91-114
i.....
". " .
. n .,
.
"!--<e
~t:a
- ~ ~ !l
~i~;
:; - ~
~ .. -
Z?~:
~ . i ~
.. ,.. ~ .
.. - a
g ., II>
~ ~
:::ja..,
~ ., ~ I
". ~".
. ~ n "
!'i=i
. >>
..-..
,. ".
. ., -
!> ". .
""cl
r ~ .
e .... -
rr:
! . .
. i ~
a ! ..
. <
., ~ .
1...=
-Q.
". ..
. - ..
i 3. ~
..1
CITY OF CAIIPUI.L
DZP'l'. OF PUBLIC M01UtS
70 N~ F~ St.
c....,bell, CA '5001
(401) 1&"'2150
9/ -//4-
~CROA~ PERMY'r
(ter work1nq in I;h~
public ritbt-01--V&V) X-R.f. fU.
X__eel ~1:f1'~ / Appl1cat:1on Dat. .;2/7/;//
Pe!:'llit exp in 12 _. Application expu.. in , _a.
APPL%CA'1'%ON - Application 18 bereby ..de ter a Public Worb PenlJ.t in accordance with C&JIpbell
lIWlicipal COde, Section 11.04. (Application expiru in , mnttw if' pem1t not pulled)
PeaU.t No.
A. Work addrua or tract . 1371 PeIH!V avenue. Camnbell. CA
utiliqr tnncb location S. D. 1141G20455
B. ..tura of works Install utilities as indicated on the attached sketch.
c. Attacb fiv. (5) copi_ of a cSrawin9 abovin9 tb. location, extant and dia.naiona of tb. work
'!'b. cSrawinCJ aball Ibov tbe nlation of th. prapoaed work to exbtinCJ .urtace and und.r'lJJ:'OUftd
iaprav.-nta. WIlan approved by th. City En9ineer, .aid drawinCJ beccme. a part ot tbb perlIit.
D. '!'be General COnditiona tor all permita an lbtad on tbe ravene .ide. Special Prov1aiona fer
tbie permit an li.teel belovo ..ailure to abide by th... conditiona and prov1aiona _y n.ult
in job Ibut-down and/or torteiture ot Faitbtul Pertenaance Banda and caab depolita. (8_
General Conc1itiona 1 and 2).
B. An application t_ auat accoapany tbJ.. application. '!'bi. 1a non-ntundaJ)le.
Rue of Applicant Pacific Gas and Electric '1'e1epbones 725-2042
Add~a 10900 North Blaney Ave., Cupertino, CA 95014
Ie tbJ.. work beinCJ done by th. property owner at their own ~idenc:e? -...:t- _no
COJIplete and attacb Worar.' coapen.aation and COntractor Intonl&tion tOZ1ll.
'!'be Applicant/PerII1t~ bereby aCJA88 by affixin9 tbeir aiCJft&ture to tbb -per1l1t to hold tbe City
of
CluIpbell, it:. oftican, a9anta and .-ploy... f~, .ate and baral... t;all any claia or IS.-nd tor
daJlaCJ- n.u1tinv troa the work CGYered by tbi. per1l1t.
and
A
2-4-91
L S. BLODGETT
Dat.
NO'1'ZSs ALL MUlOt SBAl.L CONFOlUI W1'1'B TIlE ATTACHED, APPIIOVZD PLUlS AlII) ALL APPLICABLE CAKPBZLL
STANDARD DRAWINGS AND COHDI'non.
TIlE COHTJW:'rOIl MUST RAVE 'l'II1S PDIIIT AND APPIWVED PLUI8 AND IIUST JIII:'l' 1Il'1'B 'f'IIB P... DlSPBC'rOlt OR
'1'BB SITE H LEAI'l' '1'110 laYS DI'OD STAR!rIIIG IIIDU. R ICE I V E D
NOTICE MUST D QIVD 'l'O PUBLIC WORD H LEU'1' 24 BOURB DJ'OD ICZ8'1'AIlTDG AllY 1IORIt. F E
. U ()'( U31
SP!:CYAL PROVISrONII
_1. street aball not be open ~ for undez'91'OUDd inatallationa. llinillua cJwbify"tirH~eering
tor connac:tiona or exploration bol_. SUCb cute _.t be _.,.cifieallv aaarcvad bv ~.
InmaC!tDr .
.-- 2. pavaaant _y be cat for undarqrcund inata11a~iona &lid ~ be ~rwS ill accordanca with
tbe Utility 'l'nncb -..tention Standard DravintJ.
_3. WOrk to be atak8cl by . lican.ed Land surveyor or civil BnlJineer and Wo (2) copi_ of tba
cut aba.te .ent to the Public WorJe Daptartaant bet\)n .tartinCJ' work.
_4. '!'b. boura of work an Ua1ted to outailSe tbe boura ot 7-' .... &Dd 3-. p... for any work
affe~ ~ traffic lane. .
-=::::::.-5. A. .dfA/~J~,1\/ rJ..JD &JA'4' ~h~nf,'AJ 8' \/eN,L~A- 77'24-;;/~ ,4r A~~ nmE#},
, , ,
.8. 9~% ~~"'~77"h" /UQlh~ :IV 7}./€ A!.,,~ C)/" t../7
'.-1 ,
S'l'ANDARD
U~YPl' 110.
AMmJ1ft'
PZIUII'l' APPLICATIOH PD ($50.00)
pu.If CBBCIt DBPOSl'1'
lORD POll FAI'1'BFDL PDI'ORMAlfCE
CA8B DBPOSl'1' (t200.00)
pu.If CBBCIt , DlSPECTIOR PD
$100,000 - $500,000 ,t, $50
APPROVZD POll ISSUANCE
$100.00
$500.00
(100' OF IKG. 1ST.)
(4' OF BOND, $500 MIX)
$ /00 -00
$
.
$
.
Q
-
/00 On
~
~~/
(SEZ ODI!R SIJZ)
f\PPR()VED FOR CONSTRUCTION.
City of Campbell
Public Works Permit No.- e1l-1!"1
Contractor must have these plans
on the job site during construction,
,,-
("",1 iY
6F-
LAMPuE.lL
FLn..MII
SI<E.icH
.
l!J
q'
ItJ,yr^LL 108' OF
So tR \J I c..l \,II T I~ j /4. "
Irz(rJc..~ \5 PAn.,v<
F- L lL"\ r.. I '- ~ ~ l ' , "
) - "'
f'6t.E. n DO ,..
_ LL \,J O/l.k. INC.LUDloJ(J
,R..ULH N.:J1t,. -
<"(.,t,(,,,I:.,(, i!.L-CD
A r [) c..A I
,--''' v -TV ANa ,,,,J'''LL A
I "..."3 0 " 13 0
_ .x ~Il EL~<""("'R., C
I~L-c....o ^~D ,-A-IV ov.c..T5 -13'r'
T~L-c.." A"a LA -TJ_
'I "
2. p,-"nIC
N, c.., ~, Jf:r.. .
..J O,"'T w,TI"/
" f' () ;:. ,'" . T 1/ .
'-L./
2';)
'{"
(2,"1
.., - 4-5 '
--
...."."
trc--'
~~IV
! l-V.<! Y
~ ct~ 51 ~
of A,C _ PAv
""ITK n:/"IP
./ ......OT PATll{'
~ HnH"T ro
BE. r~f.PAVf..1)
It-.! FJ:.o/JT
OF- 1'('.0 ~t.(:r _
t 1371
3=4=s~ ';-w
VI __ I 1.' Co
I.D -. 3.0'
,
If)
~
,
Cl.J
)...
I.:J
\:)
I.J
Q
~6 20455
MAP 3414 -At.
$T E.I "-IlJ A Y
AVE..