Loading...
189 Bland Ave PUBI�_ IORK; - _ "ARTMENT LAND DEVELOPMEI TRAFF', _ =CEIPT �- Effective July 1 2011 II ` TO: City Clerk PUBLICIWORKSFILENO. V 4 /'— 00 PROPERTY ADDRESS Please collect&receipt for the following monies: ry sr r f f "t.c- r -zx f _ rw -> a3_ xc .> +„ ., f ,s.� aA r " .ACCT oITEM � r� x P fi 5 , .t s MOUNT t ...: ... W x,r �' L;AND'DEVELDP•MEN,,T. � k.< '.,x° 47221 ncroac ment Hermit Application Fee Non-Utilitv Encroachment,Permit $360.00 Minor Encroachment Permit<slo,000 $205.00 Initial R-1 Permit N/C Subsequent R-1 Permits within Two Year Period $200.00 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 Utility and R-1 Permits no deposit required 47221 Grading&Drainage Plan Review Single Family Lot $255.00 Site< 10.000 s.f. $765.00 Site z 10,000 s.f. <Acre $1 020.00 Site>_ 1 Acre $1 530.00 Plan Check& Inspection Fee(Non-Utility) 4722 En r. Est. up to$250 000 14% of Engineer's Estimate **2203 En r. Est.>_$250 000 Actual cost+20%Admin Overhead ' Min$35 000 Deposit) 2203 Emergency Cash Deposit 4%of En r. Est.* $500 min/$10 000 Max 2203 Faithful Performance Security FPS 100%of ENGR. EST.* 2203 Labor and Materials Security 100%of ENGR. EST.* 4721 Storm Drainage Area Fee Per Acre R-1 $2 120.00 ao v / (Multi-Res$2,385.00) All Other$2 650.00 47221 Parcel Ma 4 Lots or Less $3 675.00+ $80/lot 47221 Final Tract Ma 5 or More Lots $4 490.00+ $108/lot * 2203 Monumentation Security 100%of ENGR. EST. 4920 Parkland Dedication Fee 75%/25% Due Upon Cert. of Occupancy) 4722 Lot Line Ad'ustment Includes Certificate of Compliance) $1 730.00 4722 Vacation of Public Streets& Easements $2 295.00 4722 Certificate of Compliance $1 730.00 4722 Certificate of Correction $510.00 4722 Appeal Filing Fee $200.00 4722 Notary Fee(per signature) $10.00 4722 Assessment Segregation or Reapportionment First Split $815.00 Each Additional Lot $255.00 5117424 Postage _...._ ra s• r r x �.,. x , *:w-'•r•s '•QI a°'; r a _ v 1 s' TRAFFIC'�'� � �� . � ^�:rz ,��' sue,� s'"� �^4x- §w - s-#-} ,c z � ��,�, �, � � �� �,i•3-�''"`j�,y,� �+�' � `` . , t .: 3..:.,...,»._..._..ul s,�tF.]`'«: ti....�...�.Ni.'Frra•�a:rr.a.%�%;:¢_�.u.,.:�.sr....�'atz....,,,,i`t.*�.J',,..�,__...a;�.4�5��?i€C�,r..u..s1�.,.:.-�,a,,'t._:.L....n�:.w,..,1P_s&......-,..,,_��.-.a mac—_., .w„w...: x .. .._.. x„..s x _ :.1>...rtc: 4728 Traffic Flow Map (DailyTraffic Volumes $34.00 47281 Si nal Timing Information $72.00/Hr 42711 Truck Permits $16.00/ er trip 47281 No Parklnq Signs $1/each or$25/100 s IVIISC.ELLANIr�3U.S, k y fi._ .<. raj£ .. ?_ _._,. i a?z.,i.w . ,� r :.a L• .z. _. J .,4. c Other Please Specify) "Engineer's Estimate shall be as approved by the City Engineer and shall include all items of work. ""Actual Cost Plus 20%Overhead (Non-Interest bearing deposit) TOTAL $ L (j NAME OF APPLICANT ���L JO �l1 NAME OF PAYORq PHONE �- ADDRESS p n ZIP FOR1' + 4 . ...Y_4i....;u'x'•.S H..:»�^'Ss�,.t>...:.Y�,.F—.,:,i'._.,15'.y.>C._.?ud MY'..:.`�SteY��.A ...,.Mf »...._•.N... ,...1 h . CITY CLERK ,,.1 a'1+,'�,' '� s� y�7.�'z.`,+ ,i� 'th' � :r`(µ Gjy� AY'f 4*"';:,4 1 t �,,i'^•�N��g b.� ��.. t *+'2" _r���y �v � rF.a .3' ONLY Daten:�,Uw m �c v _ ,i�;vc',,1R8C'21 t<�s.'.? �...��� r.- ti�.I'.k�✓. _.,�,��`�.`,._ .. a..�w� � � ?'�,��-�sx._,.,>:�. .�� '��., s"4 •�E�. nnti:..�� ,..•.+; .,.s...,...:`re,L`g�.i# ,�:.r+..-,.. x.:-.ti:a.. ..,..r.:i.v..19 -.;..X.r£,0',,..F';:s;,:s.r.L ::;:,...•,vx.???e.-:ry_.,l?".��:....�Y., r.:<......� ..n..�'..£R^' .. ,.:C EaPian Chock ntl Gash Deposits; end yellow�cppy to FinanceiK v t YC rss#A6 �C r i i 5 k„ A s.. ^4- ? :,x c,a 'r "�*k a-v w x. 2 ,� a >�.r � -,,.'>��' s � �..-� - -.:�...,..,._.r lir�.,_.�..wu�� �,....:.�.iaa�c,�......ri3s4'�'.s,�»......,:�..u_�...:`"...r"•-.,.n....cy„�......r CITY OF M J7FOPM5{lemtlebeWdn�iseemalReoelPl Farm Lend Dewloemenl TMIR,11.12 CITY OF CAMPBELL RECVD BY: CASHIER 01000241865 PAYOR: G JOSSELYN TODAY' S DATE: 03/23/12 REGISTER DATE: 03/23/12 TIME: 09 : 10 DESCRIPTION AMOUNT STORM DRAIN FEES FN 2 $404 . 00 CUST ID: BLD2011-00786 ---------------- TOTAL DUE: $404 . 00 CHECK PAID: $404 . 00 CHECK NO: 1437 TENDERED: $404 . 00 CHANGE: $ . 00 I Project Address: ��•O�•c�'���� City of Campbell 189 Bland Ave r Campbell CA 95008 0 o WASTE yF MANAGEMENT Permit No. BLD2 011-0 0 7 8 6 •�RCIIARp' PLAN WMP REQUIRED BECAUSE PROJECT IS A SUBMIT TO: [K Demolition>-500 Sq. Ft. City of Campbell ❑ Construction/Remodel>-$250,000 Public Works Dept. 70 li First ❑ Construction/Remodel>-2000 sq.ft. Campbell,CA 95008 Mon.--Fri. 8:00 am-5:00 pm INFORMATION AND SUPPORT: Public Works Dept. -408 866 2150 SECTIONONE: APPLICATION This Waste Management Plan (WMP) must be completed and approved to obtain a building permit. Separate WMPs must be completed for demolition and construction at the same site unless the Building Department requires only one permit. Step 1:,PROJECT INFORMATION -FILL OUT THE FOLLOWING INFORMATION Applicant's Name: Gregory & Janet Josselyn Home 408-379-2724 Contact Phone Number: Cell 6 5 0-7 9 3-0 7 31 Fax Number: Check one: ® Owner ❑ Architect ❑ Builder ❑ Owner/Builder ❑ Other Contractor: Contact Phone Number: Project Type: ❑ New ® Remodel ❑ Addition ❑ Demolition Project Square Footage: 880 s q f t Project Description: Garage and workshop with partial bathroom Estimated Completion Date: August 2012 Step 2: WASTE MANAGEMENT REQUIREMENTS REQUIREMENTS:You are required to recycle or re-use 50%of all construction and demolition debris. I understand that-I am required by the City of Campbell Municipal Code Section 6.12 to-sa u reuse,or recycle a minimum of 50%of all construction and demolition debris(C&D). (Initial) (50% by weight) J:\FORMS\Templates\Administrative\Waste Management Plan Form.doc I understand that failure to meet the requirements of Municipal Code Section 6.12 shall constitute a misdemeanor,and shall be punishable by imprisonment in the county jail for up to 6 months,or by a fine of up ,000,or both. In addition,a stop order on the job or a delay of final approval may occu (Initial) At the completion of this project,or more frequently if required,all receipts or other equivalent documentation from salvage,recycling and waste facilities will be provided to the City of Campbell Public Works Department and I understand that I may not be issued my final inspection unless all rec,ei0s and documentation are submitted to the City of Campbell Public Works Department. (Initial) Step_3: RECYCLING CONSTRUCTION AND DEMOLITION DEBRIS'-ANSWER THE QUESTIONS BELOW SALVAGE AND REUSE: What materials will be salvaged? concrete (recycle) Salvage Company (if applicable): N/A What materials will be reused on site? None How will this be documented? dump weight tags MATERIAL TRANSPORTATION: Will you be using a hauling company or hauling the material yourself? (Check one) ❑ West Valley Collection &Recycling Co. (WVCR)* 0 Self Haul * Permit Applicant is required to contact WVCR (408-283-9250)to request construction and demolition debris box service. All original receipts,weight tags and documentation for salvage,recycling,and disposal must be submitted: ❑ On Completion of project ❑ Other DPW Approval: Date: SECTION TWO: FINAL REPORT APPROVAL Please complete this section and have it approved by the Public Works Department no later than 30 days after completion of the demolition or construction project. This section must be completed and signed, and all original receipts or other supporting documentation must be attached in order to receive final project approval. ❑ All original receipts or equivalent documentation for salvage,recycling,and disposal are hereby attached. ❑ This project has recycled at least 50%of all construction and demolition debris generated. Applicant: Date: DPW Approval: Date: J:\FORMS\Templates\Administrative\Waste Management Plan Form.doc S1 MEMORANDUM CITE' OF CAMPBELL TO: Bill Bruckart, Building Official DATE: 8/31/2011 FROM: Doris C. Quai Iloi, Project Engineer (40 866-2157 Ed Arango, P.E., Associate Engineer �- SUBJECT: BUILDING PERMIT APPLICATION 2 A Site Address: 189 Bland Avenue C/ r op For File No(s): FP T OZ ZO � e786 ProJet Description: New Detached Garage w/workshop Applicant: Gregory and Janet Jossel n OFN PUBLIC WORKS DEPARTMENT CONDITIONS OF APPROVAL 1. Plan Lines: Prior to issuance of any grading or building permits for the site, the applicant shall provide a plan layout showing the correct street dimensions (dimension widths of entire street and dimension from property line to centerline of roadway), and existing street improvement dimensions (sidewalk, curb, gutter, etc) and other relevant information in the public right of way. 2. Storm Drain Area Fee: Prior to issuance of any grading or building permits for the site, the applicant shall pay the required Storm Drain Area fee, currently set at $2,120.00 per net acre, which is $404.00. 3. Utilities: All on-site utilities shall be installed underground per Section 21.18.140 of the Calripbell_ Municipal Code for any new or remodeled buildings or additions. Applicant shall comply with all plan submittals, permitting, and fee requirements of the serving utility companies. 4. Water Meter(s) and Sewer Cleanout(s): Existing and proposed water meter(s) and sewer cleanout(s) shall be relocated or installed on private property behind the public right-of- way line. 5. Utility Coordination Plan: Prior to issuance of building permits for the site, the applicant shall submit a utility coordination plan and schedule for approval by the City Engineer for installation and/or abandoiurient of all utilities. The plan shall clearly show the location and size of all existing utilities and the associated main lines; indicate which utilities and services are to remain; which utilities and services are to be abandoned, and where new utilities and services will be installed. Joint trenches for new utilities shall be used whenever possible. 6. Pavement Restoration: Based on the utility coordination plan, the applicant shall prepare a J:\LandDev\Conditions\Bldg\Bland Avenue 189.DOC Page 1 of 2. 189 Bland Avenue pavement restoration plan for approval by the City Engineer prior to any utility installation or abandonment. Streets that have been reconstructed or overlaid within the previous five years will require boring and jacking for all new utility installations. Bland Avenue has not been reconstructed or overlaid in the last 5 years. The pavement restoration plan shall. indicate how the street pavement shall be restored following the installation or abandonment of all utilities necessary for the project. 7. Utility Encroachment Permit: Separate permits for the installation of utilities to serve the development will be required (including water, sewer, gas, electric, etc.). Applicant shall apply for and pay all necessary fees for utility permits for sanitary sewer, gas, water, electric and all other utility work. 8. Additional Street Improvements: Should it be discovered after the approval process that new utility main lines, extra utility work or other work is required to service the development, and should those facilities or other work affect any public improvements, the City may add conditions to the development/project/permit, at the discretion of the City Engineer, to restore pavement or other public improvements to the satisfaction of the City. 9. Stormwater Pollution Prevention Measures: Prior to issuance of any grading or building permits, the applicant shall comply with the National Pollution Discharge Elimination System (NPDES) permit requirements, Santa Clara Valley Water District requirements, and the Campbell Municipal Code regarding stormwater pollution prevention. The primary objectives are to improve the quality and reduce the quantity of, stormwater runoff to the bay. Resources to achieve these objectives include Stormwater Best Management Practices Handbook for New Development and Redevelopment ("CA BMP Handbook") by the California Stormwater Quality Association (CASQA), 2003; Start at the Source: A Design Guidance _Manual for Stormwater Quality Protection ("Start at the Source") by the Bay Area Stormwater Management Agencies Association (BASMAA), 1999; and Using Site Design Techniques to Meet Development Standards for Stormwater Quality: A Companion Document to Start at the Source ("Using Site Design Techniques") by BASMAA, 2003. J:\LandDev\Conditions\Bldg\Bland Avenue 189.DOC Page 2 of 2 PLAN? REVIE'VN7 ROUTER CITY OF CAMPBELL IiNew Submittal ❑Resubmittal: (2"d,3ra 4", -5th Review) ❑Revision to Existing Permit RECEIVED APN# APPLICATION/PERMIT# f�, t L '00 ".NMNNKJOB ADDRESS �k �� 4� JOB DESCRIPTIONip =J •- f. :.:� x`'. 'l� ,fryt �`� c ❑COMMERCIAL RESIDENTIAL Plans 'RE'CIE 2 Structural Calcs. WVSD _Soils Report School Fee Form 2,Truss Calcs. Health Department Approval. T-24 Calcs. _Response Letter Initials �11,i uilciinb Plan Checked By Date: Structural Plan Checker: Date: ❑APPROVED EINOT APPROVED tr lannina Zone: rn Plan Checked By: Date: ❑APPROVED EINOT APPROVED i'nb c o.t i;s ltr.Cleclecl By: Date: ❑APPROVED EINOT APPROVED Fire Plan Checked By: Date: ❑APPROVED EINOT APPROVED RECEIVED AUG 19 20fl PUBLIC WORKS C'i , OF CAMPBELL-BUILDING__--MON BUILDING ADDRESS: 189 Bland Ave Campbell Ca 95008 SATE F BUILDING X ELECTRICAL L'~ PLUMBING I/ MECHANICAL-L r PERNII'T TYPE: i . } DEMOLITION SIGN GRADING OTHER DESCRIPTION OF WORK: NEW X RE& CON M. DEMO SIGNS OTHER detached garage VALUATION �$50, 000 . 00 t F Home 408-379-2724 i ONMR'SNAME: Gregory & Janet Josselyn PHONE#: Cell 408-828-6244 ADDRESS: 189 Bland Ave r CITY: Campbell, California ZIP: 95008 Home 4.08-379-2724 APPLICANT'S NAME: Gregory & Janet Jossel.yn PHONE##:Qall 4n8-R28-6244 ADDRESS: 189- Bland Ave i CITY: ., Campbell- California MP: 95008 s r CONTRACTOR'S NAME: EDB Builders Inc, LICENSE lt CONTACT PERSON: Travis Donley PHONE M 408 608 8598 i ADDRESS: 1375 S . De Anza CITY. Cupertino CA, ZIP: 95014 I ARCIiEMMENG NAME: Tom Jakaby; SE Jakaby Engineering I Office:408-374-6149 CONTACT PERSON: Tom Jakaby PHONE#: i^P 1 1 - (4 n R) 4 ti 4-1 R 9 2 i ADDRESS: 1885 Winchester Blvd. Suite A F CITY: Campbell -California ZIPc 95008 HAZARDOUS MATERIALS: USED ON SrM: YES NO X . STORED ON SITE: YES NO X . (For use or storage of hazardous materials,provide a AazzMat Information Statement to the Fire Dept.Hazardous Materials Specialist for review and comment. FIRE SPRINKLERED: YES NO X n Ei � B,Ua1yUGDLA,V111'`! L Property Detail Report CoreLOgic For Property.Located At - r, 3 ia l 189 BLAND AVE, CAMPBELL, CA 95008-1001 Owner Information: Owner Name: JOSSELYN GREGORY A&JANET L Mailing Address: 189 BLAND AVE,CAMPBELL CA 950087-1001 C047 Phone Number. Vesting Codes: HW 1/JT Location Information: Legal Description: TRACT 200 BLAND TRACT BOOK 7 PAGE1 26 LOT 6 County: SANTA CLARA,CA APN: 305-23-090 Census Tract/Block: 5065.0311 Alternate APN: Township-Range-Sect: Subdivision: BLAND TR Legal Book/Page: Map Reference: 66-A2/853-D5 Legal Lot 6 Tract#: 200 Legal Block: School District. CAMPBELL UN Market Area: 15 Municff ownship: Neighbor Code: Owner Transfer Information: Recording/Sale Date: 03/27/2003 10311312003 Deed Type. GRANT DEED Sale Price: 1st Mtg Document#: 16914496 Document#: 16914495 Last Market Sale Information: Recording/Sale Date: 061111199910610111999 1 st Mtg Amount/Type: $300,000/CONV Sale Price: $375,000 1st Mtg Int.RatefType: /FIXED Sale Type: FULL 1st Mtg Document#: 14853438 Document#: 14853437 2nd Mtg Amount/Type: $18,7001 CONV Deed Type: GRANT DEED 2nd Mtg Int.Rate/Type: / Transfer Document#: Price Per SgFt: $250.33 New Construction: Multi/Split Sale: Title Company: AMERICAN TITLE CO. Lender: HEADLANDS MTG INC Seller Name: RICHARDS SUELLEN Prior Sale Information: Prior Rec/Sale Date: 08111119951. Prior Lender: AMERICAN SVGS BK Prior Sale Price: $265,000 Prior 1st Mtg Amt/Type: $115,000/CONV Prior Doc Number: 12979696 Prior 1st Mtg RaterType: !ADJ Prior Deed Type: GRANT DEED Property Characteristics: Gross Area: 1,498 Parking Type: GARAGE Construction: WOOD Living Area: 1,498 Garage Area: 400 Heat Type: HEATED Tot Adj Area: Garage Capacity: Exterior wall: Above Grade: Parking Spaces: Porch Type: NONE Total Rooms: 6 Basement Area: Patio T COVERED Type: PATIO Bedrooms: 3 Finish Bsmnt Area: Pool: Bath(F/H): 2/ Basement Type: Air Cond: Year Built/Eff: 1945/1945 Roof Type: Style: H-SHAPE Fireplace: T i 1 Foundation: Quality: AVERAGE #of Stories: 1.00 Roof Material: Condition: AVERAGE Other Improvements: Site Infonnadon: RESID Zoning: R-1-6 Acres: 0.19 County Use: SINGLE FAMILY(01) Flood Zone: C Lot Area: 8,250 State Use: Flood Panel: 0603380005C Lot Width/Depth: 50 x 165 Site Influence: Flood Panel Date: 12/07/1982 Res/Comm Units: l Sewer Type: Land Use: SFR Water Type: Tax Information: Total Value: $465,130 Assessed Year: 2010 Property Tax: $5,803.68 Land Value: $273,018 Improved%: 40% Tax Area: 10006 Improvement Value: $182,112 Tax Year: 2010 Tax Exemption: HOMEOWNER Total Taxable Value: $448,130 http://pro.realquest.com/j sp/report.j sp?&client=&action=confirm&Ltype=gWeport&recordno=0... 8/19/2011 a i 0 F F I CIE O F 22 U N T Y N°20 S S E S S O R S A N T A C L A R A C O U N T Y, C A L I IF R N I A BOOK PAGE 4--- BLAND - - -- - - AVE. - -4 305 23 oo BLAND TRACT 'O 4 c� 22/ 2/7 l99 �/B9yq /79 /l/ /55 /4% /33 M F55 15 Nm 50 so `5'0 50 I 50 50 1 25 25 1 b0 38.7G LAWRENCE E. STONE— ASSESSOR 30 25 CadasUal map for assessment purposes only. 3 � Compiled under R.&T.Code,Sec.327. 87 -1m I 1; I I Effective Roll Year 2009-2010 988 1 89 j90 f 9/ 1 92 1 93 9 1 95 WI > 7s I- I {.• it I I I� s Q o I a`"n 85 1 I 4 I 5 Ir 6 I 7 I 8 9 I 10 I I I 1 12 \iJ II I— 150 I I II i� I _ _1 1 I i 5814 84.94 8 7 I 6 I 5 1 4 I 1 3 1 2 I 1 ll 22 II I I I Im Ie Im 0 w S 84 N I B3 61 82 ry I 8/ 1 80 79 v1I1IlI I IIII IIII N 78 'I I`n 77 74 74 7, 74 1 74 74 74 61 � MN z s IfI1 4'�G O I II 1 II II TRACT I 11 N? 1I1I II 2 z/e �EDEGARD SUBDIVISION 7 7 -- 3/TRACT No 395 /09 AVE.- VE.—15-3,B-0 -_-. H N1, AP 4N. MILTON AMPB9 VIEW TRACT zn 205 S /6/ 147 I ` 50 so 2 1 5o 94,92 4 6 .32 74 74 74 74 74 b0.60 2 20I 50' / 25 o 5 66 7/60 NI 62 65 70 767 7 -5 76 N 9 2 . o_ ---- 1 10 I 14 IS 16 81 I 12 1 13 I 14 1 159 7 1 16 1 17 16 _ 126.07 I I _ o 0,01 — IIS I D 0 .0I 0.01 1 _224 1 25 26 27 28 1 29 1 32 34 5 1 36 I 37 38Q IWQ "'— 39 I 0--i27-2-z-2 ma1�1j1 m-5 1I111^ 3 60 1m;r 62so III11�t cc 1III1 rM I1 5/ Ii1M W - III IIII 6o III 5o lI1 41 4 I9 -I CI m 57 54 53 52 1 50 = 49-1 48 47 -1 46 1 45 44 LI 43 "I 42 =14o 5 9.07 G0 57Gc IL�_11 60 fio 3T29 4z7z60 226 166 156 / 32 ai- 7 - v I — 30 9B 96 74 62 56 92 30 /6 1— CARLYN TRACT NO 153 AVE. REES SUBDI%ISIONn hj 223i 2// 20/ /87 /73 /63 /43 /3/ // /03 9/ B/ 63 57 43 / 2/ 45.2G 6n Go 60 30 30 '3� ?0 13p 3p 154 2G 60 G5 7-.W 'A?.5 2?.75 5�50 ar W 1 I i i 1 1 i -1 51..+J 59.57 p751 69.5 I 59.5 1 59.5 59.5 O � I I 1 I I I 1 1 1 1 25I 18 Ih J M N 24 1 m 25 I 26 I 27 28 29 30 3/ 32 33 34 35 36 37 38 1 39 1 40 1 4/ - - - ILLJ I; 21 I 20 19 18 17 I6 15 1 14 13 12 11 I 10 9 I 8 1 7 1 6 5 1 4 1 3 1 2 1 I 'a I_ 6L77 571Z,3 eo 1 I 1 2 I 3 1 4 6 I 6 1 7 1 8 i 9 10 1 II 1 12 i 13 I 14 i 15 I� 16 i U 28 '1 22 i 2/ i 20 i /9 i /8 i /7 1 /6 i /5 /4 /3 I /2 I // /0 I 9 - 0 3 I - - - - - - i� I 4C Gi.91 I '15 75 75 I 75 75 I 75 75 75 1 75 1 75 75 I 75 75 I 75 I �4.14 rf 410 2/B 204 190 /76 160 146 1 132 MR /04 90 76 62 46 1 TRACT 149 490 4 - - HARDY----- - 24--LIATr IMER MANOR - ---------- AVE.--- I Land Development Informati sheet Prepared by: DQH Date: 8/31/2011 Address: 189 Bland Avenge Lot size:(SF) If this project is part of a larger development(new subdivision, new townhomes)or commercial development, skip A through D. A. Existing building area(SF): B. Proposed addition area(SF): 880(detached starage) C. Total area w/addition(A+B): D. Percent increase(B/A): (if less than 50%, stop research) Tract or Parcel Map (circle one): TR 200 Date recorded: April 6, 1942 (Tract#or book&page) Any found records of Storm Drain Area fee previously paid? Yes ❑ (provide info below) No (Fee initiated for residential subdivisions -> 8/15/55; all developments --> 5/16/60) Date paid (file# & address or LID#) Storm Drain Area fee: 0.19 X 2120 = 404.00 (area in acres) (fee/acre) Any found records of building permits in last five years?Yes ❑ (provide info below)No ❑ Was pen-nit issued? Yes ❑ (provide info below)No ❑ Nature of Work: Permit Number: Within STANP? Yes ❑ No ® (check one) STANP Requirements: Curb ❑ Gutter❑ Sidewalk❑ Rolled curb ❑ None❑ NA ❑ Existing improvements present? Curb ® Gutter ® Sidewalk ® (check all that apply) Sidewalk dimension(BOW to FOW): 4' Park strip dimension(FOW to BOC): 5_5' Driveway dimension(s): 10' D/W ADA compliant? Yes ® No ❑ Street light info: JP ® older pole ❑ galvanized pole ❑ Water meter and sewer cleanout info: WM in park strip; SCO on site in driveway Street ROW half width(CL to PL): 30' Date that street had been resurfaced: 85 single chip seal Electrical panel relocation? Yes ❑ No ® NA ❑ Provide details and attach pictures (8.5xl1), assessors map(1 lxl7) and aerial map(8.5 x 11): J:\LandDev\Land Develop Information Sheets\Bland Ave 189.doc CITY OF CAMPBELL Section Summary Public Works Department 70 N. First Street Printed:08/31/2011 Campbell,CA 95008 (408)866-2150 Street ID: BLAND Begin Location: HEDEGARD AV Constructed:01/01/1942 Section 1D 10 End Location-: LATIMER AV No. Lanes:2 Street Name::BLAND AV Functional Class: Residential/Local Length(ft): 631 Width(ft):37 Area(sq ft) 23,347 Surface Type:AC Slab Width: 0.00 Slab Length:0.00 #of Slabs: 0 General Coder 1D 'Funding;Source-0 Area IDNW NORTHWEST Comments- .... __... ......... Maintenance Rehabilitation History Maint. Date Treatment Sq. Ft. Thickness PCI after M&R Cost Maint: 08/01/1976 SLURRY SEAL 0 0 51 $0 08/01/1985 SINGLE CHIP SEAL 0 0 53 $0 Inspection History Inspection Date:08/01/2000 Section PCI-52 Inspection# Length Area No Distresses Special _.. _ .... __ ......_.. _.. ......... 1 0.00 2335.00 ❑ ❑ Inspection Date:04/28/2004 Section PCI:46 Inspection# Length Area No Di.. ...v _ ..... ❑ 1 100.00 3700.00 Inspection Date:10/10/2008 Section PCI:50 Inspection# Length Area No Distresses Special .... ...... .__ ­-, ....... ..._-....._._.._ . ._........_. . .____ . ._._._.... . ._.�._ 1 50.00 3700.00 ❑ ❑ Criteria:Section=BLAND-10 1 MTC StreetSaver SS1054 jr Aw r A61 0 i .. ♦ �k� � # - � st3-� rarl 1 !• � �x�,^ r� ��,rFl f �� � fir' �., � • �., .I 7 4 I .titer � � ♦� ,. Y �Y ! v NEW 200 AMP ELECTRICAL SERVICE PANEL ELECTRIC SERVICE UNDERGROUND UTILITY POLE i5.82' ----- -------------------------------------- --------------- -- -- - ------------------ ELECTRIC EXISTING GAS SERVICE 37 0" .- ---- - - -- -- - - - - -- -- - -- - -- GAS --- - - - - -- - -- - - - - - - -- - - - -- - --- -- -- - --- -5'-3" -- - - TELEPHONE&CAN SERVICE UNDERGROUND 2-8 O W ' z ...J EXISTING V EXISTING WATER SERVICE WATER AETE R EXISTING w Q RESIDENCE � o C0 a.Lo o T Z W O r Q W fn W D z J M CD 30'-0 5/16" w 0 w w NEW SEWER W W W. W co Lu W STREET CASANOUT v NEWSEWER ; AS REQUIRED BY U fA BACKPLOW PREVENTS BANRATION DIBTRIGT AB REQUIRED BY SANITATION 0""RC SEWER ' EXt8T1NG 8 CLEANOUT DRIVEWAY .or 3 30- 1/2" 65.s2�---- AN (SCALE 1/8" =1l.011) -7 A(I y&0 •--- -•� n..�:..�e.,s IrI-1 C-%arano Z Workshop 189 Bland Ave Campbell Ca.,: IN W s0 W Z 4 W cc) 0 N w �" D w << ti W U 0 �`. - 0-U � U Z W ui QW W C 'Z a. W AC l-- o Wz ace z .a w � 0 U Z W -j � z -�.� -j W � Z W z Z <t 2 0- � CL � LL � z 0 � Z <C w � >- ix W W Z CL C? N Z w -� Q Z t a < Z U z - Q a. 0 'i Q � � Cl) IX � � U � H p � � w .,, <t U Q W �. c� W• o- LU > F- in �, co _ cow , p z to w n J� w Z 2 W T- 4 W H W cop WC) W < M UW C0 0 w < w 0 — < 00 D 9 m W 0 W W o (D W 1'- �-- �.. •�•"� qd a. Z W W W ;� W p LLI CL � <� - W CO !-- W CL cf) C W X W �? ?_ vc� Z CO �� >F- >W Z W wW Z LL W C� ix W= "' CL � 0 ZWz X Ci t3 ^ a Z Ua O a <C d .� CL cv tt3 - }. W �. �. 0 W W <rr zQ z J CL 9z w tra- � m m z _K2 J <t W <t W CL-- a �� Q C� W LL ao 4 W, ,.� t` �-- Z Q W Z 0 oa w Z .... ,� W W � © t� �,_ F- W � p F- C� -� W !- CL <t W Ix CO0- zooms ..N t Qmr) t`=L '` Z z 0 u)W ww Q .. �=v .. _ W M t� <C W W W W to <t C� - Z W CL - W ... Z W F- �S : <C Z 0 Cti O W � � w o -- W z • 0 u- -- W = , <t act F- �L Z W o � W � �' � � � '' WV- WOO �-� 000 W N-' zW CO� i W Via. C� Z� C�Q 0 - CAW � 0 � <W .a.w 0�w IL _j (LCC cr t � cC) 0- �-- W wW Mw wm ZZ w E- �., cr) Z W cL 0 W < � � � < • • W Fw <t C7 W p ,_., �., fl% �,} C W � W � W � 9 W {� 0 CO � z <C '-'- wpm '.�'-'o�z ZW W W Zc3u- �..� co 0 u� w °° � �_ .. zz a` zZ0 z <- W ZoU-� �W� w�-� �-- -�Z zv`� t� <tW t� �" �� ..cn �' �-_ � WF•-J o-' �� CO m z Dt-= CL W oMD _ �..w� � � W �- C� �W D C� v�Q < ��" � wry Zw 0<L a w z- - o# cL cr cL w50 Ow2w --� = W _.� Cr -- Z Z- 0 Z W C� t� W CO CO -. o c)u v Q°W o n - WWO a- `" Cl)� o 1 0Irz ©Q W0 w Z0 WW <t ' CL : CL = Z W W W W F > � CO CO �- � ;� C} W C� w � t� :� 0-- 0 0 3: z CA W W <C DAD ..� WW I--WCLW Z= Z0z w u�zW UWw Q zo .� �,UL ,,, CrC� �- `� Crx <tz©C 0- CL F- ._ F- W W � D �_. W ,. ,[ W p W W W p p W W (D w C' >C -- a- W <� _' Q' Q 0 -1-1 F- .�� W '- F- W F- - Z . � Z -- .....� W � <t <t ? ci m W CL ¢ ,.� CO W s u) 0- �- � ., , W U , - C� <t p z �- X F-- X 0 Q - ... W QtX3 C3_m WC!? Wtl� (� SQc WQ 0F=-<< s i i i •. ! f < t • t � t "� • i � � < i , i i r • i • i i" ! f • i i i . � i i s • is to i �► . " � i ti „ ® ti i i ` ; . i i i ti ! i ! i i i i � r i * � •� i i < i 1 • s s • i • i , i i • _ iAh. i i i i ! < i t i i i i i . i i •• # i i All O i i ' �' i • i i �` i • w i i + • ti ti + ♦ f P u Te i � Z 1frR�) W Q -1 (yQ LLJ 0 Z go P / 7 at 0 c CL W Q _ Z Q tL cc moo� o �.. U! �} W A t` !--w cc F- -j M w O i '5 g D Q to < ® 1 t } I } t } } t } I } } I } j ■e■ } I } 0- } } ui i } } t } f W {t C } � } ! , } ' } } W -j UJ i } ( } I t i Q � i } I f ! i } } Ul Z i , I I w } } } } I I r t } 1 } ! t _ i I t t 1 t t t � I } f } 1 1 f } } 10 ! I i t F I t I t O i i I i I NL' ui to Z... W co W Q: co P tip w > 0-0 �■ X Z 4) c Z cc CL W F rs L Z J LU ui 0 Im Q V_R � ( t I I t 1 # t # , a? Q # } I Co i } i t t }--• 0 fW i } t i } W t U4 ! I I } 1 W C } t F t } } I t CL 0 W i !!!{ } W 0 co WI } n I t jtt t \ I t \ {n U3 \ na. \ C \ \ � cl CIL � , t I \ W t " \\ r 0 ©"' QQ t jS3 t i t W \ t ' UJ \ QQ 0 it \�0 \ 0 F 00-1 LIJ 1L \ Lu ` co z W t # < ZWO 0 } W < w 1 t OX0 j I j t ! t t #t t t (�} cl t i NV loz t t � , t 77'- 100 09,3 V L. �*O N f § t aNil ,klNadoad 50,001 m � E Cl CO Z w tti co r V) L1 CL 0 J 0-CL w Q U rt�s ��rVr i M 7tr/ YI #pan Q V i1e • l C4 LU 01.