1081 Wekiva Ave. (99-64)
MEMORANDUM
CITY OF CAMPBELL PUBLIC WORKS DEPARTMENT
TO: Frank Cauthorn,
Building Division Manager/Building Official
DATE~-\-~Ct
\ C'~l W (:=;:"'i::...\vr- ~"-6
Site Address:
Plan Check Number:~ c::G:A-
File No(s):
FROM: Harold Housley, Land Development Engineer
Chuck Gomez, Assistant Engineer~~
THIS DEPARTMENT HAS NO OBJECTION TO ISSUANCE OF GRADING,
DRAINAGE, OR BIJILDING PERl\HTS FOR THE ABOVE REFERENCED PLAN
CHECK NUMBER.
BY: DATE:
CONDITIONS OF APPROVAL ARE SUMMARIZED BELOW FOR CLEARANCE OF
BUILDING PERMIT(S) TO CONSTRUCT A NEW RESIDENTIAL STRUCTURE OR
AN ADDITION OR ALTERATION THAT ADDS 50% OR MORE SQUARE FEET OF
STRUCTURAL COVERAGE (SECTION 11.24.182).
\..{..~:.. Storm Drain Area Fee: Prior to issuance of any grading, drainage, or building permits
for the site, the applicant shall pay the required Storm Drain Area fee. The current fee
is $-""L..e:.:c5C"'::' per acre or $ 4--, t , <':N::':~
""-b Unsecured Deferred Street Improvement Ag:reement: Prior to issuance of any grading,
drainage, or building permits for the site, the owner shall execute an unsecured street
improvement agreement for construction of street improvements.
'--.tc"..l Street Improvements: Prior to issuance of any grading, drainage or building permits
for the site, the applicant shall cause plans for public Street Improvements to be
prepared by a registered civil engineer, pay fees, execute a street improvement
agreement, post security and provide insurance necessary to obtain an encroachment
permit for construction of the improvements, as required by the City Engineer. The
plans shall include the foHowing:
w~ C-:s c;,. -"2.--e:..4-9i1
~-' "-'S, Preliminarv Title Report: Prior to issuance of any grading, drainage, or building
permits for the site, the applicant shall provide a current Preliminary Title Report.
Page 1 of 2
PLAN CHECK NUMBER:
\---be. Right-of-Wav for Public Street Purposes: Prior to issuance of any grading, drainage,
or building permits for the site, the applicant shall grant additional
Right-of-Way
for
Public
Street
Purposes
along
the
frontage(s) to accommodate
Applicant shall cause to be prepared all documents necessary to record dedication and
submit to the City for review
\-...tc:)
Public Service Easement: Prior to issuance of any grading, drainage, or building
permits for the site, the owner shall grant a
Public Service Easement on private property contiguous with the public right-of-way
along the
frontage. The applicant shall cause all documents to be prepared by a registered civil
engineer/surveyor and submitted to the City for review and recordation.
~
Utility Installation Plan: Prior to issuance of building permits, the applicant shall
submit a Utility Installation Plan and Schedule for approval by the City Engineer for
installation of any new utilities. [Streets which have been resurfaced within the
previous 5 years may require installation beneath pavement by boring and jacking
mett:od and. will also r~~u~e a pa:ement resto.rati.o. n plaJ} for, app. roval~bY . the,,. City.. _
Engmeer pnor to any utilIty InstallatiOn.] ~ -e'..c~~ ~.. d. ~;;;;z-
1....v?-:" ~
Lt t.:- Le~al Lot: The applicant shall provide documentation to ascertain that the lot was
legally created, or prepare a parcel map to create the parcel shown.
. "' -=:)~
~ R .. tz..~\.-~~ ~l~ ~l( ~
Scn=: ~t-J>- ~~n_\0eLUkH'e.c:..~~LQb--P
,I .kl~~5~~3"[C=~u:T c~ ~'-I ,~LU ~\-~~L~
,~\l~ ~\'L3.\\'~ <:;.ee:: ~, {~eH-~"';Le--tT~ <'
I RECEIVED A THESE CONDITIONS OF APPROVAL:
~ht/ {/US/;iVO.r
Print
6'-'2.. 7.- 91
Date
THE CnD SHALL PROVIDE THE PWD A SIGNED COPY:
YES
NO
cc: Land Development File
Harold Housley
Chron File
Michelle Quinney
j: \forms\bldgapp
Rev. 7/1/98
Page 2 of 2
PUBLIC WORKS DEPARTMENr RECEIPT
Ea'ec:tivc July I. 1996
TO: Cily Clerk PUBLIC WORKS FILE NO. LJr'Y9~c%d
., //'I-R/ U~j),'/7 d.IP
PROPERTY ADDRESS
Please collect &. m:eipt for tbe COUowiaIIllOllies:
ACCT, ITEM ... .... ....... ...
43S.l3H921 I Project Revenue (qlOcify pmjoct) S
ENCROACHMENT PERMIT
4n2 ApplicAtion Fee
Non--Utiliry Encro.chmca. Permit (S22S)
R-t Fint Permit (No Foe), Su~l PenniuYr (SllKI)
Utility .Enc:roacJu.cat Permit
ArtcriaVCollec:... S_ ($32.l)
RcsidenliaJ S-.!Odlcr Arcu (S22S)
12113 Plan Check Deposit. 2%ofENGR. EST. (S'(Nlratn) .
U(J) Fmithful Penonnanco Security (FPS) (lllCW. of ENGREST.) .
12113 Labor and M.teriaJJ Security (lllO%ofENGR EST.)
220) Monumcnt:uion Security (Jill",. of ENGREST.) .
22113 C.uh Deposit (41'.ofENGREST.)(SSoo mialSlO,llllO mIX) .
Plan Check &. Inspection Fee (Non.Utility)
4n2 Engr.Est < mO,llllO (121'. of ENGR EST.)
.. 2203 Engr.Esl>S2S0.000 (Deposit X". of ENGR. EST JS30.000 miD. ).. .
"n2 Utility < SWo.UOO
Minimum ChIrp Per Localioto (SI20)
ConduiulPipelina up to '00 Feet (S1.6OIft)
Above SIlO Feel (SLllIIlt)
ManholeslVaullllElc. (SIOSlco)
Pole Set/Removal (SIOSlco)
Street Tree PfantinllRcmoval (SIllSI1roe)
.. 22113 Utility> SIIKI.OOO Acral eoll + 2"". .. .
"n2 Street Tree PlantinBfRcmoval Permit (SIOS)
~760 Projcct Plans &: Specifications Project No.
476f) Standard Specifications &; Details (SI"" S12IBook)
4760 Copies of Engineering Mips &; Plan. (S.SO/sa.ft )
4722 Penalties: F:Jilure to restore public Uaoroveatcnts (SIIllWCaIendar Day)
(Muni Code Section 11.34.010)
"722 Penalties: Failure to com:ct unsafe conditions rSloo/Ca1elldar Day)
LAND DEVELOPMENT
4n2 Lot Line AdJuslDlcnt (S,IIO)
4722 Pan:el Map (4 loIS or Less) (SI,06O + S2'1Lot)
4n2 Fina) Tract Map (5 or More Lots) (SUSO + mlLot)
"722 Ccrtincalc of Compliaacc ($3IKI)
"n2 CcrtifK:l1to of Com:c:tion ($3IKI)
4n2 V4Cllhon of Public Streets &: Easements (S"II)
"722 Assessment Segrqation or Reapportionment
First Split ($3'")
Each Addilional Lot (SI711)
"nl SLOnn Dnlmagc Area Fcc Per Acre (R-I, S2.lKIO) #-7/
(Multi.Rea. $1.250) ,
(All Other. SUllO)
~92U P3riiland Dedication Fee
"96' Postage
TRAFFIC
"nl InlCnCCtion Turn Counts (T~Hoar Count) (S60)
"ns Intcrscc:tion Turn Counts (a.m. or p.m. ~;) (Sm)
H2& Traffic Flow Map (OIily Trame Volumes) (S27)
"nl C...pbell Traffie Model (Full Scol>e ~l) (S2.1'II)
"nS Campbell Trame Model (Reduced Scol>e Auesamenl) (S740)
H7\ Truck Permits (SlSltrip)
"nS No Parking Signs (SlIcach ot S2.llloo)
011fER
TOTAL S 5/7/
NAME OF APPLICANT ///d/e/ a~/~CY
f't- )/ /~k'- 7~/
NAME OF PAYOR PHONE
ADDRESS //J-{? / --;;;;Z;, JJ A !j) a /A ZIP
/
.. Acaual Cosa Plus 2''-;. O\.erftead (Non.{nlCfeSt bearinl deposit)
FOR
CITY CLERK
ONLY
RECEIVED BY. (llS
((/d'/791R=ipt.
,
Dale
IJJ /6 S-
.
-For Pba Check. md Cash Deposits. scnd)'cJlow copy to f"m&IIl;C.:
Caw lI.ilial_
k:'<ec:fna-l(exe)mp(rev IM7)
f{ t- /f(
/O~
Ll! ~
"- ""~",.........,. !'I:
Lir- L.~F!Fr;~:...L:o ':...~
RECVI: BY ~ .}unyS
PAYDR: ANDR~l OUSTINDv
TIiTlA-";:' C- fu\ i:. ti;:' j'-)/, iCI':-i
luvni w vni~C vu;~, ~.
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STuR~ UKHl~ rtt~ ~f ~
TOTAL Ii! ir .
t'!!:t"!! r':'.'~!"'1:
t:n[,~!~ r ~l!;"
CHECi~ NO: 1;10
"'~"4 ,.,..
~~ !':.:i}~i
TENI!~~ ED;
$4 7 tQ\!
CHANGE :
{iifi:lifi; -j~i I~C.
.... ~':.. ",.....~:..~. ....~.
iri~A1!ir;
..... & :....... .....
$4!i=Ci(.i
<< il Ii; till
,,"; i... .V'Io.:
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:V'_;
{jjJ
;; c Cu~ . i^f (~(d!(
fvblle tUO/IG3 C/u Clwck &mfJ
T;tJrrl ~ /77 a f) fl tt it. ~ lis
i~8i k!eL, {,1C,- .fila;
(CVYrIflJlj (/4 9S6J06
.~
..l-h ,~oSfi:Y1$-( Jo yDlJ/r fnernOrcznoum da/-eej 2-1-99
.JP, it..e f/Dr rly Otu/U! / 5sk<-~ d~ /1~ /'i'tJe.v c//;~/1u
tvrYl I~ II1Yu/kc/ d II~ ~(!)t-e 4t'./c:lr8~ v C2'i'1y /4
.t;Y/J/v;~ t/ /; Ii h?.l tv Jj A r/..Jrt.l( F d.'
);J:l~~ +4-
;z/26/79
PUBLIC WORKS
PLAN REVIEW ROUTE SHEET
I ADDRESS: /08 ( WE j( I {h+ UJ -4 'i
IPLAN CHECK NUMBER: 1 q 0 (;, cf
IAPPROVED I NO COMMENTS:
DATE:
APPROVED/CONDnaONSBELOW:
DATE:
RECEIVED
FEB 0 5 1999
PUBL.IC WORKS
AOMINISTRA rlON
NOTES:
I RETURN TO DARLEEN BECKER, BUILDING DIVISION
CITY OF CAMPBELL
BUILD LNG DIVISION
PERMIT APPLICATIOl)l
PERMIT NO.: 91r-- D6., Y
DATE: Ih g ll7
..............................................................................................
PERMIT 1YPE:
BUILDING ADDRESS:
OVVNER'S NA.\1E:
ADDRESS:
APPLlCA..lI\i'T'S N.A.\1E:
ADDRESS:
BUILDING I; ELEC ---.r- MECH L- PLUMBING X
DEMO SIGN _ GRADING _ OTHER
10 is ~ ~{~/{t tJC( WaL~~ tt4fAj?/~//, SUITE
A(ld m /}l/o7J)1;ui/r f'/ld I'hltc /1 ;:%JF E C Ef VE r.
. j L-I
/0 -g / l(if.l/ t/t:{ /I/;;{A/ FE B a 5 1999
I PUBLIc
AOMIN/Sr~ORKS
nATION
t>ntL/'/~U ~5
/05 ( t-l/ek( ileA.-
lU~ul
I
PHONE -;66 -7t.; 2/( It J
177-7797(C0 )
DESCRIPTION OF WORK:
~ '7l\
2cc JC"./) ,
PHONE NO.:
TI
SIGN DEMO
L_/li ;
ZfJJ) - I C,t/g P
(
)
ARCHITECT /ENGINEER: ') "
COMP.AJ\iY NAME: . K( Ce Ie (t fISSc. L~CJ-+::./)
C01\l'ACT PERSON: ~Ci..v. t lc G'f. {o
ADDRESS: ll,;c;- B f1:cdC-vIC,--\.-I ,'()UL-fr u)()
i
PHONE NO.: (6.'0 ) ~iC / - /6 c ~
HAZARDOUS M.A.TERLA.L5: STOREQ: YES ~ USED ON SITF~ YES ~
Use or storage of hazardous materials requires a Hazardous Materials Information Statement
to be submitted to the Fire Department for review and comment at time of building permit
application. Failure to provide the HMIS will hold up building permit approval.
FIRE SPRLNKLERED:
YES
NO