ENC2006-00040
Permit Expiration Date
PermitN~NC.ZOO(P ~ OJ)lfo
X-Ref. File
7 ~~~RCatiOnDate j-~/...(l'
Application Expiration Date
APN 2~t6.- \5-o2Lf
CITY OF CAMPBEll
DEPT. OF PUBLIC WORKS
70 North First St.
Campbell, CA 95008
(408)866~2150
Fax (408) 376-0958
ENCROACHMENT PERMIT
(for working within the public
right-of-way). ENTERED f1ll,R 1
Issued
APPLICATION - Application is hereby made for a Public Works Permit in accordance with Campbell Municipal Code, Section 11.04.
12 months if the permit is not issued. Application Fee is non-refundable.)
A. Work address or tract # F- J II 3/ ~ iJ l'/tr'" {)f'.
(Application expires in
~
M ""'WAy
,...
~VVjJhe 1/
A-v!.
Utility trench location
B. Nature of work ILAtIf
"- 111/1 S
fberl'l
-J.o AIACJ
I
fAwj.ui f'
I
C. Attach four (4) copies of an engineered plan showing the location and extent of the work, and four (4) copies of the preliminary Engineer's Estimate of
work. The plans shall show the relation of the proposed work to existing surface and underground improvements. When approved by the City Engineer,
said plan becomes a part of this permit
D. All work shall conform to the City of Campbell Standard Specifications and Details for Public Works Construction; the General Permit Conditions listed on
the reverse side; and the Special Provisions for this permit, listed below. Failure to abide by these conditions and provisions may result in job shutdown
and/or forfeiture of Faithful Performance Sureties and cash deposits. (See General Permit Conditions I and 2.)
E. The Contractor must have this permit and approved plans at the site and must notify the Public Works Department at least two days before starting work.
Notice must be given to Public Works at least 24 hours before restarting any work.
'" N='~ '/l1 ve'DI S U't';O 39' Tclop""'" 'IRP- V9J-7/tr'l
nl'f-r ,. ( 'ntna e) 951
Ad'dress h N. I v:. j/y. ~ 5.:r 24-HOUR EMERGENCY TELEPHONE NO. 6//
E-Mail Addressf;s.......fr € 0" +'-r. CD WI
Is this work being done by the property owners at their own residence?
Yes
r
No
The Applicant/Perrnittee hereby agrees by affixing their signature to this permit to hold the City of
harmless from any claim or demand for damages resulting from the work covered by this permit.
mpbell, its officers, agents and employees free, safe and
Accepted
I;
-;J./-f/ b
Date
SPECIAL PROVISIONS
1. Street shall not be open cut for under
be s ecificall a roved b the Ins ec
_2. Pavement may be cut for underground stalla' s and must be restored in accordance with the Utility Restoration Standard Details Method
"A" Backfill, unless otherwise approved spector.
_3. Work to be staked by a licensed Land Surveyor or Civil Engineer and two (2) copies of the cut sheets sent to the Public Works Department
before starting work.
_4. Per Section 4215 of the Government Code this permit is not valid for excavations until Underground Service Alert (USA) has been notified and
the inquiry identification number has been entered hereon. USA Phone 1-800-227-2600. USA TICKET NO.
_5. Prior to any work, the property owner shall execute an Agreement for Private Improvements in the Public Right-of-Way, which shall be
recorded.
_6.
SEE PUBLIC WORKS FEE SCHEDULE FOR CURRENT FEES
AMOUNT
RECEIPT NO.
PERMIT APPLICATION FEE
PLAN CHECK DEPOSIT
SECURITY FOR FAITHFUL PERFORMANCElLABOR & MATERIALS
CONSTRUCTION CASH DEPOSIT
PLAN CHECK & INSPECTION FEE
$
$
$
$
$
APPROVED FOR ISSUANCE
For City Engineer Date
Permit Ex ires 12 Months After Date of Issuance
~~~~l~~ RECEIVED
MAR .2 3 2005
PUBLIC WORKS
hnft.A.....l""II_ .._~_
at . ~/.)<1'>
~ ~
tJ !""
-'
"5-
<'
;.
'-
v~
ORCH""v..'V
CITY OF CAMPBELL
Public Works Department
April 19, 2006
Theresa Serrano
AT&T
3475 B N. 1st Street, Room 200
San Jose, CA 95134
Re: front of 1431 N. Peter Drive & Midway/Campbell Avenue
Encroachment Permit Application
Replace 2 Poles/Bore and Place Conduit
Encroachment Permit No. ENC2006-00040
Dear Ms. Serrano:
As per your telephone conversation today with our inspector, Syed Wahidi, we are
returning the above permit application to you for revision. Also, please sign the reverse
side of the application before returning it to us. You may call Syed at 408-866-2165 if
you have any questions.
Sincerely,
Joanne M. D' Ambrosia
Office Specialist
Public Works Department
Enclosure
70 North First Street . Camphell, California 95008-1436 . TEL 408-866.2150 . "AX 408.3760958 . TIlIJ 408.866.2790
w
~o::o::
:::i~~,-, jC:<C
ffig:::>~ ;!~ I-
Via::wC;:: CD 0::
ZI-I-W~(J) w
O~l-eJ~....J\!:! ;i,
0..:::> .>i.J......J!::ZW
~(J)80::~;i,t300 '-'
0:: 00 <cf=5 ~
0~5i.J..(J)~i.J..~0:: '-'
ZI-~~6~w(S~ ~h~
i.J..a..-f=:::>Zx <C
~o ffi(S~~w~ow..J
~>-~ViO<Co..I:::>g~o..
~~0::6....JO'::lO~Ni.J..W
(J)O::Wo..WZW:::>'-'1~6
<C:::>I(J)O::<CI-(J)a::r--- I
o W:::> i.J..WN(J)
cd~~O::tJ~~O~S~~
CIJW~~~~W'::J:::>~Cl~
O;!:~~\Ii?(~:::>::J';-:'OO
~ ~~CIJO~~<C6~1-
~~~~~~ClO::O
0..i.J.._
~
W 0
I- "-
<C (")
I"'l 0
0::
o
u...
~
~
U
S
~
~
::E
1-0::
<[0
I"'lIu...
ZI-a::
<[ W
I- a.. _
I-ZO>-
~ ~~I-d
E-< I- 0:: W i.J..
o O:::::>::E <[
o .....(,1)
Z 0..01-
::E(,I) ::.::
..... Wo::
>-< 0(,1)::'::0
"-' (,I)..... <[ :3
~ WI-
~ (,I)UI-O::
(:I;.. ..........0:::>
< p::t>ZO
rn 00:: Z
V~ , W <[
(,I)U
OOW
ZZ:3
8b
Wz
01-
ZZ(J)
-<CW
\Ii 0:: 0:: .
-<C:::>I-
X:::>I-(J)
W'-'UX
i.J..1- ~W
OOl-r
IZ(J)~
I-WW
a.. a:: Uz
W<C<C~
O(J)~O
~W:::>I
O::(J)(J)
Z:::>CIJ
Q0~
~:::>
00::0::
Ol-W
....J(J)I
CD I-
:::>0
(J)
~
~
X
o
0::
a..
~
~ ti
~ ~
~ ~
~ Z
g ~
~ ~
~ ~
~'-
/
/~m. __ ___
\ ""...
\; / i
I
o
W
u~"<t
rOr---
P:\n:::"<t
Zn:::r---n:::
~Ol<!:
->P:\(Y)I-
<!: CJ'I(/)
n:::o..."<t:r:
Po--< I-
..J - n:::
P:\o--<..JO
O:r:WZ
Jo...l-
00
~
ts
~
~
~
~
~
~
~
Q
~
u
~
(/)
w
b
z
z
o
t)
::::>
0::
t;
Z
o
o
(J)
W
..J
o ~ 0 ,/
o Z w 0:: >-~
c.D 0 N 0 0 000
N1 I- ~ I- 3: I-fo3:
is'F= 0 0
~ Z:J::) W Z .~o::O
N O<{O ~ w O~
I O~Z.....J h:Ojl.J...m
o o::O<{ W ~~c;::Z~
g WUi(J) 0:: (J)6::':::Q
I t= w ......01-0::
WO- Z O....<{-W
~.~ mz~ Q I- Zm ~o...
00::(J) <{- I:;{ 0::-00
~<{ZO::0::5Z000(J)ZO~
:r:~QOW 0C;::~a:0::<{ 0
o (J) 0::--0::).
z 050t::wl:;{~0o... 00-~3:
~ZOg::)~Oo...:5(J):r:~ I.J...
1-<(0::000S(J)lL.0:: ~ 0
00... m ::)N.....J&
Ow (J)0::0~000r---o...<{(J)
1-1-t::<{::)ZO::ZZIa 0::
0::()~OOUi~<{<{CO~~~3
o 0 W I- 0:: (J)O (J)..J "<t C) I
a:..Jo... W ..JWO -Z<{
0... (J)OO::..JOO::I-(/)OWo::
~~t3z0<(8'Z~c)F=~W
(J)o::-<{::)Z OWZZ t
O::::)OI.J... wI:;{.....JO.....JvW~<{
::)1- O::.....JI .....J - .....t::o::
OO::J::)W3:W<{(J)~O::<{OO .
I ::) <{ (J) Z 0 Z <a.. 3: Z (J)
0:: Z -I0 I- <{O
~tnI::J~~Cj~Ui~0S2~0~
t::<( F=O:> OZO::<{ 0
<{..J3: 0::::) S2 rl-I-~z
u)..J WO<{C:JlL.r (J)zo::<{
. <( >- 0:: 0 W 0... lL. ~ I- <( ::) I-
::) .....J0:r: lL.~<{I-(J)~~O(J)
Wo...l- W<{ 0::00
.....J>~(J)(J)(J)(J)OI-ZCLCL
.....J<{OW~::) 0 .
<{ I 0 0:: . ,..... ex) Ol
o ., c.D ,_
Nr0.,j-lf)
~
z
z......
o .
~~
::;)"
~~
~~
(/) () 0
W 0::: I.LI
~ 0 I.LI
au...(/)
z......
f".
-q-
-q-
~
#
~
(Y)
-q-
..-I
#
<.Ll\;lHdS\;I)
l/J
~o
~]l]d
(Y)
CX)
#
I
I
I
I
I
I
I
!
I
i
I
I
I
I
I
I
i
I
I
I
I
I
~
u
.....
"3
V)
u
ts
u
::j)
-T
ct
;',Vl'A]/\iuG
0:::
O~)
~J
0:::
W
I-
W
D-
,,--_on
/'00
t-
-l
<[
I
a...
V)
:)
z
'i
a... '<l'
i ;a: 0
0 If'l
If u a...
r',,-, \D
(}- /' .. ~--- (': j i", "I
"
I
LJ el!
L.ei ~:-.,-. t-
V)
c.') z u...
0 0
u u
u
oc oc u... HI
<[ 0 1_ <[ 0 ,",
t- U
" I OC OC W
V) 0 U l:J l:J a... l:J
z W X Z Z >- 3
0 l:J W W W t- O
U
I I
\ \
I "3 .
! (/1
~
Z
:;::J
o
~~
~8E-<
~>~
~~~
:5li5~
-0
W C>
t- "
<[ (")
0 C>
W Z
::) 0
V) W ~
!j W
Z .J
:J 0 W W .J
W W I -l .J i=
~ .J W ~ 0 0 0 z
0 a... :; z I I W W
W I 0:: 0 >
z <[ z z '-... z
-+-' w .J <[ W I <[ <[ ClC :J
CU z ~ ~ ClC 0:: Z .J I ~ W W
:J w w w :J <[ .J .J CD ~
Z Z ?; ~ z w z w W .J t- t- O ClC
w t:) 0 I Z a... w 0::
))))) W <( <( (/) (/) :J ~ w t:) t:) <[ ClC <[ Z ::l W
a... 0:: ClC w a... i7i ~ ~ t- t:) ClC -l :J u a..
0:: 0 0 r r w ~ :; 0:: z :J 0 .J 0
a.. 0 w u...
0:: ClC :; U 0 0 r 0:: 0 0::
~ ~ ~ ~ ~ 0:: 0:: ClC G: > > U W I CD w a...
0:: 0:: ClC W W u.. I W W U t- W
0 0 0 Z Z ~ ~ '< '< <[ ?; ~ 0:: Z U .J
t- t- t- <[ <[ 0:: g S2 t- o:: <[ w ~ '-...
(/) (/) (/) (/) (/) t:) ?; ?; t- I t:) (/) G: a... u a...
..
~ c; [ill CrJ) jJj @ C) @ B 3: [@ @] @ 0 ~ ~ 0
01 i; (/) ()
Z u-
~
t!l
~
"
~i:3
o
.....
'VI
..", ~ A ~
" '?; IIX
"" ~ ca""'~U
"" 12 ~~~(\J"'"
", LJ ~
-9/d' ',- - ~.--~--~--~'-- I~I. ~ ~
'..". '. ".'.' ...o! U X
(.l!l .: ' MiCZ~
/l=...i, ~('I)~.....
'''e,,>) . I ! ..J ...J ..J
I L.J 0.. 0.. 0..
I I
',CJ Cl
fi~ E
I
I
I
I
~1
--- 'i,
I e ,-
f-_L,
I JJ '
'-- -- T"" _.J
I
\
I
\
I
\
I
1
I
I
\
I
\
I
I
I
1
I
I
\
I
~.
~
U
.....
,..
N
o
o
.....
~A ~
C) eJ .....(\JI ~ ~
,3 I-v(\J
cl I I.LI ~
'D I 0.. ? Q! c:J
1% Z J, ~ r::I
I'"" .......1 Ux
loZ~
(),\M~.....
~
i ...J..J..J
JQ!o..o..o..
L,i
(J'\
~
#
,-.'
Z
o
u
C)
(Y)
-q-
..-I
:#:
j., VtFJ AI d CJ
<ll\;lHdS\;I)
11'.,
-
l/J l.L.~-
1J
~]l]d
!"IS JNOJ ,9
Joa
(Y)
f'-.
#
~
~ ~
Z I
0: ~
o .!.,
~
J
<t
U
;a:
t-oc
0<[[:
zIoc
<[t-w
t-a...
~~, ~zo~
r:: <[ W t- -l
l:'""" t-l:J W
O ococwu...
Z 0:::J;a:<[
~~~V)
.............. w~
....... 0 V):><: 0::
E-t V)......<[o
~ wt-3
~ ~u~oc
~ t-l r- :J
-. P'l>oo
1JJ. 0 oc Z
)~~
o U
zOw
z3
wt-
!:;a...
VlC>
C>
~(J\
ocl
DC)
3~
I
w(\J
I(\J
t--.D
t-a...
UVl
WP'l
t-
DOC
ocw
a... a...
o
C'J
~-<
o
OJ
':.:;."
U')
(.)
~:r
(:J
oJ)
W 0
I- '-
<t (")
l=l 0
W
:::>
C/l
~
~
.f-J
CO
l))))
""
~ ~
o C)LLJ
z....~w
c(/)
Z .
o OW""
FZw~.
(,) C) (/) I.&J .
~ZClClO
Ui~zC)z
z~~~C)
8C1~Q~
a:::~a:::~~
f2(/)f2~C1
Cf)
W
i-
o
Z....
t'i..-;
In
c:)
c-:;
C)
u...
..q-
...-4
:#:
~ 1-' /'
0....... >..
P=lo... <t
)t
~
..J
<t
)t
,\vM3Mci(j
~lS
~ i =tfJ
-f'r
i
dJ
........
q...
I
~
Z
~
o
€]~
~UE--t
~>~
~~~
5ffl~
~
. ~
~ I
~ ~
o .!,
~
...I
~
U
~
I-Ck:
l=l<t~
ZICk:
<tl-w WI-
1-0... t:o...
~zo~ C/lO
~ 0
<tWI-....1 ~(J\
Eo-< I-L:l W
Ck:Ck:Wu... Ck:1
0 O:::>~<t Do
Z 0...0-C/l )t~
~C/ll-~ I
WCU
>-< 0C/l~Ck: ICU
Eo-< C/l-<t0 l-oJ)
~ WI-)t 1-0...
~ ~UI-Ck: UC/l
- :::> WP=l
< P=l>00 I-
00 OCk:Z 0Ck:
JW~ Ck:W
C/lU 0...0...
~OW
Z)t
C/l,
....CU
I....
I-
L:l
....Z
l=lg
l=ll-
ZU
<tW
IC/l
~ ~-'
U :::>CU
I-<t 0....0
UP=l I)-I-
WI- ....I
d<t u...WI-
Ck:, Ol-Z
o...~ ~~~:Z
U_WO
-1 u...1- <t:X>-
\D Do... P=l~<l:t:
'<t ZW Wo...o...l=l
,,9~ Io...wB
(.I) I-W 1-<tCk:U
W U"" 0
I-W, I-II-Ck:
C/l0 <t C/lW
D" LnWI-
Z W CU 15 C; Ck: I-
Ck: 'ZO W
Zf::~:!;WOcllP=l
D Zw Ck:WI-Ck:
....... WI-#I-....I-0
I- <t O::::l
U !J:!~~80"'~....1
::J I-X::::ll=lOO~
lY OOl=lI-U_
I- W Ck: I L:l
(.I)Ck:o... ~"<t.J""
Z Oo...u...I....o...Ck:
DP=l<t:O,#,O
U ...... CU (")
(J'I
'"
(\J
...-4
:#:
~-T---
\
I
(ll\;lHdS\;I)
'"
(Y)
(\J
...-4
:#:
A VM.3/\k:: CI
3:H]
r\s
.....
\
I
I
(
""w
Ck:1-
0....
P=lo...
~~JUU[J;Y\
...-4
l.()
(\J
...-4
:#:
----. ---=j 1 d--"--
f
!
""J
:;:
0... ~::l "<t
f', ~ (":'~J 0
0 4 If)
C) u 0' 0...
oo,j" .,r C~)
" f", ,0 "'..".
CJ r',.." ,> '1\
~. ,.------ , Q
I c.)
CU -', (/)
C) ~Z C) I- ,.J t{)
L.J C/) '~> C/l ,
V) Z ....1 u...
0 ld 0
u ~::4 0
u u Z
Ck: I)(: u... u.. ,,\
<t <t 0 "''i.... l- ..
0 I
u " . C/l
I- "- I I)(: I)(: W () W L:l
C/l 0 U L:l L:l 0... "- )t
Z W X Z Z >- 0
0 L:l W W W l- I)(: l=l
U
IS
^'v'MOI~
l/3-
@S
"AM
~~,
~'...p
(Z~
3Z
I
c~
S
~
l.()
(\J
...-4
:#:
\\;i/'\)n\;J/'\ JNOJ .v
....=l:!d .......-..
IV
-........
C)
"""'
\ I ~
~:')\ 'v' MOl ~ iN"
~"""o... 1 i i i
.... Iii J....
=11 -3- ---y-
I: ~ .....
.....)<...[6.. . r > >
~I ~~
.....1
1
________A_________A_____ J-r-~--------
I
I
j
f
-t
r
I
I
I
I
I
I
I
~
I
I
I
.~ (,0:
T ','
I i (ll\;lHdS\;I)
L MI.. ____tii:\ _________ tii:\._
--------/ .,,-,- tCY '0'
'-....i
lA)
~
(Y)
(\J
...-4
:#:
r.
'-'
..0 '<t r-
w 0 ~ If) >-<
I-- "- ...... L
<[ M ~ i" ~
c:l 0 ...... I ~ 0
r--- CL M C) W If)
I ~ <[ CJ'> CL
D (J\ 0--
C) U '<t CJ'> (Y)
w '<t ..q- C) \0
::J >-
Vl r--- \0 ..-< ...J:3 r--.
Vl ...... C\J r--. I W~ f- (\j
...... >-<
I (/.) I--(/.) U (Y)
'**' (\J ) [()
0
~ Z Z D > I-- "<t
~ z Vl..-J
(./) <[ Z..-J
+J w ~ 8w u..
CO C/l ~ D D
U W u u..P=l Z
~ CIl ~
))))) OL <[ D <[ DO-- I-- ..q-
W u ...: WL Vl
(L I- "- I ~ ~ W
C/) D U L:J L:J CL<[ " L:J
:J Z w X Z Z >-U D :;J
C/l D L:J W W W I- ~ c:l
U
,,<.~-
f--
2:'
L,J
1,/)
"'-...,. <r
<f ~~
I
~ !
~y~ ~~;; ................... .... .. ... . ....,
~ 1
t---'.-'1 !
~-~l:' I
"~~ zl. ~
;k0K~ z I <;~
:. ~~, I~ ~l~
IV>>/~ .I~I / : '/
" ~~<<<:<<~~v:'0 /~ ~1(~ :~'
. ~>/1~~~~'~, >t<~1
~~~,,,~,"~'''~'''~'''~'~10\7~~~-1-
'" L ""l;7 I I I ~ '
q "i "q q" 'j I~L
, ~: k<<~/ ~j<" \ /J /(0~):-
, / ^~ \ I
v" \:' \ \ I
,V0 \\ \1 :
"~" I I
. V // I I
.' ~ I (1
,,~/ II [) ...,.1
, ~"'" 1 LLI ....J
V \ ,....., L,
I ~~. :;~ /",
I
I (L tJ f.-1.".j~l. 2:
;l.:l :?~: " .~
\. ~,~ ~"1
C:J - r:i?
<L
c
o
-
-p
U
ClJ
V)
lJi
lJi
o
~
u
LLI
:2~
Ld ,_.... /:...
,..1
<1"'''. ". ,
'" "--}
I:L
I""
\,;
CJ
~:::,'-
U
D<
-C
U
C
ClJ
~
f--
---.J
"n__j L~...J ::~',:,
() 1--..'
--- ::[ :;':.:~
~);E~
./
r~_] t==l
(1< '..--1
D.. I......
u.
<..1: <L
(L.
Q.::.. :?~
C:J
d
U
--
Q
~
f--
. r=~
Lt.J
'-., q
:;l'-""
I~~ ~ :~~
'---.l-.. !---~~
....J
(.-.-.~) <I
Z ~':J ~"<
J
C_!
<f C3 IF)
(/) LjJ