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ENC2015-0055 January 24, 2019 Mr. Richard Yee Robson Homes 218 The Alameda#150 San Jose, CA 95126 SUBJECT: PERMIT NO. ENC 2015-00055 Madison Park, Campbell, CA FINAL INSPECTION AND ACCEPTANCE Dear Richard: The City of Campbell has made a final inspection of subject Public Works improvements and finds the work to be acceptable and in conformance with City standards. Accordingly, the City Engineer accepts the improvements. Your warranty requirements and any surety, therefore, are hereby released. Your Emergency Cash Deposit in the amount of$10,000.00 and your Monumentation Deposit in the amount of$50,000.00 are enclosed. Your original CD in the amount of $257,472.73 with the release is also enclosed. Sincerely, Roger Storz Sr. Civil Engineer Enc: CD#5790384431/Release of Assignee, Check# 271603 Cc: California Bank & Trust OF"CA �l U 0 0 a y OkeH Aw0 - CITY OF CAWBELL Public Works Department January 4, 2019 Jim Rhoden Senior Forward Planner Northern California Homebuilder Services First American Title 1737 N. First Street, Suite 100 San Jose, CA 95112 Subject: Local Improvement Bond Obligation APNs: 412-08-045 Address: ,Q:O�Sa d �a Lar Conn Amegy-@ts Campbell, CA 95008 Tract No: 10425 (Lands of Madison Townhomes of Campbell FIOA and William G. Perry and Elizabeth A. Perry) Dear Mr. Rhoden: Public Works review for Local Improvement Bond Obligations on subject lands has found: No bond obligations are or will become due within the next fiscal year. ❑ Bond obligations are or will become due within the next fiscal year. ❑ On an assessment schedule was submitted to the County. ❑ An assessment schedule is enclosed. ❑ Applicant shall prepare an assessment (or amended) diagram. Submit same for Public Works approval and preparation of assessment schedule. Roger K. Storz, PE Senior Civil Engineer Public Works Department 70 North First Street Campbell, CA 95008 (408) 866-2190 70 North First Street Campbell,California 95008-1423 TEL 408,866.2150 FAX 408.376.0958 TDD 408.866.2790 PUBLIC WORKS DEPARTMENT LAND DEVELOPMENT Effective July 1,2017 TO: Finance PUBLIC WORKS FILE NO. Tract No. 10425 PROPERTY ADDRESS 500 Sam Cava an:e Please collect&recel ot for the followln monies ^`aACCT.. ITEM AMOUNT . 9 f k+ LAN DaDEVELOPMENT., 4722 Encroachmer Non-Utilitr �A"q nn Minor Er Initial R- "' q ' « , , Subse l a _ „, C1 Inspect' r'J In 7 1 Uj Street r- 2203 a �,�' ,_•d 1 2203 Plan C: 4722 Gradir `' I ro ry Y j '"'j IZJ Ct •� H ,-.r Fly Cj W LU 4722 NPDES R u , ;U- F H h. vT F a 1 pG e For 'z v� w a IZ4 «: oa ;? =' — r 4722 For x `' '- rw tom; cam, co z z w 4722 Additional Lll — ,_.._ W Plan Check& Inspection Fee Non-utillL s 4722 En r. Est. <$250 000 14 io .�.• 4722 En r. Est.>_$250 000 and :5$500 000 $35,000+8% of Engineers Caull,,,._- 4722 En r. Est. >$500 000 $55,000+7%of Engineers Estimate 2203 EmerqencV Cash Deposit 4%of En r. Est. 500 min! 10 000 Max 2203 Faithful Performance Security FPS 100% of ENGR. EST.* 2203 Labor and Materials Securit 100%of ENGR. EST.' 4721 Storm Drainage Area Fee Per Acre R-1 $2,120.00 (Multi-Res$2,385.00) $492.00 All Other 2 650.00 4722 Parcel Ma 4 Lots or Less $4009.00+$87/lot 4722 Final Tract Ma 5 or More Lots 4 871.00+$118/lot 2203 Monumentation Security 100% of Cit 's Monumentation Estimate 4920 Parkland Dedication Fee 75%/Remaining25% Due Upon Cert.of Occupancy) _ $18 756.00 4722 Lot Line Ad'ustment Includes Certificafe of Compliance) $1 893.00 4722 Vacation of Public Streets & Easements $2 530.00 $2 530.00 47221 Certificate of Compliance $1 877.00 4722 Certificate of Correction $561.00 s 4722 Document Recording Fees $15.00/first page 3 ea.Additional 4722 Private Improvement in Public ROW $50.00 4722 Approved Plan Revision Fee . 100/sheet 4722 Appeal Filing Fee $200.00 4722 Notary Fee (per signature) 10.00 4722 Assessment Segregation or Reapportionment First Split $895.00 Each Additional Lot eoo1.()o 511.7424 Postage MISCELLANEQUS Other Please Specify) 'Engineer's Estimate shall be as approved by the City Engineer and shall include all items of work. TOTAL $21 778.00 NAME OF APPLICANT \ \ G. ` NAME OF PAYOR PHONE ADDRESS ZIP FOR RECEfVED•BY•; g ' `H CITY CLERK ^�ONLY Date. Recei f l:\l.ndl$,Al'l,,[Geel Ceeimenls\I Specific i'rujecls ACIIVC prnj-In prvyres5\1lillon An.70MI ise III-1—t l4a]5\f eeslliemailiiny l ees W AUTOMATICALLY RENEWABLE CALIFORNIA Q , BANK U Txusr TRUST IL. i ]-� U ISSUED AT �� OFFICEd �: \ - DATE I (CITY OR TO N) (STATE) W 0 (� `�1( �"fC UO (CUSTOMER NAME) -OMER NUMBER) F- .� �' dam/ (' n �''M �f' J✓�� UdO DOLLARS $ .��L- S CL 0 HAS TODAY BEEN DEPOSITED WITH CALIFORNIA BANK&TRUST PAYABLE TO ° 'y V OR ORDER UPON MATURITY = Q U) AS HEREINAFTER SPECIFIED AND UPON PRESENTATION A D S RRENDER OF THIS CERTIFICATE,PR RLY ORSED,AT Tp ABOVE dFFICE. F_ THE MATURITY OF THIS CERTIFICATE WILL BE � AFTER DATE,AND SUCH MATURITY WILL BE AUTOMATICALLY EXTENDED FOR SUCCESSIVE LIKE PERIODS aZ UNLESS:(A)AT LEAST TEN DAYS PRIOR TO SUCH ORIGINAL 0 ANY EXTENDED MATURITY,THIS BANK HAS SENT WRITTEN NOTICE TO THE PAYEE OR OTHER HOLDER THEN DESIGNATED ON ITS RECORDS OF BANK'S ELECTION TO PAY THE DEPOSIT AT SUCH ORIGINAL OR ANY EXTENDED MATURITY, OR (B)UPON OR WITHIN TEN DAYS AFTER SUCH ORIGINAL OR ANY EXTENDED o MATURITY DATE,THIS CERTIFICATE IS PRESENTED AND SURRENDER,(E}�FpR PAYMENT. SAID DEPOSIT BEARS SIMPLE INTEREST AT THE RATE OF t/'s! %PER ANNUM _ FROM DATE HEREOF UNTIL ULTIMATE MATURITY,AS ABOVE PROVIDED,-AND SUCH INTEREST WILL BE PAID'OR CREDITED AT EACH SUCCESSIVE MATURITY DATE IN ACCORDANCE WITH THE WRITTEN INSTRUCTIONS OF THE PAYEE OR OTHER HOLDER THEN DESIGNATED ON THE RECORDS OF THIS BANK. ' THE RATE OF INTEREST IS SUBJECT TO CHANGE BY BANK WITHOUT NOTICE, TO THE EXTENT' NECESSARY TO COMPLY WITH ANY LAW OR GOVERNMENTAL REGULATION AFFECTING THE DEPOSIT �" HO D JiGNATURE pF-C`141 JoAnna Thomason City of Campbell Department of Public Works U r 70 North First Street ° ° Campbell,CA 95008 Phone:(408)866-2150 °a C H A e o Fax:(408)376-0958 E-Mail:Joannat@cityofcampbell.com . Transmittal To: California Bank and Trust Date: January 25,2019 Re: Investment Certificate Return ❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ For Information &Use Please be advised that the original CD 45790384431 in the name of Madison Park of Campbell,LLC.has been released and returned to them. Enclosed is a copy of the CD,Assignee Release and letter to the Assignee. Thank you, JtY�Ann a cc: Project File No. ENC2015-00055 \\Honouliuli.cityhall.ci.campbell.ca.us.local\Profile_Data$\oannat\Desktop\My-Forms\Transmittals\CD Retum to Bank.doc(Rev.03/08)- �,of^`Ca,y( °kCHaRo CITY of CAMP BELL Public Works Department January 24, 2019 Mr. Richard Yee Robson Homes 218 The Alameda#150 San Jose, CA 95126 SUBJECT: PERMIT NO. ENC 2015-00055 Madison Park, Campbell, CA FINAL INSPECTION AND ACCEPTANCE Dear Richard: The City of Campbell has made a final inspection of subject Public Works improvements and finds the work to be acceptable and in conformance with City standards. Accordingly, the City Engineer accepts the improvements. Your warranty requirements and any surety,therefore, are hereby released. Your Emergency Cash Deposit in the amount of$10,000.00 and your Monumentation Deposit in the amount of$50,000.00 are enclosed. Your original CD in the amount of $257,472.73 with the release is also enclosed. Sincerely, Roger Storz Sr. Civil Engineer Enc: CD#5790384431/Release of Assignee, Check# 271603 - Cc: California Bank& Trust 70 North First Street Campbell, California 95008-1436 TEL 408.866.2150 • FAx 408.376.0958 TDD 408.866.2790 0 • C4 r 0kCHABO CITY of CAIv1PBELL Public Works Department January 24, 2019 Mr. Richard Yee Robson Homes 218 The Alameda#150 San Jose, CA 95126 SUBJECT: PERMIT NO. ENC 2015-00055 Madison Park, Campbell, CA FINAL INSPECTION AND ACCEPTANCE Dear Richard: The City of Campbell has made a final inspection of subject Public Works improvements and finds the work to be acceptable and in conformance with City standards. Accordingly, the City_Engineer accepts the improvements. Your warranty requirements and any surety,therefore, are hereby released. Your Emergency Cash Deposit in the amount of$10,000.00 and your Monumentation Deposit in the amount of$50,000.00 are enclosed. Your original CD in the amount of $257,472.73 with the release is also enclosed. Sincerely, Roger Storz Sr. Civil Engineer Enc: CD#57903 8443 1/Release of Assignee, Check#271603 Cc: California Bank& Trust 70 North First Street• Campbell, California 95008-1436 TEL 408.866.2150 • FAX 408.376.0958 TDD 408.866.2790 I � ...........:__...... .: �.....- ._._.:: �� ______ _____." ___.___ _" __. .. ._ ._______,___-.__. _._ �- , e -------- CITY OF CAMPBELL VENDOR NO. , 1001360G CHECK No.' 271603 , 101 2203 CRO11419 60,000'00 ENC2015-00055 ROBESON I E I I I y I N I � I 10013606 MADISON PARK OF CAMPBELL �., T T �.. �� 1� • 1 CHECK DATE :' 1CHECK HAN NO I }I( t ELL ��Fi$LG,�x FARGO �C 'II..A 11'24 CITY OF' CAIVIPB MONTGOMERY STREET 1210 0 1/2 q 7Q NCIFFH=FIRST STREET ti g Fgc cA ba3oa Is a I� O �Fdtk*6O'''— e AMOUN T > PAY THE` SUM OF SIXTY THOUSAND DOLLARS- & ZERO CENTS 4 TO THE MADISON PARK OF CAMPBELL r =rs ' r 2185 THE ALAMEDA #150, r s 4 t �' iY 7e lyr I I SAN JOSE CA 95126 x 77 1` i ' ' '- �<� n■ 27 L603�i' �: L 2 ib00 248�: '�4 L�2 LB55{4t15�I'' �`A ��' i" 1� nz 5 is ----------- I I *See Reverse Side For Easy Opening Instructions* CITY OF CAMPBELL _ l j 70 NORTH FIRST STREET CAMPBELL, CALIFORNIA 95008 I � I 1 �I I dl I � I _ � I I I MADISON PARK OF CAMPBELL i 2185 THE ALAMEDA #150 SAN'-JOSE CA 95126 i I ASSIGNMENT AND RECEIPT OF INVESTMENT CERTIFICATE P.W.Permit No. U� �� TO CITY OF CAMPBELL,70 N.FIRST STREET TR or DEV " C�2�'190 CAMPBELL,CALIFORNIA 95008 (408)866-2150 Loc. UL I am/We are the owner(s) of a savings account at LIS� at its branch office at l S N ISfi SZ'A� , S4.PyVeS51 ,California, investment-certificate No. SA3 a in'the names of MAPIT421l PARY OF �Pg LL, LLG and having a present balance of$ 25-7, 4 7?—. 7 I hereby_ grant, transfer and assign"said account, said investment certificate, said balance (including interest which accrues thereon), and all other rights in connection therewith to the CITY OF CAMPBELL, assignee, for.a good and valuable consideration, receipt of Which is hereby acknowledged, for the purpose of insuring construction described as follows: 5T262T^1n0V6,MxWr-CiK3,01uAT W/rr/.utyo�csl ►/' Lb�V o�u/i'+ .3►tP�R�rt �10� �h1 E 2_oi S-000SS I have physically delivered verification of said investment certificate and duplicate of this Assignment and Receipt to said assignee. I understand that assignee can withdraw from said account any time on his signature alone upon presentation of a written order to the issuer. I also understand that I may not withdraw from said account unless I present a signed release from the assignee. The issuer of the certificate assumes no responsibility for the conduct of the assignee and may act on the signature of the assignee without further inquiry. . Executed on e ,20 J_ ,at said offic of the issuer. Assignor (sign) 1�1.4/Z/C Ro j D yq (print) ACKNOWLEDGMENT BY ISSUER Issuer affirms that there are no other holds on subject account,that subject monies are available, and that the.above-described assignment has been noted on,the Records of said issuer. Date ® 5 0S BY ( uthorized Si ure) ATTACH NOTARY ACKNOWLEDGMENT Title rl& /'✓i INSTRUCTIONS TO ASSIGNEE Please sign below for signature identification and as acknowledgment of your notice of Assignment. Return this Assignment and Receipt to/ / the issuer at its address above. Retain one copy of this Assignment and Receipt for your files. Date LO/ �q .! u�— City of Cam RELEASE OF ASSIGNEE Said assignee hereby releases and relinquishes all his right,title and interest in and to said account,said investment certificate, said balance and all other rights in connection therewith. Date 2M 1 el Cit of m ell By JAFORMSUemplatesEand Development\Street Improvements\Assignment&Receipt-,of Investment Certificate.doe(Rev.03/08) CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT CLEARANCE TO REFUND MONUMENTATION DEPOSIT Parcel Map book and page: J or Tract Number: Encroachment Permit,,# EIX'_ Dp\ ,S- ^ ©C7o S S Property Address: a�6� a b Letter received from Surveyor (Name): NkAL,,,, Dated: l3 Date of City Inspection: �l �/� I By: On File: Bonds OCD Cash �'� C��` "� � 7� Amount of Monumentation Deposit $ `��b ad •� �.nn��e.nL`� �G.5 l�� Processed by: \ Administrator Reviewed by: Land Development ltngin6er Reviewed by: a °� I ty Engineer J:VoAnnaT\Deposit refunds\CHECKLISTS\Checklist-Clearance to refund Monumentation Deposit.doc City of Campbell Department of Public Works 70 North.First Street Campbell,CA 95008 SUBJECT: MONUMENT BOND RELEASE PARCEL MAP/T C MAP NO... a - rG?...... Recorded in Book �t:....of Maps,at page(s).... .......... Dear City Engineer: In conformance with the requirements of Section 66497 of the Subdivision Map Act, please be advised that the Engineer/Surveyor has been paid in full for setting the monuments within the above described subdivision. It is requested that Monument Bond Cash Deposit in the amount of................................. be released. Developer/Agent Date of signature of this document CERTIFICATE OF ENGINEER OR SURVEYOR I... ... -f1...... .... .. .. . ...................certifythat all monu is ow on t map o e above described subdivision are now set and that payrrlent-i or wo a eived. -�< 7 �C3\1 L T., S��,G TURiyF�F� ivil Engineer or Land Surveyor No.9104 et stamp here 1 s!r License num er Expiration date lFOF CA�1F� Date of sig ature of this document NOTE: Processing of the bond release cannot occur unless all of the above information is complete. CITY OF C MPBELL City Inspector Date Comments: Rev.09/2014 r PUBLIC WORKS DEPARTMENT LAND DEVELOPMENT Effective July 1,2015 TO: Finance PUBLIC WORKS FILE NO. ENC2015-00065 PROPERTY ADDRESS 280 Dillon Ave Phase I Please collect&recel t for the followln monies K AMOUNT; ENT L i4ND DEl%EI OP y F r`� + 4722 Encroachment Permit Application Fee Non-Utility Encroachment Permit Major>_$10,000 $395.00 Minor Encroachment Permit<sio,000 $225.00 Initial R-1 Permit N/C Subsequent R-1 Permits within Two Year Period $225.00 Inspection Fee Minimum Charge per Location $390.00 Street Tree Planting/Removal N/C 2203 $500 per Tree Planting Deposit Required) $500.00/tree _ 2203 Plan Check Deposit 2%of Engineer's Estimate $500.00 min Utility and R-1 Permits no deposit required 4722 Gradinq & Drainage Plan Review Single Family Lot • $275.00 Site< 10,000 s.f. $825.00 Site z 10,000 s.f. <0.5 Acre $1,105.00 Site z 0.5 Acre $1 655.00 4722 NPDES Review(C3 Requirements) For proiects not required to submit numeric sizing $160.00 For projects required to submit numeric sizing Impervious Area 10,000 Sq. Ft to 1 Acre $690.00 Impervious Area 1 Acre or more $900.00 _ 4722 For ro-ects sent to Consultant for review Consultant Cost+20% 4722 Additional treatment facilities $300 ea Plan Check& Inspection Fee(Non-Utility) _ 4722 En, r. Est. <$250 000 14%of Engineer's Estimate 4722 En r. Est.>_$250,000 and 5$500,000 $35,000+8%of Engineers Estimate $35,800.00 En r Est. >$500,000 $55 000+7%of Engineers Estimate 4722 2 3n E er,.:e:rac as-h�De_ oYsr _ •/oT5'f F�ngr EUM(-0-Mmiry1,$,4;O t1oUiMa_ $1�OT00QTa0]� Faithful Pe- ormance Secure FPST- ES . 2203 Labor and Materials Security 100% of ENGR. EST.' 4721 Storm Drainage Area Fee Per Acre R-1 $2 120.00 JMulti-Res$2,385.00) 2.38 Acres All Other$2 650.00 4722 Parcel Map (4 Lots or Less $3 930.00+ 85/lot 4722 FinallTract Ma 5 or More Lots $4 775.00+$116/lot 2203 Mon6mentation Security100% of Cit 's Monumentation Estimate 4920 Parkland Dedication Fee (Remaining 25%will be Due Upon Cert. of Occupancy). 4722 Lot Line Ad-ustment Includes Certificate of Compliance) $1 856.00 4722 Vacation of Public Streets &Easements $2,480.00 4722 Certificate of Compliance $1 840.00 4722 Certificate of Correction $550.00 _ 4722 Document Recording Fees $15.00/first page$3 ea.Additional 4722 Private Improvement in Public ROW $50.00 4722 Approved Plan Revision Fee $100/sheet 4722 Appeal Filing Fee $200.00 4722 Notary Fee per signature) $10.00 4722 Assessment Segregation or Reapportionment First Split $877.00 Each Additional Lot $275.00 611.7424 Postage MISCELL`AN��1<:1;5`e ,`..: ;. ':,;. .,. '' a 't ° rl -h"�• ....J,,. _3�..,.._t{._.S._w7 , u�::�? *Engineer's Estimate shall be as approved by the City Engineer and shall include all items of work. TOTAL $45,800.00 NAME OF APPLICANT ROBSON HOMES NAME OF PAYOR MADISON PARK OF CAMPBELL, LLC PHONE (408)345-1767 ADDRESS 2185 THE ALAMEDA SAN JOSE, CA ZIP 95126 1 .� i 1 I ! 4 _ ah s�.•yf�. r _5 L }s t r,, s , a b F 7 l.ch§y". FOR RECEIVED BY k f { CITY CLERK ONLY Date t l Recet �/ x. J:LLr,dDev%P1vn Check Canmaolstl-SPedrk Projects Active Prolool In P:oStesslD'Jlon Ave.28OlFe Tocs-R,naiwq PUBLIC WORKS DEPARTMENT LAND DEVELOPMENT Effective July 1,2015 TO: Finance PUBLIC WORKS FILE NO. ENC2015-00055 PROPERTY ADDRESS 280 Dillon Ave (Phase I Please collect&recei t for the following monies: (.ACCT a:,ITE a S s R t` a e AMOEIiVT ,* 7 , 4722 Encroachment Permit A (cation Fee Non-Utility Encroachment Permit Major>-$10,000 $395.00 Minor Encroachment.Permit<$to,000 $225.00 Initial R-1 PermitN/C f.I'1'f tll C>'tir'!ict,l.. Subsequent R-1 Permits within Two Year Period $225.00 Rl'-xvi) .un L;Ar'sll.tl.3' i1l.iliJG''11fs5'r' Inspection Fee Minimum Charge per Location $390.00 C'Ak'/L}R W01:6MN PARK Street Tree Planting/Removal N/C i i;}:ilr'(' i DATIE 10/05,/:;5 2203 $500 perTree Planting Deposit Required) $500.00/tree rt�.( 1Fs1`E;t, DATE, 1CJ/t,<;#:i l:ii!'^ t{?j°fst} 2203 Plan Check Deposit 2% of Engineer's Estimate $500.00 min " Utility and R-1 Permits no deposit req }?E.1, 'RY.I'T).Ofit AV,0,al l 4722 Gradinq& Drainage Plan Review �.t131' :lLii r;i;'t}s t7t3El i'ut __- Single Family Lot $275.00 1;1" 1RFi D A3N FEES F11 2 n'dl-+ Site< 10,000 s.f. $825.00 Lill t eiri{1tII.l}tPlt'( T:EEtd SEi:►J!?T`(�' Site>_ 10,000 s,f. <0.5 Acre $1,105.00 s,SiC! ('t}lft ;ifs Site>_0.5 Acre $1 655.00 REF, }-:iEF'l};3:i.'i " 101 4722 NPDES Review(C3 Requirements) :}};ri'; For projects not required to submit numeric sizing $160.00 h;l:i rfc'_Pi!;l;' it}1 yi.;'r Uf}(•}„cm For protects required to submit numeric sizing - - ---Impervious Area 10,000 S . Ft to 1 Acre $690.00 impervious Area 1 Acre or more $900.00 ;;;` " UI1w 4722 For projects sent to Consultant for review Consultant Co: Trflril=ryLli'° t fly"`j/`'"`�l 4722 Additional treatment facilities $300 ea i l;Aillsc:.; "f} Plan Check& Inspection Fee (Non-Utility) t;}iti';i( 70,6,1, sit 4722 Enqr. Est. <$250 000 14%of Engine( REF i,}tjr1;; �i}PE' 1 Q1EltJ51[},'s.i}ij5;'.. 4722 En, r. Est. z$250 000 and 5$500 000 $35 000+8%c 4722 Enqr. Est. >$500,000 $55 000+7%c 2203 Emergency Cash Deposit 4%of Enqr. Est 2203 Faithful Performance Security FPS 100%of ENGR 2203 Labor and Materials Security 100%of ENGR. E81•.' 4721 Storm Drainage Area Fee Per Acre R-1 $2 120.00 (Multi-Res$2,385.00) 2.38 Acres `$5,676.30 (All Other$2 650.00) 4722 Parcel Map (4 Lots or Less) $3 930 00+ $85/lot 4722 �F1nal�Trat.Map(5 r More Lots $4775 0.0 t$116/tat 22f}3 i i onus ienta.ti"e[S c,rdt 1 00® o Gi 4 Mo t brucr�atian tim Sl 5 YT000T0;Q_ `-4920 Parkland Dedication Fee e bue Upon Cert. of Occupancy) 4722 Lot Line AdoUstment(Includes Certificate of Compliance) $1,856.00 4722 Vacation of Public Streets& Easements $2 480.00 4722 Certificate of Compliance - $1 840.00 4722 Certificate of Correction $550.00 4722 Document Recording Fees $15.00/first page$3 ea.Additional 4722 Private Improvement in Public ROW $50.00 4722 Approved Plan Revision Fee $100/sheet 4722 Appeal Filin Fee $200.00 4722 Notary Fee (per si nature) $10.00 4722 Assessment Segregation or Reapportionment First Split $877.00 Each Additional Lot $275.00 5117424 Postage MISCELId fVE(8U.S� a <,. �'i 'n� ' SiE}f w�r�D�i r�,iM"�N 6� S dfi , 2203 Other-Traffic Signal Emergency Vehicle Pre-emption Contribution $15,000.00 `Engineer's Estimate shall be as approved by the City Engineer and shall include all items of work. TOTAL $70,676.30 NAME OF APPLICANT ROBSON.HOMES NAME OF PAYOR MADISON PARK OF CAMPBELL, LLC a PHONE 408 345-1767 ADDRESS 2185 THE ALAMEDA, SAN JOSE, CA .3 ZIR' 95126 FOR CITY CLERK + 7 Recelpt#' i E ONLY Datea � ,� a �,(�� J:\La,MOavRan Check C-antsA-Speclfc Projects-Active Project In Prog,ess\O enA-Mweesw- JoAnna Thomason From: Syed Wahidi Sent: Wednesday,January 09, 2019 3:13 PM To: JoAnna Thomason Cc: Roger Storz Subject: Robson Phase 1 (ENC2015-00055) JoAnna, I can't find file for this one unless it's out for monument release or something. Please go ahead and release 100% deposit on this one. Thx. 0v•CAA Syed Wahidi Public Works Inspector U r City of Campbell Public Works Department 0 o 70 N. First Street j Campbell,CA 95008 A. wN.vw.citvofcampbell.com ; 408.866.21 65 •11RCHABL 1 12/20/2018 8:49AM 4'PX- CEL Payment History For Case#: ENC2015-00055 Recorded Type .Fee.ID# Descrtptton . Fees .`Pi►�d °'"DaYe 7F'a d C6eclt#, `. Recei t# 'W ny' TDare Histo'r� . :, .,. - AF05 201504011331024560 PnntAppFee Utility Encrch 385.00 385.00 3/31/2015 257878 JT 0.00 Print PCDP 201504011331126900 Rllzelp6+ +0 ?rb3003/31/2015 257878 JT 0.00 GRA4 201508111431157790 Grdng&Drain Pln Rev>= 1,621.00 1,621.00 3/31/2015 257878 JT 0.00 .5 Ac PRF1 201508111434254450 NPDES Review Fee C3 884.00 884.00 3/31/2015 257878 JT 0.00 Req. FMTM 201508111436319610 TractMapFee=>5Lots+$11 11,521.00 11,521.00 3/31/2015 257878 JT 0.00 4eachlot PCI2 201509171348349630 NonUtilPlnCk/Insp>=$250 35,800.00 35,800.00 10/8/2015 260726 JT 0.00 K&<500K CASR 201509171348524970 •Emergency Cash Deposit 1t-P-O.DJWk 10,000.00 10/8/2015 260726 JT 0.00 Refund SDB 201509171349431970 Storm Drain Fee- 5,676.00 5,676.00 10/5/2015 260667 JT 0.00 Multi-Fam MONU 201509171400241860 Mon.Sec.Dep100%ofCity's SSl g2L-0-. MM% 50,000.00 10/5/2015 260667 JT 0.00 Est. GRA2 201705181156015990 Grdng&Drain Pln Rev 841.00 841.00 5/18/2017 7678. JT 0.00 <10K sf PRF1 201705181156426430 NPDES Review Fee C3 704.00 704.00 5/18/2017 7678. JT 0.00 Req. FMTM 201705181157597860 TractMapFee=>5Lots+$11 5,933.00 5,933.00 5/18/2017 7678. JT 0.00 4eachlot PRF2 201705181202491050 RevFee Prgts No Numeric 200.00 200.00 5/18/2017 7678. JT 0.00 Sizing CORR 201710021317480920 Certificate of Correction 590.00 590.00 10/2/2017 271675 JT 0.00 CASR 201810091116585520 mer-gency h 0- os t W,6-03T00 -3,603.00 10/9/2018 270110 JT 0.00 �Ref�i Total Fees:$124,155.00 Paid:$124,155.00 TOTAL REMAINING DUE: $0.00 Page 1 of 1 CasePaytnentHistory..rpt Ref undable Deposit Check Request To' Finance Director Check Payable To: Madison Park of Campbell, LLC Address- Line 1: 2185 The Alameda Line 2: City: San Jose Stater CA Zip: 95126 Description: ENC2015-00055 Robeson Account Number: 101.2203 Amount: $60,000.00 Account Number: 101.2203 Amount: Account Number: 101.540.7448 Amount: (Finance Dept only) Interest Earned (Finance Dept only) Total Payable: (Exact Amount) Purpose: Monumentation/Cash Deposit Rfund Permit#: ENC2015-00055' Receipt# - 2607.26 Date: 10/8/2015 Receipt#: 260667 Date: 10/5/2015 Requested by; Title: Office Spec Date: 1/8/2019 Jo nn Thomason Approved by: Title: Sr. Engineer Date: jjqjfj Pn�� Roger Storz Date: Todd Capurso PM Director Finance Dept Only: Verified by: Title: Accounting Clerk 11 Date: Approved by: Title: Accountant Date: Special Instructions For Handling Check Mall AS IS: Mail in Attached Envelope: Interim GheCK: Needed By: (Ret:urno': JoAnna Thomason Public Works (Name) (Department) PUBLIC WORKS/PLANNING REFUNDABLE DEPOSITS ACCOUNT#101.2203 NOVEMBER 2018 FISCAL YEAR 18/19 Harrington,Thomas 10/29/18 277865 ENC20185-00284 35,000.00 35,000.00 Hawkins,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 ENC2014-00198 2,000.00 2,000.00 Hillhouse Construction 03/25/08 205513 500.00 500.00 Hurley Contractors 02/09/15 257144 PLN2014-00323 10,500.00 10,500.00 Hurley Contractors 02/24/15 257381 PLN2014-00323 98250 98250 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 10/03/18 277514 PLN2017-00120 22,241.00 22,241.00 in-N-Out Burgers 10/03/18 277514 PLN2017-00120 4,448.00 4,448.00 In-N-Out Burgers 08/08/17 270870 PLN 2017-00120 15.73 (15.73) UE07/16 - In-Out-Burgers 05/30/18 275446 PLN2017-00120 10,000.00 (10,000.00) J/E07/16 - In-Out-Burgers 05/30/18 275446 PLN2017-00120 27,269.00 (25,183.77) (2,085.23) 270533 11/05/18 - In-Out-Burgers 05/30/18 275446 PLN2017-00120 136,345.00 (25,394.82) (18,963.66) 270770 11/05/18 91,986.52 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 1wagaki,Shirley 05/23/18 275337 ENC2018-00120 2,000.00 (2,000.00) 268777 07/09/18 - J3 Construction 04/28/11 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 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 (1,250.00) 269466 08/27/18 - Kirkorlan Ent 06/06/14 253800 2013-00206 1,354.00 1,354.00 Kirkorian Ent 06/06/14 253800 2013-00206 33,850.00 33,850.00 Kirkorian Ent 06106/14 253800 2013-00206 9,000.00 9,000.00 Kirkorian/Carroll 10/28/13 250630 ENC2013-00206 700.00 700.00 Kobre Holdings LLC 11/28/18 278302 ENC2018-00339 12,000.00 12,000.00 La,Clara O1/25/02 145933 2002-00016 1,092.00 1,092.00 Lee,Dennis 09/25/18 277371 ENC2018-00294 748.00 748.00 Lee,Dennis 10/25/18 277824 ENC2018-00294 1,720.00 1,720.00 Lee,Dennis 10/25/18 277824 ENC2018-00294 43,000.00 43,000.00 Lee,Fran 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 Lee,Mark 10/11/18 277631 ENC2018-00304 2,000.00 2,000.00 Lewis,John 06/07/18 275589 ENC2018-00149 1,000.00 (1,000.00) 269305 08/13/18 - Liberty 21 Investments 08/13/18 276686 ENC2018-00203 2,000.00 2,000.00 Y Lim,Junsung 06/20/18 275806 ENC2018-00117 1,000.00 1,000.00 Lim,Junsung 06/20/18 275806 ENC2018-00117 25,000.00 25,000.00 Lindsay Enterprises 06/01/88 19191 1988-00135 000.00 1,300.00 Madison Park 01/07/16 261951 ENC2015-00281 4,000.00 4,000.00 Madison-Park of—Camp bell FL071 "-5 - _60^ bENC2015-000 fi;J00:00 10,000.00 v adison ar of(yasa`p`eII& �[Ib)D-3f 6fr EN'f�20T1}Z153'! 0,000.00 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 JoAnna Th6mason From: Andrew Turner <aturner@ceainc.net> Sent: Friday,July 13, 2018 9:37 AM To: Clifford Charbonneau Cc: Yee, Richard;John Gaylord Subject: RE: Dillon Phase one Attachments: 10-124 Tract 10296 Mon Bond release_2018-07-13.pdf Good morning Cliff, As requested, attached is the executed Monument Bond release form for your use. In regards to the final certification for the onsite treatment facilities, we previously surveyed the constructed facilities and found a few deficiencies that need to be verified. Give me a call when you are available today so we can review the outstanding punch-list and,develop our strategy for_completing this certification. Talk with you soon. Andrew Turner, P.E., P.L.S. a Civil Engineering Associates,Inc. 2055 Gateway Place I Suite 550 1 San Jose I CA 95110 T: (408)453-1066 x 203 1 F: (408)453-1060 1 C: (408) 315-3254 E: aturnerkr ceainc.net I W: wyvlv.ceaine.net Any files provided herein contain electronic information which shall be used for information only and shall not be changed,modified, altered or reused in any way without prior written consent. It is the responsibility of the recipient to verify that any such information is current. Any files to be used for construction purposes, shall be verified with final approved hard copy plans. Survey information provided herein shall be verified against the recorded survey documents for the project and all elevations shall be verified against the City benchmark as indicated on the plans. From: Clifford Charbonneau [mailto:CCharbonneau@robsonhomes.com] - Ty~ ' Sent: Wednesday, July.l 1, 2018 3:26 PM To: Andrew Turner Cc: Yee, Richard ; John Gaylord Subject: FW: Dillon Phase one Good Afternoon Andrew, We are close to closing out the Dillon project,please complete the attached Monument Bond Release form for Phase I and have it filed with the appropriate agency. I would also like to schedule a final walk with you so we may get the Stormwater BMP certification completed. In talking with Nick at Preston Pipelines they completed all punch list items. Please let me know a convent date so we can get this sent to the City by the end of this month. Thank You. 1 Regards, Clifford Charbonneau Offsite Superintendent Sun Lakes Construction/Robson Homes Cell (408)315-5057 From: Roger Storz [rogers@cityofcampbell.com] Sent: Wednesday, July 11, 2018 2:34 PM To: Yee, Richard; Clifford Charbonneau; Syed Wahidi Cc: John Burchfiel Subject: FW: Dillon Phase one Good Afternoon, These items still require attention. Please note that if CEA did not set the monuments per the Tract Map, then you will need to file for a Certificate of Correction (see attached example from the Penny Lane project). Roger From: Roger Storz Sent: Tuesday, January 02, 2018 9:17 AM To: Yee, Richard; 'Clifford Charbonneau'; Syed Wahidi Cc: John Burchfiel Subject: FW: Dillon Phase one Happy New Year Richard& Cliff, Regarding the Phase I off-site improvements for the Dillon project, we still have a few issues that need to be worked through before we could release the bonds associated with Phase I: •Phase I includes a grind and overlay over a portion of Dillon that will be done in conjunction with the Phase II segment. In order to release Phase I bonds we would need to guarantee that work with Phase 11. •Phase I plans were revised to include the frontage work along the Perry property. If we close out Phase I, you will need to provide a separate set of plans, bonds, fees, etc. to do that work. Do you have any idea when this portion of the project will get started? •Monuments -where are you at with the monuments for Phase I? We still need the monument letter from your Surveyor indicating that all monuments have been set and punched. Once we get the signed letter and verify the monuments, we can release the$50,000 cash deposit you posted as the security for setting the monuments for Phase 1. •C.3 Certification—we still also need the certification letter from your Civil Engineer indicating that all of the C.3 improvements have been constructed per the design and meet the C.3 requirements (see attached example from your Penny Lane project). Once you get the monuments and C.3 items resolved we can move on to the off-site bonds. Regards, Roger From: Syed Wahidi Sent: Tuesday, December 26, 2017 2:09 PM 2 "To: Roger Storz Subject: FW: Dillon Phase one Roger, Please see below if it's ok to release phase I bonds. OV•CA�y Syed Wahidi ��• ;e Public Works Inspector City of Campbell Public Works Department .4 o� 70 N. First Street Campbell, CA 95008 0 0. www.cityofcampb,ell.com 1408.866.2165 4CHAR From: Clifford Charbonneau [mailto:CCharbotineau2trobsonhomes.com] Sent: Tuesday, December 26, 2017 2:05 PM To: Syed Wahidi Subject: Dillon Phase one Syed, I am wanting to get the off site bond released for Phase I, as we are 100% completed with the exception of restriping the intersection at Sam Cava and Dillon. Seeing as how during our walk last month that was going to be performed after the grind and overlay of phase Il would you please process for the bond release. Thank You. Regards, Clifford Charbonneau Offsite Superintendent Sun Lakes Construction/Robson Homes Cell(408)315-5057 3 PUBLIC WORKS DEPARTMENT LAND DEVELOPMENT Effective July 1,2014 TO: City Clerk PUBLIC WORKS FILE NO. 'l V-51 UdO�,S PROPERTY ADDRESS _� SJ r LL�Cv� Please collect&receipt for the following monies ACCT ITEM AMOUNT C'N5 DEVELOPM ENT 4 -2 ncroac ment Hermit pp ica ion Fee _ NDn-Utilily Encroachment Permit Major-$10 000 $385.00 ma`s ' ' Minor Encroachment Permit<sig.000 $220.00 Initial R-1 Permit N/C _ Subsequent R-1 Permits within Two Year Period $220.00 _ inspection Fee Minimum Charge per Location $385.00 Street Tree Planting/Removal N/C _ - 2203 $500 per Tree PlantingDeposit Required) $500.00/tree L.?03 i Pali h cckirf3�r s3 °/x)ME-w,qi''tiE.E— 4722_Grading& Drainage Plan Review Single Family Lot _$270.00 Site< 10,000 s.f. $810.00 Site> 10,000 s.f. <0.5 Acre $1�081.00 Site>_0.5 Acre $1,621.00 O 4722 NPDES Review(C3 Requirements) For projects not required to submit numeric sizing $156.00 _ For projects required to submit numeric sizing Impervious Area 10,000 S . Ft to 1 Acre $676.00 Impervious Area 1 Acre or more $884.00 4722 For proiects sent to Consultant for review Consultant Cost+20%' Plan Check& Inspection Fee(Non-Utility 4722 Enqr. Est..<$250 000 14%of Engineer's Estimate 2203 En r. Est.>_$250 000 and <$500 00'0 $35 000+8% of Engineers Estimate 2203 En r. Est. >$500 000 $55,000 +7%of Engineers Estimate 2203 Ememency Cash DelJosit 4%°of En r. Est.' $500 min/$10 00.0 Max 22031 Faithful Performance Security FPS 100%of ENGR.EST.' 22031 Labor and Materials Security 100% of ENGR.EST.'` 4721 Storm Drainage Area Fee Per Acre R-1 $2 120.00 (Multi-Res$2 385.00) All Other$2 650.00) 4722 Parcel Nla 4 Lots or Less) $3 850,00+ $8311ot 4722 Final Tract Ma 5 or More Lots $4 681.00+ $11411ot �4r to 22031 Monumentation Security 100% of City's Monumentation Estimate _ 4920 Parkland Dedication Fee 75%/25% Due Upon Cert.of Occupancy) 47221 Lot Line Adjustment(Includes Certificate of compliance) $1 820.00 4722 Vacation of Public Streets &Easements $2,434.00 4722 Certificate of Compliance $1 800.00 4722 Certificate of Correction $540,00 4722 Appeal Filing Fee $200.00 4722 Notary Fee(per signature) $10.00 4722 Assessment Segregation or Reapportionment First Split _ $860.00 Each Additional Lot $270.00 511.7424 Postage Y.": NE IiSCELL/t• OUS n r Other (Please Specity) Engineer's Estimate shall be as approved by the City Engineer and shall include all items of work. TOTAL k T'. �L C,r). � 1 IAME OF APPLICANT ~ IAME OF PAYOR PHONE 1�� ✓ Lf_� "� � i��'• � -.._�' :r 0DRESS zip FOR RECEIVE BY (�a :ITY CLERK ONLY Date �1 'J Recei t#•�:.7 (J :: J:\F02MS1TcrnpluleaNdm Inie4eii.eWuce'pl Form Lund Do 10p,u 114.15 ............. ............................ ................................. ............................ ............ + -- --- ------ --------- ----------------------------- ------------- ------I---- --------------- ------ -------- ----------- --------------------------------------------------------- > CITY OF CAMPBELL VENDOR N-0. 1003514-9 CHECK NO. 270110 1101 2203 CR092718 .3,603.00 ENC20-1 5-00055. RFND sn At 10015149 ROBSEN HOMES LLC I r 'Wl ',,,,FIRST STREETsx id CAMPBELL,' UNT nw 3 Mo 0 04 clixVLO D AFTERmy 0, �UM TyNDR.ka'THREE' J� tHOME �---t,"'k6B' SENiJ, 'T S LLU -'ORDtR- 2:1 4� SAN` JOSE CA 9512$ "M�IZ 2" . ......III III 0 > 5 ---------- -------------------- -------- -------- --------- -- -------------- ---------------------------------- .................. ........ ...................... -;,........ ........ ................ ............ I E. *See-Reverse Side For Easy Opening Instrudtlons* ---------- --------- ------------- ------- ------- ----------------- ---------------------------------------- ---CITY---OF CAMPBELL 70 NORTH FIRST STREET CAMPBELL, CALIFORNIA 95008 ROBSEN HOMES LLC 2185 THE.,ALAMEDA SAN JOSE CA 95126 OF C4� �A .. .- .�k CHARO• - _ .- - CITY OF CAM PBELL Public Works Department October 9, 2018 Mr. Richard Yee Robson Homes 2185 The Alameda San Jose, CA 95126 Re: Permit# ENC2015-00055;Tract 10296 Dillon Ave., Campbell, CA Dear Richard: Enclosed is the plan check deposit refund in the amount of$3,603.00 for the storm and street improvements for Tract 10296. Sincerely, JOA Th mason Office Specialist Enc: Ck#270110 a - 7o North First Street Campbell, California 95008-1436 TEL 408.866.2150 FAX 408.376.0958 TDD 408.866.2790 Refundable Deposit Check, Request To Finarce•Director Check Payable.To:,- R61bsen Homes, LLC:, :. Address Line 1:, 2185 The Alameda Lir*2: C'it state -CA, Zip 95126 Y:.. San Jose _ Descriplibm, ENC2015-00055 'Account NUmber°.,. 101.:2203 Amount _ $3-603.00 Account Number: 101.:2203 . Amount: . ',Account Number:; 101'.540.7448 'Amount: (Finance bept oniy)' _ -. Iniei•est Earned� _ _ ((Finance Dept only) -- -- � Total Payable (exactAmounq - Pu�posei • PLAWCHECiE.DEFOS,IT:REFUND. , PermitM, ENC2015=00055 ' Receipt#: 257878; Pate: 3/31/2015 _ - Receipt#:, _ Date Requested by: Title Office Spec Date, mason - ? Q� Approved by: Title:` Sr.Erigirieer.'.: Date: ;Roger:Storz S ; Finance Dept Only: - Verified by; ., Title .Accounting Clerk II --..'Date:-' APP.roved by; Title:, Accountant - Date:, Special Instruc#ions: For Handling Check MaILAs Is . Mail in Attached Envelope: Interim Check:,,., Needed By .. Return To: JoAnna Thomason Public Works ` - (Name) .(Department). - Other: Please return check to JoAnna ; REED & GRAHAM, INC. TAG No: J30599 CONTRACTORS LIC. C12-158410 ROAD OILS-ASPHALTS-OVERKOTE PRODUCTS 690 SUNOL STREET - SAN JOSE,CA 95126 III I I IIII III II IIII i-I3a599 TELEPHONE(408)287-1400 FAX(408)294-3696 WEIGHED AT: WWW.RGINC.COM �1 Ji �\OVN 690 SUNOL STREET V� \ Fcernificatewho EIGHMASTER CERTIFICATE CUSTOMER: FREMONT PAVING CO. INC. ISTO CERTIFY that the following described unted (006704) 38370 CEDAR BLVD modity asteras ,ghee signature measured or his weighmaster,whose signature is on this N E WARK, CA 94560-48 is a recognozed authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business and Professions Code administered by JOB NO.: the Division of Measurement Standards ofthe California Department of Food and Agriculture. JOB DESC.: DILLON -DAMPBELL REED &GRAHAM, INC. PURCHASE ORDER: WEIGHMASTER CUSTOMER TRUCK: X BRIAN BISI R&G JOB NUMBER: 3953.75 R&G TRUCK NO.: RG-1.50 DEPUTY WEIGHMASTER TARE IN: 06:32AM -08/17/2018 GROSS TONS 36.41 LOAD OUT. 06:42AM -08/17/2018 TARE TONS 16.67 JOB LOADS JOB TONS NET TONS 19 .74 DAILY 1 19.74 TOTAL 1 19.74 DRIVER- OFF DESCRIPTION UOM QUANTITY PRICE TOTAL ASPHALT 1/2 MEDIUM TON 19.74 ABOVE LINE CONY. TO METRIC TONS MT 17.91 WARNING THE ABOVE Products may contain chemicals which are RECEIVED BY: X known to the State of California to cause cancer,birth defects or other reproductive harm. " CUSTOMER COPY* CA Health 8 Safety Code Section 25249.5 R'•EED g'GROAM, IN,C:: 0 ve'r 4 µ P.O:,B OX 6940 95150-5940 890��SUNUL STREET<_- 95126.3751' (3�� 6N J AOSS<,CALltRNI4 r 4VEB.SITE:http Uwww rginc:c6rr' ;• TELEPHOhJE"(408)287,1400 F4X:[408)•294-3696 Contractor: FREMONT PAVING CO.INC. Date: 8/15/2018 ®NO EXCEPTION TAKEN ®MAKE CORRECTION NOTED 38370 CEDAR BLVD ®REJECTED ®REVISE AND RESUBMIT NEWARK,CA 94560-4846 Submittal#: S15971 Checking is only for general conformance with the design concept of the project and general compliance with the information given in the contract documents. Any action shown is subject to the requirements of the Drawings and Specifications. Attention: Steven Freitas Project: Dillon The contractor is responsible for dimensions which shall be confirmed and corrected at the job site,fabrication,processes,and techniques of construction, Location: Campbell coordination of the work with that of all other trades,and the satisfactory performance of the work. MIX#: BY R.Antonio DATE 8/16/2018 CITY OF CAMPBELL PROJECT# Robson Homes DEPT.OF PUBLIC WORKS SUBMITTAL#n/a The.,material>aupphe.d to your proiuct, indicated.6bove wl'il'Meet 201 O:Seciion,3b Caltrans,Standard Specifications for.12:'S mm=(ll2")flaximunl:T}fpe.A Hot F+1ix.Asphalt:• ;JOB t k,FORM LA FOR`1 F.5 f'4M f1l2''1.MAXII%UM'TYPE A,HMA FORTHE STATE OF CALIFORNIA SIEVE. Percent, Target, Target.:, Allowable, Grading, ;SIZE; Passing. Value Limits Values: Tolerance Specification 19 mm'(-314") iool 12.�mm.(112 9'8 9 s 5�J �95 T'�±6" 89-10. 9.5'mm.'(318")' 88 75 95 83 TV±,5 77.89 435 rnrn -4� `59 55:66' :.59, TV,±.,7: 52-6.6 2:36 mm #8) '41. ;38 A9, 42, TV±Z5 37,47 6'00p ►( `3p•; `!j, 15 27. 21 TV±.4 17=25. 75um r1 200)., 4.0 24 4 TV:t2. 2-6 AGGREGATE PROPERTIES, Test Result, Specification` Percent ofCrtisfied Particles per'<CT>205. Coarse;Aggregate-:oneJracturedfaee 100 .90°, N1.in" -tuvo'fractured'faces 1ti0 75PA 101h Los.".Angeles,Rattler perCT.211` Loses' 100 Revs•,. 5 129-'i rylax Lose @=500 Reis. 23 45°5 rot x Sand Equivalent per:CTf9121.7 65 50 f•,tin Flat'&Elongated Particles per hSTfvl,D 7J 1 0.6` 10,Max' (byGweight '`51 HMA MIX:PROPERTfES, StabilityValue per;CT CTB66 ; 41 37;Min Ai' per:CT3li7. 41 3:595. Uhit).Veight. 'h 8:311?leuft BIN PERCEPJTAGS 8.1' Bin 1 Birr 3 15'�r5" FLAP; 1 ,4. iggregate;Source.��ulcan Aggregatas 'P.leasanton , San&Source- A.FZ {Wilson Quarry-Aromas= Liquid_, s ti'a1t: Greka-'Santa'f4aria If any further information is required,please call. Approved By, Submitted by, Eric Richard Salvador Lopez Quality Control Manager Senior Laboratory Technician OVEPi`80YEARS,CF,SERVICE Tp THE;ROAD,CQNSTRUCTION INDUSTRY- REW✓J70, 369916T1 ®4}9 /Y4 h 690 SUNOL STREET - -951,26 3751. S,4N JOSE:;Ckff'ORNIA WEB.SITE http llv;ww r9inc corci,' TELEPHONE [4Q 2571400 FWfi 94�3,696 Contractor: FREMONT PAVING CO. INC. Date: 8/15/2018 ®✓ NO EXCEPTION TAKEN ®MAKE CORRECTION NOTED 38370 CEDAR BLVD ®REJECTED ®REVISE AND RESUBMIT NEWARK,CA 94560-4846 Certificate#: S15972 Checking is only for general conformance with the design concept of the project and general compliance with the information given in the contract documents. Any action shown is subject to the requirements of the Drawings and Specifications. Attention: Steven Freitas Project: Dillon The contractor is responsible for dimensions which shall be confirmed and corrected at the job site,fabrication,processes,and techniques of construction, Campbell coordination of the work with that of all other trades,and the satisfactory Location: Cam p performance of the work. MIX#: BY R.Antonio DATE 8/1 612 0 1 8 CITYOFCAMPBELL PROJECT# Robson Homes DEPT.OF PUBLIC WORKS SUBMITTAL#n/a The un ltutac4'asphalt>emul Pots SS i t6te._supplied'to the°:4Lo-m reference protect'canf`arrns with Sedi4'n' P4 of the Caltrans.,Standard pecificationsfl 20 les s e►�r rrrarisicrr� 'AASNT�:. Test Scr c`�ati�`rr live _. Sa balt'�tscdsit 7Z -seccrrJd T5.9 2,c 2011 100 Settlernent clays, °� T59. 2 5,t7 rna Storage Stability, 1 day;`°14: T9 fl: . Q rnax: Cement mxirig, t7'.rt�as:=: Sieve,-Test 0/ T5 Residue �y D stiilatidn, W T59 61.o S rrtin' esr on Res dub tk ors rdP tr"car' Penetration I` - 1,"' 5s; dtttn T69` s1 4-fit? D�� tilit r. °F SD,rn �nx\trtt t;'s T50, J n , 0 fKti[i If any further information is required,please call. Approved By, Submitted by, F Eric Richard Salvador Lopez Quality Control Manager Senior Laboratory Technician OVER,80YEAR8. !JFS,ERVICE T,Q.THE FQAD CQhJSTRUCTION I��ID,USTFiY.' 9/26/2018 Fees Associated With 9:32:32AM /`-iCCEL Case #: ENC2015-00055 Fee :' °':Start End Revenue' Y Created i Dept ,' Descriptioq Code il AccountNuriiber " By Date`" Amount Due r T e �: - Date Date YP AF05 7/1/2014 6/30/2015 PrmtAppFee Utility Encr 101.730.4722 JT 4/1/2015 385.00 0.00 °PGD U. 0 4 6/30f 0.1J� lan Gh t 0.002 f4-4/2 ,45 6 � GRA4 7/1/2014 6/30/2015 Grdng&Drain Pln Rev>= 101.740.4722 JT 8/11/2015 1,621.00 0.00 PRF1 7/1/2014 6/30/2015 NPDES Review Fee C3 R 101.740.4722 JT 8/11/2015 884.00 0.00 FMTM 7/1/2014 6/30/2015 TractMapFee=>5Lots+$1 101.740.4722 JT 8/11/2015 1,521.00 0.00 PCI2 7/1/2014 6/30/2015 NonUtilPlnCk/Insp>=$25 101.740.4722 JT 9/17/2015 5,800.00 0.00 CASR 7/l/2014 6/30/2015 Emergency Cash Deposit 101.2203 JT 9/17/2015 0,000.00 0.00 SDB 7/1/2014 6/30/2015 Storm Drain Fee-Multi- 209.715.4721 JT 9/17/2015 5,676.00 0.00 MONU 7/1/2014 6/30/2015 Mon.Sec.Dep I 00%ofCity 101.2203 JT 9/17/2015 0,000.00 0.00 GRA2 .7/1/2014 6/30/2015 Grdng&Drain Pln Rev" < 101.740.4722 JT 5/18/2017 841.00 0.00 PRF1 7/1/2014 6/30/2015 NPDES Review Fee C3 R 101.740.4722 JT 5/18/2017 704.00 0.00 FMTM 7/1/2014 6/30/2015 TractMapFee=>5Lots+$1 101.740.4722 JT 5/18/2017 5,933.00 0.00 PRF2 7/1/2014 6/30/2015 RevFee Prgts No Numeri 101.740.4722 JT 5/18/2017 200.00 0.00 CORR 7/1/2014 6/30/2015 Certificate of Correction 101.730.4722 JT 10/2/2017 590.00 0.00 Total Due: $0.00 Page l of 1 CaseFees..rpt PUBLIC WORKS DEPARTMENT LAND DEVELOPMENT J Effective July 1,2017 TO: Finance PUBLIC WORKS FILE NO. ENC2015-00055 PROPERTY ADDRESS 280 Dillon Ave Phase I Please collect&receipt for the following monies: ACCT. ITEM AMOUNT LAND DEVELOPMENT 4722 Encroachment Permit Application Fee Non-Utility Encroachment Permit Major>_$10 000 $425.00 Minor Encroachment Permit<$to,000 $240.00 Initial R-1 Permit N/C Subsequent R-1 Permits within Two Year Period $240.00 Inspection Fee Minimum Charge per Location $420.00 Street Tree Planting/Removal N/C 2203 $500 per Tree Planting Deposit Required) $500.00/tree 22031 Plan Check Deposit 2%of Engineer's Estimate $500.00 min Utility and R-1 Permits no deposit required 4722 Grading&Drainage Plan Review Single Family Lot $295.00 Site<10,000 s.f. $885.00 Site>_10 000 s.f.<0.5 Acre $1 185.00 Site>_0.5 Acre $1 772.00 4722 NPDES Review C3 Requirements) For projects not required to submit numeric sizing $175.00 For projects required to submit numeric sizing Impervious Area 10,000 S . Ft to 1 Acre $740.00 Impervious Area 1 Acre or more $965.00 4722 For pro"ects sent to Consultant for review Consultant Cost+20% 4722 Additional treatment facilities $315 ea Plan Check&Inspection Fee(Non-Utility) 4722 En r. Est.<$250 000 14%of Engineers Estimate 4722 En r. Est.>_$250 000 and s$500 000 $35 000.00+8%of Engineers Estimate 4722 En r. Est. >$500 000 $55 000.00+7%of Engineers Estimate 2203 Emergency Cash Deposit 4%of En r. Est." $500 min/$10,000 Max 2203 Faithful Performance Security FPS 100%of ENGR. EST.* 2203 Labor and Materials Security 100%of ENGR. EST.* 4721 Storm Drainage Area Fee Per Acre R-1 $2,120.00 (Multi-Res$2 385.00) All Other$2 650.00 4722 Parcel Ma 4 Lots or Less $4 200.00+$90/lot 4722 Final Tract Ma 5 or More Lots $5 115.00+$124/lot 2203 Monumentation Security 100%of Cit 's Monumentation Estimate 4920 Parkland Dedication Fee 75%/25%Due Upon Cert.of Occupancy) 4722 Lot Line Ad'ustment Includes Certificate of Compliance) $1 990.00 4722 Vacation of Public Streets&Easements $2 700.00 4722 Certificate of Compliance $1 970.00 4722 Certificate of Correction $590.00 $590.00 4722 Document Recording Fees $15.00/first page$3 ea.Additional 4722 Private Improvement in Public ROW $100.00 4722 Approved Plan Revision Fee $100/sheet 4722 Appeal Filing Fee $200.00 730.4924 Notice of Improvement Obligation Payment 4722 Assessment Segregation or Reapportionment First Split $940.00 Each Additional Lot $295.00 511.7424 Postage MISCELLANEOUS -- - - -- Other Please Specify) *Engineer's Estimate shall be as approved by the City Engineer and shall include all items of work. TOTAL $590.00 NAME OF APPLICANT `, �`�C' NAME OF PAYOR R PHONE ADDRESS ZIP FOR RECEIVED BY CITY CLERK ONLY Date 2 Receipt# qqq TTT J D1-- bka GJ "_J '-eAtl f N 1L....<.1P...C..«.C.-..-,%1 I-].......P..,.<•..A....<P..,...�.P..,,.<..D..--Ml.... 192951F 0 1-T..<. .<.11-. g �. .�11 �� F: CA M%��^.i' Q# OF G++w Rma BY: GmI3 01830271675 mb kmS4R+K J GK . Dk«am«: pG»S . REGISTER DATE: SGmS TIME; m:m . DESCRIPTION AMOUNT CUST q=G g m33 Omam&D SLGGF /m.m ---------------- TOTAL +@ $S3m RgaJ; $gGm 2Ak; . tm CHECK 7z mb 12601 0o05 5 WORKS DEPARTMENT LAND DEVELOPMENT Effective July 1,2016 z _ PUBLIC WORKS FILE NO. Tract No. 10425 PROPERTY ADDRESS 500 Sam Cava Lane ig monies: s �,i AMOUNT,>•;� C _ 7 CI Pi OF CA'F'B:.LL I�LLGj1+ 3.�+ fi'7i{jF{ 0t32�1'T�\iJ AYOR> kL+" PARKlajor 2110,000 $403.00 Ti )o $230.00 i 1O%+Al a3 1+{KBE: titJ'Utd/i I N/Ci REOiaTER DATE; 15/04/.17 TI iE; 00900 o Year Period $230.00 1'rCi ;i '3;0f1 Ai1011t`T ;erLocation $398.00 C3iOT ID.T;ACi N/C E,;uL!1;1+T+} FILING F posit Required) $500.00/tree 0 .1°G0 er's Estimate $500.00 min `''1`I fps°( 1°0C�0 I no deposit required ENOR SU4yDTV FILING {t' :fli�eSJfJ N C00 T II+s 1,[+00 $281.00 ENOF; "aL! 3+It,j Fi_fi:u F $;s;Y?�.00 $841.00 $841.00 COST D.- 1°OOC+ 2 $1,688.00 _ $1,688.00 Et`� L FILING F I PC SL!ijl+Il' t 3L.�l.T r a100°00 - --------------___ t numeric sizing $163.00 TOTAL DUE. :numeric sizing 1670.00 4q.Ft to 1 Acre $704.00 $704.00 TE'�I+rE'<EI+; 7.�lCc,Oit more $918.00 �-iANGEa r 0 �° G 0 it review Consultant Cost+20/o CHECK ° 3f,5;0°00 $300 ea tF i UMg 1.190+7 till 14%of Engineer's Estimate ' l� <_$500,000 $35,000+8%of Engineers Estimate $55,000+7%of Engineers Estimate _ 4%of Enqr. Est.'($500 min/$10,000 Max) 2203 Faithful Perforrtia'nce-r,aw,iq 'PS) 100%of ENGR. EST." 2203 Labor and Materials Security 100%of ENGR. EST." 4721 Storm Drainage Area Fee Per Acre R-1 $2,120.00 (Multi-Res$2,385.00) All Other$2,650.00 4722 Parcel Map(4 Lots or Less) $4009.00+$87/lot 4722 Final Tract Map 5 or More Lots) $4,871.00+ 118/lot $5,933.00 2203 Monumentation Security 100%of City's Monumentation Estimate 4920 Parkland Dedication Fee 75%/25% Due Upon Cert.of Occupancy) 4722 Lot Line Adjustment(Includes Certificate of Compliance) $1 893.00 4722 Vacation of Public Streets&Easements $2 530.00 4722 Certificate of Compliance $1 877.00 4722 Certificate of Correction $561.00 4722 Document Recording Fees $15.00/first page$3 ea.Additional 4722 Private Improvement in Public ROW $50.00 4722 Approved Plan Revision Fee $100/sheet $200.00 4722 Appeal Filing Fee $200.00 4722 Notary Fee(per signature) $10.00 4722 Assessment Segregation or Reapportionment First Split $895.00 Each Additional Lot $281.00 511.74241 Postage it15""CELLANf=OC/S :p } ., ,,� •, 101.736.4924 NOI Reimbursement for `Engineer's Estimate shall be as approved by the City Engineer and shall include all items of Work. TOTAL $7,678.00 NAME OF APPLICANT NAME OF PAYOR PHONE ADDRESS ZIP FOR RECEI BY:.. x, w a a CITY CLERKMAY Q ONLY Date Recell t# e OF L`Lt J:lan00ev1Pian Check Comments\1-Specific Projects-Active Project in Progress\Dillon Ave.280\Phasa III-T-1,10425Pees\Fee As _ GREEN ft.13LUF BORDER AND BACKGROUND PLUS A KNIGPCT&FINGERPRINT WATERMARK ON THE 13ACK•14OLD AT ANGLE TO VIEV11.-_ T1415 CPIECK IS nIQIB WITHOUT A y� Walnut Creek Office 11-204/1210 ,.1 MADISON PARK,OF CAMPBELL LLC 1277 Treat Blvd Suite I20 11907 ' Walnut Creek,CA 94597 YI 2185 The Alameda Suite 150 �,�• San Jose,CA 9512Ci - Date 1 Amount YJ„ ijJi I , }j 5/04/2017 S******7,678.00 s ay v rl SEVEN THOUSAND SIX HUNDRED SEVENTY EIGHT AND iN Dollars rJl �r rr To CITY OF CAMPBELL ^" t; The � . 70 N FIRST ST t.� Order CAMPBELL CA 95008-1458 Of q; u11, L904u1 i: 1, 21I.0020421:' S ? 90383763►1' MADISON PARK OF CAMPBELL,LLC California Bank&Trust Stub Check No. 11907 1 of 1 Date 5/04/2017 Invoice Number Inv Date Payment Advice Gross Discount Net 4560 4/24/17 Public Works Fees Perry Imp 7,678.00 .00 7,678.00 ------------ ------------ ------------ 7,678.00 .00 7,678.00 I L^- C�� C3 Vendor Na. Name ,..n 186108 CITY OF CAMPBELL s r,•a L,. ,._ „ c G 1 ICJ REORDER 903•U.S.PATENT NO.5538290,5575505,5541183,57,85353,5984364,6D300DD L.J i:t.", al, •"•. I.i 7 _I C� (J") 1:7 s:J s_.I I:.J F—i f:i t-� CJ 1—a •cr _ :EC Y1` 1-•^ n. i rt a, !;,:+ ::.ri +„ :::� �vj Lr i..i.J La" sCn !=St s—• l:::} LJ.1 'n, :9::: C12 i.f) F:IJ L"in.- r ...:, Y-,i L!J 23505504 - Recording Requested by: Cityof Campbell ) Regina Alcomendras �B � - am p ) Santa Clara County - Clerk-Recorder nV� NVr 11/21/2016 02:23 PMrr-T„ nr When recorded mail to: ) Titles: 1 Pages: 8 Clt Clerk Fees: 51.00 y ) Taxes: 0 City of Campbell ) Total: 151.00 70 North First Street ) 1111 Fakl 101M MIL Nit W W 11y" l i'K kli 11111 Campbell, CA 95008 ) APN: Multiple, See Exhibit B (Space above this line for Recorder's use only.) ADDRESS: Multiple, See Exhibit B AGREEMENT FOR PRIVATE IMPROVEMENTS IN THE PUBLIC RIGHT-OF-WAY In consideration for granting permission to construct improvements in the public right-of-way, MADISON PARK OF CAMPBELL, LLC, A CALIFORNIA LIMITED LIABILITY COMPANY (property owner) enters into this Agreement with the City of Campbell. The improvements contemplated under this permit are for the benefit of the real property commonly known as Tract No. 10296 — Sam Cava Lane frontage. The City of CaTp e gr such permission to allow decorative walls, steps and landscaping in the public right-/-of--way under croachment Permit No. ENC2015- 00055. All conditions of Encroachment Permit Po. ENC2015-0005 remain in full force and effect. t , The property owner shall be solely responsible fu_mamt fining the improvements in a good and safe condition at all times; and the property owner shall indemnify, defend, and hold harmless the City of Campbell, its officers, officials, agents, volunteers, employees and attorneys from any and all claims, actions, losses, liabilities and costs (including reasonably incurred attorneys fees) arising out of or connected with, or alleged to arise out of or be connected with the installation, design or condition of the improvements, except for any claims, actions, losses, liabilities and costs proximately caused by the sole negligence or willful misconduct of the City of Campbell, its officers, officials, agents, volunteers, employees or attorneys. This provision is intended to be the dispositive of all rights of indemnity and contribution between the parties, and property owner waives and releases any and all rights to indemnity or contribution from the City of Campbell, in law or equity, arising out of, or connected with any and all claims, actions, losses, liabilities and costs (including reasonably incurred attorney's fees) for which property owner is obligated under this paragraph to provide indemnity or defense to the City of Campbell, its officers, officials, volunteers, employees or attorneys. The City will attempt to reasonably ensure the continued use of the private improvements in their existing locations. The City, in its sole discretion after giving one hundred eighty (180) days written notice to the Owner, or his/her successors, may revoke the rights granted under this agreement and remove the improvements at any time, without liability to the property owner, or require that the improvements be removed, and property owner shall have no right to compensation from City in any form. J:\LandDev\Forms\2.AGREEMENTS-PIA SIA DEF SIA Maintenance Reimbursement Development\Private Improvements Agreements in ROW\Word Document\Dillon 280 Private Improvements Agreement.docPage 1 of 5 i� In the event that Owner fails to reimburse the City for the costs of removing the improvement ("default") as required by this Agreement, the City shall have and may execute the absolute right, at the City's option and without demand or notice to Owner, to claim and impose a lien, attached as Exhibit A and incorporated herein by this reference ("Lien"), on said real property (also referred to herein as "Collateral"). City's failure to exercise this option will not constitute a waiver of the right to exercise it in the event of any subsequent default. (a) Amount of Lien: The Lien shall be for the entire amounts then owing under this Agreement. (b) Recordation: City is authorized to record the Lien in the appropriate Recorder's Office(s). (c) City shall have full authority to perform all acts and things that City may consider necessary or advisable to impose, maintain and enforce the Lien. (d) Debtors' Warranty: OWNERS WARRANT that they are the owners of the Collateral and Owners have the right to make this Lien Agreement. (e) Debtors Covenants: Owners agree: (i) To pay City all amounts payable pursuant to this Agreement on or before the due date when due and payable, and to perform all terms of this Agreement; (ii) To defend the Collateral against claims and demands of all persons and entities; (iii) To keep the Collateral in good condition; to perform other acts that may be necessary to preserve the Collateral and protect the Collateral against unreasonable loss and all hazards, and; (iv) To immediately notify the City in writing when Owners become aware of any event that substantially affects the value of the Collateral, or the rights and remedies of City in relation to the Collateral. (f) Prohibitions: Without the prior written consent of the City, Owners will not permit any liens or security interests (other than the City's Lien) to attach to the Collateral; permit the Collateral to be levied on under legal process; dispose of the Collateral; or permit anything to be done that may impair the value of the Collateral or of the Lien, which is the subject of this Agreement. (g) Notices: Any notice, demand or request required hereunder, or by law, shall be given in writing (at the addresses set forth below) by any of the following means: (a) personal service; (b) facsimile; (c) overnight courier or delivery service; or (d) registered or certified, first class U.S. mail, return receipt requested. C:\Users\ryee\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\OK9TSWGN\Dillon 280 Private Improvements Agreement.doc Page 2 of 5 e Property owner agrees to maintain homeowners or general liability insurance with a limit of at least $100,000 for damages arising from the installation, design or condition of the improvements. This provision shall run with the land and be binding on the property owner's successors. Executed this day of MADISON PARK OF CAMPBELL,LLC, A CALIFORNIA LIMITED LIABILITY COMPANY By: Robson Properties, Inc., a California corporati s Manager By: Mark E. Robson, President CITY OF CAMPBELL Todd Capurso, Public Works Director City of Campbell (Notary Acknowledgment for above signator(ies) MUST be attached.) Attest: Wendy od, City Clerk C:\Users\ryee\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\OK9TSWGN\Dillon 280 Private Improvements Agreement.doc Page 3 of 5 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT ClIVIL CODE: § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy, or validity of that document. State of California �^ ) County( of � CLN t\ ) On N o ( M r ,�-t before me, r v C�c , N ffAW__ Muc'." Date E Here Insert ffie and Title of the O er personally appeared W 92K_ E. Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the persoievy whose nam/S)j /are subscribed to the within instrument and acknowledged to me that he/s e/texecuted the same in his/her/their authorized capacity(i , and that byhis/her/their signature' on the instrument the personja'� or the entity upon behalf of whi6h the person( acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and Corr WITNESS m ha and o i ial seal. rb4 SUSAN BUNCE Commission#2109201 g z Notary Public-California Z Si n Z Santa Clara County ' Signature Notary Public M Comm.Expires A r 27,2019 Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑ Guardian or Conservator ❑Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer Is Representing: Signer Is Representing: 02014 National Notary Association - www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California } County of tom. Bc"k, On (4 aotco before me, j o K vt (Here insert name and title oft e officer) personally appeared \o�C\ �QA ,n-,, .f 'jcO who,proved to me on the basis of satisf ctory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in h.is/her/their authorized cap.acity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the.instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. JOANN THOMASON NESS my hand and:offLicialal. Commission#2110789 z Notary Public-California = Santa Clara County My Comm.Expires Max9,2019 Notary Pubii Signature (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM Tltis farm complies with current California statutes regarding notat7 wording and, DESCRIPTION OF THE ATTACHED DOCUMENT if needed,should be completed and attached to the document.Acknowledgments from other states may be completed jar documents being sent to that state so long as the wording does not require the California notary to violate California notary law. (Title or escription of attached document) • State and County information must be the State and County where the document LJ.� signer(s)personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s)personally appeared which (Title or description of attached document continued) must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her Number of Pages Document Date commission followed by a comma and then your title(notary public). - Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. be/she/they"is/are)or circling the correct forms.Failure to correctly indicate this El Individual (S) information may lead to rejection ofdocument recording. ❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges,re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk. ❑ Attorney-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. Other Indicate title or type of attached document,number of pages and date. ❑ Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). 2015 Version:tvvaw.NotaryC{asses.rom 800-873 9866 Securely attach this document to the signed document with a staple. Exhibit A Recording Requested By: ) City of Campbell ) When Recorded Mail To: ) City Clerk ) City of Campbell ) 70 N. First Street ) Campbell, CA 95008 ) APN: Space above this line for Recorder's use only Address: CLAIM OF LIEN I, Todd Capurso, Public Works Director for the City of Campbell, a California Municipal Corporation ("City"), do hereby certify: A. On or about , 20_, ("Debtors") executed an Agreement for Private Improvement with the City of Campbell ("Agreement"). B. The Agreement was recorded in the Santa Clara County Recorder's Office on or about 20 Document Number C. The Agreement allowed the Debtor's to provide, construct, and/or install certain private improvements in front of their property at , Campbell, California, at their own costs and expense. Pursuant to the terms of the Agreement, the Debtors expressly agreed that if they failed to comply the work the Agreement, the City was authorized to remove said improvements and recover the full cost and expense thereof from the Debtors or their successors. D. The Debtors did not remove the improvements after being notified to do so. Therefore, the City removed said improvements. E. In , 20_, the City informed the Debtors about the improvements that would be removed pursuant to the Agreement. F. The City subsequently completed the work. On or about , 20_, the City sent the Debtors an invoice for said work in the amount of$ C:\Users\ryee\AppData\Local\Microsoft\Windows\Temporary Internet F i les\Content.Outlook\OK9TSWGN\DilIon 280 Private Improvements Agreement.doc Page 4 of 5 G. Pursuant to the terms of the Agreement, the Debtors expressly agreed that the City is authorized to, at the City's option and without demand or notice to the Debtors, immediately claim and impose a lien on the real property commonly known as , Campbell, California, APN Number for the entire amounts then owing under, or incurred pursuant to,the Agreement, including without limitation,the entire unpaid principal amount. WHEREFORE, the City of Campbell, A California municipal corporation, pursuant to the Agreement, hereby claims a lien upon the work of improvement and the land upon which it is situated, namely, the real property commonly known as Campbell, California, APN Number , , in the amount of $ and said amount shall constitute a lien against said property until paid in full. IN WITNESS WHEREOF the City of Campbell, California, a California Municipal Corporation, has duly authorized the undersigned to execute this instrument in its name. Dated: By: for the CITY OF CAMPBELL, a California municipal corporation (Notary Acknowledgement Required for Signatures) C:\Users\ryee\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\OK9TSWGN\Dillon 280 Private Improvements Agreement.doe Page.5 of 5 y p +A x 1 rz 1. f/l(.� r a `•at�:i,l 1A r��afa��t��,a,�;, .`�,�.��.. � , ftl /.Y Y:l��f:.i,F..l •t,,� VA ............. 0 a F ^ :iIt ttt— .. 2 . S.: 1 a F tt 2 y : i •4; i . i'It LA lit 4 , , ,�� 11.: , '#' — �•�� t '4' 6 f �;�; '�' i�ii g ;7 ti , l - as ; is 't' _.... - 1, ..<...-...,.. : ca j 4 t 'i. � LIC WORKS DEPARTMENT LAND DEVELOPMENT Effective July 1,2015 PUBLIC WORKS FILE NO. ENC2015-00055 PROPERTY ADDRESS 280 Dillon Ave Phase I :.1 V.,}i'tL'iCLL 1 1winq monies: RE;..`5 BY: CASHIER 010002160,61prr AMOUNT A Y OR: MADISON PARK OF 'IMP TODt 'S BATE: 0`Ti17!'1 f le t Major>_$10,000 $395.00 F.c$ISTEF :t�TE; 09/17,-1- 11ME: OO:OO t,000 $225.00 DESCRIPTION ;:MOUNT N/C C?.IST I , Efd:�i+z�-OilksO' - Fwo Year Period $225.00 PARKLAND 11 r#EBTC,4 s I3ft FE 4 r7,'�0/ �' i er Location $390.00 'st t N/C ---------'____ le posit Required) $500.00/tree T5 T HL DUE: $277.207.50leer's Estimate $500.00 min TENDERED: $2-Ini 207.50 no deposit required CHANGE: LO $275.00 ,ICE EC% $E°77.G07.vO $825.00 REF NUN: 100�'O re' $1,105.00 $1,655.00 tit numeric sizing $160.00 For projects required to submit numeric sizing Impervious Area 10,000 S . Ft to 1 Acre $690.00 Impervious Area 1 Acre or more $900.00 4722 For oroiects sent to Consultant for review Consultant Cost+20% 4722 Additional treatment facilities $300 ea Plan Check&Inspection Fee Non-Utili 4722 En r. Est.<$250 000 14%of Engineer's Estimate 2203 En r.Est.>_$250,000 and:5$500,000 $35,000+8%of Engineers Estimate $35,800.00 2203 En r. Est. >$500,000 $55 000+7%of Engineers Estimate 2203 Emergency Cash Deposit 4%of En r.Est.*($500 min/$10,000 Max) $10,000.00 v/ 2203 Faithful Performance Security FPS 100%of ENGR. EST.* 2203 Labor and Materials Security 100%of ENGR. EST.* 4721 Storm Drainage Area Fee Per Acre R-1 $2 120.00 (Multi-Res$2,385.00) 2.38 Acres $5,676.00 All Other$2 650.00 4722 Parcel Ma 4 Lots or Less $3 930.00+$85/lot 4722 Final Tract Ma 5 or More Lots $4,775.00+$116/lot 2203 Monumentation Security 100%of City's Monumentation Estimate $50,000.00 4920 Parkland Dedication Fee(Remaining 25%will be Due Upon Cert.of Occupancy) ;` $277,207.50 4722 Lot Line Adjustment Includes Certificate of Compliance) $1 856.00 4722 Vacation of Public Streets&Easements $2 480.00 4722 Certificate of Compliance $1,840.00 4722 Certificate of Correction $550.00 4722 Document Recording Fees $15.00/first page$3 ea.Additional 4722 Private Improvement in Public ROW $50.00 4722 Approved Plan Revision Fee $100/sheet 4722 Appeal Filing Fee $200.00 4722 Notary Fee(per signature) $10.00 4722 Assessment Segregation or Reapportionment First Split $877.00 Each Additional Lot $275.00 511.7424 Postage MISCELLANEOUS Other-Traffic Signal Emergency Vehicle Pre-emption Contribution $15,000.00 *Engineer's Estimate shall be as approved by the City Engineer and shall include all items of work. 11 TOTAL' ita ' NAME OF APPLICANT �4 f� �C ^�� 1 T"` NAME OF PAYOR PHONE ADDRESS ZIP s FOR RECEIVED B CITY CLERK G ONLY Date I Receipt# J:�..OaAPI-C—k Comm---Specific NO—-Aclive P,,je in P,,9-011-Ave.28D%Feesl. CENTRAL CONCRETE SUPPLY CO., INC TICKET NUMBER Cerirai MAIN OFFICE: �NTi4i4L Bode 755 Stockton Avenue, CONCRETE SUPPLYCOMPANY� West'side San Jose, CA 95f26 1 -866-404-10'00 a U.S.CONCRETE co:MPANY= I WARNING:IRRITATION TO THE SKIN AND EYES:Contains Portland Cement.Wear rubber PROPERTY DAMAGE RELEASE WATER ADDED AT CUSTOMER REQUEST boots and gloves.PROLONGED CONTACT MAY CAUSE BURNS.Avoid contact with eyes and (TO BE SIGNED IF DELIVERY TO BE MADE INSIDE CURB_LtNE) EXCESSIVE WATER IS DETRIMENTAL prolonged contact with skin.In case of contact with skin or eyes,flush thoroughly with water.if TO CONCRETE PERFORMANCE. Irritation persists,get medical attention.KEEP CHILDREN AWAY. Dear Customer-The size and weight of this truck could cause damage to the CONCRETE IS A PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE premises and/or adjacent property if this load is placed where you desire.It is our wish PURCHASER UPON LEAVING THE PLANTANY CHANGES OR CANCELLATION OF ORIGINAL to help you in every way that we can,but in order to.do this we are requesting that you INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS. sign this RELEASE relieving this supplier and its affiliates ates from any responsibility from X WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF damage that ma�occur to the premises and/or adjacent property,buildings,sidewalks, CONCRETE AS MANY IMPORTANT FACTORS AFFECTING THE ULTIMATE QUALITY. drive-ways,OF THE drivea�s,curbs,etc.,d.ue to the delivery of this material,and that you also agree to REQUESTOR'S NAME COMPLETED JOB ARE OUT OF OUR CONTROL.We do not warrant that the concrete can be help the driver remove mud from the wheals of his vehicle so that it will not lifter the usedinanY particular environment or sail conditions or that the concrete is fit f6rany particular use. public street.Further,as additional consideration;the undersigned agrees to indemnify SA 0 Selection f the mix design and/or specification of the mix design parameters are solely the and hold harmless the driver of this truck and this supplier and its affiliates for any and responsibility of the Customer,and we assume no liability therefore all damage to the premises and/or adjacent pro.berly which may be claimed by anyone FULILLOAD LOAD 1/�LOAD 1/4LOAD PLEASE NOTE:THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH to have arisen out of delivery of this order. STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTM.ANY DE-ICING MATERIALS,IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A G DECREASE IN STRENGTH. ALLONS) (GALLONS) {GALLONS) (GALLONS) NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ THE HEALTH WARNING SIGNED: X TEST RESULTS NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS,ON WEIGHMASTER CERTIFICATE REVERSE SIDE.TIME IN EXCESS OF FREE TIME W ILL BE CHARGED AT CURRENT DELAY I SLUMP CONC.TEMP. AIR% RATE.ALL C.O.D.DELIVERIES MUST BE PAID IN ADVANCE,AND LOAD ACCEPTED BY THIS IS TO CERTIFY that the following described commodity was weighed,measured, — SIGNING THIS DELIVERY TICKET BEFORE POURING. or counted by a weighmaster,whose signature is,on this certificate,who is a recognized t CYLINDERS TAKEN: ' E]YES El NO LOAD RECEIVED BY authority of accuracy,as.prescribed by Chapter-7(commencing with Section 1270,9)6f NAME 01 TESTING LAB: Division 5 of the California Business and Professions Code,administered by the Division X of Measurement Standards of the California Department of Food and Agriculture. CUSTOMER CUSTOMER CODE DELIVERYADDRESS il..i .7 'i -2 Z. PROJECT NAME PROJECT CODE CUSTOMER P.O.# SPECIAL INSTRUCTIONS CUSTOMER JOB ID# RETURNED CONCRETE LOAD QUANTITY- ORDERED QTY CUMULATIVE QTY PRODUCT ID DESCRIPTION UNIT PRICE' EXTENDED PRICE —.4 1:7; 1 1.ki J; -BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE AT PLANT USAGE CODE SUB TOTAL TOTAL WAITTIME PREVIOUS:TRUCK LOAD4 SLUMR. MAP PAGE TIME QPF,QNJOB TAX RATE TAX ?ATE ORDER# PLANT TRUCK# DELIVERY)PROFESSIONAL—, ORDER GRAND TOTAL TOTAL DRUM REV-AT PLANT DRUM REV-START DRUMREV-FINISH DEPUTY.WEIGH MASTER- WEIGHMASTER CERTIFICATE# 144.42325 V V TE''RMS AND CONDITIONS 1. PAYMENT TERMRZ SLTAXES.Customer shall pay to Supplier all amounts due under these terms and conditions(the"Terms') NOTE:Chemical admixtures may he present In quantities less than 1%.Trace Materials:Due to the use of substances from the regarding the sale and delivery of the products,materials and supplies listed on the reverse side(the"Products),including all earth's crust.trace amounts of naturally occurring,potentially harmful constituents may be detected during chemical analysis, taxes applicable to the sale of such Products,within 30 days of the delivery date.All such amounts not paid within 30 days of Portland cement may contain trace(<0.(i amounts of chromium salts or compounds(including hexavalent chromium)or other delivery will bear interest up to the maximum rate allowable by applicable law Customer agrees to pay all collection costs, metals(including nickel compounds)found to be hazardous or toxic in some other forms.Other trace constituents may include including attorneys fees,sheriffs fees and court costs,Incurred by Supplier in connection with any attempt by Supplier to co!lect potassium and sodium sulfate compounds. any amounts due under these Terms.All payments shall first be applied to unpaid finance charges with the balance being applied SECTION 111-PHYSICAL DATA to unpaid principal deal. Customer shall pay to Supplier a returned check fee in the amount of 530.00 for each of Suppliers Sg n --N/A,-—I Vapor Press— - re she oks dishonored for any reason. g Point: por u .N/A,Specific Gravity NIA.Vapor Density:N/A,Solubility in Water:Slight(0.01 to 1%). 2. DELIVERY. Evepomuon Rate.N/A,Volab!es by Vo'ume.N/A,Appearance S Odor:Gray,plastic,flowoble,granular mud,and odorless. a. It is agreed that Seller is to deliver the materials and supplies only to the curb or public street line to which the relevant lot S-LCTION IV-FIREB EXPLOSION HAZARD DATA adjoins.If Purchaser,or an employee,agent or contractor of Purchaser(a"Represefl ative-)requests delivery of said material:; Flash Point:N/A,Flammable/Explosive Llunts;N/A,Extinguishing Media:N/A,Firefighting Procedures:NIA,Unusual Fire& and supplies beyond the curb or public street on and over private property,such service Is additional service preformed by Seiler Explosion Hazards NIA - for the Purchaser,and Purchaser(i)shall maintain,or cause to be maintained safe,suitable and sufficient moans of access for SECTION V-HEALTH HAZARD DATA Sellers trucks el the requested and directed points of discharge in order to safely discharge the ordered products):and(IQ as consideration for the additional services,hereby releases,indemnities,and holds harmless Seller and its Representatives from ROUTES OF ENTRY:Inhalation?Yes.Skin?Yes,Ingestion?Yes A,Cy�ITE EFFECTS:Skin contact with wet concrete ran dry the and against any and all liability fordamages to such third party's property which may result from the movement of Sellers delivery skin and cause alkali burns.Within 12 to 48 hours after skin contac ferone,to six-hour exposures),first,second,or third degree trucks over sidewalks,driveways or any part of the third party's premises.If wrecker service is necessary,all such costs shall be burns may occur.There may be no obvious pain at the time of exposure.Eye contact with wet unhardened concrete may cause the responsibility of the Purchaser. burning and possible corneal edema and blindness Ingestion of concrete dust may cause esophagus and stomach burns. b. Upon arrival and if required,Customer shall designate to Supplier's driver a safe place where the delivery truck equipment Persons sensitive to chrome or chromium should not handle wet concrete.Cutting,grinding,crushing,or drilling hardened can be washed out after discharge of the ordered concrete before it can leave the site,which area shall become the sole concrete or concrete products will generate dust that may contain crystalline silica.Acute effects of exposure to such dust may responsibility of Customer for ultimate cleanup and remove of any residual concrete that may be left as a result of such necessary include:EYE CONTACT:Direct contact with dust can cause irritation by mechanical abrasion.SKIN CONTACT:Direct contact can cleaning process. cause irritation by mechanical abrasion SKIN ABSORPTION.Not expected to be a significant route of exposure.INGESTION: Expected to be practically non-to:ec.Ingestion of large amounts may cause gastrointestinal irritation and blockage.INHALATION: c. Concrete and Flowable fill are perishable commodities and become the property of Customer upon leaving Supplier's plant.It Dusts will irritate the nose,throat,and respiratory tract by mechanical abrasion.Coughing,sneezing,and shortness of breath may is Customer's responsibility to protect freshly poured concrete from freezing during the first seven days after delivery. occur following exposures in excess of recommended exposure limits.However,repeated overexposures to very high levels of d. Supplier will reasonably attempt to adhere to the estimated delivery schedule;however Supplier shall not be responsible for crystalline silica(quartz,cristoaalite,Iddymite)for periods as short as six months have caused acute silicosis.Acute silicosis is a any claims for damages for(allure to do so.Handwritten delivery times on the reverse side are for reference.only,and Supplier's rapidly progressive,incurable lung disease that is typically fatal SYMPTOMS INCLUDE(BUT ARE NOT LIMITEDTO):shortness GPS System will be the source of official delivery times: or breath,couch,fever,weight loss,and chest pain.CHRONIC EFFECTS.Continued exposure of the skin to wet unhardened e. Customer shall pay to Supplier,In addition to all other amounts,at Supplier's prevailing hourly delivery rate as cmicu!ated in concrete may cause chronic darmatilis.Chronic bronchitis may result from chronic exposure to dust generated from culling, one-quarter hour intervals,for all(i)walling time caused by the Customer's delaying and/or holding the departure of Suppl;er's grinding,crushing,or di hardened concrete.Chronic exposure to respirable limestone dust in excess of the ACGIH TLV has delivery trucks at the plant and/or delaying and/or hold ng discharge upon arrival at the delivery location,and(it)unloading time caused pneumoconiosis(Dusty Lung).Concrete dust may contain more than 0.1%crystalline silica,which is a cancer hazard if in excess of five minutes per yard. inhaled.Cancer risk depends on duration and level of exposure.Prolonged exposure to crystalline silica will cause silicosis,a I. Customer is responsible for obtaining any and all required permits. progressive pneumoconiosis(lung disease).Respirable dust containing newly broken silica particles has been shown to be more 3. WARRANTY-INDEMNITY. hazardous to animals in laboratory tests than respirable dust containing older silica particles of similar size.Respirable silica a. EXCEPT AS OTHERWISE STATED IN THIS SECTION 3,SUPPLIER WARRANTS THAT THE PRODUCT(S)SOLD PURSUANT particles which had aged for sixty days or more showed less lung injury in animals than equal exposures of respirable dust HERETO SHALL CONFORM WITHTHE PRECISE DESCRIPTION OFTHE PRODUCT(S)THATAPPEARS ONTHE FACE OFTHIS containing newly broken particles of silica.CHRONIC EFFECTS:Continued exposure of the skin to wet unhardened concrete DELIVERY TICKET WHEN TESTED AND SAMPLED IN ACCORDANCE WITH SECTION 3.b.HEREOF. SUPPLIER HEREBY may cause chronic dermatitis.Chronic bronchitis may result from chronic exposure to dust generated from cutting,grinding, EXPRESSLY DISCLAIMS ANY AND ALL OTHER WARRANTIES,WHETHER EXPRESS OR IMPLIED IN NATURE,INCLUDING crushing,or drifing hardened concrete.Chronic exposure to respirable limestone dust in excess of the ACGIH TLV has caused BUT NOT LIMITED TO ANY WARRANTY OR MERCHANTABILITY AND;OR FITNESS FOR A PARTICULAR PURPOSE UNDER Pneumoconiosis(Dusty Luny)Concrete dust may contain more than 0.1%crystalline silica,which is a cancer hazard if inhaled. THE UNIFORM COMMERCIAL CODE. Cancer risk depends on duration and level of exposure.Prolonged exposure to crystalline silica will cause silicosis,a progressive pneumoconosis(lung disease)Respirable dust containing newly broken silica particles has been shown to be more hazardous b. Concrete shall be tested in accordance with ASTM standards.Testing Samples shall be taken al Supplier's plant which is to animals in laboratory tests than respirable dust containing older silica particles of similar size.Respirable silica particles which producing the concrete or from the delivery truck at the point of discharge(without the addition of any water to the mix fallowing had aged for sixty days or more shored less lung injury in animals than equal exposures of respirable dust containing newly delivery)in the presence of an authorized representative of Supplier broken particles of s,!ica.There are reports in the literature suggesting that excessive crystalline silica exposure may be c. With respect to ready-mixed concrete,Supplier shall not be liable,pursuant to a breach of the above waranty,or otherwise, associated w:dh aaeerse health effects involving the kidney,scleroderma(thickening of the skin caused by swelling and thickening for any liabilities,damages or other claims whatsoever resulting from:(I)the deviation from applicable ACI standards for of fibrous tissue)and other auloimmune disorders.However,this evidence has been obtained primarily from case reports placement,finishing,protection and curing,jointing techniques,or any other factors beyond Supplier's control:(II)any alteration involving individuals vrorking in high exposure situations or(hose who have already developed silicosis;and therefore,this of the concrete by the addition of any materials(including,without limitation,water,additives,chemicals,etc.)other than those evidence does not conclusively prove a causal relationship between silica and these adverse health effects.Several studies of provided by and/or approved by Supplier;(III)any concrete mix designs provided by Customer or its Representatives,unless such porous with si-icos:s also indicate an incrensed risk in developing lung cancer,a risk that increases with duration of exposure. mix design is tested and certified by Supplier,or(iv)any color variations due to ambient,environmental,placement and curing Many of these studies of si!costs do not account for lung cancer confounders,especially smoking-CARCINOGENICITY:Concrete practices and/or lobsite,conditions outside the control of the Supplier, is not listed on the NTP,IARC,or OSHA List of carcinogens.However,in October 1996,IARC classified respirable crystalline silica d. Customer shall indemnify,defend and save harmless Supplier,its officers,agents and employees,from all claims,damages, from occupational sources as a known human carcinogen(Group 1).The NTP indicates(hat crystalline silica is reasonably liability,actions,loss,costs,and expenses,including attorney's fees,arising out of the use of the concrete,including,but not anticipated to be a carcinogen(Group 2)These classifications are based on sufficient evidence of carcinogenicity in certain limited to,those asserted by the end user of this concrete,except for the sole negligence or willful misconduct of Supplier experimental animals and on selected epidemiological studies of workers exposed to crystalline silica.Concrete may contain e. Acceptance and use of this delivery shall constitute the Customer's acceptance of the above-mentioned terms and conditions crystal I ne silica in concentrations greater than 0.19.,principally contributed by the aggregates.Crystalline silica in wet concrete of this warranty and indemnity and any inconsistent terms shall not be binding on Supplier. is not respirable and does not pose a hazard when the concrete is in its plastic or unhardened state.Once concrete has hardened, I. Customer shall make any claims for(i)shortage at the time of actual discharge by so indicating such protest upon the face of airborne dust generated by grinding,sawing,drilling,breaking,etc,will lead to potentially hazardous exposures to workers and this delivery ticket;or(ii)the lack of product yield of the discharged concrete to Supplier by doing so in writing within forty-eight appropriate respiratory protection precautions must be taken.Iron oxide is listed by IARC as exhibiting evidence of carcinogenicity (48)hours of the time that the concrete has been discharged and accepted, in experimental anmals.SIGNS AND SYMPTOMS OF EXPOSURE:Freshly mixed concrete is irritating to the eyes and skin.It 4. LIMITATION OF LIABILITY. can dry the skin and can cause a'kal.ne burns to the skin and eyes Hype sitive rsen individuals may develop an allergic dermatitis. Chronic exposure to respirable dust containing crye alline silica in excess of applicable OSHA PELS,MSHA PELS,and ACGIH a. SUPPLIER SHALL NOT BE LIABLE IN ANY EVENT OR FOR ANY REASON,INCLUDING BREACH OF THESE TERMS, TLVs has caused silicosis,a progressive lung disease SYMPTOMS OF SILICOSIS MAY INCLUDE(BUT ARE NOT LIMITED EITHER DIRECTLY OR INDIRECTLY,TO CUSTOMER OR ANY THIRD PARTY FOR ANY SPECIAL,INDIRECT,INCIDENTAL, TO).shortness or breath,difficulty breathing with or without exertion,coughing,diminished work capacity,diminished chest PUNITIVE.EXEMPLARY OR CONSEQUENTIAL DAMAGES OR LOSS OF PROFITS ARISING OUT OF THESE TERMS,EVEN cxpnn— rcductior•of lungo'u ne,ir,tit nnar IF SUCH DAMAGES WERE FORESEEABLE OR SUPPLIER HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES ti - ten'.•TIONSnl ENEandl LLY Persons ED,tlh silicosis have an increased risk or pu'maw re tuberculosis Infection MEDICAL CONDITIONS GENERALLY AGGRAVATED BY EXPOSURE:Individuals with IT IS EXPRESSLY AGREED THAT SUPPLIER SHALL NOT,UNDER ANY CIRCUMSTANCES,BE LIABLE TO ANY PARTY FOR chronic respiratory disorders should minimize inhalation of dust generated from cutting,grinding.crushing,or drilling hardened AN AMOUNT GREATER THAN THE NET PURCHASE PRICE OF THE PRODUCT, concrete. Individuals with skin diseases should minimize skin contact with the dust,and with wet unhardened concrete. b. In the event the product does not conform to the precise description set forth on the face of this delivery ticket,then Supplier Physicians Note:Ingestion of large amounts of wet unhardened concrete is unlikely. However,if wet concrete is swallowed,to shall,in its sole and absolute discretion,either replace such product with conforming product,or refund the amount of the prevent re-exposing the esophagus and stomach,do not induce emesis or perform gastric lavage.Immediate dilution may prevent purchase price,or give a credit in a like amount to the account of the Customer with no further liability,including but not limited to esophageal burns For severe burns,consider esophogoscopy within the first 24 hours.Washing with a pH neutral soap and water any claims for damage or destruction to other property that may be caused by the removal of the nonconforming product,breach may aid in removing hardened concrete from the Sian.EMERGENCY AND FIRST AID PROCEDURES:WET UNHARDENED of contract,breach of warranty or any other damage,delay or penalty claims. CONCRETE OR HARDENED CONCRETE DUST IN THE EYES Gently lift the eyelids and flush immediately and continuously c. Supplier,without prior notification to the buyer,reserves the right to change or modify mix designs for any of its manufactured with flooding amounts of water for a minimum fifteen minutes.Consult a physician immediately if irritation persists or later products.Customer acknowledges that changes to the mix designs may alter weights,appearance and color.Raw material develops WET UNHARDENED CONCRETE ON SKIN Quickly remove contaminated clothing.Wash affected areas thoroughly suppliers cannot guarantee the color consistency dip natural product extracted from the earth.Supplier does not guarantee color with a OF. neutral soap and water.Consult a physician immediately if irritation persists.INHALATION OF HARDENED uniformity or guarantee against stains due to efflorescence or other reasons for any of the m stalrop delivered CONCRETE DUST Remove exposed person to fresh air and support breathing as needed.Encourage wolm,to cough,spit out, 5. FORCE MAJEURE.Neither party shall be liable for failure or delay in performing obligations set forth in these Terms,and and blow nose to remove dust.Consult a physician immediately,Sae physician's note in section ill. neither party shall be deemed in breach of its obligations,if such failure or delay is due to natural disasters,strike,lock-out,or SECTION VII-PRECAUTIONS FOR SAFE HANDLING&USE other industrial or lransportetional disturbances,law,regulation or ordinance,or any causes reasonably beyond the control of STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED Personnel involved with the handling of wet such party. unhardened toner to Fhould take stops to eso.d contact with the eves and skin,through the use of gloves-and suitable clothing. 6. ENTIRE AGREEMENT.These Terms constitutes the entire agreement between the parties and supersedes any and all other Wet unhardened concrete chand be recycled or allowed to harden and disposed.WASTE DISPOSAL METHOD:Allow wet agreements,either oral or written with respect to the subject matter hereof. unhardened concrete to harden and dispose in a landfill as common solid waste:Follow applicable Federal,State,and local 7. ARBITRATION;_GOVERNING LAW.The parties agree to attempt,in good faith,to resolve any claims or disputes totaling to regulations for disposal.Uncontaminated ready mixed concrete is neither a listed nor a characteristic hazardous waste under these terms promptly by negotiation between an executive selected by each of the parties.If the executives fail to resolve the claim dcs.gnations by the USEPA or USDOT USDOT CLASS Uncontaminated ready mixed concrete does not meet any hazardous or dispute within thirty(30)days of first attempting to do so,then it shall be submitted to and settled by final,bind i,g and exclusive matonol class definition found in Title 49 Code of Federal Regulations Part 173.PRECAUTIONS TO BE TAKEN IN HANDLING arbitration in Harris County,State of Texas,under the Commercial Arbitration Rules of the American Arbitration Association then AND STORING Sit -containing re=_p;rable dust particles may be generated by crushing.cutting,grinding,or drilling hardened in effect.The laws of the State of Texas shall govern without regard to its conflicts of law principles.The prevaking party may enter concrete or concrete products Follow protective controls defined in Section V when handling these products. any arbilral award or decision as a judgment in any court of competent jurisdiction and any such award or decision shall be enforceable by such court.The non-prevailing party shall bear the fees and expenses of the arbitrator and the arbitration NO SECTION VII-CONTROL MEASURES ACTIONS OR PROCEEDINGS, INCLUDING ARBITRATION,ARISING FROM THESE TERMS h1AY BE BROUGHT BY RESPIRATORY PROTECTION.Wtan exposed to dust from cutting,grinding,crushing,or drilling hardened concrete or concrete CUSTOMER MORE THAN TWO(2)YEARS AFTER CUSTOMER KNEW OF SHOULD HAVE KNOWN OF THE CAUSE OF products above recommended limits Error a suitable NIOSH—approved respirator wilh protection factor appropriate for the level ACTION. of exposure.For emergency or nor.routine operations(oB,confined spaces),additional.precautions or equipment may be 8. MISCELLANEOUS.Supplier is an Independent contractor of Customer,and nothing contained in these Terms is intended to required.Respirator use must comply with applicable MSHA or OSHA standards.LOCAL EXHAUST VENTILATION:When create the relationship of principal and agent,partners or joint venturers,or any other fiduciary relationship between Supplier and culling,grinding,crushing,or drilling hardened concrete,provide general or local exhaust ventilation systems as needed to Customer.If any provision herein is held to be Illegal,invalid or unenforceable under present or future laws,suds provision shall ma!nte:n airborne dust concentrations below the OSHA PELS,MSHA PELS,and ACGIH TLVS.OTHER:Respirable dust and be fully severable and these Terms shall be construed and enforced as if such provision had never been a part hereof.The(allure quartz Ic•els from hardened concrete cutting,grinding,crushing or drilling operations should be monitored regularly.Dust and of either party to enforce any provision of these Terms shall not be construed as a waiver or limitation of flint parry's right to quartz levels in excess of app!icab!e OSHA PELS,MSHA PELS,and ACGIH TLVS should be reduced by all feasible engineering subsequently enforce and compel strict compliance with every provision of these Terms. controls.PROTECTIVE GLOVES:When handling wet unhardened concrete,wear water proof gloves to prevent skin contact. Wash thoroughly with water and a pH-neutral soap after handling.EYE PROTECTION:When cutting,grinding,crushing,or dril!,ng hardened concrete—or safety glasses with side shields or dust goggles in dusty environments.When there is'a splash MATERIAL SAFETY DATA SHEET hazard working with wet unhardened conerad,wear safety glasses with side shields or goggles.OTHER PROTECTIVE CLOTHING OR EQUIPMENT.Weor suitable protective clothing,as needed,to prevent skin contact with unhardened concrete. SECTION I-IDENTIFICATION This includes waterproof boots and NIOSH-approved respirators when exposure exceeds applicable limits WORK/HYGIENIC Manufacturer's Name:U.S.Concrete,Inc,Address:2925 Briarpark,Houston,TX 77042.Information Telephone:713-499-6200, PRACTICES:Contact with wet unhardened concrete,mortar,cement or cement mixtures can cause skin irritation,severe Emergency Telephone:713-499-6200.Trade Name:Ready Mix Concrete the,,cal burns,or San—eye damage Avod contact with eyes and skin.Wear waterproof gloves,a fully buttoned long-sleeved SECTION 11-HAZARDOUS INGREDIENTS/COMPONENTS shirt.full-length trousers,and tight fitting eye protection when working with these materials.If you have to stand in wet concrete, use vaerproof boots that are light at tops and high enough to keep concrete from flowing into them.If you are finishing concrete, Hazardous Components CAS No. OSHA PEL ACGIH TLV % wear waterproof knee pads to protect knees.Wash wet concrete,mortar,cement,or cement mixtures from your skin with fresh, Portland Cement 65997-15-1 5mg/m'(respirable),15mg/m' 10hi(total) 10-30% clean w✓aterand a pH-neutral S03p Immediately after contact.Indirect contact through clothing can be as serious as direct contactF (total) so promptly rinse out wet concrete,mortar,cement or cement mixtures from clothing,Seek immediate medical attention if you Limestone(Ca Cop) 1317-65-3 15 /m'(Total) 10 rri(total) 0 65% have persistent or severe discomfort In case or eye contact,flush with plenty of water for at least 15 minutes.Consult a physician Crystalline Silica(Quartz) 14808-60-7 10 mg/m',°:SiO:+2(re3p),30 0.05 mg/m'(total)(rasp quartz) 0.5-8090 immediately.KEEP OUT OF REACH OF CHILDREN Avoid dust inhalation and direct contact with skin and eyes.Wash mg/mi%SIO-,+2(dust),250 contaminated skin before eating,drinking,smoking,lavatory use and before applying cosmetics million pinnuft',%SID,+5 Particulates NOD 15 mg/m'(total),5rrglnr 1 Orrg/rm(Inhalable),3mg/m, 0-100% USER AGREES TO CONVEY THIS WARNING TO ALL PERSONS WHO MAY PURCHASE,USE,OR COME IN CONTACT (respirable) (respirable) WITH WET(UNHARDENED)CONCRETE,MORTAR,CEMENT OR CEMENT MIXTURES Fly Ash which contains: 68131-74-8 N/A WA 1-4% Aluminum Oxide(AI,O,) 1344-28-1 15mg/ni°(total),5rng/m lOnVm' OJ-2% (respirable) Amorphous Silica 61790-53-2 Bong/m'/(%SiO2) 10ruai(total), 0.01-396 3mglm3(respirab!e) Calcium Oxide(C.0) 1305-78-8 5m/m' 2mg/m Iron Oxide(as Fe,O,) 1309-37-1 10mg/nr 1Orni 0.1-24'0 8 � a E fit, t 20' clearance between tree wells with box centered a. C y e .v_between them N , y s, �s K P REL -ATED, � 1 � Syed Wahidi From: Roger Storz Sent: Monday, August 01, 2016 12:22 PM To: 'Yee, Richard' Cc: Rogers, Kelly; Clifford Charbonneau; Syed Wahidi; Bob Siudzinski Subject: RE: Madison -Transformer in front of Balloonatics Attachments: 0697_001.pdf Hi Richard, The plan looks good with the following change: Shift the existing (newly planted a couple of months ago) tree to the east such that you have 20 feet clear between the existing Balloonatics tree well and the relocated tree well. See attached mark-up. This allows 10 feet for the box, with 5 feet of clearance on each side. We obviously would not be looking for the same level of mitigation as previously discussed, however doing the tree trimming along Dillon Avenue would be a fair exchange for the accommodation the City has provided in this situation. If you are okay with this alternative, please have CEA revise the off-site street improvement plan to reflect this change. Regards, Roger From: Yee, Richard [mailto:RYee@robsonhomes.com] Sent: Wednesday, July 27, 2016 12:11 PM To: Roger Storz Cc: Rogers, Kelly; Clifford Charbonneau; Syed Wahidi; Bob Siudzinski Subject: RE: Madison -Transformer in front of Balloonatics Hi Roger, I've modified the schematic based on direction from Tarrar Utility. The transformer requires 5' min. clear from the tree well, which means it cannot fit unless I can remove one of the tree wells. I'm also hesitant to make the sidewalk much wider than I've shown as it would start to make for an awkward flow/transition. Please note that we have a rock wall element in front of Townhome Bldg 1. Please let me know if I can proceed with this design or if you have additional comments. Thank you. Richard From: Roger Storz [ma i Ito:rogers@cityofcampbel1.com] Sent: Wednesday, July 27, 2016 9:19 AM To: Yee, Richard Cc: Rogers, Kelly; Clifford Charbonneau; Syed Wahidi; Bob Siudzinski Subject: RE: Madison -Transformer in front of Balloonatics Richard, i w Yes, but I would like to get the sidewalk beyond the edge of the box as wide as possible. Can you see how wide you can get it without the need for a retaining wall at the edge of the Balloonatics parking lot. Please also note the width of the box cover on your drawing. Roger From: Yee, Richard [ma i Ito:RYeeC�robsonhomes.com] Sent: Tuesday, July 26, 2016 4:47 PM To: Roger Storz Cc: Rogers, Kelly; Clifford Charbonneau Subject: Madison -Transformer in front of Balloonatics Roger, Please verify that the attached schematic design reflects your direction to us this morning so that I can proceed. Thank you. Richard z R� Syed Wahidi From: Roger Storz Sent: Monday,June 27, 2016 12:33 PM To: 'Yee, Richard'; 'Rogers, Kelly'; 'Clifford Charbonneau' Cc: Bob Siudzinski; Syed Wahidi Subject: RE: Madison - Proposed Street Tree Removal/Transformer Relocation Attachments: 0268_001.pdf Good Morning Gentlemen, We are supportive of removing the street tree with the following associated mitigations: • A 24 inch box Pistache chinensis "keith davey" replacement tree to the west and south of the removed tree. New tree to be south of the sidewalk, but in the City's right of way. Applicant to coordinate with B"aillUo,na,ics regarding placement of new tree. • Trim all trees both east and west side of Dillon Ave from to the Service Center to East Campbell Avenue • Trim all trees on Sam Cava Lane from Railway Ave to Gilman Ave. • Stump grind and replant with a 15 gallon Pistache chinensis "keith davey' empty existing tree wel'Is on D:illlo$ Ave. • Stump grind and replant with a 15 gallon Pistache chinesis "keith davey" an empty tree well on the cartf side of Sam 477i ug eas ofRat*ut a nee wue,ll on t e north side of Sam Cava east of the empty tree well mentioned above and plant with a 15 gallstache chinesis "keith davey" (this new tree will require outreach to the adjacent "Roadsport" business) Also,the tree that was severely damaged this morning will trigger the following: o Stump grind dam ged tree nd replant with a 15 gallon Pistache chinensis "keith davey" • Trim all trees on Gilman Ave. from Sam Cava Lane to East Campbell Ave. If this is acceptable to you,then please coordinate the work with our City Arborist Bob Siudzinski and with Syed. Regards, Roger K. Storz, P.E. I Senior Civil Engineer City ofCampbell I Public Works Department ropers alcityofcanipbell.com 408.866.2190 70 N. First Street, Campbell, CA 95008 From: Yee, Richard [mailto:RYee(arobsonhomes.com] Sent: Friday, June 24, 2016 2:37 PM To: Roger Storz; Syed Wahidi; Bob Siudzinski (BSiudzinski(a)cityofcampbell.com) Cc: Rogers, Kelly; Clifford Charbonneau Subject: Madison - Proposed Street Tree Removal/Transformer Relocation Hi Roger,Syed and Bob, Thank you again for taking the time to meet with us this morning to consider our request to remove an exisitng street tree in order to accommodate a new transformer on Sam Cava Lane that is partially residing on Balloonatics' property. Our understanding is that you will get back to us with direction on the tree replacement mitigation (i.e. planting missing trees along Dillon and Sam Cava or paying the appraised value of the tree to be removed). As you have requested, I've attached a schematic site plan design for your reference. Sincerely, Richard Yee, Robson Homes 408 761-0354 cell , 2 t3 iP6. jia ' TG SIPS s } t FE r � ) 4'v* 6AM cAqA- W r SOLD BY: MILPITAS MATERIALS COMPANY MESU °RDAT:1125 N. MILPITAS BLVD. MILPITAS, CA 95035 PHONE: 408-262-0656 510-656-2619 650-969-4401 TRUCK'# tzRLVER FAX: 408-942-0826 WE MAKE ALL DELIVERIES INSIDE CURB AND ON LOT AT CUSTOMERS RISK ONLY TIME LOADED' AND ACCEPT NO RESPONSIBILITY FOR DAMAGES RESULTING FROM SUCH DELIVERY. IT IS CUSTOMERS RESPONSIBILITY TO HANDLE THESE MATERIALS SAFELY AND ARRIVE JOB PROPERLY. 9 WARNING: Materials are irritating to the skin and eyes because they contain Portland Cement,so wear rubber boots and START POUR gloves. Prolonged contact may cause burns. Avoid contact with eyes and prolonged contact with skin. In case of contact with skin or eyes flush thoroughly with water. If irritation persists,get medical attention. Precaution must be observed because alkali burns occur with little warning and little heat is sensed. END POUR WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed,measured,or counted by a weighmaster,whose signature is on this certificate,who is a recognized authority-of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business and Professions Code, ARRIVE PLANT administered by the Division of Measurement Standards of the California Department of Food and Agriculture. MILPITAS MATERIALS CO. WATER ADDED AT JOB: GALLONS DEPUTY WEIGHMASTER CUSTOMER ID PHONE NUMBER JOB/P.O.NUMBER DATE TICKET SOLD TO DELIVER TO I.'J.:;4+'I:':.: - , r'1'd ' CrrpL.`}-' `�C'dllF'7,,. }'; j ,+.}i•' y i.r ` a.- -s. T _ ., .� ..• .. .. .. ..i._ of-L•I �,.�.J .'(1 LOAD# SLUMP ..,f i;'I '.t:•i.�..i... QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED THIS LOAD DELIVERED 'u CODE DESCRIPTION MEASURE P141� +_ PRICE. -,l tC°i., lr'l4ii +a �:a C.:''l. .-'.Jra S.'1171 r.y i. .r. 6•. i. f'I�•'( i_':I,j.,�;I'{d 5,:.`�::J•I ..'t C:i�' I:{ l..'i.i...r.: y,}... .J.lLf u J;'t" % d:,:({,5, t''b9ii` :L,I ...I •:.:f ._! 'x c:, I STAND BY TOTAL MINUTES ALLOWED MINUTES CHARGED MINUTES SUBTOTAL CHARGE @ �_:, 01'VMINUTE If buyer fails to a the amount owed when due,buyer agrees to a month) service charges a ual to 11/2%per SALES TAX Y PY Y 9 PY Y 9 q month (18%per annum)of the outstanding balance of principal due as liquidated damages. A SERVICE CHARGE of$20 will be charged on any returned check. Necessary ATTORNEY FEES,COLLECTION AND SUIT COSTS will be STAND BY charged on any unpaid bills. Milpitas Materials will not be held liable or responsible for the removal or replacement of any material once it is accepted and placed at the•obsite. OTHER - TOTAL . r�nc�In Rv � - K 4 .n. .. d ti •x � �1 °�P�ry � a a. r .a r -R<♦ `,War" •k 'h. �. t. •rv. r yyy, �"tiR�'C&:: ,JJ • d.N `� '� r,5l,+�I �:. � ��-max s ii'�' $ AWL _,,,,_.x .. ,M1 +. t�•,�ter. � s1. � I � y� • R 4 � b � F ' �1 > — 66JJ � ^� � '#' ire �[-f� '�r f _ ,r • `� pp� J(y� g Ar Jo I h ►, ` y,+ � � g�I,, :t x• r q y� � x',1 l ' -�a rti �' ,r� F � y x� ti • r { is t W � A 3 t� C Y I � • ay '� l f.i �a r .. 91j 3�S M t,' 1 a }r ,t. 1., .. �)A •x�+ ` - .y, Qc�, - c y-�•x ��,# fti'� �, w� �A;f4 r i�I�� 4�4�� •��.. � �If: � A � +- ��v.7fF. NO titer~ r r of � ��.� � :Y �r .� sl yF.• I - r�..,,! � L" a1n-_i IL 17"i � ,..I 4. �.. pan � 'I'' '�/. � � • rs » .�-'1__. •�n .rz. '},'�' i3,�e '" ',IAr' z - x' 6 y ; . . • « + r r , < r { f — a° Ao a 6 0 t If 75 fs fir e r ' , � 5 i ,� UTILITY LLL comsuLTRHTS - RE-CONSTRUCTION MEE.TING SIGN-IN PROJECT: Madison Lane of Downtown - Tract 10296 - Campbell, CA JOB O: 21429 DEVELOPED: Robson Homes WIFETINGDATE: February 11, 2016 NAME aE1PPESENF1NC TEEEPIRONE FAX ]EMA11, Khalid Tarrar Tarrar Utility Consultants 925-240-2595 925-240-7013 khalid@tarrar.com � ` i ^svSfx �. 1�ia.°✓',< �..a<.'r :r✓' j ,:, .„:-,�� f_I ,f �,. r Pr f -" ° t.• i1_0 AD, A77- 6�2e-6?S �Fe�e( 47T. mig x,) ,v a 0 � Off- c I - -" / c. At e, IF GILD L KE A COPY OF THE SIGN-IN SHEET EMAILED TO YOU PLEASE PRINT � � . Cal- YOUR EMAIL ADDRESS CLEARLY. THAN YOU! p Syed Wahidi From: Rogers, Kelly <KRogers@robsonhomes.com> Sent: Wednesday, November 18, 2015 10:00 AM To: Roger Storz;Yee, Richard Cc: aturner@ceainc.net; Syed Wahidi Subject: RE: Dillon - Realignment of storm drain pipe Preston Pipelines and myself are working on the parts and pieces,we both have agreed that once we get ready to go we would need a 10 day window of good weather before we would start. Kelly Rogers :Srrn Lakes Constiwction Robson Homes 2185 'I"he Alameda, Suite 150 San Jose. CA 95126 (408) 761-1302 From: Roger Storz [ma i Ito:rogers cityofcampbel1.com] Sent: Wednesday, November 18, 2015 8:53 AM To: Yee, Richard Cc: Rogers, Kelly; aturner@ceainc.net; Syed Wahidi Subject: RE: Dillon - Realignment of storm drain pipe Good Morning, This definitely improves the situation. Do you have a construction schedule for installation of the pipe? As this pipe drains a significant watershed, I need to understand how you propose to construct the new pipe while continuing to maintain its functionality—especially if a storm should sneak up on us. Roger From: Yee, Richard [mailto:RYee robsonhomes.com] Sent: Tuesday, November 17, 2015 12:21 PM To: Roger Storz Cc: Rogers, Kelly; Andrew Turner (aturner@ceainc.net) Subject: FW: Dillon - Realignment of storm drain pipe Roger, We want to move forward with the pipe install based on the new proposed alignment asap (CEA is working on updating the plans for resubmittal). The email below between our geotech engineer and precast wall contractor provides detail on the location of the new storm drain pipe. Please let me know if you have any questions or concerns. Thank you. Richard 1 P. From: bliang@qeo-logic.com [mailto:bliang@a eq o-lo iq c.com] Sent: Tuesday, November 17, 2015 11:18 AM To: 'Felice, Jim'; Rogers, Kelly Cc: 'Andrew Turner'; Yee, Richard; 'John Gaylord'; Jake,Lavin; Darren Holland Subject: RE: Dillon - Realignment of storm drain pipe Jim, Thanks for your input. Future maintenance and repair of the SD pipe has been mentioned in our very first email. Richard Yee and I also discussed this yesterday. With the current design, the edge of SD pipe is about 5 feet from the property line. Assuming that future excavation for repair and maintenance would extend 1 foot beyond the pipe,the horizontal distance between the edge of excavation and the edge of the wall pier would be about 2.67 ft. (5'-1.33'-1'=2.67', with the piers right at property line). This condition occurs every 8-9 ft along the precast wall (spacing of the wall piers). The 2.67' spacing between the edge of excavation and the edge of piers is about 2 times the pier diameter(2x1.33'=2.66'). This should be acceptable for temporary and short duration for maintenance and repair of the SD pipe provided the excavation has adequate shoring and bracing to protect the excavation sidewalls, and the specific conditions being addressed by qualified engineers and construction experts. In addition, excavations may have to be performed in short sections. For different excavation conditions, the conditions will have to be addressed at the time of construction. As indicated in our email (see below), construction related issue should be addressed by others (eg the City, contractor, etc.)which will be beneficial in the discussion and evaluation process. Chalerm (Beeson) Liang Geo-Logic Associates dba Pacific Geotechnical Engineering 16055 Caputo Drive, Suite D Morgan Hill, CA 95037 408-778-2818 ext 401 Please note my email has changed to bliang@qeo-logk.com, extension of our parent company Geo-Logic Associates t 2 eo-Loge A S S O C I A T E S PACIFICo.:w GEOTECHNICAL ENGINEERING qoJ April 21, 2016 Project 2014.0005ci ` Richard Yee Robson Homes 2185 The Alameda, Suite 150 San Jose, California 95126 Subject: Soil Percolation for Proposed On-site Stormwater Treatment Systems Proposed Residential Development Dillon Avenue, Campbell, California Dear Mr. Yee, As requested, we have prepared this letter to address scrilipuri atio-n for the proposed on-site Stormwater treatment systems V0002,TIME,NEMW and R `50 We understand these systems are designed to allow percolation/infiltration of collected water through the bottom of the systems into the underlying native soils, based on a soil percolation rate of 5 inches per hour (approximately 3.5x10-3 cm/sec). TCM#1 will be constructed east of proposed Building 11. TCM#2 will be constructed southeast of proposed Building 11 and northeast of proposed Building 14. TCM#5 will be constructed southeast of proposed Building 14. These three systems will have an invert elevation of 181.5 feet. TCM#4 will be constructed in the northeast corner of the project, east of Unit 24 of Building 5. TCM#4 will have an invert elevation of 187.0 feet. Removal of unsuitable materials in the eastern portion of the project had resulted in excavations of variable depths. In the vicinity of TCM#4,the bottom of the excavation was estimated to be at roughly elevation 173 feet. In the vicinity of TCM#1,TCM#2 and TCM#5,the bottom of the excavation was estimated to be at roughly elevation 175 feet. The excavations were backfilled with compacted on-site and imported soils. A permeability of 4x10-8 cm/sec was measured in our laboratory on a sample of the compacted backfill soil. The measured permeability is much lower than the design value. Therefore,the compacted backfill soils would not provide water percolation as designed for the project. During the excavation and backfill operations, native sand and gravel soils were observed at the bottom of the excavations in the areas of TCM#1,TCM#2,TCM#4 and TCM#5. Therefore, p cUl on h:oi s are;;progosed beneath the bottom of the subject stormwater treatment systems to convey water to'tlle underlying native sand and gravel soils which are more permeable than the backfill soils. We understand the percolation holes will be filled with raCla��s�_ e� ,��ble�rmateYi�ai� 16055 Caputo Drive,Suite D,Morgan Hill,CA 95037 T 408-778-2818 • F 408-779-6879 • www.geo-logic.com Our geotechnical investigations for the project performed in 2013, 2014 and 2015 included twenty-two exploratory borings and two Cone Penetrometer Test (CPT) probes. The subsurface information suggests the sand and gravel soils extend under the entire project site, and likely beyond. Laboratory grain size analysis tests were performed on selected samples of the native sand and gravel soils collected from the borings. Our review of the grain size analysis results indicates an average effective diameter(D10) of about 0.11 to 0.12 mm. Based on Hazen's equation, we have estimated the permeability of the native sand and gravel soils to be on the order of 1x10-2 to 1.5x10-2 cm/sec (roughly 14 to 21 in/hour). Based on these estimates and applying a reduction factor to account for degradation of permeability over time, we recommend a permeability of 5x10-3 cm/sec ( nch pe e_ eoa o affor the underlying sand and gravel soils. LIMITATIONS In providing our services,we have endeavored to follow generally accepted principles and practice of the environmental and geotechnical engineering professions in the area and at the time our services were performed. No warranty, express or implied, is provided. Sincerely, Geo-Logic Associates, Inc. dba Pacific Geotechnical Engineering O e%OFESS1OfV AtWj �i PERM S. I24 ell Chalerm (Beeson) Liang, GE 2031 GE 2031 A Supervising Geotechnical Engineer EXP. 9-30-2017 )TECtA \Q 9TF OF CALW 2014.0005 I Percolation Related to Proposed Stormwater Treatment Systems,Dillon Avenue Project 2 April 21,2016 a t - - 21 Page - CUDOTM Installation Guide CUDO Stormwater Cube — Modular Stormwater Systems CUDO Assembly The CUDO product will arrive on site with the required number of components to complete your project.Those components will consist of(as required)CUDO half cubes,top/bottom grates,stacking couplers,side plugs,and/or lateral connectors.Assembly of the completed CUDO system will be done on site per project specific assembly details with their simple snap together feature. C U D O A S S E M - B L Y I S A S N A P ! TOP/BOTTOM GRATE [ACCESS OPENING OPTIONA4 CUDO [ASSEMBLEDI V t LATERAL COUPLER STACKING COUPLER [OPEN OR CLOSED) CUDO HALF SIDE PLUG [OPEN CLOSED) � IL TOP/BOTTOM GRATE 4+ Cudo Stormwater Products;Inc. P.O.Box 497 Occidental,CA 95465-0497 Phone:(877)876-3346 www.cudocube.com . r CUDO Water Storage System Made in the USA of high-strength injection molded polypropylene plastic,a single CUDO assembly requires just two halves and two end caps,making assembly in the field quick and easy. CUDO is designed to support HS-20 traffic loads.Contact your Oldcastle Stormwater Solutions representative for design assistance.CUDOs can be installed in a single layer or stacked to increase storage volume in the same footprint. Depending on the application,either a filter fabric(for infiltration)or watertight plastic liner(for detention)is placed beneath and around the CUDO modules,forming a secure envelope around the entire system. , DESIGN CONSIDERATIONS CUDO can be used for detention,retention,infiltration or harvesting applications.' • CUDOs can be stacked up to four units high to increase storage volume without increasing.system footprint. • When used in conjunction with Dual Vortex Hydrodynamic Separator or PerkFilter'Media Filtration,CUDO provides a complete stormwater management system. • Integral"metered outlet"device eliminates the need for separate outlet and flow control structure. • CUDO's circular openings create a secure connection point for inlet and outlet pipes. 2 halves s Endcop snap together y snaps on to form a ' �•� to complete single CUDO assembly CUDO components snap together, forming a single or multiple CUDO stack.Assembled stacks are installed to w ` form the desired CUDO system size and shape with a N , maximum amount of footprint flexibility. Installation of CUDOs in Lake Tahoe,CA St rmwate adeing � o • The CUDO system can easily be modeled with the HydroCAD® Stormwater Modeling System,allowing simplified calculations of the system storage and infiltration behavior.The.HydroCAD Chamber Wizard also performs automated CUDO system layout and simplifies the process of designing a system to meet specific storage and footprint requirements.HydroCAD®is a registered trademark of HydroCAD Software Solutions LLC. CUDO halves being assembled at the jobsite Oldeastle® oldcastlestormwater.com (800)579-8819 7/23/2015_V2 Stormwater Solutions storm ca ptu re.com 02015 Oldcastle Precast,Inc. A � Shaping the future of compact underground stormwaterstorage CUDO is a modular high-strength plastic cube that creates compact underground stormwater storage systems.The unique shape incorporates an arched design that adds structural integrity,increased water storage and enhanced access for inspection and maintenance.It can be used for detention,retention,infiltration,or water harvesting,and its compact size (24"x24"x24")is ideal for small sites and shallow applications. Superior Strength Efficient Storage Unique shape and the highest CUDO creates 95%storage efficiency quality plastic resins create which minimizes system footprint. superior strength. Maintenance Easy Assembly Accessible Minimum number Large interior of components openings offer required for ease of access for assembly. inspection and maintenance. Integrated Applications Maybe integrated into bioretention LEED Potential systems(rain gardens) replacing drain . Potential LEED®NC credits pipe and aggregate with a highly "" for'Sustainable Sites(6.1,6.2) . porous matrix. Materials&Resources(5)and Compact Design water Efficiency(1,3). CUDO size(24"x 24"x 24")offers ease of handling and installation. Oldcastle Stormwater Solutions, i DATE(MM/DD/YYYY) AC R® CERTIFICATE OF LIABILITY INSURANCE 11 1/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICQTi_,E�-10LDER. , IMPORTANT: If the certificate holderrls--an�D�TIO ALYINSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy;certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorserrig , ss. 1 A `)tl`; PRODUCERbtir7 --. CONTACT NAME: Elaine Leaman Lovitt&Touche' Inc-Tempe PHONE 602-956-2250 FAX 602-956-2258 1050 West Washington St,#233 ministration E-MAIL A/c No Tempe AZ 85281 public WOfks A Eleaman@lovitt-touche.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Lloyd's of London INSURED ROBSO-1 INSURERB:Charter Oak Fire Insurance Company 25615 Sun Lakes Construction Co.of CA INSURERC:Alterra E&S Lines Insurance Company Robson Homes, LLC INSURERD:Amerisure Mutual Insurance 23396 9532 East Riggs Road Sun Lakes AZ85248 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER:1275161471 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER ADDLSUBR MM/DDY� POLICY M DDY/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y CHF15YF15CP01001 1/1/2015 1/1/2017 EACH OCCURRENCE $10,000,000 IMAGE CLAIMS-MADE X�OCCUR PREMISE a occIENTu ante $100,000 MED EXP(Any one person) $ PERSONAL&ADV INJURY $10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $10,000,000 X JECT POLICY PRO LOC PRODUCTS-COMP/OP AGG $10,000,000 OTHER: Construction SIR $100,000 B AUTOMOBILE LIABILITY aaBINEDNELM EMcident $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ AUT OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ C X UMBRELLA LIAB X OCCUR Y Y MKLS6GL0000579 1/1/2015 1/1/2017 EACH OCCURRENCE $10.000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED RETENTION$ $ D WORKERS COMPENSATION y WC209625301 4/1/2015 4/1/2016 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $1,000,000 OFFICERlMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The General Liability insurance evidenced above includes as insureds only persons or organizations that the Named Insured agrees by written contract or written agreement to add as insureds. The coverage provided to such insureds applies only to work performed for the Named Insured under such written contract or written agreement at the Named Insured's worksite. Waiver of subrogation included in policy form if waived in written contract prior to a loss. Madison Park of Campbell, LLC is an Named Insured. See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Campbell ACCORDANCE WITH THE POLICY PROVISIONS. 70 North First Street Campbell CA 95008 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD i AGENCY CUSTOMER ID: ROBSO-1 LOC#: A400MI ► ' ADDITIONAL REMARKS SCHEDULE Pagel of 1 AGENCY NAMED INSURED Lovitt&Touche'Inc-Tempe Sun Lakes Construction Co.of CA Robson Homes, LLC POLICY NUMBER 9532 East Riggs Road Sun Lakes AZ 85248 CARRIER 7iC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE The City, its officers,employees and volunteers are named as additional insured if required by written contract as respects work at:280 Dillon Ave, Campbell, CA and Permit#ENC2015-00055 ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed.4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2 % of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description ANY PERSON OR ORGANIZATION REQUIRED BY WRITTEN CONTRACT OR CERTIFICATE OF INSURANCE This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 4/1/2015 Policy No. WC209625301 Endorsement No. Insured Premium$ Sun Lakes Construction Company of CA Insurance Company Countersigned by WC 04 03 06 Hart Forms&Services (Ed.4-84) Copyright 1999 National Council on Compensation Insurance,Inc. Reorder No.14-2420 This endorsement effective, 1st January 2015 forms a part of Certificate No. CHF15NF15CP01/001 Issued to Robson Communities, Inc. issued by Certain Underwriters at Lloyd's and International Insurance Company of Hannover THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTIFICATION TO OTHERS OF CANCELLATION This endorsement modifies insurance provided under the: Contractors Liability Insurance Policy A. If we cancel this Coverage Part(s)by written notice to the first Named Insured for any reason other than non-payment of premium, we will mail or deliver a copy of such written notice of cancellation: 1. To the name and address corresponding to each person or organization shown in the Schedule below;and 2. At least 10 days prior to the effective date of the cancellation, as advised in our notice to the first Named Insured,or the longer number of days notice if indicated in the Schedule below. B. If we cancel this Coverage Part(s)by written notice to the first Named Insured for non-payment of premium,we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation. C. If notice as described in Paragraphs A_or B. of this endorsement is mailed, proof of mailing will be sufficient proof of such notice. SC:HEDLTLE Name and Address of Other Person(s) ! Organization(s): Number of Days Notice: California Bank and Trust, and its successors and assigns 1900 Main Street, Suite 200 Irvine CA 92614 JP Morgan Chase Bank, N.A., and all subsidiaries as their interest may appear (ATIMA), its successors and/or assigns (ISAOA) 30 201 N Central Avenue Mail Code:AZ1-1009,14th Floor Phoenix AZ 85004 U.S_ BANK NATIONAL ASSOCIATION d/b/a HOUSING CAPITAL COMPANY 1825 South Grant, Ste 630 San Mateo CA 94402 CHF-GL-0021 09 18 12 18 September 2012 Page 1 of 1 This endorsement effective, 15t January 2015 forms a part of Certificate No. CHF15NF15CP01/001 Issued to Robson Communities, Inc.issued by Certain Underwriters at Lloyd's and International Insurance Company of Hannover THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. Alameda County 43885 S.Grimmer Blvd Fremont CA 94537 Additional Insured:Alameda County Water Water District District Arizona Water 3805 North Black Phoenix AZ 85038- Arizona Water Company is additional insured if Company Canyon Highway 9006 required bywritten contract. California Bank& 1900 Main St,,Ste200 Irvine CA 92614 California Bank&Trust&ISAOA are additional Trust,ISAOA insured and loss payee as respects their interest in Lots 1-9 Tract 8052,Fremont,CA Loan #9557000505-1 California Bank& Att:Colette Kirste 1900 Main Street, Irvine CA 92614 As respects property located at 2400-2450 Trust,ISAOA Ste 200 Durham Road,Fremont,CA,48 lots single family units for Solstice Homes,LLC-California Bank& Trust,ISAOA are additional insured for General Liability and Excess Liability,loan#9557000504-1 &9557000504-2 California Bank and 1900 Main Street,Suite Irvine CA 92614 RE:Loan#9557000505-3 Trust,and its 200 42425 Mission Blvd Fremont,CA 94539 Borrower successors and Name:ROBSON HOMES,LLC assigns Mortgagee/Loss Payee:California Bank&Trust, and its successors and or assigns Additional Insured:California Bank&Trust,and its successors and or assigns This endorsement effective, 15t January 2015 forms a part of Certificate No.CHF15/YF15CP01/001 Issued to Robson Communities, Inc.issued by Certain Underwriters at Lloyd's and International Insurance Company of Hannover THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. California Bank and 1900 Main Street,Suite Irvine CA 92614 RE:Loan#9557000505-2 303 HACKAMORE Trust,and its 200 LANE,FREMONT,CA 94539—35 SINGLE FAMILY successors and RESIDENCES Borrower Name:ROBSON HOMES, assigns LLCMortgagee/Loss Payee:California Bank& Trust,and its successors and or assigns(as to COC/Builder's Risk/All Risk cove rage)AdditionaI Insured:California Bank&Trust,and its successors and or assigns(as to general and excess liability coverage), CIT Technology c/o ABIC Specialty P.O.Box 979220 Miami FL 33197- CIT Technology Financing Services,Inc.is loss Financing Services, Services,5th Flr 9220 payee as respects their interest in equipment Inc. leased to the insured,Value$15,581 lease# 9000186946000 City of Campbell 70 North First Street Campbell CA 95008 The City,its agents,officers,attorneys, employees,officials and volunteers are named as additional insured if required by written contract as respects yard Right-of-Entry Agreement. City of Campbell 70 North First Street Campbell CA 95008 RE: Permit#BLD2012-00149 All work in public right of way 651-727 W.Hamilton Ave Campbell,CAAdditional Insured:City of Campbell, its agents,officers,attorneys,employees,officials and volunteers City of Campbell 70 North First Street Campbell CA 95008 The City,its officers,employees and volunteers are named as additional insured if required by written contract as respects work at:290 Dillon Ave,Campbell,CAand Permit#ENC2013-00078, This endorsement effective, 1st January 2015 forms a part of Certificate No.CHF151YF15CPO11001 Issued to Robson Communities, Inc.issued by Certain Underwriters at Lloyd's and International Insurance Company of Hannover THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. City of Fremont 3300 Capitol Ave Fremont CA 94538 Additional Insured;City of Fremont City of Fremont 3300 Capitol Ave Fremont CA 94537- City of Fremont is additional insured for Tract 5006 8092 Hackamore City of Fremont 3300 Capitol Ave. Fremont CA 94538 City of Fremont is additional insured. City of Goodyear 195 N 145th Ave, Goodyear AZ 85338 City of Goodyear is additional insured. City of Mountain Attn,Public Works Dept- PO Box 7450 Mountain CA 94039 City of Mountain View is an additional insured. View Land Development View City of Mountain 500 Castro Street Mountain CA 94039 City of Mountain View is additional insured where View View required by written contract. City of Mountain Att;Public Works Dept. P.O.Box 7450 Mountain CA 94039 City of Mountain View,its officers,officials, View Land Development View employees and volunteers are additional insured if required by written contract. City of San Jose 200 E.Santa Clara St. 2nd FI Wing San Jose CA 95113 City of San Jose,its officials,employees,angents and contractors are additional insured if required by written contract as respects Any and All Jobs, JP Morgan Chase 201 N.Central Ave.AZl- Phoenix AZ 85004 JP Morgan Chase Bank,NA,ISAOA are additional Bank,NA,ISAOA 1009 insured. This endorsement effective, Ist January 2015 forms a part of Certificate No.CHF15NF15CP01/001 Issued to Robson Communities, Inc. issued by Certain Underwriters at Lloyd's and International Insurance Company of Hannover THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. JPMorgan Chase Real Estate Banking, 201 N Central Phoenix AZ 85004 JP Morgan Chase Bank,N.A,,and all subsidiaries as Bank,N.A,,and all Attn:Nicole Troll Avenue Mail their interest may appear(ATIMA),its successors subsidiaries as their Code:AZ1- and/or assigns(ISAOA)are additional loss payee interest may 1009,14th Floor as respects their interest as mortgagee. appear(ATIMA),its successors and/or assigns(ISAOA) JPMorgan Chase Real Estate Banking, 201 N Central Phoenix AZ 85004 Certificate holder is loss payee and mortgagee as bank,NA,,any and Attn:Nicole Troll Ave,Mail Code: respects their interest, all subsidiaries as AZ1-1009,14th their interests may Floor appear(ATIMA),its successors and/or assigns(ISAOA) PG&E Corporation 1 Market Spear Tower San Francisco CA 94105 PG&E Corporation is additional insured. Pinal County Department of Public PO Box 727 31B Florence AZ 85132 RE:Unit 46A Works Pinal St,Bldg F Additional Insured:Pinal County Santa Clara Valley 5750 Almaden San Jose CA 94118 Santa Clara Valley Water District,its Directors, Water District Expressway officers,agents,employees,and volunteers are additional insured, Town of Los Gatos 110 E,Main Street Los Gatos CA 95031 Town of Los Gatos is additional insured, Town of Sahuarita 375 W Sahuarita Center Sahuarita AZ 85629- Robson Ranch Arizona Construction Company, Way 8487 Town of Sahuarita is additional insured, This endorsement effective, 1st January 2015 forms a part of Certificate No.CHF15NF15CP011001 Issued to Robson Communities, Inc.issued by Certain Underwriters at Lloyd's and International Insurance Company of Hannover THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. U.S.BANK 1825 South Grant,Ste San Mateo CA 94402 Tract 10110 Los Gatos CA Loan#19200309 NATIONAL 630 U,S,Bank National Association dba Housing ASSOCIATION d/b/a Capital Company is additional insured as respects HOUSING CAPITAL their interest in loan#19200309 and#1920R for COMPANY location:Tract 10110 Los Gatos CA U.S.Bank National 1825 S.Grant St., San Mateo CA 94402 U.S.Bank National Association dba Housing Association dba Ste 630 Capital Company is additional insured as respects Housing Capital their interest in loan#1965-03-09 for location: Company ISAOA, Hamilton Avenue,Campbell,CA ATIMA U.S.BANK Att:Heidi P Elrich 825 S Grant St San Mateo CA 94402 As Respects Loan#1900,#1900R and#1900M at NATIONAL Suite 630 Los Coches Subdivsion,Milpitas CA,Robson ASSOCIATION dba Homes LLC,is included as a named insured and as Housing Capital an owner for the additional insured.U.S.BANK Company NATIONAL ASSOCIATION d/b/a HOUSING CAPITAL COMPANY is additional insured US Bank National 1825 South Grant St., San Mateo CA 94402 Re:Loan Number 2224 Association dba Ste 630 Location:Tract 10194,137 Easy Street,Mountain Housing Capital View,CA Company Additional Insured and Loss Payee:US Bank National Association dba Housing Capital Company US Bank National 1825 South Grant St., San Mateo CA 94402 Re:Loan Number 2126 Association dba Ste 630 Location:655&651 W.Hamilton Ave.Campbell, Housing Capital CA Company Additional Insured:US Bank National Association dba Housing Capital Company This endorsement effective, 1"January 2015 forms a part of Certificate No.CHF15NF15CPO1/001 Issued to Robson Communities, Inc.issued by Certain Underwriters at Lloyd's and International Insurance Company of Hannover THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. US Bank National 1825 South Grant St., San Mateo CA 94402 Re:Loan Number 2224Location:Tract 10194,137 Association dba Ste 630 Easy Street,Mountain View,CA Additional Housing Capital Insured and loss Payee:US Bank National Company Association dba Housing Capital Company US Bank National 1825 South Grant St., San Mateo CA 94402 Re:Loan Number 1985 Association dba Ste 630 Location:3111-3191 Mowry Ave,Fremont,CA Housing Capital 94538 Company Mortgagee and Lender Loss Payable:US Bank National Association dba Housing Capital Company US Bank National 1825 South Grant St,, San Mateo CA 94402 Re:Loan Number 1985 Association dba Ste 630 Location:3111-3191 Mowry Ave,Fremont,CA Housing Capital 94538 Company US Bank National Association dba Housing Capital Company is an additional insured if required by written contract. US Bank National 1825 South Grant St,, San Mateo CA 94402 Re:Loan Number 1965&196SR Association dba Ste 630 Location:655&651 West Hamilton Ave., Housing Capital Campbell,CA Company Additional Insured:US Bank National Association dba Housing Capital Company Additional Named Insured:Penny Lane Housing, LLC 7 � Policy Number:CHF15YF15CP01001 So long as the above conditions are met, attorneys' fees incurred by us in the defense of that indemnitee, necessary litigation expenses incurred by us and necessary litigation expenses incurred by the indemnitee at our request will be paid as"defense expenses". Our obligation to defend an insured's indemnitee and to pay"defense expenses" ends when we have used up the applicable limit of insurance for the payment of judgments or settlements or the above conditions set forth above, or the terms of the agreement described in Paragraph f.above, are no longer met. SECTION II—WHO IS AN INSURED 1. If you are designated in the Declarations as: a. An Individual, you and your spouse or domestic or civil partner are insureds, but only with respect to the conduct of a business of which you are the sole owner. b. A partnership or joint venture, you are an insured. Your members, your partners, and their spouses . or domestic or civil partner are also insureds, but only with respect to the conduct of your business. C. A limited liability company, you are an insured. Your members are also insureds, but only with respect to the conduct of your business. Your managers are insureds, but only with respect to their duties as your managers. d. An organization other than a partnership, joint venture or limited liability company, you are an . insured. Your"executive officers"and directors are insureds, but only with respect to their duties as your officers and directors. Your stockholders are also insureds, but only with respect to their liability as stockholders. e. A trust,you are an insured. 2. Each of the following is also an insured under Coverages A, B and C: a. Your "employees", other than either your"executive officers" (if you are an organization other than a partnership, joint venture or limited liability company) or your managers (if you are a limited liability company), but only for acts within the scope of their employment by you or while performing duties related to the conduct of your business. However, none of these "employees"is an insured for: (1) "Bodily injury"or"personal and advertising injury": (a) To you, to your partners or members (if you are a partnership or joint venture), to your members (if you are a limited liability company), or to a co"employee" while that co- "employee" is either in the course of his or her employment or performing duties related to the conduct of your business; (b) To the spouse, domestic or civil partner, child, parent, brother or sister of that co- "employee" as a consequence of Paragraph (1)(a) above; (c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraphs(1)(a)or(b)above;or (d) Arising out of his or her providing or failing to provide health care services for which a professional designation or licensing is required by governmental authorities. (2) "Property damage"to property: (a) Owned, occupied or used by; CHF-GL-0001 2 2 Includes Copyrights material of Insurance Services Office, Inc. Page 16 of 36 (b) Rented to, in the care, custody or control of, or over which physical control is being exercised for any purpose by you, any of your "employees", any partner or member (if you are a partnership or joint venture),or any member(if you are a limited liability company). b. Any person (other than your "employee"), or any organization while acting as your real estate manager. C. Any person or organization having proper temporary custody of your property if you die, but only: (1) With respect to liability arising out of the maintenance or use of the property;and (2) Until your legal representative has been appointed. d. Your legal representative if you die, but only with respect to duties as such. That representative will have all your rights and duties under this policy. 3. Any person or organization that you have agreed by written contract or written agreement to add as an insured under this policy is an insured. However: a. Coverage under Coverage A and Coverage C, is limited to liability which: (1) Arises out of your ongoing operations;or (2) Arises out of"your work" performed by such person or organization for the Named Insured. b. Coverage A does not apply to "bodily injury" or"property damage" that occurred before you entered into that written contract or written agreement; C. Coverage B does not apply to: (1) "property damage": (a) To that particular portion of "your work" performed on your behalf by the person or organization you have agreed by written contract or written agreement to add as an insured;and (b) That occurred before you entered into that written contract or written agreement. (2) "repair costs" for "Home Performance Failure(s)" taking place before you entered into that written contract or agreement. d. Coverage C does not apply to "personal and advertising injury" arising out of an offense committed before you entered into that written contract or written agreement; 4. Any organization you newly acquire or form, other than a partnership, joint venture or limited liability company, and over which you maintain ownership or majority interest, will qualify as an Insured if there is no other similar insurance available to that organization. However, with respect to the coverage afforded to any such organization: a. Coverage A does not apply to "bodily injury"or"property damage"that occurred before you acquired or formed that organization; b. Coverage B does not apply to: CHF-GL-0001 2 2 Includes Copyrights material of Insurance Services Office, Inc. Page 17 of 36 (1) "repair costs" arising out of "Home Performance Failure(s)" in "homes" sold, given away or abandoned by that organization before you acquired or formed that organization;or (2) "property damage" to "your work" that occurred before you acquired or formed that organization-, and C. Coverage C does not apply to "personal and advertising injury" arising out of an offense committed by that organization before you acquired or formed that organization. The coverage with respect to such organization is afforded only until the 90th day after you acquire or form the organization or the end of the policy period,whichever is earlier. SECTION III—LIMITS OF INSURANCE 1. The Limits of Insurance shown in the Declarations and the rules below fix the most we will pay regardless of the number of a. Insureds; b. Claims made or"suits"brought or"Requests for Repairs under a Home Performance Agreement'; or C. Persons or organizations making claims or bringing "suits" or making "Requests for Repairs under a Home Performance Agreement'. 2. The General Aggregate Limit is the most we will pay for the sum of: a. Damages under Coverage A, except damages because of"bodily injury" included in the "products- completed operations hazard"; b. Damages under Coverage C; and C. Damages under the Silica Each Occurrence/Offense Limit. 3. The Products-Completed Operations Aggregate Limit is the most we will pay for the sum of: a. Damages under Coverage A because of "bodily injury" included in the "products-completed operations hazard"; b. "Repair costs"under Coverage B because of"Home Performance Failure(s)"; and C. Damages under Coverage B because of "property damage" as a result of a "construction occurrence". 4. Subject to 2. above, the Personal and Advertising Injury Limit is the most we will pay under Coverage C for the sum of all damages because of all "personal and advertising injury" sustained by any one person or organization. 5. Subject to 2. or 3. above, whichever applies, the Each Occurrence/Construction Occurrence Limit is the most we will pay for damages under: a. Coverage A because of all "bodily injury" and "property damage"arising out of any one"occurrence'; or CHF-GL-0001 2 2 Includes Copyrights material of Insurance Services Office, Inc. Page 18 of 36 INSURANCE REQUIREMENTS CHECKLIST Permit# ` ° c\!�— Ono 13 CIP Project# Consultant/Contractor: The following insurance is required of all consultants/contractors working in the City of Campbell public right-of-way. Insurance certificates must be accepted by City staff before work can begin. These insurance requirements apply to work being performed under an Encroachment Permit and work being performed under contract for Capital Improvement Projects. Limits Commercial General Liability for bodily, personal injury and property damage: $1,000,000 per occurrence, and ❑ $1,000,000 general aggregate limit applying separately to the project, or $2,000,000 general aggregate limit. ;F4,Policy expiration date Automotive Liability: "Any Auto" checked on certificate A $1,000,000 per accident for bodily injury and property damage A,, Policy expiration date , l o Workers' Compensation and Employer's Liability X` Waiver of Subrogation clause 2r--$1,000,000 per accident for bodily injury or disease /R Policy expiration date c-1 Course of Construction (if required in Special Provisions) ❑ Completed value of the project ❑ Policy expiration date Required Endorsements to General Liability and Automubile Liability Policies Additional Insured Endorsement: The City, its officers, employees and volunteers are named as additional insured. (Reference Project Location/Permit Number) The insurance coverage afforded to the Additional Insured is primary insurance. Cancellation area: ❑ Cancellation area of certificate edited to delete "endeavor to" and "but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives". OR should say: Should any of the above described policies be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy provisions. ❑ Workers' Compensation Insurance Sheet Submitted For General Contractor For Developer or Owner J:\FORMS\Templates\Insurance Requirements\Insurance Requirements Cklist.doc (Rev 0214) Page 1 Acceptability of Insurer(s) ❑ Insurer(s) has current A.M. Best Rating of A:VII and is authorized to transact business in the State of California. ZZ� Name: U��S 0�- LG-L'N- NAIC# -.-Rating:A,' -1 Authorized in CA: Name: N A I C # ZSG\ Rating: A X-\/ Authorized in CA: Name: \�-q-14ya. NAIC# --55 -6111ating: Authorized in CA: T✓ Name: Nmeq�SL — NAIC# 3 3 Rating/' Authorized in CA: r V 01 Campbell Business License # Expiration: d Contractors License # �L$ Sr Class:A� Expiration: Insurance Certificate Reviewed \� Initials Date Copy of Insurance Certificate placed in tickler file one month prior to expiration. J:\FORMS\Templates\Insurance Requirements\Insurance Requirements Cklist.doc (Rev 08 14) Page 2 CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT ENGINEERING DIVISION Revised 8/15 ENGINEER'S ESTIMATE FOR LAND DEVELOPMENT PROJECTS Date: August 31',2015 For File No(s): 101;34 Site Address: 280_Dl_ori Qvenue,-Campbell,CA_ ENC. No. 2015-Q0055 Estimated Cost of Improvements. '$194,773 ITEM UNIT PRICES FOR PROJECT AMOUNT NO. DESCRIPTION QTY UNIT <$100 K >SI00 K S AMOUNT I.DEMOLITION/CLEARING 1. CLEARING&GRUBBING -11 LS $2,750.00 S2,000.00 S 2,000.00 2. SAWCUT P.C.C./A.C.(UP TO 6-) 265. LF $5.75 $4.25 $ 1,126.25 3. P.C.C.REMOVAL 4956_ SF $4.00 $3.00 S 14,868.00 4. CURB AND GUTTER REMOVAL 265_ - LF S11.00 $7.00 $ 1,855.00 5. MEDIAN REMOVAL 0 SF $7.00 $5.50 S - 6. DEMOLISH EXISTING INLET/PLUG RCP'S 0 EA $2,250.00 $1,750.00 $ - 11.STORM DRAINAGE 1. 12-R.C.P.(CLASS V) -7 _ LF $275.00 $225.00 $ 1,575.00 2. 15-R.C.P.(CLASS III) 0 LF $300.00 $250.00 S - 3. 18"R.C.P.(CLASS III) 36 LF $325.00 $275.00 S 9,900.00 4. 24-R.C.P.(CLASS III) 0 LF $350.00 $300.00 $ - 5. 48-R.C.P.(CLASS III) 162 LF $400.00 S350.00 $ 56,700.00 6. T.V.INSPECTION(12-) A 0 LF $1.60 $1.25 $ - 7. STD.DRAINAGE INLET(C.C.DETAIL 5) _ 1- ?_ EA $3,600.00 $3,000.00 S 3,000.00 8. FLAT GRATE INLET(C.C.DETAIL 6) 0---- EA $2,125.00 $1,700.00 S - 9. STD MANHOLE(C.S.J.DETAIL D-12) 1 EA $6,500.00 $5,250.00 S 5,250.00 10. STD MANHOLE(C.S.J.DETAIL D-13) _2 EA $8,000.00 $6,500.00 $ 13,000.00 it. BREAK AND ENTER M.H./D.I. 0 EA $1,300.00 $1,000.00 $ - M.CONCRETE""ROVEMENTS 1. SIDEWALK 2380_ SF $10.00 $8.00 S 19,040.00 2. DRIVEWAY APPROACH 640: SF $14.00 S10.00 $ 6,400.00 3. CURB AND GUTTER 265 LF $60.00 $47.00 S 12,455.00 4. VALLEY GUTTER 0 - SF $35.00 $30.00 $ - 5. CURB RAMP 6 _ EA $4,500.00 $3,500.00 $ 21,000.00 6. TYPE B-1 CURB -'Q LF, $50.00 S40.00 S - 7. TYPE AI-B3 CURB 0 LF $25.00 $20.00 $ S. COBBLESTONE MEDIAN SURFACE 0 SF $25.00 $20.00 $ 9 BUS STRESS PAD -0- EA $12,000.00 $12,000.00 $ W:IESTIMATEI2010110-124 Dillon\Engineers Estimate-Offsite Improvements_08-31-15xlsx(Rev.03/08) Page 1 of 4 r t CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT ENGINEERING DIVISION Revsed 8/15 ENGINEER'S ESTIMATE FOR LAND DEVELOPMENT PROJECTS Date: tAugtlst.31-,201'5_ - - For File No(s): 10-124 Site Address: 280-Dillon Avenue;Campbell CA._- ENC. No. '2615=00055 Estimated Cost of Improvements'- '$194;,7.73' ITEM UNIT PRICES FOR PROJECT AMOUNT NO. DESCRIPTION QTY UNIT <$100 K >SI00 K S AMOUNT IV. PAVEMENT 1. ASPHALT DIGOUT AND REPLACE -530 CF $6.25 $5.25 S 2,782.50 2. PAVEMENT WEDGE CUT(6') 0 LF $5.50 $3.00 $ - 3. PAVEMENT GRINDING -4702. ' . SF $1.10 $0.75 $ 3,526.50 4. PAVEMENT FABRIC(PETROTECH) 0 SY $2.50 $2.25 $ - 5. ASPHALT CONCRETE(TYPE A) ,60 T $225.00 $180.00 $ 10,800.00 6. AGGREGATE BASE(CLASS 2) 0 T $90.00 $50.00 $ - 7. SLURRY SEAL(TYPE II) 0 SF $0.30 $0.25 S - 8 AC REMOVAL/OFFHAUL/DISPOSAL 0 CF $15.00 $13.50 $ - V.TRAFFIC SIGNALS/LIGHTS 1. DETECTOR LOOP(6'ROUND) - 0 EA $650.00 $520.00 $ - 2. DETECTOR LOOP(6'x 30') 0 _ EA $950.00 $750.00 $ - 3. DETECTOR LOOP(6'x 50') .01 EA $1,300.00 $1,025.00 $ - 4. ELECTROLIER - 0_ EA $10,000.00 $6,000.00 $ - 5. 1 1/2"RIGID CONDUIT 0 LF $13.00 $10.00 S - 6. 2"RIGID TRAFFIC SIGNAL CONDUIT -0 LF $24.00 $20.00 $ - 7. CONDUCTOR 0 LF $1.05 $0.85 S - 8. PULL BOX(NO.3 1/2) 0 EA $425.00 $350.00 $ - 9. TRAFFIC SIGNAL PULL BOX(NO.5) 0 EA $580.00 S460.00 S - 10. PULL ROPE 0 LF $0.60 $0.60 $ 11. NEW SIGNALIZED INTERSECTION __0 LS $380,000.00 $ W:IESTIMATE1201 Oki 0-124 DillonlEngineers Estimate-Offsite improvements 08-31-15.xlsx(Rev.03108) Page 2 of 4 CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT ENGINEERING DIVISION Revised 8/15 ENGINEER'S ESTIMATE FOR LAND DEVELOPMENT PROJECTS Date: August 31,2015 For File No(s): 10-124_ - Site Address: 280,Dillon-Avenue,Campbell, CA ENC. No. 2015-00055 Estimated Cost of Improvements $194,-773 ITEM UNIT PRICES FOR PROJECT AMOUNT NO. DESCRIPTION QTY UNIT <$IOOK >SIOOK $AMOUNT VI.STRIPING AND SIGNS 1. REMOVE PVMT.MARKINGS(PAINT) 300 SF $3.00 $2.65 $ 795.00 2. REMOVE PVMT.MARKINGS(THERMO) 0__ SF $4.25 $3.70 S - 3. REMOVE PVMT STRIPING 0 LF $1.85 $1.50 $ 4. STRIPING DETAIL 9 0 LF $3.60 $3.00 $ 5. STRIPING DETAIL 22 0 LF $3.60 $3.00 $ 6. STRIPING DETAIL 29 0 LF $4.75 S4.00 S - 7. STRIPING DETAIL 32 0 LF $4.75 $4.00 $ - 8. STRIPING DETAIL 37(THERMO) 0- SF $6.00 S5.00 S - 9. STRIPING DETAIL 38(THERMO) 0 - SF $6.00 S5.00 $ - 10. STRIPING DETAIL 39 0 LF $6.00 $5.00 $ - It. LIMIT LINE 0 LF S7.50 $6.00 $ - 12. CROSSWALK, 12"WHITE 0_ LF $7.50 $6.00 S - 13. PAVEMENT MARKINGS(PAINT) _ 300- SF $4.00 $3.25 $ 975.00 14. PAVEMENT MARKINGS(THERMO) 0 SF $8.00 $6.60 $ - 15. PAVEMENT MARKER(NON-REFL.) 0- EA $6.50 $5.20 $ 16. PAVEMENT MARKER(REFLECTIVE) 0 - EA $8.25 $6.95 $ 17. TYPE K MARKER 0 EA $125.00 $109.50 $ 18. TYPE N MARKER 0 EA $125.00 $109.50 $ 19. SALVAGE ROAD SIGN 0� EA $115.00 $99.00 $ - 20. RELOCATE ROAD SIGN(W81 ON NEW POST) Q EA $145.00 $115.75 $ - 21. INST.RD.SIGN ON EXIST.POLE ;0_ EA $265.00 $231.55 $ - 22. ROAD SIGN WITH POST 0 EA $400.00 $347.30 S - 23. INSTALL 1226S SIGN WITH POST 0' EA S400.00 $350.00 $ - 24.- STANDARD BARRICADE _ 0„ LF $25.00 $19.50 $ - W:\ESTIMATET010\10-124 Dillon\Engineers Estimate-Offsite Improvements_08-31-15.xisx(Rev.03/08) Page 3 of 4 CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT ENGINEERING DIVISION Revised 8115 ENGINEER'S ESTIMATE FOR LAND DEVELOPMENT PROJECTS Date: Au6st.31,_2Q15 For File No(s): 'l'0-124 Site Address: 280 Dillon Avenue;Campbell ENC. No. 2015_00055' Estimated Cost of Improvements $194773-! ITEM UNIT PRICES FOR PROJECT AMOUNT NO. DESCRIPTION QTY UNIT <SI00 K >S100 K S AMOUNT VII.LANDSCAPING _ 1. STREET TREE 4 EA $650.00 $500.00 $ 2,000.00 2. STREET TREE(36"BOX) 0 - EA $900.00 $750.00 $ - 3. PRUNE TREE ROOTS 0 EA S200.00 $150.00 $ - 4. TREE REMOVAL 0 EA $800.00 $650.00 $ - 5. PLANTINGS 0 LS $1.00 $1.00 $ - 6. IRRIGATION ,1 . LS $1.00 S2,500.00 $ 2,500.00 $3.00 VIII.MISCELLANEOUS _ 1. PEDESTRIAN BARRIER 0 LF $86.85 $69.45 S 2. CHAIN LINK FENCE(6') 0 LF $30.00 $25.00 $ - 3. RAISE MISC.BOX TO GRADE 1 EA $600.00 $500.00 $ 500.00 4. RAISE MANHOLE TO GRADE 1 EA $850.00 $700.00 $ 700.00 5. INSTALL MONUMENT BOX ( EA $3,000.00 $3,000.00 $ 3,000.00 6. MEDIAN BACKFILL0_ ' CY $26.00 $22.00 $ - SUBTOTAL $ 195,748.25 PREPARED BY: A.Tumer;.Civil`Eng'ineering.Associiies,Inc. 10%MOBILIZATION,CONSTRUCTION $ 19,574.83 TRAFFIC CONTROL/PHASING, .$ 1;O60.06 REVIEWED BY:. CONSTRUCTION STAKING, $ 1,000.00 CONSTRUCTION TESTING $ 1,000.00 APPROVED BY: 10%CONTINGENCY $ 19,574.83 10%SECURITY ENFORCEMENT $19,574.83 TOTAL FAITHFUL PERFORMANCE SECURITY $ 257,472.73 USE THIS AMOUNT FOR SECURITY ZG �OQWESS/p�91 CO��Q�4�W � m No.72831 v * Fxp• 6 CIVIL 9l W:IESTIMATE12010110-124 DillonlEngineers Estimate-Offsite Improvements_08-31-15.xlsx(Rev.03108) Page 4 of 4 7/I//6U hJ Fees Associated With 2:16:49PM Case #: ENC2015-00055 Fee " Start End ~ ` Trans Revenue Created j Type Date Date Dept Description Code Account Number By Date Amount Due i AF05 7/1/2014 6/30/2015 PrmtAppFee Utility Encr 101.730.4722 JT 4/1/2015 385.00 0.00 PCDP 7/1/2014 6/30/2015 Plan Check Deposit 101.2203 JT 4/1/2015 3,603.00 0.00 GRA4 7/1/2014 6/30/2015 Grdng&Drain Pln Rev>= 101.740.4722 JT 8/11/2015 1,621.00 0.00 PRF1 7/1/2014 6/30/2015 NPDES Review Fee C3 R 101.740.4722 JT 8/11/2015 884.00 0.00 FMTM 7/1/2014 6/30/2015 TractMapFee=>5Lots+$l 101.740.4722 JT 8/11/2015 11,521.00 0.00 PCI2 7/1/2014 6/30/2015 NonUtilPlnCk/Insp>=$25 101.740.4722 JT 9/17/2015 5,800.00 35,800.00 CASR 7/1/2014 6/30/2015 Emergency Cash Deposit 101.2203 JT 9/17/2015 0,000.00 10,000.00 SDB 7/1/2014 6/30/2015 Storm Drain Fee-Multi- 209.715.4721 JT 9/17/2015 5,676.00 5,676.00 MONU 7/1/2014 6/30/2015 Mon.Sec.Dep I 00%ofCity 101.2203 JT 9/17/2015 0,000.00 50,000.00 Total Due: $101,476.00 1 j Page I of I CaseFees..p, t • .s City of Campbell Department of Public Works 70 North First Street Campbell,CA 95008 SUBJECT: MONUMENT BOND RELEASE PARCEL MAP/T C MAP NO... 0-7 ...... C� Recorded in Book 7 .....of Maps,at page(s).... .` C%.......... Dear City Engineer: In conformance with the requirements of Section 66497 of the Subdivision Map Act, please be advised that the Engineer/Surveyor has been paid in full for setting the monume ove described subdivision. It is requested that Monument Bond Cash Deposit i e amount of........ ... ... be released. / Developer/Agent r.•�l !3 zc��v Date of signatV6 of this document CERTIFICATE OF ENGINEER OR SURVEYOR I... ... ...... .... .. .. . ...:............... certify that all monunmi is ow on t map o ie above described subdivision are now set and that pay tint-i. or i wo a eived. �C NP�LANO S��G D �O�EW TU9ijiF�F� tvil Engineer or Land Surveyor N0.9104 et stamp here �C� 0 it License number Expiration date I FOF CA��F� Date of sig ature of this document NOTE: Processing of the bond release cannot occur unless all of the above information is complete. CITY OF CAMPBELL City Inspector Date Comments: Rev.09/2014 PUBLIC WORKS DEPARTMENT LAND DEVELOPMENT Effective July 1,2015 TO: Finance PUBLIC WORKS FILE NO. ENC2015-00055 PROPERTY ADDRESS 280 Dillon Ave(Phase I Please collect&receipt for the followingmonies ,+ q'A +tat i�, T`;i,'.� Si'E.'Ir�j`r F ,i Aa l ; 2 �.tr �� f -' A �n 1 L+ {F,Af''ItV s�sT. '�I'i4E5�+7h � \d }}'' t�f ,rti.tiVit 9ryp.a 4wr t,r. r �d # +IYpat? LCiP:,MEN .' a 11 -w�,,,ar rat q };c SP3+? � '�r ? 11 4722 Encroachment Permit pp!catlo� n Fee Non-Utility Encroachment Permit Major z$10,000 $395.00 15i4 i Minor Encroachment Permit<$to,000 $225.00 CITY OF C¢AMPBE U Initial R-1 Permit N/C Subsequent R-1 Permits within Two Year Period $225.00 RE;CVD BY: CASHIER f]7.t1l1f4:?Gtllb"i _ Inspection Fee Minimum Charge per Location $390.00 PAYOR- hfADISON PARK Street Tree Plantin /Removal N/C TODAY''S DATE 10/05/15 2203 $500 per Tree Planting Deposit Required) $500.00/tree REGISTER DATE- 10/05/15 TIME: 01 -00 22031 Plan Check Deposit 2%of Engineer's Estimate $500.00 min q DESI]RI,TION AMOiINi Utility and R-1 Permits no deposit re 4722 Grading&Drainage Plan Review CUST ID:[NC<'.O1J-000.r'L< Sin le Famil Lot $275.00 STORM DRAIN FEES FN 2 y5,G75e�+0 Site< 10 000 s.f. $825.00 CUST ID.140NUMENTATION SECURITY Site z 10,000 s.f. <0.5 Acre $1,105.00 REF DE POSIT `- 101 $".iO,LlOt�ni1EJ Site>_0.5 Acre $1 655.00 CUST 31 4722 NPDES Review(C3 Requirements) ?e'iRAi E IC �iCt'!L E35iREi For protects not required to submit numeric sizing $160.00 RrF DEPOSIT -• 101 `$15,OOOnOG For protects required to submit numeric sizing Impervious Area 10,00 S . Ft to 1 Acre $690.00 TOTAL DUE;; $70,676.30 Impervious Area 1 Acre or more $900.00 TE'tdi+CRkft:t 3'7D,�,'7f,.30 4722 For prolects sent to Consultant for review Consultant Cos 4722 Additional treatment facilities $300 ea CHANGE. Plan Check& Inspection Fee (Non-Utility) CHECK $70,06,30 4722 En r. Est. <$250 000 14%of Engine( REF NUM: jol)51,10050,10052 4722 En r. Est. 4250,000 and<_$500 000 $35,000+8%c 4722 En r. Est. >$500 000 $55 000+7%r 2203 Emergency Cash Deposit 4%of Enqr. Esl 2203 Faithful Performance Security(FPS) 100%of ENGR 2203 Labor and Materials Security 100%of ENGR.EST.`` 4721 Storm Drainage Area Fee Per Acre R-1 $2,120.00 (Multi-Res$2,385.00) 2.38 Acres '$5,676.30 All Other$2,650.00) 4722 Parcel Map(4 Lots or Less) $3,930.00+$85/lot 4722 Final Ti $4,775.00+$116/lot 2203 Monumentation Security 100%of Cit 's Monumentation Estimate $50 000.00 4920 Parkland Dedication Fee(Remaining 25%will be Due Upon Cert.of Occupancy) 4722 Lot Line Adjustment Includes Certificate of Compliance) .$1,856.00 4722 Vacation of Public Streets&Easements $2,480.QO 4722 Certificate of Compliance $1,840.00 4722 Certificate of Correction $550.00 4722 Document Recording Fees $15.00/first page$3 ea.Additional 4722 Private Improvement in Public ROW $50.00 4722 A roved Plan Revision Fee $100/sheet 4722 Appeal Filing Fee $200.00 4722 Notary Fee(per signature) $10.00 4722 Assessment Segregation or Reapportionment First Split $877.00 Each Additional Lot $275.00 �u�511.7424 Postage L�am,, ?MIS'CELL"ATI90 QOt18 tav " 5 li htk,WaiPli4i ,,b uery vI 4 i'. .4 ,,r1,� Syt$ Y �Wr•�k'i:; � v iY+lilwh!rl'I!1i �,9� �J�ra� T7 � foS d% 22031 Other, Si nal Emer enc Vehicle Pre-em tion Contribution $15,000.00 `Engineer's Estimate shall be as approved by the City Engineer and shall include all items of work. TOTAL $70,676.30 NAME OF APPLICANT ROBSON HOMES NAME OF PAYOR MADISON PARK OF CAMPBELL, LLC PHONE 408 345-1767 171 g.:= 1?r ADDRESS 2185 THE ALAMEDA, SAN JOSE C- A '(� ,�. �. ,ZIP' 95126 W 9,LERK zwi41Syr' ' i •� '° � g4d� 5` 4w'r"}�FOR CI 1TY�+V Y `� x r �, r4� � a r3� } i1 a4 =,�d xcrt s h { t �r ,= k Yaa� �lJv 'r <. -r�- s: � .. � e x° ONLY rxMFRecei Vic, .c,.�.P� :t...�;:z ,.. .:...:.S,i.r ,,•a£5. .a.s-.rwxaai v,aw;.>.r..-.t7 F, r:". ,.< ,�-.-.. ..3 cx..-..., tom:,.° ,;,-r -ri r fi tae�L kPnch;+A+..a...s'; JALa DMO an CW1,C—nW1-SpodaoProixls-Adive Prolecl In ProgresaZfion Avo.2a01P—Wees Print Form CITY OF CAMPBELL ENCROACHMENT PERMIT Permit No C,1"G?L`lS -15 DEPT.OF PUBLIC WORKS (for working within the public X-Ref.File _ 70 North First Street rig t-of-w y) Application Date Campbell,CA 95008 Issued b Application,E piration Date Ph.(408)866-2150 APNi2 Fx. (408)376-0958 Permit Expiration Date le APPLICATION-Application is hereby made for a Public Works Permit in accords ce wi Campbell Municipal Code,Section 11.04. (Application expires in six (6) months if the permit is not issued.Application Fee is non-refundable.) A. Work Addressor Tract No.: -rxAc-t- ®- to Z9r. E� uu� ��+� Utility Trench Location "O�E.ON Ayls�7hJU5- A-Nh SAM "VA (vAailE B. Nature of Work: - STORM, [ `t''C,-> '��P5 C. Attach four(4)copies of an engineered plan showing the location and extent of the work,and four(4)copies of the preliminary Engineer's Estimate of work.The plans shall show the relation ofthe proposed work to existing surface and underground improvements.When approved by the City Engineer,said plan becomes apart of this permit. D. All work shall conform to the City of Campbell Standard Specifications and Details for Public Works Construction;the General Permit Conditions listed on the reverse side;and the Special Provisions for this permit,listed below.Failure to abide by these conditions and provisions may result in job shutdown and/or forfeiture of Faithful Performance Sureties and cash deposits. (See General Permit Conditions 1 and 2.) E. The Contractor must have this permit and approved plans at the site and must notify the Public Works Department at least two days before starting work.Notice must be given to Public Works at least 24 hours before restarting any work. Name of Applicant: SUoJ6,4*r.T 40NS-tA1JCft0N CO. CFCA� M C. Telephone: O8-3�s-�� — --- Address: 2/8 tv 74 E,A 1,4M WVA a SIS / -o SAS(✓OS$, G¢4 q*S/2fi E-Mail Address: 24-HOUR EMERGENCY PHONE NUMBER: Is this work being done by the property owners at their own residence? [71 YES F- NO J The Applicant/Permittee hereby agrees by affixing their signature to this permit to hold the City of Campbell,its officers,agents,and employees free,safe and harmless from any claim or demand for damages resulting from the work covered by this permit. The Applicant/Permittee hereby acknowledges that they have re*and understand both the front and back of this permit,and they will inform their contractor(s) of the information. Applicant is advised that up ssua c of this permit, property owner,or property owner's successors,shall be responsible for any and all damages arising out of the condition an priv t impro ements in the public right-of-way. Accepted: h - �- 7�_ ( licant Permittee) (sign)chjf,lr4/^ 4�k Date (Contractor) (Print Name) Date SPECIAL PROVISIONS: t. Street shall not be open cut for underground installations.Minimum cuts may be allowed for connections or exploration holes.Such cuts may be specifically approved by the Inspector prior to cutting. 2. Pavement may be cut for underground installations and must be restored in accordance with the Standard Details Trench Restoration Method "A",unless otherwise approved by the Engineer. 3. Work to be staked by a licensed Land Surveyor or Civil Engineer and two(2)copies of the cut sheets sent to the Public Works Department before starting work. 4. Per Section 4216 of the Government Code this permit is not valid for excavations until Underground Service Alert(USA)has been notified and the inquiry identification number has been entered hereon.USA Phone: 1-800-227-2600. USA TICKET N0. 5. Prior to any work,the property owner shall execute an Agreement for Private Improvements in the Public Right-of-Way,which shall be recorded. 6. Public Notification Requirements: 7. ` SEE PUBLIC WORKS FEE SCHEDULE FOR CURRENT FEES AM,RUNT RE EI T PERMIT APPLICATION FEE $ 100 PLAN CHECK DEPOSIT $ CCU SECURITY FOR FAITHFUL PERFORMANCE/LABOR&MATERIALS $ tom' O�t CONSTRUCTION CASH DEPOSIT $ UC3 . O' Ci— PLAN CHECK&INSPECTION FEE $ EMERGENCY PERMIT FEE $ APPROVED FOR ISSUANCE C For City Engineer Date Permit Expires 12 Months After Date of Issuance GENERAL PERMIT CONDITIONS 1. A Construction Cash Deposit is required.Charges will be made against this deposit If there is an emergency call-out,overtime inspection or when City ordered barricading is required.Any such costs in excess of the deposit will be billed to the Permittee. 2. A one-year maintenance period and surety are required.Such period will begin on date of written acceptance by the City. 3. Refund or the cash deposit balance and refund or cancellation of the Faithful Performance Surety will be initiated by the written acceptance of the work by the City. 4. Submit project schedule 10(ten)days prior to proposed start of work.Special provisions may be required for work within City facilities and downtown Campbell. 5. The Permittee must request in writing a final inspection and acceptance of the work upon completion.Acceptance by the City will be made in writing to the Permittee. 6. Maintain safe pedestrian and vehicular crossings and free access to private driveways,bus stops,fire hydrants,and watervalves. 7. A Construction Traffic Control Plan and a Construction Schedule are required for all lane closures,detours,and street closures.This plan must be reviewed and approved prior to any lane closures. 8. A Construction Traffic Control Plan shall conform to the Caltrans Manual of Traffic Controls for Construction and Maintenance Work Zones,dated 1990,available at Caltrans.Traffic control equipment shall include Type 11 flashing arrow signs if required. 9. Replace as directed by the City Engineer any damaged or removed improvements in accordance with City Standards and Specifications at the sole expense of the Permittee. 10. Sawcut for all PCC or AC removals.All PCC removals shall be to the nearest scoremark and shall be doweled to existing improvements. 11. Prior approval of inspector is required for any work done after normal working hours,on weekends or holidays and may require reimbursement of inspection costs at the current overtime rate. 12. Adequate signing and barricading is required on the job site.Failure to provide such signing and barricading may result in the City's providing signing and barricades and charging the cost(including all labor and materials)against the cash deposit. 13. Compaction testing of subgrade,base rock,and asphalt concrete by Permittee is required unless otherwise stated by the City Engineer. 14. The Contractor or Permittee will have a supervisory representative available for contact on the project at all times during construction.Contractor or Permittee shall provide a phone number at which they can be contacted outside the hours of 8:00 a.m.to 4:00 p.m. 15. No storage of materials or equipment will be allowed near the edge of pavement,the traveled way,or within the shoulderline which would create a hazardous condition to the public. 16. This permit shall not be construed as authorization for excavation and grading on private property adjacent to the work or any other work for which a separate permit may be required,nor does it relieve the Permittee of any obligation to obtain any other permit required by law. 17. This permit does not release the Permittee from any liabilities contained in other agreements or contracts with the City and any other public agency. 18. This permit is not transferable.Work must be performed by the Permittee or his designated agent or contractor as specified thereon. 19. Call back(call out)due to emeregencies regarding this permit shall be at the current overtime rate with a three(3)hour minimum charge per occurrence. 20. Pursuant to Chapter 14.02 of the Campbell Municipal Code,applicant shall not cause to be discharged any material into the municipal storm drain system other than storm water.Applicant shall adhere to the BEST MANAGEMENT PRACTICES established by the Santa Clara Valley Urban Runoff Pollution Prevention Program. 21. If the public interest requires a modification of,or a departure from the plans and specifications,the City shall have the authority to require or approve any modification or departure and to specify the manner in which the same is to be made for City-owned or maintained facilities. 22. Permitttee must provide advance notification to all parties that may be affected by the permit activities.Notification shall be reviewed by the City prior to distribution and include dates of work and a contact name and phone number. Applicant shall be respo 'ble for ensuring that all those providing services under the applicant are aware and understand all ofthe above conditions. Applicant Date: Contractor (Print Name) Date: J:\FORMS\Templates\Encroachment Permits\Encroachment Permit STATIC form2.pdf Rev.02/14 I PUBLIC WORKS DEPARTMENT LAND DEVELOPMENT Effective July 1,2015 TO: Finance PUBLIC WORKS FILE NO. ENC2015-00055 PROPERTY ADDRESS 280 Dillon Ave Phase I Please collect&receipt for the followin monies: arc" � I � , N 4722 Encroachment Permit Application Fee Non-Utility Encroachment Permit Major 2:$10,000 $395.00 Minor Encroachment Permit<$lo,000 $225.00 _ _ Initial R-1 Permit N/C Subsequent R-1 Permits within Two Year Period $225.00 Inspection Fee Minimum Charge per Location $390.00 Street Tree Planting/Removal . N/C 2203 ($500 per Tree Planting Deposit Required)) $500.00/tree 22031 Plan Check Deposit 2%of Engineer's Estimate $500.00 min Utility and R-1 Permits no deposit required 4722 Grading&Drainage Plan Review Single Family Lot $275.00 Site<10,000 s.f. $825.00 Site z 10,000 s.f. <0.5 Acre $1,105.00 Site z 0.5 Acre $1 655.00 4722 NPDES Re View C3 Requirements) For proilects not required to submit numeric sizing $160.00 _ For proiects required to submit numeric sizing _ I'm ervious Area 10,000 Sq. Ft to 1 Acre $690.00 Impervious Area 1 Acre or more $900.00 4722 For rojects sent to Consultant for review Consultant Cost+20% 4722 Additional treatment facilities $300 ea Plan Check&Inspection Fee((Non-Utility) 4722 En r. Est. <$260 000 _ 14%of Engineer's Estimate 4722 En r.Est.>_$250,000 and 5$500,000 $35,000+8%of Engineers Estimate $35,800.00 4722 En r. Est. >$500 000 $55 000+7%of Engineers Estimate 2203 Erner&ncy Cash Deposit 4%of Engr.Est.* $500 min/$10,000 Max $10,000.00 2203 Faithful Performance Security FPS 100%of ENGR. EST.* 2203 Labor and Materials Security 100%of ENGR. EST.* 4721 Storm Drainage Area Fee Per Acre 15-1 $2,120.00 (Multi-Res$2,385.00) 2.38 Acres All Other$2 650.00 4722 Parcel Ma 4 Lots or Less $3 930.00+ 85/lot 4722 FinallTract Ma 5 or More Lots $4 775.00+$116/lot _ 2203 Monumentation Security 100%of Ci 's Monumentation Estimate 4920 Parkland Dedication Fee(Remaining 25%will be Due Upon Cert.of Occupancy) 4722 Lot Line Adjustment Includes Certificate of Compliance) $1 856.00 4722 Vacation of Public Streets&Easements $2 480.00 4722 Certificate of Compliance $1,840.00 4722 Certificate of Correction $550.00 4722 Document Recording Fees $15.00/first page$3 ea.Additional 4722 Private Improvement in Public ROW $50.00 4722 Approved Plan Revision Fee $100/sheet 4722 Appeal Filing Fee $200.00" 4722 Notary Fee per signature) $10.00 4722 Assessment Segregation or Reapportionment First Split $877.00 Each Additional Lot $275.00 5117424 Postage *Engineer's Estimate shall be as approved by the City Engineer and shall include all items of work. TOTAL $45,800.00 NAME OF'APPLICANT ROBSON HOMES NAME OF PAYOR MADISON PARK OF CAMPBELL LLC PHONE (408)345-1767 ADDRESS 2185 THE ALAMEDA, SAN JOSE,CA ZIP 95126 FOR REGEIIE€t BY 5 x•; CITY CLERK ONLY J J:LLondDa,Plan Chock Comma to-spadl�Ptaj,dc-Actiro Pr je l In Pfag(essTllon Ave.2gCTeeaW--Remaining PUBLIC WORKS DEPARTMENT UTILITY ENCROACHMENT, TRAFFIC & MISCELLANEOUS RECEIPT Effective July 1, 2015 F Finance PUBLIC WORKS FILE NO. PROPERTY ADDRESS Please collect& receipt for the following monies: ACCT. I ITEM AMOUNT ENCROACHMENT PERMIT 4722 Utility Encroachment Permit Application Fee $425.00 R-1 Encroachment Permit N/C Emergency Permits $120.00 Plan Check&Inspection Fee Minimum Charge Per Location $390.00 Conduits/Pipelines up to 500 Feet $2.75/ft Above 500 Linear Feet $1.65/ft Manholes/Vaults/Etc. $175.00/ea Pole Set/Removal $175.00/ea 4760 Storage Container Permit $160.00 4760 Project Plans&Specifications Project No. 4760 Standard Specifications&Details $1/Pg$15.50/13k 4760 Engineering Maps&Plans Aerial Plot 24"x 36" $61.00 Aerial Print 8 1/2r'x 11" $29.00 Map Research (includes max of two 24"x36"copies) $29 00 _ Maps and Plans 24"x 36" $14.00 _4722 Penalties: Failure to restore public improvements $100/Calendar Day(Muni Code Sec.11.34.010) 4722 Penalties: Failure to correct unsafe conditions $100/Calendar Day 4722 Work Without Permits 4 Times Applicable Fee TRAFFIC 4728 Traffic Flow Map(Daily Traffic Volumes) $35.00 4728 Signal Timing Information $73 per hour 4271 Truck Permits $16.00 per trip r, 4728 No Parking Signs $1 each or$25/100 MISCELLANEOUS - 511.7424 Postage Other(Please Specify) TOTAL NAME OF APPLICANT -f �� , O A NAME OF PAYOR arc 'G j PHONE t ( � ^(j ADDRESS l (� 6' . ZIP FOR RECEIVED BY CITY CLERK ONLY Date Receipt# �, J:\FORMS1Temolates\Adminisvaliv\Receipt Fonn Utility Encroachment S Misc 16-1 6.xls 1 PUBLIC WORKS DEPARTMENT LAND DEVELOPMENT Effective July 1,2015 PUBLIC WORKS FILE NO. ENC2015-00055 PROPERTY ADDRESS 280 Dillon Ave Phase I onies: AMOUNT !>_$10,000 $395.00 NE CI Y.o tTIf D.- LtipjUu N2C5.00 tt _ ,. r 4YUTi'; jj03+>n°fir � o L fear Period $225.00 r1 [lyY'a ��i Uttr hnMHi tl C:,p 42� `dt �r Location $390.00 r{o L. Ij. • N/C GIL sit Required) $500.00/tree r«jL ;!�(�" �'/�7. �, 's Estimate $500.00 min CAST (;,-• - t� �; C,(?;i}� no deposit required P,4RKL tt><C�otr1C-Cjeo J` 4,^rCrU/rT RiYIi rtEltj�hT�� $275.00 $27 $825.00 T tU7,-C e $1,105.00 #�ttil.'ERLCI; T L DUE: -- - ~--___ $1,655.00 "l7Rl i�: $2 7.ry `��.��+jjtc � 7,:C/ J� nit numeric sizing $160.00 �rlE�;i wmeric sizing RE ?lUl)„ I i2E7 $277,2,� Sq. Ft to 1 Acre $690.00 or more $900.00 t for review Consultant Cost+20% $300 ea n-Utility) 4722 14%of Engineer's Estimate 2203 En r.Est. i and:5$500,000 $35,000+8%of Engineers Estimate $35,800.00 2203 En r. Est. >$500 OUJ $55 000+7%of Engineers Estimate 2203 Emergency Cash Deposit 4% of En r.Est.*($500 min/$10,000 Max) $10,000.00 2203 Faithful Performance Security FPS 100%of ENGR. EST.* 2203 Labor and Materials Security 100%of ENGR. EST.* 4721 Storm Drainage Area Fee Per Acre R-1 $2 120.00 (Multi-Res$2,385.00) 2.38 Acres $5,676.00 All Other$2 650.00 4722 Parcel Ma 4 Lots or Less $3 930.00+$85/lot 4722 Final Tract Ma 5 or More Lots $4 775.00+$116/lot 2203 Monumentation Security 100%of Ci 's Monumentation Estimate $50,000.00 9 P_arklanc➢iDe'dieafio F.e T Rernainin f2b9lowriflibe,D_ue U on Certyrofj0_ccu aac., $27s7�20f7r.5.0jj 4722 —Co-TLlne Adjustment(Includes Certificate of Compliance) $1 856.00 4722 Vacation of Public Streets&Easements $2 480.00 A722 Certificate of Compliance $1,840.00 4722 Certificate of Correction $550.00 4722 Document Recording Fees $15.00/first page$3 ea.Additional 4722 Private Improvement in Public ROW $50.00 4722 Approved Plan Revision Fee $100/sheet 4722 Appeal Filing Fee $200.00 4722 Notary Fee(per signature) $10.00 4722 Assessment Segregation or Reapportionment First Split $877.00 Each Additional Lot $275.00 511.7424 Postage MISCELLANEOUS Other-Traffic Signal Emergency Vehicle Pre-emption Contribution $15,000.00 *Engineer's Estimate shall be as approved by the City Engineer and shall include all items of work. TOTA °il NAME OF APPLICANT NAME OF PAYOR PRONE h% X ADDRESS ZIP FOR RECEIVED B CITY CLERK �� ONLY Date .S Receipt# J^Land0avlPlan Check Commenist-Specilic P'li--Act-Prologin Progrees041,n A-280TP IFe I AUTOMATICALLY RENEWABLE I Q C B CALIFORNIAJBANK I U Tnusx TRUST ISSUED AT OFFICE DATE '• I W .J 5 (CITY OR TO N) (STATE) Lij I 11 OF � (CUSTOMER NAME) f t TOMER NUMBER) -^� a I U Ald .f. r "�'' Jl+w IaLI .G ' e'l�' ft •s c DOLLARS � •L� !��- n- I w C2 HAS TODAY BEEN DEPOSITED WITH CALIFORNIA BANK&TRUST PAYABLE TO �' - �'*�`°'I G� OR ORDER UPON MATURITY (A AS HEREINAFTER SPECIFIED AND UPON PRESENTATION A D S RR ENDER OF THIS CERTIFICATE,PR f RLY ORSED,AT T ABOV FFICE. = H fq F- THE MATURITY OF THIS CERTIFICATE WILL BE +L"ll AFTER DATE,AND S CH MATURITY WILL BE AUTOMATICALLY EXTENDED FOR SUCCESSIVE LIKE PERIODS �.I,y Z UNLESS:(A)AT LEAST TEN DAYS PRIOR TO SUCH ORIGINAL(00 ANY EXTENDED MATURITY,THIS BANK HAS SENT WRITTEN NOTICE TO THE PAYEE OR OTHER HOLDER THEN DESIGNATED ON ITS RECORDS OF BANK'S ELECTION TO PAY THE DEPOSIT AT 9dCH ORIGINAL OR ANY EXTENDED MATURITY,OR(B)UPON OR WITHIN TEN DAYS AFTER SUCH ORIGINAL OR ANY EXTENDED MATURITY DATE,THIS CERTIFICATE IS PRESENTED AND SURRENDER 7, PAYMENT. SAID DEPOSIT BEARS SIMPLE INTEREST AT THE RATE OF ! %PER ANNUM FROM DATE HEREOF UNTIL ULTIMATE MATURITY,AS ABOVE PROVIDED,AND SUCH INTEREST WILL BE '� j z PAID OR CREDITED AT EACH SUCCESSIVE MATURITY DATE IN ACCORDANCE WITH THE WRITTEN I INSTRUCTIONS OF THE PAYEE OR OTHER HOLDER THEN DESIGNATED ON THE RECORDS OF THIS BANK. THE RATE OF INTEREST IS SUBJECT TO CHANGE BY BANK WITHOUT NOTICE, TO THE EXTENT NECESSARY TO COMPLY WITH ANY LAW OR GOVERNMENTAL REGULATION AFFECTING THE DEPOSIT. ] 4J H ED GNATURE -I---..... ---'-----.�_._ ... ...._..._..._.._--..._... ....._......__ --- - . ._.__...._.. .___.__.. ..___._._ ...---.�..._....---.__.__....__ ..__. .__.._._ ....._ _. .. CALIFORNIA .ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) County of 5"7-A Ct A M} ) On 0CyPik IS before me, AWL GRILLEpt-K\v LAVI LLA,,(OT7hLl PKI LIG, Date Here Insert Name and Title of the Officer personally appeared A-1 Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ARNEL GUILLERMO LAVILLA WITNESS my hand and official seal. ;. . Commission # 2081843 a,f:=as Notary Public -California z Zl':^ - D z Santa Clara County My Comm.Expires Sep 16,2018! Signature Si ature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑General ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑ Guardian or Conservator ❑Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer Is Representing: Signer Is Representing: ©2014 National Notary Association •www.NationaiNotary.org • 1-800-US NOTARY(1-800-876-6827) Item #5907 PUBLIC WORKS DEPARTMENT LAND DEVELOPMENT Effective July 1,2015 TO: Finance PUBLIC WORKS FILE NO. ENC2015-00055 PROPERTY ADDRESS 280 Dillon Ave(Phase 1) Please collect&receipt for the followin monies: ACCT �> Af+110UFVT LAND DEVELQPMEN _ I 47 2 Encroachment Permit Application Fee 4 Non-Utility Encroachment Permit Major>-$10,000 $395.00 ;;tra;4 Minor Encroachment Permit<sio,000 $225.00 Initial R-1 Permit _ N/C CITY OF CYt't�r'aii:,l.l.. i Subsequent R-1 Permits within Two Year Period $225.00 RECi1i] BY; ChSHIER El1.100,26066"I ' Inspection Fee Minimum Charge per Location $390.00 F i,'/DRe ii%1iI31]id !'sf;K __ ^Street Tree Planting/Removal N/C f 011AY S DATE;: 1.(E/0f5,/1 2203 $500 per Tree Planting Deposit Required) $500.00/tree _ 2203 Plan Check Deposit 2%of Engineer's Estimate $500.00 min REGISTER DATE: :tCJ,'L<;'i TIME: li?i;�>Ei Utility and R-1 Permits no deposit req DE`'CRI i}•0N Aiifli.l'Nt: _ 4722 Grading&Drainage Plan Review Single Family Lot $275.00 STOR11 DRA j1 FEES FN 2 $51676 O3f Site<10,000 s.f. $825.00 ,,-, ,, r. r Site>_ 10,000 s.f.<0.5 Acre $1,105.00 EJ-3 Iileii;t�IL,,l.l sl,t:Gird d,:.�..il,t1T•Y Site>_0.5 Acre REFDEl�OSI - :ti]:i ;��iil,600..f1i] $1 655.00 4722 NPDES Review C3 Requirements C.Mi i 1 s•i RAFF IC SuNl_ EiiR6 For projects not required to submit numeric sizing $160.00iFli 71Cig000.Ji] For projects required to submit numeric sizing __. ... _.___.__._..._.... Impervious Area 10000 S . Ft to 1 Acre $690.00 TOTAL DUEg t7,94-67h„:30 Impervious Area 1 Acre or more $900.00 4722 For projects sent to Consultant for review Consultant Co: TENDERED. 6,7E1„30 - 4722 Additional treatment facilities $300 ea CI;AM'SE. Plan Check_&Inspection Fee(Non-Utility) ULU; ;'7iI�Y,7b,Jf) 4722 Enqr. Est. <$250 000 14%D of Engine( REF N lf?n 1i3i151,iCtti`;ti9l.tf(J4s? 4722 Enqr. Est.>_$250,000 and 5$500 000 $35 000+8%D c 4722 Enqr. Est. >$500 000 $55 0. 00+7 c 2203_ Emergency Cash Deposit 4%D of Enqr. Est 2203 Faithful Performance Security FPS 100%D of ENGR 2203 Labor and Materials Security 100%D of ENGR. EST.* 4721 Storm Drainage Area Fee Per Acre R-1 $2 120.00 (Multi-Res$2,385.00) 2.38 Acres_- $5,676.30 v All Other$2 650.00 4722 Parcel Map(4 Lots or Less) $3 930.00+$85/lot 4722 Final Tract Ma 5 or More Lots) $4 775.00+$116/lot ✓ 2203 Monumentation Security 100%of Ci 's Monumentation Estimate $50,000.00 4920 Parkland Dedication Fee(Remaining 25%will be Due Upon Cert.of Occupancy) 4722 Lot Line Adjustment(Includes Certificate of Compliance) .$1 856.00 _ 4722 Vacation of Public Streets&Easements $2 480.00 4722 Certificate of Compliance $1 840.00 4722 Certificate of Correction $550.00 4722 Document Recording Fees $15.00/first page$3 ea.Additional 4722 Private Improvement in Public ROW $50.00 4722 Approved Plan Revision Fee $100/sheet 4722 Appeal Filing Fee $200.00 4722 NotarV Fee(per signature) $10.00 - 4722 Assessment Segregation or Reapportionment First Split $877.00 Each Additional Lot $275.00 511 7424 Postage fiJIISGE2 03 Other-Traffic Signal Ern enc Vehicle Pre-emption r , m, _ - n Contribution 1 � _ _k• $15000.00 v `Engineer's Estimate shall be as approved by the City Engineer and shall inclUde allitems of work. TOTAL $70,676.30 NAME OF APPLICANT ROBSON HOMES NAME OF PAYOR MADISON PARK OF CAMPBELL, LLC PHONE (408)345-1767 ADDRESS 2185 THE ALAMEDA, SAN JOSE, CA ;ZIP' 95126 l: x} FOR RECEiVED_ B f CITY CLERK ;` of F t� ONLY Date Reaf t# IUMDeN111 Check CO-ent,11-Spe4fic Pf„j--Ad-Pr,)ed In Pfoyfess0R1l Av„.280,Pee TF DEPARTMENT LAND DEVELOPMENT V Effective July 1,2014 t I PUBLIC WO S 1 r4(�. TO- C FTO: City Clerk PUBLIC WORKS FILE NO. PROPERTY ADDRESS Please collect&receipt for the followin. monies: ACC.T AMOUNT ..l v LORMENT' I-ANDIDE 4 -ncroac men t Permit Application f-ee Non-Utility Encroachment Permit Major-$10,000—$385.00 Minor Encroachment Permit<si o 000 $220.00 Initial R-1 Permit N/C cent R-I Permits within Two Year Period $220.00 Ins ection Fee Minimum Charge per Location $385.00 Street Tree Planting/Removal N/G __2203 ($500 per Tree Planting Deposit Required) - $5W5_0/tree 4P 2203 Plan Check Deposit 20A of Engineer's Estimate $500.00 min Utility and R-1 Permits no deposit required 4722 Grading &Drainage Plan ReviewSingle Family Lot $270.00 472* Site< 10,000 s.f. $810.00 Site 10,000 s.f. <0.5 Acre $1,081.00 A I Site 0.5 Acre 2 NPIDES P.11iIIIA/tr"k Pafuirements For For proiects,not required o submit numeric sizing $156.00 For projects required to submit numeric sizing Impervious Area 10,000 Sq. Ft to I Acre $676.00 Impervious Area 1 Acre or more 7-7 $884.00 4722 For projects sent to Consultant for review Consultant Cost+20% Plan Check& Inspection Fee(Non-Utility) 4722 Enqr. Est. <$250,000 14%of Engineer's Estimate 2203 Enqr. Est.2:$250,000 and<5500 000 $35,000+8%of Engineers Estimate 2203 Enqr.Est. ?$500,000 $55,000 t 7% of Engineers Estimate 2203 Emergency.Cash Deposit 4%of Engr. Est.'($500 min/$1 0,00.0 Max) 2203 Faithful Performance Security(FPS) 100%of ENGR.EST.` 2203, Labor and Materials Security 100%of ENGR.EST.* 4721 Storm Drainage Area Fee Per Acre R-1 $2,120.00 (Multi-Res$2,385.00) All Other$2,650.00) 4722 Parcel Map (4 Lots or Less) $ �bbU.UU+Z5b6/F0t 47 Final Tract Ma R(5 or More Lots) $ 81, + 4: 00 $11�4 /lot -Security 2203 Monumentation "t".,M'nmetatio,Estimate 4926----Parkland Dedication Fee(75%/25% Due Upon Cert.of Occupancy).__ 4722—---lot Line Adjustment(includes GerHcale of Complia-nce) $1,820.00 4722 Vacation of Public Streets&Easements- $2,434.00 4722 Certificate of Compliance $1 800.00 4722 Certificate of Correction $540.00 4722 Appeal Filing Fee $200.00 4722 Notary Fee(per signature) $10.00 4722 Assessment Segregation or Reapportionment First Split $860.00 Each Additional Lot $270.00 5117424 Postage . . ... .. M-9,C E 12i F-O;U'9,.<"..,r.�I�'s..;: q Other(Ph 'Engineer's Estimate shall be as approved by the City Engineer and shall include @if items of work. TOTAL $ 1,F) Lk 0 ol NAME OF APPLICANT t . - 1-c-C) - NAME OF PAYOR PHONE ADDRESS ZIP _Z..L - ZA65; :Uue-- &L-mnt��A-_ S�o q FOR RECEIVE T 1 5' DITY CLERK 2 1 ONLY e ecel.. PUBL.— :JORKS DEPARTMENT LAND DEVELOPMEP Effective July 1,2015 TO: Finance PUBLIC WORKS FILE NO. ENC2015-00055 PROPERTY ADDRESS 280 Dillon Ave(Phase 1) Please collect&receipt for the following monies ACCT <: I,YEM 1 AMOILINT - LA�ND DE1/ELOPMENT ' �L" - � 3:R..� Y 4722 Encroachment Permit Application Fee Non-Utility Encroachment Permit Major>_$10,000 $395.00 Minor Encroachment Permit<s1o,000 $225.00 Initial R-1 Permit . N/C Subsequent R-1 Permits within Two Year Period $225.00 Inspection Fee Minimum Charge per Location $390.00 Street Tree Planting/Removal N/C 2203 $500 per Tree PI nting Deposit Required) $500.00/free 2203 Plan Check Deposit 2%of Engineer's Estimate $500.00 min Utility and R-1 Permits no deposit required 4722 Grading& Drainage Plan Review Single Family Lot $275.00 Site< 10,000 s.f. $825.00 Site>_ 10 000 s.f. <0.5 Acre $1,105.00 ite z 0.5 Acre $1 655.00 4722 NPDES Review C3 Requirements For projects not required to submit numeric sizing $160.00 For projects required to submit numeric sizing Impervious Area 10,000 Sq. Ft to 1 Acre $690.00 Impervious Area 1 Acre or more $900.00 4722 For projects sent to Consultant for review Consultant Cost+20% 4722 Additional treatment facilities $300 ea Plan Check& Inspection Fee(Non-Utility) 4722 En r. Est. <$250 000 14%of Engineer's Estimate 4722 En r. Est.>_$250,000 and:5$500 000 $35,000+8%of Engineers Estimate $35,800.00 4722 En r. Est. >$500,000 $55 000+7%of Engineers Estimate 22031 Emer ency Cash Deposit 4%of Engr.Est.*($500 min/$10,000 Max) $10,000.00 2203 Faithful Performance Security(FPS) 100%of ENGR. EST.* 2203 Labor and Materials Security 100%of ENGR. EST.' 4721 Storm Drainage Area Fee Per Acre R-1 $2,120.00 (Multi-Res$2,385.00) 2.38 Acres All Other$2 650.00 4722 Parcel Ma 4 Lots or Less $3 930.00+$85/lot 47221 Final;Tract Ma 5 or More Lots $4 775.00+$116/lot ---- 2203 Monumentation Security 100% of Ci 's'Monumentation Estimate 4920 Parkland Dedication Fee(Remaining 25%will be Due Upon Cert. of Occupancy). 4722 Lot Line Adjustment Includes Certificate of Compliance) $1,856.00 4722 Vacation of Public Streets&Easements $2,480.00 4722 Certificate of Compliance $1 840.00 4722 Certificate of Correction $550.00 _ 4722 Document Recording Fees $15.00/first page$3 ea.Additional 4722 Private Improvement in Public ROW $50.00 4722 Approved Plan Revision Fee $10D/sheet 4722 Appeal Filing Fee $200.00 4722 Notary Fee per signature) $10.00 4722 Assessment Segregation or Reapportionment First Split $877.00 Each Additional Lot $275.00 5117424 Postage *Engineer's Estimate shall be as approved by the City Engineer and shall include all items of work. TOTAL $45,800.00 NAME OF APPLICANT ROBSON HOMES NAME OF PAYOR MADISON PARK OF CAMPBELL, LLC PHONE (408)345-1767 ADDRESS 2185 THE ALAMEDA, SAN JOSE, CA ZIP 95126 Ile 4 � i FOR RECEIVIE - Y CITY CLERK s f* ) ONLY J;%LmdDe Tlah Check Camm ftm-SpeckPl.j.ds-Ad,.Propcl In N.9-1W.h Ave.2801F—Vees-Rem109 • • aCERTIFIED MAIL,. RECEIPT u (Domestic a rmation visit our website at viww.usps.coma zi ' . FO E .n n Postage $ Certified Fee 7 Postmark :3 Retum Reciept Fee Here (Endorsement Required) Restdcted De"Very Fee (Endorsement Required) Tt Total Postage&Fees $ Mr. Richard Yee zi Bent To Robson Homes �. 9tieef,Apt fVo.;-------------"" 218 The Alameda #150 or PO Box No. ciry;sreie"ziP+4""'----------- San Jose, CA 95126 Certified Mail Provides: as�anati)aoozaun('oosewiods ■ A mailing receipt ■ A unique identifier for your mailpiece * A record of delivery kept by the Postal Service for two years important Reminders: ® Certified Mail may ONLY be combined with First-Class Maile or Priority Mai e Certified Mail is not available for any class of international mail. u NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. 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Internet access to delivery information is not available on mail addressed to APOs and FPOs. ^i x 43 gF`a#`.aE <4 f ,ry �xy t� i s n i t , �ttf < r. gii, ,z. h't•-ql . > Cegerav t "- { T .,..��-"+..•:cr+ 5� Lai � _ r •• tti:: St,F.e L14htin4r t �v ,'k l 2"}i- y 1: 7(.}S 46 4P1;'? drY.} g' e.:5,tdttp,$ en,�,t cohstilrt(td,ik0a - t a :; tt, -i }l-aP- � ta7as"'_ pmtl, 4ta 4s.tevlGedy;lre1Jty, Y All:Work shsll4artPorR3i6tlte4x } .tYA ..� v Grp<i ksj .f."y, 1P b '( leP ;wfiY Yit} of th©,Jj`ev8lopeF'and�ox Staridazd ColleFsuctl4n PbFi Aa W ',ld) thaetY ;...D- ,`Y`'+1,. ls,• Lzg?1>=.ing arl .tkE Ciia$•ha- he Stt� L+�dits oXt s.e#•x Y^t`".T. + ., t r.. , Details as,rPYr�ad St A •�'sodaY1 .$ f'D:rmiwlkh. b clyFktL st ,�'Y34sl,Y bf .: L is •*. ? `'.' a•t^&iu.s a "s�,t,a.hyG''+µ„�vx,� .F'�'ty.a '4'@ip� 9nc 9t:3tr3dda 1 .wtl 2 electrol2eY&"sltall be r3e� C,oad Gkotil]'.33L � xSta1I „C4 ,UPA'C1on-$a ilia fai -- required ees'Per>4-'+s7 .p� •< b: 'e,.. s 4 ,''` :, rtD, r43r}'6•.COYtO o v�§,(}d' 4'�- be the resPon_si}3il,ty tS2' � � ��";y° e �S/, NALG 5ra� l - w `t %-, ,..� 4 ; �: -- -'—--_--- _..-'---------- .. G..; p 1 ;3 tx',.<f d�+A+, �, 7---. a.' ,.� '�,Co tr'CF��Cry C+;1•-:. a"�ti $Y!?''.0;;4�}i1.rs qP-`AI{��<pabl:�;abtio�an 2�}}e... '... 3 Electrol aer ..e�9u2ra,nenk��F t+ t 7�-+`-.,fib .,'-c��,r� 5r �y:• .-_-._.__.___-._.y_,.- __. .__..1 y •.,, t +aPBik�*'e hi'l+ - tl h ,.duX! tfiC- ez'�QYmrtn or - n L<"4 s ! `,a��'. t 999 ,S r y,4 _ a q, .. ert9 1Y kt5'.i s ' s^ , t. Masc arm-lerlg thv� k Yn :F ,. I , I � i 1 3y •': .. ,k5 ` ,Y �s'�` a •{St `!�f., t6 TyPe Dh?1zt:>t9AIZ z g ?tt s�eh�-y2�7w;,b n��, ci7cGt 'ei'ty:0 rnm Haire. -" -t�rr. x g• �w p ,' ex,9r P✓ 7,70 �Pa idb?bbefortyy 8t6AtIh9.al'y}:: LHmp. I Re.eoveo Re'r+ aeo i , Y*-. Leff,s x�„ttotk iu l gyp.' WVorkfi@q-deyd £ar`:p;dcessi'n9.th4 y:'_ t y.- •t �*3 C i �Lr't':" _k H,n,.g,.•z'/• .. 1.:_,, / -'_•a -a '(< iigi-..c8t'T�h. ,YQ§s aA3 cSlb)?DAte,cYl11:3Ye.s0gp1'ted.- Al]'[arms 'atilties r r:; 4 •ead;. Ap,aze. 6y refeY:ata-.Les�tor:1 ' :r;y, •. Rkt6s.V `'th / i111.('yptra'ctOr ih) filial-1'..hsYh a:�oapy pf ; 1.,A1Iundergrond uC113t;ies SYt"dltY?e°BJt�tiR;..::. @'D •� 'yt>:t:.t'TL. �t'i" ..s�,[•��,,}} Y i LSro.P. e. - sRc }' ,ti§t-_opa loti'.:5'See_whlle working.' _ •.constructed,:prlor to,:atart>_nq wock on t#Tce.` AtNtFees .." construotiOns:' - .+ secwCLx �. ;.. a f <A f4 I „ 9i 11 sep ta{,e Pa#;li'c.,Works erRit Ss saijnzted OT aoh - R'r '' er N 3-�':+, l•„<' ,r;' L.CoMNA[TFD NATIV&/ �. - ContY - (95%0) 3"GS..Z A.P. - $L_tox woz$ing bff sltF r 2 The existence'and.apptoYlmat@ }4�at4ilhs�Dj`pj1GSS`131a,. ixy`.E-�,t,. .y} ^y, r`p utilities or:struhtures,shown In yD.eue.,S tCrv*r�A. QSA;(Dn$ergrouiid:;8etviCe Alart) 80D ¢42-2444,st;least•- ':by Pq>tf e�•g}Y s ;' yr t� " . / A,,' %tea 5; Noti a search of av il,anle iogaai'lis -'*iley /"o' ii�: 1 = .tvo;WOrkin dd a- iQY•:to caaudeiicin eXCaVatione: [t4cnid - .;general iti£oxtcatlon.only Rhb City of[Ca. R•o. ..�L ;'th's lifqul,rp YdeJiCiPicatlPn nirmbeF Itianec'huisbetj on"the claims of the:accuracy,at camp'ieteAeaa.,oy::-§in„1 j'rya x t`�s+ty 3 ?4H Pplil to"tV.nzka Permit. Pzovide:this uu dr„tbj.the City.;. ,,.sho+:m It v.s�tbe contslictOr W.,X.e pOAB�.II�L 'ts3/ty§- t�. ;s.t r r-� `{:"e• #; 3 EPgineer.wheh Ye2luestP9.` utility locgtlons with thlw�s'O.p,P,T9P+1U,`li"i'iry +tllei: •i � _ ir'9 h • contractor 1s:iegcrYed tIl dVe S+fdCaut`}on3{Y i4easulES £1<+t'w as-,thq-8evelppey a and/qr oontractbr's responsibility to protect these"utilities.'oY i ctifkY' /t�sd dtty Oh}aotis.�tl 1 �` :,notif ,tile City En4iri ,upon funding cohditYQns in the field,..: .sad;:tho work-'site DILLON AVE g60-rtc n/ _ whiclraYe at'.varlante;vrl th+the"plans-andlor whioh.aay.require s e ?7t/' 1 ? } alfeting�of'the plans: Del-aye in makir{g such mtlfichtioho Traffic-,icr v Y ',s,;'4£y e}l, ? '. .r, may 6dnsa substatitia].da]ays In the completi n on and acceptaceof tho"WrX.: 1 i.,'' -x Two the CSG tEngineerustSec awl p ite f'a and ug$,7dt,{zCt'ai9¢'} $cjyll ,'4,K yil; gdA�ot 7 v ti' .,•i e-,3.z,` 7. All e>F19,t'rtg wells,ehal l�be;.sealed. All existing sa99t3L .permit and'Sactiohs 7,A .7Lli 7Y -`tz'-v ;k ._. d �--E;?a�r t k .`S7�EET_JREEJ.IMF Jb:�F--. #'rEa(sks,4.01 be elealled and-fined., T1iis:pork shall be-.;done '�-. s ) {, ,. �• . 34 acCog1$nce_wSth;he specifications and deta.S,lei,af t3iC Campbell_'General eral.',CondiRi4ne 1 r7•f, "' v"-N �•`� 14„_�rrj;"e a /.BeIGiSTED...F•P_Lr% - _ + ;; �� I _ Depar:tment.of SeaIth of the County of Santa Clara and the r ', �l bf ,�'R , Santa',Cle�'a'Valliiy.sdates-Distract. P�na3.inspectiori and mi{c tStance must be regtse6:ted in err ring Ge^teral:AppYovai Note: j >� ,„,�� s'3,•,,,t'1�' t�• , _z j see Genetal condition on,the;Permit;," t v; i?l cC:•' 'S" .ff� !+Rt ►�Yq . I : Approval of the 9 p 4$ Fe1ak w r r S e r Yespon.Wbitbera g. ilYeet.lA�tc 4f Le_ f'fva.rraS v�Ft+)°+4' w,.'D"''ly. ` w contaihed therein'• if"tlac �,g a' ne1+b �ahs tFu+st' ��,f �'+•:� ,' ., a!�.'• ... ,, .-" _ , = s. its"ro,8iic# le na=bbT','Gkt_ }ans' at beiovidacT co the;ct` in>,royri4entg pupl'ic in ere5t'r D rcp d£Y 3t�.q :)ji£#1mlgo s,+ o 1/v :tea Engineo ,•befoxe'aC epcande will be.na40. - departbYe from fi'c,sPealfiCsiion$ deCa316':bf xhs"C#X ,�ti E`:A 1 fl f, /.e._. -N. v ;=jr,a - s• _Campbal l or theao".Plans?;`the;R1t'EflSStes:vha3L R4V.v-= @e�,T„4 1. - . wrr.n^ '�. ,^ -,:,t:} 19.:: 6u1}di�i$pgcirpp-.:l`J wjil`not be ai'lewed until"sots ce•i5P .authority.to rejuitr at}eh;;taod2£icakie7r B. ipk' tii4%: ;"'..i ,r.; >. 2. 5;CO >3 .Plan . 25• 1 _ ,ems, �, r( -..- e w6ik'+15Y tits OQCy.P,pgineer. pacify such mod if is txon�,.or depar{tilt"G ft¢ktr�s fry'hwt tit G .. 9•""�-=G ,, e.P..._ �; rr )'" in which the same'is to..be'm3d9 1 t ti ` ^ ' '� concern tionc v .. -. s ,• s--, '+ + `�z APPROVED,ae to-deai4n oily;based}baoiX#RfoTmaiion atil .'g.`ET` rkz- 2 i3 1._.713.1 se,Lv44eable-C .. - hereon this oY •. t,-- ------' " kip`pfr C'pmpbeil pYols$rty IS e, e18CiYoIlers, :rd �'�y�_ " pILL D/�� AVE r castinls� etc.i;sxari,ba>aelivered-to the €ityta'Service . :;'±� - 9, Centel at'29D South DillonAYenoe ;Campbell sets'of constrbCtion-staking cuYualtFets m at fi"s>.ibgutcea to tha'City Engineer zit leash�wo.:w6)r:&2U9;;slay pr o1:,Eb: .4Y.:@NSip tW•Lr ceLg Secttocidn of tthe,Cit YOf Ct pbeJ';£lie'?stakin9. ..see'`-a Lsa.•.:Sect Sion n., bf.•the.-City,of.Cavlibe Lh-•Standazd�Constrgction Provisions'.. C1tnIP8sL1.t.KrALEFORNYh. ?' h..iesrfaciri oktoide.ob^�t a street area IndYgeted.fdr _ u -.-. •_-. t {. L L; ., t , t reconstruction shall conform.�w:'Fh the,"Utility Trginch - Rasto:atlon' Stan datd-CanstNction>Det 31, SrYigation lihes.wi thinbtie Pub1J.c'i14ht-of-w4y t "�F gi � � f' , r: i i. 'ram--! 7 I_ t : _.r �Gba:] heYesovgil. P?!94ed or ralneated:ae directe8'by the r=> NY '. ; f �_7 _ a_ :_r t -_ _� F �. _� 1 ._1 Clty EiruieerAbemloned-irrigrYt:zon,l3tias wi th•1:2-i4ches of•' t � ti .1�t. a__ the gradire,q.vlane ajrall be temovpd - '+ys }4 ;1 -:_ i t �"'�' :_ -� :=1 .1= : - 'f :5„ Elfteen':gk?}ott,.attra8t.frees are -squired'and etiall 6e:p3ance0- �� r ? a: - c�Rfotnanea"wit we "Streatine Planting' standard u �I q z -�- � :'. - _1 L =�._1- -_1_ -f _ _1 _ ,,� .PeciCs:.;r;n$ locations:w111 be sPe-ifiCd by the�City.Enq#nest - +`"�L:Y• Traffi:4:tparkans'.-and'signe< andba,£:£ir'.striPAn9.:d3tb. ,fit `-F, . -r`af;. leOto£s;i .z, >4ii.'�ed-^,.If noersnoMn on. - <v 1 un' aq, tbrplaits' deft;ai l,s- - T --7 _�3� will ise�ePec�tiea_',ty,ehe city �n+kineai '. �ro , are and fiib rpd}a¢art'tc,rte+�,cuc¢s:.::gpttaYs;r. N• `5'^!''i i'�:'u':,i'`�. l "7 side'a15:'s tsbproYlde'fiQr�,ea3'e! antl:dt'.PittaOa'�seo'dlrectcfl:L t h 5 '.u'F•e 3 thPt ec= Pt . � PILLOM LOCATION, MAfP 1.y.v�••Y)�•��-: - -F�f , ._� -i-' r- t- y' { � -r- � ..1. 1 - .� c ). �t I t_� ,} , i � t •"�. q' ff 1 -, - -- r :.�. .19. i"-. ? f'`_� y:�i e„v� ll�lf'RD-VEMENT . L �+f TiC C 0 U N T Y A S S E S S O R S A N T A C L A R A C O U N T Y , C A L I F 0 R N I A BOOK PAGE P.Nt570•M•46 R. 0. S. 6 5 5 / 3 5 P.M. 718—M-42 �12 AG AILWAY — O7 AVE . — — — 964 246 238 216 208 o P. M. 5 5 2- M-14 b _..._232 M 202 34 76 38 1 38 38 19 19! 36 304 114 cb 0.19AC. I i I I 0.97 AC. NET 1 \ N N bl N Nl+ .N �� N• •I � >2 54 a 6 0� 56�� 57 66 PCL. 1 20 PCL.A 17 1 16 15 1 14 I !3 PCL. A 63 0.28 L 227.88 — 114 n Z P.M. �,, 113.2a PM590M49 FTN. I T "r— T... I s.ee` M 76.12 Q 680—M-6 22 PCL.A 27 1 28 129 130 i 31 1 32 133 34 37 g61.50 0.28 AC.PCL. 1J �� ae . . pt 28In 27 OwN£R'S REO.r v� 24 23 22 1 2 1 2O 19 Ki co 38� 00' 0 67 0_ I �n -�1810 :0 25 1 IM 7 7 PCL.A I I 1 1 I I i �� I Lr� Ls .45 9 76 78 36 14 24 26 12 38 1 38 13 25 26 12 38 82 32 38 23.50 .52 ? 293 PM.289-M 42 273 263 255 z43 235 L K22s 4 219 21s — — 183 R DILLON TRACT NO. 7264 AVE. R.O.S 655/35 — 272 P.M.348—M-31 `" CONDO PLANBLK. 3 P.M.414—M-46 e 260 240 200 180 ®�ss 7ss1 s0 50 100 50 1Q0- , 57 32 1 R U C K E R S A D D I T 1 0 N T 31 I 33 40 M N 32 ib4 11 �' PCL. A 57 M sass 33 N. 114 O9 S2 95 ,015 '51u > I .. jo. 0 :''S B.E. 2722-43—(30)57 PCL.1"'•.• 53 � `•. SPRINT SPECTRUM, L.P. .: Q 260 sf LEASE ................. aA: I �\ 114 1 R.O.S 655/35 .I� o GILMAN - AVE. PCL.••45 � � — \ O �•••\•• �� B 0y L 186� 176 150 95.76 So 97 115.40 I I I 48°j T 6 i O 4 7 0 4v (V S °a S 36�js`80.74 °° L � , C. V. 0 T \...78 9 I 8 I 7 1 6 4 \ 61.50 1 P ... I 115'42 ..l D. � M• 338-M-55 R0542//54 L dos 0 T 3 rs ro°,?• Go fo ~ ra54 222.03 S C�oek \ � 20786 A P RCeLLEO -- r- -__ N3152'41'E 145.00� o 17.32' 7.00' 2652' 14.00' 1 SD.75' -_ 7.DD' 15.90' 6S'TEE PSE&ME .10296 CONSISTING OF SIX (6)SHEETS BEING ALL OF THAT REAL PROPERTY AS DESCRIBER IN THE FOLLOWING DEEDS: DEED 1� Ai,,;;;; ;; RECORDED ON MAY 28, 2014, DOCUMENT NO. 22606034, SANTA CLARA COUNTY RECORDS, N„ """""` DEED RECORDED ON JUNE 30, 2014, DOCUMENT NO. 22633343, SANTA CLARA COUNTY 1� 48 L- -N58.07'19'W RECORDS, DEED RECORDED ON NOVEMBER 25, 2014, DOCUMENT NO. 22782239; SANTA 1� 8,439 S.F. y r' �--- 5,00' 1 �3 CLARA COUNTY RECORDS AND ALSO ALL OF THE REAL PROPERTY SHOWN A5 PARCEL A ON THAT CERTAIN PARCEL.MAP RECORDED IN BOOK 338 PAGE 55 OF MAPS, SANTA CLARA N5WO719'1N LOT E N58'OV14"W COUNTY RECORDS AND ALSO ALL OF OF THE REAL PROPERTY SHOWN AS LOTS 12-15, THE 521 S,F. D.s2' :_ 1 EASTERLY ONE-HALF OF LOT 16 AND A PORTION OF LOT 18 IN BLOCK 3 ON THAT CERTAIN �44Q14' L=5.2V N313345'E d / SUBDIVISION MAP ENTITLED "RUCKERS ADDITION IN THE TOWN OF CAMPBELL, BEING PART 0 OT �538'15' N3152'41'E 113.97 1200' __ ^ • OF SECTION 35 T.7 S,R.1W M.DM° RECORDED ON MAY 20, 1895 IN BOOK F OF MAPS AT L=7.2D' 108,97 IEE&PSE ''S,' N I PAGE 39. 133A0' N31'52'41"E 45.74 k3153'46'E 3683' ` .� T xY,9, N315V41"E 130.OD' o R=SD.DO' N3152'4t'E N3153'48^E N58'M'14'W LYING WITHIN THE CITY OF CAMPBELL, COUNTY OF SANTA CLARA, STATE OF CALIFORNIA, v/ 1=1098'29' N (PRiVAT1 STREET) N3152'41;E 130.00' _ L-10.79' �Cl { �Z I g7S �Ac?60p 650' 1,83' i� a DATE: SEPTEMBER 2015 LOT B _ 6 C , .•, 1 a3.00' 127.Op' R--4�.OD' �yo r=n EVAE,IEE,PSE,PSSE&PSDE N3152'41'E V 1 1158roY19'W $ LFID t PT g. 1,281 S.F. , �� civil Civil Engineers •Planners •Surveyors 20.00' N3152'41'E 13D.00' 6,247 S.F. L=7.20' 9.73' d_,90• M, os N3i S3'46'E 57.33' m 200' 21.92 20,OD 14.83 14.83' 2283' 33.59' ,L2 L40j0Ssoo• << 1 Engineering 224 Airport Parkway,Suite 525 N33'S3'46'E 3733, l m I San Jose, CA 951i0 s N5@07'19'W }.73' cl L-f2.49' Uh Associates N31$2'41'E 6.50' Ra6fl.OD' 1,=4442'32^ ` g ` 0.92' n g v A=101*29' N1324'47' R /o f N N31'S2'41'E `4 h �" EVAE � L=10.79' 7j. N 1.147 S.F. 4,5•PSE L=t265' ji 1.83' a t9 "9 IB ; Q v 1,166 S.F. �as`te'33• N31'53'46"E 57.33" J;ii, 16 15 14 " 1.3 �� 12 � �� Nat 53'aCE s3.7s' 4 � �c 1,199.S.F. t 1,075 S.F. 797 S.F.^ 797 S.F.v 1,227 S.F. E 850' LZ _1 S.F /// ER N315Z'41'E 20OD' $ . N3153'48"E 57.33' � z 797 S.F. .�. r t 1F, N31.3S45'E 53.75• 3 1 .,,...., .. � � ��, 21 I GRx,"I p z g # 850 S.F. 20 0 10 20 40 797 S.F. a f N31'5S46'E 57.33` m 22,83' V. 20.00' 14.83' 14.83' 2283' - ~Q a z R s3' N315SM4 f 53.75' N3M2!41'E 95.3V z Q Q w ( IN FEET ) N3152'41'E 20.50' In3 S 2 NOTES i INCH = 20 FT 1D DD'. 10.50'�g tD' - _ e� 1 Q S o'C W N 1.147 S.F. f N'� 1 N3152'41°E r N3152'41°E 652V 0 1,075 S.F. N gi 1. ALL DIMENSIONS SHOWN HEREON ARE IN FEET AND DECIMALS THEREOF. M M l Q 20.00' Q o- NZIMS46°E 57.33' z r a N315345"E 53,75' r' 2- THE AREA WITHIN THE DISTINCTIVE BORDER = 4.55 ACRES GROSS AND 4.53 N3152'4fE _ EXCEPp0., 10' 7D' 4.5 ) Q ACRES NET. NSl L=847 P a z 17.98' A$`/ f TD PSE a 11 1 IFS28'25' .15 RSrV1, 3.03' \3/.6�. < 11 ri 1,309 S.F. I BASIS OF BEARINGS N51 U1$4'E $ �28F' 6NS7b. NS7 0 1,226 S.F. L=4.74' b=0YY39" 4.25' A i659'23" N3153'48°E 57.33' w Jv o ui rZDD' f E 2527' " N4853I R m THE HEARING NORTH 31'52'06" FAST,OF THE MONUMENT LINE OF DILLON AVENUE, N58T1Yt9"W N d g _ r N31'42'O R LOT F 2•�' ° 4� N3t 53'48'E 53.D5' �' N BETWEEN FOUND MONUMENTS AT SAM CAVA LANE (FORMERLY CENTRAL AVENUE) AND N382t' N400 1 A e° a c 859 S.F. CAMPBELL AVENUE, AS SAID MONUMENT LINE AND MONUMENTS ARE SHOWN ON THAT £ �oL�3�� I ✓mod. �SDB IEE,PSE&P50E D5'E R v�N o�,• ' $y �O2•R ?68�F I 13,570S.F. 310 y 25.aD' 2s,oD' 94gzs" 41.33' CERTAIN RECORD OF SURVEY, RECORDED IN BOOK 655 OF MAPS AT PAGE 36, SANTA CLARA COUNTY RECORDS, WAS USED AS THE BASIS OF ALL BEARINGS SHOWN ON THIS Sy o 0 ?J1 A'S7brE TEE,PSE&PSDE N3152'41'E 98.43' MAP. R39�, 36' ' SS.sg• 1; �26'I' f >'3• / o pt I - fi QFR 4 �aSy, p0 -29.09'_ '✓ 67.33' - -1 1 e l,jq 6 y;� �a� N31S241"E26,43' 35F bj V �y EVAE,TEE,PSE PSSE&PSDE o LEGEND /�Q1$ NS1br34 S�' $ hot poo / ^e LOT A DISTINCTIVE BOUNDARY 43 0�' � y N 45 -Ai RIGHT OF WAY tpNEW LOT LINE �oyS&F. "h 10. LOTH _ 113.92 TEE PSE&PSDE P 5\ EXISTING LOT LINE RSr11/TyE $b J 2' �_ N31'52'41'E 113.92' _^ ! - CENTERLINE co = 3�7g• MONUMENT LINE t" %{ CURVE TABLE LINE TABIE = _ - NEW EASEMENT LINE } n S CURVE RAONS DELTA LENGIH LINE 9 DIRECDON L€NGTN LLJw RSrb�97 SF I .. g -- EXISTING EASEMENT LINE J4 f S�S ! C1 50.OD' 10 i8'29' 9.00' L1 N58ro6'14^W 1.42' - --- --------- BOUNDARY TIE o m 1 OO FOUND BRASS DISK IN CITY MONUMENT WELL LLJ W i A, 4,3 4,5' I C2 50.00' 10'18'29' 9.OD' L2 N3r5S46"E r20D' i _ (AS NOTED) Cn ry�oE.¢s NS7S•F C3 85.00' 19'OS'53". 28,41' L3 N58U614'W fl.42' EXCEPTION ® SET WITNESS MONUMENT, CUT CROSS ON TOP OF CURB, 53)S• TO PSE I y 1 C4 2.50' 8748'25' 3.8V L4 N31'53.46"E 4.67' UNLESS NOTED OTHERWISE C5 206• 7S36227 2,64' L5 N38.58'2s'W 0.92' ® SET BRASS PIN €N CITY MONUMENT BOX wa 42 3 .t 1-" FOR PRIVATE STREET MONUMENT rD' 1,p75 ^,I "= f' C6 1.50' 90'ODDO" 2.36' L6 N385826'W 1.03' 10' �E ` N31 :'45'E FOUND IRON PIPE {AS NOTED} NS701 g a ( z cs 1.50' 9OTVCD' 2.3s' tass' O SET Y4"IRON PIPE OR OTHER PERMANENT MONUMENT AS 47 0, t3 07 L50' sgWOD' 23T INDICATED TAGGED R.C.E. 31954 tv I N'c n CB 3,OD' 90'OD'00' 4,71' "' {1OD.O0') RECORD DATA 1,p64j 62B' R=5.QD' i n �' '� (R) RADIAL BEARING R p w y S Sr ,l ii 10534'19' �' LOT `� L=set' I _ A;.;;1=: 1= EVAE EMERGENCY VEHICLE ACCESS EASEMENT S96' b2a�5 /�•v ..., r�472Y z y !b 47sD z b E 48, C6 "� `_ _, TEE INGRESS AND EGRESS EASEMENT ODE 1f �s tt o I 3t52'41°E 45.80' PSSE PRIVATE SANITARY SEWER EASEMENT 18.9z• C7' .'� N47 •$" N4> ~ �`�"' m 2'� --( PSDE PRIVATE STORM DRAIN EASEMENT 4R_ZDgS) 5450+ ' 3700o Z7�E 3 z PSE PUBLIC SERVICE EASEMENT ~C`2p8¢9 o d S�S; 6AD331� �' ry S3p0 N3152'41'E SOE STORM DRAIN EASEMENT N36.47sD-MRI LrAPn09 ea7!13'arl'WlR1 I SEE SHEET 4 �* s 7Are a CLICG 1C T '; ( F .--....... ..._-. r 10296 CONSISTING OF SIX (6)SHEETS BEING ALL OF THAT REAL PROPERTY AS DESCRIBED IN THE FOI,LOWING DEEDS: DEED RECORDED ON MAY 28, 2014, DOCUMENT NO, 22606034, SANTA CLARA COUNTY RECORDS, DEED RECORDED ON JUNE 30, 2014, DOCUMENT NO. 22633343, SANTA CLARA COUNTY RECORDS, DEED RECORDED ON NOVEA4BER 25, 2014, DOCUMENT NO. 22782239. SANTA GRAPHIC. SCALE CLARA COUNTY RECORDS AND ALSO ALL OF THE REAL PROPERTY SHOWN AS PARCEL A ON za o 10 20 40 THAT CERTAIN PARCEL MAP RECORDED IN BOOK 338 PAGE 55 OF MAPS, SANTA CLARA COUNTY RECORDS AND ALSO ALL OF OF THE REAL PROPERTY SHOWN AS LOTS 12-15,THE [killEASTERLY ONE-HALF OF LOT 16 AND A PORTION OF LOT 18 IN BLOCK 3 ON THAT CERTAIN ( IN FEET) SUBDIVISION MAP ENTITLED "ROCKERS ADDITION IN THE TOWN OF CAMPBELL, BEING PART 1 INCH = 20 FT OF SECTION 35 T.7 S.R.1W M,DM'RECORDED ON MAY 20, 1895 IN BOOK F OF MAPS AT PAGE 39, LUNG WITHIN THE CITY OF CAMPBELL, COUNTY OF SANTA CLARA, STATE OF CALIFORNIA. DATE: SEPTEMBER 2015 c0 V 11 Civil Engineers ^Planners • Surveyors FD 1"IP[1] 1;6 Engineering 224 Airport Parkway, Suite 525 -y� 1N MON BOX Associates San Jose,CA 95110 LINE TABLE 1 LINE$ DIRECTION LENGTH 1 ' 54.03' / U N3152'41'E 0,92' N31SI'45E[i]- L2 N58T17'19'W 3.50' 7 LS N3152'41'E 0.92' H G�MW AWN Z ?/ L4 1,158107'19'W 6.50' N3151'45`E x k 40a0' ` 15.66, 4a28$�•f8' N315Y45^E 7-9. L5 N31'52'41'E 2.42' 11.21 15D8' L6 N31'52'41"E 3.42' SEE SHEET 4 L7 N5B07'19'W 8.50' $'b LB N3I52'41'E 0,92 a� LOT I d2' Z I.<: r1:. :::::1 � 3.467 S.F. � 15's1iE L9 N58bT19'W 3,50' �� N3152'41'E 95.80' N31b241E NOTES L14 N31'S2'41'E 0.92' 84 �, 93.96' 3.08' 5'.BTORIA EASEMENT WITH RIGHT ri TEE,PSE&PSDE NSWO7'19'W N3i52471 39.01' OF ENTRY UK 4593 PG 182 L11 N4233'00'w 9.74' vim' $ 6.z5' ts.n' zzB3 1 1. ALL DIMENSIONS SHOWN HEREON ARE IN FEET AND DECIMALS THEREOF, tt3152'41'E N3i'52'41'E 42.00' Bm 2242' N3752'41'E 4Q67' 1.33' m y L12 N4777'a0'E 0.92' a 21.00' 21,00' 2. THE AREA WITHIN THE DISTINCTIVE BORDER = 4.55 ACRES GROSS AND 4.53 �_ I" 2T.QQ' ZI.00' O p m I i ACRES NET. L13 N4233'00'W 12.w 1-4L14 N47'2700^E 1,4V v �'{ L LI I :� L3 I N3152'41'E BASIS OF BEARINGS 22 23 o 9.00' 1,1 9 S.F. $ t 9 p jR 20 21 806 S.F. i,22D S F. THE BEARING NORTH 31'52'00' EAST, OF THE MONUMENT LINE OF DILLON AVENUE, L-2 ,.. 1,018 S.F. 1,029 S.F. � 997 SF. = 997 S.F. 1� L5 BETWEEN FOUND MONUMENTS AT SAM CAVA LANE (FORMERLY CENTRAL AVENUE) AND Nqy 122t8' 6 159'3z' ° c P. P9 CAMPBELL AVENUE, AS SAID MONUMENT LINE AND MONUMENTS ARE SHOWN.ON THAT �42�e R=3.` te v IS a $ p"^�foR-3.00' CERTAIN RECORD OF SURVEY, RECORDED iN BOOK 655 OF MAPS AT PAGE 36, SANTA 6jtl' d=90WOOP Nam, R=3.D0' g b N 6=Bon0'oo' CLARA COUNTY RECORDS, WAS USED AS THE BASIS OF ALL BEARINGS.SHOWN ON THIS QSL=4.71' 4777Up' 46y3 R o, L=1,s1' 1s=90'00'00^ z ' L=314' MAP. f t5185 1,07' &03z36^ L=4.71'?.tq• o4=T06'OY19.39, 21.00, 2LOO' 14.BY 2D.42' 7.00'..60, b3 .00 6=17.21as'i=51.48' N3T52'4f*E 66.6-V ! l,U t ,o g 2?g?. 47z7Qo` L0 f V ro Z o sj R 3.00' £ 6) � ~" EVAE,IEE,PSE,PSSE&PSDE �' I��r LEGEND Crj a w ? 2L z R=tB 1 3;655 S.F. 107.14' _ - 3.00' "-; ? 3 L-4.71D'00 00' 0 0.00 q t5�L`=48.92' - - - `-r c o DISTINCTIVE BOUNDARY b L=4,7i' 1 N315241"E 110,74'v� N4P2p�E y q02' R=190.00' LOIR7 LAN£ o $ Q = -- RIGHT OF WAY .� taoo L=6.D6' L- d"u' Y9' L=51,64' (PRIVATE STREET - NEW LOT LINE 6=i'49'57' a d`a22,p2' ) N3152'41'£ 9fi.64' 33 3822' k L=17.89' 4,56 21.D0' 14,83' 14.83' 20.10' 21,42' c4 R=3.00' - - EXISTING LOT LINE 1,042 S.F. $ 3 1 h h o LIZ 6=5'23'39" R=3.OD' of A das0oo'00" 1 L=3.14' CENTERLINE 976 S.F. 3� a H �; 27 26 25 L=4,71' 3°S S 1 - - - - - MONUMENT LINE N47y:r ?sue _ 977 S.F. z ajr N 806 S.F. 797 S.F. 1,D75 S.F. NEW EASEMENT LINE L6 I - - - - EXISTING EASEMENT LINE --- ------------- tst. 0' 10T �q2 e N q 28 24 J --- - BOUNDARY TIE lBp �C 1,070 S.F. 998 S.F. OO FOUND BRASS DISK IN CITY MONUMENT WELL 21.00, M ^ 'v. , "-�' n i:. m 1,241 S.F. I I N31'52`41'E (A$ NOTED) Nq72700i 2J•00' 1,041 SF, N �'�Q 2 Lio - ` 940 ® SET WITNESS MONUMENT, CUT CROSS ON TOP OF CURB, N48gpgq- 38p j7, �`84' x N _ z z anI UNLESS NOTED OTHERWISE £` �2 ® SET BRASS PIN IN CITY MONUMENT BOX ^ 2242' 21.00' t FOR PRIVATE STREET MONUMENT �$m N31'52'41'E 42-W 1.3S 1 a FOUND [RON PIPE (AS NOTED) i N56'07.19'W-� 16.17' 14.83' 20.OU' 22.83' 6.25' N31'52'41'E 73,84' N3152'41"E a O SET ' ]RON PIPE OR OTHER PERMANENT MONUMENT AS INDICATED TAGGED R.C.E. 31954 LOT J 4•06 f (10D.00') RECORD DATA N�b839 f7�p570?o. EE 4,616 &PSDE (R) RADIAL BEARING EVAE EMERGENCY VEHICLE ACCESS EASEMENT TEE INGRESS AND EGRESS EASEMENT N3252'OS'E 61.50' PSSE PRIVATE SANITARY SEWER EASEMENT PSDE PRIVATE STORM DRAIN EASEMENT A:: PSE PUBLIC SERVICE EASEMENT 1 6,t-.__, :'t�,',_„ ,,,,,,T.,:,"„ SDE STORM DRAIN EASEMENT TRACT 0296 LEGEND NOTES ° 1 CONSISTING OF SIX (6)SHEETS DISTINCTIVE BOUNDARY 1. , ALL DIMENSIONS SHOWN HEREON ARE IN FEET AND DECIMALS THEREOF. -- RIGHT OF WAY BEING ALL OF THAT REAL PROPERTY AS DESCRIBED IN THE FOLLOWING DEEDS: DEED NEW LOT LINE 2 THE AREA WITHIN THE DISTINCTIVE BORDER= 4.55 ACRES GROSS AND 4.53 RECORDED ON MAY 28, 2014, DOCUMENT NO. 22606034, SANTA CLARA COUNTY RECORDS, EXISTING-LOT LINE ACRES NET. DEED RECORDED ON JUNE 30, 2014, DOCUMENT NO, 22633343, SANTA CLARA COUNTY CENTERLINE RECORDS, DEED RECORDED ON NOVEMBER 25, 2014, DOCUMENT NO. 22782239, SANTA - - - - - MONUMENT LINE CLARA COUNTY RECORDS AND ALSO ALL OF THE REAL PROPERTY SHOWN AS PARCEL A ON --- - - NEW EASEMENT LINE BASIS OF BEARINGS GRAPHIC SCALD THAT CERTAIN PARCEL MAP RECORDED IN BOOK 338 PAGE 55 OF MAPS, SANTA CLARA COUNTY RECORDS AND ALSO ALL OF OF THE REAL PROPERTY SHOWN AS LOTS 12-15, THE - - - EXISTING EASEMENT LINE THE BEARING NORTH 31'52'00" EAST, OF THE MONUMENT LINE OF DILLON AVENUE, 20 0 10 20 40 EASTERLY ONE-HALF OF LOT 16 AND A PORTION OF LOT 18 IN BLOCK 3 ON THAT CERTAIN -----------------. BOUNDARY TIE BETWEEN FOUND MONUMENTS AT SAM CAVA LANE (FORMERLY CENTRAL AVENUE) AND SUBDIVISION MAP ENTITLED °RUCKERS ADDITION IN THE TOWN OF CAMPBELL, BEING PART m FOUND BRASS DISK IN CITY MONUMENT WELL CAMPBELL AVENUE, AS SAID MONUMENT LINE AND MONUMENTS ARE SHOWN ON THAT OF SECTION 35 L7 S.R.1W M.DM' RECORDED ON MAY 20, 1895 IN 1300K F OF MAPS AT (AS NOTED) - CERTAIN RECORD OF SURVEY, RECORDED IN BOOK 655 OF MAPS AT PAGE 35, SANTA IN FEET ) PAGE 39. ® SET WITNESS MONUMENT, CUT CROSS ON TOP OF CURB, CLARA COUNTY RECORDS, WAS USED AS THE BASIS OF ALL BEARINGS SHOWN ON THIS I INCH = 20 FT :- UNLESS NOTED OTHERWISE MAP. LYING WITHIN THE CITY OF CAMPBELL, COUNTY OF SANTA CLARA, STATE OF CALIFORNIA. ® SET BRASS PIN IN CITY MONUMENT BOX FOR PRIVATE STREET MONUMENT DATE: SEPTEMBER 20fi5 0 FOUND IRON PIPE(AS NOTED) Civil Civil Engineers •Planners a Surveyors O SET-' IRON PIPE OR OTHER PERMANENT MONUMENT AS Engineering 224 Airport Parkway,Suite 525 INDICATED TAGGED R.C.E. 31954 Son dose,CA 95110 _ tes (100.00') RECORD DATA S g L (R) RADIAL BEARING /- EVAE EMERGENCY VEHICLE ACCESS EASEMENT N3152'41"E 96.4S L m ;� (EE INGRESS AND EGRESS EASEMENT 9by61' Nzaros'34'wR 1vAE,LEE,PSE,PSSE&P9DE o1 to ® �� PSSE PRIVATE SANITARY SEWER EASEMENT 000 �q9I 2s.0s'- p �/ 67_33' 15,1= MOO' PSDE PRIVATE STORM DRAIN EASEMENT ^9a °0 R=3.W' R=3.00' 4 N3152'4t'E 128.43' N31'52'41'E c m P / PS£ PUBLIC SERVICE EASEMENT o" q°°° 1FIO6'O2'15' &I86T10.00' D=90 D'00'2 50 0 d v/ L 5.55' L=9.42' SDE STORM DRAIN EASEMENT �yq od° 9°425� N58a1't9'w N56v7'19'W N56.07't9'W L=4.71' •ate z �o� Q v Q ��' 4ry.q 5.14' 6.0{P /-6.W' N581T7'19'W y PSE,IFE_&P5DE Nat S2'41`E 44R0' N3t32'41"E 44.00' N42'04;pt' 10,'v � R N3152'41'E 113,92' N4T, eR CURVE TABLE . tom•.V' O�yy iV Z CURVE RADIUS DELTA LENGTH I z $ S C1 198.57' 5'4509' 19.94 ' C2 19&57' 94609" 19.94' SEE SHEET 6 o i� 03 3.W 90�QW 4.71' {��Q� o P P C4 &W' 9D'00'OD` 4.71' o ' e `i N31'52'41'E N47'27'WE 49 nI O z z z N42'33'CO"W �I5.00' �� 4 1 C5 3.06 90'00'OD 4.71' 6.00' SEE SHEET 3 cs 3.00• sOW'W 4.71' $ n� ps N47x70p, g_ �� C7 3.00' 90V0'00 4.71' �200'M&R=208 57 y q z o N ° LOT G C6 3.W' SWOVO' 4,71' N4233'W'W z A=5'45'09' Q Q v $ ^J 6.00' ,75•k=20.94' C9 3,W' 103'i5'56' 5.41' r a ��e b cT2 �� N3T 52'41•E DETAIL A p E N4 8T� 2 7' - z r TG' 10' O zv 83.96'95.80' CIO 1.50' 11679'12' 3.06 1"=5' N Q o N477Y0p. ' LOT 1 C11 I.So' sovQ'W 236 r.DO' 3 N4T7p 4-92 g A4T�y�, N4T77�, m N47'27'00•E $gJ3,00• 00 58g2• b !, Cis \� 8o1e8 a f 3p00 $ $b E 5.00, $ C11 p M C12 i.W' 90T)Q'W' 236' 0.97 27 g?' N 0j -C7 dv°i45'S q tfi' l -"y ob w o' 3 g 4 "' O o "' C13 3.00' 9D'W'00• 4.71' „N4233'W'W 21 4j8p' R `L` 95 N4 y,BpB s z -1 cS � o fly 4.58' 00' 1 233• $ r4 m $g,: �, C14 3.00' 9OWW` 4,7V $ °' N4233'W"W R Rc C2 �• R �''' S .., z ,.;•us g a.� r y+ , H ' C14 3.W' 90WWW 4.71' v� .12,00' 4r518e5T, 45,20$5T' ` N4777'W'E o h� s 21 u. i F� tc7 N4177'W'E (�4Sp9° VI _'`��3`2, �Q�y, - .. 1 $ �93• La 94• r f/ o N c F_ C15 3.W' 9D'00'00" 4.71', _ N4777'W2 1.42' L=21i d'S D e Z B N4T7i�£ (PRIVq S /f/f' a�LL15406R C16 I4657' 3'31'S4• 1224 120p7GOE � 39 10'3445' 21,00' 8�rr• N4T77�1218' f7) As1S� L v u S ¢ S 2 M 1,018 S.F. m `1y 2,. CV E r52 9e58, s„�4`' ,� $ CI7 I9857' 213'15' 7.70' h o r, 00' �r �'1 8 R �- . .� 1,068a.F. $ 1,0 0$.F.. 2242• 0 0 pn &pz37 2242, H 982 S.F. 41 $ 36 za14 o d pzr06. 2100 N 976 S.F. 35 $ 3,5p, N4Tgy0p"f 2 3 Rop0A0,51.d8' $ z2.42• 81.8¢' N5716'44•W 2r. N 976 S.F. 34 x a 21.00' 20.76' 2{�. a $ 1,042 S.F. �, N4T•27• � 33 ,4,y2• LOT D of 32 z ga 5F M4> oo£ r48 2r.. 01 r V reo 3� - 84' ` N453T44£ 16L80' r(p 21.00• 380.74• a pS9E 2-42 z LOrK 30 „r�os•re e curer A. nc a _......_........ ...__. TRACT NO. 10296 CONSISTING OF SIX (6)SHEETS BEING ALL OF THAT REAL PROPERTY AS DESCRIBED IN THE FOLLOWING DEEDS: DEED RECORDED ON MAY 29, 2014, DOCUMENT NO. 22666034, SANTA CLARA COUNTY RECORDS, DEED RECORDED ON JUNE 30, 2014, DOCUMENT NO. 22633343, SANTA CLARA COUNTY RECORDS, DEED-RECORDED ON NOVEMBER 25, 2014, DOCUMENT NO. 22782239, SANTA CLARA COUNTY RECORDS AND ALSO ALL OF THE REAL PROPERTY SHOWN AS PARCEL A ON THAT CERTAIN PARCEL MAP RECORDED IN BOOK 338 PAGE 55 OF MAPS, SANTA CLARA DILL0N A01WIZ COUNTY RECORDS AND ALSO ALL OF OF THE REAL PROPERTY SHOWN AS LOTS 12-15, THE Nasss'19•w N31$241°E 76.41' N31.52'41'E 50.00' EASTERLY ONE—HALF OF LOT 16 AND A PORTION OF LOT 18 IN BLOCK 3 ON THAT CERTAIN SUBDIVISION MAP ENTITLED"RUCKERS ADDITION IN THE TOWN OF CAMPBELL, BEING PART ND117'3VE — —— —— OF SECTION 35 T.7 S.R.1W M.DM" RECORDED ON MAY 20, 1895 IN BOOK F OF MAPS AT 1.59' PAGE 39. _ 3 h LYING WITHIN THE CITY OF CAMPBELL, COUNTY OF SANTA CLARA, STATE OF CALIFORNIA. 3a 48 DATE: SEPTEMBER 2016 a i i awe I��- 1 t Civil Civil Engineers a Planners .Surveyors Engineering224 Airport Parkway, Suite 525 Son Joss,CA 95110 Associates 00 N m 3 LOT B Ai- c� Z/ 21p D ^b GRAPHIC SCALE 16 30 0 15 30 60 .o { IN FEET) og�P NOTES 1 INCH= 30 FT `0 go �Qrf`o } 1. ALL DIMENSIONS SHOWN HEREON ARE IN FEET AND DECIMALS THEREOF. r4') 2. THE AREA WITHIN THE DISTINCTIVE BORDER = 4"55 ACRES GROSS AND 4.53 r r— ACRES NET s,sy� 4i�Lo 71a17 � N51U1'34'E 1U �� N5sar19'w (' BASIS OF BEARINGS 2.OT ZR LsJ -1, g °off rr387r06 R ^' ry vLd1 THE BEARING NORTH 31'52'00° EAST, OF THE MONUMENT LINE OF DILLON AVENUE, BETWEEN FOUND MONUMENTS AT SAM CAVk LANE(FORMERLY CENTRAL AVENUE) AND L=16.5s' CAMPBELL AVENUE,AS SAID MONUMENT LINE AND MONUMENTS ARE SHOWN ON THAT t�12ap'28° CERTAIN RECORD OF SURVEY, RECORDED IN BOOK 655 OF MAPS AT PAGE 36, SANTA ye9 CLARA COUNTY RECORDS, WAS USED AS THE BASIS OF ALL BEARINGS SHOWN ON THIS 49 CURVE TABLE MAP. 82,260 S.F. CURVE RADIUS DELTA LENGTH 9 G1 3,06 90110'O0- 4.71' H Cj LEGEND g C2 MY 9DVD`W 4.71' � � C3 3.0D' 9000'00' Of � -- DISTINCTIVE BOUNDARY RIGHT OF WAY NEW LOT LINE a=1s.00' EXISTING LOT LINE N42'33'oD'W6625`2&° -. ."— CENTERLINE - PSE,SEE SI{EET 4 6.00' L-24.1V — — — — MONUMENT'LINE Na2'33'D07 -- — — -- NEW EASEMENT LINE g C1 447 6.60' — -- - — EXISTING EASEMENT LINE ® & 7700 ----------------------- BOUNDARY TIE g cr .00• r ¢>5 217' O FOUND BRASS DISK IN CITY MONUMENT WELL v r N477700'E N42ZSOOTw 9.00' ^4j ram. (AS NOTED) t.00• Nar27�. rssx 9D SET WITNESS MONUMENT,CUT CROSS ON TOP OF CURB, N472700"E E82' t� UNLESS NOTED OTHERWISE 0.92 T,cI 0 SET BRASS PIN IN CITY MONUMENT BOX N/ _' -yam ` Naz33'Do'w �` FOR PRIVATE STREET MONUMENT 6rac laoo' FOUND IRON PIPE (AS NOTED) �1Noy gaDr• ` rrZ� 727'00'2E 40 � 0 SET Y4n IRON PIPE OR OTHER PERMANENT MONUMENT AS _ 39 INDICATED TAGGED R.C.E. 31954 38 37 (100.00') RECORD DATA (R) RADIAL BEARING o r EVAE EMERGENCY VEHICLE ACCESS EASEMENT j IEE INGRESS AND EGRESS EASEMENT a�a, 0• PSSE PRIVATE SANITARY SEWER EASEMENT - • ' ir,<;r :.,t;r'i,ti e 3a rsrs PSDE PRIVATE STORM DRAIN EASEMENT PSE PUBLIC SERVICE EASEMENT SDE STORM DRAIN EASEMENT (L(NIFQR;YIED COFY_T11is document has ;r' not been compared with the original. SANTA CLARA C TYNTY .L.P 1 - R R'S STAT04ENT TRUSM'S STAVNENT `ACT N a 1-HEREBY STATE THAT WE ARE THE OWNER OF.OR HAVE SOME RIGHT, TITLE OR INTEREST IN AND TO THE REAL FIRST AMERICAN TITLE COMPANY, TRUSTEE UNDER DEED OF TRUST RECORDED AUGUST 19th, 2015 AS DOCUMENT No. PROPERTY INCLUDED WITHIN THE SUBDIVISION SHOWN ON THE MAP; THAT WE ARE THE ONLY PEOPLE WHOSE CONSENT 23057029 OFFICIAL RECORDS, SANTA CLARA COUNTY, ENCUMBERING THE LAND HEREIN SHOWN, HEREBY CONSENTS ON CONSISTING OF SIX(6)SHEETS IS NECESSARY TO PASS CLEAR TITLE TO SAID REAL PROPERTY; AND THAT WE HEREBY CONSENT TO THE MAKING OF BEHALF OF THE BENEFICIARY TO THE MAKING AND FILING OF SAID MAP. SO MAP AND SUBDIVISION AS SHOWN WITHIN THE DISTINCTIVE BORDER LINE. AS TRUSTEE: BEING ALL OF THAT REAL PROPERTY AS DESCRIBED IN THE FOLLOWING DEEDS: DEED FE HEREBY OFFER FOR DEDICATION IN FEE SIMPLE TO PUBLIC USE ALL STREETS AND PORTIONS OF STREETS NOT DEEDR EC ON MAY 28, 2014, DOCUMENT MEO. T NO. 226 SANTA CLARA COUNTY RECORDS, ` PREVIOUSLY EXISTING AS SHOWN ON THE MAP WITHIN SAID SUBDIVISION, AND ALSO DEDICATE TO PUBLIC USE FIRST AI ERICIAN TI E COMPANY DEED RECORDED ON DUNE 30, 2034, DOCUMENT N0. 22633343, SANTA CLARA COUNTY EASEMENTS FOR ANY AND ALL PUBLIC USES UNDER, UPON AND OVER SAID STREETS AND SAID PORTIONS THEREOF. RECORDS, DEED RECORDED ON NOVEMBER 25, 2014, DOCUMENT NO. 22782239, SANTA CLARA COUNTY RECORDS AND ALSO ALL OF THE REAL PROPERTY SHOWN AS PARCEL A ON WE ALSOHEREBY DEDICATE TO PUBLIC USE EASEMENTS, TOGETHER WITH THE RIGHTS OF INGRESS AND EGRESS, FOR BY: DATE; oZ O[S THAT CERTAIN PARCEL MAP RECORDED IN BOOK 338 PAGE 55 OF MAPS, SANTA CLARA COUNTY RECORDS AND ALSO ALL OF OF THE REAL PROPERTY SHOWN AS LOTS 12-15, THE A`4Y AND ALL PUBLIC SERVICE FACILITIES INCLUDING POLES, WIRES, CONDUITS,GAS, WATER,AND ALL PUBLIC UTILITIES S �1Ji E2�AeZ 1 Ve D+,Z AM ANY AND ALL APPURTENANCES TO THE ABOVE, UNDER, UPON, OR OVER THOSE CERTAIN PORTIONS OF LAND 1 EASTERLY ONE-HALF OF LOT 16 AND A PORTION OF LOT 18 IN BLOCK 3,104711AT CERTAIN DELINEATED AND DESIGNATED AS "PSE' (PUBLIC SERVICE EASEMENT). SAID PUBLIC SERVICE EASEMENTS ARE TO BE SUBDIVISION MAP ENTITLED "ROCKERS ADDITION €N 1H£TOWN OF CAMPBELL, BEING PART KEPT OPEN AND FREE FROM BUILDINGS AND STRUCTURES OF ANY KIND EXCEPT PUBLIC SERVICE STRUCTURES, TRrS A4 � OF SECTION 35 T.7 S,R.iW MAM" RECORDED ON MAY 20,1895 IN 800K f OF MAPS AT MIGATION SYSTEMS AND APPURTENANCES, LAWFUL FENCES AND LAWFUL BUILDING OVERHANGS, PAGE 39. [ACCURACY, RY PUBLIC OR OTHER OFFICER COMPLETING THIS CERTIFICATE VERIFIES ONLY THE IDENTITY OF THE W ALSO HEREBY DEDICATE FOR PUBLIC PURPOSES EASEMENTS OF.INGRESS, EGRESS FOR EMERGENCY ACCESS UNDER UAL WHO SIGNED 111E DOCUMENT TO WHICH THIS CERTIFICATE IS ATTACHED, AND NOT THE TRUTHFULNESS, LYING WITHIN THE CITY OF CAMPBELL, COUNTY OF SANTA CLARA, STATE OF CALIFORNIA, 99 OR OVER THOSE CERTAIN STRIPS OF LAND DESIGNATED AND DELINEATED AS 'EVAE" (EMERGENCY VEHICLE ACCESS OR VALIDITY OF THAT DOCUMENT. DATE: SEPTEMBER 2015 EASEMENT). SAID EASEMENT IS TO BE KEPT OPEN AND FREE OF BUILDING AND STRUCTURES OF ANY KiND EXCEPT STATE OF CALIFORNIA - LAWFUL BUILDING OVERHANGS AND TRAFFIC RATED UNDERGROUND UTILITY COMPANY STRUCTURES. COUNTY OF SANTA CLARA Civil Civil Engineers ^Planners°Surveyors ALSO HEREBY RESERVE EASEMENTS FOR THE OWNERS, THEIR LICENSEES, VISITORS, AND TENANTS RECIPROCAL ��J��j C' O -rp I n ® Engineering 224 Airport Parkvay,Suite 525 MHTS OF INGRESS AND EGRESS UPON AND OVER THOSE CERTAIN STRIPS OF LAND DESIGNATED AND DELINEATED AS ON BEFCORE-ME, , A NOTARY PUBLIC, Son Jose,CA 95110 'TEE" (INGRESS AND EGRESS EASEMENT). PERSONALLY APPEARED �!I VRQ �� Associates MID PROVED TO ME ON THE BASIS OF SATISFACTORY EVIDENCE TO BE THE PERSON WHOSE NAME IS/dT-, 1E HEREBY RESERVE EASEMENTS FOR STORM DRAINAGE PURPOSES AND SANITARY SEWER PURPOSES DESIGNATED AND VEYOR'S STATEMENT DLINEATED AS'PSDE' (PRIVATE STORM DRAINAGE EASEMENT) AND "PSSE" (PRIVATE SANITARY SEWER EASEMENT) SUBSCRIBED TO THE WITHIN INSTRUMENT AND ACKNOWLEDGED TO !f,£•.TT1AT H Pir EXECUTED f SAME IN C7TY suR r'�R THE INSTALLATION AND MAINTENANCE OF PRIVATE'STORM AND PRIVATE SANITARY SEWER FACILITIES. THESE �ffi /PE4R AUTHORIZED CAPACITY(IE5} AND BY4i1S/ £IR �':.!!NATURE ON THE INSTRUMENT IHE I HEREBY STATE THAT€ AM SATISFIED THAT THE WITHIN TRACT MAP IS TECHNICALLY CORRECT n� _ . L EASEMENTS ARE TO BE KEPT OPEN AND FREE FROM ALL BUILDINGS AND STRUCTURES OF ANY KIND, EXCEPT PERSONfA, OR THE ENTITY UPON BEHALF OF WHICH THE PERSONfA ACTED, EXECUTED THE INSTRUMENT. 15 RIGATION SYSTEMS AND APPURTENANCES THERETO, LAWFUL FENCES AND ALL LAWFUL BUILDING OVERHANGS. THE t LAND fLAINT£NANCE, REPAIR K1A AND/OR REPLACEMEN T OF PRIVATE STORM DRAINAGE AND PRIVATE SANITARY SEWER FACILITIES I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE FOREGOING �/ /y DATE: /C,- , H,o Air SIUILL BE THE SOLE RESPONSIBILITY OF THE PROPERTY OWNERS BENEFITED, AS DETERMINED BY THE APPROPRIATE PARAGRAPH iS TRUE AND CORRECT. CWbS KI NP IR GDVENANTS, CONDITIONS, AND RESTRICTIONS. SAiD EASEMENTS APE NOT OFFERED FOR DEDICATION TO, NOR ARE THEY LS NO. 7 15 P: 12-•31-15 r$:CEPTED BY, THE CITY OF CAMPBELL, WITNESS MY HAN No. 7515 SIGNATURE 2-31-15 � ALSO HEREBY DEOICAIE TO PUBLIC USE EASEMENTS FOR STORM DRAINAGE PURPOSES UNDER, ON, OR OVER �p� _T'r10SE CERTAIN STRIPS OF LAND DESIGNATED AND DELINEATED AS "SOE"(STORM DRAINAGE EASEMENT)SAID NAME (PRINT} .1 r lamt i _ �lf OFEASEMENTS TO BE KEPT OPEN AND FREE FROM ALL BUILDINGS AND STRUCTURES OF ANY KIND EXCEPT IRRIGATION SYSTEMS AND APPURTENANCES THERETO, LAWFUL FENCES AND ALL LAWFUL UNSUPPORTED ROOF OVERHANGS. PRINC[PAL PLAY£ OF BUSINE Q l "'" '�1 CS1.NL ENGIM RFC S STATEMENT MY COMMISSION NUMBER 2D2�1'o # THIS MAP WAS PREPARED BY ME OR UNDER MY DIRECTION AND IS BASED UPON AFIELD SURVEY MADE IN MY COMMISSION EXPIRES CA Al(� CONFORMANCE WITH THE REQUIREMENTS OF THE SUBDIVISION MAP ACT AND LOCAL ORDINANCE AT THE REQUEST OF M ADISON PARK OF CAMPBELL, LLC, !: ROBSON HOMES, LLC IN JULY, 2009, 1 HEREBY STATE THAT THIS TRACT MAP SUBSTANTIALLY CONFORMS TO THE A CALIFORNIA LIMITED LIABILITY COMPANY APPROVED OR CONDITIONALLY APPROVED TENTATIVE MAP, IF ANY; THAT THE SURVEY IS TRUE AND COMPLETE AS SHOWN; THAT ALL MONUMENTS ARE OF THE CHARACTER AND OCCUPY THE POSITIONS INDICATED, OR THAT THEY WILL 6Y; RO850N PROPERTIES, INC., BE SET IN 7H0 POSITIONS ON OR BEFORE JANUARY, 2017E AND THAT THE MONUMENTS ARE, OR WILL BE, A CALIFORNIA CORPO.RA-TION—_ CITY CLERK'S STATEMENT SUFFICIENT ABLE lI€E SURVEY BE RETRACED. ITS MANAGER / c - A�`�- I HEREBY STATE THAT THiS MAP, DESIGNATED AS TRACT N0. 1029€, C0hS1,.71NG OF SIX�(6) SHEETS, WAS APPROVED / BY THE CITY COUNCIL OF THE CITY OF CAMPBELL AT MEETING OF SAID COUNCIL HELD ON THE 4%DAY OF \o ,t LA Np S DATE: cJ��'gIZaJ BY: v` DATE: ��l ao�f �F' . 2015 AND THAT SAID COUNCIL ACCEPTED,"SUBJECT TO IMPROVEMENT, ON BEHALF OF THE ANDRE4 7URNE t`�`' EtE� YVP GPp MARK E. ROHSON, PRESIDENT PUBLIC, ALL STREETS AND EASEMENTS DEDICATED TO PUBLIC USE NkONFORMIIY WITH THE TERMS OF THE OFFER OF L.S. NO. 9104 D£DiCATION. EXPIRES: 6-30-16 No, 9104 OWNER'S ACKNOWLEDGMENT � WENDY W DATE: Lfl In sq CAL1F�4�`P A NOTARY PUBLIC OR OTHER OFFICER COMPLETING THIS CERTIFICATE VERIFIES ONLY THE IDENTITY OF THE CITY CLERK OF THE CITY OF CAMPBELL INDIVIDUAL WHO SIGNED THE DOCUMENT TO WHICH THIS CERTIFICATE IS ATTACHED, AND NOT THE TRUTHFULNESS, �'- CITY ENGiN€ER'S STATEMENT ACCURACY, OR VALIDITY OF THAT DOCUMENT. i SPATE OF CALIFORNIA SO1LS AND GEMGiCAL REPORT I HEREBY STATE THAT I HAVE EXAMINED THIS TRACT MAP; THAT THE MAP IS SUBSTANTIALLY THE SAME AS iT APPEARED ON THE TENTATIVE MAP AND ANY APPROVED ALTERATION THEREOF; AND THAT ALL PROVISIONS OF THE COUNTY OF SANTA CLARA p I GEOTECHNICAL REPORT ON THIS PROPERTY HAS BEEN PREPARED 13.`PACIFIC GEOTECHNICAL ENGINEERING DATED MAY CALIFORNIA SUBDIVISION MAP ACT AND ANY LOCAL ORDINANCES APPLICABLE AT THE TIME OF THE APPROVAL OF THE OV SEPT Z31 Z01 BEFORE ME, Lfy�q� 9t�C� A NOTARY PUBLIC, 9, 2013, PROJECT N0. 2073.0049. ' TENTATIVE MAP !1HAVE f/BEEN COMPLIED WITH. �RSONALLY APPEARED !"S�'V-+� . sue.+�•l�l ��jtiG�� t [/ 2lto1FSPAZ DATE: MO PROVED TO ME ON THE BASIS OF SATISFACTORY EVIDENCE TO BE THE PERSON(3)'WHOSE NAME(Sj IS/ARE•- MICA M. QUINNEY, CITY %t M. P i 9JBSCRIBED TO THE WITHIN INSTRUMENT AND ACKNOWLEDGED TO ME THAT HE/tsHE/RiE`Y'EXECUTED THE SAME IN OF THE CITY OF CAMPBELL, CALIFORNIA RSAiER/`HiE#R AUTHORIZED CAPACiTYV&k AND BY HISA4FR/TTdEIRr SIGNATURE( ON THE INSTRUMENT THE Hamilton Ave RCE NO. 44144 EXP: 6-30-17 e'ERSON(`�OR THE ENTITY UPON BEHALF OF WHICH THE PERSON(S) ACTED, EXECUTED THE INSTRUMENT. No. C 44t44 t7) Exp.06-30-17 I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE FOREGOING Y \ PARAGRAPH 1S TRUE AND CORRECT m �rf ltF CA�L�Q % o WTNESS AN o RECOROER'S STATEMENT m STGNAT RE ' Campbell Ave FILE NO,Z�� FEE $� €sue_ PAID. ACCEPTED FOR RECORD AND FILED NAME (PRINT) E�JIB THIS DAY i 2015, AT �5__.�.M, OF ��+ r f RiNCIPAL PLACE OF BUSINESS -�'�+#'c C e IN BOOK w t� �—OF MAPS AT PAGES Z Fhcct SANTA CLARA COUNTY RECORDS, AT THE REQUEST 2�� o� MY COMMISSION NUMBER �o�3oor • SITE OF CIVIL ENGINEERING ASSOCIATES.' WY COMMISSION EXPIRES REGINA ALCOMENDRAS, COUNTY RECORDER VIC114I Y MAP SANTA CLARA COUNTY, CALIFORNIA BY: NOT TO SCALE@ ,, •- rurcr � nr c _.... F._ .- ... TRACT R 10296 - CONSISTING OF SIX(6) SHEETS BEING ALL OF THAT REAL PROPERTY AS DESCRIBED IN THE FOLLOWING DEEDS: DEED RECORDED ON MAY 28, 2014, DOCUMENT NO. 22606034. SANTA CLARA COUNTY RECORDS, GRAPHIC SCAI_I DEED RECORDED ON JUNE 30, 2014, DOCUMENT NO. 22633343, SANTA CLARA COUNTY RECORDS, DEED RECORDED ON NOVEMBER 25, 2014, DOCUMENT NO. 22782239, SANTA ID 1'IP[tj2I4] so 0 30 60 120 CLARA COUNTY RECORDS AND ALSO ALL OF THE REAL PROPERTY SHOWN AS PARCEL A ON IN MON iTOX THAT CERTAIN PARCEL MAP RECORDED IN BOOK 338 PAGE 55 OF MAPS, SANTA CLARA . RCE jn227 fummCOUNTY RECORDS AND ALSO ALL OF OF.THE REAL PROPERTY SHOWN AS LOTS 12-15, THE ( IN FEET) EASTERLY ONE-HALF OF LOT 16 AND A PORTION OF LOT 18 IN BLOCK 3 ON THAT CERTAIN fX1Z1fX v MENUf- - 1 INCH = 60 F't SUBDIVISION MAP ENTITLED "RUCKERS ADDITION IN THE TOWN OF CAMPBELL, BEING PART - OF SECTION 35 'L7 S.RAW M.DM" RECORDED ON MAY 20, 1895 IN BOOK F OF MAPS AT (52.5' WIDE) REFERENCES PAGE 39. -- r LYING WITHIN THE CITY OF CAMPBELL, COUNTY OF SANTA CLARA, STATE OF CALIFORNIA. (1] 655 M 35-37 LLJ� [2] 680 M 6-7 DATE: SEPTEMBER 2015 [3] 338 M 55 Civil Civil Engineers•Planners ^Surveyors LO n i n e e r i n 7-24 Airport Parkway,5u€€e.525 [4] 367 M 56 Son Jose,CA 95110 .' ,associates 967/// I � E 1v I'IP W/Pwc NOTES SOURCE UNKNOWN FD 1'IF(114} FO I-IP[1141 ^p 1, ALL DIMENSIONS SHOWN HEREON ARE IN FEET AND DECIMALS THEREOF, "= IN AC+!Box j.. Im RCE#33227 - _ - o -- -- RCE#333227 2. THE AREA WITHIN THE DISTINCTIVE BORDER = 4.55 ACRES GROSS AND 4.53 - - N irN, - N 820.72'[1] 1r CENTER LINE. �� ID'A.IP[114] ACRES NET, D/LLON MENU£ N31'5Z4I'E[1j2j(N314S'E)[2] 736.45'(736.48)[1)M-q N3t3200'E[1] J IN MON BOX 333.BY �4 139.00' - y a N3T'S2'at'E �, 284.0(1'[4] N3T52$0`E[1j +-- --- BASIS OF BEARINGS N8959'19'W N315241E 76.91 (50-55 WIDE) 4 50.06' sI �I 823.82'[1) MONUMENT UNE 12.37 -- Nat 52 4t'E 145,00' Z BASS OF BEARINGS THE BEARING NORTH 31'52'00" EAST,OF THE MONUMENT LINE OF D€LLON AVENUE, N01 it3o"E Q$ -1;�i t![- BETWEEN FOUND MONUMENTS A7 SAM CAVA LANE (FORMERLY CENTRAL AVENUE) AND CAMPBELL AVENUE, AS SAID MONUMENT LINE AND MONUMENTS ARE SHOWN ON THAT 1S9 N 8 CERTAIN RECORD OF SURVEY. RECORDED 1N BOOK 655 OF MAPS AT PAGE 36, SANTA .,, ad iv atii�S (iF s CLARA COUNTY RECORDS, WAS USED AS THE BASIS OF ALL BEARINGS SHOWN ON THIS N31'52'41'E 113.9T ` 25' STREET DEDICATION TO MAP. P, xiE -N€taS Of LOT B OT E 6 THE CITY OF CAMPBUL " EX LOT LINE BEINLOTG REMDYFD NStbt.3` _ m 1 ;'r;;;T;";:�` _ AREA=0.02 AC.854 fi.F, y ��P 8Y THIS MAP �2qo. c� A'ri£ €;F:m` 5 ^o LEGEND 16 15141 12 7 -- i � AINBS OF m� DISTINCTIVE BOUNDARY Fo 3�'IP(4] i7m r•• 3 C. -- RIGHT OF WAY 1 .p 1^,L77..t : 9 F— RCE 014070 Wig- g, �' D - d I T = I NEW LOT LINE �vgL N LANDS i:F -y 2 S}�. N EXISTING'LOT LINE O.TB' n �i5} p S10JJ4, i = EiLTiie a� z - CENTERLINE ry 1'IP(a) � a �o,�q� :€.98s' 1 � W/TACK q �� , 11 LOT zs' 27 — - -- - — MONUMENT LINE ID 1'W[1J - -- -- --- NEW EASEMENT LINE IN MON Box LOT G Ex roT uNE eEiNG — EXISTING— �;.', � 46 .: REAtIIVED 8 IRIS MAP -IP 1 FD BRASS DISC -T------------- BOUNDARY TIE LINE R 4g RCE 5249 ? r 4cJ o 1NFDMON BOX -- FOUND BRASS DISK IN CITY MONUMENT WELL 44z; E 113.9 (AS NOTED) _ (50-52 WIDE) `19 v z y ;;;;' N31.51-WE 1 205.61' tN c[ N3131'46'E I5.66' --�- (N3153'E](3] N31-'45'E f 15.06, Na1'51'45"E[I] 0 SET BRASS PIN IN CITY MONUMENT BOX e a G/Lid9�i1/ AI�E�/UE d N22'00'31'W 30.71 (N31'53-E)[3](15,00')-_ -- FOR PRIVATE STREET MONUMENT v '. -3 (N22170'21*M[3](30.95') ® FOUND IRON PIPE (AS NOTED) 41 ,' N3]52'41'E 85.80' LOT I R_49 00' TR Pi (} %F P�RI�t Yam'RENT ON�[M�CNi'�5 Or - N3153'E 3 (95.78') �285YS8" DICA TE77 TAG! R.CE. 311)54 `o A x p (100.00') RECORD DATA nrQr' 40 � 17 18 19 20 21 2223 � 98 £ 39 4 ?� -- (R) RADIAL BEARING for' .. y_ 38 37 3 „; EVAE EMERGENCY VEHICLE ACCESS EASEMENT 35 34 �. 33 LOT D .�'� 1 IEE INGRESS AND EGRESS EASEMENT PSSE PRIVATE SANITARY SEWER EASEMENT t „r„ 3r q4 fo7q 0 32 31 _ PSDE PRIVATE STORM DRAIN EASEMENT 0 29 28 7 26 25 24 = PSE PUBLIC SERVICE EASEMENT SDE STORM DRAIN EASEMENT "1 (N46 23 LOT NUMBER ��be3g.E5 tva�7e (N3 4"E)(3} "°«" �: - � SHEET COVERAGE 3252'o5'E 6L5O ® SHEET NUMBER cu��r nc a r i s s s ss s • ter► C7 r- r,1 ram.. 11 C_ m — o Ada ` II C." O > r<-t -TI C) Q 00 N t CJJ_ > y d ITi C) 0 00 0 1V CD N > N CP -v to U z to n .. C — C C..ri o N .r r`Qv � o m 31VC1 '[g# 31V60&J03] '3WVN '3anivN91S 5 6%9ZJ£ `53X 1 Ae (Molaq auil uo u01101,1-10JUI 10u01j3pp0 apinoad) �13H10 O�IdO831t�1 ❑ SIIM213d ❑ :J,,-iddV SNOIIIGN03 ❑! ao (lot! 101)Ju00 'Sabulnp ubisap jaafwd j!) 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