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HomeMy WebLinkAbout101 OLEANDER AVEENCROACHMENT PERMIT CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN. AVE BAKERSFIELD CA 93301 (661) 326 -3724 ) THE CITY ENGINEER OF THE CITY OF BAKERSFIELD CALIFORNIA: irsuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned applies for a permit to place, erect, use and iintain an encroachment on public property or right of way as therein defined. Application Number . . . . . 10- 30000007 Date 3/16/10 Property Address . . . . . . 101 OLEANDER AVE Application type description PW - ENCROACHMENT PERMIT Owner ------------------ --- - -- WILSON MARY JANE 101 OLEANDER AV BAKERSFIELD CA 93304 Contractor --------------- --- - - - - -- OWNER ---------------------------------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 985838 Permit Fee . . . . 208.00 Issue Date 3/16/10 Valuation . . . 0 Qty Unit Charge Per Extension BASE FEE 208.00 ---------------------------------------------------------------------------- Special Notes and Comments Install 4 ft wrought fence with concrete masonary pilasters at the NE and SE corners of the lot and at entrance: ---------------------------------------`------------------------------------ Fee summary Charged Paid Credited Due ------ ---- - - - - - -- -- -- - - - --- -- -- -- - - -- ---- -- -- -- -- -- - - - - -- Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 208.00 .00 .00 pplicant acknowledges the 60'4 of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the srmit at any t' e. g i tur o i ant ( wn en ) Print Name J HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED IN THE FOREGOING PPLICATION AND FIND THAT THE MAINTENANCE OF SAID ENCROACHMENT (1) WILL (NOT) .JBSTANTIALLY INTERFERE WITH THE USE OF THE PLACE WHERE THE SAME IS TO BE LOCATED AND (2) 'ILL (N� E A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS HEREFC RANTED (D IED). Said permit shall expire on date stated above. griature of City Engineer Additional Terms on the Back M .0000, 1B A I� E R S F I E L L) PUBLIC WORKS DEPARTMENT MEMORANDUM TO: • Ralph Korn, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: March 17, 2010 SUBJECT: Encroachment Permit Application for: 101 Oleander Ave. Name of Applicant. Mary Jane Wilson j Description of Encroachment. Install wrought iron fence behind sidewalk and sides of yard. Fence not to exceed 4' in height. C Please review the attached insurance certificate and encroachment permit and return to me at your earliest convenience. SAPERMITS\ENCROACKINSURANC \101 Oleander Ave..doc k wit, f�Fireman's Fund Insurance Company A company of Allianz @ Prestige Excess® Liability Declaration Policy Number Effective Date Company NZI 309 82 84 10 -25 -09 FIREMAN'S FUND INSURANCE COMPANY Named Insured Your Insurance Representative is ARROYO - KNAUF PO BOX 41498 MARY JANE WILSON LOS ANGELES CA 90041 1717 28TH ST (626) 799 -9532 BAKERSFIELD CA 93301 Policy Period Your Policy begins on 10 -25 -09 at 12:01 AM Standard Time and expires on 10 -25 -10 at 12:01 AM Standard Time at the described location. This liability policy is attached to the policy designated above. However, the definitions, coverages, losses not covered, conditions; and other provisions of that policy do not apply. to this policy unless otherwise spec- ified in this policy. Prestige ExcessO Limit(s) of Liability Personal Liability Uninsured /Underinsured Liability Premium $5,000,000 NO COVERAGE PROVIDED $379' Each Occurrence Each Occurrence Schedule of Required Underlying Insurance Minimum Limits of Liability Combined Split Limit Single Bodily Injury ' Property Exposure Limit Per Person /Per Accident Damage Homeowners /Personal Liability: $300,000 Employer's Liability for Residential Employees: $100,000 Personal Automobiles: NO COVERAGE PROVIDED BY THIS PRESTIGE EXCESS POLICY Corporate Cars: NO COVERAGE PROVIDED BY THIS PRESTIGE EXCESS POLICY Uninsured /Underinsured Motorist Liability: NO COVERAGE PROVIDED BY THIS PRESTIGE EXCESS POLICY Licensed Recreational Vehicles: Unlicensed Recreational Vehicles: It covered under Homeowners/ Personal Liability: If covered under Automobile or Recreational Vehicle policy: NO COVERAGE PROVIDED BY THIS PRESTIGE EXCESS POLICY NO COVERAGE PROVIDED BY THIS PRESTIGE EXCESS POLICY NO COVERAGE PROVIDED BY THIS PRESTIGE EXCESS POLICY NO COVERAGE PROVIDED BY THIS PRESTIGE EXCESS POLICY Boats:, NO COVERAGE PROVIDED BY THIS PRESTIGE EXCESS POLICY - less than 26 feet in length: NO COVERAGE PROVIDED BY THIS PRESTIGE EXCESS POLICY - 26 - 50 feet in length: NO COVERAGE PROVIDED BY THIS PRESTIGE EXCESS POLICY - greater than 50 feet in length: NO COVERAGE PROVIDED BY THIS PRESTIGE EXCESS POLICY 180191 10.07 Page 1 of 2 4AFireman's Fund" Insurance Company A company of Allianz @ Personal Homeowner Policy Declarations Summary Listed below is basic information about your policy. THANK YOU FOR RENEWING YOUR POLICY WITH FIREMAN'S FUND STARTING AT 12:01 AM ON 10/25/09. SCHEDULED MUSICAL INSTRUMENTS HAS BEEN CHANGED ON YOUR POLICY. WE INCREASED YOUR COVERAGES TO PROTECT AGAINST INFLATION. This Policy Has Been Issued by FIREMAN' S FUND INSURANCE COMPANY (One of the Fireman's Fund Insurance Companies) Policy Number NZI 309 82, 84 Named Insured MARY JANE WILSON 1717 28TH ST BAKERSFIELD CA 93301 Homeowner Policy Covering Premises and Contents at Policy Period 10 -25 -09 to 10 -25 -10 Your Agent Is ARROYO - KNAUF PO BOX 41498 LOS ANGELES CA 90041 '(626) 799 -9532 REFER TO PAGE 2 OF THE DECLARATIONS FOR A DESCRIPTION OF THE.--COVERED PROPERTY SCHEDULED VALUABLE'POSSESSIONS ADDITIONAL TOTAL PREMIUM CIGA SURCHARGE Premium $ 3,348.00 74.00 379.00 $ 3,802.38 1.38 INCL. TOTAL PREMIUM INCLUDES THESE CUSTOMER CREDITS AND SURCHARGES: LOYALTY CREDIT $ 84 ALARM OR SPRINKLER SYSTEM $ 628 PORTFOLIO CREDIT $ 174 Your Bill Is Not Enclosed -- Your Bill Will Be Mailed SEPARATELY Approximately 20.Days Before Your Next Scheduled Due, Date 3355262-04 Page 1 of 3 Insured Copy jtLm rirrinans rums Insurance Company A company of Allianz @ Personal Homeowner Policy Declarations Policy Number Effective Date Company. NZI 309 82 84 10 -25 -09 FIREMAN'S FUND INSURANCE COMPANY Named Insured Your Agent Is ARROYO KNAUF MARY JANE WILSON PO BOX 41498 1717 28TH ST LOS ANGELES CA 90041 BAKERSFIELD CA 93301 (626) 799 -9532 Policy Period Your Policy begins on 10 -�5 -09 at 12:01 AM Standard Time and expires on 10 -25 -10 at 12:01 AM Standard Time. Your Covered Property Covering Premises and Contents at 101 OLEANDER AVE BAKERSFIELD CA 93301 Deductible: In case of loss under Coverage For Damage To Your Property, this policy covers only that part of the loss over the deductible stated. $500 ALL PERILS Limit of Liability: The limit of liability °for this structure (Dwelling) is based on an estimate of the cost to rebuild your home, including an approximate cost for labor and materials in your area, and specific information that you have provided about your home. Policy. Form 5321B 10 -07 Prestige Home Premier Dwelling Coverages Limits of Liability y Coverage For Damage To Your Property Dwelling 907,000 Other Structures 181,400 Personal Property 634,900 Coverage For Liability And Medical Payments To Others Personal Liability 500,000.Each Occurrence Medical Payments to Others 100,000 Each Person Scheduled Valuable Possessions Limits of Liability Premium MUSICAL. INSTRUMENTS $ 19,245 $ 74.00 Total Policy Premium $ 3,802.38 Page 2 of 3 335525 1.05 CA Insured Copy ACC?R" CERTIFICATE OF DATE (MM /DD/YYYY) LIABILITY INSURANCE 2/17/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER (661) 324 -9614 FAX: (661) 324 -2013 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hay Insurance Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Ca Lic # 0308408 2001 F Street INSURERS AFFORDING COVERAGE NAIC # Bakersfield CA 93301 INSURER A Financial Pacific Insurance 31453 INSURED Gary Uhalt, DBA: Uhalt Construction Company INSURER B: General Insurance Co 524 N. Stine Road INSURER C: INSURER D: Bakersf �eld CA 93309 INSURER E: COVERAGES INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED THE OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR R HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION LIMITS INSR DD' POLICY NUMBER INSR EACH OCCURRENCE $ 1.000,000 GENERAL LIABILITY DAMAGE TO RENTED $ 50 000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence 5,000 X CLAIMS MADE OCCUR 163000) 2/26/2010 2/26/2011 MED EXP (Any one person) $ A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OPAGG $ 2,000 000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 11000,000 (Ea accident) ANY AUTO' $ ALL OWNED AUTOS 24 -CC- 277395 -1 2/26/2010 2/26/2011 BODILY INJURY $ (Per person) X SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY $ (Per accident) X NON -OWNED AUTOS PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY EA ACC $ ANY AUTO OTHER THAN AUTO ONLY: AGG $ EACH OCCURRENCE $ 1,000,000 EXCESS I UMBRELLA LIABILITY AGGREGATE $ 1 000,000 X OCCUR CLAIMS MADE A DEDUCTIBLE 921447) 2/26/2010 2/26/2011 $ RETENTION $ OCCRY STATU- I OTH- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDENT $ ANY PROPRIETOR /PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED' E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) if yes, describe under E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS tthe oattached nendorsement. nNoticeoofGCancellationl hfor s ts RE n e kinsured fper *10 Day Applies Non work performed by thea named Payment of Premium. CANCELLATION CERTIFICATE HOLDER SHOULD ANY OFTHEABOVE DESCRIBED POLICIES BECANCELLED BEFORE THE EXPIRATION City of Bakersfield DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN Risk Management Dept. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 1501 Truxtun Ave IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON,THE INSURER, ITS AGENTS OR Bakersfield, CA 93301 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Gary McGill /AH ©1988 -2009 ACORD CORPORATION. All rights reserved. Annon oa 17nnain11 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. POLICY NUMBER: 163000J COMMERCIAL GENERAL LIABILITY CG 2010 Blanket Additional Insured 01 08R THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (WITH.LIMITED COMPLETED OPERATIONS COVERAGE) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART BUSINESSOWNERS COVERAGE FORM SCHEDULE NAME OF PERSON OR ORGANIZATION: Any person or organization to whom or to which the named insured is obligated by a virtue of a written contract to provide insurance that is afforded by this policy. Where required by contract the officers, officials, employees, directors, subsidiaries, partners, successors, parents, divisions, architects, surveyors and engineers are included as additional insureds. All other entities, including but not limited to agents, volunteers, servants, members and partnerships are included as additional insureds, if required by contract, only when acting within the course and scope of their duties controlled and supervised by the primary (first) additional insured. If an Owner Controlled Insurance Program is involved, the coverage applies to off -site operations only. if the purpose of this endorsement is for bid purposes only, then no coverage applies. WHO IS AN INSURED:(Section II) This section is amended to include as an insured the person or organization shown on the Certificate of Insurance, but only to the extent that the person or organization is held liable for your acts or omissions arising out of and in the course of "your work" for that person or organization by or for you. The "products - completed operations hazard" portion of the policy coverage does not apply to any work involving or related to properties intended for residential or habitational occupancy (other than apartments). WAIVER OF SUBROGATION: We waive any right of recovery, when required by written contract, that we may have against the person or organization shown in the Certificate of Insurance because of payments we make for injury. LOCATION OF JOB: The job location must be within the State of domicile of the named insured, or within any contiguous State thereto. DESCRIPTION OF WORK: The type of work performed must be that as described under classifications in the CGL Coverage Part Declarations. CARPENTRY -NOC PRIMARY CLAUSE: When this endorsement applies and when required by written contract, such insurance as is afforded by the general liability policy is primary insurance and other insurance shall be excess and shall not contribute to the insurance afforded by this endorsement. EXCLUSION: The insurance provided to the additional insured does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of an architect's, engineer's or surveyor's rendering or failure to render any professional services, including: 1. 'The preparing, approving, or failing to prepare or approve, maps, designs, shop drawings, opinions, reports, surveys, field orders, change orders, or drawings and specifications; and 2. Supervisory, inspection, architectural or engineering activities. Endorsement EFFECTIVE DATE: . Endorsement Feb/26/2010 EXPIRATION DATE: Feb/26/2011 CG 20 10 Blanket Additional Insured 01 08R _ _ Page 1 of 1 POLICYHOLDER COPY NT P.O. BOX 420807, SAN FRANCISCO,CA 94142 -0807 CERTIFICATE OF WORKERS' 'COMPENSATION INSURANCE ISSUE DATE: 01 -01 -2010 CITY OF BAKERSFIELD NT PUBLIC WORKS DEPT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 -5201 GROUP: 000044 POLICY NUMBER: 0025880 -2009 CERTIFICATE ID: 15 CERTIFICATE EXPIRES: 01 -01 -2011 01 -01- 2010/01 -01 -2011 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. t THO . RIZED REPRESENTATI y PRESIDENT UNLESS INDICATED OTHERWISE BY ENDORSEMENT, COVERAGE UNDER THIS POLICY EXCLUDES THE FOLLOWING: THOSE NAMED IN THE POLICY DECLARATIONS AS AN INDIVIDUAL EMPLOYER OR A HUSBAND AND WIFE EMPLOYER; EMPLOYEES COVERED ON A COMPREHENSIVE PERSONAL LIABILITY INSURANCE POLICY ALSO AFFORDING CALIFORNIA WORKERS' COMPENSATION BENEFITS; EMPLOYEES EXCLUDED UNDER CALIFORNIA WORKERS' COMPENSATION LAW. EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #20SS ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01 -01 -2009 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER UHALT, GARY AND UHALT, JANE DBA: UHALT NT CONSTRUCTION COMPANY 524 N STINE RD BAKERSFIELD CA 93309 M0409 PRINTED : 12 -17 -2009 (REV.2 -05) TO: FROM: DATE: L, A I-: E R S F I E L. D PUBLIC WORKS DEPARTMENT MEMORANDUM John Ussery, Engineer II Marian P. Shaw, Civil Engineer IV, Subdivisions March 17, 2010 SUBJECT: Encroachment Permit Application for: Name of Applicant. Description of Encroachment: 101 Oleander Ave. 4 Mary Jane Wilson %. Install 4' high wrought iron fence with concrete masonry pilasters at the NE and SE corners of the lot and at the entrance. Please review the attached encroachment permit and return to me at your earliest convenience. a a�iiDA1 0� -(YE ;fOX6 G G�2pl.LL(7 1 u7� /Z �� %lam t4PP SAPERMITS \ENCROACH \TRAFFIC \101 Oleander Ave -doc r s B A K E R S E .0 E L lD 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. (Street for proposed encroachment) (Owners Name of / D / �l .�3/16d,C� �V�. J >hone• & / (Address of proposed encroachment) SIGNED: 1.) Name: eut, k4a, -reyl Date: 05 •/ S /C� Address: 2,11 U t St— °1330/ 2.) Name: Date: Address: 3.) Name: Date: Address: 4.) Name: Date: Address: 5.) Name: Date: Address: 6.) Name: Date: Address: z B A K E R S F T E L D 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. (Street for proposed encroachment) (Owners Name 0f 119 4 /V6b ZA0. Gone:Z--- (Address of proposed encroachment) SIGNED: 1,) Name.. b 5 � Address: ()J- 2.) Name: Address: 3.) Name: Address: C)IC(NN NCIE, 01C 4.) Name: Address: 5.) Name: Address: 6.) Name: Address: Date: 3r % % i a Date. Date: Date: 3 " 6 Date: 3 - i s'— l 0_ Date: _ D II- w O f 1 f 1 rri ✓ z 3. a.'�o R3- 1 T Lb qc� 14. •' Y t R3- 1 T Lb qc� 14. I 1 I 1 I 1 � 1 I 1 I 1 I I I I 1 I I I I I , , , , , , 1 , , I , I I , , , , , , , , I I I I 1 I I I I I 1 I 1 I 1 I 1 I ' 1 I 1 E 1 , , I I I , , , , , , , , , , , I , , I 1 I , I r 1 , ' i 1 OUTLINE OF FENCE 1 , I ' , 1 POINT OF INTERSECTION LENGTH OF ENCROACHMENT ' i OF FENCE LINES FLOWLINE (ALONG 1ST ST.) ' I FLOWLINE -- N OLEAND-ER A --------------------------- - - - - - -- , .4' — 25- -- ---------- - - - - -- -------------- - - - - -- --------------------------------------- _ �3' LENGTH OF ENCROACHMENT N (ALONG OLEANDER AVE.) '- MAXIMUM ECROACHMENT ------------------------------------ - - - - -- D = 350' ------------------------------------------------------------ H = 348.96' - - - -- �- REGISTERED CIVIL ENGINEER CITY OF BAKERSFIELD 1501 TRUXTUN AVENUE BAKERSFIELD, CA 93301 CITY OF BAKERSF /ELD, CALIFORNIA PUMC WOWS DEPARTMENT Wle OLEANDER SIGHT LINE DIAGRAM SHEET No. Job Nome: E� ��ee�MDF TRAFRCENGINEEMNG OLEANDER AVE. 1ST ST. NW CORNER 1 OF 1 luale. 5/04/2010 Checked B. x