88-208
CITY OF CAMPBELL
DAlPT. OF PUBLIC WOIUtS
70 Mortb Firet .t.
Caapb.ll, CA .5008
(408) 8U-2150
ENCROACHMEN'l' PERMIT
(for working in the
public rigbt-of-way)
Ieeu.d I~.;;I)?~
p.rait exp r.s in 12 aos.
Pera. o.
X-Ref. file
APPLICATION - application ie her.by ..de for. Public Worke P.rait in accordanc. with Caapb.ll
Municipal Cod., S.ction 11.04. (Application expir.s in 6 aonths if p.rait not pulled)
A. Work addr..e or tr.ct . B /0 8
utility tr.nch location 4~ ...:;/?;;>CV/1 L:JJ"J #/a-A-S
.
B. .ature of workz q L&r .sU73l)I('//J~cvJ
c. Attacb five (5) cop!ee of . drawing ehowing tbe location, .xt.nt and di.eneione of the work
Tb. drawing ehall ehow the r.lation of the propo..d work to exi.ting eurfac. and und.rground
iaprov...nte. Wh.n approved by the City Engine.r, eaid drawing beco... a part of this perait.
D. The a.n.ral Conditione for all p.raite are lieted on the revere. eid.. sp.cial provi.ione for
thie perait are listed below. Failure to abide by th.se conditions and provisions aay result
in job .hut-down and/or forfeiture of Faithful P.rforaanc. Bonds and ca.h d.posits. (See
a.neral Conditione 1 and 2).
Thie ie non-refundabl..
T.lephone: &;7/- 396--z..
B. AD application fee .uet accoapany thie application.
.... of Applioant J/yJ /!hut (/??~/'S
Addreee ?&O ,/f4,-' 6e:./A/ce-r
Ie thie work being done by the property owner at tbeir own reeidence? yee ~no
Co.pl.te and attach Work.re' Coapeneation and Contractor Inforaation foraa.
The Applicant/Peraitt.e h.reby agre.e by affixing th.ir eignature to thi. perait to hold the city
of
c..pbell, ite officere, .g.nte and ..ployeee fre., eaf. and h.raleee froa any cl.i. or d..and for
d..agee re.ulting fro~ the work covered by this perait.
hereby acknowl.dgee that they have read and und.rstand both the front and
t at th.y will infora th.ir contractor(s) of the inforaation.
8-/~~
Dat.
HOTI.a ALL WOU 'BALL COlIFORM WIH 'l'BB A'f'l'ACBBD, APPROVED PLAMS AIlD ALL UPLICABLB CUPBBLL
.TUDAltD DRAWI.aS AHD COWITIO.S.
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HB COftltAC'l'OR HUST DVE HIS PBIUUT AHD APPROVED PLUS AHD WST ItEET WI'l'B HB P.W. I.SPECTOR ON
TBB .ITI AT LBUT no DAYS BBFORI STUTI.a WOU.
IIOTICI WST BI aIVBII TO l'UBLIC WOUl AT LBUT U HOURS BIFORB RBSTUTI.a AMY WOU.
SPBCIAL PROVISIO.S
_1.
~.treet eh.ll not be open cut for und.rqround inetallatione. Hini.ua cut. ..y be allowed
for conn.ctione or exploration holee. 'uoh cute .uat b. ep.cificallY approv.d by the
Inep.ctor.
pav...nt ..y be cut for und.rground inetall.tione and .uet be reetored in accordanc. with
the utility Tr.nch ..etor.tion .tandard Drawing.
Work to be etated by . licena.d Land surv.yor or Civil Inqineer and two (2) copiee of the
cut sh..ts sent to the Public Work Deptarta.nt before starting work.
The houre Of work are lia1ted to outside the hours of 7-' .... and 3-6 p... for any work
affecting . tr.ffic lane.
_2.
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RBCBIPT HO.
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$ 50. DO
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(R-1)
($35.00)
$50.00
$500.00
(100% OF SHa. 1ST.)
(4' OF BOW, '500 HI.)
F.P. BOW, '35 HI.)
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/912
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( Dat.
PBRMIT UPLICATIO. FBB
PLAM CBBCK DEPOSIT
BO.D FOR FAI'l'BFUL PBRFORHAHCB
t.:] j ~) .
CUB DBPOSIT
($200.00 )
f z "PERMIT
R.vised 8/88
~-
PLAM CIIBCK ,
APPROVED FOR ISSUUCE
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May 26, 1994
Subject
Review of Permit # 88-208
After review of this outstanding permit, it is to be noted that this permit is excessively
old. The one year maintenance period began on 8/23/90. At the end of this one year
maintenance period, the final maintenance inspection was never done and/or wasn't present
in permit file #88-208. There are no current bonds or deposits remaining with this permit.
From these findings, this permit will be closed and archived.
Derek G.
PW Volunteer
(-
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CITY OF CAMPBELL
Department:
Public Works
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70 NORTH FIRST STREET
C AMP 8 ELL, C A L I FOR N I A 9 5 0 0 8
(408) 866-2100
FAX # (408) 379-2572
September 16, 1991
Mr. Jim Chalmers
700 MCGlincey
Campbell, CA 95008
SUBJECT: ONE YEAR MAl DEFICIENCIES
PERMIT NOS. . , 88-219
REGAS DRIVE & MC GLINCEY LANE
Dear Mr. Chalmers:
We have made a one (1) year maintenance inspection of
subject public works improvements. There are deficiencies
that must be corrected before we can release your
obligations in this matter. A deficiency list is attached.
Please contact me to coordinate the correction of these
deficiencies. Upon satisfactory completion of the
corrective work, we will release your obligations.
Sincerely,
Sal Duckworth-Lanzo
Senior civil Engineer
SDL:djr
Attachment
cc: Suspense-60 days
F:88-208 & 88-219
PERMIT NO. 88-208
PERMIT NO. 88-219
DEFICIENCY LIST FOR 88-208
1. Repair or remove and replace curb and gutter in front
of lot #6 that was previously repaired.
2. Repair or remove and replace a section of a curb and
gutter in front af lot #7 that was previously repaired.
DEFICIENCY LIST FOR 88-219
1.
easterly portion of driveway
gutter on easterly driveway on
Remove and replace
approach and curb and
MCGlincey Lane.
2. Remove and replace easterly portion of drive approach
on westerly driveway on McGlincey Lane.
F:88-208 & 88-219
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CITY OF CAMPBELL
COUNCIL REPORT
Meeting Date: september 18, 1990
Item #
Category: CONSENT CALENDAR
Initiating Dept: Public Works
Title: Resolution - accepting street improvements at Regas Drive
RECOMMENDATION:
That the City Council adopt a resolution accepting street improvements at
Regas Drive and ordering a Notice of Completion to be filed.
DISCUSSION:
On June 7, 1988, the city Council approved TS 88-02 to allow creation of 9
lots on property known as Regas Drive, APN 412-35-5 & 23. (Application of
Pipeyard Inc.) The conditions of approval included street dedication and
the construction of public street improvements.
On January 3, 1989, Permit No. 88-208 was issued to allow construction of
the public street improvements including new asphalt concrete street
surfacing, concrete curb, gutter and sidewalk.
The work has been completed in conformance with City Standards.
appropriate for the City Council to accept those improvements at
and order a Notice of Completion to be filed.
It is
this time
Approved by Department Head
Approved by CIty Manager
RESOLUTION NO.
8007
BEING A RESOLUTION ACCEPTING IMPROVEMENTS IN TRACT NO. 8163,
REGAS DRIVE
WHEREAS, the City Council has been advised by the City Engineer that
public improvements in Tract No. 8163, Regas Drive have been completed in
accordance with City standards; and
WHEREAS, the City Engineer recommends acceptance of the improvements;
NOW, THEREFORE, BE IT RESOLVED by the City Council that public
improvements be, and the same are hereby accepted, and that the City
Engineer is hereby ordered to recored a Notice of Completion of said
improvements.
PASSED AND ADOPTED this
the following vote:
18
day of
September
, 1990, by
AYES:
Councilmembers: Kotowski, Watson, Conant, Burr, Ashworth
NOES:
councilmembers: None
ABSENT:
Councilmembers: None
APPROVED:
Mayor
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CITY OF CAMPBEll
'\
W1MBERlY~INGIJ
HELMS 1/i..c':TURN rn i I
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JOCSON_..1 __ D:SCA.~~___~_:r-'-~
KRUGER ~
70 NORTH FIRST STREET
CAMPBELL, CALIFORNIA 95008
(408) 866-2100
FAX # (408) 379-2572
-_...
PENOYER
Department:
Public Works
October 12, 1990
Mr. Jim Chalmers
The Pipeyard, Inc.
700 McGlincey Lane
Campbell, CA 95008
SUBJECT: FINAL INSPECTION AND ACCEPTANCE
Permit No.: 88-208 & 88-219
Location: Regas Drive & 700 KcG1incey Lane
Dear Jim:
We have made a Final Inspection of subject Public Works construction
and find it acceptable and in conformance with City standards.
Accordingly, the work is hereby accepted subject to the one-year
maintenance requirement indicated below.
You are responsible for the maintenance, repair and/or replacement of
all work done should any failures occur within one (1) year of
August, 1990.
We will inspect the work in one year and advise you whether or not
maintenance is needed.
Please feel free to call me if you have any questions.
Sincerely,
Gregg Eaton
Public Works Inspector
GE:sd
cc: Suspense - 1 year
f:208-2l9 (permits)
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CITY OF CAMPBEll
70 NORTH FIRST STREET
CAMPBELL, CALIFORNIA 95008
(408) 866-2100
FAX # (408) 379-2572
Department:
Public Works
August 23, 1990
Mr. Jim Chalmers
700 McGlincey Lane
Campbell, CA 95008
SUBJECT: FINAL INSPECTION AND ACCEPTANCE
PERMIT NO.: 88-208
IDCATION: Regas Drive, Tract 8163
Dear Mr. Chalmers:
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.
We will inspect the work in one (1) year and advise you whether or
not maintenance is needed.
When we have received your maintenance bond in the amount of
$9,750.00, we will release your faithful performance bond.
Please feel free to call me if you have any questions.
Inspector
GE:sd
cc: C. Case, Council Agenda
Bond Company
Suspense - 1 year
f:88-208-2 (permits)
?2c~... . _&
Date f/iIIqO- -. . Pcrmit or Project No.
Addrc:i& ~ ~ )
Type ot work;' ~taet X- Storm -:AnitAry
Othcr (dc$cribe)
PUBLIC WORKS INSPECTION REPORT
, yr-;;JoY
ElectricAl
[JPRELIHINARY INSPECTION WITH DEFICIENCY LIST (AttAched)
[JFINAL INSPECTION WITH DEFICIENCY LIST (AttAched)
~INAL INSPE~ION -~CEPTANCE
~Signed plAne? ~ N (It uigned. Council AcceptAnce.)
ChArges AgAinst deposit? y
Overtime I hrs. @ ~
DAte {, reAliion;
N
/hr.
-
$
BArricAde rentAl (AttACh invoice)?
DAte" reAson;
y
N
~
Other?
$
~
TotAl chArges deducted from depositl
(CAliih Depolii1t $ leas chArges $
$
- Refund $
[JONE YEAR MAINTENANCE WITH DEFICIENCY LIST (AttAChed)
[JONE YEAR MAINTENANCE - ACCEPTANCE
(RelcAtie'mAintenAnce bond. Check Request it cAsh.)
ck. req.)
Inspector
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CITY OF CAMPBELL
70 NORTH FIRST STREET
C AMP BEL L. C A L I FOR N I A 9 5 0 0 8
(408) 866-2100
FAX # (408) 379-2572
Department:
Public Works
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April 3, 1990
Mr. Jim Chalmers
700 McGlincey
Campbell, CA 95008
RE: Final Inspection - Deficiencies
Permit No.: 88-208
Location: Regas Drive Tr. 8163
Dear Mr. Chalmers:
You have requested a final inspection on subject construction work.
There are deficiencies in the work which are indicated on the
enclosed lis~~Tl1~se deficiencies must be corrected.....",',v *-c...oft-~A..Jc.e-
irH chI $r:;t-q'J~l::>~ -~ l.... 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,
Gregg Eaton
Public Works Inspector
GE:ja
Ene.
Permit No. 88-208
Regas Drive
5/3/90
Deficiencv List
~
Repair crack in D/W approach at 679 Regas Drive.
Repair handicap border at 683 Regas Drive.
~~ Repair crack in curb & gutter at 678 Regas Drive.
l
-X- Repair crack in D/W approach at 672 Regas Drive.
/' x
~ Repair cracks in curb & gutter at 670 Regas Drive.
, ~~rack seal joints in A.C. where new and existing meet.
~././
~ Complete the monument installations (set hubs and monuments).
8. Do a general clean-up of sidewalk, curb & gutter, and street.
9. Replace Faithful Performance Bond with Maintenance Bond.
5~e PIPEYARD,3nc.
700 McGlincey
Campbell, CA 95008
PLASTIC PIPE" CHEAP" Phone (408) 371-3962
~(mit 8B-dOS <f 88 -;2 J 9
Rt:CkSIVSii)
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August 17, 1990
Public Works/Enginoering
Greg Eaton
Public Works
City of Campbell
70 N. 1 st
Campbell, CA 95008
RE: Maintenance guarantees for Regas Drive & McGlincey Lane
Dear Greg:
The Pipeyard, Inc. hereby agrees to provide all necessary
maintenance on Regas Drive up to a maximum cost of $9,800.00 &
also agrees to provide all necessary maintenance on McGlincey
Lane up to a maximum cost of $7,500.00; under normal terms and
conditions established and specified in the maintenance bonds for
l(one) year from the date of this letter.
This guarantee is in substitution for maintenance bonds on the
2(two) projects noted above.
If I may be of assistance or answer any questions, please do not
hesitate to contact me.
Sincerely,
4::~~ers
President
JSC/jm
REFUNDABLE DEPOSIT
CHECK REQUEST
TO: FINANCE DIRECTOR
CITY OF CAMPBELL
Please issue check payable to:
The Pipeyard Inc.
(30 spaces)
Address:
70u McGlincey Lane
(30 spaces)
Line 1:
Line 2:
City:
Campbell
(20 spaces)
(30 spaces)
State: CA Zip: 95008
(2) (10 spaces)
Description:
Cash Deposit Refund
(24 spaces)
Exact Amount Payable:
$1,560.00
Account Number:
905.4662 \
PURPOSE: Release of cash deposlt for excavation permit *88-20~.
See receipt #19~3 dated ~2/~9/~8.
Requested by: G. Eaton
Title: P. W. Inspector Date: 8/23/90
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:
(Department)
(Name)
Other:
08/24/88
$llcf.2/-
3 7 1- 3 96' L
9 ;)"?) 0 cf
TO: City Clerk
PUBLI, JRKS FILE NO.
Please collect & receipt
for the following monies:
ACCT.
35-)396
3372
3521
3521
(specify project)
Pvrm,{;t eM:
R-1 :
($35)
($200)
-t VI.:
($ 50)
'( 500)
(4% of FPB)
($500 min.)
(]% of FPB)
($ 35 min.)
(Cash) Depos i t
3372
3521
Plan Check & Inspection Fee
Other Cash Deposit (specify)
J373
3373
Project
General
&
3372
3372
3372
}372
3372
3372
3372
3372
Tentative Parcel Map Fil ing Fee ($350)
Final Parcel Map Fil ing Fee ($300)
Tentative Tract Map Fil ing Fee ($400)
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 Spl it ($500)
Each Additi~nal 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-l ieu Fee per Unit
3380 Publ ic Works Special Projects
3510 Postage
/"1 - /)
/~.1~J--/U~.;j, ZZl'.i:l d, l(!__ TOTAL
NAME ~~ C/~ I
C/ )/JA .. J2L/~j'---4.A-
ADDRESS 7 0 ~ r' I.cC- ~
PHONE
~
ZIP
FOR
C I TV CLERK
ONLY
RECEIPT NO.
/9<;/'6 '
/7<td/
CJ~O
AMOlNT PAID
RECE I VED BY c:-~. .Y?)
DATE / J- - I 7- (f y
~J-'--2()cf
AMOUNT
$
~/73(j .0 ()
Is:-c. 0." 0
.--
:3/.3.v3-
:3 ;3 If 3. & 0
.
/()~ /rYd'--
July, 1987
REFUNDABLE DEPOSIT
CHECK REQUEST
TO: FINANCE DIRECTOR
CITY OF CAMPBELL
Please issue check payable to:
Jim Chalmers (30 spaces)
700 McGlincey Lane (30 spaces)
(30 spaces)
Campbell State: CA Zip: 9500H
(20 spaces) (2) (10 spaces)
Cash Deposit Refund (24 spaces)
$500.00
905.4662
Address:
Line 1:
Line 2:
City:
Description:
Exact Amount Payable:
Account Number:
PURPOSE: Release ot cash deposit Lor excavation permit #8H-208.
See receipt #20501 dated 8/16/90.
Requested by: G. Eaton
Title: P. W. Inspector
Date: 8/23/90
Approved by: B. Helms
Title: Engr. Manager
Date:
Verified by:
Accounts Receivable
Date:
SPECIAL INSTRUCTIONS FOR HANDLING CHECK:
Mail as is
x
Mail in attached envelope
Return to:
(Department)
(Name)
Other:
08/24/88
TO: City C I e rk
PUBL. ..IORKS FILE NO. 88-)ur
Please collect & receipt
for the following monies:
ITEM
Project Revenues (specify project)
PubUc. (1o!dUl Exc.a.va.-ti..on PeJtP.lLt fee.4:
A I ication Fee
Plan Check Deposit
Faithful Performance Deposit
R-1 :
($'35)
3372 Plan Check & Inspection Fee
3521 Other Cash Deposit (specify)
J373
3373
Project
Gene ra I
&
3372
3372
3372
)372
3372
3372
3372
3372
cost
3370 Multi-Res.,
3395 Uni t ($1,132)
3380 Public Works Special Projects
3510 Postage
TOTAL
NAME
IS; /~
PHONE
C'~~ ;{1-J @ /L L)
AMOUIH
$
!:) 0 .~'u
Sol). oc)
$
55~. 6c)
ADDRESS
70cJ
/1 c.. c:: /.//I/~, e v
/
?7/- s;;~ 7
ZIP '9 5-00 Y
c.iJh? 3 ,zLC-
FOR
C I TV CLERK
CNLY
RECE IPT NO.
c!ZDS1) /
o-S-O tJ-{J
h-.P
~J~/t Y
AMC)U'fl' PAID
RECE I VED BY
DATE'
July, 1987
CITY OF CAMPBEll., CITY ENGINEER'S CONSTRUCTION COST ESTlKATE
Addre..
Surface Con.true~iDn
Cl.arln& & Crubbln&
w.p SUIl btllute
LF@ $ 4.00
SF @ 3.00
LF@ 5.00
!A@ 600.00
4-\4 LF@ 14.00
/2)&4- SF @ 4.00
[:L)I SF @ 5.50
I lA, 400.00
LF' 1.50
LF' 50.00
SPClIt Concr.te
Concr.te a..oval
Curb . Cutter a..ova1
In10t Drain with Plpe
Curb 6 Cutter
51devaIk
Drive_y Approacll
HaDcllcap a..p
buuded Curb
Permi t No.
by_date
_ $ 1<']) :>
- $
- ,
- $
$
.-.-,c.. /))
_ $ ~:.. ; ,0. '- (
$ lJc.--0' ( I'
_ $ 4c.; (JC-:
J-CC). C n
- $
- $
Scre.t lacavation
- $
fly;: 40 SF)1I($0.10)1I'-.) _ $ I S~ "":',C0
(1 f ....:..SF)1I($0.30)1I'-.) _ $ -:-::>~O \ .-[.0
lA' 375.00 - $
lA' 275.00 - $
"
-;.) lA' 600.00 $
lA, 300.00 - $
~C0 LF' 0.65 - $
lA' 40.00 - $
lA' 120.00 - $
to:; lA' 15.00 - $
LF' 10.00 $
- $
- $
Surfac.SubtotaI .S" _ $L0'110.C\,?
AAljust for ah.: .S.<$30,ooo add 20\, .5.>$100,000 aubtract lOt (+ or .) $ ;::~'\O~l::). !.-i--
lanluda
AC 'av...nt
AAljuat Manhole to Cra.
AAljust Handho1. eo Cr.da
~nt 1011 v/Monuaant
Str.at Tr.. (15-..110n)
'_nt Strip1n& ($100 aiD)
'_Dt lA&enda ($100 .1n)
Stop. Str.et .... or Other S1m
Pava..nt Maritan
P__nt ltay Cut
Bu..!: U..bt:in.
r
lA' 2,000.00
/7 ", r-') 10.00
f- ',- LF'
LF' 2.00
!.a' 200.00
&lectrol1er
Ccmdui t
Ccmductor. pair
PW.1 lox
/' Uf.' "1 (' T Ii. i.-
Stora Draina..
12- or 15. acp
LF'
U,
60.00
11" or 21' atp
70.00
Street JDl.t
IA t 1,600.00
lA' 2,400.00
IA , 650.00
llallhole
.reak , Inter Manhole
wrA1. ISTlIIATI $
US! rea IClIQ) .
\8CO.OO
\''1C)''':'' C;
"'Z"2.0. C)()
- $
4{~~'c:.~c' . ()(~'
_ $ :: ~_.-.\ l.'l.
- $
_ $ C;. c>"::J ,c'
_ $ iC::7Ci'
- $
- $
- .
.
- .
- $
?JS SC)~. 14
nri..cI 'III
CITY OF CAMPBELL
Permit No.
Applicant
INFORMATION SHEET FOR ENCROACHMENT PERMITS
A separate form must be completed for the applicant and each contractor
that will work under this permit.
WORKERS' COMPENSATION INSURANCE INFORMATION
Name of Contractor/Applicant 7'h-e, r,j)e..to/iL)J It. C
/ '
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./VA-T7D/I/IDI D~ ff) U TV /lL-
Policy No. 7'1-tuCJ:;O (I):~(J(l..OOOI-.,cExpiration date 'f -I'I -fCj; OR
........................ IO... IO. IO. .. .. . ................ IO......... . . . IO....... .
This 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.
. .
..................... ... . .................... IO. ........ . . . . . . . . ...... .. . ... . .
CONTRACTORS INFORMATION
Note that all contractors must have current City of Campbell Business
License, State Contractor's License and Workers' Compensation Insurance.
Name of Contractor
Address
Telephone
State Contractor License No.
City Business License No.
Expiration Date
Will do the following types of work:
underground _____P.C. concrete _____A.C. paving _____electrical
other (specify)
f:PERMINFO
REV. 8/88
~
1AtV-/~
I
STATE
COMPIINSATION
INSURANCE
F=UND
P.O. BOX 807, SAN FRANCISCO, CA 94101-0807
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
JUNE 4, 1990 POLICY NUMBER: 1 069681 - 90
CERTIFICATE EXPIRES: 6-1-91
r-
CITY OF CAMPBELL
ATTN: PU8LIC WORKS DEPT
7S N CENTRAL AVE
CAMPBELL
CA 9500:3
L
RICIIVID
JUN 08 J990
Public Worb/En' .
9mo.'IOfI
This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California
Insurance Commissioner to the employer named below for the Poli30Period indicated.
This policy is not subject to cancellation by the Fund except uponltdt! days' advance written notice to the employer.
30
We will also give you "XIIN days' advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the
policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with
respect to which this certificate of insurance 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.
,4~
PRESIDENT
ENDORSE~ENT #0015 ENTITLED ADDITIONAL INSURED EMPLOYER EfFECTIVE
06/01/90 IS ATTACHED TO AND FORMS A PART OF THIS POLICY.
NAM€ OF ADDITIONAL INSURED: CITY OF CAMPe~LL
ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS. NOTICE EfFECTIVE
06/01/90 IS ATTACHED TO A~D FOR"S A PART Of THIS POLICY.
EMPLOYER
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APACHE PIPELINE CORPORATION
PO BOX 8110
SAN JOSE
CA 95155
L
selF 10262 (REV. 10-86)
OLD 262A
:J~e PIPEYARD,3nc.
700 McGlincey
Campbell. CA 95008
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Public Works/Engineering
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ONE HANSON COURi . MI,~,TAS C/o, 95(l~lS . (408\ ;'6./-1091 . FAt. (408; ;'h2-0g;11:\
n
Apt'i1 17. 1989
The Pipeyard, Inc,
:/00 ~1c raLnu!y LcllLc'
C[!fll~Jh('ll, Co''!. 951103
To v.!l'to::n It ~1ay Concern l
Tni.s 13 to certify the 12" (Twelve Inc,h) Re..inforccd
Concrete Pipe Rupplied to you for your ya~d m~ctA the
M)1't'i C16 requiro?IT'E-_Dt,,,", C132E 4.
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Ci)OfiL (f(Oi)1(JA~
nd\'(~ 1;udgf-r!.'i
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Milpitas, C~. 93035
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~~:::K :l~2-3t.CASH RECEIPT
o MONEY ORDER CITY OF SAN JOSE
No. A 149338
ADDRESS
100 DOLLARS
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FORM 142-13
REV. 8/85 SOM
BY
ORIGINAL TO PAYOR
BANK OF AMERICA
MULTIPLE MATURITY 8 2 7 41 0
CERTIFICATE OF DEPOSIT
A~oomNQ 06229-02198
Rate 5 .0 O'YlMaturity 90 0 A Y S
$**$1,790.00*******
Date 1 2/ 07 /88
PIPEYARD FOR CITY OF
SAN JOSE Account Name
INSTRUCTIONS FOR
DISBURSEMENT OF INTEREST
Interest to be paid
At Maturity of Certificate, (Term must be
one year or less),
Credit interest to:
[j{Checklng Accl # 06220-03755
_ 0 Savings Accl #
~ :J Pay by Cashier's CheCk to'
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SAN ~OSE. CALIFOF1
A
601 NORTH FIRST STREET
SAN JOSE, CALIFORNIA 95110
(408) 277-4333
DEPARTMENT OF PUBLIC WORKS
D. KENT DEWELL. DIRECTOR
MINOR STREET IMPROVEMENT PERMIT
PERMIT NO:
3-RJ 46 (M1
DEVELOPER:
MR. JIM CHAU1ERS
DATE:
NOV 8, 1988
PLANNING PERMIT NO:
EXPIRATION D.L-:-E:
FEE 8, 11989
COORD INA TOR:
Jim d1aJmers
LOCATION: N.E. CORNER OF SWEETBRIAR DRIVE AND CENTRAL PARK DRIVE
When cleared by the City for cons';:ruction, this is a pennit for the
construction Jf street improvements as shown on the attached plan(s) and i0
accordance with the City of San Jose Standard Details and Specifications.
Prior to the issuance of this permit you will be required to:
1. Pay a 15' Fee of S 620..J0 for City Engineering and Inspection.
2. Furnish a Non-Negotiable Deposit Certificate in the amount of $1,790.00
which will be held by the City as the security deposit until the project
is completed. Guidelines for using these Certificates are as described
in Exhibit "(".
3. Subrnit to the City of San Jose evidence of insurance coverage. Developer~
at develc:er's sole cost and expense and for the full tet^m of this penrit
or any renewal thereof shall obtain and maintain at least all of the
minimum insurance re1uirements as described in Exhibit "A" prior to
commencing any wOl"k under this street improvement pennit. Said insuranc'?
shall be ;iled with and approved by the Risk M~nager before a permit
shall be issued. The Risk Manager's appt"oval shall be labeled
Exhibit "S".
If you need further information, please call Ron Se'7{)ur
(408) 277-516~, Room 340, City Hall.
Public Works Inspection mus~ be notified at 277-4626, 24 hours prlor to
beginning wad.
CLEARED FOR CONSTRUCTION:
----
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,"-,' ] r"':~ C tOt' 0 f P 11 n 1 1 ': ~ \ () r v: ':
COMPANY NAME: THE ~lrEYARD, INC
ADDRESS: 700 MCGLINCEY LANE, CAMPBELL, CA. 95008
BY: MR. JIM CHALMERS
CONTRACTOR' S LIC. NO.:
PHONE NO.: (408) 371-3962
The following Improvement Plans, Details and Specifications are attached and
made a part of this permit:
DESCRIPTION
SHEET NO.
PLAN FOR THE IMPROVEMENT OF REGAS DRIVE
4
1. Construct std hocXled inlet
2 . Construct std sm rnanhose
3. Construct five feet of std cur;:;, gutter and side'''rolk
SEWER LATERALS ONLY
SIZE:
TYPE:
CONSTRUCTION COMPLETED SATISFACTORILY:
LENGTH TO CURB:
..
..J
DEPTH AT MAIN:
DEPTH AT FOC:
Public Works Inspection Date
DEPTH AT P. 1. :
LATERAL LOCATION:
6332W(RC)
BOND
and..'
E and I FEE
Estimated Umt Bond, 15%
Item Description Unit Q-)antity Price Extension Fee
PCC Curb and Gut ter Lin Ft 5 . 13 .50 67.50 10.12
Remove Curb and Gutter Lin Ft 5 3.50 17.50 2.62
PCC Sidewalk Sg -f- a 3.50
t _
I
Remove Sidewalk Sq F: I 0 I 1.50
I
PCC Driv~ay Sg F: O' 6.00
I
Remove Driveway Sq F: 0 2.00
, I
I Face of CUrb Drain N/.:' I 0 I 300.00 I
I I- I I
I I 1-
Wheelchair Ramp Eac:: 0 700.00
E1ectrolier Eac:-. I 0 I 1,250.00 I
I I ,
Catch Basin or Standard Eac'"-. 1 700.00 700.00 105.00
Hooded Inlet ..
Lateral NIl-. 0 1,000.00 1,000.00 500.00
TOTALS 1,790.00 620.00
NaTE: FEE IS 15 % OF D:TENSlm I EXCE?T FOR L..~TERA.LS.
RCXJND OfF 'IDTALS TO NEAPEST $10.
G"""":M.~: d
8850w
BOND FEE
EYJIIBIT B
NOTIFICATION OF CONTRACT
OR AGREEMENT BEING PROCESSED
(Upper portion to be filled out by applicant)
Developer
Addr.ess
700 MCGLINCEY LANE, CAMPBELL, CA.
Project - Street Improvement Permit 3-
95008
(M)
I Date I
I OCTOBER 14 , 1988 I
I Phone I
I I
I Amount I
I NA I
I
I
Division I
Engineering Serv. I
Extension I
5161 I
Start Date I
I
MR. JIM CHALMERS
Scope of Work
Private construction within right-of-way
Department
Public Works
Contact
Mike Miramontes
Project Manager
Ron Seymour
NOTIFICATION OF COMPLIANCE
WITH INSURANCE REQUIREMENTS
Comments
Date
Signature
6360W(RC)
1ft Bank of America
TRADE FINANCE SERVICES-CA. MENLO PARK OFFICE #1440
1000 MARSH ROAD, P.O.BOX 2085,MENLO PARK, CA. 94025
ITJ
IRREVOCABLE STANDBY
LETTER OF CREDIT NO.11020.
DATE OF ISSUE:
DECEMBER 15, 1988.
EXPIRATION DATE: DECEMBER 31, 1989.
AT OUR COUNTER IN MENLO PARK,
CALIFORNIA.
BENEFICIARY:
-------------------
-------------------
CrTY OF CAMPBELL.
75 N.CENTRAL AVENUE,
CAMPBELL, CALIFORNIA 95008.
GENTLEMEN:
WE HEREBY ESTABLISH OUR IRREVOCABLE STANDBY LETTER OF CREDIT # 11020 IN
YOUR FAVOR FOR THE ACCOUNT OF: PIPEYARD, INC. 700 MCGLINCEY LANE,
CAMPBELL, CALIFORNIA 95008 UP TO THE AGGREGATE AMOUNT OF
US$39,000.00 ( THIRTY NINE THOUSAND & 00/100 USDOLLARS).
WHICH IS AVAILABLE TO YOU BY YOUR DRAFTS DRAWN AT SIGHT ON US, MARKED:
" DRAWN UNDER BANK OF AMERICA NT & SA,
IRREVOCABLE STANDBY LETTER OF CREDIT #11020",
FOLLOWING DOCUMENTS:
MENLO PARK OFFICE #1440
AND ACCOMPANIED BY THE
1.- THIS ORIGINAL LETTER OF CREDIT.
2.- A SIGNED BENEFICIARY CERTIFICATE, BY A REPRESENTATIVE OF THE CITY
OF CAMPBELL, CERTIFYING THAT PIPEYARD, INC. HAS FAILED TO
SATISFACTOR PER
PUBLIC
OR
A CLAIM HAS
PERSONS FUR
OR
THAT
WORK
WE HEREBY
COMPLIANCE
LETTER OF CREDI
AT THE OFFICE
MENLO PARK, CALI
THAT ALL
AND
Y HONORED
MERICA NT
ON OR BEF
..,. ~~: SALAMI.\,
A:-~" ~:..: . . c-~,~> e~ ...,..__~
,/ AUTHORlZE;O COUNTERSIGNATURE ", - ..
PROVISIONS APPLICABLE TO THIS CREDIT: This credit is siJn)e'et to the-Uniform Customs and Practice for Documentary Credits,
1983 revision, International Chamber of Commerce Publication No. 400.
Please examine this instrument carefully. If you are unable to comply with the terms or conditions, please communicate with your
buyer to arrange for an amendment. This procedure will facilitate prompt handling when documents are presented.
\ R. CHAUDHARY/
__d-t..,c- '
FX-1313 6-86
ENCROArl~'''''NT PERMIT ISSUANCE CHECK LIST
City of Campbell
Department of Public Works
~ Applicant aection complete
.-
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Encroachment Permit No. c: ) II ~ C Vi]
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Applicant signature and date
;/
Permit Application fee $50.00 ($35.00 for R-l Homeowner),
paid. Receipt number
Plan check deposit, $500.00 (waived for R-l Homeowner),
paid. Receipt number
~ Bond for faithful performance, lOOt of City Engineer's
estimate, (waived for R-l Homeowner), supplied or paid.
Amount $ 2f7. ........ .:) Form Ct'( t I.. C<', -: . it.D. . II ,:.: _..- .:>
.
v'
Cash Deposit: 41 of FP bond, $500 min. ($200 for R-l
Homeowner), paid.
! .? ? -;
Amount $ 1)0 Q Receipt No. .f I~ ,
v-- Plan Check & Inspection fee of 71 of FP bond, $35.00 min.,
(vaived for R-l Homeowner) paid. "
Amount $ "2 ") < ,) Receipt No. ! i '1 ~
~. Worker'a compensation information received for Applicant
(aee Information Sheet for Encroachment Permits)
All other Public Works requirements listed in the
Conditions of Approval of the development.
---------------------------------------------------------------------------
v
Worker'a comp and Contractor's Information received for
Contractor (aee Information Sheet for Encroachment Permits)
~ Certificate of Insurance with Additional Insured's
Endorsment received from Contractor (see General Summary of
Insurance Requirements for Encroachment Permits)
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~ Three sets of off-site plans, stamped APPROVED (Tract or
Development and Public Works Permit number and property
addreas on plans)
~ Permit signed for City Engineer
WEN ALL OF THE ABO"" }TEKS ARE COMPLETE, PERKIT HAY BE ISSUED .
Iasuer: Initial~' and date I - 7, - Y1 and fUe with permit
UPON ISSUANCE, INITIATE CHECK REQUEST FOR PLAN CHECK DEPOSIT REFUND
8/88
permchklst
g.
, . . f _Certificate of Insurance ~
The Nationwide Insurance Company i. Jted below certifies that the insurance aff, ,by the policy or policies numbered and
described below is in force as of the effective date of this certificate. This Certificate of Insurance does not amend, extend,
or otherwise alter the Terms and Conditions of Insurance coverage contained in any policy or policies numbered and described
below.
Certificate Holder's Name and Address:
Insured's Nome and Address:
r
-,
CITY OF CAMPBELL
70 N. 1st STREET
CAMPBELL, CA, 95008
THE PIPEYARD, INC. ET AL ANB BAC DEVELOPMENT
DBA: THE PIPEYARD
700 McGLINCEY LANE
CAMPBELL, CA. 95008
POLICY NUMBER AND POLICY POLICY
TYPE OF INSURANCE EFFECTIVE EXPIRATION LIMITS OF LIABILITY
ISSUING COMPANY DATE DATE
GENERAL LIABILITY General
[i Aggregate 2,000,000.
Premises - Operations 74PR506304-0002 8/10/88 8/10/89 Pro Compo Op. Agg.
1,000,000.
.[i Products - Completed Each Occurrence
Operations 1,000,000.
[iJ Personal and Any One Person or 1,000,000.
Advertising Injury Organization
~ Medical Expense Any One Person 5,000.
~ Fire Damage Legal Any One Fire 50,000.
~ Other Liability
AUTOMOBILE LIABILITY Bodily Injury OCCURRENCE
bJ Comprehensive Form (Each Person)
74BAS06304-0003 8/10/88 8/10/89
Bodily Injury
e9 Owned (Each Accident)
~ Hired Property Damage
bJ Non-Owned Bodily Injury and
Property Damage 1,000,000.
Combined
EXCESS LIABILITY Bodily Injury and
Property Damage Occ.
0 Umbrella Form Combined Agg.
-
kJ Workers' Compensation 74WC506304-0001 7/1/88 STATUTORY LIMITS
7/1/89 Bodily Injury Each Accident
and by Accident lnn nnn
kJ Employers' Liability Bodily Injury Policy Limit
by Disease c:nn nnn
Bodily Injury . .
Each Employee
by Disease lOO.OOO
DESCRIPTIVE SCHEDULE
Insurance in force only for hazards indicated by NATIONWIDE AGREES TO MAIL THE CERTIFICATE HOLDER NAMED ABOVE
Description of Operations / Locations / HEREON AT THIS INDICATED ADDRESS AT LEAST 30 DAYS PRIOR NOTICE
Vehicles/Restrictions/Special Items OF CANCELLATION OF THE POLICY OR POLICIES AND/OR THIS CERT
, IFICATE SHALL EXPIRE ON THE EXPIRATION DATE IF IT IS SHOWN-
ABOVE AND NOTICE OF ANY OTHER MATERIAL CHANGE IN THE POLICY
OR POLICIES. NATIONWIDE MUTUAL INSURANCE COMPANY
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
NA TIONWIDE PROPERTY AND CASUALTY INSURANCE COMPANY
. .COlumbus, O~hiO. __, .) _, .tf<,
. ~ . ,-~dlt
Vfr ~ .' ' presiderifrr
Authorized Representative
Dote Certificate Issued Countersigned at:
__c:~S~~53~B~_ ~ -12/J.9La8_______ ___ __
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
POLICY CHANGES
Policy Change
Number _
POLICY NUMBER
POLICY CHANGES
EFFECTIVE
12/19/88
COMPANY
74PRS06304
NATIONWIDE INSURANCE COMPANY
NAMED INSURED
AUTHORIZED REPRESENTATIVE
THE PIPEYARD, INC. AND BAC DEVELOPMENT
HOWARD H. MEARHOFF, CIC
COVERAGE PARTS AFFECTED
GENERAL LIBILITY
CHANGES
IT IS AGREED TO ADD ADDITIONAL INSURED PER FORM B ATTACHED.
CITY OF CAMPBELL
70 N. 1st. STREET
CAMPBELL, CA.
NO CHANGE IN PREMIUM.
IL :2 0111 85
Copyright. Insurance Services Office. Inc.. 1983
Copyright. ISO Commercial Risk Services. Inc., 1983
POLICY NUMBER:
74PR506304-0002
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS (FORM B)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART.
SCHEDULE
Name of Person or Organization:
CITY OF CAMPBELL
70 N. 1st. STREET
CAMPBELL, CA.
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to this endorsement.)
WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the
Schedule. but only with respect to liability arising out of "your work" for that insured by or for you.
NAMED INSURED:
THE PIPEYARD, INC. ET AL AND BAr.
DBA: THE PIPEYARD DEVELOPMENT
700 McGLINCEY LANE
CAMPBELL, CA. 95008
CG 20 10 11 85
Copyright. Insurance Services Office. Inc. 1984
ADD END U M
THE CITY OF CAMPBELL AND I~S RESPECTIVE OFFICERS, AGENTS AND EMPLOYEES
ARE NAME AS ADDITIONA~ INSUREDS FROM AND AGAINST ANY CLAIMS, LOSS LIABILITY,
COST OR EXPENSE ARISI::G OUT OF OR IN ANY WAY CONNECTED WITH THE
CONSTRUCTION OF THE PROJECT. THIS COVERAGE SHALL BE PRIMARY AND ANY
COVERAGE CARRIED BY ADDITIONAL INSURED SHALL BE EXCESS INSURANCE ONLY.
/ /~... ~!.. ~..... ,.
/ ,& p/
/c:/:;?/0~/
HOWARD H. REARHOFF, AGENT- 0799 ~..
ATTACHED TO AND FORMING A PART OF CERTIFICATE OF INSURANCE, ISSUED 12/19/88
to: CITY OF CAMPBELL
70 N. 1st Street
Campbell, Ca. 95008
~'E . ~. 0 r
,j'
Permit No.
"77/ ,.- I / "7 / ;)
I f(. r! C, :, /cL /<'/1 < 1Jt<..
Tract No. or Address
IMPROVEl':Et,T PLAN CHECK LI ST
DEVELOPtlENTS
CHECKED: ITEH:
V 1) Permit number and prop-
erty address on plan?
L.r 2) Site review completed?
V 3) Applicable standard notes
CO:'U1EtJTS:
4) Engineer's Stamp, Signa-
ture and Expiration Date
/r!c t;o e" Tc /)
v
5) Conformance with City
standard specifications
and details
V
i/
6) Street geometries
7) Street grading plan con-
fornity with overall
street gr~des and/or
official grading plan
v/
8) Approved roadway
structural section
v
9) Street lighting
requirements
10) Storm S2wer design
11) All relevant conditions
of approval have been
met
12) Traffic review
13) Service Center review
s-m""2'\A ~...> \I\AP\J'\S ~C"V6 Mi\-CSt ,....u
~ r. JJ -\.v~e., Cc_/j.~ 0J!-.. J>u;vvS( P\G~.:-;;- \N (-"tu::
v
v
v
(,..,/
D..Y. /1- 2/- Jr;~2-g'-S-f'
/
Plan check co~pleted by
-..
Recommeded for approval
-:/
; sJ, (f-
Dill t-1'.~ltelms
Engineering ~~nager
@/l) \~~l ~
Donald C. ~imberly Date
6irector of Public Works
I '2.. - I '2--t(
Date
Send originals for signing
CITY OF CAMPBt;l.L
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NORTH CENTRAL AVENUE
CAMPBELL, CALI FORNIA 95008
TELEPHONE 378-8141
1
PUBLIC WORKS DEPARTMENT
~~[R1'W~~~ [R1~(Q)UJJ~~lF
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ADDRESS:
REC. FROM: · 1]/iliJj!,')~, 1';>1/ /~)7j1///l /1.'1;'''7:1-'1
(~ i I) ,L,I./uri.J~,I1):"Jr.' ! C!'7
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PHONE NO.:. ,;
.
REC.BY
C ,CO;;(:
DEPT.:
P U)
,-.-371- /,.7 rl(J
YOUR COMMUNICATION REGARDING
~ ') . :J
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.
DATE:
'-'I/. Q / ,:-0 )
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I Tho CamplJolI Oopartmont d Publ~ _ ~ lrMlI\Iod In many ~as_ SU8JECT:
!UCI1 as conllJ'UC1lon and molnlenantt 01 "'""". sldPwalks. _ap
II romps, "'""' NgIltlng. sign.IIs. "'""' ........ porb. par courses. tNlc. paths
, and CIry porting loll.
J ,...... 1M II1Is lam r you WOUd IlI<o to .Il< quostIon~ mok.lUQ9OIIions
1 :~m=:~ 3il-I'~O
I FROM: ~W'I.LA ... n~II.'D L~uClO\
No.... .......
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.......... CA ""'h~1I '.~'C II V
MI\JL TO: CIry 01 C~ .
Dopartmont 01 Nll~ Worts FE 8 1 8 1988
70 NoIII1 Fir5t _
ClmJlbOII, CI\ 95008
We Want To Hear From YOU.
-
DETAILS
OU.STIONS. COMM.NTI
_suaa.STIONI
L_ w___
Ih~",c. o..\O't '\"\0 WcV-"-
0___ R,Cl.I\l\ cl"Q..\,\s Of\ 01.0.\ $~
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-~~-=,.."--.:.c,, _ _ _ 1>"-" ... n.. 'ON a..t.W.c.o. -'V1tttf..-
HAS BEEN REFERRED TO E A/:"-"~)
DEPARTMENT ACTION j}/5L: rsd S(~~ f.A/ (7 $,. La y-{ l>v1. ~ 1-'(/ ~1-{',.-(-"
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cP~ --/-hA r!-r..vt-r,) (_X"~~.. 4 ---j-!,,:-/ 1+C~ --r-(:..,9+'~
TO RJ:O;:P PII OTV r:OJ:l pl:'pnQT TJ-II=I\J Tn [) 1M r)lnr:"'Tno
, of I.,
;f.....
CITY OF CAMPBEll
70 NORTH FIRST STREET
CAMPBELL, CALIFORNIA 95008
(408) 866-2100
. Department:
Public Works
March 17, 1966
Mr. David Larson
690 Sweetbriar Drive
Campbe11,CA 95006
Dear Mr. Larson:
In response to your recent comments, the Public Works Department personnel
contacted you and discussed the water standing problem and the two-way
left-turn lane on Union at Central Park. Because these issues are under
the jurisdiction of the City of San Jose, a contact person in the City of
San Jose was given to you. Also your concern for future drainage off the
extension of Sweetbriar will be considered by City if and when the street
is extended.
Thank you for responding to the Public Works Activity form in the
"Canipbell Profile." If you have any questions about our service, you're
welcome to give me a call at (406) 666-2150.
Sincerely,
e~m.c~
Charlene M. Case
Administrative Aide
CMC: dz
S.R. #66-63 ~
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CONDITIONS OF APPROVAL - FILE n TS 88-02
SITE ADDRESS: 700 MCGLINCEY LN.
(REGAS/SWEETBRIAR DRIVE)
APN 412-35-5 & 23
APPLICANT: THE PIPEYARD, INC.
P.C. MTG: 5-10-88
The applicant is hereby notified, as part of this application, that he/she is
required to meet the following conditions in accordance with the Ordinances of
the City of Campbell and the Laws of the State of California. Additionally,
the applicant is hereby notified that he/she is required to comply with all
applicable Codes or Ordinances of the City of Campbell and the State of
California which pertain to this development an~ are not herein specified.
PUBLIC WORKS DEPARTMENT
1. Installation of a sanitary sewerage system to serve all lots within the
subdivision in conformance with the proposed plans of the County of Santa
Clara Sanitation District No.4. Sanitary sewerage service to be provided
by said District No.4.
2. Installation of a water distribution system to serve all lots within the
subdivision in conformance with the plans of the San Jose Water Works.
Water service to be provided by said water company. Fire hydrants and
appurtenances shall be provided and installed at the locations specified by
the Fire Chief, Fire Department, City of Campbell. Fire hydrant
maintenance fees shall be paid to City at the rate of $195 per fire
hydrant.
3. Subdivider shall create or provide any public service easement and any
other public utility and/or public service easements as may be necessary
for the installation of any and all public utilities and/or facilities.
4. Compliance with the provisions of Title 20, Subdivisions of the Campbell
Municipal Code.
5. Subdivider to pay Storm Drainage Area Fee.
6. Subdivider to furnish copy of Preliminary Title Report.
7. Subdivider shall install street improvements and post surety to guaranty
the work.
8. Provide a grading and drainage plan for the review and approval of the City
Engineer.
9. Obtain an excavation permit and pay fees and deposit for all work in the
public right-of-way.
10. Pay a fee of $9,056.00 in lieu of dedication of land for parks.
PLANNING DEPARTMENT
11. Prior to approval of final map, subdivider to submit a plan, for the
Planning Director's approval, indicating the design and location of a 6' or
8' masonry or pre-cast concrete wall along the north and west property
lines. Wall to be constructed prior to final map approval.
FIELD CHECK LIST
FOR
D~VELOPMENT OR TRACT
IMPROVEMENT PLANS
~&2 JV1' l T 88 -20g'
(12.8(' !>
B/'LV(88 tS).~
.. 7
1. Are existing PCC improvements accurately shown?
yes
no foliA
no /VIP
N;lA
2. Do existing PCC improvements meet current standards?
yes
3. Width of sidewalk? (Do ~ include curb)
4. List non-standard improvements to be replaced.
}./o ExeS r. ((A;?'/2(J ,/eNG'/VJ7"
5. Are existing standard improvements in acceptable condition?
yes
no #/4
Indicate on plans location(s) and dimensions of areas to be removed
and replaced.
6. Indicate required sawcut locations on plans.
7. Indicate any obvious storm drainage facilities not already shown on
the plans.
8. Is there an existing street lighting system?
~
no
Type pole?
Type luminaire?
Location of nearest electrolier?
9. Are all existing surface utility facilities accurately shown? yes
If not, indicate on plans.
10. Pavement condition: Description ~~/:f
Acceptable as is ~
Needs overlay ~~
no ,N//9
.AII/!
Needs remove & replace /vL~
.
If overlay or remove and replace is partial, indicate location and
dimensions on plan.
\..0 I Y I' L...II~ 111'-'-' . "::J . ----- . - ---
455 Los Gatos Blvd.. Suite (nl
Los Gatos. California 95030
Phone: (408) 358-3300
PT.
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Phone: (408) 452-1066
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