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HomeMy WebLinkAbout5212 Gaylene AvenueENCROACHMENT 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- 30000020 Late 5/12/17 Property Address . . . . . . 5212 GAYLENE AVE Application type description PW - ENCROACHMENT PERMIT Owner ------------------------ ELIAS BERTHA A 5212 GAYLENE AV BAKERSFIELD CA 93307 Contractor ----------------- - ---- -- OWNER ------------------------------- ---- -------------- ----- -- -- -- -- -- -- - - - - -- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 2016558 Permit Fee . . . . 213.00 Issue Date . . . . 5/12/17 valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 213.00 ---------------------------------------------------------------------------- Special Notes and Comments 4' wrought iron fence in front yard MUST FOLLOW SIGHT LINE REQUIREMENTS PER behind sidewalk with 101x10 cutoff for ATTACHED PROPOSED CITY STANDARD T -11 neighbors drive approach. DATED 12 -2015 Bertha Elias 379 -4140 ---------------------------------------------------------------------------- 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 revoke the permit at any time. 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. Olyi iaiui c v1 vny a iyu 1ccl Additional Terms on the Back /. 2. A = 6' Whout Parking (Alwo)s used on Arterials & Collectors) A = 12' Kith Porking D =Sight Distance 0 =Sx10' S = ONlical Speed (85th Percentile) or if not knom, use Design Speed on thru street. A en Encroachment F 1 Design Speeds 60' R/W 25 MPH 90' R/W 55 MPH (// not multi -lone) 90'R/W 65 MPH 110' R/W 65 MPH D j D I 15' rle ant I CONTROLLED INTERSECTION Clear sight area at alleys or driveways; is determined by measuring 10' along back of sidewalk and 10' along edge of alley or driveway. Anything within this triangle must be no taller than 3' above flowline. ff there is no sidewalk" measurement will be taken from and along RIW fine. See Municipal Code Section 17.03..175 3' off centerline or median edge nowline I nowline 60' No Obstruction to Motor Vehicle Drina view in Excess of three Feel Higher than nowline in Ibis Areo. UNCONTROLLED IN TERSEC T/ ON nowline nowline 11011 1 1 10" 10' 10' 10" 10' 10' Driveway Alley Clear Sight Area for Driveway or Alley N. Ts. STANDARD 12i2015 NO>FS DRAYN SIGHT DISTANCE FCHEO= m cec Both criteria govern at an uncontrolled T Wersectiaa. REQUIREMENTS FOR RJS All sight line requirements ore per Sec 17.08175 INTERSECTIONS NTs of the Municipal Coda APPROVED ND. CfTY OF BAKER8FIELD CALIFORNIA 11 CITY ENGINEER PUBLIC WORKS _. DEPARTMENT ENCROACHMENT PERMIT APPLICATION FORM CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (661) 326 -3724 Fax: (661) 852 -2012 LOCATION OF ENCROACHMENT(Address required where available): a 12 A L1 Le AA v 14 If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. FULL NAME OF APPLICANT COMPLETE ADDRESS: APPLICANT INFORMATION 2 PHONE: 6,(o FAX: CELL: PROJECT INFORMATION - LJ /,yo DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc.): �—V--` ny,% h� PERIOD OF TIME FOR ENCROACHMENT: INDEFINITE or OTHER: (Please Circle) CONTACT PERSON PHONE: 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 upon the revocation thereof by the City Engineer, applicant will at his own cost and expense remove the same from the public prope , 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 coverage for bodily injury or property damage liability or both and required endorsements evidencing the insurance required. The type(s) and amount(s) of insurance coverage required are: Residences: Homeowners General Liability coverage in an 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: $30090 a t -3. - o S:1 Pt :RMITSI(_NCROACIiltincroachment Permit Req Form.DOC Aug. 2016 Google Maps Coo gle Maps ISL test il -, it R- Imagery ©2017 Google, Map data O^2017 Google 20 ft Page 1 of 1 https: / /www.google.comlmapsl @35.3072449, - 119.01013 73,75a,35y,94.31 h/data =! 3m 1 ! 1 e... 6/23/2017 5213 Gaylene Ave - Google Maps Go gle Maps 5213 Gaylene Ave Page 1 of 1 Bakersfield, California Street View - Jan 2012 x� i K"! I— . ;E LKQ Pick N Part - Bakersf Image capture: Jan 2012 ® 2017 Google https: / /www.google.comlmaps / @3 5.3072703, - 119.0102609,3 a,60y,88.74h,77.32tldata =! 3... 6/23/2017 v I J � Cy) Q1 mot, Zr - n) Y m as I 0 ,09 jo ;m Puo gjrp - - - - — -- — — — - ID,MSPlS pe-d ud 6uRate — — - - - - - - Z 't 4 0 a J I J r) J OQ J Q m U w � W O m I WQ vO O J I J J moo& I tj 3r& I W O 3N O 0 J 400001� 0 BAKERS FIELD Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 326 -3724 TO WHOM IT MAY CONCERN: We the undersigned, have no objection to the construction of a fence beside the sidewalk within the public right -of -way. v (> By-.b rL�� 04 1 l )a s (Street for pr pp6sed encroachment) t (ow rs Name) 3-7q-L)/q6 CT V Phon (Address of proposed encroac ment) SIGNED: 1.) Name: nf1 Lc Address: - // 2.) Name: � � f 46 (F/4 -S Address: 3.) Name: Address: 5213 Gi a j e cLVe' 4.) Name:—__- _ Address: 5.) Name: A(4z4 Date: 51 /011 -1 Date: 6, `b Date: 5 L G lI Date: Date: �]✓7 Address: �o�li C-?o -y /Cqe a UP 6.) Name: C"5 Ql �OS� i� iS n Date:, �f ()zb Address: SZ I ( &4 — a 4L q &a 7 • See Signatures needed for approval page eft wt e7, co CN 0 0 O O 0 O r- 0 CN Q) C: -3 Ha as of u oa O fi Ut TO: FROM DATE Y _A� I.: E R F I E L L� PUBLIC WORKS DEPARTMENT MEMORANDUM Ed Murphy, Engineer Ili Michelle Mendenhall, Engineering Tech June 23, 2017 SUBJECT: Encroachment Permit Application for: 5212 Gaylene Avenue Name of Applicant: Bertha Elias Description of Encroachment: 4' wrought iron fence in front yard behind sidewalk Please review the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS \ENCROACH \TRAFFIC \5212 GAYLENE.doc s B A 1--: E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager FROM: Michelle Mendenhall, Engineering Technician I DATE: June 23, 2017 SUBJECT: Encroachment Permit Application for: 5212 Gaylene Ave Name of Applicant: Bertha Elias Description of Encroachment: 4' wrought iron fence in front yard behind sidewalk Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S: \PERMITS \ENCROACH \INSURANCE \5212 GAYLENE AVE.doc Quote and Bind Page. Page I of I C'u,,torner Service: (800) 303 -5000 Claims: (300) 902-1172 S,1A11 I.L UOR_9LF_S (13-2 57,331 California j Switch User. DP -1. Owner - ldome I Switch State Primary - C ,Pducer ovvnloa California Q'-yi r t x.11 11W It Stav Connected: Offline Endorsement Request New Claim Info! The following has been sent From: 1325733, smorales - e -mail: berthaelias0Cgmail.com Policy #: ANY 0461509- 00(01) - Bertha Elias Req. Eff. Date: 05/12/2017 Subject: increased Message: Increased Comprehensive pers liability To $300.000 limits Confirmation: B25733- G5CG365012 Fine " $W..sdr k Print your Confirmation 96=041t M"A* �akarsfiel�� G©a �►�►.ar�rr�.el�►la f�af'��r Have a quick question? https: // willow. pacificspecialty. com /Net.Data/Offline_End_P.ndm/INFO 5/12/2017 ) . 01 .vE 1 MCGRAW INSURANCE SERVICES PacificSpecialty.com P.O. BOX 40 ANAHEIM, CA 92815 -0040 (800)303 -5000 'ACIFIC SPECIALTY INSURANCE COMPANY BEST RATED A ADMITTED) LAMED INSURED AND ADDRESS 3ERTHA A ELIAS >009 GEORGIA PINE WAY iAKERSFIELD, CA 93313 CALIFORNIA * ** ENDORSEMENT ENDORSEMENT EFFE, PRODUCER: B25733 (661)327 -1257 MORALES SAMUEL R 800 Dr Martin Luther King, #a Bakersfield, CA 93307 - DP -1 OWNER- PRIMARY OF DECLARATIONS * ** -_TIVE DATE: 11/07/2016 'OLICY NO: ANY 0461509 -00. 'OLICY TERM: 09/22/2016 TO 09/22/2017 12:01 A.M. STANDARD TIME AT THE ADDRESS OF NAMED INSURED AS STATED HEREIN. 'HE ABOVE POLICY HAS BEEN ENDORSED FOR THE FOLLOWING REASONS: IU - INSPECTION COMPLETED 'ROGRAM: DP -1 :OVERED PROPERTIES # OCCUPANCY USE # UNITS YEAR ROOF CONSTRUCTION # STORIES 1 OWNR PRIM 1 1984 TILE FRME 1 STORY SQUARE FEET PROTECTION CLASS: PROPERTY ADDRESS: 5212 GAYLENE AVE COUNTY: KERN 1,184 (SEE BELOW) 3 FIRE EXTINGUISHER: FEET TO HYDRANT : BAKERSFIELD ROOF YR 2006 100 CA 93307 MORTGAGEE: BROKER SOLUTIONS.INC DBA NEW AM FUNDING IT "S SUCCESSORS AND /OR ASSIGNS PO BOX 3080 EVERETT WA 98213 LOAN #: 134616030640 COVERAGE(S): PREMIUM * DED, UNLESS SPECIAL DED. BELOW INC $500 DEDUCTIBLE A DWELLING 226.00 $172,000 LIMIT You may use up to 10% of Coverage A limit of liability for Coverage B, Other Structures. You may use up to 10% of Coverage A limit of liability for Coverage D or E, Loss of Use. Payment under Coverages B, D and/or E will each reduce the Coverage A limit of liability by the amount paid for the same loss. NSURED 11/07/2016: 20:12:08 PROCESS DATE: 11/07/2016 ). 01 ALE 2 MCGRAW INSURANCE SERVICES PacificSpecialty.com P.O. BOX 40 ANAHEIM, CA 92815 -0040 (800)303 -5000 'I - (owl b 4+,tk e- M0 I COVERAGE(S): PREMIUM CR3 INCREASED DEDUCTIBLE CREDIT 23.00 - ElE ANIMAL LIABILITY EXCLUDED INC F MEDICAL PAYMENTS INC $250 PER PERSON LIMIT $5,000 PER OCCURRENCE LIMIT G COMPREHENSIVE PERS. LIABILITY 85.00 $100,000 LIMIT NEW NEWLY ACQUIRED HOME DISCOUNT 23.00 - P18 TRAMPOLINE EXCLUSION INC P19 SLIDE & DIVING BOARD EXCLUSION INC S AGE SURCHARGE INC SUBTOTAL PREMIUM: 265.00 OLD TERM NEW TERM TERM CHANGE ENDORSEMENT TOTAL PREMIUM: $265.00 $265.00 $0.00 $0.00 JLLY EARNED POLICY FEE: $25.00 $25.00 $0.00 $0.00 'LILLY EARNED INSP. FEE: $40.00 $40.00 $0.00 $0.00 TOTAL CHARGE: $330.00 $330.00 $0.00 $0.00 'ERM FACTOR: .874 'HIS POLICY DOES NOT INCLUDE OPTIONAL EARTHQUAKE COVERAGE. 'HIS POLICY DOES NOT INCLUDE BUILDING CODE UPGRADE COVERAGE. >UBJECT TO FORM NO(S): THE APPLICATION AND ITS STATEMENTS AND REPRESENTATIONS. 'OLICY FORM : DP -1 (ED. 4) ' NDORSEMENT CODES: ,AM1 (ED.1); NM- CA -MEPL (ED.4 /02); NM- CA -PO1 (ED.11 /01); NYMI.WPD; IM- CA -TW1 (ED.5 /02); PM1 -CA -DP (ED.3); PM3 (ED.4); PM4 (ED.1); PM11 (ED.5); 'M18 (ED.1); PM19 (ED.1); PM33 (ED.1) 'M2 (ED.3), P01 -CA (ED.4), H02490 (01/93). FRAUD STATEMENT 'OR YOUR PROTECTION CALIFORNIA LAW REQUIRES THE FOLLOWING TO APPEAR ON THIS 'ORM: ANY PERSON WHO KNOWINGLY PRESENTS FALSE OR FRAUDULENT CLAIM FOR THE 'AYMENT OF A LOSS IS GUILTY OF A CRIME AND MAY BE SUBJECT TO FINES AND .ONFINEMENT IN STATE PRISON. :OVERAGE APPLICABLE ONLY WITHIN THE U.S.A., ITS TERRITORIES, AND CANADA. 'OLICY FEE IS FULLY EARNED (RETAINED). 'OR CLAIMS REPORTING PLEASE CALL (800)962 -1172. 'OR POLICY SERVICE PLEASE CONTACT YOUR PRODUCER AT (661)327 -1257. NSURED 11/07/2016: 20:12:08 PROCESS DATE: 11/07/2016 ). 01 ►GE 3 MCGRAW INSURANCE SERVICES PacificSpecialty.com P.O. BOX 40 ANAHEIM, CA 92815 -0040 (800)303 -5000 NTERNAL PRINT CODES: CA- DPI -POL (ED.3.0);CA- DP -1/3 -END (ED.9.0) NSURED 11/07/2016: 20:12:08 PROCESS DATE: 11/07/2016