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96-133 OS/24/96 12:26 '5'408 379 2572 CITY OF CAMPBELL I4J 0 0 ') / 0 0 3 ", CrTY OF CA..~1!)!JELL.-ermit No. .7/. /:5'3 DEPT. OF PUBLIC WORKS A .. X-Rd. file :j-;-i5'-7:fJ 70 North First St. .... ~ ,.. " ~ . " Campbell. CA 9S008 lI: I "L., ~ ~ (408) 866-2150 ~ ' k.~on Date " . ~~p{ Fax (408) 376-0958 Permit expires in 1 mos. ~y 88 ~.n expires in 6' mos. . 4;u,-,,-/(. ~ APPUCA nON.. Appliation b hereby aU for . Public WortJ Pamilln 1CCOldlw...: ftIl ~ <:ode. Section 11.04. (Applicllion cxpira la 6 molllhJ if Ihe pennh is IIOt wued. Applicalloll Fcc is :rF~l9' /' ./' /'/ It'..q ,.;o;~~ A. Work 8dcIra$ orll"lll:t' 5,ar:? c: ~~~ ~ ' ,( 7ZJC /?n75d.?C~ Co/ At;;/4 ;r"Jj;;( /?2c?/. C. Auach roor (~) copies of III malnccn:d pllllS Ihowin& dle JocIliclJJ IIld emu of lbe wort. IDd four (4) c:apia oflbe prdlminary ED,Ineer'J Bstlmae of work. The plans ,ball.bow the relation of the proposed worlc CD ai&tiD& rurface IIld llIIIIcrpoupd ImpnMlDalll. WbalIplll'lMld by dle City 1lacIna:r. aald plaD ba:omca a part of dliJ pennil. Utility cmx:b Iocalion B. NllIIrcofwon:.,!l ~~~ D. Allwork .ball ronform CD the City of ~ SWIdtrd SpecltX:atlons me! Olouili ror Pllblle "'orb ~: dle ~ Pmnil Coodltions !lm:d ell!llc ==e aide; and the Special ProvisiollS for this pennit. limd below. FIihIre CD lIbide by dIae c:oodIIioIIIlIld proviaioDa IDlY rwuh In job shut-cSowD lIIdIor forfdQue of PaithfuI Performance Surctiea &lid cash depositJ. (See 0aIcnI Pamil t"OlldldoQlll1ld 2.) E. THE CONTRACTOR MUST HAVE THIS PERMIT AND APPROVED PLANS AT nIB srrB AND MUST NOTIFY THE PUBUC WORKS DEPARTMENT AT LEAST TWO DAYS BEFORE ST ARTINO WORK. NonCE MUST BE GIVEN TO PUBUC WORKS AT LEAST 24 HOURS BEPORE RESTARTING ANY WORK. Name of Applicanl ~ .:J SoNS iN C TdqJboDe 31/;) Q430/91 . , 24 HOUR EMERGENCY /(0103 .u~o 91. LVH;'TTIEY2... ~ '1o~"3 TELEPHONE NO. 7/<!- 92-10155" Address Is this work being done by the property 0WIlCt . lbeir OWII l'IIJideoce? Yes No The ApplicamlPmnilttC heRby aarea by affWq their aipalure CD lhiJ permit CD bold !be City of~. ila aftIcen. .- &ad UllpJor- tr=.lIt'e &ad barmIeu from any c:Iaim or clema.nd for damaaea l'IIJultirJ& from cbe work covered by dliJ permit. The ApplicantlPermlucc h=by acknowled&es lIlat IIIcy bave rcaI &ad 1IDdenwId bocb dle from &ad beet of lhiJ pcnnI&. IlId dley wW iDform tbeIr CIlIIlrII:&Or(s) of the information. Accepted ~~p, ~p~~ i~J~t- OS/24/96 12:28 '5'408 379 2572 CITY OF CAMPBELL I4J 003/003 o E N ERA LPERMlT CON D ]TIO N S 1. A CONSTRUCTION CASH DEPOSIT is required. Charaes will be made ..ainst Ibis deposit If d1erc is 0 cmeJJeJICy c:a1l-cw. ovenimc iDJpection or wben City ordered barricading is required. A1:ty u:.b costs in eltUU of tile deposit wllJ be billed 10 lbc PermiUec. 2. A ONE-YEAR MAIN'I'ENANCB PElUOD AND SURETY arc rc:quimI. ~ period wW bqiD CD dm ot wriaaI lec~ by !be City. 3. REFUND of tile c:uh deposit balance md refimd or cazaJJatioa of Ibe PailhfuI PerfOI'lDlDCC Surety will be iDttWed by tbe wriucD Il:Q:pIIJlcc of the work by die City. 4. The Permittee MUST REQUEST IN WRITING a fiDaJ lDspection md IcceptIDCe of tbc wort upon completion. Accepcmce by tbe City will be made in wricin& to the Penniuec. 5. MAINTAIN safe pedesaian IIId vehk:uIar croama:s md free &CCeII to privala driveways, bus 1lDpI, fire hydrama IIId waau valves. 6. A CONSTRUCTION TRAPFIC CONTROL PLAN and I CONSTRUCTION SCHEOULB is required for aD laDe dolW'el, detours IDlI street closures. This pIAn must be REVlEWED IDlI APPROVED prior 10 III)' lane cloJUrcs. 7. 1be CONSTRucnON TRAF.FJC CONTROL PLAN IbaI.1 coDform wilh Ibc CaItranJ MauuaI otTratftc CoDCroIs for Comttw:don and t.l.~"UICe Work Zones, dated 1990, available It Caltrlll5. Trame c:omrol cqWpment sIIaIJ lDc1ude Type D ftuhina mow alps if required. .. REPLACE IN KIND oy damaacd or removecl exisclni .Improvements. iDchacIiDI pIudinJ. 9. Sawcut for all PCC or AC removals. AU pce removals IIJaIl be to IIIDaIU ICOremart IDlIIbalI be dowc1od 10 exisdna improveJDeDfJ. 10. OVERTIME INSPEcnON PREMIUM will be clwJcd ..aiDst Ibc cub. deposit for iaIpecdoa rc:quimI ouaid.dIe boura of 8:00 I.m. to 4:00 p.m. It the CUJTeDt overtime nil, minimum one hour clw8e. I J. SA TURDA Y INSPECTIONS must be lnIDIed In adVIDCe. Saturday iDJpcctioD time is cbaraed It !be c:unat overtime ralm wilh a lhree hour minimum. Advance payment for tbe estiDwed time is required. 12. Adequate signina md liabted BARRICADING is required on me job dim. PaiJurc to provide JUCh IjplDa IDd barricadma may I'IIUlt In the City's rcntina such slifling aDd barri~es IDd chuJina !be cost (illcludlng aU labor and materialJ) .... dlc cub deposit. 13. Compaction tcq of subfrade. base rock. md uphak cone.. by PenaiaDc is REQUIRED waIeu otIIerwile lUted by !be City EqiDeer. 14. The Contractor or Perminee will bave a SUPERVISORY REPRESENTAnva Ivailable for COIdICt CD the project It aD times dwiaa CODIlNCtion. Contractor or Permittee shall provide a phone IlUDIbcr It which they can be comactld outaide !be boun or 8:00 a.m. 10 4:00 p.m. J5. No STORAGE of materials or equipmellt wil1 be aUowed near tbe edle of plvcmcDt, die cr&veJed way, or wishia the IhoulderlJDo which would create a hazardous coDdition to the public. 16. This permit shall DOt be construed u authorization for eXClvation IDd aradm, on private property ADJACENT to the wort or IDy olber wort for which I sepante permit may be ~ired. IIOr does it relieve lIle Permiuec of III)' oblilation to obcala my OCber permit required by law. J7. This permit does NOT RELEASE the Permittee from any liabilliics ClJDl&iDed in otber ..reemenca or CODtrICtI with dle City lad any other public qency . 18. This permit is NOT TRANSFERRABLE. Wort muse be performed by !be Pcrmiaec or bia dMlplal ..ellt or COllSnC1Dr U lpICifttd thereon. 19. CALL BACK (ca1J out) due to emeraeDCies reaanliDIlhis permit. IbaII be It die QImI1II ovcnimc nlIl wiIh a tbrce (3) hour In........_ dwJ. per occumllU. 20. Pursuant to Chapter 14.02 of the CampbeU Municipal Code, applicaat IIJaIl DOt cauJe to be clischuaed III)' materia! inm !be Ullluic'ipall1Orm drain ay~m other than IlDrm walmr. Applicant Iha1J adh.en to !be BEST MANAGEMENT PRAC'I1CBS eabllshed by !be SaDIa Clara VIlJey Ncmpoiat Soulce PoUution Control Proll'lm. .j\pplicant shall. be responsible for easuriJIa that aD dlose provid.iD& ICrvicea UDder !be appUcam an: lware of IDlI undctIa.nd aU or !be above CODditlODS. CeMJ L 1J. $ONS. liJC AppliWlt ~5"' /"J-f h C7 In-I j:\forms\pwpcrm2 4196 X-Ref File PERMIT NO. 96-133 ADDENDUM NO. 1 Work Address or Tract # 500 E. Hamilton - STAPLES The following Special Provisions are hereby added to this permit: 1. The applicant is hereby authorized to install the Tenant I.D. Sign as shown on the attached plan and detail. The location shall be in accordance with the Campbell Municipal Code Section 21.53. The lowest portion of the sign shall maintain a minimum clearance of 10' above the public right of way and shall not encroach more than 2' over the property line into the public right of way. This addendum is an integral part of the permit and must be attached to the permit and on the job site at all times. It is the Applicant's responsibility to ensure that all work is done in accordance with the permit, including this addendum. Date: ,,/ fe, /1.k I .. , Prepared by: II (j)(,JJ;J47 Approved for Issuance: -;1}IpLf--& (]Ji Of.C....~ ~~.. ~~tt'> .... r" U l"'" o 0 ~ ... -s. .... ~. ,,'" o"C""..o' MEMORANDUM CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT TO: Sandy Terpko Finance Department m David Thompson Senior Civil Engineer DATE: July 18, 1996 FROM: SUBJECT: Permit 96-133, Traffic Engineering Fees Paid On March 8, 1996, Crandall and Sons, Inc. paid $11,264.00 in traffic fees on behalf of the new Staples store at Hamilton and Salmar A venues (Receipt #91486). The fee was part of their conditions of approval concerning traffic mitigation. The fees were inadvertently directed to account 435.535.4722, Engineering Fees, however, they should have been directed to the Salmar Avenue Widening Capital Improvement Project (435.9516.4921). Please process the necessary paperwork to move the funds to the elP project. Thanks for your assistance. h:\engfee.mem(mp) PUBUC WORKS DEPARTMENT REcaPT Effective July '. 1996 TO: CIty Cleric PUBUC WORKS RLE NO. 9 iJ; ~ , 3.3 :?oo r: ~~ PROPERTY ADDRESS ::.53~.;~2~5~~00:tMt2i{:"~~'Y"::y;:::~:::::::::::::",::::::,:,:,:,}:::::::::::::::::':":::=:::::':':':':'/::::::'::'::';""':"':::""::""':"{/:'}://:::'~:':}::r:},< ENCROACHMENT PERMIT 472.. Application Fee Non-Utility Encro8Chment Permit 1t225) R-l F"nt PlIrmit~No Feel Sub.eouent PlIrmitNr ($1001 utiIitv Encra8Chment Permit ArteriallCollec:tor StRlet f3251 Re~e' StrHt/Other Ant.. U251 2203 Plen Checlc ~ait f600l 2203 Feithful Performence 5uretv IFPSI 100"" of ENGR.EST.I 2203 Monumentlltlon SUnttV 100"" of ENGR.EST.I 2203 C..h Oeao.it 4"" of FPSlff600 min.1 2203 labor end M.teriel SUnttV 100"" of ENGR. EST.I Plan Checlt &. Inaclection Fee INon-Util!tY1 472 E!!i!:.Eat. < U50.000 112" of ENGR. EST.I 220 Enar.Eat.>t250000 IDeDO.it IS" of ENGR. ESTJ" 4722 Utility < "00.000 Conduit./f'lpelinee UD to 500 Feet I., . 601ft. I Abow 600 Feet Ifl. 10/ft.1 M-nnO...Neuft./Etc. 1"05/eal Pole ~v" 1.,05/ea' ~ a...... .....location 1"201 StrMt T,.. Plentlna/Remov" 1.,05ltnte1 2203 Utility> ',00 000 IDepOait 15" of ENGR. EST.I" 4760 Proieet PI.... &. s..-HI..ation. Proleet No. 4760 Stendard Sll8Cifieetion. &. Deteil. ltl/Pa .,21Bookl 4760 CoP.. of Mo. &. PI.n. It.SOI.II.ft.1 4722 Penaltie.: Failure to ntetant_ public improvement.3Jl00fCaIend... Davl I ~Muni Cod. SectIon 11.34.0101 4722 Penaltiee: F.... to ~ un.ate condition. ~"OOfCelend... Oftj LAND DEVELOPMENT 4722 lOt Une Adju~ 4722 Parcel Me 14lote or le..1 4722 Fina' TrllCt Meo 15 or Mont lob 4722 Certificate of Comnlilnce 4722 Certificate of 4722 V8Cation of PubliC StrMt. &. Ea..mente 472.. A....ement Seanta8tion or ReappOrtionment Rrat Solit Each Addltlonef Lot 472 Storm Orainea. Anta Fee Per ACnt 2.2S C'~ ~e- 'I" 2.. 3'- 8 'l.D ~ fSOOI ., 060 + USILotl ., 380 + US/LotI "4001 .3001 .S501 V---) i ( ~.~.~ L7" ~~ . h~~ C~.w.t tl- , / S-f7<fks ~, .-Iv t;(O j;JU4- Ur +- /.J wtLsWmu-- /..v~.n I~' 6-1'1.- q; -,"'" ~'C~~ 1. ' I /1.lLuu tJu-. M-_ J . ~ karfXPl ~ U& -- " 4965 TRAFFIC 4728 4728 4728 4728 472S 427 472! Poatea. lt6501 /.,701 iR-l. U.OOOI {MuItI-Ae.. t2.2501 _IAI Other $2 SOOI OTHER Int.raectlon Turn Count. ITwo-Hour CountI fOOl Intentection Turn ~ la.m. or D.m. De.k.'fI25 Trefflc Flow MaD lQ..oIily Traffic Volume., t271 Campbell Traffic Modlll (Full Scr:lpe A.....ment' U.2501 CamDDelI Traffic Modlll IReduced Scope A..e..m t7401 Truck PlIrmite '35Itr1DI No P.. U/eaah or U611 001 ~ TOTAL NAME OF APPliCANT fc)es/t:'L..- neld hoosp I C.ra."IA" p J 12nd .c'Yl <: //1 r . , 1&;./63 USa, S~e>_:I- tuft, i-h-e'r oq 90(;Oc; PHONE(3IO) 7'f3-0/'7/ NAME OF PAYOR ADDRESS I_II 1 ~ :-. . .~ '.;+.<~).'_.~~t LP ZIP k:tK -h (310) &J'/3-.s-<j 77 - aft CUD -.. :-.') ""':' r~ :-" ~ "r '"'7 :) 4..... __ ,~__ ...-:.l: l :z ........... h:\ntcfrm3. wlt3lmplntv.811 0/95 O 8 ~",",'" ~1AR lJ::iO CiTY CLERi('S OFFICE ~J~ --$L1tt3 W st~all Micfielle Quinney FINANCE ONLY: Verified by: !Approved by: I I I I I To: Accounts Receivable Please Issue Check Payable to: Address - Line I: Line 2: City: Description: Amount Payable: Account Number: ate and Receipt No: Permit No: Purpose: Requested by: Approved by: Mail As Is: Return To: City Jf Campbell - Chec__ Request Crandall & Sons, Inc. 16103 Lisco Street Whittier State: CA Zip: 9 0 6 0 3 Finance Only: REFUNDABLE DEPOSIT INTEREST EARNED $17,635.00 (J-hQu/LeU hLAft/ ~J ~25. \J 101.2203 3/8/96 #91485 96-133 101.540.7448 Refund remaining 25% Faithful Performance Surety. Title: p _ w _ Tn!'>ppr.t-or Date: D~:~ Date: I 1 Title: City Engineer Title: Title: Date: Special Instructions For Handling Check xxx Mail in Attached Envelope: (Department) Other: (NAME) rev: 3/25/95 City of Campbell - Check Request To: Accounts Receivable Please Issue Check Payable to: Address - Line 1: Line 2: City: Description: Amount Payable: Account Number: ate and Receipt No: Pennit No: Purpose: Requested by: Approved by: FINANCE ONLY: Verified by: Approved by: Mail As Is: Return To: Other: rev: 3/25/95 r.r~no~]l & Sons, Inc. 16103 Lisco 6t. Whittier State: CA Zip: 9 0 6 0 3 REFUNDABLE DEPOSIT Finance Only: INTEREST EARNED $55,611.00 101.2203 101.540.7448 3/8/96 #91485 qf\-111 Refund 7'5!i OF $70,t;OO l<'rlit-hfll1 pprf()rm~nce Surety and 100% of $2,736 cash deposit~ Rand Westfall M~ QUlnney Title: P. W. Inspector Title: Ci ty Engineer Title: Title: Date: 9/5/96 Date: 9/5/96 Date: Date: Special Instructions For Handling Check xx Mail in Attached Envelope: (NAME) (Department) . TO: CIty Cleric 496l! TRAFFIC 472 472 472 472 472 427 472 OTHER NAME OF APPliCANT NAME OF PAYOR ADDRESS - CIft cuu -.. PUBUC WORKS DEPARTMENT RECEIPT Effective July 1. 1996 PUBUC WORKS FILE NO. q &, -~ , 33 ~oo c: I-k.~ 220 220 220 220 220 $326) $2261 $6001 100% of ENGR.EST,) 100% of ENGR.EST.) 4" of Fpsl/$600 min.) 100" of ENGR. EST.! PROPERTY ADDRESS ~.~~~:~~:i~~!;~'!:::~~!;~t~~:';:~::;;~:L:,:,',>"",>,:::::::)"::)'::::::}"::':::):':{):)')))':~iiit!' ENCROACHMENT PERMIT 472. Application Fee Non-UtiIitv EncrollChment Permit IU26) R-1 Ant Permit INo Fee Sub.eauent PermitNr '$1001 UtI&tv EncrollChrnent Permit ArteriellCollector Stnlet Reaidentlal StntetJOther Are.. P1.n CIecIt Deaa.it F.ithfuI Performance SurittVIFPSI Monumentatlon sunitY ea.h n-v..it L.bor and Material S.- P1.n CIecIt &. InaiMIctIon Fee (Non-Util!tv) Enor.Eat.< U60.000 112" of ENGR. EST.) E....r.Eat. > $260.000 IDenn.it 16" of ENGR. EST.I" Utilitv < $100.000 Conduit./Pkleline. UP to 600 Feet ( $1. 601ft.) Abow 600 Feet ($1.1 O/ft.1 ManhoIe.N.uIt./Etc. ($105/eal Pole SetlRemov.1 1$105/..) Minimum CI.ra. Per Location (.120) Street T,.. P1.-..../Remov.1 '.106-1 UtilitY> .100 000 IDano.it 16" of EN GR. EST.I" Pro~ P1_ &. s..-YfIt.ation. ProiAnt No, Standard SDeCification. 6; Detail. In/P" .12/Book) Cop.. of Ena~ Map. 6; Plan. ($.601.q.ft.1 Penaltie.: Failure to reatore nublic imorovement. 111 OO/C.lender DiiVI IMuni Code SectIon 11.34.010) 472 Penaltle.: F.... to comtCt un..fe clindltlon. 1.100/C.lend.r D8Vl LAND DEVELOPMENT 4722 Lot Line Adiuatmant 472 P.rcel M--"'-(4 Lota or Le..1 472 Final Tract ~ 16 or More Lot. 472 Certificate of cMiftjjance 472 Certificate of ~ 472 V.cation of Public StnIet. 6; E...ment. 472 A.....ment Seal'llGation or Re.pportionment FIrat Split Each Additional Lot 472 Storm Drainaa. Are. Fee ..... Acre 472 220 472 2~20 47 47 47 472 .600) .1 060 + $26/Lotl $1 380 + $26/Lot .400 '$3001 $660 Puataae '16601 Tn 701 (R-1. $2.0001 (Multi-Re.. $2.260) IAN Other $2 500) Interaection Turn Count. (Two-Hour Count) ($60) Intereaction Turn Count. ".m. or n.m. lllIak81 11251 Traffic Flow Man (DailY Traffic Volume.) $27) c.mobell Traffic ModelU=ull Scope A..e..mentl U.2601 CemnbeN Tr8ffic Model IReduced Scone A..e.... $7401 Truck Permit. '35/trlnl No P.rkinn SInn. .1IellCh or $25/100f ~ TOTAL LUesleu- held ho;'~p 7 em Y1-J".tJ I /111 Al ..c'vl <: / /l /" /&'/6'i / /Scz> I y-lY-.:,of- tuft, fh-e'r CA 9oe:,oC; 2..2.S 'i'~ ~ "7 "" .^'" .~ ~ .ct- 8 l..D 4it 7 I'D - 7 /IrtWl&>t..U '/ A 1/ ?/...cJ $ 9';<'733 PHONE ( 310) 7'13 -0/'7/ ZIP my -II (3/D) &J'/ 3-.s-'1 77 1~_It/ Z!;[c::':7:~~~'~:='~~~~a~;::.... h:\recfrm3. wk3(mplrev.BI1 0/96 ~ r:-:" ~ ~r ''-<.:..~ "",_..n Jli.i :1 ~~) I.{; 0 8 t~:-',I" ~'I!-\R k<iO CITY CLER1('S OFFICE PUBLIC WORKS DEPARTMENT RECEIPT Effective July I, 1996 TO: City Cleric PUBLIC WORKS FlU! NO. 1G ' /35 PROPERTY ADDRESS ;=)0;3 , 1!ft-1WUG Please collect '" receipt far the followini monies: . ....... .. ............... .........:....-:i..:.....:-::::-::/NdOll'NI'.:.:--. ACCT.. f ITEM.. .. ........... .. ............................. 435.535.4921 Pro.ect Revenue 'ect) S ENCROACHMENT PERMIT 4722 Application Fee Non-Utility Encroedunent Permit ($225) R-I Fint PenniHNo Feet Subseouent PermitIYrlS I (0) Utility Encroachment Permit ArteriallCollector Street S325) Residential StreetIOther Areas S225) 2203 Plan Check Deoosit - 2"/. ofENGR. EST. S500 min . 2203 Faithful Perfonnance Security (FPS) 100% ofENGR.EST.) . 2203 Lobor and Materials SecuriIV 1000.4ofENGR. EST. 2203 Monumentation Security 100% ofENGR.EST.) . 2203 Cash Deoosit 4% ofENGR.EST.XS500 minlSlO 000 lIWl) . 2203 Labor and Material Security 100'.4 ofENGR. EST.) . r:: Plan Check'" 1nsDection Fee /Non-Utilitv) /S21 {;;j 4722 .J EnllT.Est. < $250.000 (12% ofENGR. EST.) .. 22M" Enar.Est.>S250.000 <Deoosit 8% of ENGR. EST JS30 000 min.)" . 4722 Utility < S 100 000 (rlo) Minimum CharKe Per Locotion (SI20) ConduitslPipelines up 10 SOO Feet (SI.6OIft) Above 500 Feet (S 1.1 0IfI.) ManholesIV aultslEtc. (SI05/ea) Pole SetlR.emoval (S I OSteal Street Tree PlantinlliR.emoval (SI05/1ree) .. 2203 Utility> SIOO.OOO Actual Cost + 20".4 .. . 4760 Proiect Plans'" S_ifications Pro.ect No. 4760 Standard S_ifications '" Details (SllPa S12IBook) 4760 Cooies of Enaineerina Maos '" Plan. IS.5015O.ft. 4722 Penalties: Failure 10 restore oublic imorovements IS 1 OOICalendar Dav) (Muni Code Section 11.34.010) 4722 Penalties: Failure 10 correct UllSllfe conditions IS I OO/CaIendor Dav) LAND DEVELOPMENT 4722 Lot Line Adjustment SSOO) 4722 Parcel Moo 14 Lots or Less) S I 060 + $25/LoO 4722 Final Tract Moo (S or More Lots) SI.380 + S2S/Lot) 4722 Certificate of Compliance SSOO) 4722 CertificateofConection S3(0) 4722 Vacation of Public Streets '" Easements S5S0) 4722 Assessment Segregation or Reapportionment First Split (SS50) Each Additional Lot IS170) 472\ Storm Drainage Area Fee Per Aen (R-I, $2,000) (Multi-Iles. $2.250) (All Other. S2.S(0) 4920 Parkland Dedication Fee 496S Postaae TRAFFIC 4728 Intersection Turn Counts (Two-Hour CounO S60) 4728 Interseclion Turn Counts (Lm. or p.m. peaks) S125) 4728 Tr1Iffic Flow Moo lDailv Tr1Iffic Volumes) $27) 4728 Camobell Tr1Iffic Model (Full Scooe Assessment) S2 250) 4728 Campbell Tr1Iffic Model (Reduced Scooe Assessment) S74O) 4271 Truck Permits S3Sltrio) 4728 No Parkina SilUl. S lleach or $25/1 (0) OTHER TOTAL s/5;;';;. (I NAME OF APPLICANT /dt;L/() JPA ./ (1/1 il!Ltiitd f . ~ .J 1:~>1.4 /i PHO~ Ie - 9/3 -('J PI NAME OF PAYOR \ 1.A C,-/ ADDRESS P (: /~J / J.J. P; tctMtr~'L-j ZIP 9('&07 ! .. Actual Cost Plus 20'10 Overbead /Non-Interest bearinll depolit) FOR OTY CLERK ONLY I~..C...E...IV..........E.......D...........B.~.......Y......................................................................=/i///i . .. .....0&.. .0. OS. ..... .." .---.... ..-.-. -_.....".,.,....-.... . . ., ...... .... Date . ..... .. ..... .. ..... "R..:e;pr/L.. .. .... ....... ...q...:. . """"" . ..... ...."..,...".""-,,...,,-. ...."".,,- """"..- ,,-.""---...,. ....221 Datellnitial. :-:-....1 RECEIVED SEP 1 91996 CITY CLERK'S OFFICE I.For Plan C~and Cash OqK>sits,sendyellowcoPYIOFi~i b:lrecfrm4. wk3(mp )rev7/1196 .... ......'1 n..~ M.. ".........,-, j ,..,.. Ll!! Ur j..:H~Wijt.:...L:, LH RECijD BY ~ LI EAB ....... ,~.......... ~ 2"<....... 'I.,..... .. I' &, Ir, ......,..'.,1"'; f"HfUr{; i...h~~r.H;~LL Hi'~i.; Jur':.j: TODAY: S IiATE ~ 0-9fi Si/96 REGtJTEF~ ,~'~ ~}~j/ ~ i} (110000963(i5 TIME; i Jl~ ~ if:. : {'~l: ,I.... '. .lo:": ~ !,...... DESCRIPTION AMDUNT Er~GP & SUBDI;~; FILIHG F $i~522~04 TDTAL DUE: CHECK PAID; ... ~ ,... 1"\'" TO' ~ i ::.;~L = V~ CHEC~. ND: 1357it TENDEF: Ell ~ ~.l : S 22 ~ (l4 LHHN0t; s.on $1 ~522 ~ 04 ~ INSURED Crandall and Sons Ine P.O. Box 1223 Whittier, CA 90609 \" t 0 Ct 111\'( \ , ~ ",1'\ . . R\'" ,'Jlju ON 'II\,lP\.\\" &:.:{\tfl- 1\ t-t-\N\~ l}..O MD DATE (MMlDDIYY) 05/07/97 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE PRODUCER BOLTONIRGV INSURANCE BROKERS 1100 EL CENTRO STREET PO BOX 820 SOUTH PASADENA, CA 91030 COMPANY A MT. HAWLEY INS. CO. COMPANY B SAFE CO INSURANCE COMPANY C RLI INSURANCE COMPANY 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. CO TYPE OF INSURANCE POLICY NUMBER POliCY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM/DD/VY) DATE (MM/DD/VY) A GENERAL LIABILITY MGL 120610 05/02197 05/02198 GENERAL AGGREGATE $ 2 000 000 COMMERCIAL GENERAL LIABILITY PRODUCTS. COMP/OP AGG $ 1 000 000 CLAIMS MADE IX] OCCUR PERSONAL & ADV INJURY $ 1 000 000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1 000 000 FIRE DAMAGE (Anyone fire) $ 50 000 MED EXP (Anyone person) $ 1000 B AUTOMOBILE LIABILITY 1,000,000 SA8241299F 05/02197 05/02198 COMBINED SINGLE LIMIT $ X ANY AUTO X ALL OWNED AUTOS BODILY INJURY X (Per person) $ SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY X (Per accident) $ NON-OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ C EXCESS LIABILITY OUL025581 05/02197 05/02/98 EACH OCCURRENCE 4,000,000 UMBRELLA FORM AGGREGATE 4,000,000 OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY $ THE PROPRIETOR! INCL EL DISEASE - POLICY LIMIT $ PARTNERS~XECUTIVE OFFICERS ARE: EXCL EL DISEASE. EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSlVEHICLES/SPECIAL ITEMS Re: All work in public right of way. Permit 96-133, 500 E. Hamilton Ave., Campbell, CA. City of Campbell, its officers, employees and volunteers are named as Additional Insureds on a primary & non-contributing basis per City of Campbell Public Works Department 70 North First Street Campbell, CA 95008 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ----'D MAIL ~ DAYS WR~NNOl:rCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, . X1111X~-...IESII: ~_':'~"m%C::-~~'\?1hSW0im'JP1;;'~Y'f~m~~~' ~r"~T'''''r)l'11ill$ilgi11'1\,!:r;?l1;'$~7.~''''m!P='~'''liWl llj;,,:, ~'" J m ~ 'i'fFWR~ ,~0 ,,' II -.~ "'"' , "" ,&' , ' " S H ,'it 'g;""',,",.' t ',,,,'\: ~ cO ,*Q~ ~'iJ'if t ."'''' ~~~~. "db1~ ':1~", ,:,', " ~:;;".'" ~ '" " "''' 'i<- ' . "'<< 7.: "h.>' , >>, . ,\ \ _,":, t L~.--,{{-<; '" ~,^'~. (c..{%h::[ fA ,t,d~q~"" '" '''~ ":X'1J;&,f/~ ~~~f:q~_, ~ ,"-><' ~ ,'> f~~ ~, .~ ,;to" ( " " ,>' " ~ : > 'l- " '<-<< ~ OJ, " "~ ' ~F. ~ ..~i 101t!r~1!1!J,"~,;~'1 , . ,w.>="""w,^~~""", "'" ,,~^',.. ",.m"","m:.:~,,,,.,~-s.,,,,.,,,wo_<<4l(__"~""'~"';;"^,,,"'h""hW"'W'.""~>=""""~= ""o'4"",,,..,,A{tik~"'A1iI~,,,="U~''''~''',,,,",*=' _'-'" "< "'x-."_ ~"M~=W"~'<-"~"',",",,-, ".,LZ"~~~><<;;, 007528 MD INSURED: Crandall and Sons Inc DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS. (Continued): endorsement CG2010 attached with respects General Liability. POLICY NUMBER: MGL 120610 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: City of Campbell Public Works Department 70 North First Street Campbell, CA 95008 (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 with respect to liability arising out of "your work" for that insured by or for you. Re: All work in public right of way. Permit 96-133,500 E. Hamilton Ave., Campbell, CA. City of Campbell, its officers, employees and volunteers are named as Additional Insureds on a primary & non-contributing basis per endorsement CG2010 attached with respects General Liability. Subject to all other terms and provisions of the policy, such insurance as provided by this endorsement shall be deemed primary, but anI y with respect to ~rk eerformed by or for the Named Insured in connection with the above described contract. CG 20 10 11 85 Copyright, Insurance Service Office, Inc., 1984 .......wu...........w~ N.. '.........w.W..X".:.:...:.:.:.:.I"X>>=-".,".:. :? AC'I"\DD ;ntsr:::.."::.' ,~t>>;;;'>>M~:;;;;;;;~"la;;1. PRODUCER ....::.:~:~I~:i,:::::Jllllllllllir:i;;'~:~<:.~,::;:':::IIII:~::.:.::::::::::~:::w..... .::::.:;..~:::::,:.:.:........:.:.:.:...... '..D;~~tNI\ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE BOL TON/RGV INSURANCE BROKERS 1100 EL CENTRO STREET PO BOX 820 SOUTH PASADENA, CA 91030 COMPANY A MT. HAWLEY INS. CO. INSURED Crandall & Sons Inc. P.O. Box 1223 Whittier, CA 90609 COMPANY B SAFECO INSURANCE MAY 28 1900 Pu,-,,-,,- COMPANY C GENERAL SECURITY INS CO (MD) U n , 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 REOUIREMENT, 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. CO TYPE OF INSURANCE POUCY NUMBER POUCY EFFECllVE POUCY EXPlRA 110N UMITS LTR DATE (WoI1D01YY) DATE ("'IDOIYY) A GENERAL LIABlUTY MGL 118718 05/02/96 05/02197 GENERAL AGGREGATE S 2 000 000 COMMERCIAL GENERAL L1ABLITY PRODUCTS. COM PlOP AGG S 1 000 000 CLAIMS MADE [i] OCCUR PERSONAL & ADV INJURY S 1 000 000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE S 1 000 000 s 50 000 s 1 B AUTOMOIILE LIABlUTY 1,000,000 SA8241299E 05/02196 05/02197 COMBINED SINGLE LIMIT S X ANY AUTO X ALL OWNED AUTOS BODILY INJURY X (Per person) S SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY X (Per accident) S NON-OWNED AUTOS PROPERlY DAMAGE S UB61220 05/02197 AUTO ONLY. EA ACCIDENT S OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATE S EACH OCCURRENCE AGGREGATE GARAGE UABIUTY ANY AUTO C EXCESS UAIIUTY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABlUTY 05/02196 4 000 000 4 000 000 EL EACH ACCIDENT $ THE PROPRIETOR! PARTNERSlEXECUTIVE OFFICERS ARE: OTHER INCL EXCL EL DISEASE - POLICY LIMIT S EL DISEASE - EA EMPLOYEE S DESCRIPllON OF OPERA 11ONBIlOCAllON8IVEHIClESl'SPEClAL ITEMS Re: All work in public right of way. Permit 96-133, 500 E. Hamilton Ave., Campbell, CA. City of Campbell, its officers, employees and volunteers are named Additional Insured on a primary & non-contributing basis per CG 2010. ::CstlJN.UJ..::....: *t ~KmM'jJ*&WM#.M~rJ~Mf~J[@M@~l[t:[:tt~ttl[~ml~~@m~J..tltI.iiUm[:'-U:N_lt~It~.:;~~.. :BJt:rt.iililit.f11iltl SHOULD ANY OF THE ABOVE DESCRIBED POUClES BE CANCELLED BEFORE THE EXPlRAllON DATE lMEREOF, THE ISSUING COMPANY WILL --. -JH(D MAIL -.JL DAYS WIITTEN NOllCE TO THE CERllRCATE HOLDER NAMED TO THE LEFT, ~JVBmrIIII( IIXIIDJIBIIID City of Campbell A TTN: Dept. of Public Works 70 North First Street Campbell, CA 95008 HXlIIIIIXJB AU RIlED REPRESENTA E . t \i~'jI;._I.@@[@rf@wftr&.~wtf@rmH~r~~@[f~:rMi~~:~:~:~fI[:[m::I::::f[IIgf!IgI~I@}~::~:;;;;::@:d.~~::!:~:[:~~:~::fIlI:WWmMMm~:::..:...:fl.i.l_ji\talil..:! POLICY NUMBER: MGL 118718 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: City of campbell ATTN: Dept. of Public Works 70 North First Street campbell, CA 95008 (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 with respect to liability arising out of "your work" for that insured by or for you. Re: All work In public right of way. Permit 96-133, 500 E. Hamilton Ave., campbell, CA. City of campbell, Its officers, employees and volunteers are named Additional Insured on a primary & non-contributing basis per CG 2010. Subject to all other terms and provisions of the policy, such insurance as provided by this endorsement shall be deemed primary, but only with respect to work performed by or for the Named Insured in connection with the above described contract. CG 20 1 0 11 85 Copyright, Insurance Service Office. Inc., 1984 ACDBa. ,....lCEII : BOLTONIRGV INSURANCE BROKERS 1100 EL CENTRO STREET PO BOX 120 SOUTH PASADENA, CA 91030 ! IlllllIIIED I I Crardall " Sons Inc. P.O. Box UZ3 ~ttler, CA 90609 OONPNrr A MT. HAWLEY INS. CO. awPANY B SAFECO INSURANCE CO'4PAH'l' c GENERAL SECURITY INS CO (MD) .. ,. nus It TO CERnFY 'THAT n1E POLICIES OF WSURANCE liStED BELOW HAVE lEEN ISSUED TO ntE INSURED "AMED ASOve FOfII THE POLICY P!NOD INDICM'ED. NOTMTH6TANDINCI Nfl( AEOUIREMENT. TEAM OR COIIIDITION OF Al4Y CONTRACT OR OTHE" DOCUMENT WITH~SPECT TO WHICH THI6 C~~~ MAY IE ISSUED OR MAY PEFlTAJN. lliE INSUAANCE AFFORDED IY 'THE POlICIES DESCRIBED HEREIN IS SUBJECT TO AlL THE TERMS. EXClUt5Q\lS AND CONDmONS OF SUCH PcUCles. LIMITS SHOWN MAY HAve FEDUCED BY PAID CLAIMS. co LtIl lYNOPI..,..-_ l'OI.IC\' _II fIOUC'f IFI'IClIft "'-ICY IDIMl10II .,........,." 1M" ~ A MGL 111718 OSlO1lM 05101197 L*"" OEN!AAl AOGR~T! . PROOuCTS . CClIIiIPICIr AlIQ S II!IlSa'IAI. & A1JV lNJUAY . !ACH OCCUAAENCl!! 'MOAlolAQE ""0 lIP COIilIlNlO SINGLE LIiIIT I 1,000,000 1001L \' NI""" I (~ ...-) IIOOI.Y ...,~ I IPw -a.no PAOPI!III"" DM(AGE . B SA82AIZ99E 05/02IH 05101197 i CWWI, UAIILI1'r 1 AUTO I I c ~Udun ~1IIEl.I.A FOAM I OTHEPl11iAH Ur.IIA!U.A FOAM WOIIICI! eowaIIA1IOII.... ......or.1JAIIUT'( THE PlllqPAISTOAI INCL PAAlNEA8ID&CUTIYi OFFICiR8 ME: pC\. OMRI I I ~DI'C>>IM~~I!CIAi."'" Re: ~11.ork ia public right 01 way. Permit "-133, 500 Eo HamntoD Ave., Camp,bell, CA. CilJ 01 CampbeU, hi ofrlCa"St employees and 'olunteerl are Damed Additiooallasured on a primary & Don~ontributinl basis per CG 2010. I UB61120 05/02196 05l0V'7 AU10 ONLY . EA ACClOl!!liIT . OTHl!IIl '!WAN AUTO ON..Y: IiACH ACCDINT . ~Golli . EACM ClCCURI'l&JCi . 4 ABGAEGAlE . ~~%~X2;~J~:~~~:~\~ W;r;':~i: :;r~~' ~I-;; ~ i. "~~ ~~ 1 ({ ~'~. 7'~< ',' " '~.::; ;. ~.~ :~~~. ..of'; :::':;::::?~'~"~~';"~"~":~~:~ :~:9.1;.jA?;/!~:~~~::.;; ;/:~0r~~.t~~"~"~'{~~';'v)v; ~~'<~~~:"'~~';f~7:~r~:~';i";.~';.:::~,~';~;'1.' Z:f~~/ f ;r~ '~/!( .~l ~{rlf~~~(~1 f~~'" "~"~''.:;~:1 City ~ Campbell A TIN: DepL ~ Public Works 70 North First Street Camp-bell, CA 9S008 I i IHOUI..D AJlf Of ntE AlDYE ~ft ~ lIE CAIlCS.lED MfIOIlE mE ..,.,..1101I DA"R 1HEIIEOfI, ~ _... c..-AII"I WIU. __ ....11,. MAIL -30.- DAft w.nu 1I011CE TO 1M. ClJmACA~ HOLIIEIIIlAlllIED TO THt un. zoo~ 3~~lSNI A~H/NOll0a ttCl 66L 818 XVd ~C:Cl IHd 96/tZ/~O POLICY NUMBER: MO. ,18718 COMMERCIAL GENERAl LIABILllY THIS ENDORSEMENT CHANGI!S THE POUCY. 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: City of Campbell ATTN: Dept. of Public Wortcs 70 Norttl First Street C8mpbell, CA 950Q8 (If no entry appearB 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 I the Schedule, but only with respect to liability arising out of .your work- for that Insured by or 'or )'OU. Re: All work In public right of way. Pennlt "'33.500 E. Hamilton Ave., Campbell, CA. CIty of Campbell, hs officei'll, employ... and volunt..... are named Acklltlonallnsurecl on I primary & non~ntrlbutlng basis per co 2010. SubjecL ~o.all oLher terms and provisions of the policy. such insurance as provided by this endorsement shall be deemed primary, but only with respect to work performed by or for the Named Insured in connection ~ith the above described contract. CG20 10 1185 Copyright, Insurance Service Office. Inc., 1984 coo IPt 3JNVKnSNI A~H/NOlloa ttCI 66L 8I8 YV~ 9C:CI IHd 96/tZ/~O .~.~.'..I .._:*i.:_..-:.".;\.'.",':oN~ ). . .'-.:..~ ,...........l\-.i'.-',: ,'-.-.~. ..,.... \...J'-~I.o:'..,,:;.i.,~..~l... ..,:"'.....~: J,..;:.~;..:. \: .: _- .'. ......~'..'..~L4.:..-iJi..L............l~'~.,h-a.L...;..,\~~ ........:...h:J :.;~;r....1.""Wv("':t...u.;&..;.-.):.....'.N~'-..).'.....,;,;:....;,l'~1la\...t...A... lbWWm.. . an OP CAMPBElL DBPI'. OP PlJBUC WORKS 'JO Narda fIIIt St. ~.-. CA 9DB (408) 866-2150 ..MCROAaIMENI' ft!ItNlr (b WIIIItilII....... .... pIIIIIc .4.-,) ...... Paadt ..... ia 12 .... r.awNo. Cfb-/33 JWW.fiIe $9"-- /3 AfIlIk..,g 0.. .3 / (p J 9 iJ; Arr'1o ._10.. ..... ia 6... . 8 cu ~ A. wort ~ or tract # .c: -,::t cu ... ~ a Natale oIwmk 1= cu C. Aa.dl four (4) copiea 01_ ClDIiJleend dawiac...... die IociIdaD, ..... ... ~IW . - 01.. WlIIt. ,... dawiac...... .... nIIdaD oldie = ~ WOIt to aiIdIIc 1UIfa:c.... ..11.&--4~ WIlla ~.".. aa, ""'I' ar.IIid......... pIIt 0111III pend. ~ D. AD WOIt IbaII CDIfarm to tbe ClJ'I GcaaaI r...,~ SIadud 0laItnIc:daD ~... c. ...."" ec.an.ctiaa DetaiII for PIIIIIic WcdI .c 00aIbucdaa; tbe GeDaaI Permit ('oorI1t1o.... ..... CIa .... .....Iide; 11III die SpeciII ~ for tIIiI peaIit. ......... ..... to IIlida ." fa ... ~ 11III ~ ..,.-It ia jab .......lIIlI/or ,..... 01 PaidIfIIl hlto. .....11III alia depaIiIa. (See o..aa J PenIIit eplth. 1 aad 2.) / :s 'e:) ( ; '-";' 0 I q \ _ E. A 8CIaftlfaDdIbIc ~tinoo fee. -- A( r l' . ~ Name 01 AppUcaIlt ' ~ J Cf"MthPl.- an APPUCA'I10N. ~ ........" ..... for. PIIbIic W<<lIb .... ia ~wiIIl ~ N ...... Calla, ...... lUM. (Aft" ..\(>a..... Ia 6 ...... if tbe penDit .. DOt iIIucd). r?Do {?, H ~\..:r" I /J..;.-. A:v ~ ... .= AddreII u .... E-4 - .scm. JI/.C Teleplloee ~ :1 '-. I, \i.-tff'lr"i -' , ,...; c "., -:../ . / /, t r I :i I" .-.-' :, ~ J (,) '3 r ~ I I I I I ~ C e t' ~ C g t" ~ ~ t UtiIiar tRIIda IocaIbI I ~, ~ . k--I~\~.I ~i) '-. r,_, . ',' I '\ I. . ,',/ \" I ~f.1 " t ~ I fa tbiI WOIt beiq doae ." tbe 9a~ oncr.a .... on NIidcDcc? Yea '><' No ~ ~ ~ ~ g ~ I I I ~ '- ... Complete aad attacb wortas' ('~~ aDd 0\11I1'- w- __10.."'" QI 1 Tbe AppticaDtJPermittee beftby .... by IdIbiII& cbIir .......6 10 dill panDit 10 IIaId ... Clay 01 ,...."...... iIa ...... ..... aDd -"'It'" .... IRe, ..,. 11III bumieII fmm my dIim or dcIDIDd for.... --. flam die.... CDI'IRd ." dill JIIIBIit. c:s o Tbe AppIkatJPamiUee bcRby IICbawIodpI dill tbeJ.... nad 11III-*..,'" boda ....,.....1IIm 01 tIIiI pamit,... tllcJwilllal'claa .... 'j alDtnICtoI(l) 01 die . .- llS u .... ~ .... .., c:s CU -,::t .... ~ i .... .~ l:, 'i (... o.e o SHAlL CONfORM WI1H 11IBATI'AaIBD, APPROVED PLANS AND ALLAPPUCAaB CANPBBU. STANDARD CONDmONS. PERMIT APPUCA'DON PBB .... i L2.5' PLAN aIBC.X DEPOSIT fIIII,IiIll SURm'Y FOR PAl11IPUL PBRJIORYANCB (tCI09' OP BNO. EST.) - CASH DEPOSIT (.... OP SURm'Y, S500 NIN) ~ PLAN aIBC.X 41NSPECI'10N PBB IZ-X. 01. f:~ ~=.::.:: 1..... e J<l-.,4 · v .11 R '-1"'1. 1 r _.. 'tl_ __ __) t' 1118 CONI'RAcroR MUSf HAVE 11DS PERMlT AND APPROVED PLANS AT 1118 SD1!AND MUSr N011PY 11IB PUBUCWORD .... DEPAIm4ENI' AT LBASflWO DAYS BBPORB srAImNG WORK. ;. c:s .... CU .c: ... ~ c:s CU ~ Gl .... ~ .... .., o = = CU CU .c fa llS .c: NOTICE MUSf BE GIVEN TO PUBUC WORD AT LBASr 24 H01JRS JIBIIORB RBSI'AImNO ANY WORJC. SPECIAL PROVISIONS ,. I I I I I ~ C ~ t' " ~ t" ~ ~ ~ _2. _3. StRct IbaII DOt be opeD cut for ~&au-d.......... ~ ClIta may be..... for (\IIIN{'~ m ~odio6 bola. SIIdt ClItaalll be ~Ihr ..........,d Iw the ,- Driar to c:attiu.. PnaDcDt .., be cut for "'100-4 ,-u.tiNw aad IIlUIt be ....... Ia ~ willa.. UtiIiIy Taadt ........ SIadud I>rInriq. Wort to be ItUcd .". 6ceaIed Lad s..~JOa or Cvil P.a;-IIIII two (2) cap. 01... ........ _ to ... P.bIic WcdI Depuuaeat before ItUtiD& WlIIt. _to _4. BrANDARD AMOUNl' .".. =---....1 NO. S Jl. -2..> c.!!: S P/~ S,/). mo S :l 7..3 " S e Z 05 ~9/cf8b 1J,4 CJ I #;'~ "11'iB~ 9/'18 0 ~ "" t APPROVED FOR ISSUANCE CU far ClJ P.- :il b:PW PERMD'fRevAf94 * USA phone (800) 642-2444 nCKET NO. Date. " ~ ~ "" I I I I I .... (_ otber Iidc) BOLTONIRGV INSURANCE BROKERS 1100 EL CENTRO STREET PO BOX 820 SOUTH PASADENA, CA 91030 DATE (MM/DDfYY) 05/10/96 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE PRODUCER COMPANY A MT. HAWLEY INS. CO. INSURED Crandall & Sons Inc. P.O. Box 1223 Whittier, CA 90609 COMPANY B SAFE CO INSURANCE \ ' 1 ? 19qb COMPANY C . , ' , ~~~._~ ."- \ 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM/DDfYY) DATE (MM/DDIYY) A GENERAL LIABILITY MGL 118718 05/02/96 05/02/97 GENERAL AGGREGATE $ X COMMERCIALG~ PRODUCTS-COM~OPAGG $ CLAIMS MA PERSONAL & ADV INJURY $ OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ SA8241299E 05/02/96 05/02/97 COMBINED SINGLE LIMIT $ X ALL OWNED AUTOS BODILY INJURY X (Per person) $ SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY X (Per accident) $ NON-OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: UB61220 05/02/96 05/02197 $ ._._-- EL DISEASE - POLICY LIMIT $ EL DISEASE - EA EMPLOYEE $ UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR! INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATlONSlLOCATlONSlVEHICLESlSPECIAL ITEMS Re: All work in public right of way. Permit 96-133, 500 E. Hamilton Ave., Campbell, CA. City of Campbell, its officers, employees and volunteers are named Additional Insured on a primary & non-contributing basis per CG 2010. City of Campbell ATTN: Dept. of Public Works 70 North First Street Campbell, CA 95008 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL 1IIIDIIIIUOll(~ MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, .IIIJfJI1IXIIIEX:IMIIlI::sIIEHJIIIaIIIllIIII:~~ POLICY NUMBER: MGL 118718 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: City of Campbell ATTN: Dept. of Public Works 70 North First Street Campbell, CA 95008 (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 with respect to liability arising out of "your work" for that insured by or for you. Re: All work in public right of way. Permit 96-133, 500 E. Hamilton Ave., Campbell, CA. City of Campbell, its officers, employees and volunteers are named Additional Insured on a primary & non-contributing basis per CG 2010. CG 20 10 11 85 Copyright, Insurance Service Office, Inc., 1984 -::: ~~ :~: ~:. ....:;..-:.:.::;.....:....-:.-:-:.:.:.:.:.:.:.:--.....:.:.:-:.:::-:.:.:...:.:.....:-: .....:-.. ISSUE DATE (MMIOOIVY) 031141% THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. PRODUCER BOLTON~GVINSURANCEBROKERS 1100 EL CENTRO STREET PO BOX 820 SOUTH PASADENA, CA 91030 COMPANIES AFFORDING COVERAGE ~~A GOLDEN EAGLE INSURANCE CO IN8UAED COUPAt<< B LETTER SAFECOINSURANCE Crandall & Sons Ioe. P.O. Box 1223 Whittier, CA 90609 COUPAt<< C LETTER GENERAL SECURITY INS CO (MD) ~~D THIS IS TO CERTIFY THAT THE POlICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOO INDICATED. NOTWITHSTANDING NN REClUIREMENT. 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. co TR TYPE OF IHSUAANCE POlICY NUMBER POlICY EFFECllVE POlICY EXPIRATION DATE (MMIOOIYY) DATE (MMIOOIYY) UIoITS GENERAL UA8IUTY X COUMEACIAL GENERAL LIABILITY A ClANSMADEW OCCUR. OWNER'S I CONTRACTOR'S PRO CCP308461 05102/95 05/01/% GENERAL AGGREGATE S PRODUCTS-COMPIOP AGG. S PERSONAL I ADV. INJURY S EACH OCCURRENCE S FIRE DAMAGE (Any..... f__) S MED. EXPENSE (Any one perwon S 2,000,000 1,000,000 1,000,000 1,000,000 50,000 5,000 AUTOIoI08IlE UA8lUTY X /IN'( AUTO X ALL OWNED AUTOS B X SCHEDULED AUTOS SA8241299D 05/02195 05/021% X HIRED AUTOS X NON-OWNED AUTOS GARAGE UASllllY EXCESS UA8lUTY C X UB60730 05/02195 05/021% OllER THAN UMBRELLA FOAM WORKER" COIoFEN8A TION AND EMPLOYERS' UA8lUTY OTHER COMBINED SiNGlE LIMIT S 1,000,000 BODILY INJURY (Per person) S BODILY INJURY (Per 1IOCidenl) S PROPERlY DAMAGE S EACH OCCURRENCE AGGREGATE S S 4,000,000 4,000,000 ... ............ ...... .... . ... . . ........... . . ................................................ ....................................... ............................................... ....................................... ....................................................................................... ::;:::::::::::::::::::::;:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ::::::::::::::::::::::::::::::::::;::::::::::::::::::::::::::::::::::::::::::: ............................................................................................... ......................................................,....................... STATUTORY LIMITS EACH ACCIDENT S ------ -----. S F"VlJ;D MAR 18 1 DESCRPTIOH OF 0PERA11ON8IL0CATIONSIVEt<<;LE8lSPEClAL ITEMS Re: All work in public right of way. Permit %-133, SOO E. Hamilton Ave., Campbell, CA. City or CampbeU, its offICers, employees and volunteers are named IS Additional Insured IS respects liability per endorsement .: .:: :., .. . ';. :~m '..<~Ii') . ....:.. .: ](o.t: ....~.. .. . '~l:;hJ\lNi$TR I) i," . . '. '..J City of Campbell ATTN: Dept. of Public Works 70 North First Street Campbell, CA 95008 SHOULD ANY OF THE ABOVE DESCRIBED POlICIES BE CANCELLED BEFORE THE ~~~ ~.?::. EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL )A/lnlta'tlanftl ::;. MAIL 1!L- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ~lC08I~!~& .: . . . .~. :...e:<< ........... -:~:::..;. .::::r~:m...r~~~;*~~~~~~~i#.~~~;~~;~~l~~~r~*~~~~~jt I~ IZEDREP{;SENT(!1LJck:J1<YJ 007528 l w~t?$#M~~~~~~~~~kr~kM~ii~~~MmWii~::::A#Mi@~~k .::M*~r~~Jf..e.o.mJ.~~~<<mP.OftA~~~:jfttg 007528 MD INSURED: Crandall & Sons Inc. DESCRIPTION OF OPERATlONS/LOCATlONSNEHICLESISPECIAL ITEMS - (Continued): GE CG 840 (01-93) attached, and 011 a primary basis. r 't.DEN EAGLE INSURANCE CO~ NY . .0. Bo~ &5!26. SAN OffiCO, CA 921U-~ POLICY NO: crol0R46l AlITOMATlC ADOmON~ lNSUREDS - CONSllWcnON CONTRAcrs Er fecti ve Date: 5/2/95 (at 12:01 A.H. Standard Time) Named Insured: Crandall & Sons, Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY The following provi$ion is added to Section II (Who is an Insured). 5. Any person{s) or organization(s) (hereinafter called "Addi tional Insured") with whom you agree in a \rritten contract to name as an insured is an insured with respect to liability arising out of "Your Work" for the Additional Insured on the project specified in the contract, including acts or omissions of the Additional Insured in connection with the general supervision of "Your Work." However, the insurance provided to the Additional Insured does not apply to: a. "Property damage" to: {I} Property owned, used or occupied by or rented to the Additional Insured; (2) Propert-yinthe-care , custody, or control of nUffie Additional Insured or over which the Additional Insured is for any purpose exercising physical control. b. "Bodily inju.ry," "property damage," or "personal injury" arising out of an architect's, engineer'S, or surveyor's rendering of or failure to render any professional services for you, for the Additional Insured, or for others, including: (l) The preparing, approving, or failing to approve maps, drawings, opinions, reports, surveys, change orders, designs, or specifications, and (2) Supervisory, inspection, or engineering services. These exclusions apply in addition to those contained in the Commercial General Liability Coverage Part. G~ CG 840 (01-93) Include5 copyriqhted material of Insurance Servicee Office, Inc., 1984 ISSUE DATE (MMiODffY) 03107/96 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. COMPANIES AFFORDING COVERAGE PAOOUCEA BOLTON~GVINSURANCEBROKERS 1100 EL CENTRO STREET PO BOX 820 SOUTH PASADENA, CA 91030 COMPANY A LETTER GOLDEN EAGLE INSURANCE CO INIUAED COMPANY B LETTER SAFECO INSURANC Crandall & Sons Ioc. P.O. Box 1223 Whittier, CA 90609 COMPANY C LETTER COMPANY D LETTER ~L ,p 11. 1996 o COMPANY E LETTER THIS IS TO CERTFY THAT THE POlICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POlICY PERIOO INOICATED, N01WITHSTANOING ANY REClUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTFICATE 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. co TR POUCY EFFECTIVE POUCY EXPIRATION DATE (MMlDDIYV) DATE (MMlDOIYY) UIilTS TYPE OF INBUAANCE POUCY NUMBER GENERAL UA8IUTY X COMMERCIAL GENERAL LIABIlITY A ClAIMS MAOEW OCCUR. OWNER'S & CONTRACTOR'S PROT GENERAL AGGREGATE S PRODUCTS-COMPIOP AOO. S PERSONAL & AnV. INJURY S EACH OCCURRENCE S FIRE DAMAGE (Any one rn) S MED. EXPENSE (Any one pe.-. S 05/02/95 05/02/96 CCP308461 AUTOMOBILE lIA8IUTY X AHY AUTO X All OWNED AUTOS B X SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS GARAGE LIABILITY SA8241299D COMBINED SINGLE S LIMIT BODILY INJURY S 05102/95 05/02/96 (Per person) BODILY INJURY S (Per accident) PROPERTY DAMAGE S EXCESS lIA8IUTY EACH OCCURRENCE AGGREGATE OTHER THAN UMBRELLA FORM . ... ... ....... ................................................ ............................................... ................................................ ............................................................................................... ............................................... ................................................ ............................................... ................................................ WORKER'S OOIFENSA~ AND EMPLOYERS' lIA8IUTY STATUTORY LIMITS EACH ACCIDENT S DISEASE-POLICY LIMIT S DISEASE-EACH EMPLOYEE S OTMEA DE8CAPTION OF OPEAATION8Il.OCAT1ON8NEMClES/8PEClAlITEIIS Re: All work in public right of way. City of Campbell, its offICers, employees and volunteers are named as Additional Insureds as respects liability per endorsement GE CG 840 (01-93) attached. 2,000,000 1,000,000 1,000,000 1,000,000 50,000 5,000 1,000,000 S S City of Campbell A TIN: Dept. of Public Works 70 North First Street Campbell, CA 95008 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ~1l8aDD MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.~~~ ~JiIIB1lOIII~ 007528 'lC08~f.lOH.:ai.g .DEN EAGLE INSURANCE COf\. .'N P.O. Bolt &5&26 - SAN OffiGO, CA 92lU-SU6 POLICY NO: C'rD10R461 AlffOMATIC ADOmONA}.. INSlJRD)S - CONSTRUcnON CONTRACTS Effective Date: 5/2/95 (at 12:01 A.H. StAndard TUne) Crandall & Sons, Inc. Named Insured: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY T~e (ollowing provi$ion is added to Section II (Who is an Insured). 5. Any person(s) or organization(s) (hereinafter called "Additional Insured") with whom you agree in a written contract to name as an insured is an insured with respect to liability arising out of "Your Work" for the Additional Insured on the project specified in the contract, including acts or omissions of the Additional Insured in connection with the general supervision of "Your Work." However, the insurance provi~ed to the Additional Insured does not apply to: a. "Property damage" to: (1) Property owned, used or occupied by or rented to the Additional Insured; (2) Proper~y in Hthe~--care , custody, or control.oftlie Additional Insured or over vhich the Additional Insured is for any purpose exercising physical control. b. "Bodily injury," "property damage," or "personal injury" arising out of an arChitect's, engineer'S, or surveyor's rendering of or failure to render any professional services for you, {or the Additional Insured, or for others, including: (1) The preparing, approving, or failing to approve maps, drawings, opinions, reports, surveys, change orders, designs, or specifications, and (2) Supervisory, inspection, or engineering services. These exclusions apply in addition to those contained in the Commercial General Liability Coverage Part. G~ CG 840 (01-93) Incl.ude5 capyriqhted material. at Insurance Services Ottice, Inc., 1984 ~ STATE COMPENSATION I,NSURANCE FUNQ 1{?-/33 P.O. BOX 420807. SAN FRANCISCO, CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSUFW\NCE ,&&R01B1 21, 1996 r CI'l'Y OF BUI LDING 70 NO FIRST (;AMPBE LL, CA DE L UNI'l' OlJ097b4 JOB:1..~$IJF!~N(;B V F;R I FICA T ION This is to certify that we have issued a valid Workers' Compensation insurance policy ina form approved by the California InsuranG~ Commissio,ner to. the emplayer nam~.d bel<;lw fo,r the pal icy periqd inqicate<i This palicy is not subject to. cancellatian by the Fund except upan ten days' advance written natice to. the emplayer. We will also give you TEN days' advance notice shauld this palicy be cancelled priar to its normal expiration. This certificate of insurance is nat an insurance policy and does not amend, extend ar alter the coverage afforded by the palicies listed her~il'l' Notwithstanding any requirernE:}ot, terrn, ar conditianqf any cantract prather dacument with respect to which this certificate ofinsl.lrance maYl::lei~s.ueqor may pertain, tlw insurance afforded by the policies described hereinis$ubi~ to all theterms,exclusionsandc:ondltiansaf such Palicies, /f~ PRESIDENT Et1PLO'tER'S LlAJ:ILI'I':t LUU'l' INCLUDHiG DEFENSE. (;OS'l'~'..i- $l,OUO,llOO .PE:H ()CCURRENc.e: r CR.ANDALL &. S P 0 BOJt 1223 WHITTIER CA 90609 RECE'VED APR 8 1996 ~ .,:.:,,/ ' '" . . "J40MIt'JlSTR' '"' ,,'.,,:; " AT/ON POUCY HOLDER'S COPV CI'lY OF CAMPBEIL Per No. ~ ~1f:t':1' RB ~ PERMl'.IS ~ t a:M'ENSATION INSURANCE :mFORMATION Name of ccntractor/Applicant f \ ~ !~::llr\f) U .( t. \i f',) I J I " j one of the folla.Nin;J lIl1St be an file with the Public Works Department: _ A Certificate of O:msent to Self-insure issn~ by the oiIect:or of Irxiustrial Relations: QB _ A Certificate of Workers' n-mpnsatian Insurance Insurance Co. Policy No. Expiration Date ; OR _ '!his certificate of Exenptian frail the Workers' ~nsatian laws printed belCM (certificate must be signed) . u.;Kl'J.!' .LCATE OF EXEMPI'ION I certify that in the perfomance of the work for this pemi.t, I shall not enploy arrj person in artf manner so as to ~ subject to ~ · O:JmpenSatian taws of califomi.a. Signeq . I ~ Date~ CIOR/APPUCANl': If, after si.gni.n;J this certifi of EKe1rption, you should ):)ecnrnA subject to the Workers' O:mpansation provision of the Iabor 0Jde, you must forthwith comply with such previsions or this pemi.t shall be ~ revoked. roNI'RAcroRS mroRMATION Note that all ~luactors am sub-ccntraCtorS must have current City of campbell Business License, state OJntractor's License am WOrkers' O:JmpenSation Insurance. Name of O:lnt:ractor AddresS Tel~ state CUl:luactor License No. City Business License No. Expiration Date Will do the follCMin; types of work: ~ _p.e. Q:Jncrete _A.e.Pa.vin;J other (specify) Electrical f:penni.nfo Revised 8/92 ,,4:~O \" CAAt~~{\'> ... t'" U t"' . . .. ... 1- " ~. (,' o.\>CHA\lO' CITY OF CAMPBELL Public Works Department November 3, 1997 Mr. James R. Crandall Crandall & Sons, Inc. 16103 Lisco Street Whittier, CA 90603 SUBJECT: PERMIT NO. 96-133 LOCATION: STAPLES - 500 E. Hamilton Avenue ONE YEAR MAINTENANCE INSPECTION - ACCEPTANCE Dear Jim: The City of Campbell has made the fInal one year maintenance inspection of subject Public Works improvements and fmd that no remedial work is required. Your warranty requirements and any surety, therefore, are hereby released. Your remaining warranty deposit of $17,625.00, plus any interest due, will be sent directly to you from our Finance Department. Sincerely, ~~es~~ Public Works Inspector MQ~ cc: Permit 96-133 Public Works/Maintenance Division H:\ WORD\LANDDEV\96133ACC(JD) 70 North First Street. Campbell, California 95008.1423 . TEL 408.866.2150 . FAX 408.376.0958 . TOO 408.866.2790 of'C"At ,,4:~~~~ ... l"" U !'"" . . '" ... 10 '" ~. G.... o.q C H A y.'O' CITY OF CAMPBELL Public Works Department September 25, 1997 Mr. James R. Crandall Crandall & Sons, Inc. 16103 Lisco Street Whittier, CA 90603 SUBJECT: PERMIT NO: 96-133 LOCATION: STAPLES - 500 E. Hamilton Avenue ONE YEAR MAINTENANCE - DEFICIENCIES Dear Jim: The City of Campbell has completed a one year maintenance inspection of subject Public Works improvements. The eastern half of the Hamilton A venue driveway approach has developed a large crack with spalling and associated hairline cracking and must be replaced. I have marked the area to be removed and replaced. All other work is acceptable. These deficiencies must be corrected in accordance with City standards before we can release your maintenance surety in this matter. Please contact me at (408) 866-2165 to coordinate the correction and inspection of these deficiencies, or if you have any questions. Upon satisfactory completion and final inspection of the corrective work, the City will release your surety. ~/)rel~ ~~~df Public Works Inspector MQ ,u(> cc: Suspense - 30 days Penn it #96-133 Inspection File H:\ WORD\PERMITS\96133DEF(JD) 70 North First Street. Campbell, California 95008.14'23 . TEL 408.866.'2150 . FAX 408.376.0958 . TOD 408.866.'2790 er=.... =>:!: -:>.,. TUr= 01.80 ......1 en,','Ir>,',LL<!.eO..e :!:10 -:>.I:!: 8-:>.,.-:> .....01 CRANDALL AND SONS, INC. GenaaI Contractor State License 2.81769 c 0 V E R S H E t I -~. 9~ n.t':_7f.~i17 ~t fJ~ &J~ Tim.:~_ 7--tX}f!;rl. 408 37~ 6956 r~~ FAX To: Firm: Fax II; From: Pages: 2--- J including this cover sheet. REGARDING; C~ ~ '/J,,} /1 ~~ 500 c. ~~<rv--- ~-< - ;;~ ~ pJ7~ 1c ~~-ij-~) -a, ~ f"~ 1<tAL- ~.p. ~~ ~~~ ~~r- ~ d ~a ~ ~: ~ 16103 Lisco Street * Whittier, CA 90603 * P.O Box 1223 Whittier, CA 90609 (562) 947-1233 or (562) 943-0191 - Fax: (562) 943-5979 SEP-23-97 TUE 01:58 PM CRANDALL&SONS 310 943 5979 P.02 .Qf'C~.itA ol . .,. r." ....'f.-'ll,.... 11'"~ .~ {<.,. i~ r '-' J' ~-).'l ,-. ~ r'"' .~ ~,:'.U~f'-..:J' . i- _.-. 'r.."",.... ........ ~ , f~ V ~cN~..9 REC'O SEP 101996 CITY OF CAMPBELL Public Works D~partment September ~, 1996 Mr. James R. Crandall Crandall & Sons, Inc. 16103 Lisco Street Whittier. CA 90603 RE: PERMIT NO. 96-133 LOCATION: STAPLES - 500 E. Hamilton Avenue FINAL INSPECTION AND ACCEPTANCE Dear Jim: The City of Campbell has made a fmal inspection of subject Public Works improvemems 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 stared in the permit begins as of the date of this acceptance letter. The permiuee is responsible for the repair andlor 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. The City will continue to hold $17.625.00 of your $70.500.00 Faithful Performance Surety cash deposit, receipt #91485, as your Maintenance Surety. Additionally. your casb deposit of $2.136.00, plus any inten:st due, is now being processed and will be sent to you under separate cover. As discussed during the fmal inspection, some cracking has been observed in the driveway on Salmar A venue that will be watched during the one year maintenance period. Additionally. the catch basin grate at the Hamilton Avenue driveway rocks and will also be treated as a one year maintenance item. It also appears that larie trucks continue to drive over the sod area at the Hamilton Avenue driveway and some additional work may be required to correct tne condition. lbis will also be watched during the maintenance period. If you have any questions. please call Randy Westfall, Public Works Inspector, at (408)866-2165. Sincerely, ~~ - Michelle Quinney. ~ City Engineer RRW .,e,eJ cc: Suspense - 11 mOOlbs Permit 196.133 H:\96133PlN.L TR(WP)(JD) 70 North First Street . Campbell, Califorrlia 95008 H23 Tl'l 4081166.21'0 FA' 4083792572 . mn <4011866.2790 NEW PW FAX i~ 408-376-0958 CRANDALL AND SONS, INC. C;~-/33 GENERAL CONTRACTOR STATE LICENSE 281 769 September 17, 1996 City of Campbell 70 North First Street Campbell, CA 95008 Attn: Randy Westfall Re: Staples Superstore #375 500 E. Campbell Campbell, CA 94040 As per the instructions of Randy Westfall, Crandall & Sons is mailing you a check in the amount of $1,522.04 (ck. #13574) for public work for overtime for an inspector on the above project. Reference PERMIT #96-133. If you have any questions, please call. Betty Baldridge Office Manager ~. tiP". ,r> ~h 1 ". < t i" . ij 199C I" Ii... [J) 16103 Lisco Street · Whittier. CA 90603 · P.o. Box 1223 · Whittier, CA 90609 (310) 947-1233 or (310) 943-0191 . Fax: (310) 943-5979 T......., CMEC"K 19 OEL..IVEREO FOR PAVMENT N TMI!: FOL..L.OWING ACCOUNTS. AMOUNT CRANDALL AND SONS, INC. GENERAL CONTRACTORS 310-947-1233 310-943-0191 P.O. BOX 1223 WHITTIER, CA 90609 13574 Sept. 17 19~ 16-49/1220 PAY TO THE ORDER OF City of Campbell $ *1,522.04 AMOUNT OF CHECK One Thousand Five Hundred Twenty-Two and 04/100* Union Bank o...r.r Soulh Bay Re.... Tomnce 0fIIce 21515 !Iawtbomo _on! Tonanco. CA ~ DOLLARS TOTAL OF INVOICES LESS _% DISCOUNT ".0 . :I 5 ? ~ II. I: . 2 200 0 ~ Ii b I: 2 SOli b 0 . 5 b M' LESS TOTAL DEDUCTIONS - 70 North First Street Campbell, CA 95008 Attn: Randy Westfall Re: Staples Superstore #375 500 E. Campbell Campbell, CA 94040 As per the instructions of Randy Westfall, Crandall & Sons is mailing you a check in the amount of $1,522.04 (ck. #13574) for public work for overtime for an inspector on the above project. Reference PERMIT #96-133. If you have any questions, please call. Betty Baldridge Office Manager 'J~f:~~V~~ . 1M SEP 19 1996 Pt.:~.~;( '~,:; ~- ~~~; ADMINJSTQATlOt.. 16103 Useo Street · Whittier, CA 90603 . P.O. Box 1 223 . Whittier, CA 90609 (310) 947-1233 or (310) 943-0191 · Fax: (310) 943-5979 Of'CA-it . A ..\" .,..... ~ ~ "'~ ..~ ~ ~ . _.i:;'~_.) ~ .;... . ~ 1- -,........... .... ,. , . f)~CHA.\lO (. CITY OF CAMPBELL Public Works Department July 26, 1996 Mr. James R. Crandall Crandall & Sons, Inc. 16103 Lisco Street Whittier, CA 90603 Re: PERMIT NO: 96-133 LOCATION: 500 E. Hamilton Avenue - STAPLES Store DAMAGE TO STREET TREES Dear Jim: The trunks of the two 36" box trees on the curb on Hamilton Avenue were severely damaged while being raised to the correct grade. The bark was completely striped off the trunk around most of the tree over a several inch long area. Both trees must now be removed and replaced with acceptable specimens. Please schedule inspection of the trees and the work in advance of the work. Call me at (408)866-2165 at least 3-4 days before delivery of the replacement trees so I can schedule an inspection by our Parks Maintenance Department. If you have any questions, please call. i1~ Public Works Inspector ..' MQ cc: Vince Huppe Permit #96-133 H:\WORD\PERMITS\963LTR(1D) 70 North First Street. Campbell, California 95008.1423 . TEL 408.866.2150 . FAX 408.379.2572 . TDD 408.866.2790 NEW PW FAX # 403-37ll-0Q;.H JUL-23-96 TUE 07:18 AM CRANDALL&SONS 310 943 5979 P.02 CRANDALL AND SONS, INC. GENERAL CONTRACTOR STATE LICENSE 281769 July 22, 1996 City of Campbell Public Yorks Department 70 North First Street Campbell. CA 95008-1423 Re: Permit #96-133 Dear Randy: I would like to request final inspection on our improvements. Since we have scheduled per tel-con on 7/22/96. this is a confirmation of that conver5ation. Upon final approval today I would also request the process begin to refund our Faithful Performance Surety deposit, our cash deposit and our landscape deposit of $10,000.00. Thanks for all of your assistance. 16103 L1seo Street. WhittIer. CA 90603 · P.O. Box 1223 · 'NIIltiler. CA 90609 (310) 947-1233 or [310) 943-0191 · Fox: (310)943-5979 ~/ \. , '-f , _11; 'J ,. I, , . ~:~ ,-. 7-/2- 7'r:; VJ " --;;- ~ X ..lk-l. ~.... H f..,'- I I ~- c;v., s+- ~ p I+> ::- ~/ ~iC/~:/7 e:--~, 1::ys"f?S 5 / t/:f 6/lr,f ()/it'-~;9 '-I r:^ 0 ;'<t- ./ / ~-I'I <- ." .;~~ Y' '-f ~r ,/ - ..~ } /<6:,1'<- '-(? /l-:f p' / ;Z.ej ~. c 7 /I L 7):" I,' ,.4 L./ r 4/~--!'C(: c:~/~ //1/1 ?,[/'-f c/ / :~ ,) /,"! - ) / .- /. ,kv-i~..L i--( .?l '- /I r Y"1 // /,C;/J/ c.A.- i /7 J"/? J-. /J /' . d' /)~ (~/+7 r ( ( r;-;~- -57) ------.. ~./~c-P w J2~7i?d-f) ~ -- h/~ e ~f,__ ,3 Lf s- ~ I I~~ ~ V-t'/av 2 1r~ 5:;;0 '~t /~~ /L~ ?e A- /7 7/..e'~-5 .tfi7~ a- /<.(II;9v/4/ ~ - - 1/114 V> 5 ~O,.. / I-? '-t. / ~ ~ ~. ~ -* ~,-,: . r~!'~c" : e I c" I) .e 5 s.e 5 / J { /..,t?#[r=- ,6v /"N 111< cluficP /341"'<- 1;1 2",vctJUJ7 ~I"Ar"'~/y .t6;/1l> fr ~ ;5,,/1 /1 P1 ch..,p s 6r!C>k~ ~.r Y; vp if #/1--. 7'1 ) ~ !jrr........dt.,..., z) pvrst'z .J'~/'t'. ~tA ~-f 1 ~J ;;"'-6.,.c#if" / i 7 r -( 0( w/II 1Uo.e Cl ,{~ L-t 1 f"'fl-(. :.;::;,~;(~ f?~T ~ / S'/~ -e5~-e)<J~/J~ ~...e~,.<:' 13t//N. t!!-15--7~ ;;t:i~~r f j) /'1 'v, j t77/ e,.. /(oc:f /3,4-// 4~ 6i1r/'/~;- S~/It lee? ~-1. ~~ &.s I) tJVrv- ;j", I"r ,; r of&! $1"/1,,> c-4/~ ,,47/-f'Y''j A/of 51/1t-?('rf'~ /' ~/^/(!I/GA (;;0 u 'J. ( . &-'/" '3- ~ , tt.-fh. ~ 141;, L..ea-J-ev 5 D ctt5l (\;:;(; U '5 ~-e (~t "..( '5A- Y'lC) \ I- - L 0 I f J Ul. -r"" l II'v v-. (L - v\-~ ~ ~ v Se>< c ".. _ ~:: tur;z..:~70 ~ er-c: ~ I 0). & .(.--\ ~__ J - - C -/~-~ r 5afj~/~~ ~ Tt4-fJ ~o r;, 0 Ie / ~) .e'7seS5/';f'~.::i"( 6t/ei/'..f( fJA~~ '\ V C.....o+c.~ 1l6-rr ~#b~ t,i'JUVe!J /" (/,6 () (<, CI J-d( / \ / ;r~?; c1'-L svi//T .4t//V/'rc~ ; ;---5 1-1/1 Z/lrcA u 5 P~E 1t:J 7'! (~/~ 7/1-;/'} ') ~ .5'fC/I-~&'-P. / P^e-f' tr"7 S~?< t~ ,q i/' ck. CRANDALL AND SONS, INC. GENERAL CONTRACTOR STATE LICENSE 281769 July 22, 1996 IlECEIVED JUL 2 B 1996 Jw'U.;.. ;.i\..vV ' t4.DMINISTR v.\.\,:, AT/ON City of Campbell Public Works Department 70 North First Street Campbell, CA 95008-1423 Attn: Randy Westfall Re: Permit #96-133 Dear Randy: I would like to request final inspection on our improvements. Since we have scheduled per tel-con on 7/22/96, this is a confirmation of that conversation. Upon final approval today I would also request the process begin to refund our Faithful Performance Surety deposit, our cash deposit and our landscape deposit of $10,000.00. Thanks for all of your assistance. 16103 Lisco Street · Whittier. CA 90603 · P.o. Box 1 223 · Whittier. CA 90609 (310) 947-1233 or (310) 943-0191 · Fax: (310) 943-5979 .Of'c"tAt,o ~, ' ~ !: ",' 7'<;; ~ '-i >;"'~ r;. ~,,- >. , . -~~..} . If ."'-- . .;.. .. -s. .......-.,-- .... ~ -, . fJItC H" ,,'0 L- CITY OF CAMPBELL July 15, 1996 Public Works Department Jim Crandall Crandall & Sons, Inc. 16103 Lisco Street Whittier, CA 90603 SUBJECT: PERMIT NO: 96-133 LOCATION: 500 E. Hamilton Avenue - STAPLES Store PRELIMINARY INSPECTION REPORT - DEFICIENCIES Dear Jim: This letter IS m response to your request for a fmal inspection on subject Public Works improvements. There are deficiencies in the work which are indicated on the enclosed preliminary inspection report dated 7/9/96. These deficiencies must be corrected in accordance with City standards before we can make a fmal inspection or accept the work. Please contact me at (408) 866-2165 to coordinate the correction and inspection of these deficiencies, or if you have any questions. ~ Upon completion of the corrective work, please submit a written request for a fmal inspection and acceptance. Upon fmal acceptance of the work, the City will begin processing the refund of 75 % of the Faithful Performance Surety cash deposit of $70,500 and 100% of the cash deposit of $2,763. If you have any questions, please call me at (408) 866-2165. ~relY' ~~d( Public Works Inspector MQ Attachment: Deficiency List cc: Bruce Murdy. On-site Superintendent - fax 378-8736 Building Division Permit #96-133 H:"OOEHAM,DEF(JD) 70 North First Street. Campbell, California 95008.1423 . r l. 408.866.2150 . FAX 408.379.2572 . TDD 408.866.2790 NEW PW FAX # 408-376-0958 Permit 96-133 STAPLES - 500 E. Hamilton Avenue Preliminary Inspection Report - 7/9/96 1. All seven street trees are planted too low. Crown of root ball must be raised to 1/2" _ 3/4" above finish grade. Take care not to damage trees when raising. Remove sod from the area above the root ball. Replace solid covers on the deep watering tubes with slotted covers. 2. Repair/replace landscaping after repairing broken irrigation line at the Home Depot water meter. 3. Remove all forms and stakes and backfill to grade at all new concrete. 4. Backfill sunken trenches and low spots in sod areas along Hamilton Avenue. 5. Repair sod area at the west side of the Hamilton A venue driveway where trucks have cut across the lawn. This may be a fairly permanent problem, which may require a more substantial fix. 6. Add 3/4" bark chips to the tree wells on Salmar Avenue. 7. Trim tops of tree stakes down to below or even with the main fork in the trees. Leave approximately 6" above the top tree ties if possible. 8. Remove all construction debris and clean job site. Sweep and flush gutters, sidewalks, and driveways. 9. Remove all blobs of concrete spillage from job site, especially from all sidewalks. 10. Water flow test curb and gutter, sidewalks, and driveways in the presence of the inspector. 11. Remove concrete from around the water meter at the back of curb on Hamilton Avenue. Do not damage meter box. 12. Complete installation and painting of sidewalk barricade. 13. Clean concrete slurry from grooves at the 12" warning bands at all locations. 14. Remove expansion joint from the curb and gutter on Salmar Avenue and grout with non- shrink grout. Be reminded that this repair will be reinspected at the end of the one-year maintenance period, and the curb and gutter must be removed and replaced if the grout fails to perform adequately. Permit 96-133 STAPLES - 500 E. Hamilton Avenue Preliminary Inspection Report - 7/9/96 Page Two 15. The concrete swale which runs along the entire western side of the building does not adequately retain the water which flows from the roof drains. Add a 6" concrete curb at the west edge. Spread epoxy on the existing concrete edge prior to pouring the new curb. Use #4 rebar, 12" long, to dowel new concrete to existing, 4' on center. 16. Plug the lines at the outlet and clean all debris from the catch basins. Flush the storm lines, then remove the plugs. 17. Open all outlets through the curbs from the in-lot drains. 18. Use mortar to grout up the top of the concrete at the base of the two electroliers on Hamilton Avenue. 19. Submit as-build drawings on mylar. As-builts must be stamped "as-built" and signed by the Engineer. Note: The City will install the pole numbers on the electroliers and replace the broken lid at the street lighting pullbox on Salmar Avenue. H:\500EHAM.DEF(JD) CITY OF CAMPBELL ~-(iWlP PROJECT NO. REPORT NO: b-I ]3 FIELD ENGINEER'S DAILY REPORT DATE: 7- 9-- 9v WEATHER: I-I-ff") . INSPECTOR: R. ~51fALL L I u~ , rl-tJ ~W.J.{jk J.1lio"l ~J4"/I cc: wi, ? CITY OF CAMPBELL ;n-AfLGS ' PROJECT NO. CJ fc, -- ') 3 REPORT NO: FIELD ENGINEER'S DAILY REPORT ITEM CONTRACTOR:Crv-2JJ ~ )O^s . E ~ VV\tt lI^r'1_' we V t;,l 0;(\ r . DES CRI Pl'ION WEATHER: Fa; { . INSPECTOR: K. ~51fALL ~"' /2..- ~ .(;/: r (), 1() It{ - ;::'1 M . JJWG r1 4-N1 {g-/4- cc: PAGE: I OF I 00-,6 ~ 5~(iJ,/)f;YZ If1rU'f/~ ~5 ~ :; (L.t;~)/~ t4' C/~Jt ~ 'kA1tt5 aJ~ fi l(j J"d~ ,+ !J<J':r~/ Of.CA-it . ~ ~ . ~ ..... '"',~/ !- ~ ... '~,"-.. .. r""' u,;:> \ r" , ~y..., ;-_.~ , '" .. 1- -' ..... ~ , ." ' o\'c H" ",\) CITY OF CAMPBELL June 14, 1996 Community Development Department. Current Planning Mr. Anthony Temple Project Manager Staples, Inc. Growth and Development 9055 Artesia HI vd. Bellflower, CA 90706 RE: Replacement of 48" box Raywood Ash trees Dear Mr. Temple: It has been brought to the attention of the Community Development Department that the required 48" box Evergreen Ash trees intended for planting within the landscaped buffer in conjunction with the City's Streetscape Standards for Hamilton Avenue are not acceptable to the Public Works Department due to the unhealthy nature of the trees. Based upon the difficulty in acquiring such trees in healthy condition, the Community Development Department will allow the replacement of these trees with 36" box Evergreen Ash trees. The 36" box Evergreen Ash trees should be planted in conjunction with the landscaped plans; however, a correction should be made to the plans regarding the placement of the two (2) street trees along Hamilton Avenue. The two (2) new Evergreen Ash street trees along Hamilton Avenue should be planted in the center of the 10' wide landscaped buffer rather than against the curb in line with the two (2) existing street trees (See attachment). The intention is to remove the two (2) existing street trees in the future when the Evergreen Ash trees are mature enough to provide adequate coverage within the landscaped parkway. The two (2) existing street trees appear to be healthy and therefore, it is not the City s intention to remove these trees at this time. Should you have any questions regarding the abovementioned matter, please 70 North First Street. Campbell, California 95008.1423 . TEL 408.866.2140 . FAX 408.379.2572 . TOD 408.866.2790 do not hesitate to contact me at the Community Development Department at (408) 866-2142. Sincerel y, filel ~~ Aki Honda Planner I enclosure cc: Randy Westfall, Public Works Department Bruce Murdy Crandall and Sons, Inc. P.O. Box 1223 Whittier, CA 90609 -c.. ~ .. . 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""'....oJ - _'-""..J,_ ,__ ' I ,......,-".r.:l,...'.~,. .,-, "e""di,.I"~;~,,-1C ...;'-" I\,. ~.......-..." "",-", r-- . '....."'"'1...'-_ ~:.. .~ ~ =~:~- =x:-=~ ....G C:CN'::~-= :';';k_K =,1~;5~ 'r~ - ",.. .... ~ ... + ..... .~..... =:re~t :re~ ---------- \ j " u l_ ~a...~..r""~:rc::.:,e...,t: ;~'': i ~~ "~.::r '\::...., ,~CI~C~-= wA...fC( ~ :;.; ~:;. cr :~a:r / " '. -"". .p .. .."'"'.....Ji> '_'."_./ ,~.- - .. I :~....,.__1YIJl . } ;,' ail ~ ~ I.A;t; .~. ~J} l ~ '\ / -' . '." } cJ - '."-" ~ ,,' i ", ,\ }'S-i,.t. f' ........f 'c. .' t' · i;( if:} 'J~' ,j ,,'1 . I ,~:..; ="0'" r:u::. Jhae ~t~eet t"ee~ .' -: .' 1.";;C)t -- .----- ------ j ,'" ~ . ~, .i f___~ -r~- ., ..I.. E)<' '~~:\,,~ '~";"~S;:C'~"'""':R i ___ .L._ CRANDALL AND SONS, INC. GENERAL CONTRACTOR STATE LICENSE 281769 June 11, 1996 City of Campbell Department of Public Works 770 N. 1st St. Campbell, CA 95008 RECEIVED JUN 181996 U)MINIS1R4 !/,..... Attn: Randy R. Westfall Re: Staples Office Superstore Tenant Improvement 500 E. Hamilton Ave. Campbell, CA 94040 Dear Randy: We are requesting the City to allow us to close down the Right Lane on Hamilton Avenue for 6 days to proceed with off site work. Temporary lane closure in an 8-hour work day does not allow enough time to complete necessary work, therefore we need 24-hour closure for 6 consecutive days. Thank you for your cooperation. When can we expect to close down Hamilton? JRC/are 16103 Lisco Street · Whittier, CA 90603 · P.o. Box 1 223 · Whittier, CA 90609 (310) 947-1233 or (310)943-0191 . Fax: (310)943-5979 JUN-11-96 TUE 13:14 HANSON CONCRETE PRODUCTS FAX NO. 408 262 0936 p, 02 9{,-/S:l STANDARD PRECAST DROP INLETS WITH ADJUSTABLE PAVING NOTCH FRAME ~f c;<-vh',,- 11'.)">;). W6J!t Cl5 pi r-+v...f~. prf.r~ltht fi~.Kef; (/'^ l-J\+hovct- (J4D\ ;~ ~t~& I.-Ir.J.L WlN 71-1 b- ~H ~ 0-$ rr 5l1-- ~~ S4J. /)d:<,J I N<l. 6-1/. f~ gm MAKE CORRECTIONS NOTED o REVISE AND RESUBMIT Check.!1": is <~n'y ~C~ Hnf'!'a1 ':cnfor~'.-::::n."'~ 'i),:f~ t~e d~siqn t:'t)nc9pt 1 .oi'~ P,"" ":' :.r.cl '.'.n ,0] '-"",ptl:":lt? 'de), i"" ;nb'",ation <;llv.>n in J t~~n "I}:,:~~..:..,;:-t _ :'~"iH_",.'-l:,,; "" _~~'f,. .~-r~, d:,~"\.. n ',? f",}: :\:t 10 ~~. e .r:C\:~::!'ow ,I :..~c;:',:~ ;)~ L:.:: L,c....,.' .:1-~, (It."'! :'_ ~:;:.~~Co.1t.,..:tU. j ,'.J' :0:>"., .le" h "">",,.<.',' !"r :',F,lc,,::.,~c ".1;;', ",.-.1 be confirmed \ "'., "'_';:':"":'f)<~ ~l~ ~>~ ~(';~; ~;h~ ~,..,,~.; "J';l'll ')t'"'C::::~:::" .:mJ technirr~~(HJ I HANSON CONCRETE PRODUCTS, INC. ONE HANSON COURT MILPITAS. CALIFORNIA 95035 (408) 262-1091 FAX: (408) 262-0936 8364 INDUSTRIAL AVENUE COTATI. CALIFORNIA 94928 (707) 792-2565 FAX: (707) 792-2574 JUN-11-96 TUE 13:15 HANSON CONCRETE PRODUCTS FAX NO. 408 262 0936 p, 03 ~TES . CONCllETE SHAlL TEST 3.000 PSI I'i 2& o.a.VS . VN:TS ~ ~A8ll1C"'ED to JOB ~EOJIREMENTS >011 ~~ AND PIP! Ol'l:N1NGS. uNITS MA.V IIi OROEIliD WITH Sl>EC;Al OPl:~"\jCS "",OOIl MAV S. DELtrED I~ ~~D . UNITS AIlE Il'iINfORCED WITH 4)(;l.<;Q WOlDEO WillE MESH SPKlAl rlE'IllFQl7(:ING MAY BE sPECrFlEC> . ~~T~~^bts~~w:'SOIllCAv~lJ.:?~~f6~~~~~)rr~~FFK: OR NON.TAAFfIC) OR RWWOOD COfER . All ExPQSro META.\. p"rns SHAll 8E GAlw.NIZm IN ACCOIlDANCE WITH ASTM.A \23 . FllM'lES "",Y BE AOiliSTeD TO ""'"pc.. SUtlf'.oCt elEVATION AND SlOPE. MODEl P12 PI8 P1624 I --n4^-.'i-- P2A30 P30 1'>2436 . 6 1)24.18 P3048 P48 a c.u.p+..ik - A WEIGHTS 8 C 0 fl, SLAB WAL.L.S/FT. <1 2 260 210 ,.-.- :> 2 460 410 5 2 530 460 6 'Z'/z 750 675 6 2'h 190 8?5 6 3tlz 900 900 900 900 1100 1200 1200 1100 1200 1500 1300 1900 ~~~ .--;:-~~~ GRATE-"'~Yj L~/ ADJUSTABLE ...d' FRAME - Z:DO Q ...~ - :1:;:) ~ S2G '" WW Cl. .ex -2 ~ -. Q w Q: 5 s 0::: CJ U ~ w en ~ CI: >- ~ ::r is: ~ 100I ~ ~ ..... o w Z g; Q ;:) u g "" Q: ~ ~ i ~ ~ ...., ~~ UNDLSTURBEO ~ EARTH PRECAST BASE TYPICAL INSTALLATION ~ HANSON CONCRETE PRODUCTS, INC. ONE HANSON COURT MILPITAS, CALIFORNIA 95035 (4108) 262.1091 FAX: (408) 262-0936 8364 INDUSTRIAL AVENUE COTATI. CALIFORNIA 94928 (707) 792-2565 FAX: (707) 792-25741 JUN-11-96 TUE 13:15 HANSON CONCRETE PRODUCTS FAX NO. 408 262 0936 P. 04 STANDARD PRECAST DROP INLETS WITH ADJUSTABLE PAVING NOTCH FRAME 'p. T & G JOINT AS REQUIRED ON .' STRUCTURES . , . OYER 4' DEEP ~...:,~ r- .. SEE J OOn --,....- G~ATE ____ ADJUSTABLE PAVING NOTCH FRAME ~ o t . c '\11 . '.. . . I ." -'- . .. . . . . ~. . .. 6" " ..: .~, :,.,:..,':.. ~AOSN-12 PVCorRCP '" ' ", - .' ...'.. . ORAINAGE PIPE T GROUT PIPE IN PLACE PLAN SECTION NOTE: FRAME IS ATTACHED TO TOP OF STRUCTURE WITH 4 EACI-l~ 'h" HEX HEAD BOLTS ~ (;ALVANIZEDSTEEl ~~~4-- ORCASIIRONGRATES ~~-., FRAME ~ D t LlfnNG HOLE ~.,o INLET FRAME . 1/,' HEX HEAD BOLTS (4) ~ 1/2" DIAMETER THREADED INSERT (4) -------- PAV1NC NOTCH INSTALLATION ALLOWS FOR EASY GQADE ADJUSTMENT. PIPE OPENINGS CAST PER PLANS ISOMETRIC ~=I HANSON CONCRETE PRODUCTS, INC. _ ONE HANSON COURT MILPITAS, CALIFORNIA 95035 (408) 262-1091 FAX; (408) 262.0936 8364 INDUSTRIAL AVENUE COTATI, CALIFORNIA 94928 (707) 792-2565 FAX: (707) 792.2574 JUN-11-96 TUE 13:16 HANSON CONCRETE PRODUCTS FAX NO. 408 262 0936 p, 05 HEAVY TRAFFIC (H20) BICYCLE PROOF FRAMES. GRATES FOR DROP INLnS r , I 11I- I 5116" O,C. -A 3-1/Z' -11- "5110. HOLE 14 c a.] BANDING BAR EACH END 8 ID I 1 5110" HOLE _! 1-4- 3- lIT' 3".; ..L CJ 2" -r , r D L II II I , I I I CROSS BARS AT -+- 4" O.C. TYPICAL \ o ~ ANCHO~ PlATE FRAME PLAN BEARING BARS: AT 1-7/8" O.C. MODELS P36. P3648. P48 AT 1-1/8" O.C. MODEl P30 AT 1.3/16" D.C. ALL OTHER MODELS GRATE PLAN FRAMES GRATlI MODEL A 8 FRAME ANGl.E C 0 BEARING BARS BANDING 8ARS P12 12.114" 12.114" T x 1-112" x 3/16" \4.1/2" 14-1/2" 1.3/4" ^ 3(16" 1.112" x 3/16" Pla 18-1/4" 18-1/4" 20-112" 20-1 IT 1 P182A 24-1/4. 18-1/4" 2(,.1/2" 20-112" 1-314" x 3/16" P24 24-1/4" 24-1/4" 2-1/2"" 1-1/2" >< 3116" 26- 1/2" 26-112" 2-1/4":.< 3116" 2" " 3116" P2430 >>-1/4- 32-1/2" 2-114" x 3116" - --- .._._.. .--..-... .._-- P2436 ~1/4' 38-1 IT 2" x 3t16" * 1>2448 A8-1/4- so.. 1 12" 1 PJO >>-1/4" 3Q.l/4" 3-1/2" x 2-1/2" x 3/16" 34" 34- 3")( 1/4" 2-1/2" x 3116" P36 36-1/4. 36-114" 3-3/4" x 2-1/2" x 3/16" 40" 40" 3-112" x 1/4" 2.112" x 3/16" P3648 48" 36-114" 4" x 2.1/2" x 3116" 23-5/8" 40" 3-1/2" x 1/4" J (2 PCS) 48-114" 48-114" 3-3/4"" 2-1rr x 3/16" 17.1/2" 52.1/2" 3-1/2" x 318" 2-1/2")( 1/4" .. P48 (3 PeS) FRAMES AND GRATES ARE HOT DIPPED GALVANIZED Affill FABRICATION PER ASTM SPEC, ,6,.123, · MODEL P2A36 MAY AlSO ACCEPT c;.a.LTRANS APPROVeD 2413 FRAME AND GRMi. .. 2 BOIJ..OOWN CUPS ARE AVAILABlE ~ &AC1ol ~ATE. .. HANSON CONCRETE PRODUCTS, INC. ONE HANSON COURT a MILPfTAS, CALIFORNIA 9503~ (408) 262.1091 fAX: (408) 262-0936 8364 INDUSTRIAL A VENUE COTATI. CALIFORNIA 94928 (707) 792-2565 FAX: (707) 792.2574 X-Ref File PERMIT NO. 96-133 ADDENDUM NO. 1 Work Address or Tract # 500 E. Hamilton - STAPLES The following Special Provisions are hereby added to this permit: 1. The applicant is hereby authorized to install the Tenant I.D. Sign as shown on the attached plan and detail. The location shall be in accordance with the Campbell Municipal Code Section 21.53. The lowest portion of the sign shall maintain a minimum clearance of 10' above the public right of way and shall not encroach more than 2' over the property line into the public right of way. This addendum is an integral part of the permit and must be attached to the permit and on the job site at all times. It is the Applicant's responsibility to ensure that all work is done in accordance with the permit, including this addendum. Date: w/h/1~ I - . Prepared by: JI tPtJ,n47 Approved for Issuance: -;lJlU..J'.jJ~ (/Ji ~ I-l e.!)~ Z~ I-l':" Ill: ~~ C;.. =: OZ C;..O I-l C~ Ca:!'::: =:u I-ll-l C~ e,,~0I':" ZI-lCa:!':" ~~=:.::: Ca:!~ Ca:!':" Z I-le.!) e.!)Z ZI-l Ca:!C ~ Cr..1-l 00 d\ CQ~ ~ ~ u =: <<"-"'_~ ~~.~~ tf.lcr::~ tf.l Ca:!l)... I-l ~ ~" cr::Ca:! O~ ~ "'t:i' Ca:! CU ~ Ui Ca:!~ cr::u ~ Ca:!1-l ~~ .:::~ 0':" t,'J tf.ltf.l I-l::':: cr:: cr::o 03 Cr.. U CI-l Ca:!~ g:;CC 1-l0 0':" 01 Ca:!~ cr::0 ~ PERIIIT ~ I:~-,,"'K LIS'!' City of ~ t dl Department of Public Warks ~.. PeJ:mi.t No. q (p -- / :3 '] \' ~ y tJ / A-- x X y x Applicant section CCIIplete' Applicant signature and date 1I>1.z&' Pm:mi.t Applicatic;) fee $alO. 00 paid ~i pt rn1rllher '1i if j;g b Plan c::hec:k deposit, $500.00 paid Receipt J'1J~r Five sets of improvement plans sul:::mi.tted E~ Esh~ K SUrety for faithful perfcmnaID!, 100% of City Erqineer's estimate, supplied or paid 1mcunt $ 7tJ soo Fom ~h 1.0. t. 9/tfS ~ . x Cash Deposit: 4% of FP surety, $500 mi.nim.Im paid AnD.mt $ :273&;, ~;pt No. q Il./B~ , . . x Plan 01eck & Inspection fee of 14% of F. P. surety for am:xmts of $0 - $30,000: 10% for 30,000 - $80,000: 7% for $80,000 and above: $200 mi.nim.1m paid Amount $ ~lC0 ~:ipt No. ? 1'1 ~b Worker's cx:arpensation infcmnation received for Applicant (see InfOl.'Itlation Sheet for Encroadmlent Pemi.ts) All other Public Works ~ listed in the O:Indi.tions of Apprcva.l of the deve1opuent. ~tred Pectl.c,,-~ 1'~ ~~1I, ~{qy. - Iltfq:..t- ? 1'I8IP i Worker's cx:arpensation and COlltractor'S Information received for COntractor (see Infcmnation Sheet for Encroachment PeImi.ts) Certificate of Insurance with Additional Insured's Erx30rsement received iran a:mractor (see General SUmmal:y of Insurance - Requirements for Eh:::roac:hDent pemits) 'lhree sets of off-site plans, stanped APP9:JVED (Tract or Develcpnent and Public WoJ:ks PeImi.t J'1lnnher and prc:party aairess on plans) Pemi.t signed for City EnJineer WHEN AIL OF '!HE ABJVE rms ARE cx:H'IEI'E, Pmo!IT MAY BE ISSUED Issuer: Initial and date and file with permit UR:N ISSt.lANCE, INITIATE aIECK RE)JJEST FOR PIAN CHECK m:QSIT REFUND f: pmt:cklst Revised 8/92 CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT CITY ENGINEER'S CONSTRUCTION SURETY COST ESTIMATE Address: 500 E. Hamilton - Staples Encroachment Permit No. I1EM NO. DESCRIPTION UNI UNIT PRIC EX1ENSIO I. SURFACE CONS1RUCTION 1 1RAFFlC CON1ROL LS 1000 $1.000 II. DEMOUTION/CLEARING 2 SA WCUT P.C.C./A.C.(UP TO 6") 152 $4.50 $684 3 P.c.c. REMOV AIJDISPOSAL 264 $30.00 $7,920 4 CURB AND GUTfER REMOVAL 128 $6.00 $768 5 MEDIAN REMOVAL 0 $4.50 6 DEMOUSH EXISTING INLET/PLUG RCP'S 0 III. STORM DRAINAGE 1. 12" R.C.P. (ClASS V) 30 $60.00 $1,800 2. 15" R.C.P. (ClASS III) 0 $65.00 3. 18" R.C.P. (ClASS III) 0 $70.00 4. 24" R.C.P. (ClASS III) 0 $80.00 5. 30" R.C.P. (ClASS III) 0 $90.00 6. T.V. INSPECTION (12") 0 $1.20 7. SID. DRAINAGE INLET $1,600.00 $1,600 (C.C. DETAIL 9) 8. FlAT GRA 1E INLET 3 $1,400.00 $4,200 (c.c. DETAIL 6) 9. STANDARD MANHOLE $2.000.00 $2,000 (C.S.J. DETAILD-ll) J:\MQ\ST APLESCEE 07-Mar-96 PAGE 1 CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT CITY ENGINEER'S CONSTRUCTION SURETY COST ESTIMATE Address: 500 E. Hamilton - Staples Encroachment Permit No. ITEM NO. DESCRIPTION UNI UNIT PRIC EXTENSIO (INCLUDES FRAME & UD) 10. BREAK AND ENTER M.H./D.I. E $700.00 $700 IV. CONCRETE IMPROVEMENTS 1. SIDEWALK 1660 $6.50 $10,790 2. DRIVEWAY APPROACH 1200 $7.50 $9,000 3. CURB AND GUTIER 33 $22.00 $726 4. VALLEY GUTIER 0 $12.50 5. HANDICAP RAMP 0 $1,200.00 6. lYPEB-l CURB 0 $12.00 7. lYPE Al- B3 CURB 0 $15.00 8. COBBLESTONE MEDIAN SURFACE 0 $12.00 9. P.c.c. DRIVEWAY CONFORM 0 $7.00 10. AC. DRIVEWAY CONFORM 0 $4.50 V. PAVEMENT 1. ASPHALT DIGOUT AND REPLACE 180 $15.00 $2,700 2. PA VEMENTWEDGE CUT (6') 0 $5.00 3. PAVEMENT GRINDING 130 $0.80 $104 4. PAVEMENT FABRIC (PE1RO- MA 1) S 220 $2.00 $440 5. ASPHALT CONCRETE (lYPE A) 0 $80.00 $0 J:\MQ\ST APLESCEE 07-Mar-96 PAGE 2 CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT CITY ENGINEER'S CONSTRUCTION SURETY COST ESTIMATE Address: 500 E. Hamilton - Staples Encroachment Permit No. I1EM NO. DESCRIPTION 6. AGGREGA 1E BASE (ClASS 2) UNI UNIT PRIC $40.00 EX1ENSIO $1,600 7. SLURRY SEAL (1YPE II) $0.07 8. SLURRY SEAL (1YPE III) S o $0.11 VI. TRAFFlC SIGNALSILIGHTS 1. DE1ECTOR LOOP (6' ROUND) 0 $450.00 2. DE1ECTOR LOOP (6' x 30') 0 $650.00 3. DE1ECTOR LOOP (6' x 50') 0 $900.00 4. ELECTROLIER 2 $2,600.00 $5,200 5. 11/2" RIGID CONDUIT 170 $9.00 $1,530 (includes trench restoration) 6. 2" RIGID CONDUIT 0 $17.00 7. CONDUCTOR 170 $0.70 $119 8. PULL BOX (NO.3 112) 2 $300.00 $600 9. PULL BOX (NO.5) 2 $400.00 $800 VII. STRIPING AND SIGNS 1. MISe. SIGNING/STRIPING LS 1 $800.00 $800 VIII. lANDSCAPING 1. IRRIGATION, PlANTING WORK LS $5,000.00 $5,000 2. PRUNE TREE ROOTS o $125.00 3. TREE REMOVAL o $650.00 $0 I J:\MQ\ST APLESCEE 07-Mar-96 PAGE 3 CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT CITY ENGINEER'S CONSTRUCTION SURETY COST ESTIMATE Address: 500 E. Hamilton - Staples Encroachment Permit No. I1EM NO. DESCRIPTION UNI1 QUANTITY UNIT PRICE EX1ENSION 4. ROOT BARRIER (12") LF 0 $20.00 5. ROOT BARRIER (18") LF 0 $25.00 6. STREET TREE (24" BOX) EA 0 $450.00 7. STREET TREE (36" BOX) EA 3 $700.00 $2,100 8. TOP SOIL BACKF1LL CY 0 IX. MISCELLANEOUS 1. PEDESTRIAN BARRIER LF 0 $75.00 2. CHAIN UNK FENCE (6') LF 0 $15.00 3. RAISE MISe. BOX TO GRADE EA 0 $300.00 $0 4. RAISE MANHOLE TO GRADE EA 0 $400.00 I 5. INSTALL MONUMENT BOX EA 0 $450.00 6. MEDIAN BACKFILL CY 0 $19.00 SUB TOTAL $62,181 PREPARED BY: CONTINGENCIES $6,218 TOTAL CONSTRUCTION ESTIMA1E $68,399 ADMINISTRATION (TO CALL SECURITY) $2.052 APPROVED BY: TOTAL ENGINEER'S ESTIMA 1E $70,451 FAITIlFUL PERFORMANCE SURETY $70,500 PLAN CHECK AND INSPECTION FEE $8,208 CONS'IRUCTION CASH DEPOSIT $2,736 N01E: lHIS ESTIMA1EWAS PREPARED ATlHE REQUEST OF WESLEY FIELDHOUSE WIlHlHE UNDERSTANDING lHATlHEBONDING AMOUNT WOULD BE BASED ON VERY PREUMINARY PLANS. EVERY ATIEMPTWAS MADE TO BE CONSERVATIVE IN lHE ESTIMA1E. BUT ANY MAJOR CHANGES IN lHE WORK MAY REQUIRE POSTING OF ADDITIONAL SECURITIES. J:\MQ\ST APLESCEE 07-Mar-96 PAGE 4 crrY OF CAMPBELL PUBUC WORKS DEPAR'IMENT CITY ENGINEER'S CONSTRUCTION SURETY COST ESTIMATE SOO f.. t\l\IV\\L-rOr- A\)k~Q-'L Address Eucroachmcnt Permit No. ITEM NO. I. G Q CD o 5. 11 )e. 6 p-Jt:- Date 3- y-q (p licarion No. UNIT PRICES FOR PROJECT AMOUNT UAN11TIES < $30 K $30 K CD $150 K > $150 K DESCRIPTION OUllONICIEAJUNG G &. GRUBBING AWCUT P.C.C.IA.C.(UP TO 6") IS;l LF ;2 <0 'i SY I ;;l <3 LF .C.C. REMOVAL 6. EMOUSH EXISTING INLETIPLUG RCP'S n. ORM DRAINAGE 1. 2" R.C.P. (CLASS V) 2. 5" R.C.P. (CLASS III) 3. 8" R.C.P. (CLASS III) 4. 4" R.C.P. (CLASS III) 5. O' R.C.P. (CLASS III) 6. .V. INSPECTION (12") 7. ~. DIlAINAGmur kC.C. DETAIL 9) G LS SF fA. LF LF LF LF LF $30.00 $4.50 $60.00 $65.00 $70.00 $80.00 $90.00 LF $1.20 EA $1.600.00 T GRATE INLET C.C. DETAIL 6) fA. 9. TANDARD MANHOLE (C'S']' DETAIL 0-11) INCLUDES FRAME &. LID) 10. REAK A.1IiD ENTER M.H.lD.L m. ~ONCREIE l\lPROVEMENTS o ~IDEWALK 1 cv bRIVEWAY APPROACH I 30-Aug-95 $1.400.00 EA $2.000.00 EA $700.00 \ \;).0 SF $6.50 MAR 61996 PUin.lC vvU.,.,~ ADMINISTRA T'OI\ $7.50 I $4.50 $6.00 - $3.00 $23.00 $3.00 $2.25 $40.00 $48.00 $60.00 $68.00 $75.00 $0.75 $1.300.00 I $1.100.00 $1.600.00 SS50.oo $4.50 $2.00 $10.00 $2.00 $1.25 $20.00 $38.00 SS2.oo SS9.oo I $65.00 $0.60 $1.000.00 $900.00 $1.300.00 $450.00 $2.75 $3.75 0b Page 1 of 4 '; -;" $ AMOUNT / / UNIT PRICES FOR PROJECT AMOUNT DESCRIPTION UANTITIES < $30K $30 K 10 $150 K > $150 K $ AMOUNT AND GUTI'ER 33 LF $22.00 $18.00 $15.00 4. SF $12.50 $10.00 $8.2S 5. EA $1.200.00 $800.00 $700.00 6. LF $12.00 59.SO $7.50 7. LF $15.00 $12.00 $10.00 8. SF $12.00 $8.00 $5.00 9. . .C.C. DRIVEWAY CONFORM SF $7.00 $5.50 $4.50 10. .C. DRIVEWAY CONFORM SF $4.50 $3.75 $3.00 IV. C9 :fSOCF I $5.00 $3.50 $2.50 I (f). A VEMENT WEDGE cur (6') LF $5.00 $2.50 $1.50 Q 1~8 SF $0.80 $0.50 $0.35 I Q JI3> SY $2.00 $1.85 $1.501 $35.00 I d-O T $80.00 $50.00 ~O T $40.00 $20.00 $12.00 7. SF $0.07 $0.06 $0.05 8. SF $0.11 $0.09 $0.07 V. 1- EA $450.00 $300.00 5250.00 2. EA $650.00 SS40.00 S440.oo 3. EA. $900.00 $750.00 S640.oo ~ EA $2,600.00 $2.200.00 $1.800.00 112. RIGID CONDtJ1T ) S-3 LF $9.00 $7.00 $5.00 6. LF $17.00 $13.00 $10.00 ~ 30-Aug-95 Page 2 of 4 ITEM UNIT PRICES !'OR PROJECT AMOUNT NO. DESCRIPTION OUAN'ITI'JES < $30 Ie $30 Ie TO $150 Ie > $150 Ie $ AMOUNT 0) ONDUCTOR 15.3 LF SO.70 SO.55 SO.45 0 PUll BOX (NO.3 1/2) I EA $300.00 $240.00 $185.00 G PUll BOX (NO.5) I EA $400.00 $350.00 $300.00 VI. G AND SIGNS 1. REMOVE PVMT. MARKINGS (PAINT) SF $2.50 $1.50 $1.00 2. REMOVE PVMT. MARKINGS (IlIERMO) SF $3.00 $2.00 $l.40 3. REMOV~ PVMT STRIPING LF $1.40 SO. 80 SO.40 4. TRIPING DETAIL 9 LF $1.35 SO.85 SO. 35 5. TRIPING DETAIL 29 LF $2.2S $1.65 $1.20 6. TRIPING DETAIL 32 LF $2.40 $1.75 $1.25 7. TRIPING DETAIL 37 (1HERMO) LF $1.85 $1.50 $1.00 8. TRIPING DETAIL 38 (1HERM0) LF $2.50 $1.85 $1.15 9. TRIPING DETAIL 39 LF $1.50 SO.85 SO.45 10. TRIPING DETAIL 40 LF $2.20 $1.70 $1.00 11. l.lMIT LINE LF $1.35 $1.05 SO.9O 12. :ROSSWALK LF $1.35 $1.05 SO.9O 13. PAVEMENT MARKINGS (PAINT) SF $2.50 $1.90 $1.60 14. A VEMENT MARKINGS C1'BERMO) SF $5.50 $3.80 $2.60 15. PAVEMENT MARKER (NON.REFL.) EA $4.50 $3.00 $2.20 16. PAVEMENT MARKER (REFL.EC'llVE) EA $6.00 $4.15 $3.15 17. rYPE Ie MARKER EA $95.00 $80.00 $70.00 . 18. rYPE N MARKER EA $95.00 $80.00 $70.00 19. ALVAGEROAD SIGN EA $85.00 $75.00 $65.00 20. RELOCATE ROAD SIGN EA $100.00 $85.00 $75.00 21. lNST. RD. SIGN ON EXIST. POLE EA $200.00 $145.00 $110.00 22. ROAD SIGN WITH POST EA $300.00 $240.00 $195.00 30-Aug-95 V(S Page 3 of 4 ITEM UNIT PRICE.. . JR PROJECT AMOUNT NO. D~CRIPllON UANTmES < $30 K 30 K TO $150 K $150 K $ AMOUNT Q APING L GAnON. PLAN'IlNGWORK IS 2. EA $125.00 $100.00 $85.00 C9 5" EA $650.00 $500.00 S4OO.00 4. 1J' $20.00 $10.00 $6.00 5. 1J' $25.00 $1'5.00 $10.00 6. EA $450.00 $325.00 $250.00 -3> EA $700.00 $550.00 S4OO.00 8. CY vm. 1. 1J' $75.00 $60.00 $50.00 2. LINK FENCE (6') 1J' $15.00 $11.50 $9.25 0 -3 EA $300.00 $200.00 $175.00 4. EA $400.00 $275.00 $200.00 5. EA $450.00 $350.00 $300.00 6. CY $19.00 $17.00 $15.50 SUBTOTAL PREPARED BY; CONTINGENCIFS " TOTAL CONSmUCTION ESTIMATE REVIEWED BY: PREUMINARY ENGINEERING " CONSmUCTION ENGINEERING % APPROVED BY: TOTAL ESTIMATE FAITHFUL PERFORMANCE SURETY H:\CECOS1EST.WK3(Mp)7120/95 ~~4 ~ \' I~ ~J'>>5f\-S 1=" \Ilk ?r~~ -9 Co 30-Aug-95 Page 4 of 4 CITY OF CAMPBELL R E eEl V E DEPARTMENT OF PUBLIC WORKS ENGINEERING DIVISION MAR 61996 PUBliC \{_ ,.. .,.) CHECKLIST FOR STREET IMPROVEMENT PLAN~DlNNJSTRATiON APPUCATION NO: ADDRESS: ..500 ILl ~AM '.....IO~ A~r~ ENCROACHMENT PERMIT NO. q/.e?-/33 Instructions: This checklist provides advance notification to applicants of the City of Campbell's final street improvement plans and submittal requirements. Using this checklist will expedite your application through the City's review process. Prior to submitting a fmal street improvement plan list to the City Engineer, please place an x.. in the space to the right of each item below to indicate you have complied with, or place N/A to indicate that the particular item does not apply. Review applicable sections, which are referenced in parentheses, before checking off each item. ITEMS OK N/A CITY COMMENTS I. GENERAL 1 Applicable General Notes included. (Attachment A) ~ 2 24"X36" sheet size used, including borders. )( 3 Title Block/scale/north arrow shown. 'i 4 Plans capable of microfilm reproductions - minimum .~ 1/8 inch lettering. 5 Engineers name, number, expiration date and .~ signature included. 6 ViCinity Map shown (must be microfilmable). ~ 7 Sheet Index and key map included for 3 or more ~ sheets . 8 Limits of Public Works inspection clearly shown on ~ plan, typisal ~t)ctioB, and bond estimate. 9 Street light locations/legend/PC&E 3ignawre sRown. .~ \~ ITEMS OK N/A CITY COMMENTS 10 Request for annexation to Lighting District submitted. (Accompanied by map & met, and ''Z bounds description and annexation fee). 11 Curb grade plans prepared by Public Works have ~ been incorporated into improvement plans and verified as adequate. 12 Curb grade plans prepared by Engineer for review by Public Works and cross-sections @ 50' max. K intervals along road frontage and extending 150' min. beyond limits of work. Proflle line, centerline, & E.P. 13 Signing and striping plan plus existing striping ~ included in improvement plans. 14 Development No. (SUB,MS,LUP,DP) shown on X each sheet. 15 Fire District signature shown for access and frre 'K hydrant location. 16 Verification of land rights for off-tract work (title X. report, recorded easement, etc.) 17 Permits required from other agencies (Fish & Game, ~ Caltrans, Army Corps of Engrs, Flood Control,etc.) 18 Right of entry submitted for review for all off-tract ~ work. 19 Plans for landscaping within the public right-of-way .'f..... submitted for review. 20 Fence required along water district canals. ~ 21 Water testing required before paving for grades less ~ ~1%. 0h -2- =: ITEMS OK N/A CITY COMMENTS n. ROADS A. Typical Sections 1 Structural sections indicated per R-value. ~ 2 Curb type indicated. ~ 3 Right-of-Way and street width dimensions shown. '^' 4 2:1 max. cut/fill slopes shown beginning @ RfW ~ lines - Soils Report verifying exceptions. 5 Crown Slope indicated. ~ 6 Sidewalk shown. A 7 Pedestrian or bike paths shown. X 8 Pavement Design Chan shown with T.1. values for ''f... review. ~ -3- -:;. ITEMS OK N/A CITY COMMENTS B. Plan Views 1 Radius of curvature shown on all curves. ~ 2 20' curb return radii shown for major thoroughfares ~ and industrial streets. 3 24' min. curb opening for private road intersection. x.. 4 Horizontal curves and sight distance designed per ~ Highway Design Manual. 5 Cul-de-sac radii (35' min.) shown. ^' 6 Private road turnarounds shown. i'. 7 RIW and street width dimensions shown. .~ 8 Centerline stationing shown at 100' intervals and at ~ all curves. B.C., E.C. 9 Lot/parcel lines and numbers/letters indic:lled. ~ 10 Valley gutters indicated. Flag flow lines at quarter -j.... points on curb returns and valley gutter centerline. 11 Stationing and ~ of all drainage structures I' shown. 12 T/C elevation at all drain structures w/invert and FL elevations shown. (Invert and FL elevations may be "/.. shown on profIle if preferred. If profIle is not on same sheet as plan view, TIC, invert, and Fl elevations must be shown on profIle.) 13 Drainage easements shown and dimensioned '{ 14 Location of underground pipes and utilities shown. "- 15 Street. monuments shown. ~ 16 Off-tract slope easements shown, with x-sections, .~ topo and offer of dedication for slope easements submitted for review. 17 Pedestrian Paths shown. Basic grades shown. ~ 18 Wheelchair ramps shown at returns per StateStd.Plan ~ -4- fb -:. ITEMS OK N/A CITY COMMENTS c. Profiles 1 Vert curves designed for proper speeds per Highway ~ Design Manual. 2 Minimum vert curve lengths observed. '/... 3 Curb returns and cul-de-sac profiles shown (high and K or low pts. indicated when vertical curve is used). 4 Vertical curve used for grade breaks greater than ~ 2%. (3% on sag curves). 5 6 % maximum gradient observed @ intersecting "Z. streets. 6 6 % maximum grade observed across intersection. ~ 7 1 % minimum grade observed on all streets. '1<... 8 Maximum street grades per ordinance. ~ 9 Underground pipes and utilities shown. )( 10 Existing ground on centerline shown. Where topography is steep, existing ground left and right of K centerline has been shown. Cross sections may be required. 11 Finish grade profile for centerline and for top of curb ~ shown (left & right) if special grades required. 12 Cul-de-sacs all have 1 % to 4 % cross slope between .)( gutter lip and high point. 13 Super elevation grades shown where required by "Z Highway Design Manual. 14 Back of curb flow diverters indicated on proposed county streets with grades over 5 % when no sidewalk ~ installed. 15 Centerline profiles of intersecting streets shown to their point of intersection. (Showing curb return or ~ other profiles in lieu of the centerline profile is not an adequate or correct representation.) 16 Off-tract profile to catch pt. shown where road is t- constructed to subdivision boundary. -5- '{vb ITEMS OK N/A CITY COMMENTS 17 Centerline stations and elevations shown @ 100' minimum intervals and @ all Bye, Eye, PIye, and ~ grade breaks. 18 Profile slopes indicated. '/..- M> -6- ITEMS OK N/A CITY COMMENTS III. DRAINAGE A. Hydrology-Hydraulics 1 Contour maps-continue for 100 feet + beyond ~ property. 2 100 year water surface calculations completed when natural watercourse or drainage facility flows through or adjacent to subdivision or the property lies within .~ flood hazard or flood prone area and water surface shown on plans. 3 EGL, HGL, Fl, EI, Q,A,S,V, freeboard at structures, structure losses, tailwater assumptions, .~ super or subcritical flow all indicated. 4 Adequacy of in-tract drainage system verified. >< 5 All starting water surface calculations adequately verified. (When computing beginning watersurface in natural watercourse and no obvious point of control )( is available, begin 500' downstream and work up to point in question.) 6 Adequacy of off-tract drainage syste"m verified. ~ ~ -7- ITEMS OK N/A CITY COMMENTS B. Easements 1 Off-tract drainage improvements (plan and profile) and accompanying easements shown. Off-tract offers ~ of dedication for drainage easement submitted for review. 2 Off-tract work to be done but no easement '>( requirements. Right of entry submitted for review. 3 Easement widths indicated for (a) Closed conduits, 1)( (b) Open channels. 4 Sufficient X -sections submitted to verify easement widths and Development rights for open channels. >( 5 Access and ingress easements shown, graded to be >( useable. 6 Minimum 12' ingress easement to public way '>( provided to all access easements. 7 Minimum 40' centerline radius for access easements >( shown. 8 Structure setback line indicated and location verified 1'( with X-sections for unimproved channel. 9 Fences shown as required where street crosses < watercourse or drainage structure. 10 Fences shown as required at outside boundaries of ~ open lined channel easements and water district canals. (r{> -8- ITEMS OK N/A CITY COMMENTS c. Structures 1 Inlet depths without manhole bases and max. dia. pipes through inlets observed. Type A 6' CC 3011 36" front 30" side Type B 12' CC 3012 30" side .~ Type C 4' CC 3013 36" front 24" side Type D 6' CC 3016 36" front 24" side Type E 4' CC 3017 36" front 24" side 2 Max. diameter pipes through manholes observed. Type I 24" CC 3020 >\ Type II 42" CC 3021 Type III 60" CC 3022 3 1.25' minimum freeboard in inlets and manholes. ~ 4 HGL shown in all structure profiles. ''I. 5 Type C inlet shown with grate unless in pedestrian ~ area, FL elevation of side opening also indicated. 6 Structure type indicated on plan or on structure list "i- on same plan sheet. 7 Type B or E inlets used on streets with grades 6 % or ^' steeper. 8 Ladder grab irons provided for manholes over 12 ^' feet deep. 9 Gutter spron lengths for A or B inlets specified for ~ profile grades 3 % or greater. 10 Indicate internal dimensions of non-county standard )C drainage structures used in private systems. \~ -9- ITEMS OK N/A CITY COMMENTS D. Pipe 1 Closed conduit minimum slope of 0.003 observed. ~ 2 Natural watercourses are placed in closed conduits ~ for flows less than 80 cfs. 3 Gage of corrugated steel or aluminum pipe noted on )C plans. 4 Water directed into inlet does not reverse the .~ direction of flow. 5 Minimum centerline radii of pipe checked. Beveled RCP lengths specified (bevel one or both ends) and '>( stationing of E.C. and B.C. indicated. 6 Outlet protection for closed conduits or lined .~ channels provided. 7 2' minimum cover over pipe observed (provided manufacturer specs does not require more) unless ~ special design and cales. submitted, 3' minimum cover for plastic pipe. 8 Design Q shown on pipe profIle. '^- 9 Minimum cleansing velocity of 2 FPS with half "' ~ design flow observed. 10 18" minimum pipe size. ~ wb -10- ITEMS OK N/A CITY COMMENTS E. Channels 1 Maximum velocity in earth channel verified by soils "( report - minimum velocity 3 fps. 2 Improved earth channel side slopes shown to be 2: 1 or less steep as specified by soils report. ~ 3 Lined channel side slopes as specified by soils report. X 4 Areas noted to be cleared of structures, trees, brush, 'f... and debris within natural channel and watercourses. j: \harary\impropln.lst 11\1 \~~ ~f\~ \ l\.-I~rW"F6dk. ~- '1-q l.t> -11-