HomeMy WebLinkAbout10217 Pyramid Peak DrENCROACHMENT 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 . . . . . 18- 30000018 Date 9/25/18
Property Address . . . . . . 10217 PYRAMID PEAK DR
Application type description PW - ENCROACHMENT PERMIT
Owner
------------------------
PULIDO EMILIA & LUIS
10217 PYRAMID PEAK DR
BAKERSFIELD CA 93311
Contractor
------------------ - - - - --
OWNER
----------------------------------------------------------------------------
Permit . . . . . . ENCROACHMENT PERMIT
Additional desc . .
Phone Access Code . 2252484
Permit Fee . . . . 420.00
Issue Date . . . . 9/25/18 Valuation . . . . 1
Qty Unit Charge Per Extension
1.00 420.0000 EA PW ENCROACHMENT 420.00
----------------------------------------------------------------------------
Special Notes and Comments
September 25, 2018 4:56:43 PM
mmendenhal.
Existing 61 high wooden fence located on
side yard (Pueblo Peak Way), 8' from
face of curb. FF:.nce is located 2' into City ROW.
Contact person: Luis Pulido 378 -8105
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
------- -- -- --- - -- ---- - -- - -- ---- ---- -- ---- - - - - -- ---- - - - ---
Permit Fee Total 420.00 420.00 .00 .00
Grand Total 420.00 420.00 .00 .00
Applicant ackno es h i ht of the City Engineer, pursuant to the Bakersfield Mu Code Chapter 12.20 to
revoke the pewl rm' at a im .
zq / s
Signatu of ApWco (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
Applicant agrees that if this application is granted, applicant shall indemnify, defend, and hold harmless 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 or judicial tribunals of any kind whatsoever, arising out of connected with, or caused by applicant,
or in any way arising from, the terms and provision of this permit or the placement, use (by applicant or any other person or
entity) or maintenance of said encroachment, whether or not caused in part by a party indemnified hereunder, except for CITY's
sole active negligence or willful misconduct. The applicant further agrees to maintain the aforesaid encroachment, including, but
not limited to, repairing or replacing the encroachment at Applicant's cost even if CITY inadvertently damages or destroys the
encroachment in the ordinary course of CITY's business, during the life of the 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 revocation
thereof by the City Engineer, applicant will at his own cost and expense remove 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 must contact Dig -Alert at 811 at least 2 full working days prior to all excavating.
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 fumish the City Risk Manager with a certificate of issuance evidencing sufficient
coverage for bodily injury or property damage liability of both and required endorsements evidencing the insurance required.
Y1 have read and acknowledge the above.
Applicant's Initials
Y -c
CO co
a
o
.� Coa�
� a
a a
O C
LO � O
0
Q
C�
G
M
N 0
N
't v t n
v
0
0
G7
w
0
N
0
71
O
N
C
l0
Ci
7
CL
f0
U
W
O�
N
f6
C
O
w
U
v
a�
w
v
Y
(O
m
U
C
ai
0
0
0
cD
5a
O
N
C
l0
7
3
a�
m
N
00
0
N
O
M
N
tn
'It
10
i
f
L
cu
w
E
L
a
N
O
r-
U?
CJ
l .n f
s;
N
W
Cf
O
O
C7
OD
O
N
0
W
N
m
m
ai
0
0
0
0
Oo
0
N
N
O)
f0
E
`J
_N
J
J
Lo
Z�
�m
0
J
ovi,Lv;uoo ;*a-f;s
�„� J :,_�_ L, � , � �•,� ; pin► �a� , �
,os
.jQaM9 Puc giro
xroMePIs nosoda .0 6eq�f \ J
moo& I �
U
I& W
Lu
0
Qz
b
a.c�
V�
.xN
r1
(V� � it ���, • I'
'f
}
j�
1
II
I •J _
4
ENCROACHMENT PERMIT
APPLICATION FORM
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE Q
BAKERSFIELD CA 93301 I,
(661) 326 -3724 Fax: (661) 852 -2012
TION OF ENCROACHMENT(Address required where available): l Q21'a 24gAM tip F&I-9— Z
If There is no address adjacent to work describe limits of work by distances from nearest existing street intersection.
FULL NAME OF APPLICANT --4- :}
X
COMPLETE ADDRESS: I oz 17 f (4vW I,D t�JD
LX
PHONE:
FAX:
CELL:
PROJECT INFORMATION
DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised
planter, etc.): we)423b /Y
PERIOD OF TIME FOR ENCROACHMENT: INDEFINITE or OTHER:
j �(U (Please Circle) ry
CONTACT PERSO U l t u 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
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 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: $420.00
S :\PERMITS\ENCROACH\Encroachment Permit Req FOrm.DOC Aug. 2017
State Farm General insurance Company
A Stock Company With Home Offices in Bloomington, Illinois
900 Old River Rd
Bakersfield, CA 9331 1 -950 1
Named Insured
AT3 H -12- 3118 -FA98 H F
001641 0046
PULIDO, EMILIA & LUIS
10217 PYRAMID PEAK DR
IN BAKERSFIELD CA 93311 -3230
1�1�11111�1111�111��1111I Jill 11111 1111111111111111 111111111111111
m zrl ,&RATIONS PAGE
Policy Number 87- C4- L745 -4
Policy Period Effective Date Expiration Date
12 Months FEB 13 2017 FEB 13 2018
The policy period begins and ends at 12:01 am
i
standard tme at the residence premises.
Loan # 170125000
Mortgagee
MORTGAGE BANK OF CALIFORNIA
ITS SUCCESSORS AND /OR ASSIGNS
1141 HIGHLAND AVE STE C
MANHATTAN BCH CA 90266 -5326
HOMEOWNERS POLICY
Automatic Renewal - If the policy period is shown as 12 months, this policy will be renewed automatically subject to the
premiums, rules and forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the
Mortgagee /Lienholderwritten notice in compliance with the policy provisions or as required by law.
Location of Residence Premises
Same as Insured's Address
This
!s not provide coverage fordo
udes Building Code Upg
Coverages & Property
SECTION I
A
Dwelling
B
Dwelling Extension up to
B
Personal Property
C
Loss of Use
FE -1313
SECTION II
L
Personal Liability
Option ID
(Each Occurrence)
Option OL
Damage to Property
of Others
M
Medical Payments to
Others (Each Person)
quake
of $ 21,500
Limits of Liability
221,500
161 250
Actual Loss
Sustained
$ 300,000'-
$ 500
$ 1,000
Loss Settlement Provision (See Policy)
Al Replacement Cost - Similar Construction
61 Limited Replacement Cost - Coverage
B
Forms, Options, & Endorsements
Homeowners Policy
FP -7955 . CA
Homeowners Policy Endorsement
FE -3422
FE -3247
Amendatory Endorsement
Form 438bfu NS Lndr Loss Pay
FE -1313
Jewelry and Furs $1,500 Each
Option JF
Article /$2,500 Agggregate
Increase Dwlg Up to $ 43,000
Option ID
Ordinance /Law 10 %/$ 21,500
Option OL
Inflation Coverage Index: 236.9
Deductibles - Section I
All Losses $ 2,000
In case of loss under this policy, the deductibles will be applied
per occurrence and will be deducted from the amount of the
loss. Other deductibles may apply - refer to policy.
Policy Premium
Discounts Applied:
Utility Rating Cr
Claim Record
Other limits and exclusions may apply - refer to your policy
Your policy consists of this page, any endorsements
and the policy form. Please keep these together.
FP -7018C
5502 151 1
N 1S,Q,PD
Prepared FEB 22 2017
KATHY HERM
661- 832 -1020
$ bV /.UU
555.7090 ('.A ccc -.nnn . o.,.. .n nnn•, �....nn..,...
$AKERSFIEED
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 pro osed encroachment)
/ (Owners Name)
" a-D I —A Phone.
(Address of proposed encroachment)
SIGNED:
1.) Name: 'h � EDUL—P— J Date:
Address: 1021'ZFO&Ar�147 RA8LE
2.) Name: M-a �c t. r, G t)�- r c ( a Date:
Address: z4 - O y UJ c-1
3.) Name: �,�/ L(/ Date:
Address: 410 &/L/- ffeLJW
4.) Name: L�G'esA.l -� S L !..I /�5 Date:,
Address:
5.) Name: Date: U I
Address: �' I' V✓ �lr �iVW �rif'�i „"`
6.) Name: Date:.
Address: I cs 2 L �c ��1� l"t ( o 1(:� f} �l
See Signatur s needed for approval page
N
MINIMUM SIGNATURES NEEDED FOR APPROVAL OF
IF APPLICANT IS UNABLE TO OBTAIN A REQUIRED
PLEASE SUBMIT A LETTER STA 77NG REASON FOR
d
• J. L.
APPLICA 77ON,
SIGNA TURF
Street Centerline
/------- - - - - --
�I I.
-------- ---------- -- -- -- ----\
4/D BLOCK
LOT
---------- - - - - -- -,-------------------------------
x�stin or Pro�OSed Siderolk
-- - - - - -- $ublpc d utter - - - - --
Street Centerline
R r I E L L)
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ed Murphy, Engineer III
�v
FROM: Michelle Mendenhall, Engineering Tech
DATE: October 4, 2018
SUBJECT: Encroachment Permit Application for: 10217 Pyramid Peak Drive
Name of Applicant: Emilia & Luis Pulido
Description of Encroachment: 6' wooden fence at side of house on Pueblo
Peak Way, 8' from face of curb
Please review the attached encroachment permit and return to me at your earliest convenience.
S: \PERMITS \ENCROACH \TRAFFIC \10217 PYRAMID PEAK.doc
•
F I I: 1, 1 �
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Jena Covey, Risk Manager 4,
FROM: Michelle Mendenhall; Engineering Technician
DATE: October 4, 2018
SUBJECT: Encroachment Permit Application for: 10217 Pyramid Peak Drive
Name of Applicant: Emilia & Luis Pulido
Description of Encroachment: 6' wooden fence on side yard (Pueblo Peak
Way) 8' back from face of curb
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:\ PERMITS \ENCROACH \INSURANCE \10217 PYRAMID PEAK.doc