ENC2007-00049L~ C~tt~S~'~-~ 1J
Print Forrn
CITY OF CAMPBELL ENCROACHMENT PERMIT Permit No
DEPT.OF PUBLIC WORKS (for working within the public X-Ref. File
70 North First Street right-of-way) Application Date
Campbell, CA 95008 Application Expiration Date
Ph. (4081866-2150 Issued APN
Fx. (408) 376-0958
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 not issued. Application Fee is non-refundable.) ~!~ ,~} /^ `~j ~r7 Q
A. Work Address or TractNo.: ~,A, ~r~ ~~ ~~C~~A`~^~~F~t ~(y'(1~_I. "I~U( S~ ~ ~L D~•
Utility Trench Location:
B. Nature of Work: ~ X~~AI 1l/ r v E! ~/ ' ~`~ , ` ~ ~" W N `~~`,
C. 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 Ciry Engineer, said plan becomes a part of this permit.
D. All work shall conform to the City of Campbell Standard Specifications and Details for Public 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 2.)
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 Public Works at least 24 hours before restarting any work.
Name of Applicant: ~ Eo~~~'~ "'~~~~ , n"~ ~ "~ Telephone: ~~~~}r~d~ --A~~~
Address: (3~ "i J pj N ~ ~ ~.CjTy ST, ~. 3lll! <~~'v ,~5~ ~ ~ ~ - 1 J 1 /"T
E-Mail Address: Qi~ f ~23 L W ~dl ~ U w • C.C1'`~ 24-HOUR EMERGENCY PHONE NUMBER:
Is this work being done by the property owners at their own residence? r" YES ~ NO
The Applicant/Permittee hereby agrees by affixing their signature to this permit to hold the Ciry of Campbell, its officers, agents, and employees free, safe
and harmless from any claim or demand for damages resulting from the work covered by this permit.
The ApplicanUPermittee hereby acknowledges that they have read and understand both the front and back of this permit, and they will inform their
contractors} of the inforrr~~ion. Applicant is advised that upon issuance of this permit, property owner, or property owner's successors, shall be
p__ ..
res -="- `--'-~~ "'' ~"~"a""" """"' ^"' ^r'~° ~^^'~°"^^ ^F'"" orivate improvements in the public right-of-way.
/t-~ ~J~l` n ~-.,(~ ) Date
~ t Name) Date
~~
A ~c~~ -- u~ ~ ~- -13 3 ~
PLAN CHECK DEPOSIT
SECURITY FOR FAITHFUL PERFORMANCE/LABOR & MATERIALS
CONSTRUCTION CASH DEPOSIT
PLAN CHECK & INSPECTION FEE
APPROVEDFORISSUANCE
nimum cuts may be allowed for connections or exploration holes. Such cuts may be
be restored in accordance with the Standard Details Trench Restoration Method
er and two (2) copies of the cut sheets sent to the Public Works Department
alid for excavations until Underground Service Alert (USA) has been notified and
1SA Phone: 1-800-227-2600. USA TICKET NO.
vent for Private Improvements in the Public Right-of-Way, which shall be
AMOUNT
5
For City Engineer
Permit Expires 12 Mon[hs After Date of Issuance
RECEIPT NO.
Date
GENERAL PERMIT CONDITIONS
I. A Construction Cash Deposit is required. Charges will be made against this deposit if there is an emergency call-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.
3. Refund or 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 writing
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. A Construction Traffic Control Plan shall conform to the Caltrans Manual of Traffic Controls for Construction and Maintenance Work Zones, dated
1990, available at Caltrans. 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 the 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.
t 1. 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 be 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 construed as authorization for excavation and grading on private property adjacent to the work or any other work for which a
separate permit may be required, nor does it relieve the Permittee of any obligation to obtain any other permit required by law.
16. This permit does not release the Permittee 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 emeregencies regarding this permit shall be at the current 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 Ciry-owned or maintained facilities.
21. Permimee must provide advance notification to all parties that may be affected by the permit activities. Notification shall be reviewed by the City prior
to distribution and include dates of work and a contact name and phone number.
Applicant shall be responsible for ensuring that all those providing services under the applicant are aware and understand all of the above conditions.
Applicant
Date:
Contractor (Print Name) Date:
J:Reina\Website\Land Dev Forms\Encroachment Permit STATIC form2.pdf
Rev. (11/9/05)
crrY oN cANrn:sI:I.L
DEPT. OF PUBLIC WORKS
70 North First St:
Campbell, CA 95008
(408)-866-2150
Fax (408) 376-0958
~_l~1CROACHMETjT PERMTI'
for working within the public
right-of--way) ~--"~,
_ -7 tr®
Issued ~~~--~L~' t /~/~
P t~ 2 t7 ~
~ ~Z. o
etmtt Exptratton Date ~_ ApN _ ~~~ _~~ ~ C" ~
APPLICATION -Application is hereby made-for a Public Works Permit in accordance with Campbell Municipal Code, Section 11.04. (Application exnirec ;n
six (6) months if the permit is not issued. Application Fee is non-refundable.)
A. Work address or tract # ~ 2 8 ~
Utility trench
B. Nature of work
- - ~-
C. Attach four (4) copies of an engineered- plan showing the location and eXtent of the work, and four (4) copies of the relimi
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. P nary Engineer's Estimate of
D. All work shall conform to the City of Campbell Standard Specifications and Details for Public 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 2.)
E. The Contractor must have this permit and approved plans at the site and must notify the Public Works Deparhnent at least two days before starting work.
Notice must be given to Pppublic Works at least 24 hours before restarting any work.
Name of Applicant A T A T ~ 1~ ~ (Z L A N /~ "j- I ~~ ~
(,) ~S ~ (pant name) Telephone ~ Q 8 ,- 4 q 3 - ~ k 3 ~'
Address N I ST ST
3~.-~Sk1~l_TOS~ 24-HOUR EMERGENCY TELEPHONE NO.
E-Mail Address
Is this work being done by the property owners at their own residence? ~ C0 U
Yes ~ No +~, Y ...
.rte ~ p 1
The Applicant/Peimittee hereby agrees by affixin their si P
8 gnature to this ermit to hold the City of Campbell, its officers, agents and employees free, safe a ~ ~~ ~
harmless from any claim or demand for damages resulting from the work covered by this permit.
~ ~
The Applicant/permittee hereby acknowledges that they have read and understand both the front and back of this permit, and they will inform their ~ O ~ ~
contractor(s) of the information. Applicant is advised that upon issuance of this permit, pro e tr ~ ~
for any II damage ari in o the condition of an rivate i P rtY owner, or property owner's successors, shall be responsib~ ~
Y P mprovements in the public right-of--way.
Acc ted
(Applicant Permittee) (sign) ~ ~ ~0
Date
Contactor (Print Name)
Date
SPECIAL PROVISIONS
-1. Street shall not be open cut for underground installations. Minimum cuts may be allowed for connections or exploration holes. Such cuts may
use ~cifically annroved by the Tnc„Pctor prior to cuttm .
V 2. Pavement may be cut for underground installattons and must be restored in accordance with the Utility Restoration Standard Details
"A" Backfill, unless otherwise approved bylnspector. Method
-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 excavafions until Underground 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. Pnor to any work, the property owner shall execute an Agreement for Private Improvements in the Public Right-of--Way, which shall be
recorded.
_6.
EE PUBLIC WORKS FEE SCHED Ti F FOR TRRUprT FEBq
PERMIT APPLICATION FEI?
PLAN CHECK DEPOSIT
SECURITY FOR FAITHFUL PERFORMANCFn,ABOR & MATERIALS
CONSTRUCTION CASH DEPOSIT
PLAN CHECK & INSPECTION FEE '' t YW` ~
APPROVED FOR
~(~I~3
~~
For City Engineer
sires 12 Months Ai
7:~forms~pwpeim ~ 2-r7U '~_ ~ 2.
Revised 12.27.04
- ~1i2 f~~ Pig, ~v,`~.,
Date
._ ~tef. File
Application Date ~ ~ -7
Application Expiration Date ~ O
AM-- O `1 . RECEII''I` NO.
$~ 56a GC
$ ---_
$ -___
$ ~w
/i ~`-~; oNs-0 ~nSh ~ ~1~ ~ 2~ CT'lan ~ecl .
.GENERAL PERMIT CONDITIONS
1. A Construction Cash Deposit is required. Charges will be made against this deposit if there is an emergency call-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.
3. 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 Pertttittee must request in writing a final inspection and acceptance of the work upon completion. Acceptance by the City will be made in writing to
the Permittee.
5. Maintain safe pedestrian and vehicular crossings and free access to private driveways, bus stops, fire hydrants and water valves
ti. 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 Caltrans. Traffic control equipment shall include Type li flashing arrow signs if required.
R. 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 siie. Failure to provide such signing and barricading may result iu the City's providing signing
and bamcades and charging the cost (including all labor and materials) against the cash deposit.
12. Compaction testing of subgrade, base rock, and asphalt concrete by Perini[tee is required unless otherwise stated by the City Engineer.
li. The Contractor or Permitter will have a supervisory representative available: for contact on Ute project at all times during Construction. Contractor or
Permittee shall provide a phone number at which they can be contacted outside the hours of 8:0O 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.
} 5. This permit shall not be construed as authorization for excavation and grading or. private property adjacent to the wog}: or any other work for which a
separate permit may be required, nor does it relieve the Permittee of any obligation to obtain any other permit required by law.
16. This permit does not release the Permittee from any liabilities contained in other agreements or contracts with the City and any other public agency.
17. This permit is not transferablC. Work must be performed by the Permittee or his designated agent or contractor as specified thereon.
1 h. Call back (call out) due to emergencies regarding this Hermit shall be at the current overtime rate with a three (3) hour minimum char,e Her occurrence.
19 Pursuant to Chapter 14.02 of [he Campbell Municipal Code. applicam shall not cause to he 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
anv 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 [he permit activities. Notification shall be reviewed by City prior to
distribution and include darts of work and a contact name and phone number.
Applicant shall be responsible fpyer[SIIrrtt~ that ose prow ing services under the applicant are aware of and understand all of the above conditions.
App
S =ZZ -c,7
Date
Contractor (Print Name) Date
J\forms\pwperm
Rev. Il/9/OS
AT&T PROJECT LIGATSPEED -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.
]0. 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 removedlrelocated 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 ensurin ll those providing services under the applicant are aware of and understand all of the above
conditions.
5~-z~o~
pplicant Date
Contractor (Print Name) Date
J\MQ\Utilities\ATT\Special Provisions -Rev. 2/2/07
~~
Q RE-Sv(?,rnf'fT~N(~ FoR GROUNr~ Rbp AT s~1I
OI-o$-og A S PAR C lTy RE 61LUEST
CITY OF CAMPBELL
DEPT. OF PUBLIC WORKS
70 North First Street
Campbell, CA 95008
Ph. (408)866-2150
Fx. (408) 376-0958
ENCROACHMENT PERMIT
(for working within the public
right-of-way)
Issued
Permit Expiration Date
Print Form
Permit No E N C Zd p7 - o0 0 49
X-Ref. File
Application Date
Application Expiration Date
APN
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 not issued. Application Fee is non-refundable.)
A. Work Address or Tract No.:
Utility Trench Location:
B. Nature of Work:
-a so CAPRI oR
I sog#~ 6~g298o
Pt,AC.C ~aB CA6INET ~ AssociArEO Conloufrs
C. 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 Public 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 2.)
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 Public Works at least 24 hours before restarting any work.
Name of Applicant: I 13oon-T H A SE N (~ SAVRT J-j Telephone: I LL 0 $ _ /l (~ Q _ g ., O p
Address: 3475 PJ N' ~S~ sty Rm$~ Son T ~ O
E-Mail Address: r.7 S ~ Z $ -1 ~ ~. (A~ 24-HOUR EMERGENCY PHONE NUMBER:
Is this work being done by the property owners at their own residence? ~ YES ~O
The Applicant/Permittee hereby agrees by affixing their signature to this permit to hold the City of Campbell, its officers, agents, and employees free, safe
and harmless from~y claim or demand for damages resulting from the work covered by this permit.
The Applican ermittee hereby ackno es ey have read and understand both the front and back of this permit, and they will inform their
contractor(s) f the information. dvise that pon issuance of this permit, property owner, or property owner's successors, shall be
responsible r any and all damage i ' ut of the of a 'vate improvements in the public right-of-way. (?
Accepted: / ~ a
(Applicant Permitt ) (sign) Date
(Contractor) (Print Name) Date
SPECIAL PROVISIONS:
1. Street shall not be open cut for underground installations. Minimum cuts may be allowed for connections or exploration holes. Such cuts may be
specifically approved by the Inspector prior to cutting.
2. Pavement may be cut for underground installations and must be restored in accordance with the Standard Details Trench Restoration Method
"A",unless otherwise approved by the Engineer.
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 Underground Service Alert (USA) has been notified and
the inquiry identification number has been entered hereon. USA Phone: 1-800-227-2600. USATICKET 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. Public Notification Requirements:
7
SEE PUBLIC WORKS FEE SCHEDULE FOR CURRENT FEES AMOUNT
PERMIT APPLICATION FEE $
PLAN CHECK DEPOSIT $
SECURITY FOR FAITHFUL PERFORMANCE/LABOR & MATERIALS $
CONSTRUCTION CASH DEPOSIT $
PLAN CHECK& INSPECTION FEE S
APPROVEDFORISSUANCE
For City Engineer
Permit Expires 12 Months After Date of Issuance
Date
RECEIPT NO.
GENERAL PERMIT CONDITIONS
1. A Construction Cash Deposit is required. Charges will be made against this deposit if there is an emergency call-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.
3. Refund or 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 writing
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 priorto any lane closures.
7. A Construction Traffic Control Plan shall conform to the Caltrans Manual ofTraffic Controls for Construction and Maintenance Work Zones, dated
1990, available at Caltrans. 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 the 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 thejob 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 be 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 construed as authorization for excavation and grading on private property adjacent to the work or any other work for which a
separate permit may be required, nor does it relieve the Permittee of any obligation to obtain any other permit required by law.
16. This permit does not release the Permittee 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 emeregencies regarding this permit shall be at the current 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. Permitttee must provide advance notification to all parties that may be affected by the permit activities. Notification shall be reviewed by the City prior
to distribution and include dates of work and a contact name and phone number.
Applicant shall be responsible for ensuring that all those providing services under the applicant are aware and understand all of the above conditions.
Applicant
Date:
Contractor (Print Name) Date:
1:Reina\Website\Land Dev Forms\Encroachment Permit STATIC form2.pdf
Rev. (11/9/05)
of c,gy~n
~F
u ~
~~
ARCH AKO
CITY of CAMPBELL
Public Works Department
June 12, 2007
Marlana Telfer
AT&T California
3475B North First Street, Room 300
San Jose, Ca 95134
Re: AT&T California Project Lightspeed
Encroachment Permit Application -Comments
ENC 2007-00049 - 1280 Capri Dr
RO/EST 6192980
Comments to Revision No. l
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 with appropriate recipient addresses,
exhibit of 52B cabinet example, proposed 52B cabinet superimposed on neighborhood photos and
CAD site plan.
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.
S' cerely,
li ~---U
e tck H
Senior Civil Engineer
Enclosure
cc: File ENC 2007-00049
Syed Wahidi -City Inspector
J:\AT&T Lightspeed\Comments No.2\Ltr Comment ENC2007-00049 - No.2.doc
;0 North First Su-eet Campbell, Calitornia 95008-1 43 6 T[~. 408-S(i(i.2150 FAX 408.37(i_0~758 "[1)I> 408.8G6.2?9U
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ARCH ARC
CITY of CAMPBELL
Public Works l~cpartment
Apri15, 2007
Marlana Telfer
AT&T California
3475B North First Street, Room 300
San Jose, Ca 95134
Re: AT&T California Project Lightspeed
Encroachment Permit Application -Comments
ENC 2007-00049 - 1280 Capri Dr
Dear Marlana:
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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.
Submit updated map of all existing SAI cabinets within the city boundary. ~~'Lj ~~S -~
2. Submit revised Campbell Resident Notification letter with appropriate phot exhib' ).
Submit signed letter to the Director of Public Works regarding AT& s compliance with
provisions of AB 2987.
Review and ascertain compliance with all provisions as stated in the enclosed AT&T Project
Lightspeed -Special Provisions.
Sign and return the enclosed AT&T Project Lightspeed -Special Provisions.
Sign and return the enclosed General Permit Conditions at the back page of the Encroachment
Permit Application.
Placement of proposed bollards shall be in compliance with Special Provisions. Revise drawings
for encroachment 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.
Sin rely,
~'- - ~-
Fredrick Ho
Senior Civil ngineer
Enclosure
cc: File ENC 2007-00049
Syed Wahidi -City Inspector
Robert Ruiz - AT&T
J:\AT&T Lightspeed\Ltr Comment ENC2007-00049 - No.l.doc
7U North First SU~cct Campbell, California 95008-1436 "fFL 408-866.2150 f:1X -X08.376.0958 TI>I) 408.866.2790
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