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CITY 01 CAK'b~LL
O~~T. 01 rUMLIC WOkl~
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PUbLIC WOM_S PEkKIT
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I;:~:?~ :/i.r./-t?u aOe. APPllC.II:~p~:~: ~c:cY
A"LICATIO~ - Application ia blreby ..d. tor a '~bllc Work. 'Iralt In accord.nc. ~lth Ca.~b.ll~
"~nlclpa1 CQd., II.Ctl~1l 11.Ot.
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MallU. 01 w~CIL; q ~O/},..:;
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.bowlng tbe location, e.tent and dlaenalone ot th. work
ot th. pro~06.d worlL to ..I.tlng .url.c. &,,12 underground
City tngin..r, ..1d dr.Wlng b.coa.. a p.Ct ot thi. peralt.
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Attacb fiv. I~) copl.. of a drawing
Tb. drawlnlJ .l..ll .how tb. r.let Ion
ll1pUlve_nl.. Wh.n approv.d by th.
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D. The 'cner.l Condition. tor all peralt. arc 11at.d on tb. rev.r.. alde. Sp.ci.l ~co"'I.lona tor
thl. per.lt .r. Iteled below. tal1ur. to abtde by the.. condition. and provlalona ..y re~ult
In 10b ahul-down .nd/or lort.lt~r. 01 'althful '.rtor..nce ~und. and C.a" 0.po.l1~. l~..
C.ner.l Condition. 1 and ~.. -
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Add(.~.
1. tbie ~O(k being donc'by the propecty owner at tb.lr Own C.ild.nCe}
Coapl.te att&ch.d Work.c.' CO.pen.&tion and Contr.ctor lora..
Tb. Appllc&nl/~er.lttec bereby agr... by &lli.ing th.lr .i~n.t~re to thi. p.rait to hold the CllY 01
C..plIell. It. OUlce.., .<jellte &n&! .IIPIOy... tr... ..1. and h.rale.. tr". any Cl&lll or de_l.d lor
d....g6:. 'e.~1tln... fro.. the ,",ork cover.d by tbl. I'Crllll.
yu
-
400
The AppllCallt/'erlllttee bereby aClLnowled~e. tbat they hav. r.ad and ~ndeC.tand both the Ironl
baCk ot th~l, It a~ th~~bey wl11 Inlora tbel1 contraCturl~~) ot tbe 1nl~l~n.
ACCt:nt:D . <7, r-
IT.
and
NOT!!S: ALL 'WOfU( SlIALL CO t': .. WITII TH!! An-ACHED, APPItOV!!D PLANS A~D ALL A,..LICA.lU.!! CAKP~t:I.L
STA~DAkD DkAWIN~S AdD COHDITIOH~.
Tilt: CONTItACTOft MUST !lAVt: TillS t't:It"IT AND APPltOV&::D PLANS ANti MUST Kt:t:T WIT" T"E P.W. IN:-;f't;CTUIt ON
Tilt: SIT!: A'J: L&:A:OT 'l"WO DAYS lit;IOkt: STAkTING WOU.
NOTICE MU~T lit: CIV'N TO PUbLIC WORKS 1T LEAST It HOURS b~fOkE Mt:STAkT1NC ANY WORK.
S~ECIAL t'HOVISIOHS
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Street ....11 not be open C~t tor ~nderground 1n.l.l1&t10nl. "In1I1u. C~t. a.y be el1uwcd
lor conneCt101l:;; or eaplor.tlon hol.... $~ch C~L. .uut be .Pt!CdlC..lly ..pprovcd by rhco
'.lIif-eCl...r .
ViVl.tnY-.ay bc C~l tor ~nd.rgroun~ 1n>>t&11ation. anO IIUlt be re>>tored 1n accordanCe ~ltn
lhe Utility TrenCh ke.lOratlon StAnd.rd Dra~in9.
Wurk r~ Ue .L..cd by a 11cen~cd L.nd '~rvcyur 01 Civil ~ngln..r and two (2) Cople~ 01 th.
CUt ehcec. tlClll t~ Lbe "Ulotic WorlL Deyt. bcture atartlng ,",Ork.
The ho~re of ",on arc hailed to out~ de the hour. 01 ,-~ &.a. And )-tl p.a. toe .ny ",on
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Permit No.
Applicant
d-~ -I Y Y
A / /l/S- "-- c Y
,
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'
Name of co~~ractor/tit11k~f ))I!elofll/.l~/Lf~
Address I/() /}ji)-: "75~'T]~/1 J()5{
of Campbell Business
Compensation Insurance.
State Contractor License No, .-j-/3_;;((- 0
Telephone .fOr ,,-:5- 5;; // / 7
(/{ YS/SC)
t...~G"l PT ~ \ ~.::.>-r='l<1 "':;"' <; ....,~
City BuSiness License No.1 ;Y-)C 3)-7-<::'....
Expiration Date """.:::1'.) -""-=".::. \ - ~.....,
Will do the following types of work:
l~dergrOUnd ~~;~C, concrete
/~/"- ~
_____A.C. paving _____electrical
_____other (specify)
WORKERS' COMPENSATION INSURANCE INFORMATION
Name of Contrac tori Applicant Jilll,)-k-y I), IJ(' 4, )(/1&:"/ 2/1(.
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
Insurance
Policy No, 00C03031-3/ - {)O
OR
The Certificate of Exemption from the Workers'
Compensation laws printed below (certificate must be
signed).
CERTIFICATE OF EXEMPTION
I certify that in
employ any person
Compensation baws
<-j
Signe~ /
the performance of the
in any manner so as to
of California.
~~..-:?
work for this permit, I shall not
become subject to the Workers'
/ ./
Date~-;/ ~/<)'j
/
NOTICE TO CONTRACTOR/ LICANT: If, after signing this Certificate of
Exemption, you shoulq 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'I ~ i~ f C A [Vi ill II ELL
70 NORTH FIRST
CAMPBELL, CALIFORNIA
(408) 866-2100
STREET
95008
Public Works
Department:
September 8, 1989
Ainsley Development Inc.
P.O. Box 7583
San Jose, CA 95150
RE: Final Inspection and Acceptance
Permit No.: 88-144
Location: 921 & 931 Hazel Ave.
Maintenance Bond Amount: $26,950.00
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,
~
C~ M, Jocson
Associate Civil Engineer
CMJ : sd
cc: G, Eaton, Public Works Inspector
Council Agenda
C. Case, Administrative Aide
Bond Company:
Suspense - 1 year
f/acc-ltr
"...----
.-
- . --. - --... .. .. . -- ...-
PUBLIC WORKS INSPECTION REPORT
DAte o/~(gl PeraJ.t or Project No. '8B. /44
A4dre.s q C I - q 3". . H-47~= -L
~pe of work. Stre,t Storm
Other (describe)
Sanitary
Electrical
o PJU:tIMINARr INSPECTION WITH DEPICIENcr LIST (attached)
o FINAL INSPECTION WITH DEPICIENcr LIST (attached)
~AL INSPE~ION - ~CEPTANCE
Signed plans?, ~ N (If signed, Council acceptance.)
Charges against deposit? '~
OverU..IIIe. hrs. I $
Dote 5.reason.
N
/hr.
-
$
"
B4rricade rental (attach Lnvoice)? y
Date 5 reason.
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~ /. (
.pA~&;'rn~ri" /'<(R"u~ c;.
;f)J'sTi4t..LIrn'Q"j of $ 4-72, 2... 2- +
~ $
~otal chArges deducted from deposit.
(Cash Deposit $ 4312. .00 le88 charges $~72., 2. Z-
$ 472..2. 2-
- Refund $~8B~, 7& ek. req.)
DONE YEAR MAINTENANCE WITH DEPICIENCl LIST (attached)
o ONE YEAR MAINTENANCE - ACCEPTANCE
(Relea.e'..intenance bo~d. Check Request if CAsh.)
Engineer
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CITY OF CAMPBELL
70 NORTH FIRST STREET
CAMPBELL. CALIFORNIA 95008
(408) 866-2100
FAX # (408) 379-2572
Department:
Public Works
June 26, 1989
Ainsley Development, Inc.
P.O. Box 7583
San Jose, CA 95150
RE: Final Inspection - Deficiencies
Permit No.: 88-144
Location: 921-931 Hazel Ave.
Gentlemen:
You have requested a final inspection on subject construction work. There
are deficiencies in the work which are indicated on the enclosed list,
These deficiencies must be corrected to the satisfaction of Public Works
Inspector Gregg Eaton before we can make a Final Inspection or acceptance
of the work.
Upon completion of the corrective work, please submit a written request
for a Final Inspection and acceptance.
Sincerely,
.
.~
C~M. Jocson
~:~~~ate Civil Engineer
CMJ: sd
cc: G. Eaton
Enc.
(.,
CITY OF CAMPBEll
June 26, 1989
Permit No. 88-144
921-931 Hazel Ave.
DEFICIENCY LIST
1) Clean drain inlets
2) Clean off manhole and monument covers for inspection
3) General clean up of the street, curb & gutter and sidewalk
4) Clean up the tack that was tracked onto the driveway approach
5) Seal coat the 3" to 4" strip just off the lip of gutter
6) Relocate (permanently) the mail box at 752 Craig as directed in the
field
7) Repair the stress crack at the handicap ramp at Craig and Hazel
8) Conforms on Craig and on Virginia need to be water tested
9) *Note* - 950 Hazel - the resident was promised by Galante Bros. that
his driveway would be repaired due to damage caused by the contractor,
The repairs still need to be completed.
Electrical
1) PG&E service point pull box lid needs to be made accessable for
.inspection (lid is locked down)
.
2) Sta. 3+98 is okay
3) Sta. 1+87
A) Replace broken pull box lid
B) Re-paint pole
C) Re-pull No. 10 field wiring from fuse holder to the fixture
*Note* there are no splices in the handho1e cover
4) Sta. 6+68 - replace damaged pull box lid
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CITYOFCAMPB'EII
Public Works
WIM8ERlY
I~ElMS
JOCSON
KRlIGER
LPENOYER
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:
--.l
September 14, 1990
Ainsley Development Inc.
Box 7583
San Jose, CA 95150
SUBJECT: ONE YEAR MAINTENANCE ACCEPTANCE
PERMIT NO.: 88-144
LOCATION: 921 & 931 Hazel 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,
Sincerely,
Gregg Eaton
Public Works Inspector
GE:sd
cc: Bond Company
f:88-l44-2 (permits
PUBLIC WORKS INSPECTION
Da~eq7;~/qo- Pc=1t or Project No.
Address ?P/ ~.. 931 ~
Type of work ; street-"&' Storm SAni tAry
Other (describe)
REPORT
~g-/14
4u-f
,
ElectricAl
[JPRELIHINARY INSPECTION WITH DEFICIENCY LIST (attAched)
[JFINAL INSPECTION WITH DEFICIENCY LIST (attAched)
D FINAL INSPECTION - ACCEPTANCE
Signed plAne'? Y H (If uigned, Council AcceptAnc~.)
ChArges AgAinst deposit? y
Overtim~1 hrs. @ $
DAte" reAliion;
N
/hr.
-
$
BArriCAde rentAl (Attach invoice)? Y N
DAte " reAson; $
Other? $
~
TotAl chArges deducted from deposita $
(CAsh Deposit $ leas chArges $ - Refund S
[JONE YEAR MAINTENANCE WITH DEFICIENCY LIST (AttAched)
~NE YEAR MAINTENANCE - ACCEPTANCE
~RelcASe'm4intenAnce bond. Check Request if CAsh.)
ck. req.)
Inspector
,-
. __. H .._.. _. .. . __ ... _
PUBLIC WORKS INSPECTION REPORT
DAte o/~l Permit or Project No. '88. /44
Address q C. I - q 3'\. . l--f.4z.~= -L
2'ype of work. Stre.t Storm
Other (describe)
SAnitAry
ElectricAl
o PRELIMINARY INSPECTION WITH DEFICIENCY LIST (AttAched)
CJ FINAL INSPECTION WITH DEFICIENCY LIST (AttAched)
aFiNAL INSPE~ION - ~EPTANCE
Signed plAnS? ~ N (If signed, Council AcceptAnce.)
Charges against deposit? . (!) N
Overtime. hr.. @ $ /hr.-
Date '.reason.
Barricade rental (attach invoice)? y ~
Date , reason.
$
$
Other? ?AJ",.rn'::~ C>~ ~ ~~.i ~-m. ",P;""<..). ;/N.$"mt..I.AT1'OtJ of $ 4-72.2... 2.... -+-
~ArJG;"m_.- ~__ _ ( ~ $
Total charges deducted from deposita
(Cash Deposit $ 4312. .00 less charges $472., z. z-
$ 472-.2. 2-
· Refund $.383'7. 7~ ek. req.)
DONE YEAR MAINTENANCE WITH DEFICIENCY LIST (attached)
o ONE YEAR MAINTENANCE - ACCEPTANCE
(Releaae'aaintenance bond. Check Request if cash.)
Engineer
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4- Zt:> . Z-8
"377.7\s
94.44
"472.2.2-. )
REFUNDABLE DEPOSIT
CHECK REQUEST
TO: FINANCE DIRECTOR
CITY OF CAMPBELL
Please issue check payable to:
Ainsley Development Co.
Address:
Line 1:
P.O. Box 7583
(30 spaces)
(30 spaces)
(30 spaces)
State: CA Zip: 95150
(2) (10 spaces)
Line 2:
City:
San Jose
(20 spaces)
Description:
Cash Deposit Refund
(24 spaces)
Exact Amount Payable:
$4,339.78
Account Number:
905.4662
PURPOSE:
Release of cash deposits for excavation permit no. 88-144.
See receipt #18784 dated 5/4/88 ($500.00) and receipt #19931
dated 7/14/88 ($4,312.00 less $472.22 in charges)
Requested by:
Date: 9/8/89
Gregg Eaton
Title: P. W. Inspector
Approved by:
D.C. Wimberly
Title: P.W. Director
Date:
Verified by:
Accounts Receivable
Date:
SPECIAL INSTRUCTIONS FOR HANDLING CHECK:
Mail as is
x
Mail in attached envelope
Return to:
(Departmen t)
(Name)
Other:
08/24/88
TO: City Clerk
PUBLIC WORKS FILE NO. <::?<S'~/yy
Please collect & receipt
for the following monies:
ACCT.
--.--
35-) 96
3372
3521
3521
(specify project)
PVl..Y.'la F e.M :
R-7 :
($'35)
($200)
t Vl.:
($ 50)
'( 500)
(4% of FPB)
($500 min.)
(7'1u of FPB)
($ 35 min.)
Depos i t
3372
3521
3373
3373
Plan Check & Inspection Fee
Other Cash Deposit (specify)
&
3372
3372
3372
~372
3372
3372
3372
3372
Tentative Parcel Map Filing Fee ($350)
Final Parcel Map Fil in Fee ($300)
Tentative Tract Map Fil ing Fee $ 00
Final Tract Ma Fil in Fee (S350)
Lot Line Ad.ustment Fee/Certificate of Compl iance
Vacation of Publ ic Streets and Easements
Assessment Segregation or Reapportionment
First Spl it ($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)
3370
3395
3380 Public Works Special Projects
3510 Postage
AMOUIH
$
.50
,0) 0 CJ
.3 SO -
NAME
TOTAL
~~.
Yo ~7::;-El3
900
5--S-7- /1/7
9S;S-()
PH:.lNE
Sv
ADDRESS
ZIP
FOR
C I TV CLERK
~l.Y
RECEIPT NO.
AMC:)tJolT PAID
RECE J VED BY
DATE'
$
July, 1987
g 2 -{<-{V
PUBLIC WORKS FILE NO.~, &1 '0
/
3521
3373
3373
Please collect & receipt
for the following monies:
Depos i t
Plan Check & Inspection Fee
Other Cash Deposit (specify)
&
.
3372
Mu' t i - Re s. ,
3380 Public Works Special Projects
3510 Postage
NAME
ADDRESS
TOTAL
Ai n 5 \7YUe'\')-<<!: (0 PH1en{
, I r
Ph' $ox 7~r3 . J~n
.
~ file.
) DJ (", Ca...
PHONE
AMourn
$
4 3/7.. ~
~$~
'"3 !"C!) ~
'2 7 7'-1 .- --
10, I t'Y~
,
$ Z S. /70
,
~
ZIP 95/ro
RECEIPT NO.
AMOl.Nr PAID
RECEIVED BY'
DATI"
July, 1987
FOR
C I TV CLERK
O<<.v
INSURANCE COMPANY OF THE WEST
1575 TREAT BOULEVARD. SUITE 200. WALNUT CREEK, CA 94598
P.O, BOX 9283. WALNUT CREEK, CA 94598-0983. (415) 937-9460
R!CIEIVG:J
NOV 14 1989
Public WorksfEnqinoQring
November 13, 1989
STATUS INQUIRY
CITY OF CAMPBELL
70 North First Street
Campbell, Ca 95008
)
RE: AINSLEY DEVELOPMENT, INC. ~
Bond Number(s): 04 74 82 P~n- 88-1#
Bond Amount: $5,000
Bond Eff. Date: 3-9-89 to 3-9-91
Tract: #8130, Landscaping, Fencing & Stripping Parking Lot
Hazel Avenue, Campbell
,
L_
Without prejudicing your right or affecting our liability under
our bond(s) described above, we would appreciate a status update
on the referenced project. Thank you for your cooperation.
1. IF SUBDIVISION OFF-SITE IMPROVEMENTS ARE COMPLETED, state:
A). Approximate date of acceptance of work: ~o+l.-.:J-te~
B) Acceptance date (by Board of Supervisors, City council,
or other governing body):
PLEASE ATTACH A COPY OF THE MINUTES IF POSSIBLE.
2. IF SUBDIVISION OFF-SITE WORK IS UNCOMPLETED, please state the
approximate percentage completed for the following:
Rough grading Fire hydrants
Finish grading Street lighting
Curbs Water service
Gutters Sewers
Sidewalks Monuments
3.
Do you know of any unpaid bills for labor or material? _~'t::L--
If yes, please explain:
4.
Rem.arks:~AI\.l'-€' ...~~b~ ~~I\.l/(~A.Lee~1
_~-.-&-D./\..l_€= ,-/~~Z.2/-,g.J::J__
DA TE : ~1L4/.~c.,
PHONE: Bff@:::Z.1
BY:_~~~ ~
TITLE: ~~\..l-c..-WC1~-f~~
Stamped Addressed Envelope Enclosed
y
NO FEE
10321464
RE{;ORD
f'lE~~g~ESl OF
A" ... ... ...41>1) ELL
erN Of ~.-
o \ 39 F\\ I B9
~ll~ 0
L16 0 PAGE 955
r
~..,' ~,"s
Of'f\C',~.'. "'~~:CC1UK1'f
s!>.l\ut.3~\E" ~~S,E
LRECO\I,ut:r.
CITY OF CAMPBELL U/
70 N. FIRST STREET 0
CAMPBELL, CA 95008
TO BE RECORDED WITt/OUT F~
Sf": 'ION 6 J 03 GOVE?NN.E;-lT CODE
1l\T THi: f,EQUE3T 0;: CI;Y OF CAN.PBEU
NOTICE OF COMPLETION
10321464
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 accepted on the 3rd day
of October, 1989,
That the name of the Subdivider for said Owner is Ainsley Development,
Inc,
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, California 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 8130 and having the following
address: 921 & 931 Hazel Avenue.
Dated October 12, 1989
STATE OF CALIFORNIA
ss,
COUNTY OF SANTA CLARA
I, Donald C, Wimberly, being duly sworn, says: That I am the Ciey
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,
Donald C, Wimberly,
City Engineer
Subscribed and sworn to before me
this /3 day of October, 1989
(!";'JJ~ 7'r7, r~
Notary Public in and for said County
of Santa Clara, State of California
OFFICIAL SEAL
CHARLENE M. CASE
Notary Pubhe-callfomla
SANTA ClARA COUNTY
My Comm. Exp. Oct. 12. 11191
INSURANCE COMPANY OF THE WEST
HOME OFFICE: SAN DIEGO, CALIFORNIA
MAINTENANCE BOND
KNOW ALL MEN BY THESE PRESENTS:
RICEIVED
NOV 06 1989 Bond No. 113 43 16
, Premium: $674.00
Public W orksl EngineerIng
That,
AINSLEY DEVELOPMENT, INC.
. as Pnnci>:aJ,
and Tnsl1rrlnr'p Coropan'J of- thIS West . a cor>:oration organized under
the laws of the Slale 01_ Californi-_a and authorized to do a surety business in the State of Ca I i forn i a
, as Surety, are held and firmly bound unto the Ci ty of Campbell
in the sum of Twentl.;-six thousand
nine hundred fifty dollars ------------------ ($26,950.00 ***
), lawful money
of the United States 01 America, for the payment of which sum well and truly to be made, we bir,d ourselves, our heirs, exeC'-ltors,
administrators, successors and assigns. jointly and severally, firmly by these presents:
SEALED with our seals and dated this
27 October 1989
WHEREAS, on the
. the sain
principal
as contractor, entered into a contract for
for~he sum of
($ 107,000
921 and 931 Hazel Avenue
Offsite Improvements
One hundred seven thousand dollars
); and,;,
WHEREAS, under the terms of the speclflcatlons for said work. the saH
principal
Is required to give
a bond for
Twentv-si)( t-hnllc:;mn ninA b'mdr~d fifty 61oll:J.ro
r.ity of r~mpb~11
re.ult of laulty materlall or workmanahlp lor a
namely, untll October 27 799n
), to protect the
against the
period 01 one year Irom and alter the date of the completlon and acceptance of same,
($ 26,950.00
NOW, THEREFORE, If th. lalrl
principal
.halllor a p.rlod 01 one year from and alter the date
01 the completion and acceptance 01 lam. by lair!
Principal
replace any and all
defectl arising In laid work whether relultlng from defective materials or defective workmanahip, then the above obligation to be void;
otherwise to remain In lull lorce and eUec:t.
",.,"-
-~.
''----.-....-------
Insurance Company of the West
@!~~
Chr~stie ~ert, Attorney-in-Fact
By
INSURANCE COMPANY OF THE WEST
HOME OFFICE: SAN DIEGO, CALIFORNIA
Certified Copy of
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That INSURANCE COMPANY OF THE WEST, a Corporation duly
authorized and existing under the laws of the State of California and having its principal
office in the City of San Diego, California, does hereby nominate, constitute and appoint:
CHRISTIE PIERT JOANNE M. MAUSETH CHARLES GRISWOLD
its true and lawful Attorney(s)-in-Fact, with full power and authority hereby conferred in
its name, place and stead, to execute, seal, acknowledge and deliver any and all bonds,
undertakings, recognizances or other written obligations in the nature thereof.
This Power of Attorney is granted and is signed and sealed by facsimile under and by the
authori ty of the following Resolution adopted by the Board of Directors of INSURANCE
COMPANY OF THE WEST at a meeting duly called and held on the Sixth day of February, 1973,
which said Resolution has not been amended or rescinded and of which the following is a
true, full, and complete copy:
"RESOLVED: That the President or Secretary may from time to time appoint Attorneys-in-
Fact to represent and act for and on behalf of the Company, and either the President or
Secretary, the Board of Directors or Executive Convnittee may at any time remove such
Attorneys-in-Fact and revoke the Power of Attorney given him or her; and be it further
RESOLVED: That the Attorney-in-Fact may be given full power to execute for and in the
name of and on behalf of the Company any and all bonds and undertakings as the business of
the Company may require, and any such bonds or undertakings executed by any such Attorney-
in-Fact shall be as binding upon the Company as if signed by the President and sealed and
attested by the Secretary."
IN WITNESS WHEREOF, INSURANCE COMPANY OF THE WEST has caused its official seal to be here-
unto affixed and these presents to be signed by its duly authorized officers this
13TH DAY OF JUNE 1988.
INSURANCE COMPANY OF THE WEST
&~~~
--
STATE OF CALIFORNIA ~:
COUNTY OF SAN DIEGO
On this 13TH DAY OF JUNE 1988 before the subscriber, a Notary Public of the State
of California, in and for the County of San Diego, duly convnissioned and qualified, came
BERNARD M. FELDMAN, President of INSURANCE COMPANY OF THE WEST, to me personally known to
be the individual and officer described in and who executed the preceding instrument, and
he acknowledged the execution of the same, and being by me duly sworn, deposeth and saith,
that he is the said officer of the Corporation aforesaid, and that the seal affixed to the
preceding instrument is the Corporate Seal of the said Corporation, and that the said
Corporate Seal and his signature as such officer were duly affixed and subscribed to the
said instrument by the authority and direction of the said Corporation.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my Official Seal, at the City
of San Diego, the day and ear first above written.
OFFICIAL SEAL
NORMA PORTER
rmT A'{Y PUBLIC - CALIFORNiA
PRINCIPAL OFFICE IN
SAN DIEGO COUNTY
My CommISSion E.p JanuAry 8. 1"
"t:'MJ; #}1',1 ~
11~
Notary u 1C
STATE OF CALIFORNIA
COUNTY OF SAN DIEGO
I, the undersigned, JAMES W. AUSTIN, III, Secretary of INSURANCE COMPANY OF THE WEST, do
hereby certify that the original POWER OF ATTORNEY, of which the foregoing is a full, true
and correct copy, is in full force and effect, and has not been revoked,
55:
IN WITNESS WHEREOF, I have hereunto subscribed my n~m~ as Secretary, and affixed the
Corporate Seal of the Corporation, this 27 day of Oc 0 er 19 89
~fAJ.
~-7lT
ecretary
ICW CAL 37(REV. 5/87)
DAte f/~>~:' Permit or Project No. 68 - ;14--
Address 92/- q31 /-,(q 2-e7
PUBLIC WORKS INSPECTION REPORT
~pe of work; Stre.t Storm
Other (describe)
SAnitAry
Electrical
o PRELIMINARY INSPECTION WITH DEFICIENCY LIST (attAched)
~ XNSPECTION WITH DEFICIENCY LIST (AttAched)
o FINAL INSPECTION - ACCEPTANCE
Signed plans? Y N (If signed, Council AcceptAnce.)
Charges against deposit? y
Overtime a MS. @ $
Date 5.reason;
N
/hr.
.
$
BArricade rentAl (attach invoice)? y
DAte 5 reAsona
N
$
Other?
$
$
Total charges deducted from deposita
(Cash Deposit $ less charges $
$
· Refund $
DONE YEAR MAINTENANCE WITH DEFICIENCY LIST (attached)
o ONE YEAR MAINTENANCE - ACCEPTANCE
(Release'maintenance bond. Check Request if cash.)
ck. req.)
u~.~
gineer
~
Inspector
4< per:
L(5T /'J~-:05
TO
136 / ~/:V-7b?::> ,
UN~~ '~liL
~~
-;,
~ / 7'3
ON
O/C,I Ve
-,--
----
AINSLEY
it DEVELOPMENT, INC.
~#
C
A. v~, #~
~~. 'Y..? ,-
~~ tI '#
o,.~ {9c9, 4
v~ C9
~'.;.
Go
~,
~
June 16, 1989
City of Campbell, Public Works
70 North First street
Campbell, CA 95008
RE: Tract 8130 - Hazel Avenue
Permit #88-144
Dear Greg:
The above project is ready for final inspection. Please inspect
this project as soon as you schedule permits. If you would like
me to be present during your inspection, please give me a call.
Sincerely,
INC.
Chuck Bommarito
Ijep
2195 HAMILTON AVENUE, SAN JOSE, CALIFORNIA 95125.408/559-1117
P.O, BOX 7583, SAN JOSE, CALIFORNIA 95150
ENGEOTECH, INC.
Soil and Geological Engineers
473 Sapena Court, Unit 15 . Santa Clara, CA 95054 . (408) 988-8225
File No. ET8-0436~S2
May 18, 1989
Ainsley Development, Inc.
2195 Hamilton Avenue
San Jose, California 95125
Attention: Mr. Chuck Bommarito
Subject: 9-Lot Residential Development
Hazel Avenue
Campbell, California
TESTING AND INSPECTION DURING GRADING OF STREET
Gentl emen:
Per your request, our firm performed testing and inspection services during
grading of Street for the Residential Development located on Hazel Avenue in
Campbell, California.
The subgrade in the areas for curb & gutter and sidewalk was prepared and compacted.
Baserock in the areas was placed and compacted. After pouring curb & gutter and
sidewalk, the A.C. in Hazel Avenue was removed and the hauled away. The area was
excavated to accomodate baserock and A.C. The subgrade was compacted with a roller.
Baserock was placed, moisture conditioned, and compacted with a roller. Soft
areas were excavated and plugged with extra baserock.
The results of the tests performed by us indicated that the subgrade was com-acted
to 95.1 to 95.6% relative compaction. Baserock was compacted to 96.0 to 97.6%
relative compaction. A.C. was compacted to 98.4 to 98.9% relatove compaction.
File No. ET8-0436-S1
Page 2
The grading was accomplished under our supervision, If you have any questions, -
please give us a call.
Yours truly,
ENGEOTECH, INC.
~~
Muhammad Hussain, G.E.
ENGEOTECH, INC.
At~ttlll..;CERTIFICA TEOF INSURANCE
(MM/DDIYY)
PRODUCER
Stivers Insurance SErvice, Inc.
p .0. Box 954
Campbell, CA 95009
11/30/88
THIS CERTIFICATE is ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND,
FXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
COMPANIES AFFORDING COVERAGE
CODE
3905
COMPANY A
LETTER
Ohio Casualty
SUB-CODE
INSURED
Ainsley Financial, Inc.
P.O. Box 7583
San Jose, CA 95150
COMPANY B
LETTER
Reliance Insurance Co.
~~T~~~NY C
~~~~~NY D
~~~~NY E
COVERAGES --.
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.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMIDD/YY) DATE (MM/DDIYY)
ALL LIMITS IN THOUSANDS
GENERAL LIABILITY
A X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X OCCUR.
OWNER'S & CONTRACTOR'S PROTo
BLW(89)50093575
11/18/88 11/18/89
GENERAL AGGREGATE $ 1,000
PRODUCTS-COMP/OPS AGGREGATE $ 1,000
PERSONAL & ADVERTISING INJURY $ 1,000
EACH OCCURRENCE $ 1.000
50
5
$
FIRE DAMAGE (Anyone fire)
MEDICAL EXPENSE (Anyone person) $
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRE!) AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
COMBINED
SINGLE $
LIMIT
BODIL Y
INJURY $
(Per person)
BODILY
INJURY $
(Per accident)
PROPERTY
DAMAGE
EXCESS LIABILITY
EACH AGGREGATE
OCCURRENCE
$ $
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
STATUTORY
B
I
AND
WC0303431
11/18/88
11/18/89
2,000
$
2,000
$
2,000
(EACH ACCIDENT)
(DISEASE-POLICY liMIT)
(DISEASE-EACH EMPLOYEE
EMPLOYERS' LIABILITY
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIRESTRICTIONSISPECIAL ITEMS The City of Campbell and its respective officers,
agents and employees are named as additional isnureds from and against any claims, loss liabili
cost or expense arising out of or in any way connected with the construction of the project.
This applies only to the above Liability policy. Additional Insured endorsement to follow.
CERTifiCATE- HOLDER CANCELLATION
, I
City of Campbell
70 N. 1st Street
Campbell, CA 95008
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES,
i
I
!
I
I
l AcOllD 25-8 (318"L
s
'"
TO: City Clerk
Please colleet & receipt
for the following monies:
PUBLI C \40RKS FI LE NO. 3~ - I~
sr ~ Dr-c..: f'....
,'\CCT.
35-3396
63iV
3521
3521
(specify project)
p eJLm-{.,.t e.M :
R-l :
($'35)
($200)
(Cash) Depos it
3372 Plan Check & Inspection Fee
3521 Other Cash Deposit (specify)
J373
3373 &
3372 Tentative Parcel Map Fil ing Fee ($350)
1372 Final Parcel Hap Filing Fee ($300)
372 Tentative Tract Map Fil ing Fee ($400)
}372 Final Tract Ma Fil in Fee ($350)
3372 Lot Line Ad.ustment Fee/Certificate of Compl iance
3372 Vacation of Publ ic Streets and Easements
3372 Assessment Segregation or Reapportionment
First Spl it ($500)
Each Additional Lot ($150)
3372 Environmental Assessment:.
Categorical Exemption cost
Ne ative Declaration
3370 Storm Drainage Area Fee per Acre Multi-Res.,
$2,060; all other, $2,250)
J395 Park Dedication I~-l ieu Fee per Unit ($1,132)
3380 Publ ic Works Special Projects
3510 Postage
TOTAL
NAME f),;'st.V ~lLl ~~,-i:.Jhr
ADDRESS PV. ~2)'X 758 3 ~5:r
AMOUNT
$
l:\t; . D n
$50.00
PHONE sse; - (II 7
ZIP 9~-/,,)-O
FOR
C I TV CLERK
a-lLY
RECE IPT NO.
AMOlNr PAID
d-.. 0)" '%6
~. {Yo
Ci.-TYI
'0 . 3 -~<;{
RECE I VED BY
DATE'
July, 1987
I'
-
CITY OF CAMPBELL
-
I
Department of Public Works
CONTRACT IDENTIFICATION
Project or
Permit No.
Name or
Location
,/"r:
C C
I .. / /
/ / / '/
/
PROJECT INSPECTOR'S
DAILY REPORT
;/ ~/
--'/c.
//' l
Page
Date C -Iei'
of
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CITY ENGINEER
PROJECT ENGINEER
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~;OJECTINSPECTOR
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')RDINANCE NO.
I
1684
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BEING AN ORDINANCE OF THE CITY COUNCIL
OF THE CITY OF CAMPBELL AMENDING THE
ZONING MAP FOR PROPERTY KNOWN AS
921 & 931 HAZEL AVE., AS SHOWN ON THE
ATTACHED EXHIBIT (APPLICATION OF AINSLEY
DEVELOPMENT, INC., ZC 87-15).
The City Council of the City of Campbell does ordain as follows:
SECTION ONE: That the Zoning Map of the City of Campbell is hereby
changed and amended by adopting the attached Exhibit A entitled Map of
Said Property, as per the application of Ainsley Development, Inc. for
approval of a Zone Change for property known as 921 & 931 Hazel Ave. from
R-1-6 (Single Family Residential, 6,000 sq. ft. minimum lot size) to PD
(Planned Development).
SECTION TWO: This Ordinance shall become effective thirty days following
its passage and adoption and shall be published once within fifteen days
upon passage and adoption in the San Jose Mercury News, a newspaper of
general circulation in the City of Campbell, County of Santa Clara.
PASSED AND ADOPTED this 5th day of Apri 1
following roll call vote:
. 19 88
by the
AYES:
Councilmembers:
Ashworth, Kotowski, Watson, Doetsch, Podgorsek
\
NOES:
Councilmembers:
None
ATTEST:
2/ ., AP~ROVED:
t. (./) k
"1~ (:Vi ;;J1Jl~/l'(A', ~,
Barbara Olsasky, City C
\
,
\
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ABSENT: Councilmembers: None
".
1
of
THE FOREOt'llNG INSTRUMENT 18 A ,",ur
AND CORR!;CT COpy OF THE OftlGINAl
ON FILE IN THIS OfFICE.
~~""'., 0' '''<Y. e'N e".,
BY FCA~~ '
OA'ED 1/1l .I ty ~ ':;t J
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ORDINANCE NO. 1685
BEING AN ORDINANCE OF THE CITY COUNCIL OF
THE CITY OF CAMPBELL APPROVING A PLANNED
DEVELOPMENT PERMIT, PLANS, ELEVATIONS,
DEVELOPMENT SCHEDULE, AND CONDITIONS OF
APPROVAL TO ALLOW CONSTRUCTION 0
9 SINGLE FAMILY HOMES ON PROPERTY KNOWN AS
921 & 931 HAZEL AVE. IN A PD (PLANNED DEVELOPMENT I
LOW DENSITY RESIDENTIAL) ZONING DISTRICT.
(APPLICATION OF AINSLEY DEVELOPMENT, INC., PD 87-14).
The City Council of the City of Campbell does ordain as follows:
SECTION ONE: That the-Zoning Map of the City of Campbell is hereby
changed and amended on property known as 921 & 931 Hazel Ave. by adopting
the attached Exhibit A entitled Plans and Elevations; Exhibit B entitled
Development Schedule; Exhibit C entitled Map of Said Property; and Exhibit
D entitled Conditions of Approval, as per the application of Ainsley
Development, Inc. for plans, elevation~, and development schedule to allow
the construction of 9 single family homes in a Planned Development Zoning
District. Copies of said Exhibits are on file in the Planning Department.
SECTION TWO: This Ordinance shall become effective 30 days following
its passage and adoption and shall be published once within 15 days upon
passage and adoption in the San Jose Mercury News, a newspaper of general
circulation in the City of Campbell, County of Santa Clara.
PASSED AND ADOPTED this
following roll call vote:
5th day of Apri 1
, 19 88, by the
AYES: Councilmembers: Ashworth, Kotavski, Watson, Doets ch, Podgorsek
NOES: Councilmembers: None
ABSENT: Councilmembers: None
ATTEST:
APPROVED:
Barbara Olsasky, City CI: -
THE FORE'GOING INSTRUMENT 18 A TflUI!
AND CORRECT COPY OF THE ORIGINAL
ON FILE I~l THIS OFfiCE.
ATTEST: BAR!3~.RA 0' S~"I(Y, CITY CLERK,
CITY CAMPIilEll, CALIFORNIA,
f
.:.
J5751REATBO EV o o SUITE 200 oWALNUTCREEK,CA 94598
p,O, BOX 92830 AL lIT CREEK. CA 94598-09830 (415) 937-9460 0 FAX (415) 937-8239
E COMPANY OF THE WEST
IECIIVID
JUN 2 a 1989
Public Worb/Engineering
June 22, 1989
STATUS INQUIRY
CI.TY OF CAMPBELL
70 North First Street
Campbell, CA 95008
petJt4r, #8l5'- 14-4
RE: AINSLEY DEVELOPMENT, INC.
Bond Number(s): 04 74 82
Bond Amount: $5.000
Bond Eff. Date: 3-9-89 to 3-9-91
Tract: #8130, Landscaping, fencing & stripping parking lot
Hazel Avenue, Campbell
Without prejudicing your right or affecting our liability under
our bond(s) described above. we would appreciate a status update
on the referenced project. Thank you for your cooperation.
~An/~ !3.~/,{/h]
mes B. Moffatt, At orney-in-fact
Surety Department
1. IF SUBDIVISION OFF-SITE IMPROVEMENTS ARE COMPLETED, state:
A) Approximate date of acceptance of work:
B) Acceptance date (by Board of Supervisors, City council,
or other governing body):
PLEASE ATTACH A COpy OF THE MINUTES IF POSSIBLE.
2. IF SUBDIVISION OFF-SITE WORK IS UNCOMPLETED. please state the
approximate percentage completed for the following:
Rough grading Fire hydrants
Finish grading PD% Street lighting ?.rX
Curbs .Ice '" Water service
Gutters ~ Sewers
Sidewalks ~~ ~ Monuments
3. Do you know of any unpaid bills for labor or material? ~~
If yes, please explain:
.
4. Remarks: ~/)"T't' K9'7A/~ ~,.J Iff:.Fpecr
BY: .6~ ~
TITLE: f..,&"~ ~I.q 7~7"OIt-
DATE:
PHONE:
Stamped Addressed Envelope Enclosed
WEST V ALLEY SANITATION DISTRICT
OF SANTA CLARA COUNTY
SERVING RESIDENTS OF
CITY or CAMPBEL I
TOWN OF LOS GA T05
CITY OF MONTE SERENO
CITY or SARA TOGA
UNINCORPORA TED ARr A
100 East Sunnyoaks Avenue
Campbell. California 95008
1 pIPl'h(lI11' (408) 37B. ;:>407
July 18, 1988
Dave Valkenaar
City of Campbell
Public Works Department
70 N. First Street
~~mpbell, CA 95008
RE: Tract 8130
Hazel Avenue, Campbell
Dear Dave:
This is the District's "clearance letter" for the recordation of
subject development.
This District has reviewed and approved the plans for the sewer
system servicing this development. Fees due this District have
been paid. Bond, adequate to insure subject sewer system
installation, has been posted with this District. In short,
all of the District's requirements for tract recordation have
been met.
Preston R. Nichols
Assistant District Engineer
PRN :mk
E-20
Rev. 2-20-86
(FORMERL Y COUNTY SANITATION DISTRICT NO 4)
PA YMENT BOND - PUBLIC WORKS
Bond No,.
04 51 49
premi um: Incl '
, . ~n Perf. Bond
INSURANCE COMPANY OF THE WEST
HOME OfFICE. SAN DIEGO
KNOW ALL MEN BY THESE PRESENTS:
Thai WI, Ainsley Development, Inc. a. Prlndpal,
Clnd IPsurance ComplI\)' or die Wo,t, ' Incorporaled ~nd.r the 10.... 01 Ih.' Stale 01 CaUfornla Clnd
aulhorlzed 10 execull bond. and underlaklng. aa IOle IUl.ly, aa Sur.ly, ar. h.ld and firmly bound \IntQ OIly and all perlon. nam.d
In Call1ornlQl CivU Code S.etlon 3181 whol' claim ba. nol D..n paid by Ih. conlrac;lor. company or corpQfation, In Ih. Clg'iJr.gal.
total of
One hundred seven thousand eight hundred
Dollar., ($ 107,800.00 * ),
'or the payment wber.ol, well and iruly 10 ~I Dlade, aald Plindpal and Sur.ly bind th.m..lve., th.lr holr., adminl'ltalor., ,UCOlllOt.
and asalgfl'. jolnlly and 'cv.rally, firmly by th..e pr...nll,
Th. Condlllon 0' Ih. forlgolng obhgallon &. ,ueb Ihat; wb.rea. Ih. above bounden Principal hot ,"tered lnlo Cl ~nlraQ" dOI.d
, 19 , with the Ci ty of Campbell
10 do Ibe following ...or~ to-wit:
Offsite Improvements - Hazel Avenue
Now. Th.r.lor., U Ih. above bO\lnden Principal! eDl\lrador, perlon, ~mpany or c:orporolion, or hi, or i1. Il.Ib.~nlraCIOr, '011. to pay
anyelalmanl nam.d In Section 3181 of Ihe CivU Cod. of th.'Slale of CQlUornla. or amounl. due und.r'the Unlmploym.nt In.urane.
Cod., wllh respect to w.ort or labor perlorm.d by ony .uc;ll clalmanl. thai. !h. $\lrely on 11ll. ):)and will pely th. leima, In an amo\lnt
1\01 .xc..dlng Ih. allgt'liJal. IUI1\. .pttelfi.d In thl. bond, and al.o, In ealo .ull t. brought upon Ihla bond, a r.a.ona"l. aUorney'. 1.0,
which aha!1 bl awarded by tb. court to the prnall1ng )?QtlY In .ald I~it. IQld a1lorney'. fe. to bl t~.d CII coat. In .ald .uit.
Thl. bond thall inure to lhe b.ndt 0' any pet.on named In Section 3181 of Ihl CIvil Cod. of lh. Slale of California IQ CII 10 give a
rl9hl 0' acllon to them or thelt aitlgn... In any .ull brougbl upon tbl. bonel,
Thl. bond" axecul.d and filod to comply wllh the provl.lon. of Ih. act of L.glltalur. of thl SI<d. of California a. de.lgnGl.d In
Civil Code, Section. 3247.3152 Inclutlv., and all am.ndmenu ther.lg.
Signed Qnd Sealed lhi.
15
day. o'
.1888 '
INSURANCE COMPANY OF THE WEST
a SQ .
~-" "4;,;t~.: .-
r~st~e P~ert ;:., Auor!ley-illotac:t
By
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acw-C.U.IU
. . L' .' No .~ ...., ~..r,.' ,"_"'I':,~ I.....~.'\:".' 'l~:"r.!,,:~\~;';~ .',~fl;.i'.;.c~~wiJ'I~~.~~;'Ji.~~~~~;,):~~H+L;~.ki;;J.\"~
\
.
INSURANCE COMPANY OF THE weST
P.O, BOll 81063
S.n Di'QO. CA 92138,
Bond NO.04 51 49
Premium: $2,656
Subdivision Bond-California
Faithful Performance-Public Works
SUBDIVISION BOND
KNOW ALL MEN BY THESE PRESENTS: That ~ Ainsl e !:!_De vel opmenp' lIne. ..
as Principal, and the INSURANCE COMPANY OF THE WEST. corporation
organized end existing under the laws of thlltate of California and luthoriled to transact surety business In the State of Californi., as
Surety. are held and firmly bound unto Citl./ of Camvbell :
in tl\l sum of _~ hundred seven thousand eight hundred ---------- 0011.11 ($ 1 n7 . 800 _ QQ ),
for the payment whereof, well and truly to b, made, said Principal and Suretv bind themselves, their heln, administrators, succe$SOI1,
and .sslgns, Jointly and severally, firmly by these presenL
Th. condition of the foregoing obligation Is such that, whereas the .bolle-bounden Principal has enter.d into a contract,
dated , 19_____ with thl '
____ Citl./ of Campbell
to do and perform the following work, to wit:
Offsite Improvements - Hazel Avenue
NOW, THEREFORE, if th..bova-bounden Principal shall well and truly perform the work contracted to b. performed
under said contract, then this obligation shall b. void; otherwise to remain In full force and effect.
SIGNED and SEALEO thia_
l~__dllV of_
Jull./
. # 7 qRR ~
'"
Witness:
~
BY:
BY:
ICW tAL 137
INS~NCE COMPANVGdE. W~ST_
Ub-ly . ,. -'
-.,
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- ----"
Christie Piert, Attorney.dn-Fact.....: < f.
, . /'~.:.~.~~~<:~;;/
.., ,...... ....
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INSURANCE COMPANY OF THE WEST
HOME OFFICE: SAN DIEGO, CALIFORNIA
Certified Copy of
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That INSURANCE COMPANY OF THE WEST, a Corporation duly
authorized and existing under the laws of the State of California and having its principal
office in the City of San Diego, California, does hereby nominate, constitute and appoint:
CHRISTIE PIERT JOANNE M. MAUSETH CHARLES GRISWOLD
its true and lawful Attorney(s)-in-Fact, with full power and authority hereby conferred in
its name, place and stead, to execute, seal, acknowledge and deliver any and all bonds,
undertakings, recognizances or other written obligations in the nature thereof.
This Power of Attorney is granted and is signed and sealed by facsimile under and by the
authori ty of the following Resolution adopted by the Board of" Directors of" INSURANCE
COMPANY OF THE WEST at a meeting duly called and held on the Sixth day of" February, 1973,
which said Resolution has not been amended or rescinded and of" which the following is a
true, full, and complete copy:
"RESOLVED: That the President or Secretary may from time to time appoint Attorneys-in-
Fact to represent and act f"or and on behalf" of" the Company, and either the President or
Secretary, the Board of" Directors or Executive Conmittee may at any time remove such
Attorneys-in-Fact and revoke the Power of" Attorney given him or her; and be it further
RESOLVED: That the Attorney-in-Fact may be given f"ull power to execute f"or and in the
name of" and on behalf of the Company any and all bonds and undertakings os the business of"
the Company may require, and any such bonds or undertakings executed by any such Attorney-
in-Fact shall be as binding upon the Company as if" signed by the President and sealed and
attested by the Secretary."
IN WITNESS WHEREOF, INSURANCE COMPANY OF THE WEST has caused its of"f"icial seal to be here-
unto af"f"ixed and these presents to be signed by its duly authorized of"ficers this
13TH DAY OF JUNE 1988.
INSURANCE COMPANY OF THE WEST
STATE OF CALIFORNIA ~:
COUNTY OF SAN DIEGO
On this 13TH DAY OF JUNE 1988 bef"ore the subscriber, a Notary Public of" the State
of" Calif"ornia, in and for the County of San Diego, duly conmissioned and qualif"ied, came
BERNARD M. FELDMAN, President of" INSURANCE COMPANY OF THE WEST, to me personally known to
be the individual and of"f"icer described in and who executed the preceding instrument, and
he acknowledged the execution of" the same, and being by me duly sworn, deposeth and saith,
that he is the said officer of" the Corporation af"oresaid, and that the seal af"fixed to the
preceding instrument is the Corporate Seal of the said Corporation, and that the said
Corporate Seal and his signature as such of"ficer were duly affixed and subscribed to the
said instrument by the authority and direction of" the said Corporation.
IN WITNESS WHEREOF, I have hereunto set my hand and aff"ixed my Official Seal, at the City
of San Diego, the day and ear first above written.
&~~~
-::
OfFICIAL SEAL
NORMA PORTER
flOT AftY PUBLIC - CALIFORNIA
PRINCIPAL OFFICE IN
SAIl DIEGO COUNTY
Mv CommiSSion Erp J."~') 8, 1*
~14/J1A ,
/J~il4/
Notary u 1C
STATE OF CALIFORNIA
COUNTY OF SAN DIEGO
I, the undersigned, JAMES W. AUSTIN, III, Secretary of INSURANCE COMPANY OF THE WEST, do
hereby certify that the original POWER OF ATTORNEY, of" which the f"oregoing is a f"ull, true
and correct copy, is in f"ull f"orce and ef"f"ect, and has not been revoked.
~:
, IN WITNESS WHEREOF, I have hereunto subscribed my name as Secretary, and affixed the
Corporate Seal of the Corporation, this 15 day of" July 1988
ICW CAL 37(REV. 5/87)
ffliJ'n'0 fAJ.
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..".~ .)
m. .:TURAL SECTION DESIGN WORK, .EET
PROJECT
TI =
R =
Tf26c1" N~ e>l~o
C, . 0 Source:
-z.6
DATE G::.- 11-ee
C I "'t L1 " F CA M P ~ i::.lA.-- - C, rI- U C, \<- ~ Ovvue. z..
f2 N& ~ oi"};'c...H) I 1'-1 c.-
'-
AC/ROCK ALTERNATE
AC THICKNESS CALCS: GEAC = 0.0032 (TI) (lOO-R)
Cl 2 Agg. Base R Value = 78 / ../'
GEAC ( o. ZGt j ) ':" GfAC ( Z I :; '2.. ~ ) = O.("Z e;; ft. thick A. C.
Rounding up to'?'!z inches (min.3~ inches)A.C. GEAC= O. bll.'
TOTAL SECTION THICKNESS CALCS: GETot = 0.0032 (TI) (lOO-R)
Native material R Value = 28
GETot ( \ ' ~ ~ .j ) - GEAC 0 I (.e, -, .J)
GEAB ( 0\ -7\ ) ~ GfAB. 1.1)
ACjROCK ALTERNATE: -? '/2. II AC on
(Do not use if A.B. is less than 4
= GEAB ( 0 I ( I v )
= OL &~ ft. thick A.B.
..--.-. ~::>.. t
Of . II Cl 2 Agg. Base
inches. )
-+
DEEP STRENGTH ALTERNATE
(Using Asphalt Concrete Thickness Guide attache... eEl V E D
DEEP STRENGTH ALTERNATE: ~ Y"2. .----;; ~:c~
--t
JUN 22 1988
PUBLIC WORKS
ENGINEERING
PCl:f I-Dc~igTl
f'lANNING MANUAL
7.604,~
.....~.--..-~~
..........
-
--w-r
Af',llr,.1<70
TACLE 7.c,04.3
Gravel Equivalents of Structural Layen in Foet
-
ASl'UAI.T COSClU.:n: C~men\-l'e.led
--- --- ~ --- liuo
T,a.ftic ladel (Tl) A"r~
t DTU CI_ Aurr- ..Le
6.lld 6,b C.,$ 7,$ 5.$ V,b 10.6 11,$ 12.b 13,$ and ..u. .u~
bd"", 1.0 7.0 8.0 V,O 10,0 11.0 12.0 13,0 ",0 LTB A B bue bue
AcL~.1 --
&bieLa_ Or."cl F.quivalcnl .'aorLor (G,)I1, 0, O. G~s C,
01 I.y."
Iftt 2.:.0 '.32 2,14 .2,01 1.69 1.79 1.71 1.64 1.57 1.62 1.2 1.7 1.2 1.1 1.0
--
0,10... ... .., 0,25 0,23 0,21 0.:'>0 O. Jg 0,111 0,17 0,16 D,I6 0.1~ 0.J2 . . .. ... .. ...... .. ... .. .. .. ... .. .. .. .. .... .... .........,.
0,15......... 0.3..'1 0.35 O,3:.! O.~~O 0,28 0.:17 O,~ 0.2~ 0,2. 0.23 0,18 .................... ... .. .. .... ......
0.20......... 0,$0 0,46 0.43 0,40 0,35 0.3(, 0,301 0.33 0,31 0.30 0.2t ...............
...................... .. .. .. .. .. ...... ...... .... .... ..
0,25......... D,63 O,~ O.~ 0,$0 0,47 O.(S O,t3 0,41 0.3V 0.38 0.30 ...... .. .. .. ................ ........-.
O,:to........ . D,75 0,70 D.W D,60 0.67 .... 0.61 0.49 0.47 0.46 0.36 .... .. .. .. ......
................- ........-.. ...... .. .. "....
D,~......... 0.88 0,8' 0.75 0,;0 O.G6 0.63 O.GO 0.17 O.~ 0.i3 0,(2 .. . ,........- 0.39 D,35
0,40......... 1.00 D.1I3 0.86 O,IloO 0,76 O.'::t 0,&6 0.56 O,CO! 0.'1 0.411 .......-....--... 0,44 D,40
.,U.. .. _ . .., .. .. ...... . 1.0<< o ,Ie. O,VO O.U 0,51 0.77 ..74 .,7' .,16 0." .,77 ..M 0.60 0.45
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..16........ . ............ 1.11 1.11 UN '.U 0." '.10 0.16 .... '.Iei '.N ... ..GI '.16
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..... .......- .................. 1.11 1.11 1.16 1.11 I.. 1.02 0.. 0.71 ..u ..,. 0.72 ....
..70......... ....................... ..11 1.15 ..to I." I." I.OG .... '.It .... '.TI '.70
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'I
ENGEOTECH, INC.
Soil and Geological Engineers
473 Sapena Court, Unit 15 . Santa Clara, CA 95054 · (408) 988-8225
File tlo. ET8-0436-S1
June 4, 1988
Attention: Mr. Chuck Commarito
RECEIVED
JUN 221988
PUBLIC WORKS
ENGINEERING
Ainsley Development, Inc.
2195 Hamilton Avenue
San Jose, California 95125
Subject: 9-Lot Residential Development
921, 931 Hazel Avenue
Campbell, California
RESULTS OF RESISTANCE "R"-VALUE TESTS
Gentlemen:
Per your request, we have performed laboratory tests to evaluate the Resistance
"R"-Value for the near-surface material on the site for the Proposed 9-Lot
Residential Development located on Hazel Avenue in Campbell, California.
The results of the tests indicate Resistance "R"-Value for the material to be
28. The sample for the tests was obtaine about one foot below the existing grade.
The pavement sections should be designed on the basis of the "R"-Value and the
anticipated traffice on the Street in the Development.
If you have any question, please give us a call at your convenience.
yours truly,
ENGEOTECH, I NC .
~~~~~
Muhammad Hussain, P.E.
\.
,
CITY OF CAMPBELL, CITY ENGINEER'S
CONSTRUCTION COST ESTIMATE roJ. PERMIT NO. By/Date JIJ tJ E..- 2.. / /988
) -
Na. 'Addreu Cl\ill..- ~1L1'l.H:..a\UU ~'2:..::x:..
Surface Construction
CleariDs aDd Grubb ins " Lump Sum lati..te . $ 1.QxI ~
Sawcut Concrete L.r. . $ 4.00 . $
Concrete Reaoval s.r. @ 3.00 . $
Curb , Gutter iemoval L.r. @ 5.00 . $
RECEIVED Inlot Drain with Pipe EA. @ 500.00 . $
Curb and Gutter (..:.07 L.F. @ 15.00 · $ CJ Ie (..,,00
JUN 22 1988 Sidewalk i2.l5s.F. @ 3.50 · $ lCJ(c?:,~o
.
PUBLIC WORKS Driveway Approach CZE S.F. @ 5.50 . $ --:;qoc., 00
ENGINEERING Handicap Ramp ~EA. @ 1000.00 .$.1coc ,"-! i)
E3ttruded Curb L.F. @ 6.00 . $
Barricade L.F. @ 50.00 . $
Street Excavation <:;q O~ S.F. )x($0.15)x( _H) . $ ~E>::. (; ~,
A.C. Pavement < ~00 s.r. )x($0.45)x( ") -'$ 'lSl.lo
-
Adjust Manhole to Grade I EA. @ 300.00 . $ ?CO.c,\..')
Adjust Handhole to Grade EA. @ 200.00 . $
Monu..nt Box w Monument EA. @ 500.00 . $ ::- 0:) , (..1
Street Tree (15 aallon) EA. @ 200.00 - $
Pavement Striping ($100 min) 120 L.r.@ 0.65 . $ 4<cB, ~c..'
Pavement LeaeDds ($100 a1D) L- EA. @ 40.00 - $ So , c>,)
Stop.Street Na.. or Other Sian "2- EA. . 120.00 . $ 610, 00
Paveaent Harkers UU EA. @ 15.00 . $ :?fa..' 00 ..
Pavement Key Cut L.r.@ 8.00 . $
. $
- $
Surface Subtotal "SIt . $ pO 60 ~, ( ~
Adjuat. for .1ze: S~ $30.000 add 20%. S ~ $100.000 .ubtract 10%
Street Lighting
Electrol1er
Conduit
Conductor. pair
Pull .lox
EA. f 3000.00
L.r.' 12.00
L.r.' 4.00
EA.' 200.00
Stona Draina.e
12" or 15" acp
II" or 21" acp
Str..t l81.t
Kanhole
Ire.k aDd Eater MaDhol.
5~ L.r,' 60.00
i?1'l.-- L.r.' 65.00
Z, IA." 1100.00
"Z- IA. . 2000.00
1., .A.... '00.00
'l'O'l'AL U'fIIIATE .
... .. SOlD .
. $
. $
. $
. $
. $
. . p~oo. 00
· $;.6 480.00
. . ~"'()O ,00
. . 4000.00
.. l2QO.OO
. .
50 \ 5e;o. 00
at. ~8~.Db
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,
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TO: American Titlp. Tnsurance Co.
950 E. Campbell Avenue
Campbell, Ca 95008'
ATT: Judi Souza
RE: Escrow'#39979
Date: 5-11-88
Property:aE:"921 "~911g~iel A~en~e C~mpb~ll. Ca
I/We herewith hand you the following signed, notarized and recordable
documents: EASEMENT DERD
, covering the real
property as described in the above captioned escrow and on said documents.
You are hereby authorized. and instructed
documents through your escrow. There is
signed for the use of these instruments.
to record and/or deliver these
NO consideration due the under-
-"
The cost of preparing and recording these documents shall be paid through!
this escrow, and shall not be an expense to the undersigned.
/" L - l",,'
l? -0 t'l!
Date signed
-/:-l~'{tL '1-/ (1/,,1'7/) l2i~J)-r/) (J--~JLtf;~
Geraldine Neva Watts
WHEN RECORDED RETURN TO:
E A S E MEN T
DEE D
GERALDINE NEVA WATTS, also known as Geraldine N, Watts,
hereby conceys to AINSLEY DEVELOPMENT, INC., a California Corporation,
an easement for overland drainage release purposes over the Northerly
5.00 feet of Lot 18, Tract No. 666, Book 24 of Maps, Page 50, in the
City of Campbell, County of Santa Clara, State of California.
Said easement is to be appurtenant to the "lands of Grantee" as
described in the deeds recorded as follows:
1. Recorded December 10, 1987 in Book K385 at Page 1026 of Official
Records of Santa Clara County, California.
2. Recorded December 24, 1987 in Book K400 at Page 2133 of Official
Records, Santa Clara County, California.
Said easement is to be kept free and clear of all structures, except
lawful fences and roof overhangs.
Dated
I .J;-. CC /
o.~ ,5\<
"" J~j/,fjJ: ,LLIL~ J]L~!-():) jf~
~~ Neva Watts
STATE OF CALIFORNIA )
COUNTY OF SANTA ~ARA ) SS.
On c:S U ~ t:") B \ (~ ~-' 'IS, b e for e me, the u n d e r s i g n ed, a Not a r y
Pub 1 ic in a~f or-~-;id--~~;-~~~-pe rs ona11y app eared_["1 F;~A( f) I r~-f
t\JcU l\ ~'\~(\Trc~) ______ proved to me on the basis of
satisfactory evidence to be the person whose namelSsubscribed to
the iwthin instrument and acknowledged that _~~6 -;xecuted the same.
. OFFICIAL SeAL
JENNIFER A KING
", ': I NOTARY PUBLIC-CALIFORNIA
SANTA CLARA COUUTY
MY Ot~, EXP, OCT. 19,1990
/ _uJ~~~1U\. fj . 11~
~~ My \commiss~n expires OtT: \~ (elSe
',,---_./
.~-~._-_.~----
t'
i! 5"'i"7YERL.4)./,O .PR.4/N4GE
, REL..FA~
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/7//FR'L.AI/"o Dli'AIN..4GE A?ELGASG
. '
EXHIBIT A
- LF @ 50,00 - $ -
~r;:'/2(PSF)X($O,10)X<'~") - $~
(~ qexo,.').($O.,O).L2.) .~-:
2 EA @ 315,00 - $-=:J 60 p ---
:2 EA @ 215,00 - $ 5~On--
I EA @ 600,00 - $ (p We ",--
3 ... '00.00 - '-1-~'--
I J.-.() LF @ 0,65 $ i ,,--
2.. EA @ 40,00 - $ Y-,D n -
2. EA @ 120,00 - $~
(~O EA @ 15.00 $ 0CO. ---
- $
- $ I j.30L-
- $
_ $ 4<6 ) OC14. --
Adjust: for size: .S.<$30,OOO .dd 20\, .S.>$lOO,OOO subtract 10\ (+ or -) $4<6')CJ14-
CITY OF CAMPBELL, CITY ENGINEER'S CONSTRUCTION COST ESTIMATE
fA '" I - Q~I d /} ~,- .
Address \./ I d I Vf ..-- '.... /
Surface Construction
Clearing & Grubbing
Lump Sum Estimate
- LF@ $ 4,00
- SF @ 3.00
- LF@ 5,00
-- EA@ 600,00
5'li LF@ 14,00
2:2S,SSF @ 4.00
12.0 SF @ 5,50
4 EA@ 400.00
-
LF@ 8,50
Sawcut Concrete
Concrete Removal
Curb & Gutter Removal
Inlot Drain with Pipe
Curb & Gutter
Sidewalk
Driveway Approach
Handicap Ruop
Extruded Curb
Barricade
Street Excavation
AC Pavement
Adjust Manhole to Grade
Adjust Handho1e to Grade
Konument Box w!Konument
Street Tree (lS-gallon)
Pavement Striping ($100 min)
Pavement Legenda ($100 min)
Stop, Street Name or Other Sign
Pavement Markers
Pavement Key Cut
VALLEY 6UT7Ek
LF @ 10,00
~'28 s.F.@5.'X)
Surface Subtotal
.S.
Street Lh:htin2
I EA @
~LF@
.1::1-LF @
2
200,00
Electrol1er
2,000,00
10,00
Conduit
Conductor, pair
2,00
Pull Box
Ea @
Storm Draina2e
I pO LF@ 60,00
~q }.. LF@ 10.00
';L EA@ 1,600.00
3 EA@ 2.400.00
-:2- EA@ 650.00
-
12- or 15. RCP
18. or 21. RCP
Street Inlet
Manhole
Break & Enter Manhole
---
Perm/tro, ~-I44-
baL-date U/;;Pr!rz
- ,
_ $ ~k CD.,")_. -
,
- $
- $
- $
-
-
-
- $ .--
_ $~)Ol~::
_ $l1) \4D.
_ $ 3/~wO~""'"
_ $ L lo cO."'"
J
-
- $
- $:J,crDn-
:~
- $5\~"'-
- $
2. f f) rv---.. ..-
_ $ /) \ ' 1.Aj.
_ $~.. 0,--
$~' .---
:~~-
- $
TOTAL ESTIMATE
$lO"llod -
J c-)
$ \0-1 r-,Cf:). .,-
USE FOR BOND
rev18ed 6/88
f/con-cost-est
/
RECEIVE.
JUN 2 2 1~11
I-UIUC WlftKS
ENGINEEftlNG
CITY OF CAMPBELL, CITY ENGINEER'S
CONSTRUCTION COST ESTIMATE roa 'DMIT 110. I,/Date .)UIJE- ZJ /q86
)
Ha.. , Addres. CI\iI\,,, ~'l1nja~\Uc, ~'2"~.
I.uIIp Sua Est1aate . $ ct~~ 4-o0Ct-
L.r. '$ 4.00 . $
s.r. @ 3.00 · $
L.r. @ 5.00 . $
EA. @ 500.00 . $ -
th Q I ~ L-.r::::. .-
JSf'7 (,07 L.r. @ 15.00 · $ '1100,00 o..v-LJ-
~2J?5i2l5s.F. f 3.50 · $ 1o,,~"z.~,;17qqcg,~
7 2.0 2.8 S.F. @ 5.50 . $ "Zqotl, 00 1'?;q (po.-
4 .A:-.EA. f 1000.00 · $ Ao 00 (~D$4-CXX).--
L.r. @ 6.00 . $ ---
L.F. @ 50.00 . $
352(P (~qOc,..S.F.)x($O.1S)x(~") . $
~~O"" S.F. )x($0.4S)xtL") . "$
~."*, EA. f 300.00 . $
'- EA. @ 200.00 . $
\ EA. @ 500.00 . $
~ EA. @ 200.00 .$
120 L.r.@ 0.65 . $ ,
'- EA. @ 40.00 . $
1- EA.' 120.00 . $ ZAo.oo
UU EA." 15.00 . $ '100, 00 ~
L.F.@ 8.00 . $
'...."t.C& ~:;. \C@ ~ ,~.O . · $ \tt.04 -
Surface Subtotal liS" · $ ~6' 60 ~-+a. 5" 4)<1 (p
Adjust. for s1ze: ~~ $30,000 add 20%, S. $100,000 subtract 10%
Surface Construction
Clear1D1 aDd Crubbinl "
Sawcut Concrete
Concrete aemoval
Curb , Cutter ae.oval
Iulot,Dra1D with ripe
Curb and Cutter
Sidewalk
.
Drlve~ay Approach
aandlcap Ramp
-Extruded Curb
larricade
Street Excavation
A.C. ravement
Adjust Manhole to Crade
Adjuat Bandhole to Grade
Monuaent lox w Monument
Street Tree (15 aa110n)
raveaent ~trlpln& ($100 .1n)
ravement LeaeDdS ($100 .1n)
Stop,Street N... or Other Slan
raVeMnt Harken
r.VemeDt ley Cut
V'>.1-l ~ ~U"1E~
Street Llghting
Ilectrol1er
Conduit
Conductor. p.lr
'ull .lox
StOt'll Drain...
12" or 15" &CP
11" or 21" &CP
Street lal.t
llaDhol.
Ireak aDd later Manhole
_f~'
t::=:" C a -.J./Il /} '3- j -,
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ll; 1,1 0 \(..('JO~-
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So,oo -
. $
\
4-4
44-
-z.
· $ '-=3 OD1.-
, ('J
· $ r::sd~ -
-$ Il(().-
.$~LD,--
- .
EA. , 3000.00
L.r., 12.00
L.r.' 4.00
EA. f 200.00
(pO ~ L.r.' 60.00
C?il[; L.r.' 65.00
V"'" Z, IA.'. .100.00
'& .. IA. . 2000.00
v 1., IA.". 600.00
. . ?~oc>. o.l-~(Pro,---
· 'P6 460,00
. . ~"o" ,00 \
_ . 4c:> 00,001 tflJD.:-:1> -
." (Zoo.CO
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I
CITY OF CAMPBEll
FIRE DEPARTMENT
123 SOUTH UNION AVENUE
C AMP BEL L, CALI FOR N I A 95008
(408) 866-2189
Oat; e :
5 ADril 1988
"c"",,,
APR 12 1988
PUBLIC ~
fNGINffR~~~S
SaY'. Jet.. Wat.r Co,,,peY"Y
1221 S. 8a5C'0'" AveY',ue
San Jo.., CA 95128
a-tt;.Y',-t ioY" : JIM BARITEAU
,
RE: 921/931 HAZEL AVENUE - AINSLEY PROJECT
GeY"'t 1 ef"eY'.:
Thi5 lrt'ter will ..rve as au'thoriza'tioY" 'to iY'.s'tall OY'.e fir. hydraY',t
(4" by 2 1/2" by 2 1/2") .t t.h. 10c8t.ioY"(s> list.ed below:
1.
2.
HIE Corner of en'try int.o compleM a't Hazel Av.nue
3.
4.
/'CC.: Chuck Gomez
'.,
INSURANCE COMPANY OF THE WEST D ,#= Q
lS7STREATBOULEVARD,SUITE200.WALNUTCREEK,CA94598 (efl-YV>II ~- 14-4.
p,O, BOX 9283. WALNUT CREEK, CA 94598-0983. (415) 937.9460
November 16, 1989
STATUS INQUIRY
RE: AINSLEY DEVELOPMENT, INC.
Bond Number(s): 04 51 49
Bond Amount: $107,800
Bond Eff. Date: 7-15-88 to 7-15-90
Tract: Off-site Improvements - Hazel Avenue
~~c..
t;j V ~
NOV 2 Ii 1989 l
FJJvAIVCl:
Dl:/I/.
CITY OF CAMPBELL
70 North First Street
Campbell, CA 95008
Without prejudicing your right or affecting our liability under
our bond(s) described above, we would appreciate a status update
on the referenced project. Thank you for your cooperation.
ffl~/J 8 /llJfi!if:-d !.Ie'/??
ames B. Moffatt, ,t rney-in-fact
Surety Department
1. IF SUBDIVISION OFF-SITE IMPROVEMENTS ARE COMPLETED, state:
A) Approximate date of acceptance of work:
B) Acceptance date (by Board of Supervisors, City council,
or other governing body):
PLEASE ATTACH A COpy OF THE MINUTES IF POSSIBLE.
2. IF SUBDIVISION OFF-SITE WORK IS UNCOMPLETED, please state the
approximate percentage completed for the following:
Rough grading Fire hydrants
Finish grading Street lighting
Curbs Water service
Gutters Sewers
Sidewalks Monuments
3. Do you know of any unpaid bills for labor or material?
If yes, please explain:
4.
Remarks: MA;""'T'"Ek1A-,uc ~
~.r-.-./ I'> -r<:::::..e....e:,...... f"\- L' ,..j,
,
L 1'\...1 F FPEJ:::T
BY:
TITLE:
~.EA-7n,.j
DATE:
PHONE:
Stamped Addressed Envelope Enclosed
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