2060 S. Bascom Ave. (75-29)
H!1'ER- DEI" J-mTI'1EVTl'..L !-1I:TIOP...'\NDl.lI'1
TO: Building Department
rROH~ Public l'7orks Department
The x'equirements of the Public Porks Departme...'1 t have
been satisfied for the follm'dng development:
APPLlCAF7.I'
D..6 ~ I -.. ,j $
v I
6fi, ----
" ~. . -.... ~ j
. .c::; I IIv~? ~J........ , .
13UILDIl\G l-mDRESS~) f~ 0- -~..f
ij~ f\ ::= C~.o ;.,. I
CO~11~y ASSESSOR'S
P l".r:CEL NOl1BER
,2 8 Bw:-3- ;":'7r~~ 'C-~i~-3--'~--~--~
II SIC APPROVhL
NV11BER__
7 c;-~.,+--._-
PUBLIC WORKS
F ILl~ lJUl"iDrn
;/ \
~--'---f-? )
HILL, Ij\,J.l G., "lREEl ,
DIREC'l'On. OF PUBLIC 'i10RI<S
/,?,
BY'~A :4~-
~. ..::::....fj - 7 6
Date_
t'\l~
____~ l /~
PLEASE RETURN
2 COPIES
CITY OF CAMPBELL
STREET EXCAVATION PERMIT NO.
II,Of/
Pursuant to the terms of Section ~ of the Campbell Municipal Code, a permit to excavate within the public right of
way in the City of Campbell is issued based upon the following conditions:
76-54
1. The location of the job and the nature of the work to be done within the public right of way is as follows:
siR CORNER BASCOM & ARROYO SEeO DRIVE, CAMPBELL
Instqll utilities as indicated on the attached sketches. 11G09772, 8.0.#76305
2. A diagram is attached and thereby made a part to each of these forms showing the location and dimensions of tile work and
relating this to existing underground facilities.
3. Work will begin on June 28. 1976
beginni~g work.
, 19
, or notify the Campbell City Engineer 24 hours before
4. No street shall be closed without full conformance to Section 7106 of the Campbell Municipal Code.
5. Safe crossings shall be maintained in conformance with Section 7105 of the Campbell Municipal Code.
6. (These blanks to be filled in by the City Engineer ONLY)
a. Special Conditions:
Il'I 0
tI2 "';:l::l8
III 0 p.. ::d 0
I' t::H:l Ii ..... t::!
~ Ill..... ....
g ~::..a~g
d! en' ~ ~ ~ (/.10
. C+OoS >
("Jill H'::l .....H;l
pc+...... c+s::8D
\DCD::lg,c+~><
~g,g-......o......::l"
...... "Ul::lt.:lt"'lIllD
l\)oC+Q.>c:t:1oo
III '1 C () IS ::l
--~-cnlll.....o
.....Illc+<:c+ 0
-;;;:t-J~'1Ill::l"C+
o .....("1- 0'
g'1!:Olllmc+CD
::l CD ...... =::T CD
-.....f-o .....
l\)IllIll(/.lOQl::l
c+ III 0 0
~ .....H)::l'"'d=r
I OCDc+CDm
...... ::lc+llllio
t11 Ql~oSP<i'
c+.....m
l\) . . c+ p..
t11 :.
b.
Import backfill material as required by City Engineer.
Replace existing roadway structural section with eq~I~ft;.~~1 ~i~j~ & ~~:af ;~ll ~'IJg~~e
.inch of asphalt; er .. illctl~ asphalt UYCI 12 illdlt::; R-78 138&8 rSQk, whiGhll'l.'ar iE graatar
Work to be completed prior to occupancy of structure.
Work to be staked 3 feet back of face of curb by a licensed land Surveyor or Civil Engineer and three copies of
the cut sheets sent to the Public Works Department before starting work.
Open cutting of pavement will NOT be allowed; all pipes or conduit shall be jacked under existing pavement.
Deposit (money or bond) required to guarantee restoration of public right of way.
$
7. The deposit in 6b above will be returned, in full, upon satisfactory restoration of public right of way.
8. The Permittee hereby agrees, by affixing his signature to this Permit, to hold the City of Campbell, its officers, agents, and
employees free, safe, and harmless from any claim or demand for damages resulting from the work covered by this Permit.
Acceptance of the Permit by the na~~ .=itt constitutes acceptance of any and all conditions upon which this Permit
is granted. This permi<:/ ~~/:--C e of any"obligation to obtain any other Permit required by law.
ACCEPTED . Klingmann, Pacif' as And Electric Co. May 28, 1976
(signature of Pe Ittee) (date)
10900 North Blaney Avenue, Cupertino
check one: Residence ( ) or Business (X)
~~ /YA", ~ ro-~'7/
DATE ( ~IONS( / ~:'-tIVll ENGR. DAfE'
9.
ADDRESS
APPROVAL:
DESIGN:
ASSOC, CIVil ENGR.
3 Copies:
Permittee
City Inspector
File
Permittee must sign, date and forward to City Engineer for approval. Permit is valid only after signed by City.
Permit is not transferable.
(M) 6-2
I
U
I-
w
~
U)
s
<
a:
o
~
"
'.L---------..-T---------
'~-:
:)
"
CJ
\)
...
\'\
'>.'
"-.'
~
~ "'I
~
\\
::;.
>-
()
~
~
'\
...
\3
?;l
'.
~.
.(
~ I.~. -.....)
. " ,,', '" I
1-'1:';"1" :.
. ;~:' '-;- I
," "~~
'--.-------.-- - -.---- -.~.
\.
\-.
\">..
'\..~
"....
',.
"
'...;
......~
')
"-
;:,
\'~
,
'\)
02
'"
3/1 V
2~
-------
..
(J)
UJ
U
>
a:
UJ
(J)
(J)
<l:
t::l
N
u.. ,
0 N
c:i
f- <.0
a: '<t
0 ~
D- en
w
a:
z
0
i-
U
ill
D-
(J)
Z
o
a.
'"
~
b
::0
:>
o
o
00
~
'"
(l)
'"
c:
';:
'"
o
u
-
co
o
(,)
:,
~
x
.~..
0 r' 0
~
>- >- .?:
> >
ro co 0
c.> Q
I I
[l 0 n
L~
- - t
.r: .r: ..
C7l ,'"
-' -' ':J 0
0 n 9-
0 0 0 ~ I 0
c.> "
c: c: '" 0
0 C C ro
Z Z '" ::"1
C E ,. U
~ C'1 .r: ..
c:; - 0: .. C
U ~ 0 ~ " .D '2
X CO 0 :> .- '" (;
W U. D- o:: c;:: 0 "
> '"
c. ( O.
V,
'" r
~ c: Ci
0 C-
'0 :~ -
c: "0 X
.g c: w .-
0
't; U
c: CJ
0 0-
U i:i:
"
E-:
DB
~'"
Q;
.r:
<5
a.
CO
~
d,
0,
c:
U)
DO
>-
~
c.>
I
[l
"
,.
c,
::J
/;I',)...J S-1/;::7
>-
>
~:
-6
-'
[J 0
'" '" x
c: c:
C C r;
Z z E ..
a; .0: 0
- c
'0
:> "
0:: - 6 ~
i:i: ;:
,.
l'.;
D...
~:
~..j
t
r
-I
w
:::> SO. 2.1' 50"E
Z
lJJ
>
<(
~
o
10
(/)
<(
OJ
ARROYO SEeD DRIVE
t.
--1:--
~
73.0 '
fir: 1+0 IS'O(jj"
R = 324.93'
L = 80.82.' <0.
o.
LANDS OF DENNY'S) INC. q.
FORMERLY OSHMAN'S SPORTING GOODS, INC.
....
" .
" .
. '.
. '.
:..
.'-
....
:=i. :.:- .:.::~:..::..:( :.-\ :::. F:. (~~:;. {~;:;.:.:~~.... {.:~ ;~~::::
..' ... ".' \.) . ..' '..'.,'..
.
.::::
....
.I~"
:J:
.-
::>
o
CI)
....
.--:
'.,
.....
'"
:.:::
....
.
5 C ALE: I" = 5 O.
.I.AtiD TO BE GRANTED TO THE
CITY OF CAMPBELl...
Dr.By l.M. s. "AN.,197'
CltBy L.C.V. "AN.,197'
_Land to be "."ted to City
Contain. 0.054 ac:,~
Prep.red by the Office of the CIt,
En,ln.." Campbell, Callfor,,'.
RECEIPT
CITY OF CAMPBELL
CAMPBL_L, CALIFORNIA
NAME
DENNY'S INC.
ADDRESS
14256 E. Firestone Blvd
La Mirada, CA 90637
"S" 75-29 Denny's Restaurant - Bascom
FOR A
& rruyu 5ecu, Call1pbell
Engineering Fees $456.00
351-A
Storm Drain Fees
365-A
817.00
$1,273.00
RE.VENUE ACCOUNT NO.
FUND NUMBER A
~ CHECK S o MONEY ORDER o CASH
90-1766
~ -8-76 036 tM~tM273.00
DA
THIS RECEIPT MAR -8-76 65 036A *** 817.00
MUST BE MACHINE
VALIDATED AND I1AR -8-76 51 036A ***456.00
SIGNED BELOW.
@,
5065
'\ / /
. <I /--z--<--
/
;:"/'
'/JITY CLERK
"
CITIZEN COpy
BY /
/,
'-~
Thank You
CITY OF CAMPBELL