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96-137 1:Il CII . t.J c:l ... Q ::. CII .. ... AI CIl ~~ ~~ c:l CII ::I ... Q AI ..... ~Cl ... CII AI 1 ~ = CIl .c ~ ~ III .. III Cl':: := - l:l . Q Q ~z ..... CIS..... tlJ C.I C.I ~~ Alf-l - ~ o ... ..... CII ~1 ~ Cl III > Cl Q .....~ o ..... = III C.I 1:Il~ ~~ ~ .......... e~ CII~ 0. 1:Il t' ~"I"l .:: ::I ..... ~ = CII~ ~ Q CII tJ,c .. ..... l:l~ ~~ CII Qj >~ 8~ ..... CII 0 .:: = ..... = ~ Qj o AI .c It'\ - 1:Il N III -#t,c &:l_ 0< "P'l~ .....= tJ- Qj 1Il..... ... ... AI AI~ ~< ..... 1t. .,..... "" ~ Q0-/3'7 aTY OP CAMPB~ ,. to \ BNCROAafNPNI' PERMIT Pamit No. DEPI". OP PUB~ ~JfkS n<'\~ (for wortiq withiD the X.Ref. file '? 5- J.lJ tJ.. 10 North PirIt St. ~ ."\ \ \'-j"O pubIie riIb):-wllJ) , Campbell, CA 9.SOM ,1, i\~ . ,...':> 3 ) c ~ 31 il} J C I (0) ll66-2t50.~\\ . .J'- o~ J.ued < 12. -, \..c LJ Applicatioa IMtc . /1 / i "-' ~\Si\lp..\~ Permit upiJa iD U moL ;- AppIic:atioa upiJa iD 6... \'l"\-= APPUCATION . AppIica~Mreby made few a Public Wan. Permit iD ~ witb r..."...o MuaidpaI Code, Sectioa IUN. (Applicatioa apireI iD 6 IDODtbI if the permit II DOt ~ A. Wort Iddrell or tnICt # I ~ 4) (' fJ ; k)t.\1 ~ Q~ ~. ,.. UtilitytnDCblocatioa~I~O~\. /l..nf6y) b0? np/ [:,/ ~ ~ I B. Nature ohm j)6 tf{);,:~:i1A lAf /1 ~)\ 1:Ml;i ~ll.o\A3'H~ ~ C AttadIIour (4) copica ol... capecred dnlwia& IIlowiDc tbc JocatioG, CllCDt aad 4i~ ol tbc wort. nc dnlwia& IlIaD.... tbc RIatioa of tbc g JII'ClIlClIed wort to cDtiDa IUIface aad UDdcrp'OUDd improvemcDlI. WbcD approved by tbc aty EqiDecr, laid dnlwia& becoma a put ol tbiI permit D. AD wort IbID c:oaform to the aty'1 GcDeral CoeditioGa, Studard c.c.trw:tioD ProriIicD aad Studard c.c.trw:tioD DetaillIor Public Worb E CoaItructioa; tbc Geocral Permit CODditioalliltcd OIl the m1e1lC Iidc; aad tbc SpeciaJ PrcMIioaI few tbiI permit, IiItcd below. PaiIuft to abide by ~ tbac COIIditioaa aDd prcMaioaa IDa)' rault iD job abutClwa aDd/OIl fodciture ~ Faithful ~~~ ~tiea aad CMIl depalill. (See GcDeral e- Permit CODditioaa I aad 2.) /Tl.J.l..4; frul:~ ( . ~ E. A DClIlRfuDdable I ~~ fee UIl tbiI appticatioa. rv- ~ ~ ...... "'_t..\hIb'S\ \~~\1:~'111.&i~-1 ~tlf:/l401 ~ Addra&1D1JYAi ~ ~PfijJJ~ J (lNlfWU- ~ 4'0000 S Is~. wort beiDa doae by the property OWIICr at their OWII raidcDce? Yea \ / No ~ v , Complete aad attach Worten' Compelllatioa aad Coetractor lDformatioa formL Tbc Applic:ant/permittee hereby qrca by atfixiDa their llpature to daiI permit to bold tbc aty of CuapbcII, ill oftic:en, apatl aad aDpIoJeea fNc, ale aDd harmleaa from ...y claim or dcmud for damap raultiD& from the wort c:overed by tbiI permit. ~ I I , I I I I I .... The Applic:ant/permittcc hereby aclmowlcdps that they ~ read aad UDdcntaDd both the froat aad bact ol tbiI permit, aad they will iDform tbcir CIClIItractOr( s) 0( the information. Aa:eptc4 ~ (ot,\"ti3-<? ) ( . t (permittee) priIlt/1iaa IMtc NOTES: AlL WORK. SHAlL CONFORM WITH 1HE ATfAOIED, APPROVED PLANS AND AlL APPUCABLE CAMPBELL STANDARD DRAWINGS AND CONDmONS. 1HE CONTRAcroR MUST HAVE nus PERMIT AND APPROVED PLANS AT 1HE SITE AND MUST N011PY 1HE PVBUC WOR.ICS DEPARTMENT AT LBAST NO DAYS BEPORE STARTING WORK. NOTICE MUST BE GIVEN TO PUBUC WOR.ICS AT LBAST ~ HOURS BEfORE R.ESI'AR1lNG ANY WORK. SPEaAI.. PROVISIONS APPROVED POR ISSUANCE S210.00 SSOO.OO (1~ OP ENG. ESI'.) (4~ OP SVR.BJ'Y, SSOO MIN) (PIRST ~,ooo 14~j , S200 mill) ,.. I I I I I ... C tI: tr r-: ~ e- tr ... ~ _1. _2. -j L.4. Street IbID DOt be opeD cut for UDdcrpouDd iDataUatioaL Minimum cuts may be IIIowed for COIIDeCtioaa OIl apIoratioD boiea. Sucb CUtl.ll!!!l be IDCdfic:aIJv amnoved bv the lDsDcctor mor to cutti112. hvemcnt may be cut for UDdcrp'OUDd iJIItaIIatioaa aad mUll be ratored iD ac:cordaDce with the Utility TreacII Reatontioe SIudard I>rIIwiJlI. Wort to be stated by a IiceDled Land Sun<eyor or Qvil BqiDeer aDd two (2) copieI ~ the cut abectllCDt to the Publi&: Worb DcpaJtmcDt before ItaJtiD& work.. 1~.I~ )1'~!::d: ~ I~ ~J'iJlN~ "!I'f/Ud:;r', Y1d:-17-H4 ~J tH~ At.. U$CfJ __ lbL. ,__ ----L/J;_ ~$". STANDARD AMOUNT s 315. 0 ~ S S S s cre-7. 6. () RfI.l"'PJPT NO. CjJ5b2- PERMJT APPUCATION PEE PIAN CHECK DEPOSIT SVR.BJ'Y POR PAllHPUL PER.POR.MANCE CASH DEPOSIT PLAN CHECK a: INSPECI10N Next $30,000-$80,000 10%; tI: I< .. .. h:PW PERMIT/Rev.4/94 U~ phone (8~~) ~2-244.~ "f'TICKET NO. r 4~ l-t ~I~) +[6;( 10)) ~ 9f7.' {j l!J 5 ?J 1.-J 7 r-: ~ ... "" I I I I I .... (Ice other aide) PUBLIC WORKS DEPARTMENT RECEIPT Effective July 1, 1995 C/ t- /31 TO: City Clerk PUBLIC WORKS FILE NO. PROPERTY ADDRESS 14i j, J /0 /{J1l14 ilL ............... .P1ease~onect &. receipt for the. .fono"."i~~ monies: '..: . AMllUIft" m;. .................. I'I!M..................... . ". .............................. 435.535.492l' Proiect Revenue (spe~if~proiect)/ ENCROACHMENT PERMIT 472.. Application Fee Non-Utility Encroachment Permit ($225) R-l First Permit (No Fee) Subseauent PermitlYr ($100) Utility Encroachment Permit Arterial/Collector Street ($325) 'oj ::l.~. IHl Residential Street/Other Areas ($225) 2203 Plan Check Deposit ($500) 2203 Faithful Performance Surety (FPS) (100% of ENGR.EST,) 2203 Monumentation Surety 1100% of ENGR.EST.) 2203 Cash Deposit (4% of FPS)($500 min.) 2203 Labor and Material Surety (100% of ENGR, EST.) 472.~ Plan Check & Inspection Fee (Non-Utility) QQ1.00 Enar.Est. < $250.000 (12% of ENGR. EST,) .. 2203 Enar.Est. > $250.000 (Deposit 15% of ENGR. EST.)" 472 Utilitv < $100 000 Conduits/Pipelines UP to 500 Feet l$l,60/ft,) Above 500 Feet ($1.10/ft.) ManholeslVaults/Etc. ($105/ea) Pole Set/Removal ($105/ea) Minimum Charge Per Location ($120) Street Tree Plantina/Removal $105/tree) .. 220 Utilitv > $100 000 IDeposit 15% of ENGR. EST.)" 4760 Proiect Plans &. Specifications Proiect No. 476( Standard SDecifications & Details ($l/Pg $l2/Book) 476e Copies of Enaineering Maps &. Plans 1$.60/sq.ft.1 472 Penalties: Failure to restore Dublic improvements ($loo/Calendar Dav) eMuni Code Section 11.34.010) 472 Penalties: Failure to correct unsafe conditions ($100/Calendar Dav) LAND DEVELOPMENT 4722 Lot Une Ad'ustment ($600) 4722 Percel MaD (4 Lots or Less) 1$1 060 + $ 261l0tl 4722 Final Tract MaD (5 or More Lats) ($1 380 + $261l0t) 4722 Certificate of ComDliance ($400) 4722 Certificate of Correction ($300) 472 Vacation of Public Streets &. Easements ($650) 4724 Assessment Seareaation or Reapportionment First Split ($550) Each Additional Lot ($170) 472 Storm Drainaae Area Fee Per Acre (R-l. $2.000) (Multi-Res. $2,250) (All Other. $2,500) 4920 Parkland Dedication Fee (75%/25% Due Upon Cert. of Occupancy) 4965 Postaae TRAFFIC 4728 Intersection Tum Counts (Two-Hour Count) 1$60) 4728 Intersection Tum Counts la.m. or p.m. peaks) ($125) 4728 Traffic Flow MaD IDaily Traffic Volumes) ($271 4728 Campbell Traffic Model (Full Scope Assessmentl 1$22501 4728 CamDbell Traffic Model (Reduced ScoDe AssessrrC$7401 4271 Truck Permits ($35/trip) 4728 No Parkina Sians 1$1Ieach or $25/1001 OTHER TOTAL $ /2/21~O NAME OF APPLICANT YuJ.-d II (J Ii J LI x1tL/I,L~ ''-----Y).-. n ./ )~~/. T/LU../ 9 ,~- 2k,- 7 NAME OF PAYOR PHONE . ADDRESS /O/qo s: icvJ in", ~ ~ "'-"LJ' U/tziP" '-'(F-J fA J'::)f /I ~ (;,"9- Cj5-U l'-( .. Actual Cost Plus 20% Overhead INon-lnterest bearina deDosit) - -v - 0 D - em' C1DIt ONLY [.iii_lsB~ I . . .. RECEIVED MAR 1 3 1996 CITY CLERI\'S OFFICE .Foq:ll~n<c:tIeck 'andClish Deposits, send yellow copy to Rnance, Date/Initials .. h:\recfrm3.wk3Implrev.1I9/96 .: ~ ". " ,= .'. ~ ~~;;' (~.;. '," ~, ( .~ "~ -~:', , , J'.';. .~,~ ,~ <,.lr , . ':. ~ ,,: ), .~. \',: 'j ',1 \ ~;. .. . . ~ , ' ~~~,,'.:,. >~ ~(/:,'. \.:~ ;.,~,~ ;.:: t' I:'~ ~.,~;. ~::'~"'~' ~~:~"/::--; CIT~ OF :AMPt~ELL, REC!Jr BY: JAfJH PAYDf.:~ FEf?:? TODAY~S DAlt~ REGISTER ~;AT:-: nESC~j PTIOf~ ENGR l~ SUF.DI ~~! ENGR ~~ SUBIlI!) CHECf~ PAID; CHEC~! ~!n- . ;'~Li . TENI~EF E:: ; CHAf~S: :. ~ of ":"'~ i j, -.:'~; 7'Ct::"-r ~ILING - rii T':.}(.: :- "'....~, ,'''; ~ T'i! ,-:';"'. .~ r "; ;.. : ~ ~ /rj::.. TiME: AHOUNT ,,' r.k, "';. 0100009152.2 I'\,n'l"'~ aCQ v:;.:;..~ ...,:'.1 $325: :~O $987.6!j DUE: ---------------- t: ~ 312:: 1.:.0 . - .. ~ 1 ;..) 1::::, :;;1.: $1 ~312s6~} i' ,......~, ~:. ''';'''; ~ " ." " I , ." '..!., ,. "/ CITY OF CAMPBELL FIELD ENGINEER'S DAILY REPORT ITEM -r:-- ~c;f F7 3 ~ o Wt+. Ok Ii. CONTRACTOR:~ f,~L',J-J' DES CRI Pl'ION PROJECT NO. 9b~.3 REPORT NO: DATE: )__) 0 _ tp WEATHER: fa ,-'r INSPECTOR: K. ~G'.-511ALL cc: PAGE: / OF I CITY OF CAMPBELL FIELD ENGINEER'S DAILY REPORT ~ ~cr "i'7 ~ ~ k..+-v ()JL-~. CONTRACTOR: ~ I ~ J~-t.S PROJECT NO. 90 -})1 REPORT NO: DATE : 3-/~-7& WEATHER: rct-~ (' INSPECTOR: K. ~e:..51fALL ITEM DESCRIPTION cc: PAGE: / OF I CITY OF CAMPBELL FIELD ENGINEER'S DAILY REPORT IC4CT ~15 2' +:r E.~ ( ~, /9){J ..!/ cJJ.l> CONTRACTOR: M2u ~~l~5. ITEM DESCRIPTION PROJECT NO. 96./ 3 REPORT NO: ( DATE: 3../ _ j (P WEATHER: Fe, , r INSPECTOR: K. .vG:.51'fALL cc: PAGE: / OF I