88-249
CIn OF eMPBILL
I)BPT. OF PUBLIC WOJ.U
70 Bortb Fir.t st.
c..pbe11, CA .500.
(40.) .61-2150
Pt1BLIC WORD nRMI'1'
(for workin; in tb.
pu!>lic d;bt-of-wa1')
I"uelS . /o/c::<# f
P.ralt .-pir.. 12 .0..
P.ral t Bo.
Yf-2YY
a-a.f. fll.
applicaUon I)at. / " ~ -:2./ i. p J>
application .-pir.. n' 0..
apPLICA'1'IOB _ app1ioatioD i. b.r.b1' .ad. for a ~lio Work. p.rait in aooordanc. witb c..pb.ll
.unicipa1 Cod., s.ction 11.... (applicatioa .-pir.. in , .ontb. if p.ralt not pu11.d)
r/A~ Av~
a.
Work addr... or uact .--AUDA!l::.t A VIE IJ. i .
Dtllit1' tr.ncb 10caUon /oz::tl Aut:J&f AVt::-
.atur. of work../lrfr !tdd~ 'lJ;:t ~ 4"lA'17!!1lAL.
IOIt 'B:IdllJ6t Jt..~DE'"A.)c.F.
..
attacb fi.. (I) copi.. of a draw in; abowin; tb. location, estent an4di.en.ion. of tb. work
'1'b. drawin; abal1 .bow tb. r.lation of tb. propo.ed work to .si.tin; .urfaoe an4 underqround
iaprn__U. ften approved by tbe city zn;b..r, .aid drawin; beco.... part of thla p.rait.
'1'b. G.n.ral condition. for all p.ralt. are li.t.d on tb. rev.ra. .id.. sp.oia1 ptbvi.ion. for
tbi. perait are li.ted below. pailure to abide by tbe.. con'ition. and provi.ion. .a1' r..u1t
in job .hut-down aDd/or forf.iture of paitbful Perforaanoe Bond. and oa.b depo.ita. (lee
GeD.ral CODti tio.. 1 aDd J).
C.
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.. aD applicaUon f.. .ut acooapaD1' till. applicatioD.
r,~~-::"" 'J,:\~; j:"'" r:-r'f.'ITi'17!i\~.~ r:,".-rll"- r- "'. "'"T"
.... of applicaa\-.v 1 .. '-~ ~ 1 '..... l. Ii' II'~ I~ IJ,)! illL I: .~
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'l'bia ia DOD-refundab1..
? 1'8. Uo1
.1.phon.1
Ch-Ipl!J!U-
addr... /00 ~. SU/..JAlfI)M'
I. this work bain; done by tb. prop.rt1' owner at th.ir own r..idenc.' ---l..
'l'b. app1ioant/p.raitt.. h.r.b1' .ckDowled;.. tbat tbe1' bay. r.ad and under.tand botb tb. front
"ok of tbia p. , an that th.y .il1 iDfora tb.ir contraotor(a) of tb. iDforaatl~. ~"
aCCZP'1'Z1) ro;z ~m8.
viEST VALLEY SANITATION DISTRICT OF Sf.l'ITA CLf\R/\ COUNi'f
.0'1'BI' aLL on 8BaLL COlfPC)U n'l'B I'D a'l"1'aCDD, UPROVED PLaM8 UD aLL UPLIcaBLB cunBLL
S'1'~ DRAWIBG8 UtI) COWI'.rIOBI.
~ COB'l'RAC'l'OR XUI'1' Dn 'l'BIS PBJUa'1' UtI) aJlPROVZD JlLaMI UD XUI'1' Dft n'l'B I'D P.W. D8HC'l'OR OB
~ SIU aT LBU'1' 'l'WO Da'll aBpOD S'1'D'1'DIG WOD.
IIO'l'ICB XUS'1' .. fnVDI '10 WBLIC wo.u U JoIIlU!f U .OUU 1li1lFOU U''1'D'1'IMG Ut WOD.
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SPlCIaL PROVI'IO"
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Str..t aball aot be open wt; for uad.r;round in.ta11aUon.. Xlnlallll cnat. .., be al10w.d
for eonn.otioD. o~ esploratioD .01... Suob GUt. .u.t be .p$oifioa11Y approved by tb. .
In.p.ctor.
pav...nt .a1' 1M cnat for uad.r;round inat;all.Uon...d aullt 1M re.tor.a in .ccordance wltb
tb. utility '1'r.Dcb a..toration standard Dra.ia;.
Work to be ataJt.d by a lie.Da.d LallI! 1~.1'or or ci.U BDqin..r and no (I) oopl.. of tb.
cnat .b.at. ..Dt to th. ~lio Work Deptartaent before .tarting .o~k.
'1'be bour. of work are lia1t.d to out.id. th. boura of '7-. .... and J-' p... fo~an1' work
.ff~tin; a traffio 1.... ~
IJ'> h:;>t.l.OW A-n74<-NE7\ 77tbJcJ R~TOItAno,.J ~,'l (~f)Z:Z.CLAN")
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REFUNDABLE DEPOSIT
CHECK REQUEST
TO: . . FINANCE DIRECTOR.
CITY OF CAMPBELL
Plea~e issue check payable to:
Glage Underground
(30 spaces)
I
Address:
Line 1:
1116 Dell Avenue
(30 spaces)
Line 2:
P.o. Box 961
(30 spaces)
City :
Campbell.
(20 spaces)
State: CA Zip: 95008
(2) (10 spaces)
Description:
Cash Deposit Refund
(24 spaces) .
Exact AlQount Payable:
Account Number:
$465.00
001.00.905.0000.4662
PURPOSE: Release of cash deposit for Excavation Permit No. 88-249.
less $35.00 for a permit fee. See receipt #830 dated
10/21/88.
Requested by:
Approved by:
Verified by:
. eBJ
. Gooaton
.00 i b*l
Title: P. W. Inspector
Date: 11/17/88
Title: P. W. Director
Date: 11/17/88
Accounts Receivable
Date:
SPECIAL INSTRUCTIONS FOR HANDLING CHECK:
/
;' Mail as is
xx
\
Mail in attached envelope
Return to:
(Department)
(Name)
\ Other:
08/24/88
'--_.........._"""'--._.-:....,.......-.......--.............,.......<~.......--.--.._.~-.;...._....~_.._-_., "................,,-.............. "-'.... ...................--.....
CITY OF CAMPBELL
70 NORTH FIRST
CAMPBELL, CALIFORNIA
(408) 866-2100
STREET
95008
Department:
Public Works
November 17, 1988
Glage Underground Construction
1116 Dell Aveneu
P.O. Box 961
,Campbell, CA 95009
RE: Final Inspection and Acceptance
Permit No.: 88-249
Location: 1027 Audrey
Maintenance Bond Amount: Waived
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 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 year and advise you whether or not
maintenance is needed.
Please feel free to call the undersigned if you have any questions.
J;H~
-
11/17/88
Inspector
~ 35. (;)0 WA--~
.QE1;) ~...(.(;T€"D ~/Z.
7Js..JG Pi:::.lUn ," ..,- FEE".
:r:-r w45 N~f
CHft1U:,eh A'r ~
TI /rJ~ E) r is)~~
GE:sd
cc: Suspense - 1 year
~.
Date ';r~~~. Permit or Project No.
Address /027- .~~
PUBLIC WORKS INSPECTION REPORT
. S8 ~24CJ
Type of work: Street Storm
Other (describe)
Sanitary
Electrical
o PRELIMINARY DfSPECTION WITH DEFICIENCY LIST (attached)
[JFINAL INSPECTION WITH DEFICIENCY LIST (attached)
~INSPE':TION - ACCEP~E
Signed plans? Y ~ (If signed, Council acceptance.)
Charges against deposit? Y
Overtime: hrs. @ $
Date 5 rea&on:
~
-
$
Barricade rental (attach invoice)?
Date 5 reason:
Y
10
$
Other?
$
$
$
- Refund $
Total charges deducted from depositl
(Ca&h Deposit $ less charges $
ck. req.)
[JONE YEAR MAINTENANCE WITH DEFICIENCY LIST (attached)
o ONE YEAR MAINTENANCE - ACCEPTANCE
(Release'maintenance bond. Check Reque&t if cash.)
Engineer
~
Inspector
November 9, 1988
I
I
j
1116 DELL A VENUE
POST OFFICE BOX 961
CAMPBELL} CALIFORNIA 95009
Telephone: (408) 379-3010
"
I:. '..., ,
City of Campbell
70 North First Street
Campbell, California 95008
RECEIVED
NOV 141988
PUBLIC WORKS
ENGINEERING
Attention: Mr. Greg Eaton
RE: Bond for 1027 Audrey Street
Dear Greg:
As you are aware, we have recently installed a sanitary sewer lateral
at 1027 Audrey Street and I am reguesting that you release the Bond
in the amount of $500.00.
If there is any problem please let me know so I can rectify the
problem as soon as possible.
Sincerely,
~~
JG:dlv
- . ._.-. --.- - .. - .--. ...-
PUBLIC WORKS INSPECTION REPORT
lAte r~k Permit or Project No. . B~ ":'24CJ
Address /OZ 7- . ~~
~pe of work I Street Storm
Other (describe)
Sanitary
Electrical
o PRELIMINARY DlSPECTION WITH DEFICIENCY LIST (attAched)
[J FINAL ~NSPECTION WITH DEFICIENCY LIST (attAched)
~INSPEc.:rZON - ACCEP~E
. Signed plans? . Y ~ (If signed. Council acceptAnce.)
ChArges against deposit? y
Overtime I hrs. @ $
DAte , reAsonl
~
.
$
BArricade rental (Attach invoice)? y
DAte , reasonl
v
$
Other?
$
$
$
· Refund $
Total chArges deducted from depositl
(Cash Deposit f le8s chArges $
[JONE YEAR MAINTENANCE WITH DEFICIENCY LIST (AttAChed)
o ONE YEAR MAINTENANCE - ACCEPTANCE
(ReleAse'maintenance bond. Check Request if CAsh.)
ck. req.)
Engineer
~
Inspector