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HomeMy WebLinkAbout10626 Mount Pleasant DriveENCROACHMENT PERMIT CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (661) 326 -3724 TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD CALIFORNIA: Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned applies for a permit to place, erect, use and maintain an encroachment on public property or right of way as therein defined. Application Number . . . . . 17- 30000019 Date 5/10/17 Property Address . . . . . . 10626 MOUNT PLEASANT DR Application type description PW - ENCROACHMENT PERMIT Owner ------------------------ WILLIAMS BRANDON L & JENNIFER 10626 MOUNT PLEASANT DR BAKERSFIELD CA 93311 Contractor ---------------- -- - - - - -- OWNER ---------------------------------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 2014868 Permit Fee . . . . 213.00 Issue Date . . . . 5/10/17 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 213.00 ---------------------------------------------------------------------------- Special Notes and Comments 213" wall behind back of Handicap Ramp. Rest of the wall to be outside of the City's Right of Way. Bandon Williams 742 -9202 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------- - - -- -- --- - - - - - -- - --- - -- - -- ---- - - - --- -- -- - - - - -- Permit Fee Total 213.00 213.00 .00 .00 Grand Total 213.00 213.00 .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revo e the permit at any tim . C Signature of Applicant (Owner /Agent) Print Name I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED IN THE FOREGOING APPLICATION AND FIND THAT THE MAINTENANCE OF SAID ENCROACHMENT (1) WILL (NOT) SUBSTANTIALLY INTERFERE WITH THE USE OF THE PLACE WHERE THE SAME IS TO BE LOCATED AND (2) WILL (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE (GRANTED) (DENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back A ENCROACHMENT PERMIT APPLICATION FORM *� CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT .� 1501 TRUXTUN AVE q 1 BAKERSFIELD CA 93301 (661) 326 -3724 Fax: (661) 852-2012 LOCATION OF ENCROA H ENT(Address ui d where 4 ila e): lJ,n� �l e � � . 1�. If there is no address adjacent to work describe limits of work by distances from nearest existing street Intersection. rnrr■.■a. :.■ ■:.rugs,., rs■,v,. FULL NAME OF APPLICANT�(sO� ✓\ LPL W t1 tam COMPLETE ADD PHONE: FAX: CELL: PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold harmless the City, its officers agents and employees against any and all liability, claims, actions, causes of action or demands, whatsoever against them, or any of them, before administrative, quasi - judicial, or judicial tribunals of any kind whatsoever, arising out of'. connected with, or caused by applicant's placement, erection. use (by applicant or any other person or entity) or maintenance of said encroachment. The applicant further agrees to maintain the aforesaid encroachment during the life of said encroachment or until such time that this permit is revoked. Applicant further agrees that upon the expiration of the permit for which this application is made, if granted or up)n.lhe revocation thercK�f by thg C'ih• EnI Leer applicant will at his own ggst and exlV ssg remoys the same from the public property or right of way where the same is located, and restore said public property or right of way to the condition as nearly as that in which it was before the placing, erection. maintenance or existence of said encroachment. Applicant further agrees to obtain and keep all liability insurance required by the City Engineer in full force and effect for however long the encroachment remains. Applicant shall furnish the City Risk Manager with a Certificate of Insurance evidencing sufficient co%crage for bodily injury or property damage liability or both and required endorsements evidencing the insurance required. The typc(s) and amount(s) of insurance coverage required are: Residences: llonicowners General Liability coverage in art amount of at least $300,000.00 Commercial: Commercial Liability coverage in an amount of at least $1,000,000.00 The Commercial Liability policy must identify City and City's mayor, council, officers, agents, employees. and designated volunteers as Additional Insureds. Encroachment Permit Fee: $208.00 S III R %JI IS 1 NCRUACtPlakrowhmenl 1'o11111l Rc.I rurm. ntX• Aug 201t. N i N h Y o � 5 Z CORNER LOT M10 BLOCK i LOT- :7110 ,c►' Exfrtitg or Fhapwed S/do -dk _ _ Fxtitjhg or %noosed Sk ffwc* Curb and Cutter Q.-b and Gultr 6D' My Mc+ or .off Mthin 04 areo to be maxknum a/ Z5' hlgh above the top of Me curb /or o 4n trnged htsresetl- __. - - Sbeet CMIMM Street fantaAhe LOCH TE FENCE OR WALL LOCATE FENCE OR U ✓ALL ON AB0VE DRAWING ON ABOVE DRAWING U -v W 4,-^- VJ ^L, W cc 7 lf i W J A -IJ E 0 o ,To co N u-� g r o O O N ON O o O 00 N m C 7 N € o Y m N n 4 c° P gm E _ � n Q4U � a C Lo n U E F E c L a o i 6 m s i E Z U Google Maps Page 1 of 1 Imagery ©2017 Google, Map data ©2017 Google 20 ft https: / /www.google.comlmaps / @35. 3013964 ,- 119.1216139,66mldata =!3ml ! 1 e3 ?hl= en &au... 6/8/2017 10627 Mt Pleasant Dr - Google Maps 10627 Mt Pleasant Dr Page 1 of 1 Image capture: Jan 2012 © 2017 Google Bakersfield, California Street View - Jan 2012 Iden Valley Dr a:nie Peak Dr a et River Dr https://www.google.com/maps/p 35. 3012139, - 119 .121639,3a,75y,353.74h,64.39t /data= !3m... 6/8/2017 TO: FROM: DATE: SUBJECT • PUBLIC WORKS DEPARTMENT MEMORANDUM Ed Murphy, Engineer III Kirk Boland, Engineering Tech I May 10, 2017 Encroachment Permit Application for 10626 Mount Pleasant Dr Name of Applicant: Brandon Williams Description of Encroachment: 2'3" wall behind the back of the handicap ramp. Rest of wall to be located outside of the City's Right of Way. Please review the attached encroachment permit and return to me at your earliest conv ience. 4p�(l 72� 40r,", S: \PERMITS \ENCROACH \TRAFFIC \10626 Mount Pleasant.doc • '?jPCeIVED " � F I E L Z MAY 112» E3 I� E R ISK M��T PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager j FROM: Kirk Boland, Engineering Technician I DATE: May 10, 2017 SUBJECT: Encroachment Permit Application for: 10626 Mount Pleasant Dr Name of Applicant: Brandon Williams Description of Encroachment: 2'3" wall behind the back of the handicap ramp. Rest of wall to be located outside of the City's Right of Way. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. SAPERMITS \ENCR0ACH \INSURANCE \10626 Mount Pleasant.doc C� O� O� O� AW TRAVELERS CONTINUATION DECLARATIONS Homeowners Policy INSURED AND AGENT INFORMATION (Named Insured) Name and Mailing Address BRANDON AND JENNIFER WILLIAMS 10626 MOUNT PLEASANT DR BAKERSFIELD CA 93311 -9136 The Residence premises is located at 10626 MOUNT PLEASANT DR BAKERSFIELD CA 93311 -9136 POLICY INFORMATION Homeowners Policy No. 987189550 633 1 Your Insurer Travelers Commercial Insurance Company One of The Travelers Property Casualty Companies One Tower Square, Hartford, CT 06183 TOTAL POLICY PREMIUM This is not a brill; you will be invoiced separately. 476/OCBW15 Agent Information CROSBY & CROSBY INS 111 H ST BAKERSFIELD. CA 93304 Mortgagee Name and Address 1. CALIBER HOME LOANS INC I SAOA/AT I MA PO BOX 7731 SPRINGFIELD OH 45501 LOAN NUMBER 9701010945 Policy Period 07/16/16 - 07/16/17 12:01 A.M. Standard Time at the residence premises For Claim Service Call 1- 800- CLAIM33 For Policy Service Call (661) 327 -5531 $ 641.00 Continued on next page PL -12630 6 -06 Insured Copy Page 1 of 4 000114100007 F3115CH2 8645 05/30/16 TRAVELERS POLICY COVERAGES AND LIMITS OF LIABILITY LIMIT Section I - Property Coverages 0 DWELLING ................................. ............................... $ 324.000 $ OTHER STRUCTURES ......................... ............................... $ 32,400 C PERSONAL PROPERTY ........................ ............................... $ 226,800 DLOSS OF USE .............................. ............................... $ 162.000 LIMITED FUNGI, OTHER MICROBES OR ROT REMEDIATION Section I - Property Coverage ................ ............................... $ 5,000 Section II - Liability Coverages E Personal Liability (Bodily Injury and Property Damage) Each Occurrence.. $ 300.000 F Medical Payments to Others Each Person ... ............................... $ 1,000 POLICY SAVINGS AND DEDUCTIBLES Your Savings The following credits or discounts reduced your premium: Account Discount, Loss Free Discount, Protective Devices Discount Deductibles DEDUCTIBLE Section I Property Coverages Deductible (All Perils) ..................... $ 1,000 In case of loss under section I, only that part of the loss over the stated deductible is covered. OPTIONAL ENDORSEMENTS AND COVERAGES LIMIT PREMIUM Optional Endorsements HO -85 CA (02 -16) Enhanced Home Package ... ............................... Included' Water Back Up And Sump Discharge Or...... $5,000 Overflow Additional Replacement Cost Protection... 50% 438BFU NS (05 -42) Lender's Loss Payable Endorsement ...................... Included' MANDATORY FORMS AND ENDORSEMENTS HO -3 (10 -06) Homeowners 3 Special Form HO -300 CA (02 -16) Special Provisions - California HO -90 CA (02 -16) Worker's Compensation Residence Employees .............. Included' Continued on next page 476/OCBW15 PL -12630 6 -06 Insured Copy Page 2 of 4