1689 Walters Ave. (97-11)
TO BE f:;;:cd~;::;m \i!"c;;OUT r-:,:
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SECT(Ci~'~ tll r;3 C.;.().vEr(>,.:f{i:~~'S-~' '''O;")E
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DOCUMENT:
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13911773
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1O:11013911773!Oi
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)
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) BRENDA DAVIS
) SANTA CLARA COUNTY RECORDER
) Recorded at the request of
) Ci ty
, .
.
Recording Requested by
CITY OF CAMPBELL
When Recorded Mail To
Tit I es: I / Pages'
Fees . No Fees
Taxes
Copies
AMT PAID
City Clerk
City of Campbell
70 North First Street
Campbell, CA 95008
ROE i:t 002
10/28/1997
-12 : 20 PM
(Space Above ThiS" Line For Recorder's Use)
GRANT OF PUBLIC SERVICE EASEMENT
FOR V ALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
:BE-//WdZ Bff//,eL:;~/Z (-'TN
PUV/.? .e.HA-#6/1cJ~/2":ALJeff
hereby GRANT(s) to the City of Campbell, a municipal corporation, of the County of Santa Clara, State of California,
an easement for public services, all of that certain real property within said City and more particularly described as
follows:
Legal description entitled Exhibit "AW i~ attached
and made a part hereof.
~~at .entitled Exhibit "B" is atta9h~d an<~ ffii;ide a
part hereof.
Said property contains
acres, more or less, and is generally shown on the attached Plat Map.
STATE OF CALIFORNIA
COUNTY OF :5AN'l;.J {; U-JR If
On (}C7 or(:/{ q, / 5' 'J 7 before me,
the undersigned, a Notary Public in and for said
State, personally appeared BEHROUz. t: /<DUZIAtJ
/14 till- EUAM9't1oL1 -. ly known
to me (or proved to me on the basis of satisfactory
evidence) to be the person(s) whose narne(s) is/are
subscribed to the within instrument and acknowledged
to me that he/she/they executed the same in hislherl
their authorized capacity(es), and that by hislherl
their signature(s) on the instrument the person(s), or
the entity upon behalf of which the person(s) acted,
executed the instrument.
WITNESS mY~? o. ..~
Signature ~~0-(
Name tYi4RLZ7f/e- H, // ()
(typed or printed)
j: \fonns\pubsrves(7/97)
DATED It::.'/~/ 47
c:;::s~-
SIGNATURE .
?SE//L'h/Z ~~~/::? / ///\(
?!zoo:r Primed.d , PI!
SIG~
P If I~ V I Z EJ11 A Y'Yl G-/IGH Z!f P
Typed or Printed
. CHARLENE H. HO
Commision '1131207
:3 . Notary Pubiic. California g
I . .Santa Clifa County ..~.
. My Comm. Expires Mar. 24,2001. .
...............................1
This area for official notarial seal.
.,
EXHIBIT "A"
LEGAL DESCRIPTION
All that certain real property situate in the City of Campbell, County of Santa Clara, State
of California described as follows:
Beginning at a point that is distant N 15053'00" W 823,50 feet along the center line of
Harriet Avenue and N 76040'00" E 90,00 teet along the center line of the right of way
hereinafter mentioned from the point of intersection of the center line of Harriet A venue
with the northerly line of Pollard Road; thence leaving said center line N 15053'00" W
20.02 feet to the TRUE POINT OF BEGINNING; thence parallel with and distant 20.00
from said center line N 76040'00" E 70.00 feet; thence N 15053'00" W 10.01 feet; thence
parallel with and distant 30.00 from said center line S 76040'00" W 70,00 feet; thence
S 15053'00" E 10.01 feet to the TRUE POINT OF BEGINNING.
Said parcel ofland containing 700 square feet or 0,0161 acres, more or less.
Prepared by:
Marvin D, Kirkeby
R.C,E, No. 14001
Expires 3/31/01
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KIRKEBY ENGINEERING"
2397 FOREST AVENUE
SAN JOSE. CA 95128 (408) 984-033.1,
"E)(f/ / BIT B"
. PLAT TO ACCOMPANY DESCRIPTION SC'AlE: /"= 20'
DATE: OCr.'/997
.,lOB NO.
ACCEPTED ON TH!S J.Y.d day of ~JI?97
for and on behalf of the City ef Campbell,
a Municipal Corporation, of the State of
California, pursu:::mt to Re~olution No. 749,
recorded in Book 4509 - B g 180 San Clara
County Records,
Anne Bybee, City Clerk
City of Campbell, Cal,ifornia
':\ , Recording Requested by S::-g) ;~::~ ::~;,:;~~:;t~:) ",'" ",-'
'CiTY OF CAMPBELL'~' .;: :::':-:::T:;~'-" DOCUMENT:
)
)
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When Recorded Mail To
City Clerk
City of Campbell
70 North First Street
Campbell, CA 95008
1391177't
Tit I es: I 1 Pages:
4
11111'"' 1'1I111111/,1111
'"'13013911774,",
Fees * No Fees
Taxes
Copies,
AMT PAID
BRENDA DAVIS
SANTA CLARA COUNTY RECORDER
Recorded at the request of
Ci ty
RDE ** 002
10/28/1997
12:20 PM
(Space Above This Line For Recorder's Use)
GRANT DEED FOR PUBLIC STREET P{JRPOSES
FOR VALUABLE .CONSIDERA TIO~ receipt of which is hereby acknowledged,
geH~~/Z 8e#...e~.//z//7/V
P/ft€.VIZ EH;4/7G;/~L/Zr4P.e#-
hereby GRANT(s) to the City of CampbeU, a municipal corporation, of the County of Santa Clara, Stare of
California, for publicstreet'''aJ:1d related purposes, all of that certain real property within said City and more
particularly'described as follows:
Legal description entitled Exhibit "A" is attached
and made a part hereof.
Plat entitled Exhibit "8" is attached and made a
part hereof.
Said property contains
STATE OF CAUFORNIA
COUNTY OF <S44-7A
acres, more or less, and is generally shown on the attached Plat Map.
E~~~-
SIGNATURE
CL/-fi?/t
~~~/2'" ~-#~//Z/A-/~
On O:ropB< 1. 11? 7 befnre me, Printed ~
the undersigned, a Notary Public in and, for said 9 ,. ... ' ", . . , '
State, perso. ...uy appeued f,*'ROUl. BEH fioUZ.J/j~ / _~~ ' .~
PIJI<V/Z El-fAMtrlfoL/-zA Z7:::t(personaIly known SIGNATURE
to me (or proved to me on the basis of satisfactory
evidence) to be the person(s) whose name(s) is/are E.a ~ V,Z- E VYlA W\C;-JjOLt~ DE H-
subscribed to the within instrument and acknowledged Printed
to me that he/she/theyexecuted the same in hislherl
their authorized capacity(ies), and that by hislherl
their signamre(s) oothe instrument the person(s), or
the entity upon behalf of which the person(s) acted,
executed the insaumenL
~s my ~~~ sru. ?4
Slgnamre ~a'
Name C(/AIfLl?r'E /I, I/o
(typed or printed)
1...........................rI
it) CHARLENE H. HO
'. Commision 11131207 co
3 ' ' Notary Public. California Q
Santa Clara County :IE
f . MYCOmm.ExPirtsMar.24,200t.i
j:\forms\granrpsp
This area for official notarial seal.
EXHIBIT "A"
LEGAL DESCRIPTION
All that certain real property situate in the City of Campbell, County of Santa Clara, State
of California described as follows:
Beginning at a point that is distant N 15053 '00" W 823.50 feet along the center line of
Harriet Avenue and N 76040'00" E 90.00 feet along the center line of the right of way
hereinafter mentioned from the point of intersection of the center line of Harriet A venue
with the northerly line of Pollard Road; thence along the center line of said right of way
N 76040'00" E 70.00 feet; thence leaving said center line N 15053 '00" W 20.02 feet;
thence parallel with and distant 20.00 feet from said center line S 76040'00" W 70.00
feet; thence S 15053'00" E 20,02 feet to the POINT OF BEGINNING.
Said parcel of land containing 1,400 square feet or 0.321 acres, more or less.
Prepared by:
Marvin D, Kirkeby
R.C.E. No, 14001
Expires 3/31/01
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"EXHIBIT 8"
PLAT TO ACCOMPANY DESCRIPTION SCALE: /"s 20'
DATE: OCr. /997
J<;>B NO.
KIRKEBY ENGINEERING
2397 FOREST AVENUE
SAN JOSE,CA 95128 (408) 984-0331
~tCEP1ED ON lH\S~day of{)f'/'u,/tj?l
for and on behall 01 the City 01 Campbell.
a Municipa\ Corporation, of the State of
CaHtornia, pursu;~nt to Res0\utioll No, 749,
recorded in BooK 4509 - Pa 0 Santa Clara
County Records.
Anne Bybee, City Clerk
City of Campbe\\, Cal,ifornia
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CITY OF CAMPBELL
Public Works Department
September 17, 1997
Behrouz Behrouzian
481 Northlake Drive
San Jose, CA 95117
Re: S 97-11 - 1689 Walters Avenue
Dear Mr. Behrouzian:
Enclosed is a copy of the Certificate of Compliance released to your title company for
recordation.
Before the Public Works Department can give clearance for issuance of building permits please
provide the following:
3. Dedication of a 20' of right-of-way for public street purposes and a 10' public
service easement. Enclosed are forms for granting the right-of-way and
easement. They must be completed by your civil engineer or surveyor.
"/4. Payment of the storm drain area fee of $233.
Y'9. Completed site plan for approval by the City Engineer.
Please give me a call if I can be of assistance regarding this matter.
cc: Building Department
File: 1689 Walters Avenue
h: \wordllanddev/1689walt(np)
70 North First Street. Campbell, California 95008.1423 . TEL 408.866.2150 . FAX 408.376.0958 . TOO 408.866.2790
FILE NO. CC 97-01
RECORDING REQUESTED BY AND
WHEN RECORDED, MAIL TO:
COMMUNITY DEVELOPMENT DEPARTMENT
CITY OF CALVIPBELL
70 N. FIRST STREET
CAlVIPBELL, CA 95008
(SPACE ABOVE THIS LINE FOR RECORDER'S USE)
CERTIFICATE OF COMPLIAJ.~CE
Lands of:
BEHROUZ BEHROUZIAN
Notice is hereby given pursuant to Section 66499.35 of the Government Code of the State of
California that the real property described in "Exhibit A" attached hereto and made a part hereof,
complies with the provisions of Division 2 of Title 7 of said Government Code, cited as the
Subdivision Map Act, and all local ordinance enacted pursuant thereto.
Further, that as a result of this Certificate of Compliance, the sale, lease or financing of any
separate parcel as described herein shall not constitute a violation of said Division 2 of Title 7 or
local ordinances.
CERTIFICATE OF COrvIPLIAL"TCE NO,
CC-97-1
Date:qjtrjn
Date: fJvj' r2CJ, / ~~ 7
velopment
Michelle Quinney
City Engineer
By rtkt/uft'L- cCUI/JI",u;l-
CITY OF CALVIPBELL
This document is for the benefit of the City of Campbell.
Request for recordation without fee is made in accordance
with Section 6103 of the Government Code of the State of
California.
Attest, Steve Piasecki
Director of Community Development
By
J:FORMS\CERTCOM2(WORD)(rev 3/97)
Page 1 of3
EXHIBIT A
The following described Real Property in the State of California, County of Santa Clara:
Beginning at a point that is distant N,15053 'W 823.5 feet along the center line of Harriet
Avenue and N,760 40'E. 90' feet along the center line of the right of way hereinafter
mentioned from the point of intersection of the center line of Harriet Avenue with the
Northerly line of Pollard Road; running thence N,760 40'E. 70 feet; running thence N,150
53'W.92.65 feet; thence S.76040'W.70 feet; thence S.15053' E.92.65 feet to the point of
beginning and being a portion of Lot "D" of Partition of Lot 3 of the Parr Partition in the
Rancho Rinconada de Los Gatos.
Together with a right of way for ingress and egress in common with the public over a 40 foot
strip of land to be known as Walters Avenue, beginning at a point in the center line of Harriet
Avenue, distant thereon N .150 53'W, 823.50 feet from the point of intersection of said center
line of Harriet Avenue with the Northerly line of Pollard Road; running thence N. 76040'E.
764.54 feet and as said Walters Avenue was deeded to the County of Santa Clara, by Deed
from John A. Black, et al in Book 1683 of Official Records, page 315, records of said County.
H:\ word\landdev\cc97-0 1 (mp)
'UBUC WORKS DEPARTMENT RECEIPT
Effective July I, 1996
TO: City CIeri; PUBLIC WORKS FILE NO,
PROPERTY ADDRESS \.~~ \.K1'')'....\ .I~~=~
Plcuc collect &: receipt for the foUowinl maaics: l\ (I _
-=s,;".,... 9~-=, t I
ACCT, I ITEM AMOUNT
43S,S3H921 Project Revenue (~ify nroject) S
ENCROACHMENT PERMIT
4722 Application Fcc
Non-Utility Encroachment Permit (S22S)
R-I Fi... PenDi.(No Fee). Sub.....n. PenDitlYr (SIOO)
Utility Enc;r1lll<hmeot PenDi.
AneriaVCoIJee"" Stroet (S32S)
Rosideotial Street/Other Aroas (S22S)
2203 Plan Check Deposit. 2".ofENGR. EST. (SSIMlmin) .
220] Faithful Perfono.... Security (FPS) (IOCW.ofENGREST,) .
no] Labor and Materials Security (I00%ofENGR EST,)
2203 Monumentation Security (IOCW.ofENGREST,) .
220] Cash Deposit (4% of ENGREST,XSSoo minIS 10.000 ma.) .
Plan Check & Inspection Fcc (Non-Utility)
4722 Engr.Esl < S2.'lO.OOO (12% ofENGR EST.)
.. 2203 Engr,ESl>S2.'lO.OOO (Deposit 8". of ENGR. EST JS30.000 min.).. .
4722 Utility < SIlMl.IXMI
Minimum Charge Per Location (SI20)
ConduitslPipclincs up 10 '00 Feet (SI.60/fl)
Above SIMI Feel (SLlO!ll.)
ManholesIVaultsIEtc, (SillS/eo)
Pole Set/Removal (S illS/eo)
Street Tree Planting/Rcmoval (SIIl51ln:e)
.. 220] Utility> S I 011,000 Actual Cost + 2lW. .. .
4722 Street Tree PlantinglRcmoval Permit (SillS)
4760 Project Plans & Spccuacatioris Project No.
4760 Standard. Specifications &: Details (SllPg S12IBook)
4760 Copies of Engineering MaIM &: Plan, (S,50/so,ft)
4722 Penalties: Failure to restore public improvements (SIOIllCaleodar Day)
(Muni Code Section I L34,OIO)
4722 Penalties: Failure to correct unsafe conditions (SIOIl/Caleodar Day)
LAND DEVELOPMENT
4722 LoI Line Adjuslmenl (S5011)
4722 Parcel Man (4 loti or Less) (S 1.060 + S25/Lo.)
4722 ....1 Tract Mao (S or More Lots) (SI,380 + S2.'l/Lot)
4722 Certificate of Compliance (S5IMl)
4722 Certificate of Correction ($300)
4722 Vacation of Public Slrects &. Easements (S550)
4722 Assessment Segregation or Reapportionment
FirslSpJit (S5S0)
Each Additional Lot (Sl70)
4721 Slonu Dninagc Area Fcc Pcr Acre (R-I, S2,OOO) <'It; ~~ 0=
(Multi-Res, S2.2.'lO)
(All Other. S2.5(11)
4920 Paritland Dedication Fcc
4965 Postagc
TRAFFIC
4728 Intorscction Tum Counts (Two-Hour Count) ($60)
4728 Intersection Turn Counts (a.m. or p.m. neaks) (S12S)
4728 Traffic Flow Map (Daily Tl'1IIffic Volumes) (S27)
4728 Campbell Traffic Model (Full Scope Assessmeot) (S2.HO)
4728 CamDbcll Traffic Modcl (Reduced Scope Assessment) (S740)
4271 Truck Permits ($35Itrip)
4728 No Parkin. Si AS (S I/each or S25/IIXI)
OTHER
TOTAL S?--~, ~
NAME OF APPLICANT
P <A:f' I/' " z:- LI'Yl ,""VVI q h O~ I Z <;/( de Y\ ?r<..l$- C3j 5"3 \ 'Z 63
NAME OF PAYOR PHONE
" '1 b- 11"1
ADDRESS J.r ~ , fll61 R,11+1-A k P- 'DR #2\0 ZIP
"Actual COSI Plus 20-1. Ovcrhead (Non-Interest bearing deposit)
FOR
CITY CLERK
ONLY
RECEIVED
SEP 2 4 1997
CITY CLERK'S OFFICE
-for: ,Plan, Check. ,and <:ash, Deposits; scAd-)'cUowcopy- to-rmancc:
h:Vecfno4(CltC)mp(n:v Ilm7)
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CITY OF CAMPBELL, CA
RECVD BY: SHARONM
01000105564
[:!\\/iii)II OAuiiT'7 L"~,i.4i;iJni i7Ait
In; ut\':: i nr-.v.}. ~I1MiIUllu....L...n.lJ
TGDAY'S DATE: 09/24/97
REGISTER DATE: 09/24/97 TIME: 15:27:06
nESCEIPTIDN
t.':nmli
t In'I..n..'lt ;
STORM DRAIN FEES FN 2
$233.00
Tn Hi
: '.0.:: :;:_
nUE:
$233~OO
CHECK PAID:
CHECK NO: i276
TENDERED:
<<~'7'1 (u;
...;..ww.vv
r-UAUt;:" ~
L.liiiii,U~1I
$233.00
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CITY OF CAMPBELL
City Clerk's Office
July 17, 1997
Gary Thompson
1667 Walters Avenue
Campbell, CA 95008
Dear Mr. Thompson:
At its regular meeting of July 15, 1997, the Campbell City Council held a public hearing to
consider your Appeal of the Planning Commission decision approving the application of Mr.
Behrouz Behrouzian for Site Approval to allow the construction of a single-family residence on
property located at 1689 Walters Avenue. After due consideration and discussion, the City
Council adopted Resolution 9252 denying your Appeal and upholding the decision of the
Planning Commission. Enclosed is a certified copy of Resolution 9252 for your record.
Should you have any questions regarding the City Council's action, please do not hesitate to
contact this office (866-2117) or Gloria Sciara, Community Development Department.
Sincerely,
Anne Bybee
City Clerk
cc: Behrouz Behrouzian (Applicant)
Ron Perry (Appellant)
Gloria Sciara, COInmunityDevelopm.ent Department
70 North First Street. Campbell, California 95008.1423 . TEL 408.866.2117 . FAX 408.374.6889 . TOO 408.866.2790
RESOLUTION NO. 9252
BEING A RESOLUTION OF THE CITY COUNCIL OF THE CITY
OF CAMPBELL DENYING THE APPEAL AND UPHOLDING
THE PLANNING COMMISSION DECISION APPROVING A
SITE AND ARCHITECTURAL PERMIT FOR A NEW SINGLE
FAMILY DWELLING ON PROPERTY LOCATED AT 1689
WALTERS AVENUE IN AN R-I-9 (SINGLE FAMILY
RESIENTIAL) ZONING DISTRICT, APPLICATION OF MR
BEHROUZ BEHROUZIAN. FILE NO. V 96-02.
After notification and public hearing, as specified by law on the application of Mr.
Behrouz Behrouzian, as per the application filed in the Community Development
Department on May 13, 1997, and after presentation by the Community Development.
Director, proponents and opponents, the hearing was closed.
After due consideration of all evidence presented, the City Council did find as follows
with respect to application S 97-11:
1. The subject parcel was legally created under the jurisdiction of the County of Santa Clara
prior to subdivision regulations, and can legally developed in accordance development
standards of the R-I-6 zoning district of the San Tomas Area Neighborhood Plan.
2, The lot dimensions of the subject property, after the required dedication of the street
right-of-way, are 72.65 D x 70.00 W.
3. The right to develop of a legally created, non-conforming parcel, supersedes the density
that results from its development, therefore, a general plan amendment is not required for
this project.
4, The proposed project meets the development standards of the R-1-6 Zoning District and
the San Tomas Area Neighborhood Plan.
5. The proposed dwelling is well designed and is architecturally compatible with the
surrounding area by featuring architectural features and building elements commonly
found in the neighborhood and encouraged by the San Tomas Area Neighborhood Plan.
6. The proposed single family home is consistent with the intent of the General Plan density
of allowing one dwelling unit per lot.
7. The two mature trees along the frontage of the property will be retained with the
proposed development.
8. The location of the driveway has been deemed acceptable by the Traffic Engineer subject
to conditions of approval. THE FOREGOING INSTRUMENT IS A TRUE
AND CORRECT COPY OF THE ORIGINAL
ON FILE IN THIS OFFICE.
ATTEST: A E YBEE, CITY CLERK. CITY
OF CAMP!; CAlIFO A.,
BY
7/J Af17
DATED
City Council Resolution No. 9252
S 97-11 - 1689 Walters Avenue
Page 2
Based upon the foregoing findings of fact, the Planning Commission further finds and
concludes that:
1, The proposed project is consistent with the General Plan and zoning, and
2. The proposed project will aid in the. harmonious development of the immediate area.
The applicant is hereby notified, as part of this application, that he/she is required to meet
the following conditions in accordance with the Ordinances of the City of Campbell and
the State of California, The lead department with which at the applicant will work is
identified on each condition. Additionally, the applicant is hereby notified that he/she is
required to comply with all applicable Codes or Ordinances of the City of Campbell and
the State of California that pertain to this development and are not herein specified,
1. Ap{:>roved Proiect: Approval is granted for a Site and Architectural Review Permit
allowing a new single family residence on property located at 1689 Walters Avenue,
Project approval shall substantially comply with project plans prepared by R. E. Hinson
dated May 22, 1997, except as modified by the Conditions of Approval herein,
2. Landsca{:>ing: Submit a landscaping plan indicating tree protection and three additional
trees (non-fruit bearing) along the eastern property line as indicated on the site plan to
the Community Development Department-for review and approval prior to issuance of
building permits,
3. Dedication to City: Prior to issuance of any building permits for the site, the applicant
shall dedicate right-of-way along the street frontage to provide for a 20' half street right-
of-way, Applicant shall prepare all documents necessary to record dedication and
submit to the City for review, acceptance and recording.
4. Storm Drain Area Fee: Prior to issuance of any building permits for the site, the
applicant shall pay the then current required storm drain area fee. The current fee is
$2,000 an acre or $233,
5. Grading and Drainage Plan: The Building Division will determine grading and drainage
requirements.
6. Standard Street Improvements: Prior to issuance of any building permits for the site, the
applicant shall prepare a plan, pay fees, post securities and provide insurance, as
appropriate, to obtain an encroachment permit to construct the AC driveway approach to
the public street, as required by the City Engineer.
, ~
City Council Resolution No. 9252
S 97-11 - 1689 Walters Avenue
Page 2
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Under~ound Utilities: All new on-site utilities shall be installed underground per
Section 20.36.150 of the Campbell Municipal Code for any new or remodeled buildings
or additions. Applicant shall provide evidence from all utility companies that the
application as proposed caTl be served. Applicant shall comply with all plan submittals,
permitting and fee requirements of the serving utility company.
On-Street Parking: Parking shall be prohibited in the public right-of-way adjacent to the
driveway. The public improvement plans shall reflect "No Parking Permitted" within
this area.
Site Plan: Prior to issuance of the grading, drainage or building permits, the applicant
must submit a Plot/Site Plan for approval by the City Engineer.
City Engineer's Requirements: Applicant shall comply with the street improvement
policies of the San Tomas Area Neighborhood Plan.
Park Impact Fee: The applicant shall pay park impact fee of $10,990 or the current fee in
effect at the issuance of the Certificate of Occupancy from the Building Official for the
new single family residence.
Development Approval Expiration: The Site and Architectural approval for this project
is valid for a period of one year from the Planning Commission approval and expires on
July 15, 1998,
PASSED AND ADOPTED this 15th day of July, 1997, by the following roll call
vote:
Dougherty, Watson, Furtado, Conant
None
Dean
COUNCILMEMBERS:
COUNCILMEMBERS:
COUNCILMEMBERS:
COUNCILMEMBERS: None
APPROVED~~'~
/? ~ Barbara D. Conant, Mayor
ATTEST: l~
Anne Bybee, City Clerk
AYES:
NOES:
ABSENT:
ABSTAIN:
CITY OF CAMPBELL
CERTIFICATE OF COMPLIANCE APPLICATION
INSTRUCTIONS
Please complete this form and return it, in person, to the Community Development Department
of the City of Campbell, along with:
1. 1 3 copies of Assessor's Parcel Map and 3 copies of a general location map.
2. 3 copies of the Legal Descriptions of each property in question.
3. A Preliminary Title Report.
4. Information necessary to substantiate a finding that the lot(s) conform to the Subdivision
Map Act and local ordinances pursuant thereto. Such information may include: evidence
of prior subdivision or parcel map approval; an official map prepared pursuant to
subdivision (b) of Section 66499,52 of the Subdivision Map Act; evidence of separate
ownership prior to 1967; gift deed or other evidence relevant to the division of the
property in question.
Conditional Certificates of Compliance may be issued to require whatever alterations
and/or public improvements are necessary to bring the lot(s) into conformity with the
Map Act and local ordinances prior to issuance of any future construction permits.
5. Fee: Per Fee Schedule (payable to the City of Campbell) $ G/J/tJ. ~
,6. Assessor's Parcel Number(s) 4(') 3'; - I ~ - (j 2 -.:s
NOTE: The action required for the issuance of a Certificate of Compliance has been deemed a
"ministerial action" under the California Environmental Quality Act (CEQA) and does not
usually require that additional environmental information be submitted with this application.
Owner's Name ?iF#R~L/7 ~#~,//.:2"/A-rJ
Address
~.z.'14 E"L#H~L'D
SA 1J ':S'c-5F". cA
,
7)R. J VE
4S-'::C;c>- 1817
Telephone No. @.of)2~Cj- 7nSZ
Dated this
/1'rl( Day of S~.e'
,199 7
Owner's Signature ~- /" ~-=--
(Notarized) -
J:\FORMS\CERTCOM2(WORD)(rev 3/97)
Affidavit of applicant-owner (Execute before a Notary Public)
STATE OF CALIFORNIA )
COUNTY OF SANTA CLARA )
CITY OF tNvIPBELL S4t<J );]0$ ~
IlWe l~H.Rb'ff2 'i5L!Afl:2bJdZ/AN
(Print or typewrite names in full)
being duly sworn, depose and say: that I/We am/are the owners of the property described in this
application, and that the statements and information contained herein and in the attached exhibits
are in all respects true and correct to the best of my/our knowledge and belief.
~
~~~-
(SIGNED)
Subscribed and sworn to before me this / 9 flL day of
~~a
JU/Ve:-
,199~.
(SIGNED)
UP
8) CHARLENE H. HO
Commision '1131207 0
8 Notary Public - California ~
. Santa Clara County
My Comm. Expires Mar. 24, 2001
J:\FORMS\CERTCOM2(WORD)(rev 3/97)
Page 3 of3
l'UBLlC WORKS DEPARTMENT RECEIPT
Effective July I, 1996
TO: Cily Clerk PUBUC WORKS FU..E NO,
PROPERTY ADDRESS \ (i:>~ ~L-~<::;' 1...
Please collect &: receipt for the fo11owin1l monies:
ACer. I ITEM ..,., .." .,. ,..",.",.""", ..",..",."", <A:MouNI',<"
435,535,4921 Pro'ect Revenue (specify project) S
ENCROACHMENT PERMIT
4722 Application Fee
Non-Utility Encroaclunent Permit (S225)
R-I First Permit (No Fee), SubleOuent PermitIYrlSIOOl
Utilitv Encroachment Permit
Arterial/Collector Streel S325)
Residential StteelIOther Areas S225)
2203 Plan Check Deoosit - 2"/. ofENGR, EST, S500 min \ .
2203 Faithful Perfonnance Securitv (FPS) 100'10 ofENGR,EST,) .
2203 Labor BIId Materials Securitv 100'10 ofENGR, EST,)
2203 Monumentation Security 100'10 ofENGR,EST) .
2203 Cash Deoosit 4'10 ofENGR.EST,YS500 minIS I 0,000 max) .
2203 Labor and Material Securitv 100'/. ofENGR. EST.) .
Plan Check &: Inspection Fee (Non-Utility)
4722 Engr,Est < S250,000 (12"10 ofENGR. EST)
.. 2203 EnlZJ',Est,>S250,OOO IDeoosit 8'10 ofENGR, EST,1S30.000 min, .. .
4722 Utilitv < SIOO,OOO (8"/.)
Minimum Charge Per Location (SI20)
ConduitsIPipelines up to SOO Feet (SL6O/ft)
Above 500 Feet (SLlOIft,)
ManholesIV aultsIEtc, (SI05/ea)
Pole SetlRemoval (SI05/ea)
Street Tree PIBlltinlliRemoval 1$ 105/tree
.. 2203 Utilitv > SI 00.000 Actual Cost + 20'10 .. .
4760 Proiect Plans &: Soecifications Proiect No,
4760 Standard Specifications & Details (SliP. Sl2IIlook)
4760 Conies ofEn~ineerin~ Maps & Plans (S 50/", ft)
4722 Penalties: Failure 10 restore public improvements (SIOO/Calendar Dav)
(Muni Code Section 11.34,010)
4722 PenaltIes: Failure 10 correct unsafe conditions (SIOO/Calendar Dav)
LAND DEVELOPMENT
4722 Lot Line Adjustment S500)
4722 Parcel Man (4 Lots or Less) SI,06O+S25ILot)
4722 Final Tract Man (S or More Lots) SI.380 + S251Lot)
4722 Certificate of Comnliance S500) . c.'~
4722 Certificate of Correction S300)
4722 Vacation of Public Streets &: Easements S550)
4722 Assessment Segregation or Reapportionment
First Split (5550)
Each Additional Lot (SI70)
4721 SlOnn Drainage Area Fee Per Acre (R-I, S2,(00)
(Multi-Res, 52,250)
(All Other, 52.5(0)
4920 Parkland Dedica1ion Fee
4965 Postal<e
TRAFFIC
4728 InterSeCtion Turn Counts (Two-Hour Count) $60\
4728 Intersection Turn Counts (am, or n,m, oeaks) 5125)
4728 Traffic Flow Man (Dailv Traffic Volumes) 527)
4728 Camnbell Traffic Model (Full Scope Assessment) S2.250)
4728 Camnbell Traffic ModellReduced Scone Assessmentl 5740\
4271 Truck Permits S35/trin\
4728 No Parkin~ SilUls Sl/each or S25/1(0)
OTHER
TOTAL 5 <So-O. GO
NAME OF APPUCANT
NAME OF PAYOR B _.,t ... ~e:){~)"2.. ~e:,,", n.t-~O-Z.l,;.,......... PHONE
ADDRESS 1t. 4- ~. ZIP'9 CS;\~O-\.~l
. , ~
~9 4- e~e::.t:::I \":::> r;::;,('2... ~ ~"'S..e~-
.. Actual Cost Plus 20'10 Overhead (Non-Intenl bearin~ deoositl
n
FOR \ .. ..%>> d< RE
CITY CLERK RECENED BY , .....
ONLY Necei~# ..\0)\00\.. ,
Date '.... . ,...... JU
'\\ .. , ..... ' ..,' ".' ...,.
>-..l"e::
'For Plan Check and Cash Deposits, send yellow copyll> Financ:e.
CEIVED
N 2 0 1997
.CITY. CLERK'S OFFICE
h:\recfnn4, wk3( mp )rev7/1196
. i . ~ .
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CITY OF CAMPBELL~ CA
RECVD BY: JANH 01000103109
PAYOR: BEHRDUZ BEHROUZIAN
TODAY'S DATE: 06/20/97
R~~~~T~~ nai~' r.~i?oi07 -Ij~~. lOO!?A!i?
(t",ivl t,\ ~.:u~: .w ~~.. .' , .&.:u..= v.....:.......
DESCRIPTION AMOUNT
ENGR & SUBDIV FILING F S500.00
----------------
TOTAL DUE:
$500.00
CHECK PAID:
CHECK HO: 3394
TENDERED:
CHANGE :
1500.00
$500.00
$.00
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