ENC2018-00177 U e.
'- ON
Olt CHARD
CITY ®F €CAMPBELL
Public Works Department
August 23, 2019
Charlmon Park
732 Monica Ln.
Campbell, CA 95008
SUBJECT: PERMIT NO. ENC 2018-00177
732 Monica Ln. Campbell, CA
FINAL INSPECTION AND ACCEPTANCE
Dear Charlmon:
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.
If you have any questions, please call me at (408) 866-2165.
Sincerely,
Syed Wahidi
Public Works Inspector
70 North First Street Campbell, California 95008 • TEL 408.866.2150 • FAX 408.376.0958 • TDD 408.866.2790
CITY OF CAMPBELL
PUBLIC WORKS DEPARTMENT
CLEARANCE FOR FINAL INSPECTION
AND ACCEPTANCE LETTER
Encroachment Permit#: ENC2018-00177
Name: Charlmon Park
Property Address: 732 Monica Ln.
Date of Final Inspection: 8/21/19
On File: Bonds CD Cash
Faithful Performance: $
Labor and Material: $
Construction Cash Deposit to be released: $
Other overdue deposits to be released (Description):
Processed by: Z q
Administrat
' I
Reviewed by: W2Z ( �
Inspector
Reviewed by:
1
Land Development Engineer
J:VoAnnaT\Deposit refunds\CHECKLISTS\1 Checklist-Final Acceptance.doc(Rev. 10/11)
Encroachment Permit Final Sign Off
Encroachment Permit# 2-) -Go 17-7
Address: i2 kc-Nf CA- LNJ
Date of Final Inspection and Acceptance: �i l ( fI
CSInspected by:
OK to release deposits: 100% 75%
Comments:
O¢ C4
_ "?CHARS
CITY OF CAMPBELL
Public Works Department
September 5, 2018
Charlmon Park
732 Monica Ln.
Campbell, CA 95008
SUBJECT: PERMIT NO. ENC 2018-00177
732 Monica Lane, Campbell, CA
FINAL INSPECTION AND ACCEPTANCE
Dear Charlmon:
The City of Campbell has made a final inspection of subject Public Works improvements
and Ends the work to be acceptable and in conformance with"City standards.
Accordingly, the City Engineer accepts the improvements.
The one year maintenance period stated in the permit begins as of August 21, 2018. The
permittee is responsible for the repair and/or replacement of any defective work or
failures that occur within one year. The City will inspect the improvements within one
year and notify you, in writing, whether or not any repairs are required.
Your Faithful Security Performance Deposit in the amount of$500.00 is enclosed.
If you have any questions,please call me at(408) 866-2165.
Sincerely,
Syed Wahidi
Public Works Inspector
Cc: Inspector/Suspense Files
Permit File ENC2018-00177
70 North First Street • Campbell, California 9500$-1436 TEL 408.866.2150 -:FAx 408.376.0958 TDD 408,866.2790
OF CA,t
•U�'CHAR�
CITY OF CAMPBELL
Public Works Department
September 5, 2018
Charlmoh Park
732 Monica Ln.
Campbell, CA 95008
SUBJECT: PERMIT NO. ENC 2018-00177
732 Monica Lane, Campbell, CA
FINAL INSPECTION AND ACCEPTANCE
Dear Charlmon:
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.
The one year maintenance period stated in the permit begins as of August 21, 2018. The
permittee is responsible for the repair and/or replacement of any defective work or
failures that occur within one year. The City will inspect the improvements within one
year and notify you, in writing, whether or not any repairs are required.
Your Faithful Security Performance Deposit in the amount of$500.00 is enclosed.
If you have any questions,please call me at(408) 866-2165.
Sincerely,
Syed Wahidi
Public Works Inspector
Cc: Inspector/Suspense Files
Permit File ENC2018-00177
70 North First Street • Campbell, California 95008-1436 TEL 408.866.2150 •.FAX 408.376.0958 TDD 408.866.2790
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CITY OF CAMPBELL VENDOR No. 10015098 CHECK No. 269560 `
Tirrchase OiUer btvotce Number.<: Amount Descri itoli
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421 0 26956MONTGOMERY STREET
STREET II
SM.FRANCISCO CA 94104
Y GAMPBELt,• CALIFORNIA 95008
b o *;AMOUNT *5 0 O.1r
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VOID AFTER 9.0 DAYS
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PAY THE ,SUM OF FIVE! HUNDRED DOLLARS & ZERO 'iCENTS m�l
TO THE 1,,<,'CHARLMON PARK
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-*See Reverse Side For Easy Opening Instructions*
CITY. OF CAMPBELL
70 NORTH FIRST-STREET
CAMPBELL, CALIFORNIA 95008
I
CHARLMON PARK
732 MONICA LN
CAMPBELL CA 95008
Refundable Deposit Check Request
To: Finance Director
Check Payable To: Charlmon Park
ICJ
Address- Line 1: 732 Monica Ln
Line 2:
City: Campbell State: CA Zip: 95008
Description: enc2018-00177
Account Number: 101.2203 Amount: $500.00
Account Number: 101.2203 Amount:
Account Number: 101.540.7448 Amount:
(Finance Dept only) Interest Earned (Finance Dept only)
Total Payable: 600.00 (Exact Amount)
Purpose: _
Deposit Refund
Permit M ENC2018-00177
Receipt M 276025 Date: 7/3/2018
Receipt M Date:
Requested by: Title: In Date: 0122�/1 $'
Syed Wahidi
Approved by: Title: Sr. Engineer Date: 2Z t
Roger Storz
Finance Dept Only:
Verified by: Title: Accounting Clerk ll Date:
Approved by: Title: Accountant Date:
Special Instructions For Handlinq Check
mail As IS: Mail in Attacneci Envelope: interim uneCK:
Needed By:
Return To: oAnna Thomason Public Works
1i (Name) (Department)
Other: Please return check to JoAnna
i
CITY OF CAMPBELL
PUBLIC WORKS DEPARTMENT
CLEARANCE FOR FINAL INSPECTION
AND ACCEPTANCE LETTER
Encroachment Permit#: ENC 2018-00177
Name: Charlmon Park
Property Address: 732 Monica Lane
Date of Final Inspection:
On File: Bonds Zzince:
Cash ,.
Faithful Perfor(( $ 500.00
Labor and Materii $-
Construction Cash Deposit to be released: $
Other overdue deposits to be released (Description):
Processed by: Z I
A 'nistrator
Reviewed by: VZ2,1( ej
Inspector
Reviewed by:
Land Development Engineer
J:UoAnnaT\Deposit refunds\CHECKLISTS\l Checklist-Final Acceptance.doc(Rev. 10/11)
� ;,,Print Form
CITY OF CAMPBELL R-1 ENCROACHMENT PERMIT Permit No. L-NC 20ls-GGi77
DEPT.OF PUBLIC WORKS X-Ref File
(Non-engineered work within the public right-of-way)
70 North First Street ($10,000.00 maximum value of work) Application Date -7/2/IS
Campbell,CA 95008 Application Expiration
Ph.(408)866-2150 ISSUED: 7/R/1Pi Date (�2�
Fx.(408)376-0958 Permit Expiration Date: '7/ �i/f�i APN
APPLICATION-Application is hereby made for a Public Works Permit in accordance with Campbell Municipal Code,Section 11.04.
(Application expires in 6 months if the permit is not issued.)
A. Work Address: j-3� H 0 N(CA
C� LNV �•5 If
B. Nature of Work: 7 n
(�1 C3(\I r 6 N bA/ ii PjU 9C 1 Ca.�<U W 1 7A t r
_. .. _ ._.._ _..-.... ._.._.. _ ...-. .. — --....... ._--_.._— .- - -- ---
C. Attach three(3)copies of a drawing showing the location,extent and dimensions of the work.The drawing shall show the relation of
the proposed work to existing improvements. When approved by the City Engineer,said drawing become a part of this permit.
D. All work shall conform to the City of Campbell Standard Specifications and Details for Public Works Construction;the General Permit
Conditions listed on the reverse side;and the Special Provisions for this permit,listed below. Failure to abide by these conditions and
provisions may result in job shutdown and/or forfeiture of Faithful Performance securities.
cep �c �j���-o63,
NAME OF APPLICANT: Telephone:
Address: .._l•/11IV/C..fL__.
._..... ... �..--�--- - ----
E-Mail Address:
The Applicant hereby confirms that this work is being done by the property owner/applicant at their own residence.
The Applicant hereby agrees by affixing their signature to this permit to hold the City of Campbell,City of Campbell Redevelopment Agency,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 hereby acknowledges that they have read an underst d both the front and back of this permit,and that they will inform their
contractor(s)of the information.
JACCEPTED: - 1-2-2/�.
(Applicant/Permittee) (Sign) Date
NOTES: All work shall conform with the attached.approved plans and all applicable Campbell Standard Details and Conditions and applicable
insurance requirements.
The Contractor must have this permit and approved plans and must arrange to meet with the Public Works Inspector at the site at least two days
before starting work. Notice must be given to Public Works at least 24 hours before restarting any work.
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(Ticket No.)has been entered hereon. USA Phone: 1-800-227-2600. Ticket No.:
Applicant is advised that upon issuance of this permit,property owner,or property owner's successors,shall be responsible for any and all
damages arising out of the design,installation or condition of private improvements in the public right-of-way.
SPECIAL PROVISIONS
1. Prior to any work,the property owner shall execute an Agreement for Private Improvements in the Public Right-of-Way,which shall be
/ recorded. if
Al 2. e�� �7'�r' C�rer��cc� �y' I�lo S. �1-crv� �I�fut.� 7�h`��c,.uvv. ri +a
3.
STANDARD AMOUNT RECEIPT NO.
SECURITY FOR FAITHFUL PERFORMANCE (100%Of Engr's Est.) $ OU 276o25
R-1 PERMIT FEE $ _ _
APPROVED FOR ISSUANCE:
for CityEngineer Date
Permit Expires 6 Months after Date of Issuance.
GENERAL PERMIT CONDITIONS
1. Payment of a security to insure faithful performance and completion of the work is required. This security is refundable upon
completion of the work and written acceptance by the City..
2. A one-year maintenance period for all work is required. Such period will begin on date of acceptance by the City. It is the applicant's
responsibility to remove and replace unacceptable improvements within the one-year maintenance period.
3. 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 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,fire hydrants and water valves.
7. 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.
8. Sawcut for all PCC and AC removals. All PCC removals shall be to nearest scoremark and shall be doweled to existing improvements.
9. Adequate signing and barricading is required on the job site._Failure to provide such signing and barricading as specified by the City
Engineer may result in the City's providing such signing and barricades and charging the cost to the Permittee.
10. The Contractor or Permittee will have a supervisory respresentative available for contact on the project at all times during
construction.
11. This permit shall be kept at the site of work and must be shown to any authorized representatives of the City of Campbell or any
law enforcement officer upon demand.
12. No storage of materials or equipment will be allowed near the edge of pavement,within the traveled way,or within the shoulderline,
which would create a hazardous condition to the public.
13. 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.
14. This permit does not release the Permittee from any liabilities contained in other agreements or contracts with the City and any other
public agency.
15. This permit is not transferable. Work must be performed by the Permittee or his designated agent or contractor as specified thereon.
16. 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.
17. Call back(call out)due to emergencies regarding this permit shall be at the current overtime rate with a three(3)hour minimum
charge per occurrence.
18. 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.
19. 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.
Applicant shall be responsible for ensuring that all those providing services under the applicant are aware of and understand all of the above
conditions.
TIM
AX
ELI
Applicant Date
J:\FORMS\Templates\Encroachment Permits\R-1 Encroachment Permit STATIC form2.pdf
Rev.02/14
N,
DEPARTW[ENTOF PUBILIC WORKS
APPLICATION FOR i'L ANT RENIO`VAI '
A . lie '
. .. .:..- iition .
-
Date Submitted Na
: : : ..PP
Pursuant to the terms of Chapter 11.08 of the Cara bell Municipal, ode,.an:2pplication.is
hereby made for.a.permit to remove
1. The location of the job in the public right of way is as.follows:
Z. The reasons-forthe removal-are as•follows: 6e+111-*r�
(use other side of sheet if necessary)
3. The.applicant hereby.agrees, by.affncitig his signature-to this.application,to hold the
City of Campbell,its officers,.agents.and employees•free,safe-and harmless:from any .
claim or demand for damages'to third persons relating from the work herein;
proposed.
Name of Applicant
' (signature) •
(print your name) g ,c_
Address-of Applicant `�
Check One: �Residen�ce() or Business()
Telephone Number C�y/ �2c G • Tt+
FOR OFFICE USE Date
Recommendation � ofevol' w"u, ��4 �'✓ m
use other side of.sheef if:necpssary).
A licsntcontacted infield? ;By: _ �/ Date
pp. :__
Encroachment Permit Final Sign Off
Encroachment Permit# Uc— ��'��'�'� �
Address: v732 j - c-N3c:CJ\ ix
Date of Final Inspection and Acceptance: �'/'u/ I�
Inspected by: Sw
OK to release deposits: 100% 75%
-Comments:
PUBLIC WORKS DEPARTMENT LAND DEVELOPMENT
Effective July 1,2017
TO: Finance PUBLIC WORKS FILE NO. L-NC 2ca1� -liGl7�
PROPERTY ADDRESS 73rX ( oN, (CA LN
Please collect& recei t for the followin onies �0� ,4nsF s
t3 mhu P �3 ty ktk� s 7
a. .fit 2a ' a•- �v d r xw s� x _ d -s "
�AGCT ITEM
,,.:.r q -,. a
LAND DE1IEL.OPMENT �,.-.r
4722 Encroachment Permit Application Fee
Non-Utili Encroachment Permit Major?$10 000 $425.00
Minor Encroachment Permit<$10.000 $240.00
Initial R-1 Permit - N/G
Subsequent R-1 Permits within Two Year Period $240.00
Ins ection 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.21/c.of Engineers Estimate $500.00 min
Utility and R-1 Permits no deposit required
4722 Grading&Drainage Plan Review $295.00
Single Family Lot
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
M-4722NPD.ES.Review C3 Re uirementsFor rojects not re uired to submit numeric sizin $175:00
Fora rojects re uired to submit numeric sizinIm ervious Area 10 000 S .Ft to 1 Acre $7.40.00
Im erv!ous Area 1 Acre or more $965.00
For projects sent to Consultant for review Consultant Cost+20%
"_ . _ $31'5ea .
4722 Additional treatment facilities'.
Plan Check&lns ection Fee •Non=.Utili 14%of'En ineer's Estimate
4722 En r"Est.<$250.000
4722 Engr: Est. >_$250,O.OD and<_$500 000 $35;000:00+8%of Engineers Estimate
4722 En r. Est. >$500 000 $55 of En
+7%of En ineers Estimate
2203 Emergency Cash Deposit 4%e of Engr. Est*($500 minl$10 000 Max
2203 Faithful Performance SecurityFPS 100%°of ENGR. EST."
2203, LaborandiVlaterials Securi ' 100% of ENGR. EST.
4721 Storm Drainage Area Fee Per Acre (M tk.R$2,1es$00
(Multi-Res$2,385.00)-
(All Other$2,650.00)
4722 Parcel Map.(4 Lots or..Less) ..$4,200.00+$90/lot
4722. Final"Tract'Map(5 or More Lots) $5;115 00 it is Ivio u
2203 Monumentation S.ecuritV 100% of Cit 's Monumentation Estimate
4920 Parkland Dedication Fee'(75%/25%° Due Upon Cert. of Occupancy)
4722 Lot Line Adjustment(includes Gertificate 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
4722 Document Recording Fees $1.5.00/first page$3 ea.Additional
4722 Private Improvement in Public ROW $10.0.00
4722 Approved Plan Revision Fee $100/sheet
4722 Appeal Filing Fee $200.00
730:4924. Notice of Improvement Obligation Payment
4 27 Assessment Segregation or Reapportionment
First Split $940.00
.Each Additional Lot $295.00
5117424 Postage
_'-- _-,- Y c ra+ xr... �Ha ""'�Ty s.t .���'7�'J •5",�v tom_ �: �3...r nt TM�+
-
Other(Please pecify)
'Engineer's Estimate shall be as approved by the City Engineer and shall include all items of work. TOTAL $ 5C2�>
t ME OF APPLICANT C L����� C
NAME OF PAYOR PHONE
„rADDRESS Z C G o/4 ZIP 0R tT
r
FOR RECEIVED
CITY
T IV CLERK
ONLY � x
JAE
715 SA E
15 SARATOGA AVE
SAN JOSE,CA 95129
FARMERS
INSURANCE
Home Insurance Renewal Offer
Your F-amers Policy
GJPX0�6899 ..--'.......................-.------M....._....._.._.. _._.
-- ------ Policy Number:93650-92-44
f CHALMON C&MOON J PARK Effective:5/13/2018 12:01 AM
C/O:MR.&A LN PARK Expiration:5/13/201 9 1 2:01 AM
1 732 MONICA LN
CAMPBELLCA95008-0134
r nsured
-----------................................. -------
730-732 Monica Ln
Campbell,CA 95008
3/20/2018
Dear Chalmon C Park and Moon Park, Your Farmers Agent
JaeILee
Thank you for choosing Farmers foryour homeowners insurance needs.We appreciate the 7.15 Saratoga Ave
opportun ity to provide continued coverage for you and your family. San Jose,CA 95129
Pl.ease.reviewthe renewal documents that have been enclosed: (408)252-3200
jlee6@farmersagerlt.com
• Declaration page-a summary of your insurance coverages,limits,and deductibles
Detailed reconstruction cost estimate of your home To file a claim call
A summary oyour premium and policy change information is shown below.With this 1-800-435-7764
f
renewal,you'll see an increase in your home coverage limits.This change reflects the rising
cost to replace homes in your area;including labor and construction materials. Did you know?
Pre.Mium at-a-g1anCe E .Farmers friendly Review
110-Policy Premium $984.58 Contact your agent to learn more
about the policy discounts,coverage
options,and other product offerings
that may be available to you.
Summary of changes e�
Previous Renewal -Go paperl;ess,
Coverage:Dwelling $399,000 $405,000 Save stamps,time and trees....Go
-"-'--------------------------=------------------------------------------ ---------...........'"-'"-...=----------------------------------
00 Paperless!You can choose to.
----------------
Coverage:Loss of-Jse $159,600 $162:000
........ .................. . . .............................. receive your Farmers policy
Coverage:Personal Property $299,250 $303,750 documents and/or billing statement
Coverage:Separate Structures $39,900 $40,500 electronically. Enroll at farmers.com
and choose the paperless options!
This is not a bill.Your bill with the amount due will be mailed separately.
If you prefer,you can log into farmers.com todayto review your balance and make a
payment.You can also contact us at 1-877-327-6392 or visit your agent's office with your
payment.
Sincerely,
Farmers Insurance Group@
farmers.com
25-8164 1-14
Next Generation Homeowners Declaration FA R M E R S
Page INSURANCE
Policy Number: 93650-92-44 Premiums
Effective: 5/13/2018 12:01 AM . . . . . . .. . . .. . . . . . . . . . . . .. .. . . . . . :.. . . . . . . . . . .. ... . ...
Expiration.: 5/13/201 9 1 2:01 AM Policy Premium $984.58
Namedlnsured(s):Jae S Kim,and Charlrnon C Parkand Moon
Park,Husband and Wife. Your policy premium includes aTotal Discount Savings of$603.92
C/O:Mr.&Mrs Park
732 Monica Ln *also see Information on Additional Fees below
Campbell,CA95008-0.134 This is not bill.
shep6219p@yahoo.com Your bill with the amount due will be mailed separately.
-Property insured: 730=732 Monica Ln
Campbell,CA 95008
Underwritten By: Mid-Century Insurance Company
6301 Owensmouth Ave.
Woodland Hills,CA91367
Description of Property
Year of Construction Construction Type :Roof Type Number.of Units.- Occupancy
1959 Wood Siding Over Frame Composition-3 Tab Shingle 2 Owner
Occupied
'(Primary Res.)
Property Coverage
Coverage Limit Coverage Limit
CoverageA-Dwelling $4b5,boo! Coverage-D Loss of Use $162,000
Extended Replacement Cost $101,250. Additional Living Expense Term 24.Months
--------------------------------:---------=----.-.......•-- --------------------=---------------------- .............s........................................................................................................
Coverage B-Separate Structures $40,500 Identity Fraud`Coverage $30,000
...... ................:..... .....:...................................•------- .................... ....................................................... ............
Coverage C-Personal.Property $303,750 Building Ordinance or Law "10%
Contents Replacement Cost Covered
------ -------------------
Wild Fire Smoke,Soot,Char,Ash or Odor $5,000
Damage
Liability Coverage
Coverage, Limit Coverage Limit
CoverageE-PersonalLiability $100,000 CoverageF-MedicalPaymentsToOther's $1,000
Personal Injury Covered
------=--------------------------------------------------------------------------------------------------------------
Association Loss Assessment Not Covered
farmers.com Policy No. 93650-92-44 Questions? Manage your account:
Call your agent Jae I Lee at(408) Go to www.farmers.com to access
252-3200 or email your account any time!
jlee6@farmersagent.com
56-6177 1st Edition 4-15 3/20/2018
Page 1 of3
Syed Wahidi
From: Bob Siudzinski
Sent: Thursday, July 05, 2018 12:21 PM
To: Syed Wahidi
Subject: RE: FW:
Yes. Gingko is approved.
From: Syed Wahidi
Sent: Thursday,July 05, 2018 12:11 PM
To: Bob Siudzinski; 'Joseph Seo'
Subject: RE: FW:
Bob,
He wants to know if Gingko Baloba is ok instead of Chinese Tallow that you approved?
OV•CA,y,, Syed Wahidi
-AV Public Works Inspector
U r' City of Campbell Public Works Department
0 o 70 N.First Street Campbell, CA 95008
www.ciiyofcainpbell.com 1408.866.2165
From: Bob Siudzinski
Sent: Thursday,July 05, 2018 11:48 AM
To: 'Joseph Seo'
Cc: Syed Wahidi
Subject: RE: FW:
Good morning Joe,
Syed needs to issue the permit first, then I will post a tree removal notice on the tree for 10 days.Then you can begin
the removal and replant process.
Respectfully,
Bob
From: Joseph Seo [mailto:joseph teamcipre gmail com]
Sent: Thursday, July 05„2018 11:28 AM
To: Bob Siudzinski; Dale Chun
Subject: Re: FW:
Good morning Bob,
They would like to replace to the Gingko Biloba tree.
Can they proceed with the removal?
1
On Thu, Jul 5, 2018 at 7:05 AM, Bob Siudzinski <BobSgcityofcampbell.com>wrote:
Good Morning Joseph,
I just got back into the office today. Yes, a Gingko biloba is a nice tree.
Regards,
Bob
From: Joseph Seo [mailto:joseph teamgpre(a cimail com]
Sent: Friday, June 29, 2018 4:59 PM
To: Bob Siudzinski
Cc: Ron Taormina
Subject: Re: FW:
https:Hselectree calpoly.edu/tree-detail/ginkgo-biloba-autumn-gold
Is this the right tree you are referring to?
On Fri, Jun 22, 2018 at 1:52 PM, Bob Siudzinski<BobSgcityofcampbell.com>wrote:
Hi Joseph,
z
This tree is very important as it sets the example for the rest of the street as future reforestation efforts take
place. That's one of the reasons I choose a tree of stature such as the Sophora. However, a Gingko biloba, 'Fairmont or
Autumn gold' is acceptable. Be careful with internet tree species searches,they often lead to erroneous information
and confusion. What's really important is property values and quality of life for the tenants.
Feel free to give me a call 408 206-6284
Thank you,
Bob
From: Joseph Seo [mailto:joseph.teamciprecd)gmail.com]
Sent: Thursday, June 21, 2018 5:07 PM
To: Bob Siudzinski
Cc: Syed Wahidi
Subject: RE: FW:
The property owner would like to see what kind of options they have. I recall that there are options for
replacement, right?
On Jun 21, 2018 12:57 PM, "Bob Siudzinski" <BobS@cityofcampbell.com>wrote:
Hello Joseph,
Is"there a specific concern about the tree type?
Bob
From: Joseph Seo [mailto:joseph.teamgpreca)gmail.com]
Sent: Thursday, June 21, 2018 11:16 AM
To: Bob Siudzinski
Cc: Syed Wahidi
Subject: Re: FW:
Hello Syed,
3
My name is Joseph from Green Properties.
Could you guide me securing a no fee encroachment permit?
And do you know if there are any other options for replacement trees for our subject?
Your help is much appreciated.
Thank you
0 =:
On Tue, Jun 19, 2018 at 12:52 PM, Joseph Seo <joseph.teamgpreggtmail.com>wrote:
Hi Bob,
Thank you for the follow-up.
Is there any other options for replacement tree?
4
0 Ia0 = 0 0
On Tue, Jun 19, 2018 at 11:22 AM, Bob Siudzinski <BobS(cr�cityofcam�bell.com>wrote:
Good Morning Joseph,
Attached is the completed and approved Tree Removal application. It requires you to remove the existing
Liquidambar tree, remove the stump and roots, and replace with a 24 inch box Sapium sebiferum, `Chinese
Tallow Tree'. In addition, the property owner is required to water the tree to insure proper establishment.
Please work with Syed to secure a no fee encroachment permit before work starts.
Thank you,
Bob
From: ServiceCopier cityofcampbell.com [mailto:ServiceCopier cityofcampbell com]
Sent: Tuesday, June 19, 2018 7:29 AM
To: Bob Siudzinski; Jeanine Grundman
Subject:
5
FOR-OFFICE USE ONLY:. ,
PR
OUR CITY-TORES .-
TREE ,STEWARDSHIP APPLICATION
&wWe believe: in the POWER OF TREES to transform homes; communities and.cities. Mature trees clean air,-
fight drought, prevent crime and provide beauty for generations. For a.healthy urban forest, our job is to
help.plant the RIGHT TREE in the RIGHT PLACE with the RIGHT-CARE..Let's get started.
HOW MANY TREES-WOULD YOU L I KE. ? REMOVAL REPLACEMENTS
. . tree thatwas -
Park Strip (within 1 Oft from street)
removed.
Front Yard / Back Yard
stumpThe has been -.
Other: in depth). *Must be fully remoyed to plant.
DO YOU: HAVE A PERMIT?
If planfing'in a Park Strip(within 1 Oft from street), most cities require a permit, including the City of San Jose.
0 I already have a permit. *Please attach your permit to this application,
0 I would like Our City Forest's help in obtaining as permit. `-Gle , P101-M't
-SPECIES
Indicate any particular species you would like to plant.We will help you get the right tree for the right place. If you
don't know,tell us'characteristics like Deciduous.or Evergreen,flowering or non-; drought-tolerant, height,etc. .
PLANTING ADDRESS
Name of Property.Owner Email
Address Neighborhood
City State zip `. Phone
TREE STEWARD INFO
A Tree Steward is the person who will be caring for the tree. *See back side for details.
E I am both the Tree Steward and the Property Owner. *If checked,skip to the Special Requests questions below.
Name of Tree Steword Email
Mailing Address',
City State zip Phone
SPECIAL REQUESTS
0 I am a senior citizen or 0 I am a person with a disability and need volunteers to help plant my tree. .
0 I would like to hire Our City Forest-to plant for me. (Additional cost)
0 I would like-to help coordinate a planting for my neighborhood or street.
PLEASE FILL OUT BOTH SIDES OF THIS FORM, SIGNATURE IS REQUIRED:
i..
I agree to maintain the tree(s) for a period of' ❑ THREE YEARS ❑ FIVE YEARS following the Stewardship
Care Required outlined below (Ask us if you're not sure which grant and corresponding time frame your property
falls under.).I agree to return stewardship surveys,which will be sent to me periodically. I understand that Our
City Forest (OCF) provides information on the care of the tree(s) and that it is my responsibility, as the Tree
Steward, to oversee their care. To ensure program success, I will plant the tree(s) at the address provided.
I am aware that I am.responsible for trees on my properly for the duration of their life per the city.code
STEWARDSHIP CARE REQUIRED:
❑ WATER THE TREE(S) REGULARLY: 10-15 gallons perweek.
PROVIDE NECESSARY PRUNING: OCFcan providepruning information,
recommendations and instructions.
❑ KEEP THE WATERING BASIN MAINTAINED: Remove debris,_gross and other plants;
maintain soil berm and mulch.
KEEP THE TREE(S) PROPERLY STAKED: Adjust and remove as necessary.
❑ RETURN STAKE(S) AFTER 2-3 YEARS: Please return to the nursery at 1000 Spring St.
San Jose. Stake pick-up is available for seniors and disabled residents.
❑ MONITOR THE HEALTH OF THE TREE(S): Contact OCF if you need assistance and
complete stewardship surveys which will be sent via email.
SI ('9 E
Tree Steward Signature Date
Property Owner Signature `Only required if different from Tree steward Date
Please EMAIL, MAIL, or FAX this form to:
streettrees@ourcityforest.org
Our City Forest, 1590 Las Plumas Ave, San Jose, CA 95133
f: (408) 998-1078 y, �. ® • - • •• • •• • -
Questions? Call (408) 998-7337 x125
HOW DID YOU HEAR ABOUT OUR CITY FOREST?
❑ UNITY ❑ MARKETING,
OR (PERMITTING OR❑ CITY ❑ FRIEND,
NEIIG NEIGHBOR
❑ MEDIA ❑ OTHER:
EVENT
DOORHANGING OR OTHER)
OUR s
CITY _ 1�
FOREST
Our City Forest is a 501(c)3 non-profit- EIN#: 77-037191 1
Print l orr4
CITY OFCAMPBELL R-1 ENCROA CHMENT PERMIT P.ermitNo. �NL �ai -GO(7"7
DEPT.OF PUBLIC WORKS (Non-engineered work within the public right-of-way) X-Ref File
70 North First Street ($10,000.00 maximum value of work) Application Date
Campbell,CA 95008 Application Expiration
Ph.(408)866-2150 ISSUED: Date
Fx.(408)376-0958 Permit Expiration Date- APN —�
APPLICATION 4.
Application is hereby made for a Public Works Permit in accordance with Campbell Municipal Code,Section 11.0
(Application expires in 6 months if the permit is not issued.)
A. Work Address: 17"y� 0 '
-- — —._ _ ----- ----
B. Nature of Work: ��[�t� Glair(i� j\ !' t� Pjo9C t i'\(a 1�lb- !Lo 6A.
rr
C. Attach three(3)copies of a drawing showing the location,extent and dimensions of the work.The drawing shall show the relation of
the proposed work to existing improvements. When approved by the City Engineer,said drawing become a part of this permit.
D. All work shall conform to the City of Campbell Standard Specifications and Details for Public Works Construction;the General Permit
Conditions listed on the reverse side;and the Special Provisions for this permit,listed below. Failure to abide by these conditions and
provisions may result in job shutdown and/or forfeiture of Faithful Performance securities.
NAME OF APPLICANT:" d e Telephone: �4 (—
Address: ✓ Z.. �l�p y C .__ /� GG g om
E-Mail Address:
The Applicant hereby confirms that this work is being done by the property owner/applicant at their own residence.
The;Applicant hereby agrees by affixing their signature to this permit to hold the City of Campbell,City of Campbell Redevelopment,"Agency,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 hereby acknowledges that they have read an underst d both the front and back of this permit,and that they will inform their
contractor(s)of the information.
- - . /��
ACCEPTED: -2
(Applicant/Permittee) (Sign) Date
NOTES: All work shall conform with the attached,approved plans and all applicable Campbell Standard Details and Conditions and applicable
insurance requirements.
The Contractor must have this permit and approved plans and must arrange to meet with the Public Works Inspector at the site at least two days
before starting.work. Notice must be given to Public Works at least 24 hours before restarting any work.
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(Ticket No.)has been entered hereon. USA Phone: 1-800-227-2600. Ticket No.:
Applicant is advised that upon issuance.of this permit,property owner,or property owner's successors,shall be responsible for any and all
damages arising out of the design,installation or condition of private improvements in the public right-of-way.
SPECIAL PROVISIONS
1. Prior to any work,the property owner shall execute an Agreement for Private Improvements in the Public Right-of-Way,which shall be
recorded. yyyyyy
,02. t�P ���� cl��� -by i��h S-
3.
STANDARD AMOUNT RECEIPT NO.
SECURITY FOR FAITHFUL PERFORMANCE (100%Of Engr's Est.) $ 5 C) 2 760 Z5
R-1 PERMIT FEE $-
APPROVED FOR ISSUANCE: 7f) t�
for City Engineer Date"
Permit Expires 6 Months after Date of Issuance.
in O,V
r� h?%7&v
Y
GENERAL PERMIT CONDITIONS
1. Payment of a security to insure faithful performance and completion of the work is required..This security is refundable upon
completion of the work and written acceptance by the City..
2. A one-year maintenance period for all work is required. Such period will begin on date of acceptance by the City. It is the applicant's
responsibility to remove and replace unacceptable improvements within the one-year maintenance period.
3. 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 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,fire hydrants and water valves.
7. 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.
8. Sawcut for all PCC and AC removals. All PCC removals shall be to nearest scoremark and shall be doweled to existing improvements.
9. Adequate signing and barricading is required on the job site.,Failure to provide such signing and barricading as specified by the City
Engineer may result in'the City's providing such sighing and barricades and charging the cost to the Permittee.
1 b. The-Contractor or Permittee•will have a supervisory respresentative available for contact on the project at all times during
construction.
11. This permit shall be kept at the site of work and must be shown to any authorized representatives of the City of Campbell or any
law enforcement officer,upon demand.
12. No storage of materials or equipment will be allowed near the edge of pavement,within the traveled way,or within the shoulderline,
which would create a hazardous condition to the public.
13. 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.
14. This permit does not release the Permittee from any liabilities contained in other agreements,or contracts with the City and any other
public agency.
15. This permit is not transferable.Work must be performed by the Permittee or his designated agent or contractor as specified thereon.
16. 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.
17. Call back(call out)due to emergencies regarding this permit shall be at the currentovertime rate with a three(3)hour minimum
charge per occurrence.
18. 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.
19. 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.
Applicant shall be responsible for ensuring that all those providing services under the applicant are aware of and understand all of the above
conditions. /
Applicant Date
J:\FORMS\Templates\Encroachment Permits\R-1 Encroachment Permit STATIC form2.pdf
Rev.02/14