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ENC2016-00130OF cAM �A, '0d •UkCHAR�• CITY OF CAMPBELL Public Works Department August 29, 2018 John Kim 221 Cherry Lane -Campbell, CA 95008 SUBJECT: PERMIT NO: ENC 2016-00130 221 Cherry Lane, Campbell, CA FINAL INSPECTION AND ACCEPTANCE Dear, John: The City of Campbell has made the final inspection of the subject Public Works improvements and finds that no remedial work is required. Your warranty requirements and any surety, therefore, are hereby released. The remaining 25% of your Faithful Performance Deposit in the amount of $1,250.00 is enclosed. Sincerely, Syed Wahidi Public works Inspector File: ENC2016-00130 70 North First Street • Campbell, California 95008-1436 • TEL 408.866.2150 • FAX 408.376.0958 • TDD 408.866.2790 ................... . ....... . .... ........................ ........................ .. . ....... ....................... ... ..... .1 ...... ..... . ............... . ........... ............. ................. > CITY OF CAMPBELL VENDOR, No. 10014514 CHECK NO. 269466 10014514 HAE YOUNG KIM ME� < • CAMPBELL WMBi FARcO BANK N.A. 11-24 4 :6-�:�MONTGOMERY S CHECK DATE 08/27/18' CHECK NO. 269466 NORTHFIRST STREET . ; it dTREET S 6, A94104 FRANCISC CAMPBELi,.CALIFORNIA 95008 0 AMOUNT *"J- ;&0 25 0— 'e, VOID AFTER 90 DAYS- Q 0 PAy �THE: SUM OF ONE THOUSAND, TWO HUNDRED FIFTY DOLLARS & ZERO C3 CENTS 0 , T THE H 'AE YOUNG KIM ORDER Eq 221 CHERRY LN II CAMPBELL CA 95008 2 Pm',q 2100 0'21ifi 41 2 1 _8 5,54 115 11!, . ... ...... .................. ... ...... ..... . . .................... ...... .. . . . . . ... .. . . . .. . . . .. . .......... ..... ........................................ ........................................1 ................ ..................... ........................... . ......... . . . . .. .. . ..................... .............. . ......................... *See Reverse Side For Easy Opening Instructions* CITY OF CAMPBELL 70 NORTH FIRST STREET CAMPBELL, CALIFORNIA 95008 HAE YOUNG KIM 221 CHERRY LN CAMPBELL CA, 9(5008 CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT CLEARANCE FOR ONE YEAR MAINTENANCE ACCEPTANCE LETTER Encroachment Permit # ENC2016-00130 Property Address 221 Cherry Lane Date of Final Inspection: 8/10/18 On File: Bonds CD Cash Faithful Performance $ Labor and Material $ Construction Cash Deposit to be released: $ Other overdue deposits to be released (Description): Processed by: Reviewed ,by: Reviewed by: ator Land Development Engineer S/« B JkS J%<7\g JAJoAnnaT\Deposit refunds\CHECKLISTS\2 Checklist - I yr Maint. Acceptance.doc (Rev. 10/11) To: Finance Director Check Payable To: Address - Line 1: Line 2: City: Description: Account Number: Account Number: Account Number: (Finance Dept only) Total Payable: Purpose: Receipt #: Receipt #: Refundable Deposit Check Request Hae Young Kim 221 Cherry Lane Campbell State: CA 221 Cherry Lane 101.2203 Amount: 101.2203 Amount: 101.540.7448 Amount: Interest Earned (Exact Amount) 221 Cherry Ln -25% of FPS Refund Permit #: 264774 Date: Date: Zip: 96008 $1,250.00 (Finance Dept on ENC2016-00130 7/6/2016 Requested by: Title: Inspector Date: Syed Wahidi Approved by: Title: Sr. Engineer Date: Roger Storz Finance Dept Only: Verified by: Approved by: Title: Accounting Clerk II Date: Title: Accountant Date: Special Instructions. For Handlinq Check mall AS IS: Mall in Attacnecl Envelope: interim l;neCK: Return To: JoAnna Thomason Needed By: Public Works (Name) (Department) Other: Please return check to JoAnna Encroachment Permit Final Sign Off Encroachment Permit#�C 2�ICe� f3v Address: 2.z r Q+i Py- U\J Date of Final Inspection and Acceptance: Inspected by: )� OK to release deposits: 100% V� -75% Comments: o¢ Cq yA Ok CF[ARO CITY of CkMPBELL Public Works Department August 25, 2017- John Kim 221 Cherry Lane Campbell, CA 95008 SUBJECT: PERMIT NO. ENC 2016-00130 221 Cherry Lane, Campbell CA FINAL INSPECTION AND ACCEPTANCE Dear John: The City of Campbell has made a final inspection of subject Public Works improvements and finds the work to be acceptable and in conformance -with City standards. Accordingly, the City Engineer accepts the improvements. The one year maintenance period stated in the permit begins as of August 3, 201 The permittee is responsible for the repair and/or replacement of any defective work, or failures that occur within one year. The City will inspect the improvements within one year and notify you, in writing, whether or not any repairs are required. 25% of your Faithful Performance Security Deposit will be kept for the duration of the one year maintenance period. 75 % of your Faithful Security Deposit in. the amount of $3,750.00 is enclosed. If you have any questions, please call me at (408) 866-2165. Sincerely, Syed Wahidi Public Works Inspector Cc: Inspector /Suspense Files Permit File ENC2016-00130 70 North First Street • Campbell, California 95008-1436 • TEL 408.866.2150 • FAX 408.376.0958 • TDD 408.866.2790 J ........................I ! ....... i.. .. ------ --- • 1 CITY OF CAMPBELL VENDOR NO t 1 1 HAE YOUNG KIM 221 CHERRY LN CAMPBELL CA 95008 '1 0 .AC"-Rl� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDfYYYY) 1 6/28/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S). AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the term-, and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of, such endorsement(s). PRODUCER All Spectrum Insurance Brokers 4010 Moorpark Ave Suite 117 San Jose CA 95117 CONTACT Jamie Kelch NAME: PHONE E,ty I (408) 739-8300 1 CFAX . "o:(866)026-6782 -I - JA E-MAIL ADDRESS. 3kelch@asibrokers , com INSURER(S) AFFORDING COVERAGE NAIC- # INSURER A:Financial Pacific Insurance Company 31453 INSURED Sbv Concretet, Inc DBA: Valley Concrete 1020 Ruff Dr San Nose CA 95110 INSURERB.-Falls Lake Eire and Casualty 15884 INSURER C INSURER D: INSURER E rnIt"FRAGIES CERT.IFICATE.NUIVEER-CLI761606229 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBEDHEREIN IS SUBJECT To ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE A SUER POLICY NUMBER POLICY EFF (MMIDDIYYYY) POLICY EXP (MIVDDfYYYY) LIMITS x COMMERCIAL GENERAL LIABILITY Cc' EACH I OCCURRENC 1,000,000 CLAMVq-r'.'7%DE x OCCUR x 60430980 6/19/2017 6/19/2018 S 300,000 MEDEXP (Anyone person) S 5,000 PERSONAL & ADV INJURY S 3_000,000 CEI'L�AC GREGATE LIMIT APPiJES PER. L PRO. POLICY JECT LOC _GENERAL AGGREGATE S 2,000,000 PRODUCTS - COMPIOP AGG $ 2,000,000 $ OTHER: THER: AUTOMOGil-E LIABILITY COMBINED SINGLE UNIIT AEalaccident) $ 1,000,000 BODUY INJURY (Hot person} $ A ANY AUTO ALL OWNED SCHEDULED AUTOS !AUTOS , HIRED AUTO$ NON -OWNED U A TOS 60430980 6/19/2017 6/19/2018 B I ODILYINJURY(Poraccidemi PROPERTY DAMAGE Per accidant) X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 11000,00 AGGREGATE S EXCESS LIAB I CLAIMS -MADE B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY i YIN ANY PROPRIETORWARTNERfEXF OFFICEWMEMBER EXCLUDED?MIA (Mandatory in NHt If n4 cscribo under D RIPTION OF OPERATIONSbelow Y FLA003454-00 1/9/2017 1/9/2018 STATUTE ER 6.1- EACH ACCIDENT S 000 000 E'.L DISEASE - FA EMPLOYE� $ 1,000,000 E.L. DISEASE - POLICY UMIT] $ 1,000 000 DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more spa" Is required) RE: 221 Cherry Lane,k Campbell, 05008 permit 4 Enc2016-00130 When required by written contract, per endorsement CG2010 02 10R, The City, its officers, employees and volunteers are additional insureds with respects to general liability coverages. When required by written contract, per endorsement WC 040306 (Ed. 4-84), waiver of subrogation applies with respects to workers, compensation coverages. - -"IN I IF 1Yf I c FI-I-u"Ix %'11%114LIML-L-1A f IUIIJ - - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Campbell THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 70 N ls" Street ACCORDANCE IMTH THE POLICY PROVISIONS. Cwnpbeil , CA: 9-50-08- AUTHORIZED REPRESENTATIVE D Lazarev/LTKELCH U' 1VUtS-ZU14ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD . . . .............. . .. - ....... ..... .. .............. .. .. ... ... ... THIS JENDORSEMENT CHANGESPOLICY,PLEASE READIT CAREFULLY. ADDITIONAL INSURED — OWNERS. LESSFIES OR CONTPACTORS (WITH LIMITED COMPLETED OPERATIONS WAX i BUSINESSOWNERS COVERAGE R SCHEDULE AME OF PERSON OR ORGANIZATION the qualifying language above because of Any person or organization to whom or to which payments we make for injury. the n 3ri€ d insured is obligated by a virtue, of a written contract to provide insurance that is LOCATION OF JOB: , afforded. by 1 this policy. Where required by The job location roust be within the State of contract, the officers, officials, employees, domicile of the named insured, or within any directors, subsidiaries, partners, successors, contiguous State thereto. parents, divisions, architects, surveyors and E'1?' 4Ci? rc Preinf-ii trip (ii ag a Sri flrN+,al tact kr ric w. i 1= t �!lpTifil�i OF%14t �71t; �. Ail oth-"i entities, including but riot ItrniteCl to The type of work performed must be that as agents, 'volunteers, servants, members and described under classifications in the CGL partnerships ;are included as additional insureds, Coverage Part Declarations. if required by contract, only when acting within the course a'nd scope of their duties controlled and supervised by the primary (first) additional Insured. < if! an Owner Controlled insurance Program; is involved, the coverage applies to off- PRIMARY CLAUSE: site operations only. if the purpose of this When this endorsement applies and when endorsement is for bid purposes only, then no required by written contract, such insurance as coverage applies. is afforded by the general liability policy is primary insurance and other insurance shall be WHO IS AN III S REDP (Section 11) excess and shall not contribute to the insurance This is rsr#ii✓r rvei.a iv „zuIu Ua; cza ai i ia3evrdE"'-,d i3`+!` this insured the person or organization within the scope of the qualifying language above, but only EXCLUSION to the extent that the person or organization is This insurance provided to the additional insured held liable for your acts or omissions in the does not apply to "bodily injury", "property course of 4 ur' work" for that person or damage" or "personal and advertising injury" v,` pYtt,livil by 01s 10 you. Ti1C "Pl'oducls- al,i,5ing oui. :r rill° ctlL!`tit t`u, tl{)9il c(' o completed operations hazard" portion of the surveyor's rendering or failure to render any policy coverage as respects the additional professional services, including: insured does' not apply to any work involving or 1. The preparing, approving, or failing to related to properties intended for residential or prepare or'! approve, maps, designs, habitational occupancy (other than apartments). shop drawings, opinions, reports, This cla lse does not affect the "products- surveys, field orders, chance orders, or 0 p � i";..; vvEi CY _,^gam #"sYtt ,� 4 } L m",1 to t rti§� ,� �v �. v: ed e$i `h8 } nyStl # +,.J TES`•p-gc+:. r. dra rugs nd sp-acific'a ,.., and named insured(s). 2. Supervisory inspection, architectural or l englneering`activities. We waive any right of recovery, when required Endorsement EFFECTIVE DATE: SEE DEC by written contract, that we may have against the nnrr, n rtr omrjnmiZ.::;tin,n +vithin the nr•r —. cf Cntdcrzoment EXP! 7dkTlflhl DATE: SEE DEC CG 2010R 1211 Page 1 of 1 includes copyrighted material of Insurance Services Office, Inc., with its permission POLMYNUMBER.- 60430980 COMMERCIAL GENERAL LIABILITY SUPPLEMENTAL DECLARATIONS - ADDITIONAL INSUREDS OWNERS, LESSEE$ OR CONTRACTORS (LrmiTsD COMPLETED OPERATIODS COVERAGE) 637 CG2010R—: --�CALIFORKIA ENDORSEMENT EFFECTIVE FROM.- 06/19/2016 Lo 06/19/2617 THIS 9 1 NDORSENENt. APPLIES TO THE POL160VING CLASSES ON THE POLICY 2221E COMM DRIVEWAY PARKING AREA OR SIDEWALK PAVING OR REPAVIur. 91560 CONTRZT02tS PEgRANENT YARDS E NiP X&&'NTZ#ARCZ INCL PH/Co 92215; ;ESIDENTIAL DRIVEWAY, PARKING AREA-PAVI.NW:09 REPAVING FiccUt—fli" WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA Vve have Ene right to recover our payments from anyone liable for an iniury covered by this policy. We will no,, enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement fromus.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in ,the Schedule. The additional premium for this endorsement shall be 2.5% of the California workers' compensation premium otherwise due on such remuneration. Persolver Orgartization Blanket Waiver of:Subi—og 0-tif 0 1-1 Schedule A- naspecto #- ad r* -61 A, W wan CA jobs F— ormed by the named insured during the policy period where by written contract a waiver of subrogation is required pd;or to the commencement of work. This efidotien-tentchanGes the policy to 'Milch It is aftached and Is effec:tIvem,3, a date Issued ur.t--, other-Ase stated (The information below Is required only when Ws endorsementis Issued subsequent to preparation of the policy.) Endorsement Effective: �1/912017 Policy No. FLA003454-00 endorsement No. Insured: SBV Concrete, inc. (A Corp) Insurance Company: Falls Lake Fire & Casualty Company Countersigned By tAJ11nigthAs reserved. Insurance Rating Bureau of Callfo I Policy#60430980 COMMERCIAL AUTO CA 7109 01 17 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE REAr) IT CAREFULLY. BUSINESSAUTO ULTRA ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM COMMON POLICY CONDITIONS COVERAGE INDEX DESCRIPTION PAGE Substitute Auto Physical Damage 2 -Temporary Broad Form.Insured 2 Employee as Insureds 2 Additional Insured Status by Contract, Agreement or Permit 2 Bail Bond Coverage 3 Loss of Earnings Coverage 3 Amended Fellow Empioyee Coverage 3 Towing and Labor 3 -Physical Damage Additional Transportation Expense Cover -age 3 -Extra Expense �Theft 3 Rental Reimbursement and Additional Transportation Expense Personal Effects'Coverage 4 4 Personal Property of Others 4 Locksmith Coverage 4 Vehicle Wrap Coverage 5 Airbag Accidental Discharge 5 7 Audio, Visual and Data Electronic Equipment Coverage 5 Auto Loan/Leasq Total Loss Protection 5 Glass Repair — Deductible Amendment 5 Amended Duties in the Event of Accident, Claim, Suit or Loss 6 Waiver of Subrogation Required by Contract 6 Unintentional Failure to Disclose. 6 Hired, Leased, Rented or Borrowed Auto Physical Damage 6 Mental Anguish 1 7 Extended Cancellation Condition 7 The ,,,Vr;OA GE INDEX sot forth above is informational only Uld grants no coverage, Terms set forth .In (Bold italics) are likewise for information only and by themselves, shall be deemed to grant no coverage. CA 71 09 01 17 Includes copyric ghtbd material of Insurance Services Office, Inc., with its permission. Page 1 of 7 A. TEMPORARY SUBSTITUTE AUTO PHYSICAL DAMAGE SECTION I — COVERED, AUTOS, paragraph C. Certain Trailers, Mobile Equipment and Temporary Substitute Autos is amended by adding the following at the end of the existing language: if Physical f3iamagel Coverage is provided tinder !his Coverage. form for an "auto" you own, the Physical Damage coverages provided for that owned "auto" are extended to any "auto" you do not own while used with the permission of its owner as a temporary substitute for the covered "auto!' you own that is out of service because of its breakdown, repair, servicing, "Ioss",'or destruction B. BROADENED LIABILITY COVERAGES SECTION I! — LIABA-iTY COVERAGE in Paragraph A. Coverage at, 1. Who is An Insured is amended to include the following: (Broad Form Insuted) d. Any legally incorporated subsidiary in which you own more than 50% of the voting stock on the effective date of the Coverage Form, However, the Named Insured does not include any subsidiary that is an "insured" under any other automobile policy or would be an "insured" under such a policy but for its termination or the exhaustion of its Limit of.insurance. rf e. Any organization that is acquired or formed by you, during the term of this policy and over which you maintain, Majority ownership. However, the Named Insured does not include any newly formed or acquired organization-. (1) That is a joint venture or partnership, (2) Thatlis an "insured" under any other policy. (3) Thatihas exhausted its Limits- of Insurance under any other policy, or (4) 181) Idays or more after its acquisition or formation by you, unless you have given us notice of the acquisition or formation Coverage does not apply to "bodily injury" or "property damage!' that results from an accident that occurred before you formed or acquired the organization. rEmploLvea as Ins f. Any errip'loyee of yours while acting in the course of your business or your personal affairs while using a covered !auto" you do not own, hire or borrow. (Additional lnsureddStalus by Contract, Agreement or Permit) g. Any person or organization whom you are required to add as an additional insured on this policy under a written contract or agreement: but the written contract or agreement must bet C!9rp6ntly in effect or becoming effective o- during the term of this policy; and (2) Executed prior to the "bodily injury" or "property damage." The additional insured status will apply only with respect to your liability" for "bodily injury" or "property damage"!, which may be imputed to that person(s) or organization(s) directly arising out of the ownership, maintenance or use of the covered "autos" at the location(s) designated, if any. Coverage provided by this endorsement will not exceed the limits of liability" required by the written contract or wrifteri ameement even if the limits of liability stated in the policy exceed those limits. This endorsement shall'not)ncrease the limits stated in Section,11. C. Limits of Insurance. For any covered "auto" you own this Coverage Form provides primary coverage. C. BROADENED SUPPLEMENTARY PAYMENTS SECTION 11. LIABILITY A. Coverage 2. Coverage Extensions a. Supplementary Payments (2) and (4) are replaced by the following: (Bail Bond Coverage) (2) Up to $5,000 for cost of bail bonds (including bonds for related traffic violations) required because of an "accident" we cover. We do not have to furnis; i these bonds_ (Loss of Earnings Coverage) (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earning up to $500 a day becausei of time off from work. (Amended Fellow Employee Exclusion) D. AMENDED FELLOW EMPLOYEE EXCLUSION Only with respect to your "employees" who occupy positions which are supervisory in nature, SECTION II. LIABILITY B. Exclusion 5. Fellowa Employee is replaced by: 5. Fellow Employee "Bodily Injury,: a. To you, or your partners or members (if you are a partnership or joint venture), or to your members (if you are a limited liability company); b. To yourexecutive officers" and directors (if you are an organization other than a partnership, joint venture, or limited liability company) but only with respect to performance of their duties as your officers or directors; c. For which there is an obligation to share damages with or repay someone else who must pay damages becauseV the injury described in paragraph a and b above; or d. Arising out of his or her providing or failing to provide. professional health care services. F or purposes of this endorsement, a position is deemed to be supervisory in' nature if that person performs principle work which is substantially different from that of his or her subordinates and has authority to hire, transfer, direct, discipline or discharge. E. BROADENED P-iYSiCAL DAMAGE COVERAGES SECTION IiI — PHYSICAL DAMAGE. COVERAGE A. Coverage is amended as follows: i (f owing and Labor) 2. Towing is deleted and replaced with the following: 2. Towing andi Labor E We will pay towing and labor costs incurred, up to the limits shown below, each time a covered "auto" is disabled: a. For private passenger type vehicles we will pay up to $100 per disablement. \ b. For all other covered "autos" we will pay up to $500 per disablement However, the labor must be performed at the place of disablement. (Physical Darnage Additional Transporl'ation Expense Coverage) 4. Coverage Extensions a. Transportations Expenses is amended to provide the following limits: We will pay up to b60 per day to a maximum of $'I,800. Ali other terms and provisions of this section remain applicable. The following language is added to 4. Coverage Extensions: (Extra Expense,- Theft) c. Theft Recovery Expense If you have purchased Comprehensive Coverage on an "auto" that is stolen. we will .pay the expense of returhir4 that stolen auto to you. The limit for this coverage extension is $5,000- i CA 71 09 01 17 Includes copyrighted material of insurance Services Office, Inc., with ifs permission. Page 3 of 7 i d. Rental We will coverag covered trar add cov, (2) We and a) (b) (3) Our (b) (c) d) e. Perso, If you The in (Personal Property f- Person, We will applies or vand deductit (Locksmith Govera g. Locksm We will private I ient and Additional Transportation Expense) eimbursement )rovide Rental Reimbursement and Additional Expense coverage ;only for those Physical Damage 3 for which a premium is shown in the Declarations or schedule p6 ges. Coverage applies only to a auto". .'ill pay for auto rental expense and the expense incurred by you 'because of "loss" to remove and 'er your materials and equipment from a covered "auto" to a covered' "auto." Payment applies in on to the otherwise applicable coverage you have on a covered "auto.0 No deductible applies to this sill pay only for expenses incurred during the policy period and b6ginning 24 hours after the "loss" ending, regardless of the policy's expiration, with the lessor of the following number of days; the number of, days reasonably required to repair or replace the covered "auto." If "loss!' is caused y theft, this number of days is added to the number of days it takesi to locate the covered "auto" and �turn it to you, or it days- oyment is limited to the lesser of the following amounts: ecessary and actual expenses incurred;, or 75 per day. his coverage does not apply while there are spare or reserve "autos" available to you for your perations. "loss" results from the total theft of a covered "auto!' of the private 1'passenger or light truck type, we ,ill pay under this coverage only that amount of your rental reimbursement expense which is not �randy Provided for under the SECTION' !I! - PHYSICAL DAMAGE COVERAGE, A. Coverage, 4. overage Extensions, a. Transportation Expenses. ,verage) Effects ve purchased Comprehensive Coverage on this policy for an "auto" you own and that "auto' is will pay, without application of a deductible, up to $500 for Personal Effects stolen with the "auto". once provided under this provision is excess over any other collectible insurance. For this coverage Personal Effects means tangible property that is worn or carried by an "insured". if Others) Property of Others .y up to $600 for loss to personal property of others in or on your covered "auto." This coverage ily in the -event Of "loss" to your covered "auto" caused by fire, lightning, explosion, theft, mischief ism, the covered "auto's" collision with another object, or tha;', covered "autos" overturn. No s apply to this coverage. Coverageup to $250 per occurrence for necessary locksmith services for keys locked inside a covered ginger "auto". The deductible isv.,a leJ d nor these service - copyrighted material of Insurance Services Office, Inc., with its pe rmission. r I&T-1w (Vehicle Wrap Coverage) h. Vehicle Wrap Coverage 1 If you have Comprehensive or Collision coverage on an "auto" that is a total loss, in addition to the actual cash value of the "auto", we will pay up to $1,000 for vinyl vehicle wraps which are displayed on the covered "auto" at the time of total loss- Regardless of the number of autos deemed a total loss, the most we will pay under this Vehicle Wrap Coverage for any one "loss" is $5,000. For purpose; of this coverage provision, signs or other graphics painted or magnetically affixed to the vehicle are not'considered vehicle wraps. (Airbag Accidental Discharge) F. SECTION III — !PHYSICAL DAMAGE COVERAGE, B. Exclusions is amended. at 3. to include the following language: J If you have puf8hased Comprehensive or Collision Coverage under this policy, this exclusion does not apply to ,mechanical breakdown relating to the accidental discharge of an air bag. This coverage applies only 110 2 covered auto you own and is excess of any other collectible insurance or warranty. No deductible applies to this coverage. G. BROADENED LIMITS OF INSURANCE (Audio, Visual and Data Electronic Equipment Coverage) I SECTION 111111 - PHYSICAL DAMAGE COVERAGE - C. Lin-d! of Insurance at 1.b. is amended to provide the following limits: � b. Limits of $1,000 per "loss" is increased to $5,000 per "loss". All other terms and provisions of this section remain applicable. (Auto Loan,11-ease Total Loss Protection) SECTION III -PHYSICAL DAMAGE COVERAGE - C. Limit of Insurance is amended by adding the following language: A -is time of the "loss" to In the event of a total "loss" to a covered "auto" shown in the Schedule pages, subject at th a loan or lease, we will pay any unpaid amount due including up to a maximum of $500 for early termination fees or penalties On the lease or loan for a covered"auto" less: a. The amount paid under the Physical Damage Coverage Section of the policy; and b. Any: (I ) Overdue lease / loan payments at the time of the "loss" (2) Financial penalties imposed under a lease for excessive use, abnormal Wear and tear or high mileage; (3) Secul!rity deposits not returned by the lessor; (4) Costs for extended warranties, Credit Life Insurance with the loan or lease; and i (5) Carry' ,-over balances from previous loans or leases. (Glass Repair— Deductible Amendment) H. GLASS REPAIR; —DEDUCTIBLE Health, Accident or Disability Insurance purchased SECTION III — PHYSICAL DAMAGE COVERAGE — D. Deductible is amended by adding the following: Any deductible shown in the Declarations as applicable to the covered "auto" will not apply to glass breakage if the damaged glass is repaired, rather than replaced. CA 71 09 01 17 Includes copyrighted J material of Insurance Services Office, Inc., withtitspermission. Page 5 of 7 (Amended Duties in' the Event of Accident Claim, Suit or Loss) I. AMENDED bUTiES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS Under SECTION IV— BUSINESS AUTO CONDITIONS, A. Loss Conditions, the following is added to paragraph 2. Duties In The Event of Accident, Suit or Loss: d. Knowledde of anv "accident", "claim", "Suit" Or "loss" will be deemed knowlt'ldge by you when notice of such "accident" '10.1kaim" "suit" or "loss" has,been received by: (1) You,' if you are an individual; (2) Any partner or insurance manager if you are a partnership; (3) An executive officer or insurance manager, if you are a corporation-, (4) Your, members, managers or insurance manager, if you are a limited liability company; or (5) Your; officials, trustees, board members or insurance manager, if you are, a not -for -profit organization. (Waiver of Subrogallon by Contract) J. WAIVER OF SUBROGATION REQUIRED BY CONTRACT i Under SECTION IV, BUSINESS AUTO CONDITIONS, A. Loss Conditions 5. Transfer of Rights of Recovery Against Others to Us the following language is added: i However, we waive any rights of recovery we may have against the person or organization with whom you have agreed in writingin a contract, agreement or permit, to provide insurance such as is afforded under the policy to 1 r r, which this endorsement is attached. This provision does not apply unless the written contract or written agreement has been executed, or permit has been issued, prior to the "bodily injury" or "property, damage." (Unintentional Failure to Disclose) K. UNINTENTIONAL FAILURE TO DISCLOSE Under SECTION IV — BUSINESS AUTO CONDITIONS, B. General. Conditions the following is added to 2. Concealment, Misrepresentation Or Fraud: Your unintentional error in disclosing, or failing to disclose, any material fact existing at the effective date of this Coverage Fbrm,:or during the policy period in connection with any additional hazards, will not prejudice your rights under this Coverage Form. n1to (Hired, Leased, 10.01 d or Borrowed Auto Physical Damage) L. HIRED, LEASED, RENTED OR BORROWED AUTO PHYSICAL DAFNIAGE Under SECTION IW!_ BUSINESS AUTO CONDITIONS B.'General Conditions 5. Other Insurance Paragraph 5.b. is replaced by the following: b. (1) For and "Collision" Auto Physical Damage coverage provided by this endorsement, the follo 'Wing j are deemed to be covered "autos" you own: (a) Any Covered "auto" you lease, hire, rent or borrow; and (b) Any Covered "auto" hired or rented by your "employee" under a contract in that individual ".employee's" name, with your permission, while performing duties,' related to the conduct of your business. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto" (2) Limit of Insurance For This Section The most we will pay for any one "loss" is the lesser of the following: (6) '$75,000 per accident, or (b) actual cash value at the time of loss, or (c) cost of repair. material of Insurance Services Office, Inc., with its permission. CA 71 09 01 17 I Minds a $500 deductible. An adjustment for depreciation and physical condition will be made in determining actual cash value in the event of a total loss. No deductibl' applies to "loss" caused by fire or lightning. (3) This Mired Auto Physical Damage coverage is excess over any other collectible insurance. (4) Defthitions For This Section (a) (Yomprehensive Coverage: from any cause except the covered "autlds", collision with another object or the covered "autos" overturn. We will pay glass breakage, "loss" caused by hitting a bird or animal and, "loss" caused by falling objects or missiles. b) Collision Coverage: caused by the covered "auto's" collision with another object or by the covered "!auto's" overturn. M. MENTAL ANGUISH Under SECTION. V DEFINITIONS, C. is replaced by the following: C. "Bodily injury' . ' means bodily injury, sickness or disease sustained by a person including mental anguish or death resulting from bodily linjury, sickness, or disease. (Extended Cancellation Condition) N. EXTENDED CANCELLATION CONDITION Under CANCELLATI N, of the COMMON POLICY CONDITIONS form, item 2.b. is replaced aced by the following: b. 60 days before the effective date of cancellation if we cancel for any other reason. CA 71 09 01 17 ncludes copyrighted material of Insurance Services Office, Inc., with its permission. Page 7 of 7 INSURANCE REQUIREMENTS CHECKLIST Permit # S20VO —V�)0 CIP Project # Consultant/Contractor e_ a C) \ Ca �e�C��` LTV\ _- _ The following insurance is required of all consultants/contractors working in the City of Campbell public right-of-way. Insurance certificates must be accepted by City staff before work can begin. These insurance requirements apply to work being performed under an Encroachment Permit and work being performed under contract for Capital Improvement Projects. Limits Commercial General Liability for bodily, personal injury and property damage: X $1,000,000 per occurrence, and ❑ $1,000,000 general aggregate limit applying separately to the project, or 0 $2,000,000 general aggregate limit. _ i�,Policy expiration date Automotive Liability: "Any Auto" checked on certificate —$1,000,000 per accident for bodily injury and property damage Policy expiration date Workers' Compensation and Employer's Liability Waiver of Subrogation clause $1,000,000 per accident for bodily injury or disease ��. Policy expiration date c1 Course of Construction (if required in Special Provisions) ❑ Completed value of the project ❑ Policy expiration date Required Endorsements to General Liability and Automobile Liability Policies Additional Insured Endorsement: The City, its officers, employees and volunteers are named as additional insured. I (Reference Project Location/Permit Number) 6X_ The insurance coverage afforded to the Additional Insured is primary insurance. Cancellation area: ❑ Cancellation area of certificate edited to delete "endeavor to" and "but failure to mail such notice shall impose no oblieation or liabilitv of anv kind upon the companv. its aeents or representatives". OR should say: Should any of the above described policies be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy provisions. ❑ Workers' Compensation Insurance Sheet Submitted ❑ For General Contractor ❑ For Developer or Owner J:\FORMS\Templates\Insurance Requirements\Insurance Requirements Cklist.doc (Rev 08 14) Page 1 Acceptability of Insurer(s) ❑ Insurer(s) has current A.M. Best Rating of A:VII and is authorized to transact business in the State of California. f Name: � Vc,C—C-- NAIC # � �u5Rating x� Authorized in CA: Name: AIC # (S$MRating: 1 X Authorized in CA: Name: AIC # Rating: Authorized in CA: Name: NAIC—# Rating: Authorized in CA: r�Carn bell Business License # \ �l Expiration: � s` p p Contractors License # Class: � -6 Expiration: r'S' G � �l'1 �?S Insurance Certificate Reviewed M Dy Date ❑ Copy of Insurance Certificate placed in tickler file one month prior to expiration. J:\FORMS\Templates\Insurance Requirements\Insurance Requirements Cklist.doc (Rev 08 14) Page 2 � , d-,;-,-�tyCampbell _ am P&lf"- a" , ,, �4�-� ;�, -, -, , �- - - � ., , , � . ,-,-.� . � , �� 4- , , ., ,F D�:�d""sb:- 'r,- -,�ip, � .,t-i."�on'��—�- ,- , ��-I-, ;- ." : , �,.,- -,!�. j- . . - ; :-, - - , �r � ,. , . �, � �� , , . _ ", - . , _ ,, , ,, �j. .�.,��-', .� fil- � .- I �_,�Z'� - , 1 . I - .�r ", �, �!, _ , 6 - - T�, -. 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CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT CLEARANCE FOR FINAL INSPECTION AND ACCEPTANCE LETTER Encroachment Permit#: ENC 201E-00130 Name: John Kim Property Address: 221 Cherry Lane Date of Final Inspection: On File: Bonds CD Cash Faithful Performance: $ 5,000.00 Labor and Material: $ Construction Cash Deposit to be released: $ Other overdue deposits to be released (Description): Processed by: A inistrator Reviewed by: Inspector Reviewed by: 1� 1 Land Deve pmen ineer J:\JoAnnaT\Deposit refunds\CHECKLISTS\Cherry 22Ldoc (Rev. 10/11) Encroachment Permit Final Sign Off c., Encroachment Permit #�� Address: CAj-2e-qz T 4-J Date of Final Inspection and Acceptance: 8 Y Inspected b : p OK to release deposits: 100% ' 75% Comments: D,oJ9 od t. f Print Form CITY OF CAMPBELL ENCROACHMENT PERMIT Permit Noy I 1 h, —13 V DEPT. OF PUBLIC WORKS (for working within the public X-Ref. File 70 North First Street right-of-way) Application Date 1.4 Campbell, CA 95008 �f2(b /! Application Expiration Date Ph. (408) 866-2150 Issued 7i APN Fx. (408) 376-0958 a8 Lt0 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.) A. Work Address or Tract No.: 1221 Cherry Lane Utility Trench Location: ONC B. Nature of work: Widen dwy curb cut from 9' to 16' to match the (N) garage opening/install street tree 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: John Kim Telephone: 4088589085 Address: 221 Cherry Lane, Campbell E-Mail Address: edenlm9085@yahoo.com �4SH,(DJRIEM€RGEtJ2YPHOUE3NUMBER + `—Z 377TYq%0 Is this work being done by the property owners at their own residence? r YES F 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 ag arising out of the con i n of any private improvements in the public right-of-way. Dw/i t: �� 7elr/��I ��.�.--Accepted: a - (Applicant Permittee) (sign) 11q 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 specificallapproved 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 4216 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. Public Notification Requirements: 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 EMERGENCY PERMIT FEE APPROVED FOR ISSUANCE AMO N $I r �. R�.CQLM74 For City Engineer Permit Expires 12 Months After Date of Issuance Date' 411 WIN 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. Submit project schedule 10 (ten) days prior to proposed start of work. Special provisions may be required for work within City facilities and downtown Campbell. 5. 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. 6. Maintain safe pedestrian and vehicular crossings and free access to private driveways, bus stops, fire hydrants, and water valves. 7. 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. 8. 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. 9. 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. 10. Sawcut for all PCC or AC removals. All PCC removals shall be to the nearest scoremark and shall be doweled to existing improvements. 11. 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. 12. 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. 13. Compaction testing of subgrade, base rock, and asphalt concrete by Permittee is required unless otherwise stated by the City Engineer. 14. 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. 15. 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. 16. 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. 17. This permit does not release the Permittee from any liabilities contained in other agreements or contracts with the City and any other public agency. 18. This permit is not transferable. Work must be performed by the Permittee or his designated agent or contractor as specified thereon. 19. 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. 20. Pursuant to Chapter 14.02 ofthe 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. 21. 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. 22. 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 Vp, 1, t, t.?-\ c r5 tj r�']AF_-�Jt M,k—S'i k1k,40 M E S . k ND C ontrator 4f:Peitmt Namona Date: L-17 C/ . 7 J:\FORMS\Templates\Encroachment Permits\Encroachment Permit STATIC form2.pdf Rev. 02/14 TO: Finance PUBLIC WORKS DEPARTMENT LAND DEVELOPMENT Effective July 1, 2015 )F 1� PUBLIC WORKS FILE NO. L -'1 v PROPERTY ADDRESS � 1 Please collect & receipt for the following monies: ACCT. ' ITEM LAND DEVELOPMENT AMOUNT 4722 Encroachment Permit Application Fee Non -Utility Encroachment Permit Ma'or >_$10 000 $395.00 Minor Encroachment Permit <sio,000 $225.00 .� Initial R-1 Permit N/C Subsequent R-1 Permits within Two Year Period $225.00 Inspection Fee Minimum Charge per Location $390.00 Street Tree Planting/Removal N/C 2203 ($500 per Tree Planting Deposit Required) $500.00/tree 2203 Plan Check Deposit 2% of Engineer's Estimate $500.00 min 47221 Utility and R-1 Permits no deposit required Grading & Drainage Plan Review Single Family Lot $275.00 Site < 10,000 s.f. $825.00 Site > 10,000 s.f. < 0.5 Acre $1 105.00 Site >_ 0.5 Acre $1 655.00 4722 NPDES Review C3 Requirements) For projects not required to submit numeric sizing $160.00 For projects required to submit numeric sizing Impervious Area 10,000 S . Ft to 1 Acre $690.00 Impervious Area 1 Acre or more $900.00 4722 For ro•ects sent to Consultant for review Consultant Cost +20% 4722 Additional treatment facilities $300 ea Plan Check & Inspection Fee(Non-Utility) 4722 En r. Est. < $250 000 14% of Engineer's Estimate 4722 Enqr. Est. >_$250 000 and 5$500,000 $35,000 + 8% of Engineers Estimate 4722 En r. Est. >$500 000 $55 000 + 7% of Engineers Estimate 2203 Emergency Cash Deposit 4% of En r. Est.* ($500 min/$10,000 Max) 2203 Faithful Performance Security FPS 100% of ENGR. EST.* 15000 2203 Labor and Materials Security 100% of ENGR. EST.* 4721 Storm Drainage Area Fee Per Acre R-1 $2,120.00 LPAS— (Multi -Res $2,385.00) (All Other $2,650.00) 4722 Parcel Map (4 Lots or Less) $3,930.00 + $85/lot 4722 Final Tract Map (5 or More Lots) $4,775.00 + $116/lot 2203 Monumentation Security 100% of Ci 's Monumentation Estimate 4920 Parkland Dedication Fee (75%/25% Due Upon Cert. of Occupancy) 4722 Lot Line Adjustment (Includes Certificate of Compliance) $1,856.00 4722 Vacation of Public Streets & Easements $2,480.00 4722 Certificate of Compliance $1,840.00 4722 Certificate of Correction $550.00 4722 Document Recording Fees $15.00/first page $3 ea. Additional 4722 Private Improvement in Public ROW $50.00 4722 Approved Plan Revision Fee $100/sheet 4722 Appeal Filing Fee $200.00 4722 Notary Fee (per signature) $10.00 2 Assessment Segregation or F<eapportionment First Split $877.00 Each Additional Lot $275.00 511.7424 MISCELLANEOUS _ Postage _. �--_---- Other (Please Specify) *Engineer's Estimate shall be as approved by the City Engineer and shall include all items of work. TOTAL $ �-6 7 J NAME OF APPLICANT NAME OF PAYOR PHONE lg� ADDRESS zip »o FOR RECEIVED BY CfAv CITY CLERK ONLY Date 8 1 I - ' - °" ', _ C' FRecei t #; �LI' J:IFORMS\Templa - vv Ge ± CAMPBELL GIk2G774 • Gm+ Aoa7r-R ' G5 eAR=MEmS Sys«s:7� Tqe m=» D16 Ggm +k:' q# JkGgIf m7 q=mom 3� SD 9a.m Om&mAVJ'iLl 2 m: Gmo.mGm LAK my A;ƒmm« /a.m ma& ---� — 79§ __-� TSk ma ��gG2 �AmO= wm m�4 ` [ maT G4 glgQm — WEAKENED PLANE JOINT OR CUT JOINT 1 /8' WIDE, 2" DEEP WEAKENED PLANE JOINT — OR CUT JOINT 1 /8" WIDE, 2" DEEP +10% MAX CONFORM\ —6% MAX e.:o.::-: a;:-: •e..a;:. o..a.,... 6" CLASS A CONCRETE, TYP. 6, 6" CLASS 2 AGGREGATE BASE, TYP. DOWEL ° ° NOTES SECTION A —A 1. WHEN THE DRIVEWAY IS NOT POURED AT THE SAME TIME AS THE CURB AND GUTTER, 12 OF NO. 4 REBAR AT 4' INTERVALS SHALL BE INSTALLED AS SHOWN (REBARS TO BE BENT DOWN AND COVERED UNTIL USED). 2. - SCORE MARKS SHALL NOT EXCEED 4'-0" O.C., AND USE MECHANICAL SEPARATOR AT EVERY OTHER SCORE MARK. 3. DRIVEWAY APPROACHES (EXCEPT SINGLE FAMILY) SHALL HAVE A 6"X6"X10/10 WELDED WIRE FABRIC 3" ABOVE BOTTOM OF CONCRETE. 4. DOWEL ALL NEW CONCRETE IMPROVEMENTS TO EXISTING CONCRETE IMPROVEMENTS. 5. AT LOCATIONS WHERE NEW SIDEWALK ENDS AND MEETS AN EXISTING SIDEWALK, THE NEW SIDEWALK SHALL TRANSITION TO MEET THE EXISTING SIDEWALK AS DETERMINED BY THE CITY ENGINEER. aF CAA -� oRc$ARO G CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT REV. DATEI BY Residential Driveway Detail (Attached - Sidewalk ) J:/Drawings/Std—Details/D15 SCALE: N.Z'.5.. DRAWN BY: DATE 02/04 DETAIL NO. 1 D CHECKED BY: DATE APPROVED BY: MMY ENGINEER RELOCATED . (E) GAS. METER Ems'° I NEW 1-STORY - ADDITION OO 125 S-F / p DS N� (N) PORCH � DS • 1 I (E) LANDSCAPE 125 S. F. / � I (N) CONC: WALK -- I 98 S.F. (f CONC. DRIVE 401 S.F. _ CY) O r of • � T r N I N r N I (E) LANDS PE I 70.9' LLB L (E) W.M. (E) CITY WA K I\ 18'-4" . i IW Kg� D- 5: ► �A`DCLlRBC CHERRY LANE —11uY — . — CITc / nDnlnir-ABC- DI A K I mw - - I 1� 6 5/8" c 1 d- N 1 PIN (N) 200 AMP ELECT ..MET /PANEL. a\ l f a� �'•Ti