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HomeMy WebLinkAbout12309 High Country Dr�U ENCROACHMENT PERMIT G CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE 'aRY, BAKERSFIELD CA 93301 9L1�n ';1? (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- 30000023 Date 10/10/18 Property Address . . . . . . 12309 HIGH COUNTRY DR Application type description PW - ENCROACHMENT PERMIT Owner ------------------------ GONZALES JESUS P JR & JESSICA 12309 HIGH COUNTRY DR BAKERSFIELD CA 93312 Contractor ------------------ - - - - -- OWNER ---------------------------------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 2259232 Permit Fee . . . . 420.00 Issue Date . . . . 10/10/18 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 420.0000 EA PW ENCROACHMENT 420.00 ---------------------------------------------------------------------------- Special Notes and Comments October 10, 2018 11:29:16 AM mmendenhal. Place 6' block wall at back of sidewalk on Hidden Burrow Drive. Will follow City line of sight standard T11. Contact person: Jesse Gonzales 205 -6232 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------- - -- - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- - --- - - - - -- Permit Fee Total 420.00 420.00 .00 .00 Grand Total 420.00 420.00 .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. Si ature of Ap I' nt (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),(DENI ) 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 furnish 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. / ad and acknowledge the above. Applicant's Initials B o Ks ENCROACHMENT PERMIT -�► APPLICATION FORM t7 CITY OF BAKERSFIELD 3 PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE gLIFO BAKERSFIELD CA 93301 (661) 326 -3724 Fax: (661) 852 -2012 LOCATION OF ENCROACHMENT(Address required where available)W3d 9 raioA%e Pr If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. APPLICANT INFORMATION FULL NAME OF APPLICANT (-em 4,f COMPLETE ADDRESS: /Zga!� i� 41 4 L'pU• PHONE: 4hll A C4-7 -) /12 FAX: DESCRIPTION OF planter, etc.): ,a CELL: a/ ZD.f- 4Z32 PROJECT INFORMATION NT (Example: Wood or wrought iron fence, concrete block wall, raised PERIOD OF TIME FOR ENCROACHMENT: INDEFINITE or OTHER: (Please Circle) , CONTACT PERSON�>P �1Z,�,, f PHONE: _��Z ? 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 Y I 0 � ilia o Q L.Lj o J° �cn �o 0 J °Ulyo;uoo x"45 `y .09 _ _V;M9 PuD 4V/* - IIDMOPIS Pa -do.,d ao 6upePc3 O p C 41 04 Z IY.i 3No e �V I =j V I�.� h i Ia I o I�� J I `�j()( r Hidden Burrow Dr - Google Maps GO gle Maps Hidden Burrow Dr 12309 High Country Page 1 of 5 Image capture: Jan 2012 © 2018 Google Bakersfield, California Google, Inc. Street View -Jan 2012 12309 Hit Country 0 a. Or https: / /www.google.com/maps /place/ 123 09+ High +Country +Dr, +Bakersfield, +CA +93 31... 10/19/2018 12309 High Country Dr - Google Maps Go gle Maps 12309 High Country Dr Page 1 of 6 Imagery 02018 Google, Map data 02018 Google 10 ft 12309 High Country Dr Bakersfield, CA 93312 https: / /www.google.com/maps /place/ 12309+ High+ Country +Dr, +Bakersfield, +CA +9331... 10/19/2018 $AKERSFIEIL 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. (Scree! or proposed encroachment) �� /' j / (Owners Name) 7 ( iA±2 41/ l /� Phone h1/ (Address of proposed encroachment) SIGNED: 1.) Name: "'y') Date: Address: 2.) Name: .JC>e•� ;16,e Date: i" Ao" Address: 1,23,96 3.) Name: ��yy l,A X(o, ,,C�P1/e rY+ Date: Address: 4.) Name: d Date: 1 D Q Address: M,7 ((p 5.) Name: t S'1" Date: Address: 11107 6.) Name: �� vti1 �arf�s4+r1 Date: to / Address: 11 • See Signatures needed for approval page f� U M� W N - f - - - _7 M� - Y '.7 N Q h _ 3 .r k� G N O C O (O u� � N O 0 N O 8 O G O O W O N Of N O U 0 8 N � E Y w a o o° O u r e o d u D y U� s= e9 m� `o n U t E E C ,F0 E i W m r z s s °c E m s U RESIDENCE MUTUAL INSURANCE COMPANY DECLARATIONS Irvine, California Fax: (949) 838 -0019 Claims: 800 - 927 -2142 Homeowners Policy www.WesternMutual.com Customer Service: 800 - 234 -2114 Dwelling Year Built: 2005 Square Footage: 1,843 Policy Number From Continuous To Important Reminder: This _ Policy Period 3666978 1 ANNUAL 6 13/2019 policy does not contain :THE PREMISES COVERED BY THIS POLICY IS LOCATED AT: Earthquake coverage. 12309 HIGH COUNTRY DR BAKERSFIELD, CA 93312 -6838 ' 11111111- 111111i III II'111'lll "III 1 -i -1-- 1111111111-1111- 1 -1111- GONZALEZ, JESUS P & JESSICA M 12309 High Country Dr Bakersfield, CA 93312 -6838 0 The limit of liability for this structure (Coverage A) 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. CROD Named Insured and Address First Mortgagee Loan# WPDOO0002181 GONZALEZ, JESUS P & JESSICA M CMG MORTGAGE, INC. 12309 HIGH COUNTRY DR ITS SUCCESSORS AND /OR ASSIGNS BAKERSFIELD, CA 93312 -6838 3160 CROW CANYON ROAD, SUITE 400 SAN RAMON, CA 94583 RSRV Second Mortgagee Agent Phone (800) 234 -2114 WESTERN MUTUAL GROUP - CUSTOMER SERVICES PO BOX 19626 IRVINE, CA 92623 -9626 SCHEDULE OF COVERAGES SUBJECT TO ALL POLICY TERMS, CONDITIONS & EXCLUSIONS Deductible for Coverage A, B & C: S1,000 Description Coverage Premium Coverage Limit Premium 1000 DEDUCTIBLE 110 - A- Dwelling $230,000 $733. NEW HOME CREDIT 25- B -Other Structure $23,000 ALARM CREDIT 31- C- Personal Property $172,500 HOMEOWNERS PLUS INCL. ERC UP TO 150z- A INCL. D- Additional Living $92,000 Online User Disc 117- E- Personal Liability $300,000 18 F- Medical Payments Each Person $1,000 Each Accident $25,000 ERC increases Coverage A limit to $345,000 THIS POLICY DOES NOT INCLUDE BUILDING CODE UPGRADE COVERAGE. 10z, New Loan discount included Replacement Cost on Contents $18,000 Mort Payment Prot Incl. FORMS: H03D (06/14) 438BFU HP3 HOCAWR12 1 MEMORANDUM COPY INVOICE Direct Bill Annual Policy Premium Counter Signature $468 6/28/2018 Date .POLICY NO. `. LOAN NUMBER DATE DUE AMOUNT DUE 3666978 WPD000002181 RESIDENCE MUTUAL INSURANCE COMPANY P.O. BOX 19626 IRVINE, CA 92623 -9626 12309 HIGH COUNTRY DR BAKERSFIELD, CA 93312-6838 I 40 .00-� B _-a Imo: E R S I, I E T. T-> PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ed Murphy, Engineer III n FROM: Michelle Mendenhall, Engineering Tech DATE: October 19, 2018 SUBJECT: Encroachment Permit Application for: 12309 High Country Dr Name of Applicant: Jesus & Jessica Gonzales Description of Encroachment: 6' block wall at back of sidewalk on side of house (Hidden Burrow Dr) Please review the attached encroachment permit and return to me at your earliest convenience. S: \PERMITS \ENCROACH \TRAFFIC \12309 HIGH COUNTRY DRAOC 1; S F I L I_ 1? PUBLIC WORKS DEPARTMENT MEMORANDUM N" + TO: Jena Covey, Risk Manager FROM: Michelle Mendenhall, Engineering Technician DATE: October 19, 2018 SUBJECT: Encroachment Permit Application for: 12309 High Country Drive Name of Applicant: Jesus & Jessica Gonzales Description of Encroachment: 6' high block wall at back of sidewalk on side of house (Hidden Burrow Dr) Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S \PERMITS\ENCROACH \INSURANCE \12309 HIGH COUNTRY.doc