95-283
QTY OF CAMPBELL
:DMT. OF PUBUC WORKS
10 North FIIIt St.
Campbell, CA 9SOO8
(408) 866-2150
~
ENCROAOIMENT PERMIT
(for wotting ,.jtbin the
public ript-af-way)
lined /,j -c:J-9-fS~
Permit CIpireI ill U moL I
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X-Rd. file q.;-- J 2>
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AppIicatioll Date IJ./J8/Qr;
Appticatioll CIpireI ill 6 me..
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APPUCATION - AppIicatioll iI bcnby made for a Public Worb Permit ill accordaDcc witb CampbcII MUAidpU Code, SectioD 11.04. (ApplicatiClll apiIa
ill 6 IIIOIltbl if the permit iI DOt iIIucd).
Utility tJeac:h Iocatioll
Hamilton Avenue. Salmar Avenue. Camnbell
NA
A. Wort addrc8 or tnct #
B. Nat1lle 01 work
Geotechnical
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C. Attach four (4) copies 01 aD eqiDec!ed drawiDa IbowiDI the IocatioG, e.xtcDt aDd climeaIioaI 01 the work. Tbe drawiDa IballIbow the JelatioD 01 the
propoICd work to cxiItiD& IUrfacc aDcI UDcIcIpOUDcl ~ WbeIl approvecI by the City Eapleer, laid cIrawiD& becomca a put 01 thiI permit.
D. AU wort IbaII c:oaform to the City's Geaeral CODcIitioal, StaDcIarcI CoDItrudioIl Pn:MIioaI aDd StaDcIarcI CoaItructioIl Details for Public: Worb
CoaItructioa; the General Permit CODcIitioDlliIted OIl the _lie side; aDd the Special Pn:MIioaI for thiI permit, lilted below. Failure to abide by
tbac CODcIitioDl aDd proviIioaI may rcsuIt ill job Ibut~ aDd/or forfcit1lle 01 Faithful PcrformaDCC Sureties aDd cub cIepoIitL (See General
Permit CODcIitioDl1 aDcI 2.)
E. A ~fwldablc app1ic:atioD fee mlllt IICICOIIlJIaDY tbiI appIicatioD.
Name of App1icant
Parikh Consll1tRnts Tnr
T~~nR-q~~-lnll
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Is this wort being clone by the property owner at tbcir OWII residence?
Yea
y
No
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Address
481 Valley Way, Milpitas, CA 95035
Complete aDcI attach WorkeD' CompellllltioD aDcI CoIltrac:tor lDformation forma.
The AppIicanttpermittee hereby agrees by affixiDc their lipature to thiI permit to bold the City 01 Campbell, ill offlCCII, .DlI aDcI ~ free, aafe
aDcI barmIeas from aDY claim or demancl for damaga raultiDg from the wort covered by thiI permit.
The AppIic:aDttpermittee hereby acJmowled&el that they hIM read aDcI UDcIcrstaDcl both the front aDcI back of thiI permit, aDcI they will worm their
COIItractOr(S) of the wormation.
Accepted
Parikh Consultants. Inc./GRrv PRrikh
(Applicant (permittee) priDt/sip
/'2- /3-7'"
Date
NOTES: AlL WORK SHAll. CONFORM Wl11I1HE ATIACHED, APPROVED PLANS AND AlL APPUCABLE CAMPBELL srANDARD
DRAWINGS AND CONDmONS.
1HE CONTRAcroR MUsr HAVE nns PERMIT AND APPROVED PLANS AT 1HE SITE AND MUsr NO'I1PY 1HE PUBUC WORKS
DEPARTMENT AT LEAST lWO DAYS BEFORE srARnNG WORK.
NonCE MUsr BE GIVEN TO PUBUC WORKS AT LEAST 24 HOURS BEFORE RESI'ARnNG ANY WORK.
SPECIAL PROVISIONS
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Street IbaII DOt be opeD cut for UDcIeIpOUDcI iIIItalIatioal. MiDimum cull may be allowed for CIClIUlCCtioIII or expIoratioD boles. Such cull mUll
be SDCcifJCa11v aoor<M:cl bv the Inmector mor to cuttiD2.
PavemeDt may be cut for lIDcIcrpowlcl iIIItalIatioal aDcI mUll be rcatorecI in accordance witb the Utility Trench RatoratioD StaDcIarcI Drawing.
Wort to be staked by a ticellled LaDcI SwYeyor or Civil EogiDeer aDd two (2) copies of the cut 1hee1lICDt to the Public Worb DepartmeDt
before ItartiDg work. 1
oT 1-.1 ~-,cIt 7" f '1I2"-/JF;{)
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srANDARD
AMOUNT
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PERMIT APPUCATION FEE
PLAN CHECK DEPOSIT
SURElY FOR FAnHFUL PERFORMANCE
CASH DEPOSIT
PLAN CHECK clINSPECI10N
Next $30,000-$80,000 10%; AmouD sm! r
$210.00
SSOO.OO
(1009r0 OF ENG. ESI'.)
(4% OF SURElY, SSOO MIN)
(PI ~,OOO 14%;
miD)
APPROVED FOR ISSUANCE
* *
b:PW PERMIT/R.ev.4j94
USA phone (800) 642-2444
(lee other 1icIe)
(! (!/. Wi.-tue:. -/(j {l4E e
01-03-1996 11:39~M
FROM P~RIKH CONSULT, NCC.
TO
3792572
P.02
..,'
, : Af:4tltlL
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CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTlFlCA Tf
DOES NOT AMEND. EXTEND OR AlTER THE COVERAGE AFFORDED BV THE
POLICIES BELOW.
C~ANIES AFFORD~G COVERAGE
DEAlEY. RENTOiI Ie ASSOC.
At'": Del" Selji
P. O. aox 12.875
Olkl.nd, CA ~804-2.67S
510-4&5-3090
fit~If'fA
CClIPANY B
LtT~R
:lnce Co.
Allie
Co
Parikh COPlsult.nts. Inc.
481 Valley Way, Building 1
MiJpitl., CA 15035
ffi~1tf C
ITT
Co.
ffi~~NY D
COIPANY E
LEf~
THIS IS TOCERTFY THAT THEPOLlCES OF INSURANCe USTE08ELOWHAVE8EENlSSUED TO THEINSUREO NAIw4ED A80vEFO,:r THE POLICY PER100
INDICATED. NOTWITHSTANDING "PIIY REOUAEMENT. TEtfof Otl.CO/'IDTION OF ANY CONTRACT OR OTHER OOCLMENT WITHRE~CT TO WHICH THIS
CEIUFICA Te: MAyBE ISSUED OR MA Y PERT olIN.. THi INSURANCE Af;F"DROEO Bv THE ~OLlCIES DESCRIBED HEREIN 15 SU8JECT TO ALl. THE TE~S.
EXCt.USIONS olNOCONOlTIONS OF SUCH. POLICES. LMlTS StlOWNMAY HAVE BEENREOUCEO 13V PAlO Ct,.AMS. '
c:e
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T't'PE,. ....",..
1'CIL1DY....1eER
POLlDY 1!PneTM!" POlICY DJ'IlAf
DAn: (W/txl/VV) DATE: (MWIOO/vY)
uwrrs
A, X C~flCIAL S(N[1lAl l1A81L1ty CAP60890550 1
j;j;i~i' CUIMS MAllf Uil atCllll.
OlllNER'S & CONTAACTOll'S PflOI.
5/25/95
5/25/96
6EN{RAl AOORfBA It
PROOUCTS-ctJolP/OP &6&.
I'(RSONAl & Atw. IN..IJRY
f"eH OCCIlRfIEIlCf
fIRE IlAMA&E (A
Mft!. IXPfNSf (A
C""'tNlD S1N61f S
LIMIT 1 000 000
BODll V llUIIlY ,
(fe' pc,WIII
BODILY INJU"" S
(I' cr ."ideall
PROPf R Tv llAMA8E S
(AtH OCClllill1:NCE S
"GGRE~ H S
CUERAL LIADLITY
MnOWClGU L'A8C./T'f
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All OWNED AUf OS
SCillDunD AUTOS
IlIRfD AUTOS
NON-O~ AlITtlS
SAJlA61 LIAS III JY
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2/01/95
2/01196
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9/01/95
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O'ftlat
llCSCRPI'lClN 01 OI'DArIllNln.OCArlClNSfWHlCl.DIRC\AL. ft..
The City of Campbell. its officers, employoos & vol"ftteers are ftamed as
add'J insd II respects gen'l Ii:lbility for claims arising 1rolll the oper.tions
e I
.~1(<<~otM+t~. l<"NI~":lfXCK~. . I I
il SHOULD ANY OF THE "SOVl: DESCRIBED POLICIES BE CANCELLED BEFORE THE
ti ExPIA" TION 01. TE TI-lERe:OF. THE ISSUING COMPANY Wl.L e.~v........ .""
i~ MAli. 30 DAYSWRlTTENNOTICETOTHECERTlFICATEHOLDERNAMEOT01HE
City of Campbell IlEFT.9\1...t""~Ht.~TDIr.A.H "".I~.4"1",:,-rI"""~CU"1 .....,..........ro.............._......-..'9'._alr
70 Nor th First St reet i~ ~a,..,I. 1;1- 'J:If.I.!...r,"".,n"",v,v'r->'lnr.,.~~",..........."lI......"..:..:.rr.4illilir~
Campbel I, CA 95008-1423 wo
~~ 6lrr"0IllZ.ED~~~;.t~.&. ASSOCIATES 192QOOOOO
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01-03-1996 11:40AM FROM PARIKH CONSULT. NCC.
TO
3792572 P.03
Additional Insured
Owners, Lessees or Contractors (Form B) CG 201011.85
Policy Amendment General Liability
INSURED:
Parikh Consultants, Inc.
INSURANCE CARRIER: New Hampshire Insurance Company
POLICY NUMBER:
CAP608905501
PRODUCER:
Dealey, Renton & Associates
Schedule
Name of Person or Organization:
The City of Campbell, its officers, employees & volunteers
70 North First Street
CaERpbeU,CA 9S~1423
(IF NO ENTRY APPEARS ABOVE, INFORMATION REQUIRED TO COMPLETE THIS
ENDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO
1HIS ENDORSEMENT.)
WHO IS AN INSURED (Section ll) is amended to include as an insured the person or
organization shown in the Schedule, but only with respect to liability arising out of your
work for that insured by or for you.
The insurance afforded by this endorsement is primary insurance for "bodily injury" or "property
" dam'age" that results {rom "your work" for the additional insured. Any insurance maintained by the
additional insured will be considered exceSs of insurance provided by our policy.
.... ,., "". .':;"
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, ...11." ,'"
Date
01-03-1996 11:40AM FROM PARIKH CONSULT, NCC.
TO
3792572 P.04
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I'QGDU(U THIS cn1VICA11E1S I5SlJD AS A "'"-t'lP.ll mr INPORM.4.TION ON.\' 4ND
~HE REEVES COMPANY, INC C<:lfWIIS M) IIGR1'S UPON I1IE L"DI.11PICAU HOl..DeR. 'IUJS CEll.1'DtCATE
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8796 AIRPORT ROAD ~TIW
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~EDDING, CA 96002 COWJAII'V' 0
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l'IiE CITY OF CAMPBELL, ITS OFFICERS, EMPLOYEE S & VOLUNTEERS ARE
~AMrw AS ADD'L INS AS RESPECTS GBIlERAL LIAB FOR CLAIMS ARISING FROM
DPERATIONS OF THE NAMED INSURED. COVIRAGE IS PR! PER POT.'IC'Y ING
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CITY OF CAMPBELL ",.., WNLJ 0 . _ DAn ~ NO'lJL"'B TO nm C'..BKltL1CA11l HOIDfllUIA.\mI] 1U1H1l:
10 NORTH I'IRS'f S'l'REET ..'11. l.JlPr.}.II'{ 1Il--_ ~ 11_ - ..11llNVE f1lllW.lU'9GFl we (.., ~ . 118ft e.
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PARIKH CONSULTANTS, INC.
GEOTECHNICAL -:- ENVIRONMENTAL -:- MATERIALS TESTING -:- CONSTRUCTION INSPECTION
From:
Mr. Randy Westfall
City of Campbell t1J
Gary Parikh ~
Parikh Consultants, Inc.
Encroachment Permit for Hamilton A venue Project 1'1
City of Campbell, Hamilton Avenue, Salmar Avenue and Rte 161 Projects (Ref #95-13)
December 13,1995
Job No 95165.10
To:
Sub:
Ref:
Enclosed please find the encroachment permit applications for the Dynaflect testing to be
performed on Hamilton Avenue by CHEe Consultants and the field exploration work to be
performed by PARIKH CONSULTANTS, INC. on Hamilton Avenue and Salmar Avenue. The
exploratory boring on Salmar will be in the grass area along the sidewalk. The pavement
evaluation along Hamilton A venue will be a walk over by our engineer. The Dynaflect testing
will be conducted at night after 11 p.m. and will include a flashing arrow-board behind the
testing vehicle. Standard Caltrans traffic control measures will be taken. There will be stationary
signs at the beginning and at the end of the project warning motorists of the activities. The
vehicle will make short stops and conduct tests. At specific locations (yet to be decided) there
will be 2" diameter cores taken from the asphalt pavement. The pavement will be plugged with
concrete. Your prompt processing of this application will be greatly appreciated. If you have any
questions please feel free to call our office. The project engineer from our office is David Wang.
If you have any questions please feel free to call us.
XC: Tim Lee, PBQD
grp/95165per.mmo{KK)
Offices: Milpitas . Fremont · Sacramento
HQ: 481 Valley Way, Bldg. 1, Milpitas, CA 95035-4016 .:. Tel: (408) 945-1011 .:. Fax: (408) 945-1012
~
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JJ-/J!l/9r
Civil Consulting
Pavement Management
Asphalt Technology
tril:.'!
IENKGllNIEIEIRJNG
CON5UILl'AN1'5
December 14, 1995
Job No. 95211
City of Campbell
Public Works Department
70 North First Street
Campbell, CA 95008
Subject: Deflection Testing/Analysis
Hamilton Avenue
To Whom It May Concern:
Parikh Consultants has contracted with CHEC Consultants, Inc. to provide
DYNAFLECT deflection testing and safety traffic control during testing operations.
Basically, deflection testing is a stop and go operation every 200 ft. of roadway.
CHEC Consultants will provide warning signs, lights, and devices to be placed along
Hamilton Avenue. All operations will comply to the standards set forth by the "Manual
of Traffic Controls for Construction and Maintenance Work Zones. " as published by the
State of California Department of Transportation. One lane of traffic will be maintained
at all times.
The follow vehicle will provide a directional arrow board, a reflective "Slow Moving
Vehicle" sign, and an amber rotating beacon light. The traffic control vehicle will remain
50 to 100 ft. behind the DYNAFLECT trailer and truck. The DYNAFLECT vehicle will
also oparate an ambei beacon !igr.t.
Reflective blaze orange construction signs of 48 inches by 48 inches will be placed at
the advance of the project where the roadwork will encroach onto the travelled way.
CHEC will use a series of three signs and several reflective construction cones. The
signs include: Road Construction Ahead, and two Right (Left) Lane Closed Ahead.
CHEC CONSULTANTS INC. 8796 AIRPORT ROAD, REDDING, CALIFORNIA 96002 (916) 222-2223 ., (800) 523-2223 FAX (916) 222-8260
City of Campbell
December 14, 1995
Page 2
If you have any questions, please call.
Ve truly yours,
CH C CONSUL TA .
Ger~ld Kro~her
Staff Engineer
GKldh
c:\95211\dyn-tesUtr
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