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ENC2007-00058CITY OF C. ~MPBELL DEPT. OF PUBLIC WORKS 70 North First St. Campbell, CA 95008 (408} 866-2150 Fax (408)376-0958 ENCROACHIvv1ENT PERMIT (for working within the public right-of--way) . Issued `~3 'Z Permit Expiration Date ~ ~ (~ PP„rmit Nd~ ~' C 2 ~ C)~ '~f~C^C.~j ~' .Ref. File .~ / Application Date ~-/~'~ ~ ~ Applicat~io[n Extpiration Date,. y C11 L~ ~J APN T ®d ~ ~~j ~ ~,it~- APPLICATION -Application is hereby made for a Public Works Permit in accordance with Campbell }}ttIIIIicipal Code, Secdon 11.04. (Application expires in 12 months if the permit is not issued. Application Fee i ft /~aT.,) f „~ {~`rr1' ~-- c%~ ~~c? l? ~f A. Work address or tract # ~~~ ~~/~ I d/~/} S /~~J(J//~0 ~ f~ ~~~ ~v ~~ Utility trench loca/~tion A /r ~7 ~.`(y ~/ B. Nature of work / C~ `~ ~ Z ~ y/L.~- D C~ a~~/~(,~ T ~ lnI ~"'wY. 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 [he relation of the proposed work to existing surface and underground improvements. When approved by the City Eno nee r said plan becomes a part of this pernut. ~=~ D. All work shall conform to the City of Campbell Standard Specifications and Details for Public Works Construction; the General Permit Conditions list ~n 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 I and 2.) E. The Contractor must have this permit and approved plans a[ 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. G~Q Gj Name of Applicant ~ T + T Tele hone / / ~ ~ ~/~ ,,,,,,// ,y~ / P ~7~6 /I /SjST.S/t/1/TD.SC~, nC~ eg.S/~`7 Address 24-HOUR EMERGENCY TELEPHONE NO. E-Mail Address Is this work being done by the property owners at their own residence? Yes No 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 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 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 damages ~~ ~ ut o e conditi9tt of any private improvements in the public right-of--way. (Applicant Permittee) (sign) Date Contractor (Print Name) Date SPECIAL PROVISIONS _I . Street shall not be open cut for underground installations. Minimum cuts >~ be allowed for connections or exploration holes. Such cuts may be,s~ecifically aanroved by the Insnector prior to cutting. _2. Pavement tnay 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 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. 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 AMOUNT RECEIPT NO PERMIT APPLICATION FEE $ 560 ~~~ PLAN CHECK DEPOSIT $ SECURITY FOR FAITHFUL PERFORMANCE/LABOR & MATERIALS $ CONSTRUCTION CASH DEPOSIT PLAN CHECK & INSPECTION FEE ~, \r'.~ ` Ir ,(~ , g~ ~- APPROVED FOR ISSUANCE ~~~` ~ ~ 7~Z j~U~ For City ngineer Date Permit Expires 12 Months After Date of Issuance J~ O '^ ~ . J ~~ c .~ ~, c~ ~ N ~ ~Z t~J m ts._ 4 Q `h G`~U 7" ~ "LSG = 'Dx'~ J:~formslpwperm Revised 1.20.04 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 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. 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 io accommodate the scope, alignment and schedu'te 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. I4. 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. s-ZZ -~1 Date Dale J\MQ\Utilities\ATi'\.Special Provisions -Rev. 2/2/07 Contractor (runt lvame) ~~ OF CA~'n~r u ~ F ARCH PRA CITY of CAMPBELL Puhlic Works Department June 12, 2007 Mariana 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 2007-00058 - 1500 san Tomas Aquino Road RO/EST 6204887 Comments to Revision No. l Dear Mariana: 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' c Fre ~ck o ~U Senior C' it Engineer Enclosure cc: File ENC 2007-00058 Syed Wahidi -City Inspector J:\AT&T Lightspeed\Comments No.2\Ltr Comment ENC2007-00058 - No.2.doc 7n North First Street Campbell, California 9500 8-1-43 6 TF'I 408-866.2150 IA`: -F08.376.095t; Il)I~ -}08.R(iti?79U of c~ ,~ n~F y ARCH ARC CITY of CAMPBELL Public Works L~cpartment April 10, 2007 Rob Hassing AT&T California 3475B North First Street San Jose, Ca 95134 Re: AT&T California Project Lightspeed Encroachment Permit Application -Comments ENC 2007-00058 - 1500 san Tomas Aquino Road Dear Rob: 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. ~~~~ ~`-~S 2. Submit revised Campbell Resident Notification letter with appropriate photo mss). `~ Review and ascertain compliance with all provisions as stated in the enclosed AT&T Project Lightspeed -Special Provisions. X4. Sign and return the enclosed AT&T Project Lightspeed -Special Provisions. DWG 3 shown "Dirt Area" location incorrectly. Relocate (E) bollards to achieve 18" (nun.) clearance from face of curb. 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' rely, Cis ~ _.._ ~ < .~. .. Fre 'c H Senior Civ 1 Engineer Enclosure cc: File ENC 2007-00058 Syed Wahidi -City Inspector Robert Ruiz - AT&T f::, ,~~ - J:\AT&T Lightspeed\Ltr Comment ENC2007-00058 - No.].doc 70 Nen~th First SU~cet Campbell, California 95008-1436 TCL 408-866.2150 FAX 408.376.0958 TI~I) 408.866.2790 if,_~ ,(It ._,. ~ •.(i)'~i-~ -~:t I ~ ~ •v+; .i;h 7 ~'-. 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Pa•T3 ---- 7 •, "~ -~ ~ _ C~ .....____~. _ ~iaia S •95iZ-998 (80ti) aOT33o ~iuT;e auT lleO o; aaz3 Iaa~ aseald `suo?;sanb Niue aie aiaq;~I •anoge pals?I suTa;c au; 30 Cue ;noge ~uumbuT zo ~uTu?uzgns uaTlnn .Taal s?q; 3o aI;?; aq; u? pauTeu zaquznu ~N~ aq; o; za3az aseaid •gma3o aae3 uTO~ aoue.zeala (•u?uT) «8I ana?Tlae o; spzeiiOq (d) a;eaolag •9 •~tl;aa.uoau? uoT;eaol «eaid u?Q„ u~noTls £ JMQ 'S •suoTSTnoid Ie?aadS -paads;q~?-I;aafoid S,a~1,y pasolaua aq; um;az pue u~?S •b •suoTSTnoid le?aadS -paads;Tl~?Z ;aafoid 1,~,Ly pasolaua aTl; u? pa;e;s se suoTSTnoid IIe q;?nn aoueTlduTOa uTe~aase pue nnaTnag •£ •(s);?q?Tlxa o;oTld a;~?zdoidde q;?nn .Taal uo?;eaT3?;ol~I;uap?sag IlagduTe~ pas?nai;?uzgnS •Z •~epunoq ~;ta aq; u?u;?nn s;au?qea IdS 8ut1s?xa Ile ~o deuT pa;epdn 1TTTTgnS • I •passazppe aie s;uaunuoa ~uTnnoTiO3 au; ;eq; ant;eiaduT? s? ;? `uo?;ea?Idde ;nu.Tad s?u; 3o ssaaozd maTnaz au; a;alduzoo o; .Tapio uI •uo?;ea?Idde ;nzuad ;uaunlaeoiaua ;aafgns aTI; 3o nnaTnai ~iieuuuTlaid aTI; pa;alduTOa seq llagduze~ 30 ,C;T~ aTls, gO21 ieaQ peog oumbFr seutol, ues OOSi - 85000-LOOZ ~N~ s;uaunuo~ - uouea?Iddd;?uuad;uaunlaeozaug paads;q~?Z;aafo.zd e?uzo3?IE~ ,I,aBZy :a21 b£iS6 e~ `asor ueS ;aa.uS ;si?3 ti7-TON gSLb£ e?uio~?Ie~ T ~ T d ~u?sseH goZl LOOZ `Oi i?idd !.uawzaed.~~I'''i'~'ik1 ~'ly'~~I <~a~:, ~~ -~~ 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-yeaz maintenance period and surety aze 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 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. 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 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 scoremazk 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. 1 Z. 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 consuuction. Contractor or Pemuttee 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 Petmittee 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 Pernuttee or his designated agent or contractor as specified thereon. 18. Call back (call out) due to emergencies regazding this pemtit shall be at the current overtime rate with a tluee (3) hour minimum charge per occurrence. 19. Pursuant to Chapter 14.02 of the Campbell Municipal Code, applicant shall not cause to be dischazged 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. Applicant shall be responsible for ensuring that all those providing services under the applicant aze awaze of and understand all of the above conditions. t% L ~V~ /. Date Contactor (Print Name) Date J:\forms\pwperm Revised 1.20.04 k ~ n o ~ a 0 ti ~ N ~ ~ ~ O OZ~ r Q.-. 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