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ENC2017-00300 ........... ............-11....................... ............. ................... ...................................... ............................... ................... .............. .................................. ............................... .......... ........................ CITY OF CAMPBELL VENDOR NO. 10015G54 CHECK NO. 27472G ' Account Pul*-&hasefl.reler�....... lhvbke:Atiynbec Anroiint Description' 101 2203 CR072319 1,000.00 FPS REFUND ""a 100156S4 RONDA VlrRRA CITY OF CHECK DATE CHECK NO. i4i.-FARGO BANK, N.A. A 11-24 d-M'ONTGOMERY STREET 08/05/19 274726 A, 70:NORTH FIRST STREET 1210 SAN. FPANCISCO, CA 94104 CAMPBELL, CALIFORNIA 95008 0 40 AMOUNT *****1, 000 . 00* 0 AFTER 90 DAYS OTI PAY THE SUM OF ONE THOUSAND DOLLARS & ZERO CENTS MF TO TliE RONDA WERRA ORDER 299 HARRISON AVE CAMPBELL CA 95008 J1, > 111 274 ? 260 1: 1 2 I000 2481: 4 1 2 la 5 Slt L'Sli ....... ..............- ........... .......... .......................- ........... ..............-............. ....................-.................. ........................ ............ ............................. ................... ........................................ ............ ............... .......................... .......... .................. *See Reverse Side For Easy Opening Instructions* ---- -------- - ------------------ CITY OF CAMPBELL 70 NORTH FIRST STREET CAMPBELL, CALIFORNIA 95008 RONDA VIERRA 299 HARRISON AVE CAMPBELL CA 95008 ®¢ Q4 &4 U Ci °ftcynr-o CR ®F CAM.PBELL August 5, 2019 Public Works Department Ronda Vierra 299 Harrison Ave. Campbell, CA 95008 SUBJECT: PERMIT NO. ENC 2017-00300 299 Harrison Ave. Campbell, CA FINAL INSPECTION AND ACCEPTANCE Dear Rhonda: 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. Your Faithful Security Performance Deposit refund in the amount of$1,000.00 is enclosed. If you have any questions, please call me at (408) 866-2165. Sincerely, r . I y Syed Wah di Public Works Inspector Cc: Inspector/Suspense Files Permit File ENC2017-00300 70 North First Street • Campbell, California 95008 TEL 408.866.2150 FAX 408.376.0958 TDD 408.866.2790 Refundable' beposit Check Request _ I To: Finance Director Check Payable To: Ronda Vierra j Address- Line 1: 299 Harrison Ave. Line 2: City: Campbell State: CA Zip: 96008 i Description: 299 Harrison Ave. i Account Number: 101.2203 Amount: $1,000.00 Account Number: 101.2203 Amount: Account Number- 101.540.7448 Amount: (Finance'Dept only) Interest Earned (Finance Dept only) Total Payable: (Enact Amount) Purpose: FPS Refund _ { Permit#: ENC2017-00300 Receipt#: 272974 Dater 12/21/2017 Receipt#: Date: • i / Requested by: '� - � - � Title: Inspector- Date:7 �'3- Syed Wahidi I Approved by: -� Title: Sr:Engineer Date: Roger Storz i Finance Dept Only:, Verified by: Title: Accounting Clerk II Date: Approved by:. Title: Accountant Date: Special Instructions For Handling Check . Mall AS Is: Mail in Attached Envelope: Interim (;heck: Needed By: Return To: JoAnna Thomason Public Works (Name) (Department) CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT CLEARANCE FOR FINAL INSPECTION AND ACCEPTANCE LETTER Encroachment Permit#: ENC2017-00300 Name: Ronda Vierra Property Address: 299 Harrison Ave. Date of Final Inspection: 7/9/19 On File: Bonds CD Cash Faithful Performance: $ 1,000.00 Labor and Material: $ •Construction Cash Deposit to be released: $ •'Other overdue deposits to be released (Description): Processed by: mi 'strator Reviewed by: Inspector Reviewed by: �1 3 Land Development Engineer (/ JAJoAnnaT\Deposit refunds\CHECKLISTS\Harrison 299.doe(Rev. 10/11) Print Form CITY OF CAMPBELL A-1 ENCROACHMENT PERMIT Permit No. �" � 2P'17-C4 3(,-G DEPT.OF PUBLIC WORKS (Non-engineered work within the public right-of-way) X-Ref File 70 North First Street ($10,000.00 maximum value of work) Application Date 12 2[ l7 Campbell,CA 95008 p Application Expiration Ph.(408)866-2150 ISSUED: 18 Date `1 "•✓ Fx.(408)376-0959 Permit Expiration Date: I2>/145 APN APPLICATION-Application is hereby made fora 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: I 2�� ` i c I ���r1�9 '1 A \JIE B. Nature of Work: ill - —Lr sC �2, ���1 2-4" rJ 5X �c�I bud) 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 apart 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: T l � elephone: Address: ;- A4 JE-Mail V Mt da K v�/ C1 ... ... _,. -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 have read and understand both the front and back of this permit,and that they will inform their contractor(s)of the infor ACCEPTED: (Applicant/Permittee) (Sign) Date NOTES: All work shall conform with the attached approved plans and all applicable Campbell Standard Details and Conditions and applicable 1 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 PROV15IONS 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. 1/2. pC�,r 1M i LL MGV>E 11�4 t T- � 'VUZM i-f'CI~1c WILL- 1�i IVZ S-ruMPS l�,i?C,�� r bn�y lF� ��T 3. 1qL�14 iNr> PAB-E ANr> wto_ STuKp ,Nl7 STANDARD AMOUNT RECEIPT NO. SECURITY FOR FAITHFUL PERFORMANCE (100%Of Engr's Est.) $ I0C)o 3L a R-1 PERMIT FEE $ //2 f p i - APPROVED FOR!SSUGIN.,ICE• ! r/ ✓A?, I GENERAL PERA41T 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 respresehtative 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 rn inirinal ctnrm rirain cuctem other than storm crater. Applicant-hall adhere to the REST MANAGEMENT PRACTICES estaNicherl by tKe Santa Clara Valley Urban Runoff Pollution Prevention Program. Applicant shall be responsible for ensuring that all those providing services under the applicant are aware of and understand all of the above n itio Applicant. Date ---..-- r..-.,--ti....,...oe...,vr cTe Ttr GENERA!PEWIT 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 ona year maintenance period. 3. Refund or cancellation of the Faithful Performance Surety will be initiated by 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 respreseritative 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 orany law enforcement officer upon demand. 12. No storage of materials or equipment will be allowed nearthe 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. is. 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 ofthe Campbell Municipal Code,applicant shall not cause to be discharged any material into the m._mi.r�i.n,..._l.c�_.n,r.m drain cvct—n..t_.h.a�•tha.1 ..r.r...__..__.._..__.._.�......�.._... A..A..A..\.I.A.(.J;F_.M..F_.\.I T• P. R...A.f_T.I.(_'FG aact.a hl.i.c..h..o.r.,l byStormwater hnll PFr th'e Santa Clara Valley Urban Runoff Pollution Prevention Program, Applicant shall be responsible for ensuring that all those providing services under the applicant are aware of and understand all of the above n itio Applicant. vale PUBLIC WORKS DEPARTMENT LAND DEVELOPMENT Effective July 1, 2017 TO: Finance PUBLIC WORKS FILE NO. Please collect&receipt for the following monies: +APO PROPERTY ADDRESS ( : -ACCT;."2' A" 7 1 f ITEM - V :LAN P,MEN� EOEV o: 4722 Encroachment Hermit Application Fee Non-Utility Encroachment Permit Major�:$10,000 $425.00 Minor Encroachment Permit<sm000 $240.00 Initi6l R-1 Permit N/C Subsequent R-1 Permits within Two Year Period $240.00 Inspection Fee Minimum Charge per Location $420.00 Street'Tree Planting/Removal N/C 2203 ($500 per Tree Planting Deposit Required) $500.00/tree 2203 Plan Check Deposit 2%of Engineers Estimate $500.00 min Utility and R-1 Permits no deposit required 47221 Gradinq&Drainage Plan Review Single Family Lot $295.00 Site< 10,000 S.f. $885.00 Site>10,000 s.f. <0.5 Acre $1,185.00 Site 0.5 Acre $1,772.00 4722 NPDES Review(C3 Requirements) For projects not required to submit numeric sizing $175.00 For proi cts required to submit numeric sizing Impervious Area 10,000 Sq. Ft to I Acre $740.00 Impervious Area 1 Acre or more $965.00 4722 For prom cts sent to Consultant for review Consultant Cost+20% 4722 Additional treatment facilities $315 ea Plan Check& Inspection-Fee(Non-UtilitV) 4722 Enqr. Est. <$250,000 14%of Enqineer's Estimate 4722 Enqr, Est. >$250,000 and:5$500,000 $35,000.00+8%of Engineers Estimate 4722 Enqr. Est. >$500,000 $55,000.00+7%of Engineers Estimate 1 22031 Emergency Cash Deposit 4% of Enqr. Est.*($500 min/$10,000 Max) 2203 Faithful Performance Security(FPS) 100%of ENGR. EST.* o r, 2203J 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 Map (4 Lots or Less) $4,200.00+$90/lot 47221 Final Tract Map(5 or More Lots) $5,115.00+$124/lot 22031 Monumentation Security 100% of City's Monumentation Estimate 49'201 Parkland Dedication Fee(75%125%Due Upon Cert. of Occupancy) 47221 Lot Line Adjustment(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 $1 DO/sheet 4722 Appeal Filing Fee $200.00 730.4924 Notice of Improvement Obligation Payment 4722 Assessment eg-regati on or Reapportionment First Split $940.00 Each Additional Lot $295.00 511 Postage 77 F, Z-7 Other(Please Specify) *Engineer's Estimate shall be as approved by the/City E-ngineer and shall include all items of work, TOTAL [PLO oc ME OF APPLICANT \ (eVVA ME OF-PAYOR PHONE Z1 1-4 14, DRESS ZIP FOR RECEIVED Byl; CITY CLERK L ONLY ace 1 04 E JT - �;Y ORMT—pW CITY OF CAMPBELL. DEPARTMENT OF PUBLIC WORKS APPLICATION FOR PLANT REMOVAL Date Submitted a (S� ( —7_ Application No. Pursuant to the terms of Chapter 11.08 of th ElLf ampbell Municipal ode,an application is hereby made fora permit to remove 2, A vh ka 1_ �5 1. The location of the job in the public right of way is as follows: .2R`� v-+i� . tw► ��Q 2. The reasons for the removal.are as-follows: _ke, Z&vV%eC w. Gd C _ _ .-..S �. Nv.b lh (use other side of he if necessary) �— 3. The.applicant hereby.agrees,by affixing his signature to this.application,to hold the City of Campbell,its officers,.agents.and employees-free, safe.and harmless:from any claim or demand for damages to third persons relating from the work herein proposed. Name of Applicant t (signature) �a"���t V i.e�v-►-ram. (print your name) Address of Applicant 25k9 qcco g .Check One: Residence( or Business () Telephone Number FOR OFFICE USE Date Recommendation. ,,��'.r/iP! /` <r (use other side of sheet if necessary) Applicant contacted in field? By Date. Syed Wahidi From: Bob Siudzinski Sent: Wednesday,January 03, 2018 10:34 AM To: 'Ronda Vierra' Cc: Syed Wahidi Subject: RE:Tree Type Hi Rhonda, For traffic calming, heat island reduction,shade walkability and real estate values, medium size trees are best on a collector street such as Harrison Ave. In this case I approve Eastern or Western Redbud trees. It is important your planting company creates a large planting well so the trees establish to their optimum height. Syed will insure the planting location is well cleared. I'do appreciate the efforts you are going through to enhance our community forest and I will work with you and Syed to insure the trees have the best opportunity to thrive. Please note: the State of California has encouraged me to inform residents that watering trees is a responsible.use of our precious resources. Feel free to call me with any questions....408 206-6284 Kindest regards, Bob From: Ronda Vierra [maI Ito:ronda.vierra ftahoo.com] Sent: Friday, December 22, 2017 2:49 PM. To: Bob Siudzinski Subject: Re: Tree Type Hi Bob, I have city approved Eastern Red Bud trees planted on the Other side of the corner and would like to have 2 more of the same. Is there any reason we can't do that? Regards, Ronda On Dec 22, 2017, at 9:31 AM, Bob Siudzinski<BobS@citvofcampbell.com>wrote: Koelreuteria bipinnata Sapium'sebiferum Sophora japonica 'Regent' Hi Ronda, Here are three beautiful tree species appropriate for in front of your home. Please review and we can discuss which one you prefer. Don't get caught up in internet searches on these trees, they are well vetted out. Thank you, Bob PS: See you after January 2nd 2018. <image002.png>Robert Siudzinski City Arborist City of Campbell Public Works Department 70 N. First Street Campbell,CA 95008 www.61y cam bbeellxcL �&08.966.2772 2 Encroachment Permit Final Sign Off CC3c.o Encroachment Permit# �''� Zc { Address: `1� Date of Final Inspection and Acceptance: 7/9 / I Inspected by: OK to release deposits: 100% �� 75% Comments: I ' I i I I 1 I I i I I I i i I Print Form CiTY OF CAMPBELL R-1 ENCROACHMENT PERMIT Permit No_ DEPT:&PU.gLIC WORKS X-Ref File (Non-engineered work within the pubk r ght-of=way) 70.North Firs#Street ($10,000.00 maximum value"ofWork) Application"Date Zi l7 Campbell,CA 95:008 // Application Expiration j•/u /{ ph.(4.0&)$66-2150 ISSUED: /..l C7 - Date "( I Fx:(408)3754358 Permit Expiration Date: APN APPLICAT)DN-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' B: Nature.of Work: ��. . .., 2-4 tr i_ X ' T Y'S F�ij�e:✓n � P t a►� (` 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 Gty Ehgine&,,said drawing become apart ofthis permit. D. All wark,shail confiArrn to"t the City of:Campb'ell Standard.S.Peeifications and Details for.Public Works.Constructi6h;ihe.G.2n:eral Permit Conditions listed on the reverse"side;and the Special Provisions#oi this.permit,listed below: Failure.0 abide.byfhese"conditions and provisions may result in job shutdown andforforfeiture of Faithful Performance securities. NAtyit OF APRLiCANT, 'jefeptione• -•� /� Address: 22-9 E-KWAddress:" p tt ........... ... The Applic nt hereby confirms that this work is,b.e.trig o.one by cJie property owner a.ppticant at ti eii own residence, Tho Ap.plicanT hereby agrees by affixing their sigriti ure.td this permif to hold the City of Camp.b:eli,City of Campbell Redevelopment Agency,its 1 . ' vkcvereage r' ung from od by this permit- rsofce ;agen s,andm nd fordam t The Ap .I: cant.heri'b,, aeknowle.dges,Yilat they have read and.understand both.the front and back of this permit,and.that they will"ipform their contractor{s}"of"ttie.info. ACCEPTED: (ApplicantlPerrnittee) (Sign) Date NOTES: Ali work shall conform with the attached approved plans and all applicable.Campbell Standard Details and Conditions and appticable 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 worts 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; 1-500-227 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. ,� V2. ('C�'�� U,tL.L ' t�1a= Die E Alt{(�� WILL �ieV>r ST�a qg� 1�gat, �fi�ry �+ ��T STANDARD AMOUNT RECEIPT NO. SECURITY FOR FAITHFUL PERFORMANCE (100%Of Engr's Est.) $ 1GOO l R-1 PERMIT FEE APPROVED FOR ISSUANCE: 1/3/1 GENERAL PERMIT CONDITiONS 1, Payment of a security to insure faithful performance and completion of the work is required.This!security is refundgbleupon completion of the work and written acceptance bythe City. ?. 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 vehlcdlar crossings and free access to private driveways,fire hydrants and water valves, 7. Replace as directed b�the City Engirreer'any damaged or removed improvements in accordance with City Standards and Spedficatiobn af.the We expense of the Permittee:. 8. Savvcutfor all PCC and ACremovals. AII.ACC remgvaisshall be to nearestscoreiriark.and shall b.e doweled to existing irriprovements. 9: Adequate;sigiiing and ba&lcading is required on tbe,job site:..Failure to provide such_sigdgi and barricading as.specified bythe City Engineer may result in the CGtys providing such signing wid barricades and charging the cost to the Perrriittee. 1 D. The.Contractor or Permittee Will haue a supervisory respr�sgntative'available.for contact on the project,at all.times during constructidn: 11. This permitshall be kQptatthe site cifworkand.must be show..to.any authpFzed representatives of the City of Carripbell araryy law enforcement officer upon demand. 1.2 No storage of matey"ials or equipment will be.al.lowed near the edge of.pavement,within the traveled way;or within the shatilderline; which would cr=eaie a Aazardous condition tb the pubk; 13t This•perrriit shall not be construed as authorization fair excavation and grading on.private property adj0peht16AhR*orkor ariy oth'ei work for which a separate permit maybe required,nor does it relieve the.Permittee ofanyobligation to obtain ally otFier 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. is. 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 workdone after normal working hours,on weekends or holidays and may require reimbursement of inspection costs atthe current overtime rate_ 17. Call back(call out)due to emergencies regarding this permit shall be a't 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 in a i n to ined Go�.i.-d 1'J•"� iucn. 19. Pursuant to Chapter 14.02 of the Campbell Municipal Code,applicant shall not cause to be discharged any material into the mi inicir-a..storm rl rajn cy ciatvi otherthan storm water. Annlirant shall arlhera to tha RFC"i"MAN A r:Ff</f a_NT PP A r71r'FC octnh1kk.,„{by the Santa Clara Valley Urban Runoff Pollution Prevention Program. Applicant shall be responsible for ensuring that ail those providing services under the applicant are aware of and understand all of the above n itio n ` { / 1 Applicant. Date PUBLIC A,01, S DEPARTMENT LAND DEVELOPMENT Effective July 1,2017 TO.: Finance PUBLIC WORKS FILE NO. � (�p�' PROPERTY ADDRESS 2 !'T —i Scq,.i ll Please collect&receipt for the followin monies Accr lfi��lL mom Q t_AN#]D( lEI 4722 Ein nt Permit Application ee t Encroachment Permit Ma'or 2!$10 000 $425.00 croachment Permit<s o,00a $240.00 Permit N/C ent R-1 Permits within Two Year Period $240.00 n Fee Minimum Char e. er Location $420.00 StreetTree Planting/Removal N/C. . 2203: ($5.00 per Tree Planting De osit Required) .$500.00/ttee 2203 Plan Check Deposit 2%of Engineer's Estimate $500.00 min tlfility and R-1 Permits no deposit required 47221 Gradinq&Draina a Plan Review Single Family'Lot $295.00 Site.<.10,000 s:f. $885.0.0 Site>10;000 s.f.<0.5 Acre - $1 1.85'00 Site>_0.5 Acre $1.772:00 04722. DES Review C3 Re uirements For proiects not required to submit numeric sizing $175400 For proiects required to submit numeric siArig Imvious Area 10 000 Sg Ft to 1 per Acre $74.0.00 Im°ervious Area 1..Acre or more $9fi5,00 . 4722 .For' ro ects.sent td Consulteint.f6r.rev.iew Consultant Cost+20%. 9.722. Additional treafinenf facilities. Plan Check&lns ection Fee Non:util.h 4722 Eh r Est.<$250=000 14%of En irieers Estimate 4722 En r.Est.;$250,000 and:5$500,D00 $35 000.00+B%of.En ineers Estimate 4722 En r:Est. >$500'000... $55 000:00+T%of En ineers Estimate. 2203 Erner enc Cash b; osit 4°1u of Er .qr. Est.*($500 mml$10,000 Mai 2203.. Faithful PerforrriancdSecuri :FPS 10.0%.cf.ENGR..EST.* $ 2203. . Labor and Materials Securi 100%.of E-NGR-EST.*. 472.1 St©rm'Drains a Aipa Pee P.erAcrp jlVlulfi�:f3es,.�2;385,00). (All Other$2;651.0`00). 4722. Parcel Map 14 Lots or.Less $4200:00+590/lot 4722. Final"Tract Map(5 arMor$_Lots)_ 5115.00+$1:24/lot . 2203 . _ Monumeritation.Securit: 10.0%:of.CttVs Monumentatiori Estimate 4920 Parkland pedicaboa Fee 750/d/25P/.Due Upon.Cert:of Occupancy) .4 .72. 2: Lot Line.Ad ceni ustmentoridude5. flcaienrcompbi ce.> , .1 4722. Vacation.of.Public Streets&Easements"$2.;700_DO 4722. Certificate of.Compliance $1,970,A,0 4.722, Certlficate..of Correction $590;00 4722; Documerii Recording Fees $1a:Qsa/fitst�a e$3 ea.Additional 4722 Private Im roveinent in Public ROW $'IOt);'00 . 4722 Approves!Plan Revision Fee $100/sheet. 4.722 Appeal Filing Free $20000 730-492-4. Notice of Improvement Obligation Payment 4722 egregation or Reapportionment First Split $940..00 Each Additional Lot $295.00 511.7424 Postage _ Other(Please .peci. 'Engineer's Estimate shall be as approved by the City­'Engineer and shall include all items of work. TOTAL $ loco •6 :NAME OF APPLICANT 4.`0V4 �V7h NAME OF PAYOR =' +' ',. PHONE ADDRESS _ ZIP ii,,l-; FOR RECEVVr=D-BY":­ CITY CLERK ONLY Date Recerp## = r CITY OF CAMPBELL DEPARTMENT OF PUBLIC WORKS APPLICATION FOR'PLANT REMOVAL DateSlibmitted 71 Application No. Pursuant to the terms-of Chapter 11.08 of th Campbell Municipal ode,An-application is hereby made fora permit to remove r1 V"6a;_ �5 1. Tbc location of the job in the public right of way is as follows: Lllilk • . X-ti-t4a . 2. The reasons for the removal.are as'follows: V`ces haer 4orX6c wt G c _ . S. '• :t9,'rq k.U'Jo-" rZ er . i J' S w.c l hqq (use other side of sheet if necessary) 3. The.applicant hereby.agrees,by affixing his signature to this.appiication,to hold the City of:Campbell,its ofBcers,.Agents,and employees-free,safe.and harmless1rom any claim or demand for damages-,to third persons relating from the work herein. proposed. Name of Applicant � - (signature) (print your name) Address-of Applicant 9-`t9 =P_Lo.� qM Check One: Residence( or Business() Telephone Number - 4132C, ' yc de'dt :E * f * YF � # de�e * � it 3e $ *'7k d: eFr •k �t x �ie ;E It+1•it ik iC.Y'k {e de {e $ dr iEc a`t ft la'7F eE aF•Ar FOR OFFICE USE Date Re co��m�mendation � 1fb1t J. � /` 4 (use other side of sheef if necessary) Applicant contacted in field? *r r By /: G%Cl�i/6L Datef�f $y..pd wehidl From: Bob Siudzinski Sent: Wednesday,January 03,2018 10:34 AM To: 'Ronda Vierra' Cc: Syed Wahidi Subject: RE:Tree Type _ Hi Rhonda; For traffic calming, heat island reduction,shade walkability and real estate values, medium size trees are best on a collector street such as Harrison Ave. In this case I approve Eastern or Western Redbud trees. It is important your planting company creates a large planting well so the trees establish to their optimum height. Syed will insure the planting location is well cleared. l do:appreciate the efforts you are going through to enhance our community forest and I will work with you and Syed.to insure the trees Have the best opportunity to thrive. Please note: the State of California has encouraged me to inform residents that watering trees is a responsible use of our precious resources. Feel free to call me with any questions....408 206-6284 Kindest regards,. Bob From: Ronda Vierra rmailto:ronda.vierra0yahoo&9M Sent: Friday, December 22, 2017 2:49 PM. To:Bob Siudzinski Subject.. Re: Tree Type H i Bob, I have city approved Eastern Red Bud trees planted on.the Other side of the corner and would like to have 2 more of the same. Is there any reason we can't do that? Regards, Ronda On Dec 22,2017,at 9:31 AM, Bob Siudzinski<BobSC@cityofcamobell.com>wrote: Koeireuteria bipinnata Sapium' sebiferum Sophora japonica `Regent' Hi Ronda, Here are three beautiful tree species appropriate for in front of your home. Please review and we ca.n discuss which one you prefer. Don't get caught up in internet searches on these trees, they are well vetted out. 1 Thank you, Bob PS: See you.after January 2nd 2018. <image002.png>Robert SPudzinski City Ariiorist City of Campbell I Public Wofks Deput ment 70 N.First Street I Campbell,CA 95008 W"M._ciyofcampbeIl.corg 1 40S.866.2772 2