Loading...
HomeMy WebLinkAboutENC2014-00201 ( CITY OF CAMPBELL ENCROACHMENT PERMIT Permit No N( e r-( — G 2 U DEPT.OF PUBLIC WORKS (for working within the public X-Ref.File 70 North First Street right-of-way) Application Date i U 12_ f 1 1 Campbell,CA 95008 I I Application Expiration Date Ph. (408)866-2150 Issued I U/3o l APN `'E 5 5 a\ Fx. (408)376-0958 / Permit Expiration Date 0(3 411; 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.: 925 S McGlincy Ln,Campbell Utility Trench Location: Franchise area at base of power pole B. Nature of Work: Connect electric conduct from power pole to splice box and energize customers nevb 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.) F. 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: PG&E Telephone: 408-725-2098 Address: 10900 N Blaney Ave,Cupertino Ca,95014 E-Mail Address: ocfl @pge.com 24-HOUR EMERGENCY PHONE NUMBER: 1-800-743-5000 Is this work being done by the property owners at their own residence? r YES NO r� 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 of y private improvements in the public right-of-way. / r Accepted: C 6 Cs!Ct ( GAce * p 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 orior 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 PERMIT APPLICATION FEE $ 3'65- _ _ { PLAN CHECK DEPOSIT S SECURITY FOR FAITHFUL PERFORMANCE/LABOR&MATERIALS $...................._ CONSTRUCTION CASH DEPOSIT S _ PLAN CHECK&INSPECTION FEE $ 385 EMERGENCY PERMIT FEE APPROVED FOR ISSUANCE 0/3 G/( L1 7 For City Engineer Date Permit Expires 12 Months After Date of Issuance 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. 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 asdlrected 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 8A0 a.rn.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 riot 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 beat 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 iriateilal 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)r Date: 1'.\FORMS\Templates\Encroachment Permits\Encroachment Permit STATIC forrn2_ptef Rev.02/14 LEGEND NOTES: E -n = PG&E TO INSTALL 3-750 & 1-4/0 AXL (600V) SERVICE CABLES 1. APPUCANT TO TRENCH JOINT WITH ELECTRIC & PHONE. IN (1) 5" PVC CONDUIT BY APPLICANT. 2. APPLICANT TO PROVIDE ALL ELECTRIC SUBSTRUCTURES AS SHOWN. H 3. APPLICANT TO PROVIDE MULE TAPE IN ALL ELECTRIC CONDUITS. -r = PG&E TO INSTALL 3-750 Sc 1-4/0 AXL (600V) SECONDARY CABLES 4. APPLICANT "TO PROVIDE MANDREL" AND PROVING OF IN (1) 5" PVC CONDUIT BY APPLICANT. ALL ELECTRIC CONDUIT FACILITIES WITH PG&E INSPECTOR STANDBY. F -. = APPLICANT TO PROVIDE (2) 4" PVC SERVICE CONDUITS FOR REROUTE. 5. TOTAL NUMBER OF SWEEPS INSTALLED IN ANY ELECTRIC CONDUIT RUN WILL 3 rn NOT EXCEED 330', INCLUDING THE SWEEP AT THE FEED-IN LOCATION. - o M [TA = APPLICANT TO INSTALL 36" X 60" X 30" (IVT) SECONDARY SPLICE BOX. ' 6. PG&E INSPECTOR'S FAX # (408) 725-7773 o i (BOX 032506) A 7. APPLICANT IS RESPONSIBLE TO ENSURE TRENCHING AND SUBSTRUCTURE o d o x u_ CODE= U N=g n INSTALLATION MEET PG&E GREENBOOK STANDARDS. GREENBOOKS ARE AVAILABLE N >- . 01 I AT YOUR LOCAL PG&E HEADQUARTERS OR CAN BE FOUND ON THE INTERNET N Z I 0 WWW.PGE.COM/GREENBOOK a Q ? .:',4.*,,,,- 8. A 3' SEPARATION IS REQUIRED BETWEEN JOINT TRENCH AND WET FACILITIES. N 9. APPLICANT SHALL INSTALL A (1) INCH CONDUIT AND PULL TAPE N Oo FROM THE METER SECTION OF THE ELECTRIC PANEL LOCATION TO THE NEAREST 1....,,.) I TELEPHONE SERVICE LOCATION. SEE GREENBOOK FOR FURTHER DETAILS. ca v U onacruna c"uS" /: 0, . , D_ I 10. APPUCANT IS TO INSTALL A 2 INCH CONDUIT AND PULL TAPE -- 7 III I' FROM THE OUTSIDE SURFACE OF THE BUILDING AND TERMINATE OUTSIDE - �'I METER PANEL OR SWITCHBOARD AT THE TOP OF THE METER SECTION. CC.o --- . 911 SEE GREENBOOK FOR FURTHER DETAILS. Ng EXISTING BUILDING % 11. APPUCANT IS RESPONSIBLE TO COORDINATE WITH AT&T (PHONE) TO REMAIN 400 24 E m �, 120 2�, -- FOR THEIR CONSTRUCTION REQUIREMENTS ,� 0 A Al —� g 12. CABLE LENGTHS INCLUDE TAILS (OFFSITE, ONSITE, CABLE.) z oN Q o I r�I .,, p N (n teaa " Q a Z INStA I,t, 114t N fsw $oXE o c.) .006[1 ]Tar e[♦. ,p, d' LL - -- _ ,,, z CLOSE To cu1z13 - Q c,I925 a. .� t W. a.."•..,,.� ""_". ,�.�- 8 EX _ 8 �I f ° E ,-p as COORDINATE IIIE • Y 3157984 28498 400 AMS �� 4 I--1 PRIMARY VOLTAGE 120/208V r[° ° " ( 1 )1 " "I " - I ro a SECONDARY VOLTAGE �( •-•,'' 4Q� 4W, 30 : I - .,. ..• 120/2089 ` DEM= 47 KVA II 10'/100't128' I * TX SIZE - 150 a `G VD= 2.6V Fit KVA 39 92 `'� o SCI 18.000 AMPS II/2,I 7 I. I i I I 9,32151 �C yG\ % L. F. - 47 45'P153157-2 TYPE TX.- PB • - - _ -+- 1 i LOADING DIST-sC 'J Ub 1 5 - .or..or H I, 10 c� o °' / 799,-8486 O, `` . I R m o fib' ii �z �� 1N e `2 , a � 600 N6 62 V ‘A°. N_ ` 941 ,2oi2o� " �� ��.�p do �, AFETY 3Iil EXISTING BUILDING 1 ` i�� G\ � e10 t�..sit ii i Co I - -- --- -_ i I I�. BOX DETAIL: ,,y.,,S 01 to�� d n9 c.-..) lA 3 LANDSCAPE ,'4 10c sre ? z AREA °�b Coti+ •lob C/] r o DETAIL FOR REROUTE i k . 0 tV =J \\\1�24U1 1I ^"� ^ PROJECT CONDITIONS �a I QCT� Type(n) of C-. �QU ®New Business p Vi U RE-ROUTE INFO: 1D 925 s I w .. .. ❑Pc:a 1[.inten.noe Construction x �, z •APPLICANT TO EXPOSE EXISTING UG t—.n--1 2O/2 Project Conditions: CID _ N 00/ SERVICE TO 941 S. MCGLINCY LN U3 `s �- tp •• :: ®NONE APPARENT(u project amiss ohmage. oontaoc Z •APPLICANT TO PROVIDE ALL CONDUIT FOR <2 )nj 5_car-ri RISER QUADRANT °• A1 oroNs APPLY: MAP H1621 REROUTE OF EXISTING UG SERVICE. BOX �,,. 5" RISER BEND 3 ❑ C.� •PG&E TO REROUTE EXISTING UG SERVICE (� ,S�� BY APPLICANT ❑PERMITS ❑TAILBOARD ❑OTHER CLASS 3 AREA CABLES INTO NEW #5 SPLICE BOX. ` 45'P153157-2 (Pro=d.additional information thee "B" INSUL DIST •APPLICANT TO BACKFILL TRENCH AFTER PG&E Rfttglf[ °i1v'j 12KV AREA, SC ti REROUTES THE UG SERVICE INTO #5 BOX. '\00-°°V' \ / I€ VASONA 1 105 0..y1cA 0W PCII �R ei' SSD: SW 4925 smw MIA[� n•• In DM Syed Wahidi From: Doris Quai Hoi Sent: Wednesday, October 29, 2014 11:07 AM To: Syed Wahidi Cc: 'Flores, Osvaldo'; 'Arnold Engineering, Inc'; 'norma mendez' Subject: FW: 925 S McGlincy Ave, Cupertino Attachments: 925 S McGlincy.pdf; 20141029101652.pdf; 20141029101932.pdf 925 S McGlincy.pdf 20141029101652.p20141029101932.p (284 KB) df(767 KB) df(245 KB) Hi Syed, I have no issues with this request for utility encroachment permit. It does meet the street improvement plans. The owner and the owner's engineer should take note and reflect these items if necessary on their Building Plans. The City does see that there is a service drop crossing 925 to 911 McGlincy Lane but the City has no authority/jurisdiction over what seems like a private party concern. Thanks Doris Original Message From: Flores, Osvaldo [mailto:OCF1@pge.com] Sent: Wednesday, October 29, 2014 10:21 AM To: Doris Quai Hoi Subject: 925 S McGlincy Ave, Cupertino Doris, Attached is our permit request to the City for this upcoming work. We have also mailed out copies. I apologize if this is not handled by you. If that is the case can you please forward to the appropriate person a the City? Thank You PG&E is committed to protecting our customers' privacy. To learn more, please visit http://www.pge.com/about/company/privacy/customer/ *** eSafe 8 scanned this email for malicious content *** *** IMPORTANT: Do not open attachments from unrecognized senders *** 1 Syed Wahidi From: Doris Quai Hoi Sent: Wednesday, October 29, 2014 11:07 AM To: Syed Wahidi Cc: 'Flores, Osvaldo'; 'Arnold Engineering, Inc'; 'norma mendez' Subject: FW: 925 S McGlincy Ave, Cupertino Attachments: 925 S McGlincy.pdf; 20141029101652.pdf; 20141029101932.pdf 925 S McGlincy.pdf 20141029101652.p20141029101932.p (284 KB) df(767 KB) df(245 KB) Hi Syed, I have no issues with this request for utility encroachment permit. It does meet the street improvement plans. The owner and the owner's engineer should take note and reflect these items if necessary on their Building Plans. The City does see that there is a service drop crossing 925 to 911 McGlincy Lane but the City has no authority/jurisdiction over what seems like a private party concern. Thanks Doris Original Message From: Flores, Osvaldo [mailto:OCF1@pge.com] Sent: Wednesday, October 29, 2014 10:21 AM To: Doris Quai Hoi Subject: 925 S McGlincy Ave, Cupertino Doris, Attached is our permit request to the City for this upcoming work. We have also mailed out copies. I apologize if this is not handled by you. If that is the case can you please forward to the appropriate person a the City? Thank You PG&E is committed to protecting our customers' privacy. To learn more, please visit http://www.pge.com/about/company/privacy/customer/ *** eSafe 8 scanned this email for malicious content *** *** IMPORTANT: Do not open attachments from unrecognized senders *** 1