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HomeMy WebLinkAboutENC2014-00075 . Print Form N Permit No N-- CITY OF CAMPBELL ENCROACHMENT PERMIT .CAU — Oboe S J DEPT.OF PUBLIC WORKS ' (for working within the public X-Ref.File 70 North First St rats t CS IA '� right-of-way) Application Date 3ZS--tt-} Campbell,CA 95 Application Expiration Date - -3 LA Ph. (408)866-2150 �� �� 20�(� Issued 3(/2 6/ i f APN a 1 cl YU O L{ Fx. (408)376-0958 M ZG/ Permit Expiration Date APPLICATION-Application h ? 1�1� ggIi'Iic Works Permit in accordance with Campbell Municipal Code,Section 11.04. (Application expires in six ijf3(6) months if the pfr ViclMed. Application Fee is non-refundable.) A. Work Address or Tract No.: F191 Harrison Av to 5190 Harrison Av(on Salamar Ave) Utility Trench Location: F191 Harrison Av to 5190 Harrison Av(on Salamar Ave) B. Nature of Work: remove and replace(2)4'x 4'section of asphalt;repair conduit(see attached dwgs) C. Attach four(4)copies of an engineered plan showing the location and extent of the work,and four(4)copies of the preliminary Engineer's Estimate of work. The plans shall show the relation of the proposed work to existing surface and underground improvements. When approved by the City Engineer,said plan becomes a part of this permit. D. All work shall conform to the City of Campbell Standard Specifications and Details for Public Works Construction;the General Permit Conditions listed on the reverse side;and the Special Provisions for this permit,listed below. Failure to abide by these conditions and provisions may result in job shutdown and/or forfeiture of Faithful Performance Sureties and cash deposits. (See General Permit Conditions 1 and 2.) E. The Contractor must have this permit and approved plans at the site and must notify the Public Works Department at least two days before starting work. Notice must be given to Public Works at least 24 hours before restarting any work. Name of Applicant: AT&T,Art Castillo Telephone: 408-635-8812 Address: 870 N McCarthy Blvd,Milpitas,CA 95035 E-Mail Address: ac1634@att.com 24-HOUR EMERGENCY PHONE NUMBER: 408-868-3319 Is this work being done by the property owners at their own residence? n YES IT< NO The Applicant/Permittee hereby agrees by affixing their signature to this permit to hold the City of Campbell,its officers,agents,and employees free,safe and harmless from any claim or demand for damages resulting from the work covered by this permit. The Applicant/Permittee hereby acknowledges that they have read and understand both the front and back of this permit,and they will inform their contractor(s) of the information. ..'licant is advi . that upon issuance of this permit, property owner, or property owner's successors, shall be responsible for any and all damag ng ou .f '-co di. n of any private improvements in the public right-of-way. Accepted: / (Appli .nt Permittee) (sign) Date (Contractor) (Print Name) Date SPECIAL PROVISIONS: 1. Street shall not be open cut for underground installations. Minimum cuts may be allowed for connections or exploration holes. Such cuts may be specifically approved by the Inspector prior to cutting. 2. Pavement may be cut for underground installations and must be restored in accordance with the Standard Details Trench Restoration Method "A",unless otherwise approved by the Engineer. 3. Work to be staked by a licensed Land Surveyor or Civil Engineer and two(2)copies of the cut sheets sent to the Public Works Department before starting work. 4. Per Section 4216 of the Government Code this permit is not valid for excavations until Underground Service Alert(USA)has been notified and the inquiry identification number has been entered hereon. USA Phone: 1-800-227-2600. USA TICKET NO. 5. Prior to any work,the property owner shall execute an Agreement for Private Improvements in the Public Right-of-Way,which shall be recorded. 6. Public Notification Requirements: 7. SEE PUBLIC WORKS FEE SCHEDULE FOR CURRENT FEES AMOUNT RECEIPT NO. PERMIT APPLICATION FEE $ 37 7 Q PLAN CHECK DEPOSIT $ SECURITY FOR FAITHFUL PERFORMANCE/LABOR&MATERIALS $ CONSTRUCTION CASH DEPOSIT $ PLAN CHECK&INSPECTION FEE $ .2i—]7 EMERGENCY PERMIT FEE $ APPROVED FOR ISSUANCE c—".--. 1/26(111- For City ngineer Date Permit Expires 12 Months After Date of Issuance • GENERAL PERMIT CONDITIONS 1. A Construction Cash Deposit is required. Charges will be made against this deposit if there is an emergency call-out,overtime inspection or when City ordered barricading is required. Any such costs in excess of the deposit will be billed to the Permittee. 2. A one-year maintenance period and surety are required. Such period will begin on date of written acceptance by the City. 3. Refund or the cash deposit balance and refund or cancellation of the Faithful Performance Surety will be initiated by the written acceptance of the work by the City. 4. Submit project schedule 10(ten)days prior to proposed start of work.Special provisions may be required for work within City facilities and downtown Campbell. 5. The Permittee must request in writing a final inspection and acceptance of the work upon completion. Acceptance by the City will be made in writing to the Permittee. 6. Maintain safe pedestrian and vehicular crossings and free access to private driveways,bus stops,fire hydrants,and water valves. 7. A Construction Traffic Control Plan and a Construction Schedule are required for all lane closures,detours,and street closures.This plan must be reviewed and approved prior to any lane closures. 8. A Construction Traffic Control Plan shall conform to the Caltrans Manual of Traffic Controls for Construction and Maintenance Work Zones,dated 1990,available at Caltrans. Traffic control equipment shall include Type II flashing arrow signs if required. 9. Replace as directed by the City Engineer any damaged or removed improvements in accordance with City Standards and Specifications at the sole expense of the Permittee. 10. Sawcut for all PCC or AC removals. All PCC removals shall be to the nearest scoremark and shall be doweled to existing improvements. 11. Prior approval of inspector is required for any work done after normal working hours,on weekends or holidays and may require reimbursement of inspection costs at the current overtime rate. 12. Adequate signing and barricading is required on the job site. Failure to provide such signing and barricading may result in the City's providing signing and barricades and charging the cost(including all labor and materials)against the cash deposit. 13. Compaction testing of subgrade,base rock,and asphalt concrete by Permittee is required unless otherwise stated by the City Engineer. 14. The Contractor or Permittee will have a supervisory representative available for contact on the project at all times during construction. Contractor or Permittee shall provide a phone number at which they can be contacted outside the hours of 8:00 a.m.to 4:00 p.m. 15. No storage of materials or equipment will be allowed near the edge of pavement,the traveled way,or within the shoulderline which would create a hazardous condition to the public. 16. This permit shall not be construed as authorization for excavation and grading on private property adjacent to the work or any other work for which a separate permit may be required,nor does it relieve the Permittee of any obligation to obtain any other permit required by law. 17. This permit does not release the Permittee from any liabilities contained in other agreements or contracts with the City and any other public agency. 18. This permit is not transferable. Work must be performed by the Permittee or his designated agent or contractor as specified thereon. 19. Call back(call out)due to emeregencies regarding this permit shall be at the current overtime rate with a three(3)hour minimum charge per occurrence. 20. Pursuant to Chapter 14.02 of the Campbell Municipal Code,applicant shall not cause to be discharged any material into the municipal storm drain system other than storm water. Applicant shall adhere to the BEST MANAGEMENT PRACTICES established by the Santa Clara Valley Urban Runoff Pollution Prevention Program. 21. If the public interest requires a modification of,or a departure from the plans and specifications,the City shall have the authority to require or approve any modification or departure and to specify the manner in which the same is to be made for City-owned or maintained facilities. 22. Permitttee must provide advance notification to all parties that may be affected by the permit activities. Notification shall be reviewed by the City prior to distribution and include dates of work and a contact name and phone number. Applicant shall be onsible fo rin that all those providing services under the applicant are aware and understand all of the above conditions. ' O5&Applicant Date: Contractor (Print Name) Date: J:\FORMS\Templates\Encroachment Permits\Encroachment Permit STATIC form2.pdf Rev.02/14 ISSUE DATE Vat8A 1 3/14 .� r . , r<s , � �, 0 .4 s, 1 ... Cf)x 0 it d Z gi �v _ y U Of a 4....* woo u \ ,,,•-,-,, lik ligopoop.-APati,:,7, ipprii04,, Gl L. LOOKING EAST AT PROJECT LOCATION LOOKING WEST AT PROJECT LOCATION Ce 0 HARRISON AVE. SALAMAR AVE. a .0 HARRISON AVE./<LAMe AVE. CAMPBELL, CA � .�.,. .., =r � � CONSTRUCTION NOTES ., �w v-g ": .17 m 1. PERMIT TO EXCAVATE ASPHALT i ` M."' .`` TO REPAIR DAMAGED CONDUIT 2. RESTORE AFFECTED ROAD WORK AREA r AFL Network 1 1 *. /;"'• TO ORIGINAL OR BETTER CONDITION. Services Fullkure Bu9nem , r • THIS JOB WAS ENGINEERED AND DRAWN BY DAVID , GARCIA OF AFL TELECOMMUNICATION SERVICES, Brcr w. INC.UNDER CONTRACT WITH AT&T.FOR QUESTIONS 1. D SE ON T JOB ASE CALL ENGINEERANA S ASSTANCE NOTED IN THE HISO TITLE PLEASE CALL ENGINEER AS NOTED IN THE TITLE BOX. '"`" INDEX v DATE .. & CONST ARC COMP c . ' 1. COVER GEO/CO N478 O ' t.,- 2. LAYOUT PLAN DIG UP #1 AND #2 EXCHANGE A 12 ENGINEER A. CASASTILLO �; /i\ 3. TRAFFIC CONTROL PLAN 1 TELEPHONE (408) 635-8812 ENGR ARC VOKDJW550 Kr 4. TRAFFIC CONTROL PLAN 2 TYPE OF CONSTRUCTION PROJECT PERMIT LOCATION DETAIL T.M. 853-E5 SCALE NONE RO/EST NO DWG 1 OF9484545 4 P 504 -- 1 ISSUE DATE ' 0 C at&t 1 3/14 1 il 1 c) CVEp .� L camp a�i _`-' pi , © cn CM ° t 140.--- ----------- 0 o u1p�iG �qC co^*f a ob m�ect.1 •"9 conss thesetruct; BUILDING m P On she 4 79 D W r a FOC w SB 85- 07 V gAiL, A -KA 3 A \y7J, E, u, MEDIA SS SS SS SS o0 S d- S SD SD SD SD DIG UP #1: REMOVE AND 2 5 DIG UP #2 242' TO MH 08-75 REPLACE 4'x4' OF ASPHALTS T T T T T • REPAIR DAMAGED CONDUIT roc LANDSCAPE 1 /c ) LANDSCAPE W MH 08-75k:d e SIDEWALK E In E ,_ cn 0 W DIG UP #1: REMOVE AND HOUSE W REPLACE 4'x4' OF ASPHALTS 468 c O REPAIR DAMAGED CONDUIT = SB 85-106 DIG UP #1 128' TO SB 85-106 CL CL � Q Q °-;)C STREETLIGHT -LOG- LIP OF GUTTER DATE �J TJIr ( (J) Cr) \O/ - C/L - CENTER INEMDRAIN 2 C❑NST ARC N278 COMP FIRE HYDRANT ��� 0 J ❑� CITY MONUMENT - E - ELECTRICAL 3 GE❑/C❑ OTHER UTILITIES THAT ARE NOT J Z Z Q ® JOINT UTILITY POLE -TEL - TELEPHONE A EXCHANGE SNJSCA1 2 SHOWN MAY EXIST IN WORK AREA. <[ (n MANHOLE ❑- FENCELINE A. CASTI LLO LOCATION&DEPTH OF EXISTING LIJ ® ENGINEER SUBSTRUCTURE NOT GUARANTEED. LUJ p D SIGN -W- WATER i--P TELEPHONE 408 635-8812 Q ( • BOLLARD BUSH ENGR ARC VOKDJW550 (/) ® STORM DRAIN CALL la TOLL FREE 48 HRS PRIOR TO DIGGING ,5' - D� SAI CABINET a TREE TYPE OF CONSTRUCTION BOW BACK OF SIDEWALK 20' 1" 2" PROJECT PERMIT FOR ALL SUBSTRUCTURE TYPE C-40 LOCATIONS 5' .-I T. 42 FOC FACE OF CURB CONDUIT 11- SW SIDEWALK 1"-20' 20' 40' RO/EST NO 9484545 800-227-2600 or 811 SCALE:1":20' DWG 2 OF 4 P 504 -- `,•„� }p} ISSUE DATE SPEED �� `OC l LIMIT 1 3/14 25 ROAD SHOULDE' END cl WORK CLOSED ROAD WORK LEGEND AHEAD /��,�• 1=1 TYPE III BARRICADE W/SIGN A v )--( TYPE II BARRICADE W/O SIGN @ G20-2 \ 01 • CHANNELVJNE DEVICE e ,LV, �1�, �/ T TRAFFIC CONE WITH CLIP ON SIGN a W20-1 C30A (CA) W1 -4 a l T SIGN W20-1 SI N 1 je �r l (� O SIGNALIZED INTERSECTION '-ti' (�','j� /�'� 1, N l� iccp ARROW PANEL(FLASHING ARROW)(WHERE REQUIRED) O P�� l i` ��_,.`/`, • - an y HIGH LEVEL WARNING DEVICE(FLAGTREE)(OPTIONAL) VV v [C` S • FLAGGER e z 0CIS dye the- cilO11. TANS TOW AWAY NO STOPPING_TO (SHOW HOURS) D ,�� COOTiGCtOT mte dUTm9 CO TANSAT TOW AWAY NO STOPPING ANY TIME r- 0 P�� ^r 1h• 1°" Vj /A WORK ZONE(ACTIVITY AREA)LIMITS C30A (CA) SI N 1 0 DIRECTION OF TRAFFIC(NOT PAVEMENT MARKING) n ¢ NO 3 I O ROADWAY DESIGNATION(A THROUGH D) O ► • SB 85- 07❑ dOlS < MEDIA g I r J F n ,_IF:11 � n ❑ a W1-4 SIGN \we • • . w NO LANDSCAPE MH U6-1g 5 1 NO LANDSCAPE ') 0^ SIDEWALK SIDEWALK �❑❑ I"ti • M NOTE: ❑ • C_I 1. COURTESY NOTIFY OWNER OF AT 199 HARRISON AVE. SB 85-106 OF DRIVEWAY CLOSURE. • N o HOUSE • ow- 468 TS. N • Lu Q a. 0J nW a CT) U 0^ (n D Z GENERAL TRAFFIC CONTROL NOTES 3 n DATE W CONST ARC COMP C) TRAFFIC SHALL CONFORM TO THE CALIFORNIA MANUAL @I UNIFORM (/) GE❑/CO N478 TRAFFIC CONTROL DEVICES (MUTCD) AND 2010 CALTRANS STANDARDS. _ TABLE A NO LANE CLOSURES PERMITTED BEFORE 9.30A AND AFTER 3.30P. MINIMUM RECOMMENDED DELINEATOR/CONE EXCHANGE SNJSCA12 i & SIGN PLACEMENT ENGINEER A. CASTILLO ACCESS TO DRIVEWAYS SHALL BE MAINTAINED AT ALL TIMES. POSTED SPEED TAPER LENGTH L DEUNFATOR SPACING SIGN SPACING 5 TELEPHONE (408) 635-8812 ONE LANE OF TRAFFIC IN EACH DIRECTION AND ALL HIGH VOLUME ADVANCE OF TAPER TURNING LANES SHALL BE MAINTAINED AT ALL TIMES ON ALL STREETS UNIT TAPER TANGENT &BETWEEN oatsVOKDJW550 AT A MINIMUM LANE WIDTH OF 10 FEET. (Km/n) (m) (m) (m) (m) _ ENGR ARC G20-2 SIGN •r 25 MPH (40) 125 FT. (40) 25 FT. (8) 50 FT. (15) 100 FT. (45) ANY CONFLICTING SIGNS, STRIPING AND PAVEMENT MARKINGS SHALL BE 30 MPH (45) 180 FT. (55) 30 FT. (9) 60 FT. (18) 250 FT. (60) TYPE OF CONSTRUCTION REMOVED OR COVERED BEFORE TRAFFIC CONTROL IS IN PLACE, ANY A 35 MPH (50) 245 FT. (75) 35 FT. (11) 70 FT. (21) 250 FT. (75) PROJECT PERMIT SIGN, STRIPING OR PAVEMENT MARKING REMOVED OR COVERED SHALL [, 40 MPH (60) 320 Fl.(100) 40 FT. (12) 80 FT. (24) 250 FT.(105) BE REPLACED WHEN TRAFFIC CONTROL IS NO LONGER NECESSARY. • 45 MPH (70) 540 FT.(165) 4.5 FT. (14) 90 FT. (27) 350 FT.(170) - RO/EST NO 9484545 SAFE PEDESTRIAN ACCESS SHALL BE MAINTAINED AT ALL TIMES. • 50 MPH (80) 600 FT.(185) 50 FT. (15) 100 FT. (30) 350 FT.(185) SCALE: NONE * 55+MPH (85) 1000 FT.(305) 50 FT. (15) 100 FT. (30) 1000 FT.(305) DWG 3 OF 4 P 504 -- O }. + ISSUE DATE SPEED' at&t 1 3/14 25, ROAD RK SHOULDE a END HWOEAD CLOSED ROAD WORK `c�GJ' Q G i G20-2 -CC° ool-3 W20-1 C3OA (CA) W1 -4 �� e\0 w, �"'� W20-1 SIGN r '-6'. � O� /e 4-cxci {`� # J ` ions (1) 01* N, el tee 01:4311°6 m *PI �y r z . �'`P 1" r Cr LEGEND nn Z y�9 O �/l� �``� I I TYPE III BARRICADE W/SIGN V C) cT �/ W Y—( TYPE II BARRICADE W/O SIGN d01S • CHANNELIZING DEVICE SB 85- 07 0 a T TRAFFIC CONE WITH CLIP ON SIGN • T SIGN MEDIA Oll\--illY1v 1 ] ❑ OSIGNALIZED INTERSECTION Icca ARROW PANEL(FLASHING ARROW)(WHERE REQUIRED) y HIGH LEVEL WARNING DEVICE(FLAGTREE)(OPTIONAL) FLAGGER TANS TOW AWAY NO STOPPING TO (SHOW • HOURS) W • • �W•"!' • • • • • • • TANSAT TOW AWAY NO STOPPING ANY TIME rn LANDSCAPE LANDSCAPE NH U8-/5 LANDSCAPE �j/ /A WORK ZONE(ACTIVITY AREA)LIMITS =^ -'� - - 7 I' SIDEWALK Y SIDEWALK DIRECTION OF TRAFFIC(NOT PAVEMENT MARKING) ; 1 -"" O ROADWAY DESIGNATION(A THROUGH D) p ilii INSTALL TEMPORARY TANS ♦ o N nnnn� I M} O Li SB 85-106 t LLI C7 T HOUSE I i• W1-4 SIGN 0 LLi Li _ 468ifir Q$ Q Yo H W g p O o v El /n 1- C30A (CA) SIGN a C) O^ 2 0 O GENERAL TRAFFIC CONTROL NOTES DATE ' CONST ARC COMP TRAFFIC SHALL CONFORM TO THE CALIFORNIA MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES (MUTCD) AND 2010 CALTRANS STANDARDS, 1 WZ0-1 SIGN _ TABLE A - GED/CO N478 NO LANE CLOSURES PERMITTED BEFORE 9,30A AND AFTER 3.30P, EXCHANGE SNJSCA1 2 MINIMUM RECOMMENDED DELINEATOR/CONE ACCESS TO DRIVEWAYS SHALL BE MAINTAINED AT ALL TIMES. SPEED & SIGN PLACEMENT ENGINEER A. CASTILLO LIMIT POSTED SP® TAPER LENGTH L DELINEATOR SPACING SIGN SPACING S 408) 635-8812 ONE LANE OF TRAFFIC IN EACH DIRECTION AND ALL HIGH VOLUME 25 AwAN�OF TAPER TELEPHONE TURNING LANES SHALL BE MAINTAINED AT ALL TIMES ON ALL STREETS UNIT TAPER TANGENT BE1wEQ1 sKxs V0KDJW550 AT A MINIMUM LANE WIDTH OF 10 FEET. (Km/h) (m) (m) (m) (m) = ENGR ARC 25 MPH (4O) 125 FT. (4O) 25 FT. (8) 5O FT. (15) 1OO FT. (45) ANY CONFLICTING SIGNS, STRIPING AND PAVEMENT MARKINGS SHALL BE TYPE OF CONSTRUCTION 3O MPH (45) 18O FT. (55) 3O FT. (9) 6O FT. (18) 25O FT. (6O) R.REMOVED OR COVERED BEFORE TRAFFIC CONTROL IS IN PLACE. ANYPROJECT PERMIT SIGN, STRIPING OR PAVEMENT MARKING REMOVED OR COVERED SHALL n L/�, 35 MPH (5O) 245 FT. (75) 35 FT. (11) 7O FT. (21) 25O FT. (75) e-F BE REPLACED WHEN TRAFFIC CONTROL IS NO LONGER NECESSARY. ry 4 4O MPH (6O) 32O Fi.(1OO) 4O Ff. (12) 8O Ff. (24) 25O FT.(1O5) VVV ll • 45 MPH (7O) 54O FT.(165) 45 FT. (14) 9O FT. (27) 35O FT.(17O) RO/EST N❑ 9484545 - SAFE PEDESTRIAN ACCESS SHALL BE MAINTAINED AT ALL TIMES. • 5O MPH (8O) 6OO FT.(185) 5O FT. (15) 1OO FT. (3O) 35O FT.(185) SCALE: NONE * 55+MPH (85) 1OOO FT.(3O5) 5O FT. (15) 1OO FT. (3O) 1OOO FT.(305) DWG 4 OF 4 P 504 --