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96-109 ENCRQAawENI'PEItMD" (far...... widdII - pabiic l'iPt4...,) ...... /-~3 -9,(, ~. '..0.. /-;)..~"9(g .... ..... iD 12 7V AW' ......... ia 6 ... APPUCAnON - Appie-boa iI bueby..... far. ~ Wadla PaIIIiI .. .. :"'- willa rA"""'" N~I Code, Seaica llJM. CAW;,...... apin::I ill 6 IlIaD'" if the permit iI DOt iIIued). 480 VJI..,.;))E U- wl0-/ ArT 10P ()f- CU L t> e"S .4-G- ~~ I-fj'kJ Ptl/,MIHt,A.( -r- ~i)~ ~~F€fli$ ( s ~ t t . t t C. Atucb four (4) c:apiea daD eqiDocnd dmwiq IIaoMq _ icaIiaa, alai aad ct:m . OR ol_ wart. n. dmriq IllallIIIaw - RIaIiaD of 1M 90~ wort to cziIUq suma: aad UDdea:c-vwod ~~ \Do II. Wbaa "'1'1'"...... by - ClJ p~P-> laid dnwia& beI:laIDca . put ol tIIiI permiL D. AD wart sbaI1 caafOJDlIO the aty'1 0cDenI r~~ SIaadud ~ I\oviIIica aad SIadard a:.crumc. DaaiII b ~ Worb ~ the GeDcnJ Permit <>-titV.alliald 08 tb. zewaa aide; .... the Spacial PIUViIiaaa few dIiI pamit. IiIaId bcIaw. PIIibIn to Uide by tbeIe CDlditioal aad pIO"iIiaaI fM'/ I'CIldt ill job ...... -Iat fClllfcialm of fai&bf1al ~ SuIetie& aad CMb dqaitL (SeI GcDaal Peftllit Coaditioall aad 2.) >a 3)5 t E. A DCIDIduDdablc appIic:atDI fee IDUII.... 1-4' tIIiIlfllllilll" II f. ,) ,1-- / : Tr~4t8) 3 b+ - /4()c ~ 9SWS [ ~ ~ '" an Of CAMPBELL DEPT. Of pUBUC WORKS '70 NanIa flbst St. rA"""'" CA 9S(XII (Q) 866-2150 U) II · :J c: ... Q :0 II .. W II II cn.c ~"C c: II =' w Q II ... ... ooc: w II II ~ = c: II = II ~ .... .... = ... III c:.c = - = . Q Q ....z ... Ill'" S- II Ill.lill U U M~ liE-! - ~ : ... - II ~ ~ B "'" = "'" c: III > = Q .,~ Q ... c: co u U)... ~lioO ~ .,... "'" c ~~ II'" Q. U) CO ""~ .c = ... cr I: II'" ~ Q II :.J..c ... ., c"C II C B = I: w"C II II >... [5::= ... II " .c I: ... c: ... II o II ~ "., - = :"01 III ~ ..c. c: -' 0< ""en .,= u- II III ... w w II Q,I- .< A. WOIt IIlIdresl or tncr # Utility trCDdl JacatioD B. Nal1Ift 01 wort F .... No. x.Id. file 9t -/t17' .i' .' ~ c ~ ~p()itA'firn.J CA-M PM<- f CA KNo Name of AppUc:aDt h$tXA ~ II q 0 :()tfl<... ~ ~~ Addn:II Ya II tI1iI wort beiDc doDe by the t"wt-1J oncr at tMir ClIft n8deDrz? Compicte aad attld1 WortcrI' CcIIIpaIIaIiaD aad CaaI:maar IafomIaIiaa IGIIDIo 11Ic AppticaDt/perminee bcrcDy qreea by aIIbiq tMir IipataIe to dIiI pamit to bold dac Q)' of r...,,-u.. Ita CIftk:as, .... aad Wlfl'~1- fnc. Ialc ucllwIDicII from uq claim or dcawId fat damIpI..wIiD& fram _ wart CIMftlCI by tIIiI pa'IIIiL The Applicaat/permittcc bcftby KtDowtedpI dIat thcJ haft CIlI1tDCtOl(I) 01 the iDCotmatioD. bodl tbc fJaat IDd bICt d tIIiI permit. aDd thcJ will i1Iform tbcir .Hsou~ (, ~ q;vnv~ CbP--P. Aa:epted Nares: -AU. WORK SHAU. aJNfORM wrm 1HE A1TACIED. APPJtQVED Pv.NS AND ALL APPUCABl.E CAMPBELL srANDARD DRAWINGS AND CONDmON5. 1HE CONI'RACI'OR MUsr HAVE "IHIS PERMIT AND APPROVED PlANS AT 1HE srre AND MUsr N01'1PY nm PUBUC WORKS DEPARThIENl" AT LEAST "tWO DAYS BEPORE SI'AJmNG WOK NanCE MUST BE GIVEN TO PUBUC WOIUCS AT LEASI' 2A HOURS BEFORE RESI'AJmNG ANY WOK SPECIAL PROVISIONS Street sball DOt be opeD cut fat 1IDCkr&<vwod IVO-'''ao.- ~i..i"'UID ClItI fM'/ be aIICIwed fOl' ~-..... or apIorariaa bak:L Sud1 CUll must -; lc medficaJJv mmoved bY tile IDsacctor mar to cuni1!E. C PavaDeDt may b<<: cut for WIdcrpowxS i.-.I...v- aDd mUll be zarared bl 8CICOI'lIIIIce witb the UtlJir, Tradl ~~ StudIId Dmriq. cr Wort to be sraked by a IiccIIIllCI I.aad s..-,ur or aYil P~Ii- aad two (2) c:apiIa 01 &be ad IIIeeu IlIIIt to &be Public Woris J.)epuUDcGt tr. before ~ WOIL , \ c-: l)'~ /H&1)fV) 'A' 7f/.(.I'Ju4 ~~TJ~,J ~N"~/[" MitACI.J-co) ~ ~ t=: ~ t=: e _1. _2. _3. _4. rI'ANDARD 6MOUNr sr:l) ~ Ou S S S -- s Ic:J.O.o b 904-0, RPrPT'P'r NO. 9<' f<J I cr I< c-: I- ....; ..< - PERMIT APPUCAnON PEE PlAN alECK DEPOSIT SURElY POR FAIlHFUL PERfORMANCE CASH DEPOSIT Pu.N alECK a. INSPECIlON Ncn S30.000-$8O.000 10%; APPROVED FOR ISSUANCE mo.m ssoo.oo (10l)1Jf, Of ENG. ESr.) (4" Of SUREJ"Y. ssm MIN) SG-S3Q,OOO 149&; , S200 miD) /J- 5-' <Jb Date (aec other Adc) * * b:PW pERMIT/Rev.4/94 USA phone (800) 642-2444 TICKET NO. PUBLIC WORKS DEPARTMENT RECEIPT Effective July 1, 1995 TO: City Clerk PUBLIC WORKS FILE NO. c; b -' / 0 9 PROPERTY ADDRESS /f't6 J,/~M1 VJj I I Please collect & receipt for the following monies: 475. 53J.49211 ~iect Revenue (soecifv project) ................. 1 $ ENCROACHMENT PERMIT 4722 Application Fee ~ Non-Utility Encroachment Permit ($225) R-l First Permit (No Fee), Subseauent Permit/Yr ($100) Utilitv Encroachment Permit Arterial/Collector Street ($325) Residential Street/Other Areas ($225) Jolt::;". O~ 220 Plan Check Deoosit ($500) 220 Faithful Performance Suretv (FPS) (100% of ENGR.EST.) 2203 Monumentation Suretv 1100% of ENGR.EST.) 220:: Cash Deoosit (4% of FPS}($500 min.) ! 220~ Labor and Material Suretv (100% of ENGR. EST.) 472:0 Plan Check & Inspection Fee (Non-Utility) Engr.Est. < $250,000 (12% of ENGR. EST.) ** 2203 Enor.Est. > $250,000 (Deposit 15% of ENGR. EST.)" 472 Utilitv < $100000 I~a.u\. Conduits/Pipelines up to 500 Feet ($1.60/ft.) Above 500 Feet ($1.10/ft.) Manholes/Vaults/Etc. ($105/ea) Pole Set/Removal Minimum Charae Per Location (($120) ) Street Tree Plantino/Removal \'$'TO'5Ttree) *. 220 Utilitv > $100.000 (Deoosit 15% of ENGR. EST.)" 476 Proiect Plans & Soecifications Proiect No. 476 Standard Soecifications & Details ($l/Po $12/Book) 476 Cooies of Enoineering Maos & Plans ($.50/so.ft.) , 472 Penalties: Failure to restore nublic imnrovements ($100/Calendar Dav) (Muni Code Section 11.34.010) 472 Penalties: Failure to correct unsafe conditions ($100/Calendar Dav) LAND DEVELOPMENT 4722 Lot Line Adjustment ($500) 472 Parcel Mao (4 Lots or Less) ($1,060 + $25/Lot) 472 Final Tract Man (5 or More Lots) ($1,380 + $25/Lot) 472 Certificate of Comnliance ($400) 472 Certificate of Correctian ($300) I 472 Vacation of Public Streets & Easements ($550) 472 Assessment Segregatian or Reapportionment First Split ($550) Each Additional Lot ($170) I 472 Storm Drainage Area Fee Per Acre (R-1, $2,000) I (Multi-Res, $2,250) (All Other, $2,500) i 492C Parkland Dedication Fee (75%/25% Due Uoon Cert. of Occuoancv) 496E Postaae I TRAFFIC 472 Intersection Turn Counts (Two-Hour Count) ($60) 472 Intersection Turn Counts (a.m. or n.m. neaks) ($125) 472 Traffic Flow Man (Dailv Traffic Volumes) ($27) 472 Camnbell Traffic Model (Full Scone Assessment) ($2 250) 472 Camobell Traffic Model (Reduced Scooe Assessm$740) 427 Truck Permits ($35/trio) I , 472 No Parkino Silins ($l/each or $25/100) I OTHER TOTAL $ ~{p:;. () (, C@ ! NAME OF APPLICANT ~/~ ~ . NAME OF PAYOR -riM ~,.."o PHON~) 36et - /400 ~/C- ~e6U- ~S I ADDRESS J( qa DG.ru..-. ~ ZIP "Actual Cost Plus 20% Overhead (Non-Interest bearina deoosit) I fOR crrv CLEU. ONLY RECEIVED JAM 2 31996 (;1 { CLERK'S OFFICE h:\recfrm3. wk3(mp)rev. 1/9/96 CITY OF CAMPBELL 4~Q Va-- WJ. PROJECT NO. 9t -/ (j 0; REPORT NO: I DATE: JW)-9G WEATHER: ~ /1 INSPECTOR: K. N~51fALL FIELD ENGINEER'S DAILY REPORT CONTRACTOR: ~ ~r~ c . C"";J f(, Cu r r . ITEM DESCRIPTION J CC: PAGE: I OF I CITY OF CAMPBELL FIELD ENGINEER'S DAILY REPORT ITEM 51. tAla. cc: 4fG V~ W~. CONTRACTOR: AS'$lC. CA.1r. G..rf, DESCRIPTION PROJECT NO. ? b .. JJ9 REPORT NO: :L DATE: .)...- 6-- t WEATHER: ~ i/ INSPECTOR: K. ~~5;fALL i ~q- " PAGE: I OF I . CITY OF CAMPBELL 1h-.b........~. 1f<J tI""-'b11 w' j , PROJECT NO. 9b -,/(j 1 REPORT NO: , DATE: :;}-7 _ ~ WEATHER: r:;,: r INSPECTOR: K~ ~~511ALL FIELD ENGINEER'S DAILY REPORT ITEM CONTRACTOR: A );Ie. C",,-tr. Co r I . J" I to A9Jl.-I' (,,{ / b . DESCRIPTION c:~ cc: PAGE: I OF I V) I- L..J L..J ::J: V) C'0 :> L..J ~ 0::: = II " (f) -0- (f) =1--= I (f)--J L.J>=LJ ---------------- , -~---------------, .,,; W L = -= '" v> <.on -= = U =: c: LoJ '0 <= L '--'- -= c: -0 '0 c: '0 --~~~ * ~ co <--D f'0 0J ~ LLJ L.J L::> = I-- --J = ::>- LoJ --' = (f) = -.J I- 0: L: -~~~~ -----------------. ------ ---~~~ -------------- ---. -----------.------------ ----... V> = ::z: ....... <= -= c: 'U Vl c: Q) "" W L :::> 0- W 0-:: ....... -' >-- ....... <f) --------------------. ----------- ----... ~---------... I- L...... V) o >- 0 OJ Z = 0: CL V) -.J Cl V) 0... :::) V) Cl l- V) L..J 0... L..J :::) I V) V) :=;.? = L ::z: Q) = C) '-' C>- o . L "7CL C"U W = 'U L..J > -' -- -' L :==CL <f) , ::z: >- >-- a:: .......0: ::z: x:: 0:- '-' a:: - CL -' CL 0:: CL = =,--,- a:: LoJ x:: 0:: = ..... fJ) ::z: 0: a:: ....... = ::>> = ::z: L = Q) L..> Q. C) ~ L v-> CL I ...... Q) -' '0 -' > = -- ....... L fJ) CL ::z: - c: o C) ~....... L..> .......- =: :>- 0: 0:: L..> ....... _ <f) -' CL a:: CL = ='--'- :'\ ,,'1;' '~ "'I 1."" S:)' ~ ~ ~ -.J -.J 0 3: OJ Cl Vl o CL -= c: 'U ---... --------------- -~ ~~t-/ ~ ~ /47 ~~ '---... -= 'U CL ::x . = co >--- z a::: ~a: :L o~ Uo::: o UL.. L C) '--'- CJ Z c: o -' ~ <..0 = l----< '" '-' ::r::: u E---o w ::::.:::: if) 0::: LLJ ~ 0::: o l.L (f) Z <( 0::: I-- -' -' = ....... fJ) ::z:: '-' Q) Q. fJ) -= W -= U '" z o c=::l = t:=:J ~ ~ -.::J l----< >--< O:::~ I-a: UU w ~ _--.-J ~~W LLJ~ Ow Zen <((l >~ <I: ~(.J co ~ ~ if) If) = r- ....- <=> GJ >- <( 0 S:~ = W Q) <f) !:x:J 0:::: ~ E- U ~ 0:::: E---o If) o::l ~ If) l----< L) ~ ~ O-t c::::l LLJ I-- Z ::::> o ~ o <( (l C) U o(f) z:; cr::z cr: 0::: L.. ~~~ '" G) '-- Q:' G) l.zf '-- <..J" Q:'&~ 9:' '-- Q, w Ct: (f) (f) 3: :r:: z o if) ~ w (f) cr:: C) "3" a: 0.. :> :I: ~ cr: :> co l..J = (f) =rua: = ........::r: = O"J = 0.. =ru(U (Ur<)~(") z ua: I--O(f) --' --' <( I-- (f) Z lL. l----< O-t >--< x o = u cr:: 0.... w <.:) <..> z: -.J I- 0... (f) (f) u:> 0" C\..J a:: ....' ~. CXJ--=>lLJ::"::: ~ ~ ~U)I-. S c:: -.J3=lLJCl I C> --=> _ (f) c:: SL..J . Cl . L..J --1 z~~ 0: 3:I .o:u ClUOCl(f) S co <J> S S <.D >< >- w ex: <( ~ ex: 0... -- --- --- 0:> "'" B / / / "' "- " I- o z: x o a = -.J ::>w ~ <..> (f) --1 0... I- (f) Z <( a: <..> LLl I- --1 Z 0... W 0... <( ~ <.9 u "- "- "- "- \ \ \ \ cOND~0-\ ~ -=-=- ) :-~- I I I I I I / / / / / ~ o w > 0>- g:m a.. cr: :-L :E: A => "'" = '-' 0> Cm L. -- U "" -"" '" ."....0. - Ov> '-' ::E <OJ) r - -- >- en ~ - ~~ . => = Cl :> 0... 0: . L . :> 0... :::) If) .901 \ \ \ \ "- "- "- . a -<r:: P-. ~ Cl ~ :x: L-> 0::: !:x:J.........:l............. :::::s ---.. 0:::: -<r:: o E- !::>:.... !:x:J if) a z -<r:: --- 0::: E- z (f) 3: ClZ <-J L..J 0 0... If) "- :c CJ V) <f) ....... a:: = ....... L..> = 0:: ....... fJ) 00 = <f) '--'- => ::z: = ....- """ """ C"U , C"U """ '---D I = = co , " 0:: = ....... L..> ....... CL = fJ) ::z:: ::z:: 0: <f) ....... ....... L..> 0:: = =....... ....... :z: <-> = = <-> "'" ....... ~w =....... <f) ....... "- "- '- ....... o<J ...,,; cL >-- CD >-- -' ....... V> = _J L> = 0= ....... ::...:: 0: x:: ---- ~x <-> ::z: =: ....... 0:: ....... ....... 00 a:: ....... ....... = ....... ::z:: 0: ::z:: ::x 0: '-' a:: = ....... ::z:: z:: a:: = ....... <J) <f) 0: '-'>o!: = ....... % ::x 0: ........ fJ) = ....... ....... '-' ........ CL fJ) =: :> I-- = = I-- ....... 0: --' -' = ....... V> == ('U .....:; = <-> ('U = C"U 0: . :>- or> = ~o= ci:,= = ....- <J) ...... a:: =6 "",= = co t:;....- ....... ...... a.. = CJ') ....... =::0::: ...... = L..J cr: en :::5 ~ 'il "'-,_ $1~:{)I1~/$t;", ,/} --=:- . ','C' "Q. v/~k - ''':J'J';'iI) . t' - Ie - ~ <../',) , ,,>~~s Q y I!:r" (101 IVOI I ]" "Ut".~;:'~iJO ,,~ ("L -1 r-, ': \'/i I~! .J zO::: Cl ....... CD ~ui' ........ ........ ::K: ....... I-- 0:: ....... 0- co fJ).n ....... ::0::: <-> a:: ........ -' co ..... = <=> <-> I-- 0... = ::z: 0: ....... ~d -' ::z: =- '-'> .......'-'> <-> - -= ~ "'" ....... ....... 0:: (f) <=> 0.- = co = = fJ) = a:: 0:: = == "'" = ...... = co ::z::: ..,.. = ...... I-- (f) <-> 0: =........ I-- -' = <=> 0- <-> = ...... fJ) = ::0::: '-'> :z: = <-> =: ....... "'" ....... a::: <-J If) UJ Cl ....... a:: = ....... <-> = a:: ...... fJ) = = (J"") w C) = 0<0 CL ~ d ~ C/:l c..:J e-- <:::::> = e::: <:::::> e-- c.....:> -=C e::: e-- = <:::::> c.....:> z ~<=> <J) - =....... :z: = >-=-' = = .....J 0:::0::: 0: ....... ....... ~ fJ) a:: '-'> % 0: :z: >-- -' ::z:: = = '-' ::z: ....... Cl<: ....... -' -' 0: <=> = = ....... . , co',. '....' '''.' 1 l i'''' .:~ " ...... ....... = = = ....... :z: <=> <=> '-' ....... 0'1 .',9nci 0.:% <=> = <-> :z: ........ "'" ....... 0- ::z::: 0= '-' -' CL c- o: '-' 0:: I-- '-' ....... .....J L..J <-> -' ....... a:: -' 0- -' '-' 0: ........ Cl<: -' 0: ....... CL ....... c- = a:: 0: ....... ....... <-> = fJ) "'" ....... = = :z: '--'- 0: a:: -' CL ..... = I-- ...... <-> .....J ....... .....JC>.- 0: <J) L..> = ," ~ .. I L..J J-- 0: Cl -' -' 0: 4'1 ,7' c::::: ;0 :c; u::a Q; C) z