Fees, Title Report, Mics. ENI ACHMENT PERMIT ISSUANCE CITECI-—-3T
City of Campbell Encroachment.Permit No. ENs 2016-216
Department of Public Works Tract No. 10392
Address 1323.ParSons Avenue.
ITEMS REQUIRED FOR PERMIT
I. D Encroachment Permit Application complete,with applicant signature and date (front and back)
2. 123 Permit Application Fee paid $403 00 Receipt Number&Date: 266505 10/27/16
3. 0 Plan Check Deposit Paid(2%g of Engineer's Estimate,$500 min) r $500.00 Receipt Number 266505 10/27/16
4. t] Grading Plan Review Fee paid $1,688.00 Receipt Number&Date: 266505 101271116
5. ❑ City Engineer's Estimate Completed and:Submitted
6. 0 Four(4)Sets of Street Improvement Plans Map Fees $5,461.00;266505 1i0/27/16
7. 123 Four(4) Sets of Grading and Drainage Plans
8. E Check Lists(Grading.and Drainage, Street Improvement)
ITEMS UIRED PRIOR TO PUBLIC WORK CLEARANCE FOR BUILDING PERMITS
9. Plan Check&Inspection Fee:Engineer's Estimate(EE)=r $47,000.00 ;if EE is<$250,000,then fee is 14%of EE.
If EE>$250,000,fee is Actual Cost+20%. $35,000 minimum deposit.
Amount` $6,580.00 . Receipt No. &,Date ZI /_ .0//*?
10. C Security for Faithful Performance and Labor and Materials, 1a00%u each of Engineer's Estimate,
supplied or paid. Amount: $47,000.00 Form: Gr15 I-' Receipt No. &Date:
11. Securi for Monumentation Amount: $16,000.00 Receipt No. &Dat • -7
12. L� Construction Emergency Cash Deposit: 4%of Engineer's Estimate. ($5W minimum,$10,000 maximum)
Amount $1,880.00 Receipt No. &Date �7-ja 7,?7v
13. E Stonn Drainage Area Fee Amount $1,717.0 Receipt No. &Date 266505 W/27/16,
14. Ll Street Improvement Agreement signed and notarized(proof of ownership submitted)
15. Q Right of Way Documents Completed and Fees Paid. ❑ PSE&S/W Easement 221 Street Dedication ❑ R.O.S. Req'd?
16. ❑ All other Public Works requirements listed in the Conditions of Approval of the development. ❑ PG&E App (SL)
17. ❑ Other Fees,Payments,Deposits Amount $40,839.75 Park lmpadt Receipt No. &Date
Molt
8 SWPPF+NOI 19, C3 Certification 20. Covenant Agreement and/or Maintenance Agreement v" b
2.1. EI Geotech Letter 22 WStorm Water Management Plan CC d D((
I_TEINIS REQUIRED PRIOR TO ISSUANCE OF ENCROACHMENT PERMIT:
23. ❑ Contractor's signature added to the pen-nit application(front and back)
24. ❑ Contractor's City of Campbell Busines s License 4 0
25. 0 Worker's Compensation Insurance Information Sheet received from Contractor.
26. ❑ Certificate of Insurance with Additional Insured's Endorsement received from.Applicant or Contractor.
27. ❑ One mylar set and six(6) or less sets of off-site plans,signed by engineer,stamped APPROVED FOR CONSTRUCTION.
C Contractor ❑ Inspector ❑ PW Superintendent(Service Center)
G EP'File 0 LD File ❑ Signals&Lighting Supervisor(Service Center)
28. ❑ Permit signed by City Engineer.
29. Ci INITIATE CHECK REQUEST FOR PLAN CHECK DEPOSIT REFUND
WHEN ALL OF THE ABOVE ITEMS ARE COMPLETE,PERMIT MAY BE ISSUED.
Issuer:'Initial and,date_ and file with permit
J:\LandDev\Plan Check Comments\1 -Specific Projects-Active Prgject in Progress\Parsons l3?3\Fees\[Parsons Fees.xlsm)Map Checklist
CITY OF CAMPBELL
PUBLIC WORKS DEPARTMENT
ENGINEERING DIVISION
Revised 8/15
ENGINEER'S ESTIMATE FOR,
LAND DEVELOPMENT PROJECTS
Date: November 29,2016 For File No(s):
SiteAddress: 1323 PARSONSAVE.,CAMPBELL, CA 95008 ENC. No.
Estimated Cost of Improvemwts $50,000
ITEM UNIT PRICES FOR PROJECT AMOUNT _
NO. DESCRIPTION CITY UNIT <$100K >$100K $AMOUNT
I.DEMOLITION/CLEARING
1. CLEARING&GRUBBING 1 LS $2,750.00 $2,000.00 $ 2,750.00
2. S8,WCUT P.C.C./A.C.(UP TO 6') 80 LF $5.75 $4.25 $ 460.00
3. P.C.C.REMOVAL 310 SF $4.00 $3.00 $ 1,240.00
4. CURB AND GUTTER REMOVAL 62 LF $11.00 $7.00 $ 682.00
5. MEDIAN REMOVAL 0 SF $7.00 $5.50 $ -
6. DEMOLISH EXISTING INLET/PLUGRCPS 0 EA $2,250.00 $1,750.00 $
II.STORM DRAINAGE
1. 1Z'R.C.P.(CLASSV) 35 LF $275.00 $225.00 $ 9,625.00
2. 15"R.C.P.(CLASS III) 0 LF $300.00 $250.00 $ -
3. 18"R.C.P.(CLASS III) 0 LF $325.00 $275.00 $
4. 24"R.C.P.(CLASS III) 0 LF $350.00 $300.00 $
5. 30"R.C.P.(CLASS III) 0 LF $400.00 $350.00 $
6. T.V.INSPECTION(17') 0 LF $1.60 $1.25 $
7. STD.DRAINAGE INLET(C.C.DETAIL 5) 0 EA $3,600.00 $3,000.00 $
8. FLAT GRATE INLET(C.C.DETAIL 6) 0 EA $2,125.00 $1,700.00 $ -
9. STD MANHOLE(C.S.J.DETAIL D-11) 1 EA $6,500.00 $5,250.00 $ 6,500.00
10. STD MANHOLE(C.S.J.DETAIL D-12) 0 EA $8,000.00 $6,500.00 $ -
11. BREAK AND ENTERM.H./D.I. 0 EA $1,300.00 $1,000.00 $ -
III.CONCRETE IMPROVEMENTS
1. SIDEWALK 310 SF $10.00 $8.00 $ 3,100.00
2. DRIVEWAY APPROACH 145 SF $14.00 $10.00 $ 2,030.00
3. CURB AND GUTTER 62 LF $60.00 $47.00 $ 3,720.00
4. VALLEY GUTTER 0 SF $35.00 $30.00 $ -
5. CURB RAMP 0 EA $4,500.00 $3,500.00 $
6. TYPE B-1 CURB 0 LF $50.00 $40.00 $
7. TYPE A1-B3CURB 0 LF $25.00 $20.00 $
8. COBBLESTONE MEDIAN SURFACE 0 SF $25.00 $20.00 $
9 BUS STRESS PAD 0 EA $12,000.00 $12,000.00 $
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CITY OF CAMPBELL
PUBLIC WORKS DEPARTMENT
ENGINEERING DIVISION
Revised 8115
`nENGINEER'SESTIMATE FOR
LAND DEVELOPMENT PROJECTS
Date. November 29,2016 For File No(s):
SiteAddress: 1323 PARSONSAVE.,CAMPBELL, CA 95008 ENC. No.
Estimated Cost of Improvements $50,000
ITEM UNIT PRICES FOR PROJECT AMOUNT
NO. DESCRIPTION CITY UNIT <$100K >$100K $AMOUNT
IV. PAVEMENT
1. ASPHALT DIGOUTAND REPLACE 2.3 CIF $6.25 $5.25 $ 14.38
2. PAVEMENT WEDGE CUT(6') 0 LF $5.50 $3.00 $ -
3. PAVEMENT GRINDING 730 SF $1.10 $0.75 $ 803.00
4. PAVEMENT FABRIC(PETROTECH) 0 Sy $2.50 $2.25 $ -
5. ASPHALT CONCRETE(TYPE A) 0 T $225.00 $180.00 $
6. AGGREGATE BASE(CLASS 2) 0 T $90.00 $50.00 $
7. SLURRY SEAL(TYPE II) 0 SF $0.30 $0.25 $
8 AC REM OVAL/OFFHAU L/D I SPOSAL 0 CF $15.00 $13.50 $
V.TRAFFIC SIGNAL&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') 0 EA $1,300.00 $1,025.00 $
4. ELECTROLIER 0 EA $10,000.00 $6,000.00
5. 1 1/Z'RIGID CONDUIT 0 LF $13.00 $10.00 $
6. Z'RIGID TRAFFIC SIGNAL CONDUIT 0 LF $24.00 $20.00 $
7. CONDUCTOR 0 LF $1.05 $0.85 $
8. PULL BOX(NO.31/2) 0 EA $425.00 $350.00 $
9. TRAFRC SIGNAL PULL BOX(NO.5) 0 EA $580.00 $460.00 $
10. PULL ROPE 0 LF $0.60 $0.60 $
11. NEWSIGNALIZED INTERSECTION 0 LS $380,000.00 $
VI.STRI PING AND SIGNS
1. REMOVE PVMT.MARKINGS(PAINT) 0 SF $3.00 $2.65 $
2. REMOVE PVMT.MARKINGS(THERMO) 0 SF $4.25 $3.70 $
3. REMOVE PVMT STRIPING 0 LF $1.85 $1.50 $
4. STRIPINGDETAIL9 0 LF $3.60 $3.00 $
5. STRIPING DETAIL22 0 LF $3.60 $3.00 $
6. STRIPING DETAIL 29 0 LF $4.75 $4.00 $
7. STRIPING DETAIL32 0 LF $4.75 $4.00 $
8. STRIPING DETAIL 37(THERMO) 0 SF $6.00 $5.00 $
9. STRIPING DETAIL 38(THERMO) 0 SF $6.00 $5.00 $
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CITY OF CAMPBELL
PUBLIC WORKS DEPARTMENT
ENGINEERING DIVISION
Revised 8/15
ENGINEER'S ESTIMATE=FOR
LAND DEVELOPMENT PROJECTS
Date;. November 29,2016 For File No(s):
SiteAddress. 1323 PARSONSAVE.,CAMPBELL, CA 95008 ENC. No.
Estimated Cost of Improvements $50,000
ITEM UNIT PRICES FOR PROJECT AMOUNT
NO. DESCRIPTION QTY UNIT <$100K >$100K $AMOUNT
10. STRIPING DETAIL39 0 LF $6.00 $5.00 $ -
11. LIMITLINE 0 LF $7.50 $6.00 $
12. CROSSWALK,1Z'WHITE 0 LF $7.50 $6.00 $
13. PAVEMENT MARKINGS(PAINT) 0 SF $4.00 $3.25 $
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 $
20.1 RELOCATE ROAD SIGN(W81 ON NEW POST) 0 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 $
23. INSTALL 1226SSIGN WITH POST 0 EA $400.00 $350.00 $
24. STANDARD BARRICADE 0 LF $25.00 $19.50 $
VII. LANDSCAPING
1. STREET TREE 0 EA $650.00 $500.00 $ -
2. STREET TREE(36"BOX) 1 EA $900.00 $750.00 $ 900.00
3. PRUNE TREE ROOTS 0 EA $200.00 $150.00 $
4. TREE REMOVAL 0 EA $800.00 $650.00 $ -
5. PLANTINGS 600 LS $1.00 $1.00 $ 600.00
6. IRRIGATION 450 LS $1.00 $1.00 $ 450.00
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y i CITY OF CAMPBELL
PUBLIC WORKS DEPARTMENT
ENGINEERING DIVISION
Revised 8/15
ENGINEER'S ESTIMATE FOR
LAND DEVELOPMENT PROJECTS
Date: November 29,2016 For File No(s):
SiteAddress. 1323 PARSONSAVE.,CAMPBELL, CA 95008 ENC. No.
Esti mated Cost of Improvements $50,000
ITEM UNIT PRICES FOR PROJECT AMOUNT
NO. DESCRIPTION CITY UNIT <$100K >$100K $AMOUNT
VIII. MISCELLANEOUS
1. PEDESTRIAN BARRIER 0 LF $86.85 $69.45 $
2. CHAIN LINK FENCE(6) 0 LF $30.00 $25.00 $
3. RAISE MISC.BOX TO GRADE 0 EA $600.00 $500.00 $
4. RAISE MANHOLE TO GRADE 0 EA $850.00 $700.00 $ -
5. INSTALL MONUMENT BOX 1 EA $3,000.00 $3,000.01) $ 3,000.00
6. MEDIAN BACKFILL 0 CY $26.00 $22.00 $ -
SUBTOTAL $ 35,874.38
PREPARED BY: VG 10%MOBILIZATION,CONSTRUCTION $ 3,587.44 AO
TRAFFIC CONTROL/PHASING, $ 'k8
REVIEWED BY: SR CONSTRUCTION STAKING, $ D
CONSTRUCTION TESTING $ 400.00
APPROVED BY:
10%CONTINGENCY $ 3,587.44
10%SECURITY ENFORCEMENT $3,587.44
TOTAL FAITHFUL PERFORMANCE SECURITY $ 49,036.69
USE THISAMOUNT FOR SECURITY-LA-,
1
i
1
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OkCH ARQ.
Address: 1323 Parsons Avenue
Tract No. : 10392
Date: 1 1/28/2016
Engineer's Estimate for Monumentation securitX
Monumentation security. This is a cash deposit for the survey work only. The actual monuments to
be placed are shown on the map. Once the surveyor places the monuments as shown on the map, the
City refunds the cash deposit. If the surveyor does not place the monuments,then the City would hire
another surveyor to do the work using this deposit-fund.
Monument Wells:
1 Well: $4,000.
2 or more Wells: $3,000/Well.
(No minimum or maximum charge.)
Iron Pipes (IP):
$1,500/ea pipe(with $3,000 minimum and $10,000.maximum).
1323 PARSONS AVENUE PROJECT:
2 Wells X$3000 = $6,000
16 Pipes =$10,000
TOTAL CASH DEPOSIT $16,000.00
J:\LandDev\Plan Check Comments\1 -Specific Projects-Active Project in Progress\Parsons 1323\Map\Monument Cash Deposit.docx
CITY OF CAMPBELL
PUBLIC WORKS DEPARTMENT
ENGINEERING DIVISION
Revised 8115
ENGINEER'S ESTIMATE FOR
LAND DEVELOPMENTFPROJECTS
Date: December 2,2016 For File No(s):
Site Address: 1323 Parsons Avenue ENC. No. 2016-216
Estimated Cost of Improvements $50,000
ITEM UNIT PRICES FOR PROJECT AMOUNT
NO. DESCRIPTION QTY UNIT <$I00 K >$100 K $AMOUNT
I.DEMOLITION/CLEARING
1. CLEARING&GRUBBING I LS $2,750.00 $2,000.00 $2,750.00
2. SAWCUT P.C.C./A.C.(UP TO 6") 80 LF $5.75 $4.25 $ 460.00
3. P.C.C.REMOVAL 310 SF $4.00 $3.00 $ 1,240.00
4. CURB AND GUTTER REMOVAL 62 LF $11.00 $7.00 $ 682.00
5. MEDIAN REMOVAL 0 SF $7.00 $5.50 $ -
6. DEMOLISH EXISTING INLET/PLUG RCP'S 0 EA $2,250.00 $1,750.00 $
II.STORM DRAINAGE
1. 12"R.C.P.(CLASS V) 35 LF $275.00 $225.00 $ 9,625.00
2. 15"R.C.P.(CLASS III) 0 LF $300.00 $250.00 $ -
3. 18"R.C.P.(CLASS III) 0 LF $325.00 $275.00 $
4. 24"R.C.P.(CLASS III) 0 LF $350.00 $300.00 $
5. 30"R.C.P.(CLASS III) 0 LF $400.00 $350.00 $
6. T.V.INSPECTION(12") 0 LF $1.60 $1 25 $
7. STD.DRAINAGE INLET(C.C.DETAIL 5) 0 EA $3,600.00 $3,000.00 $
8. FLAT GRATE INLET(C.C.DETAIL 6) 0 EA $2,125.00 $1,700.00 $ -
9. STD MANHOLE(C.S.J.DETAIL D-11) 1 EA $6,500.00 $5,250.00 $ 6,500.00
10. STD MANHOLE(C.S.J.DETAIL D-12) 0 EA $8,000.00 $6,500.00 $ -
11. BREAK AND ENTER M.H./D.I. 0 EA $1,300.00 $1,000.00 $
III.CONCRETE IMPROVEMENTS
1. SIDEWALK 310 SF $10.00 $8.00 $ 3,100.00
2. DRIVEWAY APPROACH 145 SF $14.00 $10.00 $ 2,030.00
3. CURB AND GUTTER 62 LF $60.00 $47.00 $ 3,720.00
4. VALLEY GUTTER 0 SF $35.00 $30.00 $ -
5. CURB RAMP 0 EA $4,500.00 $3,500.00 $
6. TYPE B-1 CURB 0 LF $50.00 $40.00 $
I
7. TYPE Al-B3 CURB 0 LF $25.00 $20.00 $
8. COBBLESTONE MEDIAN SURFACE 0 SF $25.00 $20.00 $
9 BUS STRESS PAD 0 EA $12,000.00 $12,000.00 $
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i
CITY OF CAMPBELL
PUBLIC WORKS DEPARTMENT
ENGINEERING DIVISION
Revised 8/15
ENGINEER'S ESTIMATE FOR
,,LAND DEVELOPMENT PROJECTS
Date: December 2,2016 For File No(s):
Site Address: 1323 Parsons Avenue ENC. No. 2016-216
Estimated Cost of Improvements $50,000
ITEM UNIT PRICES FOR PROJECT AMOUNT
NO. DESCRIPTION QTY UNIT <S 100 K >$I00 K $AMOUNT
IV.PAVEMENT
1. ASPHALT DIGOUT AND REPLACE 2.3 CF $6.25 $5.25 $ 14.38
2. PAVEMENT WEDGE CUT(6') 0 LF $5.50 $3.00 $ -
3. PAVEMENT GRINDING 0 SF $1.10 $0.75 $
4. PAVEMENT FABRIC(PETROTECH) 0 SY $2.50 $2.25 $ -
5. ASPHALT CONCRETE(TYPE A) 0 T $225.00 $180.00 $
6. AGGREGATE BASE(CLASS 2) 0 T $90.00 $50.00 $
7. SLURRY SEAL(TYPE II) 0 SF $0.30 $0.25 $
8 AC REMOVAL/OFFHAULIDISPOSAL 0 CF $15.00 $13.50 S
V.TRAFFIC SIGNALS/LIGHTS
11. NEW SIGNALIZED INTERSECTION 0 LS $0.00 $0.00
VI.STRIPING AND SIGNS 0 LS $0.00 $ -
VII.LANDSCAPING
1. STREET TREE 0 EA $650.00 $500.00 $
2. STREET TREE(36"BOX) 1 EA $900.00 $750.00 $ 900.00
3. PRUNE TREE ROOTS 0 EA $200.00 $150.00 $ -
4. TREE REMOVAL 12 EA $800.00 $650.00 $ 9,600.00
5. PLANTINGS 600 LS $1.00 $5,000.00 $ 600.00
6. IRRIGATION 450 LS $1.00 $5,000.00 $ 450.00
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CITY OF CAMPBELL
PUBLIC WORKS DEPARTMENT
ENGINEERING DIVISION
Revised 8/15
'ENGINEER'S ESTIMATE FOR "
rz � - LAND DEVELOPMENT`PROJECTS
Date: December 2,2016 For File No(s):
Site Address: 1323 Parsons Avenue ENC. No. 2016-216
Estimated Cost of Improvements $50,000
ITEM UNIT PRICES FOR PROJECT AMOUNT
NO. DESCRIPTION QTY UNIT <$100 K >$100 K $AMOUNT
VIII.MISCELLANEOUS
1. PEDESTRIAN BARRIER 0 LF $86.85 $69.45 5 -
2. CHAIN LINK FENCE(6) 71 LF $30.00 $25.00 $ 2,130.00
3. RAISE MISC.BOX TO GRADE 0 EA $600.00 $500.00 $ -
4. RAISE MANHOLE TO GRADE 0 EA $850.00 $700.00 $ -
5. INSTALL MONUMENT BOX 1 EA $3,000.00 $3,000.00 $ 3,000.00
6. MEDIAN BACKFILL 0 CY $26.00 1 $22.00 $ -
SUBTOTAL $ 46,901.38
PREPARED BY: 10%MOBILIZATION,CONSTRUCTION $ 4,680.14
TRAFFIC CONTROL/PHASING, $ -
REVIEWED BY: CONSTRUCTION STAKING, $ -
CONSTRUCTION TESTING $ -
APPROVED BY:
10%CONTINGENCY $ 4,680.14
10%SECURITY ENFORCEMENT $4,680.14
TOTAL FAITHFUL PERFORMANCE SECURITY $ 60,841.79
USE THIS AMOUNT FOR SECURITY $61,000.00
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