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ca.pbe~1, Cl 1100.
(40') '6I-auo
(tor varJUn9 1.D aa.
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Pemit upirM iD,12 _.
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Appl1cat1oD Date c:;, -- / / - 92-
Application upina iD , _.
APPLICA'1'%OK - Al'Pl1caUan i. ~ _d. for a Jiabl1a Wftb Puait 1Ia aaaordaDaa wi~ ca.pbe11
JlUnicipal COd., .eaUan 11.04. (Appl1caUon ina ill I .m:b8 1f puait Dot palled)
IG00
C--100
B. Kature of varJu (~)(<{^vL. L}" (AfeMlh ~ 01.AB'IIVls'tOI\J
C. Attaab fiv. (I) copi.. of a drawi.., 8IloviDlJ tile loaatiaD, axtaat aDd,~iGU Ii the vark
'!'be etravin; aa11 8Ilov the nlaUon ot ~e propoHd work t:a ax1R~t.ca and ~E'lp:OWld
iJlprovaanta. Whan approved by ~e Clty Bnqinaar, Aid draw1D9 be=-- a nf~. penlit.
D. '!'be General COndlUon. tor all penite an 118Ud on ~ nYane alde. ~1al PraY1810J!,8 tor
thia pamit are l1at.d belovo railure to abide by thaae c:ondiU0ft8 aDd, 1l~!.~i..,rNult
ln jOb .but-dovn and/or torfeiture of "a1~u1 Pertonaac:e Bcmda Ulflc~"~lU'. (Se.
General COndl tiOftll 1 aDd a).
A.
Work addre8. or tract .
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B. An appl1cationf..e -:at ,~ ~., a~l1catiaD." ft1a ~ n=-nflUldable. ,'1 ,/ /1
H... of ~P~i~ {.AJi6S1 \. ~ ~J~[t~l0, r4til'-{~ 'h1epbonel~ IV 246 ,
Metre.. I (j U:t; '-M~i u ~t-S h, J15, l~ff;S'vL
I. thia vork bein; done by tha property own~ at ~1r own naidanaa? ---Y" Kno
coaplet. and attach Workenl c:c.pen.atian and contnctor Intonation fone.
Tba Applicant/Paraltta. hareby .qrae. by attixinq ~alr .19ft11tuZ'e to ~1. perait to hold ~e City ot
campbell, it. officar., aqanta and .-ployaa. fre., .ata and baral... froa any claia or daaand for
daaaqa. ra.ultinq fro. tha vork coverad by thi. panit.
Tbe AppUcant/Pamitte. hareby acknovladqa. that they bav. read and undantand both the tront and
back of thi. parait, and that thay vi11 infora thair contractor(.) of ~ intonation.
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ACC!:P'l'ED W'.~T If'.:' ;.',' <:',"",', ". ~ ._..,c.; ~(~""... -,./..\..\ .' ~/I ;'/,_-,
~II~nt ,(~,." ~.)) pr~nt/~qn oafa I
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NOTES: ALL WORK SHALL CONFORM Nn'B 'l'HB A'1"1'ACIIBD, APPItOVBD PI.AH8 AlII) ALL APPt.ICABLI CAIIPBBLL
STANDARD DRAWINGS AND CONDITIONS.
THE CONTRACTOR MOST SAVE 'l'BIS PERMIT AND APPRDVZD PLUS AlII) JaJ8'1' IID'r 1Ir1'B 'ftIB II.W. DSl'BC'l'OR ON
THE SITE AT LEAST 'l'N0 DAYS BD'OU STARTING MOU.
NOTICE MOST U GIVD TO POBLIC IIOIUaI AT LDS'1' 24 IIOOJt8 BDOU ItU'DIl'n:IICI AllY 11GB.
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SPECIAL PROVYSIOHS
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stra.t aall not be open cut tor uncSuvround inata11atl0ft8. IUn1JIua cuta uy ba alloved
for coMaatioftll or exploration bo~... lucb cuta ml.~ be .a.elfieallv aaarcnred bv ~.
InBceet:ar.
Pav_ant _y be cut tor undervround inatallat10ft8 aDd -.t be natond in accordanca vi th
tha tltiUty Trench Ra.toration Standard DnvincJ.
Work to b. .taJted by a l1cen.ad Land Surveyor or Civil BnlJinHr aDd two (a) copl.. of tha
cut .b.at. .ant to tha JlUbl1c Work Daptartaant bafon 8tU't1n9 work.
'!'ba houra of vork are 1iJ11ted to waida ~e bDu'8 of 7-1 .... aDd 3-6 p... tor any vark
attac;ti.A; . traffic lan.. LS
!::!JUrVmlfV 5/1 r;;. ThJ(J,' '-<1111/ TJeAFFle I'JT flll 77/14c... _
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l'LAH CHICK , IKSPlC'rIOR lZB (10-1100,000 101,
$100,000 - $500,O~0 I.J~ .;;,oo~ abGVe n, nOO IIDI)
APPROVED FOR ISStlAHCE qzt~~ A... (I .
for City Enqin..r
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APPROVED OR CONSTRUCTION.
(~it of Campbe\\
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Public Wori<. ~~ermit No. CJJ /' /'J!J
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C" ,tractor must hove these pIons
on he job site durirl<) construction.
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CITY Of Ci\l1VtPBEll
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
Department:
Public Works
December 14, 1993
West Valley Sanitation District
Attn: Jon Lee
100 E. Sunnyoaks
Campbell, CA 95008
SUBJECT: FINAL INSPECTION AND ACCEPTANCE
PERMIT NO. 92-175
LOCATION: 548 HACIENDA AVENUE
Dear Mr. Lee:
We have made a final inspection of subject Public Works construction and find it
acceptable and in conformance with the City standards. Accordingly, we will
recommend the acceptance of the work to the City Engineer.
The cash deposit posted for this job will be returned to Vick's Pipeline under
separate cover.
Si:cer;ly, ~ ~;
, $t~i?~~
Michael A. Fuller
Assistant Engineer
~~
cc: Vick's Pipeline, 350 Marburg Way, San Jose 95133
Permit #92-175
h:92-175(mp)
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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
January 15, 1993
Mr. Rassoul Aleshi
510 Beth Drive
San Jose, CA 95111
RE 3-Lot Sub-Division
Hacienda Avenue, Campbell
Dear Mr. Aleshi:
The district's TV-inspection revealed a dislocated joint in a 4-
inch building sewer. Although your contractor was informed of the
situation several months ago, no work has been done to correct the
situation. In addition, there are settlements over the trenches.
Your immediate attention to these problems are needed. Please
notify our inspector, Bob Moehle, of your schedule to complete the
repairs.
Very truly yours,
Robert R. Reid
::s~~~eer
~~istant civil Engineer
cc Bob Moehle, WVSD
rMike Fuller, Campbell
Billy Vick, Vicks Pipeline
Ri:CEiV~~
JAN 19 1992
Public Works' EnginQQrin:)
(FORMERLY COUNTY SANITA TlON DISTRICT NO, 4)
TO:
3372
3521
3521
3521
3372
3373
3373
3373
3373
3372
3372
3372
3372
3372
3370
3380
3395
3510
City Clerk
PUBLIC WORKS FILE NO, 9'.2 - /7:;-
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,)
Other Cash Deposit (specify)
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
3
ADDRESS
FOR
CITY CLERK
ONLY
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PHONE 9'd. ,;5 .. .3 () 7"7
ZIP ?s- /? 5
RECEIVED BY - - '1,;-
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