HomeMy WebLinkAboutENC2014-00134 •
CITY OF CAMPBELL/' '^• ENCROACHMENT PERMIT Permit No Q 0 C 3L-M
DEPT.OF PUBLIC WORKS
JV` r working within the public X-Ref.File
7 �y `
70 North First Strek� - / right-of-way) Application Date 1-\1-\u
Campbell,CA 95008 /C�U/- O��Issued 7/23/1 Application Expiration Date
Ph. (408)866-2150 S� APN
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Fx. (408)376-0958 j//j//uircV/8eejrmit Expiration Date 7/23'( 5
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lic 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 Addressor Tract No.: 5 u Nfrfci, . S TW:t_L V
Utility Trench Location: CAMDEN AVENUE,DELL AVENUE AND E.SUNNYOAKS AVENUE(H4-031)
INSTALL APPROX.1,000'-18"DICL PIPE AND APPURTENANCES ON DELL AVE.AND E.SUNNYOAKS AVE.WITHIN THE CITY
B. Nature of Work: OF CAMPBELL
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: San Jose Water Company (Thanh Nguyen,P.E.) Telephone: 408-918-7225
Address: 1265 S.Bascom Avenue,San Jose,CA 95128
E-Mail Address: Thanh.Nguyen@sjwater.com 24-HOUR EMERGENCY PHONE NUMBER: 408-279-7800
Is this work being done by the property owners at their own residence? ❑ YES ❑X 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. Appf nt is ad ' d hat upon issuance of this permit, property owner, or property owner's successors, shall be
responsible for any and all dama t c ' io a private improvements in the public right-of-way. 7//6//
Accepted:
(Applicant Per tt (sign) Date
TO BE DETERMINED(BID PROCESS)
(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 4215 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:
C.""7‘ "7"... 040,017tcNAL LeWpI`(tc1V5 AYTACl�n
r
SEE PUBLIC WORKS FEE SCHEDULE FOR CURRENT FEES AMOUNT RECEIPT NO.
PERMIT APPLICATION FEE $ 3 65
PLAN CHECK DEPOSIT $
SECURITY FOR FAITHFUL PERFORMANCE/LABOR&MATERIALS $
CONSTRUCTION CASH DEPOSIT $
PLAN CHECK&INSPECTION FEE $ 3e£31 •2c.
EMERGENCY PERMIT FEE $
APPROVED FOR ISSUANCE //�3/f
il
For City Engineer Date
Permit Expires 12 Months After Date of Issuance
2otp2 tx 7 i;5av r ¶2 90 t.f x % I-Go/a-) = I35o t 2S31 k, ; . 66- I . 24
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. 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.
5. Maintain safe pedestrian and vehicular crossings and free access to private driveways,bus stops,fire hydrants,and water valves.
6. 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.
7. 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.
8. 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.
9. Sawcut for all PCC or AC removals. All PCC removals shall be to the nearest scoremark and shall be doweled to existing improvements.
10. 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.
11. 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.
12. Compaction testing of subgrade,base rock,and asphalt concrete by Permittee is required unless otherwise stated by the City Engineer.
13. 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.
14. 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.
15. 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.
16. This permit does not release the Permittee from any liabilities contained in other agreements or contracts with the City and any other public agency.
17. This permit is not transferable. Work must be performed by the Permittee or his designated agent or contractor as specified thereon.
18. 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.
19. 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.
20. 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.
21. 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.
P O10/
Applicant Date:
TO BE DETERMINED(BID PROCESS)
Contractor (Print Name) Date:
J:\FORMS\Templates\Encroachment Permits\Encroachment Permit STATIC form2.pdf
Rev.09/10
Additional Permit Conditions
July 23, 2014
Permit No. ENC 2014-00134
Sunnyoaks Ave, Dell Ave, Camden Ave
1. Submit traffic control plan for City's review and approval prior to the start of
construction. (also submit County's approved traffic control plan for Camden Ave)
2. County permit is required for all the work in County r.o.w (including San Tomas
Expressway)
3. Type I Slurry Seal shall be placed over the main lines and service line trenches.
4. Slurry seal shall not be scheduled on garbage collection day
5. Give prior notification to the residents and businesses where fire hydrant will be installed
6. Residents & Businesses shall be given 7-days and 48-Hours advance notice
7. The hours of work shall be 8:00 AM to 4:00 PM—Monday through Friday, excluding holidays.
8. Access to side streets and private drives shall be maintained at all times.
9. The site shall be swept as needed to maintain clean roadways, a minimum of once a day.
10. All edges of trenches shall be saw cut. Any broken pavement edges shall be squared up by saw
cutting and repaved.
11. All permanent pavement markings shall be installed within seven (7) calendar days of final
finish paving.
12. All sidewalk and/or curb/gutter replacement shall be saw cut to the nearest score line.
Syed Wahidi, Public Works Inspector
H:\LETTERS-CORRESP\SJW-Sunnyoaks,Dell.doc
From:West Valley Construction Co. 408 371 4379 03/05/2015 17:36 #071 P.001 /003 via
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WEST VALLEY CONSTRUCTION COMPANY, INC.
FAX# (408) 371-3604
FAX TRANSMITTAL COVER SHEET
•
DATE OF FAX: c.3/a51/5
COMPANY NAME: C.lJ 01444p 10-J2--/((
ATTENTION: 4&' a -24 ;
FROM: Julie Weinhardt
(West Valley Construction Company, Inc.)
DESCRIPTION: CO(hApC4thOi `eJ' i--eSt r
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4r <1,z-elei 0c&(_
Pechti f- DWG2a/q — OO13 y
TOTAL PAGES (INCLUDING COVER SHEET): 3
Sent to Fax#
PLEASE CALL IF TOTAL PAGES NOT RECEIVED : (408) 371-5510 x831
Thank You,
West Valley Construction Co., Inc.
580 McGlincey Lane
Campbell, CA 95008
From,West Valley Construction Co. 408 371 4379 03/05/2015 17:36 #071 P.002/003
Bi GG
nfo@baggenglneers.com
_ .ENGINEERS phone:650.852.9133 fax:650.852.9138
847 West Maude Avenue,Sunnyvale,California 94085-2911
COMPACTION TEST REPORT j j 5 _ y 9
Project Name: ure- - v
v -ikeiwc,v-c cr.--00 Date: Vim/ b(I
Project Location: W `� c•- y.- f �S • BAGG Project#:
Contractor' S..vlv� /It—If,S 04^'YLP1J j ( Technician:
LOCATION KEY ELEVATION KEY
8F Backflll FTC Footing TR Trench SG Subgrade AB Aggregate Base FAB Finish Agg.Base
BP Building Pad RW Retaining all Other • FG Finish Grade FSG Finish Subgrade BTM Bottom
°a REL.COMPACTION
PROBE
TEST# LOCATION DEPTH ELEV. °;MOISTURE DRY DENSITY CURVE# FIELD SPECIFIED
I Lrra .s( r✓i,,,,),/ zi' 6,.,,,',.. 0 k A. )1- f 38 _ . ( ,74-7 9`5/
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LAB CURVE# SOIL TYPE/DESCRIPTION OPTIMUM MOISTURE(%) MAX.DRY DENSITY(PCF)
4 ( rC LAM . _ by:" ?-
Comments: y� J4L {{,,
G"t^1-� I[.,�oi �,✓1�11 J./ r� Z�IIvG t�J,cJ S�r.V, l / CO3 LC, l:rNt I n U LY S'r'i✓ ,,,Lei i G -e-t Si,L
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The Work W ❑WAS NOT..
Inspected in accordance with the requires of the approved site plans and
specif lions `�,„ /\---1. �//
Material Sampling WAS AS NOT ❑N/A Signature
Performed in accordance with approved site plans d specifications 1.DO. 16! / l
El Work Inspected MET DID NOT MEET at , J/
The requirements of the approved site plans and specifications / /( I T
Print Name/Title
From:West Valley Construction Co. 408 371 4379 03/05/2015 17:37 #071 P.003/003
ByGG f.
ino@baggengtneeeers.com
•
ENGINEERS phone: 650.852.9133 fax:650.852.9138
847 West Maude Avenue,Sunnyvale,California 94085-2911
COMPACTION TEST REPORT ii 2.v c --- t 4- f'
Project Name: a - Date: <—
Project Location: IAA/ (( S -- - OS BAGG Project#:
Contractor: y, b 0- Technician:
LOCATIO Y ELEVATION KEY
OF Backlit! FTG Footing TR Trench SG Subgrade AB Aggregate Base FAB Finish Agg.Base
BP Building Pad RW Retaining all Other FG Finish Grade FSG Finish Subgrade BTM Bottom
%REL.COMPACTION
PROBE
TEST# LOCATION DEPTH ELEV. %MOISTURE DRY DENSITY CURVE# FIELD SPECIFIED
zz,._,_fr, _0 eu45 i - .
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LAB CURVE# SOIL TYPE/DESCRIPTION OPTIMUM MOISTURE(%J MAX.DRY DENSITY(PCF)
t _tom A ?2 / 11_2 .
Comments:
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The Work WAS EDWAS NOT . rJr
Inspected in accordance with the require is of the approved site plans and arlv L j
specifi Lions
Material Sampling WAS ❑ NOT ❑N/A Signature
Performed in accordance with approved site plans d specifications
The Work Inspected MET ❑DID NOT MEET f 5 ((f.-
r ate
The requirements of the approved site plans and specifications / , /Y
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