204 (1999 BP99-367)
TO:
Ft~~~c- ~f\
CITY OF CAMPBELL
DEPT. OF PUBLIC WORKS
70 NORTH FIRST STREET
CAMPBELL, CA 95008
(408) 866-2150
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MEMORANDUM
SUBJECT:
FROM:C. ~ HE:::2
DATE:
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... MESSAGE: ~
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SIGNED.. ..
o
PUBUC WORKS DEPARTMENT RECEIPT
Efl"ecliv. July I, 1996
TO: City Ocrk PUBLIC WORKS FILE NO.
.,
PROPERTY ADDRESS 'Cc.:>4 W, \l*\ t2~ "':sr-:
Please collect &: receipt for tho followial moaiCI:
ACCT. I ITEM .. ....AMOUNL.....
43,.,3H921 Projccl Revenue (specify project) S
ENCROACHMENT PERMIT
4n2 Appliclltion Fee
Non-Utilily Encro.chmcnl Permit (S2m
R-I Fint Permit (No Fee), Subsequent PermitIYr (SIOO)
Utility Encl'OKbmcnl Permit Al\
AneriaVCollee... S..... \Ll. ($32')
Rosid..tial SIreCIIOthcr Alas (S22')
2203 Plan Check Deposit- 2%ofENGR.. EST. (S'IM)min) .
2203 Failhful PerformllllCC Security (FPS) (I..",. or ENGR.EST.) .
2203 ubor and Materials Security (100% orENGR. EST.)
22113 Monumcntarion Security (I..",. or ENOR.EST.) ,
~203 Cash Deposit (.W. ofENGR.EST.)($jiOO minlSIO.OOO lDax) ,
Plan Check .t Inspection Fee (Non-Utility)
4n2 Engr.Esl < $2'0.000 (12", or ENOR. EST.)
.. 2203 Engr.Esl>S2'II.ooo (()qxJsit x'"'. of ENGR. EST JSJO.OOO mm.)" ,
4722 Utilitv < S100.000
Minimum Chlrgc Per L.oc:ation (SI20)
ConduitslPipelincs up to jf)() Feet (SI.6O/ft)
Above jC)() Feet (SI.l0ltl.)
ManholcslV.uJlliElc. (S 10"..)
Pole SctIRcmoval (SIO"..,
Street Tree PlantinglR.cmoval (S 10"....)
.. 220) Utilitv>SIl)().j)()(J Actual COil + 20%.. .
"722 Street Tree PlantinglRemonl Permit (SIO')
H611 Project Plans &. Specific:ations Prnjcct No.
4760 Standard Speciftcations &: 0et.i1s (SlIPS SI2/Bookl
~76C1 Copies of Engineering Maps &: Plan. (S.,II/...n.)
4722 Penalties: Failure to restore public improvements (SIlNIIo.lcndar Day)
(Muni Cod. Section 11.34.1110)
"722 Penalties: Failun: to correct unsafe conditions (SIOO/o.lcndar Day)
LAND DEVELOPMENT
4722 Lot Line Adiusunent (S'INll
4722 Parcel Map (4 Lots or Less) (SI,06O + S2'II.o,)
4722 Fina) Tract Map (j or More Loll) (SI.3S0 + S2.lIl.o,)
4n2 Certific:alC of Compliance (S'IK.)
4722 Certificate of Com:ction ($3IM')
"722 Vacarion of Public Streets &: Euemcnts (S"")
"722 Assessment Segregation or Reapportionment
FintSplit (S"O)
Each AdditioMI Lot (SI70)
"nl Stonn Or.:Iinllge Area Fee Per Acre (R-!, S2JNNl) ~.f./V
(Multi-Res, S2.250)
(All Other. S2.'I")
~92n P:uidand Dedication Fcc
4%' Postage
TRAFFIC
4nS Intersection Turn Counts (Two-Hour Count) (S60)
4nS Intersection Turn Counts (a.m. or p.m. peaks) (Sm)
"72S TmtTIc Row Map (Daily Tmlic Volumes) (S27)
4728 Campbell Tramc Model (Full $eope Aslcssment) fSU'O)
4nS Campbell T..ffic Modcl (Reduced Scope A.........') (S74<1)
"271 Truck Pennits ($3,ltrip)
4728 No P:JrL:.inlJ Siyts (Sl/each or $2$/100)
OTHER
TOTAL S 3:32 Du
NAME OF APPLICANT
NAME OF PAYOR D-ai) f JpltJ ~/ Sc~rd PHONE <87J ~1913
ADDRESS ~ ~. :2,(ll Sr- l ..tJrr-obef J ZIP q SOU (3
,
.. Actual Cost Plus 21'-;. O,'erhead (Non~'nten:st bearin!l deposit)
\2..\1.-~4-
FOR
CITY CLERK
ONLY
OI&oJ",lnilia
b:lzecrrm4(c""lmp(rcv 1/VJ7)
.....
CITY OF CAMPBELL~ LH
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TODAY~S DATE: OS/24/99
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MEMORANDUM
CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT
TO:
Frank Mills, DATE:4...::-z.<=t -~~
Acting Building Official 1/ ~4 L\ .\l1-l ~ ~T.
, Site Address:
Harold Housley, L. D. Enginee . Plan Check Number: qq - ~ -,
Chuck Gomez, Assistant Engin File No(s):
c::::::::~~
TmS DEPARTMENT HAS NO OBJECTION TO ISSUANCE OF GRADING,
DRAINAGE, OR BUILDING PERMITS FOR THE ABOVE REFERENCED PLAN
CHECK NUMBER,
BY: DATE:
FROM:
CONDITIONS OF APPROV AL ARE SUMMARIZED BELOW FOR CLEARANCE OF
BUILDING PERMIT(S) TO CONSTRUCT A NEW RESIDENTIAL STRUCTURE OR
AN ADDITION OR ALTERATION THAT ADDS 50% OR MORE SQUARE FEET OF
STRUCTURAL COVERAGE (SECTION 11.24,182),
~ Street Improvements: Prior to issuance of any grading, drainage or building permits
for the site, the applicant shall cause plans for public Street Improvements to be
prepared by a registered civil engineer, pay fees, execute a street improvement
agreement, post security and provide insurance necessary to obtain an encroachment
permit for construction of the improvements, as required by the City Engineer. The
plans shall include the following:
~o Street Improvements an R-l/Minor Encroachment Permit: Prior to issuance of an
encroachment permit for construction of any public street improvements in the public
Right-of-Way the applicant shall cause plans to be prepared, post security, and provide
insurance, all as required by the City Engineer.
Page 1 of 3
PLAN CHECK NUMBER:
\--lO Unsecured Deferred Street Improvement Agreement: Prior to issuance of any grading,
drainage, or building permits for the site, the owner shall execute an unsecured street
improvement agreement for construction of street improvements.
~w Right-of-Way for Public Street Pu1l'oses: Prior to issuance of any grading, drainage,
or building permits for the site, the applicant shall grant additional
Right-of-Way
for
Public
Street
Purposes
along
the
frontage(s) to accommodate
Applicant shall cause to be prepared all documents necessary to record dedication and
submit to the City for review
W-D Public Service Easement: Prior to issuance of any grading, drainage, or building
permits for the site, the owner shall grant a
Public Service Easement on private property contiguous with the public right-of-way
along the
frontage. The applicant shall cause all documents to be prepared by a registered civil
engineer/surveyor and submitted to the City for review and recordation.
~~ Storm Drain Area Fee: Prior to issuance of any grading, drainage, or building permits
for the site, the applicant shall pay the required Storm Drain Area fee. The current fee
is $~, DO per acre which is $ .~ . <3 e:;
~ 0 Proof of Ownership: Prior to issuance of any grading, drainage, or building permits
for the site, the applicant shall provide a current preliminary title report, grant deed, or
other proof of ownership.
'-l~S Utility Installation Plan: Prior to issuance of building permits, the applicant shall
submit a Utility Installation Plan and Schedule for approval by the City Engineer for
installation of any new utilities. Streets which have been resurfaced within the previous
5 years may require installation beneath pavement by boring and jacking method and
will also require a pavement restoration plan for approval by the City Engineer prior to
any utility installation.
\--J CJ Legal Lot: The applicant shall provide documentation to ascertain that the lot was
legally created, or prepare a parcel map to create the parcel shown.
'-t c "S Site Plan: Prior to issuance of an encroachment permit, the applicant shall provide a
complete and accurate Site Plan in accordance with the Planning Division's checklist.
Page 2 of 3
,.
PLAN CHECK NUMBER:
cc: Alan Horn, PWD Inspector
j: \forms\bldgapp
Rev. 3/18/99
. ,.
SE CONDITIONS OF APPROVAL:
~~d(7fl (1- So11fryJ
Print
2./1 -11
Date
Page 3 of 3
PUBLIC WORKS
PLAN REVIEW ROUTE SHEET
I ADDRESS: ::20 rj )J _ :5 fi! lJ Sr.e FEr
IPLAN CHECK NUMBER: 9936 '7
IAPPROVED I NO COMMENTS:
DATE:
APPROVED I CONDmONS BELOW:
DATE:
o
APR 1 6 19
PU6L.IC WOR S
ADMINISTRATI t!
NOTES:
I RETURN TO DARLEEN BECKER, BUll..DING DMSION
. ....
27939019
204 N 3RD ST
Suite/App.#
RECErVED
APR 1 6 1999
PUBLIC WORKS
ADMINISTRATION
SANFORD, DAN & DALISA
204 N. THIRD ST.
CAMPBELL, CA 95008
04/14/99
DTB
9900000367
OWNER/BUILDER
/ /
RA
VN
BE PM
R3
1739
90060.00
NEW RES. ADD: 1ST FLR: 751, 2ND FLR: 528, GAR 460
RE ROOF OLD ROOF ON ORIGINAL HOUSE ALONG WITH THE NEW ADDITION.
PLAN CHECK (001.303.3321) 484.50
PERMIT ISSUED
BUILDING PERMIT (001. 303.3320) 1495.00 UNDER
ELECTRIC PERMIT 58.00 1994 USC, UMC, UPC
PLUMBING PERMIT 58.00 1993 NEC
MECHANICAL PERMIT 58.00
MICRO FILM FEE (001.307.3379) 10.00
CONSTRUCTION TAX (001.302.3313) 869.50
GRADING PLAN CHECK (001.303.3319) 0.00
GRADING PERMIT " 0.00
SEISMIC FEE (res. ) 9.01
SEISMIC FEE (ind. ) 0.00
FIRE DEPT. (plan check) 0.00
----------------------------------------------------
----------------------------------------------------
WORK WITHOUT PERMITS PENALTy.............
Total Fees Due . . . . . . . . . . . . . . . . . . . . . . . . .
Fees Paid To Date .......................
Balance Due . . . . . . . . . . . . . . . . . . . . . . . . .
0.00
3042.01
484.50
2557.51
o
o
* OWNER *
o
12/30/99
"'T
"II_Oil
2ND FLR.
;,(IN ROOM TO
DEMOLISHED
51-011
15T60 EA. SIDE
D'N TO REBUILT
ROOF SLKI6
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+
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2ND FLR.
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RAFTERS FOR
REBUILDING OF (E) TO
SHED ROOF SHALL BE
D,F, NO.2 AT 24" O.c.
2x8 RIDGE 4 HIPS, 51
DETAIL 1/5-1
(E) GARAGE TO BE
REBUILT AT NEV'1
OCATION
NEV'1 2-STORY
ADDITION
EXISTING I-STORY
HOUSE
(N) GABLE FRM'G
TO (N) 2ND FLR.
V'1ALL 4 (N) HIP ROOF
TO THE FRONT
I ~~!:,,~~~~ ,~O~_
/..... \ - ~
(E) SUN ROOM TO
BE DEMOLISHED
MST60 EA. SIDE
I) ADD'N TO RESUIL T
ROOF SLK'G
GONG. PAD
5'xle"
ql-O"
2ND FLR.
51-0"
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+ +
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