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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 Works
WIMBERl Y
HELMS
JOCSON \
KRUOER
PENOYER
~----
DISCARD
June 8, 1990
Chateau Chambord
150 E. Campbell Ave.
Campbell, CA 95008
SUBJECT: FINAL INSPECTION AND ACCEPTANCE
PERMIT NO.: 88-276
LOCATION: 490 - 496 Sunnyoaks, Tract 8179
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:88-276 (permits)
PUBLIC WORKS INSPECTION REPORT
DAte (PI-'7I510 Permit or Project No. .g-fr -c)7~ &I
Addr... 110 -1.1~ .Jall;Vjoab .;H tU T 2/7 L
Type of workl Street Storm SAnitAry~ Electrical
Other (describe)
[JPRELIMINARY INSPECTION WITH DEFICIENCY LIST (attAched)
~NAL INSPECTION WITH DEFICIENCY LIST (AttAchedJ
~FINAL INSPE~TION - ACCEPT~E
~igned plAns? Y ~ (If tiigned, Council AcceptAnce.)
ChArges AgAinst deposit? y
Overtime I hrs. @ $
DAte" reAson;
N
/hr.
-
$
BArriCAde rentAl (attAch invoice)? y N
DAte " reAson; $
Other? $
$
TotAl chArges deducted trom depositJ $
(CAsh Depod t $ less chArges $ - Refund $
ck. r eq . )
[JONE YEAR MAINTENANCE WITH DEFICIENCY LIST (AttAched)
[JONE YEAR MAINTENANCE - ACCEPTANCE
(ReleASe'm4intenAnce bond. Check Request it CAsh.)
Vii ~J'(i
inti ctor
REFUNDABLE DEPOSIT
CHECK REQUEST
TO: FINANCE DIRECTOR
CITY OF CAMPBELL
Please issue check payable to:
Chateau Chambord
Line 2:
City: Campbell
(20 spaces)
(30 spaces)
(30 spaces)
(30 spaces)
State: CA Zip: 95008
(2) (10 spaces)
(24 spaces)
Address:
Line 1: 150 E. Campbell Ave.
Description:
Cash Deposit Refund
Exact Amount Payable:
$500.00
Account Number:
905.4662
Release of cash deposit for permit no. 88-276. See receipt #1907
PURPOSE:
dated 12-14-88.
Req uested by: Greqq Eaton Title: p. w. Tm:;pA~t:or Date: h-7-QO
Approved by: Bill Helms Title: EnCJ; neAr; ng Mi'lni'lqAr Date:
Verified by: Accounts Receivable Date:
SPECIAL INSTRUCTIONS FOR HANDLING CHECK:
Mail as is
Mail in attached envelope
Return to:
(Department)
(Name)
Other:
08/24/88
TO: City Clerk
PUBLI C ~/ORKS FI LE NO. .Y F - ,~ 76
Please collect & receipt
for the following monies:
ACCT.
35-3396
~;
3521
3521
projec t)
PVW1a eM :
R-l :
($'35)
(S200)
.t VL:
($ 50)
"( 500)
(4% of FPB)
($500 min.)
(7'70 of FPB)
($ 35 min.)
(Cash) Deposit
&l]2:"
~'
Plan Check & Inspection Fee
Other Cash Deposit (specify)
2373 Project
3373 General
3372 Tentative Parcel Map Fil ing Fee ($350)
3372 Final Parcel Map Fil in Fee ($300)
3372 Tentative Tract Map Fil ing Fee $ 00
3372 Final Tract Ma Fil in Fee ($350)
3372 Lot Line Ad.ustment Fee/Certificate of Compl 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)
3395 Park Dedication In-lieu Fee per Unit ($1,132)
3380 Publ ic Works Special Projects
3510 Postage
TOTAL
NAME--1tbC-"\ g,~ aHA~.r.~V CJJA,.,~'{)eD
ADDRESS It;O e . (//:,.nf7~kl-L ~14-
PH:lNE tS U (, - ~ i-gg
ZIP CJ50() fj
FOR
C I TV CLERK
ONLY
RECEIPT NO.
/907
p--Q?c::- DC>
~, i:$.c?:>
AMOlI'rr PAID
RECE I VED BY
DATE
~
/ :2 - / '-JL- fi f{
AMOUNT
$
~. tJ{)
3.5- c; D
5?io-tJo
$
/' -r,-. --,
o X g - t'u
July, 1987
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