88-267
.treet .hall DOt be OpeD out for \Ulde1'9ro\UuS iDatallaUoD.. IliDiaua cut. aay be allowed
for ooDDectioDe 01' explor.tioD bol... Bucb cut. .u.t be aD.cifioallY aDDrov.d by the
In.D.etor.
~a....nt .ay be cut for \Ulde1'9ro\Uld in.tallatioD. and au.t be re.tored iD accordance with
the utility ~r.ncb a..tor.tion atandard DrawiDg.
Work to be .taked by . lioen..d LaDa .urYeyor 01' Ciri.l Engin.er and no C2) oopi.. of tbe
out .h.et. ..nt to the IUblio Work Deptarta.nt before .tarting work.
~h. hour. of work are U.uted to out.id. Ue hour. of 7-' .... and S-I p... for any work
.ffect~Ii . traffio Ian... ~
~;:::::::::,~~.~L f-hm~/~. i
__._ -,,_~__<€f. ._ U77L7 ~GI/ ~t(T'.5i'T~A77'DJ ...:)&:"t7L /'11E:'/71c,;)A E
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CIft 01' CNtPBILL
1)BI"1'. or ~UBLIC WOllU
70 .orth Fir.t .t.
c..pbell, CA .1001
C..OI) 1"-2110
PUBLIC WORD nRKU
(for workinli iD tbe
public rigbt-of-way)
I..u84 / 2-/~ --;/ d' ~
..rai t expire. i.D U ac..
~.rait .0.
j1 f -02t, 7
x-aef. fUe
application Date 1/;I~~~J?Jr
applioation azpir.. iD . .0..
a~~LICA~IO. _ application i. h.r.by ..de for a Publio .ork. perait in aooordanoe with Caapbell
xUDic:1pal Code, .ecUoa 11.U. (applloatioa expir.. ia I .oatb. if p.rait Dot pulled)
&. Work a44re.. 01' tract. _~ ~ ,~'" T
vUll.. ...... ,,,,U" ~ .1'w!"a.:)1A t:' i
.. ..ture of work'~~ _ ~ ~"/~ MAJ~ AuV) ()~ 1}-/1. ~/A. #..AA.ul~ ~
c. attach fi.. CI) oopie. Of~aWiag .bowiag tbe locatioa, extent and dillen.ion. of tbe work !
~h. drawing .hall .how the r.lation of the propo.ed work to .zi.ting .urface and \Uld.rground :
laprov....U. nea .pprovelS by Ue City Engineer, .aid esrawiDIi beco... e part of th1a penLit. ~
c
1). ~he QeD.ral condition. for all p.ralt. are li.t.es OD the r..er.. .id.. .p.eial pJbvi.ioD. for
tbis permit are lishlS below. Failure to abilS. by tll." cOD'iUOD. and providoD. .ay r..ult
in job .hut-down aDd/or forfeiture of Faithful p.rformance BODd. anlS ea.b d.po.it.. caee
General CODtit:loDs So ane .).
B. &Il applioa~!l_ f.. .uat aoooap&Dy thi. applieaUoD. ftb 18 Don-refundable.
turf\T 'I" L'"" ~ \tl'jTr -'L~f-' Dl"T"''''- 0" ('A"r' Cl ~R~ COUtlT'L <? -14li!. ./1./1.c:}-r
.... of applio....;; ~I-'.L ty vi ,\ ;UIII~ .,:,; t\lvl r ,) 1'1 Ii d~ I-I ,'.. 'IelepIlOael~
&d4re..JQQ..J.. SUkJ~ ~<:, .hvbwtA.l1 I ~.,,~
%. tbi. work b.ing don. by the prop.rty own.r at th.ir own r..ideno.' ---7.. ~DO
coaplete and attacb Workere' coap.D.aUoD and CODtraotor XnforaaUoa foJ:'lL8.
h.r. aoknowl.dg.. that: th.y have read and un4.r.tanlS botb tbe froat anlS
hat they will lDfora th.ir oODtraotor(.) of the lDforaatl~. ~
II z.~ 15
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'^'E<::T ,\! I rv Sl\fJiTATlON DtSHdCT or SJ\laA CU\Rt\ COUNT'{
.0'1'B8' PI< we> '~tttW6u Uft ~ a'1"l'ACDD, aPPJtOVJ:D PLAKS UD aLL UPLIcaBLE CUPBBLL
8'1'aHnUD DU_IIIGS UD COHDITIOlla.
aCCZftBD
ft. applioant
Nek of thb P
'I'D COIITRAC'l'OR KtJS~ BAVB UI' Pmua~ UD apPJtOVJ:D PLAKS UD xva~ 101ft WID ftEB .... DSPBCTOa o.
'I'D .I~B a~ LBU~ ftO Dan 8BFOD B~"~IJIG woo.
IIO'nCII xvaT .. QIVBJI '10 FOBLIC lIOaD &~ UUT U BOVU .BI'OD DS~"~DG an woo.
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TO: City Clerk
PUBLIC WORKS FILE NO. J7J7-~~7
.
Please collect & receipt
for the following monies:
ACCT.
35-) -6-
3372
3521
3521
Depos i t
R-l :
($'35)
3372
Plan Check & Inspection Fee
3521 Other Cash Deposit (specify)
3373
3373 &
3372 Tentative Parcel Map Filing Fee ($350)
3372 Final Parcel Ma Filin Fee ($300)
3372 Tentative Tract Map Filing Fee $ 00
3372 Final Tract Ma Fil in Fee ($350)
3372 Lot Line Adjustment Fee/Certificate of Compl iance
3372 Vacation of Publ ic Streets and Easements ($500)
3372 Assessment Segregation or Reapportionment
First Split ($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-l ieu Fee per Unit ($1,132)
3380 Public Works Special Projects
3510 Postage
AMOUtn
$
SCJ . 0 0
S~CJ . t!J l:J
3.5: it) "
NAME
(! If [LA f-J J-'. ;cJ
TOTAL
')
j;2 c t)Et2 T", E';.-
$ SRS: t!)o
.37 '1- 7p. ;/(;-
PHONE
ADDRESS
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FOR
C I TV CLERK
ClNL Y
RECEIPT NO.
J S gC;
_~ ~5 o~
am
/:/b r - r:g f5
ANOUIJT "AID
RECE I VED BY
DATE'
July, 1987
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SAN TOMAS EXPRESSWAY
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CITY OF CAMPIIEII
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
July 7, 1989
Callahan Properties
850 E. Campbell Ave.
Campbell. CA 95008
RE: FINAL INSPECTION AND ACCEPTANCE
PERMIT NO.: 88-267 ISSUED TO W.V.S.D.
LOCATION: 563 RINCON, TRACT 8186
Dear Sir:
We have made a final inspection of subject Public Works construction and
find the work is satisfactorily completed in conformance with City
standards.
Your cash deposit will be refunded under separate cover.
Please feel free to call me if you have any questions.
Sincerely,
~~
Car s M. Jocson
Ass ciate Civil Engineer
CMJ : sd
cc: Gregg Eaton, P.W. Inspector
f:88-267 (permits)
_. --------- - .. --,~-..-
PUBLIC WORKS INSPECTION REPORT
llAte ?/f4! Pezal.t or Project No. . 88 -z," 7 . ..
A4d~.'Ui 5t3- 'A!~:V~ .
1'ype of wo~k a Str..t Storm
Oth.~ (d.sc~ib.)
Sanitary V- El.ctricAl
C PRELIMINARY INSPECTION WITH DEFICIENCY LIST (AttAch.d)
C FINAL ~NSPECTION WITH DEFICIENCY LIST (Attach.d)
GJFINAL INSPECTION - ACCEPTANCE
. Sign.d plana'?, Y @ (If .ign.d,
Y &)
Ih~.
Council Acceptanc..)
Charg.. agAinst deposit?
Ov.rtim. a hrli. I $
DAte ,.r.Aliona
.
$
'."
BArricad. rental (attach invoice)? y
DAt. , ~.Aaona
@
$
Other?
CONE YEAR MAINTENANCE WITH DEFICIENCY LIST (.ttached)
QONE YEAR MAINTENANCE - ACOPTANCI:
(aele......int.n~nc. bond. Check Request if c.lih.)
$
$
$
· R.fund $
~otal charg.. deduct.d from d.po.ita
(Cash D.posit $ 1... charge. $
ek. req.)
Engine.r
~
Inspector
Department:
Public Works
E.;M.BE";'.-J...Jt:. ~~~i~I~~.. --,i~~]
~~;:N ~ >l~~~:~;;O'~IJ11
I~ -r---.-----
I KRUGER- l- _______lJ
IPniOYE-R---- --'1 --- LI
\...-,",,~_.._~"'---'~ _....~.~--------"
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
July 7, 1989
Callahan Properties
850 E. Campbell Ave.
Campbell, CA 95008
RE: FINAL INSPECTION AND ACCEPTANCE
PERMIT NO.: 88-267 ISSUED TO W.V.S.D.
LOCATION: 563 RINCON, TRACT 8186
Dear Sir:
We have made a final inspection of subject Public Works construction and
find the work is satisfactorily completed in conformance with City
standards.
Your cash deposit will be refunded under separate cover.
Please feel free to call me if you have any questions.
Sincerely,
Carlos M. Jocson
Associate Civil Engineer
CMJ : sd
cc: Gregg Eaton, P.W. Inspector
f:88-267 (permits)
DAte ?/~~ Permit or l'roject No. . 88 -2," 7
Address 5(;,3 - .A'~ ~ZoN. -
I'UBLIC WORKS INSPECTION REPORT
Type of work. Stre.t Storm
Other (describe)
SAni tAry V-- Electrical
[JI'RELIMINARY INSPECTION WITH DEFICIENCY LIST (AttAched)
o FINAL INSPECTION WITH DEFICIENCY LIST (AttAched)
ranFINAL INSPECTION - ACCEPTANCE
Signed plAns'? Y ~ (If signed, Council AcceptAnce.)
ChArges AgAinst deposit? Y
Overtime. brs. @ $
Date 5.reAson.
aD
/hr.
.
$
BArriCAde rentAl (attach invoice)? Y
DAte , reAson.
6J
$
Other?
$
$
TotAl chArges deducted from deposit.
(Cash Deposit $ less chArges $
$
· Refund $
DONE YEAR MAINTENANCE WITH DEFICIENCY LIST (AttaChed)
ck. req.)
o ONE YEAR MAINTENANCE - ACCEPTANCE
(ReleAse' maintenance bond. Check Request if CAsh.)
~~
~
Inspector
REFUNDABLE DEPOSIT
CHECK REQUEST
TO: FINANCE DIRECTOR
CITY OF CAMPBELL
Please issue check payable to:
Address:
Line 1:
RSO F.. C~bell Ave.
(30 spaces)
(30 spaces)
(30 spaces)
Callahan Properties
Line 2:
City :
Ca:rnphell
(20 spaces)
State: CA Zip: 95008
(2) (10 spaces)
Description:
Cash Deposit Refund
(24 spaces)
Exact Amount Payable:
$500.00
Account Number:
905.4662
PURPOSE:
Release of cash deposit for excavation permit #88~267.
See receipt #1589 dated 12/1/88.
Requested by:
Gregg Eaton
Title:
P.W. Inspector
Date:
7/7/89
Approved by: Donald C. Wimberly
Title: P. W. Director
Date:
Verified by:
Accounts Receivable
Date:
SPECIAL INSTRUCTIONS FOR HANDLING CHECK:
Mail as is
xx
Mail in attached envelope
Return to:
(Department)
(Name)
Other:
08/24/88