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90 Jane Ann Way
PLEASE KEEP THIS SHEET ON TOP Project Fact Sheet 1. Project Address: t0 ''‘9`1\‘‘\ ENC 2. APN: Oo'D3`\ 3. Owner Name(s): A\ \C 2_c\<ci S 4. Owner Address: 5. Owner Phone: 6. File No. (Pluming) --z\- ) a t 1 s' VV1 7. Project Planner: 8. Cross Reference File(s) 9. Condition of Approval: Circle one: City Council Planning Commission Comm Dev. Director Resolution No. 10. Architect: 11. Architect Address: 12. Architect Phone: 13. Engineer Name: 14. Engineer Address: 15. Engineer Phone: 16. Surveyor Name: 17. Surveyor Address: 18. Surveyor Phone: 19. Monumentation Security Amount: \\friendship7.cityhall.ci.campbell.ca.us.local\Profile_Data$\joannat\Desktop\My Forms\Templates\Project fact sheet.doc Project Address: City of Campbell 14-b10 o WASTE f MANAGEMENT Permit NoO t 6,7 G O CRA o• PLAN WMP REQUIRED BECAUSE PROJECT IS A SUBMIT TO: /Demolition≥500 Sq. Ft. City of Campbell ❑ Construction/Remodel ≥ $250,000 Public Works Dept. 70 N. First St. ❑ Construction/Remodel≥ 2000 sq. ft. Campbell, CA 95008 Mon.— Fri. 8:00 am-5:00 pm INFORMATION AND SUPPORT: Public Works Dept. -408 866 2150 SECTION ONE: PERMIT APPLICATION This Waste Management Plan (WMP) must be completed and approved to obtain a building permit. Separate WMPs must be completed for demolition and construction at the same site unless the Building Department requires only one permit. Step 1: PROJECT INFORMATION - FILL OUT THE FOLLOWING INFORMATION Applicant's Name: 17 f r1�!� a? l'Ic Contact Phone Number: if/.7?"- C���9� 7/4 Fax Number: Check one: [IOwner ❑ Architect ❑ Builder ❑ Owner/Builder ❑ Other Contractor: // 'fkL_ rsj'��tc- i1-'Contact Phone Number: Vol-ill_l/V • Project Type: [/I New ❑ Remodel O Addition ❑ Demolition Project Square Footage: Project Description: III Estimated Completion Date: Al.�,: `- /� Step 2: WASTE MANAGEMENT REQUIREMENTS REQUIREMENTS: You are required to recycle or re-use 50% of all construction and demolition debris. I understand that I am required by the City of Campbell Municipal Code Section 6.12 y age, reuse, or recycle a minimum of 50% of all construction and demolition debris (C&D). (Initial) I understand that failure to meet the requirements of Municipal Code Section 6.12 shall constitute a misdemeanor, and shall be punishable by imprisonment in the county jail for up to 6 months, or by a fine of up ,000, or both. In addition, a stop order on the job or a delay of final approval may occur. Kir (Initial) At the completion of this project, or more frequently if required, all receipts or other equivalent documentation from salvage, recycling and waste facilities will be provided to the City of Campbell Public Works Department and I understand that I may not be issued my final inspection unless all rece pnd documentation are submitted to the City of Campbell Public Works Department. . (Initial) Step 3: RECYCLING CONSTRUCTION AND DEMOLITION DEBRIS - ANSWER THE QUESTIONS BELOW SALVAGE AND REUSE: What materials will be salvaged? -- Salvage Company (if applicable): What materials will be reused on site? e/ How will this be documented? 77,/4. MATERIAL TRANSPORTATION: Will you be using a hauling company or hauling the material yourself? (Che k one) ❑ West Valley Collection & Recycling Co. (WVCR)* Self Haul * Permit Applicant is required to contact WVCR (408-283-9250) to request construction and demolition debris box service. All original receipts, weight tags and documentation for salvage, recycling, and disposal must be submitted: ❑ On Completion of project ❑ Other DPW Approval: Date: SECTION TWO: FINAL REPORT APPROVAL Please complete this section and have it approved by the Public Works Department no later than 30 days after completion of the demolition or construction project. This section must be completed and signed, and all original receipts or other supporting documentation must be attached in order to receive final project approval. ❑ All original receipts or equivalent documentation for salvage, recycling, and disposal are hereby attached. ❑ This project has recycled at least 50% of all construction and demolition debris generated. Applicant: Date: DPW Approval: Date: PUBLIC WORKS DEPARTMENT LAND DEVELOPMENT Effective July 1,2015 TO: Finance PUBLIC WORKS FILE NO. PROPERTY ADDRESS 90 Jane Ann Way Please collect&receipt for the following monies: /c'QA Lip LA 1(o'p3 r� ACCT. I ITEM 1 I AMOUNT LAND DEVELOPMENT 4722 Encroachment Permit Application Fee Non-Utility Encroachment Permit Major≥$10,000 $395.00 Minor Encroachment Permit<$1o,000 $225.00 Initial R-1 Permit N/C Subsequent R-1 Permits within Two Year Period $225.00 Inspection Fee Minimum Charge per Location $390.00 Street Tree Planting/Removal N/C 2203 ($500 per Tree Planting Deposit Required) $500.00/tree 2203 Plan Check Deposit 2%of Engineer's Estimate $500.00 min • Utility and R-1 Permits no deposit required 4722 Grading& Drainage Plan Review Single Family Lot $275.00 Site< 10,000 s.f. - $825.00 Site≥ 10,000 s.f. <0.5 Acre $1,105.00 Site≥0.5 Acre $1,655.00 4722 NPDES Review(C3 Requirements) For projects not required to submit numeric sizing $160.00 For projects required to submit numeric sizing Impervious Area 10,000 Sq. Ft to 1 Acre $690.00 • Impervious Area 1 Acre or more $900.00 4722 For projects sent to Consultant for review Consultant Cost+20% 4722 Additional treatment facilities $300 ea Plan Check& Inspection Fee(Non-Utilit ) 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 (Multi-Res$2,385.00) All Other 0) 4722 -Parcel Map(4 Lots or Less) $3,n0.00+ 85/lot 4722 Final Tract Map (5 or More Lots) $4,775.00+$116/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) $1,856.00 4722 Vacation of Public Streets& Easements $2,480.00 4722 Certificate of Compliance $1,840.00 4722 Certificate of Correction $550.00 4722 Document Recording Fees $15.00/first page$3 ea.Additional 4722 Private Improvement in Public ROW $50.00 4722 Approved Plan Revision Fee $100/sheet 4722 Appeal Filing Fee $200.00 4722 Notary Fee(per signature) $10.00 4722 Assessment Segregation or Reapportionment First Split $877.00 Each Additional Lot $275.00 511.7424 Postage MISCELLANEOUS Other(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 Triada Construction LLC NAME OF PAYOR PHONE ADDRESS ZIP l t s FOR RECEIVED BY CITY CLERK. ONLY Date r( Receipt# % t J?LvdDerWIan LAM CvrvnenlMI•Soecirc Prjnn -Acd.e Prq¢r,Proq esslluie Ann Wey E'OReceipr F,m CITY OF CAMPBELL-CLERK 70 N FIRST ST LOWER LVL CAMPBELL,CA 95008 10;20/2015 15:12:42 MID; 000000000464180 ED: 05167565 225180862990 0`.i.•3 x"!i t '_x:iM.3 Et: ,.._. 12:6ai4,lr:: CREDIT CARD CUPSMC1I0N MC SALE DDAY 'S DA1ECARD # XXXXXXXXX7{KX2772 _ ; , x. _ INVOICE 0011 Batch#: 000517 ug JANE WAY AY 07212C Approval Code: v.. _._._._.. Entry Method: Swiped AL E1E a 1,483.0r3 Mode: Online TENDERED: $4 u Tax Amount: $0.00 CREDIT CARD: 'Aeg0f3 SALE AMUIJ\T ,0] REF NM: CUSTOMER COPY ENCRI FIMENT PERMIT ISSUANCE CHECK] City of Campbell Encroachment Permit No. EN(0 Department of Public Works Tract No. 819 Address 90 Jane Ann Way ITEMS REQUIRED FOR PERMIT 1. E Encroachment Permit Application complete,with applicant signature and date(front and back) 2. O Permit Application Fee paid $225.00 Receipt Number&Date: 3. El Plan Check Deposit Paid(2%of Engineer's Estimate,$500 min) $500.00 Receipt Number 4. O Grading Plan Review Fee paid $275.00 Receipt Number&Date: � 5. ❑ City Engineer's Estimate Completed and Submitted n (> E≤ �U C" �� ` F ' t 6. ❑ Four(4)Sets of Street Improvement Plans 'tJ v v 7. 0 Four(4)Sets of Grading and Drainage Plans W s A \\40( CAY C 8. ❑ Check Lists(Grading and Drainage, Street Improvement) ITEMS REQUIRED PRIOR TO PUBLIC WORK CLEARANCE FOR BUILDING PERMITS 9. ❑ Plan Check&Inspection Fee:Engineer's Estimate(EE)J $5,100.00I ;if EE is<$250,000,then fee is 14%of EE. If EE>$250,000,fee is Actual Cost+20%. $35,000 minimum deposit. Amount $714.00 Receipt No.&Date 10. C7 Security for Faithful Performance and Labor and Materials, 100%each of Engineer's Estimate, supplied or paid. Amount: $5,100.00 Form: Receipt No.&Date: 11. O Security for Monumentation Amount: $0.00 Receipt No. &Date: 12. O Construction Emergency Cash Deposit: 4%of Engineer's Estimate.($500 minimum,$10,000 maximum) Amount $500.00 Receipt No. 13. 9 Storm Drainage Area Fee Amount := 'g' Receipt No.&Date G Ir1�j, __ 14. O DEF Street Improvement Agreement signed and notarized(proof of ownership submitted) �,�( o r eE ! C.M. 15. ❑ Right of Way Documents Completed and Fees Paid. ❑ PSE&S/W Easement O Street cacon ❑ R.O.S. Req'd? 16. O All other Public Works requirements listed in the Conditions of Approval of the development. 9 PG&E App (SL) 17. El Other Fees,Payments,Deposits Amount $0.00 Receipt No.&Date 18. ❑ SWPPP+NOI 19. O C3 Certification 20. 0 Covenant Agreement and/or Maintenance Agreement 21. O Geotech Letter 22.O Storm Water Management Plan ITEMS REQUIRED PRIOR TO ISSUANCE OF ENCROACHMENT PERMIT: 23. O Contractor's signature added to the permit application(front and back) 24. 0 Contractor's City of Campbell Busines s License # 0 25. O Worker's Compensation Insurance Information Sheet received from Contractor. 26. O Certificate of Insurance with Additional Insured's Endorsement received from Applicant or Contractor. 27. O One mylar set and six(6)or less sets of off-site plans signed by engineer,stamped APPROVED FOR CONSTRUCTION. ❑ Contractor O Inspector ❑ PW Superintendent(Service Center) ❑ EP File O LD File Cl Signals&Lighting Supervisor(Service Center) 28. O Permit signed by City Engineer. 29. O INITIATE CHECK REQUEST FOR PLAN CHECK DEPOSIT REFUND WHEN ALL OF THE ABOVE ITEMS ARE COMPLETE,PERMIT MAY BE ISSUED. Issuer: Initial and date and file with permit J:\andDev\Plan Check Comments\I -Specific Projects-Active Project in Progressllane Ann Way 90\[Development Fees 9-30-15.xlsm)6-ENC Permit Issuance Checklist `2 E St oV' ---FW (q- CITY OF CAMPBELL I 0( e f U rb v" L± • PUBLIC WORKS DEPARTMENT �v_ ENGINEERING DIVISION Revised 8/15 ENGINEER'S ESTIMATE FOR LAND DEVELOPMENT PROJECTS Date: September 30,2015 For File No(s): Site Address: 90 Jane Ann Way ENC. No. Estimated Cost of Improvements $5,000 rrEM ' UNIT PRICES FOR PROJECT AMOUNT NO. DESCRIPTION ()1 1 1\11 <5100 K >$I 00 K \AMOUNT I. DEMOLITION/CLEARING I. CLEARING&GRUBBING 0 I.S $2,750.00 $2,000.00 $ - SAWCUT P.C.C./A.C.(UP TO 6") 80 LF $5.75 $4.25 $ 460.00 3. P.C.C.REMOVAL 80 SF $4.00 $3.00 $ 320.00 4. CURB AND GUTTER REMOVAL 20 LF $11.00 $7.00 $ 220.00 5. MEDIAN REMOVAL 0 SF $7.00 $5.50 $ - 6. DEMOLISH EXISTING INLET/PLUG RCP'S 0 I A $2,250.00 $1,750.00 $ - II.STORM DRAINAGE I. 12"R.C.P.(CLASS V) 0 I.I $275.00 $225.00 $ - 2. 15"R.C.P.(CLASS III) 0 LF $300.00 $250.00 $ - 3. 18"R.C.P.(CLASS III) 0 LF $325.00 $275.00 $ - 4. 24"R.C.P.(CLASS III) 0 LF $350.00 $300.00 $ - 5. 30"R.C.P.(CLASS III) 0 LF $400.00 $350.00 $ - 6. T.V.INSPECTION(12") 0 LF $1.60 $1.25 $ - 7. STD.DRAINAGE INLET(C.C.DETAIL 5) 0 EA $3,600.00 $3,000.00 $ - 8. FLAT GRATE INLET(C.C.DETAIL 6) 0 EA $2,125.00 $1,700.00 $ - 9. STD MANHOLE(C.S.J.DETAIL D-11) 0 EA $6,500.00 $5,250.00 $ - 10. STD MANHOLE(C.S.J.DETAIL D-I2) 0 EA $8,000.00 $6,500.00 $ - 11. BREAK AND ENTER M.H./D.I. 0 EA $1,300.00 $1,000.00 $ - III.CONCRETE IMPROVEMENTS I. SIDEWALK 80 SF $10.00 $8.00 $ 800.00 2. DRIVEWAY APPROACH 80 SF $14.00 $10.00 $ 1,120.00 3. CURB AND GUTTER 16 LF $60.00 $47.00 $ 960.00 4. VALLEY GUTTER 0 SF $35.00 $30.00 $ - 5. CURB RAMP 0 EA $4,500.00 $3,500.00 $ - 6. TYPE B-1 CURB 0 LF $50.00 $40.00 $ - 7. TYPE AI-B3 CURB 0 LF $25.00 $20.00 $ - 8. COBBLESTONE MEDIAN SURFACE 0 SF $25.00 $20.00 $ - 9 BUS STRESS PAD U LA $12,000.00 $12,000.00 $ - J:\LandDev\Plan Check Comments\1-Specific Projects-Active Project in Progress\Jane Ann Way 90\Development Fees 9-30-15(Rev.03/08jage 1 of 3 CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT ENGINEERING DIVISION Revised 8/15 ENGINEER'S ESTIMATE FOR LAND DEVELOPMENT PROJECTS Date: September 30,2015 For File No(s): Site Address: 90 Jane Ann Way ENC. No. Estimated Cost of Improvements $5,000 ITEM UNIT PRICES FOR PROJECT AMOUNT NO. DESCRIPTION V Il UNIT <5100 K >5100 K $AMOUNT IV.PAVEMENT 1. ASPHALT DIGOUT AND REPLACE 0 CF $6.25 $5.25 $ - 2. PAVEMENT WEDGE CUT(6) 0 LF $5.50 $3.00 $ - 3. PAVEMENT GRINDING 0 SF $1.10 $0.75 $ - 4. PAVEMENT FABRIC(PETROTECH) 0 SY $2.50 $2.25 $ - 5. ASPHALT CONCRETE(TYPE A) 0 T $225.00 $180.00 $ - 6. AGGREGATE BASE(CLASS 2) 0 T $90.00 $50.00 $ - 7. SLURRY SEAL(TYPE II) 0 SF $0.30 $0.25 $ - 8 AC REMOVAUOFFHAULJDISPOSAL n ('I $15.00 $13.50 $ - V.TRAFFIC SIGNALS/LIGHTS 11. NEW SIGNALIZED INTERSECTION I $299,446.29 $0.00 VI.STRIPING AND SIGNS o LS $0.00 $ - VII.LANDSCAPING 1. STREET TREE 0 EA $650.00 $500.00 $ - 2. STREET TREE(36"BOX) 0 EA $900.00 $750.00 $ - 3. PRUNE TREE ROOTS 0 EA $200.00 $150.00 $ - 4. TREE REMOVAL 0 EA $800.00 $650.00 $ - 5. PLANTINGS 0 LS $1.00 $5,000.00 $ - 6. IRRIGATION 0 LS $1.00 $5,000.00 $ - J:\LandDev\Plan Check Comments\1-Specific Projects-Active Project in Progress\Jane Ann Way 90\Development Fees 9-30-15(Rev.03/08jage 2 of 3 CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT ENGINEERING DIVISION Revised 8/15 ENGINEER'S ESTIMATE FOR LAND DEVELOPMENT PROJECTS • Date: September 30,2015 For File No(s): Site Address: 90 Jane Ann Way ENC. No. Estimated Cost of Improvements $5,000 ITEM UNIT PRICES FOR PROJECT AMOUNT NO. DESCRIPTION t)I1 UNIT <SI00K >SI00K SAMOUNT VIII.MISCELLANEOUS 1. PEDESTRIAN BARRIER 0 LF $86.85 $69.45 $ - 2. CHAIN LINK FENCE(6') 0 LF $30.00 $25.00 $ - 3. RAISE MISC.BOX TO GRADE 0 EA $600.00 $500.00 $ - 4. RAISE MANHOLE TO GRADE 0 EA $850.00 $700.00 $ - 5. INSTALL MONUMENT BOX 0 EA $3,000.00 $3,000.00 $ - 6. MEDIAN BACKFILL 0 CY $26.00 $22.00 $ - SUBTOTAL $ 3,880.00 PREPARED BY: 10%MOBILIZATION,CONSTRUCTION $ 388.00 TRAFFIC CONTROL/PHASING, $ - REVIEWED BY: CONSTRUCTION STAKING, $ - CONSTRUCTION TESTING $ - APPROVED BY: 10%CONTINGENCY $ 388.00 10%SECURITY ENFORCEMENT $388.00 TOTAL FAITHFUL PERFORMANCE SECURITY $ 5,044.00 USE THIS AMOUNT FOR SECURITY $5,100.00 J:\LandDev\Plan Check Comments\1 -Specific Projects-Active Project in Progress\Jane Ann Way 90\Development Fees 9-30-15(Rev.03/08jage 3 of 3 Doris Quai Hoi From: Doris Quai Hoi Sent: Wednesday, September 30, 2015 4:34 PM To: 'David Fiore' Subject: RE: 90 Jane Ann:Triada Construction, LLC Attachments: Deferred SIA.pdf; Development Fees 9-30-15.pdf; Receipt Form.pdf Okay here you go. Sign and notarize the Def SIA. JoAnna is a notary here in Public Works , if you 'd like to sign at City Hall . If you do plan to use our notary, please print and bring the Agreement. The Receipt form - print out and bring it with you for collection of the $505 .00. The development fees is related to the "16ft driveway opening" if you plan to do that work, it won't be tied to your building permit requirement unless you do show it on the plans . You can decide whether you want to do this work or not toward the end . Keep in mind you will still need to pull an encroachment permit to repair damaged areas, you can do this toward the end of the project. You won't get your building final till the work is done. Doris C. Quai Hoi I Assistant Engineer City of Campbell I Public Works Dept. P 408.866.2157 I F 408.376-0958 70 N. First Street I Campbell, CA 95008 From: David Fiore [maiito:david(atriadainvestments.com] Sent: Wednesday, September 30, 2015 1:04 PM To: Doris Quai Hoi Subject: RE: 90 Jane Ann: Triada Construction, LLC Hi Doris, Sorry. I had the title report when I purchased the property. Please find attached the Grant Deed with Triada Construction, LLC on it as of June 8th, 2015. Let me know if you need anything else. Thanks, Dave From: Doris Quai Hoi [mailto:dorisgh@cityofcampbell.com] Sent:Wednesday, September 30, 2015 12:38 PM To: David Fiore <david@triadainvestments.com> Subject: RE. 90 Jane Ann:Triada Construction, LLC Thanks . Please send me a copy of the grant deed. The preliminary report doesn 't show the title to the property, only that the buyer I'll get a kick back from the county if things don 't match up correctly. 1 Doris C. Quai Hoi I Assistant Engineer City of Campbell I Public Works Dept. P 408.866.2157 I F 408.376-0958 70 N. First Street I Campbell, CA 95008 From: David Fiore [maiito:david©triadainvestments.com] Sent: Tuesday, September 29, 2015 5:39 PM To: Doris Quai Hoi Subject: 90 Jane Ann: Triada Construction, LLC Dear Doris: Thank you for taking the time today to speak with Luka and I regarding 90 Jane Ann Way. Please find attached the following: 1. Title Report 2. Triada Construction, LLC Operating Agreement 3. Triada Construction, LLC Exhibits and Signature Pages 4. David Fiore Written Authorization to Act on Behalf of Triada Construction, LLC. Please let me know if you need anything else from me to create the Deferred Street Improvement Agreement. Thank you, David Fiore 408-859-7166 2 OF CitA4 r. .. © • A G� o CHARO. PUBLIC WORKS SUBMITTAL REQUIREMENTS City of Campbell Department of Public Works www.cityofcampbell.com 4 Public Works 4 Land Development A. ITEMS REOUIRED FOR PARCEL OR TRACT MAP SUBMITTAL: 1. Utility clearance letters from public utilities or copies of letter requests (see page 5 of item 7 below for sample) 2. Two (2)copies of the Preliminary Title Report(current within the last 6 months) 3. Two (2) copies of the Grant Deed(s) for the subject property(ieS) 4. Two(2)copies of all referenced maps and documents used to prepare the Parcel or Tract Map (deeds,maps,etc.) 5. Map Plan Check Fee paid 6. Four(4)Sets of Parcel or Tract Map 7. Check List for Parcel Maps and Tract Maps 8. Two (2) copies of Closure/Area Calculations 9. Soils Report 10. Submittal appointment time scheduled with Public Works Project Engineer B. ITEMS REOUIRED FOR STREET IMPROVEMENT PLAN SUBMITTAL: 1. Preliminary Title Report(current within the last 6 months; proof of ownership may be substituted with City's approval.) 2. Encroachment Permit Application complete 3. Applicant signature and date on Encroachment Permit(front and back) 4. Permit Application Fee paid 5. City Engineer's Estimate Completed and Submitted 6. Plan Check Deposit Paid (2% of Engineer's Estimate, $500 min)Receipt Number 7. Four (4) Sets of Street Improvement Plans with City Standard Title sheet and standard border on all sheets. 8. Check List for Street Improvement Plans 9. Submittal appointment time scheduled with Public Works Project Engineer C. ITEMS REOUIRED FOR GRADING & DRAINAGE PLAN SUBMITTAL: 1. Four (4) Sets of Grading & Drainage plans (24" x 36" size sheets) submitted to the Public Works Department with City Standard Title sheet and standard border on all sheets. 2. Grading Plan Review Fee paid 3. Check List for On-Site Grading & Drainage 4. Soils Report 5. Submittal appointment time scheduled with Public Works Project Engineer J:\FORMS\Templates\Land Development\Public Works Submittal Requirements rev. 05/09 ENCROACHM .k. .cMIT ISSUANCE CHECK LIST(INi f SE ONLY) Encroachment Permit No.ENC City of Campbell Tract No. Depat t ment of Public Works Tdd actr ss: ITEMS REQUIRED FOR PERMIT APPLICATION: 1. Encroachment Permit Application complete,with applicant signature and date(front and back) 2. Permit Application Fee paid$ -Receipt Number&Date 3. Plan Check Deposit Paid(2%of Engineer's Estimate,$500 min) $ Receipt Number 4. Grading Plan Review Fee paid $ -Receipt Number&Date 5. City Engineer's Estimate Completed and Submitted 6. Four(4)Sets of Street Improvement Plans . 7. Four(4)Sets of Grading and Drainage Plans 8. Check Lists (Grading and Drainage, Street Improvement) ITEMS REQUIRED PRIOR TO PUBLIC WORK CLEARANCE FOR BUILDING PERMITS 9. Plan Check&Inspection Fee: Engineer's Estimate(EE)_$ ;if EE is<$250,000,then fee is 14%of EE. If EE≥$250,000,fee is Actual Cost+20%. $35,000 minimum deposit. Amount$ Receipt No. &Date 10. Security for Faithful Performance and Labor and Materials, 100%each of Engineer's Estimate,supplied or paid. Amount$ Form Receipt No.&Date 11. Security for Monumentation Amount$ Receipt No.&Date . 12. Construction Emergency Cash Deposit: 4%of Engineer's Estimate.($500 minimum,$10,000 maximum) Amount$ Receipt No. &Date 13. Storm Drainage Area Fee Amount$ Receipt No.&Date 14. Street Improvement Agreement signed and notarized(proof of ownership submitted) 15. Right of Way Documents Completed and Fees Paid. 16. All other Public Works requirements listed in the Conditions of Approval of the development. 17. Other Fees, Payments, Deposits Amount$ Receipt No.&Date 18. SWPPP+NOI 19. C3 Certification 20. Covenant Agreement 21. Geotech Letter 22. Storm Water Management Plan ITEMS REQUIRED PRIOR TO ISSUANCE OF ENCROACHMENT PERMIT: 23. Contractor's signature added to the permit application(front and back) 24. Contractor's City of Campbell Business License# 25. Worker's Compensation Insurance Information Sheet received from Contractor. 26. Certificate of Insurance with Additional Insured's Endorsement received from Applicant or Contractor. 27, One mylar set and six(6)or less sets of off-site plans signed by engineer,stamped APPROVED FOR CONSTRUCTION. Contractor, Inspector _____PW Superintendent(Service Center) EP File _LD File __Signals &Lighting Supervisor(Service Center) 28. Permit signed by City Engineer. 29. INITIATE CHECK REQUEST FOR PLAN CHECK DEPOSIT REFUND • WHEN ALL OF THE ABOVE ITEMS ARE COMPLETE,PERMIT MAY BE ISSUED. Issuer:Initial aid date aid file with„,par'hmrnt Permit Issuance Chec'Ulist.doc(Rev.07;11) °C-77k-f2 ��e - \.1/ ORDER NO. : 0623012177-KS EXHIBIT A The land referred to is situated in the County of Santa Clara, City of Campbell, State of California, and is described as follows: Lot 53, as shown upon that certain Map entitled, "Tract No. 819 Coral Manor Unit No. 2.", which Map was filed for record in the Office of the Recorder of the County of Santa Clara, State of California, on February 26, 1951 in Book 31 of Maps, at Page 56. APN: 404-06-039 Page 1 of 1 OLD REPUBLIC 167 S. San Antonio Road, Suite 5 cit L,JJ Los Altos, CA 94022 4 TITLE COMPANY (650)941-5700 Fax: (650)403-4009 PRELIMINARY REPORT UPDATE 1 REALTY WORLD EXECUTIVE ADVANTAGE Our Order Number 0623012177-KS 5867 Dry Oak Drive San Jose, CA 95120 Attention: DAWN O'NEAL When Replying Please Contact: Kathy Smith Buyer: TRIADA CONSTRUCTION LLC KathyS@ortc.com (650) 941-5700 Property Address: 90 Jane Ann Way, Campbell, CA 95008 In response to the above referenced application for a policy of title insurance, OLD REPUBLIC TITLE COMPANY,as issuing Agent of Old Republic National Title Insurance Company, hereby reports that it is prepared to issue,or cause to be issued,as of the date hereof, a Policy or Policies of Title Insurance describing the land and the estate or interest therein hereinafter set forth, insuring against loss which may be sustained by reason of any defect, lien or encumbrance not shown or referred to as an Exception below or not excluded from coverage pursuant to the printed Schedules,Conditions and Stipulations of said policy forms. The printed Exceptions and Exclusions from the coverage and Limitations on Covered Risks of said Policy or Policies are set forth in Exhibit I attached.The policy to be issued may contain an arbitration clause. When the Amount of Insurance is less than that set forth in the arbitration clause,all arbitrable matters shall be arbitrated at the option of either the Company or the Insured as the exclusive remedy of the parties. Limitations on Covered Risks applicable to the Homeowner's Policy of Title Insurance which establish a Deductible Amount and a Maximum Dollar Limit of Liability for certain coverages are also set forth in Exhibit I. Copies of the Policy forms should be read.They are available from the office which issued this report. Please read the exceptions shown or referred to below and the exceptions and exclusions set forth in Exhibit I of this report carefully.The exceptions and exclusions are meant to provide you with notice of matters which are not covered under the terms of the title insurance policy and should be carefully considered. It is important to note that this preliminary report is not a written representation as to the condition of title and may not list all liens,defects,and encumbrances affecting title to the land. This report(and any supplements or amendments hereto) is issued solely for the purpose of facilitating the issuance of a policy of title insurance and no liability is assumed hereby. If it is desired that liability be assumed prior to the issuance of a policy of title insurance, a Binder or Commitment should be requested. Dated as of May 22, 2015, at 7:30 AM OLD REPUBLIC TITLE COMPANY For Exceptions Shown or Referred to, See Attached Page 1 of 7 Pages ORT 3158-A(Rev.08/07/08) OLD REPUBLIC TITLE COMPANY ORDER NO. 0623012177-KS UPDATE 1 The form of policy of title insurance contemplated by this report is: CLTA Standard Coverage Policy -1990; AND ALTA Loan Policy - 2006. A specific request should be made if another form or additional coverage is desired. The estate or interest in the land hereinafter described or referred or covered by this Report is: Fee Title to said estate or interest at the date hereof is vested in: Timothy Buckreus, a widower The land referred to in this Report is situated in the County of Santa Clara, City of Campbell, State of California, and is described as follows: Lot 53, as shown upon that certain Map entitled, "Tract No. 819 Coral Manor Unit No. 2.", which Map was filed for record in the Office of the Recorder of the County of Santa Clara, State of California, on February 26, 1951 in Book 31 of Maps, at Page 56. APN: 404-06-039 At the date hereof exceptions to coverage in addition to the Exceptions and Exclusions in said policy form would be as follows: 1. Taxes and assessments, general and special, for the fiscal year 2015 - 2016, a lien, but not yet due or payable. 2. Taxes and assessments, general and special, for the fiscal year 2014 - 2015, as follows: Assessor's Parcel No 404-06-039 Code No. 010-005 1st Installment : $2,692.35 Marked Paid 2nd Installment : $2,692.35 Marked Paid Land Value : $311,583.00 Imp. Value : $98,783.00 Exemption : $7,000.00 Homeowner's 3. The lien of supplemental taxes, if any, assessed pursuant to the provisions of Section 75, et seq., of the Revenue and Taxation Code of the State of California. Page 2 of 7 Pages ORT 3158-B OLD REPUBLIC TITLE COMPANY ORDER NO. 0623012177-KS UPDATE 1 4. Any special tax which is now a lien and that may be levied within the Library JPA CFD 2013-1 Mello Roos, a notice(s) for which having been recorded. NOTE: Among other things, there are provisions in said Notice for a special tax to be levied annually, the amounts of which are to be added to and collected with the property taxes. NOTE: The current annual amount levied against this land is $33.66. 5. Covenants, Conditions and Restrictions which do not contain express provision for forfeiture or reversion of title in the event of violation, but omitting any covenants or restriction if any, based upon race, color, religion, sex, handicap, familial status, or national origin unless and only to the extent that said covenant (a) is exempt under Title 42, Section 3607 of the United States Code or (b) relates to handicap but does not discriminate against handicapped persons, as provided in an instrument. Executed by : San Jose Abstract 6 Title Insurance Co. Recorded February 27, 1951 in Book 2160 of Official Records, Page 53 NOTE: "If this document contains any restriction based on race, color, religion, sex, sexual orientation, familial status, marital status, disability, national origin, source of income as defined in subdivision (p) of section 12955, or ancestry, that restriction violates state and federal fair housing laws and is void, and may be removed pursuant to Section 12956.2 of the Government Code. Lawful restrictions under state and federal law on the age of occupants in senior housing or housing for older persons shall not be construed as restrictions based on familial status." 6. Deed of Trust to secure an indebtedness of the amount stated below and any other amounts payable under the terms thereof, Amount : $100,000.00 Trustor/Borrower : Carol J. Buckreus, Timothy A. Buckreus, who are married to each other Trustee : PRLAP, Inc. Beneficiary/Lender : Bank of America, N.A. Dated : September 17, 2004 Recorded : October 19, 2004 in Official Records under Recorder's Serial Number 18054244 Loan No. : 31868240118885599 Returned to : FL9-700-01-01, Jacksonville Post Closing, 9000 Southside Boulevard, Bldg. 700, File Receipt Dept., Jacksonville, FL 32256 Page 3 of 7 Pages ORT 3158-B • OLD REPUBLIC TITLE COMPANY ORDER NO. 0623012177-KS UPDATE 1 Modification/amendment of the terms of said Deed of Trust, by an instrument Entitled : Modification of Deed of Trust Executed By : Timothy Buckreus, Carol J. Buckreus and Bank of America, N.A. Dated : September 17, 2007 Recorded : November 6, 2007 in Official Records under Recorder's Serial Number 19645196 Returned to Address : P.O. Box 2590, Chicago, IL 60690 Modification/amendment of the terms of said Deed of Trust, by an instrument Entitled : Modification of Security Instrument Executed By : Carol J. Buckreus and Timothy A. Buckreus Recorded : July 16, 2014 in Official Records under Recorder's Serial Number 22647799 NOTE: Said Deed of Trust by the provisions of an agreement Dated April 28, 2014 Recorded : July 16, 2014 in Official Records under Recorder's Serial Number 22647800 Executed By : Bank of America, N.A. was made subordinate to the Deed of Trust referred to herein as Instrument No. 22647798. NOTE: Said Deed of Trust appears to secure a Revolving Line or Equity Line of Credit. If this loan is to be paid off and reconveyed through this transaction, the Company will require a written statement from the Beneficiary/Lender that a freeze is in effect on the account, and that the demand for payoff from the Beneficiary/Lender states that a reconveyance will be issued upon payment of the amounts shown therein. The Beneficiary/Lender may be assisted in freezing this account by receiving a creditline freeze authorization letter signed by the Trustor/Borrower/Seller with the request for payoff demand. A sample copy of a typical such letter is available from the Company upon request. Page 4 of 7 Pages ORT 3158-B OLD REPUBLIC TITLE COMPANY ORDER NO. 0623012177-KS UPDATE 1 7. Deed of Trust to secure an indebtedness of the amount stated below and any other amounts payable under the terms thereof, Amount : $197,600.00 Trustor/Borrower : Timothy Buckreus, an unmarried man Trustee : Chicago Title Company Beneficiary/Lender : Mortgage Electronic Registration Systems, Inc., solely as nominee for OA Mortgage Services, a California Corporation Dated : July 8, 2014 Recorded : July 16, 2014 in Official Records under Recorder's Serial Number 22647798 Loan No. : 1614050801 "MIN" : 100374116140508011 Returned to : 411 Borel Avenue, Suite 320, San Mateo, CA 94402 8. The requirement that this company be provided with a suitable Owner's Declaration from the Seller (form ORT 174). The Company reserves the right to make additional exceptions and/or requirements upon review of the Owner's Declaration. Informational Notes A. The applicable rate(s) for the policy(s) being offered by this report or commitment appears to be section(s) 1.1 & 2.1. B. The above numbered report (including any supplements or amendments thereto) is hereby modified and/or supplemented to reflect the following additional items relating to the issuance of an American Land Title Association loan form policy: NONE NOTE: Our investigation has been completed and there is located on said land a single family residence known as 90 Jane Ann Way, Campbell, CA 95008. The ALTA loan policy, when issued, will contain the CLTA 100 Endorsement and 116 series Endorsement. Unless shown elsewhere in the body of this report, there appear of record no transfers or agreements to transfer the land described herein within the last three years prior to the date hereof, except as follows: NONE Page 5 of 7 Pages ORT 3158-B • • OLD REPUBLIC TITLE COMPANY ORDER NO. 0623012177-KS UPDATE 1 C. NOTE: The last recorded transfer or agreement to transfer the land described herein is as follows: Instrument Entitled : Individual Grant Deed By/From : Richard J. Rowley and Donna L. Rowley, husband and wife as joint tenants To : Timothy Buckreus and Carol J. Buckreus, husband and wife as community property Dated : July 8, 1991 Recorded : July 12, 1991 in Official Records under Recorder's Serial Number 10968586 Affidavit - Death of Spouse executed by Estats of Carol Jane Buckreus to Timothey Buckreus recorded July 16, 2014 in Official Records under Recorder's Serial Number 22647797. • D. All transactions that close on or after March 1, 2015 will include a $20.00 minimum recording service fee, plus actual charges required by the County Recorder. Page 6 of 7 Pages ORT 3158-B OLD REPUBLIC TITLE COMPANY ORDER NO. 0623012177-KS UPDATE 1 If you anticipate having funds wired to Old Republic Title Company, our wiring information is as follows: Comerica Bank, 2321 Rosecrans Ave., Ste. 5000, El Segundo CA 90245, credit to the account of Old Republic Title Company, Account Number 1892529965, ABA Number 121137522. When instructing the financial institution to wire funds, it is very important that you reference Old Republic Title's Order Number 0623012177. PLEASE CONTACT YOUR ESCROW OFFICER IF YOU RECEIVE NOTICE OF A CHANGE TO THESE WIRE INSTRUCTIONS ON-LINE BANKING TRANSFERS ARE NOT THE SAME "Electronic Funds Transfer" is a generic term for funds transfers, one of which is an ACH Transfer. On-line banking transfers are often completed through an ACH Transfer, not a Wire Transfer. Old Republic Title rejects all ACH Transfers and returns, the funds to the sender (Government Entities/Agencies excluded.) Close of Escrow may be significantly delayed as a result of an ACH Transfer. OLD REPUBLIC TITLE DOES NOT AUTHORIZE FUNDS TO BE DEPOSITED DIRECTLY INTO OUR ACCOUNT AT Comerica Bank LOCAL BRANCH LOCATIONS Funds deposited directly into an account of Old Republic Title Company at a Comerica Bank branch are subject to verification. Verification of unauthorized deposits is not immediate or automated following deposit. Delay in credit of funds to an escrow and delay in Close of Escrow may result. If you want to transfer funds by Wire Transfer from a non-United States financial institution, or have questions with regard to acceptable funds, please contact your Escrow or Title Officer immediately. Page 7 of 7 Pages ORT 3158-B Exhibit I CALIFORNIA LAND TITLE ASSOCIATION STANDARD COVERAGE POLICY-1990 EXCLUSIONS FROM COVERAGE The following matters are expressly excluded from the coverage of this policy and the Company will not pay loss or damage, costs, attorneys' fees or expenses which arise by reason of: 1. (a) Any law, ordinance or governmental regulation (including but not limited to building or zoning laws, ordinances, or regulations) restricting, regulating, prohibiting or relating (i)the occupancy, use, or enjoyment of the land; (ii)the character, dimensions or location of any improvement now or hereafter erected on the land; (iii) a separation in ownership or a change in the dimensions or area of the land or any parcel of which the land is or was a part; or {iv) environmental protection, or the effect of any violation of these laws, ordinances or governmental regulations, except to the extent that a notice of the enforcement thereof or a notice of a defect, lien, or encumbrance resulting from a violation or alleged violation affecting the land has been recorded in the public records at Date of Policy.- (b) Any governmental police power not excluded by (a) above, except to the extent that a notice of the exercise thereof or notice of a defect, lien or encumbrance resulting from a violation or alleged violation affecting the land has been recorded in the public records at Date of Policy. 2. Rights of eminent domain unless notice of the exercise thereof has been recorded in the public records at Date of Policy, but not excluding from coverage any taking which has occurred prior to Date of Policy which would be binding on the rights of a purchaser for value without knowledge. 3. Defects,liens,encumbrances,adverse claims or other matters: (a) whether or not recorded in the public records at Date of Policy,but created,suffered,assumed or agreed to by the insured claimant; (b) not known to the Company, not recorded in the public records at Date of Policy, but known to the insured claimant and not disclosed in writing to the Company by the insured claimant prior to the date the insured claimant became an insured under this policy;. (c) resulting in no loss or damage to the insured claimant; (d) attaching or created subsequent to Date of Policy; or (e) resulting in loss or damage which would not have been sustained if the insured claimant had paid value for the insured mortgage or for the estate or interest insured by this policy. 4. Unenforceability of the lien of the insured mortgage because of the inability or failure of the insured at Date of Policy, or the inability or failure of any subsequent owner of the indebtedness,to comply with the applicable doing business laws of the state in which the land Is situated. 5. Invalidity or unenforceability of the lien of the insured mortgage, or claim thereof, which arises out of the transaction evidenced by the insured mortgage and is based upon usury or any consumer credit protection or truth in lending law. 6. Any claim, which arises out of the transaction vesting in the insured the estate of interest insured by this policy or the transaction creating the interest of the insured lender,by reason of the operation of federal bankruptcy,state insolvency or similar creditors'rights laws. EXCEPTIONS FROM COVERAGE-SCHEDULE B,PART I This policy does not insure against loss or damage(and the Company will not pay costs,attorneys'fees or expenses)which arise by reason of: 1. Taxes or assessments Which are not shown as existing liens by the records of any taxing authority that levies taxes or assessments on real property or by the public records. Proceedings by a public agency which may result in taxes or assessments,or notices of such proceedings,whether or not shown by the records of such agency or by the public records. 2. Any facts, rights, interests, or claims Which are not shown by the public records but which could be ascertained by an inspection of the land which may be asserted by persons in possession thereof, 3. Easements,liens or encumbrances,or claims thereof,which are not shown by the public records. 4. Discrepancies, conflicts in boundary lines, shortage in area,encroachments, or any other facts which a correct survey would disclose, and which are not shown by the public records. 5. (a)Unpatented mining claims; (b)reservations or exceptions in patents or in Acts authorizing the issuance thereof; (c)water rights,claims or title to water,whether or not the matters excepted under(a),(b)or(c)are shown by the public records. 6. Any lien or right to a lien for services,labor or material not shown by the public records. Page 1 of 2 Exhibit I AMERICAN LAND TITLE ASSOCIATION LOAN POLICY OF TITLE INSURANCE-2006 EXCLUSIONS FROM COVERAGE The following matters are expressly excluded from the coverage of this policy,and the Company will not pay loss or damage, costs,attorneys'fees,or expenses that arise by reason of: 1. (a) Any law,ordinance, permit,or governmental regulation(including those relating to building and zoning)restricting, regulating, prohibiting,or relating to (i) the occupancy,use,or enjoyment of the Land; (ii) the character,dimensions,or location of any improvement erected on the Land; (iii) the subdivision of land;or (iv) environmental protection;or the effect of any violation of these laws,ordinances,or governmental regulations. This Exclusion 1(a)does not modify or limit the coverage provided under Covered Risk 5. (b) Any governmental police power. This Exclusion 1(b)does not modify or limit the coverage provided under Covered Risk 6. 2. Rights of eminent domain. This Exclusion does not modify or limit the coverage provided under Covered Risk 7 or 8. 3. Defects, liens,encumbrances,adverse claims,or other matters (a) created,suffered,assumed,or agreed to by the Insured Claimant; (b) not Known to the Company, not recorded in the Public Records at Date of Policy,but Known to the Insured Claimant and not disclosed in writing to the Company by the Insured Claimant prior to the date the Insured Claimant became an Insured under this policy; (c) resulting in no loss or damage to the Insured Claimant; (d) attaching or created subsequent to Date of Policy(however,this does not modify or limit the coverage provided under Covered Risk 11, 13,or 14);or (e) resulting in loss or damage that would not have been sustained if the Insured Claimant had paid value for the Insured Mortgage. 4. Unenforceability of the lien of the Insured Mortgage because of the inability or failure of an Insured to comply with applicable doing-business laws of the state where the Land is situated. 5. Invalidity or unenforceability in whole or in part of the lien of the Insured Mortgage that arises out of the transaction evidenced by the Insured Mortgage and is based upon usury or any consumer credit protection or truth-in-lending law. 6. Any claim, by reason of the operation of federal bankruptcy,state insolvency,or similar creditors'rights laws,that the transaction creating the lien of the Insured Mortgage, is (a) a fraudulent conveyance or fraudulent transfer,or (b) a preferential transfer for any reason not stated in Covered Risk 13(b)of this policy. 7. Any lien on the Title for real estate taxes or assessments imposed by governmental authority and created or attaching between Date of Policy and the date of recording of the Insured Mortgage in the Public Records.This Exclusion does not modify or limit the coverage provided under Covered Risk 11(b). EXCEPTIONS FROM COVERAGE—SCHEDULE B,PART 1,SECTION ONE This policy does not insure against loss or damage(and the Company will not pay costs,attorneys'fees or expenses)that arise by reason of: 1. (a)Taxes or assessments that are not shown as existing liens by the records of any taxing authority that levies taxes or assessments on real property or by the Public Records;(b)proceedings by a public agency that may result in taxes or assessments,or notices of such proceedings,whether or not shown by the records of such agency or by the Public Records. 2. Any facts, rights,interests,or claims that are not shown by the Public Records but that could be ascertained by an inspection of the Land or that may be asserted by persons in possession of the Land. 3. Easements, liens or encumbrances,or claims thereof,not shown by the Public Records. 4. Any encroachment,encumbrance,violation,variation,or adverse circumstance affecting the Title that would be disclosed by an accurate and complete land survey of the Land and not shown by the Public Records. 5. (a)Unpatented mining claims;(b)reservations or exceptions in patents or in Acts authorizing the issuance thereof; (c)water rights,claims or title to water,whether or not the matters excepted under(a),(b),or(c)are shown by the Public Records. Old Republic Title Company Privacy Policy Notice PURPOSE OF THIS NOTICE Title V of the Gramm-Leach-Bliley Act (GLBA) generally prohibits any financial institution, directly or through its affiliates, from sharing nonpublic personal information about you with a nonaffiliated third party unless the institution provides you with a notice of its privacy policies and practices, such as the type of information that it collects about you and the categories of persons or entities to whom it may be disclosed. In compliance with the GLBA, we are providing you with this document, which notifies you of the privacy policies and practices of Old Republic Title Company We may collect nonpublic personal information about you from the following sources: Information we receive from you such as on applications or other forms. Information about your transactions we secure from our files, or from [our affiliates or] others. Information we receive from a consumer reporting agency. Information that we receive from others involved in your transaction, such as the real estate agent or lender. Unless it is specifically stated otherwise in an amended Privacy Policy Notice, no additional nonpublic personal information will be collected about you. We may disclose any of the above information that we collect about our customers or former customers to our affiliates or to nonaffiliated third parties as permitted by law. We also may disclose this information about our customers or former customers to the following types of nonaffiliated companies that perform marketing services on our behalf or with whom we have joint marketing agreements: Financial service providers such as companies engaged in banking, consumer finance, securities and insurance. Non-financial companies such as envelope stuffers and other fulfillment service providers. WE DO NOT DISCLOSE ANY NONPUBLIC PERSONAL INFORMATION ABOUT YOU WITH ANYONE FOR ANY PURPOSE THAT IS NOT SPECIFICALLY PERMITTED BY LAW. We restrict access to nonpublic personal information about you to those employees who need to know that information in order to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information. ORT 287-C 5/07/01 Disclosure to Consumer of Available Discounts Section 2355.3 in Title 10 of the California Code of Regulation necessitates that Old Republic Title Company provide a disclosure of each discount available under the rates that it, or its underwriter Old Republic National Title Insurance Company, have filed with the California Department of Insurance that are applicable to transactions involving property improved with a one to four family residential dwelling. You may be entitled to a discount under Old Republic Title Company's escrow charges if you are an employee or retired employee of Old Republic Title Company including its subsidiary or affiliated companies or you are a member in the California Public Employees Retirement System "CaIPERS" or the California State Teachers Retirement System "CaISTRS" and you are selling or purchasing your principal residence. If you are an employee or retired employee of Old Republic National Title Insurance Company, or it's subsidiary or affiliated companies, you may be entitled to a discounted title policy premium. Please ask your escrow or title officer for the terms and conditions that apply to these discounts. A complete copy of the Schedule of Escrow Fees and Service Fees for Old Republic Title Company and the Schedule of Fees and Charges for Old Republic National Title Insurance Company are available for your inspection at any Old Republic Title Company office. 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WRITTEN CONSENT OF DIRECTORS WITHOUT A MEETING October 03,2014 Pursuant to Section 307 of the General Corporation Law of California(the"GCLC') and Section 3 of the Bylaws of the Company, the undersigned, being sole director of Triada Investments, Inc., a corporation organized under the laws of the State of California (the "Company"), hereby adopts, by this Written Consent of Directors Without a Meeting, the following resolutions with the same force and effect as if they had been unanimously adopted at a duly convened meeting of the Board of Directors of the Company(the"Board"): APPOINTMENT OF AUTHORIZED REPRESENTATIVE RESOLVED, that the Board hereby appoints David A. Fiore as the authorized representative of the Company, to act on behalf of the Company as Manager of Triada Construction, LLC, a California limited liability company(the"Triada Construction"), including exercising the powers of the Manager provided in Article 4: Management; and FURTHER RESOLVED, that, David A. Fiore, as the authorized representative of the Company, acting as Manager of Triada Construction, LLC (the "Authorized Representative"), shall have the power to act for the Company as Manager of the "Triada Construction", in the name of the Company and Triada Construction, and on their behalf, to do any and all of the following with respect to real .property and improvements located in the State of California consisting of single family homes,, condominiums, townhomes and apartment buildings, or promissory notes secured by such properties. (collectively"Property"): 1. To place bids, tender and endorse cashier's checks in the name and on behalf of Triada Construction for the purpose of purchasing Property at a trustee's sale or other auction, including, but not limited to sales conducted through Auction.com, in such amounts as the authorized representative shall approve in connection with the purchase by Triada Construction of Property. 2. To negotiate, make, execute, acknowledge, and deliver in the name and on behalf of Triada Construction a Real Estate Purchase Agreement, Deposit Receipt Agreement, escrow instructions, and any amendments to any of the foregoing, and any other documents or instruments in writing, and any amAnfi?nPnts to any of the foregoing, which the Authorized Representative deems necessary or convenient in connection with the purchase by the Construction Company of Property, for such purchase price and upon such terms, conditions,and covenants as the Authorized Representative shall approve, as evidenced by the execution and delivery thereof in the name and on behalf of the Triada Construction. 3. To negotiate, make, execute, acknowledge, and deliver in the name and on behalf of Triada Construction, a Promissory Note, Deed of Trust; any other loan documents, escrow instructions, and any such other instruments in writing, and any amendments to any of the 1 1003 I4 Triada Investments Inc Directors Written Consent Appointing Representative and Authorization foregoing, which the attorney in fact deems necessary for the purpose of mortgaging and encumbering Triada Construction's interest in a Property in connection with the purchase of such Property. 4. To negotiate, make, execute, acknowledge, and deliver in the name and on behalf of the Construction Company, a Property Management Agreement, and any such other instruments in writing, and any amendments thereto, which may be necessary or convenient in connection with the management of Property, upon such terms and conditions, and covenants as the Authorized Representative shall approve as evidenced by the execution and delivery thereof in the name and on behalf of Triada Construction. 5. To negotiate, make, execute, acknowledge, and deliver in the name and on behalf of Triada Construction, a Lease, Rental Agreement, and any amendments thereto, and any such other instruments in writing which may be necessary or convenient in connection with leasing by Triada Construction as Landlord of Property, upon such terms, conditions, and covenants as the Authorized Representative shall approve as evidenced by the execution and delivery thereof in the name and on behalf of Triada Construction. 6. To negotiate, make, execute, acknowledge, and deliver in the name and on behalf of Triada Construction as Seller, a Real Estate Purchase Contract, Deposit Receipt Agreement, Grant Deed, Escrow Instructions, Exchange Agreement, and any other documents necessary to effectuate a sale, an IRC Section 1031 Exchange, or transfer of Property, and any personal property that Triada Construction may own thereon, for such sales price or exchange value and upon such terms, conditions, and covenants, as evidenced by the execution and delivery thereof in the name and on behalf of Triada Construction. 7. The Company, acting as Manager of Triada Construction, further grants to the Authorized Representative full power and authority to do and to perform each and every act and thing that may be necessary or convenient in connection with purchase, mortgage, lease, sale, exchange, or transfer of Property with respect to Triada Construction's interest therein, upon such terms, conditions., _.r. "-.,,., e A vt.:c;-ized Representative, all as fully as the Manager, -right or could do if personal'*!v sent, and the Manager hereby ratifies and confirms all that said Authorized Representative shall do or cause to be done by authority hereof. OMNIBUS RESOLUTIONS RESOLVED, that any and all actions heretofore or hereafter taken by the officers of the Company, or any of them, within the terms of the foregoing resolutions, be and they each hereby are authorized and approved; and FURTHER RESOLVED, that the officers of the Company be, and each of them hereby is, authorized and empowered to do or cause to be done, in the name and on behalf of the Company,-any and all such other acts and things and to negotiate, execute, attest, seal, deliver and/or file in the name and on behalf of the C^:npany, any and all such agreements, consents, certificates, financing r tt+°�=;:t , �,r,1;reo„:v.„ ,; ,.�+;•tn = ,::;s such officer or officers may deem necessa,x, advi;abl` or apY. l � Tr �'eC =a_� '. foregoing resc!utions or to implement the intent and purposes hereof, and any agreement, consent, certificate, document, or instrument 2 100314_7nada Investments Inc Directors Written Consent Appointing Representative and Authorization • so executed or act or thing so done or caused to be done by them, or any of them, shall be conclusive evidence of such officers' or officer's authority in so doing. This Written Consent of Directors Without a Meeting may be executed in two or more counterparts, each of which shall constitute an original and all of which together shall form a single instrument. This Written Consent of Directors Without a Meeting shall be effective as of the date first written above when executed by all of the directors in the places designated for their signatures below. Unn'i P" „'rv' ne this. Wren Cerc;Pnt of Directors Without a Meeting, the undersigns ',ereby direct that this consent be filed in the Company's minute book. Day ti-A. Fiore, Sole Director 3 100314_Ttiada Investments Inc Directors Written Consent Appointing Representative and Authorization OPERATING AGREEMENT OF TRIADA CONSTRUCTION, LLC A CALIFORNIA LIMITED LIABILITY COMPANY A. This Operating Agreement of Triada Fund I, LLC(the "Company") is entered into as of the date set forth on the signature page hereto by each of the persons named in Exhibit A hereto (referred to individually as a Member and collectively as the Members). B. On or about October 28, 2013 Fiore causes to be filed a Certificate of Amendment amending the name of the company to Triada Construction, LLC(the"Company")with the California Secretary of State. C. The Members have formed a limited liability company under the Beverly-Killea Limited Liability Company Act ("California Limited Liability Company Act").The articles of organization of the Company filed with the California Secretary of State are hereby adopted and approved by the Members. D. The Members enter into this agreement to provide for the governance of the Company and the conduct of its business, and to specify their relative rights and obligations. NOW THEREFORE, the Members agree as follows: ARTICLE 1: DEFINITIONS Capitilized terms used in this agreement have the meanings specified in this Article or elsewhere in this agreement and when not so defined shall have the meanings set forth in the California Limited Liability Company Act. "Capital Contribution" means the amount of cash, property or services contributed to the Company. "Company" means Triada Construction, LLC, a California limited liability company. "Member" means a Person who acquires Membership Interests, as permitted under this agreement, and who becomes or remains a Member. "Membership Interests" means either Percentage Interest or Units, based on how ownership in the Company is expressed on Exhibit A. "Percentage Interest" means a percent ownership in the Company entitling the holder to an economic and voting interest in the Company. • "Person" means an individual, partnership, limited partnership, trust,estate, association, corporation, limited liability company,or other entity, whether domestic or foreign. "Unit" means a unit of ownership in the Company entitling the Member holding such Unit to an economic interest and a voting interest in the Company. ARTICLE 2: CAPITAL AND CAPITAL CONTRIBUTIONS 2.1 Initial Capital Contribution and Membership Interests.The Capital Contributions of the initial Members, as well as the Membership Interests of each Member, are listed in Exhibit A,which is made part of this agreement. Membership Interests in the Company may be expressed either in Units or directly in Percentage Interests. 2.2 Subsequent Contributions. No Member shall be obligated to make additional capital contributions unless unanimously agreed by all the Members. 2.3 Capital Accounts. Individual capital accounts may be maintained for each Member consisting of that Member's Capital Contributions (1) increased by that Member's share of profits, (2) decreased by that Member's share of losses and company expenses, (3) decreased by that Member's distributions and (4)adjusted as required in accordance with applicable tax laws. 2.4 Interest. No interest shall be paid on Capital Contributions or on the balance of a Member's capital account. 2.5 Limited Liability.A Member shall not be bound by, or be personally liable for,the expenses, liabilities,or obligations of the company except as otherwise provided in this agreement or as required by law. ARTICLE 3: ALLOCATIONS AND DISTRIBUTIONS 3.1 Allocations.The profits and losses of the Company and all items of Company income,gain, loss, deduction, or credit shall be allocated,for Company book purposes and for tax purposes, pro rata in proportion to relative Membership Interests held by each Member. 3.2 Distribution.The Company shall have the right to make distributions of cash and property to the Members pro rata based on the relative Membership Interests.The timing and amount of distributions shall be determined by the Managers in accordance with California law. ARTICLE 4: MANAGEMENT 4.1 Management.The business of the Company shall be managed by one or more Managers. The Members initially nominate and elect the person(s) set forth in Exhibit B to serve as Manager(s) of the Company. Managers shall serve at the pleasure of the Members and may be elected or removed by Members holding a majority of the Membership Interests. Exhibit B shall be amended from time to time to reflect any changes in Managers. In the event of a dispute between Managers,final determination • shall be made by a vote of the majority of the Managers.Any Manager may bind the Company in all matters in the ordinary course of business. 4.2 Meetings of Managers. Regular meetings of the Managers are not required but may be held at such time and place as the Managers deem necessary or desirable for the reasonable management of the Company. Meetings may take place in person,by conference telephone or by any other means permitted under California law. In addition, actions may be taken without a meeting if all of the Managers sign a written consent reflecting the action taken. 4.3 Banking.The Manager(s)are authorized to set up one or more bank accounts and are authorized to execute any banking resolutions provided by the institution where the accounts are being set up.All funds of the Company shall be deposited in one or more accounts with one or more recognized financial institutions in the name of the Company. 4.4 Officer.The Managers are authorized to appoint one or more officers from time to time. The officers shall hold office until their successors are chosen and qualified.Subject to any employment agreement entered into between the officer and the Company,an officer shall serve at the pleasure of the Managers.The current officers of the Company are listed on Exhibit C. 4.5 Financing.The Company may obtain secured or unsecured financing from third party lenders or"seller carry-back":financing for the purpose of financing its acquisitions and operations or the Properties.Additionally,the Company may guaranty the indebtedness incurred by any Subsidiary of the Company and may enter into one or more Credit Facilities with third parties for working capital purposes,or in order to enable the Company to make investments or pay expenses through borrowing in lieu of, or in advance of,calling on the subsequent Capital Contributions.Any such Credit Facility may be secured by the Properties and any other assets of the Company,including the Funding Commitments of the Members or the Manager.The Managers shall have full authority to execute on behalf of the Company any and all documents required in connection with any Credit Facility, borrowings or guaranty. 4.6 Fiduciary Duties. The only fiduciary duties a Member owes to the Company and the other Members are the duty of loyalty and the duty of care set forth in subsections (I}and (ii}below: (I) A Member's duty of loyalty to the Company and the other Members is limited to the following: (a) To account to the Company and hold as trustee for the Company any property, profit, or benefit derived by the Member in the conduct or winding up of the Company's business or derived from any use by the Member of Company property, including the appropriation of a Company opportunity,without the consent of the other Members; (b) To refrain from dealing with the Company in the conduct or winding up of the Company business as or on behalf of a party having an interest adverse to the Company without the consent of the other Members; and _ (c) Except as otherwise provided in this Agreement, to refrain from competing with the Company in the conduct of Company business before the Company's dissolution without the other Members'consent. (ii) A Member's duty of care to the Company and the other Members in the conduct and winding up of the Company's business is limited to refraining from engaging in grossly negligent or reckless conduct, intentional misconduct,or a knowing violation of law by the Member. ARTICLE 5:ACCOUNTING, RECORDS, REPORTING BY MEMBERS 5.1 Accounts. Complete books of account of the Company's business, in which each Company transaction shall be fully and accurately entered,shall be kept at the Company's principal executive office and shall be open to inspection and copying on reasonable notice by any Member, Manager or their authorized representatives during normal business hours for purposes reasonably related to the interest of such person as a Member or Manager.The costs of such inspection and copying shall be borne by the Member or Manager. 5.2 Books and Records. The Company's books and records shall be kept in accordance with the accounting methods followed for federal income tax purposes. The Company shall maintain at its principal office in California all records required to be maintained by the Company pursuant to the Act. 5.3 Reports. The Company shall cause to be filed, in accordance with the Act, all reports and documents required to be filed with any governmental agency. The Company shall cause to be prepared at least annually information concerning the Company's operations necessary for the completion of the Members' federal and state income tax returns. The Company shall send or cause to be sent to each Member within ninety (90)days after the end of each taxable year(i)such information as is necessary to complete the Members' federal and state income tax or information returns and (ii) a copy of the Company's federal, state, and local income tax or information returns for the year. 5.4 Bank Accounts.The Members shall maintain the Company's funds in one or more separate bank accounts in the Company's name, and shall not permit the Company's funds to be commingled in any fashion with any other person's funds. Any Member, acting alone, is authorized to endorse checks, drafts, and other evidences of indebtedness made payable to the order of the Company, but only for the purpose of deposit into the Company's accounts. ARTICLE VI:TRANSFER AND ASSIGNMENT OF INTERESTS 6.1 Transfer and Assignment of Interests. No Member shall be entitled to transfer,assign, convey,sell,encumber or in any way alienate all or any part of his or her Membership Interest (collectively,"transfer")except with the prior approval of all Members,which approval may be given or withheld in the sole discretion of the Members. 6.2 Substitution of Members. A transferee of a Membership Interest shall have the right to become a substitute Member only if (a) Member consent is given in accordance with Section 6.1, (b) such person executes an instrument satisfactory to the Members accepting and adopting the terms and provisions of this Agreement, and (c) such person pays any reasonable expenses in connection with his or her admission as a new Member. The admission of a substitute Member shall not release the Member who assigned the Membership Interest from any liability that such Member may have to the Company. 6.3 Transfers in Violation of this Agreement and Transfers of Partial Membership Interests. Upon a transfer in violation of this Article VI, the transferee shall have no right to vote or participate in the Company's management or to exercise any Member rights. Such transferee shall only be entitled to receive the share of Net Profits, Net Losses and distributions of the Company's assets to which the transferor would otherwise be entitled. Notwithstanding the immediately preceding sentences, if, in the determination of the remaining Members, a transfer in violation of this Article VI would cause the Company's termination under the Code, in the sole discretion of the remaining Members,the transfer shall be null and void. ARTICLE VII:DISSOLUTION AND WINDING UP 7.1 Company Dissolution. The Company shall dissolve, dispose of its assets, and wind up its affairs on the first to occur of the following(each,a"Dissolution Event"): A. Upon the entry of a decree of judicial dissolution pursuant to Section 17351 of the Corporations Code; B. Upon the vote of Members holding at least fifty percent (50%) of the Membership Interests; C. The sale of all or substantially all of the Company's assets; or D. The happening of any event that makes it unlawful or impossible to carry on the Company's business. 7.2 Winding Up. On the occurrence of a Dissolution Event, the Company shall dispose of its assets and wind up its affairs. The Company shall give written notice of the commencement of the dissolution to all of its known creditors. 7.3 Payment of Liabilities upon Dissolution. After determining that all of the Company's known debts and liabilities have been paid or adequately provided for, the Company shall distribute the remaining assets to the Members in accordance with their positive capital account balances, after taking into account income and loss allocations for the Company's taxable year during which liquidation occurs. 7.4 Limitations on Payment Made in Dissolution. Except as otherwise specifically provided in this Agreement, each Member shall (a) be entitled to look only to the Company's assets for the return of his or her positive Capital Account balance, and (b) have no recourse for his or her Capital Contribution and/or share of Net Profits against any other Member, except as provided in Article VIII. 7.5 Certificates.The Company shall file a Certificate of Dissolution with the California Secretary of State on the Company's dissolution and a Certificate of Cancellation on the Company's completion of the winding up of its affairs. ARTICLE VIII INVESTMENT REPRESENTATIONS Each Member represents and warrants to, and agrees with,the Members and the Company as follows: 8.1 Participation in Management.The member will be actively engaged in the management of the Company. 8.2 Preexisting Relationship or Experience. The Member has a preexisting personal or business relationship with the Company or one or more of its officers or controlling persons, or because of the member's business or financial experience, or because of the business or financial experience of the Member's financial advisor who is unaffiliated with and who is not compensated, directly or indirectly, by the Company or any affiliate or selling agent of the Company, the Member is capable of evaluating the risks and merits of an investment in the Company and of protecting the Member's own interests in connection with this investment. 8.3 No Advertising. The Member has not seen, received, been presented with, or been solicited by any leaflet, public promotional meeting, article or any other form of advertising or general solicitation with respect to the sale of the Membership Interest. 8.4 Investment Intent. The Member is acquiring the Membership Interest for investment purposes for the Members' own account only and not with a view to or for sale in connection with any distribution of all or any part of the Membership Interest. No other person will have any direct or indirect beneficial interest in or right to the Membership Interest. 8.5 Residency.The Member is a resident of, or incorporated in,the State of California. ARTICLE IX: INDEMNIFICATION 9.1 Indemnification of Agents. The Company shall indemnify any Member and may indemnify any person who was or is a party or is threatened to be made a party to any threatened, pending or completed action, suit or proceeding because he or she is or was a Company Member, officer, employee or other agent or that, being or having been such a Member, officer, employee or agent, he or she is or was serving at the Company's request as a manager, director, officer, employee or other agent of another limited liability company, corporation, partnership, joint venture, trust or other enterprise (all such persons being referred to hereinafter as an "agent"), to the fullest extent permitted by applicable law in effect on the date hereof and to such greater extent as applicable law may hereafter from time to time permit. 9.2 Expenses. Expenses of each Person indemnified under this agreement actually and reasonably incurred in connection with the defense or settlement of a proceeding may be paid by the Company in advance of the final disposition of such proceeding,as authorized by the Members or Managers,as the case may be,who are not seeking indemnification upon receipt of an undertaking by such Person to repay such amount unless it shall ultimately be determined that such Person is entitled to be indemnified by the Company. ARTICLE X: MISCELLANEOUS 10.1 Complete Agreement. This Agreement and the Articles constitute the complete and exclusive statement of agreement among the Members with respect to the subject matter herein and therein and replace and supersede all prior written and oral agreements among the Members. To the extent that any provision of the Articles conflict with any provision of this Agreement, the Articles shall control. 10.2 Binding Effect.Subject to the provisions of this Agreement relating to transferability,this Agreement will be binding upon and inure to the benefit of the Members, and their respective successors and assigns. 10.3 Interpretation. All pronouns shall be deemed to refer to the masculine, feminine, or neuter, singular or plural, as the context in which they are used may require. All headings herein are inserted only for convenience and ease of reference and are not to be considered in the interpretation of any provision of this Agreement. Numbered or lettered articles, sections and subsections herein contained refer to articles, sections and subsections of this Agreement unless otherwise expressly stated. In the event any claim is made by any Member relating to any conflict, omission or ambiguity in this Agreement, no presumption or burden of proof or persuasion shall be implied by virtue of the fact that this Agreement was prepared by or at the request of a particular Member or his or her counsel. 10.4 Governing Law. This Agreement shall be governed by, and construed in accordance with, the laws of the State of California, excluding its conflicts of law principles. 10.5 Severability. If any provision of this Agreement or the application of such provision to any person or circumstance shall be held invalid,the remainder of this Agreement or the application of such provision to persons or circumstances other than those to which it is held invalid shall not be affected thereby. 10.6 Notices. Any notice to be given or to be served upon the Company or any party hereto in connection with this Agreement must be in writing(which may include facsimile) and will be deemed to have been given and received when delivered to the address specified by the party to receive the notice. Such notices will be given to a Member at the address specified in Exhibit A hereto. Any party may, at any time by giving five (5) days' prior written notice to the other Members, designate any other address in substitution of the foregoing address to which such notice will be given. 10.7 Amendments. All amendments to this Agreement will be in writing and signed by all of the Members. 10.8 Multiple Counterparts. This Agreement may be executed in two or more counterparts, each of which shall be deemed an original, but all of which shall constitute one and the same instrument. 10.9 Remedies Cumulative. The remedies under this Agreement are cumulative and shall not exclude any other remedies to which any person may be lawfully entitled. II Exhibit A Members The following persons are the Members of the Company, and their initial capital contributions and ownership is set forth below. Name Capital Contributions Percentage Interest Triada Investments Inc. $400,000.00 80% Luka Dvornik $100,000.00 20% Exhibit B Managers The following person(s) are elected as Manager(s)of the Company: Triada Investments Inc. , IN WITNESS WHEREOF,the parties have executed or caused to be executed this Operating Agreement as of the date below. / Dated: l� /in--// t� Luka Dvornik • Triada Investments Inc.-David Fiore, President _ —� • TO BE RECORDED WITHOUT FEI p1 E ` SECTION 6103 GOVERNMENT CODE. y ` AT THE REQUEST OF CITY OF CAMPBE1. • UM; U7 201%OCUMENT: 23132139 Pages: 1 • ""vbTY CLERK'S OF Fees. . . . No Fees r ► v Recording Requested By: ) I III III III I I 0Taxes. . . Copies. . City of Campbell ) AMT PAID ) REGINA ALCOMENDRAS RDE # 001 And When Recorded Return To: ) SANTA CLARA COUNTY RECORDER 11/02/2015 ) Recorded at the request of 2:57 PM City Clerk ) City City of Campbell ) 70 N. First Street ) Campbell, CA 95008) APN: 404-06-039 (Space above this line for Recorder's use only.) ADDRESS: 90 Jane Ann Way,Campbell,CA 95008 DEFERRED STREET IMPROVEMENT AGREEMENT THIS AGREEMENT, identified as File No. BLD2015-897, made and entered into this oaf3 4`'" day of() o c e 1 , 2015, by and between TRIADA CONSTRUCTION LLC, a CALIFORNIA LIMITED LIABILITY COMPANY 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 BLD2015-897 (Building Permit Number) upon that certain real property described in Grant Deed recorded on June 18, 2015, Document Number 22991644, 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 90 Jane Ann Way; WHEREAS, compliance with the terms and conditions of this agreement are conditions to the final approval (Exhibit B) of above described application to construct a new single family residential house, 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. 10/14) - 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 grades 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. 10/14) - 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 A and incorporated herein by this reference("Lien") , on said real property( also referred to herein as "Collateral"). City's failure to exercise this option will not constitute a waiver of the right to exercise it in the event of any subsequent default. (a) Amount of Lien: The Lien shall be for the entire amounts then owing under section(10) of this Agreement. (Rev. 10/14) - 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 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. (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. (Rev. 10/14) -4 - (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 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. Owners', and his successors', obligations under this section shall not be relieved by delay or the passage of time, but shall remain binding indefmitely 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. Owners', 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 performed 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 performance 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 (Rev. 10/14) - 5 - • the City of Campbell may be subjected resulting from the failure of Owner, or his successors, or 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 90 Jane Aim 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. 10/14) -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: TRIADA CONSTRUCTION LLC, A CALIFORNIA LIMITED LIABILTY CO • ANY David A. Fiore, Manager of Triada Construction 90 Jane Ann Way Campbell, CA95008 (Notary Acknowledgment for above signator(ies)MUST be attached) CITY OF CAMPBELL ATTEST: (77_, Todd Capurso Public Works Director, City of Campbell Wend ood 70 N. First Street Acting City Clerk Campbell, California 95008 (Attach Notary Acknowledgment for all parties) (Rev. 10/14) - 7 - CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of `n - \Q �' ) On W\-o' pD aO\-5-before me, c5i ilvw\ --S\A-ownc.So4"\l No-�..! \Jvbl•� Date Here Insert Name and Title of the Office personally appeared \., a @,O`( Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my d and official seal. +., JOANN THOMASON Signature - Commission*2110789 Sig ture of Notary Public zt �';l a Notary Public-California �,: `4,, Santa Clara County Comm.E ices Ma 9,2019 Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached DocumentctIw�k Title or Type of Document: tP N((cc Yee �'ocument Date: I Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): Partner — Limited General Partner — ❑ Limited ❑ General J Individual J Attorney in Fact JI Individual ET,Attorney in Fact J Trustee J Guardian or Conservator J Trustee Ii Guardian or Conservator J Other: J Other: Signer Is Representing: Signer Is Representing: ©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of 7DC�•(\-tc\- A •(O— On S before me, Jo *v\ Date Here Insert Name and Title of the Offic6r personally appeared \vC\A Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph JOANN THOMASON is true and correct. Commission#2110789 WITNESS hand and official seal. Notary Public-California fi ₹""% 8anta Clara County Comm. 9 2019 Signature nature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: k ,\S" Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: Corporate Officer — Title(s): Fi Corporate Officer — Title(s): 11 Partner — LI Limited 11 General 111 Partner — Limited ❑ General 11 Individual I Attorney in Fact ill Individual ___,1 Attorney in Fact Trustee = Guardian or Conservator 11 Trustee Guardian or Conservator El Other: Other: Signer Is Representing: Signer Is Representing: ©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item #5907 Exhibit A 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 - EXHIBIT B • MEMORANDUM CITY OF CAMPBELL TO: Bill Bruckart, Building Official DATE: 8/14/2015 FROM: Doris Quai Hoi,Engineer(408) 866-2157 SUBJECT: BUILDING PERMIT APPLICATION Site Address: 90 Jane Ann Way For File No(s): BLD2015-897 Project Description: New single family dwelling Applicant: Daryl Fazekas COMMENTS Current public improvements on Jane Ann Way do not meet the City of Campbell's streetscape standard for City standard curb and gutter and detached sidewalk and street trees (w/park strip). A Deferred Street Improvement Agreement will be required to be executed for the installation of the City Standard and the applicant will also be required to remove and replace damaged areas of the existing sidewalk and rolled curb at this time. Alternatively, the applicant may install the streetscape standard at this time therefore a deferred street improvement agreement will not be necessary. Visit the City's website and follow the submittal requirements for Public Works once this application has received entitlement. The checklist for the various plans required for submittal can be found on the City's Website at City Services I,Public Works►Engineering►Land Development►Documents, (or use this link: http://www.cityofcampbell.com/206/Documents). See instructions on: 1. Checklist for Street Improvement Plans. The building permit and grading permit will not be issued until all Public Works Conditions of Approval have been satisfied. These Conditions of Approval are a supplement to the new single family dwelling plans dated July 1, 2015 by Daryl Fazekas and Civil plans by Al Pascual &Associates, Inc, dated July 2014. The plans are not approved for construction. Further plan checking by Public Works will be required post entitlement. PUBLIC WORKS DEPARTMENT CONDITIONS OF APPROVAL 1. Response Letter: Upon submittal of the Parcel Map, the Street Improvement Plans and the Grading and Drainage Plans, the applicant shall provide an itemized response letter verifying that all the Public Works Conditions of Approval have been met or addressed. 2. Preliminary Title Report: Prior to issuance of any grading or building permits for the site, the applicant shall provide a current(within the past 6 months) Preliminary Title Report. 3. Storm Drain Area Fee: Prior to issuance of any grading or building permits for the site, the applicant shall pay the required Storm Drain Area fee, currently set at$2,120.00 per net acre, which is$488.00. J:\LandDev\Conditions\B1dg'Jane Ann Way 90.docx Page 1 of 3 90 Jane Aim Way(BLD2015-897) • 4. Deferred Street Improvement Agreement: Prior to issuance of any grading or 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 standard curb, gutter, detached sidewalk, an ADA compliant driveway, street trees, street lights, necessary drainage facilities and necessary conforms to existing improvements. 5. Utilities: All on-site utilities shall be installed underground per Section 21.18.140 of the Campbell Municipal Code for any new or remodeled buildings or additions. Applicant shall comply with all plan submittals, permitting, and fee requirements of the serving utility companies. Utility locations shall not cause damage to any existing street trees. Where there are utility conflicts due to established tree roots or where a new tree will be installed, alternate locations for utilities shall be explored. Include utility trench details where necessary. 6. Water Meter(s) and Sewer Cleanout(s): Existing and proposed water meter(s) and sewer cleanout(s) shall be relocated or installed on private property behind the public right-of-way line. 7. 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. 8. 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 not been reconstructed or 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. 9. Street Improvement Plans/Encroachment Permit/Fees/Deposits: Prior to issuance of any grading or building permits for the site, the applicant shall cause plans for public street improvements to be prepared, pay various fees and deposits, post security and provide insurance necessary to obtain an encroachment permit for construction of the public street improvements, as required by the City Engineer. Sheet Al shall include the following: a. Show location of all existing utilities within the new and existing public right of way including the sanitary sewer clean out and the water meter. b. Relocation of all existing utilities including utility boxes, covers,poles, etc. outside of sidewalk area. No utility boxes, covers, etc. will be allowed in the public right of way. J:\LandDev\Conditions\BldgUane Ann Way 90.docx Page 2 of 3 90 Jane Ann Way(BLD2015-897) I • c. Show the locations of all underground utilities (gas, water, electric, sewer) connecting to the utility mains (utility coordination plan). Add a note if there are no upgrades to the(E) laterals. d. Show the work for pavement restoration due to new utilities. e. New pavers for the driveway shall not be installed in the public right of way. Show limit of work for the pavers. Add a note to this sheet for clarification. f. Removal of existing sections of broken and cracked sidewalk and necessary rolled curb. The extent of the work will be identified in the field with the Public Works Inspector prior to construction of the public improvements. Existing sidewalk and rolled curb have cracking. Construction activities may create further damage and will require replacement. 10. 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 installed and accepted by the City, and the design engineer shall submit as-built drawings to the City. 11. 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. 12. Additional Street Improvements: Should it be discovered after the approval process that new utility main lines, extra utility work or other work is required to service the development, and should those facilities or other work affect any public improvements, the City may add conditions to the development/project/permit, at the discretion of the City Engineer, to restore pavement or other public improvements to the satisfaction of the City. 13. 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. 14. Plan Lines: Prior to issuance of any grading or building permits for the site, the applicant shall provide a plan layout showing the correct distance from the street centerline to the property line, dimensions of sidewalk and other relevant information in the public right of way. Sheet C 1 has an expired engineer's license. The date the topographic and boundary survey was done was after expiration. Also provide additional elevations to neighboring properties so as to verify that there will be no cross draining. J:\LandDev\Conditions\B1dg'Jane Ann Way 90.docx Page 3 of 3 PAN REVIEW OUTER CITY OF CAMPBELL In rA � 'tL l'_ New Submittal Resubmittal: (_ d,3 ,1t11J5' Rev )'''TiIt e 'ision to Existing Permit G �a&RECEIVEAP M/el} 'I APPLICATION/PERMIT#( r JOB ADDRESS'_1() 2 , , ---.,, - JOB DESCRIPTION ,,,_,� ❑COMMERCIAL .ESIDENTIAL _ I _ Plans Green-Po' t Rated Checklist •I Structural Calcs. _WVSD .. • Soils/Geotechnical Report _School Fee Form r.•.,. Calls _Health Department Approval P T-24 Calcs. Response Letter t._,°� :A Green Specs Specifications Initials ilding +Plan Checked By & — - Date: ❑ PPROVED SNOT APPROVED ktructurai: 5 a Date: / ❑APP ED ❑NOT APPROVED .� IN anning Zone: Ian Checked By: Date: '\ ❑APPROVED ❑NOT APPROVED ' blic Works an Checked By: Date: gi ___ v / — ❑APPROVED OT APPROVED n ER re Plan Checked By: Date: / O APPROVED ❑NOT APPROVED MEMORANDUM CITY OF CAMPBELL TO: Bill Bruckart, Building Official DATE: 8/14/2015 FROM: Doris Quai Hoi,Engineer (408) 866-2157 SUBJECT: BUILDING PERMIT APPLICATION Site Address: 90 Jane Ann Way For File No(s): BLD2015-897 Project Description: New single family dwelling Applicant: Daryl Fazekas COMMENTS Current public improvements on Jane Ann Way do not meet the City of Campbell's streetscape standard for City standard curb and gutter and detached sidewalk and street trees (w/ park strip). A Deferred Street Improvement Agreement will be required to be executed for the installation of the City Standard and the applicant will also be required to remove and replace damaged areas of the existing sidewalk and rolled curb at this time. Alternatively, the applicant may install the streetscape standard at this time therefore a deferred street improvement agreement will not be necessary. Visit the City's website and follow the submittal requirements for Public Works once this application has received entitlement. The checklist for the various plans required for submittal can be found on the City's Website at City Services►Public Works D-Engineering'.Land Development►Documents, (or use this link: http://www.cityofcampbell.com/206/Documents). See instructions on: 1. Checklist for Street Improvement Plans. The building permit and grading permit will not be issued until all Public Works Conditions of Approval have been satisfied. These Conditions of Approval are a supplement to the new single family dwelling plans dated July 1, 2015 by Daryl Fazekas and Civil plans by Al Pascual & Associates, Inc, dated July 83 (?), 2014. The plans are not approved for construction. Further plan checking by Public Works will be required post entitlement. PUBLIC WORKS DEPARTMENT CONDITIONS OF APPROVAL 1. Response Letter: Upon submittal of the Parcel Map, the Street Improvement Plans and the Grading and Drainage Plans, the applicant shall provide an itemized response letter verifying that all the Public Works Conditions of Approval have been met or addressed. 2. Preliminary Title Report: Prior to issuance of any grading or building permits for the site, the applicant shall provide a current (within the past 6 months) Preliminary Title Report. 3. Storm Drain Area Fee: Prior to issuance of any grading or building permits for the site, the applicant shall pay the required Storm Drain Area fee, currently set at $2,120.00 per net acre, which is $488.00. 4. Deferred Street Improvement Agreement: Prior to issuance of any grading or 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 J:\LandDev\Conditions\Bldg\Jane Ann Way 90.docx Page 1 of 3 90 Jane Ann Way (BLD2015-897) utility poles and facilities as required, installation of standard curb, gutter, detached sidewalk, an ADA compliant driveway, street trees, street lights, necessary drainage facilities and necessary conforms to existing improvements. 5. Utilities: All on-site utilities shall be installed underground per Section 21.18.140 of the Campbell Municipal Code for any new or remodeled buildings or additions. Applicant shall comply with all plan submittals,permitting, and fee requirements of the serving utility companies. Utility locations shall not cause damage to any existing street trees. Where there are utility conflicts due to established tree roots or where a new tree will be installed, alternate locations for utilities shall be explored. Include utility trench details where necessary. 6. Water Meter(s) and Sewer Cleanout(s): Existing and proposed water meter(s) and sewer cleanout(s) shall be relocated or installed on private property behind the public right-of-way line. 7. 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. 8. 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 not been reconstructed or 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. 9. Street Improvement Plans/Encroachment Permit/Fees/Deposits: Prior to issuance of any grading or building permits for the site, the applicant shall cause plans for public street improvements to be prepared, pay various fees and deposits, post security and provide insurance necessary to obtain an encroachment permit for construction of the public street improvements, as required by the City Engineer. Sheet Al shall include the following: a. Show location of all existing utilities within the new and existing public right of way including the sanitary sewer clean out and the water meter. b. Relocation of all existing utilities including utility boxes, covers, poles, etc. outside of sidewalk area. No utility boxes, covers, etc. will be allowed in the public right of way. c. Show the locations of all underground utilities (gas, water, electric, sewer) connecting to the utility mains(utility coordination plan). Add a note if there are no upgrades to the (E) laterals. d. Show the work for pavement restoration due to new utilities. e. New pavers for the driveway shall not be installed in the public right of way. Show limit of work for the pavers. Add a note to this sheet for clarification. f. Removal of existing sections of broken and cracked sidewalk and necessary rolled curb. The extent of the work will be identified in the field with the Public Works Inspector prior to construction of the public improvements. Existing sidewalk and rolled curb have cracking. Construction activities may create further damage and will require replacement. 10. 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 J:\LandDev\Conditions\BldgJane Ann Way 90.docx Page 2 of 3 90 Jane Ann Way(BLD2015-897) improvements installed and accepted by the City, and the design engineer shall submit as-built drawings to the City. 11. 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. 12. Additional Street Improvements: Should it be discovered after the approval process that new utility main lines, extra utility work or other work is required to service the development, and should those facilities or other work affect any public improvements, the City may add conditions to the development/project/permit, at the discretion of the City Engineer, to restore pavement or other public improvements to the satisfaction of the City. 13. 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. 14. Plan Lines: Prior to issuance of any grading or building permits for the site, the applicant shall provide a plan layout showing the correct distance from the street centerline to the property line, dimensions of sidewalk and other relevant information in the public right of way. Sheet Cl has an expired engineer's license. The date the topographic and boundary survey was done was after expiration. Also provide additional elevations to neighboring properties so as to verify that there will be no cross draining. J:\LandDev\Conditions\BldgUane Ann Way 90.docx Page 3 of 3 1,...,1 Development Information sheet. Prepared by: KH APN: 404-06-039 Date: 8-10-2015 Address: 90 Jane Ann Wav Lot size: 10,374(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,what is nature of work: " '• Permit Number: If this project is part of a larger development(new subdivision,new townhomes)or commercial development, skip A through D. Demolition of existing house and construction of new single-family dwelling A. Existing building area(SF): _ B.Proposed additional area(SF): 3,578 (Use the area from five years back) C. Total area w/addition(A+B): 3,578 D. Percent increase(B/A): 100% (if less than 50%,stop research) Tract or Parcel Map : Tract 819 Date recorded: February 1951 (Tract#or book&page) Any found records of Storm Drain Area fee previously paid? Yes El (provide info below) No Ei (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 ac(area in acres) X $2,120/ac(fee/acre) = $488 Within STANP? Yes ❑ No ® (check one) STANP Requirements: Curb❑ Gutter❑ Sidewalk❑ Rolled curb❑ None❑ NA El o l l • Existing improvements present? Curb .1 Gutter El Sidewalk ® (check all that apply) Sidewalk dimension(BOW to FOW): 3.5' Park strip dimension(FOW to BOC): None Driveway dimension(s): 9.5' D/W ADA compliant? Yes❑ No Ramp ADA compliant? Yes El No El NA- 54 Street ROW half width(CL to PL): 30' Date that street had been resurfaced: August 2013 (Rubber cape/slurry seal) Street light info: JP ® older pole❑ galvanized pole ❑ Water meter and sewer cleanout info: WM located in ROW behind SWK. No SCO located SD inlet and/or manhole(relation to frontage): None located Provide details and attach pictures(8.5x11),assessors map(11x17)and aerial map(8.5 x 11),WVSD SD system map (11x17,B/W),SD Map-CAD File(8.5x11) Electrical panel relocation? Ei No E N._ j 911.0X----L" • u�� Overhead lines fronting property? ® Yes ElNo A.Roadway Classification: ElArterial,Collector or ®Local C.....\.. B.Commercial structure or subdivisio. 1r o ? ❑Yes ®No Utility undergrounding required Y. No te5.4 1/ d I 0\)P' S\1....4) Provide details and attach pictures(8.5x11),assessors map(11x17)and aerial map(8.5 x 11),WVSD SD system map (11x17,B/W),SD Map-CAD File(8.5x11) Photos of 90 Jane Ann Way - ! • - FH located near 1 ,' ' Southern PL iv - Overhead lines :- - I fronting property li uc - v; 9.5' DWY l ,. Property frontage Detail of fire hydrant \ ' rp';.!,:i ,!;• .14::''', ,. 4, t., S l r- 1 -. . x� .... . . . „, Y WM located PL CL l- s ,-,t,'".. 1, ,i` Jv?n' -,;, ,� � ! ,,, behind SWK in r �l � u t . r _ �c ROW 45' from ill ® � �.- r ;r' f 4; Northern PL --__ y wl Fence withinpiii 30' ROW ° .��,�. g `' ROW ` Side view from North with property on left Detail of water meter 4 Detail of SWK ` _. ,� j ; cracking at face Communication `' of DWY• line connecting �, ._ ,; to corner of - ,r ., x: - - ":1•-IIF. 3.5' SWK „' Pa house _ JP located near , Northwestern _-'w Detail of SWK property corner Rolled curb w' cracking 10' from Southern PL Side view from South with propertyyoon�right I 7 ) LOT 40 i 125.0 LEGEND: r Sidewalk: SWK r Driveway: DWY CS LOT 39 Joint Light Pole: rJT-—.J~j Fire Hydrant: + D ,(, \LP34/d_ . , Water Meter: m go -0v(\Q./ ) Overhead Lines: Fence Line: t• 3.50_ SWK 30,00 bltft.'4' ROW LOT 38 0 30' 60' VI , H .� �"�-�'° Nom/ r2r;e712.--Nic, . I �LrJ � C�hPV7\ e 01 1 t £ Gv �G•l� =1 F-e-t-i "- i • • r i D )A,J .6.4•1 (({2o;k.l p ,,- 2'� , i 1 - ,,,-;• ...1� / I I/ r.)/›.\16.-'41--- - rb,A. ri r -----) I I i -, --- . .------�-Jr ifi , 1 ----- a -- -------.--------- ______.___--_ .__�__.__W.._...._____._--_-- ._____._��.._ �_� �...__..._ ._ . . �:.__ �...�.:�...�.,�.� w:r�__-._ _-..� . M _._.... rz4et e,,.42. -.? ,o. e2 ).6.1-,.1. - ,A. . iN. w,6. -r .,./ (/ '//`' ! DRAWN NAY ,,, I �� CHECKED 197 _ i i GATE--4L------ SCALE I N .i\Tep /izi-it-b, 14-4* I )�9 Z Building Occupancy: R3/U I/ I ✓ Construction type: VB `o 4'l,c7°/o fi}2- 'L24 I4-et- 4• 4(.#-2, 4- i Applicable codes: .2013 California )A� JOB O4 kM I LY rarzz H j .b 6,,e>,.-- Building, Mechanical, Plumbing, SHEET i o a J• { i ti t Co Q'G9 Z "15 Electrical, Fire, Residential and Energy I 4-x.,% Codes. 2013 Green Building Standards .7.L\ Lcp-r o12_6A lot oGv I A = A 9°0 IAA X C 12. Codes ---0---• ,f0'7‘, MAY G V Co a 4-Q,94-, '. f(2.o r-S-r `'i'.6.•tiM p 4-7 1 %, DP /2-A V t%� . _.."_." ' � e/ 19 l'Dr � .�.. ..._.,�-._.. OF SHEETS Application for Building Permit Applicant: '..----?—Fill in all applicable areas;of ase print clearly. Application Number: 3 — Intake Person(office use only) pP ----C-....- :s2:. Applicant is: -i— Owner mil/Contractor Architect/Designer Agent: Project Identification: APN: Go`( —L7--L2: Lot#: Suite or Space#: Job Address:__ �--�' v f vtc.'r, W4' City: . C4�?i IL �x-1',� r , State: 1 Zip: ------ - - -- - Project Type (check appropriate item) Permit Type(s) (check appropriate items) Commercial residential (-. LDG _TECH t,-PLUMB —ELEC --- - -- --- - -- ------------------------------- - --Scope of Work t1(i/ \./N O 6 --p,_;_.....)-2_ Valuation:$ 4O,L —) Const.Type: Occupancy. . - Is Bldg. Sprinklered? 1L.1 Yes No Existing Use: Proposed Use #of Stories: #of Units: Comm.Sq.Ftg. Office: Retail: /F ° Warehouse: _ Other. Res.Sq. Ftg. Total Sq.Ftg. Dwelling GaG 6t/-'o a #of cars Patio:_—_ ' Deck: (Production Homes Only) Master Plan#: Lic.# Plan#: Suffix: A Owner's Name,Address,Phone �Q�_ 66 Name f edi� f C� -"',° ` L Home Phone: �'�( rJ J '_ � Address 6C w ! 4 A . Sr''''L1`([l t= '. Phone: ( , Email__ City 4+1 VftP4 .._l. i.,/ State Q_..1)--. Zip Code t'' l Contractor s Name,Address,Phone&Contractor's Lic.# Check Here if"Owner/Builder"Permit Name Home Phone: Address Bus. Phone: Email__ City State Zip Code_ License#: License Classifications(s): Architect esi ner y` C` (please check one)= — Engineer — 9 �fOs' ,395-: 4-1 r r Phone: 7 Name � r;�� � , � -+ .. Address Bus. Phone. Email City `. `CK . .c'� State C Zip Cody ccc',3 L Desired contact person: 1.7 Owner Contractor ArchitectlDesigner Agent 1 1 ) \\N . 41*---------- L9e---Pt ia,(OWIK 2 "lc,(I. ,.... Appl cant Signa Printed Name Date Revised September 2012 OFFICE OF COUNTY ASSESSOR SANTA CLARA COUNTY , - CALIF O BOOK PAGE - _ _ _ _ 307 -- - - AVE. - i 404 6 _ _ W, CAMPBELL - - 55 TRACT No. 720...CORAL MANORg3.56 <s.so�a 760 124.41TRACT No. 819...CORAL MANOR...UNIT No.2 „7 4, , � � ?a36 `16 62.69 T I a 106.12 67.28 i �p?� ^ J6 co �° 24 45 80 1 v 106.12 104.14 I o 0 68 25 °'� ^ I 1 ; 44 48 ir'0 23 rn, - __ _ ----- _ -,as.00----- N co^ N 22 69 - w N gill 24 rn 13 ---- 146.00 ---- 2 —w N\— co ^ ^ 47 I 46 " I " ^ 67 26 , 23 46 " ^ 79 \\ // Lo 1 __ \S/ 125 I 125 _ 84_30 I ' N `' -- ro 21 71 I 2 co m 43 49 0 169.30 '--------- ' ------_-_ I " °D I 68 _ " 45 ' 0 � 25 I 66 27 ; 22 47 78 3,.... 0, i , 42 50 --- I V- - > 6 - < v - N 44 '``‘I 21 Q ^ 77 4 1" = 100' I -26 N h > ^ 65 28 , 48 1 -_ Q L-____ - -_--__ 41 51 153.76 --_-- —_'—__-- 19 73 I 66 4 CJ -tO CO 41 43 ' co ^ 27 ^ 0 64 29 20 49 76 5 3- 1 - `--_______ L_-__ ------------- 145.98 ---- _ IL ___-- 60' 40 52 60' -- 75 et- 0N co 18 74 165 5 6 O ^ 28 ^ � b 01 i N 6,3 30 ; 19 50 ^ m 1 30' — - 60• ----____ I___- ----- tr ____- C - I 138.21 - -- I ----- a.. . 9 53 - ; 0)N ts.J a 17 75 64 6 T ^ 41 29 Po2 /: ± ^I ^ , , ^ 1o •1 305 --- 38 10 089 sf calc. o __-__ o^ 28 CD a o 16 76 63 54 40 30 0 N" ,, ' 17 52 73 8 61 32 I - I ___ I ------- L - ----- ' _-_-- -- __ --__ 1 122.15 --1 0 I -- I i �„ ' 72 Q N m 15 77 62 8 37 55 .0 3 9 '- ^" 60 33 ; 16 53 9 31 ^ 1 W ----I L u, I'-- Z „2.82 - 2 0 O ^ P. 71 frl m 14 78 ' 61 8 36 56 59 34 ; 15 54 10 I • 38 32 ^ � - �___-_- S ------1 ---__ I - -l ___ rn in --- ------- 1 - a, ---- _-I W = " I 70 11 h I ^ Z h m 13 79 ' 60 10 w Q 41 m 35 57 to2.sa U 58 35 i 14 55 z -____ 133-- I -__146 ___ a /^ 125 i 125 125 �� '- o °: ^ v o � ^ I � O1 ^ 34 " 37 33 �2°6 69 12 W, RINCON AV * z,-;', 1256 80 59 11 58 ?9 �� 57 36 13 10574 �s �co �' I • 81.57 71.69 111.54 128.75 105 105 21.96 •• LAWRENCE E. STONE - ASSESSOR I — 1 Cadastral map for assessment purposes only. _ � �' :.•1___®r___— 1 — BUCKNALL — oR,� �,� ROAD O7 / Compiled under R. & T. Code, Sec. 327. Effective Roll Year 2O14-2O15 1L 1p v CHARMAIN A D DR Z J ! r-i ji HEDEGARD pi ! F-- i Z �- 18 12 Ql- ce W ♦ 12i 30 14 - 12 > w 3 3 Q ` , 8 12 z z w Q - w Q 21 D ‹ 21 � -- BUCKNALL RD 7 „,,, -11 >- z 3 Ln ARR0WeD LN itr 40 VIHSLOV _""'' ""� CT 4P i'm to Cr d N 12 LA' , R r'a , `�' °t,-,0.;. N1 T--.' '�r� ✓f �1p ... Jumn-eiRe 1M) AID- -. 21 244, 2 24 ti: T' A O' x n BIJRNHAM ERIE j i 12R CT WY KIM LOUISE ' r NUPERIOR DR ......... ._. .. g 15 �A _15 V_ER CT LA...VOMrEWLA VI)IE LA 15 COLLEEN AM Pic _- , Crimm-4, „_�, r WY ...,..__ __�_. ST. PAtA. PHOENIX'' • i 15 UR \YARYtCRw - 1 no VIOLET WY uC— 2. vTCTDU �i St,1�� ' ,5 '- - AVE } I I . 12 N COVENTRY BR � A ABBEY LN 1 3AV ULVHV to, BRANEURY DR 1 KARAT N DR WREN w HUNT VY 72 mLa 12 z PL 0 i i N 1 MARIANA VY 1 CT tKLY JANE ANN '— WY r N p JANE ANN a DRA SAN CT _.,. A K CHRISTOPHER .. 15 AVE 18 18 1 IS 3 w CT i coDEL 18 r J5°• .'I VIocrutp AVE _ 15 �^ ie tor 2> I, . a N CI NJ CO 1 N '141dX3 ti-8 SVISEll NYS N C(n O t...>w MILLIC 4 ' 12 co d 1 ._,__ _. 3F.� LEVEL:All AVE=,. LLL„E:_LYN AVE n, — m w �� AI En �.. I ,at 1141 , E 9. 9. r ---_._ . HARD.,,-'-m,M-_ A IC `' `,i 1 1 k , 9ti En I ttrili 14 CARLYN a • Dii, I-3 i 'w (7 to 3 VJ � MP.' xi rI A XI h z d 0 a: A tr-I p Z _ _ Z I— M ri ri J.re) fa 1 _ BLAND AVLStIVIRR`Y"'-""DR" ...�-`- N N (7, 4.N :Ill < to • m0 14 ,r,P-I' V 21 21 21 LAwNDALE lifral-iFFERS.V 54 =" AVE I I SEE SHEET 3 \SHEET 3 300' 0' 300' 1' 0' 1' N N 1n ae'..ii.. No. Revision Dote By Chit, = ii 4.:*?3l *c STORM DRAIN :atc:3-11—OS --- — o m a 1- CITY OF CAMPBELL Dro.n BY: D.o. _ v, o m "I; i�i SHEET 2 DEPARTMENT OF PUBLIC WORKS Designed By: — ---"— CAMPBELL.CALIFORNIA