ENC2017-00243 ®F
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CITY of CAMPBELL
Public Works Department
August 5, 2019
AK Construction
385 Woodview Ave. #250
Morgan Hill, CA 95037
SUBJECT: PERMIT NO. ENC 2017-00243
1202 Arroyo Seco, Campbell, CA
FINAL INSPECTION AND ACCEPTANCE
To Whom It May Concern:
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.
If you have any questions,please call me at(408) 866-2165.
Sincerely,
Syed VaIdi
Public Works Inspector
7o North First Street • Campbell, California 95008 • TEL 408.866.2150 • FAX 408.376.0958 TDD 408.866.2790
CITY OF CAMPBELL
PUBLIC WORKS DEPARTMENT
CLEARANCE FOR FINAL INSPECTION
AND ACCEPTANCE LETTER
Encroachment Permit#: ENC2017-00243
Name: AK Construction
Property Address: 1202 Arroyo Seco.
Date of Final Inspection: 7/29/19
On File: Bonds CD Cash
Faithful Performance: $
Labor and Material: $
Construction Cash Deposit to be released: $
Other overdue deposits to be released (Description):
Processed by: irv(
Administ ator
Reviewed by:
Inspector
Reviewed by: �j I
Land Development Engineer
J:VoAnna'Meposit refunds\CHECKLISTS\Campbell 1279.2019.doc(Rev. 10/11)
Encroachment Permit Final Sign dff
Encroachment Permit# T;NC 9--o17--30-43
Address:_ �202 Awe-y c . Seev
Date of Final Inspection and Acceptance: 712-g /I°%
Inspected by: Sw
OK to release deposits: 100% . 75%
Comments:
OF C9``9
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•Uk CH ARO'.
CITY OF CAMPBELL
Public Works Department
August 10, 2018
AK Construction
385 Woodview Ave. 9250
Morgan Hill, CA 95037
SUBJECT: PERMIT NO. ENC 2017-00243
1202 Arroyo Seco, Campbell, CA
FINAL INSPECTION AND ACCEPTANCE
To Whom It May Concern:
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 July 18, 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 Performance Deposit in the amount of$5,000.00 is enclosed.
If you have any questions, please call me at(408) 866-2165.
Sincerely,
Syed Wahidi
Public Works Inspector
A
fa
Cc: L.Azevedo
Penn-it File ENC2017-00243
70 North First Street • Campbell, California 95008-1436 TEL 408.866.2150 FAX 408.376.0958 TDD 408.866.2790
Refundable''- Deposit Chec'k Request
Finance Director•' \��To; Fln •
Checii Payable To; A.K Construction ,
Address-Line 1: 385 WoodvieW Ave.#250
Line 2:
City: Morgan Hill,' State: CV, Zip 95037
" Description: 1202 Arroyo Seco Dr. . .
"Account Number:, 10.1.2203 Amount: $5i000:00
Account'Number` 101.2203 Amount:
Account Number. 101.540.7448" Amount:
(Finance�Dept only).. Interest Eirned (Finance Dept only).
100
Total Payable: $�S1009 -_ (ExaatA�mount)
Purpose: Deposit,Refunds.
Permit#: -EN62017-00243
Receipt#: 271912," Date: 10A16l20.17.
Receipt#:- Date:
Requested 6y: 'Title:,' Inspector Date: [� •' ��j
Syed Wahidl ,
Approved by: Title" .. Sr.Engineer Date: ( r�
.-Roger- t rz j .
Approved by: Title: City Engineer Date: qlb ,.
Amy O
.Finance.Dept Only:
Verified by: Title: Accounting Clerk 11 Date:
Approved-by: ,Title: Accountant - Date' '
Special, Instructions_ For Handling_ Check
Mail As.Is: Mail in Attached Envelope: Interim'Check:'
Needed..By:
Return To: JoAnna.Thomason ,Public Works
(Name) ; . (Department) -
Other: Please return check to JoAnna
CITY OF CAMPBELL
PUBLIC WORKS DEPARTMENT
CLEARANCE FOR FINAL INSPECTION
AND ACCEPTANCE LETTER
Encroachment Permit#: ENC 2017-00243
Name: Leonard Azevedo (AK Construction) ,
Property Address: 1202 Arroyo Seco Dr.
Date of Final Inspection:
On File: Bonds CD Cash
Faithful Per ormance: , 00. 0
Labor and Material: $
Construction Cash Deposit to be released: $
Other overdue deposits to be released (Description):
Processed by:
Admi ' trator
Reviewed by: 1 VU
\ / l
Inspector
Reviewed by: Vi6!�
Land Development Engineer 1
JAJoAnnaT\Deposit refunds\CHECKLISTS\Arroyo Seco 1202..doc(Rev. 10/11)
Encroachment Permit Final Sign Off
Encroachment Permit# [-NC 2o17 - p021--{3
Address: 12c,2. iy �L�:
Date of Final Inspection and Acceptance: ����a
Inspected by:
OK to release deposits: 100% 75%
Comments:
PUBLIC WORKS DEPARTMENT LAND DEVELOPMENT
Effective July 1,2017
TO: Finance PUBLIC WORKS FILE NO. ENC2017- 4
PROPERTY ADDRESS 1202 Arroyo Seco Drive
Please collect&receipt for the following monies:
ACCT. ITEM AMOUNT
LAND,DEVELOPMENT
4722 Encroachment Permit Application Fee
Non-Utility Encroachment Permit Mamor>_$10 000 $425.00
Minor Encroachment Permit<$io,000 $240.00
Initial 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 Pl anti n /Removal N/C
2203 $500 per Tree Planting Deposit Required) $500.00/tree
22031 Plan Check Deposit 2%of Engineer's Estimate $500.00 min
Utility and R-1 Permits no deposit required
4722 Grading&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 projects required to submit numeric sizing
Impervious Area 10,000 S .Ft to 1 Acre $740.00
Impervious Area 1 Acre or more $965.00
4722 For pro-ects sent to Consultant for review Consultant Cost+20%
4722 Additional treatment facilities $315 ea
Plan Check&Inspection Fee(Non-Utility)
4722 En r.Est.<$250 000 14%of Engineer's Estimate $ 350.00
4722 En r.Est.>_$250 000 and:5$500 000 $35 000.00+8%of Engineers Estimate
4722 En r.Est. >$500,000 $55 000.00+7%of Engineers Estimate
2203 Emergency Cash Deposit 4%of En r.Est.* $500 minl$10 000 Max
2 03°�°°F ithful erEorm nee Seei]ri-°� I'G?0-°�0 of ENGR.EST.* $ 61t f0 10
2203 Labor and Materials Security 100%of ENGR.EST.*
4721 Storm Drainage Area Fee Per Acre R-1 $2,120.00 $ 403.00
(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 Com liance $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 Filing 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___
MISCEL'L`ANEOUS -- —
Other Please Specify)
*Engineer's Estimate shall be as approved by the City Engineer and shall include all items of work. TOTAL $ 5,753.00
NAME OF APPLICANT Azevedo �-Aj1 C-\-�
NAME OF PAYOR b *�5 HONE
ADDRESS p" ZIP
FOR RECEIVE BY• '
CITY CLERK C" d g
ONLY Date Recei t# -
J:andDWInCMkCm,—\t-Sp ft Pmjeas-A,M Project in Pmg—Artoy"5 0r InVN t,.Ms
CITY + egSmL . .
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» . Sa#S DATE: IwlRw
. . . . . . _ . REGISTER DATE; lmiw2 JIR: m:m
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US 2 EN y3
. . • . \ » 7SgSQ FILING E $350.00 : •
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CUST !D:1020gmm «m m
. STORM BRAIN RS q 2 $+«m
. . . rl! %L ]! 5 $ .«am
. . ' . TENDERER $ ,'a m
. ' CHAR: \q . .
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F µ Print,Form '
CITY OF CAMPBELL R-1 ENCROACHMENT PERMIT Permit No. 6-70 a6\ Oz43
DEPT.OF PUBLIC WORKS (Non-engineered work within the public right-of-way) X-Ref File
70 North First Street ($10,000.00 m ximum value of work) Application Date ID
Campbell,CA 95008 Application Expiration
Ph.(408)866-2150 ISSUED: o <(o Date
Fx.(408)376-0958 Permit Expiration Date: APN z_�6_ 'cog L�3 Lk
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: 11202 ARROYO SECO DRIVE
B. Nature of Work: RELOCATE CURB CUT TO NEW LOCATION;NEW DRIVEWAY AND REPLACE OLD DRIVEWAY
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: LEONARDO AZEVEDO I Telephone: 408-250-4686
Address: 1202 ARROYO SECO DRIVE
E ; lit ,• LAZEVED04@gmail.com
The Applicant hereby confirms that this work is being done by the property owner/applicant at their own residence. 1
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 information.
ACCEPTED: 10 f 3 /-4
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.) $ S-(AO l AO �`C1 kZ-
R-1 PERMIT FEE $
APPROVED FOR ISSUANCE: 0 Ito
fi;eCity Engineer Date
Permit Expires 6 Months after Date of Issuance.
,r
~ 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. o
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 • 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 responsible for ensuring that all those providing services under the applicant are aware of and understand all of the above
conditions.
�n/,3��
J:\FORMS\Templates\Encroachment Permits\R-1 Encroachment Permit STATIC form2.pdf
Rev.02/14
APN: 288-08-034v
NEW DRI VEWA Y RAMP- &
SIDEWALK PER CITY STD.
DET. D15
0 PLACE ROCK BAGS AT GUTTER TO PREVENT
' CONSTRUCTION WATER ENTERING CITY STORM 17.6
DRAIN SYSTEM DURING CONSTRUCTION. ALL
SAWCUT SPOILS SHALL BE VACUUMED.
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EX. CURB & CUTTER
REPLACE EX. DRI VEWA Y RAMP ¢ 20' ¢ 4
WITH CURB & GUTTER AND
SIDEWALK PER CITY STD. DET 12" AC PLUG
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