92-145
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CX'!'"i OF CAMPBELL
tfii:PT. OF PUBLIC WORD
70 North Fir.t st.
Caapbell, CA .5001
(408) 866-2150
Perait No. q;)) - (tf: r-~
ENCROACIDII':R'l' PERMr1'
(for working' in th.
public d~t-o~_ .y) X-Ref. file
x.ned ?L- _ ~ Application Date~ / L ~ I q:)
Peralt up _ 12 1IOlI. Application upiru in 45 ~..
APPLICATION - Application b bereby ..de for. PubUo Worb ..rait 1n .coordanoe with ca.pbell
Municipal COde, Section 11.04. (Application upir.. in 45 IIOntba if perait not: pulled) 1.'/ /
( ) In: , 1Z~III5C /) '1117 ~ l.
A. Work addre.. or tract . B~ RAILW,6..Y A-\Jt=.... . Ez..-'2.I~ft C IE I Y iii I;JI
utility trench location E/-GIDE- C:>f= RA-IL-\.NA>-'-I Avr=... '
8. N.ture of work: FIIZE- ~"[CE... \r-..:>c:..~L-Jb-\l0t-..l
AI:R 1 5 1992
Att.ch five (5) oopie. of . drawinq abovinq the location, extent an4-.cUMU~L!#:ntMe.-Jt
The drawin" .ball abov the relation of the propo.ed work to exi.tingi"'''aiIfa''d.v'aJid UiI4_i'9round
iaprov_enta. When .pproved by the City Bn9ineer, ..id drawinq becoae. . part of thb perait.
Th. General ConcUtion. for .11 peraita .re U.ted on the reverae .ide. Speci.l Provbiona for
thia p81'111it .re H.ted b.lov. F.ilure to abide by the.e conditiona and providon. ..y r..ult
in job .but-down and/or forfeiture of Faithful Perforaance Banda and caab depodta. (sae
General COnditiona 1 and 2).
B. An .pplication fee au.t .CCCIIIpIUly thi. .pplication. fti. b non-retuDdable.
,'.... of Applicant~"-.J ~c::>"E-"E- '-tJ,6....,SE:..- CL:>~~ '-( 'fe1epbone: tL-Zo, - f e:,4/
~ddr... \'2.'2..1 s., B~sCo~ A\J,,=--. : SAJ-J ~=~tC. LA. ~S l'lb
I. thia work being done by the property owner .t their own re.ldence? ---ye. ~
C.
D.
Complete and attach Worker.' CoIIpen..tion and COntractor Infor.-tion for-..
The Applicant/Pe1'1ll1ttee bereby .!Jree. by .ffixing their algnature to thb perait to bold the City of
C..pbell, it. officer., ."ent. .nd .-ploy... free, ..fe and baral... froa .ny clata or daaand for
damage. re.ultin" froa the work covered by thia permit.
The Applicant/Pe1'1llittee bereby .cknowledge. that they have read .nd under.t.nd both the front and
back of thia peralt. and that they w11l inf I ir contractor .) of the infor.-tion.
ACCEPTED ED"'J1~ L. HEUD P.e. EAlb. SJPf:TlVl~ 4/l ~ / =n-
Applicant ( ra tt.e) print/aiqn Date
NOTES: ALL WORX SHALL CONFORM trI'l'B THB A'1"1'ACllBD, APPROVED PLlUfS AND ALL APPLICABLE CAMP8BLL
STANDARD DRAWINGS AND CONDITIONS.
THE CONTRACTOR MOST HAVE THIS PERMIT AND APPROVED PLlUfS AND 110ft IIBZT trI'l'B THB P.W. INSPECTOR ON
THE SITE AT LEAST TWO DAYS BEFORE STARTING VOIUt.
NOTICE MUST BE GIVEN '1'0 PUBLIC WORD AT LDST 24 HOURS DFORB RBSTARTING ANY 1fORIt.
SPECIAL PROVISIONS
_1.
Street .hall not be open cut for undeJ:9rOWld lnatallatlona. lliniaua cuta ..y be allowed
for connectiona or exploration bole.. Such cuta .uat be aaeciticallv aanroved bv the
In.Deeter. _
Pavement aay be cut for underqround lnatall.tiona and auat be reatored in aooordance with
the Utility Trench Re.toration standard Drawin".
Work to be .taked by . 11cen.ed Land surveyor or Civil Bn9inaer and two (2) copi.. of the
cut .heet. .ent to the Public Work Daptartaent before atartinq work.
The hour. of work are l1aited to outa1de the boura of 7-' .... and 3-1 p... for any work
.ffecting . tr.ffic lane. c:'" ~ ~~tA. _
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prz..L:)'-l\"'Stau "S. \.c--t~Jt~2- P~k\T .~(!;>. q'L.- \-~
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STANDARD
RECEIPT NO.
AMOUHT
.. \ ~.60
Cf
PEIDIIT APPLICATJ:ON I'D
'100.00
PLAN CllBCK DBPOSIT
BOND FOR FAITBFUL PBRl'ORKANCB
CASH DEPOSIT
'500.00
(loot OF aG. EST.)
(<It OF .-0, $500 IIIR)
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PLAN CllBCK , INSPECTION I'D
$100,000 - $500,00 ,t,
APPROVED FOR ISSUANCE
f: PWPERMIT
Revised 4/91
<t: ---z...c:>._C-\ L
Date
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Special Provision 5 for Permit No. 92-145 issued to San Jose Water,
to install a 4" Fire Service at 186 Railway Avenue.
A. All construction work on this permit shall conform to the
plans, specifications and construction schedule of city
of Campbell Project No. 90-35, Dillon-Gilman LID #30 and
Project No. 89-27, Campbell Downtown streetscape.
B. The plans for this permit are plans prepared by San Jose
Water Company titled "4" Fire Service Railway Avenue",
dated April 17, 1992, Drawing No. E2-213, consisting of
one sheet.
C. The issuance of the permit by the Public Works Department
does not relieve the developer of his responsibility to
obtain the necessary permit from the Fire Department for
underground/overhead fire protection systems.
D. Permittee shall submit a construction traffic control
plan and construction schedule showing street closure
and detour plan to the city for review and approval a
minimum of five (5) working days prior to anticipated
date of sign installations.
.e:.~G:7
f:92-145.PER(JD/WP)
I
[18] From: ChuckG 2/8/94 8:28AM (3036 bytes: 60 In)
To: MikeF
cc: RandyW
bcc: ChuckG
Subject: Inspection Report
------------------------------- Message Contents
INSPECTION REPORT-LIST OF DEFICIENCES
PERMIT NO. q L - \.4s
ADDRESS: ~ \L.P:>\. L.~<-(
DATE: L.-~~.,-
PERMITTEE:____PAC BELL____PG&E
V SJWC____TCI
____WVSD____SCVWD
_SPTC
box____manhole___to grade.
_Adjust [raise,lower] valve
_Repair settled trench by the following method: ____Sawcut
asphalt concrete as marked in the field _Remove existing
asphalt conrete____Recompact aggregate base material to 95%
minimum relative compaction____Remove aggregate base
material_Backfill trench with 2 sack sand/cement
slurry_Plate trench to allow for cure time_Place tack
coat_.___Install geotextile material [petromat, Fibretec or
approved equal]_Repave trench with asphalt concrete and
compact to 95% minimum relative compaction [ compaction
testing is required if the trench has been backfilled with
aggregate base material. If it has been backfilled with the
2 sack sand/cement slurry, compaction testing is not
required.
____Slurry seal_chip seal trenches
~ Grind trench edges,install fabric,repave
_Seal cracks at edges of trenches
_Install new traffic detector loops at
_Repaint damaged painted traffic stripes_pavement
markings_painted pavement legends
____Replace damaged____missing____pavement markers
____Repair damaged thermoplastic stop bar_crosswalk
stripe_arrow symbol
_Submit As Built drawings
____Submit laboratory test results of testing for compaction of
the following materials____subgrade____aggregate
base____asphalt concrete
____Submit certificates of compliance for the following
materials_aggregate base____sand/cement slurry_asphalt
concrete_portland cement concrete_slurry seal____chip
seal____traffic paint material____thermoplastic
material_traffic loop detector cable material____
____No work performed on permit. Permit expired
utility company notified
~ther comments T\c~~ )'::::.~ l\l5C) ~
~ C-J':>'-Ih"T"\c)t.J:.. &..-~ ~,\ ff) e..l",,::7\\L.~ ,V{-.."\
'\--lE:~ ~ ~-e- ttC~k. \ ~-"t::::::.
FIELD ENGINEER'S DAILY REPORT
CITY OF CAMPBELL
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CONTRACTOR:
ITEM
DESCRIPI'ION
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CC:
--,
PROJECT NO. 9 Z -/4~-
REPORT NO: I
DATE: 2 - Z +-l'S-
WEATHER: () ua-<..-v- c;---d- / j..q J-f
INSPECTOR:
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PAGE: /
OF I
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R. W. French Construction
421 Umbarger Road
San Jose, CA 95111
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CITY OF CAMPBELL
MEMORANDUM
From:
Dave Kapler Date:
Fire Department
C. Gomez c..S4-
Public Works/Design & Construction
May 5, 199faiiC EoI V ED
r'~AV b' 1992
,VI. ,
To:
rrYf)l)ClI q,,(. OF.P~RIMENl
Subject: SJWC ENCROACHMENT PERMIT APPLICATION #92-145, 4" FIRE SERVICE,
186 RAILWAY, DRAWING #E2-213 DATED 4/17/92
Please review and comment on the attached plans. It's my
understanding from Ed Mello, 279-7847, of San Jose Water Company
that this is a request from the property owner and that it is
not as a result of the Dillon-Gilman Improvement District #30.
CSG: j d
cc: Joan Bollier
Bob Shook
Ie Ii (.; Ii I 'V Ii: lJ
MAY 0 B 1992
Public Works/Enginoerins
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f:92-145.MEM(DR/WP)
N..~.:.'\I""..)
MAY 0 8 1992
Public Works} Engine.rin,
CAMPBELL FIRE DEPARIMENT
QfEn< LIST OF UNDERGROUND FIRE LINE INSTALlATION DRAWINGS
[ ] Title Block [] Job name [ ] Address [ ] NORIH ARRCM
[ ] Scale [ ] Date [ ] Designer [ ] Revisions
[ ] Installer name [ ] Address/J;i1one [ ] License #
[ ] (),mer [] Address/phone
[ ] Information required by NFPA 24, Paragraph. 1-4
[ ] Pipe layout, 1-4.1
[ ] -a [ ] -b [ ] -c [ ] -c [ ] -d [ ] -e [] -f, 1-4. 2
] Soil bearing capacity
] Soil corrosion characteristics
] Soil settleroont properties
[ ] Source of soils information [ ] If there is no soils report or the soils
report is lacking information, attach a copy of the letter infonning the Orler
of his responsibilities to the su1:mittal.
[ ] Location of piping restraints [ ]-thrust blocks [ ]-rodding [ ]-other
[ ] Design of piping restraints [ ] -thrust blocks [ ] -rodding [ ] -other
] Design of corrosion protection
] Notes regarding materials and listings
[ ] Notes regarding design and installation standards
[ ] Copy of letter to owner if there is no soils report.
[ ] Notes regarding the FIRE FUM requireroont for the hlilding(s)
[ ] FIRE FUM calculations and hydrant designations.
l~oo! I-
t 2 51 San Jose
YEARS OF, Water
i'bR VT] ~ ~ I Company
COMMUNITY
1~~ 1 'I 374 W. Santa Clara St.
I San Jose, CA 95196
, 408 279-7808
I Fax 408 279-7934
Chuck Gomez
CITY OF CAMPBELL
Dept. of Public Works
70 North First Street
Campbell, CA 95008
Kt..> ..~\l...r.)
APR 221992
Public W or:<sj f:1gineering
RE: Revised Drawings
Location: 86 Railway Ave.
Mr. Gomez,
Due to information received from PG&E, SJWC has revised the
drawings for Job No. E2-213 to more accurately reflect the existing
conditions.
Please update the permit application package with these revised
drawings.
Sincerely,
./}~-~ ~
~::;vw. Furtado
Engineering Technician
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