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CITY OF CAMPBELL
WIMBERLY
I~ELMS
JOCSON
KRUGER
PENOYER
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
Department:
Public Works
September 14, 1990
Mayland Builders Inc.
1925 S. Winchester Blvd., #103
Campbell, CA 95008
SUBJECT: ONE YEAR MAINTENANCE ACCEPTANCE
PERMIT NO.: 88-229
LOCATION: 175 Shelley Avenue
Gentlemen:
r-.'
\
r
__I
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
""~e c;Ji~/1o- Permi~ or projec~ No.
AddreJiJi /7~ ~
Type of work: Street ~s~ora CI SanitAry
Other (describe)
PUBLIC WORKS INSPECTION REPORT
. ??t:3c? 9-
Electricill
o PRELIMINARY INSPECTION WITH DEFICIENCY LIST (attAched)
o FINAL INSPECTION WITH DEFICIENCY LIST (ilttAched)
o FINAL INSPECTION - ACCEPTANCE
Signed plAn~'? Y N (If uigned, Council acceptAnce.)
ChArges agAinst deposit? y
Overt~el hrs. @ $
DAte _ reAliion:
N
/hr.
-
$
BArricAde rentAl (Attach invoice)?
DAte _ reA~on:
y
N
$
Other?
$
$
$
- Refund $
Total chArge8 deducted from deposita
(Cash Deposit $ leas chArges $
ck.. req.)
[JONE YEAR MAINTENANCE WITH DEFICIENCY LIST (AttAChed)
~NE YEAR MAINTENANCE - ACCEPTANCE
~RelcAue'mAintcnAnce bond. Check Request if CAsh.)
Inspector
.
CITY OF CAMPBELL - COUNCIL REPORT
Meeting Date:
Category:
October 3, 1989
Item #
CONSENT CALENDAR
Initiating Dept:
Public Works
Title:
Resolution Accepting Improvements at 175 Shelley Avenue
RECOMMENDATION:
That the City Council adopt a resolution accepting improvements at 175
Shelley Avenue and ordering a Notice of Completion to be filed.
DISCUSSION:
On September 6, 1988, the City Council adopted Ordinance No. 1715 amending
the zoning map for property known as 175 Shelley Avenue, and, on September
6, 1988, adopted Ordinance No. 1716, approving a planned development
permit, plans, elevations, development schedule, and conditions of approval
to allow construction of 4 townhouses on property known as 175 Shelley
Avenue, APN 413-79-046, in a PO (planned development/low-medium density
residential) zoning district. (Application of Maison Construction Co., PO
88-09.) The conditions of approval of the planned development permit
included street dedication and the construction of public street
improvements.
On March 30, 1989, Permit No. 88-229 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. It is
appropriate for the City Council to accept those improvements at this time
and order a Notice of Completion to be filed.
f:175shelley
Approved by Department Head
Approved by City Manager
RESOLUTION NO.
BEING A RESOLUTION ACCEPTING IMPROVEMENTS AT
175 SHELLEY AVENUE
WHEREAS, the City Council has been advised by .the City Engineer that
public improvements at 175 Shelley Avenue have been completed in
accordance with City standards; and
WHEREAS, the City Engineer recommends acceptance of the improvements;
NOW, THEREFORE, BE IT RESOLVED by the City Council that public
improvements be, and the same are hereby accepted, and that the City
Engineer is hereby order to record a Notice of Completion of said
improvements.
PASSED AND ADOPTED this _____day of
the following vote:
, 1989, by
AYES: Counci1members:
NOES: Councilmembers:
ABSENT: Councilmembers:
APPROVED:
Mayor
ATTEST:
City Clerk
T Transamenca
Insurance Services
~~ Bfj3-ZZ9 - -- 'f-/C!-yt:}
Transamerica Premier Insur~nle Company
Ai1mlOlstl.J1I'tlC,.' ulllce Il"\iIlne C"lllornld
TRANSAMERICA PREMIER INSURANCE COMPANY
C/o Commercial Surety Bonding Agency
o Southern California
630 The City Dr.. Suite 120.
Orange. CA 92668
(7141 971-CSBA (27221
o Northern California
1265 S. Bascom Ave.. Suite 1 DB.
San Jose, CA 95128
14081 298-CSBA 127221
r,
c~ty of Campbell
Dept of, Public 'Works
70 N. First st.
Lcampbell, CA 95008
SUBDIVISION STATUS INQUIRY
"I
RECEIV~O
SEP 20 1989
..J
Public Woru/Enginoering
BOND NUMBER
TPI 1893236
SUBDIVIDER
Shelley Terrace
TRACT NUf}61~E~
TRACT NAME
Shelley Terrace - 175 Shelley Ave.
IMPROVEMENTS
Offsite Improvements
PLEASE ANSWER THE QUESTIONS BELOW AND RETURN THIS FORM.
1. Has this work been fully completed and accepted?
2. If accepted, on what date? ~
3. If not accepted. is work progressing satisfactorily?
If no, 'explain
4. Percentage completed?
!2rYes
o No
o Yes
ONo
REMARKS
ONe Y5'~~ ,n4'1~4-AJc.,E ~ 7?:> R~.t1/7 ;..., /,...; e::~s:..r:
(z~% t:>P (:JR.-I (;" /A/4'L t:'A-;~UL fJse-~4~c.E. &M1>.)
Above information furnished by: (signature) Title
/ - 61TnAJ ~U/- f_ /"'_<1- ..z:;;,,~-J-.~z..
-..
DATE
d~
NO FEE
r
IU':>LI'tO.J
RE.CORO ,
.\~t.\) rQ~t.5i of ?y- ~ ~7
~1 Rt,Q . ..""bELL
Cfr'i Of C~'"
CO \:;s?\\'~
\\n' _~r,'~DS
OHlcH\ \<?i..0GJ~i'f
~).\\i/l. C_t..\~ \~~,t.
L/l.\.\\\ \:..'u"R
\l,.ECOh ~
LtG 0 PAGE 95 4
CITY OF CAMPBEll (V'7
70 N. FIRST STREET V
CAMPBELL. CA 0"n"-
TO DE r.ECOROrD wrrllOUT FEE
SECnON 6103 GOVERNNE:rr CODE
AT TH~ REQU,,3T Of CI7Y OF CAN.m:~L
10321463
NOTICE OF COMPLETION
NOTICE is hereby given that City of Campbell as Owner and Donald C.
Wimberly, the undersigned, as City Engineer caused street improvements to
be constructed upon the property hereinafter described.
That the work on said street improvements was accepted on the 3rd day
of October, 1989.
That the name of the Subdivider for said Owner is Maison Construction
Company.
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.
Ci ty of Campbell
70 North First Street
Campbell, California 95008
",-...,.,-..A~,_
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 at the following address: 175 Shelley Avenue.
Dated October 12, 1989
Donald C. Wimberly,
City Engineer
STATE OF CALIFORNIA
ss.
COUNTY OF SANTA CLARA
I, Donald C. Wimberly, being duly sworn, says: That I am the City
Engineer for said City of Campbell, the Owner of the property described in
the foregoing Notice; that I have read the foregoing Notice, and know the
contents thereof; and the facts therein sated are true of my own
knowledge.
Subscribed and sworn to before me
this /3 day of October, 1989
@_..OFFICIALSEAl
~ CHARLENE M. CASE
: .. . Notary Publlc-callfomla
... . SANTA ClAAA COUNTY
. My Comm. Exp. Oct. 12. 19111
(Jj~ fl. ~./
Notary Public in and for said County
of Santa Clara, State of California
NOTICE OF COMPLETION
NOTICE is hereby given that City of Campbell as Owner and Donald C.
Wimberly, the undersigned, as City Engineer caused street improvements to
be constructed upon the property hereinafter described.
That the work on said street improvements was accepted on the 3rd day
of October, 1989.
That the name of the Subdivider for said Owner is Maison Construction
Company.
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 at the following address: 175 Shelley Avenue.
Dated October 12, 1989
~~
Donald C. Wimberly,
City Engineer
STATE OF CALIFORNIA
ss.
COUNTY OF SANTA CLARA
I, Donald C. Wimberly, being duly sworn, says: That I am the City
Engineer for said City of Campbell, the Owner of the property described in
the foregoing Notice; that I have read the foregoing Notice, and know the
contents thereof; and the facts therein sated are true of my own
knowledge.
.~
Donald C. Wimberly,
City Engineer
Subscribed and sworn to before me
this /3 day of October, 1989
(Jj ClJcJ!J!'1iI! ~/. (~./
Notary Public in and for said County
of Santa Clara, State of California
OFFICIAL SEAL
CHARLENE M, CASE
Notary Public-California
SANTA CLARA COUNTY
~
MAYLAND
BUILDERS
INC.
1925
S. Winchester Blvd.
Suite 103
Campbell, CA
95008
11:.e-J 17-# 88 - ZZ'7
August 29, 1989
City of Campbell
Dept. of Public Works
70 N. First Street
Campbell, CA 95008
Attention: Mr. Gregg Eaton
RE: 175 Shelley Avenue
Campbell, CA 95008
Dear Mr. Eaton,
Please be advised that the above referenced project is
ready for Final Inspection. Please notify our office
for an appointment at your earliest convenience.
Thank you,
MAYLAND BUILDERS, INC.
~.;4~~.~
?
(408) 378-4500 MIKE ABDOLLAHI
-
MA/rlo
cc: File
(-
ell' Y 0 f t~ 1\ Nt lit It E 11
70 NORTH FIRST
CAMPBELL, CALIFORNIA
(408) 866-2100
STREET
95008
Public Works
Department:
September 8, 1989
Mayland Builders Inc.
1925 S. Winchester Blvd., #103
Campbell, CA 95008
RE: Final Inspection and Acceptance
Permit No.: 88-229
Location: 175 Shelley Ave.
Maintenance Bond Amount: $3,525.00
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,
,
~~
Car os M. Jocson
As ociate Civil Engineer
CMJ : s d
cc: G. Eaton, Public Works Inspector
Council Agenda
C. Case, Administrative Aide
Bond Company:
Suspense - 1 year
f/acc-ltr
~ . --. - -_.- ~ .. . -_. ...-
PUBLIC WORKS INSPECTION REPORT
DAto_ 84/67 ~;'t
Address Irs- ~ . -
,
Type of work l Stre~t ~ Storm
Other (describe)
or Project No.
.88 ~2- 2- <j
SAnitAry
ElectricAl
[JP~IHINARY INSPECTION WITH DEFICIENCY LIST (AttAched)
o FINAL ~NSPECTION WITH DEFICIENCY LIST (Attached)
.erFINAL %NSPE~ION ~EPTANCE
. Signed plAns?, (~ N (If signed, Council AcCeptance.)
ChArges AgAinst deposit?
Overtimel hrs.
.DAte ~ reAlionl
=-
CD
@ $
N
/hr.
-
$ 4ll- ,,?~;er~'Z. Oe:bW<. ~
/
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Date ~ reASonl
o
$
Other?
=
$
$
Total chArges deducted from depositl
(Cash Deposit $ leas chargea $
$
- Refund $
[JaNE YEAR MAINTENANCE WITH DEFICIENCY LIST (AttAched)
o ONE YEAR MAINTENANCE - ACCEPTANCE
(Release'maintenAnce bond. Check Request if CAsh.)
ck. req.)
Engineer
~
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.
Address 175 ,..:::..: ~
~pe of worka Stre,t ~ Storm Sanitary Electrical
Other (describe)
[JP~IMINAR~ INSPECTION WITH DEFICIENC~ LIST (attached)
o FINAL INSPECTION WITH DEFICIENC~ LIST (attached)
aFINAL INSPE~ION ~EPTANCE
Signed Plans?, (~ N (If aigned. Council acceptance.)
Charge. against deposit? . (f) N
Overti.mea hrs. @ $ /hr.-
Date 5.reasona
$ t} U- ~E?r~"1 j)ez,~ 7C.D
/' ~r
Barricade rental (attach invoice)? y ~
Date 5 reasona
$
Other?
=
$
$
Total charges deducted from deposita
(Cash Deposit $ lee. chargee $
$
- Refund $
DONE ~EAR MAINTENANCE WITH DEFICIENCY LIST (attached)
!JONE YEAR MAINTENANCE - ACCEPTANCE
(Release' maintenance bond. Check Request if cash.)
ck. req.)
Engineer
~
f tiJEC~5
UW,IJ. G; L
TO
'be: pu-r- OV'0
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1 (';'F5~J
MAYLAND
BUILDERS
INC.
l''''l!''':::; "
(::1:''': r";
I.."
,'1 "
J e, h r"{ s::. el r'l
r':I::<i::\c:1
'\. ,'l{:)
r:;. <'cl cl :i 1'1 ':i
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() ~:.:_:.; IJ (. ::::'i
:\.i. :L + (::)I-'''r i.!
C" .:,J.,.... I'!I"
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:,..iu.c:.:.
.l.... c::r t,".1''': C,,,
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{.Jl:' ...,-j
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c: c'!r"!
1925
::') 1'" C:! c:. (..J..
1- C:':' ;-"1 C:" l..':l.f
l
h,..:.cl
. ..\ ....' " ~.:.:.:.; r:: c' ::::! '/::.
. r:.:' t .:':':\ J :"'; :i, 1''': c.j V.,i 1,::\ 1 1
"~'l, n cl .:J.
S. Winchester Blvd.
t.. (:) "1.':. :.......', '.!,. I I
-"Ie-:,:j ell"j .j.. (::;+
n: E':' C.::' -1::. !:j \.... !'./! 'i ,."
Suite 1 03
'rl";,'::!.lml k
;:'"i1! f (:)1'" \:'{Jt, 1;"
.: {JC.ij::) C: (' /j "1.:.1 (]j""! "
Campbell, CA
~::"::' r'l C' Co::' (' {.;';. J
/___:7.d~~~
(408) 378-4500 ,., , I' :;': C! ,..,'1': , !: '(
l".'i('-:j ..... ':' L.!
95008
(:', r:" r:;; !:;:: E:: f'j ;:"~'Il\!.'..f.'..':, ~. { , .' r"
(.".\1.....\ ",C F:l'T'L.l):;
J I ' pr;:.
".\~:?J4::;"L"rt:x>".t..-;J'(i .... ... . ..... /
, I", I ~rtl"'I"i!:::nr,"JJ't. 1-... '[;/'f~J1-..--
V
RECEIVED
NOV 081988
PUBLIC WORKS
ENGINEERING
{""iCi
t.. !.I c',
(. ~-:,
(.'! "'./ (.::.:, r'j u. c-:.:'
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(-;:':';"'i( .In,
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iI!7//?t? .
i .' :':':\ -1::. C!
,
~~
'~.
MAYLAND
BUILDERS
INC.
1925
S. Winchester Blvd.
Suite 103
Campbell, CA
95008
(408) 378-4500
Mrs. Ann M. Johnson
November 4, 1988
Page Two
\
\
-----_._-~
-_._---------~--_.~~-'
,...'.. .--.,~,........,.,..,,-,,~...,....----
AGREED AND ACCEPTED:
, . ~ '.)
"'7' .J.--...' 1/ .'. OJ;;(- I/I.~.J:: ...r /I/>yl I
~/L- F1/Lf'LA.-.o\-'1/2.."'/ // I "/-..2...V'1 ...l.V"-' 1'1...-
Ann M. J 0 h n son ,f
..----.....--
RECEIVED
NOV 081988
PUBLIC WORKS
ENGINEERING
~
OJ
! 1
i i
~
\0
"\ I
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.--- -- ---~-
II ~A{d'
Date
,
K'/I.~
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;- ..-
jl' /' 0 __'
MAYLAND
BUILDERS
INC.
October 21, 1988
C--/-k,CAL--
L I...A K..--C:--
'5 C/v,..4l :?
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--
~ ~ 13 c-6-M. VtJIk+1
I ~ ,),.s f Olc(1t;S to
?
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I t. ~"-~~
..
Mrs. Ann M. Johnso
146 HeddirH;) I~oad
Campbell, California 95008
RECEIVED
OCT 24 1988
PUBLIC WORKS
ENGINEERING
Dear Mrs. Johnson:
1925
Due to the constraints of grading at the 175 Shelley Avenue
S.WinchesterBlvd.pl~o.:if?ct., thE:? b.::\ck 'h?nce 0+ your" pi'''OPE?I,..t:y It'd.ll l'lavE:! .:\ tl--.IO.....
foot lattice work and a six-foot redwood fence with a total
Suite 103
height of eight feet.
Campbell, CA
95008
In addition there will be fill along the back fence of less
than two feet in height and ten to fifteen feet in length.
{40B)37B..4500 Thii:\nh you f(~t- your' COOpE!r',::\ti.Dn.
Si. nCE!I'-!'::.'1 y,
\ 6 -~-L4--~
<~ {L..l...- \ '\\:..f-L ':.""" L "\---:..
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f..-'4 t~~,-.. ~o ld L..::r-~ U
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lC'L~t3>eG~~. ~~
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? t1i kf:! Abcloll r"\h i
Agreed and Accepted:
Mrs. Ann M. Johnson
-..-----.M...---.-...___.M__.__.......__...__.MW__
Da
Permit No. ~~- J~9
Tu~~1? or~~ \ \ ~i
IMPROVE1':Et;T PLAN CHECK LI ST
DEVELOPt1ENTS
CHEC""G:D:
ITEH:
~~ 1) Permit number and prop-
erty address on plan?
c:~ 2) Site review completed?
c:c-~ 3) Applicable standard notes
c:~ 4) Engineer's Stamp, Signa-
ture and Expiration Date
Cf""~ 5) Conformance with City
standard specifications
and details
cc-~ 6) Street geometries
c:~ 7) Street grading plan con-
fornity with overall
street grades and/or
official grading plan
CC::::;C<::1 8) Approved roadway
structural aection
~c-~ 9) Street lighting
requirements
~~~ 10) Storm aewer design
~~~ 11) All relevant conditions
of approval have been
met
cr~
e.~ Gr
12) Traffic review
13) Service Center review
Plan check completed by
Recommeded for approval
Send originals for signing
CO:'~lEt3TS :
'1 - ~- Cb'b Q...'-
q - -u::.'- <b~ \~
C:~ \e:, - ,,~-erb
-..
Bill .1. Helms Date
Engineering ~~nager
Donald c. ~imberly Date
Director of Public Works
Lump Sum Estimate - $ ., D~-
,,- U@ $ 4.00 - $ <04-
'"1-~ SF @ 3.00 - $ ~-
~.> U@ 5.00 - $ "'1..."-
t EA@ 600.00 - $ 't..t.n-
<;4 u@ 14,00 - $ \~_...
\ \~ SF @ 4.00 - $ ~'2..-
'1.. c:;:: ~ SF @ 5.50 - $ \40~-
EA@ 400.00 - $
- U@ 8.50 $ -
-
U@ 50,00 - $ -
(\<'."2ri SF)x($O.lO)x(.::I..) - $\ ,~-
(clIt,1. SF)X($O,30)x(~") - $ "1.04-\ -
CITY OF CAMPBELL, CITY ENG~S C~TRUCTION COST ESTIMATE
Address \ \ S ~ ~ \ v.A
\
Surface Construction
Clearing & Grubbing
Sawcut Concrete
Concrete Removal
Curb & Gutter Removal
Inlot Drain with Pipe
Curb & Gutter
Sidewalk
Driveway Approach
Handicap Ra.p
Extruded Curb
(C::;-4-) (;~:01t~ .c:stla)
Street Excavation
<. \ ~ '> A~~~~t
Adjust Manhole to Grade
EA@ 375,00
EA@ 275.00
EA@ 600.00
EA@ 300.00
U@ 0.65
EA@ 40.00
- EA@ 120,00
EA@ 15.00
qC U@ 10,00
Adjust Handhole to Grade
Konument Box w!Konuaent
Street Tree (15-gallon)
Pavement Striping ($100 min)
Pavement Legends ($100 min)
Stop, Street Name or Other Sign
Pavement Markers
Pavement Key Cut
Permit NO.cz::6 - d6~
by~date \C -c;- 't..I6.
- $
- $
- $
- $ ~~-
_ $ t~ -
- $
- $
- $
-
- $ ~OO-
- $
Surface Subtotal
"S"
- $
- $ ~~~2.-
Adjust for size: .5"<$30;000 add 20\, "S">$lOO,OOO subtract 10\ (+ or -) $ \ \ ~$A-
Street Lillhtinll
Electrol1er
EA @ 2,000.00
Condui t
U@
U@
Ea@
10.00
Conductor, pair
2.00
Pull Box
200.00
Storm Draina2.e
12- or 15" RCP
'"=\.~ U @ 60.00
U@ 70,00
EA@ 1,600.00
EA@ 2,400.00
EA@ 650.00
18" or 21" RCP
Street Inlet
Manhole
Break & Enter Manhole
- $
- $
- $
- $
- $
-
_ $ -&;"L~-
- $
- $
- $
- $
-
- $
TOTAL ESTIMATE
$ \4.. \ \ +- -
.
$ \~" \ O~ -
USE FOR BOND
revised 6/88
f/eon-cost-est
REFUNDABLE DEPOSIT
CHECK REQUEST
TO: FINANCE DIRECTOR
CITY OF CAMPBELL
Please issue check payable to:
Mayland Builders
1925 S. Winchester Blvd., #103
(30 spaces)
(30 spaces)
(30 spaces)
State: CA Zip: _~5008
(2) 00 spaces)
Address:
Line 1:
Line 2:
City:
Campbell
(20 spaces)
Description:
Cash Deposit Refund
(24 spaces)
Exact Amount Payable:
$914.00
Account Number:
905.4662
PURPOSE:
Release of cash deposits for excavation permit no. 88-229.
See receipt no. 0015 dated 9/20/88 ($500.00) and receipt no. 2092
dated 12/27/88 (564.00 less $150.00 per P.O. 9-914)
Requested by: Gregg Eaton
Title: P . W. Inspector
Approved by: D.C. Wimberly
Date: 9/8/89
Title: P.W. Director
Verified by:
Date:
Accounts Receivable
Date:
SPECIAL INSTRUCTIONS FOR HANDLING CHECK:
Mail as is
xx
Mail in attached envelope
Return to:
(Department)
(Name)
Other:
08/24/88
TO: City C I e rk
PUBLI C WORKS FILE NO. <f' cf - 2 2 j
Please collect & receipt
for the following monies:
ACCT.
35- 3396
3372
3521
3521
R-7 :
$"35)
:t Vl.:
($ 50)
'( 500)
(4% of FPB)
($500 min.)
(7% of FPB)
($ 35 min.)
(Cash) Depos i t
($200)
3372
Plan Check & Inspection Fee
3521 Other Cash Deposit (specify)
.J373
3373
3372 Tentative Parcel Map Fil ing Fee ($350)
3372 Final Parcel Hap Fil in Fee ($300)
3372 Tentative Tract Map Fil ing Fee $ 00
}372 Final Tract Map Fil in Fee (S350)
3372 Lot Line Ad'ustment Fee/Certificate of CampI 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
Ne ative Declaration
3370 Storm Drainage Area Fee per Acre Multi-Res.,
$2,060; all other, $2,250)
.J395 Park Dedication In-lieu Fee per Unit ($1,132)
3380 Publ ic Works Special Projects
35]0 Postage
TOTAL
AMOUtH
$
s-o -
5""00-
lAME /-1 A Y ~ A ;tJ ()
DDRESS I Y 2. "") ~
8v, t.. /) t I{ S
U~#/03
$ sS'o-'
3 7 r - Y j- 0 ()
9 )-() 0 J>
PH:lNE
~ZIP
FOR
C I TV CLERK
Cl'4l.Y
RECEIPT NO.
oo/s-
~09
9- 2-0- 9f{
AMO\..IIIT PAID
RECE , VED BY
DATr
July, 1987
TO: City Clerk
Please collect & recei pt
for the following monies:
PUBLIC WORKS FILE NO. 8"8- ~2. 2.~
ACCT.
35-) 6
3372
speci fy pro 'ect
PVU'!/-U: eM :
Depo5 i t
R-7 :
($'35)
Plan Check & Inspection Fee
Other Cash Deposit (specify)
3373
3373
&
3372
3372
3372
3372
3372
3372
3372
3372
Tentative Parcel Map Fil in Fee ($350)
Final Parcel Map Fil in Fee 300
Tentative Tract Map Filing Fee $ 00
Final Tract Map Fil ing Fee ($350)
Lot Line Ad'ustment Fee/Certificate of Com I iance
Vacation of Publ ic Streets and Easements ($500
Assessment Segregation or Reapportionment
First Split ($500)
Each Additional Lot ($150)
Environmental Assessment: '
Categorical Exemption
Ne ative Declaration
Storm Drainage Area Fee per Acre Multi-Res.,
$2,060; all other, $2,250)
Park Dedication In-lieu Fee per Unit
3380 Public Works Special Projects
)510 Postage
NAME
~a.~ \tc.l( ~ [3 u ~ (~v-~
IOTAL
J ~ '-_
PHONE
AMourn
$
~
f~ ~ -----
"~7~
G; "J '3 -e.
~S"2. 8' -~
00
$ fo7/~_
ZIP
ADDRESS
FOR
C I TV CLERK
ClNL Y
RECEIPT NO.
AMOI.Nr PAID
:2..09/!2
<'0
07/~ _
{d/n
/ ;;;.. - d- 7 - S'gt
RECE r VED BY
DATE'
July, 1987
~' () '''l1p
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....-... '
. " .
, . ..
v
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. ~
'Y!i i ()q.
, : p..\\\.
PURCHASE ORDER
>
RECEIVING 1
City 0/ Campbell
70 N. FIRST STREET CAMPBELL, CALIFORNIA 95008
(408) 866-2100
:PURCHASE ORDER
No. ""14
To AddreIa Checked
To . wrI.~.-.18 AM1C1S
P.o. .. SltJ <
SAlt .JOlla, & ,SUO
CITY OF CAMPBELL
70 N, FIRST ST.
CAMPBELL, CALIF. 95008
VENDOR PHONE # ( 408 311-2411
~,
-..,
ftaLtC... a.aUoiVc. ~.. ...~. "IILr .~
9'05, 4Ctz-
.Aql_~1I.~
DEPARTMENT
SIG~ATURE
DATE
ACCOUNT NO.
DILIVII'l'I DATI
F.O." POINT
AVAIL.8AL.
TIRII8
0RllIIR DATE
ITl!II QlIMfITY
UNIt
DI!8Cl!lIPl'IQN
2/W/89
CAMPBELL
01
L.a.
L.~. __~&...._~~..._
'..00
aI_" _.
nD%~ .. 88-221- .~ ,....
(150.00) .... .'
~ .. _H1- Clp ~..
($150.00)
(lID IIUD IIODUOVIS ItI UlI1\'.I~~~,~_____~~
" .. it,.1..../...\
I
/1 ,,' '. --..--~ .../
c. '/ :.11---' 0
/,( --. .~ + ~r'
~-'--'- .'" /?7{--- ) ,'-, ,t;_ ".-
.=..a-.:.Li-__~---. '-A_ ,- t-: 2-----
ALL INVOICES ARE TO BE ADDRESSED TO
CITY OF CAMPBELL, FINANCE DEPARTMENT
.70 N. FIRST ST., CAMPBELL, CA 95008
ORDER COMPLETE
DATE DELIVERED.
CERTIFICATION ..
SIGNATURES ...
....GO
DATE
Only employees so designated are authorized to sign for the
receipt of the materials and/or services indicated on this
order.
The above signed certifies that the
quantities and quality are received as
indicated.
City 0/ Campbell
I~J;Ilti~~I_~."
fROM ~r--
. If IF ~ ~ ...--: e,c,
75 NOlfH CENTRAL AVENUE
CAMPBELL, CAUFORNIA 95008
PHONE 371.1141
I
MESSAGE
DATE
SUBJECT
,
,
..Q- cc.4Io.
,~
~~"
....E C E lYE D
FEB 2:) 1980
c_
".-,
4..__
...~c 'A."'t..1Il . 'ft,..... fr.'-"'"
SIGNtD
DAft
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 1-14 Y LAIv'l) BWLDER...s- J/VC.:-
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; QB
x
A Certificate of Workers' Compens tion Insurance
Insurance Co. ~ I< ,1m 5 Y1
Policy No. \NCG- - 2.0'8' q ,- FS Expiration date
. OR
,-
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.
. .
.................................................... .......................
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 f-(4,YLAII//::> BUIL/)E/<?S lNrrelephone 3--7S'-1Sotl
Address/'j2S f';. "v'"",''v\f~-\:itv R\"-'d ~\D~
State Contractor License No.S3~-~1 ~ City Business License No..I- 0'-S06 rt/-- L
Expiration Date R/81
Will do the following types of work:
underground _____P.C. concrete _____A.C. paving _____electrical
_____other (specify)
f:PERMINFO
REV. 8/88
POLICY NUMBER
.,kt .. : .. ... .....
" ISSUE DATE (MMlDDIYY)
PRODUCER
MARY FORMICO BARNARD
915 MERIDIAN AVE SUITE 102
SAN JOSE, CA. 95126
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
INSURED
MAYLAND BUILDERS, INC.
1925 S. WINCHESTER BLVD # 103
CAMPBELL, CA. 95008
COMPANY A FIREMEN'S INSURANCE COMPANY
LETTER
COMPANY B
LETTER
COMPANY C
LETTER
COMPANY D
LETTER
COMPANY E
LETTER
.
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HA VE 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 CONDI-
TIONS OF SUCH POLICIES.
f CO
LTR
TYPE OF INSURANCE
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMiOOIYY) DATE (MMiDDIYY)
LIABILITY LIMITS IN THOUSANDS
OCC5~~~NCE AGGREGATE
GENERAL LIABILITY
X COMPREHENSIVE fORM
PREMISEs/OPERATIONS
UNDERGROUND
EXPLOSION & COLLAPSE HAZARD
X PRODUCTs/COMPLETED OPERATIONS
CONTRACTUAL
INDEPENDENT CONTRACTORS .
X BROAD fORM PROPERTY DAMAGE
X PERSONAL INJURY
F89CF00126
2-1-89
2-1-90
~~~~~ $
$
6~~~~~TY $
$
g~t~~ED $
PERSONAL INJURY
$
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS (PRIV. PASS.)
ALL OWNED AUTOS (OTHER THAN)
PRIV. PASS.
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
BODilY
INJURY $
(PER PERSONI
BODILY
INJURY $
(PER ACCiDENT)
6~~~~~TY $
g~t~~ED $
EXCESS LIABILITY
UMBRELLA fORM
OTHER THAN UMBRELLA fORM
. ~~t~~ED $
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
(EACH ACCIDEND
(DISEASE-POLICY L1MID
(DISEASE-EACH EMPLOYEE)
>>X~LOC TI N
171" SHELLEY TERRACE
U NYOAKS TERR CE
DAfiBff~~~AEP~~~~b~1~N~~~rrCtRKfMTHE CITY OF CAMPBELL AND ITS RESPECTIVE OFFICERS, AGENT
AND EMPLOYEES. ARE NAMED AS ADDITIONAL INSURED F~OM AND AGAINST ANY CLAIMS. LOSS LIABILITY
COST OR EXPENSE ARISING OUT OF OR IN ANY WAY CONNECTED WITH THE CONSTRUCTION OF PROJECT.
l,.,~ . ;", .:;~.Q<.,8NL.~R, . . P"BY""APP J "'"JNYB Q",.,5.
CITY OF CAMPBELL AND PUBLIC WORKS
70 N. FRIST STEET
CAMPBELL, CA. 95008
. - .
: .J.,[;~~~~1r~~t~:~~'~Ii;~!a:x:;:;:7'
._. .'.... .~~~:.?lfB~;r~~~itt~~~,~Ji;,~".~,~t1""",'.~"-'"bt~;".:,:,_", "
:: -i. "~">~~';
PCfUv1I''-~. BB-.;!...z-
CITY OF CAMPBELL
70 NORTH FIRST
CAMPBELL, CALIFORNIA
(408) 866-2100
STREET
95008
Department:
Public Works
February 14, 1989
Mayland Builders Inc.
1925 S. Winchester Blvd.
Campbell, Ca. 95008
RE: DIRT AND DEBRIS TRACKING ON SHELLEY AVENUE
Gentlemen:
Per the direction that Preston Phillips of the Building Division conveyed
to you on Monday, February 13, 1989 your frontage at 175 Shelley and
adjacent areas were to be cleaned of all dirt and debris by noon Tuesday,
February 14th. It was not cleaned by this time limit therefore I ordered
the work done immediately and the fees will be deducted from your cash
deposit.
By City Ordinance and by the City Standard Specifications you are to
maintain the cleanliness of the street at all times. To prevent further
charges against your cash deposit I urge you to keep up with the
maintenance Shelley Avenue
If you have any questions or require additional information please contact
me at 866-2150.
Sincerely,
,~b?;;L/
Gregg Eaton
Public Works Inspector
File Permit No. 88-229
E-<
H
~ffi
Ztil
Hp..
~~
_0
p:;~
OZ
~O
H
OE-<
~16 V""
gj~ Five sets of improvement plans submitted
~p..
~---------------------------------_._-_._----------_.---------.--------
~Bond for faithful performance, 100% of City Engineer's
estimate, (waived for R-l Homeowner), supplied or paid.
. Amount $ \4\ \on- Form F-r---" R0"-' \2:. I.D. # ~\ \~':r'2..-"S,=
':::::s &~ash Deposit: 4% of FP bond. $500 min. ($200 for R-l
Homeowner), paid.
Amount $ <;;er.;4 -
~,
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U)
U)tI)
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ENCROACHMENT PERMIT ISSUANCE CHECK LIST
Encroachment Permit No. ~~-~L.~
\\~ ~\:-+8'l-\-e'-(
City of Campbell
Department of Public Works
v
V
Applicant section complete
Applicant signature and date
~ Permit Application fee $50.00 ($35.00 for R-I Homeowner),
paid. Receipt number OC> \ ~
~ Plan check deposit, $500.00 (waived for R-I Homeowner),
paid. Receipt number O() \ ~
Receipt No. ~D~'-2-
C<;G::;,!/ Plan Check & Inspection fee of 7% of FP bond, $35.00 min.,
(waived for R-l Homeowner) paid.
Amount $ q~., - Receipt No. "2QciL-.-
C:<;.~ 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.
niL- -
~Worker's comp and Contractor's Information received for
Contractor (see 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)
~~~ Three sets of off-site plans, stamped APPROVED (Tract or
Development and Public Works Permit number and property
address on plans)
6'SG- Permit signed for City Engineer
WHEN ALL OF THE ABOVE ITEMS ARE COMPLETE, PERMIT MAY BE ISSUED
Issuer: Initial and date and file with permit
UPON ISSUANCE, INITIATE CHECK REQUEST FOR PLAN CHECK DEPOSIT REFUND
8/88
permchklst
70 NORTH FIRST
CAMPBELL, CALIFORNIA
(408) 866-2100
STREET
95008
WIMBERLY
HELMS
JOCSON
KRUGER
PENOYER
CITY OF CAMPBELL
Public Works
Department:
February 24, 1989
Mayland Builders, Inc.
1925 S. Winchester Blvd., #103
Campbell, CA 95008
SUBJECT
Public Works Permit No.: 88-229
Application expires: 3/19/89
Permit Address:175 Shelley Ave.
Our records indicate that you applied for subject Public Works Permit
approximately five (5) months ago. This is to remind you that
applications for permits expire six months from the application date. The
expiration is shown above.
If you wish to have the permit issued prior to expiration of the
application please call this office to find out what needs to be done.
Very truly yours,
vf/c.
Don King
Engineering Tech II
DK:sd
IICIIVID
DEe 16 1988
PUBLIC WORKS
ENGINEERING
SUBDIVISION BOND - CALIFORNIA
FAITHFUL PERFORMANCE - PUBLIC WORK
BOND NO. TPI 1893236
Premium: $423.00
TRANSAMERICA PREMIER INSURANCE COMPANY
SUBDIVISION BOND
KNOW ALL MEN BY THESE PRESENTS: That
SHELLEY TERRACE
as principal, and
TRANSAMERICA PREMIER INSURANCE COMPANY, a corporation organized
and existing under the laws of the State of California and auth-
orized to transact surety business in the State of California, as
Surety, are held and firmly bound unto City of Campbell
in the sum of Fourteen Thousand
One Hundred
Dollars ($
14,100.00 *****
) ,
for the payment whereof, well and truly to be made, said principal
and surety bind themselves, their herts, administrators, successors,
and assigns, jointly and severally, firmly by these presents.
The condition of the foregoing obligation ~s such that, whereas
the above-bounden Principal has entered into a contract, dated
October 19
, 19~, with the
to do and perform the following work, to-wit:
city of Campbell
Offsite Improvements - Tract No. 23
NOW, THEREFORE, if the above-bounden Principal shall well and
truly perform the work, contracted to be performed under said
contract, then this obligation shall be void; otherwise to remain
in full force and effect.
SIGNED AND SEALED THIS
15
day of
December
,l9~.
SHELLEY TERRACE
Principal
BY:
RICA PREMIER INSURANCE COMPANY
BY:
Attorney-in-Fact
Charles Griswold
,r I~~r~~~~~!!~a
N~] 2892
GPA .____________~
Power o( Attorney valid only if numbe,-ed in red.
Transamerica Premier Insurance Company
Administrative Office Irvine. California
General Power of Attorney
Know All Men by These Presents. That Transamerica Premier Insurance Company. a corporation duly organized and existing under the laws of the
State of California. and having its administrative office in Irvine. Orange County. California. does by these presents make. constitute and
appoint ____~____ - -------
CHARLES GRISWOLD
-_._--_._-_.__..---_._~-- --
oL__ Sarl Jose and State oL__.Galifarn.i.iL._____ its true
and lawful Attorneyls)-in-Fact. with full power and authority hereby conferred in its name. place and stead. to execute. acknowledge and deliver
_=_ CONTRACT BONOSTS. B.A. Guarantee Agreement - MAXIMUM PENALTY.JSOg-,QOO ~QQ__==--=~=-=_~
OTHER CONTRACT BONDS - MAXIMUM PENALTY 100,000.00
--~_~~b_OTHER BONDS - MAXIMUM PENALTY $25,000.00
_._____~_.___..___ 0'.-_-----_..- ____
IITHIS POWER OF ATTORNEY SHALL TERMINATE AND BE
OF NO FURTHER EFFECT AFTER DECEMBER 31, 1989n-=_~-=~=====~=~---
and to bind the Company thereby as fully and to the same extent as if such bonds were signed by the President. sealed with the corporate seal of the
Company and duly attested by its Secretary. hereby ratifying and confirming all that the said Attorneyls)-in-Fact may do in the premises. Said
appointment is made under and by authority of the following resolution adopted by the Board of Directors of the Transamerica Premier Insurance
Company. at a meeting held on the 12th day of June. 1984.
"Be It Resolved. that the President. any Vice-President. any Secretary or any Assistant Secretary shall be and is hereby vested with full power and
authority to appoint anyone or more suitable persons as Attorney(s)-in-Fact to represent and act for and on behalf of the Company subject to the
following provisions:
"Section 1. Attorney-in-Fact. Attorney-in-Fact may be given full power and authority for and in the name of and on behalf of the Company. to execute.
acknowledge and deliver. any and all bonds. recognizances. contracts. agreements of indemnity. consents of surety and other conditional or
obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder. and any such instruments
so executed by any such Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and attested by the Corporate
Secretary. "
In Witness Whereof. Transamerica Premier Insurance Company has caused these presents to be signed by its
and its corporate seal to be hereto affixed this
Pres i dent_____
16th day of
OnthiL__. 16th
CALlFOR~\"
............... ------
day of
Joan M. ~~ynn
Jack M. Trapp
executed the within instrument as Pres i dent
acknowl~~ U1al tij~':.CoI.r~n.P'l(p.~t.ed it.
~I AN::''''~ OFC-'('!AL SEAL I~
; '{'?"\"';~?;:"/"'" 'r. f'. ,: ''-.fl 'I ,..,. (
, " . .),.,.... .h..',\.j r~". ". i"ll IN! .
, ;::,s.:.-'''"_i,." \ 'Ie ",I!. ,\'. 1'1i.
: (-. -c..'...... ..,.... l~nT r .", ~. 'J' ,.. ,.. ".... ,. ..c,."... ^ It
11 ,:.',.\,', t,~~~.",:-) ..'.' .1'1,' ;:;I~,t,.\..r~."I.-~:i\:'\lL..1
.; Ii, C... '1 f'.~.':,.,c.t.; 'F"'.'" "~
/1 ~.~.~.;:,.'..:9 ~~,~~;;!'~;r: (:(.~:j',\:'TY" [,
~~'( C(\;'iML~S'2!'Ls~~~:;i..0::l:.l7,J~"1J i}
~."'",.... ..........~~~
I. the undersigned Secretary of Transamerica Premier Insurance Company hereby certify that the above and foregoing is a full. true and correct copy of
the Original Power of Attorney issued by said Company. and do hereby further certify that the said Power of Attorney is still in force and effect.
} ss.
By .
October
. A,D.. 19
State of California
County of Orange
October
. in the year 1987. before me
. a notary public. personally appeared
. personally known to me to be the person who
__. on behalf of the corporation therein named and
(
~l1..~__lL)~
Notary Public
And I do hereby further certify that the Certification of this Power of Attorney is signed and sealed by facsimile under and by the authority of the
following resolution adopted by the Board of Directors of the Transamerica Premier Insurance Company at a meeting duly called and held on the 12th
of June. 1984. and that said resolution has not been amended or repealed:
"Resolved. that the signature of the Secretary or any Assistant Secretary of this Corporation. and the seal of Corporation. may be affixed or printed by
facsimile to any certificate to a Power of Attorney of this Corporation. and that such printed facsimile signature and seal shall be valid and binding
upon this Corporation."
15
December
day of . ~_________~~_________~____
GIVEN under my hand and the seal of said Company. this
88
19_______~_.
THIS POWER OF ATTORNEY EFFECTIVE ONLY IF
ATTACHED TO BOND NO.~PI 1893236
(Ju/J'12--
Secretary
30024A
10-85