ENC2009-00002CIT1''bA C,4?ylPB~L;L
DEFT: OF PiJBL1G WORI~C5
70North Fast-St,
Campbell, CA 9'50(38
{R08)866-1150.
I'ax (40$} 37k-098
ENCRI~ACT~IuIENT F~rT
(for wariarig wxttum tizaputlic
rigEu-of-ways
Issued ~ ~ ~~
t'etmit Ezprnton Date 1 ~~ ~ V
~`
~~``~~~~ ~~~~ ~~~ pZ
Appl2e~tian Date 4~
Appli`c(2ti~on,,F.xpiraticm 'Date ~ I ~~ D
RPPLIGA3'301~i - App6ctition is }iueby tttade for a l~ttlic tEtorks permit in mccar~nce: aRth Carttpbeit tkt#titicipai. ~'+ode $ei:iibn 3l .tj4. ~qs- eiryn~t'i~
months if thtr'pettitiitis'ttgti>ssited, Apr¢Hcatiotr Feeicnrm-etfEtttlabk:j _ 1 ~.
~.
Iftitity
a. ~rati>r<:~f;o~!~
' Slo ~v
~, Attar f~tr {4j co{;iiiX°t1~•au lxtgiuctrF`k ~iwirY s~trivitig; thc'tdEios.~`-extent of dte:woxk,.anci'foar t4~ mgt of ~I;'rx p~ra&m~tj~ ~isiietr s 1~stmate of uiclrk: 'Elie
puns sha3r chow afitr remticin 6f the pfeaptastd work t9 existiiag st3t€a~ea~t} q~tcf~girouiid i~Jgpmvemertts when aggrovect by Else City Emgjneer, sail plsn bupmes a-
parii0f ttris ~m'rtrit.
17.. AI} vubrk shxll'cC~Ct'nf Oa..dte Gitg of fatppbe}1 Stassdzrd S3r~aiti$~iiaas azrd Detaita for Pttbtia Worka:Corisa'tt~iott: t6c Fcnrstl Permit Conditiotts.kisttci ~1 K1p
reverse sidt; sad~tfin,$paaitf !'rovtsioxs~~or this pcrrait; hated bctow< Faittm m abide by thcs~ cotcr}itions ahd prt~te#ops ~tpty ttscttt is job shutdown bttdtor foE€~tti
of f'aithful.Peifor~Jy4-k'~..Su~ties•a~J crib.. deposiu. (See Gcuz•,#aPPerrhit.t.onditioiu 7 and 2)
E:'T7te Conn a~eg~=~tsve tp~tttit srtd approved plans at i}ta site and must ttotify t3ic P'i+bFc Works Depattment at kcrst.fwt days bei"oip statmig,wfidk. I+ktticc
must be givcii'Zlf<:t'hsb~"~'ar#Cist 24 hrnus bcfor'c restarting airy wtxk: ~ ~Q A Q'~ /~
Adatiu:Qf App ,._ ~ ~~ . TekGphcme '[vU` I Z~~ 3~~ 3 ~i~ Y/
Adticess 1p9o~ ~1• L~ ~-1ft3UR EMERGENCY TELEPNC3hiE NO.: ~ ` `'rJ
E:-lvt~k his- _.:. _- - . __ - , _ ..
la dts work hoing i~tee b; ttie property rnvners at their owo ~iES'iiE3enea? Yea- •~~Na
TKo Atpp.H hereby agrcas.by affixing their si~atare tra thfs-permit ~ tititi the ZSty of t ampbett, its offu:us, agen~ and ompirzyees fnx, safe and harrilieSS
€i'ont oily claim tN demand for dsrnage.S resuttiag frorq t3te wok ed':by t~# permt.
Tie ilppiittanill?esnfttoce hereby acknmvlcdges titatthcy have'read' anH u»dc+stantAboth [firr {rant and track of this pertntt. and they wild irtfbrm FFittr aontractar{s} ctf tl
infortnatittit A~t is advisetb that ttpbn . x of this proputy ¢+ trr propdrty owntr & SttCtx55or5, shall be lc fcx amy grid alt darratges
arisingcwts~`tl~~'co~iuon,ot y priuate i votttEnts in itu public ' L-of-way:
T 1Z 31 v S
a~tad
. .: , .
fapP`Pesrniitec) fsi'gi`ij ~ t3attr
... , . -
ac-pr (Fkint Nine) L?ate
t. StraClf s~.~ltbd.~eSn cuE~for utldergraudd'insaklacions: Miusrimtn ants brr+aliawed rtor connact;ons ure~ptc&Sdors hates: Snccli~ufs s,~y
be ,{yap~provett by ~ fittsrreCtor odor to CuUin£.
_, . ~., PravesiaY 19e a~K far'unl3e~orrud kietaltatiut3 >ztid ttntst be restored in acndr~lance with tile. Standard Details Trench R
Q,.,® ,,...~, ..,a.. u~..., ,.. ,,~ ...•f~.......
~~. Work. tp tx etakcA by a Iicensed Land Surveyor or Civi! F.ttgineer and iwo {'Z) copies of the cut sheets sent to the Pubiic Works DepaYtrdetit
bafine starziag work.
,4, Per S~'~S-of~the Oovetttmenx. Ctzfic ffsiS pfirtut is not valid fUt exL~vadatYS trrttfi t3tt~-~tnd Scr63ce Atcrt (iJSA}' fins ~t nodficd`a~d
the i~tsuy rdetttaiiCation number%has, bopn dcttcrsrd hereon. USJ4 Phony 2-8t70-X2"1-~t~6U. ` U~1a T'3C1CL`i"fii0.
`,S. Prior tasny rrrork, the ptrapcrty owacr shall cx:~^titeaa Agreemr+:t4i for Private lmpnavemenu in {fie T`utli. P.ight-:,f-`eYny, wbicE3 shatl'be
rte. ,
~k. Pnblic 1~i$catit~it t~ziyuuemenis;
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PB~t~tiT ~t~F11C~•TIE3ld t
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Contractor must hays these plans
on the /ob sl-s duNny ooeslrueNbs~
CITY OF CAMPBELL r
PUBLIC WORKS DEPARTME~I`T
70 NORTH FIRST STREET
CAMPBELL, CA 95008
PHONE (408) 866-2150
FAX (408) 376-0958
FACSIMILE TRANSMITTAL SHEET
TO: FROM:
Joseph T. Mannina, Jr. Joanne D'Ambrosia
COMPANY: DATE:
Pacific Gas and Electric 1/13/09
FAX NUMBER: TOTAL NO. OF PAGES INCLUDING COVER:
1-408-725-3333 4
PHONE NUMBER: SENDER'S EMAIL:
1-408-725-3325 joanned@cityofcatnpbelLcom
RE: YOUR REFERENCE NUMBER:
Encroachment Permit - 506 Kenneth Ave PM#30681635
^URGENT ^FOR REVIEW ^PLEASE COMMENT ^ PLEASE REPLY^ PLEASE RECYCLE
NOTES/COMMENTS:
Our inspector has issued the following permit The hard copy will be mailed to your today.
Joanne D'Ambrosia
Office Specialist
Public Works Department
Ph. 408-866-2701
Fax 408-376-0958