ENC2007-00037CITY 04 ~:AMPBELL
DEPT. OF PUBLIC WORKS
70 North First St.
Campbell, CA 95008
(408)866-2150
Fax (408)376-0958
ENCROACHMENT PERMIT
(for working within the public
right-of-way)
Issued ~ ' ~2_ ~~
~ - ~ ~~
Permit Expiration Date
APPLICATION -Application is hereby made for a Public Works Permit in accordance with
six (6) months if the permit is not issued. Application Fee is non-refundable.)
A. Work address or tract
Aa ~~~
G~iS,~D
Utility trench location f1"~ ~/'N" n ~ ~~ f 3 ~ ..j~D~1LC'G~ ~ y~
Nature of work / /~ ~- ~ ~ ~ ~~~~~~/ / ~n~ ~~ /~ ~ n ~~~~~
Attach four (4) copies of an engineered plan showing the location and extent of the work, and four (4) copies of the preliminary Engineer's Estimate of
work. The plans shall show the relation of the proposed work to existing surface and underground improvements. When approved by the City Engineer,
said plan becomes a part of this permit.
D. All work shall conform to the City of Campbell Standard Specifications and Details for Pubhc Works Construction; the General Permit Conditions listed on
the reverse side; and the Special Provisions for this permit, listed below. Failure to abide by these conditions and provisions may result in job shutdown
and/or forfeiture of Faithful Performance Sureties and cash deposits. (See General Permit Conditions 1 and 2J
E. The Contractor must have this permit and approved plans at the site and must notify the Public Works Department at least two days before starting work.
Notice must be given to~Pu~blic~Works at least 24 hours]b'efore restarting any work. ~/ ~j
Name of Applicant !L Ti ~ / ~'~e~ `-~~~~~~s Telephone ~~ J'~ 93~/ 7~~g
~ y-~ (print name) ~JSj ~ ~ ~+.~
Address ~~ ~S~ ~ / ~~-ST ~/~T ~~M /c~ SP ~ ~ 24-HOUR EMERGENCY TELEPH a~`E7 " C ~ ~ I ~ T>
E-Mail Address Mq ~/ ~ ~- ~ GITI ~ ~41n qq 7~7~
1 LUt1~
Is this work being done by the property owners at their own residence? Yes / No
Pusuc woi~Ks
The Applicant/Permittee hereby agrees by affixing their signature to this permit to hold the City of Campbell, its offiot~f~t~~lfree, safe and
harmless from any claim or demand for damages resulting from the work coveted by this permit.
The ApplicandPermittee hereby acknowledges that they have read and understand both the front and back of this permit, and they will inform their
contractor(s) of the information. Applicant is advised that upon issuance of this permit, property owner, or property owner's successors, shall be responsible
for any and all damagpes arising out of/th' a condition of any private improvements~in the public ri/Jght-of-way. q
Accented ~~.C. f ~~ L%~~'?'GJ~~s- ..'~ .LS/'/ // 7iT~-dip/ /1 Z / ~~
(Applicant P77ermittee) (sign) Date
~'.//•
Conttactor (Print Name) Date
SPECIAL PROVISIONS
_l. Street shall not be open cut for underground installations. Minimum cuts r, nay be allowed for connections or exploration holes. Such cuts nay
~pecifically~poroved bathe Ins eo ctor prior to cutting.
~2. Pavement may be cut for underground installations and must be restored in accordance with the Utility Restoration Standard Details Method
"A" Backfili, unless otherwise approved by Inspector.
_3. Work to be staked by a licensed Land Surveyor or Civil Engineer and two (2) copies of the cut sheets sent to the Public Works Department
before starting work.
_4. Per Section 4215 of the Government Code this permit is not valid for excavations until Undergound Service Alert (USA) has been notified and
the inquiry identification number has been entered hereon. USA Phone 1-800-227-2600. USA TICKET NO.
_5. Prior to any work, the property owner shall execute an Agreement for Private Improvements in the Public Right-of-Way, which shall be
recorded.
6.
SEE PUBLIC WORKS FEE SCHEDULE FOR CURRENT FEES
PERMIT APPLICATION FEE
PLAN CHECK DEPOSIT
SECURITY FOR FAITHFUL PERFORMANCE/LABOR & MATERIALS
CONSTRUCTION CASH DEPOSIT
PLAN CHECK & INSPECTION FEE
APPROVED FOR ISSU
~~ I~l I~ ~ ~ •N-
For City Engineer
Permit Expires 12 Months After Date of
AMO~U/N~T~ RECEIPT NO.
$~ ~-
$-~
7/~/~~
Date
` Permit No ~G ~ U ~~~ ~~ lJ G3 7
X-Ref. File
Application Date ~ 3 I ~ ~ ~
Application Expiration Dale ~ l i ~]
APN 305- ~~ O/~
icipal Code, Section 11.04. (Application expires in
J:\forms\pwperm
Revised 12.27.04
GENERAL PERMIT CONDITIONS
1. A Construction Cash Deposit is required. Charges will be made against this deposit if there is an emergency cal]-out, overtime inspection or when City
ordered barricading is required. Any such costs in excess of the deposit will be billed to the Permittee.
2. A one-year maintenance period and surety are required. Such period will begin on date of written acceptance by the City.
,. Refund of the cash deposit balance and refund or cancellation of the Faithful Performance Surety will be initiated by the written acceptance of the work
by the City:
4. The Permittee must request in writing a final inspection and acceptance of the work upon completion. Acceptance by the City will be made in wilting to
the Permittee.
5. Maintain safe pedestrian and vehicular crossings and free access to private driveways, bus stops, fire hydrants and water valves.
~~
6. A Construction Traffic Control Plan and a Construction Schedule are required for all lane closures, detours and street closures. This plan must be
reviewed and approved prior to any lane closures.
,,,
7. The Construction Traffic Control Plan shall conform to the Caltrans Manual of Traffic Controls for Construction and Maintenance Work Zones, dated
1990, available at Caitrans. Traffic control equipment shall include Type II flashing arrow signs if required.
8. Replace as directed by the City Engineer any damaged or removed improvements in accordance with City Standards and Specifications at the sole
expense of the Permittee.
9. Sawcut for all PCC or AC removals. All PCC removals shall be to nearest scoremark and shall be doweled to existing improvements.
10. Prior approval of inspector is required for any work done after normal working hours, on weekends or holidays and may require reimbursement of
inspection costs at the current overtime rate.
11. Adequate signing and barricading is required on the job site. Failure to provide such signing and barricading may result in the City's providing signing
and barricades and charging the cost (including all labor and materials) against the cash deposit.
12. Compaction testing of subgrade, base rock, and asphalt concrete by Permittee is required unless otherwise stated by the City Engineer.
13. The Contractor or Permittee will have a supervisory representative available for contact on the project at all times during construction. Contractor or
PermittEe shall provide a phone number at which they can be contacted outside the hours of 8:00 a.m. to 4:00 p.m.
14. No storage of materials or equipment will he allowed near the edge of pavement, the traveled way, or within the shoulderline which would create a
hazardous condition to the public.
15. This permit shall not be cons rued as authorization for excavation and grading or. private property adjacent to the wort: or any other work for which a
separate permit maybe required, nor does it relieve the Permittee of any obligation to obtain any other permit rewired by law.
IG. This permit does not release the Permitree from any liabilities contained in other agreements or contracts with the City and any other public agency.
17. This permit is not transferable. Work must be performed by the Permittee or his designated agent or contractor as specified thereon.
18. Call back !call out) due to emergencies reoardino [his permit shall be al the cun•ent overtime rate with a three (3) hour minimum charge per occurrence.
19. Pursuant to Chapter 14.02 of the Campbell Municipal Code, applicant shall not cause to be discharged any material into the municipal storm drain system
other than storm water. Applicant shall adhere to the BEST MANAGEMENT PRACTICES established by the Santa Clara Valley Urban Runoff
Pollution Prevention Program.
20. If the public interest requires a modification of, or a departure from, the plans and specifications, the City shall have the authority to require or approve
any modification or departure and to specify the manner in which the same is to be made for City-owned or maintained facilities.
21. Permittee must provide advance notification to all parties that may be affected by the permit activities. Notification shall be reviewed by Ci[y prior to
distribution and include dates of work and a contact namc and phone number.
Applicant shall. be responsible for ensuring that all those providing services under the applicant are aware of and understand all of the above conditions.
Date.
Conuaetor (Print Name)
Date
J\fotms\pwpetm
Rev. 11 /9/05
AT&T PROJECT LIGHTSPEED -SPECIAL PROVISIONS
1. AT&T shall provide the City of Campbell a current map indicating all SAI cabinet locations.
2. All proposed facilities shall be of consistent materials, finish and color (except where otherwise agreed, existing cabinets will be painted to
match paired Lightspeed cabinet). Pedestal numbering shall be consistent and as inconspicuous as possible. New Lightspeed cabinets shall have
an anti-graffiti finish.
3. Plans shall be accurately dimensioned, clearly showing the proposed location, size, and shape of all existing and proposed facilities, including
all existing and propose, right-of--way lines and any existing or proposed easements. ~.
4. Applicant shall submit photos of the proposed location both pre-construction and post construction (with proposed structure(s) and all related
service pedestals, bollards, landscaping, screening, etc. shown).
5. Plans shall reflect that the following guidelines whenever possible. The proposed facilities should be:
a. located outside of any future sidewalk area
b. located outside and beyond the back of walk (existing or future) wherever possible, with a minimum clearance of 18" from the
sidewalk
c. in park strip locations (only considered if beyond the back of walk location is not feasible), located with a minimum clearance of
18" from the face of curb to any part of the facility (if bollards are proposed, bollards must be located a minimum of 18" from
face of curb), and a minimum of 18" from existing sidewalk
d. in sidewalk locations (only considered if beyond the back of walk locations are' not feasible), located to accommodate the
required ADA specifications, with no less than a 4' clear path around the proposed facilities and with a minimum clearance of
18" from the face of curb to any part of the proposed facility (including bollards)
e. located 5' from any existing public improvements such as, trees (tree wells if applicable), light poles, sign poles, etc.
f. located with adequate clearance from existing fire hydrants
g. located with adequate line of sight clearances
6. All contractors working under the pemvt shall have a valid City business license.
7. Applicant shall obtain approval from other agencies (Caltrans, Santa Clara Valley Water District, VTA, etc.) as needed.
8. After the City has reviewed and conditionally approved each permit location, the applicant shall proceed with the public/property owner
notification process as follows:
a. Following the City's preliminary approval of a site, AT&T shall mail a preliminary notice to all property owners that are adjacent
to, or abut, the proposed location, as well as to those across the street from the location. In some cases, the City may request
notifications be sent to additional properties or parties. 'The .preliminary notice, which shall be approved by the City prior to
mailing, shall be mailed to the property owners, with a copy to the City, not less than four (4) weeks prior to anticipated
construction date, and shall give the property owner a two (2) week period in which to respond with questions or concerns.
Should the notified property owner have concerns regarding the location of the facilities, AT&T shall work with the property
owner(s) toward a mutually acceptable location.
b. AT&T shall provide a final notice to the property owners at least 48 hours before the commencement of the proposed
construction.
9. Applicant shall ensure that all property owner notifications have been completed prior to construction.
10. AT&T agrees to maintain the facilities in an attractive and clean manner. AT&T will make commercially reasonable efforts to remove graffiti
within 48 hours of notification that the facilities have been tagged. AT&T shall provide the City with contact information for graffiti removal.
11. The City of Campbell will bill AT&T if its contractor leaves any site in such a manner requiring City forces to mobilize and mediate an unsafe
situation.
r12. If and only to the extent required by State or federal law, should a public project arise that requires the relocation of existing facilities, the
facilities shall be removed/relocated to accommodate the scope, alignment and schedule of the public project, in accordance with state or federal
legal or regulatory requirements.
13. As required by State statues, and unless otherwise preempted by. State or Federal Law, abandoned facilities shall be completely removed from
the site and the site restored to its original condition.
14. The parties agree to fully reserve their rights as to the applicability and interpretations of California Public Utilities Code Section 7901 and other
related local, state or federal laws, and the City reserves the right to contend that future permits will not be issued without AT&T obtaining a
franchise or other agreement prior to providing video services, and AT&T reserves it's right to contend that City is required to issue the
encroachment permits without first obtaining such franchise or agreement.
Applicant shall be responsible for ensuring that all those providing services under the applicant are awaze of and understand all of the above
Date
Date
J\MQ\Utilities\ATT1Special Provisions -Rev. 2/2N7
Contractor (Print Name) -
at&t
Date: (when sent)
123 Sample St.
Campbell, CA
Resident,
This is to notify you that AT&T California is upgrading the telecommunications network in
your neighborhood. The new network will be capable of delivering enhanced DSL, internet-
based telephone service, as well as new video services.
In order to bring this new technology to your neighborhood, it will be necessary to place an
above-ground cabinet. The cabinet is shown on the attached drawing and will be placed
according to applicable City guidelines. Although the cabinet will not be on your property,
we are sending this information to you as a courtesy. The cabinet will be installed in the
public right-of-way as indicated by the enclosed map.
After the upgrade of our network is complete, your neighborhood will have the most
advanced and reliable communication services available. The City is currently considering a
decision on this network upgrade and we expect to be soon moving forward with
construction in your neighborhood. For more information on these services, please visit our
website at www.att.com.
If you have concerns about the project or the placement of this cabinet, we encourage you to
call our special hot line number 408-493-7066. We welcome the opportunity to discuss our
plans with you.
Sincerely,
AT&T
I ~t ~ BuDp ~v~
I'ZZ ~~ DD -~t~~
A
Proud Sponsor of the U.S. Otymplc Team
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Campbell Resident Notification Letter
(Mailed at least four weeks prior to anticipated construction date to residents adjacent to
or across the street from proposed site.)
Date: 06/ 11 /2007
Property Owner
148 Budd Ave.
Campbell Ca. 95008
As you may know, AT&T California is upgrading the telecommunications network in
your neighborhood. Once installed, it will be capable of delivering enhanced DSL and
telephone services as well as new video services to your home over existing telephone
lines.
In order to bring this new technology to your neighborhood, it will be necessary to place
an aboveground cabinet to support the advanced services. The cabinet to be placed in
your neighborhood is shown in the attached photograph and will be placed according to
applicable City guidelines. The cabinet has been placed in other local communities such
as Saratoga and Cupertino and has a internal fan to assist in cooling its internal
components. The accompanying photograph has the address of a cabinet currently in
operation. We are sending this information to you as a courtesy, so that you will be
informed of our construction activities.
After the upgrade of our network is complete, your neighborhood will have the latest
communications services available as part of our U-verse initiative. For more
information on these services, please visit our website at www.att.com.
We have a special hot line number (408-493-7342) you can call if you have any questions
concerning our construction.
Sincerely,
AT&T
Enclosures:
• Photograph of an installed cabinet with site address (Cupertino) and cabinet
dimensions.
• Site diagram of cabinet placement.
Campbell Resident Notification Letter
(Mailed at least four weeks prior to anticipated construction date to residents adjacent to
or across the street from proposed site.)
Date: 06/I 1/2007
Property Owner
134 Budd Ave.
Campbell Ca. 95008
As you may know, AT&T California is upgrading the telecommunications network in
your neighborhood. Once installed, it will be capable of delivering enhanced DSL and
telephone services as well as new video services to your home over existing telephone
lines.
In order to bring this new technology to your neighborhood, it will be necessary to place
an aboveground cabinet to support the advanced services. The cabinet to be placed in
your neighborhood is shown in the attached photograph and will be placed according to
applicable City guidelines. The cabinet has been placed in other local communities such
as Saratoga and Cupertino and has a internal fan to assist in cooling its internal
components. The accompanying photograph has the address of a cabinet currently in
operation. We are sending this information to you as a courtesy, so that you will be
informed of our construction activities.
After the upgrade of our network is complete, your neighborhood will have the latest
communications services available as part of our U-verse initiative. For more
information on these services, please visit our website at www.att.com.
We have a special hot line number (408-493-7342) you can call if you have any questions
concerning our construction.
Sincerely,
AT&T
Enclosures:
• Photograph of an installed cabinet with site address (Cupertino) and cabinet
dimensions.
• Site diagram of cabinet placement.
Campbell Resident Notification Letter
(Mailed at least four weeks prior to anticipated construction date to residents adjacent to
or across the street from proposed site.)
Date: 06111 /2007
Property Owner
122 Budd Ave.
Campbell Ca. 95008
As you may know, AT&T California is upgrading the telecommunications network in
your neighborhood. Once installed, it will be capable of delivering enhanced DSL and
telephone services as well as new video services to your home over existing telephone
lines.
In order to bring this new technology to your neighborhood, it will be necessary to place
an aboveground cabinet to support the advanced services. The cabinet to be placed in
your neighborhood is shown in the attached photograph and will be placed according to
applicable City guidelines. The cabinet has been placed in other local communities such
as Saratoga and Cupertino and has a internal fan to assist in cooling its internal
components. The accompanying photograph has the address of a cabinet currently in
operation. We are sending this information to you as a courtesy, so that you will be
informed of our construction activities.
After the upgrade of our network is complete, your neighborhood will have the latest
communications services available as part of our U-verse initiative. For more
information on these services, please visit our website at www.att.com.
We have a special hot line number (408-493-7342) you can call if you have any questions
concerning our construction.
Sincerely,
AT&T
Enclosures:
• Photograph of an installed cabinet with site address (Cupertino) and cabinet
dimensions.
• Site diagram of cabinet placement.
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CITY OF CAMPBELL
DEPT. OF PUBLIC WORKS
70 North First Street
Campbell, CA 95008
Ph. (408) 866-2150
Fx. (408) 376-0958
L -' `
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ENCR07(CHMENT PERMIT
(for working within the public
right-of-way)
Issued
Z4~x
Permit Expiration Date
APPLICATION -Application is hereby made for a Public Works Permit in accordance with Campbell Municipal Code, Section 11.04. (Application expires in six
(6) months if the permit is no>; issued. Application Fee is non-refundable)
~¥
A. Work Address or Tract No.:
Utility Trench Location:
B. Nature of Work:
--J
I
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C. Attach four (4) copies of an engineered plan show~ii~ theme aion~and exte t o t~o~rk~an~>rour 4 c pies o the e ~minry Eng~i~e~rrs R HT <
Estimate of work The plans shall show the relation of the proposed work to existing surface and underground improvements. When approved W ~
by the City Engineer, said plan becomes a part of this permit.
D. All work shall conform to the City of Campbell Star
listed on the reverse side; and the Special Provisioi ~._.~
in job shutdown and/or forfeiture of Faithful Perfo `~ ~ ~ t..~~~~
E. The Contractor must have this permit and approv
starting work Notice must be given to Public Wo
Nam~pfApplicant: [ " ~ ~ '~ ~~~RLr
rw III
Ada~s: 31.E ~5 B N O f2T}} ,
E-Mail Address:
Is this work bein do the b th
Piirit Form:
Permit No ,~NG20o7~ - 0003 7~'
X-Ref. File
Application Date
Application Expiration Date
APN
~ UTr4/TY C.~~r~c"T
/orks Construction; the General Permit Conditions
side by these conditions and provisions may result
eneral Permit Conditions 1 and 2.) '
~lic Works Department at least two days before
rork
Telephone: [~~ ~ - ~~ 3 ._ ~ 3 ~ J
24-HOUR EMERGENCY PHONE NUMBER:
g y e property owners at their own residence? ~ yES n NO
The ApplicanVPermittee hereby agrees by affixing their signature to this permit to hold the City of Campbell, hs officers, agents, and employees free, safe
and harmless from any claim or demand for damages resulting from the work covered by this permit.
The Applicant/Permittee hereby ackn s that they have read and understand both the front and back of this perm R, and they will inform their
contractor(s) of the info ati pl' t is dvised that upon issuance of this permit, property owner, or property owners successors, shall be
responsible for any and d arising o t of a co ' ' any private improvements in the public right-of-wa~ a . / n /
~ (Contractor) `~ (Print Namel ..___
7
SEE PUBLIC WORKS FEE SCHEDULE FOR CURRENT FEES
PERMIT APPLICATION FEE
PLAN CHECK DEPOSIT
SECURITY FOR FAITHFUL PERFORMANCE/LABOR & MATERIALS
CONSTRUCTION CASH DEPOSIT
PLAN CHECK & INSPECTION FEE
APPROVED FOR ISSUANCE
Permit
AMOUNT
RECEIPT NO.
For City Engineer
12 Months After Date of Issuance
mot;/~`~
~~~~ ~il~ ~ EN1~~~~~.~.
I'uhiic U~~ori~s 1 )ep~r amen;
May 10, 2007
Marlana Telfer
AT&T California
3475B North First Street, Rm 300
San Jose, Ca 95134
Re: AT&T California Project Lightspeed
Encroachment Permit Application -Comments
ENC 2007-00037 - 134 Budd Ave
RO/EST 6192818
Revision No. l
Dear Marlana:
The status of this encroachment pernut application has been revised to conditionally approved. You may
proceed to issue the approved Resident Notification Letter(s) with the following conditions.
1. Submit updated map of all existing SAI cabinets within the city boundary.
2. Copy Resident Notification Letter with appropriate photo exhibit(s) to the City.
3. Resident Notification Letter shall be mailed at least four weeks prior to the anticipated
construction date to residents adjacent to or across the street from proposed site. Refer to AT&T
Project Lightspeed Special Provisions, Item No. 8.
Please refer to the ENC number named in the title of this letter when submitting or inquiring about any of
the items listed above. If there are any questions, please feel free to call me at my office (408) 866-2156.
Sin rely,
~'~ ~
~Fr-a~l~' k H
Senior Civil Engineer
Enclosure
cc: File ENC 2007-00037
Syed Wahidi -City Inspector
J:\AT&T Lightspeed\comments No.2\Ltr Comment GNC2007-00037 - No.2.doc
I I~~~~... ~>t-..c. ~.am~i ~_ ~_~~ ~r~n,.io ,~~)uS' I-~3n - -l~lti-=,0~:21Sr C.. ti15.;7~~.uv~y ~ -n~i, ?r .hr,n.3"~t~
May 4, 2007
Marlana Telfer
AT&T California
3475B North First Street, Rm 300
San Jose, Ca 95134
Re: AT&T California Project Lightspeed
Encroachment Permit Application -Comments
ENC 2007-00037 - 134 Budd Ave
Dear Marlana:
The City of Campbell has completed the preliminary review of the subject encroachment permit
application. In order to complete the review process of this permit application, it is imperative
that the following comments are addressed.
1. Submit updated map of all existing SAI cabinets within the city boundary. .
2. Submit approved Campbell Resident Notification letter.
3 igh~ pol~et~ ~
~#~` Placement of proposed bollards shall be in compliance with Special Provisions. Revise
drawings for encroachment permit application.
Please refer to the ENC number named in the title of this letter when submitting or inquiring
about any of the items listed above. If there are any questions, please feel free to call me at my
office (408) 866-2156.
Sincerely,
Fredrick Ho
Senior Civil Engineer
Enclosure
cc: File ENC 2007-00037
Syed Wahidi -City Inspector
J:\AT&T Lightspeed\comments No.2\Ltr Comment ENC2007-00037 - No.2.doc
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March 27, 2007
Teresa Gonzales
AT&T California
3475E North First Street
San Jose, Ca 95134
Re: AT&T California Project Lightspeed
Encroachment Permit Application -Comments
ENC 2007-00037 - 134 Budd Ave
Dear Teresa:
The City of Campbell has completed the preliminary review of the subject encroachment permit
application. In order to complete the review process of this permit application, it is imperative
that the following comments are addressed.
1. Submit updated map of all existing SAI cabinets within the city boundary.
2. Submit revised Campbell Resident Notification letter with appropriate photo exhibit(s).
3. Submit signed letter to the Director of Public Works regarding AT&T's compliance with
provisions of AB 2987.
4. Review and ascertain compliance with all provisions as stated in the enclosed AT&T
Project Lightspeed -Special Provisions.
5. Sign and return the enclosed AT&T Project Lightspeed -Special Provisions.
6. Sign and return the enclosed General Permit Conditions at the back page of the
Encroachment Permit Application.
7. Specify location of proposed 52B cabinet, i.e. XX-ft from streetlight pole, etc.
Please refer to the ENC number named in the title of this letter when submitting or inquiring
about any of the items listed above. If there are any questions, please feel free to call me at my
office (408) 866-2156.
Sin erely,
~.
~ ~ ~~
Fredrick o
Senior Civil Engineer
Enclosure
cc: File ENC 2007-00037
Syed Wahidi -City Inspector
Robert Ruiz - AT&T
J:\AT&T Lightspeed\Ltr Comment ENC2007-00037 - No.l.doc
y,/_~- Imo- ~j ' ~n / ,_.l
AT&T PROJECT LIGHTSPEED -SPECIAL PROVISIONS
1. AT&T shall provide the City of Campbell a current map indicating all SAI cabinet locations.
2. All proposed facilities shall be of consistent materials, finish and color (except where otherwise agreed, existing cabinets will be painted to
match paired Lightspeed cabinet). Pedestal numbering shall be consistent and as inconspicuous as possible. New Lightspeed cabinets shall have
an anti-graffiti finish.
3. Plans shall be accurately dimensioned, clearly showing the proposed location, size, and shape of all existing and proposed facilities, including
all existing and proposed right-of--way lines and any existing or proposed easements.
4. Applicant shall submit photos of the proposed location both pre-construction and post construction (with proposed structure(s) and all related
service pedestals, bollards, landscaping, screening, etc. shown).
5. Plans shall reflect that the following guidelines whenever possible. The proposed facilities should be:
a. located outside of any future sidewalk area
b. located outside and beyond the back of walk (existing or future) wherever possible, with a minimum clearance of 18" from the
sidewalk
c. in park strip locations (only considered if beyond the back of walk location is not feasible), located with a minimum clearance of
18" from the face of curb to any part of the facility (if bollards are proposed, bollards must be located a minimum of 18" from
face of curb), and a minimum of 18" from existing sidewalk
d. in sidewalk locations (only considered if beyond the back of walk locations are not feasible), located to accommodate the
required ADA specifications, with no less than a 4' clear path around the proposed facilities and with a minimum clearance of
18" from the face of curb to any part of the proposed facility (including bollards)
e. located 5' from any existing public improvements such as, trees (tree wells if applicable), light poles, sign poles, etc.
f. located with adequate clearance from existing fire hydrants
g. located with adequate line of sight clearances
6. All contractors working under the permit shall have a valid City business license.
7. Applicant shall obtain approval from other agencies (Caltrans, Santa Clara Valley Water District, VTA, etc.) as needed.
8. After the City has reviewed and conditionally approved each permit location, the applicant shall proceed with the public/property owner
notification process as follows:
a. Following the City's preliminary approval of a site, AT&T shall mail a preliminary notice to all property owners that arc adjacent
to, or abut, the proposed location, as well as to those across the street from the location. In some cases, the City may request
notifications be sent to additional properties or parties. The preliminary notice, which shall be approved by the City prior to
mailing, shall be mailed to the property owners, with a copy to the City, not less than four (4) weeks prior to anticipated
construction date, and shall give the property owner a two (2) week period in which to respond with questions or concerns.
Should the notified property owner have concerns regarding the location of the facilities, AT&T shall work with the property
owner(s) toward a mutually acceptable location.
b. AT&T shall provide a final notice to the property owners at least 48 hours before the commencement of the proposed
construction.
9. Applicant shall ensure that all property owner notifications have been completed prior to construction.
10. AT&T agrees to maintain the facilities in an attractive and clean manner. AT&T will make commercially reasonable efforts to remove graffiti
within 48 hours of notification that the facilities have been tagged. AT&T shall provide the City with contact information for graffiti removal.
11. The City of Campbell will bill AT&T if its contractor leaves any site in such a manner requiring City forces to mobilize and mediate an unsafe
situation.
12. If and only to the extent required by State or federal law, should a public project arise that requires the relocation of existing facilities, the
facilities shall be removed/relocated to accommodate the scope, alignment and schedule of the public project, in accordance with state or federal
legal or regulatory requirements.
13. As required by State statues, and unless otherwise preempted by State or Federal Law, abandoned facilities shall be completely removed from
the site and the site restored to its original condition.
14. The parties agree to fully reserve their rights as to the applicability and interpretations of California Public Utilities Code Section 7901 and other
related local, state or federal laws, and the City reserves the right to contend that future permits will not be issued without AT&T obtaining a
franchise or other agreement prior to providing video services, and AT&T reserves it's right to contend that City is required to issue the
encroachment permits without first obtaining such franchise or agreement.
Applicant shall be responsible for ensuring that all those providing services under the applicant are aware of and understand all of the above
conditions.
Applicant Date
Contractor (Print Namej Date
J\MQ\Utilities\ATT\Special Provisions -Rev. 2/2/07
"~ ~~ ~ I
~r
~ 'f Z3/o7
CITY OF CAMPBELL ENCROACHMENT PERMIT - Permit No L D~ "'' (~~ 3"T
DEPT. OF PUBLIC WORKS (for working within the public X-Ref. File
70 North First St. r - right-of--way)
Campbell, CA 95009 °° -...~ ~ Application Date
0308) 866-2150 Issued Application Expiration Date
Fax (408) 376-0958
rr . , , ~ Permit Expiration Date APN ~~-S'_ .3 ~ - O J/
t. _ -
APPLICATION- AppIic3W 7iti7eby af"aliefdf~ Public Works Permit in accordance with C ell Municipal Code, Section 11. :. (Application expires in
six (6) months if the permit n issued. Applicat/ion/Fee is non-refundable.) ~{
A. Work address or tract#G ~~GIGr ~f°I?Ll~jj ~ ~/(/ (y~s!a~/i~L
Utility trench location ~'~ ~~ ~ j-i l3~~ ~e
B. Nature of work _ ~~
Gt~7~ r~~a °~/~f~! G.r,6r~
C. Attach four (4) copies of as engineered plan sho g the location and extent of the work, and four (4) copies of the preliminary Engineer's Estimate of
work. The plans shall show the reladori of the prop d work to existing surface and underground improvements. When approved by the City Engineer,
said plan becomes a part of this permit.
D. All work shag conform to the City of Campbell Standard Sp 'fications and Details for Public Works Constmction; the General Permit Conditions listed on
the reverse side; and the Special Provisions for this permit, lie ~ low. Failure to abide by-these conditions and provisions may result in job shutdown
and/or forfeiture of Faithful Performance Sureties and cash deposi (See General Permit Conditions 1 and 2.)
H. The Contractor must have this permit and approved plans at the site and t notify the Public Works Department at least two days before starting work.
Notice must be given to Public Works at least 24 hoursTbefore restarting an work.
Name of Applicant / ~~~~T /~S Telephone ~~ T ~' %' r5~
'! (print name) 9S7
Address 3T ~~ ~ ~~~ ST SMr Josl CA ~ ?A-HO GENCY TELEPHpNE NO.
E-Mail Address M 2 ~ • t! p/!~
Is this work being done by the property owners at their own residence? Yes No
The Applicant/Pernuttce hereby agrees by affixing their signature to this permit to hold the City of Campbe its of5cers, agents and employees free, safe and
harmless from any claim or demand for damages resulting from the work covered by this permit.
The ApplicanbPermittce hereby acknowledges that they have read and understand both the front and back of this and they will inform their
contractor(s) of the information. Applicant is advised that upon issuance of this permit, property owner, or property own 's successors, shall be responsible
for any and all damages arising out of the condition of any private improvements in the public right-of-way.
Accepted ~ ~S~ GD/I?.G//P~- ;~ ~- Z ~ ~ v
. (Applicant Permittee) (sign) D
T 8'.7>
Contractor (Print Name) Date
SPECIAL.PROVISIONS '
I.' Street shall not be open cut for underground installations. Minimum cuts rr~ay be allowed for connections or exploration holes. Such cuts may
` / be specifi t approved tr+e Lspector prior to cutting.
`~ 2. Payemeat may be cut for underground installations and must be restored in accordance with the Utility Restoration Standard Details Method
"A" Backfill, unless otherwise approved by Inspector.
_3. Work to be staked by a licensed Land Surveys or Civil Engineer and two (2) copies of the cut shcets sent to the Public Works Department
before starting work.
_4. Per Section 4215 of the Government Code true permit is not valid for excavations until Underground Service Alert (USA) has been notified and
the inquiry idenfificaaon number has been entered hereon. USA Phone 1-800-227-2ti00. USA TICKET NO.
_5. Prior to any work, the property owner shall execute an Agreement for Private Improvements in the Public Right-of-Way, which shall be
.recorded.
-6-
SEE PLlF3LIC WORKS FEE SCHEnrrr-F FOR Lt >~ FE .AMOUNT RECEIPT NO.
J
PERMIT APPLICATION FEE $ ~~U ~
PLAN CHECK DEPOSIT $
SECURITY FOR FAITHFUL PERFORMANCE!LABOR & MATERIALS $
CONSTRUCTION CASH DEPOSIT - $ ~~)_
PLAN CHECK & INSPECTION FEE
APPROVED FOR ISSUANCE ~~ 7/6~0~
For City Engineer Dale _
Permit Expires 12 Months After Date of Issuance y-
J:lformslpwperm '$Z Sv f ~ Z So • 'S SG a
Revised 12.27-04 -
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