95-275
an Of CAMPBEll.
DEPI'. OF PUBUC WORKS
10 North P"ust St.
CulpbeI1. CA ~
(G) 866-2150
ENCROAOINENT PElU4IT
(for 'WOI'tiIII witbiD tbe
public ript-G ), .
IIIued /c} 71/~:> '~' j AflpIicatioll Date 11. (p. q 5
Pamit &Ilpifta ill 12 IDOL /Jt:/... AppIicatioll apirca iD 6 IDOL
APPUCAll0N _ AppIic:atioll . bereby made fOl' a Public Worb Permit iD aa:ordaDcc witb Campbell Nuaidpal Code, s.I. &.oc....~
iD 6 IIlOIltbs if tbe permit iI DOt iIIucd). . I; , " I: D.
A. wort 8ddrea 01' tDCt # Tr2..AGT B 735
Utility tnIIda Iocatioll P E WE2- \12..E.E. C.I.
B. NahUC of wort W/I:ftQ M~\ N , N '5 TA.L-LA- TION
Pamit No.
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C. Attadl four (4) copia of all eqiDecred drniaa IboIriaI the IocatioIl, atcDt aad dimr...... of the wort. ne drniaa IbaD 1IaoIr.. NIatioIl of the
JlI'OPOICd work 10 aiItiD& lUlfacc aad UDdcIpoUDd ~IL Wbaa IlppftMld by the Cty &peer, laid 4rawiq bec::IoIDca a put of tbiI permit.
D. AD wort IbaD coaform to tbe Cty'1 GcaeraI ec.ditioal, SCudant a.tI1ICIioD PnMIioaI ud SIlIDdud a.tI1ICIioD DcaaiII ror PubIit: WOJb
CaIIItIuctioIl; the 0eDeraI Permit CoDditiolllliltcd 011 the revene lick; aad the SpdaI PnMIioaI ror dIiI permit, IiItcd bckJw. PaiIure to abide by
tbae coaditioas aad pRMIioDI may rault ill job lbut<<Jwa aad/Ol' fodeituK of P8ithfuI PafCll'lDallCC Sureties aad eaIb depo5ilL (See GeDera1
Permit CoDditioas 1 aad 1.)
E. A IIOIlrCfuDdablc applicatioll fee must accoalJlUI1 tbiI appIicatiOD.
NamcofApplicant SAI--l .JOSE WA~Q. CoMPAN'( Tdepbooe
Mdrca ''2.2.1 S. BASCCM A."E-. SP+.1 JOSE. I CA. %/2.f!:,
ktbilwortbeiD&doDebythepropcrt)'onet'attbeirOlrlllaidcacc? Y~ V No CoNST. COST S1t1-lIO
Complete aad attach Worltera' CompeDAtioIl aad CoIltnctor lDformatioll fOl1llS.
'I1Ie AppIiaulttpcrmittee hereby apeeI by affixiaa their IipahUC 10 tbiI permit 10 bold the Cty of ~l\, lis ofticefl, apD" aad ....po,.. free, lafc
aad barmJea from any claim or dcmaDd for damap raultiD& from the wort CIOYCred by tbiI permit.
'I1Ie AppIicanttpcrmittec bereby actDowledp that tbey have read aad UDdcIItaDd botb the froat aad beet of tbiI permit, aad tbey wiD iDform their
CClIltnc:tOr(S) oC the iDformation. ~
........... EVIIJI"-l L. MaLD.e.~~",," d 1:1.- 6:>-'15
(Applicant (PermitteC) . t/lip! Date
NOTBS: ALL WORK SHAlL CONFORM wrm 1HE ATIAaIED, APPROVFD PLANS AND ALL APPUCABLB CAMPBEll. Sl'ANDARD
DRAWINGS AND CONDmONS.
1HE CONfRACfOR MUSl' HAVE nns PERMIT AND APPROVFD PLANS AT 1HE SITE AND MUSl' N011FY 1HE PUBUC WORKS
DEPARTMENT AT LEAST lWO DAYS BEFORE Sl'AR11NG WORK.
NOTICE MUSl' BE GIVEN TO PUBUC WORKS AT LEASI' 2A HOURS BEFORE RESrAR11NG ANY WORK.
SPECIAL PROVISIONS
_1. Street IbaD DOt be OJlCn cut for underground iDItalIatiODL Minimum CUtl may be aUowecl for CIOIIDeCtioaI or CIlpIoratioll boIcL Sucb CUtl must
be soecifJCa1lv atlOJ'O\led bv the Insoector mior to cuttin2.
_2. ~ment may be cut for underpound iDItalIatioas aad must be nstomS ill aa:ordaDcc with the Utility TJaIdI RcItoratioll SCudant DrIwinI-
73. wort to be staked by a licensed LaDeS Swveyor or aw EqiDecr aDd two (2) copia of the cut IbectllCDt 10 the PubIil: WOJb Department
before Itartin& work. ~ ' 11 J
_4. ~~~~~S' 4t~~~~B:~. 5'LwfJl'1' ;;.e MUFIIL AaCJ5i wlJ/rr_ 6Mt-S- sM. ~$e:. /V/5rNM I::>
Sl'ANDARD
AMOUNI'
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)UlrPIPT NO.
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PERMIT APPUCAll0N FEE $210.00
PLAN OIECK DEPOSIT $500.00
SURETY FOR FAIlHFUL PERFORMANCE (100CJrp OF ENG. PST.)
CASH DEPOSIT (4CJb OF SUREI'Y, $500 NIN)
PLAN OIECK &. INSPECI10N~ (PtRSf $0-$30,000 14CJb;
Next $30,000-$80,000 10%; Amount ~er ,000 7'%, S200 miD)
APPROVFD FOR ISSUANCE · __1/
for Eqibecr
h:PW PERMIT/Rev.4j94 (ice other lick)
USA phone (BOO) 642-2444 TICKET NO.
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'O"CHA"O
CITY OF CAMPBELL
Public Works Department
FAX MEMO
DATE: February 2, 1996
TO: San Jose Water Co. -- Ed Mello
FAX #: (408) 292-5812
FROM: Randy Westfall/Public Works Inspector
SUBJECT: Hold on Permit #95-275
Although permit #95-275 has been issued for the new main
installation for Tract 8738, Pepper Tree Ct., no field work can
begin until the developer has an approved set of plans, and the
proper documents have been recorded as required. As soon as all
paperwork is in order, I will fax another memo releasing the hold
on the work in the field. If yeu have any questions, please call
me at (408) 866-2165.
~.
cc: H. Housley
-fA j ~ ho /Q 15 1v~7
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C<.: JJ. jJGlA.s/J .
70 North First Street. Campbell, California 95008. \423 . TEL 408.866,2\ 50 . FAX 408.379.2572 . TOD 408.866.2790