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HomeMy WebLinkAboutENC2013-00128 CITY OF CAMPBELL ENCROACHMENT PERMIT Permit No 1:.N�_Z-o vs._OO1 - ) DEPT.OF PUBLIC W ,for working within the public X-Ref.File 70 North First SL ° right-of-way) Campbell,CA 95008 • ApApplication Date 5 1 t 1"1 11. (408)866-2150 I& 092°11 Issued 7/IS 1 13 Application Expiration Date \r1 I \t-1 Fax(408)376-0958 Public Wp(Its AdfI1. . ..1 it Expiration Date 7/1504. • APN 3o 5-5`105 � 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 peribitt is not issued. Application Fee is non-refundable.) A.Work address or tract# /3 G t-t eNde i c-14")E,E, C-01M P 8 el--L- Utility trench location N 10‘1 B.Nature of work P6 3 E TV izapLAe.e. POL-E /A-) 5RML�. HO LE, 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 P61 8 (PT ROcdio"..), Telephone 925 Z7O-z76/ (print name) ' • Address /850 C-,/47a 1-A41.Si-VA , C O,JCO2A 24-HOUR.EMERGENCY TELEPHONE NO.goo-7 4,3-500O • E-Mail Address Ft3-4.- t0 t7C,E. C.D"..t . Is this work being done by the property owners at their own residence? 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 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 private improvements in the public right-of-way. Accepted 54to//3 (Applicant Permittee) (sign) Date • PT ROc-)1OL..) (PLC. C) . 5I/4,h3 Contractor (Print Name) Date - • SPECIAL PROVISIONS . I. 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 Insnectorprior 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 Inspector. 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 $ 377 G. PLAN CHECK DEPOSIT $ SECURITY FOR FAITHFUL-PERFORMANCE/LABOR&MATERIALS. $. CONSTRUCTION CASH DEPOSIT • $ PLAN CHECK&INSPECTION FEE - $ )C5 - APPROVED FOR ISSUANCE - 7 1'3]1S 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 Of 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 of 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. The 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 H 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 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. ; II. Adequate signing and barricading is required on the job site. Failure to provide such signing and balricading,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. - iS. This permit shall not be,construed.as authorization for excavation and gading 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. l 8. Call back(call out)due to emergencies 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. Permittee must provide advance notificatiOn to all parties that may be affected by the permit activities. Notification shall be reviewed by 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 of and understand all of the above conditions. 5//LP f/3 Applicant Date ,eoc 'o,1 (1767 Er, 5//6 Ii3 - Contractor (Print Name) Date .1\formslpwperm Rev.11/9/05 • - . • v" `M' i��t,IIIIVOVINCe BETTERMENT: jFOR MORE INFORMATION PLEASE CONTACT:I ill ti 1 25KVA TRANSFORMER REQUIRED TO PROJECT MANAGER: CHARLES SEUFERT(408)299-1051 = ti MEET ACCEPTABLE VOLTAGE DROP TO ESTIMATOR :PJ ROCHON(925)270-2761 /n NEW AND FURTHEST CUSTOMER. ADE :CHARLES ONLY(925)27O-2294 ml^ -f - T.17I - ``F - _ ESTIMATING SUPERVISOR: RAE DOWELL(925)27O-2289 CO � Z _. — __I ' INSPECTION DESK:(408)725-2202,FAX(408)725-7773 rn Cr) NOTE MAPPING DEPT: SEE DETAIL"A" NOTE MAPPING DEPT: ,7 ii o o Cr) FIELD VISIT VERIFIED N FIELD VISIT VERIFIED SECONDARY 42t DETAIL "A" OPEN BOB'S. e6 _ K1Q CONDUCTOR AND OPEN BOB'S. I 4 •w N') N.T.S. 0 0 0 o VI Z O N d -___J I } I L - L- 100A MSS 120/240V 3W 1(d CHERRY AVE. sI. °° s55 CHERRY LN. t3' —Eoc- 1 t /' r6C 12KV O EST DEM-1.OKVA Z - - ---- C-41-- --- _ 1 Q rsc 12kV 3-6G 12K4 100% I —" -->I-C>r' _'_—IH:'- --� ` SCI= 10,900A � I 4-2C 1W� 125 / 14-2C 1w I 01I '4-2C Tr aria I S`. VD = 3.2V tz 15'/2 136677aJ E,� gM ��' ms-ii: 0 s (451s - 2a „ ` 28 '#1." e' uzi 100AMS r_I E-4 0 Pd azz w I 90 I CD 143I 08—, SERVICE C.,D — 4- 8, g 1645-C•50 2 S RISER ( sl L —1 _ I _ 2:Y12rt7 JV I Iaii 2i6.lzkY -I I --L- ---if w Z 1— �, -- I' : i CD m n J W o�F,e El 2.1932-C'52 ' :`-'‹E:. fl IL. 'V m NOTE: 1-4 Q � J COORDINATE # E .I E,4' H r e;o";" 1.APPLICANT TO CONFORM TO ALL SPECIFICATIONS AS v F m ICJ 4 �;i a 0 OUTLINED IN PG&E OVERHEAD CONSTRUCTION MANUAL ,.7 N L 315777528858 E 4 .2-„;i1 -" w #027911. P' ¢ = 0 LOADING DISTRICT a m g 2.APPLICANT TO INSTALL RISER IN QUADRANT NOTED ON E- v cQ, z SUMMER INTERIOR =H� I I #I» I NOTE MAPPING DEPT: 3 DRAWING TO MAINTAIN CLIMBING SPACE. C/DO co Q TX SIZE - 25 + FIELD VISIT VERIFIED SECONDARY ,� U M KVA 10 21.6 CATALPA LN. ?, CONDUCTOR AND BOB'S NOT IN --1 NOTE MAPPING DEPT: O� Q FIELD. TRANSFER THE FOLLOWING ADDRESS KVA 30 - 0.0 6 CD FROM CGC#315779628858 TO NEW• I� % L.F. - 30 �i\. CGC LOCATION#315777528858; U I 125, 137, 138, 149, 150, 161 &162 ii1L_LEGEND -� CHERRY LANE. Fes+ NSTALL DESCRIPTION C_1 BETTERMENT N X PG&E TO INSTALL 45'CLASS 2 JOINT POLE. JOINT POLE DATA A EXIST.JP#: SET NEW 45'12 PG&E TO INSTALL 25KVA, 120/240V, 10 TX. PT6714 PG:39-9 REQUIRED -w- PG&E TO INSTALL 1/0A TPX SERVICE CONDUCTOR. JP AUTH.#: PT:24-6 PG130077CUJP11 PROJECT CONDITIONS STAMP I PG&E TO INSTALL SECONDARY BOB'S. Type(e)of Work: ep CIRCUIT MAP: G-15-23 N 'xi PG&E TO INSTALL METER, 1201240V, 10, 100AMP. ®New Business -, �' BLOCK MAP: H-15-20 APPLICANT TO INSTALL POLE MOUNTED POWER Underground Service Alert ❑Pt C ditionnanca&Construction "' Project Conditioner EL PATIO 1114 >- �" SUPPLY. it•,a,,, o 0 j„� ©NONE oAPPARENT Of project design changes,contact ADS SSD#FUSE 12949 O W N 0 APPLICANT TO INSTALL CUSTOMER OWNED RISER. ...8 o n Call: TOLL FREE ❑CONDITIONS APPLY: INSULATION DISTRICT: B ;0 4" o ❑PERMITS ❑TAILBOARD ❑OTHER , C REMOVE DESCRIPTION ��' 8 DESIGN VOLTAGE: 3 0 r (Provide additional Information an in.below) CORROSIVE AREA: NONE n- 5 g 5 II cit PG&E TO REMOVE 45'JOINT POLE. CLIMATE ZONE: X TWO WORKING DAYS BEFORE YOU DIG ei, CHARLES ONLY(CE03)5/28/13 C.j d d z a PG&E TO REMOVE SERVICE CONDUCTOR. SIMMTUng,num,[cORDORME:D],DATE TEMP DISTRICT: SUMMER COASTAL w a N W n N Figure CSJ-9. Midblock Half Street Closure - Flagger Control �aIGHd r----Th,k N2IOM or 4 t anOb t s • T S c (4O1S O �� a ,0311Valid j T 39 :' T v S tl E a a H is n r r rm 150' MIN LANE CLOSED o00 r a r 4 / BE i ( PREPARED -_____ O STOP. S Note:LSee Table A for Sign, Cone Spacing, y j and Taper Lengths. 7 k REVIEWED ( AS NOTED) BY: : S DATE: / / 20 t I �ROAD''-, PERMIT #: 'i - (� WORK '; PROJECT INSPECTOR MAY MODIFY AHEAD;' TRAFFIC CONTROL PLANS AS FIELD CONDITIONS DICTATE Typical Application 9 I ": I FOR MORE INFORMATION PLEASE CONTACT: • �,,,.ur,.� BETTERMENT: V 1'�r' r 25KVA TRANSFORMER REQUIRED TO PROJECT MANAGER:CHARLES SEUFERT(408)299-1051 = MEET ACCEPTABLE VOLTAGE DROP TO ESTIMATOR :PJ ROCHON(925)270-2761 H NEW AND FURTHEST CUSTOMER.• ADE:CHARLES ONLY(925)270-2294 --T----71; - -I' - ;+I I 1- I- T - - T- �- T `T I ESTIMATING SUPERVISOR: RAE DOWELL(925)270-2289 r-- 000 m �� INSPECTION DESK: (408)725-2202,FAX(408)725-7773 N NOTE MAPPING DEPT: ' SEE DETAIL"A" NOTE MAPPING DEPT: 5.. E c on FIELD VISIT VERIFIED H FIELD VISIT VERIFIED SECONDARY 1x21 DETAIL nAn a; CONDUCTOR AND OPEN BOB'S. O OPEN BOB'S. or N.T.S. W a ai = / 100A MSS c...) in z a v1 G- _. _..I. L J— I I— _L—.—I— 120/240V 3W 10 CHERRY AVE, > asa 99 e3s CHERRY LN. A34 EST DEM-1.OKVA Z J J-6C 121N /^ 3-8: 121N 3-6C 1210 3-6C 12K4 100%LF -FOC- Q —t'-II------ -5 — - --I-t-- ----II- --- --il�! SCI= 10,000A n- I 1 4 I 4-2C TW' 1 25/ I 4-2C 1W 0I 14-2C IW I l,9 I .�! 8.9 (3'Pr571+ rQ�- B NQn 3 1 VD= 3.2V = 1572 ct3o9ng1 o•" E t . ��, 1 s i x 7,,E E O £d (15')6; 53 g - 2 a) u'„ #21 1OOA MS "4_,I P �22 t 1111-‘204,184U b/143 I° SERVICE l:/] 3oenA31 0eCZ g is m g o 1045.0'50 a, 0 B P RISER W ..I.,. I L —7 y .. !I �2!51Y112-= —� I ,�I`i�21fiN 112kV -'I'I I �� l,_ Z ~• _ Q 0 �''C` ) _tom--- --Ci—_ ---4.)---� ---C 4.• _— i F4-1,3,, NOTE: O Q J J W oQNo 2 2•,932-0'52 _� =Qw� w - NOTE: E-4 t,J1 J :tie w m Q 1.APPLICANT TO CONFORM TO ALL SPECIFICATIONS AS >J w W COORDINATE # - a 4! E I- OUTLINED IN PG&E OVERHEAD CONSTRUCTION MANUAL ,'� w O- 315777528858 r 'o ,_,I 2" d. #027911. Q = Q LOADING DISTRICT _ r• 2.APPLICANT TO INSTALL RISER IN QUADRANT NOTED ON E� g v c Z SUMMER INTERIOR n7. I — I 1 I NOTE MAPPING DEPT: DRAWING TO MAINTAIN CLIMBING SPACE. O 0 TX SIZE — 25 —�-FIELD VISIT VERIFIED SECONDARY CONDUCTOR AND BOB'S NOT IN NOTE MAPPING DEPT: KVA 10 — 21.6 CATALPA LN. FIELD. 1c TRANSFER THE FOLLOWING ADDRESS V KVA 30 — o.o - FROM CGC#315779628858 TO NEW CD L.F. - 30 CGC LOCATION#315777528858; U I 'r 125, 137, 138, 149, 150, 161 &162 1-�-r LL LEGEND CHERRY LANE. �., 0 INSTALL DESCRIPTION ( 1 BETTERMENT X PG&E TO INSTALL 45'CLASS 2 JOINT POLE. JOINT POLE DATA CL A EXIST.JP#: SET NEW 45'12 PG&E TO INSTALL 25KVA, 120/240V, 10 TX. PT6714 PG:39.9 REQUIRED -sv- PG&E TO INSTALL 1/0A TPX SERVICE CONDUCTOR. JP AUTH.#: PT: 24.6 PG130077CU JPW1 PROJECT CONDITIONS STAMP M i PG&E TO INSTALL SECONDARY BOB'S. Type(.)e1 Work: PG&E TO INSTALL METER, 1 20/240V, 10, 100AMP. ®New Business CIRCUIT MAP: G-15-23 r= BLOCK MAP: H-15-20 t;.)"' rn APPLICANT TO INSTALL POLE MOUNTED POWER Underground Service Alert ❑PGkE Mulion.: r<Construction Pre)eet cemm�en.: EL PATIO 1 1 1 ce o fik. NONE APPARENT Or prepot 4..Ign eneng..,ssnteet ADl7SUPPLY. ® SSD#FUSE 12949 0 o NAPPLICANT TO INSTALL CUSTOMER OWNED RISER. , Call: TOLL FREE ❑CONDITIONS APPLY: INSULATION DISTRICT: B = o ,. 8 1 1 ❑PERMITS ❑TAILB0ARD ❑OTHER DESIGN VOLTAGE: 3 Q .. Q o REMOVE DESCRIPTION (prorka additional une not on on nn.tunny) CORROSIVE AREA: NONE 5 5 II 0 PG&E TO REMOVE 45'JOINT POLE, CLIMATE ZONE: X TWO WORKING DAYS BEFORE YOU DIG Er, CHARLES ONLY(CE03)5/28/13 w o. d a /�/ PG&E TO REMOVE SERVICE CONDUCTOR. (��"^�m1," TEMP DISTRICT: SUMMER COASTAL W a N La a-N