88-104
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CITY Of CA"~U~LL
D~~T. or ~UULIC WOkK~
70 Noeth rle.t til.
Campb.ll, CA >>~OO>>
I 60b I Uh-ll ~O
-R,:Y,
'j
~UbLIC WOkK5 P~kHIT
rrorvo-rrrnl("Tl\-nr ,
public elvht-ot-wayl
luued (}; -I- S- - J' ~
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APPLICATION - Application 1. hee.by .ad. tor a ~uullc Wueka ~ee.lt In accordanc. _lth C.~p~.ll-
Kunlclpal Cod., i.ctlon 11.0,.
'l'
I
"
A. Woek addee.. or tract .
153s}lfJ/eca- Avr.
1',
C
~C'\ 4\- & II l-f,
Utility te.nch lOCation
Nature ot _oell. . OF~ ~S' 'ft' IMP/tPIJ&n&f..I"I.
Attach tlv. I~I copl.. ot a dea~lng .ho_ln~ the location, Iltont and alaenalona ot the _oek
Thc dra~ln9 ahall ahow the relatlon of tho propoa.d work to o.lotlng auetac. and undergrouna
illlprovelllcnta. When approved by tho City En91n.c(, .ald deawln9 b.COIIl.. a pact of thla per"ll.
The General Condlt10n. toe all permit. arc 11atod on tho reverue .Ide. Special ~rovlalonu toe
thl. perllllt arc HUed below. to.llure to Abide uy theae Conalr lona And provl.llonu _y rCloule
In lob ahut-down and/or forfeiture ot I'althtul PertoellUHlce bUIHh and callh lJepoliltao. 15ee
Gonee.l Condition. 1 and ~l.
~. An appllCAtlon tee ~ual accompany thi. ApplicArlon. Thill 1. hon-eutundAblc.
Il.
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NAnle ot AppliCAnt J:::, ~h.nEez..-b..D , 1'clcphonot: 8~ (p - 8003
Mldc Clill JOb ~. 04r\ (J&&U- I.:.VE -# 10;". 0<. q ~o(}8 '
liI thi. woo, bel n!) done 'bY the property ownor at t h.l c own r...1dencd yu lLno
-
COlllplctc attaChed Worker.' COllipcnuAtlon and Conteaetoe tor...
The App1IC.n[/Per~lr[ee hereby agreell by attlling their .l~nature to rhl. perllllt ro IIo1d the Clry at
Ca~p~ell. It.. ottlcer.., .~en[. and .1IipJoyeca tree, .Ate and harmle... tram any CIA1111 or de~.l\d tor
darnag~. reaoultln~ trom the work cov~r.d by thl. peemlt.
owledycli tllat they hAlle reAd and unOeruAnlJ bottl lilt: teont ana
will IntoClll th.:!e COlltractuelli1 ot the InformAtion.
ACCt:I'Tt:O
l-frS-Bi-
!lITe
NOTtS: ALL 'WOkK SIlALL CONI'OlH1 WI1'II THt: A1JACIlJ::O, AI'P/tOVtO ~LAN~ AND ALL A~t'LICo\J:lLt: CAI1PbeLL
~TAN[)AkO DIiAWJNGS AtIO CONOITIONS.
THe CONTIiAC'I'01l I1UST IIAV~ 'fillS ~ekHIT AND APPkOVt:O PLANS AtW I'lUST l1t:eT wl1'tt TII~ P.w. IN~HC1'01i ON
Tilt: SITE AT Lt:AST '1'1010 OAYS IJI::I'Okl: S1'J..ItTING WORK.
NOTICt: I1UST lit: GIVlN TO I'UIJLJC WOHKS A'r LEAST 26 HOUKS bt:I'OkE Nt:STAltTJNG ANY WOHK.
SPt:CIAL PkOVISIONS
r-'J
"
-'
_1.
Slrt:.:t lihall not be opt:n cut tor underground Inlit,dJAtionli. IHnlllulI1 CUt. IIlAY be al1"weQ
torconneCtlon~ or exploration boJe~. Such CUl~ ruuut be .P~ClflCaJly approlled by llle
1111;pa:Cl ur .
PilVllmellr..AY De CuI, tor undarqroun4.l In.tollot iono an4.l Iluot bl: rCbtored In Accorll..nc~ war.
tile UlilllY Tro:nch Jtclitorotlon StAndard DrAwin').
WDrk to Dc urakcd bV a 11ccnbcd Lan4 Surveyor 01 Cl1111 Enqlncer an4 two 12) COple~ ot the
Cut Ohel:lu lIell1 lO the ~uulic Work Depl. befor.. .tortlng work.
Tile houro ot won are hllllted to outlildl: Ole: hour. ot 7-~ A.m. and 3-li p.lI. toe allY work
ottecllnq 0 tratjlc lone.
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Pt:kHIT AVI'LICATION I'EK
i'LAH CUJ::C~ Ut:~OSlT
OONU fOIt fAlTlIl'UL PCkl'OltKANCE
Ol-l)
l~l:'.OO)
(
STAHD.ut0
~SO.OO
~:'OO.OO
(100, Of ~NG. tST.)
(~200) (t~ O~ bONO.~SOO HIi'll
AI10UWr
kECt:JPT NO.
C',
~ '''Sf.!). C?O / ~ :?,p ?
i ~0l:>. 0 () / (;. 9'.R 9
'l"Pl ~
~~11 c,e,6.UlJ ,-nqq 44
s ll4~,~ '~-z...9~
\ <b ""1- 9~
/' / / v6i'ff
r
~-
~:
~. ~. (CASU) DePOSIT
Pt:IiHIT ft:~
I ' (1, Of f.P. bONO
,,-~j, "~ ~JS.OO KIN)
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APPIiOVED fOR I~SUANCE
t: PWPt:lullT
keviud )/lJ)
. ' "
C H E C K
R E qUE S T
TO: ' FINANCE DIRECTOR
, ,Ci ty of Campbe.1l:
Please issue check pay~ble to~
Addre~s: Str~et;'
Ci ty: '
State: !1l]J(2spaces) .
.
~;p:' , "(][]]I][]](5 spaces)
(20 spaces)
(ZOspaces)
(15 spaces)
, ,
(20 spaces)'
Exa~t Amount Payabl e: ~500,. 00
Account Number: 01446290500
Purpose: RELEASE OF PLAN CHECK (CASH) DEPOSIT FOR EXCAVATION PERMIT NO. 88..J04.
SEE R~CEIPT #16989
Requested by:, D. Va,lkenaar
,Approv~d by: '.'0'.' Wimberly
Title: Assoc. Civil Engr. Date:6/16/88
Title': P.W. Director Date:6/16/88
," , ',SPECIAL' INSTRUCTIONS FOR 'HANDLING CHECK:
". Ma 11 as ; s '
, Return to:
~
Ma.il in attached envelope
Department
Name
Ot~er:
" . '~;. '
..
.
- '
",0 ,I
REV 4/22/83
-
--
REFUNDABLE DEPOSIT
CHECK REQUEST
TO: FINANCE DIRECTOR
CITY OF CAMPBELL
Please issue check payable to:
SHELLEY ESTATES
(30 spaces)
(30 spa<?es)
(30 spaces)
State: CA Zip: 95008
(2) (10 spaces)
Address:
Line 1:
150 E. CAMPBELL AVE., #102
Line 2:
City :
CAMPBELL
(20 spaces)
Description:
CASH DEPOSIT REFUND
(24 spaces)
Exact Amount Payable:
$1,480.00
Account Number:
001.00.905.0000.4662
PURPOSE:
Release of cash deposit for excavation permit #88-104.
See receipt #18293 dated 4/6/88.
Requested by:
Approved by
Verified by:
: .
P.W. Director
Date: 2/9/89
Date:~~'(
Title: P . W. Inspector
Receivable
Date:
SPECIAL INSTRUCTIONS FOR HANDLING CHECK:
Mail as .ls \ x
Mail in attached envelope ,
, !
Return to:
,
,
(Department)
(Name)
Other:
08/24/88
70 NORTH FIRST
CAMPBELL. CALIFORNIA
(408) 866-2100
STREET
95008
CITY OF CAMPBEll
Public Works
Department:
February 9, 1989
Devland Construction
150 E. Campbell Ave., #102
Campbell, CA 95008
RE: Final Inspection and Acceptance
Permit No.: 88-104
Location: 153 Shelley Ave.
Maintenance Bond Amount: $9,250.00
Gentlemen:
We have made a final inspection of subject Public Works construction
and find it acceptable and in conformance with City standards.
Accordingly, we will recommend the acceptance of the work to the City
Council. We will send a copy of their resolution accepting the work
upon their approval of same.
You are responsible for the maintenance, repair and/or replacement of
all work done should any failures occur within one (1) year of this
date. To guarantee this, you must either post a maintenance bond in
the amount indicated above, or maintain your existing faithful
performance bond. If you post a separate maintenance bond, your
current bond will be released by separate action.
We will inspect the work in one (1) year and advise you whether or
not maintenance is needed.
Please feel free to call me if you have any questions.
Sincerely,
Carlos M. Jocson
Associate Civil Engineer
CMJ : sd
cc: G. Eaton, Public Works Inspector
Council Agenda
C. Case, AdministratiVe.Aide~ ~ /J~
Bond Company: 6,-m~ --0. 0
Btl""'Ltt ~ 6. TP r I 7 7' I..f'j
Suspense - 1 year
f/acc-ltr
Date /~J.
PUBLIC WORKS INSPECTION REPORT
f7C!e - L n!-
Plf:Jl.W (}~ ~ . .
Dev L.A-VD C-,(2IJSTetLt.5r7 ~
Permit or Project No.
88 --/69
Address /.:73- -.s~~E""./
/
Type of work: Street.,.,-- Storm .........- Sani tary
Other (describe)
Electrical
[JPRELIMINARY INSPECTION WITH DEFICIENCY LIST (attached)
[]FINAL INSPECTION WITH DEFICIENCY LIST (attached)
t:rFINAL INSPE~TION - ~EPTANCE
Signed plans? ~ N (If signed, Council acceptance.)
4?; ",<".,6-0 ,t!) 0
/'h.d.
Charges against deposit? Y
Overtimez brs. @ $
Date 5 reason:
~.
lhr.
-
$
Barricade rental (attach invoice)? Y
Date 5 reason:
~
4-
$
Other?
$
$
$
- Refund $
Total charges deducted from depositz
(Cash Deposit $ less charges $
ck. req.)
[JONE YEAR MAINTENANCE WITH DEFICIENCY LIST (attached)
o ONE YEAR MAINTENANCE - ACCEPTANCE
(Release'maintenance bond. Check Request if cash.)
~~-
'gineer
~
SUBDIVISION BOND - CALIFORNIA
FAITHFUL PERFORMANCE - PUBLIC WORK
BOND NO. TPI 779944
Premium: $740.00
TRANSAMERICA PREMIER INSURANCE COMPANY
SUBDIVISION BOND
KNOW ALL MEN BY THESE PRESENTS: That
Shelley Estates
as principal, and
TRANSAMERICA PREMIER INSURANCE COMPANY, a corporation organized
and existing under the laws of the State of California and auth-
orized to transact surety business in the State of California, as
Surety, are held and firmly bound unto city of Campbell
in the sum of Thirty-seven thousand
-----------------------------
Dollars ($ 37,000.00
********
) ,
for the payment whereof, well and truly to be made, said principal
and surety bind themselves, their heits, administrators, successors,
and assigns, jointly and severally, firmly by these presents.
The condition of the foregoing obligation is such that, whereas
the above-bounden Principal has entered into a contract, dated
, 19
, with the
Shelley Estates
to do and perform the following work, to-wit:
Public street improvements - Tract 8114
153 Shelley Avenue - Campbell, CA
NOW, THEREFORE, if the above-bounden Principal shall well and
truly perform the work, contracted to be performed under said
contract, then this obligation shall be void~ otherwise to remain
in full force and effect.
SIGNED AND SEALED THIS
31
cl~~' of
March
,1988
By:
TRANSAMERICA PREMIER INSURANCE COMPANY
BY: ~KneY-in-Fact
,r I~~r~n~~~~!!~a
N~, 2684
GPA "'__~_~___~_________
Power of Attorney valid only if numbered in red,
Transamerica Premierlnsurance Company
Administrative Office Irvine, Cahforma
General Power of Attorney
Know All Men by These Presents. That Transamerica Premier Insurance Company, a corporation duly organized and existing under the laws of the
State of California. and having its administrative office in Irvine, Orange County, California, does by these presents make, constitute and
appoint ____~_ -~------
CHARLES GRISWOLD
of San Jose and State oL__L.alifurnJ.a.__~--- its true
and lawful Attorney(s)-in-Fact. with full power and authority hereby conferred in its name. place and stead, to execute, acknowledge and deliver
=- CONTRACT BONDS (S.B.A. Guarantee Agreement - MAXIMUM PENALTYJ5Q(f,Q9_0.QQ___-=_-~=~~~==~
____--.9ItlJ!L CON}RACT BONDS - MAXIMUM PENALTY 100,000.00
_n__,A.~~_QTHEJrBONDS - MAXIMUM PENALTY $25,000.00
IITHIS POWER OF ATTORNEY SHALL TERMINAfr71JrDBE---n-----~------------
OF NO FURTHER EFFECT AFTER DECEMBER 31, 1989n--==~~_-===-=-=~_==______
and to bind the Company thereby as fully and to the same extent as if such bonds were signed by the President. sealed with the corporate seal of the
Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney(s)-in-Fact may do in the premises, Said
appointment is made under and by authority of the following resolution adopted by the Board of Directors of the Transamerica Premier Insurance
Company, at a meeting held on the 12th day of June, 1984.
"Be It Resolved, that the President. any Vice-President. any Secretary or any Assistant Secretary shall be and is hereby vested with full power and
authority to appoint anyone or more suitable persons as Attorney(s)-in-Fact to represent and act for and on behalf of the Company subject to the
following provisions:
"Section 1. Attorney-in-Fact. Attorney-in-Fact may be given full power and authority for and in the name of and on behalf of the Company, to execute,
acknowledge and deliver, any and all bonds, recognizances, contracts. agreements of indemnity, consents of surety and other conditional or
obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments
so executed by any such Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and attested by the Corporate
Secretary. "
County of Orange
} ss
Pres i dent________
lfrtL___day of
State of California
By
Onthis__ 16th
CALlFO\l~\"
~ ~
day of
Joan M. Hynn
Jack M. Trapp
President
October
, in the year 1987, before me
, a notary public, personally appeared
_ . personally known to me to be the person who
, on behalf of the corporation therein named and
executed the within instrument as
acknowl~~ tkaI; tlIf:lt.r:.IO\(~~P'l(P'~ it.
J1 /.'fBi~"-~::.\,_ , _or.~!C:~L ~EAL I~
" ,.1.1_-'" .,j,,_(~1,::,', .J( i~\,..J ,~\II' ,;, \.I~IN' "
. ",,;...l . ,~.,. . ".. "j ......-.. . I. J \' . f"i.
i f:',,' r"(i,",,','','" WWtr" , HY'j Ii,,""',' i':'"'''''~ I~
ii \~~~.~{,./:\)f)R6i,i~;:!',(rI?Y~~'.\:~~~;';~'lt
~'( C(l:1',~~S'2!'.!-1~Ci~~i Fe\'. 17. J~11 ,~
~,,~..., Y'~ ~ . ~~~
I, the undersigned Secretary of Transamerica Premier Insurance Company hereby certify that the above and foregoing is a full. true and correct copy of
the Original Power of Attorney issued by said Company, and do hereby further certify that the said Power of Attorney is still in force and effect.
(
-:J_11~~-
Notary Public
And I do hereby further certify that the Certification of this Power of Attorney is signed and sealed by facsimile under and by the authority of the
following resolution adopted by the Board of Directors of the Transamerica Premier Insurance Company at a meeting duly called and held on the 12th
of June. 1984. and that said resolution has not been amended or repealed:
"Resolved, that the signature of the Secretary or any Assistant Secretary of this Corporation. and the seal of Corporation, may be affixed or printed by
facsimile to any certificate to a Power of Attorney of this Corporation. and that such printed facsimile signature and seal shall be valid and binding
upon this Corporation,"
31
March
day of__________~___________
GIVEN under my hand and the seal of said Company, this
88
19__ _ . -------,
THIS POWER OF AlTORNEY EFFECTIVE ONLY IF
AlTACHED TO BOND NO. TPI 779944
(Ju/JL
Secretary
30024A
10-85
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RECEIVED
FEB 08 1989
PUBLIC WORKS
ENGINEERING
,_. "t. ,J: \ ,'j'", T' ;',
.,l.
/:t ,~':::" ,.'
ENGEOTECH, INC.
Soil and Geological Engineers
473 Sapena Court, Unit 15 · Santa Clara, CA 95054 · (408) 988-8225
December 12, 1988
Devland Construction
150 E. Campbell Avenue, Suite 102
Campbell, California 95008
Attention: Mr. Frank Naderzad
Subject:
Residential Development
Shelly Avenue
Campbell, California
TESTING AND INSPECTION DURING GRADING OF SIDEWALK
Gentlemen:
Per your request, our firm performed testing and inspection
services during grading operations for sidewalk and curb & gutter
areas for the Residential Development on Shelly Avenue in
Campbell, California.
The subgrade under the sidewalk and curb & gutter was prepared
and compacted to 95.2 to 95.4% re lati ve compaction. Baserock was
placed on the subgrade and compacted to 95.6 to 95.8% relative
compaction.
If you have any question, please give us a call at your
convenience.
yours truly,
ENGEOTECH, INC.
,~~~
Muhammad Hussain, G.E.
hu-~~-# 88-/0-1-
'~~_~t_~I;1!;~/,:::tI;' 7J<C~iI4, ~;::e//
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PERMIT ISSUANCE CHECK LIST
"'" ........c...e: - ~"'b
c__~ -tb ~
Permi t No. <-' =
~Ct
Applicant section complete
c>lc.....O~ Applicant signature and date
6\~ Ce~ Permit Application fee, $35.00 for R-l, $50,00 for
standard, paid and receipt number noted.
~
e.. s Cs::4
Plan check deposit, $500.00 for standard only, paid and
receipt noted.
~LCC~~ Bond for faithful performance, 100% of City Engineer's
estimate for standard only, posted and appropriately noted.
~LC-~~ Faithful performance cash deposit $200.00 for R-l; 4% of FP
bond, $500.00 min. for standard, posted and receipt number
noted.
6u..... ($::?~ Permit fee 7% of FP bond, $35.00 min. for standard only,
paid and receipt number noted.
6lL ~~ Worker's compensation information received for applicant,
R-I and standard.
eLL C~ Certificate
endorsement
if property
~
of insurance with additional insured's
received from applicant. This does not apply
is R-l, owner-occupied, owner-applicant.
Permit signed for City Engineer. ~
~~ Complete contractor's information received for
contractor.
6\c. c.~Gq. Workers Comp information received for contractor
6~~Gq Certificate of insurance with additional insured's endors-~
ment received from contractor
e.~ :,/'" Dt'"""2-l~ll.)l'.>L- ""S.U~M\."t~~ i.~,,'2- \.::::.l.~<:'" ~t<:S7~O'~
~... ~. Three sets of plans, APPROVED (Tract or Public Works \...--"
number on permit) C::>\'-\~ c-'"O\.C"..i-)~::> ~-lO --ce.~ l:!.'i
D {'>(.0
WHEN ALL OF THE ABOVE ITEMS ARE COMPLETE, PERMIT MAY BE ISSUED
Issuer: Initial and date C~ (.. -lO'~ and file with permit
~j88
fjpermchklst
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
License, State Contractor's License and Workers'
D&VUl.\JO .
t' .U. tI6 Ccl"'S, \U)C-rl Ol-l
Name of Contractor QIl j "R
of Campbell Business
Compensation Insurance.
Telephone ...24 fs--l./ 1500
Address J lSe
~.
C4f'1pgeu./
#-Io~.
State Contractor License No. '5oLfOI '-f
City Business License No, 1'~'50652-1-'-
Expiration Date (o~?D-gi-
Will do the following types of work:
_____underground _____P,C. concrete _____A,C. paving _____electrical
_____other (specify) Gt~/~c, tl J)e.6/N"b-t.,E.
WORKERS' COMPENSATION INSURANCE INFORMATION
Name of Contractor/Applicant
K.
rJ~O fI2-Z~O .
One of the following must be on file with the Public Works Department:
A Certificate of Consent to Self-insure issued by the
Director of Industrial Relations; OR
A Certificate of Workers' Compensation Insurance
Insurance Co. Policy No.
Expiration date OR
The Certificate of Exemption from the Workers'
Compensation laws printed below (certificate must be
signed) .
CERTIFICATE OF EXEMPTION
I certify that in the performance of the work for this permit, I shall not
employ any person in any manner so as to become subject to the Workers'
Compensation Laws of California.
Signed
Date
NOTICE TO CONTRACTOR/APPLICANT: If, after signing this Certificate of
Exemption, you should become 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:PERMINFO
REV. 11/87
'i~
TO:
Please collect & receipt
for the following monies:
ACCT.
35-) 96
3372
3521
3521
Depos it
R-] :
($'35)
3372
Plan Check & Inspection Fee
3521 Other Cash Deposit (specify)
3373
3373 &
3372
Mu It i-Res. ,
Unit
3380 Public Works Special Projects
3510 Postage
TOTAL
NAME
~ Lllr;( . E51a h-~
) SO e.{'~ ~ p 6<// .,. 102-
(
ZIP
~ J~CO (
PH':)NE
ADDRESS
FOR
CITY CLERK
CIiL Y
RECEIPT NO.
I S?~q3
J3;O&;8.HJ
LP
4/([) / gg
I I
AMOI..I'rr PAID
RECE J YED BY
DATE'
!:,;~\t.. .
NO.~1
t=-y.P. .8'~ -JOf
AMOUNT
$
J Lf ~O
D'""C>
-
-
2. ..s"'9' 0 _
......,
or Yo 'J 'b.:ar. ..--
~
1021
7 9 2. ~ ...--
$ /30~J-~
./
July, 1987
TO: City Clerk
PUBLI C WORKS FILE NO. T\-" 8-1 I t
tF~#tJt'-/() 7'
Pl'ease collect & receipt
for the following monies:
Depos it
R-l :
($'35)
3372 Plan Check & Inspection Fee
3521 Other Cash Deposit (specify)
3373
3373
3372
Tentative Parcel Map Fil in Fee (S350)
Final Parcel Map Fil in Fee 300
Tentative Tract Map Fil ing Fee $ 00
Final Tract Map 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)
Envi ronmental Assessment:'
Categorical Exemption
Ne ative Declaration
Storm Drainage Area Fee per Acre Multi-Res.,
$2,060; all other, $2,250)
Park Dedication In-l ieu Fee per Unit ($1,132)
3370
J395
3380 Public Works Special Projects
3510 Postage
AMOUln
$
s o~ 0 0
,~/J 0- ~ D
J C <Z!l
0-0
---
$ f' b"O- c.HJ
2- y~- ~S-o 0
NAME
5"H~-LL~ ' TOTAL
i, . ESTit1 T<==~
~.& ~ t>';t"'l . .J (" 7 '"-, (I (' 77'1) _<lp
f , . ~ .
PHONE
ADDRESS J :::'-0
Er CP-~~ '71- I ~ '2- .' L~~
ZIP
FOR
C I TV CLERK
Ql(LY
RECEIPT NO.
AMOUNT PAID
RECE r VED BY
DATE'
9s-ZJd~
July, 1987
~- l D4-
CONSTRUCTION COST ESTIMATE FOB. PERMIT NO. By/Date ":>- ~-~~ ec;;,.c.-
\t2.~\ \.4-
Name & Address \. <S.~ c::::;:;",\.~--LLe-t
Surface Construction
Clearing and Grubbing LUlllp SUIII Es t illl8 te · $ ""2.<;;c:o-
Sawcut Concrete L.F. @ $ 4.00 . $--
Concrete Removal S.F. @ 3.00 . $ -
Curb & Gutter Removal L.F. @ 5.00 . $ -
t2 Inlot Drain with Pipe , EA. @ 500.00 .$~-
~ Curb and Gutter qc..,. L.F. @ 15.00 .$\444-
J Sidewalk ~4-C::> S.F. @ 3.50 - $ \\'\.0-
: ~ Driveway Approach "'2...'...0 S.F. @ 5.50 · $ \'"'2. Go$ -
~~
Handicap Ramp EA. @ 1000.00 . $ -
'r Extruded Curb L.F. @ 6.00 - $ -
J
~ ~ Barricade <<5 L.F. @ 50.00 · $~<;:6-
("\4 ') ~q,-) "':''-'-4-
trer Excavation ( S.F.)x($0.15)x(~") · $~d2"-
0 ( lx~ <\<0') -::. "2. ~b 4- ( S.F.)x($0.45)x(~ ") · "$'''1_~-
~ . . Pavement
Adjust Manhole to Grade -'2... EA. @ 300.00 . $ <-Ob-
Adjust Handhole to Grade C~)~ EA. @ 200.00 . $ ~-
Monument Box w Monument EA. @ 500.00 . $
Street Tree (15 gallon) :, EA. @ 200.00 . $ ~CC-
Pavement Striping ($100 min) l'1~ L.F.@ 0.65 · $ \"1.,-
Pavement Legends ($100 min) EA. @ 40.00 . $ -
Stop.Street Name or Other Sign - EA. @ 120.00 . $ -
(.e),= Pavement Markers 6:. EA. @ 15.00 · $ \<...0-
~ T l """'t/.Teb Pavement Key Cut l'24- L.F.@ 8.00 · $ qc;, -
. $
. $
Surface Subtotal "5". $ <...C::>1c..-,~-
Adjust. for dze: 5 <130.000 add 20%. S~ $100.000 subtract 10% "2..A ,~ ~
Street Lighting
Electrol1er
Conduit
Conductor. pair
Pull Box
EA. @ 3000.00
L.F.@ 12.00
L.F.@ 4.00
EA. @ 200.00
. $
. $
. $
. $
. $
-
Storm Drainage
12" or 15" RCP
18" or 21" Rep
~~,\.
Street Inlet
Manhole
Break and Enter Manhole
~~ L.F.@
L.F.@
EA. @
EA. @
EA. @
60.00
65.00
""l6.e.o
1800.00
2000.00
600.00
· $ '"'2..\()O-
. $
~qeso-
· $ Vts00 -
.$~-
. $ -
. $
$ ~'-. <-<;;CZ!!.-
$'2.,.',000-
~ \
\
TOTAL ESTIMATE
USE FOR BOND
Revised 6/85
.
TRUCK INSURANCE EXCHANGE
INTERIM CERTIFICATE AS TO EVIDENCE OF INSURANCE
.
THIS IS NOT AN 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 SHELLEY ESTATES
Address. 150 E. CAMPBELL AVENUE SUITE 102
. CAMPBELL, CA. 95008
5587 35 32
96-90-39A
Policy # . Gen, Liab,
Agent Pol icy # Auto Liab,
Policy # CARGO
This is to certify that policies for the above named insured are in force as follows:
Policy # Work Camp
This Interim Certificate As To Evidence of Insurance shall expire sixty days from 12 :01 AM"
4-21 ,19 88, unless cancelled prior to such date by written notice to the named insured.
o ~ Please issue a Permanent Certificate
COVERAGE COMBINED LIMITS OF LIABILITY
COVERED NOT AUTO
COVERED LIABILITY
D D Owned Bodily Injury $ ,000 each person
D D Hired $ ,000 each occurrence
D D Non-Owned Property Damage $ ,000 each occurrence
D D Employer's Non-Ownership
Contingent Liability
Single limit liability for Coverages checked IXI above $ ,000 each occurrence
GENERAL LIABILITY $
M&C - OLT Bodily Injury ,000 each person..
{ Own." & Conl'odo" $ ,000 each occurrence
[] D Contractual. $ 000 annual aggregate
Elevators $ I products...
Property Damage ,000 each occurrence
0 D Products and/or $ 000 annual aggregate
Completed Operations 1 products...
Single limit liability for Coverages checked IXI above $ 1 ,000 ,000 each occurrence
$ 1 ,000 000 annual aggregate
I products.. .
D 0 CARGO $ 1,000 ,000 each vehicle
$ 1,000 ,000 each occurrence
D D WORKERS' Statutory
COMPENSA liON
* Includes Goods or Products Warranty, Written Lease of Premises, Easement Agreement, Municipal Ordinance
Agreement, Sidetrack Agreement, Elevator or Escalator Maintenance Agreement only, unless accompanied by
specific endorsement providing additional Contractual Coverage.
D Described
/ below
O Description
wa 1'.' ed
OWNED
AUTO-
MOBilES,
IF }
COVERED ,
YEAR, MAKE, TYPE OF BODY, LOAD CAPACITY
PROJECT : 153 SHELLEY AVENUE
CAMPBELL, CA. 95008
IDENTIFICATION NUMBER
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 30 days advance notice in writing to whom this certificate is issued.
IT IS HEREBY AGREED THAT THE CITY OF CAMPBELL AND ITS RESPECTIVE OFFICERS, AGENTS AND
EMPLOYEES ARE NAMED AS ADDITIONAL INSURED FROM AND AGAINST ANY CLAIMS, LOSS LIABILITY
Certificate issuecha COSrOR EXPENSE ARISING OUT OF OR- IN ANY WAY CONNECTED WITH THE CONSTUCTION
Name CITY OF CAMPBELL OF THE PROJECT. THIS COVERAGE SHALL BE PRIMARY AND
A:~:SS 70 B. FIRST STREET ANY COVERAGE CARRIED BY ADDITIONAL INSURED SHALL BE
CAMPBELL, CA. 95008 EXCESS I NSURANCE ONLY. . rI-
Cooo'."'go.d ~J\ MvL
Authorized Representoti e
* * Not Applicable In Texas,
* * * In Texas the aggregate alsa applies \0 owners and contractors protective, contractual and/ ar completed operations,
56.05144.87 11261 W/200 C/1200 PRINTED IN USA 0 M
Cll'Y OF CA/VdPllELi
70 NORTH FIRST STREET
CAMPBELL, CALIFORNIA 95008
(408) 866-2100
Department:
Planning
April 15,
lI'e
""
ApI( 1 · b
Pww 8 1980
1985- "'o*-, '
,,"'"
Mr. Steve Saraydpour
Devland Construction Co.
150 E. Campbell Ave., #102
Campbell, CA 95008
RE: 153 Shelley Ave.
Dear Mr. Saraydpour:
The Planning Director has approved the design of the rear fencing
and wall as indicated in your submittal of April 14, 1988.
A review of our records indicates that the following must be sub-
mitted prior to this Department's release of the building permit:
1. Landscape bond or agreement.
2. Proposed building color samples.
3. Complete fencing plan for project.
If you have questions regarding this matter, please do not hesitate
to contact the undersigned at 866-2140.
Sincerely,
ARTHUR A. KEE
PLANNING DIRECTOR
m 'ZC~
MA~ WOODWORTH .
PLANNER II
ld
'W_ .nll".1UII~1ts'
'\,
, i/'{
-)
~ DEVLAND
J ~ CONSTRUCTION
RESIDENTIAL & COMMERCIAL DEVELOPMENT
CITY OF CAMPBELL
TO: Planning Department
April 14 1988
ATTN: Arthur Kee
It was brought to our attention that the back-fence of
153 SHELLEY ESTATES project has been of concern. On april 13-
1988 we met with the officials of public works to reach for
a selution.
Please refer to attached drawing for proposed selution.
If you have any questions please call me.
thank you:
~ ~~~no/m ~
APR 1 5 1988
CITY OF" CAMPBELL
PLANNING DEPARTMENT
J 50 E. Campbell Ave.. Suite 102. Campbell, CA 95008. (408) 248-4500
tW
D9.~
~~ r
254----,-
2'-01' 1--\I~H L-J<TICf-kIOr i
~r() p (/-c/' p~j ~< C) f r I .
"r.. 7
L- :.;J/_ _
-
J
...
\to
/'" 0" " j? '
U)- f-1IGih r~f".H--,f.-
'J r:, -
t:_::::Jr) _
..---
..-----
- - Nli! (') \<:1..;,
2.4f)_
/
2 4~J"~ '
,F/' ~fl' - "--- ' -.-
",.,-~./" . rIll ~fl<' / ...- --'- ~ o~~ G.,~'r.~
,.'" ';.>.:...-r;-;r;;:;~\i!"
.? .-n:r::- 1.1;:.. I)'
.-,~~\~ __ _H
/2r:f.t2 - re:WCE:
S~C1ID~
15-3 sHe:LLey AVE
· T Transamenca
Insurance Services
Transamerica Premier Insurance Company
AfJmtOlSlrahve o'hce Irvine. CahtolOla
TRANSAMERICA PREMIER INSURANCE COMPANY
c/o Commercial Surety Bonding Agency
o Southern California
630 The City Dr.. Suite 120.
Orange. CA 92668
17141 971-CSBA 127221
o Northern California
1265 S. Bascom Ave.. Suite 108.
San Jose. CA 95128
140BI 29B-CSBA 127221
r
City of Campbell
Public Works Dept.
70 No. First st.
L Campbell, CA 95008
SUBDIVISION STATUS INQUIRY
-,
..J
RECEIVED
SEP 161986
PUBLIC WORKS
ENGINEERI
BOND NUMBER
TPI 779944
SUBDIVIDER
Shelley Estates
TRACT NUMBERNo. 8114 TRACT NAME
153 Shelley Ave. Shelley Estates
IMPROVEMENTS
Public Street Improvements
7-~~-
PLEASE ANSWER THE QUESTIONS BELOW AND RETURN THIS FORM.
1. Has this work been fully completed and accepted? 0 Yes I2rNo
2. If accepted, on what date?
3. If not accepted, is work progressing satisfactorily?
If no, explain
crY es
ONo
4. Percentage completed?
lOX
REMARKS
l
30M D cD R..El'^Pt. ~ IN EFP E""C- T
Above information furnished by: (signature)
Title
~
-
CffrQ
DATE
..
TRUCK INSURANCE EXCHANGE
INTERIM CERTIFICATE AS TO EVIDENCE OF INSURANCE
THIS IS NOT AN 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 .
SHELLEY ESTATES
150 E. CAMPBELL AVENUE SUITE 102
CAMPBELL, CA. 95008
5587 35 32
Pol icy # . Gen, Liab,
96-90-39A
Agent Policy # Auto Liab.
Pol icy # ' CARGO
Pol icy # Work Camp,
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 sixty days from 12: 01 A M.,
4-21- ,1988, unless cancelled prior to such date by written notice to the named insured.
o ~ Please issue a Permanent Certificate
COVERAGE COMBINED LIMITS OF LIABILITY
COVERED NOT AUTO
COVERED LIABILITY
0 0 Owned Bodily Injury $ ,000 each person
0 0 Hired $ ,000 each occurrence
0 0 Non-Owned Property Damage $ ,000 each occurrence
0 0 Employer's Non-Ownership
Contingent Liability
Single limit liability for Coverages checked IXI above $ ,000 each occurrence
GENERAL LIABILITY $
M&C - OLT Bodily Injury ,000 each person . .
{ Owoe" & Coo',""o" $ ,000 each occurrence
0 0 Contractual. $ 000 annual aggregate
Elevators $ , products...
Property Damage ,000 each occurrence
0 0 Products and/ or $ 000 annual aggregate
Completed Operations I products. . .
Single limit liability for Coverages checked IXI above $ 1,000 ,000 each occurrence
$ 1.000 annual aggregate
,000 products.. .
0 0 CARGO $ ,000 each vehicle
$ ,000 each occurrence
0 0 WORKERS' Statutory
COMPENSATION
. Includes Goods or Products Warranty, Written Lease of Premises, Easement Agreement, Municipal Ordinance
Agreement, Sidetrack Agreement, Elevator or Escalator Maintenance Agreement only, unless accompanied by
specific endorsement providing additional Contractual Coverage.
/
OWNED ~
AUTO- 1
MOBilES, <
IF i
COVERED ,
O Described
below
O Description
w()lved
YEAR, MAKE, TYPE OF BODY, lOAD CAPACITY
IDENTIFICATION NUMBER
PROJECT: 153 SHELLEY AVENUE
CAMPBELL, CA. 95008
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
30
provide
days advance notice in writing to whom this certificate is issued.
Certificate issued to:
LOSS PAYEE AND
ADDITIONAL INSURED
CITY OF CAMPBELL
70 N. FIRST STREET
CAMPBELL, CA. 95008
Nome
And
Address
Countersigned
.. Not Applicable In Texas
... In Texas the aggregate also applies to owners and contractors protective, contractual and/or completed operations,
FF~ANK f~.. OLMO b.
2005 DE L.A CRUZ
P. O. BOX 58152
SANTA CLARA, CALIFORNIA
(408) 72 -6~~2':~
NAME AND ADDRESS OF INSURED
SON
BL.
AFFORDING COVERAGES
:::200
9505~PR 2 1 198
A
B
PUBLIC WOHK 'COMP;,NY C
ENGI N EERI N LI T1r~___
o
COMPANY E
LETTER
DEVLAND CONSTRUCTION
150 E. CAMPBELL AVE :::102
CAMPBELL, CALIFORNIA
95008 - 2045
This is lo certify that policies of insurar'ce listed below have been issued to the insured named above and are in force at this time. 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 msurance aTlorded by the poliCies descnbed herem IS subject to alllhe
terms, exclusions and conditions of such policies.
POLICY NUMBER POl.ICY
1 Y PC OF INSURf,NCl [XI'IRA liON OAT(
GENERAL LIABILITY BODIL Y INJURY
o COMPREHENSIVE FORM
o PREMISES-OPERATIONS PROPERTY DAMAGE $
o EXPLOSION AND COLLAPSE I "
HAZARD
o UNDERGROUND HAZARD
o PRODUCrS/COMPLETED
OPEllATlONS HALARD BODIL Y INJURY AND
o CONTRACTUAL INSURANCE PROPERTY DAMAGE
o bROAD FORM PflOPERry COMBINED
DAMAGE
o INDEPENDENT CONlflACTORS
o PfHSONAL INJURY PERSONAL INJURY
AUTOMOBILE LIABILITY BODIL Y INJURY $
(EACH PERSON)
o COMPREHENSIVE FORM BODILY INJURY $
DOWNED (EACH ACCIDENT)
o tllRW PROPERTY DAMAGE $
o NON.OWNED IJODIL Y INJURY AND
PROPERTY DAMAGE
COMBINED
EXCESS LIABILITY
BODIL Y INJURY AND
o UMBRELLA FORM PROPERry DAMAGE
o OTHER THAN UMIJI1ELLA COMBINED
f'ORM
WORKERS' COMPENSATION
A and WCG-20556-A 07(()1/88_
EMPLOYERS'L1ABILlTY
OTHER
$
$
$
DESCRIPTION OF OPERATlONSfLOCATlONSNEHICLES
ALL
ADDITIONAL INSURED:
CALIFORNIA OPERATIONS AND LOCATIONS
THE CITY OF CAMPBELL, ITS OFFICERS,
EMPLOYEES
D IF~ECTOf~S AND
Cancellation: Should any of the above described pOlicies be cancelled before the expiration date thereof, the issuing com-
pany will p.v4 --,,, ,-, mail ~ days written notice to the below named certificate hol.der, L_
n:'~d, r ~ --r-" ---.....-..,.
NAME AND ADDRESS OF CERTIFICATE HOLlJER:
CITY OF CAMPBELL
BUILDING INSPECTION DEPT
75 N. CENTRAL AVENUE
CAMPBELL, CALIFORNIA 95008
-
J"
''',
,-',"
DATE IS
k~
;;;(~;
.1-t:,'
~~:~
'f"!
",,)
'.i.,~,.i :.~!JY "''',~' ?ij,;.;\,~_t \t::::l~';'
,.' F'"'' " ,-'L~.L ~._,{':;,:;;;~Jid..[.~~.Ji~~~~l1t.J.:Ii~~. ";.j,,,l;~"~~ti.~':(J:.::l:'';..;;; i;~~1t.~i.illtit0'i:;":, .',;1'~1~.:;;,
~....t--J\ \,. t;,ce, - lO 4-
\'\2,. b \ \ 4-
\ ~ ~ ~ H-e\....L.C"'"C
A. See attached City of Campbell Standard Plan "Notes." Show on
plans. They are applicable to all work in City of Campbell.
B. Show all existing utilities in the street including storm mains
and services on plan view with offsets from elL. Show existing
sanitary and stolnm drain mains on profile view with sizes and
slopes.
Show existing utilities services to be utilized or abandoned and
new utilities services to be installed. All water meters, sanitary
sewer cleanouts, electrical, telephone, television cable splice
box shall be installed behind the back of sidewalk or right of
way 1 ine.
C. Show all existing and proposed improvements graphically correct.
Show existing and proposed typical cross sections. -OR Cal~ n~
W"ow asp..b.alr ....eEfge-.c..ut to " liiOLlt!;t ef elL. ,"8al &rael~,,._p;:l\'P'W~
..r..eJ..R.;l:.eflGi"A~a 1:.,. tt""'am:i 1-1 t2~'5'P"'al t Q\l8f'J..a.y. Show manho 1 es and
valve boxes, monuments to be advised to grade.
D. Show existing signilng, striping and pavement markings. Show
remowal, relocation or replacement as applicable.
E. Show existing str:eet lighting system, existing standards, -lulldllair-e--
4;.,ype,y"..wa-t'ta ge.;.,.ma.s.t....a.tm 1 eFlg.t.R.,.".pu.ll.-bo.~e.s-r-,"1!0f1tiU.t"'t9'T.'eGfKlu".toFS~'.0'
Show removal and salva~of existing e1ectroliers to city.
Install new state type lS:"'standards with 8' mastar,ms. Re-use
ex i s t i ng 1 urn i na i res :~;~tT},:s::'ta 11 a pu 11 box adj acent to each.
e 1 ec tro 1 i er .
F. Show proposed on-site storm drainage system, pipe sizes, slopes,
inverts and grate elevations. All on-site storm water to be
collected on-site and conducted directly into the existing and/or
proposed storm drainage system. Show installation of storm drain
manhole, 12" Rep (min.) at '1.00\ min. wi~hin public ric;ht of way
with on-site drain adjacent to right of way line and at. an accessible
location. Show all existing and proposed inverts and grate elevations.
Proposed invert intb public storm drain system to come in at or
above crown of existing storm drain but in no event lower than
spring line of existing system.
Submit storm drain s~~~design calculations using the attached
City of Campbell forms ftlld'-'data.
~_.,
,,,.........
G. Show existing and/or structurat~~ction based upon the attached City
of Campbell street s truc tura 1 "sectJon de;; i gn worksheet. City wi 11
supply the traffic index. Furnish~~~th a copy of soils R-value
test report as required by city at ~~ions to be determined by the
engineer.
H. On horizontal control, show exist.ing and proposed monuments, centerl ine,
monument 1 ine, right of way 1 ine, basis of stationing, tangent points,
curve data for centerl ine, face of curve and right of way line. Show
stations for beginning and end of improvements, BC's and ECls, center-
1 ine of driveways, all other ex~sting or proposed surface and sub-
surface improvements.
I. On vertical control, show all work to City of Campbell datum. Show
bench mark number, description, location and elevation.
.J
"
o ::l v' I/' ~ .
,
II "
-n W, '6 ~ /11 S r-~ - j ~
0'0 ~= ~
r 141) ~ (\. ;I. \) 11l
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r .- ;:x: ~~ )>-
r I: J! 0. -ro c m ?- f'\I
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~ N~ ~ m .-1 1'0 TI;) 4\ (\ L
0 ffi ~) (p 11
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~ ~ '0 r d 7\ '-/ -I r.f\ . (\
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~ ~ ~ () ~
e ()C (] ,..... S- ~ <i)
iI [,;1 V' ~ ~' ;z
ll{ \J ro ~
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'3~" MIN,
.\No,;F/ CA-~s.sL.L
~(\/\ ; T #: 88 -{ 04-
/53 -:; H€"I..4.rcy
TR.. B I ( 4-
C.t:> f"'A .-<-I.oi'-l t c.... A'n '0 .-..L ~
V;:C6 9~~<...;I:.~(., a~\.
"I6:;l.~ OO~~ ~
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