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70 North F1n~ S~. publ1c J:1_t-ot....y) X-Rat. fUa
CUpbell, CA 1500. . -) ~ 2- ~2. J I ,
(408) '..-2150 Iuued UZq q Appl1cat1oft Da -
Penit qpu. " 12 _. Application up t'y . &)
APPLICATIOB - Application 18 hereby ..d. tor a Pablic won. Pem1t 1D aocordaDoe ~ll
MUnicipal Code, Section 11.04. (~PlicaUoD expire. in . ~ it penJ.t not pul"l.1iIf' ~ 3 1992
A. _k....... "" -.. t Z 0, I 3> W ,~ cu;;, S 71.- --{L . 'uIt1~ '4r~J . .
utility tnncb location oN tv i Do _~ p~ /4 ITACA-1t:..:_ _Q~~tJtI"
B. Batura of workz IN~7A'-L 30 FL~T ~ of Cr> " SL..='l..u~ (PJ(>L:;:-
C. Attach five (5) oopi.. of . dnviDlJ abowiDlJ tha locaUon, extent and diMnaiona ot th. work
Th. dravinq aball abow th. nl.Uon ot th. propo.ed work to ex18tinq aurt.ca and uncI.l'9E'OWld
aprov_anta. Ifban .pproved by th. City EnqinHr, Aid dnvinq be=-- . put ot th18 perait.
D. The Ganeral COndition. tor .11 peraita .re li.teeS on th. ~.n. .id.. Speci.l ProYi.iona tor
thi. permit are li.ted below. Failur. to abide by thee. conditiona and provi.ion. ..y J:e.ult
in jOb .but-dovn and/or torfeiture of Faithful Pertor.aanca Bonda and cuh depo.ita. (S..
General COndi tiona 1 and 2).
B. An .pplication t.. ..~ .~ thia .pplicaUon. 'l'!lJ.a 18 non-ntaDdabl..
Nu. ot Applicant W~:::iT \)AL-I-I.---I>AIUITFtTlofo.JD,c.:.7Q.ILr 'falapbon.z 57f3,-ZLfo 7
Addr... / (;;0 c:~ 7 5 v IV I" i OAIC. !J /k- ~ G""",(>0a-L L/:l- q .s'- 0 0 8
I. thb vork beinq don. by the property owner .~ th.ir own re.idanaa? -y- ~
Coapl.t. and attach Worker.' Coapena.Uon and contractor IDfor..tlon for...
Th. Applicant/Permitt.. h.reby aqr... by .tfixinq their .iqnatura to thi. parait to hold the city ot
Campbell, it. ottic.r., aqent. .nd employ... tre., ..f. and bar.a1__ fro. .ny claia or deaand for
daaaqes r..ultinq fro. the work cov.red by t.bi. per.ait.
Tbe Applicant/Permitte. hereby acknovledq.. th.t th.y have read and uncI.ntand both the tront and
back ot thi ~,.i ~t they will intora their contractor(.) ot the intoraation.
ACCZP'1'ED ~it"1 k/L W V'7 D 1/'2-7/1 <.
ppllcant (Peraittee) print/.iqn Oat* '
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NOTES: ALL WOJUC SHALL CONFORM WI'1'B THB A'1"1'ACBBD, APPROVED PLAHS un ALL APPLICABLI CAKPBBLL
STANDARD DRAWINGS AND CONDITIONS.
'1'Hl!: CONTRACTOR MOST HAVE TRIS PERMIT AND APPROVED PLUS AHD 110ft IID'r WI'1'B '1'IIB P.W. DlPZC'1'OR ON
THE SITE AT L:E:AST TWO DAYS BU'ORB STARTIHG WOU.
NOTICE MUST BI GIVD 'l'O PUBLIC 1fOJUtS AT LDS'1' 2C IIOURS IID'OU D8DJlTI1IG An 1IORK.
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SPECIAL PROVISIOKS
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Street aball not be open cu~ for uncServround iDatall.Uona. IIi.nimuI cute ..y be .llowed
for connectiona or axplora~ioD bol_. Buell cub aust M sDacitieallv amlroved bv tile
Ynst:>>ec1=or.
Pavu.nt ..y .. cut tor UDCS_rqround lnatall.tiona and ..t be reatored in accordanca vi th
the Utility Tranch R..toraUon Standard Dravinq.
Work to b. .~ad by a lican.ad Land Surveyor or Civil BnCJ!near and two (2) copi_ of the
cut aheet. .ant to the Public Work Daptartaent beton atartinq work.
Th. houra of work an liaitad to oataid. th. boan of 7-1 .... and 3-6 p... for any vork
.ffecting a tratfic lane. ~
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APPROVED FOR ISSUANCE ?1, (5
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WEST VALLEY SANITATION DISTRICT
OF SANTA CLARA COUNTY
SERVING RESIDENTS OF
CITY OF CAMPBELL
TOWN OF LOS GA TOS
CITY OF MONTE SERENO
CITY OF SARA TOGA
UNINCORPORA TED AREA
100 East Sunnyoaks Avenue
Campbell, California 95008
Telephone (408) 378-2407
April 29, 1992
" ii ". '_
CIv
MAY 01199.'2- ftJ
/;)!''-I'
'WoW./e ~
orles/En .
g'''eerih3
Vick's pipeline Construction, Inc.
350 Marburg Way #B
San Jose, CA 95133
RE: Campbell Plaza Laundry Sewer
Campbell Encroachment Permit 92-111
Nido Drive
Dear Sirs:
Please find enclosed the letter from Cruz S. Gomes of the
City of Campbell and accompanying punch list.
It is necessary to clear this punch list before the City
will close out their permit. Please expedite the
corrections as soon as possible.
Very truly yours,
William A. Gissler
District Manager/Engineer
13)7 M~.d~J
by: Don Armstrong ~
Construction Inspector
cc : Cruz Gomes"
City of Campbell
70 N. First Street
Campbell, CA 95008
(FORMERLY COUNTY SANITA TION DISTRICT NO.4)
r
CITY OF CAMPBELL
70 NORTH FIRST STREET
C AMP BEL L, C A L I FOR N I A 9 5 0 0 8
(408) 866-2100
FAX # (408) 379-2572
Department:
Public Works
June 10, 1992
Mr. Jerry Bannan
118 Massol Avenue
Los Gatos, CA 95030
SUBJECT: FINAL INSPECTION AND ACCEPTANCE
PERMIT NO.: 92-111
LOCATION: NIDO AVENUE
Dear Mr. Bannan:
We have made a final inspection of subject Public Works
construction and find it acceptable and in conformance with City
standards. Accordingly, we will recommend the acceptance of the
work to the City Engineer.
Enclosed is your cash deposit of $500.00.
Please feel free to call me if you have any questions.
p~ ~
- Sal DuCkworth-~
Senior Civil Engineer
SDL/bg
f:92-111
(
70 NORTH FIRST STREET
C AMP 8 ELL. C A L I FOR N I A 9 5 0 0 8
(408) 866-2100
FAX # (408) 379-2572
81M ,B,E:Rl Y
HELMS
BGlUtR
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CITY OF CAMPBELL
LAN Z 0
I ;;E i :;::I!" 1n I'
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FILE
Department:
Public Works
April 14, 1992
Mr. Preston Nichols
West Valley Sanitation District
100 E. Sunnyoaks Avenue
Campbell, CA 95008
SUBJECT: PRELIMINARY INSPECTION - DEFICIENCIES
PERMIT NO. 92-111
LOCATION: NIDO AVENUE
Dear Mr. Nichols:
There are deficiencies in the work which are indicated on
the enclosed list. These deficiencies must be corrected in
accordance with City standards before we can make a final
inspection or acceptance of the work.
Upon completion of the corrective work, please submit a
written request for a final inspection and acceptance.
Sincerely,
Cruz S. Gomez
Assistant Engineer
CG/bg
Enclosure
cc: Jerry Bannan
J.B. Enterprise
118 Massol Avenue
Los Gatos, CA 95030
f:92-111
CITY OF CAMPBEll
Permit No. 92-111
Page 2
DEFICIENCY LIST
PERMIT 92-111
1. Remove writing on sidewalk or remove and replace 1 flag
of sidewalk.
2. Strip sidewalk forms.
3. Remove base rock from tree well-backfill with clean
soil.
f:92-111
CITY OF CAMPBEll
PUBLIC WORKS ENCROACHMENT PERMIT/PROJECT
INSPECTION REPORT
DATE: (" -10-97
PERMIT/PROJECT NO.: 9>'- ~II , TRACT NO.
ADDRESS:
A..frDO AliI";
TYPE OF WORK: STREET: STORM:
SANITARY: ,/
SIGNALS
LIGHTING:
SIGNING:
STRIPING:
IRRIGATION:
PLANTING:
P.C.C.:_____PARKWAY:
OTHER :
PRELIMINARY INSPECTION WITH DEFICIENCY LIST:
(Date)
V FINAL INSPECTION AND ACCEPTANCE: G -/ {J ~ 9> L
(Date)
SIGNED PLANS?
COUNCIL ACTION?
C E ACTION?
FILE NOC?
YES_____
YES
YES
YES_____
NO~
NO~
NO~
NO---===-
.-----
NO_____
CHARGES AGAINST DEPOSIT? YES_____
OVERTIME:
HRS. @ $
PER HOUR - $
EQUIPMENT RENTAL: TYPE;.
AMOUNT: $
DATE:
REASON:
TOTAL CHARGES:$
ONE YEAR MAINTENANCE WITH DEFICIENCY LIST
ONE YEAR MAINTENANCE ACCEPTANCE
i-I-. 1M OlGA WA
INSPECTOR
c; -10- 9"G
DATE
f:pw insp
9/91
$~L ~ .C UCIL
c
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yt~~
7;'/1 I ~
i3fyt~9301
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pc-<z--\.~ J.Jo. <72.'
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65'13, Sc~ u....)~L~~J ~,-Q. ~
C::~~.j ~~~~
/J ( /7 - /}I' $/ . / ~..1.
~ ~ 17 .s-oO.cJCJ d!~~_
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4hL ..-iJ eA_1~/..~-~,. (A- 9.~- C -'3C;
r;d8- 3 9.S- - 93c) /
ENGEOTECH, INC.
Soil and Geological Engineers
186 South Hillview Drive · Milpitas, CA 95035 . (408) 946-3887
February 10, 1992
c:::..S6.r
Vick's Pipeline Construction, Inc.
350 Marburg Way
San Jose, California 95131
r.. -V"..;~-;::.'.-R~\;-II. 1'\1" 1"..".1 ",,'rill1 ~..
l Vlt,',~\\__ \',1 I J\"'_'i\~\l,lr\\I~-
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~_.___~'.~'___:-~'_+._. ___ :_~ ':'\'l.'rJ__~_:__~.l_i___ :_____'.
;:.'. "-~--L-.; '..<?~-~Lr-4---
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9'L'- ill
Subject: Sanitary Sewer Trench
Nido Drive
Campbell, California
FIELD DENSITY TESTS FOR
TRENCH BACKFILL
Gentlemen:
Per your request, our firm performed Field Density tests for the
Trench Backfill (Sanitary Sewer) in Nido Drive in Campbell,
California.
The results of the field density tests performed by us indicated
that the material backfilled was compacted to 95.6 and 96.4%
relative compaction.
If you have any question, please give us a call.
Yours truly,
ENGEOTECH, INC.
~~~~
Muhammad Hussain, G.E.
TO:
3372
3521
3521
3521
3372
3373
3373
3373
3373
3372
3372
3372
3372
3372
3370
3380
3395
3510
City Clerk
92 -/ J J
PUBLIC WORKS FILE NO.
Project Revenue (specify project)
Public Works Encroachment Permit Fees:
Application Fee
Plan Check Deposit
Faithful Performance (Cash) Deposit
($105)
($500)
(100% of)
(ENGR. EST)
(4%of FPB)
($500 min.)
OO.L.V 3"7S'Lf7
, 05.LJl)
Other Cash.Deposit (specify)
"10 lJ'Uetl ~er- PLP-f--
Plan Check & Inspection Fee ($0 - $100,000 10%;
$100,000 - $500,0009%; $500,000 and above 7%; $100 min.)
Project Plans & Specifications
General Conditions, Standard Provisions & Details ($10 or $1/page)
"No Parking" signs ($1/ea. or $25/100)
Copies of Engineering Maps & Plans ($.50/sq.ft.)
Final Parcel Map Filing Fee ($475 + $21/ per lot)
Final Tract Map Filing Fee ($525 + $21/ per lot)
Lot Line Adjustment Fee/Certificate of Compliance ($420)
Vacation of Public Streets and Easements ($500)
Assessment Segregation or Reapportionment
First Split ($500)
Each Additional Lot ($150)
Storm Drainage Area Fee per Acre (R-1, $1,875;
Multi-Res., $2,060; all other, $2,250)
Public Works Special Projects
Park Dedication In-lieu Fee
Postage
TOTAL
NAMEDFAPPLlCANT ~ D'ent1e<l
ADDRESS ~ ,~ (() P's5D Ave. It)$ r jC)M
I
PHONE
9;:'03u
$ 7 , 0 ,aD
3C}S-030 j
ZIP -95()3 0
FOR
CITY CLERK
ONLY
RECEIVED BY
DATE
REFUNDABLE DEPOSIT
CHECK REQUEST
TO: SANDY TERPKO
ACCOUNTS RECEIVABLE
Please issue check payable to:
Jerry Bannan
Address:
Line 1:
118 Massol Avenue
Line 2:
City :
Los Gatos
State: CA Zip: 95030
Description: Ref Deposit/Permit No:
Exact Amount Payable: $500.00
Account Number: 001.00.905.4662
92-111
INTEREST EARNED
001.05.540.4448
LOCATION: Nido Avenue
DATE AND NO. OF RECEIPT:
1/30/92 #37547
PURPOSE:
Return of. Cash Deposit
Requested by: H. Imokawa 11.4. Title: P.W. Inspector Date: 6-10-92
Approved by: Ai:- h~ Title: Sr. Engineer Date: 0-11-92-
Sal Duckworth-Lanzo
Verified by: Title: Date:
SPECIAL INSTRUCTIONS FOR HANDLING CHECK:
Mail as is
Mail in attached envelope
Return to: Public Works
(Department)
Sal Duckworth-Lanzo
(Name)
Other:
Rev 11/21/91