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ENC2009-00073r ~ 3 ~~ib .7 7 / CITY OR CAMP;3>=t .t . EIYCRO.~GHiylENT FEItIvIIT Penttit No~1~? ~4"' ~~, 3 DEPT. OF T'LIBLIC WORKS (for wor'rcittg within the public ~C-Rvf: File. 70 Nortlt Post St. ricltt-of-way} Campbell, CA 95008 6 2 .~ G C Application Date ~ ! ! '~ 0 ~ (40$) $66-2130 Issued. Application Expiration Date'T~„r'_ts' " W Fax (408)376-0958 n ` N Permit Expiration Date ~ ~ APN ~~ L "1 ~ '" 0~ /.W~ ~ APPLIGATIOI~t - AgpIication is hereby made for a Public Works Permit in accordance with. Campbell Municipal Code, Section I I.44. {Application expires in six manihs if Urc permit is not issu:d. Apulication Fee is non-rentndable.) `J ~-- _.., A. W ark address ar tract R ~' 1 ~ 5 S. /3 ~ '-~ ~." ~ Q ~/ Utility trench location. U 'J J~ ir,~ ~ ~ ~ t; r„i ,d L j~ L x r g r'i vl~ B.Ivatureofwock I'~~ti-G l-D .Maim !.„~,i-L ~.r;JrJG~~r.~v$ Ors c:-r•-~~-~~~j /,v~,r ~ ,`V~:W L~u~i• /~iy /•I-~!'~~C..4•/.'. A-L~.. rir..OVC.rI Av.~ E-~LeJ~.r.~-s .~g,~ /}fJ:o~,c..~r ~..^' C. Attach four (4) `capi~'Sf~n ^ngineered plan showing the {o::atian and extttit of iherwark, and fotir ,;A) cgpies of ;he preliminary Eii'giaeer's Esdma[c of work. Thin plans sktail show the reladou of the proposed w(niF to existing sue;act attd ~nd~T~pund impmvcmtnCq. When approved by toe G;t?~ En~inaa, satd plant becamts a part of this pcittiit D. All work shalt :conform to the City ar" Campbell Standard Spcciiicaaoris and Deiaits'for Public WgrkS:Consuuction, the L'rcntral Permit Coneitions listed on the reverse side; and the Special Previsions far this perrttit, listed bctaw: Failure ter abide by these conditions and provisions tray resukt in job shutdnwt andror forfeiture of Faithfu9 Ptrforrtitance Sureties and cash deposits, fSec General Permit:Canditions land t ) E. The Contractor must'hati~e thts gctmit and apprtrvtd plats at th°-:site and must riotify'thc Public Warks Department at k:tst two days hefare starting work. .hiotice must be a vtn trtiPublic/~works at least 24(hotus btfart restarting any work; -7 Name of Apghcant /" G~~ \ C7 S ~n~J J ~~" ~2~5 ~ Tcle home ( Z ~ - Z ~5~ g E rt C Hamel Address ~ ~ ~/U ~' a~~4=~ ~~~.~~`y /~/ 2A~-IiOUR EMERGENCY 1'ELEPHt?bSE NO. ~ -~~ - ~ ~3 ' ~ o ''`' Cup~`wr,N ~ ~ E-Mail Address. G7~.i-! ~ p~~S . C:.., •'~t Y ~- - is this work fining dtxtt by the property rswners at their own residence? Yes Na The Appiicant/Perrnittte hereby agrees by affixing their sanaturc to this permit to hold the City of iramplrell, its offices,, agr_nts and cmplayrs free, Safi: and hrzrmIess From any claim ar derttan~ for damages-resultinD from the week gavtred by ilsis permit. The Applicant/Ptrmincc hereby acknowledges that they have read and undrrsurnd bakh'thc front acrd Track of [his pcrrrtC, and they will tnfprm thtirctmtractnrfs) of thh informatiim. Applicant is advtsed that upon issusttcc of this permit, propetty owner, or progtrty owner's successors.. steal! ire responsible for any and all datttagec ar#stng aut of tftccandiuan of ary private imprnuttneats in the gu6lie ri„ht of-way. Aeccptdd-- - ~?~- -~ ~ ` O S J,a ~ i) ~ /~. u : t. C i G'~ / %~o (Applicant Pexrttittrt) (Sign) --7-Date Cimtr3;~tor 1}~rint Name} Date SP~iAL PROVISt()NS _) : Street shall not be open cur for underground installar,oits: Minimum cuts ~ bt allowed far connections or txplaraton holes. Such cuts rtiav be sneciftcaliv ap}rrcrved bvthe Fnsnector C7nts to cutti*t^. _2. Payemcnt may he cut for under ground insratfations and must be restornd in accordance with the Standard L3etails Tr~tch Rtstoration~ltifi~ - , vnltss of erwtse approved by tnspcctor. „~3. Work to be stai;ul by a Iicrnsed Land Surveyor or Civil ~nginter attd two Ocopies of the cut shetrts Sent tithe Public VParks Flepartrtlent before stanin~ wor}r. 3, Per Section 4215 of the Government Code this ntnItit is not vaEid far excavation, unn! tlnder~rqund Service .alert {LISA) has 6trest natified~arii! 'the inquiry identification ^.umber has bc•n enccrcdlierrAn- L`SAPhone l-81h7-227-2600. USA T1CK?~T NQ _S. Pr:ar t„ env war's, L4c gr,~p~-tp uK~nCr S.•° l's cxtrute an A~,rccmcnt far P.~~oate irrtprovemeri; ire the ('ubii~ Ri?h~ vt `1.'r~ i . which shall be ttxbrdtxl. .. _:G. Publit; Iratification Reytiiremtnts5 7. SEE VUSI,.IC WQR1`S FEE. SCI38DUt~S FiQR GLJRRENT 1 ~ES Atvltat.3N~tT RECEIPT N0. PERMIT APPLICATION fir S ~8r7 PLAN CFIECK DEpCSIT g SECURITY FOR FA2'i"'rIFUL PEItFORMANCFJLABOfZ ~ MATERIALS S CONS'fRLiCTTC1N CASPI DEPOSIT' ~ .PLAN CI3ECIC fi INSPECTION FEE APPROVED FJR ESSUANCE ~' ~ 6 .Z y O~ Far City Eu aeer ~~ Dam Ptrrttic Extrires i:2 MantiisAftcr I3atc of Lssaan e //A y ~ A/ ~,v ~Z O OQ ~~ m Z ~ 0 n. Q L` [: n _.:; 0 0 a _ ~• 3 ~ N 4 ~ X C ~ ~ ~ w a Z ° ° ~ ~ -~ ~ D = ~ 0 m C7 m Z ~` o G7 m v _ N °o w ° ~ o_ Z m © ~ ~ ~ ~ T m ~ •• r ~ ~m r o j, o n m~ N r ~_ r ~ ~ ~ _ n m " Q, o G7 Q n ~ c ~ ~ ~ ~ M~ -~ D o `~ `° Z -p N N y~ ~ 3 ~° '' ~ D ~ N ~ v m D a V n~ O ,^, _..: ~~, D m W r m 0 W c m r m m oNi D r-M, ~„^.t _~ "`~ ~ ,-~~ >, - (!) e., .~ ~:~ O ~ ~ CD ~i~ N ~ "'~ 1 a • W \_ ? ~, ~~ ~ w~~S~~ ~~- ~ w iv Ci TI ~ ~ -w y' ~ ~ N O T ~ 3 cD O ~ <D O y p~ ~~ ny~ OcC ~ O ' ~ 7 a ~~ ~ ~ ~°,~ ~3 ~°, ~ aka 3 ~ 3O~ ~ C.t° .~ ~ ~ ~ rt n __ ~ ~ ~ ~ 01 7 ~ C1 ~ fD O. 3 y C ~D ~ V01 p. ? f1 fD ~ ~ V! VJ ~ a, <D , O vi ~ ~ tD rt 3 ~ O O ~ y ~ C tll y ~ 01 ~ n ~ fl , r ~ . n O O N O O _ "~ O S .~ d y rt ~ ~ ~D y O O ' '' ~ ~ ~G O~ ~ ~~'co cD ~ ~ C1 y ~~~~ ~QCO n. . . ~ O O O ~ O rt ~ ° ' - •~a ° ~~a ~ t0 CY 3 O O y ' ~m~ c Q 0 N C. J y O cy S K F mZu k ~ ~ n i r (` ~ ~ ~ L ~ a 7 ~, ;a o L . X `1 ~ --~ ~ C D ~h N ~ ~ rF ~ ^~ ~ `+ `~^, Q - ~ N r ~ o ~ 7 L ./• O (D _____ N - ~-`~ O~ N G A~ ~OV ®yuzi~ `ti~ -1y~ ~ a 1 1 I m~ may ~~ry m~ ~D D D ~ ~ ~~ D-~ mti 4'1~~ti f1~ my y ti 2N Om2 (~~ZUI OC ZN N O Vlm ~m~ ~~~m pm ~O O ~O ZAr ~~fm=1~ °A n9 m ~ N a N ~~IN ZN IAI SF~Z A~ ~S S S O D N D D D ti f~l N N ~ r I- Zm r~ mSR'm N~ m O M X ~ r r A r ODmm N~ Z~ D y l_J x N G = OD JC°~ Zm D ~ D OHO D~ OrAnO Ou~i m~ ~ N x - 'i o O mO OZ AmZ CON ~m ~ 2 N ~ ~ W D ;o z~ roc ~a > ~ ~ ~ ~ ~ ~ $ A n r N~ on vAi~m ~~ o ~ ;~ ~ o E~7 ~ mo A~~ ° A c m N~ °z ~ A ~' o o h _`~ >D~ ~> o ~ a x APRICOT WAY ~ o ~ ~, ~ ^ z Z A < m m m° m02 y< ~ C O l0 ~ m Z ~ ~ d --ii Nn ~ X O ~ !~I 4) D '~ y Z m D x Ql n D V m .+ .. Omz ^I o to U p - O a ryr` = o z ~ °_ ~ m N < < 3-2 PEC (22 KV) 12 KV rn < ~' m ° o z i o ~ z = i 3-2 PEC (22 KV) 12 KV '~° 3/4 AR 12 KV -_ ~ D O O O ~ z N~ c4ia ~ o - - ~ - m y D m m `"n ~ ° ~~ ~ m ~ ~ m rri m m mA~ or j - > y o m m ~ D z z m = ,., z / N ~ 0 ~ Uzi Z y C O I 0 T< Z O? 'Ip n I I m D ~ ~~ C7 A O D O _ I z~ i ~ ~ o i i ~ ~' v v i O e A yo z N ]I 0 ~ m~ ~ n A ~ < ~ 9 I i W D ~ < < O i J m TO NEW TX• 8 8 ~ 5 °c c I °- ~ D T-23950 ~ m `~ `ti N ~ x z D x i y ° m I~ ~ ~ N K D ~ ~ m ~ ~ ~ I C i < W j A < y ! OCT (nANO] D Z ...31 W O (7~ JO ~ D E W I S. - J O ~~ ~ li O< p s AD n ~~ x i D O o~ z < I ~ cn x I--- --------- - ----- --- --- 8 •• ~ ~ K ,.,~.~.. ------- ~ mc~oa Q ~ ~ .~ I ~ ~ m DOCV _ __ a m oo m< ~Z~r oo G __ .~~ o ~ ?i m ; -~ m ~ I 8 x rn~y U cn~X~ I~. r~ O z N ~ N o < ~ m _i N a w ~ z ~ ~ IF ----- - --- ~ ~ m °' : ~ W,e I ~-~p~~ ON N O] ~~ I ~ r x O N .'^I I t,~ --- nmvl I ~ D m __ t7 -i r (/) `y0 ~ nC1 I ~9 ,~ m ~m ~'~~~gQ ~ D ~ ~,~ I ~~ ~ a oD `~.~ O <A ~ I ~ o A ~~ ~ ~ ~ ~ n $O 4 ° o I ~ '~_ _ ~,~ i ~~l 1i __j_ j Omf-DDN Q Aw. C) _ UO Vir Nmf~'y N ~X~a~m~D~~yA D .D .'~- VD7 ~ O °I i l l liln=<iZ rnD<IZ tn= o N aw °<<~mr7 W p D C W I I n a °< O D v ~ f m r D ~ ~ ~ ~ ~ ~ ~ (SFr, D mma D o ~7 ~ yYyk c~ baf~~~ W~~yO~ ~g~ ~ ~~ p ~ EST: R. CNIU C0: CONSTRUCTION D~VG ADE: R. CHIU ENGBIEERBJG AND PI,ANNB~G DEPT. sD: SUPV: D. BROINl1ARO 10900 NORTH BIANEY AVE NOTIF.: 103636935 AKSM ONCOLOGY, Corporation CUPERTINO, CA 95014 other. REP: Osvaldo C. Floes 2165 S BASCOM AVE PHONE /:408-725-2098 FAX /:408-725-3342 SHT: I OF I SHEETS CAMPBELL PLNR. ti AIEMU PM: REV. scALE: DATE: PACIFIC GAS AND ELECTRIC COMPANY 30683393 1'=20' OS 26 09 GEh~RAL PERMTT CC3",[Ei<TTFA?~IS 1. A Constructicra-Cash.AppOSitis required. Gltarges wiiI tit made against tfris dtposit if cittrt is an etssexgtncy ca}i-UUG tsetttime nsptction'or when City ordtred baricadiap is required. Any such costs fa txtess of tht dtpost will be bifirsl to the Permitttt. 2. A tttsr-year rutsnntenart~ period arai stsrery a.r r.:gttirtd. Snch rtriad will btu o>t dare of ,vtitttn aectptairct tsy tht City. 3. R.-fitnd of tfz cash >icpz~it bafaa~ and raid cu s~ncellattm esf' the st~.iY:f f u'[ozmanca 5zirei}= vriil b~ zui~ by [;st wriuc~ a.,^^ea~a.^..-. of the u~t by the City. 4. Tfsa Pe:maute rriusz zcquest is writiu~ a final inspe^zioa aad a tptauc: a [ste v~k t tampictiaa. A~eptanz~ oy Yae E~i[y wtfl `ae crasic in vr.~eza;; W the Prsrntxx- 5. Maintaitt safe pedesrrian iuid vthieular crossings aad flee acvtss to priyatt driveways, bus stops; five hydrxt[ts and wales valves. 6. A C~atswcfion Traffic Canirot Dian and a Gantt.-uctian Schcduk are reytiirtd for ait 3aat closures. detour anti stmt clostzrts~ This p;xn muu be ret^.cwad Arid 3pprJVCd pnsr [Ct an~~ Canc. tivsu: rs. 'r. T'rc Cflnstrnaor. Trsf:ac Cantzo's P:zrt sisafl axifczm to ~ Czirr^arss h:anssa? of T:3f.c ContrlL for C^^.s^sv ian and 'rtWa:xan:~ V. xk ZtttS, dated StirA. a.ai3abl,^. atCa;aaits. Trazfic crnrvo} x~uipmtnt shat} incindc 7 ti ic~sEdn~ a:roM` ss~ ci rwnir.::. $. T(tpL2cc as dirc~wd by t}~ C:ccy Ern:rtcr app da:nadcd n: removed imptn~~cnirnts ir. ac~otdan~c wsrh City S:aadands and Sptxifcation~ az tht.solc txpcnsc of the Ptttzrittte: 9. Sawcut far ap PCC or .1C removals. AFI YCC rtrttovaLs shall be to nearest scoicmzr}~and shad be doweled to txistino im~irtsvemtnts, t#l. Prior apgra:r^sl r>£ irupcctor is rcquirtd for any wort: done aftrs nnrn^.al worl:n~ hnc:rs; an wrelendt or irofidays and may require rembt[saunYnt of insprciiots cosU at Gsc current m~cnerrre rate. _ l i. =~tte:juate st?nin4 anG ~rr::~din= is ^cquzred tut 2t, iafi tier-- T~[is;:c to orovitic ;uc~ ~:crizs+ anti tas~tiizfg :; a, re;utt i^ the Ceti'"s p - xigr,int _ and tsamradrs and roar n~ in^_ tact {inciudinn, ail latsar am6 mat~alsi z¢a;tss; the gash d.-acset. 1'~. C#paction testing oC ;nb~-ra6c.':.ts: Yoci:. attd asphalt canCc ny Pcrmtrtu, is retluira3 antrss tHACi'vt°1Se'sta[c.^. h~~ tnc City cngsncct, t3. 'i'tu Contsdctor ar i>Crinittt:c will havC a strfZCrvisory rtpnxtrstativt avaifahft f~ crttitact on the project at all titres daring ttxistniction. Cantr~stux or Permittee shall pmvidc a phanc nutntrr at which they ~n be contactl:d outside the hours of 8(lA a.m. to A:DEI p:in. iC. No storm of rrsat~as a cau;ptncat u~t} be aIiawed :acas the c:ig~ of pavtrtierri, tlic zxavtlai way, or a~stliin rfit shzaukitriinr udiiait would create a isa*srdcats ccxtdit,,m tc ?he oat,;ic tu. Tnis pezm#r shad n~ ?•~ ,~u:,iru~ as acthc~~uart for s7c~vatina acid gra::in~ nca watt prapr.-t; sdia to rile vx>z~: c+r arty cstit~ sx+cza'~ h! w'staci s St?'Sr3tC ptir•:zztii Eaaj' .tr: rrc~uircii. rc~r ~Sucs ~.: rc~cx~ rite PertFiittcc ~ inya~ :_"_-ytc:xi tit Cfbt3tn. airy t'~tr. T~Krt:i rCOC~ ^:: izv.:isw,. 3fr. T'hra ptilrsit dots not release tiJC Pcriiittt~ hornany liatxiliti~ cnntainraf in oth:x agrxmcrrts t~ t~.ts wt[ii .tilt City azid,a[ty erthtz pu6fre ~~ rc^cy. 17. This pcrrtrit is trot [rant..^,fcrabte, Work must be perirnmtd by tlir Pcrmi[tee zx hts dtsigzta[ed ag.nt ztr contractor as spu~fied thcrcori. t~: Cm!'~uck fcall out} dot tocmtrgrncit5 re~raina aria permit shall be at iht current C>vc;fkipe rate with axt:rcx (~} hpur tnittimum char~c' pcr+accurrcnc:. Ip: Yvr cart tc? Cnaptct I a.t;_ o' the CamptaclE hluni.-tis:si God , ap lip :.ant xiral." no; r.acs io Cr du~hargai an} !rut; rsa; cntc~ tix rnuni;,iaa? stow,: ti~.str sy>:,-m r•tiscs chart stccTr wai.~. .4ap}s~nt 5faf! a..:.:st to trrc B ~S"" h+t,a~ aGEti".E4 ; , R 4C rt ._S ... ~: i s~:cd by the Saner : ;:ir ~ aftru Lt:?raii Rctao:= #';~i4ullun Fzcvcacior. Prn~.am_ ~El. tf die Dahl ^ inteaxt rt~uire3 a rzsodir"s; anan ctf. to z d~arnm 3risns, zfs;; plans a~ spcc:ti~rsons. the Ciiy shal3 iw,~c tnc aatht;r^tc}+ trs :Cyttire [s ap~mve any ttiiitkatiort ar dc3arturc stt{i [e sp:; iiy fnc manna m whrc{t Ehc 5airie i5' ill he macic far Gty-awn^_d ar maint~ned iaciiiucs. 23. Atrnutreri must provide advairCC noufscat'rba tzr all parties that rnny be afftctad i?S' ihepermit activi[ieS; Nopfitcation shall bt ravewed by City pnbr to disusbtiu~~ aau inc,udc ~,accs uF wont ard'a c.+-n;a.:: au,-n:. and i,haio nuru'a^s. Applicant shall kze :bit fa ~~, that all diosa pirzavidiiag ssrvi~"rs a t#>w afi~rat arc av~are of and imderszasid all of [he abrrve eoadit5tms: ~~ Afipfitst Coritracttrr (f'riiit hiatr~ gate 1~ nrrm~s',oµm-gas it 1 Z.. X C -o ~ y m ~ ~ G7 ca Z ~ v y ~ T ~ a = ~ m C1 ~ Z o G) v o _ ° Z ~ m • •~•~; • ?~a ~ S m az i n O -OO T m W w ~ F ~. ~ ~ m m ~ r ~ A D ~ m iv ° y o o e o ~ c~ ~ W n L m ~ C ~ po ~ ' 3 ~ y S m ~1 ~ m ~ ~ -~ O ~ ~ ~ S L D fA y ~ m ~ ~ ' ~ N ~ Y ~ `D Z m D a v ,.r .,_ rhesc plant ,. W N ~ O ~ ~ Q ~+ N ~D Q ~ 3 ~ "'~ ~~ C 3 ` d ~ ~ O. 6f ~ ~. ~ ~• ~ ~ ~ C~ (~ ~ ~ d N. ~ ~ 3 (~ d .~ ~ ~' ~ °-'• 3 ~ c~ as ~ ~ ~ 0 a o ~ ~_ ~ ~ ~ ~ N ~ ~ ~ ~ O Q, 7 C D to ~ O ~ - . ~F ~. Q. ~~ ,^~ ~i~i AO ii/ ~~ n O N •