00 Salas Obrien 05/08/17 269458 PLN2016-00315 84.65 84.65 San Jose St George Coptic Orthodox Church 10/05/06 190833 2005-00170 1,800.00 1,800.00 ' San Jose St George Coptic Orthodox Church 10/05/06 190833 2005-00170 72.00 72.00 San Tomas Garden Apis 04/15/13 247756 500.00 500.00 San Tomas Gardens 12/11/13 251255 1 ENC2013-00066 22 000.00 22,000.00 "a r Tnm�is 12""b3 994.« cnrrom a nnnFF I _ _ssn n SOUO Saneinejadl,Majid 12/02/17 267034 ENC2016-00240 1,000.00 I 1,000.00 Saneinejad,Majid 11/08/17 272283 10 000.00 _ __- - Saneinejad,Majid 1 11/08/17 272283 1,444.00 I I 1,444.00 i q - 52,500,00, A Santa Clara Development 01/30/08 203879 300.00 300.00 Sauer,Matthias 09/05/17 271242 ENC2017-00209 1,000.00 (1,000.00) 269409 08/20/18 - Saunders,John 09/14/18 277178 ENC2018-00274 500.00 i 500.00 Saunders,John 09/14/18 277178 ENC2018-00274 5,000.00 5,000.00 ScImadt,Larry 08/04/16 265221 ENC2016-00149 500.00 500.00 Schmidt,Judy 08/02/18 276535 ENC2018-00226 500.00 500.00 Shell Oil Company * 06/26/84 23994 PL83-06 3,000.00 3,000.00 Sloan,David 03/24/17 268718 ENC2017-00076 2,060.00 2,060.00 Sloan,David 0304/17 268718 ENC2017-00076 10,000.00 10,000.00 South Bay Construction r 12/21/17 267359 ENC2016-00253 1,000.00 1,000.00 ISoulh Bay Construction 06/01/17 ( 269819 ENC2016-00253 2,700.00 ( ( 2,700.00 South Bay Development 12/21/15 261766 ENC2015-00190 10,000.00 (10,000.00) 269643(09/03/18 South Bay Estates 01/24/18 273392 ENC2018-00013 500.00 ( 500.00 South Bay Estates 01/24/19 273392 ENC2018-00013 5,000.00 - ( 5,000.00 Souther Development 10/07/91 33566 91-192 500.00 500.00 Spieker,Nevin 05/05/11 234846 2011-00028 500.00 500.00 Sprint 07/09/02 150210 2002-00079 2,500.00 2,500.00 Sprint-PCS 10/14/02 152586 2002-00079 1,000.00 1,000.00 St Anton Comm 12/03/15 261506 ENC2015-00258 10,380.00 10,380.00 St Anion Communities 01/15/16 262070 PLN2014-00323 2,000.00 2,000.00 St George Coptic 03/27/12 241943 2005-00170 428.00 428.00 St George Coptic 03/27/12 241943 2005-00170 5,550.00 5,550.00 St.Anton Campbell 05/18/16 263989 ENC2015-00258 10,000.00 10,000.00 St.Anton Campbell 05/18/16 263989 ENC2015-00258 50,000.00 50,000.00 St.Anton Campbell 05/18/16 263989 ENC2015-00258 60,000.00 60,000.00 STOA International 03/02/16 262769 PLN2016-00083 10,000.00 10,000.00 STOA International 05/31/16 264190 PLN2016-00186 10,800.00 10,800.00 Sunnyvale Building Maintenance 06/20/17 270147 2,680.90 2,680.90 Sunnyvale Building Maintenance 06/20/17 •270148 5,445.00 I 5,445.00 i PUBLIC WORKS/PLANNING REFUNDABLE DEPOSITS ACCOUNT#101.2203 SEPTEMBER 2018 ' FISCAL YEAR 18/19 Swamina,Sundarrajan 05/22/18 275313 PLN2018-00012 2,500.00 (2,500.00) 269415 08/20/18 - T Morrison of CA 04/18/13 247823 2013-00067 3,550.00 (3,550.00) 269132 07/30/18 - TaylorMorrisonLLC 02/03/14 251970 ENC2013-00067 7,700.00 (7,700.00) 269132 07/30/18 - TaylorMorrisonLLC 02/03/14 251970 ENC2013-00067 1,560.00 (1,560.00) 269132 07/30/18 - Taylor Morrison LLC 02/03/14 251970 ENC2013-00067 14,000.00 (14,000.00) 269131 07/30/18 - Tersigni Family 07/20/09 218642 2008-00084 4,000.00 - 4,000.00 The Ridgecrest Group 02/03/17 267978 ENC2016-00216 1,880.00 (1,880.00) 269818 - The Ridgecrest Group 10/30/97 106428 97-00181 1,000.00 1,000.00 The Ridgecrest Group 02/03/16 262337 PLN2016-00037 5,000.00 5,000.00 The Ridgecrest Group 10/27/16 266505 ENC2016-00216 500.00 (500.00) 269818 09/17/18 - The Ridgecrest Group 02/01/17 267934 ENC2016-00216 47,000.00 (35,250.00) 269818 09/17/18 11,750.00 The Ridgecrest Group 02/01/17 267934 ENC2016-00216 16,000.00 16,000.00 -. The Ridgecrest Group 03/27/17 268755 PLN2016-00037 1,000.00 1,000.00 Uehara,Masatsugu 12/04/15 261516 ENC2015-00246 2,500.00 -2,500.00 Ushomirsky,Igor 09/14/18 277186 PLN2018-00262 644.34 644.34 Vcnzon,Eric 09/31/18 276989 PLN2018-00118 10,000.00 10,000.00 Vierra,Ronda 12/21/18. 272974 ENC2017-00301 1,001,11 1,000.00 Villa Developers 04/04/12 242206 2012-00039 500.00 500.00 Warmoth,Jeff 09/23/05 180552 2005-00110 3,000.00 3,000.00 Warmoth,Jeffrey 0327/18 274383 PLN2014-00141 10,000.00 10,000.00 .Warmoth,Jeffrey 0425/18 274860 ENC2015-00091 30,000.00 30,000.00 Water Tower Owner 03/03/16 262779 PLN2016-00073 155.00 155.00 Westmont-Crockett 12/11/91 35560 1991-00226 500.00 500.00 Wheelehan,Donna 05/29/18 275403 ENC2018-00127 500.00 (500.00) 269512 08/27/18 - Whittaker Corporation 09/06/85 923 PW85-? 795.00 - 795.00 Williams,Kathleen 0928/16 266050 ENC2016-00189 2,500.00 2,500.00 Wu,Weiman 03/02/18 274049 ENC2018-00046 500.00 500.00 'YMP Inc * 04/24/95 94852 PL95-? 3,000.00 3,000.00 - Zhang,Victor 06/07/18 275581 ENC2016-00231 1,080.00 1,080.00. Zhang,Victor 06/07/18 275581 NC2016-00231 27,000.00 27,000.00 0—T-A—L ........._�..._� ..-__._- SUBTOTAL 2,138,034.66 54,039.6 0 24,539.84_ (80,976.00)__(89,353.86) _(17,288.80) 2,028,994.84 - PUBLIC WORKS/PLANNING REFUNDABLE DEPOSITS ACCOUNT H101.2203 NOVEMBER 2018 FISCAL YEAR 18/19 I .! _.......-... .Harrington,Thomas j 10/29/I8 277865 I ENC20185-00284I I 35,UOU.W; I i 35.ODU.00 Hawkins,Elizabeth 12/13/17 272836 !ENC2017-00279 5.000.00 i 13.7>0.00II 266774 07%09r13 I I 1,250.00 'Heritage Realty Group ! 05/24/13 ! 248358 2013-00102 5oo.00 j I 500.00 Hdghl—d Flnrtrirnl j to/79/Id 7SSR99 FNC 014-00198 2.)n0U0 j I j 200(100 !Hillhouse Construction j 03/25/08 205513 50U.00! i j 50U.OU IHurley Contractors 02/09/15 , 257144 PLN2014-00323 10IRM.00 10.500.00 Hurley Contractors ! 02/24/15 257381 PLN2014-00323 - 982.51) ! I 932.5(1 Imwalle Properties 09/27/16 266039 ! PLN2016-00309 10.800.00 i ! I 19,800.00 !In-N-Out Burgers j 06/07/17 i 269962 ! PLN2017-001181 lomou.00 i - i 10.000.00 _ In-N-Out Burgers 10/03/18 277514 PLN2017-00120 22,241.00 ''241 00 Iin-N-Out Burgers ! 10/03/18 ' 277514 PLN2017-00120 4.448.00 '4,448.00 !In-N-Out Burgers O8/08/17 270870 PLN 2017-00120 15.73 YEO7ilti1 In-Out-Burgers O5/30/18 ' 275446 PLN2017-00120 10.000.00 (10,000.UU) 1 i1/EU7/16 - 'In-Out-Burgers 05/30/18 275446 IPLN2017-00120 27269.00 (25,18.3.77) (21OS 23)I 370533 IUC)518i - In-Out-Burgers 05/30/18 275446 PLN2017-00120 136.345.00; ¢5394.82) (18,9G3bG)I 270770 I Ii051IS i + 91.986?2 Ivchenko,Volodymyr 06/13/18 275681 ENC2018-00124 1.040.00 1,046.O0 ! Ivchenko,Volodymyr ( 06/13/18 275681 'ENC2018-00124 16.000.00 ! 26,000.OU lwagaki,Shirley 05/23/18 I 275337 ENC2018-00120 2,000.00 (L000.00)� 1 268777. 07;09/IS iJ3Construction ! 04/28/11 234672 2011-00045 1.000.00I f 1,000.001 iJ3 Construction 04/28/11 234672 2011-00045 140.00 j I 140.00 !Jeffrey Mar I 06/30/14 I 254187 j 2013-00102 1,811.00 I ! i 1 S11.00! Jones,Zeden ! 08/13/03 160127 2003-00111 800,00 IKDC Construction j 12/19/17 272915 ENC2017-00229 6.160.00I i I 6,I60.00I Khaziri,Hussain i 09/03/14 255108 ENC2014-00162 j 6,390.00! 6390.00 - Kim,Hae Young 07/06/16 264774 ENC2016-00130 1,250.00 (1,250.00)! 2694661 08/27/18 - I ' Kirkorian Ent 06/06/14 253800 2013-00206 1354.00 ! 1,354,00I i !Kirkorian Ent I 06/06/14 253800 2013-00206 33.850.00 j 33,35U.00 !Kirkorian Ent 06/06/14 253800 2013-00206 9,00U.00I RU(iROfi Kirkorian/Carroll 10/28/13 250630 ENC2013-00206 700.U0 701).00 Kobre Holdings LLC 11/28/18 278302 ENC2018-00339 4 12,000.00 I 12.000.00 'La,Clara 01/25/02 145933 2002-00016 i 1.092.00I ( LU9nio ;Lee,Dennis ! 09/25/18 277371 ENC2018-00294 j 748.00 I 748.01) Lee,Dennis 10/25/18 277824 !ENC2018-00294 - 1,720.00� i ( � 1.720.00 1 I Lee,Dennis 10/25/18 277824 ENC2018-00294 43,000 00 j j 43,(i(111.0U i Lee,Fran 05/18/07 196957 2006-00034 31.187.00 I 32,187,00 iLee,Fran 05/18/07 196957 2006-00034 6,000.OU 6.000.00 �Lee,Fran 05/18/07 196957 2006-00034 1.287.001 j Lee,Mark I 10/I1/18 277631 i ENC2018-00304 I 2.000.00! � � � i 2,000.00 I. Lewis,John 06/07/18 275589 ENC2018-00149 L000.00 (1,000.0U) 269305 j 08.113/I9 - Liberty 21 Investments 08/13/18 276686 ENC2018-00203 2,000.00 2,000.00 'Lim,Junsung 06/20/18 275806 ENC2018-00117 1.000.00 i 1,000.00 Lim,Junsung 06/20/18 275806 !ENC2018-00117 25,000.00! 1 I 25.000.00 ! Lindsay Enterprises 06/01/88 19191 1988-00135 1.300.00 ! I 131I11.0O 'Madison Park - O1/07/16 261951 ENC2015-00281 4.000.00 I 4d090.00 'Madison Park of Campbell 10/08/I5 260726 ENC2015-00055 IO,OW.00 j 10.000.00 Madison Park of Campbell 10/05/15 260667 ENC2015-00055 Sila}00,DII 5(60U(6O(1 .Madison Park of Campbell I 04/04/16 263272 ENC2015-00281 5.069.20 5,0(i').20 \ ,Madison Park of Campbell 1 04/04/16 263272 ENC2015-00281 I26,730.00 126.7-10.00 PUBLIC WORKSIPLANNING REFUNDABLE DEPOSITS ACCOUNT i1101.2203 NOVEMBER 2018 FISCAL YEAR 18/19 ,adison Park of Campbell 04/04/16 263272 I ENC2015-00281 50,01)A00 Mahzoon,Shabnam 10/24/18 277818 ENC2016-00240 9.025.00 If I 9D25,00 Malek,Safivat 10/11/05 18I045 2005-00I70 500.00 500.00 Mar,Jeffrey 06/30/14 254187 2013-00102 45.280.00 4528000 iMar,Jeffrey 06/30/14 254187 2013-00102 11,000.00 ' I 11,00000 Marko Construction 07/06/18 276065 5,000.00 5.000.00 j Markovsky,Igor 11/20/18 278213 j ENC2018-00362 500.00 cpp 00 jMastec 09/17/18 277200 ENC2018-00225 ' 4.112.50 4,112.50 McVay,Steve 07/21/03 159535 2003-00089 750.00 ± _ 750.00 I McVay,Steve 07/21/03 159536 2003-00089 E00.00 500.00 Merrill Gardens 12/06/17 194011 260.73 1 260.73 (Metro PCS 04/09/02 147849 2001-00145 3,500.00 3.500.00 'Milaninia,Ali 10/05/17 271786 ENC2016-00160 3.160,00 3,16(L(111 Milaninia,Ali 10/05/17 271786 j ENC2016-00160 10.000.00 s i 10!)U0.00 Millich Commercial 05/17/17 269592 ENC2017-00092 6,000.001 (6,000.00) 2699881 10101/1S � 'Modus Inc 04/10/13 247696 �PLN2013-00092 1.500.00 i � 1 1�(IO.00 Moore,Jeanne 07/12/17 270452 ENC2017-00174 500.00 (SU0.00) 269226 0S?06118 - Moore,Jeanne 07/12/17 270452 j ENC2017-00174 12,000.00 (9.0w.OU) !,269226 08?06?I8 3.000.00 Moradi,Arash 08/01/16 265166 ENC2016-00084 7,437.50 j (7.437.50) ! j 269990I 10.%Ul/I8 j Nextnav LLC 12/1 NI 1 239811 2011-00173 1500.00 1.600.00 .Nguyen,Lien 09/21/06 190429 2006-00141 310.00 310.00 i (Nichols,Andrew ! 05/15/15 1 258580 I ENC2015-00097 S110.00 ( (5(I0.(10)� I?(,9"27 08UG?I8 lNorcal Management 03/14/18 I 274217 ENC2018-00003 6.000.00 1 ! 1 i o,p00,00 Oddwalle Campbell 04/20/I8 274790 j ENC2018-00053 4,000.O0' j j ,y,000.00 Oddwalle Campbell 04/20/18 274791 ENC2018-00053 1,480,00 1.490.00 i Oddwalle Campbell 04/20/18 1 274791 ENC2018-00053 10.000.00 10 000 00 j Oddwalle Campbell 05/04/l8 ' 275024 j ENC2018-00052 100.000.00 100.00O.00 Oddwalle Campbell 051041 8 275025 I ENC2018-00053 37.000.011 37,000.00 Pandey,Manish 04/27/18 274911 ENC2018-00106 500.00 500.110 Pandey,Manish j 04/27/18 274911 I ENC2018-00106 2,500.00 ( 1 2.500.00 Pandey,Manish ( 04/27/18 274911 ENC2018-00106 1,000.00 i 1 LOUO.(lU c Residences LLC 01/24/18 273395 ENC2017-00186 1.660.00 ( I 660.00 _ 'Pare Residences LLC O1/24/18 273395 j ENC2017-00186 41500.00 - jPark,Charlmon 'I 07/03/18 276025 ENC2018-00177 j 500.00 2695601 09,•'03/18 •' - '� Paul's Enterprises 1 07/19/16 264956 1 ENC2016-00145 500.00 ( i 500.00 Paul's Enterprises 07/08/16 264819 ENC2016-00137 500.00 500.00 Paustian,Daniel 05/03/18 275010 I PLN2018-00133 2.2U1)A11 (980.00) 27W9^1 10;U8/IS 1.20.UU Pavlovic,Gordana j 03/22/17 268679 j PLN2017-00103 10.000.00 10,000A0 Paydar,Mike 09/17/07 200077 2007-00144 4M0.O0 4.O00.O0 Peretz,Meni 06/05/18 1 275531 j ENC2018-00142 44nii0 j 5(1(LOII Peretz,Meni 06/05/18 275531 ENC2018-00142 18.000.00 j i j Ig,Q00.00 Peter Thomas Associates i 04/10/07 195829 2006-00151 500.00' I Philz Coffee j 10/05/18 277559 ENC2018-00157 3G,OOO.UU j - ' 36,000.00 That,Jodi L 0l/05/I8 273111 PLN2017-00155 17.600.06 17,600A0 Preston,Michael 08/15/16 265386 ENC2016-00161 350.00 (350.00)� 1109116 ,Pries,Panl 09/18/17 271488 j ENC2016-00137 36,675.00 ' 36,675.00 Pries,Paul 10/20/17 271990 ENC2016-00137 1.467.00 i j i 1,4ti7.011 :Pries,Paul 10/20/17 1 271990 ENC2016-00137 10,000.001 I I 10.000.00 y --y PUBLIC WORKS/PLANNING REFUNDABLE DEPOSITS INO PP ACCOUNT 0101.2203 NOVEMBER 2018 FISCAL YEAR 18/19 a • i Pries,Terry 07/07/17 i 270396 ENC2016-00145 1 683.)0 I I 633.IIf1 Pries,Terry 07/07/17 1 270396 ENC2016-00145 17.075.UU i 17,075.00 Prnneyard Associates L P " 10/28/97 1 106336 � PL97-? 5U,SS 3U5U.88 Raintree Evergreen 06/19/18 275776 PLN2018-00 .330.00 I 1 � + 11,330.00 Rapid Broadband 11/05/04 I 171694 I 2004-00218 200.00 Rasputin Records " 12/20/96 98323 PL96-? 11,500.0011500.00 1 (Razumich,John 03/07/18 ( 274101 ENC2018-00053 740.00 ) I j ( I 740,00 Robson Homes 07/22/15 i 259490 PLN2013-00340 i 2.000.00 i 2.000.00 i I Robson Homes LLC 03/31/15 257979 ENC2015-00055 3,603.00 (3.603.00) 270110! 10/08/18 Robson Homes LLC 07/03/18 i 276022 PLN2018-00181 10,000.00 j (2.330.75) �_70547 1 11/05/I8 7,6611.25 Rose Villas 11 HOA 02/28/11 233211 2011-00022 1.125.00 1,125.00 Sakhia,Kaustud 10/25/18 ! 277827 ENC2018-00334 1,000.00 i I 1.000.00 1 Salas Obrien 05/08/17 ! 269458 PLN2016-00315 84.65; _ ! ! 84.65 San Jose St George Coptic Orthodox Church I 10/O5/06 i 190833 2005-00170 I.80OA0 San Jose St George Coptic Orthodox Church I 10/O5/06 I 190833 i 2005-OO170 72.00 j I i � 1 � 72.00 I 1 San Tomas Garden Apts 04/15/13 247756 500.00 I { 500.00 San Tomas Gardens � 12/11/13 251255 ENC20I3-00066 22,OOO.00 I 122,000.001 270199 I0/15i18 - San Tomas Gardens 12/11/13 251255 ENC2013-00066, 880.00 ; (880.O0) 2701991 10115l18 - Saneinejad,Majid 12/02/17 267034 ENC2016-00240 i (L000,0(I) 270554? 11/05/18 - Saneinejad,Majid 11/08/17 272283 10,000.00 ( (10,000.00) 270553= 11/05%18 i - Saneinejad,Majid 11/08/17 ( 272283 1,444.00 I (1,444.00), 270554E IP05AS t I 'Santa Clara County 02/09/I8 ' 273700 ENC2018-00005 2.500.00 � I (1,87S.011) � 2703571 IOR9l18 ! 620.011 !Santa Clara Development 01/30/08 i 203879 300.00 1 300.00 Sauer,Matthias 09/05/17 271242 ENC2017-00209 1,000.00 ! (1,000.00) 1 2694091 08,120.118 1 - Saunders,John 09/14/18 277178 ENC2018-00274 500.00 50000 t Saunders,John 1 09/14/18 277178 ENC2018-00274 5.000.00 ': ! 5,000.00 1 I Schaadt,Larry 08/04/16 265221 ENC2016-00149 500.00 500.010 Schmidt,Judy E 08/02/18 I 276535 ENC2018-00226 ! 500.00 I ! :..1 1 500.00 I Shell Oil Company " 06/26/84 23994 PL83-06 3.000.00 ! I ! ( i 3,000.00 Sloan,David 03/24/17 268718 'ENC2017-00076 2,U60.00 i 2.060.00 Sloan,David 03/24/17 268718 I ENC2017-00076 10,000.00 I I ! i j I j 10,000.00 (South Bay Construction 12/21/17 267359 ENC2016-00253 1.000.00 i ! (I,000.001 1 270303 102218 South Bay Construction 06/01/17 269819 ENC2016-00253 2,70U.00 ! (2,7U0.00} 270303 IU.+'22i1S i - 'South Bay Development 12/21/15 261766 j ENC2015-00190 10.ODU,011 269643;09r03l18 South Bay Estates 01/24/18 273392 ENC2018-00013 500.00! I j ! t 500.00 South Bay Estates 01/24/18 i 273392 ENC2018-00013 t 5,000.00 j E 5.000.00 Souther Development I 10/07/91 33566 91-192 I 500.001 1 ' 500.00 Spieker,Nevin 05/05/11 234846 2011-00028 500.00 ! i SIIO.OU Sprint 07/09/02 150210 1 2002.00079 2,500.00 2300.00I Sprint-PCS 10/14/02 152586 2002-00079 1.000.00 f ' ! 1,(I(I(1.00 i St Anton Comm 12/03/15 261506 ENC2015-00258 10.3.90.00 ± i 10,380.00 St Anton Communities I O1/15/16 262070 !PLN2014-00323 2,OOO.00 t St George Coptic i 03/27/12 241943 2005-00170 428.00 I i 425.0(1 St George Coptic 03/27/12 241943 2005-00170, 5550.00 ' S,550.00 St.Anton Campbell ' 05/18/16 263989 ENC2015-00258 10,000.00 j I 1 10.000.00 EOA Anton Campbell j 05/18/16 263989 ENC2015-00258 50.000.00( - 50,000.00 Anton Campbell OS/18/16 263989 ENC2015-00258 60,000.00 60,000.00 i International ! 03/02/16 262769 PLN2016-00083 10,000.00 j 10.000.00 I PUBLIC WORKS/PLANNING REFUNDABLE DEPOSITS ACCOUNT#101.2203 NOVEMBER 2018 FISCAL YEAR 18/19 STOA International ._ 05/31/16 264190 1 PLN2016-00186 10,800.001 t .Sunnyvale Building Maintenance 06/20/17 270147 2,680,90 1 I i 2,68U y0 Sunnyvale Building Maintenance 06/20/17 270148 5,445.00 I 5.445 00 j Swamina,Sundarrajan 05/22/18 275313 1 PLN2018-00012 2,500.00 i (2,5E10.(111}i 269,115 03'20/18 - T Morrison of CA1 04/18/13 247823 2013-00067 3,550A0 I (3,6^0.00)' ! i 269132 07/3018 1 Taylor Morrison LLC 02/03/14 251970 I ENC2013-00067 7,700.00 j (7,700.00)' 2691321 07130itS 'Taylor Morrison LLC 02/03/14 251970 ENC2013-00067 1,560.00 1 _ (L-6{).00) - 269132 07/30/18 i Taylor Morrison LLC 02/03/14 251970 !ENC20 1 3-00067 14.000.00 (14.000.60)� 269I31 07:3018 - �Tersigni Family 07/20/09 218642 2008-00084. 4,000,00 1 4.00U.00 1 The Ridgecrest Group 1 02/03/17 267978 1 ENC2016-00216 1.880.00 ''F93I3 i - 1The Ridgecrest Group 1 10/30/97 106428 97-00181 1,000.00( I,000 00 .The Ridgecrest Group 02/03/16 262337 I PLN2016-00037' 5,O00.00 1 1 1 The Ridgecrest Group 1 10/27/16 266505 ENC2016-00216 500.00. . (5(m 26991S- 09,17/I S - .The Ridgecrest Group 02/O1/17 267934 .ENC2016-00216 47.000.00 t3i 250.00)� I 269919i 0917/18 I1,750.00 `The Ridgecrest Group 02/01/17 267934 ENC2016-00216 16,000.00 16.000.00 I The Ridgecrest Group 03/27/17 268755 !PLN2016-00037 I 1.000.00 1.000.00 ( I Uehara,Masatsugu 12/04/15 261516 ENC2015-00246 i 2,800.00 2,5{)0,{p}. Ushomirsky,Igor 09/14/18 1 277186 PLN2018-002621 644.34 j ! 844.34 Venzon,Eric 1 08/31/18 ` 276989 PLN2018-001I8( 10,000.00 10.000.00 Vierra,Ronda 12/21/18 272974 1 ENC2017-00300 1,000.00 1 I,t}00 UI)j j Villa Developers 04/04/12 242206 2012-00039 500.00 I ! i 1 -00.00 :Warmoth,Jeff 09/23/OS 180552 2005-0011- 3,000.001 j . 3,000.00 Warmoth,Jeffrey I 03/27/I8 274383 1 PLN2014-00141 10.000.00 1 110,000.00 270130 I0r08%18 - .Warmoth,Jeffrey 04/25/I8 ( 274860 ENC2015-0009I 30,O00.00 1 - 30 000 00 Water Tower Owner 03/03/16 262779 PLN2016-00073 151.00 tea OO j Westmont-Crockett 12/11/91 35560 1991-00226 500.00 c0000 1 !Wheelehan,Donna 1 05/29/18 275403 i ENC2018-00127 500.00 (500.0(i}1 269512 1 08%27119 I IPW85-? 7)5.00Whittaker Corporation 09/06/85 923 I j 795.00 Williams,Kathleen 09/28/16 266050 {ENC2016-00189 2,500.00 i ' I 2 q(g}00 j Wu,Weiman 03/02/18 274049 .ENC2018-00046! 500.00 S00.00 1 'YMP Inc " 04/24/95 94852 PL95-? 3,ollo oo 3AU0.UO Zhang,Victor 1 06/07/18 275581 .ENC2016-00231 1.030.00 I,U80.00 Zhang,Victor 1 06/07/18 275581 ENC2016-00231( 27000.00 27.00U.00 SUBTOTAL ,m__.,..,__......-.- .. .•....38,034.6(..T` 231.2 . .� ' ,07�...--_.. 283.27 PUBLIC WORKS/PLANNING REFUNDABLE DEPOSITS ACCOUNT 9101.2203 • OCTOBER 2018 FISCAL YEAR 18/19 .. .._.._......__.__.. __..__.._.......__._............._.._.._......_.._._..___...._................_..._.....___.._........_.......__._.______._,—._-.___.._.__..._..__,___._..__.._..___._....___ .._.�_. .... __ __....___._.._. ...__ ( 1 7t' ! BEGINNING PRIOR MOS. CURRENT I PRIOR MOS. I CURRENT Y-T-D RE _ Y-T-DJ� NAME I DATE I RECEIPT PERMIT I BALANCE AMOUNT MONTH AMOUNT I MONTH OTHER CIE i CHECK N ENDING *Planuing(Bui!dine PAID N 4 IM01/18 DEPOSITED DEPOSIT . REFUNDED REFUNDED ADJUSTMENTS 1 q DATE i 00/16 BALANCE ..............__..............._......_.._..______,.._._ ..._.__._._.._....._......... ......_._.__.:.._....______........._.____I.___.—__._....____. __.__..__.._.__....._—_..___......__...__ __.._..._._.__._ _... ....... 725 Hacienda LLC 12/04/06 1 192243 2006-00177 1 61000.00 j ) j i ! ( 6,000.00 95 Hamilton LLC 02/10/17 268091 PLN2015-00275 I 1.381.25' j 1,381.25 i i j95 Hamilton LLC ( 12/14/17 ( 272846 ENC2017-00289( 500.00 i I , 'woo� �A K Construction ' 10/16/17 � 271912 I ENC2017-00243 I S.UWAp! i � (5.000.00} 269201!08.'06/18 I - a ! I ! I iA2 Land Investment 07/02/18 275994 PLN2018-00224 11.330.00 11,330.00 j !Abdollahi,Akbar i 11/24/15 ( 261384 PLN2015-00329 1,603.62 j I 1.603.62 I Access Dev Group 08/04/16 265222 ENC2016-00115 17.500.RR I I (17.502t10)I 127U33S i 10/29118 - j Access Development . 09/20/18 277269 ENC2018-00262 I 1,000.00{ i 1,000.00 Access Development 12/18/17 272898 PLN2011-00394 10,350.00 1 ! j 10„35f600 jAdlparvar,Humid 09/14/06 189424 2006-00007 SAOO.OU( j 5,00(L00 I Advanced Radio Telecommunications* ! 1I/13/00 � 135269 � PL00-93/131 � 1.500.00 I 1 � j ? I AGH Architecture 06/08/17 269986 i ENC2017-00143 500.00 j (SUI).UU) 270041! 10;08rIS - AGH Architecture 06/08/17 i 269986 ENC2017-00143 500A0) i ? I E00.00 j AGH Architecture 06/08/17 ' 269986 ENC2017-00143 I 6.000.00 I ! j j 6,UUUAO i AGH Architecture ( 12/14/17 272845 ENC2017-00143 500.01) (SU0.00)� ?270041 10109/19 l 1 3 Arbomorks Inc 04/23/18 274818 ENC2018-00083 500.00 1 269814 09117/18� - - i Asano,Rodney 09/25/18 277363 j ENC2018-00289 500.00 Assyrian Chruch 02/02/18 273604 ENC2018-00016 SOO.IIIJ j _ 500.40 Assyrian Chruch 1 02/02/18 273604 f ENC2018-00016 2.500.0U { j 2,5t10.00 Austin,Ben . 01/26/18 273450 ENC2018-00016 500.00 (500.00) 1 2702271 10/22r18 Bowing,Esther 04/20/06 186290 2006-00053 450.00 I I f i { 45U.(tU 'Banducci Assoc 06/28/10 227302 2010-00096 500.00 soo.00 Black,Michael 1 10/01/07 200544 2007-00174 2.000.00 I ! i 2,000.UU Black,Thomas 05/18/05 176993 500.00. I ( I 500.00 i Blomquist,Michael S * 02/28/01-j 137845 PL01-185 500.00 ! ! 1 i a00.00? Boulay,Constance 09/17/19 277217 1 ENC2018-00277 1.000.00 I l I ? I,000AU Burman Family LTD ! 08/17/15 259923 'ENC2015-00171 500.00( ! ! 50(60U i Burr,Eric 12/05/06 ' 192353 2006-00181 500.00 270049. 10,08/18� - �BWS Inc 10/07/16 266204 PLN2016-00318! 8,040.00 1 8,U40A0 ,BWS Inc ( 12/21/17 272984 ENC2017 00195 i lO,WU.00 i 10:800.00 ?BWS Inc 12/21/17 272984 ENC2017 00185 1 25.000.00 I ' Campbell 76 . 01/26/16 262195 !PLN2015-00375 I 195.67 195.67 .Campbell Ave LLC 1 09/11/07 199923 2007-00225 ( 639.56 63956 Campbell Development * 06/16/00 ! 131553 PL00-88 I 2,129.33 1 ! 2,129.33 Carden Day School 10/30/15 I 261045 PLN2015-00248 2,053 05' j ! 2,053.05 Carden Day School 11/09115 261159 20,000370 - (13,531.93)i (6A68.07)'269210. 08!06'I8(,J/E07/161 - Carden Day School 03/01/16 i 262739 ENC2016-00038 1,500.00 I ! I Carden Day School 05/06/16 I 263839 .ENC2016-00038 3.680.22 + I i { 3,680.22 ICCBA 10/10/11 238280 2011-00163 1,870.63 j i I j 1.870.63 Cellular hone* 10/11/00 I) 134463 PL00-11 6.000.oD CFEP Pruneyard 11 02/08/17 j 268035 ENC2016-00226 8,000.00 1. I ! i 8,000•tN> CFEP Pruneyard j 02/08/17 ( 268035 j ENC2016-00226, 10,000.00' ? 10.000.00 ! .CFEP Pruneyard 02/08/17 268035 ENC2016-00226 50.000.00I ! 50,000A0 06/12/18 275662 PLN2018-00129 4.900.U0CFEP Pruneyard j 4,900.00 f - IZ�v� iZ I o .CFEP Pruneyard LLC 11/07/16 266686 ,ENC2016-00226 3,656.59 i ---- ang, many 02/23/18 273907 !PLN2018-00257! 980.00 - j ( 980.00 PUBLIC WORKS/PLANNING REFUNDABLE DEPOSITS ACCOUNT k101.2203 OCTOBER 2018 FISCAL YEAR 18/19 .Chen,Emily 04/12/02 147999 2001-00033 3.000.00 ! 3.000,00 ' 1 i Chen,Emily II/29/99 126023 PW98-03 1.500.00 i j 150000 jChick-Fil-A o 06/18/18 275749 PLN2018-00206 I0,I59.00 I � 10.159.00 Chick-Fil-A I0/11/18 277627 j PLN2018-00206 I 7,811.00 i7,811.00 iChick-Fil-A 10/11/18 277627 PLN2018-00206 i 39,053.00 Chun,Goon Jong 07/13/18 276197 ENC2018-00196 I 500.00 i (500.00) 269365 08/20 l8 - 'Climax Development 07/09/18 276093 j PLN2018-00215 11,330.00 i 11,330.00 j Climax Development 07/09/18 276093 PLN2018-00215 379.00 ' 379,01) 'CMTPartners * 11/27/00 135537 PLO0-58 5,000.05000.00 0 Copyco 08/07/03 159980 2003-00111 500,00 i 5(100) :Core Communications 02/13/15 257246 2013-00132 L400A0( i 2,400,00 �Creekside Office CE ( OS/12/06 186929 2005-00155 3,658.84 31658,84 1 'Cresleigh Homes 03/27/17 268746 i PLN2017-00109 8.2317.00 269902 09;24/18 2,405.00 Cresleigh Homes 11/30/16 266986 PLN2016-00388 4.810 00 i 4,810,00 'Cresleigh Homes Corp 11/30/16 266986 j PLN2016-00388 I 7.861 00 t i 7sv1.DD I CRP Vasona 10/17/17 271939 j ENC2016-00238 7.q)0.00 iCusella,Stephen II/22/02 153493 2002-00134 i 3.00000 f 3,400.(JU 'D R Horton Inc. 07/30/13 249315 2013-00147 10,00(j.00 j j IO.OUD.00 Da Vinci Homes Inc 09/05/17 271259 ENC2017-00210 625,00 i fti25.00) 267958 I0�01/18 - jDBlConstruction 07/19/07 198632 2008-00078 1.190.88 1,190.88 De Colle,Cyril 03/07/18 274097 !ENC2018-00050 500.00 :0p.0D �Degan Homes Inc 08/20/14 254918 j 2013-00043 5.000.00 I j 5,00(7d)O i vers Loan Diified L 04/11/03 156903 2003-00048 noo.00 I i I !Diversified Loan 04/30/03 157378 2003 00048 1.080.00 j ( 1.080.00 Dollinger Properties i 12/01/17 272678 ,PLN2017-00381 11.330,00' I 11.330.00 1 , Dollinger Properties 09/07/1 277076 PLN2018-00148 9.196.00 j ! ! 9,196,00 :Dollinger Properties i 09/07/18 277076 PLN2018-00148€ 1,839.00 ! 1.839,00 :Dollinger Properties 05/29/I8 275422 PLN2078-00148I 21(7.1717.IH7 i (12.150.23) flb.9(I6.ti51j �2699981 10;01/18 � 181.713.72 ,Dollinger Properties OS/29/18 275422 PLN2018-00148 42.034.00I ( j 42,034.04) Dome Construction 10/27/17 i 272102 ENC2017-00253 750.00 1:0,00 i Dome Construction 10/27/17 ! 272102 ENC2017-00253 500.00 500.(9) I Ericsson Inc 06/20/11 235812 PLN2010-00260 835.00 i 835.00 i Financial Title Co(James Kennedy) 03/15/99 119425 98-238 1,500.00 - 1300.00 'Float Station 03/07/17 268450 PLN2017-00083 2500.00 f b50U.U0 'Follmae,Deborah I 06/29/18 275968 ENC2018-00128 455.00. I i 4 5.00)i 1E0916' Follmar,Deborah I 06/29/18 275968 'ENC2018-00128( 2,OU0 00 (2,000AO)� j 2692101 08/06/18 - Fran Lee Construction 03/17/06 185272 2006-00034 ` 643.01)j 643.00 i Futurecom O]/I I/02 145649 2001-00126 � 2500.00' � i i I j 2,500.00 j �Galilei Properties j 12/20/17 272947 ENC2017-00294 1,250.00 I � 1.250.00 i Gera,Marko 04/16/18 274695 7,500,00 I 7,500.OU I jGerber,Leland 06/14/16 264411 ' PLN2015-00293 1A00.00 'Graham,Gerald 03/23/18 274337 PLN2017-00279 IO,000.00' 1U.000A0 j I Graham,Gerald i 08/30/18 276954 PLN2017-00279) 2,500.00 ! 2,50p,0f) Graystone,Development 12/18/07 I 202622 2004-00242 3.000.00 Habitec 06/03/16 264265 PLN2016-00073 70.00 70.00 Hacienda Street Hal 05/24/18 275368 PLN2018-00157 10A00.00 j i j Hamilton Campbell j 09/09/15 260283 'ENC2015-00190 8.698.93 I (8,648.93) '69587 j 09/03r18 - 'Harrington,Thomas 10/29/18 I 277865 ENC2018-00284( ! 1,400,00I j I L400,00 PUBLIC WORKS/PLANNING REFUNDABLE DEPOSITS ACCOUNT k101.2203 OCTOBER 2018 FISCAL YEAR 18/19 .Harrington,Thomas 10/29/18 277865 i ENC2018-00284 j I 35,000.00! I 35,0(I0.00 i !Hawkins,.Elizabeth j 12/13/17 272836 I ENC2017-00279 5.000.00 f 13,?0.00) i !268774 070918 1,250.00 !Heritage Realty Group 05/24/I3 248358 2013-00102. j 500.00 500.00 j Highland Electrical ! 10/29/14 255899 ENC2014-00198 I 2,000.00 Hillhouse Construction ! 03/25/08 205513 I 500.00 Hurley Contractors ! 02/09/15 257144 PLN2014-00323 1 10,500.00 1 ' i 10.500.00 Hurley Contractors ! 02/24/15 257381 PLN2014-00323 982,50 j 982.50 iImwalle Properties i 09/27/16 366039 PLN2016-00309 i 10.800.00 10,500,00 i iIn-N-Out Burgers j 06/07/17 ! 269962 PLN2017-00118 10,000.00 j ! ! I P0,000.00 l 10/03/IS 277514PLN2017-00120 22.241.00ln-N-Out Burgers i I 22,241.00I In-N-Out Burgers 10/03/I8 277514 PLN2017-00120 4,448.00# ( i f i 4,44S,00 In-N-Out Burgers 08/08/17 I 270870 PLN 2017-001201 15.731 (15.73)� JL07/161 - 1 In-Out-Burgers ! 05/30/18 275446 j PLN2017-00120 10.000.00 RE07/161 _ j In-Out-Burgers 1 05/30/18 275446 1 PLN2017-00120 27.269.00 j ! (24,183.77)' (269889i 09.'24118 2,085.23 05/30/I8 1 275446 !PLN2017-00120 136,345.00 ! (25,394.82)! 270101; 10/09!I8 I10.950.18 i �,ln-Ou.Burgers vchenko,Volodymyr i 06/13/18 275681 !ENC2018-00124 1,040.00 , 1,040.U0 4(I fI i Ivchenko,Volodymyr !.06/13/18 1 275681 ENC2018-00124 26,000.00! 1 3 2C>,000.00 »1 Iwagaki,Shirley OS/23/IS 275337 j ENC2018-00120 j 2,000.00! i (2,000.00). !268777 U7r09!lS i _ - 13 Construction ! 04/28/11 ( 234672 2011-00045 1,00200 1 i I j L(i0(l.00 (J3 Construction 1 04/28/11 234672 1 2011-00045 ! 140.00! 1 1 Jeffrey Mar 06/30/14 1(1 254187 2013-00102 1A11.00 i,81 L00 (Jones,Zeden 1 08/13/03 I 160127 2003-00111 800.00 1 1 800.(a) KDC Construction 12/19/17 ( 272915 !ENC20110 0229 6.160.00 6,Iti0.00 Khaziri,Hossain 09/03/14 ( 255108 1 ENC2014-00162 6,39t1.00 I 6-190.00 j 'Kim,Hae Young 1 07/06/16 1 264774 1 ENC2016-00130� 1.2-1 j 1 (1240.00)1 2694(63 0327/18 ':.Kirkorian Ent 1 06/06/14 ( 253800 2013-00206 1.354.00 1,35 d,00 1 Kirkorian Ent ! 06/06/14 253800 2013-00206 E 33.S50.00 1 j 33,850,00 1 Kirkorian Ent 06/06/14 253800 1 2013-00206 ),01)0.1}I) j !1 <),(f0(1,(i(i 1 Kirkorian/Carroll 10/28/13 250630 ENC2013-00206! 100.00 1 j 1 1 70200 j La,Clara 01/25/02 1 145933 2002-00016 ! 1,092.00 ' ! i i L092.001 1 1 Lee,Dennis 09/25/18 1 277371 ENC2018-00294 j 748.00 1 i i ! i 74S.00 1 _ 1 Lee,Dennis I0/25/18 277824 1 ENC2018-00294 1,720.00 I C 1,720.00 Lee,Dennis ) 10/25/18 I 277824 ENC2018-00294 1 i 43,000.00 1 43.000.00 1 Lee,Fran 05/18/07 196957 2006-00034 32,187,00! i i j i 32.157.0t1 j Lee,Fran 05/18/07 196957 2006-00034 6.000.00 6,040.00 i Lee,Fran - 1. 05/18/07 196957 2006-00034 I 11287.00 j j ! 1.287.00 - 1 Lee,Mark 10/11/18 , 277631 i ENC2018-00304 i ! L000.00 I 1- j 2,O00,00 Lewis,John 06/07/18 275589 i ENC2018-00149 1.000.00 1 1A00.00l1 i 269305 03!13!18 - 1 Liberty 21 Investments 08/13/18 ( 276686 i ENC2018-00203 � 2,000.00 2.000.00! i 1 Lim,Junsung 06/20/18 275806 1 ENC2018-00117 7,000.II0 1 i 1 ( l,ti0(l.00 j 1 Lim,Junsung 06/20/18 i 275806 ENC2018-00117 -51000.00 1 i i 25,000A0 j Lindsay Enterprises 06/01/88 ; 19191 1988-00135 1,300.00 i ! j 1300.00 (Madison Park 01/07/16 261951 i ENC2015-00281 4,000.00 1 I 4,000.00 ! !Madison Park of Campbell 10/08/15 260726 'ENC2015-00055 10.000.00 j ! ll),000.00 1 i I 1 Madison Park of Campbell 10/05/15 ( 260667 ENC20I5-00055 50,000.00! 1 1 1 ! 50.000.00 -00 5.069.20 1 Madison Park of Campbell 1 04/04/16 263272 ENC2015281 5,069.20 Madison Park of Campbell 04/04/16 1 263272 ENC20I5-00281 126,730.00 126,730A0 Madison Park of Campbell 04/04/16 263272 i ENC2015-00281 I 50,000.00 ! ! j 50.000.00 PUBLIC WORKS/PLANNING REFUNDABLE DEPOSITS ACCOUNT#101.2203 OCTOBER 2018 FISCAL YEAR 18/19 Mahzoon,Shabnam 10/24/18 277818 'ENC2016-00240 9,025.00 j j I j 9,025.00 I 'Malek,Safwat 10/11/05 181045 2005-00170 500.00 500.001 !Mar,Jeffrey 06/30/14 254187 2013-00102 45,250.00 45.280.00 War,Jeffrey ( 06/30/14 254187 2013-00102 11.,000.00 11.000.00 3 Marko Construction 07/06/18 276065 ( 5.000.00 5,000.00 I 'Mastec 09/17/18 277200 ENC2018-00225 4,112.50 ( 1 4.112.50 McVey,Steve 07/21/03 159535 2003-00089 ?50.017 I 750.00 I McVey,Steve I 07/21/03 -159536 2003-00089 500.00 i j { I i 500.00 jMerrill Gardens 02/06/07 194013 j 260.73 I 260.73 j Metro PCS 04/09/02 147849 2001-00145 3,500.()0 13.50(LtiO Milaninia,Ali I 10/05/17 271786 ENC2016-00160 3,160.00, i 3,160.00' j Milaninia,Ali 10/05/17 271786 ENC2016-00160 IQOOOAO 05/17/17 269592 I 269988 1001/18Millich Commercial f. { - I I 'Modus Inc 04/10/13 247696 PLN2013-00092 1.500.00 j 1,-woo Moore,Jeanne 1 07/12A7 270452 i ENC2017-00174 500.00 . (5U0.00). 269226 j 08;06j18 Moore,Jeanne 07/12/17 270452 !ENC2017-00174 12,000.011 - t9,00t1.00ij 26921_6 j 08/06/18 3,00.00 .Moradi,Arash 08/01/16 265166 j ENC2016-00094 7.437.40 I j (7.437750) 269990� 10/0 V'1S - i ,Nextnav LLC 12/I5/11 239811 2011-00173 1,500.00 j 100A0 Nguyen,Lien 09/21/06 190429 2006-00141 310.00� � ! I 310.f10{ •Nichols,Andrew 05/15/15 258580 ENC2015-00097 500.00 ! (500.00) j 269227 OS/06/18 Norcal Management 03/14/18 274217 ENC2018-00003 6,000.00 f 6.000.00 i 'Oddwalle Campbell 04/20/18 274790 ENC2018-00053 4.000.00' I ! j 4,000.00 Oddwalle Campbell 04/20/18 274791 j ENC2018-00053 1.480.00 ( ! 1,480.00 'Oddwalle Campbell 04/20/18 274791 !ENC2018-00053 10,000.00 j I 10,000.00 I Oddwalle Campbell 05/04/18 275024 ENC2018-00052 100,000.00 100,000.00 Oddwalle Campbell 05/04/18 275025 ENC2018-00053 37.000.00 i ! 37,000.00 Pandey,Manish 04/27/18 274911 ENC2018-00106 500.00 { 50U.UU I �Pandey,Manish j 04/27/18 274911 {ENC2018-00106 2,500.00 2.500.00 i Pandey,Manish 04/27/18 274911 ENC2018-00106 L000.00' i j 1,000.00 Pare Residences LLC 01/24/18 273395 I ENC2017-00186 1,660.00 j j 1.660.00 Parc Residences LLC 01/24/18 273395 j ENC2017-00186 41.500.00 { j 41,500.00 .Park,Charlmon 07/03/18 276025 (ENC2018-00177 500.00 I ! 269560 j09103/I8 j 'Paul's Enterprises 07/19/16 264956 i ENC2016-00145 500.00 j SOO.UO Paul's Enterprises 07/08/16 264819 ;ENC2016-00137 500.00 . 500L(1(i' Paustian,Daniel 05/03/18 275010 !PLN2018-00133 2.200.00 j t980.00) 270092' 10 08118 1 1,220.00 Pavlovic,Gordana 03/22/17 268679 PLN2017-00103 10,000.00 j j ( 10.Q00.00 i ,Payday,Mike 09/17/07 200077 2007-00144 4.0110.(JO Peretz,Meni 06/05/18 275531 I ENC2018-00142 500.00 j SOOAO j I Peretz,Meni 06/05/18. 275531 I ENC2018-00142 I8,000.00':. I 1XA00.00 Peter Thomas Associates 04/10/07 195829 2006-00151 500.00 j j Sfl0.00 _ Philz Coffee 10/05/18 277559 ENC2018-00117 36,000.00 j i i j 36,000.00 Pinn,Jodi L 01/05/18 273111 PLN2017-00155 - 17,600.00 I i 17.600A0 ,Preston,Michael 08/15/16 265386 ENC2016-00161 350,00 1/E09i 16 - i ,Pries,Paul 09/18/17 271488 ENC2016-00137 36.675.00 36,675.00 'Pries,Paul 10/20/17 271990 ENC2016-00137 1.467.00 j j i ! 1,4G7A0 ,Pries,Paul j 10/20/17 271990 ENC2016-00137 10,000.00 i i 1f1,00(Lfit j Pries,Terry 07/07/17 i 270396 {ENC2016-00145 683.00 j 683,00 Pries,Terry 07/07/17 {III) 270396 11 ENC2016-00145 17,075.00{ . ' j j 17.075.00 PUBLIC WORKS/PLANNING REFUNDABLE DEPOSITS ACCOUNT 9101.2203 OCTOBER 2018 FISCAL YEAR 18119 !Pruneyard Associates L P * 10/28/97 I 106336 I PL97-9 3,050.88 iRaintree Evergreen 06/I9/18 I 275776 I PLN2018-00204I i1.330.00 I � i � � � I i 11,330.00 i Rapid Broadband 11/05/04 171684 2004-00218 200.00 j 1 200.00I 1Rasputin Records * I 12/20/96 98323 PL96-? I I ,5!}p,p0 1 t j i I 11,5oo.001 1 Razumich,John 03/07/18 274101 ENC2019-00053 i 740.00 1 � I I � ( � 740,01) Robson Homes 07/22/15 259490 PLN2013-00340 2,000.00 ' II 2.000.00 Robson Homes LLC I 03/31/15 257878 ENC2015-00055 3.603,001 (3,ma(m)1 27011()� 1 RAW 18( { I .Robson Homes LLC 07/03/18 276022 PLN2018-00181 10.000.00 1 I I l0 t)003}0 iRose Villas II HOA 02/28/11 233211 2011-00022 1.125.00 ( 1 i i ! ( 1.125.00 Sakhia,Kaushal 10/25/18 277827 ENC2018-00334( ! 1.000.00( I i 1,000.00 i Salas Obrien 05/08/17 269458 !PLN2016-00315 84.6a f j 84.ti5 San Jose St George Coptic Orthodox Church 10/O5/06 190833 j 2005-00170 1,800.00 E � � i 1.800.O0 'San Jose St George Coptic Orthodox Church 10/O5/06 j 190833 2005-00170 72.00 j .2.00 'Sin Tomas Garden Apts 04/15/13 i 247756 500.00 ! I I 1 .^:00.w) San Tomas Gardens 12/11/13 251255 ENC2013-00066 1 22,000.00 I ! (22,000.00) 2701991 ( } 270199 130/15/18 12/11/13 251255 ENC2013-00066 (881.0fSan Tomas Gardens 270199 10115/18 12/02/17 267034 16-00240 L00Q00 1,000-- .00Saneinejad,Majid IOIl/08/17 272283 10,000.00 000.00Saneinejad,Majid!Saneinejad,Majid I1/08117 j 272283 1,444,00 i I i 1,444.00 l Santa Clara County ! 02/09/18 273700 ENC2018-00005( 2.500.00i (1$75.00) 1270357' 1Oi29118I I fi2500! ! [Santa Clara Development 1 O1/30/08 203879 ! 300.00! i j 300.00 Sauer,Matthias 09/05/17 271242 ENC2017-00209 1,000.00 I (1,0D(LOU)i 1 269409j OS/20118 i I;Saunders,John 1 09/I4/I8 � 277178 ENC2018-00274 j 500.00 j � i ! I 5Q0.00( !Saunders,John 1 09/14/18 i 277178 ENC2018-00274!. S,OOO.OU I ( 5.000.00 i Schaadt,Larry 08/04/16 265221 ENC2016-00149 1. M0.00 ! 500.00 Schmidt,Judy 08/02/18 276535 ENC2018-00226 500.00 I i i I 500A0 'Shell Oil Company * 06/26/84 - 23994 PL83-06 i 3,000.00 I j i 3.000.00 Sloan,David i 03/24/17 268718 ENC2017-00076 2,060.00 1 2,060.00 Sloan,David 03/24/17 I 268718 ENC2017-00076 10,000.00 10,i)Ut).00 !South Bay Construction 12/21/17 I 267359 i ENC2016-00253 j 1,000.00 11000 U0}' 27030, 10122/18 - i .South Bay Construction 06/O1/17 269819 ENC2016-00213 2,'00,01) I (2,7i)U.tl0) ^_703(13 10/22/I8 I - South Bay Development 12/21/15 261766 1 ENC20I5-00190 10,000.00 I ! (10,000,00) 269643 09/03/18 j South Bay Estates O1/24/18 273392 1 ENC2018-00013 I SU0.00 1 I i I 500.00 :South Bay Estates O]/24/l8 273392 ENC2018-00013 5,1}up,00 I i i } 5.000.00 'Soother Development 33566 � 91-192 I 500.00 ; j � j I 500.00�Spiekeq Nevin 05/05/11 234846 2011-00028 500.00! 500,00(3 Sprint 07/09/02 150210 2002-00079 1 2,500.00 ( j i 2.59O.O0 f - Sprint-PCS 10/14/02 152586 2002-00079 1.000.00':. i 1 ! 1,000!)0 ff� 1 St Anton Comm ' 12/03/15 261506 I ENC2015-00258 10,380.00 i 10,380.00 I St Anton Communities ' 01/15/16 I 262070 1 PLN2014-00323 2,000.00 2,00[).00 1St George Coptic I 03/27/12 241943 2005-00170 428.00 j I ! 4t8.00 i 1 St George Coptic 03/27/12 j 241943 2005-00I70 5,550.00 ± S s50.00 St.Anton Campbell O5/18/16 263989 ENC20I5-00258 10,000.00 10,000.00 jSt.Anton Campbell I O5/18/16 I 263989 1 ENC2015-00258 50,000A0 1I I � G0 001}00 i St.Anton Campbell 05/18/16 263989 ENC2015-00258 60,000.00 I 1 I 60.000.00 STOA International 1 03/02/16 262769 1 PLN2016-00083 10.000.0 I i IfL00(IAU jSTOAlnternational OS/31/16 i 264190 1 PLN2016-00186 10,800.00 I I I 10,80000 .Sunnyvale Building Maintenance I 06/20/17 270147 2,680.90 I 2,G8030 PUBLIC WORKS/PLANNING REFUNDABLE DEPOSITS ACCOUNT#101.2203 OCTOBER 2018 FISCAL YEAR 18/19 (Sunnyvale Building Maintenance 06/20/17 270148 1 5,445,00 5,44g pp ISwamina,Sundarrajan 05/22/18 275313 PLN2018-00012 2.500 .pp (2,Sp0.00)I 269415s OS;2Ul18 ( - T Morrison of CA 1 04/18/13 247823 1 2013-00067 3,550.00 (3,550.0U)+ 269132 07/30/lS - (TaylorMorrisonLLC 02/03/14 251970 j ENC2013-00067 7,7011.00 ( (7.700.00} 1269132�07i30/I8 'Taylor Morrison LLC 02/03/14 251970 ENC2013-00067 1560.00 (l.60.00}I 269132I 0780/18 - TaylorMorrisonLLC 02/03/14 251970 ENC2013-00067 14,000.00 I (14,000.00)I ! i 269131 07/30!I8 'Tersigni Family 07/20/09 218642 ' 2008-00084 4.000.00i 4.000.0EI The Ridgecrest Group 02/03/17 267978 i ENC2016-00216 1880.00 i (LS80.00)i i 269819 - The Ridgecrest Group 10/30/97 106428 97-00181 1.000.00 i I 1 1 L000.00' ,The Ridgecrest Group 02/03/16 262337 PLN2016-00037 5,i7107.p0( i S,ti(ItLO(i The Ridgecrest Group I 10/27/16 266505 ENC2016-00216 500.00 i (500.00D 269818I 09i17i18 1 - (The Ridgecrest Group 02/Ol/17 267934 ENC2016-00216 47,000.00' (35,250A0) 1 269818 09i17!I9 I1.750.00 .The Ridgecrest Group I 02/01/17 267934 ENC2016-00216 16.000.00 1(.00(L00 .The Ridgecrest Group 03/27/17 268755 PLN2016-00037 1.000.00 1 LO0p.0{) Uehara,Masatsugu 12/04/15 261516 ENC2015-00246 2,500.00 1 2.500.00 IUshomirsky,Igor 1 09/14/18 277186 1 PLN2018-00262 644.34 644,34 i Venzon,Eric 08/31/18 276989 PLN2018-00118 10.000.00 1 i0,001}.00 Viers,Ronda 12/21/18 272974 'ENC2017-00300 1,p00.p0 I I L000.00 1 Villa Developers 04/04/12 242206 20I2-00039 5017.001 500.00 'Warmoth,Jeff 09/23/05 180552 2005-00110 3.000.00 1 ! 3,ppO,pp Warmoth,Jeffrey 03/27/18 274383 PLN2014-00141 10,000.00 (10,U0p.UU)I 270130i 10/08/I8 I - I i ;Warmoth,Jeffrey 04/25/18 274860 ENC2015-00091 30.000.017 ;p,ppE).pp Water Tower Owner 03/03/16 262779 PLN2016-00073 155.00 155,Op 'Westmont-Crockett j 12/11/91 35560 1991-00226 500.00 I ;pp.pp 'Wheelehan,Donna 05/29/18 275403 1 ENC2018-00127 g00.00 la(10,00}' 269512 08%27/18 'Whittaker Corporation 09/06/85 I 923 PW85-? 795.001 795001 Williams,Kathleen 09/28/16 266050 I ENC2016-00189 2,.500.00 j 2,500,00 IWu,Weiman 03/02/18 274049 ENC2018-00046 500.00 ( 5(I().00 IYMPInc " 04/24/95 94852 PL95-9 3.000.00I ! i 3,0o0.00 Zhang,Victor ' 06/07/18 275581 1 ENC2016-00231 1,080.00' 1 I 1,pgp,pp I IZhang,Victor I 06/07/18 275581 ENC2016-00231 27,000.00! ' 2700000 I 2,138,034.66 1 78,578.84 202.698.00 120,329,86'' I1S.901.9%i� F7.238.80 — ----- PUBLIC WORKS/PLANNING REFUNDABLE DEPOSITS ACCOUNT 9101.2203 OCTOBER 2018 . FISCAL YEAR 18/19 i i I � i i NOTATIONIDESCRIPTION _____................_...... ._. ._ pdonumznt I FPS i Monument 1819 Hacienda I i I i I FPS 1183 W Hamilton Monmment 1691 13ocknall Donation for exps-see PL Dpt.-No Int. i Plan Ck Dep Plan Check 108 Friar { i Plan Ck Dep 1980 E Hamilton CCD 1980 E Hamilton i CCD Pruneyard Monument Pruneyard I Plan Ck Dep Pruneyard i i Plan Ck Dep FPS 1766 Ensendada ' I i i cannot locate payer cannot locate payer CCD I Plan Ck Dep 337 E Hamilton i 221 Cherry CCD FPS 1075 Florence Monument Plan Ck Dep 1075 Florence const Dep.22i Rosemary ( FPS 691 Cmckett iMonumetu CCD I i Unable to locate original payee. Plan Ck Dep CCD Monument CCD FPS Monument Plan Chock Dep ! FPS Monument A FPS install tree j Cash Dep 31 1 ! C i i FPS 1443 Harriet I i Labor R Mat?11 Budd FPS 355 Culyn i I ! I Plan Ck Dep 773 Union Plan Ck Dep 738 Bria ood i i Monument blil El Patio Plan Chick 951 Camden I I See belo,for detail, i i Plan Ck Dep ' i FPS Const Dep FPS 825 S San Tomas Plan Ck Dep i I i CCD CCD 580 Ell Patio Monument 580 El Patio i Plan Ck Dep 300 Orchard City Dr Plan Ck Dep Lash Dep r FPS i Emerg Cash Dep Monument Traffic Signal i I CCD 125 S San Tomas Aquino Rd FPS I Monument Monument 1670 Grace CCD 1323 Parsons j CCD 1323 Parsons FPS 1323 Parsons Monument 1323 Parsons I i FPS 2210 S Bascom i i i \Innument 175-201 E Campbell FPS 1162 S San Toms Aquino Rd i i i OF CA'11 a CAMPBPLL a 0RCH A0.0 CITY OF CAMPBELL Public Works Department Tbe'Oitbard,City 2002 Date: October 6, 2003 TRANSMITTAL FROM THE PUBLIC WORDS DEPARTMENT TO: Emily Chen 21009 Seven Springs Parkway Cupertino, CA 95014 FROM: Joanne M. D'Ambrosia, Senior Office Assistant SUBJECT: 1826 Regina Way Permit No. ENC2001-00033 Enclosed is a check in the amount of $3,091.82 representing a refund of your maintenance security, plus accrued interest, in connection with the above property. Joanne M. D'Ambrosia Enclosure 70 North First Street Campbell, California 9500 8-1 4 3 6 TEL 408.866.2150 rnx 408.376.0958 TDn 408.866.2790 CITY OF CAMPBELL WARRANT NO. CAMPBELL, CA. 104037 •• • • ••• • s • DESCRIPTION 101.. 540 74'148 CF.0926 '003 9 1 ..82 INTEREST EARf--IF 1) :1. 2=''20:3 CFa09262003 3.1000.. 0 RE1=1.ND DF:'F'i:i<:;:I:T {)000W.589 FiTfI:I:I...`'i REMITTANCE ADVICE-PLEASE DETACH BEFORE BANKING OF•CA'4n VOID AFTER 90 DAYS 11-35 BANK OFAMERICA WARRANT NO. ham• O� CITY OF CAMPBELL 1210 125E.CCAMPBELM BELL U FFICE r- CA E.CAMPBELL 008AVE. 1 0 4 0 3 7 o ° 70 NORTH FIRST STREET CAMPBELL,CA.95008 f CAMPBELL,CALIFORNIA 95008 DATE 1 0jr� /{ _; :1 {}t�(�,:;1 °RCHAn° AMOUNT *?;.::¢t**3 a 09:I. ..82** PAY ri u,:F r TJA0J.jSr NJ) NI I-ETY ONE z}OL_L.AI:ZS Ley CE NTS- TO SIGNATURE F::1'I:I:I...`i' i:a fl:ia•i `' 'fir I 009 ,:;I:..*Vl:::hd - #:il�'Fi:f.l•IIa•`::i I�'(�FiKtait'�1' -'�&r: �t� �+ ,,`��' �7j t::(.JF'I:::f.I'.:1:1•I�:1 t."A 95014 = ill 4�Oi° •iiiiii�o: s /rri P 10 40 3 ?"1 1: L 2 1000 3 SI31: 091931,1130200111 Y Harold Housley Subject: 1826 Regina Way PM, G & DP, 2/13/01 Incompl, now complete Status: In Progress Percent Complete: 50% Total Work: 0 hours Actual Work: 0 hours Owner: Emily Chen Contacts: Emily Chen; Kenneth Nelson Categories: Bo Chen 03/14/2001 1st submittal of PM and GP. 07/25/2001 1 have not started the plan check process. I plan to give this to Ron S. when he starts. Emily C. has already called Bob K. about a week ago. 08/14/2001 CP#1 by Ron S. completed and returned it to Ms. Emily Chen. 10/18/2001 2nd submittal received from Ms. Emily Chen. 11/07/2001 2nd submittal given to Bo Chen. 12/31/2001 3rd submittal received. 03/18/2002 Grading Plan approved by Harold To CC (03/19/2002)to accept easement Record PM asap 04/11/2002 PM Recorded (PM 747 51/52),0 Mylar in drawers, PM hanging and one in the office. 10/21/2002 Sent first letter to developer and engineer that monuments need to be set. 6/26/03 Called Emily Chen and left message that I need letter re release of mon. security. Joanne D' Ambrosia From: Joanne D'Ambrosia Sent: Monday, September 29, 2003 10:04 AM To: Ana Rios Subject: Emily Chen Refund I am sending a refundable deposit check request down to you today for a$3,000 refund of a monumentation deposit. It involves a strange situation that I discovered. When the deposit was taken in Harold used a Planning Division encroachment permit number (PLN2000-00172) instead of the correct PW encroachment permit number. Therefore,this monumentation deposit accidentally got deposited into ENC2002-00172 that has no releationship to this matter.The correct file number is ENC2001-00033. I have attached copies of the refundable deposit list page and the original receipt forms for your use. Please let me know if there is anything else I need to do to get this straightened out. Joanne D'Ambrosia Senior Office Assistant, Public Works Department City of Campbell ph. (408) 866-2701 or 866-2150 fax (408) 376-0958 email: joanned@ci.campbell.ca.us 1 _ GENERAL FUND REFUNDABLE DEPOSITS' 1W-Public works B=B1,11W,Bond SE=Special Evem ACCOUNT#101.2203 / PD=Police Dept E-Enc roachme.,Permit PS=Police Security Apn'lnni_ & C)�-(1I30�©� PL=Plannlog Dept EIR-Envi-on,ttzl Impact Report S=Subpoena Fee FISCAL YEAR 02/03 SCH=Scholarships FP=Faithful Performance D =Donationfor Toni- PI=Planning Bond L=Landscape Deposit A�Zdey House Deposes .. .BEGINNING._ PRIOR MOS. i- CURRENT PRIOR M1tOS. CURRENT_... j- .....-T D-...~..- ...."_....._ ..._......T- ....-,__... -_ --_.------ _-...-.z ._-._........ .______..._ _.., j .. _.._. NAME DATE RECEIPT PERMIT i CODE BALANCE AMOUNT MONTH AMOUNT h10NTH j OTHER CHECK I CHECK J/E I EN INC NOTATIONlDESCRIPTION •Planniog/$uilding PAID # I # C # 7/1/02 d DEPOSITED ! DEPOSIT REFUNDED REFUNDED i ADJUSTMENTS 0 DATE a i BALANCE I ........__.. ..._.. .__.. .. .. ...._....__.- j 46 N 2nd St Partners 05/02/03 157482 2002 81 I 1 2,120 00 i ! i 2;12U.IIU 46 N Second Street 02-05-17 148861 2002-0081 j 1A60.00 - ! - 1,060.UO( j Abdollahi,Akbar 02-01-14 145697 2002-00008 E I,140.00 Abdollabi,Akbar 02-06-03 149251 1 02-008 I IhfH10.00 - _ i ! ! i 10:000.00 Abdollabi,Akbar 02-06-03 149252 02-008 ,72U.00 i 1 Advanced Radio Telecommunications'' 00-11-13 135269( PL00-93/131 1 PL I,500.001'500.011 Almasi,Shahriar 00-06-28 131883 i 00-00097 E 1;400.00 1,400.00 AI-Mn 02-07-22 150547 2002-121 2,200.00 (2.200.00) 99649 OJ24403' !i A[. 03-02-05 155188 90-180 5,352.00 1 5,352.00 I I, AP-.____structiao 01-11-27 144455 01-167 PL 410.00 I - (41 U.110) 96933 :09/23i021 �Int ck 63.9 APEC Construction 01-11-27 144456+ 01-167 E L820.00 96933 09.12302 - isee above line AT&T - 00-12-20. 136125 1 00-00169 FP 2000.00 20.80f100 ATM LLC 00-08-02 132754! 00-00123 E 50.00; - , 500.00 ATM LLC 00-08-24 133298 00-00123 E 784.00 784.00 ATM LLC 00-08-24 133298 00-00123 FP 1900.00 _ j I9 G00 00 B&C Homes 01-04-05 ]38823 j 00-00193 E 4960.1)0 - 4,960.00 B&C Homes 01-04-19 139193( 00-00193 MS 6.500.00 I��r"� - - j I+ ei500.00 Bastida,Peluso 37784 158538 I 2003-80 ! 500.00 j i00.0(I I i Black,Thomas 02-09-30 152294 2002-101 FP 6.600.00 j Black,Thomas - 02-09-30 152294 j 2002-101 3,500.00 Black,Thomas 02-09-30 152294 2002-101 j 500.00 { I i snaou Black,Thomas 02-07-03 150154 2002-101 PC 500.00 1 + 500 0(1 j j Blomquist,Michael 01-03-01 137865 01-00028 2,500.00 - { (1,875.00I� 98929 1 OV13/03 ( 625.00)partial ref Int$110.55 l ! Blomquisy Michael S • 01-02-28 137841 PLOI-185 PL 5UU.00 - t I 500.110 Donation to be used for expenses-see PI Dept.-No Int. Bob's Grading Inc 00-04-17 129786 00-00050 FP 1,500.00 - _ ' ! j 1.500M) ( j Bothwell,Glenn A. 98-03-05 109562 98-132 ( E 27585.00( Bowen,Bruce 00-10-20 134713 00-00193 i E 1,36U.OU - 1,360.00 P - -:&Logan Group 02-12-01 153750 t 2002-00186"� \` 10,611.UU I I 111 61I fj(1 1 ; I :&Logan Group 11 37693 156174 j 2002-166 30,261.00 f ' 30.261.U(1 i Braddock&Logan Group II 37693 156174 2002-I86 i FP 7,500.00( ( f 7,5()0.00 Braddock&Logan Group II i 37693 15fi174 2002-186 ) 10,000.00 J !!! IILIlUf1.00 Bucknall Road LLC i O]-08-IS 142081 99-161 FP 8,850.OU i III (R.850.00 i = !lot Ck$373.30 ! i )' 1 97469 10l21102 Burch,Stephen - .. 01-01-18 136878 01-00012 '- E 500.011 15oll,w) 100121 03R4/03 �[nt ck$30.43 t 1 Burch,Steven&Rosemary 02-05-24 149038 200I-12 FP 30,000.00� - ( (311.000.00) � 9656E j 09:'(321 02 I + .[nt ck$267.51 Burch,Steven&Rosemary 02-05-24 149038 I 2001-12 5,200.OU 14.060.00) 100121 I�03:74,'03 i 1,200.OU ilot ck$90.78 Camera Cinema 02-07-25 150661 I 2002-26 10,000.00 `I U,000A0)� 101726 06.'16 03 - I lnt ck$207.58 Campbell Christian Schools 01-07-30 141746 j 01-00119 1 FP S,UUU.IIU - S.OUtl.UO Campbell Christian Schools O1-07-30 141746( 01-00119 i E Still.it) SOU UU Campbell Development 01-01-26 137097 00,00233 FP 3,900,00 - - I 3.900.0(i Camp';1 Development 00-06-16 131553 PI -88 2,129.33 ) j 2 121.13 Cellula phone* 00-10-11' 134463 PLOO-58 PL 6,000.00 ( + (000.00 i + Chen,Emily 02-03-05 I 146866 02-172 p 3,000.00 _ _ ! f Cheo,�mily j 02-04-12 147999 2001�00033 FP 3,000.UU t _ _ 3 ( I 3,000.110 i Chen,Emily 102-04-12 147999 t 2001-00033 PL 500.00 - _ Chen,Emil J ' j�^ ' ; (5110.U0) ( JE07/17 - 1 Y 99-11-29 126023 I PW98-03 E 1,500.00 Page 1 of4 OF CA4t6 CAMPBELL •01?CH AhV CITY OF CAMPS ELL Public Works Department April 21, 2003 • .. Emily Chen E&H Fourth,Family Limited Partnership 21009.Seven Springs Parkway Cupertino, CA 95014 Re: 1826 Regina Way EP 01-033,Parcel Map 747 51/52 Monumentation Cash Security Dear Ms. Chen: According to the City records apparently the survey monuments as described in the attached letter to you dated October 21, 2002, have not been set: The City is still retaining the monumentation security in the amount of$3,000.00. It is important that the security be released to the appropriate parry. Therefore, if the City does not receive notification by May 21, 2003, that the work has been completed the following actions will be taken: 1. The City will retain the services of a surveyor to perform the work. 2. If the security being retained by the City is not sufficient, you will be responsible for the additional amount required. Please contact me at(408) 866-2158 if you have any questions. Sincerely I. Harold Housley,RE Land Development Engineer cc: LD File/ 1.826 Regina Way EP File/01-033 Alan Hom,Public Works Inspector Michelle Quinney, City Engineer Kenneth Nelson, 125 E. Sunnyoaks Ave., Suite 206, Campbell, CA 95008 70 North First Street Campbell, California 95008-1436 TEL 408.866.2150 FAx 408.376.0958 TDD 408.866.2790 of CA4t6 M F CAMPBELL u ,rt r✓ ' - L �RCHAV-' (�p 1\\ r CITY OF CAMPBELI. Public Works Department �* Oichard City 2oo2 October 21, 2002 Emily Chen E&H Fourth Family Limited Partnership 21009 Seven Springs Parkway Cupertino, CA 95014 Re: Project Address: 1826 Regina Way EP 01-033,Parcel Map 747 51/52 Monumentation Cash Security Dear Ms. Chen: According to the City's records, a $3,000.00 cash security bond is still being retained for setting the survey monuments for the above-referenced Parcel Map 747 51/52. Please provide us with a letter from your civil engineer/land surveyor that all monumentation has been. completed in accordance with the Subdivision Map Act Section 66495, and the recorded Parcel Map 747 51/52, and that he/she has been paid for his/her services. Upon written request for refund of the security by the party who posted it, the staff will check the site to verify that the monuments have been set. When the monumentation has been completed, the staff will arrange to have your security released by the City Council. According to recorded Parcel Map 747 51/52 monuments should have been set on or before August 01, 2002. Please respond within two weeks of receiving this letter. Contact me at (408) 866-2747 if you have any questions. Sincerely, Lynn Penoyer Land Development Manager cc: LD File/l826 Regina Way EP File/01-033 Alan Hom, Public Works Inspector Michelle Quinney, City Engineer Kenneth Nelson, 125 E. Sunnyoaks Ave. Ste. 206, Campbell, CA 95008 j:\ld\nonuments due 70 North First Street Campbell, California 95008-1436 TEL 408.866.2150 Fax 408.376.0958 TDD 408.866.2790 / ;AUG.31.2002 11:01RM RLL1HNUE 1 1 I LL riv.-.If =MET) 9CAN PROPERTY PROF'IL �' Santa Clara(CA) Od6rNERS1UP INFORMATI®N Owner :Asgari Faterneh&Naser S Parcel Number :403 18 012 CoOwner Bldg Id No : 1 �— y- Ave a Site Addret : 15JO.,�ilg rs ;e+ sapsell 9g Mail Addles 1-5 tOW°alters �mpbell Ca 95008 Phone Owner Tenant: SALES AND LOAN INFORMATION Transferred : 11/05/1999 Loan Amount Document# : 15049809 Lender Sale Price Loan Type Deed Type :Interspousal Interest Type Yo Owned : 100 Vesting Type :Communit Ppty ASSESSMENT AND TAX INFORMATION Land :$343,332 Exempt Type :Homeowners .Structure :$380,000 Exempt Amount :S7,000 Other Tax Rate Area : 10034 Total :$723,332 01-02 Taxes :$5,919.28 Ya Improved : 53 PROPERTY DESCRIPTION Census ; Tract:5067.01 Block:3 Zoning :R19 Res Single family Residence Land Use :01 Res,Single Family Residence Sub/Plat Map Grid; 873 Al Legal PROPERTY CHARACTERISTICS Total Rms .9 Bldg SF :3,046 Units YearBuilt :2001 Bedrooms :5 Lot SF : 10,175 Patio :No Ef TearBlt :2001 Bathrooms :4.00 Lot Acres :.23 Porch :Yes Garage Sp :2 Stories : 1 Lot Dimen :55x185 Elevator Garage SF :449 Dining Rm : 1 CntUlt/Ac :Heat Only Lease SF Bldg Coral :Avg Family Rm : 1 Pool :No Office SF Bldg Class : 9.0 Roe Room Fireplace Sprinkler Bldg Shape :H-Shape Utilityft Sauna IstP7r SF : 1,657 GarageTyp :Garage Water Src Dishwsher 2ndFlr SF : 1,389 Walftt Elect Svc Tennis Ct :No 3rdFlr SF AddtwnSF Gas Svc FrameType :Wood Rental SF Information compiled from vartous,fources. Real Estate Solution makes ao represenradons or warranties as to the accuracy or eompreteness of isformatton contained in this rspart. I I I ],SD99,r+uu.,3i.CI_JYJLl-11•CJlnl� nLLlnl]l.L �1ILL RE-CORDINORIiQtn3a ED11Y DOCUMENT: 15049809 Tit les'.l ! Pages; 2 • I I I�i I ill i , . . 8x Fees. 29.00 mw No. Oeder No.� AIQD�t RBCMDW MAIL S0 � �I Taxse. . . 0901504900 111 �1 aurae W(aser le�C:�- �5�adt AMT PA10 20.00 BREND JAB �aa �7 SS L%Ir, SANTAACLARAS R COUNTY RECORDER 111/05/1999 3o S� Recorded at the request of 2:41 PM City a sm` Grantee SPACE A330WS T11W IINH flC 4 RSCORDIi IS USE A.P.N.— (Excluded ffom reappraisal under Caftrnta C=dtudon Article 13A Section I et seq.) This is an Tatcaspoosel Transfer and not a cha p is owsmgdp nudes Section 69 of the Ravenye and Taxation Code and C+wuw(a)has(have) checlud ties appAcablo tatcWe!=from reappraisal: [ } A traasf®r to a trust=for the beneficial use of a%wine,or the surviving spouse of a deceased ttsnsfcroe,or by a tiustea of such a trust to the Spouse of the truBtor; ( } A ftautkr to a cpousa or former spouse iaa a doa%vith a pwpa y t:ettImmi agreement or doe,-eo Of dt)Ssoludm of a MmTiage or legal separation; t. [XI A creadon,tannafcr,or ttrulaadon,solely between spousee,of aqy eaownor's intateat;or [ } The disaributica of a legal eutlty's FEW*to a spouse orfa marspouse is exchange fbrtht inserestof such apouseta the ION entity in Coanecdon with a property Dt:hlr *At agreement or a dt:urce of dissvlutbon of a tnareAge or legal separation. [ ) Check whole creating separate property interest In grantee spouset It Is the express intent of the grantor,being the spouse OF the grantee,to convey all right,title and lateavat of the grantor,community or otherv4se,In and to the herein described property to the grantee as his/her sole and separate property, [2Q no tax due r0R A VALUABLE CONSIDl3T3A3-J0N sscelpt of which Is he�sby aadmowledged;' hereby GPANT(S)to /V r��V� ta^�'I` 014,A i`E1 MU the zeelpropam in the taaty� t am}�b® 3 ,County of Santa Clara State of California,desoailaed as I,t'SF'j description attached hereto and made a part hereof; Dated: //—44 9 47 ®®�� STATF OF CALIFORNIA FA COUNTY OF '{—�1- C t//�,� d�_ - } �A rr-,, ✓,9/+ GA before sae, muially appeared ►b08$00$4RQGO� ' p provadtb ttte on the basis of eatia}Itctoty JOELLE M.SEREMITAR evidence)is be daepert+ott(s)whose ntune(a)ia/nre subscribed to the Cchimisolon 01131940 within instrument and aeknowledbed to ma that he/ehe/thoy txecuted Wofary Public•Caliteaple the same in his/her/their outhorWd capacity(les), and that by Santa Ctatai County his/her/their signaturo(a)on the Instrument the pernon(B),or the entity guy Comm.Mims tday72,z00a upon behalf of which the pereon(s)Anted.encUtod ft indrun=t. W1T=S my hand end offacid send. Signature........._. r" Clue area for Official notarial Beni) ca PAIL TAX STA7SNOWS To: SAME AS ABOVE WAND OW,STATE A 9JP 15049 RUG.31.6bbe2-11:bGHrr—HLL1HIYl.t 111LtT Description: The land referred to herein is situated in the State of California, County of SANTA CLARA, CITY OF CAMPBELL, and Is described as follows: PARCEL NO. 1: BEGINNING AT A POINT IN THE CENTER LINE OF WALTERS AVENUE, 40 FEET WIDE DISTANT THEREON N. 760 40' E. 593.10 FEET FROM THE INTERSECTION THEREOF WITH THE CENTER LINE OF HARR15T AVENUE; THENCE ALONG SAID CENTER LINE OF WALTERS AVENUE, N. 7610 40' E, 55 FEET; 'THENCE S. 150 53' E. 184.97 FEET; THENCE S. 760 40' W. 55 FEET; THFNCI: N. 150 53' W. 184.97 FEET TO THE POINT OF BEGINNING AND BEING A PART OF THE RANCHO RINCONADA DE LOS GATOS. PARCEL NO. 2: A RIGHT OF WAY AS APPURTENANT TO PARCEL i ABOVE DESCRIBED OVER A 16 FOOT RIGHT OF WAY DESCRIBED AS FOLLOWS; BEGINNING AT A POINT IN THE CENTER LINE OF WALTERS AVENUE 40 FEET WIDE, SAID POINT BEING THE NORTHEASTERLY CQRNER OF THE HEREINABOVE DESCRIBED PARCEL OF LAND; THENCE ALONG THE SAfD CENTER LINE OF WALTERS AVENUE, N. 760 40' E. 15 FEET; THENCE S. 160 53' E.•184.97 FEET; THENCE S. 760 40' W. 16 FEET; THENCE N. 150 53' W. 184.97 FEET TO THE POINT OF BEGINNING. c ASSESSOR'S PARCEL NO.: 403-18-012 1 i ?.ENbER:COMPLETE THIS SECTION' COMALETE THIS S'E&ION ON DELIVEFIY ■ Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse ❑Agent X ✓ `� so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B. ReceiveLd by(Printed Name) C. Date of D livery or on the front if space permits. 1. Article Addressed to: D. Is delive address different from item 1? ❑ es If YES,enter delivery address below: ❑No 3. Service Type ❑Priority Mail Express® I I'lllll�II I'I I I I II I I II I'llll I' I I I I I I ❑Adult Signature ❑Registered Mailr" ❑Adult Signature Restricted Delivery ❑Registered Mail Restricte Certified Mail Delivery 9590 9402 4354 8190 548610 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation^' 2,_Article_Number(transfer from service label)_ ❑insured Mail ❑Signature Confirmation 7003 311 0001 3650 12 8 3 (over$500)Insured Mail Restricted Delivery Restricted Delivery PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt USPS TRACKING# First-Class Mail Postage&Fees Paid USPS Permit No.G-10 9590 9402 4354 8190 5486' 10 United States •Sender:Please print your name,address,and ZIP+40 in this box• Postal Service PUBLIC WORKS CITY OF CAMPBELL 70 t4orih First Straat Camp 3*11. CA M-0-8 Certified Mail Provides: (as�anad)zoozaunf'OOBEwJoJS� ■ Amailing receipt s A unique identifier for your mailpiece e 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 Mail, ■ Certified Mail is notavailable for any class of international mail. ■ NO INSURANCE COVERAGE'IS PROVIDED with Certified Mail. Fo valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof o delivery.To obtain Return Receipt service,please complete and attach a Returr Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver foi a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee o addressee's authorized agent.Advise the clerk or mark the mailpiece with thi endorsement"Restricted Delivery" e If a postmark on the Certified Mail receipt is desired,please present the arti cie at the post office for postmarking. If a postmark on the Certified Mai receipt is not needed,detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. e . n CERTIFIED U (Domestic Mail Only;No Insurance Coverage Provided) For delivery information visit our yyebsite at www.usps.contp zi OFFICIAL Tl Postage $ -q Certified Fee Return Reciept Fee Postmark (Endorsement Requlred) Here =I Restricted De"very Fee -q (Endorsement Required) -n Total Postage&Fees -n z, Sent To — orP0 Box No. �_ VeV�._.� 1 S City,State ZIP+4 - ---- --- O. ..._.. - :.�0 9 l w