HomeMy WebLinkAboutENC2014-00150 Print Form
Permit No i I 5
CITY OF CAMPBELL
ENCROACHMENT PERMIT �'
DEPT.OF PUBLIC WORKS (for working within the public X-Ref.File
70 North First Street right-of-way) Application Date 5/I 5 j
Campbell,CA 95008 Issued 1 /��I L Application Expiration Date
Ph. (408)866-2150 APN 3oS3OUa-5
Fx. (408)376-0958 ?,)/1115
Permit Expiration Date
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.: 333 3 W.Rincon Avenue.Campbell,California 95008
(Utility Trench Location: Middle of the Street.Two trenches 6 and 10 feet long,3 feet wide,6 feet deep.
B. Nature of Work: [Replace two short sections of damaged 6"Vitrified Clay sewer mainline
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/on behalf of 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 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 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 conditon of any private improvements in the public right-of-way.
Accepted: Jorge L. Pihdo crt bet Wu of f V.111.1 S'R.i'14,1im Disk/el- --- Av,q sl- 15, 20/4-
! (Applicant Perraittea, ,sign, Date
All Hatypt4/ (P4cihc Under room Consliroclim) Au usl• 15;aol¢
(Contractor) 1 ,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:o 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 nereon. 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 C RECEIPT]O.
PERMIT APPLICATION FEE $ '3 85 __. UC
PLAN CHECK DEPOSIT
SECURITY FOR FAITHFUL PERFORMANCE/LABOR&MATERIALS $
CONSTRUCTION CASH DEPOSIT $ p, —_
PLAN CHECK&INSPECTION FEE $ _7Z5_
EMERGENCY PERMIT FEE 5 I 1 Q APPROVED FOR ISSUANCE UPp C�
For City ngineer Date
Dermit 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 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.
S. 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 me 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 containec 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 tnis 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 Municipai Cooe,applicant snail 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 cepa,tore from the clans 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 zr pa--.,es:hat 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 pnone number.
Applicant shall be responsible for ensuring that all those providing services under the applicant are aware and understand all of the above conditions.
�r9e L. Pirado on bel,gg5t oc Ult.4 Valley Sani4.li0l 3)154 -14: ><!S,201+. _
Applicant Date:
Bi jl 1Aariaw (Paeis. Vnd rO nql C045,11)(4/.0•1) A trsl- /S, .204. _
Contractor (Print Name) Date:
1:\FORMS\Templates\Encroachment Permits\Encroachment Permit STATIC form2.pdf
Rev.02/14
WEST RINCON AVENUE
PIPE SEGMENT: Between the upstream vertical riser 3-007-10 and
downstream manhole 4-008-04
PIPE LOCATION: Campbell, California.
PIPE DESCRIPTION: 391 feet, 6" Vitrified Clay Pipe mainline.
The line was televised from the downstream manhole on November 2012 and
August 2014. The survey found broken pipe 119 feet from the downstream
manhole. The line has severely broken pipe 227 and 233.5 feet from the
downstream manhole. The line has more severely broken pipe 256 feet from the
downstream manhole. This is a damaged lateral connection to the mainline. The
CCTV camera could not pass this point, and the survey was abandoned. The
conditions of the rest of the mainline are unknown. The mainline is 6.5 feet deep.
PROBLEMS:
1. Broken pipe 119 feet from the downstream manhole.
2. Severel broken .i.e 227 and 233.5 feet from the downstream manhole.
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3. Extremely severely broken pipe 256 feet from the downstream manhole. The
CCTV camera could not pass this point, and the survey was abandoned. The
co�nditions of the rest of the mainline are unknown.,..,,.,, ,-,,,....,,,.,_ ,,,,,,,....„,,,-,-:,,,,,,,;: ,,,,i+4., .Ni::z
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SUGESTED FIXINGS:
Perform two point repairs:
1. Perform a 10 feet long point repair on the 6" VCP sewer mainline. Start the
repair 225 and end 235 feet from the downstream manhole.
2. Perform a 6 feet long point repair on the same sewer mainline. Start this
second repair 253 and end 259 feet from the downstream manhole. Replace
damaged lateral connection to the main by installing a new 6" by 4" VCP
Wye with one 4-inch clay 45 degrees elbow.
For both repairs, use only Vitrified Clay pipe. Use only 4 and 6 inch clay to
clay flex-seal adjustable repair couplings with ARC stainless steel shear
rings. Place 3/4" crushed rock as pipe bedding and 6 inches around the new
pipe. Backfill the rest of the trench with material approved on encroachment
permit. Do not leave gaps in between the pipe joints.
Note: Footages and distances of the locations of the repairs are
approximate. Contractor is responsible for locating the exact location of
the repairs.
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��LEGEND 357 3-007-21 . `t _�
Sewer Structures , , isrjir ®' . uE
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Manhole i F r t4 3163) S i b / .Q i
CI, outside Drop MH ., fir% "`"SO'`'YV1° ... ,, .� �.r'# s.F„« "",.." ._...•s..,,w- Z ��
`� Inside Drop MH -r iko, _ s ,,77-.- Z9? 0 CEO
Cr vertical Riser ) e ". - . L 152E J 125: ,r uNKNOWN'rt la.
Pump Station .. L;."16'
��f52g. 14'SQFNPL - 121 l •U); 1
lie Point
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Z,, Stub #�- .- l 0. k U--
X Abandoned MH -'t- „ fT + 4 .
® sr/Cupertino/Private Replace 6 feet of 6"VCP maim, r ?iDli
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Scarf 253 end T5° From DIc m nh. 63 u x'
um Private Pump Station L �1 R '`,� '
Start
ve
253 camerad25 lent.m' "Crl`ma,? + .0 r :... _ €.
Sewer Mains E i r t ...th r.e„ 6"by r ' 1'.`'.' �F pt, t%%
wtr,D � � '0, ,gy p- c D ..74,:-:„s,,..,,,,,,,',." ((
San Jose FIE) e°•
l;-=4;'.„', i :�v •, F,. !!
f Abandoned inactive .
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West Valley. .«r . ‘i,\.'„ IS � " ` ,�
Sanitation District
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IA Tisc l Year 2014-2015 Sewer Repair i�rujecC }}
�, �.� .D.. "' WorkOrderNo. 4•t�5'"15pilerWai
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Pipe Graphic Report of PSR 5208 for WVSD
Setup 14 Surveyor CHAD Certificate# U-1209-9684 System Owner
Drainage Survey Customer
P/O# Date 2014/08/14 Time 9:06 Street W.RINCON AVE
City CAMPBELL Further location details
Up 3-007-10 Rim to invert Grade to invert Rim to grade Ft
Down 4-008-04 Rim to invert Grade to invert Rim to grade Ft
Use Sanitary Direction Upstream Flow control Media No DVS
Shape Circular Height 6 Width Ins Preclean J Date Cleaned 2014/08/14
Material Vitrified Clay Pipe Joint length Total length Length Surveyed 255.70
Lining Year laid Year rehabilitated Weather Dry
Purpose Pre-Rehabilitation Survey Cat
Additional info Structural O&M Constructional
Location Main Highway-Suburban/Rural Miscellaneous Hydralic
Project 08/11/2014 Work Order 12-1120
Northing Easting Elevation
Coordinate System GPS Accuracy
Start of Survey
0.0 Ft Manhole [4-008-04]
0 Ft Water Level 0%
41.6 Ft Tap Factory 4.000 09 o'clock
O
64.0 Ft Crack Multiple 12 to 12 o'clock ST: 3
102,0 Ft Tap Factory 4.000 03 o'clock
119,0 Ft Broken 08 o'clock ST: 3
D 0
n 149.1 Ft Tap Factory 4.000 03 o'clock
201.0 Ft Tap Factory 4.000 03 o'clock
214.3 Ft Crack Longitudinal 09 o'clock ST: 2
J 214.9 Ft Tap Factory 4.000 09 o'clock
"
218.3 Ft Crack Longitudinal 09 o'clock ST: 2
233.4 Ft Broken 09 to 03 o'clock ST: 5
251.2 Ft Tap Factory 4.000 03 o'clock
255.7
Broken Soil Visible 08 to 04 o'clock ST: 5
255.7t° Abandoned Survey [BROKEN PIPE UNABLE TO PASS]
WVSD Phone: 408 378-2407
CCTV pictures of 5208 for WVSD ,
Work Order Video DVS Surveyed On 2014/08/14 Direction Upstream Setup 14
Street Name W.RINCON AVE City Name CAMPBELL Weather Dry
Location Main Highway-Suburban/Rural From Manhole 4-008-04 To Manhole 3-007-10
Date: 2014/08/14 ; Date: 2014/08/14 -.?
Distance: 119.0 Ft Distance: 233.4 Ft � ae `
0bs: Broken 0bs: Broken p
F
Comments: ` w, Comments:
. , pditt'
" _ }
I..
Date: 2014/08/14 ,g
Distance: 255.7 Ft = aI.1,14 69'^: '1
0bs: Broken Soil Visible
`.. ag
Comments:
t-. r ' k-)
fuErct.,c ,.'1/'.ttC.
WVSD Phone:408 378-2407
MetroScant /Santa Clara (CA)
)eth D Parcel : 305 30 023
Bldg Id : 1
ail ) Campbell 95008 Land : $281,565
ail ) Campbell Ca 95008 Struct : $48,562
Doc # : 16275680 Other .
Deed : Grant Deed Total : $330,127
Loan : %Imprvd : 15
% Owned : 100
IntTy : Exempt : $7,000
ence Type : Homeowners
TaxArea : 10005
13-14 Tax : $4,441.16
MLS Area : 15
lock : 2 Phone
Owner .
1,552 Units • : Year Built : 1920
3,990 Patio : No E,ffYearBlt : 1920
3,990 Porch Yes Garage Sp : 2
21 Elevator : Garage SF : 480
i2X 145 Lease SF Bldg Cond : 5.5
Flo Office SF . Bldg Class : 5.5
vies Sprinkler : Bldg Shape : Square
Y ASSESSOR SANTA CLAAA COUNTY. CA-LIFORNIAROOK PAGE ,
305 30 j<
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AMPBELL -1------- .1._ —._._.. ,t -AVE..__- ,
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