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384 Pamlar"T..~,.,T , nr.in ncvFi f1PMFNT & TRAFFIC RECEIPT Effective July 1, 2010 PUBLIC WORKS FILE NO. -__ _______---------- _-__ - TO: City Clerk ~ J '~ rQT PROPERTY ADDRESS _----- - Please collect & recei t for the followin monies: ~ AMOUNT ACCT. ITEM LAND DEVELOPMENT' 4 2 ncroac merit ermit A lication Fee _ - I Non-Utilit Encroachment Permit $350.00 Minor Encroachment Permit <sio,ooo - N2C0.00 1 Initial R-1 Permit - Two Year Period Subse uent R-1 Permits within 200.00 -- --- $ -- -- - -- 2203 ° is Estimate Plan Check Deposit 2 /° of Enginee 500.00 min _ $ no deposit required - ----- - - ----- Utility and R-1 Permits _ --- 47221 Gradin & Draina e Plan Review $250 00 I'------ Sin le Famil Lot . Site < 10 000 s.f. $750.00 r- -------- Site ? 10.000 s.f. < Acre $1.000.00 -- - Site ? 1 Acre $1.500.00 - ~------- ' Plan Check & Inspection Fee (Non-Utility) 14% of Engineer's Estimate ! -- - -- ~ "2203 En r. Est. u to $250 000 _ Actual cost +20% Admm Overhead ~ - _-- - 47221 Enqr Est ?$250 000 Min $35,000 De osit) ~_ --- -- 2203 Emergency Cash Deposit - 4% of Enqr Est' ($500 min/$10 000-Max 'I -- -- ` 2203 Faithful Performance Security (FPS) , 100% of ENGR. EST. --------- 22031 Labor and Materials Security -_- 100% of ENGR. EST. _ _ ~ - 4721 I Storm Drainage Area Fee Per Acre-_ --- R-1 $2 120.00 -- - - - - -- Multi-Res $2 385.00 ( -1- -- - -- - - --------- -- 1 (All Other $2 650.00) -._ _ -_ ~'_ -- 4722 _ Parcel Map (4 Lots or Less) $3.600.00 + $80/lot 00 + $108/lot $4 400 - ---- _-__--- -- I 472~ a1 Tract Map (5 or More Lots) . 100% of ENGR. EST. I_-..--_ --- 2203' Monumentation Security _ nd Dedication Fee (75%/25% Due Upon Cert of Occupancy) - kl P ~- ------ - 4920 4722! ar a _ Lot Line Ad ustment $1,400.00 __- _-- I-- ------ 4722~ Vacation of Public Streets & Easements - $2,250.00 -_ ~_ - -- 47221 Certificate of Com liance _ $1,700.00 __ -__ -__ ~-. - ----- 4722! Certificate of Correction _ $500.00 --- - -- ------- --- ~ 4722 A eal Filin Fee $200.00 --- - -- ' 47221 Notar Fee er si nature _ $10.00 ~-- --- -- I 4722~ Assessment Segregation or Reapportionment _ ' First Split - --_ - $800.00--_ _---.-- - - ~. ~ Each Additional Lot $250.00 -_ _-.- --_ x---------- _ 511.7424 j Postage TRAFFIC 47281 Traffic Flow Ma Dail Traffic Volumes $34.00 I ___ - - 4728 Si nal Timin Information $72.00/Hr _.-- -..- $16.00/per trip - -- - - I 42711 Truck Permits $1/each or $25/100 4728 No Parking Signs 'MISCELLANEOUS ' __ I Other (Please Specify) - - *Engineer's Es timate shall be as approved by the City Engineer and sha ll include all items of work. TOTAL $ ~ ~ - '"Actual Cost Plus 20% Overhead (Non-Interest bearing deposit) - ~~ ~~ ~ ~~~~~'~ ~ NAME OF APPLICANT --- ~~ ,,,, ~~~~~~ PHONE _ ~ NAME OF PAYOR ~''y~'~ - ~-'~~a'1~ l ~ '(1 " ~ `~ -_- -~- ZIP - ADDRESS -- - k -, , JAN 3 1 ZQ~~ FOR RECEIVED BY CITY CLERK ONLY Date (/ Recei t # - *Fnr Plan Check.and Cash.::Deposits, end:yellow copy to Finance. n^+^~ ~~~+„~c _ ~ woams~*ampraiaswam~~~svao~eweoaicr Foam yam oe~eiormem r~aro~ io-r ~ rRe~ o5na ~~~~~~ NOS` ~ ~ ZO1G f ROUTE SHEET I AS S ~ S SOF`' S P ARCEL NU1viB ~R_ ~ ~ ! '" C~ ~ C~ ~~! ____~ PLAN CI~CIti NLIMB~F. ~~~~, ~ /~~~ D~~CF~1PT~lOr~ Or WOR~~: ~ , ~~ Ar~P~c~~-~I~? ~~.o~~~~nIT1c~~1~ B~L~» gnu 2 ~ 2010 pUBL-~C WORKS Pi~M11V119TP1ATiGi1'~ i I )~ ~ T .=~~PRC~t ~'~ ~~~ 23~-510 ~~;, r ;~j~f 1'~li '•"~ ^~ _Tfi~'n( n ~..T i.,l ~C'-'`-~~ [ it ~' ~. i. ~~r ..~ ~ t"atT~Cp~"! ~ ~. ., ;.id's !i';t_ MEMORANDUM CITY OF CAMPBELL TO: Bill Bruckart, Building Official DATE: 12/03/10 FROM: Ed Arango, Engineer (408) 866-2166 ~~ CC: Jennifer Kretschmer ~~~~u ~' ~~~ SUBJECT: BUILDING PERMIT APPLICATION DfC 6 ?~~~ Cm ~ ~PBELI Site Address: 384 Pamlar Avenue For File No(s): BLD 2010-01036 ~, ~ i~~h~ ~ `~~o~'v ~~~~~~r~~- Project Description: First and Second Floor Addition to SFR ~ ~ _~, ~ r~ ~«,, ~ ,, r ~ ~ ~,~ Applicant: Jennifer Kretschmer .} ~9 PUBLIC WORKS DEPARTMENT CONDITIONS OF APPROVAL ,,~' Storm Drain Area Fee: Prior to issuance of any grading or building permits for the site, the a f 1 . .~~,. ; ~~ ?' applicant shall pay the required Storm Drain Area fee, currently set at $2,120 per net acre, which is $479. Utilities: All on-site utilities shall be installed underground per Section 21.18.140 of the ~F~ Campbell Municipal Code for any new or remodeled buildings or additions. Applicant shall ~ "' e = ,~.~~ com 1 with all lan submittals, permitting, and fee requirements of the serving utility ,r ~s", ~ p Y p .,7ri' ~ ~~'° companies. Water Meter(s) and Sewer Cleanout(s): Proposed water meter(s) and sewer cleanout(s) F' ~~ ~ shall be relocated or installed on private property behind the public right-of--way line. Utility Coordination Plan: Prior to issuance of building permits for the site, the applicant ~, ?lv~~ shall submit a utility coordination plan and schedule for approval by the City Engineer for installation and/or abandorunent of all utilities. The plan shall clearly show the location and size of all existing utilities and the associated main lines; indicate which utilities and services are to remain; which utilities and services are to be abandoned, and where new utilities and services will be installed.. Joint trenches for new utilities shall be used whenever possible. ~! Pavement Restoration: Based on the utility coordination plan, the applicant shall prepare a ~' ~' pavement restoration plan for approval by the City Engineer prior to any utility installation or abandonment. Streets that have been reconstructed or overlaid within the previous five years will require boring and jacking for all new utility installations. Central and Pamlar have not been reconstructed or overlaid in the last 5 years. The pavement restoration plan shall indicate how the street pavement shall be restored following the installation or abandonment of all utilities necessary for the project. Page 1 of 2 J:\LandDev\Conditions\Bldg\Pamlar 384.DOC 384 Pamlar Avenue ,~ Utility Encroachment Permit: Separate permits for the installation of utilities to serve the ~1 R development will be required (including water, sewer, gas, electric, etc.). Applicant shall apply for and pay all necessary fees for utility permits for sanitary sewer, gas, water, electric and all other utility work. ,~ Additional Street Improvements: Should it be discovered after the approval process that new utility main lines, extra utility work or other work is required to service the development, and should those facilities or other work affect any public improvements, the City may add conditions to the development/project/permit, at the discretion of the City Engineer, to restore pavement or other public improvements to the satisfaction of the City. Stormwater Pollution Prevention Measures: Prior to issuance of any grading or building ~, the a licant shall comply with the National Pollution Discharge Elimination permits, pp System (NPDES) permit requirements, Santa Clara Valley Water District requirements, and the Campbell Municipal Code regarding stormwater pollution prevention. The primary objectives are to improve the quality and reduce the quantity of Stormwater runoff to the bay. Resources to achieve these objectives include Stormwater Best Management Practices Handboolti ,for New Development and Redevelopment ("CA BMP Handbook") by the California Stormwater Quality Association (CASQA), 2003; Start at the Source: A Design Guidance Manual for Stormwater Quality Protection ("Start at the Source") by the Bay Area. Stormwater Management Agencies Association (BASMAA), 1999; and Using Site Design Techniques to Meet Development Standards for Stormwater Quality: A Companion Document to Start at the Source ("Using Site Design Techniques") by BASMAA, 2003. Page 2 of 2 J:\IandDev\Conditions\Bldg\Pamlar 384.DOC PERMI'~ APp~IC~TI01! CITY OF CAMPBELL - BUII.DING DIVISION PERMIT # ~C" ~ ~ - G ~ ,~ DEU.,DING ADDRESS: 38~ /~Qk/-dam ~ ~~ , ~MPBEL~- SUITE, ~ PERMIT TYPE: BUILDING / ELECTRICAL ~ PLUMBING ~/ MECHANICAL DEMOLTTION_ SIGN_GRADING O'TfiER DESCRLPTION OF WORK: I~TE~% _ RES. ~ COMM. DEMO .- SIGNS OTHER '~ a an't i '~ F~,-S~-~ Second ~lm-- ~dc/,~~~o.~s ~a ~xi's~~:~a ~hc/e- ~~, 5in4~ ~! v~s~ ~c%rr ' GGi - I'1ecl~ .~le~f. ~~un,,(~ VALUATION ~ ~ ~ ~I owNER's NAME: RoB ~LYnle r'TE ~'~~~~ / PHONE #: ~ 7/ + 7/3 7 II~ ADDRESS: 3 ~ A M L!1 ~ Q V ~ . ~, crrY: G,4MPr3~L1~ zIP: 95008 APPLICANT'S NAME: ~ •iniii~i~ ~l~TS~E,-lM~~2,• ~I /A PHONE #: SOY • 22/ • 0~7/ ADDRESS: D L L ~.L ~ Los G7ATG<S ZIP• 95a 3 Z- CITY LICENSE # CONTRACTOR'S NAME: ;<.h ~ tvi" PHONE #: KS CONTACT PERSON: 4DMiN1h1'~~"'~ ADDRESS: II ZIP: CITY ARCHITECT/ENG NAME: .IENN/ F~ ~ ~~ T~Nwt~ ~4 /A ~~,,,, PHONE #: ~•22/ •077! - CONTACT PERSON: _ .:.~- _, .// F ADDRESS: O L LO~aD/~'~ / t-L ~' Lvs G,.4 Tos ziP: 9 ~ 3 Z crrY: HAZARDOUS lylp,TERIALS: USED ON SITE: YES_, NO / STORED ON SITE: YES_ NO ~. (For use or storage of hazardous materials, provide a HazMat Information Statement to the Fire Dept. Sazardous Materials Specialist for review and comment. ~ ` ` r~~ FIRE SPRINKLERED: YES NO / ,