88-275
CI~ OP CAKp~~LL
DBPl'. OP PtnlLIC .008
70 Borth ~i~.t st.
c..pb.ll, ~ .sooa
C40a) .U-2150
PtnlLYC WORD nuy'!'
(for workin; in the
public riqht-of-wa7)
I..u.d / ".;2-/; tit F
..rait aspire. 1A 11 .0..
p.rait Bo.
It' -~'75-
X-Ref. fUe
Application Dat. /..2~ &/ gf
Applioation aspir.. D. .0..
A.PLlCATIO. _ applica~ion i. h.r.b7 .ad. for a ~lic work. p.rait in aocor4ance with c..pbell
xunicipal Cod., ..ction 11.04. (applicatioD aspire. iD , .0Dth. if p.rait Dot pull.d)
a. w.r' ....... .r ..... ._...-cuur ~\1~. 454 ~.s:....~oA.lLS. T
vUUk. ...... ,.""" jt,u.)~~~~ Z J.. f'( " i
B. ..tur. of work.IJ..U(~ l, _ __~_~4___ ~VI 'L'7.... . (b MAli',) ~L rrt\Al..;1 ~n~
I
C Attach fi.. CS) copi.. of a 4rawinq .howiDq the 10catioD, extent an4 di..n.ion. of the work :
. Th. drawinq .hall .how the relation of the propo.e4 work to .zi.tinq .urfac. and un4.rqround :
iapro._enu. n.D .ppro..d b7 the cit7 znqineer, .aid drawiDq baco... a part of this p.rait.
D. Tb. General con4itions ~or all peralta are li.t.4 OD tb. r...r.. .id.. sp.cial .Jo.i.ion. for
tbi. p.rait are li.t.d b.low. ~ailur. to abid. b7 tb... con'ition. and pro.i.ion. .a7 r..ult
in job .hut-down aDd/or forf.iture of p.ithful ..rforaano. Bond. and ca.b d.po.it.. (s.e
Gen.ral conditions 1 aDd I).
B. aD .pplication f.. .u.t .cC~aD7 thi. .pplicatioD. fti. i. Don-r.fundabl..
IMEST V~lLr:v C'lIf,"""TlI1!'l 0'''-'-':'-'''' (1'- \'~"""r ('L'''' "''''U\!TV ~'1g r?A......'1
.... of applicdt 1\ l,.. ..f'.::::I\.I~" '!.j!i\l\.JI..li" ..It.l~l.,.... g:(H IJV' i~I~.l.phon...:.!..J.O"~ l
alSdr". roo t;. Sw...)UiOA:~ ~1k.1U1:r) t>~W~.-u..
I. this work bein; 40ne b7 the propert7 ovner .t th.ir own re.ilSenoe' ---,e. 1l-DO
coaplete &Ild .ttach .orker.' coapen.ation aDd contractor IDforaation foraa.
fte applicant/perai
Hck of thi p.
tee hereb7 .cuowled;e. that tbe7 ba.. read an4 un4.r.tand botb tbe front and
d t t the7 will infora tbeir contractor C.) of tb. inforaatlon.
tjov \~; I CJ'6f::J .
aCCZ1"l'ZD
EST VALLEY SP,rmAT!Of'J D!STRICT Of Sf'.:HI~ CU,R,l\ COUNTY
.00000I. aI.L wou SIlALL COBJ'OJUl WID 'fD AnACBBD, AP.ROVED JtLUlS UID aLL APPLICABLB CAXPBBLL
STloNDlUU) DDWI.GS AJrD COBDITIO.8.
'I'D COBTDC'l'OJl WST OVB 'filII JtBJIKJT &lID APPaoVBD .LUlS UID IIOST aft WID 'I'D .... D8'BC'l'OJl O.
'I'D 81':8 aT LIlU'1' ftO Ia'!l BB~OU 8TU':D1G wou.
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8PECIAL JtROVJSIO.S
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8treet .ball not ba op" cut for 1Ul4erqroUJlIS in8taU.tion.. Xiniaua cut. "7 ba allowe4
for cOIlD.ction. or azploration hol... sucb cut. .u.t ba .~ecificallY a~~ro..d bY tbe
In.pector.
.av..ent .a7 ba cut for 1UllSerqrounlS in.tall.tion. &illS au.t ba r..torelS in .ccorlSenc. with
tbe vtilit7 Trencb Jl..toration stan4ar4 Drawing.
.ork t:o ba .taltelS b7 . lioen..1S LaJsIS surve70r or ci'ri,l Bnqine.r aDlS two (2) oopie. of tbe
cut .b.et. ..Dt to tbe ~lic .ork o.ptartaent bafore .tartinq work.
':be hour. of work are !i.alt.4 to out.i4. the hour. of 7-' .... ulS '-I p... for &Il7 work
.~f.ct:iDg . traffio lue.
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CITY OF CAMPBELL
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
June 8, 1990
Sunnyoaks Grove
150 E. Campbell Ave.
Campbell, CA 95008
SUBJECT: FINAL INSPECTION AND ACCEPTANCE
PERMIT NO.: 88-275
LOCATION: 454 Sunnyoaks, Tract 8178
Gentlemen:
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,
Gregg Eaton
Public Works Inspector
GE:sd
f:88-275 (permits)
DA<e (#/--';/1,0 Permit or Project NO..f'~;; 7'S'
Address 451 S({1'7~~0 ..:11M"! n 7 ~
Type of work: Street orm SAnitAr~ ElectricAl
Other (de:icribe)
PUBLIC WORKS INSPECTION REPORT
[)PRELIMINARY INSPECTION WITH DEFICIENCY LIST (attached)
[) FINAL INSPECTION
~INAL INSPE~TION
~igned plAnlii? ,
WITH DEFICIENCY LIST (attached)
- ACCEPT~
Y ~ (If tiigned, Council AcceptAnce.)
ChArge& AgAinst depoliiit? y
Overtime, hrlii. @ $
DAte {. reAllon:
N
/hr.
-
$
BArriCAde rentAl (AttAch invoice)? y N
DAte {. reAson: $
Other? $
$
TotAl chArges deducted from deposit: $
(C.uh Deposit $ less charges $ - Refund $
ck. req.)
[JONE YEAR MAINTENANCE WITH DEFICIENCY LIST (AttAChed)
[JONE YEAR MAINTENANCE - ACCEPTANCE
(ReleASe'mAintenAnce bond. Check Request if cAsh.)
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REFUNDABLE DEPOSIT
CHECK REQUEST
TO: FINANCE DIRECTOR
CITY OF CAMPBELL
Please issue check payable to: Chateau Charnbord
(30 spaces)
(30 spaces)
(30 spaces)
State: CA Zip: 95008
(2) (10 spaces)
(24 spaces)
Address:
Line 1: 150 E. Campbell Ave.
Line 2:
City: Campbell
(20 spaces)
Description: Cash Deposit Refund
Exact Amount Payable: $500.00
Account Number: 905.4662
Release of cash deposit for permit 88-275. See receipt #1903 dated
PURPOSE:
12-14-88.
Requested by:
Approved by:
Verified by:
Gregg Eaton
Title: P. W. Inspector
Date: 6/8/90
Bill Helms
Title: Engr. Manager
Date:
Accounts Receivable
Date:
SPECIAL INSTRUCTIONS FOR HANDLING CHECK:
Mail as is
. Mail in attached envelope
Return to:
(Department)
(Name)
Other:
08/24/88
TO: City Clerk
PUBLIC ~JORKS FILE NO. cf ff - ~ "1~-
Please collect & receipt
for the following monies:
ACCT.
----
35-3396
ITEM
Project Revenues (specify project)
Pubuc. (~O,"L/2-6 EXc.a.vCLuon PvunU Fe.M:
A I i ca t i on Fee
Plan Check Deposit
Faithful Performance (Cash) Deposit
AMOU In
$
R-1 :
($35)
($200)
O:theJL:
($ 50)
'( 500)
(4% of FPB)
($500 min.)
(7'/v of FPB)
($ 35 min.)
5{) u!~:> 0
C~3.?~;'
cd5zv
Plan Check & Inspection Fee
Other Cash Deposit (specify)
:?f'- /)A
,J~ . l._ L,'
,:;7ZJC , () 0
J373 Project Plans & Specifications ($10)
3373 General Conditions, Standard Provisions &
De ta i 1 s ($10 0 r $1/ pa ge)
"No Parking" signs (SI/ea. or $25/100
Work Area Traffic Control Handbook (S5)
Traffic Flow Hap (SIO)
Traffic Data Services $ O/hr. + material costs
Ma Revisions to Map Companies $10
Copies of Engineering Maps & Plans .50/sq. ft.
Fire Hydrant Maintenance ($195/ea.)
3372 Tentative Parcel Map Fil ing Fee ($350)
3372 Final Parcel Map Fil ing Fee ($300)
3372 Tentative Tract Map Fil ing Fee ($400)
)372 Final Tract Map Fil in Fee (S350)
3372 Lot Line Ad'ustment Fee/Certificate of Compl iance
3372 Vacation of Publ ic Streets and Easements
3372 Assessment Segregation or Reapportionment
First Split ($500)
Each Additional Lot ($150)
3372 Envi ronmental Assessment:'
Categorical Exemption
Ne ative Declaration
3370 Storm Drainage Area Fee per Acre Multi-Res.,
$2,060; all other, $2,250)
1395 Park Dedication In-I ieu Fee per Unit ($1,132)
3380 Public Works Special Projects
3510 Postage
TOTAL
NAME -jY-~r:\ S Pr8 So nY\~t::'.s G.w-n1/~
ADDRESS J6 b &. c~nP~t l--v }IS,;\/'f:
$
PHONE ~ & (0 - -:}- '+ ff
ZIP 9~ nOk-
.5-g6~ CO
FOR
C I TV CLERK
ClNLY
RECEIPT NO.
/9tJ3
~- $5'.s; o~
a./',I?' "\
~ PAID
RECE 'YED BY
DAn J d-- -! '-f- <f q'
July, 1987