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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