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HomeMy WebLinkAboutENC2014-00137 • I).t,A 31O 74LIDia Print Form • �f- ', C • CITY OE CAMPBELL - ENCROACHMENT PERMIT Permit No 1J 4 - GG t 37 DEPT.-OF PUBLIC WORKS (for working within the public X-Ref.File _ 7o North First Street • right-of-way) Application Date c1 13 j Pt Campbell,CA 95008 issued 1/3/)ii • Application Expiration Date Ph. (408)866-2150 • --- APN 14 I ZfDci S Fx. (408)376-0958 I. Permit Expiration Date 3 115. APPUCATiON-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 Addressor Tract No.: 68 Sv‘-.� • Utility Trench Location: • 5OuT1-E StD6 or Svc • • - B. - Nature of Work: L V_T _O_ -f (D�-F. Srv$ __ ___ ______ - • C. Attach four(4)copies of an engineered plan showing the location and extent of the work,and four(4)copies of the preliminary Engineers Estimate of work.The plans shall show the relation of the proposed work to existing surface and underground improvements.Whenapproved 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 I 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 mus�t•be given to Public Works at least 24 hours before restarting any work. - ' • Name of Applicant L P(.* �C .. • . ��$O{�s1ri� _ N l.�tZ_.�...� 7eiephone yt�lC?�� ?Z_s..33G~] _ Address Jc,oO N R1•-4,ve i! 42v_C`�_G_`Circe.,T/,ve) CA g�C�'/if - _ E-Mail Address: • 24-HOUR EMERGENCY PHONE NUMBER: • { • . Is this work being drone by the property owners at their own residence? D YES . NO The Applicant/Permittee hereby agrees by affixing their signature to this permit to hold the Gty of Campbell,its officers,agents,and employees free,safe and harmless from any claim or demand for damages resulting from the workoovered by this permit. The Applicant/Pernittee 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 nd ag - rising out of the condition of any private improvements in the public right-of-way. Accepted, • Pt-lie C_A S EST I Iv►14TolL 9 I 3 /If plica 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 odor to cutting. 2. Pavement may be cut for underground Installations and must be restored in accordance with the Standard Details french 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 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: . . - SEE PUBLIC WORKS FEE SCHEDULE FOR OURRgNTFEES AMOUNT RECEIFj44O. PERMIT APPUCATION FEE S. 3'65 (� PLAN CHECK DEPOSIT • - $ SECURITY FOR FAITHFUL PERFORMANCE/LABOR&MATERIALS $ CONSTRUCTION CASH DEPOSIT $ . • ^ PLP.N CHECK&INSPECTION FEE S '.S C • ( EMERGENCY PERMIT FEE $ C{ APPROVED FOR ISSUANCE � ._I-�_ 11-- -._.. For City gineer Date ' Ponrlf Fvniroe i i tF.W.e+,e er>a.n_ra..f le c..en.-.a I • • • • GENERAL PERMIT CONDITIONS 1. AConstruction Cash Deposit is required.Charges will be made against this deposit if there is an emergency tali-out,overtime inspection or when City ordered barricading is required.Anysuch 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 pmvisloris 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 to 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 closure&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 PemUttee. 10. Sawcut for all PCC or AC removals.Al PCC removals shall be to the nearestscorernaik 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 Contractotor Permittee will have a supervisory representative-available for contact on the project atail times during construction.Contractor or Permittee shad provlde'a phone number at which they can be contacted outside the hours of 8:(10 a.m.to 41)0 p.m. • 15. No storage of materials or equipment will be allovpednearthe edge of pavement,the traveled way,or within the shoulderiine 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 orcontractor 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. Pursuantto 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 BESTMANAGE.MENTPRACiiCESestablishedbytheSantaClaraValleyUrbanRunoff 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. •."--)14as-5------ P416 cmiS Esr/ motrea•e— Y /g Applicant Dater• • Contractor (Print Name) Date: 1:\FORMS\Templates\Encroachment Permits\Encroachment PertnitSTATIC forrn2_pdf Rev.02/14 Finish Grade i i%/i%//, \\\\\\\\ LEGEND DESCRIPTION Existing Pipe api PROPOSED 5'6)(4'BELL HOLE 12"Low Pipe Existing Pipe A CUT OFF LOCATION /'Lenpin 1 Wtlm.Plan&Peal Figure 2.4 sL.qm.�wam.saa PP i Typical Bell Hole Depth-Profile View EXISTING 1/2.PL(3/4.) GAS SERVICE TO BE DEACTIVATED. rci BH � Asphalt c� x5x4 Sunnyside Ave.(50') a) s TIED 2"LP STL-3' C/D 302' 335' CUT OFF IDLE SERVICE .r-1 W C , Cl) #68 J a N ~� 1 DE RECAP; 1) PG&E TO TRENCH, BACKF1LL AND REPLACE PAVEMENT. 2) PG&E TO EXCAVATE (1) 5'X5'X4' BELLHOLE IN FRANCHISE (ASPHALT AREA) NOT TO SCALE* 4) PG&E TO CUT- OFF GAS 1/2'PL(3/4') STUB AT GAS MAIN. *NO LOAD INFO AT THIS TIME* SUNNYVALE MAP 3411-A2 EST: Esteban Nlagana + CO: ADE: Lucy Andino _ Permit Drawing SD: SUPV: Herman Gregorio Cut Off Idle Service Stub NOTIF: 101995413 OTHER: REP: PLNR: 68 Sunnyside Ave., Campbell SHT: 1 SHEETS SCALE: DATE: PACIFIC GAS AND ELECTRIC COMPANY P� 31074406 REV. 1".l00' 7/17/14 PG&E R ( �'l Dependency Management Desk # " 8 River Park Place East JUL 31 2014 Fresno CA 93720 Public Works Administration July 26, 2014 Re: Encroachment Permit Application To: City of Campbell Dept of Public Works 70 North First Street Campbell, CA 95008 Attached permit application is for the following location: 68 Sunnyside Avenue If you have any questions, please contact Esteban Magana, Gas Engineering Estimator at 925-244-3407 or by email at E2MN@pge.com Additionally, please reference our job order#31074406 on all communication and approved permit. Please fax the approved permit to 1-559-347-5341, email to EDRMCFresnoDependencApge.com or mail to: PG&E— Fresno RMC/DMD Attn: Therese McDonald 8 River Park Place East Fresno CA 93720 TltiaM yc-w, Therese McDonald Dependency Management Desk Phone 559-347-5285 FAX 559 -347-5341 Email: TLMO@pge.com ALL FLA ;ERS WILL COMMUN 4TE THROUGH HAND SIGNALS AND WALK TALKIES WITH ONE ANC -IER TRAFFIC CONTROL ZONES MAX CONE SPACING SPEED TAPER BUFFER SIGN SPACING TAPER TANGENT ' 25 50 SIGNS BEING USED i 25♦ 180' 9O' 100 30 60 STREET WIDE ENOUGH STOPPING TRAFFIC is 30 NOT REQUIRED BUT TRAFFIC CONTROL PERSON 35 245' 120' 250' 35 70 t' 48X48" W 1 -4 I WILL ASSIST HOMEOWNERS IN AND OUT OF THEIR DRIVEWAYS AS NEEDED. 40 320' 160' 40 80 50 600' 300' 500' 50 110 ROAD AHEAD 48X48" W20-1 Z `IGEP o SPECIAL =� N KEEP -�-I RIGHT m ° _ r TA a NNYSIDE AVE:NUE- 36X48 i W y a O C mpg © Taper 125' Buffer 60' Z oxo O C N Cr) CATALPA LANE - " > WORK ARE C/) 28" 10Ib 3D C17(CA)` � m ROAD WORK F ADDITIONAL TRAFFIC CONTROL 25 PERSON TO MAINTAIN CLOSURE AND ASSIST BICYCLE, PEDESTRIAN AND DRIVE , WAY TRAFFIC SHOULD NEED ARISE M P H FOR TCP QUESTIONS CALL: - r--�`��,; ROBERT @ 209-200-3351 Placed at each W20-1 N ELEC E C SEE SPEC SHEET 2 FOR ADDITIONAL NOT TO SCALE TRAFFIC CONTROL STIPULATIONS ► 1 X__ g E Owner PM 31074406 CITY OF CAMPBELL PEDESTRIAN AND BICYCLE ACCESS a8 R30 24X24" BARRICADE / Project Sunnysideon Project City Sunnyside Ave @ Winchester Blvd Campbell,CA TOREMAIN OPEN AT ALL TIMES MOUNTED, PLACED ON Prime Contractor Traffic Control Contractor BOTH SIDES OF STREET C PG&E ED SAFETY INC Date WORK SHALL NOT EXCEED 12HRS 20'APART 72HR PRIOR �.J Phone Sheet Number 209-333-0807 PS-1 7/18/2014 TO START OF WORK Prepared By TOW-AWAY ED SAFETY SERVICES, INC MIN 12' CLEARANCE FOR TRAFFIC ZONE HOURS OF WORK SHALL BE DETERMINED BY THE CITY OF CAMPBELL CLOSURE STIPULATIONS AND SPECIFICATIONS THAT MUST BE FOLLOWED AT ALL TIMES DRIVEWAY ACCESS SHALL REMAIN OPEN OR ACCESSIBLE AT ALL TIMES All lane closures shall meet or exceed CA MUTCD 2012 specifications as well as conform to hours of work set forth by the City. All areas of work when encroaching upon sidewalk access OR pedestrian safety shall have a CA MUTCD 2012 standard sidewalk closure detour detail in place to ensure pedestrian and public safety. Pedestrian access or detour will be maintained at all times in the event sidewalks must be closed, all paths of travel shall be similar to one that is closed. Pedestrian traffic shall at all times have a minimum 4 feet wide area of travel. All open excavation areas shall be backfilled or trench plated prior to public usage. All closures set forth in this TCP are the minimum allowed on project, field conditions may change requiring further traffic safety devices or traffic control persons to ensure safety of traveling public, pedestrians as well as work forces. All changes to ensure safety will be made immediately to ensure a safe environment for all parties. All traffic control devices, vehicles and personnel must be suited for the purpose intended as well as meet or exceed all CA MUTCD 2012 specifications as well as City specifications. All devices shall be removed when no longer required. All flaggers shall be certified and all intersections shall be flagged when required as shown on plans. If work is done at night or encroaches on the hours of darkness all road work ahead signs shall have flashing a beacon, light towers will be used for flaggers and work areas and all other CA MUTCD 2012 requirements shall be met or exceeded as well. NOT TO SCALE----SPACING OF SIGNS, TAPER AND TANGENTS WILL BE SPACED AS PER TABLE HAS SET FORTH AS GOVERNED BY TRAVEL SPEEDS. All traffic devices shall meet or exceed CA MUTCD 2012. All signs shall be high intensity night time reflective, 48"x48" roll up signs. All signs shall have a minimum of 2, 18" day time flags attached to sign stands during day time hours and if applicable flashing 12", 12v beacons for night time work. Sign stands shall be CA MUTCD 2012 compliant as well allowing for 18" to 7' height for signs as well as spring equipped for windy conditions. Pavement delineation not exactly as appears in field but traffic plan will still work as shown. All cones shall be 28" 10 lb and shall not be placed further than 40' apart. All hours of work shall be dictated by the Cities specified lane closure charts or as directed by the city inspector. Vehicle path of travel shall never be less than 12' in width. Closures and excavation not to exceed what forces expect to excavate per the daily shift. Roadway shall not be opened until safe for public use. All open trenches must be plated or backfilled prior to public usage. All areas of excavation must have a valid USA dig tag with corresponding dig ticket number, proof must be carried with the excavating forces at all times.