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HomeMy WebLinkAboutENC2014-00193 f't✓�-e�,Cw.�l.✓.j ^ , ` V�..c�2� f&(a to cJ e SG lC /� CITY OF CAMPBELL Jac ENCROACHMENT PERMIT Permit No .nLZo\LI c 1 13 f rTh DEPT.OF PUBLIC WORKS (for working within the public X-Ref.File 70 North First Street right-of-way) Application Date (/IL((Zc IS Campbell,CA 95008 Issued el 114/ O Application Expiration Date Ph. (408)866-2150 APN Fx. (408)376-0958 Ian/ 1s 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 jQ is non-refundable.) ()A. Work Address or Tract No.: MPBELL AVE,PORTALS PROJECT(CITY OF CAMPBELL PROJECT 11-EE) Utility Trench Location: ` SW&SE QUADRANTS OF HWY 17/E.CAMPBELL AVE B. Nature of Work: RELOCATE THREE(3)EXISTING WATER METERS 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. 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: FRANK WENKS Telephone: (408)918-7357 Address: 1265 S.Bascom,San Jose,CA 95128 E-Mail Address: frank.wenks@sjwater.com 24-HOUR EMERGENCY PHONE NUMBER: 408.279.7900 Is this work being done by the property owners at their own residence? I— 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 improvements completed in the public right-of-way. Accepted: (Applicant 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 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 PLAN CHECK DEPOSIT SECURITY FOR FAITHFUL PERFORMANCE/LABOR&MATERIALS CONSTRUCTION CASH DEPOSIT $ PLAN CHECK&INSPECTION FEE EMERGENCY PERMIT FEE $ n APPROVED FOR ISSUANCE l , \,"\ 1/Hy 05 For City Engineer Date Permit Expires 12 Months After Date of Issuance I I I ��;� / Dist COUNTY ROUTE POST MILES SHEET TOTAL T TOTAL PROJECT No. SHEETS 04 SCI 17 ./ .'MAINTAINED 3 11.8 21 76 ,. , BY CAL TRANS' SEE@ FOR //,);,, � I- t PIPE/WALL [j°'"� �/+8/14 �1IDSCAPt),__ , 1�� 7 d • •11�" PENETRATION, TYP. REGISTERED LANDSCAPE ARCHITECT DATE C, uN 'ZPp MAINTAINED =e m BY NTACALINENS , • • •• 3" ` ,� • ••,.��� • PLANS APPROVAL DATE T lllR••• P L Jul ai.zou • * aim w. _ • THE STATE OF CALIFORNIA OR/TS OFF/CERS m OR AGENTS SHALL NOT BE RESPONSIBLE FOR �'I` ,,�! REMOVE EX. FLOOD BUBBLERS CONFLICTING • • • i• • • • • • 2i 1"—A-15-21-12 A THE ACCURACY OR COMPLETENESS OF SCANNED 41? UI1 WITH PROPOSED IMPROVEMENTS. CUT AND CAP • • • • , • il 2: •i• COP/ES OF PLAN SHEET. ot G LATERALS AT LIMITS OF IMPROVEMENTS. ' • �f %• / • • •' (�• •�•j` ° 1"-A-14-19-11 B o MAINTAIN SUPPLY LINE AND CONTROL WIRES •� '• •, • • • •' � 2 ,. 1"-A-13-21-12 A CALLANDER ASSOCIATES INC. CITY OF CAMPBELL N TO PORTIONS OF SYSTEM TO REMAIN. • • •�••• 1 A 12 E•Z3z ET •,u•••••.•.•/` • •A • . t1}�'�ry 300 S. FIRST ST, ST 70 NORTH FIRST STREET w 1.. 1 - 7 2' a' • 'i. •% • v 2„ — 57-33 A SAN JOSE, CA 95113 CAMPBELL, ; • 1� ' ■::��• i °�J•••c••••.•ii �'•2• CA 95008 1' • • (2n_A-11-53 31 W 1j� o / ''-�f� 1"-A-19-6-3 • A - 174, 1} - a (1"-A-9-5-514 B I AO 1"-A-23-7-4 1 : 1 -40--2- B - ® 1 IRRIGATION POINT OF CONNECTION: :I/ (1 A-17 3-284 —_ CONNECT TO SYSTEM DOWNSTREAM OF METER. OA (1'-A=21-29-17 ): V - CONTACT SAN JOSE WATER AT (408) / I 1 '- - A z 279-7900 TO SET UP WATER SERVICE. SAN ©_ (1 A 20-3-219 " _ m JOSE WATER WILL PROVIDE AND INSTALL I +�O I 2p+pp NAND NOTE:cc c TAP, SERVICE LINE, METER, TRENCHING, I _( S89°1 8`1 2"E 21+00 IRRIGATION NOTES,SEE SHEET IBS-1 FOR SPRINKLER SCHEDULE,IRRIGATION LEGEND, - rw W BACKFILL, AND STREET REPAIRS. I _- -- 'a z CONTRACTOR MUST PAY ALL FEES AND CITY I v - ,'CAMPBELL AVENUE w a PERMITS RELATED TO WATER SERVICE FOR - - m THE PROJECT. IRRIGATION EQUIPMENT TO BE " REMOVE EX. 3" SCH �O PVC MAIN I--: REL RELOCATE IRRIGATION FACILITIES: LOCATE TT _ TOXIRRIGATION SLEEVES INSTALLED AT BACK OF SIDEWALK. CONFIRM _ _ SP CONDUIT I i FINAL LOCATION OF METER, BACKFLOW - SUPPLY LINE-AND 3�4 G NE UIT DEVICE WITH CITY REPRESENTATIVE PRIOR - _ G� TT TO INSTALLATION. - -- RU PVC MAIN LY L_ F „ SCHAOP PVC O APPROXIMATE SIZE 6„ AND CUT AND CAP AT THIS I R IT} • 2 AS SHOWN ON SHEET LOCATION LENGTH F----L f Im m gr ',; F -;a7-r` ,-.��. ` `_. ,Z/ =,7'-�f �- �� L DRAWINGS. LT RT CTR I C SUP INEUN NEW NWCONDU o RELOCATED BAC BE I D 4n • - .�_ �2 LE `. A t r = {w w IMMEDIATELY ADJACENT TO AND DOWNSTREAM ' .�• • • • • _ __ 11 • _ 1#, 1� I 1 +11. 'CA' LINE I 30 30T) r OF THE RELOCATED METER. RELOCATE 3" • ,• �r•°•••••• B 2" /T - �• • '��' ♦ / ADIACENT- BEHIND HTO ANDE w OWNSMREDAM OF THE19 itl w RCVM TO DOWNSTREAM OF BACKFLOW DEVICE. y +- • •�1. n .2„ _/ �••����••��•T� RELOCATED fir' METER o v • �. -t� RELOCATE IRRIGATION FACILITIES: LOCATE •.+•, i • • �_� �, 1 ;'• • �' A-8,5-595'' EX. 3" PVC MAIN SUPPLY LINE AND CONDUIT • • • • •' • AND CUT AND CAP AT THIS APPROXIMATE ^ • • - LOCATION. RUN NEW 3" SCH40 PVC MAIN MAINTAINED '� • • • • t ii 1'4' - SUPPLY LINE. RUN CONDUIT AS SHOWN ON BY CAL TRANS • • • • ,,� ELECTRICAL DRAWINGS. / i+ 1 • • •, ; -�� I 2"—A-6-55-32 ) 7 C CC 4 0"—A-4-19-11 a Z MAINTAINED' •'� '�� � , 'BY CAL TRANS, • • (r-A-3-7-4- A BALL VALVE,FULL PORT BRONZE, - 1 -A-2-19-11 L —VALVE BOX WITH 7.7...I....I BUBBLER, INSTALL WITHIN WATER COVER o BASIN,PER PLANS ... MULCH I I FINISH GRADE FINISH GRADE 0 10' 20' 40' o - 111=i1 I-I I I II=P I -III. I" IIEIIEIII -II1=III=III=I rx zl -I 11=1 11=I I 'U=1 l I-I 11=1 i t x a. II-III-III -III=III=III=' NIPPLE,SCH. eo PVC i 1 —m— I —I -�I I- I I I=III=I I III—III=III-' (LENGTH AS REQUIRED) k 1-1I I-III• /ice I=III=ITI- �. ITi-IiI- -Ti-ITi;I' ��� i, IIIIIiIn IiIITIiIIl1 . - i PVC SCH. 40 I=1I TI=1T ADAPTER 1 3 FT.COILED ELL,SCH. 40 PVC FLEXIBLE PVC ¢ STREET ELL,SCH. 40 PVC 1!������• HOSE, 1/2" J NIPPLE,SCH. 80 PVC,6"LONG ► �� BRICK AS REQUIRED TO PVC CLASS 200 _�-J L SUPPORT VALVE BOX EMITTERS ^ •^••^ • •^ •~•j LATERAL LINE • • •': PIPE FROM STREET ELL,SCH. 40 PVC o e � w �� PEA GRAVEL, 6" MIN. DEPTH • • •�•' TEE OR ELL,SCH.4O PVC �� n �I 00 LI M • ASTTRIPLE SWING JOINT E UNIT r TYP. oo ' ! 4 1 MANUAL FLUSH VALVE ASSEMBLY NTs. 2 SHRUB BUBBLER D 1/2' 1' 2' CAMPBELL A V E U C (MODIFY ) a a LER ASSEMBLY (SPRINKLER C-2) IP-1 SECTION 120MiluchvalVe.dw9 IP-1 SECTION 12019Bvbblcrl_g,dw9 IRRIGATION PLAN _ tn. Of �� SCALE AS SHOWN bL ER LAST REVISED 7/2/2010 USERNAME _>SUSER '^_J DGN FILE _> SUSER 5T RELATIVE BORDER SCALE 0 1 2 3 r+ 7 1 IS IN INCHES I J I i I I UNIT pRO,IFCT NI IAARCp a. ouncr ., Dist COUNTY ROUTE POST MILES SHEET TOTAL TOTAL PROJECT No. SHEETS 04 SCI 17 11.8 12 76 it NOTE: Vile-, 04-18-14 eROFEssicW4L I FOR NOTES, LEGEND AND ABBREVIATIONS, SEE SHEET U 1REGISENGINEER DATE 25 :11 � WILLIAM JWAGNER No. 28357PLANS APPROVAL DATE * E,ro3-3J-1 THE STATE OF CAL/IOWA OR/TS OFF/CENS ,f\p Vl L :.--- :IAGENTS SHAL[ M7T BE RESR0.Y5/BLE FOR 4/�. EIT' �ACCURACY OR COI/PLETENESS Lf SCANNEDOF LA�T�ES OFTN/S PLANSNEET.HMHCITY0F CAMPBELL1570 OAKLAND ROAD 70 NORTH FIRSTSTR SAN JOSE, CA 95131 CAMPBELL, CA 95008 O 2 N j W (r W t. C + O CAMNPBELL €----1--- , \ / itit / / : i, Il // i / / f% / 77 1./l,jl /Jl 7T T `Il /) Ia EMOVE PULL BOX �(2) % lt; 1:/// i I I o (SEE EL CT) �I / / / N /JJl/li / �Ll l / �1�+ Iv /711/ / ' '1__� , i \l/JJaa �\ ( 2 / Y COMM/$OX J ////1 / , ./ EXIST PG&E`BOX / N �� , / / / ,/' / - j EX)•STING HIGH VOLTAGE / / / �\,T6'•REMAIN ('PROTECT)_- ° \I N �rL NE CONTRACTOR/TO � j (_ �` \\\ � \ / EXISTING HIGH PRESSURE GAS / / �ET•.PG&E CABINET / C PROCEEDWITHCR/ T10,I�/ I bNTRACTOR TO PROCEEC) W1fH: 0,\O�REMAIN (PROTECT) \ �i�iii! :DURINGCONSTRU.CTIO / ADJUS-ISEWER CLEANOUT TO GRADE CAUTION DURING ;CONSTRUCT,ION / 1�� \ `` I \ ` i f • r—i .. / l :' l/—�j , / OJU 7 i I I I II IIII Ir �. RiLOCATE\CABLE TV : ) \ I\ -, •., // / A S ,\CITY COty1M BOX GRADE (SE ELECT) I 1 �7 • m BOX BEI dND 'BOW •,/ 1\\\`. / / ���;1 I I i I r I I „ I (l o — \ I �- •� ) `'' �� - ) / ADJNSTI CA�LEI TVI BOX TO GRAD( (BY C)OMCASTi) I JVVI Li''' J[ E E\ \�� •:.: \ /:__-----,— ------___:----2-_----j-/ JI�I • / Xi5i_PG&E-180X T�—REMA-IN-(-PROTEC-T--) I I 1 I , --- v _/ -�.\ � //� n \ / _�li -.J-..� �r--� "' cCTE E---E--E E E .... i —•-0--.,----.--. E� ..�_���'E�. ' _. a p _ — _ E:' n H' - E' I ` t`_ _E._.-. T .. E -n•`.E=- .-E...-2-7--E---------E17-7 -•- E-- -E -----1--...-- ---.'"�__• I _ —G—G-4-,\G__ C I G` lC, G--¢�G. 0/ • / G I G C 1 G G G G G 'C ' G G G C C C C G -4— FFG 611 HEGl.5 t G G G C G G C G G--G- y5D 5 -"-JSD SO �'n- Su-----:'D SU SD - 2-SD�` '. _INShALL 1RR SLEEVE ;5D / s —REMOVE—PULIP—BOX-`'L SD— SD su _D SD SC sr sp— SI sD u -n So —SD-----_4444 SC-4.. BINET EE ELECT)— T (SfE LS PLANS)1 /-- / (SEE ELECT) —•---ELcAMLBELL AVE z w '00 19+00-. „• I 1 20+00 E x 1''1..r7-:- c;E r 589'18 1 . _ -- r _=—_ ''— 4 ^ �- 1„ - tl—GAr-L-INEr.'—r��- — -- 21+00 22+00 Ex 12" V:&FER 23+00 � ` 24+00 ao IRR SERVICE I - 2 E ,:=:—r. •_ Is: xl v:-�—vi c w' r_— _ _ _ REMOVE I REMOVE EXIST i / I / 4- _____N - EXIST TELE MH TO (REMAIN (PROTEC-T�' I ——} I\ — _ y' / W (_BY SJW t — — w i l (SEE—TELE BCC BOX (SEEE,EtECT)_ I t I EXIST TELE VALVE COVER TO REMAIN (PROTE T ________I-----s _--f--� T E LS P ANS) / REyMOV PULs;=9bX's(2 a T ss---ss—.s- sS --ss —ss G' 6 J I (SEE EL CT)-�� REMOVE/PULL' BOXs�—ss —ss �— _ss s �ss�� t G G Ex 3" H• GAS ADJUST DETECTOR HANDHOLE COVER TO GRADE— s-_.—~=.'S---- SS = - SS ss----- p -G -. I__G �— �i-i _ Er�ELEC� c_______ __. .—t.=- ----t--=----7--C-7—T--'6 , — �_ �— _�, G - EXIST TRAFFIC SIGNAL_BOX LO REMAIN=_(-PRO?ECT) J T� J '�e y. .Y. \L� - C- --C L — G G t; c._ HC F--G G C G---G G >tI I_. w rfi=— .._�.•• ca - I:C� iil t / EX' TELE D ° `: ° PT �' -REMOV /PG&EfSERVICE 0'X"' / -"tx Ins' i rT----- T----7 7_ T T T � T—y7 T T I T�:" T X-I-Si=f-EL� H— / '— FT CR / \4—di ,p / !� r TO REM I 1I0/ ,--BY EG&E SEE—ECECT) �� /'/ 1. " O / �.�___EFT I I D �' — I- t�^ (PROTE07) 1 /, �'� .. �'"'...J,.. o - /-- _____.---.7 ,/:_,:=...-- -----,'\',.,''•,\s\' I �/ -�� �' _-�`__ ��'1 DNY. J� �! ELOCATE �� 444.4., pry ..r.. � RELOCATE WATER METERS (2) LI RAW \ BACKFLOW/ f• ' RELO AT�TELE CAB'I�T M' � •/ 1 l �. --p--- --I \PREVENTER ///81\ /l 4 Il- /:.:i., /4444: /I :1) ` 1/ 1 ' i B _S_LIWC) r \\ \ (SEE / (SEE ErLEC ) r r / EXISTING HIGH PRE/SSURE! 1 I I / .• G QI� //' //� `\ 'REMOVE �pULL BOX/ (2)/ GAS CONTRACTOR ID/N/1/ / • / / / PREVENTER IRR VALVES (SEE LS PLANS) I LS-PLAN4) //`,,,c,, / I/ 3 EE PROCEED W/IT/H CANTO / / I —� I .° ° DURING- CONSTRUGTION/l / REMOV4 IRR P a I //11/\'� / RE�OC1 E WATER ER (2) / (SEE SHEET EI10 I \ -) I 7/)./ ' (BY SJGVC)� /// / / / , II FOR NEW PR LOCATION) k` (C) \T I- I I :: , J . i / /// fri,/,///, /-----7 ( I\ :: _ 0 I:; \ li/g////// '1& / / / ,/ / ' ..• :, (\77‘, /I Y A.----"Nfi q, ? 1 „ 1 ___, i I 4 0 a i 0 /2/11/ Y / / / / 47 / / //// / di //////////7' . 4 I L-_.' F,t i 1, 1, C • �- II - I t .b I . o� UTILITY PLAN o SCALE: 1 "=20" Wa -_______— THIS PLAN ACCURATE FOR UTILITY WORK ONLY U-2 < c DRDER LAST REVISED 7/2/2010 • USERNAME _>sUSER I RELATIVE BORDER SCALE ° 2 3 I UNIT 00000 PROJECT NUMBER & PHASE 04130000251 J C new co vl CAM,IKT IS IN INCMFC 1 1 I 1 I 1 I RECEIVED CITY OF CAMPBELL Ot+1 O 2 ENCROACHMENT PERM9rCT 20 2014 Permit No la-.)(1 DEPT.OF PUBLIC WORKS ,s Of king within the public >c-Ref.File 70 North First Street rkS right-of-wfUbjjc Works AdmtniStra$9 iication Date Campbell,CA 95008 90)‘W Ad d Issued j0/'Z 7) 11 Application Expiration Date Ph. (408)866-2150 APN Fx. (408)376-0958 Permit Expiration Date IO/23 (� 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.: EAST CAMPBELL AVE.PORTALS PROJECT (CITY OF CAMPBELL) Utility Trench Location: SOUTH SIDE OF EAST CAMPBELL AVE.,377'EAST OF POPLAR AVE. B. Nature of Work: INSTALL:(1)-2"WATER SERVICE FOR THE CITY 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 (DARYL LAMBERT) Telephone: 408-279-7830 Address: 1265 S.BASCOM AVE.,SAN JOSE,CA.95128 E-Mail Address: daryl.lambert@sjwater.com 24-HOUR EMERGENCY PHONE NUMBER: 408-279-7900 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 condition riv im v e is in the public right-of-way. Accepted: 17R�YL- BERT (O/ o f ) (Applicant 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 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. (0W TR-13C`f 1'N Tc P-0 1/4-1A, oN I4-c)L.° UN(iL 614 It.crc l C1NST,I2t:CTi,N GiWLS Z LvEEKS o (tc- Mt"(t�S N7ic-r j Its -iv F—&1 Cit4 ►LC I t Ju1+N P(2 ToN 7o -9�4 ii3h2 SEE PUBLI PERMIT APPLICATION FEE $ PLAN CHECK DEPOSIT SECURITY FOR FAITHFUL PERFORMANCE/LABOR&MATERIALS $ 1 CONSTRUCTION CASH DEPOSIT PLAN CHECK&INSPECTION FEE $ I EMERGENCY PERMIT FEE �G APPROVED FOR ISSUANCE 16 Lt 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 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. 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. Applicant shall be responsible for ensuring that all those providing services under the applicant are aware and understand all of the above conditions. Applicant Date: Contractor (Print Name) Date: J:\FORMS\Templates\Encroachment Permits\Encroachment Permit STATIC form2.pdf Rev.02/14 • •'i" v.1" , •,,,...1,4° ''h. • . •� ,, `'�.•�, i �...� +i�.� A �..,I•.. 'h $ eat Street Mew -..,....l.c.„1,• ict-/,' t'41 g,....0 -• , ,,- .'..'I ,-0,,.....4 - '4 , -',1- ;: ',Pt$3 •-..';Silk, * al ` �' 41 1V ` ,P INSTALL: (1) — 2" WATER SERVICE } FOR THE CITY OF CAMPBELL I. t •i r ��-v ,,,� t SOUTH SIDE OF EAST CAMPBELL AVE., ;1 ," °p{ ,.... 377' EAST OF POPLAR AVE. — ti - .. s. • .16,1. • .,_, _ tF _,,, ,,:::'::-.7,',._-'.. I '.."....,,,.............., } _A .\-' IlkGoogle earth