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HomeMy WebLinkAboutENC2014-00098 Print Epp nn. {I CITY OF CAMPBELL ENCROACHMENT PERMIT Permit No �v �) — UOo r1 O DEPT.OF PUBLIC WORKS (for working within the public X-Ref.File 70 North First Street right-of-way) Application Date Mindeti.r tf/.?8i,20/4 Campbell,CA 95008 Issued 4/Z9/(L Application Expiration Date Ph. (408)866-2150 APN .305'23-014 Fx. (408)376-0958 r,/ Permit Expiration Date it/ 2`I f(9 APPLICATION-Application is hereby made for a Public Works Permit in accordance with Campbell Municipal Code,Section 11.04. (Application expires in six (6) months if the permit is not issued. Application Fee is non-refundable.) A. Work Address or Tract No.: 49 N.Milton Avenue.Campbell,California 95008 Utility Trench Location: Repair is under the park stripe and a short section under the street pavement B. Nature of Work: 8 feet long open trench to fix 4"Clay lateral. Lateral is only 4 feet deep. 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: Jorge Picado(West Valley Sanitation District) Telephone: (408)385-3009 Address: 100 E.Sunnyoaks Avenue.Campbell,California 95008 E-Mail Address: jpicado@westvalleysan.org 24-HOUR EMERGENCY PHONE NUMBER: (408)378-2407 Is this work being done by the property owners at their own residence? r- YES (5' 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. Applicant is advised that upon issuance of this permit, property owner, or property owner's successors, shall be responsible for any and all damages arising out of the condition of any private imp ovements in the public right-of-way. Accepted: 3 r e Plead% (k 0e,41. Valle 4"Sanihni;rr2ish- y"Gra o ___.. .... ° t Pru/29, 2 /f (ApplicantPermittee) (sign) Date 'DNA, Otillir5tot/nri C$ns irrr r'rdn Bill Marte&J Oaf ., f}P>77,20,A0/4- v (Contractor) (Print Name) Date SPECIAL PROVISIONS' __ ..1. Street shall not be open cut for underground installations. Minimum cuts m.y be allowed for connections or exploration holes. Such cuts may be specifically,a. roved 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. S. 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. SE PUBLIC WORKS FEE SCHEDULE FOR CURRENT FEES AMOUNT RECEIPT PERMIT APPLICATION FEE $ 371 PLAN CHECK DEPOSIT $ SECURITY FOR FAITHFUL PERFORMANCE/LABOR&MATERIALS S CONSTRUCTION CASH DEPOSIT $_ PLAN CHECK&INSPECTION FEE $ / EMERGENCY PERMIT FEE °7 APPROVED FOR ISSUANCE II 29 i For City Engineer Date Permit Expires 12 Months After Date of Issuance GENERAL PERMIT CONDITIONS I. 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 he 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 ll 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 responsible for ensuring that all those providing services under the applicant are aware and understand all of the above conditions. Jrje L. Picgdo -_.-LGUr.,L-__.Ya117 SgnI'str ion Disttie4e �a./c u 4Pfil 2�i14 Applicant Date: ,ill Harrow ( P c,4'c. Underrt1,4 Cons-five-kaki)Cons- oh) --__M° ' Ayal ,28:.2O14,______ Contractor (Print Name) 1 Date: J:\FORMS\Templates\Encroachment Permits\Encroachment Permit STATIC form2.pdf Rev.02/14 West Valley Sanitation District 2013-2014 Sanitary Sewer Repairs WORK ORDER # 18 Issued To: Pacific Underground Inc. Issue Date: April 28, 2014 Issued By: West Valley Sanitation District Type and Location of Repair: O Main CO Lateral O Both O Other Location: 49 N. Milton Avenue. Campbell, CA 95008 Street Address/City (Provide scope of work and map(s) for work ordered. If multiple locations or routine repair, attach list) Callout Urgency: El High Emergency (4 Hr response) ❑ Emergency (24 Hr response) ❑ Urgent (96 Hr response) ❑ Routine (14 calendar days) WO Issued By: Alan Kam Time Issued: 9:00 a.m. April 28, 2014 WO Issued To: Bill Marrow Time/Date On-site: 10:30 a.m. April 28, 2014 Was Contractor's arrival time on-site within required response? RI Yes O No Basis for Reimbursement: (Show calculation for each repair location) Perform an 8 feet long point repair on the damaged 4" diameter sewer lateral of 49 N. Milton Avenue, in City of Campbell. Start the repair 7 feet and end 15 feet if measured from the cleanout. Repair will be under the park stripe and street pavement. The repair is approximately 4 feet deep. Use 4" Clay pipe and 4" clay to clay Flex-Seal adjustable repair couplings with ARC stainless steel shear rings. Use also two 4" VCP- 22 degrees elbows. Once the trench is open, allow District inspector to clean the line with water. District inspector will then televise the lateral to see if the repair needs to be extended. Place 3/a" crushed rock as pipe bedding 6 inches under and around the new pipe. Backfill with native material under the park stripe and with class-2 AB under the street pavement. District will apply for a City of Campbell encroachment permit. The repair will be compensated under item # 4 (Repair on low Traffic Street) of the sewer repair contract. Extended repair will be compensated with item # 4A. Use also item "B" for high emergency callout. 49 N. MILTON AVENUE • LATERAL LOCATION: Between - ` °b 1 the upstream manhole 4-105 09 and downstream manhole 4-105-01. CITY 1,OCATION: Campbell, California. ' ' "\ ,4) cfc", ,o 15; LATERAL DESCRIPTION: 25 feet long. Lateral is 4" V and Cast x Iron material with a 4"cast iron cleanout. t•.' The lateral was televised in March and June of 20 . The lateral /\‘'c' ti connection to the main is located 128 feet from the do stream manhole 4- 105-01. The lateral connects into a 6" VCP mainlin he lateral connection ,}.) to the main uses one 6" by 4" factory made VCP ye. The mainline is '4\ approximately 5 feet deep. From the CCTV report we know the 4"/ ast Iron cleanout is 2.5 feet -e deep. The lateral is cast iron until it reaches severe offset with missing pipe VI approximately 9.5 feet if measured from e cleanout plug (or, 7 feet if measured from the cleanout Wye). The amera could not pass this point, and the survey was abandoned. The cond' ons of the lateral after this point are unknown. PROBLEMS: 1. Cast Iron section of I ral and cleanout 2. Lateral experienced stoppages since 2013 3. Severe offset wit oid in the ground 4. Unknown cond. ons of the rest of the lateral REPAIR INSTR CTIONS: 1. Perform 8 feet long point repair. Start the repair 7 feet and end 15 feet if asured from the cleanout. Most of the repair will be under the p stripe next to the street sidewalk. Use my 4" VCP pipe and 4" clay to clay Flex-Seal adjustable repair c plings with ARC stainless steel shear rings. Use also two 22 egrees elbows. Call the District inspector at least half hour before removing the pipe, so he can televise the rest of the lateral to determine if the repair needs to be extended. Place 3/4" crushed rock as pipe bedding and 6 inches around the new pipe. Backfill with native material under the park stripe and class-2 AB material under the street pavement. Restore asphalt in the street. Note. Even when distances have been provided on this report, they are for reference only, and contractor should not rely on their accuracy; therefore, contractor is responsible for exactly locating the area of repair LEGEND ' z - is` d I T LEA/•Sewer Structures �. � , ® Manhole '' 3_OO5—O n 6, VCP�.. �� HEDEG�A'RD�AVEF. w',-.1.....,..!„, b - _ ® Outside DropMH y i 334 ..a� ` 0. R . z .------7,-;=:.‘i1017=1.5.,":1',..41� - ` „, ® Inside Drop MN fx�. �` J ill+ 7. *aA !M, ' R t ® Vertical Riser . U14 M //yy��1!!�� mi Pump Station x iAfr/ s ® Fie Point .� �� ,,, - , • ,� '- 4 id Stub ti 14 Abandoned MH N • ... — - ® SI/Cupertino/Private .. K, ?a z i 1' illif Private Pump Station • �" $7' i." ,^•, 1 rri lit 1 03 Sewer Mains g x ..air d Z s� wvso s :2 O 'T P. "t r•,�n S af!d, x D �. � .'.4 210 y .t,l I , tt: �i"V CP Son Jose " • `. - 7 + n lateral under the park stripe 1 " r _ a d 6,9 and street vcmennt.Start the d le Private „ Z-Cel Repair 7€eet from the cteanom 3-OO5-08°Y _ -- - F.7.:, �,- Abandoned/tnoctive 1 ♦ .000' ,,,g) ' aro-1Fh, ',- 1 4-705-02 •-1144 Cleanouts T., m co- .rte �t g f to 1 r Laterals " 4�', t pie M' Sr �? ?itAcin , •- x w dg N0RTHN. a' _ w P '^ West Valle t ,� ,� :, ;�t 4S:4)„•:' Sanitation District Riiir k-o c . I a Annotatipn Y -a Legend a o1a-o4 ` West Valley Sanitation District 1 313 t......: .__r.......,: _7.,„,,_. 2�s of Fiscal Year 2013-2014 Sewer Repair Project E*""_ 227r 6 se" tDm15) Work Order#186 vCP~W CAMP05-0 A; l lµ>� .4..''..1°....5...L'.....(7)71-04:,-..,, + 105 04 3 a4 4=105=05 wa `= �o�eti1 e — Emergency Repair on 4 sewer lateral of _ _ _ ? �O - ��t"` 4"M * 49 N.Milton ANN 305-23 024c11,California ,��M " • "? ,,,yy,r " i( ( 55 �� � Z s _ 1-�x•: 266 25 ��pp 5 • � c 228 le n 6 6a °'nom.f S ..h�,',t ��®_.9 -,. � *9'' Ask-°. f { WVSD Lateral Maintenance History 4/28/2014 6:05:03PM Structure Number 13201 Address 49 N MILTON AVE Operation Power Rod Service Status Active Crew Size Structure Type Conforming Spec Cleaning Schedule 1 Man Maintenance History Date Operation Lbs Debris Debris Severity Number `4/27/2014 Power Rod- Lateral 20 Mud/Dirt Stoppage 14-0732 '4/26/2014 Power Rod- Lateral 20 Mud/Dirt Stoppage 14-0731 12/15/201 Power Rod-Lateral 3 Roots Stoppage 13-1955 11/29/2013 Power Rod-Lateral 1 Roots Stoppage 13-1853 6/11/2013 Power Rod- Lateral 2 Paper or Rags Stoppage 13-0950 3/25/2013 CCTV- Lateral 0 Clean Clear 13-0533 0/23/2013 Power Rod- Lateral 1 Paper or Rags Stoppage 13-0526 114.2013 CCTV- Lateral 13-0015 CCTV-Lateral 14-0724 WVSD Lateral Work History * Page: 1 Lateral Pipe Graphic 13021 For PSR Mainline Project 01/02/2013 PO Number Work Order 13-0015 Media lt Sheet 8 Surveyor CHAD Cert. U-1209-9684 Surveyed On 01/04/2013 12/30r 1899 Street 49 N.MILTON AVE City CAMPBELL Upstream MH Downstream MH Drainage Area Clean Out Building Address System Owner Size 4 ins Total Length Ft Property Line 0 Ft Direction Downstream Material Cast Iron Lining Use Sanitary Preclean Z Weather Dry Location Yard Date Cleaned 0 Ft Year Laid TapLoc 0 Ft Purpose Pre-Acceptance Additional Into Location Remarks Length Surveyed 09.30 Ft Northing Easting Elevation Coordinate System GPS Accuracy 1 C 0.0 Ft Start of Survey Mainline 0 Ft Water Level 0.000 *)4.- / rid 6 eft,I rsi G- ( ° Pic S / I 2.7 Ft General Observation [57ACK TO WYE] 2 ro T_ O © `z C \ 1 V 9.3 Ft Broken Void Visible 09 to 03 o'clock 03 9.3 Ft Abandoned Survey [UNABLE TO PASS] Catch Basin I WVSD Phone: 408 378-2407 Lateral Survey pictures of 13021 for VWSD Main Line Setup 8 Work Order Surveyed On 01/04/2013 Street 49 N.MILTON AVE Media Num City Name CAMPBELL Weather Dry Location Yard Direction Downstream 4 : Date: 1/4/2013 7:49:12 AM Distance: 9.3 Ft Obs: Broken Void Visible Comments: * f e q og a Date: 1/4/2013 7:50:16 AM Distance: 9.3 Ft Obs: Broken Void Visible Comments: WVSD Phone: 408 378-2407 22_e Picado From: support@usan.org Sent: Monday, April 28, 2014 8:25 AM To: Jorge Picado Subject: USAN 2014/04/28#00000 0161021-000 RUSH NEW 00000 USAN 04/28/14 08:24:29 0161021 PRIORITY NOTICE Message Number:0161021 Received by USAN at 08:20 on 04/28/14 by JCT Work Begins: 04/28/14 at 10:00 Notice: 001 hrs Priority:0 Night Work: N Weekend Work: N Expires:05/26/14 at 23:59 Update By: 05/21/14 at 16:59 Caller: JORGE PICADO Company: WEST VALLEY SANITATION DISTRICT Address: 100 E. SUNNYOAKS AVE, CAMPBELL City: CAMPBELL State: CA Zip: 95008 Business Tel: 408-385-3009 Fax:408-364-1821 Email Address: JPICADO@WESTVALLEYSAN.ORG Nature of Work: EMERG BKHO/HAND DIG TO REP SWR LAT Done for: SAME Explosives: N Foreman: CALLER Field Tel: Cell Tel:408-828-1949 Area Premarked: Y Premark Method: WHITE PAINT Permit Type: CITY Number: PENDING Vac/ Pwr Equip Use In The Approx Location Of Member Facilities Requested: N Excavation Enters Into Street Or Sidewalk Area:Y Location: Street Address: 49 N MILTON AVE Cross Street: W CAMPBELL AVE WRK FRT/O PROP ( EXT 25' INTO MIDDLE/O ST) Place: CAMPBELL County: SANTA CLARA State: CA Long/Lat Long: -121.956148 Lat: 37.287355 Long: -121.954767 Lat: 37.288184 Sent to: CTYCAM = CITY CAMPBELL CTYSJO =CITY SAN JOSE COMSJO= COMCAST-SAN JOSE PACBEL= PACIFIC BELL PGECUP= PGE DISTR CUPERTINO SJOWT2 =SAN JOSE WATER CO, 2 SCLVLY= SANTA CLARA VALLEY WTR WVASAN =WEST VLY SANI DIST SCLA Member Contact Information Member Utility Main Contact# Vacuum Contact# Emergency# After hours# CITY CAMPBELL (408)866-2720 (408)866-2150 (408)866-2145 (408)866-2101 1 - MetroScan/Santa Clara (CA) Owner :Boehm Robert S&Jane C Parcel :305 23 074 • CoOwner : Bldg Id 1 Site :49 N Milton Ave Campbell 95008 Land :$95,117 Mail :49 N Milton Ave Campbell Ca 95008 Struct :$115,334 Xfered :05/13/1986 Doc# : 8781090 Other . Price Deed Total :$210,451 LoanAmt Loan %Imprvd :55 Lender %Owned . VestTyp IntTy Exempt :$7,000 LandUse :01 Res,Single Family Residence Type :Homeowners Zoning :R-1-6 Res Single Family Residence TaxArea : 10005 SubPlat :Hedegard 11-12 Tax :$2,928.96 Legal :TRACT 112 HEDEGARD SUBD BOOK 4 MLS Area : 15 Census : Tract :5065.03 Block : 1 Phone MapGrid :853 D5 Owner • . Total Rms :6 Bldg SF : 1,146 Units Year Built : 1938 Bedrooms :2 Lot SF : 7,500 Patio :No EffYearBlt : 1938 Bathrooms : 1.00 Useable SF : 7,500 Porch :Yes Garage Sp : 1 Stories : 1 Lot Acres : .17 Elevator Garage SF :342 Dining Rm : 1 Lot Dimen :50x150 Lease SF Bldg Cond :6.0 Family Rm : Pool :No Office SF Bldg Class :6.0 Rec Room : Fireplace :Yes Sprinkler Bldg Shape :H-Shape CntIHUAC :No OFFICE OE COUNTY A%t750x — S1NTa C.199 COMITY, C4004W1 ROOK ,AGE tt 22 BLAND--- TRACT 61,200 — ---..—.--AVE.— al 305 23 E4. BLAND TRACT R 2 I,o/ rr lt 1 m I E0 ce 1 40 1 60 1 NO 122 ot; to -time-N.., ,3t I 1 I I I 2i� iir-ffi BT-I,. 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If Q II 1 Ls ' Ll 1 11 a ” 1 le D 01--- 9 totI y s.\ g %j'4' I 7i '' ".3 ,i ' ,t t; >s '+E ' `xs t ,E t Tfr T3 1� 1 • E Ia $n ✓ !# _. .._ s0 I/I NJ r)0 ,H ,40 !H If) I)! NI !d N A J "..:I.1.�>C9 E$'Y.E 1S5E57: O 4 2.7-- HARDY^'- TRACT N+490 1. 54,_" 81 row, P,EM,a1 .. _ __,_._. .__�.___.—. AYE.— i ! LATIMER/,_MANOR 0+4414 yx a �,, u..�:I -99•S• _ Information compiled from various sources, CoreLogic makes no representations or warranties as to the accuracy or completeness of information contained in this report.