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45 Jane Ann Way
TO BE RECORDED WITHOUT FEE SECTION 6103 GOVERNMENT CODE 23486694 AT THE REQUEST OF CITY'OF CAMPBELL Regina Alcomendras ) Santa Clara County - Clerk-Recorder Recording Requested By: ) 11/03/2016 09:54 AM City of Campbell ) Titles: 1 Pages: 13 ) Fees: $0.00 And When Recorded Return To: ) Total: $0.00 ) lIII City Clerk ) City of Campbell ) 70 N. First Street Campbell, CA 95008) 1:. EVE E D_,. a, ZEE 4c6�rr�a�� APN: 404 06 003 , ,. ,A.. (Space above this line for Recorder�s use knl thf ADDRESS: 45-JanerWay,'C'bell,CA 95008 r DEFERRED STREET IMPROVEMENT AGREEMENT THIS AGREEMENT, identified as File No. BLD2016-00563, made and entered into this 3O' day of.Se, w;N,e'(, 2016, by and between CHRISTIAN G SPORCK, A SINGLE MAN, hereinafter referred to as "Owner," and the CITY OF CAMPBELL, a municipal corporation of the County of Santa Clara, State of California, hereinafter referred to as "City." WHEREAS, City granted conditional approval of Building Pennit number: BLD2016- 00563 upon that certain real property described in deed recorded on August 15, 2012, Document Number 21796248, recorded in the Office of the County Recorder, County of Santa Clara, State of California, which property is hereinafter referred to as "said real property" and commonly known as 45 Jane Ann Way; WHEREAS, compliance with the terms and conditions of this agreement are conditions to the final approval (Exhibit A—Public Works Conditions dated 5/25/2016) of above described application to an addition and remodel to an existing single family dwelling,'new front porch, rear attached patio, front attached trellis. NOW, THEREFORE, IN CONSIDERATION OF THE ABOVE-MENTIONED APPROVAL, it is hereby agreed as follows: (1) Owner shall provide, construct and/or install at his own proper cost and expense, public street improvements within 12 months from the date when owners or their successors are notified to do so by the City Engineer. (2) All of said improvements shall be constructed and/or installed within 12 months from the date that Owners, or their successors, are notified by said City Engineer to do so; . provided however, that in the computation of said twelve-month period, delays due to or caused by acts of God, viz., unusually inclement weather, major strikes, and other delay beyond the control of Owners shall be excluded. (Rev.07/16) - 1 - It is expressly understood and agreed to that if Owner shall fail to complete the work required by this Agreement within the said 12 month period, the City, after giving thirty (30) days written notice thereof to Owner, or his successors, may construct and/or install said improvements and recover the full cost and expense thereof from owner, or his successors. It is further expressly understood that the purpose of this agreement is to defer construction of the above-mentioned improvements until some future date more conducive to the overall needs of the City of Campbell. In keeping with this understanding, the right of the City to give any of the notices specified herein in Section (2) of this Agreement to install such improvements, or to require construction or installation of such improvements,or to install such improvements itself and recover the costs thereof shall not be barred by the passage of time or delay by the City, but shall remain open and enforceable indefinitely and forever. It is also understood that the passage of time or any delay caused by the City shall not relieve the Owners, or their successors, from performance under this Agreement, but that the Owners, and their successors, shall remain bound indefinitely and forever. Any increased construction or preparation costs caused as the result of the passage of time shall be the responsibility of.the Owners, and their successors. Nothing herein shall be deemed to prohibit construction of said improvements prior to notice by the City Engineer to construct or install such improvements, provided that prior to such installation, all of the provisions of Section (3) shall be satisfied. (3) Owner, or his successors, shall cause to be prepared at his cost and expense improvement plans for the construction and/or installation of said improvements prior to such construction or installation. Said plans shall be prepared by a civil engineer registered by the State of California and submitted to the City Engineer for examination and approval. All of said improvements shall be constructed and/or installed in accordance with those plans approved by the City Engineer and shall be made under the supervision and inspection and to the satisfaction of the City Engineer. Said construction and/or installation shall be in accordance with the existing ordinances and resolutions of the City of Campbell and to all plans, specifications, standards, sizes, lines and gravies approved by the City Engineer, and all State and County statutes applicable thereto. Upon completion and acceptance of the improvements by City, Owner, or his successors, shall provide reproducible as-built plans to the City Engineer. (4) The construction work of the improvements embraced by this Agreement shall be done in accordance with the specifications of the City of Campbell and West Valley Sanitation District,where indicated. (5) Prior to approval of the plans by the City Engineer pursuant to Section (3) of this Agreement, Owner, or his successors, shall pay to the City for examination of improvement plans, field inspection of construction of improvements and all necessary expenses incurred by City in connection with said improvements, a sum to be determined when said plans are submitted in accordance with the rules in effect at that time. . (Rev.07/16) - 2 - • (6) Owner, or his successors, shall file with City, prior to commencing work, surety, acceptable to City, to ensure full and faithful performance of the construction of all the aforementioned improvement work, excluding sanitary sewers and water distribution system. Said surety shall guarantee that Owner, and his successors, will correct any defects which may appear in said improvement work within one (1) year from the date of acceptance of the work by City and pay for any damage to other work resulting from the construction thereof, as well as pay the cost of all labor and materials involved. This surety shall remain in effect until one (1) year after date of final acceptance of said improvements by City. Said surety amount may be reduced by the City Engineer after the date of final acceptance to not less than twenty-five (25)percent of its full value. (7) Upon final release of said surety by City, the obligations of Owner, and his successors, contained in this Agreement shall be considered null and void. (8) When called upon by City to do so, Owner, or his successors, will execute a petition for the formation of any special assessment district created pursuant to any special assessment act as provided in.the Streets and Highways Code of the State of California created for the purpose of constructing and/or installing any or all of said improvements. (9) Owner, or his successors, shall participate in and become a part of any special assessment district as described in paragraph(8) of this Agreement. It is expressly understood that any obligations of Owner, or his successors, contained in this Agreement that are accomplished to the satisfaction of said City Engineer by said special assessment district shall be considered null and void. (10) Notwithstanding anything contained in this Agreement to the contrary, at any time prior to Owner commencing work on the public street improvements required of Owner,the City may in its sole discretion elect to install the street improvements itself upon giving Owner 30 days advance notice of the City's intention to so do. In the event that the City elects to install the public street improvements itself, Owner shall reimburse the City for all costs of installing the public street improvements within 30 days of being presented with a statement of those costs. (11) Right of Lien: In the event that Owner fails to reimburse the City for the costs of installing the public street improvement ("default") as required by section(10) of 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 B 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 section (10) of this Agreement. (Rev.07/16) - 3 - (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 section(10) of this Agreement on or before the due date when due and payable, and to perfoiiii 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. (12) Owner, or his successors, shall make such deposits or file such bonds and enter into such agreement as required by West Valley Sanitation District to ensure the installation of a sanitary sewage system to serve said real property, and Owner,-or his successors, shall file with City, upon execution of this Agreement, a letter from said Sanitation District stating that Owner, or his successors,have made such deposits or filed such bonds and entered into such agreements. (13) Owner, or his successors, shall enter into an agreement and pay to Pacific Gas and Electric Company any.and all fees required for installation of underground wiring circuit to all (Rev.07/16) - 4- electroliers within said real property when Owner, or his successors, is notified by either the City Engineer or the Pacific Gas and Electric Company that said fees are due and payable. Owner's, and his successors', obligations under this section shall not be relieved by delay or the passage of time,but shall remain binding indefinitely and forever. Owner, or his successors, shall enter into an agreement and pay to Pacific Gas and Electric Company any and all fees required for the relocation of utility facilities when Owner, or his successors, is notified by the City Engineer that relocation of utility facilities are required. (14) Owner, or his successors, shall make such deposits or file such bonds and enter into such agreement as required by San Jose Water Company when called upon to do so to ensure that installation of a water distribution system to serve said real property, including fire hydrant. Owner's, and his successors', obligations under this section shall not be relieved by delay or the passage of time, but shall bind Owner and successors indefinitely and forever. (15) Any easement and right-of-way within or without said real property necessary for the completion of the improvements shown upon aforesaid improvement plans shall be acquired by Owner, or his successors, at his own cost and expense. It is provided, however, that in the event eminent domain proceedings are required for the purpose of securing said easement and right-of-way, Owner, or his successors, shall deposit or cause to be deposited with City a sum covering the reasonable market value of the land proposed to be taken and to be included in said sum shall be a reasonable allowance for severance damages, if any. It is further provided that in addition thereto such sums as may be required for legal fees and costs, engineering and other incidental costs shall be deposited with the City. (16) Owner, or his successors, shall carry out any and all negotiations with all interested parties and shall perform or cause to be perfoinied at his own cost and expense and to the satisfaction of the City Engineer any and all work required to abandon, remove, raise, lower, relocate and otherwise modify irrigation line or lines within the boundary of said real property. (17) To the fullest extent permitted by law, Owner, and his successors, shall indemnify, defend and hold the City of Campbell, its agents, employees, attorneys, officers, officials, and assignees harmless from any and all claims, damages, losses and expenses, including, but not limited to, attorneys' fees, arising out of, or resulting from any negligent or intentional act or omission (including misconduct) of said Owner, or his successors, or any subcontractor, or anyone directly or indirectly employed by him, or anyone for whose acts any of them may be liable in the course of perfoiinance of this Agreement. The Owner, and his successors, shall also indemnify, defend and hold the City of Campbell, and its agents, attorneys, employees, officers, officials, and assignees harmless against and from any and all claims, demands, liabilities, losses, lawsuits,judgments, damages, costs and expenses (including, but not limited to, attorneys' fees and court costs, whether incurred at trial, appellate or administrative levels) which the City of Campbell may incur or suffer, or to which the City of Campbell may be subjected resulting from the failure of Owner, or his successors, or (Rev.07/16) - 5 - his agents, employees, subcontractors, or anyone performing services under him, to fulfill any of the obligations imposed under this Agreement. (18) It is acknowledged that the provisions of this Agreement constitute covenants for the improvement of the subject real property for the mutual benefit of Owner's property, commonly known as 45 Jane Ann Way and the City's property, commonly described as Jane Ann Way where it adjoins Owner's property. These covenants shall be considered to affect rights in the above-described real properties, and shall be binding on the heirs, assigns, successors, and grantees of Owner to said real property. (19) Nothing contained herein shall be construed to transfer any unvested interests in real or personal property for purposes of the rule against perpetuities. (20) In the event that Owner, or his successors, should breach any of the terms, conditions, or covenants of this Agreement,.the City shall be entitled to recover, in addition to any other relief available in law or equity, all costs incurred in attempting to obtain enforcement of the Agreement, or compensation for such breach. (21) This is the entire Agreement between the parties and there are no representations, agreements, arrangements, or understandings-that are not fully expressed herein. (22) This Agreement can be executed in counterparts by the parties hereto, and as so executed shall consist of one agreement,binding on all the parties. (Rev.07/16) - 6 - IN WITNESS WHEREOF, said City has caused its name to be affixed by its City Engineer and City Clerk, who are duly authorized by Ordinance 2059 adopted September 20, 2005, and said Owner has caused his name to be affixed the day and year first above written. OWNER Christian G Sporc , a s ngle man 45 Jane Ann Way, Campbell, CA 95008 (Notary Acknowledgment for above signator(ies) MUST be attached) CITY OF CAMPBELL ATTEST: (-7.•- --) 'P__--- 6 Todd Capurso 4/ . Public Works Director, City of Campbell Wendy. o.d 70 N. First Street City Clerk Campbell, California 95008 (Attach Notary Acknowledgment for all parties) (Rev.07/16) - 7 - 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 ofa�'sa On& e.,k,ttips ae aollO before.me Nn. o<���\A„, I (Here insert name arid title ot true othc$) personally appeared C.,\M\S*•\ar\ �L I 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. 16102'6 hew sandx3 lwwoo Aw „ w a WITNESS my hand and official seal. a llluno0 e�e10 elves elwomeo-3IIQnd AnioN 60L0112#uolsslwwo0 Taloporcz, N0SVIN0HI NNV0P Nota Public Signature (Notary Public Seal) s ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM This form complies with current California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT if needed.should be completed and attached to the document.Acknowledgments from other states may be completed for documents being sent to that state so long as the wording does not require the California natal-J.,to violate California notary 'CP'&'C•e late. • (Title or description of attached document) • State and County information must be the State and County where the document signer(s)personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s)personally appeared which (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. lee/she/they-is/ar-e)or circling the correct forms.Failure to correctly indicate this ❑ Individual (s) information may lead to rejection of document 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 p Trustee(s) acknowledgment is not misused or attachedto-a_different document. Other Indicate title or type of attached document,numb -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 vww.NotaryClasses.cam 800-873-9855 • Securely attach this document to the signed document with a staple. Exhibit A MEMORANDUM CITY OF CAMPBELL TO: Bill Bruckart,.Building Official DATE: 05/25/2016 FROM: Doris Quai Hoi,Project Engineer (408) 866-2157 SUBJECT: BUILDING PERMIT APPLICATION Site Address: 45 Jane Arm Way For File No(s): BLD2016-00563 Project Description: Addition and remodel to an existing single family dwelling, new front porch,rear attached patio, front attached trellis Applicant: Sprock Residence COMMENTS The scope of this project triggers the requirement for Frontage Improvements as required by Campbell Municipal Code 11.24.040. This is an older neighborhood constructed with rolled curb and attached sidewalk. As it is not appropriate at this time to reconstruct the frontage to meet current City standards, the applicant will be required to enter into a Deferred Street Improvement Agreement to participate in frontage improvements at a later date. Said agreement will need to be executed by the applicant prior to issuance of the Building permit. PUBLIC WORKS DEPARTMENT CONDITIONS OF APPROVAL 1. Proof of Ownership: Prior to issuance of any grading, drainage, or building permits for the site, the applicant shall provide a current Preliminary Title Report, grant deed, or other satisfactory proof of ownership to facilitate preparation of the Deferred Street Improvement Agreement. 2. Deferred Street Improvement Agreement: Prior to issuance of building permits for the site, the owner shall execute a deferred street improvement agreement for construction of standard street improvements. Unless otherwise approved by the City Engineer these improvements shall include, but are not limited to, removal and replacement of street pavement structural section to centerline, relocation of utility poles and facilities as required, installation of curb, gutter, sidewalk, ADA compliant driveways, street trees, street lights, necessary drainage facilities and necessary conforms to existing improvements. 3. Stoiiu Drain Area Fee: Prior to issuance of any grading or building permits, the applicant shall pay the required Storm Drain Area fee, currently set at $2,120.00 per net acre, which is $488.00 4. Water Meter: The project has an existing water meter installed in the public right-of-way. If the water service is required to be upsized as part of the project (i.e. due to fire sprinklers), then the new water meter shall be installed on private property behind the public right-of-way line. J:\L.andDev\Conditions\Bidg\Jane Ann Way 45.docx Page 1 of 2 • 45 Jane Ann Way (BLD2016-563) 5. Water Meter(s) and Sewer Cleanout(s): Proposed water meter(s) and sewer cleanout(s) shall be installed on private property behind the public right-of-way line. 6. The following conditions only apply if the applicant has a need to install / upgrade utility services (water, sewer, gas, etc.) in the street: a. Utility Encroachment Permit: Separate permits for the installation of utilities to serve the development will be required (including water, sewer, gas, electric, etc.). Applicant shall apply for and pay all necessary fees for utility permits for sanitary sewer, gas,water, electric and all other utility work. b. Utility Coordination Plan: Prior to issuance of building permits for the site, the applicant shall submit a utility coordination plan and schedule for approval by the City Engineer for installation and/or abandonment of all utilities. The plan shall clearly show the location and size of all existing utilities and the associated main lines; indicate which utilities and services are to remain; which utilities and services are to be abandoned, and where new utilities and services will be installed. Joint trenches for new utilities shall be used whenever possible. c. Pavement Restoration: Based on the utility coordination plan, the applicant shall prepare a pavement restoration plan for approval by the City Engineer prior to any utility installation or abandonment. Streets that have been reconstructed or overlaid within the previous five years will require boring and jacking for all new utility installations. Jane Ann Way has been overlaid in the last 5 years. The pavement restoration plan shall indicate how the street pavement shall be restored following the installation or abandonment of all utilities necessary for the project. 7. Street Improvements Completed for Occupancy and Building Permit Final: Prior to allowing occupancy and/or final building permit signoff for any and/or all buildings, the applicant shall have the required street improvements and any pavement restoration installed and accepted by the City. 8. Stormwater Pollution Prevention Measures: Prior to issuance of any grading or building penults, the applicant shall comply with the National Pollution Discharge Elimination System (NPDES) permit requirements, Santa Clara Valley Water District requirements, and the Campbell Municipal Code regarding stormwater pollution prevention. The primary objectives are to improve the quality and reduce the quantity of stormwater runoff to the bay. Resources to achieve these objectives include Stormwater Best Management Practices Handbook for New Development and Redevelopment (:`CA BMP Handbook") by the California Stormwater Quality Association (CASQA), 2003; Start at the Source: A Design Guidance Manual for Stormwater Quality Protection ("Start at the Source") by the Bay Area Stormwater Management Agencies Association (BASMAA), 1999; and Using Site Design Techniques to Meet Development Standards for Stormwater Quality: A Companion Document to Start at the Source ("Using Site Design Techniques")by BASMAA, 2003. 9. Private Improvements Agreement: Prior to issuance of any grading or building peiuiits for the site the owner shall execute an "Agreement for Private Improvements in the Public Right of Way". This agreement would be required to allow the existing utility facilities located in the public right of way along the frontage of this property, and any other non-City standard improvements, to remain. J:\LandDev\Conditions\B1dgVane Aim Way 45.doox Page 2 of 2 Exhibit B Recording Requested By: ) ) City of Campbell ) ) When Recorded Mail To: ) ) City Clerk ) City of Campbell ) 70 N. First Street ) Campbell, CA 95008 ) ) ) Space above this line for Recorder's use only 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 a Deferred Street Improvement Agreement with the City of Campbell ("Deferred Street Improvement Agreement"). B. The Deferred Street Improvement Agreement was recorded in the Santa Clara County Recorder's Office on or about , 20_ Document Number C. The Deferred Street Improvement Agreement required the Debtor's to provide, construct, and/or install certain street improvements in front of their property at , Campbell, California, at their own costs and expense, within 12 months from the date when [owner name] or their successors, were notified to do so by the City Engineer. Pursuant to the terms of the Deferred Street Improvement Agreement, the Debtors expressly agreed that if they failed to complete the work required by the Deferred Street Improvement Agreement within the specified 12 month period, the City was authorized to construct and/or install said improvements and recover the full cost and expense thereof from the Debtors or their successors. D. The Debtors did not complete the work as required by the Deferred Street Improvement Agreement. Therefore,the City constructed and installed said improvements. E. In , 20 , the City informed the Debtors about the improvements that would be installed pursuant to the Deferred Street Improvement Agreement. - 1 - F. The City subsequently completed the improvements. On or about , 20 , the City sent the Debtors an invoice for said improvements in the amount of$ G. Pursuant to the terms of the Deferred Improvement 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 Deferred Improvement Agreement, including without limitation,the entire unpaid principal amount. WHEREFORE, the City of Campbell, A California municipal corporation, pursuant to the Deferred Improvement 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) - 2 - 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 -,.(ti�c-\ On g'" `e.t,.t � ab,ZG1l� before me, ,,��\r.v\ o�nc.`t�� 1.)0-Ac,�r-1 {�v'v_)li (Here insert name andells of the officer) J personally appeared \&c-V\_ t Sc 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. _ JOANN THOMASON and official seal. IIIIiI1r,.; Commission#2110789 WITNESS my hand Notary Public-California z. z`« J• Santa Clara County Ex Ires Ma 9,2019 Notary Pubtlo.,, ignature (Notary Public Seal) © INSTRUCTIONS FOR COMPLETING THIS FORM • ADDITIONAL OPTIONAL INFORMATION This form complies with current California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT if needed,should be completed and attached to the document.Acknowledgments from other states may be completed for documents being sent to that state so long as the wording does not require the California notary to violate California notary )jei4t law. (Title or description of attached document) • State and County information must-be the State and County where the document p _ signer(s)personally appeared before the notary public for acknowledgment. N �G�' ° 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. Ile/she/They;is/are)or circling the correct forms.Failure to correctly indicate this ❑ Individual (s) information may lead to rejection of document 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 www.NotaryClasses.com 800-873-9865 • Securely attach this document to the signed document with a staple. TO BE RECORDED WITHOUT FEE SECTION 6103 GOVERNMENT CODE A"f THE REQUEST'0F CITY OF CAMPBELL 23486695 Recording Re Regina R l comendras Requested B S' ) Santa Clara County - Clerk-Recorder City of Campbell ) 11/03/2016 09:55 AM 70 North First Street ) Cam bell CA 95008 1423 )1 Titles: 1 Pages: 7 p Fees: $0.00 Taxes: 0 After Recording Return o:� . ) Total: $0.00 JtC 4 - 11 VIII KICt14rlirdifi lug "III City Clerk -. .. :.) City of Campbell ' ' ) 70 North First Street ) w ii 7515, a Campbell, CA 95008-1423 ) ; J a 3(4 (42�cl� 4 1 APN: 404-06-003 (Space Above for Recorder's Usf ly} 2016 Address: 45 Jane Ann Way, Campbell, CA 95008 i O ,'£? (.iw=(-Huk_ AGREEMENT FOR PRIVATE IMPROVEMENTS IN THE PUBLIC RIGHT-OF-WAY In consideration for granting permission to construct improvements in the public right-of-way, CHRISTIAN G SPORCK. A SINGLE MAN (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 45 Jane Ann Way. The City of Campbell grants such permission to allow a private water meter to be kept in the public right-of-way. The property owner shall be solely responsible for maintaining 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 attorney's 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 diapositive 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, and his /her successors, may revoke the rights 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 foul. 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 Page 1 of 6 "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. Page 2 of 6 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 al0- day of -v�ewN:ye<— , 2016. OWNER Christian G Sp rck Property Owner, 45 Jane Ann Way (Attach Notary Acknowledgment For All Parties) CITY OF CAMPBELL, a municipal Corporation Todd Capurso Public Works Director, City of Campbell ATTEST: Wendy o{.d, City Clerk Page 3 of 6 • 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 a, On&, fvaA�e,C a.loR60,2 before. ~k.r`.r\ o,,,Nr\c1/4_ ,n,�1a��,.t�1{ (Here insert name arid title of the ohm et) personally appeared O��;�\-• 0,v, G. S cc\ . 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. �.� JOANN THOMASON WITNESS my hand and official seal. Commission O 2110789 • za�,� �3 Notary Public-California z z �` rt Santa Clara County 1, I My Comm.Expires May 9 2019 . tary Pudic Signature (Notary Public Seal) ®ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM This form complies with current California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT if needed,should be completed and attached to the document.Acknowledgments from other states may be completed for documents being sent to that state so long as the wording does nor require the California notary to violate California notary � �(va \✓y v JQAi2 ,SNACli r3C�1rs Ime. (Title or`description of attached document) \\I\\ • State and County information must be the State and County where the document signer(s)personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s)personally appeared which (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 signers) 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. lie/she/they, is/are)or circling the correct forms.Failure to correctly indicate this ❑ Individual (s) information may lead to rejection ofdocuthent 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. 0 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 m.w.!w.NotaryClasses.corn 800-873-9865 • 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$ 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. Page 5 of 6 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) • Page 6 of 6 • 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- \N-ING C .,\ a - } On (3-c zolt¢before me, •, _.•4N " c3vf\a.Si-NN 'AZ:\-O1l f (Here insert name and elle of the officer) personally appeared VOA Cc. '(Sr� 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. JOANN THOMASON WI ESS my hand and official seal. • ' Commission #2110789 Notary Public-California Z Santa Clara County v` My Comm.Expires May 9,2019 Nota Public ignature (Notary Public Seal) ® 0 ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM This form complies with current California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT if needed.should be completed and attached to the document.Acknowledgments from other states may be completed for documents being sent to that state so long as the wording does not require the California notary to violate California notary et (Title b1A�' C� i (a-\e ��J� Je_- law, (Title o description of attached document) iJ A'eAA•t5 • State and County information must be the State and County where the document signer(s)personally appeared before the notary public for acknowledgment. P?N 00 4- Ot -OD 3 • 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. tae/she/they is/are)or circling the correct forms.Failure to correctly indicate this ❑ Individual (s) • information may lead to rejection of document 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 wwrw.NotaryClasses.com 800-873-9865 • Securely attach this document to the signed document with a staple. 45"- -a1IePirlik _ D ;i,ryriT: 21796243 ?ages: a b•: a _RECORDING' R E::::gJES t i_i' B'. i t = P' I Cid Rep1Ji:i t 1 i;le �.r par•.y III ilit i .� ,l 1. . i_. _.. : _ I t o i ? r zi r � Ord≥r' C.: O522OC6r7c1 [ AN IT - -- AN: 4O4-O6-O:113 eG`A.A rO DRAS Fes_.-CD:- ',011 en ReCanded i". if JCCu—ant a r ad Tax y`c�t'emerZs to: SANTA k� r w tJ"a' r t~<�=t r.. 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Date: Auc-Ja OH.,?l.12. i he i.J.-irrent E. �,e.`fn 149`:'3 I�`tv.r-Livcis Trust date::P.-.-..,,.:. , icyu r' £ty': ,--7 ,..m 1 • -ott c ...nfif-..-.:-- Count':;Sen £.far if;3r.— ';Jn 3Ath ay r P4.3,;,-.34.3.t„. 20:2 belbre n;i', Mar,. =tift;7 i (1=fl N'5tur. PL.*:.`..t. : rorjv �....-_;c Ll .7.3l.-ant N._. LP"f'r i'[t,. prayed t _ o,. the iz.r; Dr ti5fa ctorei vide.n� h. be the e ::i r3 talc n nc'"s).(i.sians sL:scriSednns within 1,--t st.cnCi..4e 1 ad C>3 11•,at 4 r:• try ,�e t �,.;,; s(, .`i�') C:CCUri ti-le same li'A$11'1ra't4'iett a1'`vi`A,sitt.`.>a -w'+izitr,; �, 3ntz tc t"" '-fi,:.-4 e_,,r ..tea SIC.i wrcf,5!Cc: the i1n trUnle it t1t pt,:"...*717..:,;),f, C.7 d'IC ER. L::41 be halt cf WiliCh trio-j e. „ '') .,f r cx ' •i ,.'_'if';under ;`_.rA "Y O-PERJURY,-5r_cier the laws.e Vie Slat of 1-4,7:1 t'•-••3: fr ry H � ��c-= F�a .�,.s�.f=� 'a�ca"::3�!'•i.=G is c-JC s.--...._. -.s.,z2;"fbr. _;T'_SS r-y harts and cifi ie`..ra:. 11 _ ht: ELL :. i?! Signs:.,-_ 1/7—.-.,, f r(-' ✓— —,;....177:7_ vLt 1e r..-..:t4,-.• ...?'n {(�_ f .,1 • F C it'rr-�1 er pnric (....7e.....!r1v...-.r'1 t: - 4':s_' a 5 :i^r 7:£" l'1.AIL TAY,S k'LLrn x..•:,5 Z'R=.rT7:v/'8:r'.'E • ORDER NO. : 0:622006991. . EXHIBIT A. The land r Lei 2 is P 3 ! e County ' C. Clara; C rz State t t�� �;Ct���.c.::.:.:r ..h �..l.ft•_ v3 r.� a, ,br _�f LLr.»~:.il; of • i._i3ii$s`'rr ii and is described 3_. follows: 8 o_77., Gs delinaated t;p:;r. that certain entitled 'Tract .''•lo•. 819 CcJal Manor Unit Nio. 2", fled for rrc a7 d in t e OffIce of.the O urtY at Santa Clara State of ca iibrnid, on .ar 1 26th, 1951 in c ' Maps. at. Page 55, N: 4.04-04-n07.. Pay-•. 1 of 1 PUBLIC WORKS DEPARTMENT LAND DEVELOPMENT Effective July 1,2016 TO: Finance PUBLIC WORKS FILE NO. PROPERTY ADDRESS 45 Jane Ann Way Please collect&receipt for the following monies: • ACCT. I ITEM AMOUNT LAND DVEncroachment 4722 Pe rmit Application Fee Non-Utility Encroachment Permit Major≥$10,000 $403.00 Minor Encroachment Permit<$10,000 $230.00 Initial R-1 Permit N/C Subsequent R-1 Permits within Two Year Period $230.00 Inspection Fee Minimum Charge per Location $398.00 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 Grading&Drainage Plan Review Single Family Lot $281.00 Site<10,000 s.f. $841.00 Site≥10,000 s.f. <0.5 Acre $1,127.00 Site≥0.5 Acre $1,688.00 4722 NPDES Review.(C3 Requirements) For projects not required to submit numeric sizing $163.00 -For projects required to submit numeric sizing Impervious Area 10,000 Sq.Ft to 1 Acre $704.00 Impervious Area 1 Acre or more $918.00 4722 For projects sent to Consultant for review Consultant Cost+20% 4722 Additional treatment facilities $300 ea Plan Check&Inspection Fee(Non-Utility) 4722 Engr. Est.<$250,000 _ 14%of Engineer's Estimate 4722 Engr. Est.4250,000 and≤$500,000 $35,000+8%of Engineers Estimate 4722 Engr. Est. >$500,000 $55,000+7%of Engineers Estimate 2203 Emergency Cash Deposit 4%of Engr. 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 $ 488.00 (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• 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 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 $281.00 511.7424 Postage MISCELLANEOUS_ Other(Please Specify) • *Engineer's Estimate shall be as approved by the City Engineer and shall include all items of work. TOTAL $ 488.00 NAME OF APPLICANT NAME OF PAYOR PHONE ADDRESS 45 Jane Ann Way, Campbell ZIP 95008 FOR RECEIVED BY CITY CLERK ONLY Date Receipt#' J:h,dDev\Plm Ched Coimia¢\1-Specific P,*d-Acura p,*in Pnay�slla.e Ann Wey 45Vnvuce PUBLIC WORKS DEPARTMENT LAND DEVELOPMENT Effective July 1,2016 • TO: Finance PUBLIC WORKS FILE NO. PROPERTY ADDRESS 45 Jane Ann Way Please collect&receipt for the following monies: ACCT. I ITEM I AMOUNT LAND DEVELOPMENT 4722 Encroachment Permit Application Fee Non-Utility Encroachment Permit Major≥$10,000 $403.00 Minor Encroachment Permit<$10,000 $230.00 Initial R-1 Permit N/C Subsequent R-1 Permits within Two Year Period $230.00 Inspection Fee Mjnimum Charge per Location $398.00 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 Grading&Drainage Plan Review Single Family Lot $281.00 Site< 10,000 s.f. $841.00 Site≥10,000 s.f.<0.5 Acre $1,127.00 Site≥0.5 Acre $1,688.00 .4722 NPDES Review(C3 Requirements) • For projects not required to submit numeric sizing $163.00 -For projects required to submit numeric sizing Impervious Area 10,000 Sq. Ft to 1 Acre $704.00 Impervious Area 1 Acre or more $918.00 4722 For projects sent to Consultant for review Consultant Cost+20% 4722 Additional treatment facilities $300 ea Plan Check&Inspection Fee(Non-Utility) 4722 Engr. Est. <$250,000 14%of Engineer's Estimate 4722 Engr. Est.≥$250,000 and≤$500,000 $35,000+8%of Engineers Estimate 4722 Engr. Est. >$500,000 $55,000+7%of Engineers Estimate 2203 Emergency Cash Deposit 4%of Engr. 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 $ 488.00 (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 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 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 $281.00 511.7424 Postage MISCELLANEOUS . Other(Please Specify) • *Engineer's Estimate shall be as approved by the City Engineer and shall include all items of work. TOTAL $ 488.00 NAME OF APPLICANT OTI St1 ' S f-t`k NAME OF PAYOR C\11$4 U S 0TCI( PHONE M I -3°1D- )1 I I ADDRESS 45 Jane Ann Way,Campbell ZIP 95008 sEFP AA FOR RECEIVE BY I CITY CLERK � �j -, ONLY Date Receipt* Or(�-d C al I Y OF CAW P6 LL; J:lertDev\Plan Check Comments\1-Specific Projects-Active Project in PmgresslJm,e Ann Way 45Vnvdce • • CITY OF CAMPBELL RECVD Y CASHIER 01000265999 e#+; CHRISTIAN JmR: TODAY'S DATE: Q3 SISTER +y} 0 26/16 2R: Q:m DESCRIPTION AMOUNT 81 q.GQmRED STORM DRAIN R2 S400,00 TOTAL q _ DUE: - $401,0O TENDERED: lgCm CHANGE: «m, CREDIT ERR: 608.00 REF NUM: CUSTOMER COPY : n �`+� Y [r<SY ;;.N F�. rf'3 MAY162016 Public Works Adrninis₹ratios, I REVIEW ROUTER CITY OF CAMPBELL ew Submittal- ❑Resubmittai:(?"° 3th 4th 5h Review) DRevision to Existing Permit 5-1, 3 it te :,- � '. r� cEJ�11✓ A�7�// (�,, t , ' APPLJCATION/PERJTY ,. JOB ADDRESS `-C.5 ,/'�\-'Z ' ' v� JOB DESCRIPTIoN_A4 `i(t 'tA. '�Gf 4 -S-FD csit4; ' 70y' - L c, i oTio . - - COMMERCIAL SIDENTIAL 7ry.7((-�';. Plans Green-Point Rated Checklist Striictus-aI Calcs. WVSD SOilS/GeotecknicaI Report School Fee Form Truss ales_ Health Department Approval. 4-24 C:alcs. ResPOnse Cuter C Green Specs ._Specif cations Initials. • iidin - t Clhecltie By • Date: C DAPP cl° rED• . EINc"T APPROVED ti= cttn-2,1: Date:: . . . E APP' €VEL) . ❑NoT APPR©17- 0 T1 ) / _ ► Plaanz orie °lan.Checked By: Date: (D Y DAPP OVED l77' oT APPROVED .. Plan Checked By: t Date: *7474, ❑APPRO\TED XIOT APPROVED DF'iI'e Plan Checked By: Date: DAPPROti"ED , DNOT APPROVED MEMORANDUM CITY OF CAMPBELL TO: Bill Bruckart, Building Official DATE: 05/25/2016 FROM: Doris Quai Hoi, Project Engineer (408) 866-2157 SUBJECT: BUILDING PERMIT APPLICATION Site Address: 45 Jane Ann Way For File No(s): BLD2016-00563 Project Description: Addition and remodel to an existing single family dwelling, new front porch,rear attached patio, front attached trellis Applicant: Sprock Residence COMMENTS The scope of this project triggers the requirement for Frontage Improvements as required by Campbell Municipal Code 11.24.040. This is an older neighborhood constructed with rolled curb and attached sidewalk. As it is not appropriate at this time to reconstruct the frontage to meet current City standards, the applicant will be required to enter into a Deferred Street Improvement Agreement to participate in frontage improvements at a later date. Said agreement will need to be executed by the applicant prior to issuance of the Building permit. PUBLIC WORKS DEPARTMENT CONDITIONS OF APPROVAL 1.`; Proof of Ownership: Prior to issuance of any grading, drainage, or building permits for the �—' site, the applicant shall provide a current Preliminary Title Report, grant deed, or other satisfactory proof of ownership to facilitate preparation of the Deferred Street Improvement Agreement. 2. Deferred Street Improvement Agreement: Prior to issuance of building permits for the site, the owner shall execute a deferred street improvement agreement for construction of standard street improvements. Unless otherwise approved by the City Engineer these improvements shall include, but are not limited to, removal and replacement of street pavement structural section to centerline, relocation of utility poles and facilities as required, installation of curb, gutter, sidewalk, ADA compliant driveways, street trees, street lights, necessary drainage facilities and necessary conforms to existing improvements. 3. Storm Drain Area Fee: Prior to issuance of any grading or building permits, the applicant shall pay the required Storm Drain Area fee, currently set at $2,120.00 per net acre, which is $488.00 4. Water Meter: The project has an existing water meter installed in the public right-of-way. If the water service is required to be upsized as part of the project (i.e. due to fire sprinklers), then the new water meter shall be installed on private property behind the public right-of-way line. J:\LandDev\Conditions\Bldg\Jane Ann Way 45.docx Page 1 of 2 45 Jane Ann Way(BLD2016-563) 5. Water Meter(s) and Sewer Cleanout(s): Proposed water meter(s) and sewer cleanout(s) shall be installed'on private property behind the public right-of-way line. 6. The following conditions only apply if the applicant has a need to install / upgrade utility services (water, sewer, gas, etc.)in the street: a. Utility Encroachment Permit: Separate permits for the installation of utilities to serve the development will be required (including water, sewer, gas, electric, etc.). Applicant shall apply for and pay all necessary fees for utility permits for sanitary sewer, gas,water, electric and all other utility work. b. Utility Coordination Plan: Prior to issuance of building permits for the site, the applicant shall submit a utility coordination plan and schedule for approval by the City Engineer for installation and/or abandonment of all utilities. The plan shall clearly show the location and size of all existing utilities and the associated main lines; indicate which utilities and services are to remain; which utilities and services are to be abandoned, and where new utilities and services will be installed. Joint trenches for new utilities shall be used whenever possible. c. Pavement Restoration: Based on the utility coordination plan, the applicant shall prepare a pavement restoration plan for approval by the City Engineer prior to any utility installation or abandonment. Streets that have been reconstructed or overlaid within the previous five years will require boring and jacking for all new utility installations. Jane Ann Way has been overlaid in the last 5 years. The pavement restoration plan shall indicate how the street pavement shall be restored following the installation or abandonment of all utilities necessary for the project. 7. Street Improvements Completed for Occupancy and Building Permit Final: Prior to allowing occupancy and/or final building permit signoff for any and/or all buildings, the applicant shall have the required street improvements and any pavement restoration installed and accepted by the City. 8. Stormwater Pollution Prevention Measures: Prior to issuance of any grading or building permits, the applicant shall 'comply with the National Pollution Discharge'Elimination System (NPDES) permit requirements, Santa Clara Valley Water District requirements, and the Campbell Municipal Code regarding stormwater pollution prevention. The primary objectives are to improve the quality and reduce the quantity of stormwater runoff to the bay. Resources to achieve these objectives include Stormwater Best Management Practices Handbook for New Development and Redevelopment ("CA BMP Handbook") by the California Stormwater Quality Association (CASQA), 2003; Start at the Source: A Design Guidance Manual for Stormwater Quality Protection ("Start at the Source")by the Bay Area Stormwater Management Agencies Association (BASMAA), 1999; and Using Site Design Techniques to Meet Development Standards for Stormwater Quality: A Companion Document to Start at the Source ("Using Site Design Techniques")by BASMAA, 2003. 9. Private Improvements Agreement: Prior to issuance of any grading or building permits for the site the owner shall execute an "Agreement for Private Improvements in the Public Right of Way". This agreement would be required to allow the existing utility facilities located in the public right of way along the frontage of this property, and any other non-City standard improvements, to remain. J:\landDev\Conditions\BldgUane Ann Way 45.docx Page 2 of 2 Photos of 45 Jane Ann Way ••r. { fir�// • 4.0. 1.4 • • OW al • 9'DWY 30'Half-width CL to PL • WM —5.8' PL to 3.5' SWK BOW WM / 7•44' 4. • y[ 41 PP across the street .*-'4.-/' '''''. ' ' I. 41 ''''' .1: - -'''''_ "T.:, ' ' „,. ,..4.4,,,., 1,,,,.. . '...-,',,i , 20' , 4, i4 < 1 1 0" • • I 4 . •...., . ..,,,,,,.. ;-- ' ' ., __._ , . z _._ r _: ,...„ i ",,ak _.,,- :*_-;..-2.,. ,,_ : a .., .. , _:,,„.: . .. , . . .. 4 I , -, , 5.0 G r ; .- . W Zs, Y f ,4e.. - - ,I . . _.„,_..„, . ..., : , , - . 4 . „,,,,, „ , 1 , , . L 30.0' CLtoP � . � • by WM behind BO•• 4 ,. . . o .. oy ( . Ak ; - OD ) \ ' 11 .� >- 3.5' SWK E--) ` . _ a; 0 2.0' Rolled Cu =. - Oy I \O _ _ Oh '" 1001011W 4111 -5.8' oy OH 1_ PL to BOW ' OFFICE OF COUNTY ASSESSOR SANTA CLARA COUNTY , C A L I F O R N I A AVE. _- BOOK PAGE _ _ _ .-- 307 - - 404 6 _ W. CAMPBELL - - 55 TRACT No.11720...CORAL MANOR 93.56 29.so TRACT No. 819...CORAL MANOR...UNIT No.2 760 ��k ec \N6 97.28 62.69 � 2g I I 106.12 1 . 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MAP 097 �� LAWRENCE E. STONE - ASSESSOR n Cadastral map for assessment purposes only. • B U CK N ALL - - - ROAD CD' / Compiled under R. & T. Code, Sec. 327. ORIG C/L Effective Roll Year 2015-2016 City of Campbell Storm Drain S m Page 1 of 1 0 Cit ; a gaRwm Dr i • 'R ystem eb °ppBui d for GIS .y Santa Clara County ISD-GIS 12"RCP(T5234) 15'fRCP-{,T523.1• • lit O rn Rj n a_ 0 W Ci C Ll.1 d • 33" PCP P51-.; • r r a a Seat-ch result J _ 45•JANE ANN WAY CAMPBELL 950C ='. 404406003 • C, r, - -, — Show more results a Zoom to 200ft 37.289 -121.966 Degrees All Rights Reserved http://sccgov.maps.arcgis.com/apps/webappviewer/index.html?id= ee7cd 17bafdc4c 1 ead74e... 5/24/2016 • TRACT N° 819 CORAL MANOR UNI T N-° 2 il . ,-4 ______ y� 5 86.,262'__1_'-"_- t� /55./9 '>, BEING A PA R T OF THAT CERTAIN 100.5 ACRE TRACT I 32303 ..- /da.67 ---CAMP ELL 3/0.39 igVENUE 1 't (III �, CONVEYED BY C..I FELLOM TO W.H.HARRON NOV. 1, �--r 483.19 op 1887 AS RECORDED 1N BOOK 96 OF DEEDS AT PAGE C y��t•<.o C P /04./4 I B /06./2 /°763 A /..1-7776777— B /o6./z a N 3O 30 n 486 RECORDS OF SANTA CLARA COUNTY M - 30 130 M V (fl 42 48 n IO N o 70 69 0 10 LYING IN THE QUITO RANCHO o c0 o 91 '9 $89'/7'W(25.00 SB9•/7'W 125.00 I S 9'/7'W/23.00 SB9'/z'W 10.e., -�t''ZO'PU..E. '•ZO'P.UG.l'-'1 ° 0 o o $---� SANTA CLARA COUNTY, CALIFORNIA 0 90 $ 71 68 49 �° SCALE 1 =100/ FEBRUARY, 1951 W a CERT/F/CATE OF OI4/NER A A /23.00 /25.00 1 /23.00 o 728.48 0 0 00 °o 0 I o 50 0 HUNT ENGINEERING' CO. We hereby certify that we are the owners 6 72 0 67 d m ro SAN JOSE CALIFORNIA a 89 0 m of or have some right,title or interest in and to the real property included within thesubdivisionshown BASIS OF BEARINGS upon this map, and that weare fhe only persons \ / 0 0 0 51 d The center/ire of Campbell Avenue as shown on /he whose consent is necessary fo pass a c/ear title fo 0 88 0.0 u) ro 73 0 66 b ro tD el q, map of Tract N° 720, Cora/Manor"as recorded in Book 28 said properly,and we consent to themakingond of Maps at page/9,Santa Clara County Records was taken recording of said map and subdivision as shown 0 0 0 k 0o o°° as /he basis of bearings shown upon this map. within the border lines,and hereby dedicate to m o o 0 0 0 o sz a /"'x 2'iron pi Pe is set at all/of corners and intersect- public use all streets and parts of streets shown m 0 87 0 ° 74 p 65 o m 0 �y P P t. a, ° " �, ions. upon said map within said subdivision. ° ° a All dislances pod dimensions are shown in feel and dec- We also hereby dedicate for public use those 2"X20"strips of w o 0 0 0 0 0 a, °o $° /mats thereof. /and designated as"anchor easements,such easements fo be kept 86 m 75 o 64 a $ 53 m The blue border indicates the boundaries of the land open and free from buildings and structures of any kind. `° SAN JOSEABSTRACT& TITLE INSURANCE CO. r sag „'W/25.00 _ subdivided by this map. A CAL/PORN/A CORPORATION I ° SB9'/7'W !28.48 589 /7'W/25.00 SB9`/7'W /25.00 h0 0 $ 0 0 0 0 85 0 76 p 63 p °w 54 PRES/D NT SECRFTTARV ~ 1, '9 co CERTIFICATE OF SURVEYOR ik• °o o • I, 1v"'M.Hunt, hereby certify that 1 am aLicensed 0 o g o o 0 84 0 p 77 0 62 0 w 55 o Surveyor of the Stale of California, that this map,con- STATE OF CALIFORNIA SS.m x 03 m m 0 sisfing of one sheet correctly represents a survey made COUNTY or SANTA CLARA r by me in February, /95/; that the survey/s Prue and corn- On thisJiL day of fphruvey ,/951, before me_Pat_ILzg ein ,a a' Itl'• o 0 0 0 0 °o $ plete as shown; that all of the momumen/s shown thereon, Notary Public in and for said County,personally appeared L..P. sb 0 S3 0 78 0 e l 0 MI 0 56 6 consisting of iron pipe, actually exist and theirposi/ions Edwards,known tome fo be the President and CJ Clark,known ro $ $ ti '' '9 are correctly shown and that said monuments are suffic- to me lobe the Secretary of San✓oseAbstractand Title Insurance /28.40 /25.00 /z5.00 '25'°° •' lent to enable the survey to be retraced. Co., the corporation that executed the within instrument and 0 0 0 0 0 0 c, � �2 known tome to be the persons who executed the same upon be 82 0 0 ° °o aoo s7 o — half of the corporation named therein,and acknowledged to me ro m 79co 60 m co Licensed/Land Surveyor Cer ti /cote Ne 2388 that such corporation executed the same. NB9•/7'E /28.48 /�' 9•/7'E /25.00 e z P N89./7'2/7'2/25.00 , N69 /7'E lzs.00 `;,c• Z'.ZC PU.E. 0 4Y/TNEs5 my hand and officio/seal/he day and year in this YOPU.E o Si ° 0 ° certificate first above 0 81 ig ( 80 0 59 o 58 o 17 0 _30 30 - m 30 30 �T�� • C C C D zro �:4#;, Notary ub//c in and for th untyofSantaClara,California /08,48 I /05.00 /05.00 MI-41 � e,7•z9' I - N69'!7'E 522.36 _ R�N0°--�J Q•f 40'v 7 S ? /58.46 B U KNALL 3/0.00 ROAD 0 F___...o--F---6 9 - - - sd"P 40'/wx _ �, N'29'/7'E 623.48 75¢.00_'9 4 - �'� CERTIFICATE OF THE CLERK OF THE BOARD OF SUPERVISORS g.' II 2o/ / if is ordered that the map of Tract Ne 8/9 be and the same is CURVE DATA LEGEND CERTIFICATE OF COUNTY -1 OUNTY SURliEYOR hereby approved,'that the part of Campbell Avenue as shown upon A. H C I) 2 r• said map and therein offered for dedication be and the same R 20.00 20.00 20.00 20.00 .573.26 603.26 • Iron pipe found I hereby certify that/have examined the final Map of /s hereby accepted for the purposes for which the same are off- 4 92'50" 97•/0' 90°00' 95•//'20" 2•//"40" T•23' o Iron pipe set Tract N98/9; that the subdivision as shown thereon is sub- erect for dedication at/ofherstreefs and ports as 2 .32.40 3043 31.42 33.23 2/.96 77.74 1 T 2/.0/ /9.03 20.00 2/.90 •38.9/ o R,R.Spike set stantially the same as it appeared on the tentative map shown on said map and therein offered for dedication be and thereof and any approved alterations,,that at/theprovis- the same are no/hereby accepted for the purposes for which ions of the Map ActAc/and of any local ordinances applicable the same are offered for dedication. 70o O Ii at the lime of the approval of the tentative map have been The Clerk of this Board is directed/o endorse upon the face CERTIFICATE OF COUNTY RECORDER complied with,and that/am satisfied that said map is of said map a copy of this order athentica/ed by the sea/of technically correct. the Board of Supervisors. Accepted for record and recorded in Book 3/ of Maps, page•3-6 Rob/.B.Chandler, county Surveyor, /hereby certify/hot the foregoing order was adopted by in the office of the County Recorder of the Count of Santa Clara this Dated: Feb.�b•,/25/. Santa C/ara County, California .2 6 day of P e 6 , /95/, at 3:'7/ PM. the fhe Board of Supervisors eta meeting he/d/c ree,,rr/'.S,19.51, ET McGehee, County Clerk and Ex-Officio Clerk of the Chas. A. Payne, County Recorder of the 800.dotSaperv/sorsofThe CouniyofSanta Clara,California Coun/y of Santa Clara By Deputy l B �� --,-(..-e...--, . Deputy Deputy id Development Information sh___ Prepared by: CP APN: 404-06-003 Date: 5/24/16 Address: 45 Jane Ann Way Lot size: 10,422(SF) Any found records of building permits in last five years? Yes® (provide info below)No❑ Was permit issued? Yes❑ (provide info below)No If yes: Permit Number: BLD2016-00563 Nature of work: Addition and remodel to existing SFD If this project is part of a larger development(new subdivision,new townhomes)or commercial development, skip A through D. A. Existing building area(SF): 1,534 B. Proposed additional area(SF): 1,341 (Use the area from five years back) C. Total area w/addition(A+B): 2,875 D. Percent increase(B/A): 87% (if less than 50%,stop research) Tract or Parcel Map : Tr. 819 (Tract#or book&page) Date recorded: February,1951 Any found records of Storm Drain Area fee previously paid? Yes❑ (provide info below) No (Fee initiated for residential subdivisions 4 8/15/55;all developments 4 5/16/60) Date paid (file#&address or LID#) Storm Drain Area fee: 0.23 (area in acres) X $2,120(fee/acre) = $487.60 Within STANP? Yes ❑ No® (check one) STANP Requirements: Curb ❑ Gutter 0 Sidewalk❑ Rolled curb❑ None❑ NA Existing improvements present? Curb ® Gutter ❑ Sidewalk ® (check all that apply) Sidewalk dimension(BOW to FOW): 3_5' Park strip dimension(FOW to BOC): N/a Driveway dimension(s): 9' D/W ADA compliant? Yes ® No ❑ Ramp ADA compliant? Yes ❑ No❑ Street ROW half width(CL to PL): 30' Date that street had been resurfaced: Ausust 2013 Street light info: JP® older pole ❑ galvanized pole ❑ Water meter and sewer cleanout info: WM behind SWK SD inlet and/or manhole(relation to frontage): Not found Electrical panel relocation? Yes ❑ No ® NA ❑ Overhead lines fronting property? ❑ Yes ®No A.Roadway Classification: ❑Arterial,Collector or ❑Local B.Commercial structure or subdivision of 5 or more? 0 Yes ❑No Utility undergrounding required? ❑Yes ®No Provide details and attach pictures(8.5x11),assessors map(1 1x17)and aerial map(8.5 x 11),WVSD SD system map (11x17,B/W),SD Map-CAD File(8.5x11)