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ENC2018-00005
®V- C4,l A aril V;iy""r � t � °ccianav. November 5, 2019 (CITY OF CAMPBELL Public Works Department Campbell Union School District 155 N. Third St. Campbell CA 95008 SUBJECT: PERMIT NO. ENC 2018-00005 1585 More Ave. FINAL INSPECTION AND ACCEPTANCE To Whom It May Concern: The City of Campbell has made the final one year maintenance 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. AND The remaining 25% of your Faithful Performance Security deposit in the amount of $625.00 is enclosed. Sincerely, l Syed Wahidi Public works Inspector Cc: Permit #ENC 2018-00005 70 North First Street Campbell, California 95008 • TEL 408.866.2150 • FAX 408.376.0958 • TDD 408.866.2790 ............... .......... ......................... ............................. ............................. ................ ........ ......................... ........................... ................................... .................. ............ ....................... ....... ...... ................. ........ ..... > CITY OF CAMPBELL VENDOR NO. 10014836 CHECK NO. 275984 Accoint. . Purchase Order. Invoiee> umber '>'.. ? Arruirnt. >Descri`'Pon 101 2203 CRIO1819 625.00 1585 MORE AVE 9. 10014836 CAMPBELL UNION SCHOOL DISTRICT iI f�l .4 CITY.:OF:CAMPBELL CHECK DATE CHECK NO. FARGO RIM, N.A. 11-24 _420.;.MONTGOMERY STREET 1210 10/28/19 275984 i;'*��.�:�:�70 NORTH FIRST STREET AN FRANCISCO, CA 94104 MPBELl CALIFORNIA 95008 C." 0 0 AMOUNT *******625 . 00*, of 0 ,,,,,,VOID AFTER 90 DAYS 0 > PAY THE SUM OF SIX HUNDRED TWENTY FIVE DOLLARS & ZERO CENTS 8i TO THE CAMPBELL UNION SCHOOL DISTRICT ORDER 155 N. THIRD STREET t-/OF CAMPBELL CA 95008 F ii02759841in 1: 1210002481: 41218554150 .......... .......... ........... ................. ...... ................... ........... .......................... ........................................ ...................... ...................................... ........................................ .................................. .......... .................. *See Reverse SWe For Easy Opening Instructions* CITY OF CAMPBELL 70 NORTH FIRST STREET CAMPBELL, CALIFORNIA 95008 CAMPBELL UNION SCHOOL DISTRICT 155 N.'. THIRD STREET CAMPBELL CA 95008- Refundable Deposit Check Request To: Finance Director Check Payable To: Campbell Union School District 1 � Address- Line 1: 155 N.Third St. Line 2: City: Campbell State: CA Zip: 95008 Description: 1585 More Ave. Account Number: 101.2203 Amount: $625.00 Account Number: 101.2203 Amount: Account Number: 101.540.7448 Amount: (Finance Dept only) Interest Earned (Finance Dept only) Total Payable: (Exact Amount) Purpose: 25% FPS Deposit Refund Permit#: ENC2018-00005 Receipt#: 273700 Date: 2/9/2018 Receipt#: Date: Requested by: ��� Title: Inspector Date: Syed Wahidi Approved by: �e)� Title: Sr. Engineer Date: ' ��u, Roger Storz Finance Dept Only: Verified by: Title: Accounting Clerk II 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#: ENC201-5-0024G- Name: Campbell Union School District Property Address: 1585 More Ave. ' Date of Final Inspection: 10/9/19 ' On File: Bonds CD Cash Faithful Performance: 25% remianing FPS =$625.00 Construction Cash Deposit to be released: Other overdue deposits to be released (Description): Processed by: Ad inistra r Reviewed by: cto r Reviewed by: Land Development Engineer J:UoAnnaT\Deposit refunds\CHECKLISTS\More 1585 10.2019.doe(Rev. 10/11) L ' Encroachment Permit Final Sign Off Encroachment Permit# Address: k85 k-r- AVC- . Date of Final Inspection and Acceptance: WIC) 119 Inspected by: Sw OK to release deposits: 100% 75% 0 r Comments: �'�` � e�1Ga��✓�_. Sl � of C44�( w:. G •URCHA%9• , CITY of CAMPBELL Public Works Department October 30, 2018 Mr. Doug Williams Campbell Union School Dist. 115 N. Third St.. Campbell, CA 95008 SUBJECT: PERMIT NO. ENC 2018-00005 1585 More Ave., Campbell, CA FINAL INSPECTION AND ACCEPTANCE Dear Mr. Williams 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 October 9, 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. 75% of your Faithful Security Performance Deposit refund in the amount of$1.,875.00 is enclosed. The City will continue to hold 25% of your$2,500.00 Faithful Performance Surety for the one-year maintenance period. If you have any questions,please call me at (408) 866-2165. Sin rely, r I SyeWahidi Public Works Inspector Cc: Inspector/Suspense Files Permit File ENC2018-00005 70 North First Street • Campbell, California 95008-1436 TEL 408.866.2150 • FAX 408.376.0958 TDD 408.866.2790 JoAnna Thomason From: Douglas Williams <DWilliams@campbellusd.org> Sent: Monday, October 15, 2018 2:10 PM To: JoAnna Thomason Subject: Re: Deposit return check WARNING: This email originated from an external sender! Hi JoAnna, The refund check should be made out to "Campbell Union School District" at 155 N Third St., Campbell, CA. The Santa Clara County Office of Education prints out all our checks for us so I imagine their name was on the deposit check. Thanks, Doug Doug Williams, LEED AP Construction Manager, Measure G '` 'i .M o b UlU ON SCHOOL DISTRICT 240 Harrison Ave. Campbell, CA 95008-2086 (408) 341-7044 W (408) 209-8715 M J dwilliams@campbellusd.org From:JoAnna Thomason <loannat@cityofcampbell.com> Date: Monday, October 15, 2018 at 12:41 PM To: Douglas Williams<DWilliams@campbellusd.or > Subject: Deposit return check Good Afternoon Doug,'I am processing the paperwork for the deposit refund for work at Rolling Hills Middle School. Permit ENC2018-00005. I would like to confirm to whom the check should be made payable and the address it should be mailed to. I show Santa Clara County Office of Education as the Payor of the check, but I show Campbell Union School District as the applicant. Can you confirm the correct information for me. Thanks JoAnna 1 ' of , C4 d�� ARCH ARC• CITY of CAMPBELL Public Works Department October 30, 2018 Mr. Doug Williams Campbell Union School Dist. 115 N. Third St.. Campbell, CA 95008 SUBJECT: PERMIT NO. ENC 2018-00005 1585 More Ave., Campbell, CA FINAL INSPECTION AND ACCEPTANCE Dear Mr. Williams 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 October 9, 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. 75%of your Faithful Security Performance Deposit refund in the amount of$1,875.00 is enclosed. The City will continue to hold 25% of your$2,500.00 Faithful Performance Surety for the one-year maintenance period. If you have any questions,please call me at (408) 866-2165. Sin. rely, Sye Wahidi Public-Works Inspector Cc: Inspector/Suspense Files Permit File ENC2018-00005 70 North First Street • Campbell, California 95008-1436 TEL 408.866.2150 • Fax 408.376.0958 TDD 408.866.2790 Encroachment Permit Final Sign Off Encroachment Permit# Address: ` �85lo12ty Date of Final Inspection and Acceptance: Inspected by: ,� OK to release deposits: 100% 759/" V Comments: D �� ............................. I..._......_ ............. ........... .............................. ................. .......... ............................. ..................................... ----------- --- -- ------ ---------------------------- - ---- ------------------------ ----------- CITY OF CAMPBELL VENDOR NO. 10014836 CHECK NO. 270357 Number:`-* 101 21203 CkI0181,8 1,875.00 1585 MORE AVE < -J lo014836 CAMPBELL UNION SCHOOL DISTRICT I KIM 0&14:01:W.Mcill 154 V-11:1:1 12 801:11ifill-11 1:11 6 111 Is 1:14 it];I CHECK DATE EM NO� CAMPBEL •L A �l 6,/,2�Y `118 `2 7 5 0 3 7 4 24 CA 7. :NGETW �1210 FIRST STREET 9410 A " __ALIFORMA 9500 AMOUNT 6 �Q.CtanAO VOID AFTER p90 DAYS PAY THE'. ONE THOUSAND, EIGHT HUNDRED" SEVENTY FIVE DOLLARS& a) ✓ ZERO v,ENT S 4E 'I ON CAMPBELL UNION DISTRICT Al lTHIRD`STREET,c Z 8121- Y'z", • ------ ------- --------- -- ---- - ------------ --- ---------- ------------- ------ --------................. ............... ............................... rr ............... .............................. ................. ....................... ... ...................... .................. .................... ............ ............ *See Reverse Side For Easy Opening lnstruc"tions* I. ------ - -------- ---------- ----------------- ----------------- ------------ ---------- CITY OF CAMPBELL 70 NORTH FIRST-STREET CAMPBELL, CALIFORNIA 95008 CAMPBELL UNION SCHOOL ''DISTRICT 155 N. THIRD STREET CAMPBELL`CA 95008 CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT CLEARANCE FOR ONE YEAR MAINTENANCE ACCEPTANCE LETTER Encroachment Permit # ENC2018-00005 Campbell Union Schl Dist. Property Address: 1585 More Ave. Date of Final Inspection: 10/9/18 On File: Bonds CD Cash Faithful Performance $ 1875.00 Plan-Check Deposit $ Construction Cash Deposit Other overdue deposits to be released (Description): Processed by: AdNinistrator Reviewed b / Inspector Reviewed by: `� 1 V QN l La4 Development Engineer JAJoAnnaT\Deposit refunds\CHECKLISTS\More 1585.doe(Rev. 10/11) CITY OF CAMPBELL ENCROACHMENT PERMIT Permit No.: 1--N R '0000 5 DEPT.OF PUBLIC WORKS (for working within the X-Ref. File 70 North First Street public right-of-way) Application Date 01.08.18 Campbell,CA 95008 V26 p Ph.(408)866-215o Issued CJ Application Expiration Date Fx. (408)376-0958 ] / APN 403-47-016 Permit Expiration Date L APPLICATION-Application is hereby made fora Public WorksPermitinaccordancewithCampbellMunicipalCode,Section11.04.(Application expires in six (6) months ifthe permit is not issued. Application Fee is non-refundable.) A. Work Address: 1585 More Avenue, Los Gatos, CA 95032 B. Nature of Work/Utility Installation of a 20'fire service driveway (Pollard Rd. - 520'W of More Ave.) Trench Location: C. Attach four(4)copies of an engineered plan showing the location and extent of the work, and four(4)copies of the preliminary Engineer's Estimate of work. The plans shall show the relation of the proposed work to existing surface and underground improvements. When approved by the City Engineer,said plan becomes a part of this permit. D. Allworkshall conform to the City ofCampbell Standard Specifications and Details forPubllcWorks Construction;theGeneral 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 Injob shutdown and/orforfelture of Faithful Performance Sureties and cash deposits. E. The Contractor must have this permit and approved plans at the site and must notify the Public Works Department at least two days before starting work. Notice must be given to Public Works at least 24 hours before restarting any work. Name of Applicant: Campbell Union School District Telephone: 408-364-4200 Address: 115 North Third Street, Campbell, CA 95008 E-Mail Address: dwilliams@campbellusd.Org 24-HOUR EMERGENCY PHONE NUMBER: Is this work being done by the property owners at their own residence? ❑ Yes 7 No The Applicant/Permittee hereby agrees by affixing their signature to this permit to hold the City of Campbell,its officers,agents,and employees free,safe and harmless from any claim or demand for damages resulting from the work covered by this permit. The Applicant/Permittee hereby acknowledges that they have read and understand both the front and back of this permit, and they will inform their contractor(s) of the information.Applicant is advised that upon uance of this permit, property owner, or property owner's successors, shall be responsible for any and all damages arising out of improvements com ted in he public n -way Accepted: (Applicant Permittee) ( ' Date l (Contractor) (Print Name) Date SPECIAL PROVISIONS: 1. Streetshall not be open cut for underground installations. Minimum cuts mayarbe allowed for connections or exploration holes.Suchcutsmaybe cpprifirally ipproved h%i thn Int erTor nrinr Tn rutting. 2, Pavement may be cut for underground installations and must be restored in accordance with the Standard Details'Trench Restoration Method "A",unless otherwise approved by the Engineer. 3. Work to be staked by a licensed Land Surveyor or Civil Engineer and two(2)copies of the cut sheets sent to the Public Works Department before starting work. 1/4. Per Section 4216 of the Government Code this permit is not valid for excavations until Underground Service Alert(USA)has been notified and the inquiry identification number has been entered hereon. USA Phone: 1-800-227-2600. USA TICKET NO. 5. Prior to any work,the property owner shall execute an Agreement for Private Improvements in the Public Right-of-Way,which shall be recorded. 6. Public Notification Requirements: 7. SEE PUBLIC WORKS FEE SCHEDULE FOR CURRENT FEES AMOUNT RECEIPTNO. PERMIT APPLICATION FEE $ 5,5 2-73;7GG PLAN CHECK DEPOSIT $ SECURITY FOR FAITHFUL PERFORMANCE/LABOR&MATERIALS $ 2s500 CONSTRUCTION CASH DEPOSIT $ PLAN CHECK& INSPECTION FEE 42.0 f/ EMERGENCY PERMIT FEE _ $ APPROVED FOR ISSUANCE - ` �G For City Engineer Date Permit Expires 12 Months After Date of Issuance r4 l GENERAL PERMIT CONDITIONS 1. The Permittee must provide evidence of insurance and Additional Insured Endorsements as required by the City.Insurance shall be maintained for the duration of the permit work. 2. A Construction Cash Deposit is required.Changes will be made against this deposit if there is an emergency call-out,overtime inspection orwhen City ordered barricading is required.Any such costs in excess of the deposit will be billed to the Permittee. 3. Refund of the construction cash deposit balance and refund or cancellation of the Faithful Performance Surety will be initiated by the written acceptance of the work by the City. 4. A one-year maintenance period and surety are required.Such period will begin on date of written acceptance by the City.Surety posted shall be equal to 25%of the original Faithful Performance Security. 5. Submit project schedule 10(ten)days prior to proposed start of work.Additional lead time may be required for work within City facilities and downtown Campbell. 6. 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. 7. Maintain safe pedestrian and vehicular crossings and free access to private driveways,bus stops,fire hydrants,and water valves. 8. A Construction Traffic Control Plan and a Construction Schedule are required for all lane closures,detours,and street closures.This plan must be reviewed and approved prior to any lane closures. 9. A Construction Traffic Control Plan shall conform to the 2006 California Manual on Uniform Traffic Control Devices(MUTCD). 10. 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 as expeditiously as possible. 11. Sawcut for all PCC or AC removals.All PCC removals shall be to the nearest scoremark and new PCC shall be doweled to existing improvements. 12. Prior approval of inspector is required for any work proposed after normal working hours,on weekends or holidays and may require reimbursement of inspection costs at the current overtime rate. 13. Work on arterials and collectors may require the use of changeable message boards.Adequate signing and barricading is required on the job site.Failure to provide such signing and barricading may result in the City's providing signing and barricades and charging the cost(including all labor and materials)against the construction cash deposit. 14. Compaction testing of subgrade,base rock,and asphalt concrete by Permittee is required unless otherwise stated by the City Engineer. 15. The Contractor or Permittee will have a supervisory representative available for contact on the project at all times during construction.Contractor or Permittee shall provide a phone number at which they can be contacted outside the hours of 8:00 a.m.to 4:00 p.m.and on weekends. 16. No storage of materials or equipment will be allowed near the edge of the pavement,the traveled way,orwithin the shoulderline which would create a hazardous condition to the public. 17. 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. 18. This permit does not release the Permittee from any liabilities contained in other agreements or contracts with the City and any other public agency. 19. This permit is not transferable.Work must be performed by the Permittee or his designated agent or contractor as specified thereon. 20. 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. 21. 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. 22. If the public interest requires a modification of,or a departure from the permit,plans,special provisions and/or 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. 23. Permittee must provide advance notification to all parties that may be affected by the permit activities.Notification shall be reviewed by the City prior to distribution and include dates of work and a contact name and a phone number. 24. Applicant shall remove water from utility vaults in accordance with the requirements of State Water Resources Control Board Water Quality Order WQ 2014-0174- DWQ Said vault water shall not be discharged into the City of Campbell's storm drain system. See http•//www waterboards ca goy/water issues/programs/nodes/utilitvvaults shtml for more information. Applicant is hereby responsible for ensuring tha_ th a providing sew0ces and a applicant are aware of and abide by all of the above conditions. Applica Date: Contractor (Print Name) Date: 1:\FORMS\Templates\Encroachment Permits\Encroachment Permit STATIC form2.pdf Rev.12/17 PUBLIC WORKS DEPARTMENT UTILITY ENCROACHMENT, TRAFFIC & MISCELLANEOUS RECEIPT Effective July 1, 2017 Finance (�1L, �� OC - Or TO: PUBLIC WORKS FILE NO. oZ � PROPERTY ADDRESS Please collect.& receipt for the following monies v a, . v,z e Sd a u ,� kat v ,r i s iµa.n-. EG a'""YA NT a C"LITEMr ��a F�. �"rrr(�k,.e 'rkc rLth `ab� a' SY:� "Sa:• �b,1 ..r�ftA.E a. t�" �'��,GJ rr""a �_.x_...,��^�a. TES w. _�+,.M _z,H:.r, ts_� ",r•. �. ,.��,.�.,,. .r�"e.. � k ,k.. 4722 Utility Encroachment Permit Application Fee $455.00 R-1 Encroachment Permit N/C Emergency Permits $130.00 Plan Check& Inspection Fee Minimum Charge Per Location $420.00 Conduits/Pipelines up to 500 Feet $2.95/ft Above 500 Linear Feet $1.75/ft Manholes/Vaults/Etc. $190.00/ea Pole Set/Removal $190.00/ea 4760 Storage Container Permit,(valid up to 60 days only)_ $170.00 4760 Project Plans&Specifications. Project No. 4760 ` Standard Specifications&Details $1/Pg$15.50/Bk 4760 Engineering Maps&Plans Aerial Plot 24"x 36" $65.00 Aerial Print 8 1/2"x I $32.00 Map Research (includes max of two 24"x36"copies) $32.00 Maps and Plans 24"x 36" $15.00 4722 Penalties: Failure to restore public improvements $100/Calendar Day(Muni Code Sec..11.34.010) 4722 Penalties: Failure to correct unsafe conditions $100/calendar Day 4722 Work Without Permits 4 Times Applicable Fee/Min.$500 `tM9 i,iz _ �rgk`�';g ,, .._. . 4728 Traffic Flow Map(Daily Traffic Volumes) $35.00 4728 Signal Timing Information $7.3 per hour 4271 Truck Permits $16.00 per trip ��� �+ 4728 No Parking Signs $1 each or$25/100 VfiSCEL"L'A°NI*dU& _� »° *, g Y s, a L Pi i ks.'. .2. 511.74241 Postage Other(Please Specify) J�-_U• '7 �l75V 0 eO TOTAL NAME OF APPLICANT NAME OF PAYOR PHONE ADDRESS ZIP w iai0'a -. FOR REOEIHEU�3Y CITY CLERK Fx „ ONLY ;.. A a e; _ Im #if.Le'F 1f ii5 a !.i'IJI"�1:..5. L,'S.li..itl.y�f i•!•��!} �iE:iJ;Lh DATE- 02/09!.t aye ifil1.n iiU e!.'at DESCRIPTION AMOUNT vC r; .15JnLS Irr.FdV !lf`}LSia }. Ij'l.i 5• -{ •V i f i_ * `f, 00 .. L.1.\}R v t COTS.{}�5.NS NNE AV ';tom?• ;'.:F'#SIT - 3uF.. $2.5#{u.uj TOTAL Mg $3,375.00 TENDERED: $3,375.00 CH ?• l d. , • Ref und:able Deb®sit Check Request To 'Finance Director Check Payable To Campbell Union>School•District; Address. Line 1 155`N Third St L)ne2 - I Gity Campbell State: CA.- Zip 95008 Description 1585 More Ave Account:Nurnber 1012203 Amount: Account Number 1;01..2203 Amount.,, Account.Nurnb'er 10.1.540 7.448 Amount: (Finance Dept on1Y)" 'Interest Earned (Forao ,Dept on y) _ Total;:Payable (Exkl Amount) Purpose 75°lo_;FPS'.D'eposit'Refund • Perit#.; ENC2018 m 00005 } Recei # 273700 . Date`: 21,,91 0 t p18 Receipt:# Date: Requested•;by, � :`_ Title; Jnspector Date Syed Mfifd 5 • Approved by ._. , Title, Sr. Engineer Date Roger Storz Finance Dept Only Uenfied;by _:_� tingCle pate '� Title.' ., Accoun rk Approved by Title Accountant Date Instructions For Hasid l i n Check Mall'i4s Is `, Mail in;Attached`Envelope Inte�lm Check . Needid;:By Return To:` JoAnna Thomason Public Works (Name) (Department) Other Please return:check to:JoAnna PUBLIC WORKS DEPARTMENT UTILITY ENCROACHMENT,TRAFFIC & MISCELLANEOUS RECEIPT Effective.Jury 1, 2017 TO: Finance PUBLIC WORKS.FILE N.O. PROPERTY ADDRESS Please collect & recel t for the followin monies AM" )f� MOWN- i�OR(,AOEIVT - 4722 Utility Encroachment Permit Application Fee $4s5:00 R-1.Encroach.ment.Permit N/C Emergency Permits $.13.0-00 Plan Cheek& Inspection Fee Minimum Charge Per Location $420.00 � Conduits/Pipelines up to 500 Feet $2.95/ft Above 500 Linear Feet $1.75(ft . ManhoiesNaults/Etc. $190.00/ea Pole Settkerimoval. $190-.001ea 4760 . Storage Container Permit-"(valid up to 60 days only), $.1.M00 476.0 Project P.lans.&$pecikations. Project No. 4760 Standard$pobificAbOps&Details .$1/Pg$15 50f8.k . 4760 Engineering Maps"&Plans Aedai Plot 24"z 36" $65;00 Aerial Pr'int8 9/2"z 11.". $32.00 Mar )Research.(ncluafes.max of ts+do 24'x36"copies) $32_00 Map..s.and.Piai1s 24"x..36 $15,00. ., 4722 Penalises Failure to restore public irriprovements ion/.caiendar.bpy.(Muni code$ec,.11.34.a1o} 4722 Penalties: Failure.to correct unsafe conditions $1001talendar o.ay. _ 4722 Work Without Permits 4 Times Applicable Fee/Mtn $soo 4728 Traffic Flow Map.(Daily Traffic Volumes) $:3:5.(10 4728. Signal Tuning Jnformation $7.3 per flour . 4271 Truck.Permits $.16.D0.per trip. 4728- [U.o'Parking Signs - $1 .each or$25/100 511.7424 Postage Other(Please Specify 2-SV TOTAL �) t NAME.OF APPLICANT NAME OF PAYOR PHONE ADDRESS ZIP S FOR RECEIVED BY CITY CLERK n R ONLY Date ieceapt# \ +;: ;. C1 TY OF CAMi BEL.i. Rr•I:��I BY: CASHIL Olf"002737t100 t'AYI�1 : WIT6 CI.ARA COUP:fY Isil,:IC 11FITION AMI, 1hl'i C ,T ID.ENC2010'-00005 CUST IDt I.ON Cil"u'is"1E 1• �3`i MORE AVE 01) TOTAL BUD symoo TEMEIEREriz $3,375.00 CHANGE: CHECK 137375.00 (ir"F NUM'. s3,9051057 GENERAL NOTES STREET IMPROVEMENT PLANS - OFF SITE INDEX OF DRAWINGS � ENC0.0AUIMEcROA N TITLE SHEET n oBrNn AVW ExcRarLHudr PERYrt FRou THE arc of cwPOEu m A wURRIs DEPMIUENT BEFORE 5^E AT All QWIXtK WRHIN THE PUBLLC RIGHF-0f-WAY.WJNf A COPY C6 THE PERYrt ON THE.bB PROJECT ADDRESS: 1585 MORE AVENUE TITLE SHEET I LYIORKCONFOR OMMURENENTS WE WORK.13R CED HEREIN sIV11 BE DONE w—MANL£WRW THE COY OF CAYPBLTL PLAN POLLARD ROAD 2 g µAngyN sPEGDGnONs AND OETNL FOR THE Pueuc woRlts CONSIRUCIION(Gs)DATED AEY 1.4. ENCROACHMENT PERMIT NO.: ENC2018-00005 PLAN MORE AVENUE 3 8 D IN ACCORDANCE WW THE PROJECT FUNS.ATTENTION B ASLO gRECTm ro THE CRY OF BAN JOSE mANDARD 6vETnTGAT_(vss)w+o srANDwD DEEMS(SJSO) DATED JULY—2,THE STATE OF CITY STANDARD DETAILS 4 CAUFORNA,DEFARWENT OF TR—PORTATON,mANDAJN SPEGBGTNNS(SS)ANO mAND4Rm PUNS(SSP) DATED WY 20p6,MRTONS OF.1.ARE INCOT80MlE0 INTO WE CCBS BY RFSEPDNCE 2.WaixwrUluTCRIOI T-1 LEGEND THSE PIANS ONLY APRtOVE WORK WITHIN THE NU STREET MONT-OF-WAY ANT)WBUC FASdEN15. SEPARATE RAN APPROYMS AN0 PERMITS ARE REOUwm FOR NST—L N OF ANY PUBIIC NLLIIV'FALIUII', C A E /LINO ANY WORK ON PRNATE PROPERTY. O a EXISTING PROPOSED A CONIgACTORRESP EeIIIIIES ,� THE CONTWLTOR ARRFES THAT NE/SHE SH4LL ASIME S91E AND CONPLETE RESP—ny FOR JOB SITE CC �� 90ElYAK 5 E CONgoNS_TIE COURSE OF THE WGM,wCLUgNG SAEIY OF ALL PERSON$AND PROPERi1Y;1HAT `l p • CURB AND GUTTER - ae TOS REOUIREMdT SWJL APPLY CONIINUgSLY AND NOT BE UNTIED TO NgiWL WXBONG HOURS AND TENT '� �• Ao ` THE CONTRACTOR SHALL DEFEND.IN-1.AND HOED THE CRY.RS OFFcERS.d—AN0 GENTFA UNE Nly VOLUNIEIIS IL•TI—FRO.ANY ANO ALL LMBIUIV'.NFAL OR ALLEGED.w CONNECTION WRRI PERFORYNICE v 9fSD r P0.0PERTY UNE __ OF WE WORK.IXCETTNG TYBi:ffY ARISING FROM THE NEGLIGENCE OF THE CRTY.nS OFNCFRS,dREA'EES Ee 5.GE IEC YKAL�ISDIISIREPoRT o�"�O�gqa•o- EDGE OF PAVELENT ---_--._ OEOIECHNIW.CON.s AFE IOM..IN A REPORT ENORED tiEOTECHNICAL VNVESnGAlION.—STORY • DRIVEWAY p Zs CIASSROON DU(DING PRO1ECf.ROWNG HWB MIDDLE SON.,—YORE AVENUE LOS_.CNEFO . • b O >: PREPNRT BY GFIR WNAILTMIIS. L_t INC.,DATED AU MST 29,2D17,PROJECT NO.S]79F,SER 5523.THE ACC�IBIE RMrP s= REPORT S FOR NmRWTION ONLY. N s� L PRWftisGNmgE - a �� PLC OR AC REltM01 p a ® PRIDR TO WNSTRIlC110t1,SURMR TO THE CnY ENGINEER A DI-LED PROGRESS SCHEWLE SHOWING PRNA �� —IMAD CITY MONUMENT Il n §DADA 'O—ENTS OF WORL BE-I.ARK (d • > DUIIO SERVICEAl1EHT 0h'CHARV HOLE G` •O \ F$ LONIRPLTOR TO CONTACT UNDERGROUND SERMCE ALERT AT 800-227-2600 AT U—4B HOURS PRIOR TD GDMMENONG ANY IXGVAT ONs.CONTRACTOR SHALL HAND DIG TO E)POSE LOOS ING UTIUTES ENCORE To SIDRM ORAN INLET DJ ® O v3 LONPLY AY RESULT IN SUBSTANRV.Pf114L11BS M ALCOTAANCE CORN GOVBWNENf GOOF SECTION 421e. CITY OF CAMPBELL _ WATER METER ® K o m t5TME AND "D"B DF UNDERGROLNIDOF mR K—L SE.W R AT N P"s W° OBTAINED B " DEPARTMENT OF PUBLIC WORKS PRE o m d , sE SEARCH OF AVAn Am F RECORDS.TO ME REST OF MR KNOWiEDGE.THERE ME NO flf SU FAGUIIFS FIILE MYOEWJT A A ) q EEXCEPT AS SHORN.CONIIWLTOR 944E T. RECAUTIONAAY MEASURES NS AN1ECT TE SUBSTRIICNAkS, y[p$6S= $' WHEnffR UNDWN ON THE RAMS OR NOT,MANE ECONSTRTORI.DONS AfR AND MST ETHESE STREET UG1T /�" �" 4 52 UNOERGROUNO CITY I—PREMLY AHEAD OF CONSTRUCTION 1D PEAIIR RESEIONB TO THESE WE U WHEN E€ NEDESSAGY.WE GIY OF CAIPBENL MALES NO CWYS OF WE KYVRACY OR LOMRETENESS OF THE UIILTIIES u- POLE m O } � SHOWN RILL BO% - p ee PREPARECBRMrt TO THE CITYdgNFER FOR ARPROVN,ANO IYRIIIF2NT TRATIC CONTROL PUNS AS REQUIRED DARN OJ 58 CABLE TElEVSION LINE ' m ELECTRICAL UNE --- r. tYg N WE S—RO SPEOFI—NS.PROr1DE AND MAIN ALL NE—TdPOWJI'TRAFBC CONTROL O cES.e j3a9 5 TO—1 SATE FED—AND V ICUUR ACCESS WRWGH AND AROUND WE JOB SITE,AND AS gREC1FD - IRRG4110N TINE —...n_-_-_ -- 5 BY WE GTY ERG WEER NOTIFY THE P E OEPMI_—OF—C�O9)RES.DETOURS wITNN fi. TUTURAL G45 R AYS.PROAOE A 24-HOUR EMERGENCY RESPONSE TEFPIIONE NUMBER TO THE CnY ENGNEER UNEc— oL tO.EROSION.W5T.AIm ORARNAOE COxTROt OJERNFAD u.E �— ?; PROrAE 1dPoRAR!EA090N,COST.AVO ORNNAGE CONTROL MEASURES Wm.LONSTRUC..muax BEST SANI A SE—t UNE .-____,•____ A W �€ MNNCdENT RLATIOES AS RELOENYdDm BY 51MA CVJt,A COUNTY NON-POINT SOURCE MU—N CONTROL m PROGRAM.RION lO CONCFEIE SAWCIRTNG Oft WA9eNC.RILE FILTER FABRIC W1ERW.w THE FLOW UNE OF Y STORY—N UNE -'-- cY6 CURERS TO RLTAw OFBRS ANO TO PREVdT OEDR6 iINM ENTERING THE STORY ORNN 55'TFII.P,'G(W, T gE SWEID OR W-UM,/NO 06POSE OF F%C65 SOIL A O DEBRIS FROM WE SITE OSTNN PERMITS AND PAY FEES E�E ---"---r---- fE.OUIRED TO DSMSE OF EXCESS WTQtWS. _. —__ E g WAIFR UNE a4 ILFROSON.OuCL DRAINAGECO= TRAFIC SIG_LONOUR --•.--.�_..-._ �,—,�I� -;; TAE PRECAWONARi YFI5URE5 NECESSARY TO PROTECT FROM DA1NGE ALL IXImNG IMPROffYENTS AND � NO UIILTnES WHICH ARE TO REAJN IN PULE D(PEIKIIOUSLY RFPNR IN KIND eNFROhTJENB AND U m REMOVED LIGHTING CONDIIR ..- +•.__ „—'•—,� O �s OR M AGED BY WE A CONfWCIg1"5 OPWATpNG. p „ O ROADSNE SIGN k SON CODE -RI a NORFY TINE CITY EiM EERNIYYF -Y of—wCON515TENCIES BETWEEN WESE P AND ACTUAL FlFLD -3 CONgnONi NO DOMTION FROM TN_PVlS 5"OeNTTEO WIRIOUT WRITTEN APPROJAL OF WE GIY EN-SER. TREE/S 11 C'itOT rrr-�SSS-jllldm ,z coRsrRunloxsrANOxc 00}dBZRV O WORK EED iF R —NN.siFA ucnON sNlux cuT 91EETs To WE rnr ENGx¢R PRgR ro wsPEcnox of p�OR 4 W a IN.wsrAIEATIONauxDERGNINwO UILLIIIEs wD�° '° 4y. 1 AlapFtOV MC1tti O!CT�C ( Uxi WON I"U -F INSTAl ALL OR UNOERORMNO UTUTIES w PAVED AREAS PPoOR TD mARnNG WORK ON NEW STREET Snw nU— I1 ��Kg p® W £s IE_ALUTIONOFUNOBVMIOUxD InulEs a•o•TIOCA IRS �,a1g460 �a Mr7'T tt2 Rd (y �- E.RTIG OR RE—WE OISn.WWGATION LLNES WOHw WE PUBLIC IOCd1T-OF-WAY AS NRECND BY WE G1T05 N F Q ary ENcwEER.REJwt�ARwooxEO IRRICATroN ImEs—N 12—ES of WEGuowc RAID � VICINITY MAP BASIS OF BEARINGS ,e GRAOEUYIMWOVEOARGroCONFOR4 t= GRADE UNIMPROVED ARE S A SNT TO NEW CURBS.(AfflERs AID 90EWA16 ANp PAVEMENT TO CONFORM 10 3 E NEW MPR ENJTS AND TO PROVIDE FOR SAPEM AND DRANA£ 1-600-227-26 N E BEARING.NORW 75 20'CO""EST,OF WE CENTERUNE OF I—M,RG•D BETWEEN RE FOUND NONUN S ON ABBREVIATIONS 11111 AVENUE AND EUNWO DRIVE AS—MONUYENRS AND CFNTERUNE ARE SHOWN ON TART CERTMN RAC AP B ,6 GPPOEUrmoRIOVEOAPFAro CONFORM FIEIIIIID-TTNCT ND.]515,GMm PARK 1.RECAR DEO IN BOOK 20R OF MAPS AT PAGE 40.SNITA LURA W 5-,-,'�• sF GRATE UNIMPROVID AREAS—ENT TD NEW CURBS.(UTTUS AND SDEY7AJOS AND PAMrVT TO coNFDRM TO AB ALGR£GAIE 845E LF UNFAR FEET SOMH MORN GRAN—LECOUNTY fECORBS,WAS USED AS WE B156 OF ALL BEARINGS SIIQYw ON THIS IMP. O W TO I—EE N ai dP NEW IMPROVEMENTS AHO FOR SA7EIY AND DR— DO� AC BEON CONCRETE LOL LAYOUT UNE ST STATION P ' D'+ fn EF ,1.STREITUGIIS m EWJ CURVE LT M4�10 TURN STD. mANOARO F BCR BERM WRB RETURN .A% MUM Sx SIOEWNX Ca 3 NEW STREET LLGHTS SILYL RE 240 WLT.P ,E REOUIfED FEES,PERMITS,INSTAUAToNs AND INSPEcroNS cL cIAA (uE) ATGI EgmNG 1C roP aF CUPB A BENCHMARK Q'I x,F SHALL BE WE PEEON519NY OF WE CONRtAGTOR PROa1DE A CDR'OF POWE RmERS ON OWIERR MH WwHOLE TE1IP 1dPoRARY 5 16 SONNEYREFERwNf PgNS OWY ORNEWAr uIN MINIMuN 1W TWILL 4 S.C.V.WD.B4 61fi BRABS 019f WN WE TOP OF WRB.NEAR TIE FAST EDGE OF WE CURB MUP AT LWy EC Ex0 CURW OG mim—GRME 04F� WE SOUWFJST CDRRER OF MUU RO ROAD AND MORE AVENUE C)EQ W 5� PROTECT,OR RESTORE S,o BY A LICENSED 1A.0 SURVEYOR OR IOW.EMtlNEF7L SURVEY YgJUYFNfS ANO ECR END CURB RETURN P PAVENENT ELEVAWIN-2B20J' S. WJUY-NAVO IsW 0 Vl r�•� RFIICHIWI6 G411AOE0 OR DESTROYED WPoNG CgNSIRUC110N.FILE CORNER RECORD OR IECORD OF SURVEY AS I-BOD-227-26 ryyy REOUwm. ED EDGE DRAIN P�CL PULL Box TL,W r--1 U 11 u EMmNG PoRNAND CEMENT CONCRETE r--1 IA AS IM.CLTTKANS m FAa DF aRa P.c POL.—CHLDWOE GENERAL APPROVAL NOTE: SEAL OF ENGINEER OF WORK: I. 64 SUBYR AS KNIT PIAIS,9GNm BY ilE dGINfEA OF WORK AID ALCFPTABIE TO THE LILY UNGUEDi.PPoOR TO M DNRH GRAPE P RADIUS O 1O•'O FwAL ILCFPfANCE FH DRE MDRAM RCP REINFORCED coNcRETE RPE APPROVAL OF THESE PLANS DOES NOT RELIEVE THE DEVELOPER I HEREBY DECLARE THAT I AM THE ENGINEER OF WORK FOR G•' FL FLONLINE UEVATON NT RIGNT TURN THIS PROJECT,THAT I HAVE EXERCISED RESPONSIBLE CHARGE U ' ]0.WUCN NOTICE LS GRNOE BREVE R/W RIGHT-OF-WAY /PERMDTEE OF THE RESPONSIBILITY FOR CORRECTION OF OVER THE DESIGN OF THE PROJECT AS DEFINED N SECTION rZ _ Ixv IxJERT 50 STORY DRNN MISTAKES,ERRORS,OR OMISSIONS CONTAINED THEREIN.IF, 6703 OF THE BUSINESS AND PROFESSIONS CODES,AND THAT W Y`E€ n.INTRRY EAxRDAcxMExrceYm REQUIRES A MODIFICATION D RING THE COURSE OF OFTHESE PLANS,ONSTRUCTION, BOR THEESSTANDARD THE DESIGN IS CONSISTENT WITH CURRENT STANDARDS. e2 C9TNN sEPARATE Pagans WIIX FAOI Ulltm COMPANY FOR THE OB—TKIN K ALL UIILLIIES TAT RILL SFTNE WE AGENCY INDEX SPECIFICATIONS AND DETAILS OF THE CITY OF CAMPBELL THE I UNDERSTAND THAT THE CHECK OF PROJECT DRAWINGS AND e DEVEIDRAEJT(w PEC WATER,SEWFFL GAS,ELECTRIC,FIG).APPIJGNT SNARL.APPLY FOR ANO PAY All NECE4AN sAxrA GMA Om—FIRE DEPARTYE7N7 (408)S/B-40f0 CITY ENGINEER SHALL HAVE THE AUTHORITY TO REQUIRE.SUCH SPECIFICATIONS BY THE CITY OF CAMPBELL IS CONFINED TO A FEES FOR URIJIY RFpInS MR SANTARY SEWER.GAS WATER,ELECTPoC AND AEE OTHER UTILITY WORK.TINE PLAN SHALL MODIFICATION AND TO SPECIFY THE MANNER IN WHICH THE SAME aPuas s—WE m Tom AND suS OF AL Ex snNc OlamEs MD THE ASSocwm"N wvES INDICATE NeR �N'°F GUPRgE'weuc xvRKR (4ofi)asG-2150 REVIEW ONLY AND DOES NOT RELIEVE ME,AS ENGINEER OF .lT unuT16 AND SBMCES TO RELMW;WHICH Ul9JnBS AVD SERMCES ARE TD BE ABANIDWJED.AND WNFRE NEW UIIIJIIES ANO CID'OF CAYPBEIL-POL10E (LOB)866-2T21 IS TO BE CONSTRUCTED,AT NO COST TO THE CRY. WORK,OF€ RES ONSIBL.ITIES FOR PROJECT DESIGN. AID 5� SQMCES TO BE USTIIIED.JOLT WENCHES MR NEW IIIRIn6 SNNL BE Ibm wHLD1EVFR POSSIBLE WE LOGTONs OF ATAT (406)9B0-2081 '• 2� WE UTLTES SHNL NOT DFMTE FROM WE PROPOSED LOGTKNS ON WE OFF-SITE S R WPRWEUENIS. PICIFlC GAS d:ELECTWO 1-R00-7/s-5000 APPROVED FOR IMPROVEMENTS WITHIN THE PUBLIC •,• SW JoSE WATER COMPANY (4m)DB-7800 RIGHT--OF-WAY AS DESIGN ONLY BASED UPON INFORMATION II.slORYSEYlEft 5Y5T91 RFAUIRFIIENI9 SAHN SE VUIE WATER gsrtaCf SUBI HEREON' 'g..turc P.E. Y. A AL StIXW ORYN IATgaV3 ARE TD BE 121 RLP ONLESS NOTED OW—E. (40e)285-2600 ./ SCALE Q BOLT-DOWN NANN E COVER6—,BE USED WNd NANHIXES ARE NOT LOCATED IN THE RCADWAY. COYG tf(BETWEEN 7NKYY ANO]:OOPIO (40B)9N8-3245 I-.II IiF, AceEIT IY�✓"f No.60K1 N.TS. 2 C.CONTP.Y:IORS SHAL FFOI,DE NDm INSPECTON OF N.I.NEWLY CONSTRUCTED STORM LMJNS PRIOR TO COLNAST(PETER NORMAL WOKKINO NOURS) 1-B00-B_ Re l�I L.IIJ- Prim I PROTECT ACCERPINCE WEST VWEY 9 AlnON D6TWLT (—)3R_ AMY OLAY,P. Doe CGmll Engineering.Inc. '�' ' 52 O.CONIRACROR SHALL w5TAt1•NO MINFING-RDWS TO MY-MEMllIONS OR sRTCKH AT AE IN E AND u_MATES POSTM SENMcE City En ineeF 9' .rcl BASINS i W.PROJEL'T UA015. (4BS)3TB-5780 Y 9 1701 So.Winchester Blvd.,Ste.H-184 CIVIL $HEFT: yid WEST v—cOLLECRON t RECYCLING (40B)28J-8500 City of C..PINII 36 V.WEY TRANSPORTATION Al11HORM-BUs SFRYCE I—)2B3-BSOO SPIT Jose,COlif8-2 -980 I OF Telephone: 408-261-9800 IwwxowTn txwc¢a uz¢Tn.•rq,rwv R.w.N pw wl mt m mwntN a.•.u•w.rx,mw,rot,•e aw•.=a w•r V,-e�u=tiny w w els+•ma o-w.,m,q ma,wl r ms,we q w r=.lav a n.m vma tal- o li 9 Ile 9 ARanc,ZA..9 In 2.s.♦ nnv h� SEW Ag S Ts it ku 4, ".l I\ "A X i-� 41 4 1,71 J." \j 0 > y II I !111 I,: �>,� , 13� ��� � il:i > T 4f4, �u 7 AY —In j (10 POLLARD RC 05/25/2018 BY mw OFF—SITE STREET IMPROVEMENT PLANSAV E. C ROLLING HILLS M.S. 1585 MORE ENCROACHMENT PERMIT NO. — D mpm --- �ew�w amw:1��•• b� Yrtyvmm•a• ruvuv° � •r{n�nt.one e•me• wqr a=.�xa..N� w w,u°v I� 1 1II 1 S Ia ;ik �I ly 61 p€ Y Pa f vJJl br li' - I pppq t I I I 'JI] � Iq f. �Tr�- �I Fl, ,II �- w Ivy �� c r� I iI ( i Li CJ� I J HIT , • I Fi .'I �,it i�d'� I 5 III )X X, « K n MORE AVENUE IMPROVEMENTS + w=" NI.: 05/25/2018 "^'°'°^ o°u er C- OFF—SITE STREET IMPROVEMENT PLANS wa.w.. :. .• f.W,A.'.�...r....�. on.n eY MS a ROLLING HILLS M.S. — 1505 MORE AVE. �� � JENCROACHMENT PERMIT NO. = 1 2018-00005 q+-- Dig-Dr MPM iBOULEVARD WALK Fi $ COMYEACVL �s ssDc�cs R - $o RESIOFNML SEDAItATED WAX t-- L REBIDENML Vertical Curb and Gutter NTS a e €gam LK PoeYc>ro®D�Am�vr m Curb & MALLMALL CURB, GUTTER,AND SIDEWA s Cutter CONFIGURATIONS c - — CITY OF CAMPBELL DETaL 1 aa.,•�� ...� sNOM KWOVE E]DSANO PAYEY4IT . FULL 0—To 4EAN, RE M M. SiRAIGJIT EDW ko Sp / REPLACE BAE(C(�2MAS SHOW1D O LRMD A"'02F PAWMA KEY G TTPE / YAX-YED AB F C I (o SCWPACTION) WL2•WC 5. C NEW PCC IYPROYEYENIS �+Ey O cl WRB,WTIfA.ORrvEWAY 12, (" APPROACH tlt ACCESaaUtt RA11P (�9•-1Y U]z�U aF I ,yw z GANG PAYEYENT CW�w TO REVNN lo I IX _• ,R".mr. .per y" \rH DOMEL TO Eu511NG CL I zo PCc wPROTrNENts • - I z $� WAI N REBAR 6•DIBEDYENT L - 1C NN 2 sack SMID/CELENT 4LRRY'AGIflI�2 4 ASBJ/ CEY—PEA WBIC YPflO of NAIERIAL 9 W•�•i 5g CLASS J AGGREGATE B w .p`' `9B:RFUAK CONPACACN) NOTE: APPLY TACK OIL TO A11 pAC1ED NATY£ g t ' nm N9.EIW ACES PMIXt TO PIAdNC RElAAME COYPACAON) E", € n� �Wxz cY E"'[7W e nz� ! ?': A.C. PAVEMENT REMOVAL & RESTORATION DETAIL aw ¢ AT NEW PCC IMPROVEMENTS o(xo A-3 a • a�naE APPROKD BY:_s �' ATE'YAY w g Ot Y gPL� AT. 0 oaai.vu•,aI[s(uc[n vwss r�]s�ltL�u x9io/,o mtm wx reewc iw.x �B .Txc Rcv smeA�suu � L c Kivus�iov�'� rWv wrz'�eoaeaMm �w�'� SCALE: A N.T.S. ST Commercial DETA.IL Driv fly Detail NO. SCALE € »o w -1 a SHEET: A OF A I ` L_--__- �'--�d+.P.•�:P§.�..ye�..m w.d•!�_Av_�a meY u._�w—.ns w:s••m a—..=.�=w eu.a-�_:�m„n e.n-xu-^o_-- _.__ ___ -_ --__� BOLL Tel:408-261-9800 Fax:408-261-0595 NGINEERING, INC. carroU-cngineering.com Robert@carrrrooU-cngiricering.com ngineers andsurveyors 1101 So.Winchester Blvd.,Suite H-184.San Jose,CA 95128-3903 January 9, 2018 RE�EI'VE® JAIV 9 241� public WArks,4dminisfraPio�y City of Campbell Department of Public Works 70 North First Street City Hall - Upper Level Campbell, CA 95008 RE: Rolling Hills Middle School Attached are the following: • Encroachment Permit Check List • Encroachment Permit Application Campbell Middle School C3.1, C3.2, C4.2 • Engineer's Estimate • Rolling Hills Middle School Off-site Plans (4 sets of 3 Sheets) If you have any questions, please do not hesitate to contact our office. Very truly yours, Kimberly CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT ENGINEERING DIVISION Revised 8/15 ENGINEER'S ESTIMATE FOR LAND DEVELOPMENT PROJECTS Date: OIl 0$'1'8_ _ __ For File No(s): Site Address: [Rollmg 'Ill 1V�S'1585 IVIo_re Ave- Los,G2tczs;, CA 95032 ENC. No. Estimated Cost of Improvements IRK I50 000: ITEM UNIT PRICES FOR PROJECT AMOUNT NO. DESCRIPTION QTY UNIT <$100 K >$100 K $AMOUNT I. DEMOLITION/CLEARING 1. CLEARING&GRUBBING `0, LS $2,750.00 $2,000.00 S - 2. SAWCUT P.C.C./A.C.(UP TO 6") 413 LF $5.75 $4.25 $ 276.00 3. P.C.C.REMOVAL =''28: SF $4.00 $3.00 $ 112.00 4. CURB AND GUTTER REMOVAL "2&'a LF $11.00 $7.00 $ 308.00 5. MEDIAN REMOVAL <'{1z SF $7.00 $5.50 $ - 6. DEMOLISH EXISTING INLET/PLUG RCP'S 0{;:::. EA $2,250.00 $1,750.00 $ II. STORM DRAINAGE 1. 12"R.C.P. (CLASS V) F01 LF $275.00 $225.00 $ 2. 15"R.C.P.(CLASS III) 2.'0 LF $300.00 $250.00 $ 3. 18"R.C.P.(CLASS III) ^;ff LF $325.00 $275.00 $ 4. 24"R.C.P.(CLASS III) ' " LF $350.00 $300.00 $ 5. 30"R.C.P. (CLASS III) .°;l);� ;'; LF $400.00 $350.00 $ 6. T.V.INSPECTION(12") 1=: E LF $1.60 $1.25 $ 7. STD.DRAINAGE INLET(C.C.DETAIL 5) '_'; `f EA $3,600.00 $3,000.00 $ 8. FLAT GRATE INLET(C.C.DETAIL 6) EA $2,125.00 $1,700.00 $ 9. STD MANHOLE(C.S.J.DETAIL D-11) OP EA $6,500.00 $5,250.00 $ 10. STD MANHOLE(C.S.J.DETAIL D-12) F ` EA $8,000.00 $6,500.00 $ 11. BREAK AND ENTER M.H./D.I. u r 0:"=' EA $1,300.00 $1,000.00 $ - III. CONCRETE IMPROVEMENTS 1. SIDEWALK )G SF $10.00 $8.00 $ 1,640.00 2. DRIVEWAY APPROACH 7 SF $14.00 $10.00 $ 2,898.00 3. CURB AND GUTTER `.°a ;j LF $60.00 $47.00 $ 1,680.00 4. VALLEY GUTTER T �_'0'«: SF $35.00 $30.00 $ - 5. CURB RAMP tl EA $4,500.00 $3,500.00 $ 6. TYPE B-1 CURB ?: :k_ LF $50.00 $40.00 $ 7. TYPE Al-B3 CURB LF $25.00 $20.00 $ 8. COBBLESTONE MEDIAN SURFACE ;:'';f0" SF $25.00 $20.00 $ 9 BUS STRESS PAD EA $12,000.00 $12,000.00 $ - O:1Kim MurraylRolling Hills-Engineers Estimate(Rev.03/08) Page 1 of 4 CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT ENGINEERING DIVISION Revised 8/15 ENGINEER'S ESTIMATE FOR LAND DEVELOPMENT PROJECTS Date: (6�11 08' 118_;_ - For File NO(S): i Site Address. rRollxng,I11S M�_5"_l'S85 Mnre_Ave,;,L+os Gate% CA 95032 ENC. No. Estimated Cost of Improvementsu $�50 OOo ITEM UNIT PRICES FOR PROJECT AMOUNT NO. DESCRIPTION QTY UNIT <$100 K >$100 K $AMOUNT IV. PAVEMENT 1. ASPHALT DIGOUT AND REPLACE 19" y CF $6.25 $5.25 $ 118.75 2. PAVEMENT WEDGE CUT(6') 0'_' LF $5.50 $3.00 $ - 3. PAVEMENT GRINDING QJ " SF $1.10 $0.75 S 4. PAVEMENT FABRIC(PETROTECH) Sy $2.50 $2.25 $ - 5. ASPHALT CONCRETE(TYPE A) 1ii 1 T $225.00 $180.00 $ 315.00 6. AGGREGATE BASE(CLASS 2) 1•:11 . T $90.00 $50.00 $ 99.00 7. SLURRY SEAL(TYPE II) 0' SF $0.30 $0.25 $ - 8 AC REMOVAL/OFFHAUL/DISPOSAL ' 19: CF $15.00 $13.50 $ 285.00 V. TRAFFIC SIGNALS/LIGHTS 1. DETECTOR LOOP(6'ROUND) EA $650.00 $520.00 $ - 2. DETECTOR LOOP(6' x 30') `9J; EA $950.00 $750.00 $ 3. DETECTOR LOOP(6'x 50') EA $1,300.00 $1,025.00 $ 4. ELECTROLIER EA $10,000.00 $6,000.00 $ 5. 1 1/2"RIGID CONDUIT "_:Qal. LF $13.00 $10.00 $ 6. 2"RIGID TRAFFIC SIGNAL CONDUIT ,r( 0 ," LF $24.00 $20.00 $ 7. CONDUCTOR `6r'`" LF $1.05 $0.85 $ 8. PULL BOX(NO.3 1/2) E` • EA $425.00 $350.00 $ 9. TRAFFIC SIGNAL PULL BOX(NO.5) yQs EA $580.00 $460.00 $ 10. PULL ROPE gyp1 LF $0.60 $0.60 $ I1. NEW SIGNALIZED INTERSECTION h1b 0 :` LS $380,000.00 $ VI. STRIPING AND SIGNS I. REMOVE PVMT.MARKINGS(PAINT) );r _ SF $3.00 $2.65 $ 2. REMOVE PVMT.MARKINGS(THERMO) ;:yr>s •.1i='� SF $4.25 $3.70 $ 3. REMOVE PVMT STRIPING LF $1.85 $1.50 $ 4. STRIPING DETAIL 9 `ice+ LF $3.60 $3.00 $ 5. STRIPING DETAIL 22 LF $3.60 $3.00 $ 6. STRIPING DETAIL 29 LF $4.75 $4.00 $ 7. STRIPING DETAIL 32 LF $4.75 $4.00 $ 8. STRIPING DETAIL 37(THERMO) ` ry_')`;',?i='` SF $6.00 $5.00 $ 9. STRIPING DETAIL 38(THERMO) u t 1 SF $6.00 $5.00 $ - 0:\Kim Murray\Rolling Hills-Engineers Estimate(Rev.03/08) Page 2 of 4 6 CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT ENGINEERING DIVISION Revised 8115 ENGINEER'S ESTIMATE FOR LAND DEVELOPMENT PROJECTS . Date: For File No(s): Site Address: p}2pilu7g_kI>17�N1S11585 Mole Ave.:,;Los Gaco, CA 95032 ENC. No. Estimated Cost of Improvements $50 QOQ: ITEM UNIT PRICES FOR PROJECT AMOUNT NO. DESCRIPTION QTY UNIT <$100 K >$100 K $AMOUNT 10. STRIPING DETAIL 39 _0a_.; LF $6.00 $5.00 $ 11. LIMIT LINE Qi' LF $7.50 $6.00 $ 12. CROSSWALK, 12"WHITE 0 LF $7.50 $6.00 $ 13. PAVEMENT MARKINGS(PAINT) 'Q; SF $4.00 $3.25 $ 14. PAVEMENT MARKINGS(THERMO) O '<' SF $8.00 $6.60 $ 15. PAVEMENT MARKER(NON-REFL.) 0' ': EA $6.50 $5.20 S 16. PAVEMENT MARKER(REFLECTIVE) Ql EA $8.25 $6.95 $ 17. TYPE K MARKER EA $125.00 $109.50 $ 18. TYPE N MARKER EA $125.00 $109.50 $ 19. SALVAGE ROAD SIGN %6i:' EA $115.00 $99.00 $ 20. RELOCATE ROAD SIGN(W81 ON NEW POST) EA EA $145.00 $115.75 $ 21. INST.RD.SIGN ON EXIST.POLE ( '- EA $265.00 $231.55 $ 22. ROAD SIGN WITH POST EA $400.00 $347.30 $ 23. INSTALL 1226S SIGN WITH POST ' ? EA $400.00 $350.00 $ 24. STANDARD BARRICADE ih =Cili LF $25.00 $19.50 $ VII. LANDSCAPING 1. STREET TREES" ,'?,0 '- EA $650.00 $500.00 $ 2. STREET TREE(36"BOX) '>6F 'r• EA $900.00 $750.00 $ 3. PRUNE TREE ROOTS _ '.0'',-;,Yu EA $200.00 $150.00 $ 4. TREE REMOVAL ";,;,_� '..`i EA $800.00 $650.00 $ 5. PLANTINGS `'' !`Q;ja'r3nl' LS $1.00 $1.00 $ 6. IRRIGATION =k Oj' LS $1.00 $1.00 $ - O:\Kim Murray\Rolling Hills-Engineers Estimate(Rev.03/08) Page 3 of 4 CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT ENGINEERING DIVISION Revised 8/15 ENGINEER'S ESTIMATE FOR LAND DEVELOPMENT PROJECTS Date: For File No(s): - Site Address: Mfiffi Hil Mt _1585.M �AvAe., I os GF to , CA 95032 ENC. No. ` Estimated Cost of Improvements- ITEM UNIT PRICES FOR PROJECT AMOUNT NO. DESCRIPTION QTY UNIT <$100 K >$100 K $AMOUNT VIII.MISCELLANEOUS 1. PEDESTRIAN BARRIER 'Q:;- _ LF $86.85 $69.45 $ 2. CHAIN LINK FENCE(6') '_`6'' LF $30.00 $25.00 $ 3. RAISE MISC.BOX TO GRADE 1 `:off EA $600.00 $500.00 $ 4. RAISE MANHOLE TO GRADE EA $850.00 $700.00 $ 5. INSTALL MONUMENT BOX EA $3,000.00 $3,000.00 $ 6. MEDIAN BACKFILL CY $26.00 $22.00 $ - SUBTOTAL $ 7,731.75 PREPARED BY: 10%MOBILIZATION,CONSTRUCTION $ 773.18 TRAFFIC CONTROL/PHASING, REVIEWED BY: CONSTRUCTION STAKING, CONSTRUCTION TESTING $. _0— APPROVED BY: 10 10%CONTINGENCY $ 773.18 10%SECURITY ENFORCEMENT $773.18 TOTAL FAITHFUL PERFORMANCE SECURITY $ 13,051.28 USE THIS AMOUNT FOR SECURITY O:\Kim Murray\Rolling Hills-Engineers Estimate(Rev.03/08) Page 4 of 4 DATE(MM/DD/YYYY) .aco CERTIFICATE OF LIABILITY INSURANCE ., 7/25/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS - CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Joanne Cada'rette InterWest Insurance Services PHONE FAX License#OBO1094 (A/C. A/c No Ext:916-609-8362 A/C No):916-979-7562 P.O. Box 255188 AOMDRLEss: icadarefte@iwins.com Sacramento CA 95865-5188 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Financial Pacific Ins Company 31453 INSURED SILICA INSURER B:Everest National Insurance Co. 10120 Silicon Valley Paving Inc P O Box 26558 INSURER c:Travelers San Jose CA 95159 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:964092948 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLTYPE OF INSURANCE INSD SUER POLICY NUMBER MM/DD/YYYY MM POLICY EFF POLICY EXP LTR /DDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y 60459179 3/20/2018 3/20/2019 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES Ea occurrence $100,000 X Conlracual Liab. MED EXP(Any one person) $5,000 X $3,000 BI/PD Ded PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PPOLICY�JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: A AUTOMOBILE LIABILITY Y 60459179 3/20/2018 3/20/2019 COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED FX NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident C X UMBRELLA LIAB X OCCUR ZUP41M9278318 3/20/2018 3/20/2019 EACH OCCURRENCE $6,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $6,000,000 DED I I RETENTION$o $ B WORKERS COMPENSATION Y 7600017420181 3/20/2018 3/20/2019 X I PER OTH.- ' AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $1,000,000 OFFICER/M EMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,1700 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re:Job#18006,Rolling Hills Middle School, 1585 More Avenue, Los Gatos,CA.Additional Insured Status Applies To City Of Campbell, Its Officers, Employees,Volunteers And Campbell Union School District As Required By Written Contract.Primary Wording,WC Waiver Attached. 6_1 OQC05 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Campbell 70 N. First Street Campbell CA 95008 AUTHORIZED REPRESENTATIVE r ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The"ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG 20 21 01 96 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - VOLUNTEER WORKERS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART WHO IS AN INSURED (Section II) is amended to c. For which there is any obligation to share include as an insured any person(s) who are volun- damages with or repay someone else who teer worker(s) for you, but only while acting at the must pay damages because of the injury direction of, and within the scope of their duties for described in paragraphs 1.a. or b. above; you. However, none of these volunteer worker(s) are or insureds for: d. Arising out of his or her providing or failing 1. "Bodily injury" or"personal injury": to provide professional health care serv- a. To you, to your partners or members (if you ices. are a partnership or joint venture), to your 2. "Property damage"to property: members (if you are a limited liability com- a. Owned, occupied, or used by, pany), to your other volunteer worker(s) or to your ;employees" arising out of and in b. Rented to, in the care, custody or control the course of their'duties for you; of, or over which physical control is being b. To the spouse, child, parent, brother or exercised for any purpose by sister of your volunteer worker(s) or your you, any of your other volunteer workers, your "employees" as a consequence of para- "employees", any partner or member (if you graph 1.a. above; are a partnership or joint venture), or any member(if you are a limited liability company). CG 20 21 01 96 Copyright, Insurance Services Office, Inc., 1994 Page 1 of 1 0 VORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POI'ICY WC.04 03 06 WAIVER OF OUR RIGHT TO RECOVER FROM-OTHERS ENDORSEMENT CALIFORNIA Ve have the right to recover our payments from anyone liable for an injury covered by this policy.We will not :nforce our right against the person or organization named in the Schedule.(This agreement applies only to the.. .xtent that you perform work under a written contract that requires you to obtain this agreement from us.) tou must maintain payroll records accurately segregating the remuneration of your employees while engaged in, he work described in the.Schedule. 'he additional premium for this endorsement shall be 2%of the California workers'compensation premium ,therwise due on such remuneration. SCHEDULE 'ERSON OR ORGANIZATION JOB DESCRIPTION ,NY PERSON OR ORGANIZATION FOR WHOM THE BLANKET WAIVER OF SUBROGATION 4AMED INSURED HAS AGREED BY WRITTEN >ONTRACT TO FURNISH THIS WAIVER 'his endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) 'endorsement Effective: 03/20/2018 Policy No. 7600017420181 Endorsement No.001 nsured: Silicon Valley Paving,Inc. Premium S INCL. nsurance;Company:Everest National Insurance Company Countersigned By: 1990 by the workers'Compensation Insurance Rating Bureau of California.All rights reserved: 'rout the WCIRB's California Workers'Compensation Insurance.Forme.Manual-1999. r POLICY NUMBER:60459179 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Re: Job#18006, Rolling Hills Middle School, 1585 More Avenue, Los Gatos, CA. Additional Insured Status Applies To City Of Campbell, Its Officers, Employees, Volunteers And Campbell Union School District As Required By Written Contract. Primary Wording, WC Waiver Attached. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only to the extent that the person or organization is held liable for"your work" for that person or organization by or for you. This endorsement applies to the following work: Description of Job: See Above Location of Job: See Above Al only Effective from: Effective Date:3/20/2018 Expiration Date:3/20/2019 When this endorsement applies, such insurance'as is afforded by the general liability policy is primary and any'other insurance shall be excess and shall not contribute to the insurance afforded by this endorsement. CG 20 10 1185 Modified (07-01) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. POLICY NUMBER:60459179 ASDA AU 07 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SCHEDULE NAMED INSURED. Silicon Valley Paving Inc P O Box 26558 San Jose CA 95159 ADDITIONAL INSURED:Re:Job#18006,Rolling Hills Middle School, 1585 More Avenue,Los Gatos,CA.Additional Insured Status Applies To City Of Campbell, Its Officers,Employees,Volunteers And Campbell Union School District As Required By Written Contract.Primary Wording,WC Waiver Attached. WHO IS AN INSURED (SECTION II) is amended to include as an insured the organization shown in the Schedule above, but only with respect to the operation of vehicles owned by the named insured and operated on behalf of the named insured. This endorsement does not apply to any operations for other than the named insured. Each person or organization named above is an insured for liability coverage, but only to the extent that person or organization qualifies as an insured under the Who Is An Insured provision of Section II Liability Coverage. The additional insured is not required to pay for any premiums stated in,the policy or earned from the policy. Any return premium, if applicable, declared by us shall be paid to you. You are authorized to act for the additional insured in all mailers pertaining to this insurance. We will mail the additional insured notice of any cancellation of this policy. If the cancellation is by us, we will give thirty days notice to the additional insured. The additional insured will retain any right of recovery as a claimant under this policy. ASDA AU 07 01 Page 1 of 1 INSURANCE REQUIREMENTS CHECKLIST Permit# 1 _Woo CIP Project# Consultant/Contractor:. '���`� " ��iV`�V-1 The following insurance is required of all consultants/contractors working in the City of Campbell public right-of-way. Insurance certificates must be accepted by City staff before work can begin. These insurance requirements apply to work being performed under an Encroachment Permit and work, being performed under contract for Capital Improvement Projects. Limits Commercial General Liability for bodily, personal injury and property damage: $1,000,000 per occurrence, and ❑ $1,000,000 general aggregate limit applying separately to the project, or $2,000,000 general aggregate limit. Policy expiration date 3 C1 Automotive Liability: "Any Auto" checked on certificate Y14 $1,000,000 per accident for bodily injury and property damage Policy expiration date 3 Workers' Compensation and Employer's Liability '' Waiver of Subrogation clause $1,000,000 per accident for bodily injury or disease o Policy expiration date 2-0 -Course of Construction (if required in Special Provisions) ❑ Completed value of the project ❑ Policy expiration date Required Endorsements to General Liability and Automobile Liability Policies Additional Insured Endorsement: The City, its officers,.employees and volunteers are named as additional insured. eference Project Location/Permit Number) 7 The insurance coverage afforded to the Additional Insured is primary insurance. Cancellation area should say: Should any of the above described policies be cancelled before the expiration date thereof,notice'will be delivered in accordance with the policy provisions. 1 v r ers' Compensation Insurance Sheet Submitted )'---F—c)r General Contractor For Developer or Owner J:\FORMS\Templates\Insurance Requirements\Insurance Requirements Cklist.doc (Rev Jan 2018) Page 1 Acceptability of Insurer(s) ❑ Insurer(s) has current A.M. Best Rating of A:VII and is authorized to transact business in the State of California. Name:��-�v�c:�� NAIC# 3 Rating: Authorized in CA: Name: NAIC# i )1 zu Rating: Authorized in CA: Name: NAIC# Rating: Authorized in CA: Name: NAIC# Rating: Authorized in CA: :ntractors mpbell Business License Expiration: #� (� Ex License# 7 cA Z'�? Class: Expiration: l �� Q7 Insurance Certificate Reviewed 2 3 Initials Date ❑ Copy of Insurance Certificate placed in tickler file one month prior to expiration.. J:\FORMS\Templates\Insurance Requirements\Insurance Requirements Cklist.doc (Rev 08 14) Page 2 Syed Wahidi From: Roger Storz Sent: Friday, May 25, 2018 10:13 AM To: 'Kim Murray' Cc: Syed Wahidi Subject: RE: 1585 More Ave- Rolling Hills - ENC 2018-00005 Hi Kim, One hard copy set will be fine. Since this is a new driveway, we will need to field check the new location. Thank you, Roger From: Kim Murray [mailto:kimCxbcarroll-engineering.com] Sent: Thursday, May 24; 2018 12:59 PM To: Roger Storz Subject: RE: 1585 More Ave - Rolling Hills - ENC 2018-00005 Hello Roger. An additional driveway needs to be added to encroachment permit ENC 2018-00005 for Rolling Hills Middle School. I've attached a pdf copy of the revised offsite plans. One sheet has been added. How many hard copies do you need delivered to you,for your review? Thank you in advance for your help! Kimberly L. Murray, PE Carroll Engineering 248.742.0095 X3 From: Roger Storz<rogers@cityofcampbell.com> Sent: Friday, February 02, 2018 2:49 PM To: Kim Murray<kim@carroll-engineering.com>; 'Doug Williams'<dwilliams@campbellusd.org> Cc:John Burchfiel<iohnb@citvofcampbell.com>;JoAnna Thomason <ioannat@cityofcampbell.com>; Syed Wahidi <SvedW @cityofcam pbell.com> Subject: RE: 1585 More Ave- Rolling Hills Good Morning Kim, The plans have been signed by the City Engineer. Attached is a PDF scan of the signed plans. Please have two(2) additional bond sets made of the signed plans and delivered to our office. While we have an approved plan now,there are still many outstanding encroachment permit related items. See the list at the bottom of this e-mail, chain where Syed lists out all of the requirements. Regards, Roger �� r^ ��� �� Two '� i �•' �'/YJ i_. ( � r v tat r pr PIFrt TTw +! _ �r• T• _ L � � .., ."• dlA ' may-''* Ii R J I FFtt-skE;�,t --_ . rw IT ZrAp r r 4 rI 1 ffgtl/!% .:. qK CL 10 a a� P11, 1 CU r � a ++ �, �: ' , ��r/ya���!� ,� .• car ;,� .;�. 'lr l9 From: Roger Storz Sent: Friday, January 26, 2018 4:00 PM To: 'Kim Murray'; Syed Wahidi Cc: John Burchfiel; 'Doug Williams'; JoAnna Thomason Subject: RE: 1585 More Ave - Rolling Hills Hi Kim, Please see the attached mark-up of your plan. We do have updated CAD versions of our standard coversheet and standard details sheet on our website here: http://www.ci.campbell.ca.us/206/Documents Once you make the corrections please submit one bond set signed and sealed for us to use as the original. Thank you, og•CA411�6 Roger Storz, PE 44' � Senior Civil Engineer V City of Campbell I Public Works Department 0 o 70 N.First Street I Campbell,CA 95008 ef,'' www.cityofca pbell.com 1408.866.2190 •ORCHAV9 From: Kim Murray [mailto:kim(si)carroll-engineering.com] Sent: Monday, January 22, 2018 7:50 AM To: Syed Wahidi Cc: Roger Storz; John Burchfiel; 'Doug Williams'; JoAnna Thomason Subject: RE: 1585 More Ave - Rolling Hills Good Morning Roger. I've attached the requested PDF copy of the off-site plans for Rolling Hills with the requested changes.Three signed hard copies will be delivered to you.All other items mentioned below have been forwarded to the appropriate parties. Thank you! Kimberly L. Murray, PE Carroll Engineering 248.74z.0095 X3 From:Syed Wahidi [mailto:SvedW@cityofcampbell.com] Sent:Wednesday,January 17, 2018 11:43 AM To: Kim Murray<kim@carroll-engineering.com> Cc: Roger Storz<rogers@citvofcampbell.com>;John Burchfiel <iohnb@citvofcampbell.com>; 'Doug Williams' <dwilliams@campbellusd.org>;JoAnna Thomason<joannat@citvofcampbeli.com> Subject: 1585 More Ave Hi Kim, To follow up our phone conversation last week, here is what we need to process the permit: 2 • Revise the sketch to show the removal and relocation of fence to accommodate the new ADA compliant sidewalk behind new driveway approach. Also provide a_sketch.of_the new private_driveway_that initiated the off site work. • Replace the detail A-3 on sheet 3 with the latest one that can be obtained from our website using the link http://www.citvofcampbell.com/210/Details • San Jose Water need to obtain a separate permit for the fire service lines and new hydrant. • Submit contractor's insurance (contractor must possess Class A or C-8 license) • Fees for the permit is$875 (Permit fee=$455, Inspection=$420) • Security Deposit(refundable) =$2500 • Please provide a PDF copy of the plans in addition to full sized plans. I will be gone on vacation next two weeks and during my absence,John and Roger will assist in obtaining the permit. Thanks. oV•CA4j Syed Wahidi ���� Public Works Inspector U City of Campbell Public Works Department 0 o 70 N.]First Street Campbell,CA 95008 www.cityofcampbell.com 1408.866.2165 11RCHtwo 3 i SOLD BY: MILPITAS MATERIALS COMPANY MEASURED AT. 1 125 N. MILPITAS BLVD. MILPITAS, CA 95035 PHONE: 408-262-0656 510-656-2619 650-969-4401 TRUCK# DRIVER FAX: 408-942-0826 WE MAKE ALL DELIVERIES INSIDE CURB AND ON LOT AT CUSTOMERS RISK ONLY TIME LOADED AND ACCEPT NO RESPONSIBILITY FOR DAMAGES RESULTING FROM SUCH DELIVERY. ;tJ IT IS CUSTOMERS RESPONSIBILITY TO HANDLE THESE MATERIALS SAFELY AND ARRIVE JOB PROPERLY. WARNING: Materials are irritating to the skin and eyes because they contain Portland Cement,so wear rubber boots and START POUR gloves. Prolonged contact may cause burns. Avoid contact with eyes and prolonged contact with skin. In case of contact with skin or eyes flush thoroughly with water. If irritation persists,get medical attention. Precaution must be observed because alkali burns occur with little warning and little heat is sensed. END POUR WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed,measured,or counted by a weighmaster,whose signature is on this certificate,who is a recognized authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business and Professions Code, ARRIVE PLANT administered by the Division of Measurement Standards of the California Department of Food and Agriculture. MILPITAS MATERIALS CO. WATER ADDED AT JOB. GALLONS ' If DEPUTY.WEIGNMASTER 10 CUSTOMER ID PHONE NUMBER JOB/P.O.NUMBER DATE TICKET C." SOLD TO DELIVER TO t i1.i3f.:i u.tit J.;'_,13V3 I-t _4I` � LOAD# SLUMP QUANTITY'- QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED THIS LOAD, DELIVERED. CODE DESCRIPTION MEASURE PRICE PRICE i.4:.1. 1,`14.;'1 .f.12,1•, iA!!, _IZt-i C C ,.' 1 1.1.. #,I#ii 'I i; s�. 7171:, lrifrl i4i 4�I14 �t ^f •:,I;iyt 7 Iri- ;Ir ( l.i.. ._ .. ..ir ::a.. :I. i :n.._,". _- t .31 :{.Irl; f;•'V4,%;4 L,t�l� t"iF,�f i_•f._''f i': :1)''� �:'.'{ ,r.:.t�:ti.�..,:'.:;?.';"l:;i `,'i:'�..'i VI 411 r..'e1'!"'l STAND BY TOTAL MINUTES ALLOWED MINUTES CHARGED MINUTES SUB TOTAL CHARGE @ ;:.. i;'yiv41NUTE If buyer fails to a the amount owed when due,buyer agrees to a month) service charges equal to 11 2%per SALES TAX Y PY Y 9 PY Y 9 q month (18%per annum)of the outstanding balance of principal due as liquidated damages. A SERVICE CHARGE of$20 will be charged on any returned check. Necessary ATTORNEY FEES,COLLECTION AND SUIT COSTS will be STAND BY charged on any unpaid bills. Milpitas Materials will not be held liable or responsible for the removal or replacement of anV material once it is accepted and placed at the'obsite. OTHER v�/ •, .. ., `- , � ,- -». TOTAL .. 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