HomeMy WebLinkAboutENC2014-00228 DEC 03 2014 Print Form
'ublic Works qa rmit No �"C 2491'1 -co L2 8
CITY OF CAMPBELL ENCROACHMENT PERMIT liNnl$tC /
DEPT.OF PUBLIC WORKS (for working within the public -fig.File
70 North First Street right-of-way) Application Date L ce.,nbe/.2, .20/9.
Campbell,CA 95008 Issued 1 2/ J/ I Lt Application Expiration Date
Ph. (408)866-2150 APN .219-24-0217
( ]
Fx. (408)376-0958 \ 3/ 5 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.: 71 East Rosemary Lane.Campbell,California 95008
Utility Trench Location: Under the paved street.Middle of the street.Trench will be 6'long,5'wide,6'deep.
B. Nature of Work: Replace 6 feet of sewer mainline and two lateral connections to the main.
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 East Sunnyoaks Avenue.Cambpell,California 95008
E-Mail Address: jpicado@westvalleysan.org 24-HOUR EMERGENCY PHONE NUMBER: (408)278-2407
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 condition of any pr' ate improvements in the public right-of-way.
Accepted: ToJG Picado(GlloP Va!Ice San•Dis.ric). og- P,icad# . Tv.,ala�, LLce►nba,2, 2o/4
J (Applicant Permittee) (sign) Date
Pace llndetyror id Canstrdcfion Bill A4ariow. Tvyor1, Decembee.2, 201¢
(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-B00-227-2600. 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 $ 3S`.3 �(
PLAN CHECK DEPOSIT $
SECURITY FOR FAITHFUL PERFORMANCE/LABOR&MATERIALS $
CONSTRUCTION CASH DEPOSIT $
PLAN CHECK&INSPECTION FEE $ 39J 5 a.
EMERGENCY PERMIT FEE $
APPROVED FOR ISSUANCE �' Z
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.
Jarye {2icado (on behalf of ukdi Vaii .Saraik4bn Dislrit,. Zeal, ietember 2, 20* .
Applicant Date:
Bill Mgrrnfv ( Pacific Vi derJ/0nd CanSt/r,)c i o ). Tvesdap, Deceir► to r.2, so/4-,
Contractor (Print Name) Date:
J:\FORMS\Templates\Encroachment Permits\Encroachment Permit STATIC form2.pdf
Rev.02/14
West Valley Sanitation District
2014-2015 Sanitary Sewer Repairs
WORK ORDER No. 9
Issued To: Pacific Underground Inc. Issue Date: December 2, 2014
Issued By: West Valley Sanitation District
Type and Location of Repair: O Main I✓1 Lateral O Both O Other
Various repairs within Los Gatos, Saratoga, and Campbell.
Street Address/City
(Provide scope of work and map(s) for work ordered.
If multiple locations or routine repair, attach list)
Callout Urgency: O High Emergency (4 Hr. response)
❑ Emergency (24 Hr response)
❑ Urgent (96 Hr response)
El Routine (14 calendar days)
WO Issued By: Alan Kam Time Issued: 10:30 a.m. December 2, 2014
WO Issued To: Bill Marrow Time/Date On-site:
Was Contractor's arrival time on-site within required response? Q Yes O No
Basis for Reimbursement: (Show calculation for each repair location)
Replace the following sewer lateral using pipe bursting or open trench method:
1. 13223 Quito Road. Saratoga. 26' long, 6' deep 4" PVC lateral in a moderate traffic area.
Replace a section of the following sewer lateral using open trench method:
2. 14530 Blossom Hill Rd. Los Gatos. 25' long, 5' deep 4" PVC lateral in moderate traffic area.
3. 14755 Oak Street. Saratoga. 10' long, 4' deep 4" HDPE lateral in a low traffic area.
Replace the TEE connections to the main with new mainline Wyes:
4. 71 E. Rosemary Lane. Campbell. 6' long, 6' deep 4" ABS lateral in a low traffic area
The District still has to apply for the encroachment permits.
New laterals will be compensated with Bid Items 14. Pipe bursting laterals will be compensated under
"Time and Materials" basis. Long replaced section will be compensated with bid items12 and 14. New
connections to the main will be compensated with Bid Items 22 and 23. New cleanouts will be
compensated with Bid Item "E". Replaced section of mainline will be compensated with Bid Item 5.
New connections will be compensated with Bid Item 22.
71 E. ROSEMARY LANE
LATERAL LOCATION: Between upstream manhole 2-056-03
and downstream manhole 2-056-01
CITY LOCATION: Campbell, California.
LATERAL DESCRIPTION: 20 feet long, 4" ABS lateral and cleanout.
The lateral connections to the main are 10 and 11.5 feet from the upstream
manhole. The mainline is only 5.5 feet deep. The connections use 6" by 4
Tee fittings.
The lateral of 70 E. Rosemary Lane is inactive, and the lateral of 71 E.
Rosemary Lane has experienced 11 stoppages and one overflow.
There is excessive paper accumulation on the connection of 71 E. Rosemary
Lane. This is due to the TEE connection and the lack of flow coming on the
mainline. This lateral is the last mainline connection.
26 .8 ft .
&j. Wy 1/4
ni
M
..
k. ...., t
,..„,
, , . . .
,,,
,_ ' 01U07/23 C *• e'14f0//23
�09 0 03
�. 09:20.01 A. 2
A video inspection on the mainline also shows the severe paper accumulation on the TEE
fitting.
r _ *.
mittn„1-' toil 1112 1o :, 1 A
v
S
PROBLEMS:
1. ABS laterals and mainline
2. TEE fittings used as lateral connection to the main
3. Paper accumulation on the mainline has created stoppages
4. This is the last connection to the main
5. Too many stoppages and overflows.
SUGGESTED REPAIR:
Perform a 6 feet long mainline repair. Replace the two 6" by 4" mainline
TEE fittings with two new 6" by 4" mainline Wyes. Relocate these two
new Wyes 2 feet downstream to the existing connections. Use only 4"
and 6" ABS pipe and fittings.
Install new 4" ABS elbows on the lateral approximately 2 feet from the
new mainline Wyes. Use ABS glue to join every ABS pipe fittings. Do
perfectly rectangular cuts on the pipe and do not leave gaps on the
connections.
Use only non-recycled 3/4" crushed rock for pipe bedding. Backfill the
rest of the trench with material approved on the encroachment permit.
Perform the repair only after obtaining all the 4" and 6" ABS pipe and
fittings. Call inspector at least 30 minutes before removing the pipe to
review the repair requirements.
Note:
Distances provided on this report are approximate. Contractor is
responsible for accurately locating the area of repair.
� _ _
, i
am) tail
45 59 83 95 109 123 137
all"
It y 71 East Rosemary Ln
6"ABS (TRUSS) 2-056-03 6 ABS(TRUSS')
:. .-. �,v r E ROSEMARY LNi°r
�- !
t ►Irilt'! =pis -larrAliiiii In*
i.
44 1 58 E^S ,
[ 1#2 X 4 •
(ii Perform a 6 feet long,5 feet wide point 3 108' ' 136
repair.Replace mainline 6"by 4"TEE
i at locations 10 and 11.5 feet from
IU/S manhole Install new 6"by 4"Wyes. '
Move new connections 2 feet downstream
, Use only 4"and 6"ABS pipe and fittings —4--,.--1 . _
z "i +!' t
Anegend notation (Ma West Valley Sanitation District It
4-014-04 Fiscal Year 2014-2015 Sewer Repair Project
u; ! R Work Order No.9,Location I-.
�*° " Mainline connections replacement at
o"Sl$a tle t 70 and 71 East Roseman'Lane.
°,......,-1._,,.
i ....---
1 i Fs Campbell,California 95008
11E WR,'wn, APN 279-27-026
WVSD Lateral Maintenance History 12/1/2014
2:05:07PM
Structure Number 10493
Address 7 ._ROSEMARY LN Operation Power Rod
Service Status Active Crew Size None
Structure Type Conforming Spec Cleaning Schedule 1 Man
Maintenance History
Date Operation Lbs Debris Debris Severity Number
10/19/2014 Power Rod - Lateral 2 Paper or Rags Stoppage 14-1671
8/24/2014 Power Rod- Lateral 2 Roots Stoppage 14-1344
8/7/2014 Power Rod- Lateral 2 Paper or Rags Stoppage 14-1263
7/23/2014 CCTV-Lateral 0 Clean Clear 14-1182
7/22/2014 Power Rod- Lateral 4 Paper or Rags Stoppage 14-1183
6/15/2014 Power Rod- Lateral 3 Paper or Rags Stoppage 14-0978
2/4/2014 CCTV-Lateral 0 Clean Clear 14-0247
2/3/2014 Power Rod- Lateral 5 Roots Stoppage 14-0248
10/27/2013 Power Rod-Lateral 1 Roots Stoppage 13-1648
10/2/2013 Power Rod- Lateral 5 Paper or Rags Stoppage 13-1540
4/27/2013 Power Rod- Lateral 2 Roots Stoppage 13-0691
2/16/2013 Power Rod- Lateral 2 Paper or Rags Stoppage 13-0343
7/10/2012 Special-Power Rod Lateral 0 Clean Clear 12-0854
2/1/2012 Power Rod- Lateral 5 Paper or Rags Overflow 12-0229
3/14/2008 Power Rod- Lateral 10 Roots Stoppage 08-0363
3/25/2005 CCTV- Lateral 0 Clean Clear 05-0318
CCTV-Lateral 0 Paper/Rags Medium C91-4-005841
WVSD Lateral Work History Page: 1
MetroScan/Santa Clara (CA)
Owner : Shook Drew&Christine Parcel
CoOwner Bldg Id ,111.11
Site : 71 E Rosemary Ln Campbell 95008 Land :$501,655
Mail : 71 E Rosemary Ln Campbell Ca 95008 Struct :$230,901
Xfered : 10/08/2013 Doc# :22408834 Other
Price Deed :Grant Deed Total :$732,556
LoanAmt :$355,000 Loan :Conventional %Imprvd :32
Lender : Stearns Lndg %Owned : 100
VestTyp : Married Persons lntTy : Fixed Exempt
LandUse :01 Res,Single Family Residence Type •
Zoning : R-1-6 Res Single Family Residence TaxArea : 10025
SubPlat : Winchester Villa 13-14 Tax :$9,045.82
Legal :TRACT 390 WINCHESTER VILLA BOOK 12 MLS Area : 15
Census : Tract : 5064.02 Block : 3 Phone
MapGrid : 853 E4 Owner
Total Rms : 7 Bldg SF : 1,252 Units Year Built :2008
Bedrooms :3 Lot SF :7,755 Patio :No EfYearBlt :2008
Bathrooms :2.00 Useable SF : 7,755 Porch : Yes Garage Sp :2
Stories : 1 Lot Acres : .18 Elevator Garage SF :360
Dining Rm : 1 Lot Dimen :55X141 Lease SF Bldg Cond :6.0
Faintly Rm : Pool :No Office SF Bldg Class :6.0
Rec Room Fireplace : Yes Sprinkler Bldg Shape : L-Shape
CntlHt/AC : Both
OFFICE OF COUNTY ASSESSOR - SANTA CI.ARA COUNTY, CALIFORNIA
90011 PGE
PSA
279 27
Q I i ZB g
F�---Iv.--- ��®�t
$--I-- DE TRACEY --—------- — _.. --- — STREET —k
d s
S nze SA TRACT No 1799 wn >r ,..5 N �...- I� r
j /°.111 .Y.1 FIN stet net > 1 .e • >,. v. a+F. , et N8 .>.<,'-...
V• f I i.t Nu> w N w.' a�. 225, ...
!". B K 2 d_ ffi_ /t .. M ".; r al a' M /6• fl ii: g- a- <R "" I.°TLL' a i PM.339-M-3Q
.$ - n w
-, - _ -: g
-1 � � � 1 ze,
I
N ; 39 34 33 31 31 30 27 23 2> ; 20 15 ' zA ^
...__L-.i N°�-...-..L_,,,T..,-1-Ii 4 ...-.-... ..ice•.� " _ o,.91.,,,,.1,.......,.-.21:24..i. 1
4
r 2 ii 13 It -a § ; 3! s.
1
0.939 AC.NET 0.957 AC.NET I + R 3.._._�__� r ,.1.{7 W wl ,7f
N E, •1 11 y; L 1>
6 I �i E 3 '' ^ B it 20.f t LLA 20274210
•® '''41$ ----- - __... 4 74�iEN27E--
B
I •� 1, 0993 AC.NET • f>V 160 4C.NET It ^2 =' 19 30 F i
2t E <ri
11 la 1214 22 20 L re
SE
h.x 0 '><la 4
>� ? ,F a S�' '4:7, it eB
J1 ,d "'`. m. i E 2 OET!I L f GAL! 1'.30'
4"-- -t ..,.',V.,,..,44.,': iwu - 4.— a,-- - 9 L 1N . ! 1 t.1 T.. .91
OQ S I.Y C I ~pp i�NF�n 2!: !> �' xY I eB 1 10 11 1! 13 "2
,>I
Cp• A° 11.... .. „e.• a °•3 2n `3>..e'.. 57 a 2e 4 3 2
y7 __ ITN LOT 2 3 FTN LOT 1 �,,,, y .1 •
. ZZ<2a 19 II 1T N IS N E
I A 101 AC NET i .._._.+-_47 _; O
I ¢- J 6'3 7 w R S N 23 J CONDOMINIUM PLAN
-il'9Y-' -N'�3/ AT !3- _ _ _- _ ___ R TRACT N27309
3 3 >� 2 ,2 1 Sts >1S6,-- _
I O,.J 0 33AC uj
IN F it f e to k i sl 6i 3 ^ ICI�' 4
(� I ,> °I alt PETIN2
1.1! 1.N e e L.....,. 7 M.
-,.. --A......1 P 0 AEITM'S SUBS N'.2 _,_vF Nee wee J I
S L TRACT No 7508 -.
N.
2 S. VNNCHESTER —1—- - .1 —-i F MLY. 9 c.r L.6 ROL)- BOULEVARD'—
L W INCHES11R
L44ryry11 EXECUTIVE OFFICE
j,! J;0 CONDOMINIUMS C. Lk, -1�111NSl5 i9
_Q 7, Cn9Nd..ter A B I.EN4 S[.327.
— SI W BN 7Nr m1-20N
Information compiled from various sources. CoreLogic makes no representations
or warranties as to the accuracy or completeness of information contained in this report.