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HomeMy WebLinkAboutENC2014-00107 Print Form CITY OF CAMPBELL R E C �',+i r- ENCROACHMENT PERMIT Permit No ,?C,l`-t r ockl 1 DEPT.OF PUBLIC WORKS (for working within the public X-Ref.File 70 North First Street right-of-way) Application Date j vZ\—\ 14 Campbell,CA 95008 MAY 21 2014ued 6/2�� Application Expiration Date L a\ \�} Ph. (408)866-2150 APN Fx. (408)376-0958 public Works 1.-i' ,,,;;,Permit Expiration Date X7 /2/ i5 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.: F 864 E Campbell Av,Campbell,CA Utility Trench Location: Dig ups in F850 and F864 E Campbell Av,Campbell,CA B. Nature of Work: Remove and replace 2-4'X 4'sections of sidewalk to repair damaged conduit;restore 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: ATT/Art Castillo Telephone: 408-635-8812 Address: 870 N McCarthy Blvd,Milpitas,CA E-Mail Address: ac1634@att.com 24-HOUR EMERGENCY PHONE NUMBER: 650-868-3319 Is this work being done by the property owners at their own residence? r YES r 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 understand both the front and back of this permit,and they will inform their contractor(s) of the information. Applicant is advised that upo is ance . p- it, property owner, or property owner's successors, shall be responsible for an and all da L17LL0 rising out of the condition o any r. t-' ,:ro ants in the public right-of-way. �f �/O 1 Accepted: V�-T 6!/L Z (Applicant Permittee) (sign) Da e (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 $ 377 L� PLAN CHECK DEPOSIT $ SECURITY FOR FAITHFUL PERFORMANCE/LABOR&MATERIALS $ CONSTRUCTION CASH DEPOSIT $ PLAN CHECK&INSPECTION FEE $ 3 7.7 EMERGENCY PERMIT FEE $ / APPROVED FOR ISSUANCE l ��-- C./z A y' For City Engineer Date Permit Expires 12 Months After Date of Issuance GENERAL PERMIT CONDITIONS A Construction Cash Deposit is required. Charges will be made against this deposit if there is an emergency callout,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. Applicants It be responsi r ensurin that all those providing services under the applicant are aware and understand all of the above conditions. 572,/ / Applicant Date: Contractor (Print Name) Date: J:\FORMS\Templates\Encroachment Permits\Encroachment Permit STATIC form2.pdf Rev.02/14 ` ISSUE DATE p at&t k.. 1 5/14 { , _ � 8888... ._. ~ Li J Li 3 A Y to- ' i,11Qit --11M . 8888 W6 on 'c\ a4+ ...„.. (.„.;,:„ , Off` �``` r)V cs LOOKING EAOi Hi DIG Ur #2 LOCATION LOOKING WESI AI DIG UP #1 LOCATION cO� �� ® - E CAMPBELL AVE. E CAMPBELL AVE. / ,( k �(��v G,�cido � 9e•k ` t AMPBELL AVE. Dg: t!'(� 00.:p''`CAMPBELL, CA P p�°aJ• Co�i0 o 5 `�'vV '^Sr � _ CONSTRUCTION NOTESNo \N I)II I• .A �� Q ~ Z '° "� 1. PERMIT TO EXCAVATE CONC. WALK TO REPAIR DAMAGED CONDUIT. r AFL Network Aa' Services w ...�. A FuJYn Boehm -'t4 a .,.c `,I Ci .. THIS JOB WAS ENGINEERED AND DRAWN BY DAVID 0.•68,6 GARCIA OF AFL TELECOMMUNICATION SERVICES, - - 2. RESTORE AFFECTED ROAD WORK AREA � ` ° �INC.UNDER CONTRACT WITH AT&T.FOR QUESTIONS o��M AND ASSISTANCE ON THIS JOB PLEASE CALL ° ° s ++ AAA / t .✓ � < ••w+ryh ,,,; TO ORIGINAL OR BETTER CONDITION. I ENGINEER AS NOTED IN THE TITLE BOX. 9 1N Y4.-r+ 4 8888 tae i t O C. INDEX DATE .NB 1. CONST ARC COMP GEO/C❑ N478 aY. �° ' 1. COVER SNJSCA12 EXCHANGE/ """ ti 2. LAYOUT PLAN DIG UP #1 AND #2 ENGINEER A. CASTILL0 TELEPHONE (408) 635-8812 �, 3. TRAFFIC CONTROL PLAN ENGR ARC V0KDJW550 -4 LOCATION DETAIL T.M. 853-F6 TYPE OF CONSTRUCTION PROJECT PERMIT SCALE: NONE RD/EST NO 9254971 • DWG 1 OF 3 P 504 -- `, ISSUE DATE at&t 1 5/14 OUTBACK STEAK HOUSE 4 1887 SIDEWALK SIDEWALK FOC FOC V - - © A --y-i- p) --lq _ __, _i A W 4:1 SMEDIAN S - �- SS -- SS SS _ c- ,,:, SS - T => T T - - T T T -- T - _ - -- SS -._--- SS SS - - SS SS _ SS SS DIG UP #1 _DIG UP #2 41' TO SB 82-189 8' TO SB 82-288 FOC SB 82-288 FOC DRIVEWAY DRIVEWA _.._ SIDEWALK T - SIDEWALK ---�-_ T T �-�--.___ � K ---SB 82-189 DIG UP #1/#2. REMOVE AND REPLACE 4'x4' CONC. WALK REPAIR DAMAGED CONDUIT 4O 1.11- 85O 864 Q BUILDING BUILDING STREETLIGHT -LOG- LIP OF GUTTER DATE 'O' FIRE HYDRANT S SEWER/STORM DRAIN C❑NST ARC -C/L-CENTER LINE C�-,� VI f 1' /i\ N478 COMP ID CITY MONUMENT E ELECTRICAL GE❑/C❑ ® JOINT UTILITY POLE -TEL- TELEPHONE OTHER UTILITIES THAT ARE NOT EXCHANGE SNJSCA12 -X-X-X- FENCELINE SHOWN MAY EXIST IN WORK AREA. -4-_ ' Cl) A. CASTI LL0 MH MANHOLE `)? ENGINEER D LOCATION&DEPTH OF EXISTING-73- SIGN -W- WATER SUBSTRUCTURE NOT GUARANTEED. TELEPHONE (408) 635-8812 cci STORM• DRAIN BUSH ENGR ARC V0KDJW550 CALLTggA TOLL FREE SAI CABINET 6' TREE 48 HRS PRIOR TO DIGGING TYPE OF CONSTRUCTION BOW BACK OF SIDEWALK 20' 1" 2" PROJECT PERMIT CPC TYPE C-40 PLASTIC CONDUIT FOR ALL SUBSTRUCTURE FOC FACE OF CURB LOCATIONS SW SIDEWALK 800-227-2600 or 811 =20' 20' ao' R❑/EST N❑ 9254971 DWG 2 OF 3 P 504 -- a . 4111•00) ISSUE DATE at8ct 1 5/1 4 ROAD - WORK SHOULDER SIDEWALK CLOSED AHEAD CLOSED W11-1 k R9-9 END SIDEWALK CLOSED ROAD WORK W20-1 C3OA (CA) W1 -4 AHEAD SHARE G20-2 CROSS HERE THE W16-1 R9-11 ROAD OUTBACK STEAK HOUSE 4 1887 ll ---) d it ...., SIDEWALK SIDEWALK SIDEWALK °` F. FOC BIKE LANE ©IN L-_, s3_ii-,_,N lw . ii 0 MEDIAN STRIPE 1 > • - SPED - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - • LIMB 30 c BIKE LANE BIKE LANE F� ! • • • • • •• • • • • C; A SIDEWALK SIDEWALK ! °RNEM�r 4 IIP ��1 � ;` °"`E'w !�^,� `� SIDEWALK M r z z z � AlN oz C7 z Q (11 fN I n N (N 0 0t0 0) K C0 N 4 ' 0 I 3 3 01 LI O) U 250' CC „ —.....-....01 250' Ar_i...._.• 250' ,�11,--- 850 864 cc BUILDING BUILDING 0 LEGEND C:1 II TYPE III BARRICADE W/SIGN )-( TYPE II BARRICADE W/O SIGN • CHANNELIZING DEVICE GENERAL TRAFFIC CONTROL NOTES s TRAFFIC CONE WITH CLIP ON SIGN DATE CONST ARC COMP W SIGN N478 TRAFFIC SHALL CONFORM TO THE CALIFORNIA MANUAL ON UNIFORM TABLE A GEO/CO TRAFFIC CONTROL DEVICES(MUTCD)AND 2010 CALTRANS STANDARDS. O SIGNALIZED INTERSECTION S N J SCA 14 NO LANE CLOSURES PERMITTED BEFORE 9:30A AND AFTER 3:30P. O MINIMUM RECOMMENDED DELINEATOR/CONE gRROW PANEL(FLASHING ARROW) REQUIRED) EXCHANGE &SIGN PLACEMENT ENGINEER A. CASTILLO ACCESS TO DRIVEWAYS SHALL BE MAINTAINED AT ALL TIMES. POSTED SPEED TAPER LENGTH L DELINEATOR SPACING SIGN SPACINGS • HIGH LEVEL WARNING DEVICE(FLAGTREE)(OPTIONAL) I TELEPHONE (408) 635-8812 ADVANCE OF TAPER FLAGGER ONE LANE OF TRAFFIC IN EACH DIRECTION AND ALL HIGH VOLUME LIMIT TAPER TANGENT &BETWEEN SIGNS VO K DJ W550 TURNING LANES SHALL BE MAINTAINED AT ALL TIMES ON ALL STREETS (Km/h) (m) (m) ('^L U") TANS TOW AWAY NO STOPPING_TO_(SHOW HOURS) +'yam ENGR ARC AT A MINIMUM LANE WIDTH OF 10 FEET. ti 25 MPH (40) 125 FT. (40) 25 FT. (8) 50 FT. (15) 100 FT. (45) TANSAT TOW AWAY NO STOPPING ANY TIME +-�03 TYPE OF CONSTRUCTION ANY CONFLICTING SIGNS,STRIPING AND PAVEMENT MARKINGS SHALL BE 30 MPH (45) 180 FT. (55) 30 FT. (9) 60 FT. (18) 250 FT. (60) REMOVED OR COVERED BEFORE TRAFFIC CONTROL IS IN PLACE.ANY 35 MPH (50) 245 FT. (75) 35 FT. (11) 70 FT. (21) 250 FT. (75) ;,,,A WORK ZONE(ACTIVITY AREA)LIMITS PROJECT PERMIT SIGN,STRIPING OR PAVEMENT MARKING REMOVED OR COVERED SHALL 40 MPH (60) 320 FT. (100) 40 FT. (12) 80 FT. (24) 250 FT. (105) BE REPLACED WHEN TRAFFIC CONTROL IS NO LONGER NECESSARY. -.. DIRECTION OF TRAFFIC(NOT PAVEMENT MARKING) •45 MPH (70) 540 FT. (165) 45 FT. (14) 90 FT. (27) 350 FT. (170) SCALE: NONE RO/EST NO 9254971 SAFE PEDESTRIAN ACCESS SHALL BE MAINTAINED AT ALL TIMES. •50 MPH (80) 600 FT. (185) 50 FT. (15) 100 FT. (30) 350 FT. (185) O ROADWAY DESIGNATION(A THROUGH D)•55+MPH (85) 1000 FT. (305) 50 FT. (15) 100 FT. (30) 1000 FT. (305) DWG 3 OF 3 P 504 -