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HomeMy WebLinkAboutENC2013-00058 • Print Form CITY OF CAMPBELL ENCROACHMENT PERMIT Permit No Z D 3 cc°S S DEPT.OF PUBLIC WORKS (for working within the public X-Ref.File 70 North First Street right-of-way) Application Date 3'2'x—2413 Campbell,CA 95008 /; (l U i( Application Expiration DaII,, Z1-\3 Ph. (408)866-2150 Issued `T APN 5`60('-; Fx. (408)376-0958 I I Permit Expiration Date 0.' APPLICATION-Application is hereby made for a Public Works Permit in accordance wit 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.: 124c f— i9 t. /e9OO•14?---- 65/ tv, #4-fit /L-(`?( 04-y g- Utility Trench Location: , , -/zn_7 L p/2/vE B. Nature of Work: S Lf/ :1 Z. /./A/C- 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: SI'N 4-/ C4JIs'TtV7e)/ co' of cm- Telephone: to$ $1≤ - 1767 Address: vor- Tag M6,12A, srk-- cA 94"/24 E-Mail Address: i<j2.0'&4,114"0 2' ROQSoki 1.4019 , CCP') 24-HOUR EMERGENCY PHONE NUMBER: lot, 701- of'8" Is this work being done by the property owners at their own residence? 7 YES '� NO The Applicant/Permittee hereby agrees by affixing their signature to this permit to hold the City of Campbell,its officers,agents,and employees free,safe and harmless from any claim or demand for damages resulting from the work covered by this permit. The Applicant/Permittee hereby acknowledges that they have read .nd under .nd oth the front and back of this permit, and they will inform their contractor(s) of the information. Applicant is advised that upo issu nce . this .er 't, property owner, or property owner's successors, shall be responsible for any and all damages arising out of the condition i fly• . • ' pr.l e s in the public right-of-way. Accepted: 1t'I AC124, 3/jg/j; C.-- ( p cant mittee (signer Date �N t,,Prll-!GS CoNST2vdtx.04 DAAFIN Rout-M) 3I13t''$ (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 RECEIPT NO. PERMIT APPLICATION FEE $ ?j10 �2114(210 PLAN CHECK DEPOSIT $ SECURITY FOR FAITHFUL PERFORMANCE/LABOR&MATERIALS $ CONSTRUCTION CASH DEPOSIT PLAN CHECK&INSPECTION FEE $ 2 -]� ) Z,w - EMERGENCY PERMIT FEE $ APPROVED FOR ISSUANCE ' I /I V(13 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. 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 distri ti an and i dates of work and a contact name and phone number. Applicant all bs r 1 onsible f r ensuring that all those providing services under the applicant are aware and understand all of the above conditions. 7.( Applicant ( Date: DALAtz v y (AP s co/!&fi.vC77a-4 3/f /.13 Contractor (Print Name) Date: J:\FORMS\Templates\Encroachment Permits\Encroachment Permit STATIC form2.pdf Rev.09/10 PUBLIC WORKS DEPARTMENT UTILITY ENCROACHMENT, TRAFFIC & MISCELLANEOUS RECEIPT Effective July 1, 2012 1 „ , J 5s TO: City Clerk ec.0 PUBLIC WORKS FILE NO. PROPERTY ADDRESS V 51 HI/1iI {Z Please collect& receipt for the following monies: ACCT. ITEM I AMOUNT ENCROACHMENT PERMIT 4722 Utility Encroachment Permit Application Fee $370.00 R-1 Encroachment Permit N/C Emergency Permits $105.00 Plan Check&Inspection Fee [ Minimum Charge Per Location $370.00 /\Z CID fC7 Conduits/Pipelines up to 500 Feet $2.45/ft Above 500 Linear Feet $1.50/ft Manholes/Vaults/Etc. $160.00/ea Pole Set/Removal $160.00/ea 4760 Storage Container Permit $150.00 4760 Project Plans& Specifications Project No. 4760 Standard Specifications & Details $1/Pg $15.50/Bk 4760 Engineering Maps&Plans Aerial Plot 24"x 36" $58.00 Aerial Print 8 1/2"x 11" $27.00 Map Research (includes max of two 24"x36"copies) $27.00 Maps and Plans 24"x 36" $13.00 4722 Penalties: Failure to restore public improvements $100/Calendar Day(Muni Code Sec. 11.34.010) 4722 Penalties: Failure to correct unsafe conditions $100/Calendar Day 4722 Work Without Permits 4 Times Applicable Fee TRAFFIC 4728 Traffic Flow Map (Daily Traffic Volumes) $34.00 4728 Signal Timing Information $72.00/Hr 4271 Truck Permits $16.00 per trip 4728 No Parking Signs $1 each or$25/100 MISCELLANEOUS 511.7424 Postage Other(Please Specify) TOTAL NAME OF APPLICANT cAA."` i (7) NAME OF PAYOR ' L PHONE -3 6---/ ADDRESS 7,1'6 5 a,y U,IQ...) ZIP 9S 126 FOR RECEIVED Y C t r f CITY CLERK ONLY Date 4 fL` L Receipt# ,- ! t APR 102013 CITY OF CAMt t. CITY OF CAMPBELL RECVD BY: CASHIER 01000247701 PAYOR: PENNY LANE HOUSING TODAY'S DATE: 04/10/13 REGISTER DATE: 04/10/13 TIME: 11:36 DESCRIPTION AMOUNT ENGR R SUBDIV FILING F $740.00 CUST ID: 2013-00059 & 2013-00059 TOTAL DUE: $740.00 CHECK PAID: $740.00 CHECK NO: 10075 TENDERED: $740.80 CHANGE: $.00 PUBLIC WORKS DEPARTMENT UTILITY ENCROACHMENT, TRAFFIC & MISCELLANEOUS RECEIPT Effective July 1, 2012 ‘,/ TO: City Clerk '2-0/3-17e2)56 -t 20/3 -�S9 PUBLIC WORKS FILE NO. I 64 PROPERTY ADDRESS &5( , / . -i ( ,.%. . Please collect& receipt for the following monies: ACCT. I ITEM AMOUNT ENCROACHMENT PERMIT 4722 Utility Encroachment Permit Application Fee $370.00 X 2.— 'C "II 0 R-1 Encroachment Permit N/C Emergency Permits $105.00 Plan Check&Inspection Fee Minimum Charge Per Location $370.00 o--- Conduits/Pipelines up to 500 Feet $2.45/ft Above 500 Linear Feet $1.50/ft Manholes/Vaults/Etc. $160.00/ea Pole Set/Removal $160.00/ea 4760 Storage Container Permit $150.00 4760 Project Plans &Specifications Project No. 4760 Standard Specifications &Details $1/Pg$15.50/Bk 4760 Engineering Maps& Plans Aerial Plot 24"x 36" $58.00 Aerial Print 8 1/2"x 11" $27.00 Map Research (includes max of two 24"x36"copies) $27.00 Maps and Plans 24"x 36" $13.00 4722 Penalties: Failure to restore public improvements $100/Calendar Day(Muni Code Sec. 11.34.010) 4722 Penalties: Failure to correct unsafe conditions $100/Calendar Day 4722 Work Without Permits 4 Times Applicable Fee 4728 Traffic Flow Map (Daily Traffic Volumes) $34.00 4728 Signal Timing Information $72.00/Hr 4271 Truck Permits $16.00 per trip 4728 No Parking Signs $1 each or$25/100 MISCELLANEOUS 511.7424 Postage Other(Please Specify) TOTAL NAME OF APPLICANT C `� ' C049fru 4- c • NAME OF PAYOR �P.,I/1►1U1 LQ.t'1P PHONE 1 - 315- 17f 7 l ADDRESS 2( j5 e Ad eda (so 67seZIP ,5/Z(a FOR RECEIVED BY CITY CLERK ( , ONLY Date 2-�-i Q nt Receipt# 24�-► • • o ' m r N a O 2 CITY OF CA6DELL • RECVD BY: CASHIER 01000:47450 PAYOR: PENNY LANE HOUSING • TODAY'S DATE: 03/27/13 • REGISTER DATE: 03/27/13 TIME: 10:17 DESCRIPTION AMOUNT ENGR & SUDDIV FILING F $740.00 COST ID: 651 W HAMILTON 13-055/059 TOTAL DUE: $740.00 CHECK PAID: $740.00 CHECK NO: 50063 0 TENDERED: $740.00 9 w CHANGE: $.00 j V J A A O O O O 0 0 V] n O n Z 0 W o cr a o O O 0 • A DATE Dom) CERTIFICATE OF LIABILITY INSURANCE 3/25/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: Leisa Youngman Lovitt&Touche' Inc Tempe NE INC.No.Ext):602-385-0528 (ac,No):602 956 2258 1050 West Washington St,#233 E-MAIL Tempe AZ 85281 ADDREss:Iyoungman(5Ilovitt-touche.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:LLOYD'S OF LONDON INSURED ROBSO-1 INSURERB:ALTERRA E&S LINES INS CO Penny Lane Housing, LLC INSURERc:ASPEN UK INSURANCE LTD Sun Lakes Construction Co. of CA INSURER D SWISS RE Robson Communities, et al 9532 East Riggs Road INSURER E: Sun Lakes AZ 85248 INSURER F: COVERAGES CERTIFICATE NUMBER:307838208 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INSR WVD POLICY NUMBER (MMIDD/YYYY) (MM/DDNYYY) LIMITS A GENERAL LIABILITY Y CHF11NA11CP01021 1/1/2012 1/1/2014 EACH OCCURRENCE $5,000,000 X COMMERCIAL GENERAL LIABILITY PRMGE TO RENTED PREMISES(Ea occurrence) $1,000,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $exduded X OCIP PERSONAL&ADV INJURY $5,000,000 GENERAL AGGREGATE $5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $5,000,000 X POLICY jT LOC Construction SIR $100,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMI r (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED I SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) $ B UMBRELLA LIAB X OCCUR Y MAX6XL0000316 1/1/2012 1/1/2014 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED I RETENTION$ Excess$5mi1 $ WORKERS COMPENSATION W'C STATU- I OTH- AND EMPLOYERS'LIABILITY Y I N TORY LIMITS l ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If s,deschbe under DESC RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Follow Form Excess of$10mil K08938012A0A 1/1/2012 1/1/2014 Occurrence/Aggregate 15,000,000 D Follow Form Excess of$25mi1 MH918201 1/1/2012 1/1/2014 Occurrence/Aggregate 15,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) The General Liability insurance evidenced above includes as insureds only persons or organizations that the Named Insured agrees by written contract or written agreement to add as insureds. The coverage provided to such insureds applies only to work performed for the Named Insured under such written contract or written agreement at the Named Insured's worksite. RE: Permit#BLD2012-00149 All work in public right of way 651-727 W. Hamilton Ave Campbell, CA Additional Insured: City of Campbell, its agents, officers, attorneys, employees,officials and volunteers CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Campbell ACCORDANCE WITH THE POLICY PROVISIONS. 70 North First Street Campbell CA 95008 AUTHORIZED REPRESENTATIVE ,,/ '0""'.. I ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD • • Robson Communities, Inc. Policy # CHF11/NA11CP01/021 SECTION II-WHO IS AN INSURED 1. If you are designated in the Declarations as: a. An Individual, you and your spouse or domestic or civil partner are insureds, but only with respect to the conduct of a business of which you are the sole owner. b. A partnership or joint venture, you are an insured. Your members, your partners, and their spouses or domestic or civil partner are also insureds,but only with respect to the conduct of your business. c. A limited liability company, you are an insured. Your members are also insureds, but only with respect to the conduct of your business. Your managers are insureds, but only with respect to their duties as your managers. d. An organization other than a partnership, joint venture or limited liability company, you are an insured. Your"executive officers"and directors are insureds, but only with respect to their duties as your officers and directors. Your stockholders are also insureds, but only with respect to their liability as stockholders. e. A trust, you are an insured. 2. Each of the following is also an insured under Coverages A, B and C: a. Your"employees", other than either your"executive officers" (if you are an organization other than a partnership,joint venture or limited liability company) or your managers (if you are a limited liability company), but only for acts within the scope of their employment by you or while performing duties related to the conduct of your business. However, none of these"employees" is an insured for: (1) "Bodily injury"or"personal and advertising injury": (a) To you, to your partners or members (if you are a partnership or joint venture),to your members (if you are a limited liability company), or to a co-"employee" while that co- "employee" is either in the course of his or her employment or performing duties related to the conduct of your business; (b) To the spouse, domestic or civil partner, child, parent, brother or sister of that co- "employee"as a consequence of Paragraph (1)(a)above; (c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraphs (1)(a) or(b) above; or (d) Arising out of his or her providing or failing to provide health care services for which a professional designation or licensing is required by governmental authorities. (2) "Property damage"to property: (a) Owned, occupied or used by; (b) Rented to, in the care, custody or control of, or over which physical control is being exercised for any purpose by you, any of your "employees", any partner or member (if you are a partnership or joint venture), or any member(if you are a limited liability company). CHF-GL-0001 09 19 11 Includes Copyrights material of Insurance Services Office, Inc. Page 16 of 34 b. Any person (other than your "employee"), or any organization while acting as your real estate manager. c. Any person or organization having proper temporary custody of your property if you die, but only: (1) With respect to liability arising out of the maintenance or use of the property; and (2) Until your legal representative has been appointed. d. Your legal representative if you die, but only with respect to duties as such. That representative will have all your rights and duties under this policy. 3. Any person or organization that you have agreed by written contract or written agreement to add as an insured under this policy is an insured. However: a. Coverage under Coverage A and Coverage C, is limited to liability which: (1) Arises out of your ongoing operations; or (2) Arises out of"your work"performed by such person or organization for the Named Insured. b. Coverage A does not apply to"bodily injury"or"property damage"that occurred before you entered into that written contract or written agreement; c. Coverage B does not apply to: (1) "property damage": (a) To that particular portion of "your work" performed onyour behalf by the person or organization you have agreed by written contract or written agreement to add as an insured;and (b) That occurred before you entered into that written contract or written agreement. (2) "repair costs" for "Home Performance Failure(s)" taking place before you entered into that written contract or agreement. d. Coverage C does not apply to"personal and advertising injury" arising out of an offense committed before you entered into that written contract or written agreement; 4. Any organization you newly acquire or form, other than a partnership, joint venture or limited liability company, and over which you maintain ownership or majority interest, will qualify as an Insured if there is no other similar insurance available to that organization. However, with respect to the coverage afforded to any such organization: a. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed that organization; b. Coverage B does not apply to: (1) "repair costs" arising out of "Home Performance Failure(s)" in "homes" sold, given away or abandoned by that organization before you acquired or formed that organization; or (2) "property damage" to "your work" that occurred before you acquired or formed that organization; and CHF-GL-0001 09 19 11 Includes Copyrights material of Insurance Services Office, Inc. Page 17 of 34 SUAI �.4� S DATE(M A ® CERTIFICATE OF LIABILITY INSURANCE 3/25/20130) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: Leisa Youngman Lovitt&Touche' Inc Tempe lac"o.ExtI:602-956-2250 ac,No)602 956 2258 1050 West Washington St,#233 E-MAIL Tempe AZ 85281 ADDREss:lyoungmanelovitt-touche.corn INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:National Union Fire Insurance 19445 INSURED SANTA26 INSURER B:Cincinnati Ins Company 10677 Sun Lakes Construction Co. of CA INSURER C: Penny Lane Housing, LLC INSURER D: Santa Clara Development, Inc 9532 E. Riggs Rd INSURER E: Sun Lakes AZ 85248 INSURER F: COVERAGES CERTIFICATE NUMBER:2141465215 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE IADDL SUBR POLICY EFF POLICY EXP LTRINSR WVD POLICY NUMBER IMM/DD/YYYY) IMMIDDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES MISES(Ea occurrence) $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADVINJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 7 POLICY PRO- LOC $ JECT B AUTOMOBILE LIABILITY CAP5191438 1/1/2013 1/1/2014 COMBINED SINGLE LIMI/ (Ea accident) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per AUTOS AUTOS accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION Y 999123 4/1/2012 4/1/2013 I WC STATU- I0TH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER _ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE$1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) Evidence of California Workers Compensation Coverage WC Blanket waiver of subrogation applies if required in written contract.per WC040361 Evidence of Auto Liability. RE: Permit#BLD2012-00149 All work in public right of way 651-727 W. Hamilton Ave Campbell, CA See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Campbell ACCORDANCE WITH THE POLICY PROVISIONS. 70 North First Street Campbell CA 95008 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: SANTA26 LOC#: ACO ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Lovitt&Touche' Inc-Tempe Sun Lakes Construction Co. of CA Penny Lane Housing, LLC POLICY NUMBER Santa Clara Development, Inc 9532 E. Riggs Rd CARRIER NAIC CODE Sun Lakes AZ 85248 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Street Improvements Work Comp. waiver of subrogation applies to City of Campbell, its agents, officers, attorneys, employees, officials and volunteers ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). This endorsement, effective 12:01 AM 04/01 /2012 forms a part of Policy No. WC 000-99-9123 Issued to SANTA CLARA DEVELOPMENT COMPANY, INC. By NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. We have a right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against any person or organization with whom you have a written contract that requires you to obtain this agreement from us, as regards any work you perform for such person or organization. The additional premium for this endorsement shall be 2.00 % of the total estimated workers compensation premium for this policy. WC 04 03 61 Countersigned by (Ed. 11/90) Authorized Representative WORKERS' COMPENSATION INSURANCE INFORMATION The following worker's compensation insurance information is required for all Applicants and Contractors. One of the following items for each Applicant and Contractor must be submitted prior to working under a Public Works permit or contract. WORKERS' COMPENSATION INFORMATION: Name of Contractor/Applicant 01</C-4---t-S-- ✓ - ' (roz/ eO', 7 , ❑ A Certificate of Consent to Self-Insure issued by the Director of Industrial Relations: OR 14. A Certificate of Workers' Compensation Insurance Insurance Co. A/4-f7'-132- v^(/Of 7ff //f1U/? Policy No. / g 44 Expiration Date g/i /./3 : OR ❑ A signed Certificate of Exemption from the Workers' Compensation laws as printed below. CERTIFICATE OF EXEMPTION I certify that in the performance of the work for this contract, I shall not employ any person in a manner so as to become subject to the Workers' Compensation Laws of California. Signed Date Title NOTICE TO APPLICANT/CONTRACTOR: If after signing this Certificate of Exemption, you should become subject to the Workers' Compensation provision of the Labor Code, you must forthwith comply with such provisions or the permit or Contract will be cancelled or revoked. J:\F0RMS\Templates\Insurance Requirements\Workers Comp Information sheet_doc(Rev 9/11) • (US1 \i`) �\�.,�.\\o�`. AN) ' 1 Sow L0\\(<€S � --Vvc VN 0\-A___, INSURANCE REQUIREMENTS CHECKLISTe_,`�st\\� 1'cx_"��— Permit# � Z O\7) -nob -s---6/ Z �5'o A CIP Project# CA k �v' �twt \VICO- -- The following insurance is required of all contractors working in the City of Campbell public right-of-way. Insurance certificates must be accepted by City staff before work can begin. These insurance requirements apply to work being performed under an Encroachment Permit and work being performed under contract for Capital Improvement Projects. Limits Commercial General Liability for bodily, personal injury and property damage: - $1,000,000 per occurrence, and o $1,000,000 general aggregate limit applying separately to the project, or io $2,000,000 general aggregate limit. o Policy expiration date \( \ ` \\—\ Automotive Liability: "Any Auto" checked on certificate $1,000,000 per accident for bodily injury and property damage o Policy expiration date \I\ / \' \ Workers' Compensation and Employer's Liability Waiver of Subrogation clause �7. b/w- 1,V -Al $1,000,000 per accident for bodily injury or disease J o Policy expiration date U(\( I 5 Course of Construction (if required in Special Provisions) o Completed value of the project o Policy expiration date Required Endorsements to General Liability and Automobile Liability Policies Additional Insured Endorsement The City, its officers, employees and volunteers are named as additional insured. / (Reference Project Location/Permit Number) o The insurance coverage afforded to the Additional Insured is primary insurance. Cancellation area: o Cancellation area of certificate edited to delete "endeavor to" and "but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives". OR should say: Should any of the above described policies be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy provisions. C:\Documents and Settings\joannat\Desktop\Insurance Requirements Cklist.doc (Rev 07/11) Page 1 of 2 ❑ Workers' Compensation Insurance Sheet Submitted L. For General Contractor ❑ For Developer or Owner Acceptability of Insurer(s) ❑ Insurer(s) has current A.M. Best Rating of A:VII and is authorized to transact business in the State of California. /' ie NAIC # lc( 4S Rating: / Authorized in CA: i Name: ' c,�\aw,�\ 1‘,,A;,--,-, �i Name: Q)\\( \v\.,Nr-k}, . -Nikc-,'( • NAIC # (0017 Rating: /,,,s/ 7,v Authorized in CA: V✓ Name: ? ks tS- u-_,`,k),J`_. NAIC# 6/',11?,7 z-Raying:L XV Authorized in CA: Name: /\\-�e�,ic� NAIC # 57)V- `'1 Rating: /\---/k\/ Authorized in CA: Campbell Business License # j.v,n I (-.`,e - cILA -z Z Ex`Q ' i1 3 \oQsi\vv.v.s.N.1/4A-z - b a-1 5-z_ 5 r✓x \z4\3 Insurance Certificate Reviewed 31 0-'71 I Initials Date Copy of Insurance Certificate placed in tickler file one month prior to expiration. 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HAMILTON AVE AswWafvs 1 f °�� o w na srd.c./nr. cmnPacu,c.irosuw TRACT 10042 — ENCROACHMENT PERMIT N0. 2011-001.24 ci°i�.E 9�aere•aiao�e�s s°��ro�s v.o°�<N oa—io> ..__.s � 6 egg ,Rfll fi j '' 1H rya F PF 4 j! p % 5 ro R ro ro !I1II � n c a§11i— to Lit ( "'. a`4 tI e � S ry ' p gg -,\- � -..�_w• �...> N r • g g g d ! g§€ k ^•ww.—ry H- �4 � � � a �� �° >._:� —.. —.. l C`s� K �gnn,N• $ PP� $ yy i°, "{.Y m... A$Ig C. CITY STANDARD DETAILS CIT 1 DETAILS - D t: ItlPP4GYl 14,2013 No. Rovieion Gale 9Y CM1kJ Civil !II m ` STREET IMPROVEMENT PLANSEngineering ° D wn D N. —" 651, 655 AND 671 W. HAMILTON AVE Associate$ TRACT 10042 - ENCROACHMENT PERMIT NO. 2011-001.24 cAMPOELL,GL.MNIA Civil Engmoers•Plonners•Surveyors project No. 06-107 �� C-24 _� g n sae 9 w x .ff— e gF; 8z y �omgg R______________________________ < a L P,y a r y e NW a«>x �.reaae 6�.r, r��i ✓ ti i K s r - No i j s n y n<y a�fi .I. z ro cd�c ms�r LQ v ra o i L - zx._r_an�.xrtr " `-� @per^ rn � r "gig w :I €s $�{" e ems z F A� a ;n bE TAICAL'"BYeYEM& sA p n b 5 O-`, �vR artl Fouadapan —TI.6 STANDA.. m$U, v mr a m" nor lLns stu ba tt Oamot TYPES 11 a—-1 -1 D ,� ad-q o�M" — — \ � m =gym �x U p z z h A.s� mbm n om rym g m� dam o gp � mnb --g1< ,Mle,f omo `i �Aam xA g am CAF _ fi m�z ti z� � mT m 7 m .� om c$nm >� mm � $-°' 9y� m� $` om -C � y $ ems Yap ym �ym iso � Fm �rt-I zm8 �. tgm # e 2^ ^u r o o mN m=� �� � o� m � mm _gym I o zzay z o 00 A6z o 9 �� rz - A m Irro�a �g �a mm mo_g "o �` m mzmm m y m 09 z m �C v vE m ozz' zi N xTy 9 11 o " c AA`""" y z mz m go _ o N WVSD STANDARD DETAILS 0,0. 0 CH 10,0013 Na. " Be<e By tl Civil STREET IMPROVEMENT PLANS nirr ®ring V00 Vo Y,N, -® 651, 655 AND 671 W. HAMILTON AVE U Associat s c 1001 t$0 TRACT 10042 - ENCROACHMENT PERMIT NO. 2011-00124 Civil Engrneere Planners•Surveyors p,', c o: 06-10> CAMPBELL,CAfAFORNIA rye C-25 ofitn]CJ..i/ e r m 'A `3 Z' P�' B ¢P'S E '� ?3' R�'' m z w, l; -`.a p eel.='sd® S S2.�k- A z . 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AL,y o a s y aka S N € g -DUN? g mu 1 ma off° in ' - 1 o ��Baa o ❑nb,.a � ae _a s 5". ��� ����� mf °< a " a' sa t5y m& ms" _ �2 5 ge osQS ga e r m -gam s � c2' `" m m rp aggag' B � oa �� � R„ o cz £10 $aa 3jg nzQo Ras �R gas aHz .a a� �a 8ggg°fig ° � a .aa q.oND z W. �� .x 'a ❑ °$ga A ra ° ^ EIa a�H 1R a o�.' �Io 0O„°7rm g $� o1 a a 0 Ann o ° �S �' a '� S. a� r 7, ®'gy RS c � ma ss s a % a a� r JR M I a � .a . t o a s o n ❑o a m s ® gpa A Dote By CIIAA No. I y +°P epo- , PLAN FOR THE IMPROVEMENT OF �Ivil Hu Revision e 060 Drawn By: 'iBLUEPRINTBLUEPRNTFORACLEAN BAY ,Egmchte h�""s Des,Reea B ea®aw` ENCROACHMENT'PERMIT NO. """""""""' CAMPBELL.CAUGORNl4 Civil Engineers•PlOnners•n Surveygr9 pAjeck No: C-26 .e,- ) { �� =. �P. b� A I z � I o �: : a b /( I :: dL j: H. a � o fez a o b ₹ I 1 { A 5555 5 fl Un<e: No. Nevi be Data ®Y ((Nd N - _ 0.w ll"it p y IDrawn By GIs "� g V m 651. 655 AND 671 W. HAMILTON AVE A.2,2t„Ne„iates' ` ," aeelgeeae�: _ TRACT NO.. 10042, DLD. PERMIT NO. 2012-00040 cnNNeeu,rroxxa —_ cw E�3 a ia��e.�e•s�r�w�r� Nrv1ea Nom. I • ) ) _____ / - : >/ '/f w � a. I jff , ' : sg b mAZ , m N �m _ x I flu jj; R • P, ReNelo 0 to By CRktl rr.r ,. TRACT NO. 10042, BLD. PERMIT NO, 2012-00040 _ .................. GWPBCLL.OAIJPoRNN Givil Frig'in E-. N anners•4 r'veyor5 project No: a n r �p N A r v g 0 0 o o a z , Z7 �I A _ l � n am G o s LW a f z n z i a U z a m m r p, 5 a m ois—zoz l V u RRGATON PLAN m> a� u r a-a �' CI y A nea., No. asVieio� oa�w ey chxa �t. 651. 655 AND 671 W. HAMILTON AVE TRACT NO. 10042, BLD. PERMIT NO. 2012-000 0 -- c crarre¢w caurow o r�9�pP,s vi���e s v Prolwa Ho: m \ , w m x N - ca III _ � r J , f N l . „ o m a � 1 m z cV i z � I N o m � , av �a Bab: No. Rariabn Date By CM1ktl q ral°^„ens s r�mrors 651, 655 AND 671 W HAMILTON AVE ! u7 r' 6 oee�gaea By: eab CPMPBBLL.CWFDRNU TRACT NO. 10042, BLD. PERMIT NO. 2012-00040 Probed Na: ... ro s YFa o s N 1 N z Z o m N o� d n L g m _ s s. z1 p hail LEL I 1 ! 'III j Iq xy.al� IIII �W n A S � Lfa i ! F `—' _ r b � , lx �e uu H z � u d. a eux m 3a a� a 3}� a .5 f? f1 r z µ' mm A`•r� a� ) vA AA ,.,: rl (, C (� �E Omwn RY00�' .. 651, 555 AND 671 W. ILTON AVE ��; i; 'r y_ s'", raePOEu.ceuFoflNu TACT NO. 10042, BLD. PERMIT NO. 2012-50040 CMw F.N'r.... �fa,ners•Sur'veyars prmj.at No:'. „ A n < y I ' > / I -f 1 alt L � 9`i U s c o f g.. v ” \ � p ! t3 . (H as 1 �� m G i JIG „ z _.,._ - --{ , r l t� to _ � Dote: No. Revlw- Dote DY ChW cweeeu II TRACT NO. 10042, DLO. PERMIT NO. 2012-00040 -..-.. caw r�gmePrs•F"��Prs su.""v�r.z R.o� Ne: G5( W I--Letrn 1 LT c.N 1. Hamilton Avenue-Darryl Drive to San Tomas Exp I I I i e. j i o` 1u O l II • grip a It1 d I '-- <I> Hone d 1 b b b- a I i I Mr,ei y1 _ • • sag . , a- •- o ff°`T =were —1 -. _ . _nr..r>s.r- - 1 T*-1— _ • p p ytt p � '• t! : - - ' - - • - - ' - Hamilton Av - - • - - - - - I I I I I i °"141447 I I TIEHeN6 ai8 B B ;HMT] - — r I I NOTES: LEGEND' ® Type II Arrow Bore.Sanwa'Mnaw Sequence Shown Working hours shall be from 9'00 AM to 3:00 PM • 3o-1 hen High n Tralnc Cone w Henbane Bend ® krone Crain Garner This plan is eLtlerneSC forth.placement of traffic control elements.9 is nol intended for construction. Contractor shag be reponsible for tae procurement installation end maintenance of all traffic control elemenb. 0 a&Inch High Portable Delnmtw was INN..Band work zone Area Contractor shag provide regular street sweeping achvis.5 or as required by the Project Engineer. Bath All Pavel lanes shat remain open and char after work Hours(Typical). ® 3lJncn High GiusOrem...swarm Bardeen Bend and of Travel(SPOT)for Pedestrians Contractor shall steel-plate cover open trench areas whin roadway to local specifications during nonworking hours(not shown). — Type II Barricade ala MUTCD w CA Standard Traffic Slpn,Designation Sawn TANS -row-Away No SNOW°.Zone Contractor shag provide Type II barricades with Flashers at open bench areas along curb on sidewalk during non-work hours(not shown). y* Type III BaMcme w...NUTCD or CA Stamen Tremor sgn,0asgnekon Shown a a11T• s Hqn-Vletility Flee Tree wfM w se...Traffic CA stard Trafc Sgn,D.kpwtion Snwm Certified Tremor Coned%lgper 2. Hamilton Avenue-San Tomas Exp to Carolyn Av o ♦ - o e, • • Sae.New • �, 3 ,ti w> Oall 10A) r , Sena • -.. IT pe.a..- - I IIew 7 — ,o,".;.,,,...T --I ir — — . t N� Q 4 w a a £ rt Q I U • coat N arRrrr.=p Wooed u.agro• ...Lon amwm• ON of Campbell RUe.ai®wBmoBr. repwnu Aik Traffic "1 sew w ra.6,116 .a wr wwiw. `"°a•� w w. rcxnvi ri owedn we crsn 'r w SS Tie I Avenue ova EA r rrrrre* i SST 1 Project Traffic Control Plan n ,„ 1 w,pr„�,,, �` F. w^�> e®emr. ` u Mello Pipelinesxrsptmrw bmwr. sr.'"•won.. WE Sheet 1 r 3. San Tomas Exp&Hamilton Avenue O II Ii s.ao t4 N... I _ • • (:). San Tomas Exp trao. 4. • - — — - — _ o— • ,"• " "' San Tomas Exp O 'ti I ( g.it(tiLt• 1 I II CO w..2R NOTES: LEGEND: ® Typo uAwpw ee•e-sagaaweM Awwa s.w«tca show. Waking hours Mall Oe from 900 AM to 3'00 PM • ADAM Hqn Traffic Cone yob Rea...Band ® S•liro Croon Banger This plan is schematic for the placement of traffic control elements.0 is not intended for n.constructio Contractor shall be.eponsiole for the procurement.installation and maintenance of all trek control elements. ® r-Inch High PONt•Deana.who RSNcws Bend woo Zawe Ar•a Contractor shall provide reg.ar street sweeping activities or as napuned by the Prow.Engineer. ® 12-Inch Pion ue�n 0.1.ateato with RelMcove Band SPOT Safe Path of Tn.(SPOT)Nr Pelee.. AY travel lanes shag remain open and dear after work hours(TypalContra )W. _ Contracttor stall provior shall de Type B ate cover pen trench 00th Flashers at open trench roadway areas pone Cu)acabass unii0 on working hours(not Mown). Type II Barricade Wn MUTCD or CA SUMW Traffic Bqn.MYyutM Slaw TANS Te Arry No stappp'Zar rg ironwork hours(trot shown). dw• Type III Barra we.our=w CA Buns x•••.........Shown may. •N• o ty flag The,AUTCD a CA Nand. Spit.D.0yuwn Shown A CerKW Tn.CMOS 4•••• -,,—,... avws0w„p. _ BrMs•bp `wws City of Campbellrroaa�rw WNrt �,.o Ttisc rcy"Ti.�' s•wr.• S. t vs w.n .re y .sn n r.. Hamilton Avenue n¢owes..awe 1 • + 1 ....r r..r... _ow gauWa..+r n umme .d==ice `.r .— 55 Tie In Prow. .wpw®walmcn ur Now Traffic Control Plan ,. wwwwwW�A Mello Pipelines .,;ova. MG Sheet 2 TO BE RECORDED WITHOUT FEE SECTION 6103 GOVERNMENT CODE CONFORMED COPY: This document has AT THE REQUEST OF CITY OF CAMPBELL not been compared with the original. SANTA CLARA COUNTY CLERK-RECORDER Recording Requested By: ) City of Campbell ) Doc#: 22139884 After Recording Return To:) 3/20/2013 2 25 PM City Clerk ) City of Campbell ) 70 North First Street ) Campbell, CA 95008 ) APN: 307-38-001,307-38-003,307-38-004 and (Space Above this Line for Recorder's Use Only) 307-38-005 ADDRESS: 651 -727 W.Hamilton Avenue,Campbell,CA 95008 COVENANTS FOR OPERATION AND MAINTENANCE OF STORMWATER RUNOFF FACILITIES These COVENANTS, are made on this 14+" day of .)E3,r,ut,rt( 20 13 , by PENNY LANE HOUSING, LLC, a California limited liability company (hereinafter referred to as "Covenantor") with reference to the following facts: A. "Covenantor" is the owner of certain property located in the City of Campbell, County of Santa Clara, State of California (the "City"), more particularly described in Document No. 22003999 recorded on December 14, 2012, in the Office of the Santa Clara County Recorder, State of California, which property is hereinafter referred to as "said real property" and commonly known as 651-727 W. Hamilton Avenue. B. Covenantor desires to develop the Property but the size of the Property requires it be developed with certain stormwater runoff facilities (the "Facilities") in accordance with "Best Management Practices" ("BMPs") required by the National Pollution Discharge Elimination System ("NPDES") Stormwater Discharge Permit issued by the California Regional Water Quality Control Board-San Francisco Bay Region. C. The required Facilities are shown on the approved development plans and specifications for the Property (the "Plans"), copies of which are kept on file in the Office of the City Engineer and are generally shown in the attached Exhibit B. D. In accordance with the NPDES Stormwater Discharge Permit and in consideration for discretionary approvals granted by the City allowing the development and use of the Property, Covenantor freely and voluntarily agrees by these covenants to bind Covenantor and its heirs, assigns and successors to construct the Facilities in accordance with the Plans and to maintain the Facilities in good and workable condition based for long term operation. NOW, THEREFORE, Covenantor hereby declares that all of the Property described above shall be held, sold, leased, mortgaged, encumbered, rented, used, occupied, improved and conveyed subject to the following limitations, restrictions, covenants, and conditions, which are imposed as covenants running with the land and shall both burden and benefit the land for the purpose of complying with the NPDES Stormwater Discharge Permit. 1. PERPETUAL MAINTENANCE OF THE FACILITIES. Covenantor voluntarily and willingly, hereby binds itself and its administrators, executors, successors, heirs, assigns and successors to construct the Facilities in accordance with the Plans and to thereafter maintain the Facilities in good and workable condition for long term operation. No improvements, structures, or appurtenances shall be placed, constructed or developed on the Property in such a way as to interfere with this obligation. 2. Covenantor shall prepare a Stormwater Management Plan (SMP) that details how runoff and associated water quality impacts resulting from the development will be controlled or managed. The Plan shall include sufficient information to evaluate the environmental characteristics of affected areas, the potential impacts of the proposed development on water resources, and the effectiveness and acceptability of measures proposed for managing the stormwater runoff. The minimum information in the SMP is as shown in the attached Exhibit "A". 3. OPERATIONS AND MAINTENANCE (O&M) REPORTING. The BMP's installed and constructed in accordance with the C.3 provisions of the City's NPDES Storm Water Permit shall be maintained and inspected on a regular basis per the inspection frequency delineated in the Stormwater Management Plan. The operation and maintenance of these BMP's are to be certified by a qualified individual to ensure that the treatment BMP's are being operated and maintained accordingly. A list or summary of treatment BMP's that have been inspected with inspection results and certification shall be submitted to the City annually. 4. COVENANT RUNNING WITH LAND. The obligations established in these covenants both benefit and burden the land and are to run with the land and shall be binding on Covenantor, its administrators, executors, successors, heirs, assigned and successors. 5. ENFORCEMENT AND THIRD PARTY BENEFICIARY. Enforcement of these covenants shall be by proceedings at law or in equity against any person or persons violating or attempting to violate covenant either to restrain a violation or to recover damages. The City shall be deemed a third party beneficiary for purposes of enforcement established herein and shall be able to enforce these covenants should Covenantor, it's administrators, executors, successors, heirs, assigns and successors fail or refuse to do so. Page 2 6. CITY RIGHT OF ENTRY TO MAINTAIN. Covenantor, its administrators, executors, successors, heirs, assigns and successors hereby grants a right of entry to City, its authorized agents and employees, for purposes of inspection of the Facilities at reasonable times whenever deemed necessary by City and maintenance of the Facilities by City should Covenantor, its administrators, executors, successors, heirs, assigns and successors fail to properly maintain the Facilities in a manner acceptable to the City. In the event Covenantor, its administrators, executors, successors, heirs, assigns and successors fail to properly maintain the Facilities in good and workable order, the City may take any necessary steps to keep the Facilities in good working order. Unless health and safety reasons require immediate access, the City shall provide reasonable notice in advance of the entry on the Property. 7. COST REIMBURSEMENT AND LIEN. If the City performs work of any nature or sort to maintain the Facilities and expends funds for the performance of that work for materials, equipment and/or labor, Covenantor, its administrators, executors, successors, heirs, assigns and successors hereby covenant and agree that upon written notice by City, City shall be reimbursed by Covenantor, its administrators, executors, successors, heirs, assigns and successors for all such costs incurred City for said maintenance within thirty days of receipt of the notice. If payment is not made within the timeline established herein, Covenantor, its administrators, executors, successors, heirs, assigns and successors, agree the amount of the costs incurred by City shall become a lien upon the Property and the City shall have all rights, in law and/or equity, to enforce the lien by foreclosure or other lawful action. The actions available to City as described in this covenant shall not be deemed to limit any other legal or equitable remedy of City. 8. BREACH. Breach of any of the covenants or any re-entry by reason of such breach, shall not defeat or render invalid the lien of any mortgage or deed of trust made in good faith and for value as to the Property or any part thereof; but such covenants shall be binding and effective against any owner of the Property whose title thereto is acquired by foreclosure, trustee's sale or otherwise. 9. TIME OF ESSENCE. Time is of the essence hereof and any individual waiver of time in any instance shall not constitute any subsequent waiver of these provisions. 10 RECORDATION. These covenants shall be recorded in the Offices of the County Recorder for the County of Santa Clara, State of California. Page 3 IN WITNESS WHEREOF, the undersigned Covenantor has executed this declaration this 11- +r day of }anucLi.kf , 20 12, . PENNY LANE HOUSING, LLC, a California limited liability company By: ROBSON P P RTIES, INC., a California Corporatio , s manager z Mark E. Robson Its: President (Acknowledgment/Notarization Required) J:\forms\covenants for stormwater runoff 7_05 Page 4 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT STATE OF CALIFORNIA County of SCz CI C 0- On 1-t✓, n \\A 201-2) before me, a.( A_ 1 Ct C vb 5 , Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared c-14_ 50 c•-- Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the personW whose name(,$)'is/ase subscribed to the within instrument and acknowledged to me that he/st eitbey executed the same in his/her/tbeir authorized capacity(tes), and that by his/hpf/ttyeir signature(-on the instrument the person(,s3, or the entity upon behalf of which the person(s) GAIL A.JACOBS acted, executed the instrument. 1t"ti?TComn# 196632 " tmissio 3 Notary Public-California i I certify under PENALTY OF PERJURY under the laws of V7-A4 Santa Clara County — the State of California that the foregoing paragraph is true M Comm.Ex Tres Jan 12,2016 and correct. Witness my hand and official seal. Signature C\-4 A . (� Place Notary Seal Above Signature of Notary Public v' OPTIONAL Though the information below is not required by law it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of the form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s): ❑ Corporate Officer —Title(s): ❑ Partner ❑Limited ❑General ❑ Partner El Limited ❑ General ❑ Attorney in Fact RIGHT THUMBPRINT ❑ Attorney in Fact RIGHT THUMBPRINT ❑ Trustee OF SIGNER ❑ Trustee OF SIGNER ❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: EXHIBIT "A" STORMWATER MANAGEMENT PLAN CONTENTS The minimum information submitted for support of a Stormwater Management Plan shall be as follows: 1. Common address, parcel number and legal description of the site. 2. Contact information for all persons having a legal interest in the property. 3. Vicinity or area map. 4. A brief narrative description of the project. 5. Geotechnical investigations including soil maps, borings, site-specific recommendations, and any additional information necessary for the proposed stormwater management design. 6. Written or graphic inventory of natural resources existing at the site and in the surrounding area, including, but nit limited to, watercourses, wetlands, and native vegetative areas. 7. Data for total site area, disturbed area, new and/or replaced impervious surface area, and total impervious surface area. 8. Topographic survey information showing existing and proposed contours, including all areas necessary for the post-development hydraulic analyses of proposed stormwater management facilities. 9. Erosion and sediment control plan, as required by City Code Section 16.08, Excavation, Grading and Retaining Walls. 10. A list of any other applicable environmental permits that will be required for the project and the responsible agencies (examples: Santa Clara Valley Water District, State Department of Fish and Game, Regional Water Quality Control Board). 11. Hydrologic computations, including drainage area maps depicting existing and post- development runoff flow paths and land use. 12. Hydraulic computations for existing and post-development conditions. 13. A list of all stormwater management facilities and practices to be employed at the site. 14. A list of any regular on-site cleaning activities to be used as stormwater pollutant source controls (example: pavement sweeping) and the schedules for these cleaning activities. 15. Numeric sizing criteria computations for stormwater treatment BMP's according to the SCVURPP "Guidance for Implementing Stormwater Regulations for New and Redevelopment Project." 16. Structural and construction details for all components of the proposed drainage system or systems and stormwater management facilities. 17. Landscaping plan showing disposition of existing vegetation and any vegetative site stabilization and/or landscape-based storm water management measures. 18. Cost estimates for all proposed on-site stormwater management facilities for the purpose of calculating the amount of any required performance bonds and determining BMP practicability. 19. BMP operation and maintenance procedures, including maintenance tasks, inspection and maintenance schedule, the parties responsible for BMP operation and maintenance, funding mechanisms for on-going operation and maintenance and access and safety issues. 20. Certification by the owner/developer that all stormwater management construction will be done according to this Stormwater Management Plan. 21. An as-built certification signature block to be executed by the responsible registered civil engineer after project completion. 22. Any other information as may be required by the Director of Public Works. SEE' I , ❑i •. ,' .a RAN a.: ": RAx IA i:: SHEEOB ,:.1 p!Wssf ,. , , "r, Y 4 .0 - u ^' 11 I 5 i _ Hs s - 1 . «BA j, ""'",;:ii;;;; Bln, a •,,,,,,y,.- 11 ^^�+/1f[ a.> • X111 p(A y i� ........ ..._.. II• I it .1' AI (• `l�`Y .B. 0 ,, W ,� ❑ -., 'III �1I� ......-1� ❑, �; a ::Q, ' EECC. 11 11 I -'.•l [� 5 9ilxnrE e ii a O I • 'I .,.1 1 .. I WW1 IA 1 u''. RAN IA •I - RAN TA ,1W ""•,i,„.4.4„-, PLW IAA1_�{•_ .© • I ! B 's N/ I N' •. — t eSnn xG r awxc s , t 1 _�s ��� a a ci S PUN 2A 'M/ ; I' ❑ PLW � 1Iq ... PLW IA PLW 6A 11 IA x11 • I ° Illy 11 11� /-NN RAx U' i{ €. ! ❑ cn xat n'I " ® .:t �I/O� a - I�a t MAw a 1■"� .: :i , s B . 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": _ — _ "--- —m---S ,o PEIM TES i - ' — — L-.---=--`- - _�so�'5.--''.' ��•/ TORN pO FOF�GARAGE .—im'''.2) 4 —�•---�--_ — �� 1. 05� srs w criA,w. Aa wn, 3; ''iti::71 a R n). 33 N`% 2. ,,,,,,,t1,117.........%SHALL BE(COPED SCALE: BR - 6 Q :;;; : ;. EPYY• QEVA to BETED O SHEET O ,. HE BOTTOM OE RAMP, o O i • __ `xhibit B, Page 2 of 2 _y .......- 53 `- _ � _ �.tyt a 4 ��_ - •4 ILIA �-_ -- - `I t 1 C.� � — > P ❑ .6e1 11 '�x7 in bkG.y cillp......,,,,,-,,,i � 1 ❑" 0 ❑ [i] • '!ii x'•• , I i' Vj a l'‘... nyaz ��.7p ' y I 1 4 ic..,-741-4:11 ! ,. A cl„ • v A:I '' F. ❑ ❑ I f y�'` s 1 711 A { . IM j• '''-'7'ice ' e € ❑ Ela •; �. .`,>,,,,,...:i • -- y I ... a-:_ f 9q 71, . jy•�'� ', -... ❑C ' 1 p. qa �I n �1 N: ! S •i ₹ 1. Ili Illi T .• ` _ 1 e WU rfl N ID — © f E',-.•'-'"... . ... 4",4 €I.. ilk' S: IIY!1 118 i.3ii) �f ,'�li..i'_ -- ne 5 _ . E_ _ F Ti _ , ' i. I il;II rvf r�� .NO n§ $t, r m H ' :::,:.:„...:;...,. I it i :,' tlic _- /.. :-. ••••,'.:::rn;:frie) ':-.`'''''::i..'4iiii .A...1._. .%-,—.--- Es. -, Ir ®y + . . :� Ice- 1 I as ' LII 'gq L �. ire'' a r[.] s',1 E3 13 EA P E3 ,;I I C � i -� = ;, . ��- 1 t-I� ' � '� �,r Stormwater Facility El IZI per- a r.� "r• • 'I © "'% 1 - tea ic El e� 5g 11 ,r; Y,. r k 8 r � to r f _� A0 • 4 . T3.of ISM .. CMU WALL BY SEPARATE PERMIT _....- 1:*"....‘::: . _.._- .. '''.L...::S N 7LY/AS C EDI' m . 0.0,W6xMf]I,SOIJN.. 0.1, Br W[ UTILITY PLAN Civil a....,....7 o.. k .x ` ti�e�i Engineering a„r, 8 i M• 851, 855 AND 671 W. HAMILTON AVE Associates °I'ml"'-x" ..:+rr•+e,. r• CAMPBELL cur. TRACT NO. 10042, BLD. PERMIT NO. 2012-00040 Ciri Eny'+:..r.•nm...c.•S'""'" p„d N.:08-707 C-9 ,,.::.:,;.:.:;:,,:::.: PUBLIC WORKS DEPARTMENT UTILITY ENCROACHMENT, TRAFFIC & MIS LLANEOUS RECEIP Effective July 1, 2012 L. TO: City Clerk t�_ 4‘3l 3- V1 PUBLIC WORKS FILE NO. PROPERTY ADDRESS (0C:11 ULI1 If Please collect& receipt for the following monies: ACCT. I ITEM I AMOUNT ENCROACHMENT PERMIT 4722 Utility Encroachment Permit Application Fee $370.00 R-1 Encroachment Permit N/C Emergency Permits $105.00 Plan Check& Inspection Fee Minimum Charge Per Location $370.00 / 2 1--t1(2(7• M Conduits/Pipelines up to 500 Feet $2.45/ft Above 500 Linear Feet $1.50/ft ManholesNaults/Etc. $160.00/ea Pole Set/Removal $160.00/ea 4760 Storage Container Permit $150.00 4760 Project Plans&Specifications Project No. 4760 Standard Specifications & Details $1/Pg $15.50/Bk 4760 Engineering Maps& Plans Aerial Plot 24"x 36" $58.00 Aerial Print 8 1/2"x 11" $27.00 Map Research (includes max of two 24"x36"copies) $27.00 Maps and Plans 24"x 36" $13.00 4722 Penalties: Failure to restore public improvements $100/Calendar Day(Muni Code Sec. 11.34.010) 4722 Penalties: Failure to correct unsafe conditions $100/Calendar Day 4722 Work Without Permits 4 Times Applicable Fee TRAFFIC Y''` 4728 Traffic Flow Map (Daily Traffic Volumes) $34.00 4728 Signal Timing Information $72.00/Hr 4271 Truck Permits $16.00 per trip 4728 No Parking Signs $1 each or$25/100 MISCELLANEOUS :' -- - •. - ' • . 511.7424 Postage Other(Please Specify) TOTAL —_---- NAME OF APPLICANT LkvN-�ir.. C,L� .., 111 j(,(7'tr- v� C' NAME OF PAYOR �, ��'- 1'1 . - ,k.. ,�,,-,�, i,..'G PHONE .'3(16,-/ 67. ADDRESS 1.„L 5 - `e Rt(Lr\r J i 5I , Li ; ZIP qs�`/2 FOR RECEIVED 4 (3Y ( CITY CLERK Date Receipt# _ rt CITY OF CAMPBELL RECVD BY: CASHIER 01000247701 PAYOR: PENNY LANE HOUSING TODAY'S DATE: 04710/13 REGISTER DATE: 04/10/13 TIME: 11:36 DESCRIPTION AMOUNT ENGR R SUBDIV FILING F $740.00 COST ID: 2013-00053 :& 2013-00059 TOTAL DUE: $740.00 CHECK PAID: $740.00 CHECK NO: 10075 TENDERED: $740.00 CHANGE: $.00 Ir,t,r • V.I-T Tri '" ,zi_..„ .5 t N AWest Valley Sewer Connection Permit No: 41)955 ODSanitation District Issue Date: 41h f", By: ?'$ OFFICE HOURS &CONTACTS: FEES: BACKFLOW PREVENTION: 7:30 a.m. to 4:30 p.m. Monday thru Friday Connection $ -7A , 71:4, 50 100 E. Sunnyoaks Ave.,Campbell, CA 95008. Capacity O Field check required • Phone: (408)378-2407 Processing 33}:, •J to 0 ,Basement Service Advance '?aLl't 1<i •Information Services Department Check valve required: Yes_No_ LOCATION: ,'i- 38-'00tscXZ U►-)�.c�`:• �L7% '�4► APN BUILDING SEWER CONNECTIONS: Sewer Map Book Page Tract Lot Total Due: $ 6I11414.tO Total number of connections to this Project Assmt property: Address Paid by Check No: I OV 1 a 1. Lateral ID No. is located Jurisdiction A*.P4,c.�% Hillside:Yes_No X feet of property line, feet from main sewer and BUILDING TYPE: INSTRUCTIONS: feet deep. Single Family • Permit is invalid if not connected within 12 Condo/Town House months of issue. Connection to Main Sewer feet Multiple Dwelling Units • Do not connect until the main sewer is accepted US from DS MH Industrial by the District. US MH Commercial •Obtain a building or plumbing permit from the Jurisdiction listed above. Pipe Type REMARKS: •Street encroachment permit is required from List any additional connections on •Keep 3'radius around cleanout clear of reverse side of this form. OLD PERMIT No. Sub No. vegetation or obstruction. Original—Applicant Pink—Accounting Yellow—City/County Bldg. Inspector Card—District File (TS ROAD / li WORK AHEAD SIDEWALK CLrsED USE OTHER. StI�E� 04<j) ;-%:////:, RonD ,..R(GNI LAN- ,J //fin �..../� _ tI.05FA, WDRK. ////I t �' .� WORK , -^-�--._.._ _ �.._._ -^- i AH£AD- AHEAD ��.._ ��. ... vv.,. � A �" w_.. • fir."..._-._.�. + r- .'� j........�_-_ • �1/ S_e ' —EXIST Eta V Cp 3sO -, atikliat HAMILTON AV E NOTES: Legend: Taper formula: to Sign L • S x W for speeds of 45 or more. • Cone or Portable Delineator L a 6OS' for speeds of 40 or less. 60 ...1 Direction of Traffic Where:L - Minimum length of leper. I SPECIAL NOTE: Field conditions could require deviations from these plans and accompanying note, a Flashing Arrow Sign(Optional) S = Numerical value of posted speed limit prior to work or NOTES: 85 percentile speed. + 1, This plan does not apply where there are 5. A C18 "ROAD CONSTRUCTION AHEAD" sign W . Width of offset. emergency conditions.Under emergency condi- may be used in lieu of the C23. (See Note 3) lions, equipment and personnel which are 6. A C13 "END CONSTRUCTION" sl n, as a TABLE 1 I available should be utilized to implement a g P- closure even though such closure does not meet propriate,may be used in lieu of the C14.The sign the standards contained in this plan.As equip- is optional if the end of work zone is obvious or APPROACH TAPER NUMBER SPACING OF CONES I ment or personnel become available an im- falls within a larger project limit. SPEED LENGTH OF CONES ALONG TAPER I mediate effort should then be made to Implement 7. Warning (W) series signs used in work zones (MPH) (L) * FOR TAPER* (Feet) # ; the standards shown on this plan. shall be black on orange.Existing yellow warn- I 25 125 6 25 12. Where approach speeds are low, signs may be ing signs already in place within these areas may placed at 300 feet spacings,and even closer In remain in use. 30 180 7 30 urban areas. 8. Pavement markings for closures shall conform 35 245 8 35 3. All advance warning signs shall be 48" x 48" to Section 5-05 of this manual. 40 320 9 40 minimum on highways with approach speeds of 9. All cones shall be internally illuminated or fitted 45 mph or more.When speeds are less than 45 with reflective white sleeves for night closures 45 540 13 45 mph the C2.±sign shall be 30" x 30" minimum; (See Section 5-03.3). 50 600 13 50 other advance warning signs shalt be 36"x 36" minimum. (See Note 5) 10. The maximum spacing between channelizing 50+ 1000 21 50 devices in a taper should be approximately equal * - 4. All warning signs for night closures shall be in feet to the speed limit. (See Table 1) ( )Based on 12-toot wide lane.This column is also appropriate for lane widths either illuminated or refiectorized. less than 12 feet. Ai TS SIDEWAI K CLOSED USE OTHER. 51Z)E) 1 I ROAD X x \ ` ` WORK \' �{ AHEAD �C i WORK A P. A .', 45 it 0 0, 46 go 0 • • ROikr) , CiLX _ WORK' DAVR ( L D \ \/ i AHEAD` SPECIAL NOTE: Field conditions could require deviations from these plans and accompanying note, NOTES: 1. This plan does not apply where there are 5. A C18 "ROAD CONSTRUCTION AHEAD" sign TABLE 1 emergency conditions.Under emergency condi- may be used in lieu of the C23. (See Note 3) lions, equipment and personnelare utilized to implement 6. A C13 "END CONSTRUCTION" sign, as ap- APPROACH TAPER NUMBER SPACING OF CONES closure even though such closure does not meet propriate,may be used in lieu of the C14.The sign SPEED LENGTH OF CONES ALONG TAPER the standards contained fn this plan. As equip- is optional if the end of work zone is obvious or (MPH) (L) * FOR TAPER* (Feel) t ment or personnel become available an im- falls within a larger project limit. 25 125 6 25 mediate effort should then be made to implement 7. Warning (W) series signs used in work zones the standards shown on this plan. shall be black on orange. Existing yellow warn- 30 180 7 30 ing signs already in place within these areas may 35 245 ` 8 35 2. Where approach speeds are low, signs may be placed at 300 feet spacings, and even closer in remain in use. 40 320 9 urban areas. 8. Pavement markings for closures shall conform 40 453. All advance warning signs shall be 48" x 48" to Section 5-05 of this manual. . - 50 540 13 45 minimum on highways with approach speeds of 9. All cones shall be internally illuminated or fitted 50 600 13 50 45 mph or more. When speeds are less than 45 with reflective white sleeves for night closures 50+ 1000 21 50 mph the C23 sign shall be 30" x 30" minimum; (See Section 5-03.3). other advance warning signs shall be 36" x 36" (*)Based on 12-toot wide lane.This column is also appropriate for lane widths • minimum. (See Note 5) 10. The maximum spacing between channelizing less than 12 feet. devices in a taper should be approximately equal 4. All warning signs for night closures shall be in feet to the speed limit. (See Table 1) either illuminated or refiectorized. t r NTS ROAD WORK AHEAD 1 / i SIDEWALK CLOSED / USE OTHER S14 , ROAD j,.• ;� ^_'. 1 `, r I ..R. ' I-6Y-- AHEAD ' 411 V s • EXIST 6"vcP Ss_ e e • • HAMILTON AVE . NOTES: Legend: Taper formula: I. Sign . L .. S x W for speeds of 45 or more. • Cone or Portable Delineator I L a 60S' for speeds of 40 or less. ow. Direction of Traffic i Where: Q Flashing Arrow Sign(Optional) L Minimum length of taper. ; SPECIAL NOTE: Field conditions could require deviations from these plans and accompanying note, S - Numerical value of posted speed limit prior to work or NOTES: 85 percentile speed. 11. This plan does not apply where there are 5. A C18 "ROAD CONSTRUCTION AHEAD" sign • W • Width of offset. emergency conditions.Under emergency condi- may be used in lieu of the C23. (See Note 3) tions, equipment and personnel which are available should be utilized to implement a 6. A C13 "END CONSTRUCTION" sign, as ap TABLE 1 closure even though such closure does not meet propriate,may be used in lieu of the C14.The sign the standards contained In this plan.As equip- is optional if the and of work zone is obvious or APPROACH TAPER NUMBER SPACING OF CONES i merit or personnel become available an im- falls within a larger project limit. SPEED LENGTH OF CONES ALONG TAPER mediate effort should then be made to Implement 7. Warning (W) series signs used in work zones (MPH) (L) FOR TAPER* (Feet) ± ; the standards shown on this plan. shall be black on orange.Existing yellow warn- ? 25 125 6 25 12. Where approach speeds are low, signs may be ing signs already In place within these areas may — — — placed at 300 feat spacings,and even closer In remain in use. 30 180 7 30 urban areas. 8. Pavement markings for closures shall conform 35 245 8 35 :3. All advance warning signs shall be 48" x 48" to Section 5-05 of this manual. 40 320 9 40 minimum on highways with approach speeds of 9. All cones shall be internally illuminated or fitted 45 mph or more.When speeds are less than 45 with reflective white sleeves for night closures 45 540 13 45 mph the C23 sign shall be 30" x 30" minimum; (See Section 5-03.3). , 50 600 13 50 other advance warning signs shall be 36"x 36" minimum. (See Note 5) 10. The maximum spacing between channelizing 50+ 1000 21 50 devices in a taper should be approximately equal 4. All warning signs for night closures shall be in feet to the speed limit. (See Table 1) (*)Based on 12-foot wide lane.This column is also appropriate for lane widths either illuminated or reflectorized. less than 12 feet. . - N—IS SIDE\JAt K cL2 ED UCE OTHER .5tC3E) ,,,,_,T__ _, ., i 7 L I " fig ROAD + YORK a WORN. ` , AHEAD it I• AREA, . ' : 61/4-X ,---, WORrTh A R RY ._.. D:--71 WORK' : _ .. AHEAD X x N o pAf-�1G i N6 SIGN-S=4 — -- _.� n....•,..,. .. _ �. w. . . .�.. _. ...... SPECIAL NOTE: Field conditions could require deviations from these plans and accompanying note' NOTES: \. 1. This plan does not apply where there are 5. A C18 "ROAD CONSTRUCTION AHEAD" sign TABLE 1 emergency conditions.Under emergency condi. may be used in lieu of the C23. (See Note 3) I lions, equipment and personnel which are available should be utilized to implement a 6• A C13 "END CONSTRUCTION" sign, as ap- f APPROACH TAPER NUMBER SPACING OF CONES closure even though such closure does not meet propriate,may be used in lieu of the C14.The sign SPEED LENGTH OF CONES ALONG TAPER the standards contained in this plan. As equip- is optional it the end of work zone is obvious or (MPH) (L) * FOR TAPER* (Feel) f ment or personnel become available an im- falls within a larger project limit. Z5 125 6 25 mediate effort should then be made to implement 7. Warning (W) series signs used in work zones the standards shown on this plan. shall be black on orange. Existing yellow warn- I 30 * 180 7 30 Ing signs already in place within these areas may 35 245 8 35 2. Where approach speeds are low, signs may be placed at 300 feet spacings, and even closer in remain in use. , urban areas. I 40 320 9 40 8. Pavement markings for closures shall conform ' 45 540 13 3. All advance warning signs shall be 48" x 48" to Section 5-05 of this manual. 45 minimum on highways with approach speeds of 9. All cones shall be internally illuminated or fitted S0 600 13 50 45 mph or more. When speeds are less than 45 with reflective white sleeves for night closures 5O+ 1000 21 -�� 50 mph the C23 sign shall be 30" x 30" minimum; (See Section 5-03.3). other advance warning signs shall be 36" x 36" (*)Based on 12-foot wide lane.This column is also appropriate for lane widths minimum. (See Note 5) 10. The maximum spacing between channelizing less than 12 feet. • devices in a taper should be approximately equal 4. All warning signs for night closures shall be in feet to the speed limit. (See Table 1) either illuminated or reflectorized.