88-219
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CITY OF CAMPBILL
DIn. or PUBLIC WOIlD
70 Mortb Firat st.
C..pbell, CA '5008
(408) 8U-2150
Ho. t:?r... 217
ENCROACHMENT PERKIT
(for workinq in the
publio right-of-way)
I..ued { /&, I{' 7
Perai t expire. n 12 ao..
perait
X-Ref. fUe
APPLICATIOM - Applioation ia hereby aade for a Publio Work. perait in aooordanoe with C..pbell
Munioipal Code, Seotion 11.0.. (Applioation expire. in 6 aontb. if perait not pulled)
A.
Work addre.a or traot .
/CJO /fe-6 JrNc-e v
/
-3 '?1-39(~
B.
utility trenob looation
Mature of workz ...s;. ff(.ee..-t J /ljfiooc/u,(.l -I
Attacb five (5) oopiea of a drawinq .bowinq the location, eztent and diaen.ion. of tbe work
Tbe drawinq aball .how the relation of tbe propo.ed work to exi.tinq .urface and underqround
iaprov..ent.. Wben approved by tbe City Enqineer, .aid drawinq beooaea a part of thi. perait.
C.
D. The General Condition. for all perait. are liated on the reverae aide. Speoial provi.iona for
thi. perait are liated below. Failure to abide by theae oonditiona and proviaiona aay reault
in job .hut-down and/or forfeiture of raithful Perforaanoe Bond. and ca.h depo.ita. (8ee
General Conditiona 1 and 2).
B. AD applioation fee auat
,.....- .
H..e ot Applio_t .....) J /4
aoooapany thi. applioation.
LhCJ r~ e/l.... 5
Addre.a 700 he.- & r,/J"tU'r
I. tbi. work be~nq done by the property owner at tbeir own re.idenoe7
Thi. i. non-refundable.
'I'elephone =><' '3 7 I - ~ 9' 2-
_yea
_no
Coaplete and attaob Worker.' Coapen.ation and Contraotor Inforaation fora..
'I'he Applioant/Peraittee bereby aqreea by attizinq tbeir .iqnature to thi. perait to bold tbe City
of
C..pbell, it. officer., aqent. and ..ployeea tree, aate and baraleaa troa _y olaia or d.._d tor
d..age. re.ulting froa the work oovered by thi. perait.
ACCEftlD
read _d underatand both the tront _d
tor(.) of the inforaation.
9.. z.,G-g
Date
1IO'l'181 ALL WOIUt 8HALL COMFOIUl WITH ftB AftACllBD, APPROVlD PLAMS AMD ALL APPLICABLE CUPBILL
STUDUD DRAWIMG8 AMD COMDITIONS.
'1'BI COftRAC'fOR XUS'1' Dft '1'BIS PIIlKI'1' AMD APPROVlD PLAM8 AMD HUS'1' KIlT WI'1'B '1'BB P.W. IM8PECTOR OM
THB SI'1'1 A'1' LIAS'1' no DAY8 BEFOU STUTIMG WOIUt.
MO'1'ICI HU8'1' BI GIVEM '1'0 PUBLIC WOIlD A'1' LIAS'1' U BOUIlS BlFOU U8TUTIMG AMY WOIUt.
8PBCIAL PROVI8ION8
_1.
~Street .ball not be open out for undervround in.tallation.. Xiniau. out...y be allowed
for oODaeotion. or exploration bolea. 8uob outa au.t be .pecificallY approved by the
Inapector.
Pav..ent ..y be out for undervround iutallation. and au.t be reatored in acoordanoe with
tbe Utility '1'renob ...toration 8tandard Drawinq.
Work to be atated by . lioen.ed Land 8urveyor or civil Inqineer and two (2) oopie. of the
out abeeta aent to tbe Publio Work Deptartaent before .tartinq work.
The boura of work are Halted to out.ide the boura of 7-' .... and 3-6 p.a. for any work
affeotinq a traffio lane.
_2.
_3.
-..
_5.
(R-1)
PEIlKI'1' APPLICATIOM rBE ($35.00)
PLAM CllBCK DEPOSIT
8TAMDUD
HOUNT
RBCBIn HO.
:;;~R6 i
Z~&~
fSO.oo $ ?be (}7.1
$500.00 $ ~().Ct1J
(100\ OF aGo 18T.) $ 7{3:JOAdoJ
(., OF BOMD, fSOO IlIM) $ 12d(j. ",..,;;
BOND, $35 IlIM) $ 2/:')5/. 00
/yY:7
/9dy
/- 6 -8-f
Date
BOMD FOR rAI'rBFUL PBRFOIUlUCB
CASH DBP08I'1'
PLAM CHICK ,
APPROVlD rOR I8SUUCB
f: PWPERKI'!'
Revi.ed 8/88
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REFUNDABLE DEPOSIT
CHECK REQUEST
TO: FINANCE DIRECTOR
CITY OF CAMPBELL
Please issue check payable to:
The Pipeyard Inc.
(30 spaces)
Address:
Line 1:
700 McG~incey Lane
(30 spaces)
Line 2:
City:
Campbell
(20 spaces)
(30 spaces)
State: CA Zip: Y5008
(2) (10 spaces)
Description:
Cash Deposit Refund
(24 spaces)
Exact Amount Payable:
$1,70U.OU
Account Number:
905.4662
PURPOSE: Release of cash deposit for excavation permit #8~-219.
See receipts #~0868 ($500.00) dated 9/6/88 and
#1989 ($1,200.00) dated 12/19/88.
Requested by:
G. Eaton
Title: P. W. Inspector
Date: 8/23/90
Approved by:
D.C. Wimberly
Title: P. W. Director
Date:
Verified by:
Accounts Receivable
Date:
SPECIAL INSTRUCTIONS FOR HANDLING CHECK:
Mail as is
x
Mail in attached envelope
Return to:
(Department)
(Name)
Other:
08/24/88
TO: City Clerk
PUBLIC WORKS FILE NO. 6~- ZtC}
Please collect & receipt
for the following monies:
ACCT.
35- 3396
3372
3521
3521
ITEM
Project Revenues (specify project)
Pu.bUc. {~o,'tll.6 Exc.a.va.-uon PeJt.r.1a feM:
App 1 i ca t i on Fee
Plan Check Deposit
Faithful Performance (Cash) Deposit
R-l :
($'35)
($200)
OthVL:
($ 50)
-( $500)
(4% of FPB)
($500 min.)
(7% of FPB)
($ 35 min.)
3372
Plan Check & Inspection Fee
3521 Other Cash Deposit (specify)
1373
3373
Project
General
&
3372 Tentative Parcel Map Fil in Fee ($350)
3372 Final Parcel Map Filing Fee 300
3372 Fee ($400)
)372 Final Tract Map Fil in Fee $350
3372 Lot Line Adjustment Fee/Certificate of Compl iance
3372 Vacation of Public Streets and Easements ($500)
3372 Assessment Segregation or Reapportionment
First Spl it ($500)
Each Additional Lot ($150)
3372 Environmental Assessment:-
Categorical Exemption ($500 plus actual cost
Negative Declaration 'above $500)
3370 Storm Drainage Area Fee per Acre (R-I, $1,875; Multi-Res.,
$2,060; all other, $2,250)
J395 Park Dedication In-lieu Fee per Unit ($1,132)
3380 Public Works Special Projects
3510 Postage
TOTAL
:ES~t:tcf;:1jt~ <
PHONE
AMOUNT
$
?Q, cro
53-c ~ tr1J
$
550-8""0
ZIP
FOR
CITY CLERK
QIlLY
RECEIPT NO.
AMOf.I\lT PAID
RECE I VED BY
DATE'
July, 1987
TO: City C I e rk
PUBLIC WORKS FILE NO. cfir~2./ r
Please collect & receipt
for the following monies:
ACCT.
--.-
35-3396
3372
3521
3521
pro .ect)
pe;unU Fe.~:
R-] :
($35)
($200)
.t Vl.:
($ 50)
{ 500)
(4% of FPB)
($500 min.)
(n of FPB)
($ 35 min.)
(Cash) Depos i t
3372
3521
Plan Check & Inspection Fee
Other Cash Deposit (specify)
]373
3373
Project
Gene ra I
&
3372
Tentative Fee ($350)
Final Parcel Hap Fil in Fee 300
Tentative Tract Map Fil ing Fee $ 00
Final Tract Ma Fil in Fee ($350)
Lot Line Ad.ustment Fee/Certificate of Compl iance
Vacation of Publ ic Streets and Easements
Assessment Segregation or Reapportionment
First 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-I ieu Fee per Unit ($1,132)
3370
3395
3380 Publ ic Works Special Projects
3510 Postage
AMOUrJT
$
'<0':)/-
/ ..J. t:J a -
..300 -
7hL fJ LJuA-T~ ~" lOcAL
NAME "' T ( A1. C./,P-tt ~{41 '" tZs
ADDRESS 7<..)0 ~~ ~~tJ
3s~-1 -
~~
$
37(--37'~2-
ZIP 7' ':::;;,0 Cl cf-
PHONE
('4-
FOR
CITY CLERK
a-lLY
r,~, ~~
I '-1" ~< c /
I C/ I
RECEIPT NO.
AMOlJ'lT PA I D -~:s~ S- I 0 0
RECE'VED BY 0-"""17>
DATE i).. ~ I 7' - ? B
July, 1987
ENCROAt~ENT PERMIT ISSUANCE CHECK LIST'~
II
City of Campbell
Department of Public Works
Applicant section complete
Encroachment Permit
No. JY- z/ t
Eo<
H
~i:a
Z~
HP-.
~~
r:4~
O~
~o
H
ClEo<
~16
~j[-------~:_~~~:_:~~:_~~-~~~~~~:~:~~-~~:~_:~~~~~:~----_.-------------
~ Applicant signature and date
"
v Permit Application fee $50.00 ($35.00 for R-l Homeowner),
paid. Receipt number ::1.. c) cP G d"
~ Plan check deposit, $500.00 (waived for R-l Homeowner),
paid. Receipt number .L u P ~ d-
v/
Bond for faithful performance, 100% of City Engineer's
estimate, (waived for R-l Homeowner), supplied or paid.
Amount $ I '4 I ~ 0 0 Form 1. D. # II 0 I q
v' Cash Deposit: 4% of FP bond, $500 min. ($200 for R-l
Homeowner), paid.
Amount $ 17:(':;,-0 ~.". 0 Receipt No. l' f .x" .r:~
,
~ Plan Check & Inspection fee of 7% of FP bond, $35.00 min. ,
(waived for R-l Homeowner) paid. a .~
Amount $ z.o " I ,&n Receipt No. I"-(.k' 1
Worker's compensation information received for Applicant
(see Information Sheet for Encroachment Permits)
All other Public Works requirements listed in the
Conditions of Approval of the development.
---------------------------------------------------------------.-----------
~ Worker's comp and Contractor's Information received for
Contractor (see Information Sheet for Encroachment Permits)
v/ Certificate of Insurance with Additional Insured's
Endorsment received from Contractor (see General Summary of
Insurance Requirements for Encroachment Permits)
v/ Three sets of off-site plans, stamped APPROVED (Tract or
Development and Public Works Permit number and property
address on plans)
~ Permit signed for City Engineer
WEN ALL OF THE ABOV,ij IJTEKS ARE COMPLETE PERMIT MAY BE ISSUED
Issuer: Initial ~and date {- 6-g-1 and file with permit
UPON ISSUANCE, INITIATE CHECK REQUEST FOR PLAN CHECK DEPOSIT REFUND
8/88
permchklst
CITY OF CAMPBELL, CITY ENGINEER'S CONSTRUCTION COST ESTIMATE
Addms 700 *Gt./,(/Ct3-i/
- ,
- ,
- ,
_, /,2..0.(9(;)
_ $ ;).,,((,0.00
.
- ,
- $
_ ,-,<.119. z- c)
Adjust for sin: "S"<UO,OOO add 20t, "S">'lOO,OOO subtract lOt (+ or -), ~/307.8l.(
Surface Construction
~
Clearing & Grubbing
Sawcut Concrete
Concrete aemoval
Curb & Gutter aemoval
Inlot Drain with Pipe
Curb & Gutter
Sidewalk
Driveway Approach
Handicap 19p
Extruded Curb
Barricade
Street Excavation
AC Pave.ent
Adjust Manhole to Grade
Adjust Handhole to Grade
KonUllent lox v!KonUlHnt
Street Tree (15-gallon)
Pave.ent Striping ($100 .in)
Pavement Legencla ('100 .in)
"---
Stop, Street Name or Other Sign
Pave.ent Markera
Pav..ent Key Cut
Street LiRhti".
Electrol1er
Conduit
Conductor, pair
Pull lox
Storm DrainaR.
12- or 15" RCP
18" or 21" RCP
Street Inlet
Manhole
Ireak & Enter Manhole
."-..
, ~
~6~t ;;2-00. tr ~
{: .U ~ (:> S I. c -.
I
revbed 6/88
~/CDn-CD.t:-..t
Lump SWD Eatimate
LF@ , 4.00
SF @ 3.00
LF@ 5.00
I EA@ 600.00
fer!; LF@ 14.00
SF @ 4.00
/"'- <-- SF @ 5.50
EA@ 400.00
LF@ 8.50
EA@ 600.00
'I EA@ 300.00
11~ LF@ 0.65
EA@ 40.00
~ EA@ 120.00
EA@ 15.00
~I (.p LF@ 10.00
Surface Subtotal
OS'
I EA@ 2,000.00
1(70 LF@ 10.00
/60 LF@ 2.00
I Ea@ 200.00
LF@
LF@
60.00
70.00
--
EA @ 1,600.00
EA @ 2,400.00
EA@
650.00
TOTAL ESTIMATE $
USE FOR BOND $
Permit No. ~ P- 2/1
by~dete /z-6~S J
_ $ ~()O,t)v
- ,
- ,
- ,
_, ~oo. C J
_ $.:2? L/Y-~{)
- ,
_ $3,97/.00
,
--
/2-6' 0 r-y()
! 7,1. c( ()
- $
- $
- $
- $
- ,
2J;oO. C'f)
,
/OOO.cro
I
200. rrO
Zoo. (yo
- ,
- ,
- $
- $
- $
- ,
-
:;"1/ J-i{7 ~oV
..?~ 3'00,. ,:;;it)
,
(
I
CITY OF CAMPBELL
Department:
Public Works
70 NORTH FIRST STREET
C AMP BEL L, C A L I FOR N I A 9 5 0 0 8
(408) 866-2100
FAX # (408) 379-2572
September 16, 1991
Mr. Jim Chalmers
700 McGlincey
Campbell, CA 95008
SUBJECT: ONE YEAR MAINTENANCE,
PERMIT NOS. . 88-208 &
REGAS DRIVE & MC GLINCEY
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-GO 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.
Remove and replace
approach and curb and
McGlincey Lane.
easterly portion of driveway
gutter on easterly driveway on
2. Remove and replace easterly portion of drive approach
on westerly driveway on McGlincey Lane.
F:88-208 & 88-219
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 McG1incey Lane
Campbell, CA 95008
SUBJECT:
FINAL INSPECTION AND ACCEPTANCE
PERMIT NO.: 88-219
LOCATION: 700 KcG1incey Lane
"~~~\
~~ c
DW~
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.
Dear Mr. Chalmers:
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
$7,325.00, we will release your faithful performance bond.
Please feel free to call me if you have any questions.
on
Works Inspector
GE:sd
cc: C. Case, Council Agenda
Bond Company
Suspense - 1 year
f:89-219-2 (permits)
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 Yorks
'1
. -......",.,.,.. . . .--"--r.
Wl'.-:.~...:~~ BlY I..'.... .'.~O'.._.L.~~..f~_ -/---1
. I [
"lB' ",(' T;:-.: l: ;1") TO i. I
r ~:-_ .' 4 ._~_:"':-.~_~._J... ..~,
J. rr'Si1N I' r;:S'f; ;,,;e; \ '1
..::'-....:-_.,~-+_.._:...-- ---------'1' \
I 'H
@;;~ jt=~~=-~lA
April 3, 1990
Mr. Jim Chalmers
700 McGlincey
Campbell, CA 95008
RE: Final Inspection - Deficiencies
Permit No.: 88-219
Location: 700 McG1incey
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 list. These deficiencies must be corrected to my
satisfaction before I 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 Yorks Inspector
GE:ja
Enc.
Permit No. 88-219
700 MCGlincey
5/3/90
Deficiencv List
1. Repair crack in easterly D/W approach & curb & gutter or remove &
replace.
2. Replace Faithful Performance Bond with Maintenance Bond.
--
9-/3-cpJ
, G cAe T€!c/Ly
/. J:<. EM oV E 1 R e P L./:!tG ,,';) 1"'-
0'" 614 S 1t::.7L [y PR I v'E WA "(
6/tS1€"1!..t1 PofG-r/~N 6 F DA oN
POI!-1/0N of 0/4 if G 4r0
?-
R 4 '/C.
I
W 1:i),/6~ L '1
DRIVE WAY
CJf 2/
CITY OF CAMPBELL
PUBLIC WORKS INSPECTION REPORT
DATE: f? / / / Cj I
.
ADDRESS: r;m
PERMIT/PROJECT No.:?R ---;) / '1 TRACT NO.
TYPE OF WORK:
me C)JJ'YJCLuj
STREET:~ STORM:
Law
~
SANITARY:
ELEC:
P.C.C.:
PARKWAY:
OTHER:
[J PRELIMINARY INSPECTION WITH DEFICIENCY LIST
[J FINAL INSPECTION WITH DEFICIENCY LIST
[J FINAL INSPECTION ACCEPTANCE
SIGNED PLANS ? YES
NO
COUNCIL ACTION? YES
NO
CHARGES AGAINST DEPOSIT? YES
NO
OVERTIME:
HRS. @ $
PER HOUR
s
EQUIPMENT RENTAL: TYPE:
AMOUNT: $
DATE:
/
/
REASON:
TOTAL CHARGES:$
~ ONE YEAR MAINTENANCE WITH DEFICIENCY LIST
[J ONE YEAR MAINTENANCE ACCEPTANCE
~R
:J~e PIPEYARD, !Jnc.
700 McGlincey
Campbell. CA 95008
PLASTIC PIPE" CHEAP" Phone (408) 371.3962
"?Q(m d- '6 g -;)01( <f ~- d J <j
RhaCk:YVEll3
f\U C ;~:; l~~U
August 17, 1990
IJublic W oru./ fnginooring
Greg Eaton
Public Works
City of Campbell
70 N. 1st
Campbell, CA 95008
RE: Maintenance guarantees ~or 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,
~ /// ~
-"-- / tL/--=-
/ James S. Chalmers
President
JSC/jm
m Bank of America
TRADE FINANCE SERVICES-CA. MENLO PARK OFFICE #1440
1000 MARSH ROAD, P.O.BOX 2085,MENLO PARK, CA. 94025
IT]
IRREVOCABLE STANDBY
LETTER OF CREDIT NO. 11019.
DATE OF ISSUE:
DECEMBER 15,1988.
EXPIRATION DATE: DECEMBER 31, 1989.
AT OUR COUNTER IN MENLO PARK,
CALIFORNIA.
BENEFICIARY:
-------------------
-------------------
CITY OF CAMPBELL.
75 N.CENTRAL AVENUE,
CAMPBELL, CALIFORNIA 95008.
GENTLEMEN:
WE HEREBY ESTABLISH OUR IRREVOCABLE STANDBY LETTER OF CREDIT # 11019 IN
YOUR FAVOR FOR THE ACCOUNT OF: PIPEYARD, INC. 700 MCGLINCEY LANE,
CAMPBELL, CALIFORNIA 95008 UP TO THE AGGREGATE AMOUNT OF :
US$19,300.00 ( NINETEEN THOUSAND THREE HUNDRED & 00/100 USDOLLARS).
WHICH IS AVAILABLE TO YOU BY YOUR DRAFTS DRAWN AT SIGHT ON US, MARKED:
" DRAWN UNDER BANK OF AMERICA NT & SA, MENLO PARK OFFICE #1440
IRREVOCABLE STANDBY LETTER OF CREDIT #11019", AND ACCOMPANIED BY THE
FOLLOWING DOCUMENTS:
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
SATISFACTORI NTS PER
PURLIC WORKS
OR
RACTORS
ENT ON S
A CLAIM HAS
PERSONS FUR
OR
WE HEREBY ENGAG
COMPLIANCE WIT
LETTER OF CREDI
AT THE OFFICE
MENLO PARK, CALI
D IN
NDBY
MENT
085,
~AH;rALAMA
IlA.c ~~6U'~TERS~E~" ~-_ AUT RIZEDSIGNATURE
PROVISIONS APPLICABLE TO THIS CREDIT: This cre~bject to the Uniform Customs and Practice for Docume~tary 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,
FX-1313 6-86
I
CA~"'"~RNIA PRELIMINARY NOTICE
-
r
FOR OFFICIAL USE ONLY
Q.,.-"., ._...,. -a..
If&tCA'YV'J 8~ -2[\
~
kH;f[: 10 SECTIONS 30'17, 3098 AND 3111, CALIFORNIA CIVIL (ODE WHICH REQUIRES US TO NO<lFY
rOUIPMfM OR MAHRIAlS rU~NISHW, OR TO BE FURNISHED THE 'MPROVED PROPERTY
SlAH:/lfNT IS APP! ICABLf TO PRIVAI[- NORK ONI Y I
THIS IS NOT A liEN. THIS IS NOT A REFLECTION ON THE INTEGRITY OF ANY CONTRACTOR OR SUeCONTRACTOR
DATE
Irlstructions A hi! out form completely and legibly. Use typewriter If
B Assessor's parcel number is to be assigned by originator of form
C Estimated total price should be indicated on Copy 2 {Lender Copy,! only
8--10-89
ASSESSOR'S PARCEL NO.
YOU ARE HEREBY NOTIFIED:
THAT THE UNDERSIGNED HAS FURNISHED OR WILL FURNISH LABOR, SERVICES, EQUIPMENT OR MATERIAL OF THE FOLLOWING DESCRIPTION
INDIVIDUAL
OR
FIRM
"
Charles p. Gagliasso Truckin~, Inc.
,.Jf)'tJ~4 S9(H31
(DESCRIPTION OF MATERIAL)
P.O. Box 44,04
IADDRE:SSi /
Santa,GIara
~.1cGli,nc\1' T.:X1 ~
CA
95054
IECIIVED
,CITY!
(STATE)
iZIP',
BY
SIGNATURE!
C)(~cretar'Y"
B--lq.....89
~ l' 10"9
(ADDRESS OF BUILDli,G STRUCTURE, w~~~Mr"'civiM~r'ri)::l
,JITLE
iCITYi
Publl~ Vi fJf 1.../ Eng i n~~~jng
(DATE,
Pit 'JMIIE AND ADDRESS OF THE PERSO~J WHO CONTR/\CTED fOR THE PURCHASE OF SUCH
lABOR. SERVICE, EQUIPMENT OR MATERIAL
SWAPnev and Sons
~- -.- --. --
NOTICE TO PROPERTY OWNER -;1
If bills are not paid in full for the labor, servicos, equipment, or
materials furnished or to be furnished, a mechanic's lien leading to the
,,"'. '" ".,' "." " ,.0', ,. ,. ", <0,""". ",,, " '0" " ""' ,,,,.,
IIY being so improved may be placed ogainsllhe properly even Ihough you
have paid your contractor in full. You may wish to protect yourself against
I I this consequence bv (1; requiring your controclor 10 furnish 0 signed releose
~y the person or fir mg. i.Ving you this notice. before mak.ing payment to your. I
contractor or (2) any other method or device which is appropriate under
the ~.~cu~.t~ces_~__~___~-:-=======-..::-=====:..-=.::==-.:~
IS _ _~.__~_~_~_. ____u_~
TO:
OWNER
REPU TED OWNER
OR
PUBLIC AGENCY
TO:
CONSTRUCTION
LENDER
OR
REPUTED
CONSTRUCTION
lENDER
----~-_._----~-_._------~_._-_._._-----_._._~-~-,._-----
P.O. Box 547
CA (,)5009
__..i'ili_()_LG..a.Jnohf? 11________________..
--- .-------- ----..----.1
TRUST FUNDS roWHICH SU?PlEMENTAl FRINGE BENEFITS AREPAYABlf----'"
NAME
7 0 "!ort.ti 1 r;t ~T.
;.
Campbell,(/7\ 9500;:;
ADDRESS
~-~--~-~--~--~--
~-"~--'--- ~-,._._---_._-_.,.__._--
N/l/v\E
Klassnn Tractor
I\DDRESS
16?9:) :,oda;-;orinqs Rei.
NAME
Ln~ Gatns, C~ 95030
ADDRESS
iMATERIAL MEN NOT REQUIRED TO FURNISH THE ABOVE;
NOTICE
TO CONSTRUCTION LENDER ONLY
s)\~,m I\S Q"Y'JFP
ESTIMATED TOTAL PRICE OF THE LABOR, SERVICES
EQUIPMENT OR MATERIALS DESCRIBED HEREON
$
PROOF OF SERVICE AFFIDAVIT
,SECTION 3097 !. CALIFORNIA CIVil CODE
I,
D. Gaqliasso
(0) 0 By personally delivering copies to
(name(s) and lIlle(s) of person served)
(address)
(dote) (time)
(b) 0 By First Closs Certified ~r_~~:9istered Mail seri~i5e, postage prepaid,
on ,19__
declare under penalty of perjury that the foregoing is true and
Signed at Santa Clara
, declare that! served copies of the above PRELIMINARY NOTICE (check appropriate box),
at
on
19_,at
,m,
addressed to each of the parties at the address shown above
correct.
, California, on
S-l\-';
eo)
, 19
[ATTACH RECEIPTS OF CERTIFIED OR REGISTERED MAil WHEN RETURNED]
RI;Q!~, 4S449 POL Y PAK (SO SETS) 4P449
888 LENDER COpy
SIGNATURE OF PERSON MAKING SERVICE
CALIFORNIA PRELIMINARY NOTICE
/bm,::,-#--B8 -219
itnsrctiol1$ 3097 and 3098, California Civil Code THIS IS NOT A LIEN. "This is NOT. a ref~1Qn o~j~Elinte9fity
or or \subcontractori You are hereby notified that REED & GRAHAM, INC. l?D. Box 5940, $an~;J6l?e.C~,95,150has
furpis~ labor, service, equipment or materials of the following general description PAYIN9 '~.' ..."., ", ;',
~U$. ctother work of improvement located at MCGLINCEY AVE. \" " "
., CAMPBELLI CA 95008 ,,'
''The name of the person or firm who contracted for the purchase of such labor, services, equipment or material furnished or to be
furnisheciis SWEENEV Ie SONS I Ne.
In accorda
of anyc
furnished or.
for building, st
. !!!~
An estimate of the total price of the labor, services, equipment or material is
DATE: 08/15/1989
CALIFORNIA PRELIMINARY NOTICE PREPARED BY:
REED 8c GRAHAM
NOTICE TO PROPERTY OWNER
......----.
If billsal'8'oot paid Inflfllfllf ttrelallor;s~s.equipm"'t{ormatJriaJs fllmishdlJlttlfbo -furnished. amechanlf s
lien leading to the loss. through court foreclosure proceedings. 01 all or part of your property being so Improved
may be placed against the property even though you have paid your contractor In full. You may wish to protecl
YlHlrseUagalnst.. this consequence by (11. requiring your contractor to turnish a signed release by the person or
Urmgi~ifjgYlllllhfsll8ttce.lm"re ~kiIJ.. paymep1tilyourcentraclqr . Of (2) .any lllhormetbodor. device "hlch
iSf~~~t~;l/~t~~rc"lB$1ancoS"p !' 1>' ....,>;((,'.,
;:~'.;)'
CERTIFIED MAIL NO.
30B7S'Q" '
OW.blER
CfITY OF CAMPBELL
70 N. 1ST ST.
LENDER
CONTRACTOR
KLASSEN TRACTOR
16295 SODA SPRINGS RD.
LOS GATOS, CA 95030
qAMPBELL, CA 95008
..
... . -
. ..
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......--
~\.,.
, F F' 01'1
'..'. 3.1'~t;'~ ::::57
P. 2
. ,
.. ;~liiiliASiiAli'~HG~:::.
1680 NORTH FOURTH STREET, S!\N JOSE, CALIFORNIA 95112-4676, (408) 453-1180
Project No. 6085
3 August 1989
Mr. Jjm Cha1mm3
4195 Haven Court
San Joee, CA 95124
Subject J
M::Gl1ncey Lane .
C4T{.tlell, California
REPORr OF TESTIN; AND OBSERVATlOO SERVICFS
IX.JRIOO PAVEHEm' 5tJB3RADE OPERATIONS ON
SIDEWALK, CURB AND GtJI'l'ER, AND STREm'
~0
~
Gentlemen:
At your request, TERRASEARCH, !Ie., has provided testing and observation
services during the subject grading operations.
Grading operations in the subject areas camwanc:ed with clearing and strip-
ping. ,Areas to receive fill 'Were scarified, noisture conditioned, and
compacted to a mi.rWnum relative catpaction of 95%. Basel:ock was then
placed ard carpacted to the aforaoontioned requirements. Relative carpac-
tion is based on the maximum <lly density as deteDnined by the AS'lM 01557-
78 Laboratory Test Procedure and as racarmanded in the above rrentioned
refOrt .
The subgrade areas \'olere I:eady to racei va final iJrprovements at the time of
testing. All laboratory and. field test results are surcmarized on the
en::losed TABLES I aM II.
Surface drainage must be provided as designed by the project Civil Engi-
neer and main~ by the property owners at all times.
Should you have any questions relating to the contents of this letter or
should additional infoonation be required, please contact our office at
your convenieoce. ~'
~"'\
I '\
Reviewed by: ~
Tan s. ~at, G.E.
Pr1nci~~
Copies J 3 to Mr. Jim Cha1ners
~.yours,
;..~_' I~.
~HsU
Staff Engineer
11840 DUBLIN BOULEVARD, DUBLIN, CALIFORNIA 94568, (415) 833.9297
2349 NORTH WATNEY WAY, BLOG, A, FAIRFIELD, CALIFORNIA 94533, (707) 422-3292
FROM
:3. 3.1989 8:58
P. 3
'. .
Project No. 6085
3 .August 1989
TABLE I
Surrmaty of Laboratory Test Results
Test N:>. Description Max. Dry Density <>>t. M:>isture
(Soil ~) (p.c.f.) (%)
(1) Tan-brown Silty SAND w/Gravel 128.0 8.6
(2) Light brown GRAVEL 141.1 6.3
TABLE II
SUmnaty of Field Density Test Results
Test Date Location Depth Moisture 0J:y Relative Soi1Type
No. 1989 Content Density Canpaction &
-=-- .Lft,..l (%) (p.c.f.) (%) ~ks
SIDE.WALK AREA
1 7/19 Sta 1+25 S.G. 6 125 98 ( 1)
2 7/19 Sta 2+25 S.G. 7 127 99 ( 1)
3 7/19 Sta 2+90 S.G. ' 6 127 ' 99 ( 1)
<j.\..-
CURB & GUITER & STREET
4 7/19 Sta 1+00 S.G. 7 127 99 (1)
5 7/19 Sta 1+75 S.G. 6 126 98 (1)
6 7/19 Sta 3+00 8.G. B 124 97 ( 1)
SIDEWALlS
7 7/20 East/middle portion A.B. 6 135 96 (2)
8 7/20 West/middle portion A.B. 7 136 96 (2)
9 7/20 west portion A.B. 7 132 94 *(2)Rr14
CURB & GUrrER
10 7/20 West portion A.B. S 129 90 *(2)Rl'13
11 7/20 West/middle portion A.B. 6 127 90 *(2)R1'12
12 7/20 Retest of 11 A.B. 8 138 98 (2)
13 7/20 Retest of 10 A.B. 8 134 95 (2)
'I9st
~.
14
15
Date
1989
7/20
7/20
TABLE II
Project No. 6085
3 August 1999
SUmnaJ::y of Field D3nsity Test Res~
IDcation
Depth
.LfhJ.
SIDEWALK
Retest of 9
CURB & GOrrER
East portion
A.B.
A.B.
M:>isture
Content
(%)
Dry Relative
Density CQrpaction
(p.c.f.) (%)
7
134
95
8
138
98
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Certificate of Insurance
The Nationwide Insurance Company indicated below certifies that the insurance afforded by the policy or policies numbered and
descr'Jed 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 Name and Address:
r
CITY OF CAMPBELL
70 N. 1st STREET
CAMPBELL, CA, 95008
--,
THE PIPEYARD, INC. ET AL AND BAC DEVELOPMENT
DBA: THE PIPEYARD
700 McGLINCEY LANE
CAMPBELL, CA. 95008
POLICY NUMBER AND POLICY POLICY
nPE OF INSURANCE EFFECTIVE EXPIRATION LIMITS OF L1ABILln
ISSUING COMPANY DATE DATE
GENERAL LIABILITY General
Aggregate 2,000,000.
G9 Premises - Operations 74PR506304-0002 8/10/88 8/10/89
Pro Compo Op. Agg. 1,000,000.
,119 Products - Completed Each Occurrence
Operations 1,000,000.
[XI Personal and Any One Person or 1,000,000.
Advertising Injury Organization
G9 Medical Expense Any One Person 5,000.
G9 Fire Damage legal Any One Fire 50,000.
~ Other liability
AUTOMOBilE LIABILITY Bodily Injury OCCURRENCE
~ Comprehensive Form 74BA506304-0003 (Each Person)
8/10/88 8/10/89
~ Owned Bodily Injury
(Each Accident)
6J Hired Property Damage
6J Non-Owned Bodily Injury and
Property Damage 1,000,000.
Combined
EXCESS LIABILITY Bodily Injury and
Property Damage Occ.
0 Umbrella Form Combined Agg.
.
kl Workers' Compensation 74WC506304-0001 7/1/88 7/1/89 STATUTORY LIMITS
Bodily Injury Each Accident
and by Accident lnn nnn
KJ Employers' liability Bodily Injury Policy limit
by Disease "(1(1 (1(1(1
Bodily Injury Each Employee
by Disease 100.000.
DESCRIPTIVE SCHEDULE
Insurance in farce only for hazards indicated by JlATIONWIDE AGREES TO MAIL THE CERTIFICATE HOLDER NAMED ABOVE
Date Certificate Issued
Cos.3253-1-86 12/19/98
HEREON AT THIS INDICATED ADDRESS AT LEAST 30 DAYS PRIOR NOTICE
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
NATIONWIDE PROPERTY AND CASUALTY INSURANCE COMPANY
Columbus, O~iO ~.~ / /./
~.~A.+-~ L ~
" J ~ Secretary President
Countersigned at: . Authorized Representative I
Description of Operations / locations /
Vehicles / Restrictions /Special Items
-.
I
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
POLICY CHANGES
Policy Change
Number _
POLICY NUMBER
POLICY CHANGES
EFFECTIVE
12/19/88
COMPANY
74PR506304
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.
IL12011185
'(
Autho ized Representative
Copyright, Insurance Services Office, Inc" 1983
Copyright, ISO Commercial Risk Services, Inc" 1983
~ .
I
;JOLlCY 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 BAC
DBA: THE PIPEYARD DEVELOPMENT
700 McGLINCEY LANE
CAMPBELL, CA. 95008
CG 20 10 11 85
Copyright. Insurance Services Office, Inc , 1984
o
ADD END U M
THE CITY OF CAMPBELL AND ITS RESPECTIVE OFFICERS, AGENTS AND EMPLOYEES
ARE NAME AS ADDITIONAL INSUREDS FROM AND AGAINST ANY CLAIMS, LOSS LIABILITY,
COST OR EXPENSE ARISING OUT OF OR IN ANY WAY CONNECTED WITH THE
CONSTRUCTION OF THE PROJECT. THIS COVERAGE SHALL BE PRIMARY AND ANY
COVERAGE CARRIED BY ADDITIONAL INSURED SHALL BE EXCESS INSURANCE ONLY.
L
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