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HomeMy WebLinkAboutENC2013-00041 IF'ter F & 44. alic 25 20 n( a3 -00041 CITY OF CAMPBELL ENCROACHMENT PERMIT Wprt Permit No n{C� DEPT.OF PUBLIC WORKS (for working within the publicACIV f}..�gqe 70 North First Street right-of-way) Applicatigdll{ate ,)-as-' 1 3 Campbell,CA 95008 Issued Z ZG�13 Application Expiration Date ,?—, 5-1(4 Ph. (408)866-2150 / APN_ Fx. (408)376-0958 2 /2-a /(4 403-10-113 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.: S/Si RINCON AVE., W/O WINCHESTER BLVD. PG&E PM 30974118 Utility Trench Location: LANE &SIDEWALK CLOSURE ONLY- NO TRENCHING B. Nature of Work: INSTALL POLE&TRANSFER OVERHEAD CONDUCTOR C. Attach four(4)copies of an engineered plan showing the location and extent of the work,and tour(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: PG&E Telephone: 408-725-3306 Address: 10900 N. BLANEY AVE, CUPERTINO CA E-Mail Address: DMK8@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 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 aris' g out of the condition of any private improvements in the public right-of-way. Accepted: PGd.E 2./21/1,3 (App cant 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 4215 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 I�� RECEIPT NO. PERMIT APPLICATION FEE $ PLAN CHECK DEPOSIT $ SECURITY FOR FAITHFUL PERFORMANCE/LABOR&MATERIALS $ CONSTRUCTION CASH DEPOSIT $ PLAN CHECK&INSPECTION FEE $ 3 7cJ G2- APPROVED FOR ISSUANCE 2/2 G For ity 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. 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. 5. Maintain safe pedestrian and vehicular crossings and free access to private driveways,bus stops,fire hydrants,and water valves. 6. 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. 7. 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. 8. 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. 9. Sawcut for all PCC or AC removals. All PCC removals shall be to the nearest scoremark and shall be doweled to existing improvements. 10. 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. 11. 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. 12. Compaction testing of subgrade,base rock,and asphalt concrete by Permittee is required unless otherwise stated by the City Engineer. 13. 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. 14. 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. 15. 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. 16. This permit does not release the Permittee from any liabilities contained in other agreements or contracts with the City and any other public agency. 17. This permit is not transferable. Work must be performed by the Permittee or his designated agent or contractor as specified thereon. 18. 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. 19. 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. 20. 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. 21. 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. 2 PO_ Applicant Date: Contractor (Print Name) Date: J:\FORMS\Templates\Encroachment Permits\Encroachment Permit STATIC form2.pdf Rev.3/08 Figure CSJ-22. Sidewalk Closure 1 4 t t 4 e a 3N3H sSOHO 03S010)IlVM301S \110 6--H Note:ElSee Table A \�_ for Sign, Cone Spacing, A and Taper Lengths. REVIEWED (_AS NOTED) BY: DATE: / / 20 PERMIT#: PROJECT INSPECTOR MAY MODIFY TRAFFIC CONTROL PLANS AS SIDEWAD FIELD CONDITIONS DICTATE H CROSS HERE ®► l l t Typical Application 22 UTILITY TYPICAL APPLICATIONS 1. Conditions represented are for work that requires closings during daytime hours only. Local regulations may require UTA-1 Temporary Road Closure permits for any road closure. 2. This application is intended for a planned temporary closing not to exceed 15-20 minutes. 3. The flaggers shall stop the first vehicle from the position shown, then move to the centerline to stop approaching traffic. 4. For high-volume roads, a police patrol car and/or a changeable message sign may be added. 5. Before and after temporary closure, other typical • • • applications to allow traffic movement may apply. 2 X Speed (in feet) • A -- A A C=1 • A A — A -2 X Speed (in feet) ERE ooh SEE: SIGN SPACING DISTANCE •TABLE 1 for Buffer Length(page 26) ROAD TYPE A •TABLE 4 for"L"&Channelizer Urban-25 MPH or less 200' (cones,etc.)Quantity(page 28) Urban-30 MPH or more 350 NOTE: LOCAL REGULATIONS MAY VARY. Rural 500' PGEFM1A ^(� Expressway/Freeway 1000' © Copyright 2002 InCom,Inc. All rights reserved. Page 49 dr. (T. t TABLES AND REFERENCE INDEXES TABLE 4. Taper length (L) / Channelizer (cones, etc.) quantity Index WIDTH OF LANE OFFSET (From Normal Lane Width Due To Work Zone) MPH 5' 6' 7' 8' 9' 10' 11 ' 12' 13' 14' 15' 16' 17' 18' 75' 90' 105' 120' 135' 150' 165' 180' 195' 210' 225' 240' 255' 270' 30 (3) (3) (4) (5) (5) (6) (6) 111 t (7) (7) (8) (8) (9) (9) (10) 102' 123' 143' 163' 184' 204' 225' 245' 265' 286' 306' 327' 347' 368' 35 (3) (4) (4) (5) (6) (6) (7) (8) (8) (9) (9) (1 0) (1 0) (11) 133' 160' 187' 213' 240' 267' 293' 320' 347' 373' 400' 427' 453' 480' 40 (4) (5) (5) (6) (7) (7) (8) (8) (9) (9) (1 0) (1 1) (1 1) (1 2) 225' 270' 315' 360' 405' 450' 495' 540' 585' 630' 675' 720' 765' 810' 45 (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (1 7) (18) (19) 250' 300' 350' 400' 450' 500' 550' 600'._ 650' 7_221, 750' 800' 850' 900' 50 (6) (7) (8) (9) (10) (11) (12) (13) -(14) (15) (16) (18) (19) (20) 275' 330' 385' 440' 495' 550' 605' 660', 15' 770' 825' 880' 935' 990' 55 (6) (7) (8) (9) (10) (11) (12) (93) (14) (15) (16) (17) (18) (19) 300' 360' 420' 480' 540' 600' 660' 720' 780' 840' 900' 960' 1020' 1080' 60 (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (1 7) (18) (19) 325' 390° 455' 520' 585' 650' 715' 780' 845' 910' 975' 1040' 1105' 1170' 65 (6) (7) (8) (9) (10) (11) (12) ('3) (14) (15) (16) (1 7) (18) (19) FOR LENGTHS NOT SHOWN ABOVE L =MINIMUM LENGTH OF TAPER TAPER LENGTHS L = W x S x S/60 FOR 40 MPH OR LESS W= WIDTH OF OFFSET (MIN#OF CHANNELIZERS) L = WxS FOR 45 MPH ORMORE S =SPEED LIMIT When using Shoulder Taper (1/3 L), determine L based on the actual lane width of the adjacent lane. PGEFM1A © Copyright2002 InCom,Inc. All rights reserved. NOTE: Local regulations may vary. Page 28 rg l . TABLES AND REFERENCE INDEXES TABLE 1. Guidelines for length TABLE 2. of longitudinal buffer space Taper length criteria for temporary traffic control zones This table to be used for determining buffer space lengths on all typical application diagrams. TYPE OF TAPER TAPER LENGTH Upstream Tapers: SPEED* LENGTH • Merging Tapers L Minimum MPH in feet • Shifting Tapers 1/2 L Minimum 20 35' • Shoulder Tapers 1/3 L Minimum 25 55' • Two-Way Traffic 100 Feet Max (Flagger)Tapers 30 85' Downstream Tapers: 100 Feet Min 35 120' • (Use is optional) 40 170' 45 220' 50 280' Formula for Taper Length "L" 55 335' L=W x S x S/60 FOR 40 MPH OR LESS 60 415' L=W x S FOR 45 MPH OR MORE L =MINIMUM LENGTH OF TAPER IN FEET Posted speed or the anticipated operating speed w=WIDTH OF OFFSET IN FEET in mph. S =SPEED IN MPH PGEFM1A © Copyright2002 InCom,Inc. All rights reserved. NOTE: Local regulations may vary. Page 26 `Enr � SAFETY r APPROVED FOR CONSTRUCTI i 1f PlID6E , > W > W Y = City of Campbell Cr) ALWAYS PUT SAFELY FlRST. I LOOK FOR AND ACT TO 00 Q Public Works Permit Nocr) . ;/l/Ca)OI RE LVEHEL UNSAFE AND ENCOURAGE I• INST. SPAN GUY TO BACK UP ") ERS TO ACT SAFELY. INCREASED ANGLE OF THE 397A e 1 n the must have these plansy , o iob site during construction. cc> ATTACH SPAN GUY AT 8' NI WINCHESTER BLVD, ON POLE L0C.1 W O � _ 2- O 0 � _ :3.) U V) Z CD V) CL z Q M 1 - - - 2 99183 w IZ 3-715 A 25 50 118' X PT 44HSB 12KV POLE DATA L5 a- INSTALL: 50' CL3 PG&E ONLY POLE, - b 0 1 -7/16" DOWN GUY & 0 10M PISA, SIDEWALK ANCHOR. ANCHOR STRAIN = 8964# W m CD SATETY FACTOR = 9.21 Ei rY C/D I- I- cn 0 Li LiJ �9'L6 c+ z W LU CO S`A 9 RISER & SB DISC. TO BE a- INSTALLED ON PM 30690257 Q 0 C) Z w Q 3-397A INSTALL POLE POLE IS LOCATED SO O Q U) TRANSFER FROM LOC.4 T LOC.3 5' E/O PROPERTY LINE, THAT IT WILL CLEAR THE z Q 3 91 ' E/O EXISTING POLE DRIVEWAY OF THE NEW NOTE ' __; A PROJECT ON THIS CORNER C 82 99 )\',<---= - - Q' E2 0 THIS JOB IS BEING DONE TO PT 4 HSB Li_ OBTAIN G.0.95 CLEARANCE Cf U FROM THE NEW BUILDING ROOF. 0 THE POLE IS TEMPORARY & WILL rn 4 SPLICE-IN CONDUCTOR 0_ BE REMOVED ON RULE 20A JOB ' PM 30720578, NOW IN CONSTRUCTION. J PROJECT CONDITIONS STAMP Type(s) of Work: N X❑New Business CV .7I12947 tiX ❑PG&E Maintenance & Construction I.W_ Z N.0. Project Conditions: c_) c_) s.._ -CC NO .O. ❑X NONE APPARENT (if project design changes, contact ADE) C> O a�C3 CI •� 0 O r MAP H 1520 r ❑X CONDITIONS APPLY: Y Y o o v r v X❑PERMITS ❑TAILBOARD ❑OTHER c c c c INS.DIST.B a c c) C W (Provide additional information on line below) o N Z CL3 AREA (Sc) SUB: EL PATIO 1114 M I J Ze SSD: SW 1 0521 M ' BY: SIGNATURE, NAME. [CORPORATE ID]. DATE (n In = W J U ,:,,;, W < V) C. W (r)