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ENC2017-00244 OF CA OkCHAR' CITY of CAMPBELL Public Works Department March 8, 2019 Maaza Essayas 1512 Parsons Ave. Campbell, CA 95008 SUBJECT: PERMIT NO. ENC 2017-00244 1512 Parsons Ave., Campbell, CA FINAL INSPECTION AND ACCEPTANCE Dear Maaza: 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. Sincerely, Syed Wahidi Public works Inspector 70 North First Street Campbell, California 95008-1436 •TEL 408-866.2150 FAX 408.376.0958 Toy 408.866.2790 CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT CLEARANCE FOR ONE YEAR MAINTENANCE ACCEPTANCE LETTER Encroachment Permit # ENC2017-00244 Property Address : 1512 Parsons Ave. Date of Final Inspection: 3/7/19 On File: Bonds CD Cash Faithful Performance $ Labor and Material $ Construction Cash Deposit to be released: $ Other overdue deposits to be released (Description): No deposit refunds due. Processed by: 31 �ministrator Reviewed by: Inspector Reviewed by: 3 lz t Land Development En inee J:VoAnna'Meposit refunds\CHECKLISTS\parsons 1512.doe(Rev. 10/11) Encroachment Permit Final Sign Off Encroachment.Permit# Address: 2j�i2S�:NS Date of Final Inspection and Acceptance: Inspected by: OK to release deposits: 100% 75% Comments: a of- C14 tip",.. •�kCHARO• CITY OF CAMPBELL f� 1 Public Works Department. . i . E March 12, 2018 / J ' Maaza Essayas \•� 1512 Parsons Ave. Campbell, CA 95008 SUBJECT: PERMIT NO. ENC 2017-00244 1512 Parsons Ave. FINAL INSPECTION AND ACCEPTANCE Dear Maaza: 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 February 28, 2018. 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. Your Faithful Security Deposit in the amount of$2,000.00 is enclosed. If you have any questions, please call me at(408) 866-2165. Sincerely, �—:_::_ Syed' ahidi Public Works Inspector Cc: Inspector/Suspense Files Permit File ENC2017-00244 70 North First Street • Campbell, California 95008-1436 TEL 408.866.2150 FAX 408.376.0958 TDD 408.866.2790 OF C44( U i _ r •�kCHAR9. CITY OF CAMPBELL Public Works Department March 12, 2018 Maaza Essayas 1512 Parsons Ave. Campbell, CA 95008 SUBJECT: PERMIT NO. ENC 2017-00244 1512 Parsons Ave. FINAL INSPECTION AND ACCEPTANCE Dear Maaza: 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 February 28, 2018. 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. Your Faithful Security Deposit in the amount of$2,000.00 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 ENC2017=00244 70 North First Street • Campbell, California 95008-1436 TEL 408.866.2150 FAx 408.376,0958 TDD 408.866.2790 ........._. ......_.._........ _...____.. .I I._._......-....-..._....... ....._.-..........._... ........_.-........................... ............._...__................. I....:... .._..---...__... - �• - - - - - I CITY,,OF CAMPBELL VENDOR NO. 100148'11 CHECK NO. 266864 I :.....Accdtutt...... ... Purchdse: Desm- to ......, 101 2203 CR030518 2,000.00 1512 PARSONS/ENC2017 I � I m 10014811 MAAZA ESSAYS ` _ I — OEM I i � I ry CHECK DATE CHECK NO a a` n CITY OF CAMPBE_LL WEli S FARGO BANX NA., ,. .. 11._24 , ! �• A 23/mNT(OMERY STREET 1210 \. 0 3/12/18 2 6 6$6 4 t�� 0 NORM H FIRST STREET gpN aRANciSCo CA 94104 -CALIFORNIA85008 s r CAMPBELL'CAL VOID AFTER 90 DAYS ZK PAY THE SUM;_OF TWO THOUSAND DOLLARS & ZERO' CENTS — m r' I IE To .THE :MAAZA :ESSAYS _ . _ y ORDER 1512' PARSONS AVE'a F 'S I CAMPB LL CP,' n 2 [E :&6,41 { : . . ' " �. ------- - - -- - -- -_-. - ----- ----- - - ............................... ........_............._.........I ............_......... ............_...... ..._I _ .......—..._....—- -............._....._ ..........._..._.... r ; — *See Reverse Side For Easy Opening instructions* I I CITY OF CAMPBELL 70 NORTH FIRST STREET CAMPBELL, CALIFORNIA 95008 i I i MAAZA ESSAYS 1512 PARSONS AVE. CAMPBELL CA 95008 - I Ref undadb a Deposit Check Request To: Finance Director Check Payable To Maaza Essays Address Line 1 1512 Parsons Ave. ; Line 2. - City Campbell"` State; CA; Zi 95008 - Description:` 1512,Parsons/ENC2017-00244. Account'Number 1-01:22U3 -"Amount. $2,000.00 Accounf.Number - ;10,1.2203 Amount Account Number-. 101.540.7448 . -Amount: (Finance Dept only) Interest Earned (Finance Dept only),- Total�Pa ab y I;e - ) _ (Exact Amount)' Purpose; FPS'refund .Re"rmlt# ., ENC2017-00244 Receipt.# 271::9$3 Date:n,, 10L17/2017 12eceipt_.#_. Date: Title Ins ector Date' Requested by.. p Syed Wah" Approved-by: Title Sr: Engineer Date ( �� , - Roger Storz Finance,Dept Oniy ; Verified by Title. Accouhtirig ClerkJl_ Date Approved by Title: _ _ Accountant Date: . 5 e.cial :Instru or Hatrcllin Check Mallro: Mallln Attached,EnveIope ; interim l.neC , - Needed By RetuJoAnna Thomason Public Works ame) (Department) return check to J,oAnna , , CITY OF CAMPBELL' PUBLIC WORKS DEPARTMENT CLEARANCE FOR FINAL INSPECTION AND ACCEPTANCE LETTER Encroachment Permit#: ENC 2017-00224 Name: Maaza Essays Property Address: 1512 Parsons Ave. Date of Final Inspection: On File: Bonds CD Cash Faithful Performance: $ 2000.00 Labor and Material:, $ Construction Cash Deposit to be released: $ Other overdue deposits to be released (Description): Processed by: °1 Administrator Reviewed by: Inspector Reviewed by: i Land Development Engineer JAJoAnnaT\Deposit refunds\CHECKLISTS\parsons1512.doe(Rev. 10/11) P,r(nt Form ,I CITY OF CAMPBELL R-1 ENCROACHMENT PERMIT Permit No. 2�i-7—002JJ DEPT.OF PUBLIC WORKS (Non-engineered work within the public right-of-way) X-Ref File —COBS$ 70 North First Street ($10,000.00 maximum value of work) Application Date lot 1 Campbell,CA 95008 11 Application Expiration Ph.(408)866-2150 ISSUED: to 1 Date Fx.(408)376-0958 Permit Expiration Date: 1 APN C:»t APPLICATION-Application is hereby made for a Public Works Permit in accordance with Campbell Municipal Code,Section 11.04. (Application expires in 6 months if the permit is not issued.) A. Work Address: 1512 Parsons Avenue B. Nature of Work: Driveway reconstruction --- ......-- __.__..— ------------C. Attach three(3)copies of a drawing showing the location,extent and dimensions of the work. The drawing shall show the relation of the proposed work to existing improvements. When approved by the City Engineer,said drawing become 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 securities. NAME OF APPLICANT: Maaza Essayas Telephone: CQ_'�7D Address: 1512 Parsons Avenue,Campbell,CA 95008 I E Mail Address: maa ���oo, ec)o <�-- �� _ _-_ .. __The Applicant hereby confirms that this work is being done by the property owner/applicant at their own residence. The Applicant hereby agrees by affixing their signature to this permit to hold the City of Campbell,City of Campbell Redevelopment Agency,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 hereby acknowledges that they h ve read and understand both the front and back of this permit,and that they will inform their contractor(s)of the in ton. ACCEPTED: ! �- �? (Applican ermittee) (Sign Date NOTES: All work shall conform with the attached approved plans and all applicable Campbell Standard Details and Conditions and applicable insurance requirements. The Contractor must have this permit and approved plans and must arrange to meet with the Public Works Inspector at the site at least two days before starting work. Notice must be given to Public Works at least 24 hours before restarting any work. 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(Ticket No.)has been entered hereon. USA Phone: 1-800-227-2600. Ticket No.: Applicant is advised that upon issuance of this permit,property owner,or property owner's successors,shall be responsible for any and all damages arising out of the design,installation or condition of private improvements in the public right-of-way. SPECIAL PROVISIONS 1. Prior to any work,the property owner shall execute an Agreement for Private Improvements in the Public Right-of-Way,which shall be recorded. 2. 3. STANDARD AMOUNT RECEIPT NO. SECURITY FOR FAITHFUL PERFORMANCE (100%Of Engr's Est.) $ ��00C),co R-1 PERMIT FEE $�ffi APPROVED FOR ISSUANCE: 76� o ( in for City ngineer Dat Permit Expires 6 Months after Date of Issuance. GENERAL PERMIT CONDITIONS 1. Payment of a security to insure faithful performance and completion of the work is required. This security is refundable upon completion of the work and written acceptance by the City. 2. A one-year maintenance period for all work is required. Such period will begin on date of acceptance by the City. It is the applicant's responsibility to remove and replace unacceptable improvements within the one-year maintenance period. 3. 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 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,fire hydrants and water valves. 7. 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. 8. Sawcut for all PCC and AC removals. All PCC removals shall be to nearest scoremark and shall be doweled to existing improvements. 9. Adequate signing and barricading is required on the job site. Failure to provide such signing and barricading as specified by the City Engineer may result in the City's providing,such signing and barricades and charging the cost to the Permittee. 10. The Contractor or Permittee will have a supervisory respresentative available for contact on the project at all times during construction. 11. This permit shall be kept at the site of work and must be shown to any authorized representatives of the City of Campbell or any law enforcement officer upon demand. 12. No storage of materials or equipment will be allowed near the edge of pavement,within the traveled way,or within the shoulderline, which would create a hazardous condition to the public. 13. 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. 14. This permit does not release the Permittee from any liabilities contained in other agreements or contracts with the City and any other public agency. 15. This permit is not transferable. Work must be performed by the Permittee or his designated agent or contractor as specified thereon. 16. 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. 17. Call back(call out)due to emergencies regarding this permit shall be at the current overtime rate with a three(3)hour minimum charge per occurrence. 18. 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. 19. Pursuant to Chapter 14.02 of the Campbell Municipal Code,applicant shall not cause to be discharged any material into the municipal storm drain system other than storm water. Applicant shall adhere to the BEST MANAGEMENT PRACTICES established by the Santa Clara Valley Urban Runoff Pollution Prevention Program. Applicant shall be responsibl for ensuring that all those providing services under the applicant are aware of and understand all of the above co it l App icant Date J:\FORMS\Templates\Encroachment Permits\R-1 Encroachment Permit STATIC form2.pdf Rev.02/14 Encroachment Permit Final Sign Off Encroachment Permit# - ( 2e17— 002tE4f Address: Date of Final Inspection and Acceptance: 2A-6 ( ' Inspected by: J v\, OK to release de osits: 100% V 75°� P . Comments: PUBLIC WORKS DEPARTMENT LAND DEVELOPMENT Effective July 1,2017 TO: Finance PUBLIC WORKS FILE NO. ENC2017-00244 PROPERTY ADDRESS 1512 Parsons Ave Please collect&receipt for the following monies ,L``AND•DEVELOFMENT� 4722 Encroachment Permit Application Fee Non-Utilit En Minor Encroa: Initial R-1 Per Subsequent. = j t Inspection F, Street Tree 2203 $5& ` °+ ' u t-- (zj 2203 Plan Check Utilit 4722 Grading& Site Site. IJ.2 ':") 1�! �-.1 I .•':7 ^:y, Site. I.iJLjj cy 4722 NPDES Review Q w u., For profectE - -.w: c5 ;r For'projects Im e: I m e C J : f 7 U J C.J U_ 'T. U,i La_ 4722 For ro'ects �� c_ `r _.� d:.a r,.3 Cr_' t.-- i� r•y Cam' 4722 Additional tr: Plan Check& 4722 En r. Est. <$250 000 14%of Engineers Ls>:Imaie 4722 En r. Est. >_$250 000 and_<$500 000 $35 000.00+8%of Engineers Estimate 4722 En r. Est. >$500 000 $55 000.00+7%of Engineers Estimate 2203 Emerqency Cash Deposit 4%of En r. Est.* $500 min/$10 000 Max 2203 Faithful Performance Security FPS 100%of ENGR. EST.* $2 000.00 2203 Labor and Materials Security 100%of ENGR. EST.* 4721 Storm Drainage Area Fee Per Acre R-1 $2 120.00 (Multi-Res$2,385.00) All Other$2 650.00 4722 Parcel Ma 4 Lots or Less $4 200.00+$90/lot 4722 Final Tract Ma 5 or More Lots $5 115.00+$124/lot 2203 Monumentation Security 100%of Cit 's Monumentation Estimate 4920 Parkland Dedication Fee 75%/25% Due Upon Cert. of Occupancy) 4722 Lot Line Ad'ustment Includes Certificate of Compliance) $1 990.00 4722 Vacation of Public Streets&Easements $2 700.00 4722 Certificate of Compliance $1 970.00 4722 Certificate of Correction $590.00 4722 Document Recording Fees $15.00/first page$3 ea.Additional 4722 Private Improvement in Public ROW $100.00 4722 Approved Plan Revision Fee $100/sheet 4722 Appeal,Filinq Fee $200.00 730.4924 Notice of Improvement Obligation Payment 4722 Assessment Segregation or Reapportionment First Split $940.00 Each Additional Lot $295.00 511.74241 Postage n . ,y;R, Fn 's }si5"-ro r t i? F' : ,S 7 r t � '"• r "fi IUIIS;CELL"gNEOUS . . � "' Other Please Specify) *Engineer's Estimate shall be as approved by the City Engineer and shall include all items of work. TOTAL $2,000.00 NAME OF APPLICANT Maaza Essays NAME OF PAYOR Maaza Essays PHONE 408 838-6084 ADDRESS 12 Parsons Avenue, Campbell CA 95008 ,_.ZIP 95008 FOR RECEIVE CITY CLERK 'w 7. ONLY Date ..,.y ", Recet 2 rP <> .,: .5., q.g,., ,w,-,�?Xt. ..';.d ?➢ ..?'3,` $ T Sf d`$ 9 . -t„o, sa_'Y C:1UsersVogers,Desktcp'Fees 2017.tls ,oraretarm State varm (general insurance t.ornpany FftNtVVAL L;ttt I IF RSA I t u 900 Old River Rd. P1 [GY C+IiVFFER :::::::::::::::::::::::::::::::::::::::-::::::::::::::::::::::::::::, :::::::::::::::::::::::::::::::::: ••o Bakersfield, CA 933 1 1-950 1 ::........... ..... . Homeowners Policy SEP 25 2016 to SEP 25 2017 - 21 BF H W F H 02 95 F F ....................................... ........ .. 001941 0001 TO BE PAID BY MORTGAGEE ESSAYAS, MAAZA 1512 PARSONS AVE Coverages and Limits CAMPBELL CA 95008-6714 Section I A Dwelling $405,500 Dwelling Extension Up To 40 550 B Personal Property 304: 125 C Loss of Use Actual Loss Sustained 0 �o '� Deductibles- Section I All Losses 500 Location: Same as Mailing Address Section II L Personal Liability $300,000 Damage to Property of Others 500 M Medical Payments to Others 1,000 Loss Settlement Provisions (See Policy) (Each Person) Al Replacement Cost- Similar Construction 131 Limited Replacement Cost- Coverage B Forms, Options, and Endorsements Homeowners Policy FP-7955.CA Increase Dwlg up to $81,100 OPT ID Ordinance/Law 100/o/ $40,550 OPT OL Annual Premium $722.00 Jewelry and Furs $1,500/$2,500 OPT JF Form 438bfu NS Lndr Loss Pay FE-1313 Homeowners Policy Endorsement FE-3422 Amendatory Endorsement FE-3247 Premium Reductions Home/Auto Discount 144.00 Claim Record Discount 206.00 Inflation Coverage Index: 283.6 CALIFORNIA LAW REQUIRES US TO PROVIDE THE FOLLOWING NOTICE: Our records indicate that you have not purchased Earthquake Coverage. co This policy includes Building Code Upgrade Coverage of $40,550. N Please help us update the data used to determine your premium. Contact your agent with the year each of 0 your home's utilities (heating/cooling, plumbing, or electrical) and roof were last updated. 0 ?7 Moving See your State Farm agent. /u > rtrS�/`ve r c. LOoKapw CuS'mw&%,. See reverse for important information. 5202 4011 1 Ag6ht DENNIS M IC Prepared N 2N,DR,NP,12,PD Telenhone (408) 225-8636 REP JUL 29 2016 Mortgagee: TECHNOLOGY CREDIT UNION Loan No: 1210000141 2nd Mtg: TECHNOLOGY CREDIT UNION Loan No: 256743-93 Your Coverage Amount.... The limit of liability for this structure (Coverage A) is based on an estimate of.the cost to rebuild your home, including an approximate cost for labor and materials in your area, and specific information that you have provided about your home. It is up to you to choose the coverages and limits that meet your needs. We recommend that you purchase a coverage limit at least equal to the estimated replacement cost of your home. Replacement cost estimates are available from building contractors and replacement cost appraisers, or, your agent can provide an estimate from a third-party vendor using information you provide about your home. We can accept the type of estimate you choose as long as it provides a reasonable level of detail about your home. State Farm@does not guarantee that any estimate Will be the actual future cost to rebuild your home. Higher limits are available at higher premiums. Lower limits are also available, which if selected may make certain coverages unavailable to you. We encourage you to periodically review your coverages and limits with your agent and to notify us of any changes or additions to your home. sop ararerarm ••m ................................................................................................................................................................... 0 NOTICE TO CONSUMERS-CALIFORNIA RESIDENTIAL INSURANCE DISCLOSURE This disclosure is required by Section 10102 of the California Insurance Code. This form provides general information related to residential property insurance and is not part of your residential property insurance policy. Only the specific provisions of your policy will determine whether a particular loss is covered and the amount payable. The information provided does not M preempt existing California law. Ao PRIMARY FORMS OF RESIDENTIAL DWELLING COVERAGE You have purchased the coverage(s) checked below. NOTE: Actual Cash Value Coverage is the most limited level of coverage listed. Guaranteed Replacement Cost is the broadest level of coverage. ❑ ACTUAL CASH VALUE COVERAGE pays the costs to repair the damaged dwelling minus a deduction for physical depreciation. If the dwelling is completely destroyed,this coverage pays the fair market value of the dwelling attime of loss, In either case,coverage only pays for costs up to the limits specified in your policy. ❑ REPLACEMENT COST COVERAGE is intended to provide for the cost to repair or replace the damaged or destroyed dwelling, without a deduction for physical depreciation. Many policies pay only the dwelling's actual cash value until the insured has actually begun or completed repairs or reconstruction on the dwelling. Coverage only pays for replacement costs up to the limits specified in your policy. ❑X EXTENDED REPLACEMENT COST COVERAGE is intended to provide for the cost to repair or replace the damaged or destroyed dwelling without a deduction for physical depreciation. Many policies pay only the dwelling's actual cash value until the insured has actually begun or completed repairs or reconstruction on the dwelling. Extended Replacement Cost provides additional coverage above the dwelling limits up to a stated percentage or specific dollar amount. See your policy for the additional coverage that applies. ❑ GUARANTEED REPLACEMENT COST COVERAGE covers the full cost to repair or replace the damaged or destroyed dwelling for a covered peril regardless of the dwelling limits shown on the policy declarations page. ® BUILDING CODE UPGRADE COVERAGE, also called Ordinance and Law coverage, is. an important option that covers additional costs to repair or replace a dwelling to comply with the building codes and zoning laws in effect at the time of loss or rebuilding.These costs may otherwise be excluded by your policy. Meeting current building code requirements can add significant costs to rebuilding your home. Refer to your policy or endorsement for the specific coverage provided and coverage limits that apply, READ YOUR POLICY AND POLICY DECLARATIONS PAGE CAREFULLY: The policy declarations page shows the specific coverage limits you have purchased for your dwelling, personal property, separate structures such as detached garages, and additional living expenses. The actual policy and endorsements provide the details on extensions of coverage, limitations of coverage, and coverage .conditions and exclusions. The amount of any claim payment made to you will be reduced by any applicable deductibles shown on your policy declarations page. It is important to take the time to consider whether the limits and limitations of your policy meet your needs. Contact your agent, broker,or insurance company if you have questions about what is covered or if you want to discuss your coverage options. a 0 N N O C7 0 u 4011 J U L 29 2016 ern nnl m0VC®QC CInC Prnr,nrcrl CONTINUED FROM FRONT INFORMATION YOU SHOULD KNOW ABOUT RESIDENTIAL DWELLING INSURANCE AVOID BEING UNDERINSURED: Insuring your home for less than its replacement cost may result in your having to pay thousands of dollars out of your own pocket to rebuild your home if it is completely destroyed. Contact your agent, broker, or insurance company immediately if you believe your policy limits may be inadequate. THE RESIDENTIAL DWELLING COVERAGE LIMIT: The coverage limit on the dwelling structure should be high enough so you can rebuild your home if it is completely destroyed. Please-note: The costto rebuild your home is almost always differentfrom the market value. Dwelling coverage limits do not cover the value of your land, The estimate to rebuild your home should be based on construction costs in your area and should be adjusted to account for the features of your home. These features include but are not_limited to the square footage,type of foundation, number of stories, and the quality of the materials used for items such as flooring, countertops, windows, cabinetry, lighting and plumbing. The cost to rebuild your home should be adjusted each year to account for inflation. Coverage limits for contents, separate structures, additional living expenses and debris removal are usually based on a percentage of the.limit for the dwelling. If your dwelling limit is too low,these coverage limits may also be too low. . You are encouraged to obtain a current estimate oftlie costto rebuild your home from your insurance agent, broker, or insurance company or an independent appraisal from a local contractor, architect, or real estate appraiser. If you do obtain an estimate of replacement value, and wish to change your policy limits, contact your insurance company. While not a guarantee, a current estimate can help protect you against being underinsured. DEMAND SURGE: After a widespread disaster,'the cost of construction can increase dramatically as a result of the unusually high demand for contractors, building supplies and construction labor. This effect is known as demand surge. Demand surge can increase the cost of rebuilding your home. Consider increasing your coverage limits or purchasing Extended Replacement Cost coverage to prepare for this possibility. CHANGES TO PROPERTY: Changes to your property may increase its replacement cost. These changes may include the building, of additions, customizing your kitchen or bathrooms, or otherwise remodeling.your home. Failure to advise your insurance company of any significant changes to your property may result in your home being underinsured. EXCLUSIONS: Not all. causes of damage are covered by common homeowners or residential fire policies. You need to read your Policy to see what causes of loss or perils are not covered. Coverage for landslide is typically excluded. Some excluded perils such as earthquake or flood can be purchased as an endorsement to your policy or as a separate policy. Contact your agent, broker,or insurance company if you have a concern about any of the exclusions in your policy. CONTENTS(PERSONAL PROPERTY)COVERAGE DISCLOSURE: This disclosure form does not explain the types of contents coverage provided by your policy for items such as your furniture or clothing. Contents may be covered on either an actual cash value or replacement cost basis depending on the contract. Almost all policies include specific dollar limitations on certain property that is particularly valuable such as jewelry, art, or silverware. Contact your agent, broker or insurance company if you have any questions about your contents coverage. You should create a list of all personal property in and around your home. Pictures and video recordings also help you document your property. The list, photos,and video should be stored away from your home. CONSUMER ASSISTANCE- If you have any concerns or questions, contact your agent, broker, or insurance company. You are also encouraged to contact the California Department of Insurance consumer information line at(800) 927-HELP (4357) or at www.insurance.ca.gov for free insurance assistance. co 0 `s 307 waretarrn State [-arm Ueneral Insurance company 52o4 uD—WY-4430— 1 u • • •o 553-3158 CA Important Reminder . . . Under the Utility Rating Plan,premiums may increase when any of the utility systems(electrical,plumbing,heating,and cooling)in your dwelling insured by this policy become 40 years old. Your premiums may be reduced if you have: (1) Completely replaced all utility systems(electrical,plumbing,heating,and cooling)in the last 40 years;or 0 (2) Replaced the heating equipment,air conditioning equipment,electrical service entrance and distribution panel in the last 16 years. Please ask your State Farm"agent for details. 553-3158 CA(C) (11/09) 553-2948 NOTICE TO POLICYHOLDER For a comprehensive description of coverages and forms,please refer to your policy. Policy changes that you requested before the"Date Prepared"on your Renewal Certificate are effective on the renewal date of this policy unless indicated otherwise by a separate endorsement,binder or Amended Declarations Page. Any coverage forms or endorsements included with your Renewal Certificate are effective on the renewal date of this policy. Policy changes that you requested after the"Date Prepared"on your Renewal Certificate will be sent to you as an Amended Declarations Page or as an endorsement to your policy. You will be billed for any resulting premium increase later. If you have acquired any valuable property items,made any improvements to your home,or have questions about your insurance coverage,please contact your State Farm'agent. 553-2948(C) (10108) Agent: DENNIS MESIC (CONTINUED) Telephone: (408) 225-8636 553-2798 IMPORTANT NOTICE . . . Discounts and Rating The longer you are insured with State Farm'and the fewer claims you have,the lower your premium. For policyholders insured by State Farm for three or more years,the Claim Free Discount Plan provides a premium discount if you have not had any claims considered for the Plan in the most recent three-year period since becoming insured with State Farm. Premium adjustments under the Claim Record Rating Plan are based on the number of years you have been insured with State Farm and on the number of claims that we consider for the Plan. Depending on the Plan(s) that applies in your state/province, claims considered for the Plans generally include claims resulting in a paid loss and may include weather-related claims. Additionally,depending on your state/province's plan and your tenure with State Farm,any claims with your prior insurer resulting in property damage or injury may also influence your premium. For further information about whether a Claim Free Discount is in effect in your state/province,the Claim Record Rating Plan that applies in your state/province,and the claims we consider for the Plans,please contact your State Farm agent. 553-2798(C) (10/07) Agent: DENNIS MESIC Telephone: (408) 225-8636 71 JWLCra►►►► OLUM r41111 UldliG401 11MURa11UG '.U11eNaaoy 900 Old River Rd. ;P�L1G�;Pl1ll�BE�t::::::::::: :::::::::::::::::::::::::..:: :::� :::::: ::::::::::::::::::::,:::,:::::::::::::::::::::::::::::::::::::::::::::: • ®® Bakersfield, CA 93311-9501 HOMEOWNERS AVAILABLE COVERAGE NOTICE AT2 2- 21 BFF H W F HO 95 F ................................................................................................ 001941 0001 SEE RENEWAL CERTIFICATE ESSAYAS, MAAZA 1512 PARSONS AVE CAMPBELL CA 45008-6714 0 O 'D�F O no IT IS IMPORTANT THAT YOU OCCASIONALLY REVIEW THE COVERAGES AND LIMITS IN YOUR HOMEOWNERS POLICY TO BE CERTAIN YOUR NEEDS ARE BEING MET. THE FOLLOWING INFORMATION WILL ASSIST YOU IN THE REVIEW PROCESS. THE COVERAGE LIMITS FOR COVERAGE A- DWELLING, COVERAGE B- PERSONAL PROPERTY, COVERAGE L- PERSONAL LIABILITY, AND COVERAGE M - MEDICAL PAYMENTS TO OTHERS ARE LISTED ON THE ACCOMPANYING RENEWAL NOTICE. PLEASE REVIEW THESE LIMITS TO DETERMINE IF THEY ARE ADEQUATE IN THE EVENT OF A LOSS. THE FOLLOWING IS A PARTIAL LIST OF THE OPTIONAL COVERAGES YOU HAVE NOT ADDED TO YOUR POLICY. THEY MAY BE AVAILABLE TO YOU FOR AN ADDITIONAL PREMIUM. Back-Up of Sewer or Drain (for damage caused by water from outside the plumbing system which backs up through sewers or drains) Building Ordinance or Law (higher limits) Business Property (for higher limits) Business Pursuits Liability (for teachers, school administrators, sales persons, and clerical workers) Child Care Liability (for those providing child care in their home) Firearms (for broadened coverage and higher limits) Home Computers (for higher limits) Identity Restoration Incidental Business Liability (for those with an incidental office, studio, or school in the home) Jewelry and Furs (for broadened coverage and higher limits) Loss Assessment (for neighborhoods with Homeowners Associations) co Nurses Professional Liability (for those in the nursing profession) N **Optional Coverages continued on the reverse side * N O This notice contains only a general description of the coverages and is not a contract. All coverages are subject to the provisions in the policy itself. Should you have a need for any of these coverages or higher limits, contact your State Farm Agent to discuss details, cost and eligibility. 0 IMPORTANT INFORMATION ABOUT DAMAGE CAUSED BY FLOODING This policy does not cover damage to your property caused by flooding. You may be eligible for such coverage through the National Flood Insurance Program ("NFIP"), if you live in a participating community. For more information, contact your State FarrrPagent or visit floodsmart.gov. 5201 4011 1 Agent DENNIS MESIC N 2N,DR,NP,I2,PD Telanhnnp (408) 225-8626 REP Prenared JUL 29 2016 e \ THE FOLLOWING IS A PARTIAL LIST OF THE OPTIONAL COVERAGES YOU HAVE NOT ADDED TO YOUR POLICY. THEY MA`r BE AVAILABLE TO YOU FOR AN ADDITIONAL PREMIUM. Personal Injury (for your liability to others caused by certain acts of libel, slander, invasion of privacy, false arrest) Silverware/.Goldware (for broadened coverage and higher limits) Increased Personal Property(for higher limits above the standard policy limit, which is a percentage of your Cov A-Dwelling amount) 315 Response Letter: Maaza Essayas (Property Owner) MEMORANDUM CITY OF CAMPBELL To: Bill Bruckart, Building Official DATE: 8/15/17 FROM: Roger Storz, Senior Civil Engineer(408) 866-2190 SUBJECT: BUILDING PERMIT APPLICATION --------------------------------------------------------------------------------------------------------------------------------- Site Address: 1512 Parsons Avenue For File No(s): BLD2017-00858 Project Description: Front porch and driveway modification PUBLIC WORKS DEPARTMENT CONDITIONS OF APPROVAL I. Encroachment Permit: The new driveway curb cut and associated curb and gutter work will require a separate encroachment permit from the Public Works Department. Please add a note to the plans adjacent to the new driveway work that states"Any work within the public right-of-way requires an Encroachment Permit from the Public Works Department'. RESPONSE: REQUESTED NOTE ADDED TO SHEET A-1, A-2, A-3 OF REVISED PLAN. 2. Private Fence: As shown on the plans, the project has an existing front yard fence, portions of which are installed in the public right-of-way along the Parsons Avenue and Redding Road frontages. If the applicant wishes to maintain that existing fence, then the Property Owner must execute a Private Improvements Agreement. RESPONSE: PRIVATE IMPROVEMENTS AGREEMENT EXECUTED. 3. Private Improvements Agreement: Prior to issuance of any building permits for the project, the owner shall execute an "Agreement for Private Improvements in the Public Right of Way", In order to prepare said agreement the property owner will need to provide a copy of the most recent grant deed for the property. RESPONSE: COPY OF THE MOST RECENT GRANT DEED FOR THE PROPERTY SUBMITTED. DOCUMENT: 22207271 Pages` 2 Fees 28.00 Taxes 28.00 RECORDING REQUESTED BY A o i es.D Benjamin J. Sowards RE.CINA ALCOMENDRAS AND WHEN RECORDED MAIL TA SANTA CLARA COUNTY RECORDER RDE # ®25 2013 MAAZA ESSAYAS Recorded at the request of 812 AM : 12 AM 1512 Parsons Avenue Beneficiary Campbell, CA 95008 Space above line for Recorder's Use APN:414-33-013 NO TAX DUE. TRUST TRANSFER DEED The undersigned Grantor declares under the penalty of perjury that the following is true and correct: Documentary transfer tax is NONE. Not pursuant to a sale. No consideration. A transfer into a revocable trust. Rev. &Tax Code Section l ➢930. Unincorporated area X City of Campbell This is a transfer into a revocable trust excludable from reassessment under Rev. &Tax Code Section 62(d). FOR NO CONSIDERATION, GRANTOR, MAAZA ESSAYAS, an unmarried woman hereby GRANTS to MAAZA ESSAYAS,Trustee of the MAAZA ESSAYAS LIMING TRUST dated April 26, 2013, that real property in the City of Campbell, County of Santa Clara, State of California, described as follows: Lot 1, as delineated upon that certain Map entitled "Tract No. 1524 Brookside Addition", filed for record in the Office of the Recorder of the County of Santa Clara, State of California,on April 10, 1956 in Book 68 of Maps,at Pages 12 and 13. EXCEPTING THEREFROM the underground water to San Jose Water Works, a California corporation, by Deed recorded in Book 3569 of Official Records, Page 488, without or no right of surface entry. Commonly known as: 1512 Parsons Avenue, Campbell, CA 95008 Dated: April 26, 2013 AAZA E SAYAS Mail tax statements to: same address as above a 0 'z 0/-� ACKNOWLEDGMENT State of California ) County of Santa Clara ) On April 26, 2013, before me, BENJUAMIN J. SOWARDS,Notary Public, personally appeared MAAZA ESSAYAS, who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s)is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s)on the instrument the person(s),or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. Benjamin J. Sowa1 (Seal) rle BENJAMIN J,SOWARDS Comm.No.1849021 :. NOTARY PUBM.CAUL My Cmm.EVM IMIY 14,2013� Mail tax statements to: same address as-above MEMORANDUM CITY OF CAMPBELL TO: Bill Bruckart,Building Official DATE: 8/15/17 FROM: Roger Storz, Senior Civil Engineer (408) 866-2190 SUBJECT: - BUILDING PERMIT APPLICATION Site Address: 1512 Parsons Avenue For File No(s): BLD2017-00858 Project Description: Front porch and driveway modification PUBLIC WORKS DEPARTMENT CONDITIONS OF APPROVAL 1. Encroachment Permit: The new driveway curb cut and associated curb and gutter work will require a separate encroachment permit from the Public Works Department. Please add a note to the plans adjacent to the new driveway work that states "Any work within the public right-of-way,requires an Encroachment Permit from-the Public Works Department". 2. Private Fence: As shown on the plans, the project has an existing front yard fence, portions of which are installed in the public right-of-way along the Parsons Avenue and Redding Road frontages. If the applicant wishes to maintain that existing fence, then the Property Owner must execute a Private Improvements Agreement. 3. Private Improvements Agreement: Prior to issuance of any building permits for the-project, the owner shall execute an "Agreement for.Private Improvements in the Public Right of Way". In order to prepare said agreement the property owner will need to provide a copy of the most recent grant deed for the property J:\LandDev\Conditions\Bldg\Parsons 1512 Bldb.doeX Page 1 of 1 Copyright©2017 STUDIO NORTH.All rights reserved IF THIS SHEE 1 IS NU I "I 1"X"I!" , I I IJ A KtUUL tzu t-KEN E -uU NU E JL./-%LG Urv,vvllm-- r , APPROVED FOR CONSTRUCTION. � • • = i c n 'l I n p gi G c _ Q Ei ' City Of Campbell -�srs• =3.° F7 I �� —Qb2�� Public Works Permit No. PROJECT INFORMATION ------- —Icalm WINaerie _ CLIENT: ®e4*a Was MAAZA ESSAYAS �E) ROOF RIDGE ABOVE —— (408)838 so8a I-- - ---- -------- - - - ---- ------ ------ - - PROJECT ADDRESS: 2"X6" RIDGE BEAM ABOVE (E) CHIMNEY i 1512 PARSONS AVE. ABOVE o 20'_g„+/— CAPLL,CA 2"X6" VALLEY RAFTER, TYP. A PMN.4E4330 395008 I I o (E)GARAGE 2"X6" RAFTER @ 24" O.C. DESIGNER: ESTHER GONZALEZ-PARBER 2 RISER 7' X LT (N) GABLE ROOF. ASPHALT STUDIO NORTH 1 TREAD ® 11 /ROOF LINE (N) PLANTER, SHINGLE ROOFING TO MATCH 391 SUTTER ST,STE 803 + —-I- EXISTING. PROVIDE FLASHING SAN FRANCISCO,CA 94108 (E) 00 / I VALLEYS & GUTTERS (415)533 0567 ABOVE, TYP. VERIFY W/ OWNER I I ——I— —— esther@studio-north.net + — _ +.=-= --- - --------- -- -- - L'— . . . �i����r�cNOa Ln I- - (E) GRAVEL LLI 'MULCH ® (N)PLANTER- - — — _ — _ — _ — _ — — — — 'Now =•—— ::::::::::::::::::.:::::::. ..:....:.:.. . . ::. + — . — — ERIFY W !OWNER :::::::• :::::::::.:::::::.:....... $X8 TAPERED :::.....;4><`:3:::.;:::;;: >s::.::: . ...:;;::::: n WOOD POST, Uj �i RELOCATE & ALIGN ® Q (E) FENCE. W/ _ _ _ _ ::::-::::::::::::. ...... :::-:::.:::::.-:::.::. 4 X8 HEA R — — — Fn ;:` :':::..,::..;.,,::..,:;:.; ::::::--- -------- 18'-0' ABOVE GARAGE WALL — 1 0" I-/ — :;:: E -Q;:: :::•:::•::::.: :; ......;:;:::: „ _ . . _ . . _ . . ;.::::.:. 20 -9 +/— LLB LU — _;:..:<•�:;; .: .. :.. : . . . ' F .:— _ — _ — _ — _ — STONE FOR PLANT BE — — Y OWNER z , i PERMEABLE. PA�LERS. _ ;::•::.;::.::::::::... .:.:::.:::•;::::;.:::::.;:�: SELECTED B • (n Q — STYLE &-EOLOR TO BE Q — OWNEf - :•'`:; _.:: :"?,':::::. ;...... HATCHED AREA TO INCLUDE (N) 1 Z o - . .SELECTEQ BY PERMEABLE PAVERS & LANDSCAPING. a:: : TREE, SHRUBS PAVERS & COLORS TO V:..::;;•:;;•::. :•.. Uj 0 0 — -..... :::::.:.....:::::::::::..... l — — — — BE SELECTED BY 'OWNER. (f, z — ® — IN 12 1'rn RTY L E 7 b P OPE R ...................:.:: ... .................. ......... ..::::.•.. . ... � m . o � I ®•�r W 0.. f>L':9':.s-s�rr^':.C'::Cl':Rx"�-LL�`�.�"=J L� t� ¢' .� 03 ® •---z � ® c's P2 C L'^� _ != T © C1 m m S'�" 9 GtiTi..l^ ® C^ _..........._.........-...........-........ ... Q 4 — — — — 10'-0" MIN. AD — — — — — — - (E) MULCH . :� : . (N) GRAVEL PATH, T.B.D. (E) GRAVEL PATH Revisions �> ' PLAN CHECK 1-9/05/17 (E) CURB EDGE 24'-0" 15'-0"+/— ALIGN (N) GRAVEL PATH (E) CHAIN LINK FENCE IS UNPERMITTED. Sheet Title: � G. VERIFY MATERIAL NOT APPROVED IN THIS APPLICATION. (E) GUTTER (N) DRIVEWAY RAMP (N) CURB & GUTTER W OWNER. SEE DETAIL D-15/A-5 SEE DETAIL D-20/A-5 PROJECT (E) WD. FENCE IS THIS APPLICATION PARSONS AVENUE NOT APPROVED IN THIS APPLICATION ANY WORK WITHIN THE PUBLIC PARSONS AVENUE G11M V G SITE PLAN RIGHT—OF—WAY REQUIRES AN 1 ENCROACHMENT PERMIT FROM THE DPW ® Scale: PROPOSED SITE PLAN & NEW PORCH AS NOTED 1 PROJECT Scale:1/8"=1'-0" NORTH Date: 7/20/17 . M «'�' } Copyright 9)2017 STUDIO NORTH.All rights reserved 1F THIS SHEET IS NOT 11"X 17", 11 IS A Ktuul;ty r-ttum i -vv:w i OumL.F VI\r\ YIIYV StudioNorth P la n nine R, Desiarl Tel 4-5.5 3.G567 8" 10" 4\sb PROJECT INFORMATION „ R=z' (TYP) 3�1 R-6 _ �P k Qo�� s`s CLIENT: � R MAAZA ESSAYAS l 1 P( 4'-p" (408)838-6084 .-L OEz SIDEWALK PROJECTADDRESS: 6 p 1512 PARSONS AVE. Install CAMPBELL,CA 95008 Weakened Oct 6"d 6"CL 2 AB, MECHANICAL A.P.N.41433013 Plane Joints °Class�A 95% R.C. R ---MECHANICAL CONSTRUCTION DESIGNER: at 20'O.C. JOINT ESTHER GONZALEZ-PARBER SIDEWALK STUDIO NORTH SEE NOTE 5 WEAKENED 391 SUTTER ST,STE 803 PLANE JOINT SAN FRANCISCO,CA 94108 OR CUT.JOINT (415)533-0567 SIDEWALK �p 1/8" WIDE, ,o, Rolled Curb and Gutter 2 DEEP esther@studio-north.net WEAKENED PLANE JOINT P OR CUT JOINT 1/8" WIDE, 2" DEEP: 1`L ' r �p 3/4" W Z Slope 6" 2'-0" �' E���tS S=1" V 1/4"ref d. PER FOOT 5/8" 1"R z 0 p :;' Uj FT I 3/4" .11' .1/2" R Q (2" Max.) . R 10'-o" W 6" LU E - 11I O R=2 R=1" [� J 5'-6" 2'-0" 6" R=1� 6, 6 ° - a a ° 2 +10% MAX 6" CL 2 AB, f, a: m: cn Q = 95% R.C. ° CONFORM SLOPE = 2.0% `} \) —6% MAX e.••. .. :!:.:. °:•ti: = ..d;i- ?:a;i.,::.a;:-. •,.d...: Q 6" CLASS A CONCRETE, TYP. ::.• 6" 6" CLASS 2 AGGREGATE BASE, TYP. ch o NOTES SECTION A-A DOWEL i / W Vertical -Curb and Gutter 1. WHEN THE DRIVEWAY IS NOT POURED AT THE SAME TIME AS THE CURB AND GUTTER, 12" OF NO. 4 REBAR AT 4' W z INTERVALS SHALL BE INSTALLED AS SHOWN (REBARS TO BE BENT DOWN AND COVERED UNTIL USED). 0 2. SCORE MARKS SHALL NOT EXCEED 4'-0" O.C., AND USE MECHANICAL SEPARATOR AT EVERY OTHER SCORE MARK._ W 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. NTS 5. AT LOCATIONS WHERE NEW SIDEWALK ENDS AND MEETS AN EXISTING SIDEWALK, THE NEW SIDEWALK SHALL Sheet Title: TRANSITION TO MEET THE EXISTING SIDEWALK AS DETERMINED BY THE CITY ENGINEER. og CAYA CITY OF CAMPBELL n'• DATE BY REV. DATE BY a PUBLIC WORKS DEPARTMENT DETAIL of eA�A. CITY OF CAMPBELL SCALE: DETAILS a PUBLIC WORKS DEPARTMENT a oz i7 BE N.T.S. DRAWN BY: NO. - Residential DETAIL DAB Curb & Gutter �' ;-f a=`, r DRAWN BY: DAU 02�04 Driveway Detail 0 CHECKED BY: DAT@ :'p-gdat�' CHECKED BY: DATE V`a& APPROVED BY. Details 4 APPROVED BY• (Attached Sidewalk ) NO. °Rcss40 HICHSLLB QUINNEY D—2 0 °8cas89�� AMY OJAY 1 CITY ENGIN66R JNewn8s5�oelaivoso CrrY ENGUHME g D — i Scale: J:/Drawin s/Std Details/D15 AS NOTED Date: A-5 7/20/17