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87-153 CITY OF c;..: jpEi::I..L DEPT. OF PUBLIC vORKS 70 North First St. ~pbell, CA 95008 (408) 866-2150 PUBLIC VORKS PERMIT IIor worK~ng ~n Lne public right-of-way) Issued ~ -;( 7 -.J- g Permi~ exp~res ~n ~~ roths. Permit No. ~ 1; /.53 X-Ref. file TI:2.. ~cr~ R'J~2i'::. ~lJ Application Date ~-.:2--"-R1 expires ~n b ~ns. ...--- APPLICATIOl, - Application is hereby made for a Public works Permit in accordance with campbell Hunicipal Code, Section 11.04. "T"l'2... ~C>-1'3 A. v.ork address or tract # 6'&~ )/dc>..eVt.:?-ld d(/,RJ. L":a,u J:;J/::u; 1/ Utility trench location :5 Z;t5 O,el9w /11/ 6? -s. I B. Nature of work: :?i/?€E r 1.i-1/'.k!.ot/cF1c/L/T c. Attach three (3) copies of a drawing showing the location, extent and dimensions of the work The drawing shall snow the relation of the proposed work to existing surface and underground improve.-nents. t\."1en approved by the City Engineer, said drawing becomes a part of this permit. D. The General Conditions for all permits are listed on the reverse side. Special Provisions for this permit are listed below. Failure to abide by these conditions and provisions may result in job shut-down and/or forfeiture of Faithful Performance Bonds and cash deposits. (See General Conditions 1 a~d 2). E. An application fee of $35 must accanpany this application. This is non-refundable. :~":Ie of Applicant II'<.I1]" E:reSSAM Telephone: 55'1~6g'~?i" Address I Cf (j , S t1/fs co ~ 4 v" G -#- /.{, ~ S- CA 41 I" 13 e;-L.... '- '7;)- () art> Is this work being done by the property owner at their own residence? --yes Ano Canplete attached ~rkers' canpensation and Contractor forms. The Applicant/Permittee hereby agrees by affixing their signature to this permit to hold the City of ca..,pbell, its officers, agents and employees free, safe and hannless fran any claim or de.'tlaIld for damages resulting fran the work covered by this permit. The Applicant/pemittee hereby acknoc.-lledges that they have read and understand both the front and back of this permit. and ~~ey will lllform their contractor(s) of the information. ACCEPTED - ~-Z---z.---o--- 4- / ~ 7 /118' 7 p l.can. It'e=~~ee) / / ua~e NCYl'ES: ALL KlRK SHALL OONFORH "''ITH THE A'ITACHED, APPROVED PUNS AND ALL APPLICABLE CNn>BELL STAlIDARD DRA\iL.~S AND Ca-,'DITIOI\lS. THE COimACTOR ~tuST HAVE THIS PER!-ITT AND APPROVED PUNS AND HUST MEET WIT"rl THE P.~:. INSPECTOR O,l THI: SITE AT LFAST TID DAYS BEFORE STA.~TmG WJRK. NanCE ~RJST BJ: GIVDl TO PUBLIC \'DRKS AT LEAST 24 HOURS BEFORE RESTARTD.c; ANY KlRK. S?ECIAL PROVISIO~S 1. Street shall not be open cut for underground installations. Minimum cuts may be allO\oled for connections or exploration holes. Such cuts must be specifically approved by the Inspector. ~ 2. Pavement ma~ be cut for underground installations and must be restored in accordance with the Ut~lity Trench Restoration Standard Drawing. 3. ~.ork to be staked by a licensed Land Surveyor or Civil Engineer and two (2) copies of the cut sheets sent to the Public ~rks Dept. before starting work. -- / 4. The hours of work are limited to outside the hours of 7-9 a.m. and 3-6 p.m. for any work affecting a traffic lane. 5. Amount Receipt No. /2390 , "2. \.{~ .J Y /:r(,9'Y /::.-t;, 9 Y / ff:U/f1 I~~. ~ PERl.ITT APPLICATICX~ FEE BO.."ID FOR FAITHFUL PERFORMANCE CASH DEPOSIT RD;2UIRED (4\ of bond, $500 min.) PERMIT FEE (7\ of F.P. bond, $25 min.) Approved for issuance [)7~rU{~~eei--- f) 1!P[;"; (s/ {: PWPERHIT Revised 3/87 $ 35.00 $ .5:\, (:,60,00 , $ p-,2Zf.oo $3.892..CJ() , PUBLIC WORKS FILE NO. t7- J.)-.3 TO: Ci ty '-ilerk "rCT. 35 36 3372 3521 3521 3372 3521 3373 3373 ?lease collect & receipt for the following monies: ITEM Project Revenues (specify project) PubUc. (')0,'1./2.6 Exc.ava..ti.on Pvrmu Fe~: App I i ca t i on Fee Plan Check Deposit Faithful Performance (Cash) Deposit AMOUtn $ OthVL: ($ 50) ~$500) (4% of FPB) ($500 min.) (7'1., of FPB) ($ 35 min.) R...l : ($'35) ($200) " 2, .2- 2-;t -J. L. . '3 r f 2 , Plan Check & Inspection Fee Other Cash Deposit (specify) 3372 3372 372 "'2 ",,,,/2 3372 3372 3372 3370 J395 Tentative Parcel Map Fil ing Fee ($350) Final Parcel Map Fil ing Fee ($300) Tentative Tract Map Fil in Fee ($400) Final Tract Ma Fil in Fee $350 Lot Line Ad'ustment Fee/Certificate of Compl iance Vacation of Publ ic Streets and Easements Assessment Segregation or Reapportionment First Split ($500) Each Additional Lot ($150) Environmental Assessment: Categorical Exemption Ne ative Declaration Storm Drainage Area Fee per Acre Multi-Res., $2,060; all other, $2,250) Park Dedication In-lieu Fee per Unit ($1,132) /~ O.p I 71 9' 2- Y 3380 Publ ic Works Special Projects 3510 Postage TOTAL 1~/21.. tn:) $ ,-. AI ) I NAME ~ f () ..r r ("J .J C -I / i,[)~ (/ . ADDRESS 1/9S- ~ ~ 67E S'~-41 S':::r 2~6- 202... 0 ZIP c; ") I 2.. S- Y .Ib~.> u>,-\u tJ 1) Ftr' +- 1~f)OD ~'d-~t) J~ FOR C I TV CLERK .'fIIL. Y RECEIPT NO. July, 1987 AMOUNT PAID RECE I VED BY DATE ( CITY OF CAMPBEll Department: Public Works WIMBERL Y HE Lr-'IS BOLLIER KRUGER QUINNEY OUCKWORTH- LAN Z 0 HANDLING RETURN TO FILE 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 September 9, 1991 Mr. John Vossoughi Mr. David Etessam 1901 S. Bascom Ave., #1625 Campbell, CA 95008 SUBJECT: ONE YEAR MAINTENANCE ACCEPTANCE PERMIT NO. 87-153 LOCATION: 586 HACIENDA AVENUE Gentlemen: We have made a one year maintenance inspection of subject public works improvements and find that no maintenance is required. By copy of this letter, we hereby release your maintenance bond. Please feel free to call if you have any questions. Sincerely, Sal Duckworth-Lanzo Senior civil Engineer SDL:djr cc: Bond company CITY OF CAMPBELL PUBLIC WORKS INSPECTION REPORT DATE: r; / /5; 0; / PERMIT/PROJECT NO. :F? - /?-3 " TRACT NO. ADDRESS: 6f]b Hr::cc/ ene/A - /fve TYPE OF WORK: STREET:~ STORM: P.C.C.: PARKWAY: SANITARY: ELEC: OTHER: [] PRELIMINARY INSPECTION WITH DEFICIENCY LIST [] FINAL INSPECTION WITH DEFICIENCY LIST [] FINAL INSPECTION ACCEPTANCE SIGNED PLANS ? YES NO COUNCIL ACTION? YES NO CHARGES AGAINST DEPOSIT? YES NO OVERTIME: HRS. @ $ PER HOUR = S EQUIPMENT RENTAL: TYPE: AMOUNT: $ DATE: / / REASON: TOTAL CHARGES:$ [] ONE YEAR MAINTENANCE WITH DEFICIENCY LIST ~ ONE YEAR MAINTENANCE ACCEPTANCE CITY OF CAMPBEll 70 NORTH FIRST STREET \ C AMP BEL L. C A L I FOR N I A 9 5 0 0 8 "{ 4.0 v8) 8 6 6 . 2 1 0 0 r~ # (408) 379-2572 Department: Public Works June 5, 1989 Mr. John Vossoughi Mr. David Etessam 1901 S. Bascom Ave. I #1625 Campbell, CA 95008 SUBJECT: PERMIT NO. 87-153 586 HACIENDA AVENUE TRACT NO. 8073 POLLARD 30 FINAL INSPECTION AND ACCEPTANCE TIME CERTIFICATE OF DEPOSIT NO. 24834 Gentlemen: We have made final inspection of subject Public Works construction and find the work is satisfactorily completed in conformance with City standards. Accordingly, we will recommend acceptance to the City Council and expect to be filing a Notice of Completion within thirty (30) days. A copy of the Resolution of Acceptance and the Notice of Completion will be mailed to you. Per my letter of May 10, 1989, we are in receipt of your maintenance bond in the amount of $13,900.00 for subject property. Your subject time certificate of deposit is hereby released and returned. If you have any questions, please do not hesitate to contact me. Sincerely, . ~~ Carl)l~ M. Jocson Associate Civil Engineer cc: City Clerk G. Eaton P.W. Inspector enc: First Interstate Bank Time Certificate of Deposit No. 24834 87-153 CITY OF CAMPBELL Department of Public Works Project or Permit No. c? - 1/ _ /.....--' ..-/' PROJECT INSPECTOR'S DAILY REPORT CONTRACT IDENTIFICATION Name or Location ..- ,/ r., (,J ~/ / ,1//) , ! fC/ J!;; / Page of ,/'" . !~'1 f:t:.= ,l.//( -7' ~.. //~;!--/' " --/,L / ~!/./ ~-//)// ~- Date I /~.) .-~, , '-. {/ /'" /;,/,,"J /, ,J -; U /' (!', -/- :"~ !- / - ~r- / " :) / /" ~ 07 't; " // 1_0 ~:?Ff;:1 / t/h 1 1:/ /,~ I / I r cJ J- E t:. /'::~ 'E1,~,) -F /" - ,l.//, /_ -, L ",_"') I ;/ () c; / /'/~- I/.) />>':J/'/C :=: /;-~ L~ L / ,,C"; :/ J / ...; d_ rJ/O, <'"{' '/1 ;/ /j, / /1 :;- f _/'\ /'/ - ;' ~. ,"~,-"" I'~- :/ ~ l::- /; /'J "-( f, ",. . f :/ '//",' //r !-::///;l[(~ /-/// //<:',/,)// !-' ,5 I'" F- c c:"'~' I ,I [-, J p--,d ; V ~_ o ~ j-'O( /V 7 ~'.:Y t</ LI., l:;r-j X //)//>,1//-!;1 ..r: //-/- - /-- /6 /-/ -7 ,- 6,~ F_ r , N \ K. E L-ELj-:t::;, L~ P.o.13ox 34-21 S4NTA CLAeA.CA.1Sb~S ./ z...qCo-ora38 CITY ENGINEER PROJECT ENGINEER /4 ."-<__,_.~'" /---~/ ~q PROJECT INSPECTOR 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 !~~~Y' P~U.lS r)aCSO~J %~. ~,.. 'f' \ t~--~,-l'- ?-,-..:,.~_,.__' _ ' ,.i K nRIJG.ER .I.jtl' . ;'1j ~--,----_vCL t1"1- ~ i p~~_~YER 1 ------ -- --- Department: Public Works May 10, 1989 Mr. Iraj Etassam 1901 S. Bascom Ave., #1625 Campbell, CA 95008 SUBJECT: PERMIT NO. 87-153 586 HACIENDA AVENUE MAINTENANCE AMOUNT $13,900.00 Dear Sir: We have made another inspection of the work covered under the subject permit. All required public improvements are satisfactorily completed except the installation of the e1ectrolier. Please be aware that it is the City's policy not to release posted time certificate and cash deposits until all required public improvements are completed and accepted. In your case, however, since the only remaining work is the installation of the electrolier, we would accept those improvements that were completed and release your time certificate and cash deposit, less charges, provided you post a maintenance bond in the amount of $13,900 to cover the one-year maintenance period and a separate faithful performance cash bond in the amount of $2,000 to guarantee satisfactory completion of the electrolier work. This $2,000 deposit will be released upon acceptance of this work. You will be responsible for the maintenance, repair and/or replacement of all work done should any failures occur within one (1) year. If you have any questions regarding this matter, please do not hesitate to call me. Sincerely, Carlos M. Jocson Associate Civil Engineer GE/p cc: Jeff Bonakdar, ABC John Vossoughi, owner 87-153 Date ~41 Address 5"8G:. PUBLIC WORKS INSPECTION REPORT Permit or Project No. 81-/53" faB-L~B w. /-h4c:.-ir:.vvA ~pe of work: Street .....- Storm ___ Sanitary Other (describe) Electrical .........- n e.) Charges against deposit? . 0 N Overtime: hrs. @ $ /hr.- Date Ii reason: $ Barricade rental (attach invoice)? Y N Date Ii reason: $ Other? {ff~;0~(:=t;S ~~~~ IOJ20J89l , $ ZAoc>. 00 - s.,-/s 3 $ S1!;o. 00 ~ 88 -l88 'rotal charges deducted from deposit: $ 2 500 . lD 0 (Cash D~sit $ 2.72.4-.00 less charges $ 2S"()o,t9o - Refund $.lZ.4 .(;)0 ck. req.) ~ .;).,~~'f I'l0fA--g7./)3 t" ~r"'18~ R~u(., [JONE YEAR MAINTENANCE WITH DEFICIENCY LIST (attached) o ONE YEAR MAINTENANCE - ACCEPTANCE (Release'maintenance bond. Check Request if cash.) . ~~ gineer . 7/:-"6 U~r: 0;:- D€.f>o~ I ~ 1 M U,S r 8c ,4 CAsH C~ rime- cae;: l;>2j::)O~I" . ~ 131 '1 aa . ()O . We JI (L ~/OT /J.-r [l- //)J . , ~ Et..-EZ-nt.o L, Elf- /5 L~~t'.. /~ ~ ~ Inspector I2€pL-~~ W/TH I ~ THe; ,4-/7'7 fi)U~ I eJ;:: 4- x t:/.. ~ ~ c.4..#~ 88/88 UFbt iIteI.fa,. Bank ~,. \'j"~":''''''l~?'''''NO "nil,. ~ l I' > 1 cJ Time .certlflcat~ of..Deposit "}"';t{.,~: _ r:~ ,~,:'~ 24834: . ... ,. ,':. "'. '" ,.~ ......~,,~ . "'"""'" , Firat In......... a.nk 01 CallfornL. ' , . , "', r.. CEATlFEI THAT : ***JOHN.VOSSOUGHI ., ~ ..; :.,J.. . ~ u' :.':"~~_ ~'AT,.:.:'~t,--" ;,' - . ~ :uu OF o ~~:~~ ~. ',---, +~~~ '" ~ t:t ~,~/ . i. (~- I () tr2-- 7 n__~ ;r!{~~j:F) ..... ...7602/ .-<:& - IfN J. ~~#l ~ C~{ 9j/t7t?F d~~ ~~~ ~. (];:( a,e'f , ',--", "--'::- -- "-" A AMWEST SURETY INSURANCE COMPANY WOODLAND HILLS, CALIFORNIA BOND NO. PREMIUM 1179997 $300.00 MAINTENANCE BOND KNOW ALL MEN BY THESE PRESENTS, That we, John Vossoughi (hereinafter called Principal), as Principal, and AMWEST SURETY INSURANCE COMPANY, a corporation, organized and existing under the laws of the State of California and authorized to transact a general surety business in the State of California , (hereinafter called Surety), as Surety, are held and firmly bound unto City of Campbell (hereinafter called Obligee), in the sum of *****Thirteen Thousand Nine Hundred************** *************************************************** DOLLARS ($ 13,900.00 ), lawful money of the United States of America, to be paid to the said Obligee, or its successors or assigns, to the payment of which sum well and truly to be made, we do bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal entered into a contract with the said Obligee, dated for Improvements to 586 Hacienda Avenue Permit No. 87-153 and, WHEREAS, the Obligee requires that these presents be executed on or before the final completion and acceptance of said contract and WHEREAS said contract was completed and accepted on the May 1989 day of ,19_. NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the Principal shall remedy without cost to the Obligee, any defects which may develop during a period of One Year from the date of completion and acceptance of the work performed under the contract, caused by defective or inferior materials or workmanship, then this obligation shall be void; otherwise it shall be and remain in full force and effect. SIGNED, SEALED AND DATED THIS 23rd DAY OF May ,19~. A UN-A3014 7/88 John Vossoughi Principal By: ETY INSURANCE COMPANY Rochelle P. Woessner Attorney-in-Fact LIMITED POWER OF ATTORNEY (READ CAREFULLY) To be used only in conjunction with the bond specified herein, VOID IF NOT USED BY: JAN UARY 1, 1990 No Power of Attorney on this form shall be valid as to bonds, under- takings, recognizances or other written obligations in the nature thereof executed on or after said expiration date. POWER NUMBER E15579 BOND NUMBER 1179997 This Power of Attorney has been delivered in connection with the above bond number. /It AMWEST SURETY INSURANCE COMPANY P.O. BOX 4500, WOODLAND HILLS, CA 91365-4500 ... (818) 704-1111 NAME OF PRINCIPAL: John Vossoughi PENAL SUM $ 13,900.00 NAME OF OBLIGEE: City of Campbell This Power of Attorney may not be used in conjunction with any other power of attorney. This Power of Attorney is void if altered or erased, This document is printed on blue paper with black and red ink, This power of attorney bears a raised seal of AMWEST SURETY INSURANCE COMPANY. Only originals of this Power of Attorney are valid. No representations or warranties .regarding this Power of Attorney may be made by any person other than an authorized officer of AMWEST SURETY INSURANCE COMPANY, and must be in writing. Questions or inquiries regarding this Power of Attorney must be addressed to AMWEST SURETY INSURANCE COMPANY at the address and telephone number set forth at the top of this Power of Attorney, Attention: Underwriting Department. This Power of Attorney shall be governed by the laws of the State of California. Any power of attorney used in connection with any bond issued by AMWEST SURETY INSURANCE COMPANY on or after February 21,1989 must be on Amwest Form UN-A1007 (REV, 2/89), All other previous power of attorney forms issued by AMWEST SURETY INSURANCE COMPANY have been revoked and are of no further force or effect, KNOW ALL MEN BY THESE PR.ESENTS, that AMWESTSURETY INSURANCE COMPANY, A CALIFORNIA CORPORATION, (the "Company"), does hereby make, constitute and appoint ROCHELLE P. WOESSNER AS EMPLOYEE OF AM WEST SURETY INSURANCE COMPANY its true and lawful Attorney(s)-in-Fact, with limited power and authority for and on behalf of the Company as surety, to execute and deliver and affix the seal of the Company thereto if a seal is required, bonds. undertakings. recognizances or other written obligations in the nature thereof. as follows: Bid Bonds to $250.000; License, Permit & Miscellaneous Bonds to $25,000; Contract. Court & Subdivision Bonds to 5250.000. and to bind AMWEST .SURETY INSURANCE COMPANY thereby. This appointment is made under and by authority of the following provisions of the By-Laws of the Company, which are now in full force and effect: Article III, Section 7 of the By-Laws of AMWEST SURETY INSURANCE COMPANY This Power of Attorney is signed and sealed by facsimile under and by the authority of the followina l'AMlutinn. AtlI'\ntAA .... '''ft "M_" -, .".- .-. u AUWC~T ~llnr''''U .........-....-- ------ .--. Date ~~$1 Address ~~ PUBLIC WORKS INSPECTION REPORT ~ Permit or Project No. . 87-/53 / 88/c/ E.J I i",/ L;I;c /E;,..J.DA '----172_ ~0 7?:.> ' Type of work: Street ~ Storm ~ Sanitary l-------tlectrical ___ Other (describe) o PRELIMINARY INSPECTION WITH DEFICIENCY LIST (attached) o FINAL INSPECTION WITH DEFICIENCY LIST (attached) ~AL INSPECTION - ACCEPTANCE Signed planli? ~ N (If signed. Council acceptance.) Charges against deposit? - 0 Overtime I hrs. @ $ Date , reason: N /hr. - $ _ ? ALeeH'J ~ ~DuC-T€l~ Barricade rental (attach invoice)? ~ Date , reason: N $ Other? $ $ Total charges deduct~ from deposit z ,',,' ", t) ( ) $ (Cash Deposit SZ2ZY CC less charges $ 2'(J[j) - Refund $ 2.2~c~' ck. req.) /U--<- ) ~ C;4 4: j C: / L'-1 (C{ 7 [JONE YEAR MAINTENANCE WITH DEFICIENCY LIST (attAched) o ONE YEAR MAINTENANCE - ACCEPTANCE (Release'maintenAnce bond. Check Request if cash.) Engineer Iel "'t ~ /' . ,'"I. ,/) ---' r,/I /~ it /9/.11 · ~I ftL feo h(,k. ,;f ,/bu2i.f g/~ ( ;r.cr:5 c IJ<.cr ,) -h>\c {.I ,/P (' ,: j :- CITY OF CAMPBELL 70 NORTH FIRST STREET '-" CAMPBELL, CALIFORNIA 95008 (408) 866-2100 . Depanment: Public Works September 13, 1988 First Amer~~an Construction 960 Saratoga Ave. Suite 207 San Jose, Ca. 95129 Attn: Ron Brunner Ro: Trench restoration - 586 Hacienda/Permit No. 87-153/Tract No. 8073 Dear Hr. Brunner: , '-~ This letter is a follow up to our phone conversation today to which I notified you that per my letter of August 25, 1988, the City of Campbell is going to remedy the situation at the above address as the September 9th deadline has passed. You notified me at that time that this was the only remedy as the job has been shut down indefinately by the developer. The City of Campbell has directed a local contractor to make the repairs outlined in item number one of my letter dated August 25, 1988. The cost will be $2500.00 and will be deducted from the cash deposits from our Permits numbers 87-153 and 88-188. If you should have any questions or require additional information please call this office. . .. . . I ; : I. . , ,It ~napector I. ';, I cc: Bill H~\ms ,:Englneering Kana~or , : . B1ll Sel1gma~, C~t~. Attqrney. J'~. '~:.. .';' ..... :' /" .", .. ."'; J"CHN. \J1~C\,4.ClItri" . Oi:\i,I.IA, 'ETT1i:S~A~' ." . .... . I . ~ ' j "'1 I . f .... ,.' .; 'j" ,I " I I . " I.' 41 . ~ I" ,I I I I! ~ ' ,., '. " i ...~ " ..', ....'.....:.. ....::!!. \',. \, 1":-"'1':' ".~, ,\J,' II; I L' j'l I. ::11 I ~:'" '. .' '.' ,.." '... ~"." l, II (. ,"" I". ,I, I I' ',.. ,,:' I I ,n. :.. ; '.:. I I' ;,. ~. .... (" ! ~ i: . .:..: . I I'! . "" "1: ",:: '. . ~::;~~~V.';...5i.';..~,}~L:J~~:4;{;.L.;.,::. .... ';",~,:",,:.~~;.;,,:'"':''' .'; ::. !..::'" ;'.' . '. '~~'i'r~ ;<> ,~> 'L;l:-"~ ". ...- . ';'.~'~. ....... '.:. ..'i';,~'.".:.ri:":~~~:" ..'. -.'(~' , . .,..... .': 'I:, ';. ,..: ... .... J:'I.'.. .<.' .;.' '1,:.,1 : ". I' 'II . , "<' I:; ;: '~";-" ~:> ~,:: ;,::~'~'~~'::r!/W< :': .':.~":;",, Cl ~. .' '. " .. ..' " ,'. ". . "1.,... : ,. "'-'.J 2 3 7 . '.;: .' /" " 1\.' . iIlACTIIPRiIlllHQ co. .li,,""'VIIl.i, CII 14 III aal...., ---...............-..........'r .....,-__ .. __,,___ "M'''_._'_ _____ _...__._._ .._._ ...:._ _ . ___~ d' " ",' ,.....;. PURCHASE ORDER VENDOR ';~i!;~!t(:'~~,~. ''''. .. . '.... " 0/ Cqmpbell . .... , '. 70 N. FIRST STREET CAMPBELL. CALIFORNIA 85008 (408) 866.2100 ': t', . To . "Norman B. Houge, Inc. 0780 Un Ion Avenue Campbe.J 1, CA 95008 ." .0' ~ CITY Of CAMPIW.L Jll,UlRITlT, ~CAI.If,"" fI DltTl . MlClOUIIT NO. 9/13/88 905.4662 :"', .. I' . , j. I, .:t ~.,:! '..' ...(. t. ......' :.' " , , IlII'MT"'T . ~ .' Public' Works ~ ,..'.. '::~...~.(" tilt: " . 9/13/88 ( 1 1 L.S. Remove existin avement and install 2500.00 2500.00 \ 3" of hot'mix as halt in Ion itudinal and , lateral sanita sewer trench at 586 W. Hacienda SOURCE OF FUNDS: .. ,l nn t No 88-188 . .. ame - First American Const. ." .' o John Vossou hi & David Etessam ~. , AI-L INVOICES ARE TO BE ADDRESSED TO ';. CITY OF CAMPBEll. FINANCE DEPARTMENT 70 N. FIRST ST" CAMPBEll, CA 95008 d Co' dlllonaSlllled B low;'.::>j1i . ",." ': ~:"'NOT . . TEAMS AND CONDITIO~S ~PECIFICATIONS . An'l lpicillcatlon. and/ol drllWlngl "IOI,1d 10 and/OI Itlach8d lIIIelo .,. ...11I'1 ffiaael part IIIlhi. pwch... OIdOl, t:HANQES . No c:hanl/tl. 01 vllll;aliol\ll 01 an~ kina .,1 Ilulho'izld WllhClul lhe mUIlIIl c:onMnlol UIe Pun,hllllnll Alieni. :lELlIIE13Y' Pl.... nolll~ UIlI Cjl~ prompllr II cIellv.,., CIIMIlI be midi on 01 belol. N cla&. ~iecl. The CUll '.....n. Ih. lioht 10 IOancal anv 01 aU llama no' "" :-::.. :.;:,;,. Tax f'\lACHIISiHQ lIQiNT .,,/,,."!-..:....... '\ '.i'\:; : ~~4\~'''.Tot., (~ .... ,I,. '(~ 2500.00 PAftKAGING . No bolling, p.clLIng 01 Catl.ge c:hIIgI wW be allowed unIe.. aulhoflad 011 Older. _9/TY OF CAMPBELL - COUNCIL REPORT '. Meeting Date: July 5, 1989 Category: CONSENT CALENDAR Item # 4 Initiating Dept: Public Works Title: Resolution-accepting street improvements at 586 Hacienda Avenue RECOMMENDATION: That the City Council adopt a resolution accepting street improvements at 586 Hacienda Avenue and ordering a Notice of Completion to be filed. DISCUSSION: On January 20, 1987, the City Council adopted Ordinance No, 1629 approving a planned development permit, plans, elevations, development schedule, and conditions of approval to allow construction of seven (7) townhomes on property known as 586 Hacienda Avenue in a PD (Planned Development/low- medium Density Residential) Zoning District, The conditions of the approval for the planned development included dedication of additional right of way and construction of public street improvements. On AprilS, 1988 the City Council adopted Resolution No, 7520 approving final map of Tract No. 8073, accepting the dedication offered thereon and authorizing the Mayor to execute the agreement for street improvements. Permit No. 87-153 was issued on November 4, 1987 to allow construction of the street improvements consisting of asphalt concrete overlay and construction of curb, gutter and sidewalk. The work has been satisfactorily completed in conformance with City Standards. It is appropriate for the City Council to accept those improvements at this time and order a Notice of Completion to be filed. COST: $00.00 88-247.6 Approved by Department Head Approved by City Manager RESOLUTION NO. BEING A RESOLUTION ACCEPTING IMPROVEMENTS IN 586 HACIENDA AVENUE WHEREAS, the City Council has been advised by the City Engineer that public improvements in 586 Hacienda Avenue have been completed in accordance with City standards; and WHEREAS, the City Engineer recommends acceptance of the improvements; NOW, THEREFORE, BE IT RESOLVED by the City Council that public improvements be, and the same are hereby accepted, and that the City Engineer is hereby ordered to record a Notice of Completion of said improvements. PASSED AND ADOPTED this following vote: day of , 1989, by the AYES: Councilmembers: NOES: Councilmembers: ABSENT: Councilmembers: APPROVED: Mayor ATTEST: Deputy City Clerk 88-247.5 LOJ ~b":~ a~= !~~I-:~l., -/ ~ - I-- Q - I-- f-- , i-- i"\. I-- L ..,. ....... [L ~ILL.. T V L -I-- ; i-- I-- _ .~ ~ I- ;- ~r-... . _ - ~ .~ I ~ I-- ~ CI ~ -"'-':'f-~ I >~ i-- L.. = ~ _1/ . 1--/ -C"'-- ; '" .. · 0 ~.. . - ,~-, "\!~; \- --:- : 7'1;.... · - "'I-- ,., . .: _0.- ~ I II-- I- 1~ j! EHfB t- -j 1 I D, ".. .. 'r ... ...:... ~~ rlRl .;:; ., r oIJl9J ! \\ CD !1- i- '1 J~ 1LJ.r\LI1 > ~ ~r I~~~ l11Jt @Gll1 F. It..... .fIIa7'l ". , 'O~ .1Jr.:lh1 I .. . , ~ r;;;J:~1 "'.Au ~ HACll DA '/ I ":)fl€:/ I'~ ., '--' ~ .... , . ''\. ". L-'~ j~ ]. r-t "I-- ~ .... .... lmdl~ I~ . .. , I, , -=.~ ~ ~m\ - - rd3' · ~ ~K--1~J'B!. I I --: :r--r- " I - \ ' l~ I \~ \'"1 \ f-- - r-- .i- II.. I. )u: .. , - '" .. ..::- , ::- 0, ~ ~ ~ ,.;;.!.!.; - ~- i p- I-- W .-- ,\ - - - - "t ~ ~ i III I ., '1 -- I , . ~ .,/ J 7 AVF JlC,~~iL~. I .'" ~i J f.\-.~ tl> ~ ~ 1.4.1 L.. <c ~ I- ~7 rTlI h_...~ .5 BG \N, H.&- c.. I a..1'-oJ O.c::.- T~A.c..-r- 9073 FbL-........t::::.RD .:3C) ~..v(t\... 'q7'r- 11~1/K7 ~~ I 'I I I I I o .... '... 'j ..../ ~F ~ ".1 - ~I w. .. '-'./ -'J, , r tfl..~, \. ..J. II' , l il of. .,. D.. -,3 REFUNDABLE DEPOSIT CHECK REQUEST TO: FINANCE DIRECTOR CITY OF CAMPBELL Please jssue check payable to: JOHN VOSSOUGHI Line 2: 1901 S. BASCOM AVENUE #1625 (30 spaces) (30 spaces) (30 spaces) State: CA Zip: 95008 (2) (10 spaces) Address: Line 1: DAVID ETESSAM City : CAMPBELL (20 spaces) Description: 87-153 CASH DEP. REFUND (24 spaces) Exact Amount Payable: $224.00 Account Number: 905.4662 PURPOSE: RELEASE OF BALANCE OF CASH DEPOSIT FOR EXCAVATION PERMIT 87-153. SEE RECEIPT NO. 15694 DATED 10/29/87. ORIGINAL DEPOSIT $2,224.00, reduced by $2000.00 paid to N. B. Houge on P. O. 9-398 Requested by: G. EATON Title:P, W. INSPECTOR Date: 6/9/89 Approved by: D. WIMBERLY Title :DIR. OF PUBLIC WKS Date: Verified by: Accounts Receivable Date: SPECIAL INSTRUCTIONS FOR HANDLING CHECK: Mail as is X Mail in attached envelope Return to: (Department) (Name) Other: 08/24/88 At~t.ln.~ ?~;T" N-o. 87'-155 ; CERT '\ CAn: OFiNS9~~~;Lci ; ~':'3', ""~. ';;"~ ~~. ;M~;;'~' \ Atlantic-Pacific Insu'rallce Brokers Inc./Lords Box 6058 San Jose, Ca 95150 408-559-4140 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW I I I I I I COMPANIES AFFORDING COVERAGI Eel I V I D fairmont : JUL 05 19 9 ! I Public Workl/Engln "'I~i ~ROOUCER COMPANY A LETTER CODe SUB..CODE INSURED ~~:r~~NY B Firemans of WaShington RTV Referral Network Inc. Dba: Telesis Company Dba: Emami/Wu Development 19601 McKean Rd. San Jose, Ca 95120 f~~~NY C Co. COMPANY 0 LETTER \ ..:.,'~ f~:r~~NY E COVERAGES ! " i<i\~"'?"'~":'~"'"" ",;'i""i;~; ., THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .-..-- .-... W .-...----.----.--r'.-.------...--.--.---.--.. ,-'-'- . ..- --'-' '''---'---''-'r::'- .--.--....-..-- ..---.'.------..--..--..--.-.- '. co TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS '- TR . ...1___ OAT! IMMIDDIYY) DATE (MMIDDIYY) .~_ --... I GENERAL LIABILITY 1 I! iGENERAL AGGREGATE : s1 ,000 ....~ COMMERCIAL GEN~~A~ABILlTY I I I: PRODUCTS.COMPIOPS AGGREGAT~ S1, 000 B t.! J CLAIMS MAD~ _ J OCCURj F89CF00054 11-12-89 1-12-90 lPERS()NAL& ADVERTISING INJURY S1, 000 : i OWNER'S & CONTRACTOR'S PROT! I ! EACH OCCURRENCE 1 s1 ,000 ~. . , . __ 'Od O.___.d . d" I r'F1RE DAMA(lE (Anyone fire) i 'none. I . MEDICAL EXPENSE (Anyone person) 'none T"----------..- ...---.--~...,..--...--_. ~ r COMBINED i SINGLE i S LIMIT ' BODfL Y i INJURY S (Per person) I 'BODIL y' --r'-' INJURY I S ! (Per eccldenl) [ -;~OPER~Y I-S' !~~.~.I:_J,. AUTOMOBILE LIABILITY , ANY AUTO I _ ._.. J ALL OWNED AUTOS : SCHEDULED AUTOS --- "; HIRED AUTOS _ _.J ll~A u. :b0i<li GARAGE LIABILITY ~.t""OIIIfOAlA,;,~-...c. II r:f~~ ll"r:~'~ · ~"a ' j v~lh"..~14a.~,~v 'I FlJ:~/.",oq*lTl" .1 EFrECTl\/!: .7 ~ r 'REASOfi "_n. ..._n_.n_..m._..__... : NON-OWNED AUTOS ! M I_M M I \: EACH I . .': OCCURRENCE' ,) s I s AGGREGATE EXCESS LIABILITY A STATUTORY R113312 R113312 :2-26-88 12-26-89 I 2-26-89 ! 2-26-90 s i.1 ,000_ I .S:l,OOO. I S 11 ,000 __ (EACH ACCIDENT) (DISEASE-POLICY LIMIT) (DISEASE-EACH EMPLOYE I OTHER < r n. .-- --.-,...- DESCRIPTION OF OPERA TlONS/LOCA TIONSNEHICLES/RESTRICTIONSISPECIAL ITEMS : CEf.':r)F~C" TEJJO~~ER'.'~'~ City of Campbell Attn: Cruz S. Gomez 70 NOrth First St. Campbell, Ca 9A008 I.. ;;,<,; '\CANCELLATION "!i':{;,f(i(:,"';l," : " .', t '. !. .-, . ., . .. . . . . t.... ,t -, ", .' ~ . ;to '" "... ;. " . ~! SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE i i EXPIRABON DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO " MAIL L DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE ,/ ,I LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON HE COMPANY, ITS AGENTS OR REPRESENTATIVES. ...:.....,;. ~D" ')1""" "'. ,..,..,;.,,:'~,~'.~~'f'''''~,7;'' ....~;~:::,'.: ~:. \ AUTHORIZED REPREr;JVE i . .-...) ";.riJ ,~no'1" . ~ ~ - V~_- .:.,'.'''';..1.....'''......'''.'' . "'If:!.t . ._C',".,;" ..,......,_..~...~" ~\J:o...:.t..,...~.~...J. a..-~..,s.:~.....r....;_IiJ.......:..:... :..'_~_: '.. .. CACOR!) CO~POnA liON '1 ell H ~ H Q) 4.l 4.l Q) r-l Ul ~ l-l o ::: () ..-j r-l .g p.. lH o Q) () s:: III ~ Ul . Ul 4.l ..-j 'g l-l H ") Q) I~ 't1 tfl Q) s:: l-l ..-j ..-j 't1 r-l ..-j Q) ~ ~1Il PUBLIC WORKS PERMIT ISSUANCE CHECK LIST Public Works Permit No.ei- \ ~ ~~to ~~leUf~ "'T"rz.... be; I~ 'POLL~\4iIIot::>~O City of Campbell Q) 4.l III ..-j 4.l ..-j s:: ..-j V Applicant V' Applicant signature and date section complete ~ Permit Application fee, $35.00 for R-I, $50.00 for standard, paid. Receipt number '~~9 0 o . 4.l.!< () 't1 Q) Q)..c: H () ..-j ~ s:: III Q)r-l p:; ~ Plan check deposit, $500.00 for standard only, paid. Receipt number fo4()ue f2..€~rz-et.:> ~Five sets of improvement plans submitted ---"-------------------------------------------------------------------- v Bond for faithful performance, 100% of. City Engineer's estimate for standard o~, posted and appropriately noted Amount $"5.~f~J-Form Tl(~a'2Jf" 1.D. # -z......4-~~4- ~ Cash Deposit: $200.00 for R-I; 4% of FP bond, $500 min. for standard, posted. Amount $ "Z--z..-"L.4-~ Receipt No. 1~,=q4- V Permit fee of 7% of FP bond, $35.00 min., paid. Amount $~~-z....~ Receipt No. ~ ~~i4- ~ Worker's compensation information received for Applicant (see Information Sheet for Public Works Permits) / e:>l'-- L~2- 1 P. c-~ ~~~, v Land development requirements met (see separate letter from land development section) --------------------------------------------------------------------------- ~Worker's comp and Contractor's Information received for Contractor (see Information Sheet for Public Works Permits) ~Certificate of Insurance with Additional Insured's Endorsment received from Contractor (see General Summary of Insurance Requirements for Public Works Permits) vi' Three sets of off-site plans, stamped APPROVED (Tract or Development and Public Works Permit number and property address on plans) / Permit signed for City Engineer WHEN ALL OF THE ABOVE ITEMS ARE COMPLETE, PERMIT MAY BE ISSUED Issuer: Initial ~ and date ~- -z..l-~~ and file with permit UPON ISSUANCE, INITIATE PLAN CHECK DEPOSIT REFUND CHECK REQUEST. 4/88 f/permchklst Permit No. g1-IS3 ~B~HI4"~/eNlJA Tract No. or Address IMPROVE!~ENT PLAN CHECK LIST DEVELOPrlENTS CHECKED: ITEH: S"- ~~- ~~~ 1 ) Permit number and prop- erty address on plan? ~//?} cm!l1ENTS: Si te review completed? / r,l j -"1 c.ry /1 i.. Applicable standard notes *1 ..~"~;,I;.~! t c.,/I.~;;; ,.<:''''.. c" ,.I G;;: /'~:.,<-.) (.":,' L"L.. .. l)/D A Nl/ 2) <-; .:2::?~'6 3) S-<.'::;-<t>'~, 4) Engineer's stamp, Signa- ture and Expiration Date <;-~-~'6 5) Conformance with City standard specifications and details ~- Z:::y~~ 6) Street geometries ~-~~-~ 7) Street grading plan con- fornity with overall street grades and/or official grading plan <;'-2,<:;- bb 8) Approved roadvlay structural section c;;- -z..'.~ --~~, 9) Street lighting requirements <:;;.' - '-2,;;;:- - <f!,~ 10) Storm sewer design ~-i...~'-, ~~~~ 11) All relevant conditions of approval have been met 12) Traffic review 13) Service Center review (.....' /' 14 ?c' 14//'/' 1/ "-i~ ~ /1"2/..1 7 I /'0 ". " /' () ..A?//1 iC./El...l/3 ;f I r"l I s- -r'N'~ tf /-z9/ h Plan check cO::lpleted by Gr-::..r.:- C;--L...'-~:;/ts Recornmeded for approval Send originals for signing Bill M. Helms Date Engineering Hanager Donald C. Wimberly Date n;YD~Tnr of Public ~orks Permi t No. cJ -7 / !S- '3 Applicant INFORMATION SHEET FOR PUBLIC WORKS PERMITS A seI.Hate form must be completed for the applicant and each contractor that will work under this permit. CONTRACTORS INFORMATION Note that all contractors must have current City of Campbell Business License, State Contractor's License and Workers' Compensation Insurance. Brunner Smith Inc., d/b/a Name of Contractor First American Construction Telephone 408-246-2611 Address 960 Saratoga Avenue San Jose, CA 95129 State Contractor License No. 495064 City Business License No. < ~L3/ ~- ~ill do the following types of work: _____underground P.C. concrete A.C. paving electrical _____other (specify) WORKERS' COHPENSATION INFORMATION City Council policy requires the following information be submitted by the applicant and any contractors prior to the issuance of a permit. Name of (Applicant) or (Contractor) Rrunnp.r Smith Tnr., d/b/a FirRt Amp.riran c'nnRtruction One of the following must be on file with the Public Works or Building Department (indicate one) : Certificate of consent to self-insure issued by the Director of Industrial Relations; or Certificate of Workers' Compensation Insurance Insurance Co. Employee Benefits Insurance eOlicy No. 28-46-78 Expiration Date March 31, 1988 ; or Certificate of Exemption from the workers' compensation laws (sign certificate below). CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' compensati~L:WS-:f California. Slgned~~5___ - Ronald A. Brunner, Vice Pres. Date 10/29/87 'NOTICE TO APPLICANT; If, after making this Certificate of Exemption, you should >ecome subject to the Workers' Compensation provision of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. \' f:Continfo 'il'l{(..','- V\\' Rev. 4/87 Page of Permit No. cr 1- /) J Applicant INFORMATION SHEET FOR PUBLIC WORKS PERMITS A separate form must be completed for the applicant and each contractor that will work under this permit. CONTRACTORS INFORMATION Note that all contractors must have current City of Campbell Business License, State Contractor's License and Workers' Compensation Insurance. Telephone Name of Contractor Address City Business License No. State Contractor License No. Will do the following types of work: _____underground P.C. concrete A.C. paving electrical _____other (specify) WORKERS' COMPENSATION INFORMATION City Council policy requires the following information be submitted by the applicant and any contractors prior to the issuance of a permit. J/t{ / G~.h/5;;{~/[lLl with thf Public Works or Building Name of (Applicant) or (Contractor) One of the following must be on file (indicate one) : Department Certificate of consent to self-insure issued by the Director of Industrial Relations; or Certificate of Workers' Insurance Co. Expiration Date Compensation Insurance Policy No. or ~ Certificate of Exemption from the workers' compensation laws (sign certificate below). CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Cal~fornia ~J>/ ~y::/ Signed %f}~;;3 /~jt~~~~ '/ .-/ ~OTICE TO APPLICANT; If, after making this Certificate of Exemption, you should oecome subject to the Workers' Compensation provision of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Date ~/ f:Continfo ,~~ Rev. 4/87 Page _____of CONSTRUCTION COST ESTIMATE FOR PERMIT NO.1J7-1S? BY/Date2JR~o-IY-.f7 ", Name & Address ..5ri6h't4C/eA/~~ Ave,/;/Oc .. Surface Construction Clearing and Grubbing Lump Sum Estilll4te . $ ~OO Sawcut Concrete L.F. @ $ 4.00 . $ Concrete Removal S.F. @ 3.00 . $ Curb & Gutter Removal --- t.F. @ 5.00 . $ Inlot Drain with Pipe EA. @ 500.00 . $ Curb and Gutter 130 L.F. @ 15.00 . $ Sidewalk 'i/~ S.F. @ 3.50 . $ Driveway Approach 278 S.F. @ 5.50 . $ Handicap Ramp EA. @ 1000.00 . $ Extruded Curb L.F. @ 6.00 _ $ Barricade L.F. @ 50.00 _ $ Street Excavation (.51/0 S.F. )X($0.15)x(/2-") - $ ~ 32<1.00 A.C. Pavement (/fl.? 3> S.F. )x($0.45)x(.!.l:.") - "$~~ t>7S~CJ Adjust Manhole to Grade / EA. @ 300.00 . $ 300.5b Adjust Handhole to Grade L EA. @ 200.00 _ $ 4a:;:>.OO Monument Box w Monument EA. @ 500.00 _ $ Street Tree (15 gallon) ~ EA. @ 200.00 _ $ Pavement Striping ($100 min) 12-' L.F.@ 0.65 _ $ Pavement Legends ($100 min) --- EA. @ 40.00 . $ Stop.Street Name or Other Sign --- EA. @ 120.00 _ $ Pavement Markers ~ EA. @ 15.00 - $ .9c:;.oo Pavement Key Cut 2-2-0 L.F.@ 8.00 - $ I. 7foD. (f{) (j/rG?I2~47 (iZ73SF>>'$lS))((I.S") - $..2%f/.39 - $ Surface Subtotal "S" - $ 51. 702. f9 Adjust. for size: S~ $30.000 ~dd 20%. S. $100.000 subtract 10% Street Lighting Electrol1er Conduit ~EA' @3000.00 L.F.@ 12.00 , L.F.@ 4.00 EA. @ 200.00 Conductor. pair Pull Box Storm Drainage 12" or 15" RCP dS L.F.@ 60.00 18" or 21" RCP - L.F.@ 65.00 Street Inlet I EA. @ 1800.00 Manhole EA. @ 2000.00 Break and Enter Manhole / EA. @ 600.00 TOTAL ESTIMATE USE FOR BOND Revised 6/85 ~C;\(),01J 'G- ro,so 1. t)J..CJ. ~() , - ~oo. 00 loo,tYV -$~ - $ - $ - $ , . $' $ $ · $ ~ SOO. (.T() . $ - $ /1~OI)N/O - $ - $ bo 0-0 - $ ?~ C:,~Z ..rf1 10-29-87 Alexamer & Alexarrler P. o. Box 5700 San Jose, CA 95150 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE First American Construction P. O. Box 9363 San Jose, CA 95157 COMPANY A LETTER COMPANY B LETTER COMPANY C LETTER COMPANY D LETTER COMPANY E LETTER EBl INSURED THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA TED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI. TIONS OF SUCH POLICIES. TYPE OF INSURANCE POLICY NUMBER POLICY EffECTIVE POLICY EXPIRATION LIABILITY LIMITS IN THOUSANDS DATE 'MMlDDIYY) DATE iMMiDDIYY) EACH AGGREGATE OCCURRENCE BODILY INJURY $ $ PROPERTY DAMAGE $ $ BI & PO $ $ COMBINED PERSONAL INJURY $ BODilY INJURY $ (Pl:R Pl:RSONI BOCllY INJURY $ (Pl:R ACClDENTI PROPERTY DAMAGE $ BI & PO COMBINED $ 81 & PO $ $ COMBINED 4-15-87 $ ~ACH ACCIDENT) 3-31-88 $ ISEASE-POLlCY LIMIT) $ DISEASE-EACH EMPLOYEE) GENERAL LIABILITY COMPREHENSIVE FORM PREMISES/OPERATIONS UNDERGROUND EXPLOSION & COLLAPSE HAZARD PRODUCTS/COMPLETED OPERATIONS CONTRACTUAL INDEPENDENT CONTRACTORS BROAD FORM PROPERTY DAMAGE PERSONAL INJURY AUTOMOBILE LIABILITY ANY AUTO AlL OWNED AUTOS (PRIV PASS.) AlL OWNED AUTOS (OTHER THAN) PRIV. PASS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY 28-46-78 OTHER DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLES/SPECIAL ITEMS Project: 586 Hacienda Ave., Campbell, CA I . TRUCK INSURANCE EXCHANGE INTERIM CERTIFICATE AS TO EVIDENCE OF INSURANCE . TH..c IS NOT Alii INSURANCE POLICY. THIS IS ONLY A VERIFICATION OF INSURANCE. IT DOES NOT IN ANY WAY AMEND. EXTEND OR ALTER THE COVERAGE PROVIDED BY THE POLICIES LISTED BELOW. Named Insured . Address . BRUNNER/SMITH INC. 1ST. AMERICAN CONSTRUCTION P.O. BOX 9363 SAN JOSE, CALIF. 95129 CO. 5577 46 87 95 18 307 Policy No, -Workmen's or Worker's CompensatIon Agent Policy No. .Other Cov This is to certify that policies for the above named insured are in force as follows: This Interim Certificate As To Evidence of Insurance shall expire thirty days from 11: 00 AM., MAY 18, , 19-1li3, unless cancelled prior to such date by wrillen notice to the named insured. COVERAGE COMBINED LIMITS OF LIABILITY COVERED NOT AUTO COVERED LIABILITY [X] 0 Owned Bodily Injury $ ,000 each person IKl 0 Hired $ ,000 each occurrence IKl 0 Non-Owned Property Damage $ ,000 each occurrence IZJ 0 Employer's Non-Ownership Contingent liability Single limit liability for Coverages checked \XI above $ 1,000 ,000 each occurrence GENERAL LIABILITY $ M&C - OlT Bodily Injury ,000 each person . . { Own." & Conlmc'm' $ ,000 each occurrence ~ 0 Contractual. $ 000 annual aggregate Elevators $ , products... Property Damage ,000 each occurrence ~ 0 Products and / or $ 000 annual aggregate Completed Operations ' products.. . Single Limit liability for Coverages checked \XI above $ 1,000 ,000 each occurrence $ 1,000 000 annual aggregate , products. . . 0 lZJ CARGO $ ,000 each vehicle $ ,000 each occurrence 0 m WORKERS' Statutory COMPENSATION . Includes Goods or Products Warrant Written lease of Premises Easement A reement Munici al Ordinance y, ,g, p Agreement, Sidetrack Agreement, Elevator or Escalator Maintenance Agreement only, unless accompanied by specific endorsement providing additional Contractual Coverage. / OWNED I AUTO- r MOBilES, { IF ) COVERED ~ DeSCribed below O De')((lplIOn waived YEAR, MAKE, TYPE OF BODY, LOAD CAPACITY IDENTIFICATION NUMBER 1981 TOYOTA P/U JT4RN48D2B0002438 LAST 3 DIGITS SHOWN Umbrella liability $ $ $ ,000 retained limit each occurrence aggregate POLICY NUMBER If this Interim Certificate As To Evidence Of Insurance is to be cancelled prior to the expiration date, we shall provide 15 days advance notice in writing to whom this certificate is issued. Certificate issue~ to: CITY OF CAMPBELL 70 NORTH FIRST STREET CAMPBELL, CALIF. 95008 PROJECT ADDRESS; 586 HACIENDA AVE. / S~_t-1~, CALIJ?;,/ ~dar:.(~~ .. Not Appllcoble In Texos. _I ... In Texas the aggregate also applies to owners and contractors protective, contractual and/or completed operations. Name And Address ~ 56.05148-85 1901 200/ST PRINTED IN U.SA POLICY NUMBER: 5577 46 87 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART, SCHEDULE Name of Person or Organization: City of Campbell and its respective officers, agents and employees (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you, The City of Campbell and its respective officers, agents and employees are named as additional insureds from and against any claims, loss liability, cost or expense arising out of or in any way connected with the construction of the project. This coverage shall be primary and any coverage carried by additional insured shall be excess insurance only. CG 20 10 11 85 Copyright, Ins~rance ~ervices Office. Inc" 1984 o CITY OF CAMPBELL MEMORANDUM To: City Clerk Date: July 17, 1989 ',:,C'\RD~=J_ From: Cruz S. Gomez L:..-> &.,. Assistant Civil Engineer Subject: NOTICE OF COMPLETION, TRACT NO. 8073 K~UG~~ 586 W. HACIENDA --------------------------------------------~~~~-- Ji;~~ vU/1h ~n;53 Please record the attached Notice of Completion dated July 12, 1989, and please send us a copy of the recorded document when you receive it. Thank you for your cooperation. f:tr-8073 NOTICE OF COMPLETION NOTICE is hereby given that City of Campbell as Owner and Donald C. Wimberly the undersigned, as City Engineer caused street improvements to be constructed upon the property hereinafter described. That the work on said street improvements was actually accepted on the 5th day of July, 1989. That the name of the Subdivider for said Owner is Dariush Estessam and John Vossoughi, a general partnership. That the nature of title of said City to said street improvements is that of Owner in fee simple, and the names and addresses of all Owners of said property are: City of Campbell 70 North First Street Campbell, CA 95008 That the property herein referred to and on which said street improvements are located is situated in the City of Campbell, County of Santa Clara, State of California and described as follows: Improvements installed in Tract No. 8073, Hacienda Villas and having the following address: 586 W. Hacienda Ave., Campbell, CA 95008. Dated: July 12, 1989 C.i ty Engineer STATE OF CALIFORNIA SSe COUNTY OF SANTA CLARA I, Donald C. Wimberly, being duly sworn, says: That I am the City Engineer for said City of Campbell, the Owner of the property described in the foregoing Notice; that I have read the foregoing Notice, and know the contents thereof; and the facts therein stated are true of my own knowledge. Do ld C. Wimberly City Engineer Subscribed and sworn to before me this 12th day of July, 1989 {J1l~ m. Gu.v Notary Public in and for said County of Santa Clara, State of California 87-153 OFFICIAL SEAL CHARLENE M. CASE Notary Publlc-callfomla SANTA CLARA COUNTY Ny Comm. Exp. Oct. 12. 1991 RESOLUTION NO. 7782 BEING A RESOLUTION ACCEPTING IMPROVEMENTS IN 586 HACIENDA AVENUE WHEREAS, the City Council has been advised by the City Engineer that public improvements in 586 Hacienda Avenue have been completed in accordance with City standards; and WHEREAS, the City Engineer recommends acceptance of the improvements; NOW, THEREFORE, BE IT RESOLVED by the City Council that public improvements be, and the same are hereby accepted, and that the City Engineer is hereby ordered to record a Notice of Completion of said improvements. PASSED AND ADOPTED this following vote: 5th day of July . 1989, by the AYES: Councilmembers: KOTOWSKI, ASHWORTH, CONANT, BURR, WATSON NOES: Councilmembers: NONE ABSENT: Councilmembers: NONE APPROVED: Q ~-<,/ 2::;;:. ~anette Watson, Mayor THF Fcqr:~O!',tG r~./~TPI ,~,'r:''''''' 's ". TOUr: A"~;'l CORRECT CC'PY 0;:: TdE ORIGINAL ON FILE IN THIS OFFICE. 88-247.5 ~I .....~ i-- · ! c';- ~i-V:-- a .. LCD t 'I ~ - ~ .... - . ,,1- }-( 1~~~_ r--I / I- ~ ..., 1--1/ ~ roo-- ~ ~!'ill--'" - L..,. 1';.;" , . ~L..U& ~ V L · I ~ ~ - J- f.~.,.- - '- . i- -:=: =1"-.. - 1 I - ~ · -.. .' L"'ter - .....:.J'L.u: :1- _1' V" HHE -V~......: ... I- . I ., -1--'., · - - ~~ = "\!~: r--" c 70.- · ,. - 11I1-- ,-- · )- "I- .. I to- I-- ~ I-- ~ )i: I' .. ~ .. ~ ..::- ~ . OIl ., - ~~ ,::.!!; - - ~ I I I ".J.. t- I i- }- t- lr"'"l'1 . \ t- ~ ... ~g ;",1- 41 m~ - I ~ ~~ jJ,dlf~ ~ I _:. ~."~" ~ ,. , , ) ......- .. .0.1\11' 't:t~ ~ @!il!j IAtn7i I 'C'~ t:I 1~h1 ~ ,~~, II...--l , :' "" 1- ~ ~ ~ I- ~ - f- .. f- - - .' ~~~ , : ~~ - I-- ~ L--' \ - - _I--~. - tLf':'j . -.!~ \ == iH IB 7 / I , . " ../ IJ / / .i '1 +11-1 ....:::... .~.. L., .. ~ :II '" -... r F-I 1/ I! T WI -, J, CITY OF CAMPBELL rW"IMBERL Y f-~-'_w Ul~LMS ~:S01'l 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 .~::GF.H iGYER Department: Public Works April 17, 1989 Mr. Iraj Etassam 1901 S. Bascom Ave., #1625 Campbell, CA 95008 SUBJECT: PERMIT NO.: 87-153 LOCATION 586 Hacienda Ave. We have made a preliminary inspection of the work covered under the referenced permit. Deficiencies in the work have been found are shown on the attached list. These deficiencies must be corrected before the work can be accepted by the City and bonds or deposits released. Please contact Public Works Inspector Gregg Eaton to schedule corrective work or clarify any questions. Upon completion of all work and correction of all deficiencies, we will need a written request for final inspection and acceptance of the work. This then sets in motion the actions necessary to release your bond and refund your deposits. Thank you for your cooperation. Sincerely, Carlos M. Jocson Associate Civil Engineer CMJ /p enc1: cc: G. Eaton, P. W. Inspector ~ B. Long, Sr. Lighting & Traffic Technician Jeff Bonakdar, Apadana Construction & Dev. f:keyproDEFLTR -DEFICIENCIES NOTED PERMIT 87-153 586 HACIENDA AKA; 578 W. HACIENDA AVENUE (HACIENDA VILLAS) 1) Street light needs to be installed and completed 2) Storm drain cleanout at driveway and at East property line need to be grouted. 3) Drain inlet needs to be grouted and cleaned (plus floor sloped per City specifications.) 4) General cleanup of sidewalk, curb, gutter, and street. 5) Grade parking strip at Westerly edge of asphalt for smooth transition and drainage. 6) Finish grouting at storm drain manhole. 7) Submit written compaction test results. 8) Sanitary sewer trench needs to be restored per City specifications. PUBLIC WORKS INSPECTION REPORT Date 4-:f7~j Permit or Project No. R7-/ S3" Address SB~ -:~(iwNbA- Type of work: Street ~Storm Sanitary Electrical Other (describe) ~IMINARY INSPECTION WITH DEFICIENCY LIST (attached) [JFINAL INSPECTION WITH DEFICIENCY LIST (attached) o FINAL INSPECTION - ACCEPTANCE Signed plans? Y N (If signed, Council acceptance.) Charges against deposit? Y OVertime: hrs. @ $ Date 5.reason: N /hr. - $ Barricade rental (attach invoice)? Date 5 reason: Y N $ Other? $ $ $ - Refund $ Total charges deducted from deposit: (Cash Deposit $ less charges $ ck. req.) [JONE YEAR MAINTENANCE WITH DEFICIENCY LIST (attached) (JONE YEAR MAINTENANCE - ACCEPTANCE (Release'maintenance bond. Check Request if cash.) Engineer (@ Inspector ~ APADANA Construction & Development Corp. General Contractor License #512401 RECEIVED APR 11 1989 PUBLIC WORKS ENGINEERING April 11, 1989 Gregg T. Eaton CITY OF CAMPBELL 70 N First Street Campbell, CA 95008 RE: 578 W. HACIENDA AVENUE (HACIENDA VILLAS) CAMPBELL, CALIFORNIA Dear Mr. Gregg Eaton: Following up on our telephone conversation, I would like to request to have a final inspection for the off-site improvement at the above project. Respectfully, APADANA CONSTRUCTION & DEVELOPMENT CORP. J+t ~~ Jeff Bonakdar The Pruneyard Towers, 16th Floor, 1901 South Bascom Avenue, Suite 1625, Campbell, California 95008 (408) 559-6856 - - ,,~Of (""''''6'''''- (, , ",I"'U , * . ':', * r . .~ v ~- 1,. . ~ ~ af"( l C P.\\\C, CITY OF CAMPBELL MEMORANDUM To: From: Subject: Date: Geoffrey Whittaker Finance Director March 31, 1989 Carlos Jocson ~. Associate Civil Engi~er 586 HACIENDA AVENUE, PERMIT NO. 87-153 The attached memorandum from Hank West to Bob Diaz outlines the incident that happened at subject project location on March 28, 1989. A Mr. Les Jump called Public Works at about 8:15 a.m., March 29, 1989 complaining about a damage sustained by his car while traveling through the project site. At about 8:40 a.m., Mr. Dave Hutchinson who claimed to be Mr. Les Jump's insurance agent called the office about the same incident. I returned both calls advising them to file their claim against the contractor. I gave them the following information. The name of the permit applicant is Mr. Iraj Etessam at 1901 S. Bascom Avenue #1625, Campbell, 95008; phone number (408) 559-6838. We have advised the contractor to alleviate the problem immediately; (paving was completed at about 11:00 a.m., 3/30/89). We also advised him Mr. Les Jump would be filing a claim against them. The contractor indicated he would resolve the matter. As far as I know, the matter with Mr. Les Jump has been resolved. However, should other calls for potential claims trickle down to your office, please let us know. CMJ/pm cc: Gregg Eaton Bob Diaz Hank West f:87-l53 ~,'r#-tB7 - ;S.3 MEMORANDUM CITY OF CAMPBELL To: Robert Diaz F,"m f ;;~;~: ~::;;~::::r::~:~dant Subject: Hacienda Call-Out Date: March 29, 1989 ---------------~------------------------------------------- This is to advise that I received a call from our dispatcher at approximately 7:30 p.m. on March 28, 1989. The dispatcher stated that cars were "bottoming- outll on a manhole. The location was given as lion Hacienda, Eastbound between Capri and Walnut." I advised the dispatcher that although Gregg Eaton deals with new improvements/ contractors, I would go out and look into the situation. I arrived at approximately 7:45 p.m. the same date and noted the following: 1) The Eastbound lane of Hacienda, between Capri and Walnut was under construction and the contractor (unknown to me) had placed his first lift of asphalt on the South side of the centerline. The new course of pavement was approximately 5" to 6" below the final paving grade. 2) There was a manhole, exposed to the pending final grade, right in the center of the Eastbound lane under construction at the time. This manhole was also situated adjacent to the existing pavement/conform grade as my picture (see attached) shows. By the way, I took this picture at 8:10 a.m. on March 29, and it, along with the 2811 traffic cones which I had rearranged last night, were exactly as I had placed them, to divert the traffic away from the manhole March 28. 3) When I arrived at approximately 7:45 p.m. last night, March 28, and noted the problem with the "high" manhole, I observed a couple of vehicles strike the leading edge of the manhole cover. 4) I quickly placed a lighted barricade over the southerly edge of the manhole, and rearranged the 28" traffice cones on a taper, so as t~ channel the traffic between the manhole and the higher pavement on the northerly side of the centerline. 5) I had called for a Campbell Police officer during this time and asked the dispatcher to contact Gregg Eaton, to identify the responsible contractor. Agent Kelly Bybee responded at approximately 8:40 p.m. and together we observed the traffic for approximately fifteen (15) minutes. The traffic appeared to be negotiating the new channel setup without any problems. I checked back with the dispatcher for Gregg's status and the dispatcher advised that Gregg was not home. I advised that dispatch should attempt to make contact with Gregg, if possible, so as to appraise him of the situation. Apparently no contact was made with Gregg, because we briefly discussed the situation this morning in my office. 1 of 2 To: Robert Diaz March 29, 198CJ From, Hanold West Subject: Hacienda Call-Out Page ;; of ;; 6) Note: The contractor did have some asphalt around the manhole in question. However, it apparently wasn't sufficient to avoid the problems which developed last night. 7) An insurance agent from Allstate Insurance Company did stop by while I was on the scene last night and left his business card with me, stating that one of his clients had hit the manhole and lost his oil pan with damage to the underside of his vehicle. 8) I left the card, along with a brief report, on Gregg's desk at approximately 7:50 a.m. this morning. I also appraised Carlos Jocson of the incident this morning. I went 10-10 at approximately 9:00 p.m. last night, March 28. Thank you. End of report. cc: Carlos Jocson Gregg Eaton 1 "';1 ',.~ - _ _ ~ ~ --- -- _ _ _ _ -- _ _ ~ -- _ _n_-- --- -.. -. .nn.~n_ _on. -- ---~ --. ---I <3 -d7-cffP fl' lA_/~\"~ CL--~~1...- ~.- ~ ~ L Jcct " · ~.~.. Co ~Cfk /)JW'7M ~- ~ k/ ~ ~w-- G~ .-l~lJ ,CG.L'ik./ h-u-t> cr-ut'1.... ' c&. v: c;f a... (7f-) / @' /' f 3C) ,07 I 1C4L-//-G{) V0~ ro {--e;'" < c <1-t. L,0~J. V r6'Q?L ~~ CX'0 U $; aTfl,' ~-C{? .~~ ;2j- II C-l)U~! ~ ck~f ~~ --~ /J!! tulL P ~~--:,~ ~{Liz- /7?Ul'~~' I if - l; ~.~. .~ ~ ~:l-l! ~~ ~1 L~~. ~ ~ ~~~;-4~ ~, CL c ~,~Aci}l ~/ ~~j/ d!&~- . F'L.E: P~f~ ~ 7-/5~ Ref. No. .TELEPHONE CALL RECORD DATE=';.::,- \ ~ - 'C:>~ C PLACED CALL TIME t t ~ s (~ . 'Sk RECEIVED CALL PROJECT \~~c.. I'~)~ b~ . P~Lq-1t , , ec:--"'~~ OF C of~C SPOKE WITHD~'-t-E- ~~Z_:'-L~' ,,(~'J NAME ..NAME OF ~~ ')D~~ +~<:c"'=-~. (4l~)9<oq-b9.Cx:) COMPANY TELEPHONE NO. . ~--{~~ \\41::::."\ \~E ITEM DISCUSSED/A.CTION REQUIRED ~~~l "t\~ ~C'~'T1k..:)~ . ~""'i TL- \'"Z-ff:) OH ~ a~ ~Y2U-~hLj/~ \-r \ s.. c::>. a+-l \..}-~~_ 11d-~b.- J tJ2...:)~~\~ ~~Ll ') l) CJ tL J ~ ,:::>~,,~, \r-\-~ US". e=-c~ ~ \ 0/D L.(')( ')G:r\TI~U~LLJf;;;:.l_ ~'- t"lf.::>~ ~'") ~~~L1C:->~\,4- 1\:z\ ~ LD~-q- T~. \ ~L) L . . ~'-L~ raL J'--f ~BL~~...t .~lq-~ ~\ UU~~ ~-::'>M~w~ \.,~~ h::,. ~OU ~r-:?- Q..l~~lUCb ~ "2;t rJP~. bck~L &tll-b 'l-~:~@~r .. .., / " ) DISTRIBUTION: . .~~\L~ \0 CONTINUED: o YES' .II NO City 01 Campbell fROM c . ~a L"'le"'"2... SUBJECT ~ e ~~ c...: MESSAGE -,- \ 75 NORTH CENTRAL AVENUE CAMPBELL, CALIFORNIA 95008 PHONE 378-8141 L ~~~ lQ)j.....,) DATE '\ L. -q~~ ~ \ Kh~ ~ k..) ~ ~ <S;~~Lc:::r \, ~ ~ <2-. <S.. C-C::::J \ O~ p ~. REPLY ~~.e. ~~ SIGNED DATE MEMORANDUM ~Of (4",,0,,,..- , " <, , Ill'..... * . .':'. * n < ~ v- ;. <e ~ 0..... f( I (J>.' II CITY OF CAMPBELL To: Bill Helms Engineering Manager Date: September 15, 1988 From: Gregg Eaton Public Works Inspector Subject: Trench paving - 586 W. Hacienda/Permit No. 87-153 This memo is an attempt to outline the events that have lead up to today's action and to bring you up to date as to what has transpired today. July 20. 1988 - Galante Bros. begin installation of the sanitary sewer main extension. (Prior to construction, Tom Galante and I met to discuss the City's requirements re: traffic control and trench restoration. He offered that he was also going to do the road reconstruction and that there would not be any problem with maintaining the trench until that construction took place.) July 22 - Au~ust 25. 1988 - Numerous times during this period I had to call Galante's office and request that they install more cutback over their trench. They always responded, but always with a minimal amount of milt. August 25. 1988 - Don Wimberly directed me to contact Galante Bros. and instruct them to either reconstruct the road as per plan, or replace the cutback over the trench with hot mix A.C. I contacted Tom Galante and relayed same. He explained that the maintenance of the trench was not his responsibility as a signed contract had never taken place and that he was premature in telling me that he had the reconstruct job. He also said that he would no longer maintain the trench. He did say, however, to contact Ron Brunner at First American Construction (the general contractor) as the job was his responsibility. - I contacted Ron and explained the situation to him and followed our conversation up with a registered letter. (A copy of which is attached.) *Note: The excavation permit was issued to West Valley Sanitation District and First American Construction. First American paid all the fees. September 9. 1988 - This was the deadline for the work (either option outlined in the August 25th letter) to have been completed. No work was attempted at this point nor was this office contacted regarding this matter by any of the parties involved. -2- September 13. 1988 - (I was absent on 9/12 therefore the following took place on this date.) - I called Ron Brunner (First American Construction) and asked him if he intended to complete the work in question by the end of the day. He informed me that the owners/developers had "shut the job down indefinately". He further stated that at this time he was not sure if he would be paid for work previously done, therefore he had no intentions of completing the work that we had required in the letter of August 25th. He felt that the City should proceed with contracting out the repairs. I followed up with a letter and sent copies to the owner/developer and the sanitation district. (A copy of which is attached.) I then contacted Houge Inc. to see if they were available to do the work and requested a price. - Later that day they submitted a price of $2500 and stated that they were available to perform the work at our request. After confirming same with you, I directed them to do the work as soon as possible. Seotember 14. 1988 - I received a copy of a letter sent to the owners/develpers from the Don Armstrong of the sanitation district. (A copy of which is attached.) In his letter, Don gave them until 8a.m. on September 15th to make appropriate repairs. I called Houge Inc. and asked them to hold off on the work until I contacted them on the 15th. September 15. 1988 - At 9a.m. no work had been started. I then called Houge Inc. and asked them to proceed with the work. - At 11:43a.m. I received a call from Tom Galante asking me why Houge was working on his trench. I explained that the time frame that the City had dictated in the August 25th letter had been not been met and that we had directed Houge to complete the work. At that time he told me that the night before (Sept.14) he had signed a contract with the owners to do the road reconstruct and that he now had a load of cutback in route to the site. I told him that hot mix only was to be installed over the trench. He then asked if he could pave it after Houge prepared the trench. I then put him on hold and called Marshall at Houge and asked if he would agree to that. And he said yes. I relayed same to Tom and he said that he would send a truck for mix and get out to the job site so that they could pave right behind Houge. - At 1p.m. I received a call from Marshall and he explained that his superintendent had been contacted in the field by Tom Galante. He stated that Tom was making threats of law suits, etc., and had stated that he had no intention of paving anything. I told Marshall to proceed with the paving operation and that I would immediately go out to the job and straighten things out. - When I got there John Thorton (Houge's superinte~dent) was there, however Tom Galante was gone. John and I discussed what had transpired between between Tom and himself and I asked him to document same. -3- September 15. 1988 (Continued) - I then proceeded to the Hazel and Virginia job where Galante is installing a storm drain to find out what was going 'on. I discussed same with Jack Galante (Tom's brother) and what I received was a story of misunderstandings and regrets. - Around 2:30p.m. Tom Galante came into City Hall in regards to Proj. 86-18 (Los Gatos Creek Bike Path) and the first thing he said to me is that the owners/devlopers were going to sue the City, but that he didn't have any hard feelings and didn't want to cause any problems. - At approximately 4p.m. I received a call from John Vossoughi (one of the owners/developers) and he wanted to know what was going on and that he was "going to sue somebody!". I explained to him what had happened and the conditions and time frames that the City had set forth and that were not met. I also told him that he was sent copies of our correspondances to First American Construction and he replied that "I'm suing them for $250,000" and that they had walked off the job without notifying him. (Never really acknowledging our correspondances to him.) I told him that that was something he would have to work out with them, but that the City was looking for an end result and that is why we took action on their inaction. He asked me what the cost was of the work being performed by Houge and I told him. He explained that in fact the maintenance of the trench was Galante's responsibility and that he was intending on passing on the costs to Galante. He thanked me for my assistance and said he was calling Galante immediately after our conversation. I have not had any further communications with any of the parties involved. .Due to the possible legal implications I felt it necessary to document the facts and the chronology. I also wanted to bring you up to date because of the events that happened during your absence. I would like to discuss with you in greater detail some of the items in this memo. Please advise when a good time would be. CITY OF CAMPBEll 70 NORTH FIRST STREET CAMPBELL, CALIFORNIA 95008 (408) 866-2100 Department: Public Works September 13, 1988 First American Construction 960 Sarato'ga Ave. Suite 207 Sa~ Jose, Ca. 95129 Attn: Ron Brunner Re: Trench restoration - 586 Hacienda/Permit No. 87-l53/Tract No. 8073 Dear Mr. Brunner: This letter is a follow up to our phone conversation today to which I notified you that per my letter of August 25, 1988, the City of Campbell is going to remedy the situation at the above address as the September 9th deadline has passed. You notified me at that time that this was the only remedy as the job has been shut down indefinately by the developer. The City of Campbell has directed a local contractor to make the repairs outlined in item number one of my letter dated August 25, 1988. The cost will be $2500.00 and will be deducted from the cash deposits from our Permits numbers 87-153 and 88-188. If you should have any questions or require additional information please call this office. . . Inspector , , cc: Bill Helms, Engineering Manager ~~~;e~~:~:o;~t~ ~~~(~niTES~A~ L',' : '"; ;:, II ,:: I ~ I ):' , J; . ~ i ',. I " I ( L. .; "l </ .~, ~"" \",", . ,;, u >.)~'::;.~;,:":' """"".. I":. '~"...-,.. "-..J 2. 3 7 ----- ".----..--....,...,. EXACTA PRINTING CO. - SUNNYVALE. CA 14151 321.5lli2 PURCHASE ORDER VENDOR ity 0/ C3ampbell ~:';9'; ,~;Il;;~ ." PU ','. 70 N. FIRST STREET CAMPBELL, CALIFORNIA 95008 (408) 866.2100 No. To . ',{,:~J Norman B. Houge, Inc. 780 Union Avenue Campbell, CA 95008 . CITY OF CAMPBELL 70 H. FIRST ST. CAWPlIEu., CAUF.lI6QOI .'.' t:-' ,I; IM!I'NlTMEHT VENDORPHONE'( 408 )377-0727 lIIQHA TUllE ~. Helms/G. Eaton .!,;j;.~~;'- V"l, ' DATE . ACCOUNT NO. 9/13/88 C CAMPBELL~ t, 9/13/88 III 'I:~ . '. . '~j{/\ 1 1 L.S. Remove existin pavement and install 2500.00 2500.00 3" of hot mix as halt in lon itudinal and ;' lateral sanitar sewer trench at 586 W. Hacienda SOURCE OF FUNDS: Permit No. 88-188 o Name - First American Const. P No. 87-153 o Name - John Vossou hi & David Etessam i t No. 15694 Al.L INVOICES ARE TO BE ADDRESSED TO CITY OF CAMPBELL, FINANCE DEPARTMENT 70 N. FIRST ST., CAMPBELL, CA 95008 .ThiaOrderlsSub 8CIIO The Terms And Condillons Staled Blow: ' .... 'l'o',,:, NOT VALID UNLESS SIGNED '. TERMS AND CONDITIONS SPECIFICATIONS . Any specifications and/or drawings relerred to and/or allached hereto are expresaly made a part 01 this purchase order. CHANGES . No changes or variations ot any kind are authorized wllhout the wrillen consent 01 the Purchasing Agent. DELIVERY. Please notify the City promptly il delivery cannot be made on or belore the data soaciliAd. Thill ~itv rAStoAruAA thA rinhl t^ ,........,......1 .,...... ...... ...11 :.___ __6 __ Tax PURCHASING AGENT { J;' ., , ",.,~:,.. '!';~":~:'T otai ;; '.'~'l. 'j'ot 2500.00 PACKAGING. No boxing, packing or cartage charge will be allowed unless authorized on order_ WEST VALLEY SANITATION DISTRICT OF SANTA CLARA COUNTY SERVING RESIDENTS OF CITY OF CAMPBELL TOWN OF LOS GA TOE'. CITY OF MONTE SERENO CITY OF SARA TOGA UNINCORPORA TED AREA 100 East Sunnyoaks Avenue Campbell, California 95008 Telephone (408) 378-2407 September 13, 1988 "~c~ S~P11 '''~b PUBI - /9Bp (}/ l../C lA, 0 /r'6'/4'(j YYOR4 (/(/4'6' S Irai Etessam and Vosoughi 1901 S. Bascom Avenue, Suite 1625 Campbell, CA 95008 RE Tract 8073 Hacienda Avenue Dear Sirs: It has been brought to the attention of this office that the trench from Tract 8073 in Hacienda Avenue needs attention to correct a serious traffic hazard. This work must be completed by 8:00 o'clock a.m. on September 15, 1988, or the District will make the repairs and bill you for the cost. The District will not accept the project until the trench is repaired or the invoice paid in full. Please contact this office upon completion of repairs so all concerned can be notified. Very truly yours, 8M ~~y , Don Armstrong Construction Inspector cc: Galante Bros. Construction Gregg Eaton (FORMERL Y COUNTY SANITATION DISTRICT NO.4) CITY OF CAMPBEll 70 NORTH FIRST CAMPBELL, CALIFORNIA (408) 866-2100 STREET 95008 Department: Public Works August 25, 1988 First American Construction 960 Saratoga Ave. Suite 207 San Jose, Ca. 95129 Attn: Ron Brunner Re: Trench restoration/street reconstruction - 586 Hacienda Permit No. 87-l53/Tr. 8073 Dear Mr. Brunner: This letter is a follow up to our phone conversation today to which I expressed the City of Campbell's concern regarding the state of the sanitary main trench to the referenced property. As we discussed, the trench has been in a state of repair since July 20, 1988. Therefore, the City is requesting that you remedy the situation by September 9, 1988 by one of two methods: 1) Remove the existing temporary asphalt and install hot mix asphalt until such time that the road is re-constructed per the approved plans. 2) Re-construct the road per the approved plans. The deadline means that one of two methods must have been completed by that date. If this deadline is not met, it is the City's intent to have the work done and deduct the monies from the permit cash deposit. Should you have any questions or require additional information please contact me at 866-2150. 0C:=:- Inspector cc: Don Wimberly, Public Works Director Dave Valkenaar, Assoc. Civil Engineer Certified Mail #P 682 672 346 CITY OF CAMPBEll FIRE DEPARTMENT 123 SOUTH UNION AVENUE C AMP BEL L, CALI FOR N I A 95008 (408) 866-2189 Dat It J 5 ADril 1988 RECEIVED APR 12 1988 PUBUC WORKS ENG\NEER\NG Sa1'" .10.. Wa'ter Cc.rnpa1"'Y 1221 S. Ba.e-c.rn Ave1".ue San .10.., CA 95128 .'ttentio~1 ED THORSON ~ 58! RE: W. HACIENDA AVENUE Ge1"rt 1 erne1".1 This le't'ter will .erve as authoriza'tic.1'" 'to i1"..'t.ll O1".e fire hydra1"''t (4" by 2 1/2" by 2 1/2") .'t 'the loe-a'tio1".(a) lia'ted below: 1. 2. s. side of W. Hac-ie1".da Ave1".ue, 350' ...'t of Capri Drive 3. 4. 5. L- L. CHEW, C.p'tai~ Fire Preve1"rt i 01". Of f i e-er wp/ko/HVD ./ cc: Chudk Gomez PURCHASE ORDER iLI_' ...~.. ....-.,.. J City of Campbell 70 N. FIRST STREET CAMPBELL, CALIFORNIA 950'08 (408) 866.2100 No. 9-348 $hl ToAd To . Norman B~ Houge. Ine. 780 Un Ion Avenue Campbe ", CA 95008 CITY OF CAMPBELL 1ON.ARSTST. - CAMPBEll, CAlIF. lI6OO8 9/13/88 ~'i ',lW VENDOR PHONE * ( 408 DEPARTMENT 1 1 L.S. vement and install 2500.00 2500.00 3" of hot mix as halt in 10 itudinal and sewer trench at 586 W. Hacienda SOURCE OF '" ZSl>c:;. eo 8 Z V ;C.- --fYJ-- ALL INVOICES ARE TO BE ADDRESSED TO CITY OF CAMPBELL, FINANCE DEPARTMENT 70 N. FIRST ST., CAMPBELL, CA 95008 This Order is Sub'ect to The Terms And Conditions Stated Below: TERMS AND CONDITIONS SPECIFICATIONS . Any specifications and/or drawings referred to and/or attached hereto are expressly made a part of this purchase order, CHANGES - No changes or variations of any kind are authorized without the written consent of the Purchasing Agent. DELIVERY - Please notify the City promptly if delivery cannot be made on or before the date specified, The City reserves the right to cancel any or all items not so delivered. ORDER IDENTIFICATION - Show this order number (and blankel number if indicated) on all shipping labels. packing lists. invoices, and communications, If pGnilll shipmctnt is authorized. so indicate on all documents. Complete packing list must accomoanv each shioment. Tax ../// Total PACKAGING - No boxing, packing or cartage charge will be allowed unless authorized on order. !AX..: This purchase order is exempt of Federal Tax (Certificate furnished upon request) but is subject to sales tax if applicable, .-.-"..-...---------.-.--------.-.. --.....-.-.-.----..--------.. ---.--.-.---.------. -.--...---..----.-. ..... --. ----... --~--...--..- ----" .-------------..--.__..____..._ ._..,..._..___. _ u__. _____ . __..._.. _.._. ._,_, ___...... __.___,,'_ ..... .----I~~-_._tf~tl.@ ~-~-____21_~~__Jl)3_~_____._ ...._ ___._____..&~Sco~___~.s~-::-G~~8---------__._ ----------. .---------0.-----------J------------ -- .---------------------..----L~~1--ii!.-~.Z--L~-'3?---_ ..---------.-. __L__~'!1,J0 __~_s_p_~~'_:::L .-::J!.fJ.I:1./_[[~I2__ iL~/J':z_____________ ____ __ ____________________ . .-----.?-._~_~6( ~g ..l_/'f..E!?_1f:.. 4-'/.-~Q----~LCLl?/L~g_/?6t ;~-..A'~A; -~(,/(M.O-P~~~2A1 ~!Cce_ S".t:13_ - -------------------------- ______n__ -~-~-r~j?cAN'J-~-- v / .J...P/L:7 _________ .._____h__ _ ---.;)-'!.--~~~-e:.~4t'-~'z::..@~.,?/;,ZZ~~_V'"Z--?-~L7?'d;l.<o ~~.~ ~0Ztf ..____ ---f--{!Id:-;~r5-7?---2/:'f:2:--~~#~kc~?f---~ ---#/~_?,- .-1l1JL5/'-_ _ _ _ _h_____________ ~.La.:L':! q_D_ -J2-~v:;--~()[~~~/.~/?1~~_ry_#L----n-----------n-- _____. __________h___ __ ___ --if;~----~f". ~.~g~G_!!- -_(~J(Q_R..~ e.-i\U+2..~f~d~ ~-12 e Ia~_~rlbll--L___ _ _______ _ .._______ -7.j~If2.~fL. ---rfi"lff~I,i;LC Q.fA/Ht/.,bJ/y-(l'7_ ..._... .... .. .._ . --1LC~P-~_,~-~~-kh"",I/?'d b=2-o::'Et<..e~__ ..._______ ... t?J.- /4/L(J-4..~rp~--54h~~---~~~7 _____________ _nuu________ -/{~-.-1i;t~.b:t/~- ~~.~ (,-5 -----P-_mn ___/~__ ~/j~~~~t/(~"~-fr7 __ _ __.... J3-,,-_~___~~___~~f:a AL~ {O_..fy"'f'! _ e?r:'Td Ft~t!_.___u__.______u It! {2.1',*fo/}t..,~ Ii IO/Oltt/Y7____ --____H__ ~B~ Ht4CIt?NOA AVe., n/">. .1iJ..J:Pe..,.1 AJ~-HE;:O C.~1'12;1,)y,s !t!eA~.. /o;zo . -L(.,~ ~7.u,1.h1If/'?41t'J-:;'7m__ _ ... HU____U_____. 17L__r~. J?Al..V.--~L~t/rezu /e/3 Cu______ _______u___ __u___ - J~ _J?tJ.rJ..~M~t:>E:::D 11- 18 _~tl?t!j!};;/::t;~~;;~~~-P~UT7 eep,~ I~- 3-'n __ _ ~/.-.~. ~ ~.;,-t; ~ P-J.:,d7 ---------------------.--------~::1.- L ~J,'^~~_e_ \ ~T -u____~~_:_:~3:>'?~-~..L ________ __ __ __u_ ___.___ -----------------------___~.:~:lr?_I___LE..t__;_______u_-__ ._____________.____.___._______. ___H. _ .___ . bee.. .___......___. __.u____._.____.....___ _..__.~_ ._ ___ _._ ...____~_ ..___.___,,_ ___.._.___. ___....____. _.._..__~_." .-'_, ~_._...___~__ ____..___...__ .---- .-.-...--... -.-.---...--...-----.----- .....~------..-- ..--.--.....--..,----..---..-.__._ _ ...___h.______._._..__ .._____ _.~._..__ "_"__. .~._._.. _ _., _ __" .. ,___._,.....~ .._..._.._."_ ._______~.._________ _._.______._.. ---.----.. ---.-----.----__._ .__.._._._ ..._. ________u__ _~__~ _...._____ .._ _.. ..__.~__..___._..___ _._..._____. .------- -----..'-----. -------.-. ----- ---- ...------..--...... -"-- ----.. "'''----.,,'' - ...." -.--.-.-..-...- .---.-----..--...-..-..---......---- --....---.---.-.-.---. ._.__._--..__.".~.._._--_.._-_.__..- --"--- .-.---......- ----.---~.._-"._._. . '-- --. ~~---~... . ---'--..-. --. - .._-._~-- -..'-.. -...- --.. ..... -'-.'-" .._---.~ .. ---_. ---.- ---.-- . REED Be GRAHAM INC. . I . '.. P. O. BOX 5940 . 690 SUNOL ST. SAN JOSE. CALIFORNIA 95150 TO: GALANTE BROS. 7107 RAICH DR. SANJOSE, CA. 95120 TELEPHONE (408) 287-1400 DATE: 3/30/89 REQUESTED BY: CITY OF CAMPBELL D.P.W. 1/2 MED TYPE "B" SIEVE SIZE COMBINE MDU 86 COMBINE MIX/87 LIMITS --------------------------------------------------------------------------- 1" --------------------------------------------------------------------------- 3/4" 100 100 100 --------------------------------------------------------------------------- 1/2" 100 98 95--100 --------------------------------------------------------------------------- 3/8" 86 86 80-95 --------------------------------------------------------------------------- #4 65 61 59--66 X 5 --------------------------------------------------------------------------- #8 46 43 43--49 X 5 --------------------------------------------------------------------------- #16 --------------------------------------------------------------------------- #30 27 22 22--27 X 5 --------------------------------------------------------------------------- #50 --------------------------------------------------------------------------- #100 --------------------------------------------------------------------------- #200 3 4 3--8 --------------------------------------------------------------------------- --------------------------------------------------------------------------- S.E. 55 57 45 MIN --------------------------------------------------------------------------- PLANT 8600 BIN # 1 50% BIN # 3. 25% DUST .00% BIN # 2. 25% BIN # 4. 00% OIL AR-8000 5.2% ---------------------------------------------------------------------------- ,. PLANT 8700 3/4 X 1/2 00% ~. 1/2 X 1/4 30% 1/4 X # 10 10% 3/8 X 0 45% SAND 15% R.A.P. 0% OIL: 5.2% AR-8000 (SHELL) ---------------------------------------------------------------- --------------- .. - 60 YEARS OF SERVICE TO THE ROAD CONSTRUCTION INDUSTRY- THIS IS TO CERTIFY THAT THE MIX SUPPLIED TO YOU WILL MEET ALL SPECIFICATION. FOR YOUR RECORDS AND INFORMATION, WE RESPECTFULLY SUBMIT THE ABOVE TEST REPORT OF MATERIAL THAT WE PROPOSE TO FURNISH AT YOUR PROJECT CITY OF CAMPBELL JOB# RG-008345. FOR YOU CONVENIENCE, WE HAVE INCLUDED MIXES FROM BOTH PLANT SHOULD THEY BE NEEDED. UNLESS OTHERWISE NOTED, ALL TESTS WERE PERFORMED IN ACCORDANCE WITH THE STATE OF CALIFORNIA TEST METHODS. PLEASE FEEL FREE TO CALL ME FOR ANY ASSISTANCE YOU MAY REQUIRE CONCERNING YOUR ASPHALT REQUIREMENTS. YOURS TRULY, ~~ KEN MONLUX PLANT MANAGER SAN JOSE (8600) SANTA CLARA (8700) CITY OF CAMPBELL 70 NORTH FIRST CAMPBELL, CALIFORNIA (408) 866-2100 STREET 95008 Department: Public Works August 25, 1988 First American Construction 960 Saratoga Ave. Suite 207 San Jose, Ca. 95129 Attn: Ron Brunner Re: Trench restoration/street reconstruction - 586 Hacienda Permit No. 87-l53/Tr. 8073 Dear Mr. Brunner: This letter is a follow up to our phone conversation today to which I expressed the City of Campbell's concern regarding the state of the sanitary main trench to the referenced property. As we discussed, the trench has been in a state of repair since July 20, 1988. Therefore, the City is requesting that you remedy the situation by September 9, 1988 by one of two methods: 1) Remove the existing temporary asphalt and install hot mix asphalt until such time that the road is re-constructed per the approved plans. 2) Re-construct the road per the approved plans. The deadline means that one of two methods must have been completed by that date. If this deadline is not met, it is the City's intent to have the work done and deduct the monies from the permit cash deposit. Should you have any questions or require additional information please contact me at 866-2150. Inspector cc: Certified Mail #P 682 672 346 City of Campbell 75 NORTH CENTRAL AVENUE CAMPBELL, CALIFORNIA 95008 PHONE 378-8141 ")M c.. . ~ 0 l'"......l e-z... SUBJECT -:::;'T1 ~~ r S"T\2.L) c..... TU ru L "S ~C-Tl 01-.) DATE \ -2... -~ -~~ ""S,t-~ ("") ,~" c Cl.....\..J0\U \ '- s e-c- -rl 0 U \ ~ -.'" 4- (~~ e J-::::., c. ~ 4- \ , "."'\ ~ 'L "'--i C~G \ U ~/\ ~~~r"'r~,",L COU .2..Ac-1D--~ jt:-\~F \C-\~t..::;,r' \ e-~T~~f~ '-...: 'C.::. t-2- U ~'~ S \~~ <--T F31~ ~ \2-OC..lc... ~.c-~ \. G t.-.:J ~ u r~ \S ~t 6 6 ~\I 1\ /:::::.. I c.... ~<:~ o~ \ \ \\ O~ C-Lr"-2.. LL ~ '-{ ~ :~t:;2... ~ 1: Y <;:610 ~L../~Tt '-..( e- CD l'--,. t~ c"'- l (:) U. \2:\__\-=.~"S ~ ~ \ ~o L~ ~-t:-"'"'- '-I. \ C'2> ~ (:) t-.....:J 0 ~ .~ ~ 0 ~ . SIGNED L- MESSAGE f~ REPLY ~ ~ "'6 ~ E:- 'v- SIGNED DATE PUBLIC WORKS INSPECTION REPORT JAte 47~~ Permit or Project No. f<7-/ 5-3" Adclress 5Bb""": H"i4,c.~/~ b A- Type of work. Street /" Storm SAnitary Other (desc:dbe) ~IMINARY INSPECTION WITH DEFICIENCY LIST ElectriCAl (Attached) o FINAL INSPECTION WITH DEFICIENCY LIST (Attached) o FINAL INSPECTION - ACCEPTANCE Signed plAllI;? Y N (If signed, Council Acceptance.) Charges against deposit? y N overtime I brs. @ $ /hr. . $ Date 6..realionl Barricade rentAl (attach iDvoice)? Y Dat. 6 reason. N $ other? $ $ $ - Refund $ Total charges deducted from deposit. (Cash Deposit $ l.ss charges $ ck. req.) [JONE YEAR MAINTENANCE WITH DEFICIENCY LIST (attached) o ONE YEAR MAINTENANCE - ACCEPTANCE (Release'maintenance bond. Check Request if cash.) Engineer ~ Inspect~r " 0 ~ J) ~)7~- L/6~ ~~Gi5 m 6~ /~~ d ~cYn~ce:;~ ~~~M P/<!'~/fY?@€~~'-. 7' ~ CL~.d 0(.,1,1' ~ .J;'f),(t,,;/~;b;~?'f7A.J Ne:;:-c-2>5 TO e:5e:;- ~ ~~ 3) )/I..:r,Ji?( oUee?l:>5 ro .d€" ~u77i?b ~J) C6:-~8LJ(/:;~ ~Lco~ CI f'/ V- S Core?::> ?~71 A 5- r-~ 4j C:;GU~L- C;~ ljIl 0;:::- -.::>> ~C-~ ? U~~ 6u;n-= !SJ;ZB---r- fI t?~e' /~,c 5.:7X':)> @ ~~ eDS=- u-F ~~L-/ ~/! ~~ 77t/~.51'T70,..) ~6 L:vt-4/~rT6"z- ~ ;:;~'5H 0eOu-n.'A.J& e- s;mc.-n, be-'f-/AJ .a7~d/lbC<= ~ ~d5m I / WV2-11/ f:' ~ U:>>/J"1/,cfc f7,D~ 7<5S r- R.z$<..I. (, T> fdN~ 8 5f);..J )'--rf.h) It -r/C-QJ ( (+ N~?>S 7b /.5G" ;2e5 rv4- ~ fJ E"7L C(") 5p;;-L PUBLIC WORKS INSPECTION REPORT Ate ~f'~1 Permit or Project No. Address SRC:>;...... /- L;1,c. ('E~DA a7-/S3- -- ,;'ype of work: Street ~ Storm ~ Sanitary Other (describe) Electrical .--- o PRELIMINARY INSPECTION WITH DEFICIENCY LIST (attached) o FINAL INSPECTION wITH DEFICIENCY LIST (attached) t31flNAL INSPECTION - ACCEPTANCE Signed plans'? (!) N (If signed, Council acceptance.) Charge. against deposit? . C!) N Overtime I hrli. . $ Ihr.. $ Date , reasonl Barricade rental (attach invoice)? ~ Date , reasonl N $ Other? $ $ $ · Refund $ -]ALeE1tt~ ~~TE:"7:::' Total charge. deducted from depositl (Cash Deposit $ le8s charges $ ck. req.) DONE YEAR MAINTENANCE WITH DEFICIENCY LIST (attached) o ONE YEAR MAINTENANCE - ACCEPTANCE (Release'maintenance bond. Check Request if cash.) I~ Engineer 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 5, 1989 Mr. John Vossoughi Mr. David Etessam 1901 S. Bascom Ave., #1625 Campbell, CA 95008 SUBJECT: PERMIT NO. 87-153 586 HACIENDA AVENUE TRACT NO. 8073 POLLARD 30 FINAL INSPECTION AND ACCEPTANCE TIME CERTIFICATE OF DEPOSIT NO. 24834 Gentlemen: We have made final inspection of subject Public Works construction and find the work is satisfactorily completed in conformance with City standards. Accordingly, we will recommend acceptance to the City Council and expect to be filing a Notice of Completion within thirty (30) days. A copy of the Resolution of Acceptance and the Notice of Completion will be mailed to you. Per my letter of M~y 10, 1989, we are in receipt of your maintenance bond in the amount of $13,900.00 for subject property. Your subject time certificate of deposit is hereby released and returned. If you have any questions, please do not hesitate to contact me. Sincerely, , Cw-J/~ Carl~~ M. Jocson Associate Civil Engineer cc: City Clerk G. Eaton P.W. Inspector enc: First Interstate Bank Time Certificate of Deposit No. 24834 87-153 _~.~.-_. _ ~-'~:~"u:~' . _' '.,,"-_. ''',."~c;. :;'~/Y;..- .,' _:-~~~;(~~:~~~~~?-~. .~ j; I f:. ::"; ~. .~ ... ....:,. '" .:,;~~:=---.... . .~<.,:. . . .' f~ r I r- t. ~' ~ -;'.~1~:~:;':.: ~~>">,: -J~; ~,~~:)~~ ':t< . .;i?; ;~';:,;t~: \, _.' ...: r. .. ',~'-: -"l.:- ':>'~+'~~;~~^~' ~'!~~;"'f:~'~j.- ~%:'; ~~,;:;; _. "':~."' 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