88-228
. .
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Capbell. C& 11001
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appUoaUOD Dat. ~ - \ ~ - ~'1!::..
applioatlo. up r.. ia , ao..
U.LI~OII - appU.oatlo. I. ~.reIJJ ..d. for a ..110 Worlt. ..nUt la .o_r...o. witll ceapMll
llUaiolpal ONe. hoUoa U.... CappUoaUo. up1&'.. 1a , Matu if ..nit aot "aU..)
a. won ..4ft.. Or Vaft t~ /' &.-S-~ ~
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..b. dra.ia, .b.ll .boW tb. r.l.Uoa of tll. propo..ll work to ahU., .U'f.o. u. ull.rgroull
laprov....t.. Du .pproy., ~ ~. Clt, h,ia.er. .dd era.ia, beo.... . part .f ~h penlt.
D. ..... ....r.l CO.tiUo.. for &11 pena1t. are lhtad .. ~. r.y.r.. .1da. .,.oial .roYidoD' for
~1. perait are 11.t.d Mlo.. .&11U'. to u14. ~ tb... ...dlUo.. ud provl.1oD' .., r..ult
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for .....otl... .r ..,loraUoa ..1... ..... nu .u.t .. .D..ifl..lly aDDZ'OY" ~ tb.
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TO: City Clerk
PUBLIC \..JORKS FILE NO. Ti!-, 8/7.8
'T5<f- SUNN'fOA-1<S
Please collect & receipt
for the following monies:
ACCT.
35-3396
3372
3521
3521
ITEM
Project Revenues (specify project)
PubUc. (~otz.lu, Exc.a.va....ti.on PVU'!lU Feu:
Ap 1 i ca t i on Fee
Plan Check Deposit
Faithful Performance (Cash) Deposit
R-l :
($'35)
($200)
OthV1.:
($ 50)
'( 500
(4% of FPB)
($500 min.)
(7% of FPB)
($ 35 min.)
3372
Plan Check & Inspection Fee
3521 Other Cash Deposit (specify)
1373
3373
3372 Tentative Parcel Map Fil ing Fee ($350)
3372 Final Parcel Map Fil ing Fee ($300)
3372 Tentative Tract Map Fil ing Fee ($400)
)372 Final Tract Ma Fil in Fee (S350)
3372 Lot Line Ad.ustment Fee/Certificate of Compl iance
3372 Vacation of Publ ic Streets and Easements
3372 Assessment Segregation or Reapportionment
First Spl it ($500)
Each Additional Lot ($150)
3372 Environmental Assessment:'
Categorical Exemption
Ne ative Declaration
3370 Storm Drainage Area Fee per Acre Multi-Res.,
$2,060; all other, $2,250)
3395 Park Dedication In-lieu Fee per Unit ($1,132)
3380 Public Works Special Projects
3510 Postage
TOTAL
NAME
NA-Dca'" DEl!,
PHONE 8Gb -7'78:;)
ADDRESS
ISD E. t2/V1A. ~ /0/
CM~
ZIP 9..:sGY..)8
FOR
CITY CLERK
ONLY
RECEIPT NO. C I~
C .\
~~\ ,,()
AMOI.NT PA I D .,,-J':Jt /
RECEIVED 8Y ~~ t,
DATE C~/ ',~-7 g K
I
AMOUNT
$
S-o
5"00
$
550
July, 1987
(
CITY OF CAMPBEll
Department: Public Works
r. ,~~~~f~ DUC,\VORTII-
_'~_~'-: J __ lI\N20
I:; -;/, i ;rr~ - - ~;,' II D' 1""-
i~!-;:-'~' :::(-~}___!f~i I':/-~~ ~ro-I-l
ii' i ; ':-/ ,1- '--, -. '-';--1
' ' (,' I
"-'-. ..----~ --~--._L.._._.._=_______ -__l~
70 NORTH FIRST STREET
C AMP BEL L, C A L I FOR N I A 9 5 0 0 8
(408) 866-2100
FAX # (408) 379-2572
September 23, 1991
Sunnyoaks Grove
c/o Nadcon Development
150 E. Campbell Ave., suite 101
Campbell, CA 95008
SUBJECT: FINAL INSPECTION AND ACCEPTANCE
PERMIT NO. 88-228
LOCATION: 454 SUNNYOAKS
Gentlemen:
We have made a final inspection of subject Public Works
construction and find the work is satisfactorily completed
in conformance with City standards.
Your cash deposit is enclosed. Please feel free to call me
if you have any questions.
Sincerely,
Sal Duckworth-Lanzo
Senior civil Engineer
SDL:djr
Enclosure
f:88-228
REFUNDABLE DEPOSIT
CHECK REOUEST
TO: SANDY TERPKO
ACCOUNTS RECEIVABLE
Please issue check payable to:
Sunnyoaks Grove
Address:
Line 1:
c/o Nadcon Development
Line 2:
150 E. Campbell Ave.. suite 101
City :
Campbell
State: ~ Zip:95008
Description: Refundable Deoosit
Exact Amount Payable: $500.00
Account Number: 905.4662
PERMIT NO: 88-228
LOCATION: 454 Sunnyoaks
DATE AND NO. OF RECEIPT:
11/14/88
#1303
PURPOSE;
Refund cash deposit
S. Duckworth-Lanz~e: Sr Civil Engr Date:
9-19-9]
Requested by:
Approved by: J. Bollier J~ f3
Verified by:
Title: city Enqr
Date:
Accounts Receivable
Date:
SPECIAL INSTRUCTIONS FOR HANDLING CHECK:
Mail as is
Mail in attached envelope
Return to: Sal Duckworth-Lanzo
(Department)
(Name)
Other:
04/18/91
TO: City Clerk
PUBLIC WORKS FILE NO.
Please collect & receipt
for the following monies:
ACCT.
J~-J 6
3372
3521
3521
Depos it
R-l :
(S'35)
3372 Plan Check & Inspection Fee
3521 Other Cash Deposit (specify)
3373
3373
3372
3372
3372
3372
3372
3372
3372
3372
3370
Mu I t i - Re s. ,
3380 Public Works Special Projects
3510 Postage
TOTAL
~ LH..{ '-l '1 0 a. \c.s
\
ADDRESs_f 0 C> 0 ;<
,
C....., ro\)-<.-
crcf~22Y
AMourn
$
500-.
.,905'-
} I J S-~
7~ ., -z ~
/
c-"O
$/O,-:3t...C-
,
SCQ.l~'~ ~~ ~
G,
Z(06-/7~,r
ZIP 'l..5'O70-1-:).(!)?
NAME
PHONE
"3 2 () Cf
F'~
C I TV CLERK
OiLY
RECEIPT NO. /303
AMOl.NT PAID / 0 .3 S? .s OQ....
RECE I VED BY 0- )-n
DAn / J -/ Y. -1$" ~
July, 1987
T I~~r~n~~~~!!~a
Transamenca Premier Insurance Company
AllOlllll::.tl..h~c ollH..:e iI'wHll:' (:..&11101111..
TRANSAMERICA PREMIER INSURANCE COMPANY
c/o Commercial Surety Bonding Agency
o Southern California
630 The City Dr,. Suite 120.
Orange, CA 92668
(714) 971-CSBA (2722)
o Northern California
1265 S. Bascom Ave., SUite 108,
San Jose. CA 95128
140B) 298-CSBA (2722J
r City of Campbell
Dept. of Public Works
70 N. Pirst St.
L Campbell, CA 95008
SUBDIVISION STATUS INQUIRY
I
IECIIVED
Jl1.N- o.n B~ j
-.J
r>>ublic Worq/Engineering
BOND NUMBER
'l'PI 780069
SUBDIVIDER
Sunnyoaks Grove
TRACT NUMEt~~
TRA~!~~ Grove
IMPROVEMENTS . ,
Permit #88-228 - Storm and surface construct~on ~mprovements
PLEASE ANSWER THE QUESTIONS BELOW AND RETURN THIS FORM,
o No
,. Has this work been fully completed and accepted?
----
2. If accepted, on what date?
3. If not accepted, is work progressing satisfactorily?
If no, explain ~/;1-
4. Percentage completed?
DYes
gNO
REMARKS
QhL
~/U;"I
_.a;u
71
flGzu17(, j)0701 h
A/Vl Lf;f~ C// -
Above information furni
(signature)
Title
-l-:tp.;! Tr~/;~I amenca
Ii< .
,,~r In~ r/ nee Services
" /
'.........
I 1(. \ .. - / ,_.'
Transamerica Premier Insurance Company
Adm:rll~I'i1Il'Ye 0111(;1-' lrllUlt..' Cdllll}f(lld
TRANSAMERICA PREMIER INSURANCE COMPANY
c/o Commercial Surety Bonding Agency
o Southern California
630 The City Or" Suite 120,
Orange. CA 92668
(714) 971-CSBA (2722)
o Northern California
1265 S, Bascom Ave" Suite 1 DB.
San Jose. CA 95128
140Bl 29B-CSBA (2722)
SUBblVISION STATUS INQUIRY
r City of Campbell
Dept. of Public Works
70 N. First St.
L Campbell, CA 95008
--,
... r.-"I :~':\
aSCGiVt:U,;i
() ;. ~G9!j
kUG ,.J" \oJ
.-J
. w :.._/Enqincorinq
pubhc or..... '
BOND NUMBER
TPI 780069
SUBDIVIDER
Sunnyoaks Grove
TRACT NUM~~
TRACS6~~ Grove
IMPROVEMENTS , ,
Permit #88-228 - Storm and surface construct~on ~mprovements
PLEASE ANSWER THE QUESTIONS BELOW AND RETURN THIS FORM.
1. Has this work been fully completed and accepted? ~ Yes 0 No
2, If accepted, on what date?
I
,
3, If not accepted, is work progressing satisfactorily?
If no, explain ;vI A-
4. Percentage completed? ~~
DYes
o No
REMARKS
cOrw
~.~k-
pY?
"
Above information furnished by: (signature)
Tille
nsamenca
rance Serl/ices
Transamerica Premier Insurance Company
AdrTurUSlIahve oU.'e l'-"'IOtt California
TRANSAMERICA PREMIER INSURANCE COMPANY
c/o Commercial Surety Bonding Agency
o Southern California
630 The City Dr" Suite 1 20.
Orange, CA 92668
17141 971-CSBA 127221
o Northern California
1265 S, Bascom Ave, Suite 108,
San Jose, CA 95128
14081 298-CSBA 127221
SUBDIVISION STATUS INQUIRY
r City of Campbell -,
Dept. of Public Works
70 N. First St.
L Campbell, CA 95008 -l
RECEIVID
APR 2 :} 1990
Public Worlu/Engino.rlnca
BOND NUMBER
TPI 780069
TRACT NUME}fi~
SUBDIVIDER
Sunnyoaks Grove
TRA9;X~~ Grove
IMPROVEMENTS . .
Permit #88-228 - Storm and surface construct~on ~mprovements
PLEASE ANSWER THE QUESTIONS BELOW AND RETURN THIS FORM.
ji!NO
DYes
1. Has this work been fully completed and accepted?
2. If accepted, on what date? JJ/-tt.-
3. If not accepted, is work progressing satisfactorily? 0 Yes
If no, explain bl/JJ: ) 11)~'" fYJ1 -:~ .on~,
4. Percentage completed? /010
~NO
REMARKS
'I3rYhi AhlOUld ~ J/h' ~,
(signature)
DATE
Tille
<<S S j J>S5fa nf-
- $
- $
- $
- $
Surface Subtotal "S" - $
Adjust for size: "S"<$30,000 add 20%, "S">$lOO,OOO subtract 10% (+ or -) $
CITY OF CAMPBELL, CITY ENGINEER'S CONSTRUCTION COST ESTIMATE
Address Y'S/I ...5v""O:";"-" O..dlc.-'S' 7/2.' 3/7<.;f
,
Surface Construction
Clearing & Grubbing
Lump Sum Estimate
/8 LF@ $ 4,00
71c./ SF @ 3.00
107- LF@ 5.00
I EA@ 600,00
IO~ LF@ 14,00
~83 SF @ 4,00
;214 SF @ 5,50
EA@ 400.00
LF@ 8,50
LF@ 50,00
SF)x($O.lO)x(~")
SF)x($O,30)x(~")
Sawcut Concrete
Concrete Removal
Curb & Gutter Removal
Inlot Drain with Pipe
Curb & Gutter
Sidewalk
Driveway Approach
Handicap R..p
Extruded Curb
Barricade
Street Excavation
AC Pavement
Adjust Kanhole to Grade
EA@ 375,00
EA@ 275.00
EA@ 600.00
-~ EA@ 300,00
LF@ 0.65
EA@ 40,00
EA@ 120.00
EA@ 15,00
LF@ 10,00
Adjust Handhole to Grade
Konument Box w!Konument
Street Tree (15-gallon)
Pavement Striping ($100 min)
Pavement Legends ($100 min)
Stop, Street Name or Other Sign
Pavement Markers
Pavement Key Cut
Street Lillhtinll
Electrolier
EA @ 2,000,00
Conduit
LF@
LF@
10,00
Conductor, pair
2,00
Pull Box
Ea @
200,00
Storm Draina2.e
12- or 15" RCP
LF@
LF@
60,00
18" or 21" RCP
70.00
Street Inlet
EA @ 1,600,00
Manhole
EA @ 2,400,00
Break & Enter Manhole
EA@
650.00
Permit No,gp-22,y
by_dste /o-3/-JJ'
- $ "SOOt & :J
- $ 72.oc>
- $ .1,./l/Z.OV
- $ 5/0.00
- $ ~tJO dJ7)
- $ II cj ;28'-tY-u
- $ ~ 93'2.00
- $ I. t/fLo0
(
- $
- $
- $
- $
-
- $
- $
- $
- $
- $ 9d~...oo
- $
- $
- $
t; .lJ3b.OO
I, PC) ?, 2t.)
- $
- $
- $
- $
- $
- $
- $
$
- $
- $
- $
--
/1. ifsl3.:J 0
/1; 5'00," 0
revised 6/88
TOTAL ESTIMATE $
~ ~SE FOR BOND $
~S,;"(41j :;: 500~1m:')
.eLf (7<r,') --:;... ;.<~OS: 6'0
of: j,..nn_t"':nat:_Il!iI&t:
Santa Clara Valley Water Distrid
o
{'tLe- ;/$tflI,r#-BB-Z28 ptERMIT
5750 ALMADEN EXPRESSWAY. SAN JOSE, CALIFORNIA 95118 . (408) 265,2600
Facility Page Perc System
Date Issued 11/17/88
Permit No, 88942
Permittee
Telephone (408)866-7788
File Permits, Water Utilities
Page Perc System
Sly of W. Sunnyoaks Ave;
opposite Emory Ave.
Nadcon Development Company
150 East Campbell Avenue, #101
Campbell, CA 95008
Attention Steve Saray
Re: Tract 8178, Sunnyoaks Grove,
APN 406-09-05,
City of Campbell
File PD 88-03
88A961, 88P21 7
Purpose of Permit
o Encroachment
[J Construction Grading adjacent to District right of way.
o Temporary
RECEIVED
Construction Expiration Date 11/17/89 Encroachment Expiration Date
PERMITTEE MUST NOTIFY ANO FURNISH SCHEDULE OF WORK TO:
~ DISTRICT'S CONSTRUCTION DIVISION, TELEPHONE 265-2600 EXT-324
[]oo4xX<<~fKIDCOlOlMJIDOO{~~XIKKKR9t~~X2Q{~X
AT LEAST TWO NORMAL WORKING DAYS BEFORE STARTING ANY WORK UNDER THIS PERMIT, FAILURE
TO NOTIFY IS CAUSE FOR REVOCATION OF PERMIT AND REMOVAL OF WORK, EXERCISE OF THIS PERMIT SHALL
INDICATE ACCEPTANCE OF AND AGREEMENT TO COMPLY WITH ALL PROVISIONS INCLUDED HEREIN. THIS PERMIT IS
SUBJECT TO THE PROVISIONS LISTED ON THE REVERSE SIDE HEREOF EXCEPT AS EXPRESSLY MODIFIED IN THE
ADDITIONAL PROVISIONS LISTED BELOW, VIOLATION OF ANY PROVISION SHALL BE CAUSE FOR IMMEDIATE
REVOCATION OF PERMIT,
NOV 21 1988
PUBLIC WORKS
ENGINEERING
1. PERMITTEE MUSTMAINTAINACOPYOFTHIS PERMIT AND APPROVED PLANSON JOB SITE FOR DURATION OF
CONSTRUCTION PERIOD.
2, All work shall be constructed in accordance with approved plans and to the satisfaction of the District's Inspector, The
work area must be restored to the satisfaction of the District's Inspector,
3. The quality of water passing through or below the site shall be maintained at all times and the addition of silt or other
deleterious material to the water will not be permitted,
4, All backfill within District right of way shall be compacted to at least 90% relative compaction in accordance with
California Test Method 216 or 231 or ASTM designations 01556 orD2922,
5, Obstructions to the existing waterway between October 15 and April15 will not be allowed except by special permit to
be applied for at least 15 days in advance and requiring District approval of detailed plans and proviSions for
emergency flows.
6. Any damage to the existing District chain link fence resulting from site construction
or grading shall be repaired to the satisfaction of the District's inspector and in
accord with Section 80 of State specifications.
cc: 1 Public Works Department
1 City of Campbell
Building Department
City of Campbell
Approval:
ORIGINAL SIGl\.!ED
~" ~'t>(
0.
FC60 (7175)
DIVISION ENGINEER
DESIGN COORDINATION DIVISION
STATE
P,O, BOX 807, SAN FRANCISCO, CA 94101-0807
00 h lC\(l j
RECEIVED
COMPENSATION
INSURANCE
F=UND
NOV 1 81988
CERTI FICATE OF WORKERS' COMPENSATION INSURANCE P~:I..I~ ~ORK"
NOVEMBER 16, 1988 POLICY NUMBER1, G'I t Qff~G~8
CERTI FI CA TE EXPI RES: - - ..,
r-
CITY OF CAMPBELL
ATTN DON KING
75 N CENTRAL AVE
CAMPBELL
CA 95008
L
This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California
Insurance Commissioner to the employer named below for the policy period indicated.
This policy is not subject to cancellation by the Fund except upon ten days' advance written notice to the employer.
We will also give you TEN days' advance notice should this policy be cancelled prior to its normal expiration,
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the
policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with
respect to which this certificate of insurance 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,
/f~
PRESIDENT
EMPLOYER
I
RALPH W GILLIAN AND NICHOLAS SALAMIDE
VALLEY CONCRETE & REDWOOD
2679 HOCKING WAY
SAN JOSE
CA 95124
L
selF 10262 (REV, 10-86) OLD 262A
Eo<
H
....
~~
Zii:l
Hp..
~~
.....0
...r..
~ 5 ~ Plan check deposit, $500.00 (waived for R-l Homeowner),
Cl ~ paid. Receipt number 01'2-
~ll_______~_~~~:_::~:_~~_~~~~~~:~:~~_~~~~:_:~~~~~:~___________________
\/ Applicant
/' Applicant
ENCROACHMENT PERMIT ISSUANCE CHkCK LIST
Encroachment Permit No. ~~_.l:L..~
4~4- -+-~4- ~SUUU'-(~~
S ~~~ l"-E::>)
section complete
City of Campbell
Department of Public Works
signature and date
~ Permit Application fee $50.00 ($35.00 for R-l Homeowner),
paid. Receipt number OIZ-
i~ Bond for faithful performance, 100% of City Engineer's
estimate, (waived for R-l Homeowner), supplied or paid.
Amount $ /1, ~CJ,t1{) Form I. D. #
,
,/
Cash Deposit: 4% of FP bond, $500 min.
Homeowner), paid.
Amount $ 5()(J. t:J 0 Receipt No. /.3 () ~
($200 for R-l
~/ Plan Check & Inspection fee of 7% of FP bond, $35.00 min.,
(waived for R-l Homeowner) paid.
Amount $ ioS',oo Receipt No. /-:3cl-a
Worker's compensation information received for Applicant
(see Information Sheet for Encroachment Permits)
All other Public Works requirements listed in the
Conditions of Approval of the development.
~u
Worker's comp and Contractor's Information received for
Contractor (see Information Sheet for Encroachment Permits)
~ Certificate of Insurance with Additional Insured's
Endorsment received from Contractor (see General Summary of
Insurance Requirements for Encroachment Permits)
Eo<
t}H
~!
::Jp..
[/)
~~
~o
O~
r..u
ClH
~H
H~
::Jp..
01
~f:)
Three sets of off-site plans, stamped APPROVED (Tract or
Development and Public Works Permit number and property
address on plans)
Permit signed for City Engineer
WHEN ALL OF THE ABOVE ITEMS ARE COMPLETE, PERMIT MAY BE ISSUED
Issuer: Initial _____ and date and file with permit
UPON ISSUANCE, ~NITIATE CHECK REQUEST FOR PLAN CHECK DEPOSIT REFUND
8/88
permchklst
..
. h'" '" ., . n..> '"" 1\.1"\ I ~ '-I: -= ^ '- h 1"\ I ~ \.:i I:
INTERIM CERTIFICATE AS TO EVIDENCE OF INSURANCE
THIS IS NOT AN INSURANCE POLICY. THIS IS ONLY A VERifICATION Of INSURANCE, IT DOES NOliN ANY WAY AMEND, EXlEND OR ALTER lHE
COVERAGE PROVIDED BY THE POLICIES LISTED BELOW,
Named
Insured .
Address .
KIYQUMAR NADERZAD, SAIED
150 E, CAMPBELL AVENUE
CAMPBELL, CA. 95008
SARAYDARPOUR, KOOROS NADERa~D
96-90-39A
Agenl
!1!1R7 1~ ??
Policy M . Gen. Liab.
Policy M . Aula Liab.
Policy M, CARGO
This is to certify that policies for the above named insured are in force as follows:
Policy M . Work Camp.
This Interim Certificate As To Evidence of Insurance shall expire sixty days from 12: 01 A M"
11-11 , 19 88, unless cancelled prior to such date by written notice to the named insured,
[] ~ Please issue a Permanent Certificate
COVERAGE COMBINED LIMITS OF LIABILITY
COVERED NOT AUTO
COVERED LIABILITY
0 0 Owned Bodily Injury $ ,000 each person
0 0 Hired $ ,000 each occurrence
0 0 Non-Owned Property Damage $ ,000 each occurrence
0 0 Employer's Non-Ownership
Contingent liability
Single Limit Liability for Coverages checked IX! above $ ,000 each occurrence
GENERAL LIABILITY $
M&C - OLl Bodily Injury ,000 each person . .
{ Own... & Conlmdo.. $ ,000 each occurrence
Q 0 Contractual. $ 000 annual oggregole
Elevators $ , products...
Property Damage ,000 each occurrence
0 0 Products and I or $ 000 annual oggregale
Completed Operations I products. . .
Single Limit Liability for Coverages checked IXI above $ 1,000 ,000 each occurrence
$ 1,000 o annual aggregale
,00 products...
0 0 CARGO $ ,000 each vehicle
$ ,000 each occurrence
0 0 WORKERS' Statutory
COMPENSATION
. Includes Goods or Products Warrant, Written Lease of Premises, Easement A reement, Munici 01 Ordinance
y g p
Agreement, Sidetrack Agreement, Elevator or Escalator Maintenance Agreement only, unless accompanied by
specific endorsement providing additional Contractual Coverage.
O Described
/ below
O DeSCrlpllon
WOI....ed
YEAR, MAKE, TYPE OF BODY, LOAD CAPACITY
IDENTIFICA TlON NUMBER
OWNED
AUTO- ,
MOBilES,
IF \
COVERED ,
PROJECT
454 W. SUNNYOAKS
CAMPBELL CA. 95008
LAST 3
DIGITS
SHOWN
Umbrella liability
$
$
$
,000 retained limit
each occurrence
aggregate
POLICY NUMBER
If this Interim Certificate As To Evidence Of Insurance is to be cancelled prior to the expiration date, we shall
provide 30 days advance notice in writing to whom this certificate is issued,
IT IS HEREBY AGREED THAT THE CITY OF CAMPBELL AND ITS RESPECTIVE OFFICERS,
Certificate issued to: AGENTS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED FROM AND AGAINST ANY
CLAIMS, LOSS LIABILITY COST OR EXPENSE ARISING OUT OF OR IN ANY WAY CONNECTED
WITH THE CONSTRUCTION OF THE PROJECT. THIS COVERAGE SHALL BE PRIMARY AND ANY
COVERAGE CARRIED BY ADDITIONAL INSURED SHALL BE EXCESS L ABILITY ONLY
CITY OF CAMPBELL '~\ I
70 N. FIRST STREET Countersigned Ij/J ''r' I ./
.. Nol Applic~P.~~, CA. 95008
... In Texas the aggregate also applies to owners and contractors protective, contractual and/or completed operations,
Nome
And
Addre..
56'()514 4,87 11261 W/200 C/l200 PRINTED IN USA 0..
,r T~~r~~~~~!~~a
Transamerica Premier Insurance Company
Adrmnlltrallve oUiea: Irvina. Califorma
TRANSAMERICA PREMIER INSURANCE COMPANY
Bond #TPI 780069
ENCROACHMENT PERMIT BOND
(Faithful Performance)
WHEREAS, that we sun~oaks Grove '
as Principal and the TR NSAMERICA PREMIER INSURANCE COMPANY, a Corporation
organized and existing under the laws of the State of California, and
authorized to transact a general surety business in the State of California
as Surety, are held and firmly bound unto City of Campbell
as Obligee, in the just and full sum of Eleven Thousand Five Hundred----
($11,500.00 ), for the payment whereof well and truly to be made, the
said Principal and Surety bind themselves, their heirs, executors,
administrators, successors and assigns, jointly and severally, firmly by
these presents.
THE condition of this obligation is such that if the said Principal shall
comply with the requirements of the City of Campbell
and shall indemnify and
save harmless the above Obligee from any damage brought for or on account
of any damage to real or personal property, occasioned by or arising out
of any failure of the Principal to comply with any of his or its obligations
under any such permit, and shall properly safeguard said work thereon, then
this obligation to be void; otherwise, to be in full force and effect.
This bond is effective from the date hereof and shall cover any act or
omission of the Principal. Unless otherwise stated herein, this bond may
be cancelled upon thirty (30) days written notice received by the
City of Campbe 11
from the Surety, provided the above bounden Principal has not commenced
performance of the work prior to said 30 days.
IN WITNESS WHEREOF, we have hereby set our hand and seals this 8
day of Nnvpmhpr ' 1988.
COMPANY
T I~~~n~~~~!!sDa
N~, 2847
GPA p________._____
Power of Attorney valid only if numbered in red.
Transamerica Premierlnsurance Company
Administrative Office IrVine, CalifornIa
General Power of Attorney
Know All Men by These Presents, That Transamerica Premier Insurance Company, a corporation duly organized and existing under the laws of the
State of California, and having its administrative office in Irvine, Orange County, California, does by these presents make, constitute and
appoint ____~.____ ___ _~__.____ ______~
CHARLES GRISWOLD
of ~~ San JOSL___ and State oLn_..GaluurnJ.a.________ its true
and lawful Attorney(sl-in-Fact. with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver
=-. C6Nf~ACTBONDS'TS.B.A. Guarantee Agreement - MAXIMUM PENALTYJ50(r:QOcf.-QQ_===:~=:~----
OTHER CONTRACT BONDS - MAXIMUM PENALTY 100,000.00
~_~:_BI~]~TH_EB BONDS - MAXIMUM PENALTY $25,000.00
"THIS POWER OF ATTORNEY SHALL TERMINATE AND BE n_~~_____~______~__~___________
OF NO FURTHER-EFFECT AFTER DECEMBER 31, 198911_ _~~-===~=_:~-=~=______
and to bind the Company thereby as fully and to the same extent as if such bonds were signed by the President. sealed with the corporate seal of the
Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney(s)-in-Fact may do in the premises, Said
appointment is made under and by authority of the following resolution adopted by the Board of Directors of the Transamerica Premier Insurance
Company, at a meeting held on the 12th day of June, 1984,
"Be It Resolved, that the President, any Vice-President. any Secretary or any Assistant Secretary shall be and is hereby vested with full power and
authority to appoint anyone or more suitable persons as Attorney(sl-in-Fact to represent and act for and on behalf of the Company subject to the
following provisions:
"Section 1, Attorney-in-Fact. Attorney-in-Fact may be given full power and authority for and in the name of and on behalf of the Company, to execute,
acknowledge and deliver, any and all bonds, recognizances, contracts, agreements of indemnity, consents of surety and other conditional or
obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments
so executed by any such Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and attested by the Corporate
Secretary. "
.
In Witness Whereof, Transamerica Premier Insurance Company has caused these presents to be signed by its
and its corporate seal to be hereto affixed this
County of Orange
} ss.
Pres i dent.._____
16th day of
October , A,D" 19
State of California
On this__, 16th
day of
Joan M. t~ynn
Jack M. Trapp
President
October
_, in the year 1987, before me
, a notary public, personally appeared
, personally known to me to be the person who
, on behalf of the corporation therein named and
executed the within instrument as
acknowl~~ that ~':.'~IJJ(lIiti.on.P'l(P.~te~ it.
1, ~- ~'C'-'~'AL E' I~
t h~j:'.~t'i~~<:". U.-i-,LI S AL
I .". . i :;-;~;",~. rrj I\:.j r.!'! . " . '... NI N .
I i:,I:;'-4...-l':"';."\; ,J\...}.J 1'/1. 'I\.o:! .
," I,.. c"<","',',~,', "~I' l.ln'Cr,''',' fI,.!",' " ,." ;,',"'''''~ I~
".I \~(~ ,:c~~.:"~yf;R; ;.j;~ i:'/\,'.~);:f~ c~I\;~~ 't
L:;:!~~:.~~'.;,SSI'lN ~~.:i~.~;,\,~:,'~:!~;~~"l !}
-~,~~~-..~~~~'~~~~~~
I. the undersigned Secretary of Transamerica Premier Insurance Company hereby certify that the above and foregoing is a full, true and correct copy of
the Original Power of Attorney issued by said Company, and do hereby further certify that the said Power of Attorney is still in force and effect.
(/
~ il~_-_-~___
Notary Public
And I do hereby further certify that the Certification of this Power of Attorney is signed and sealed by facsimile under and by the authority of the
following resolution adopted by the Board of Directors of the Transamerica Premier Insurance Company at a meeting duly called and held on the 12th
of June, 1984, and that said resolution has not been amended or repealed:
"Resolved, that the signature of the Secretary or any Assistant Secretary of this Corporation, and the seal of Corporation, may be affixed or printed by
facsimile to any certificate to a Power of Attorney of this Corporation, and that such printed facsimile signature and seal shall be valid and binding
upon this Corporation."
GIVEN under my hand and the seal of said Company, this
8
November
day of _~_______________._.____
19~_____~~__,
THIS POWER OF ATTORNEY EFFECTIVE ONLY IF
ATTACHED TO BOND No,_IPI 780069
(k/tlc/L
Secretary
30024A
10-85
CITY OF CAMPBELL
FIRE DEPARTMENT
123 SOUTH UNION AVENUE
C AMP BEL L. C A-L I FOR N I A 95008
(408) 866-2189
I
5eotember 2. 1388
San Jose Water Comoany
1221 S. Basccern A.....el''J\,le
San Jose, CA 95128
ATTENTION: JIM BARITEAU
RE: 454 W. SUNNYOAKS
GeY'lt 1 erneY'. :
This letter will serve as a\.\thorizaticeY'1 tCI il",stall Col"le fire hydri!\Y'lt
(4" by 2 1/2" by 2 1/2") at the ICecatioY'ds) listed belclw:
1. West bClul",dry of p'....oDclsed subdivisicIY'1 CrY'. SUl".y,yceaks.
2.
3.
4.
5.
Si Y'lcerel y,
~{?~
LYNN CALDWELL, Battalion Chief
Fire "'arsh a I
/
/ cc: Chuck GClrnez
wp/kp/hyd
-
TENTATIVE SUBDIVISION MAP
CONDITIONS OF APPROVAL
LANDS OF
SITE'ADDRESS:
APN I A 0 " -
CONDLIBR
CODE .
8
@
e
GJ
@
c45
c46
.c47
c48
GJ
{;;;J
e.
re
Installation of a sanitary sewerage system to serve all lots
within the subdivision in conformance with the proposed plans of
the County of Santa Clara Sanitation Distrct No.4. Sanitary
sewerage service to be provided by said District No.4.
.
Installation of a water distribution system to serve all lots
within the subdivision in conformance ~/ith the plans of the San
Jose Water Works. Water service to be provided by said water
company. Fire hydrants and appurtenances shall be provided and
installed at the locations specified by the Fire Chief, Fire
Department, City of Campbell. Fire hydrant maintenance fees shall
be paid to City at the rate of $195 per fire hydrant.
Subdivider shall create or provide any pUblic service easenlent and
any other pUblic utility and/or public service easements as may be
necessary for the installation of any and all pUblic utilities
and/or facilities.
Compliance with the provisions of Title 20, Subdivisions of the
Campbell Municipal Code~
Subdivider to pay Storm Drainage Area Fee.
Subdivider to furnish copy of Preliminary Title Report.
.
.
Subdivider shall install street improvements and post surety to
guaranty the work.
Subdivider shall execute an agreement and post surety to install
street improve~ents in the future and agree to join a Local
Improvement District.
Dedicate additional right-of-way to widen
to feet from centerline.
CC&R's to be approved by City Engineer to insure provisions for
m.Hntenance of buildings and common area.
Provide a grading and drainage plan for the review and approval'of
the City Engineer.
Obtain an excavation permit and pay fees and deposit for all work
in the public right-of-way.
Pay a fee of $
in lieu of dedication of land for parks.
~.Jo/~ ~S"4~
'"
"
~ el(~
~ etLiP
f: CONDLIDR
USERl