92-173
I..ed Applicat1cm ~ l~ t' ~ ~ \/1 i'
Penit 1 . Application upina in 6 Il108.
APPLXCA'1'%ON - Applicat10n i. hereby ..de for: a Public WorD Penait in acccmIanc:e yUi\! c:i-ib~ 2
MUnicipal COde, Saction U.04. (Application apiru 1D , IIGIltba 1f pen1t not pgilidj
A. Work acldre.. or: tract. 480 E. Hamil ton Avenue. Camobe 11 Pub!ic h '".,;..~ .JI ,"",''1
install utilities as indicated on attached sketch
ern or CAIIPDLL
DZP'l'. OP PUBLIC WORD
70 North Fint st.
CUpbell, CA '10"
(408) 811-2150 .
Elft!ROACRIID'l' PImII1'l"
(for worJtiDrJ w1~ tba
public dljJ -ot_ay)
B.
Utllity t.nncb location
S.D. #0541G02162
-
Matura of work:
Pua1t No.
X-Rat. tUe
92 -/7~g
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c. Attach five (5) copie. at a drawinIJ lIbowinIJ tha location, axtant and d1menaiolUl ot tIla work
Tha drawinIJ lIball lIbow tile relation of tIla propoaed work to ai.tinq artaca and und&r'JZ'OQDel
iJDprovaanta. When approved by tha City EnlJinaer, ..iel drawinq ~ a part ot thia pemit.
D. The General Concl1tiolUl tor all peJ:'llit. are ll8ted on tha ~e dde. Spacial Proviaiona tor
thi. penait are ll8ted below. Failure to abida by th_e CODditione and Prov18ions ..y raault
in job lIbut-down and/or tOrfeitura ot Faithful Pertormance Surati_ and caah c1apo.ita. (Sea
Ganeral COneli tiOIUl 1 anel 2).
I. An application f.. lIUat ac:c:oapany thi. application.
NUle of Applicant Pacific Gas & Electric
Aclclre.. 10900 N. Blaney Avenue, Cupertino, CA 95014
Thl8 f.. 18 non-refundable.
'l'alaphonaA08-725-2114
I. thi. work bainIJ elona by tIla property own.r .t their own ra.idance? --Y&8 _no
COlIPlete and attach Worken' COmpensation anel contractor Dltonaation tonaa.
The Appl1cant/Penaittee hareby aqrae. by att1x1nIJ their .iqnature to thi. penait to bold tile City of
campbell, ita off1cera, aIJent. and employee. tree, ..fa and hArml_. fro. any claim or demand for
damaIJe. ra.ultinlJ from tile work covared by th18 pemit.
that they have read and uncieratand both the front and
thair CODtractor(.) ot tha intonaation.
June 9, 1992
Blodgett Date
ACCD"l'ED
NOTES: ALL WORJC SHAL". CONFORM WITH THE A'r'1'ACHED, APPROVED PLAHS AND ALL APPLICABLE CAMPBELL
STANDARD DRAWINGS AND CONDI'l'IONS.
THE CDHTRAC'l'OR MUS'l' HAVE 'l'BIS PERMIT AND APPROVED PLAHS ON-SITE AND MUS'l' JID'l' WI'l'H THE P.W.
INSPEctoR ON TBE SI'l'E A'l' I.I:AST TWO DAYS BEFORE S'l'AR'l'IHG WORlt. APPLICAH'l' MUS'l' CON'l'AC'l' THE IBSPEC'1'OR
'l'O ARRANGE FIELD MD'l'IHG.
NOTICE MUST BB GIVEN TO PUBLIC WORD A'l' LEAS'l' 24 HOOU BD'ORB RBSTARTDfG AllY WORlt.
S~t ahall not be open cut for undel'CJrDWld in.tall.t1ons. lI1nimum cut. may be .llowecl
for connactiona or exploration bole.. sucb cut. must be .neci~lcallY annravAd bY the
Ins~.~or ~rior ~o eu~~intt.
Pavement may ba cut for underqrounel ilUltallations and JII1I8t be ra.toreel in accordance with
the Utility Trancb h.toration Standard Drawinq.
Work to be .takad by . licensed Lanel Surveyor or Civil EnlJineer &Del two (2) copi_ at tha
cut lIbeet. .ent to the Public Work Depart:ent before"ttartinq work.
The hoUD at work .re limited to ouaida the houre at 7-9 .... and 3-6 p... for any work
aff.~~IJ .1 trl}ffic lane.
.sf::..~ ~FlL f-J~-
sp~eYAL PROVTSYORS
_1.
_2.
_3.
_4.
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STANDARD
PZRIII'1' APPLXceIOH PEE
PUH CBECK DDOSIT
SURETr lOR FAn'BPOL PERl"ORllANCE
CASB DEPOSIT
$105.00
$500.00
(loot OF BIIG. EST.)
(n OF S1JBEn, $500 KDf)
PLAH CBECK . DfSPEC'1'ION FEE. ($0-$100,000 lOt r
.1...... - ......~. .., !'....~~ 7" '10' ...,
APPROVED FOR ISSUANCE ~ nzd'U ~
fer City Enq neer
f: pW PERMIT
Revised 10/91 (SEE OTHER SIDE)
AMOUN'l'
UeErPl' NO.
Q
$ /'I') 5", Crt?
$
$
$
$/oS-,C~
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SPECIAL PROVISIONS
PERMIT #92-173 PG&E
1) Maintain safe vehicle and pedestrian access at all times. If a
lane closure is required, a traffic plan shall be submitted to
the City and approved prior to construction.
2) This permit covers work in the pUblic right-of-way only, based
on information submitted on the plans.
3) In the public right-of-way, native material shall be used for
backfill only in landscaped areas. Native material shall be
compacted to prevent settling. Areas covered by concrete or
asphalt must be backfilled with slurry.
4) PG&E shall contact the Public Works Inspector two days prior to
starting work at 866-2150.
f:92-173pg
CITY OF CAMPBEll
PUBLIC WORKS ENCROACHMENT PERMIT/PROJECT
INSPECTION REPORT
DATE: 2.. -5 -93
PERMIT/PROJECT NO.: '3 / '- I '7 3 TRACT NO.
ADDRESS:
TYPE OF WORK: STREET: ~ STORM:
SANITARY: V
SIGNALS
LIGHTING:
v
SIGNING:
PLANTING: ,/
STRIPING:
IRRIGATION:
P.C.C.: 0/' PARl&AY: V
OTHER :
PRELIMINARY INSPECTION WITH DEFICIENCY LIST:
(Date)
V FINAL INSPECTION AND ACCEPTANCE: 2. - 5 - 9 3
(Date)
SIGNED PLANS?
COUNCIL ACTION?
C E ACTION?
FILE NOC?
YES~
YES_
YES
YES_
NO
NO v
NO
NO
NO 0/
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
II )MO KA IAJ/l
INSPECTOR
2.-15-93
DATE
f:pw insp
9/91
l=lPPROVED B
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0::
I- a
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~ 0:: 57' TO I
ex: #227 DRIVEI-IRY
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0-
NOI JOINT
POLE:
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#227
HRRRISON
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CHRIN-LINK FENCE:
5' - ~<~
EXISTING ( 0
STREET (j) I
LIGHT BOX
- ,.--
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22' TO
CENTER OF
HRRRISON
--
N
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#209
HRRRISON
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42' TO I
#209 DRIVEI-IRY
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I 113' TO
CENTER OF SRLI1RR
APPROVED FOR CONSTRUSTION. ."
C;ty ot Campbell .. " - .. , \i "
Public workS Permit No.!Z2- -r13 }UN 0 51992
P L..I'
U....IC WorksIEn9inoorir.~
Contracfor must hove these pIons
, "- .lfe during construction,
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IQPI nAH
IN GM 4998852 I
SUPV. MSB
DSGN. DHK
OWN. DHK
CHKD. SOS
O. K.
I DATE T SCALE PAC I F I C
5366'92 NONE I
SAN
nF~CRIPTTnN
PERMIT SKE
SALHAA AND HARRlSDN T C H
CAMPBELL CA
SANTA CLARA' COUNTY
GAS AND ELEC
FRANCISCO C TRIC COMPANY
, ALIFORNIA
GM nWN CHKD I~IJPV, ~F.
B/H .IHI-'VII
DWG. LI ST
,SUPSDS
SUPSD BY
~ET NO.1 OF lSHEETS
054 REV.
1[02162
(
CITY O'F 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
flf~BE. RL Y . DUC.l.K~~.I.!QR~iH=-.
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~~,!\dc.:a il_I~-,dl\:" ll~ 'Ic~/
IOUliJNEY mE
Department:
Public Works
July 7, 1992
Randy and Janet Wright
18665 Castle Lake Drive
Morgan Hill, California 95037
Subject: PG&E pole installation
Dear Mr. and Mrs. Wright:
Pacific Gas and Electric Company has found it necessary to upgrade
their overhead electrical system on Harrison Avenue. This upgrade
requires the installation of a pole between 227 and 209 Harrison
Avenue. The pole will be installed in the parking strip behind the
curb. Residents - will be notified by PG&E in advance of
construction.
If you have any questions, please do not hesitate to call me at
866-2158.
Very truly yours,
Michael A. Fuller
Assistant Engineer
:MF
f:\MF\92-173A(DRjWP)
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